3RD UNIT EXAM LECTURE:

Q1: A 72-year-old patient is recommended to have an influenza vaccine

injection during a routine examination. He expresses skepticism about this
statement “I had one of these last year. What is the point of having another
one?” What is the best cource of action for the nurse to take?
Answer: “Each year, a new influenza vaccination is created based on the
strains of influenza that are most likely to be in circulation.”

Q2: Emmanuel is a 20-year-old man who is brought to your clinic by his

friends. They are very worried about him because he is afraid that the
government are monitoring him, and keeps saying that he can hear people
talking about him. When you ask them for more information, they say that he
has not been himself for several months, at times does not make sense, and
has not been coming to university much. He is about to fail the semester.
There is nothing remarkable on physical history, examination or blood tests,
and his urine drug screen is negative. When you speak to him, he seems
suspicious of you, does not make a lot of sense, and does not think that there
is anything wrong with him. He wants to leave, and starts to become quite
aggressive when you ask him to stay, saying that he is unsafe here and
people are watching him.
Answer: Psychoses

Q3: An infant is brought to the health care clinic for three immunizations at the
same time. The nurse knows that hepatitis B, DPT, and Haemophilus
influenzae type B immunizations should:
Answer: Be given in the same injection syringe and administered in a
single injection syringe and administered in one shot

Q4: Which of the following is a contraindication to the administration of the

rotavirus vaccination?
Answer: Intussusception’s medical history

Q5: With regard to epilepsy, which of the following assertions is correct?

Select the most appropriate response:
Answer: Epilepsy is one of the most common neurological illnesses,
accounting for 1% of the population

Q6: John is a 72-year-old man who has come to see you for low mood. On
review, he also tells you that he has not been sleeping properly, and he also
thinks he has lost some weight. These symptoms have been going on for
about four to five months. He denies any delusions, hallucinations or history of
mania. He has not had any trouble with his memory, but you test it anyway,
and find it is in the normal range. A physical examination and basic blood
tests are normal
Answer: Depression

Q7: Why do you examine each child’s ear for ear problems?
Answer: If the eardrum bursts or the infection spreads to the bone
behind the ear or even the brain, ear infections can be very dangerous
Q8: Beatrice is two months old. You’ve performed a quick antibody test, and
the results have come back positive. She is breastfeeding. Which of the
following actions do you intend to take?
Answer: Perform a PCR test today and schedule a follow-up
appointment to administer nevirapine.

Q9: A 63-year-old man is brought in by his daughter who is worried about him.
He was always a very quiet and kind man, but lately seems more irritable and
is having uncontrollable emotional outbursts. He seems to be more forgetful
than usual. She tells you that he has never had any depression and is
otherwise healthy. When you talk to him you do not thing he has any
hallucinations or delusions, although he does not know whaat the date is.
Which is the most likely condition?
Answer: Dementia

Q10: Identify which of the following statements best describes the

characteristics of a child developmental condition. Choose only one of the
following options:
Answer: Child developmental disorders are characterized by impaired or
delayed functions that are connected to the maturation of the central
nervous system.

Q11: When counseling an HIV-positive woman about preventing mother-to-

child transmission of HIV, you should educate her on all possible modes of
transmission, which include
Answer: breatfeeding during pregnancy, at the time of delivery, and after
birth

Q12: When advising someone on HIV care, you should tell them the following:
Answer: Antiretroviral therapy (ART) medications must be taken every
day for the rest fo one’s life at the exact same time.

Q13: Which of the following is consistent with the promotion of respect and
dignity for those suffering from an MNS condition?
Answer: Maintaining confidentiality in the healthcare setting

Q14: The most suitable site(s) for intramuscular and subcutaneous

vaccination
Answer: Deltoid area of the upper arm, Anterolateral aspect of the thigh

Q15: When providing HIV care advice, you should inform the caregiver and or
the child about the ff
Answer: Antiretroviral therapy (ART) medications must be taken every
day for the rest fo one’s life at the exact same time.

