NURSING PRACTICE 1

Situation: Nurse Vera made a home visit to a newly married couple whom the wife is a
primigravida and three months pregnant. The would be mother asked questions about
pregnancy and prenatal care.
1. In assessing the health condition of the pregnant patient, Nurse Vera should focus on
the ____.
A. Last menstrual period
B. Number of days of menstruation
C. Age of patient during menarche
D. Amount of menstrual flow

2. The patient asked Nurse Vera when is the best time to visit the clinic for her 1 st
prenatal care. Which should be the appropriate answer of the nurse?
A. Second trimester
B. Before delivery
C. Third trimester
D. First trimester

3. The patient seems indecisive whether to breastfeed her baby or not. Which is the
desired nursing action of Nurse Vera to help the pregnant patient make a decision on
breastfeeding? A. Give pamphlets and book to read.
B. Provide ample time for the patient to decide
C. Refer the patient to the nutritionist
D. Assist to identify breast feeding goal and plan

4. The patient asks Nurse Vera, when could you hear the fetal heart of my baby? Which
of the following should be the BEST answer of Nurse Vera?
A. Ninth month
B. Fifth month
C. Third month
D. First month

5. Nurse Vera informs the patient she should be screened for pre-eclampsia during this
term of pregnancy ___.
A. First
B. Second
C. Third
D. Before delivery

Situation: In the practice of her profession as a public health nurse, Nurse Mary is
guided by ethical and moral principles.
6. The nurse in the practice of her profession is guided by ______.
 A. Codeof ethics
B. Standard of care
C. Local Government Code
D. Nursing Process

7. In the ethical principle of beneficence, which is the Basis of every nursing action in all
work settings?
A. Treating all patients selectively
B. Informing patient of hospital bills
C. Respecting refusal of treatment
D. Doing good at all times

8. In handling all information about the families in the community, which of the
following principle should the nurse consider ethical?
A. Confidentiality
B. Fair
treatm
ent C.
Justic
e
D. Beneficence

9. Nurse Mary randomly selected individuals in the community who will be part of a
project. Which of the following ethical principle is observed by the nurse?
A. Autonomy
B. Beneficence
C. Confidentiality
D. Fair Treatment

10. Identify the primary indicator that Nurse May observes fidelity in the practice of her
profession. A. Faithfully promotes health and prevents disease.
B. Frequently assists in providing health services.
C. Fairly evaluated health programs and initiatives
D. Collaborates and works with barangay officials

Situation: Nurse Gina is assigned to supervise the home for the aged in the barangay.
11. In planning the care of the elderly, which should be the important consideration that
Nurse Gina has to consider, ____.
A. The educational qualification
B. Family support
C. Activities of daily living
 D. Residence of the elderly

12. Nurse Gina also has to consider in terms of financial status most of the elderly are
_____.
A. Sufficient
B. Disoriented
C. Dependent to others financially
D. Have pension

13. In planning their care Nurse Gina should consider _____.

A. Socialization is more important
B. Hollistic Care
C. Physically Dependent
D. Spiritual healing

14. In her recommendation, Nurse Gina stated, elderly should be given independence.
This means ____.
A. They must live in their own
B. They environment should be safe for them
C. They are free what to do
D. They have rights

15. The elderly should be afforded health protection by

A. Avoid end hazards
B. Pollution environment
C. Placing them in the home for the aged
D. Regular health check up

16. Which of the following is NOT a step of record keeping?

A. Structuring
B. Storing
C. Securing
D. Easy Disposal

17. In the community setting which is the essential record about the patient?
A. Treatment Record
B. Tally Sheet
C. Chart
D. Kardex
18. Which of the following is the purpose of record keeping
A. Quantify medication usage
B. Historical background
C. Archive
D. Quality health care

19. Records are important in health care for ____.

A. Counting hospital bills
B. Evidence of health care
C. Quantifying services provided
D. For the physician to read

20. What is the ultimate purpose of record keeping A.

Safeguard information
B. Archive
C. History
D. Store information

Situation: Nurse Emma was informed that a family who has just moved in has family
members who are infested with Scabies.
21. Which infection control measure should Nurse Emma
observe during her visit to the family.
A. Wear mask C. Use face shield
B. Use gloves D. Wear gown

22. During the history taking, which of the following is the most common symptom of
Scabies that the family would report to Nurse Emma?
A. Rashes
B. Swelling
C. Scaling
D. Itchiness

23. In providing health teaching to the family, Nurse Emma would include in her
teachings the etiology of Scabies which is _____.
A. Virus
B. Fungi
C. Bacteria
D. Parasite

24. The mother of the family asked Nurse Emma how to apply the anti-scabies lotion.
The nurse should teach the family to apply the anti-scabies lotion to _____.
 A. Allskin areas
B. Affected skin
C. Open Lesions
D. Reddened areas

25. In order to prevent the spread of Scabies infestation to other residents in the
community, Nurse Emma should teach the family, which of the following? A. Boil the
utensils used by the patients.
B. Avoid sharing items used by the infected person.
C. Take a bath three or more times a day.
D. Wear mask and shield at all times even at home.

