NP2 Nursing Board Exam June 2008 Answer Key 'Community Health Nursing and Care of Mother and

Child'
100 Nursing Board Exam test questions of June 2008 Nurse Licensure Examination (NLE) Nursing Practice II Community Health Nursing and Care of Mother and Child Community Health Nursing / O.B. (Obstetric) PART 1 Board Exam test questions 1 - 50
June 2008 1. Which statement is correct regarding the use of cervical cap? It may affect the Pap Smear result It does not need to be fitted by the physician It does not require the use of spermicidal It must be removed within 24hours 2. The major components of the communication process are? A. Verbal, written, and nonverbal B. Speaker, Listener and reply C. Facial expression, tone of voice and gestures D. Message, sender, channel, Receiver and Feedback 3. The extent of burns in children are normally assessed and expressed in terms of: A. The amount of body surface that is unburned B. Percentages of total body surface area (TBSA) C. How deep the deepest burns are D. The severity of the burns on a 1 to 5 burn scale 4. The school nurse notices a child who is wearing old, dirty, poor-fitting clothes; is always hungry; has no lunch money; and is always tired. When the nurse asks the boy his tiredness, he talks of playing outside until midnight. The nurse will suspect that this child is: A. Being raised by a parent of low intelligence (IQ) B. An orphan C. A victim of child neglect D. The victim of poverty 5. Which of the following indicates the type(s) of acute renal failure? A. Four types: hemorrhagic with and without clotting, and non hemorrhagic with and without clotting B. One type: Acute C. Three types: Prerenal, intrarenal, postrenal D. Two types: Acute and subacute 6. A means of facilitating professional staff development is by building upon skills, abilities and of experience of each practitioner is called: A. The novice to expert model B. Situational leadership model C. Career enhancement D. Clinical ladder 7. Which of the following questions by the nurse would be best fit the philosophy of the nursing mutual participation model of care (NMPMC)? A. Have you brushed your childs teeth today? B. How does your child look to you today? C. Where have you been all morning? D. Do you think your childs color is worse? 8. There are numerous definitions of the word health. Which definition below is from Florence Nightingale? A. A state or a process of being and becoming an integrated and whole person B. The state of being free from illness or injury

A. B. C. D.

C. Being well and using every power the individual processes to the fullest extent D. A state of complete physical, social, and mental well-being and not merely the absence of diasease or infirmity. 9. Informal communication takes place when the individual talk and is best described by saying the participants: A. Are involved in a preexisting informal relationship B. Talk with slang words C. Have no particular agenda or protocol D. Are relaxed 10. Tertiary care by the home health nurse is directed toward children with: A. Problem is mobility B. Short-term needs C. Minor problems D. Clinically apparent disease 11. The endometrium thickens during which phase of the menstrual cycle? A. Secretory phase B. Menstrual phase C. Proliferative phase D. Ischemic phase 12. A measurement tool to articulate the nursing workload for a specific patient or groups of patients over a specific period of time is called: A. Staffing pattern B. Sill mix C. Benchmaking D. Patient classification 13. The mother of a 9 month-old infant is concerned that the head circumference of her baby is greater than the chest circumference. The BEST response by the nurse is: A. These circumference normally are the same, but in some babies this just differs B. Perhaps your baby was small for gestational age or premature C. This is normal until the age of 1 year, when the chest will be greater D. Let me ask you a few questions, and perhaps we can figure out the cause of this difference 14. Which of the following approaches would work best when the nurse is communicating with an infant? A. Use an adult voice just as you would for anyone B. Communicate through the caregivers C. Allow the child time to warm up to the nurse D. Respond only after the child cries for a while 15. Evidence-based care started in medicine as a way to: A. Promote technological advances in medicine B. Incorporate collaboration within all health care disciplines C. Integrate individual experience with clinical research D. Teach medical students the art and science of medicine 16. Martina develops endometritis. What would be the best activity for her? A. lying in bed with a cold cloth on her forehead B. reading while resting in a trendelenburg position C. sitting with her feet elevated while playing cards D. walking around her room listening to music 17. Grace sustained a laceration on her leg from automobile accident. Why are lacerations of lower extremities potentially more serious among pregnant women than other? A. lacerations can provoke allergic responses due to gonadotropic hormone release B. a woman is less able to keep the laceration clean because of her fatigue C. healing is limited during pregnancy so these will not heal until after birth D. increased bleeding can occur from uterine pressure on leg veins 18. Fely has diarrhea for 2 days. She has sunken eyes, skin pinch goes back very slowly, and she is drinking poorly and irritable. She is not able to drink and there is no blood in the stool. How will you classify Felys illness?