Q16: Rod Ryan is three months old. 57 breaths, no stridor to be heard, the
bottom ribs of his body move in
Answer: Pneumonia
Q17: Which of the following statements is correct about the use of
haemophilus influenza type b vaccine?
Answer: Infant immunogenicity is improved by administering a
polysaccharide conjugated with a protein

Q18: Rashida
Answer: Dementia

Q19: Theo has pus draining from the ear. His mother says this has only been
happing on and off for 2 months
Answer: Chronic Ear Infection

Q20: Chest indrawing is when

Answer: when the child takes a breath in, the lower ribs shift inward

Q21:The administration of entiretroviral drugs, such as AZT is utilized in the

treatment of AIDs. Which of the ff is not predicted side effect?
Answer: They have the power to shorten the duration of diseases
communicability

Q22: When compared to active immunity, which of the following is an

advantage of passive immunity is true?
Answer: Passive immunity provides protection

Q23: Which of the ff steps is included in the ASSESSMENT for ear problems?
Answer: Check for sensitive swelling

Q24: Cara, is a 17 year old woman who is brought in by her family after
having a period of shaking, rigidity, and incontinence at home
Answer: Epilepsy

Q25: Which of the following clusters of symptoms is most closely associated

with a depressive episode?
Answer: lack of energy, sleep issues, and a general lack of enthusiasm

Q26: Which of the following vaccines is/are given by the intramuscular route
Answer: PCV, Pentavalent, IPV

Q27: Which of the following is the most accurate description of the signs and
symptoms of substance abuse?
Answer: The withdrawal condition that occurs after stopping substance
usage is marked by intense cravings and loss of control

Q28: Which of the following phrases best represents the therapy options
available for those suffering from dementia?
Answer: The lives of people suffering from dementia and their
caregivers can be considerably enhanced if they receive early diagnosis
Q29: A 2 month old healthy baby is seen for a well-child checkup and initial
immunizations in the health center.
Answer: Pentavalent, Oral Polio, PCV

Q30: Which of the following comments stated by healthcare practitioner when

teaching the parents of an infant about the adverse effects associated with the
inactivated polio vaccine is correct?
Answer: The area where the immunization was administered may be
swollen and red

Q31: How will you determine if a child is vomiting everything?

Answer: Request confirmation from the caregiver that the child has
vomited everything they have consumed or drank. Whether they are still
unclear, they should give the child something to drink and watch to see
if they puke.

Q32: A 49 year-old man is being treated at your clinic. Unexpectedly the

collapses and … having convulsive movements which last about 30 seconds.
Afterwards he seems drowsy and starts complaining that he has headache
Answer: Epilepsy

Q33: The caretaker of a person who has engaged in self-harm or made an

unsuccessful suicide attempt should be informed of which of the following?
Answer: take away any access to any methods of self-harm and make
every effort to give the person with additional supervision

Q34: What is the definition of an acute ear infection?

Answer: if the kid has had ear pain and discharge for less than 2 weeks

Q35: Identify which of the following vaccines should not be kept frozen
Answer: polysaccharide vaccine

Q36: Rania is a 12-month-old baby girl

Answer: Malnutrition

Q37: What is the most significant advantage of vaccination?

Answer: an immune response will be triggered more quickly if the
infection is encountered again

Q38: What is the best way to determine whether a child is unable to

breastfeed or drink?
Answer: instruct the caregiver to give the child a drink, clean water or
breast milk

Q39: When a child displays a general danger indication, what actions should
be taken?
Answer: Identify pre-referral therapies and administer them, as well as
draft a referral note
Q40: What is the significance of zinc in the treatment of diarrhea?
Answer: It reduces stool volume

Q41: a 12-month-old child who has gotten the MMR vaccine

Answer: Advise taking paracetamol and applying cold compresses

Q42: The nurse is talking about vaccinations with the mother of a 4 year old
child who attends a day care center that requires DTaP vaccine.
Answer: It is possible for her newborn to catch pertussis if her 4 year
old child contracts the disease herself

Q43: When you’re explaining home treatment for a cough, which of the ff
measures would be best to take?
Answer: describe how to provide treatment, demonstrate

Q44: Sebastian is a 61-year-old man whom you normally treat for diabetes.
Answer: Disorders due to substance use

Q45: a 9 months-old child is scheduled to have measles

Answer: Subcutaneously in the outer aspect of the upper arm

Q46: A 24-year old woman is brought into your clinic by family with reduced
consciousness and trouble breathing
Answer: self-harm/suicide and depression