Situation: As nurse supervisor of the health center Nurse Ellen intends to enhance her
competencies regarding resource management and care of the environment.
26. Which type of plan should the nurse employ to assess the strengths and
weaknesses of the organization?
A. Nursing care
B. Operational
C. Strategic
D. Program

27. Which BEST describes the planning function of Nurse Ellen in her role as nurse
manager? A. Get and develop people to do the work.
B. Distributes and arranges work to ensure smooth operation of the unit.
C. Determines the actual performance compared with the desired output.
D. Determine how to achieve the mandate of work

28. To assist them enhance their performance at work, the nurse manager should
review regularly pertaining to the staff's ____.
A. Number of submitted incident report
B. Academic performance in college C. Job description
D. Family dynamics.
29. Doing year end performance evaluation of the staff is an example of
A. Planning
B. Controlling
C. Organizing
D. Staffing

30.Which is the MOST important criterion in budgeting?

A. Flexibility
B. Standardized
C. Consistency
 D. Cost effectiveness

Situation: Nurse Melyconsiders teamwork and collaboration as important components of

Community Health Nursing.
31. Which of the following is the PRIMARY goal of
collaboration A. Less number of people is needed
B. Camaraderie
C. Accomplish goals
D. Work is faster

32.Which are KEY ELEMENTS of collaboration

1. Shared vision
2. Partnership
3. Working together
4. Unity
A. 1,2,3
B. 3,4
C. 1,2
D. 1,2,3,4

33. Which of the following is the MOST important purpose of teamwork

1. Work is faster
2. Promotes trust
3. Sense of security,
4. Unity
A. 1,2
B. 1,2,3,4
C. 3,4
D. 1,2,3

34. Which of the following BEST describe a strong team?

A. Cohesive
B. Shared goal
C. Driven
D. Sense of mission.

35. Collaboration and teamwork as essential in public health to improve

A. Staff performance. C. Equity in services
B. Proper use of resources D. Quality health care
Situation: An 18 year old, female college student was accompanied by her mother for
consultation at the Municipal Health Center. According to her mother the patient had
been having difficulty concentrating with her lesson, had tendency to isolate inside her
room and frequently in an angry mood. The physician ordered for psychiatric consult.
36. In order to determine the patient's ability to concentrate and focus, which would be
the PRIORITY nursing action?
A. Ask for the academic performance
B. Conduct paper and pencil test
C. Assess the mental status of the patient.
D. Refer the patient to the psychiatrist

37. While the nurse was taking her blood pressure, the patient suddenly stated “They
are talking about me!". She was referring to other patients who were waiting for
their consultation .Which of the following should be the APPROPRIATE nursing
action? A. Present the reality situation.
B. Distract patient's attention.
C. Disagree with the patient.
D. Validate the statement.

38. In taking the patient's history from the mother, the nurse should ask the mother
information related to the daughters’ _______________.
A. Schooling
B. Menarche
C. Pregnancy
D. Immunization

39. Nurse May is alarm by the incidence of number of young adults in the
community with mental problems. Which of the following should be her PRIORITY
nursing initiative? A. Refer all to tertiary hospital.
B. Request for psychiatric drugs.
C. Set up debriefing center.
D. Set up mental health program

40. In giving health teaching to the mother how to manage the patient athome, which
of the following she should emphasize?
A. Give the patient more time for self
B. Impose strict discipline
C. Do traditional parenting style.
D. Need for emotional support.

Situation: When prioritizing problems in the community, the problems are categorized
as health status, health resource or health related.
41. Nurse Maris is correct in identifying which of the following is a health resource
problem?
 A. Increase in number of deaths from Pneumonia
B. Feud between the Midwife and Head of the Sanitation Committee C. Absence of
Midwife in the community to render health services
D. High Maternal Mortality Rate.

42. There are five criteria in prioritizing community health problems. If Nurse Maris is
estimating the proportion of the population affected bythe problem, she is using
what criterion in prioritization? A. Social Concern
B. Nature of the Problem.
C. Magnitude of the Problem
D. Modifiability of the Problem

43. Nurse Maris oftentimes encounter barriers Select a barrier to goal setting between
the nurse and the family.
A. Educational attainment
B. Nature of employment
C. Failure of family to perceive existence of
problem. D. Socio economic status

44. Which is the MOST appropriate intervention should the nurse do to help family
perform the health tasks?
A. Allow family to decide to use health resources
B. Help the family recognize the problem
C. Leave the family what action take on their problem
D. Refer family to barangay officials for guidance

45. Choose the step of nursing process that identifies the family health seeking
behavior.
A. Assessment
B. Implementation
C. Planning
D. Evaluation.

Situation: Nurse Jane is the team leader of group of nurses who plans to utilize
Community Organizing Participative Action Research (COPAR).
46. Which of the following BEST describes the PRIMARY goal
of COPAR? A. Enhances the skills of the nurse in
research.
B. Makes the community empowered and self-reliant
C. Increases funding of the community programs
D. Helps clean up and beautify the community
47. At the pre-entry phase, which of the following is the FIRST step inthe COPAR-
process
A. Survey the community
B. Train technical working group
C. Hold a community assembly
D. Create a core group

48. In Participative Action Research [PAR], Which step will empower the community?
A. The nurse performs most of the task
B. Health team directs all the activities of the place
C. Participation and engagement of the community
D. Barangay head appoints people in charge

49. The nurse, as the community organizer, immerses self by joining localfolks in their
usual everyday activities in order to ________.
A. Gain trust and rapport
of people. B. Make self-
popular among people
C. Identify and spot leaders.

50. In COPAR, which is the MOST important role of the public

health nurse? A. Caregiver
B. Expert
C. Financer
D. Adviser