Q47: Which of the following statements is/are correct while administering a

vaccine?
Answer: if the skin is not clean, disinfection of the skin should be
performed prior to delivering any vaccine

Q48: Which of the following assertions about oral polio vaccine and the
inactivated polio vaccine is true?
Answer: the IPV is made up of toxins produced by the dead virus

Q49: When it comes to treating depression, which of the following options is

the best?
Answer: psychosocial therapies as well as an antidepressant
medication

Q50: 42 year old man presents with gastrointestinal problems and low energy.
On examination, there is no cause for his physical symptoms but he also
reports low mood, not sleeping or eating properly
Answer: Depression

Q51: What is the suggested feeding approach in the case of an HIV positive
mother and a child who has not been diagnosed with HIV infection yet?
Answer: formula feeding only till the age of sic months
Q52: Concerning live attenuated vaccines, which of the following statement(s)
is/are correct?
Answer: Reactions to live attenuated vaccines are generally milder than
reactions to inactivated vaccines

Q53: Jimmy’s ear is filled with pus, which is draining out. His mother claims
that this has just been happening for the past three days
Answer: Acute ear infection

Q54: Rania is a 12-month-old baby girl. Rania is very irritable and her mother
has taken her to the facility because she has been crying and rubbing her
ears for two days. She has no swelling behind the ears and you see no pus
draining from the ear.
Answer: No Ear Infection

Q55: Which of the following is a component of a psychosocial intervention for

people suffering from psychoses?
Answer: provide psychoeducation with a particular emphasis on
avoiding sleep deprivation, stress, and the use of drugs and alcohol

Q56: In terms of herd immunity, which of the following statement is/are correct?
Answer: It has the ability to protect a population against pathogens even
when not every individual is immune

Q57: For any kid or adolescent suffering from a mental or behavioural

condition, which of the following is good advice?
Answer: every day, the caregiver should pay loving attention to the child

Q58: For which of the following individuals would hepatitis B vaccine not be
recommended?
Answer: A 6-year-old who had been infected with HBV as an infant

Q59: Which of the following is considered a fundamental ability for effective

communication?
Answer: begin by paying attention

Q60: When should a child receive the first dose of the hepatitis B vaccine?
Answer: At birth
4TH UNIT EXAM
Lecture:
1. The objective of RA 7305, Magna Carta for Public Health Workers, are as
follows
Answer: All of these

2. A new mother wishes to breastfeed her kid for no more than five minutes
at each breast in order to avoid sore nipples
Answer: While restricting time spent at the breast does not alleviate
some sore nipples, it helps alleviate engorgement

3. In order for the nurse to comprehend the usage of controlled substances

with patients, it is critical for the nurse to understand what
restricted/dangerous medications are
Answer: schedule based on medical necessity and potential for
abuse

4. Newborn screening reached full recognition when RA No.

Answer: 9288

5. Arrange the items below chronologically. Prior to test procedures

guidelines
Answer: C, A, D, E, B
Distribute brochure, Educate, Discuss, Inform, Document informed
consent

6. Following a disaster and a response, appraisal of the response assists in

accomplishing what?
Answer:
Determine which methods were effective
Determine which procedures were ineffective
Determine the identified challenges

7. A woman trying to become pregnant should ensure that she consumes a

suitable amount of which supplement to lower her risk of developing fetal
neural tube defects?
Answer: Folic Acid

8. The nurse’s role as an epidemiologist to record cases of notifiable

diseases. Which law mandates the reporting of notifiable disease cases?
Answer: RA 3573

9. The Generics Act of 1988 has the following objectives

Answer: All of these
10. To prevent pollution of drinking water, the following procedures shall be
observed EXCEPT
Answer: Artesian well shall construct a deep or shallow well within
two meters of any source of pollution

11. Which of the following assertions about malnutrition’s physical signs and
symptoms is true?
Answer: Physical indications of malnutrition are suggestive of
malnutrition, not conclusive

12. All of the following are nutritional guidelines for newborns EXCEPT
Answer: vitamin B12 supplementation for all breastfeed infants

13. Newborn screening is mandated by law

Answer: True

14. Introduction of complementary foods begin at what age?

Answer: around the age of six months

15. This act promotes voluntary blood donation

Answer: RA 7719

16. Which government agency is responsible for developing a comprehensive

emergency program for children?
Answer: DSWD

17. The instructor concludes that the student needs to further investigate this
method if the student says
Answer: “I’ll rinse the eyes after I apply the ointment

18. A parent’s comment demonstrates an accurate understanding of newborn

feeding
Answer: “I introduce different foods to the infant before he takes his
bottle”

19. Among the privileges granted by RA 9994, the 2010 expanded senior
citizens act are the following except
Answer: Senior Citizen Discount of 50%

20. Which of the following factors contributes to a rise in the level of violence
against women in a society?
Answer:
Socially restricting women to the home
Restrictions on women’s property ownership and inheritance
21. The mandatory basic immunization administered under this Act providing
for mandatory basic immunization services for infants and children shall
cover the ff VPI. Except
Answer: HPV

22. “How will I know if my baby is drinking enough?”

Answer: Each day, he should wet between six and twelve diapers

23. Phenylketonuria is the most common form of amino acid disorder

Answer: True

24. All children should be entitled to the rights set forth in the “Child and Youth
Welfare Code”, except
Answer: Right to be raised in an environment of immorality and
infamy

25. Hospitals that have achieved Mother baby friendly health initiative (MBHI)
have reported the ff
Answer: Increased rates of initiation as well as increased rates of
duration

26. Which of the following should not be deferred as a blood donor?

Answer: 18 year old college student. She was living with her mother
until three months ago, she was diagnosed with active hepatitis

27. The nurse gives directions to a mother who is breastfeeding her kid. Which
of the following instructions is the most helpful at preventing nipple
soreness?
Answer: Ascertain that the baby is properly positioned for latching
on

28. By implementing which of the following, the health care system can assist
in providing assistance for breastfeeding moms in the workplace?
Answer: Allowing employees to express their milk during breaks

29. The Tobacco Regulation act of 2003 has the following primary objectives
Answer: Establish an Inter-Agency Cigarette Smoking Committee to
oversee the Act’s implementation

30. The difference between a BEmONC facility and a CEmONC facility is that
a CEmONC facility is comprised of the following elements
Answer: a facility that is no more than 2 hours away from the
residence of the prioritized population or the referral facility
31. A baby begins to move his head from side to side twenty minutes after
delivery, making eye contact with his mother and pushing his tongue out
multiple times
Answer: the optimal time to initiate breastfeeding

32. Freedom of choice in one of the policies of the family planning program of
the Philippines
Answer: Adequate information regarding the various methods for
couples

33. Which of the ff statements about the National Health Insurance Act is
FALSE?
Answer: This act shall establish an unsustainable method

34. Which of the following women should be targeted for family planning
specifically?
Answer: Individuals who have recently delivered within the last 15
months

35. The following are the obstetric functions performed by BEmONC with the
exception of
Answer: the successful completion of cesarian section deliveries

36. What interventions does the nurse use to support the emotional well-being
of a laboring patient?
Answer:
Adopt a calm, confident demeanor
Acknowledge the patient on her efforts during labor
Involve the patient in decision-making regarding their care

37. Which of the following statements concerning senior citizens law is/are
TRUE
Answer: RA No. 9994 is in effect throughout the country / Senior citizens
who are regarded to be minimum wage workers

38. The most often used and abused substance is

Answer: Marijuana

39. The difference between a BEmONC facility and a CEmONC facility is that
a BEmONC facility is comprised of the following elements
Answer: A Capable private health facility or a public health facility
that has been suitably renovated and is capable of fulfilling six
obstetrical functions in emergency obstetric functions
40. Which of the ff situations do you believe constitutes rape?
Answer: Nancy

41. Parents owe the following general responsibilities to their children

Answer: All of the choices are correct

42. All except one of the statements concerning PhilHealth are TRUE
Answer: PhilHealth is taxed in the same manner as other government
entities

43. At home a patient will take oral supplements. Which statements will be
included in the nurse’s education plan for this patient?
Answer:
Iron tablets should be taken with meals
Iron supplements combined with orange juice increase iron
absorption
Stools may develop a dark and tarry appearance

44. According to the child and youth welfare code, the ff individuals are
prohibited from adopting
Answer:
Any person convicted of a crime involving moral turpitude
An alien who is ineligible to adopt under the laws

45. The nurse applies erythromycin ointment. Which explanation concerning

neonatal eye prophylaxis is the most appropriate for the nurse to provide?
Answer: Prevents the infection known as opthalmia neonatorum

46. One technique to assist children in the aftermath of a calamity

Answer: Encourage them to read about the event

47. Which of the ff components should be abundant in complementary foods

for a baby who has been exclusively breastfeed?
Answer: Protein

48. All except one of the ff statements concerning the 1999 Philippine clean air
act are true
Answer: encourages the employment of cutting-edge, ecologically
responsible, and safe technologies

49. This act was enacted in 1999 to establish a comprehensive air pollution
management
Answer: Clean Air Act
50. Which location is optimal for performing a heel stick on a newborn?
Answer: The fat pads on the lateral parts of the foot

51. Tobacco regulation act requires that all tobacco products packaging have
the ff health warnings
Answer:
Tobacco smoke can harm your children
Cigarrete smoking is dangerous to your health

52. Which of the following is not required of a government midwife under the
terms of the Magna Carta of Public health workers?
Answer: Professional Tax

53. Which of the following statements about bathing a newborn is FALSE?

Answer: To minimize heat loss, the nurse, not the parents, should
perform the bath within 2-4 hours of birth

54. A newborn is born spontaneously vaginally. The nurse first priority upon
receiving the crying infant is to execute which action?
Answer: Thoroughly dry the newborn

55. A typical BEmONC capable facility has the ff human resource complement
in the area of health care EXCEPT
Answer: Anesthesiologist

56. The following are two of the most prevalent forms of violence against
women
Answer: domestic violence and sexual assault

57. Bemonc emergency newborn interventions includes the ff EXCEPT

Answer: management of low birth weight or preterm newborn

58. Which of the ff would a nurse perform initially after the birth of a newborn
in order to aid in thermoregulation
Answer: Make sure the infant is completely dry

59. Which of the following is not true about fortified foods?

Answer: The federal government has the power to fortify foods
voluntarily.
60. Pursuant of the children safety on motorcycles act of 2015, it is forbidden
for any person to drive a two-wheeled motorbike with a kid on public
highways unless
Answer:

(a) The child passenger can comfortably reach his/her feet on the
standard foot peg of the motorcycle;
(b) The child’s arms can reach around and grasp the waist of the
motorcycle rider; and
(c) The child is wearing a standard protective helmet referred to under
Republic Act No. 10054, otherwise known the “Motorcycle Helmet Act of
2009.”

61. All of the following disorders can be detected by newborn screening

except:
Answer: Melanuria

62. Appropriate time to perform heel stick

Answer: At least 24 hours after birth

63. If possible, the NBS should be completed within 24-48 hours of the
completion of the delivery, but no later than 3 days.
Answer: True

64. The National Institutes of Health (NIH) is the principal agency for
implementing the Newborn Screening.
Answer: False

65. Incorrect statement of breastfeeding

Answer: Breastfeeding raises child’s risk of obesity

66. Exception of guiding principles of Reproductive health

Answer: Gender equality and women empowerment are minor
components

67. Arrange the STEPS IN THE COLLECTION OF SAMPLES chronologically.

A. Using an alcohol cotton swab, clean the baby's heel.
B. Collect the blood sample between 24-72 hours of puncturing the heel
C. Ensure the newborn's complete identity
D. Wait for spontaneous blood flow with the drop of blood, lightly contact
the card's circle. Allow the blood to seep into the cards and thoroughly fill
the circle. Examine the blood for completeness and sufficiency.
E. Prick the heel at a small angle and wipe away the initial drop of blood.

Answer: C, B, A, E, D
 Ensure identity
Blood sample
Using alcohol cotton swab
Prick the heel
Wait for spontaneous blood flow

67. A Newborn is discharge from the hospital before undergoing newborn

screening. A community health nurse scheduling a follow-up home visit
knows that the most appropriate time to perform the heel stick is
Answer: At least 24 hours after birth