A. persistent diarrhea B. some dehydration C. severe dehydration D. no dehydration 19. The infectious agent that causes pulmonary tuberculosis is: A. mycobacterium tubercle B. Hansens bacillus C. Wuchereria bancrofti D. mycobacterium diphtheria 20. Your client, who happens to be female resident of the barangay you are covering, is an adult survivor who states: Why couldnt I make him stop the abuse? If I were stronger person, I would have been able to make him stop. Maybe it was my fault to be abused. Based on this, which would be your most appropriate nursing diagnosis? A. social isolation B. anxiety C. chronic low self-esteem D. ineffective family coping 21. Maybelle is also scheduled to have an amniocentesis to test for fetal maturity. What instructions would you give her before this procedure? A. void immediately before the procedure to reduce your bladder size B. no more amniotic fluid forms afterward, that is why only a small amount is removed C. the intravenous fluid infused to dilate your uterus does not hurt the fetus D. the x-ray used to reveal your fetus position has no long-term effects 22. When planning teaching strategy for a pregnant woman, the nurse should do which of the following? A. give information about how the woman can manage the specific problems she identifies as relevant in her life B. omit information related to minor pains of pregnancy to prevent the woman from developing hypochondria C. provide all information to the woman in a group session with other pregnant women so she can have someone to discuss it with D. during the first prenatal visit, teach a woman the care measures necessary for health promotion throughout the pregnancy 23. Which of the following symptoms is LESS commonly noted in EARLY pregnancy? A. frequency of urination B. chills and fever C. varicosities D. Braxton Hicks Contractions 24. Bonnie, 3 months pregnant, has reported for her first prenatal visit. The nurse should instruct her to do which of the following? A. eat more dairy products and green leafy vegetables to provide an additional 300 calories each day B. increase her intake of carbohydrates-breads and sweets to prevent protein metabolism C. eat whenever she feels hungry because her body will let her know when she needs nutrients and extra calories D. limit intake of amino acids to prevent development of diabetic ketoacidosis 25. The nurse is assisting Mr. and Mrs. Cruz to prepare for childbirth in the home setting. Which of the following supplies should be readily available for the infant immediately after birth? A. vitamin K to avoid bleeding B. mild soap without perfume so as not to irritate the skin C. bulb syringe to suction fluid and mucous from the mouth D. heating lamp to avoid chilling from water evaporation 26. You were the nurse assigned to work with a child who has had whole brain radiation. You have assessed the child to be sleeping up to 20 hours a day and is having some nausea, malaise, fever and dysphasia. Based on this assessment, you are to work with the patients in which of the following areas. A. Accepting a reoccurrence of the tumor B. Dealing with the side effects of radiation therapy C. Caring for the dying child

D. Accepting the imminent death of their child 27. The nurse is planning interventions for a child who has inflammatory bowel disease (IBD) with a nursing diagnosis of Nutrition: Less than body requirements. Which of the following interventions will be most helpful in resolving this nursing problem? A. Two large meals a day instead of several minerals and snacks B. Special IBD diet (diet that has been proven effective for crating IBD) C. Salt free diet, high in potassium, vitamins and minerals D. Diet as tolerated with lactose hydrolyzed milk instead of milk products and omission or highly seasoned foods and reduction of fiber. 28. Emotional intelligence consists of a number of competencies. Some of these are listed below. Which is NOT a characteristic of emotional intelligence? A. Self-esteem B. self-awareness C. Empathy D. Self-regulation 29. Data Collection for driving and restraining forces, including costs, desirability and feasibility is a: A. People issue B. Structural issue C. Political issue D. Technology issue 30. One of four factors describing the experience of sexually abused children and the effect it has on their growth and development is stigmatization. Stigma will occur when: A. A child blames him or himself for the sexual abuse and begins to withdraw and isolate B. Newspapers and media dont keep sexual abuse private and accidentally or on purpose reveal the name of the victim. C. The child as been blamed by the abuser for his or her sexual behaviors, saying that the child asked to be touched or did not make the abuser to stop D. The childs agony is shared by other members of the family or friends when the sexual abuse becomes public knowledge

Situation Nurse Anna is a new BSN graduate and has just passed her Licensure Examination for Nurses in the Philippines. She has likewise been hired as a new Community Health Nurse in one of the Rural Health Units in their City, which of the following conditions may be acceptable TRUTHS applied to Community Health Nursing Practice. 31. Which of the following is the primary focus of community health nursing practice? A. Cure of illnesses B. Prevention of illnesses C. Rehabilitation back to health D. Promotion of health 32. In community health nursing, which of the following is our unit of service as nurses? A. The community B. The extended members of every family C. The individual members of the Barangay D. The Family 33. A very important part of the Community Health Nursing Assessment Process includes: A. the application of professional judgment in estimating importance of facts to family and community B. evaluation structures and qualifications of health center team C. coordination with other sectors in relation to health concerns D. carrying out nursing procedures as per plan of action 34. In community health nursing it is important to take into account the family health data coupled with an equally important need to perform ocular inspection of the area as activities which are powerful elements of:

A. B. C. D.

evaluation assessment implementation planning

35. The initial step in PLANNING process in order to engage in any nursing project or activities at the community level involves A. goal-setting B. monitoring C. evaluation of data D. provision of data Situation Please continue responding as a professional nurse in these other health situations through the following questions. 36. Transmission of HIV from an infected individual to another person occurs: A. Most frequently in nurses with needlesticks B. Only if there is a large viral load in the blood C. Most commonly as a result of sexual contact D. In all infants born to women with HIV infection 37. The medical record of a client reveals a condition in which the fetus cannot pass through the maternal pelvis. The nurse interprets this as: A. Contracted pelvis B. Maternal disproportion C. Cervical insufficiency D. Fetopelvic disproportion 38. The nurse would anticipate a cesarean birth for a client who has which infection present at the onset of labor? A. Herpes-simplex virus B. Human papilloma virus C. Hepatitis D. Toxoplasmosis 39. After a vaginal examination, the nurse determines that the clients fetus is in an occiput posterior position. The nurse would anticipate that the client will have: A. A precipitous birth B. Intense back pain C. Frequent leg cramps D. Nausea and vomiting 40. The rationales for using a prostaglandin gel for a client prior to the induction of labor is to: A. Soften and efface the cervix B. Numb cervical pain receptors C. Prevent cervical lacerations D. Stimulate uterine contractions Situation Nurse Lorena is a Family Planning and Infertility Nurse Specialist and currently attends to FAMILY PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meeting the nursing needs of this particular population group. 41. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer? A. Prostaglandins released from the cut fallopian tubes can kill sperm B. Sperm can not enter the uterus because the cervical entrance is blocked. C. Sperm can no longer reach the ova, because the fallopian tubes are blocked D. The ovary no longer releases ova as there is no where for them to go. 42. The Dators are a couple undergoing testing for infertility. Infertility is said to exist when:

A. B. C. D.

a a a a

woman has no uterus woman has no children couple has been trying to conceive for 1 year couple has wanted a child for 6 months

43. Another client named Lilia is diagnosed as having endometriosis. This condition interferes with fertility because: A. endometrial implants can block the fallopian tubes B. the uterine cervix becomes inflamed and swollen C. the ovaries stop producing adequate estrogen D. pressure on the pituitary leads to decreased FSH levels 44. Lilia is scheduled to have a hysterosalphingogram. Which of the following instructions would you give her regarding this procedure? A. She will not be able to conceive for 3 months after the procedure B. The sonogram of the uterus will reveal any tumors present C. Many women experience mild bleeding as an after effect D. She may feel some cramping when the dye is inserted 45. Lilias cousin on the other hand, knowing nurse Lorenas specialization asks what artificial insemination by donor entails. Which would be your best answer if you were Nurse Lorena? A. Donor sperm are introduced vaginally into the uterus or cervix B. Donor sperm are injected intra-abdominally into each ovary C. Artificial sperm are injected vaginally to test tubal patency D. The husbands sperm is administered intravenously weekly 46. A child suffers a head injury in a tumbling accident in gym class. The nurses best course of action is to: A. Get the child up walking and makes sure he or she stays awake B. Leave the child and go get help C. Leave the child in the care of an older child and go get help D. Stay with the child, keep assessing and have someone call the caregivers 47. The American Academy of Pediatrics suggests that caregivers do which of the following things in regard to physical activities for preschoolers? A. Push the child to practice sports activities while they are more flexible B. Encourage a variety of physical activities in a noncompetitive environment C. Have the child engage in competitive sports to see where they excel D. Keep physical activities to a minimum until the child is in grade school. 48. Which of the following arrangements is generally considered to be the best for the parents of hospitalized infant or young child? A. Rooming in B. Separate caregiver sleeping room on the unit C. Day visits and sleeping at home D. Staying at a nearby hotel or motel 49. When one person allows the conflict to be resolved at his or her own expense, this is referred in conflict management as: A. Losing B. Winning while losing C. The win-lose approach D. The lose-win approach 50. Which of the following statements best describes acquaintance rape? A. Sexual intercourse when one person engaging in the activity is unsure about wanting to do so. B. When two people dont love each and engage in sexual activities C. When someone on a date tricks the other person into having sexual intercourse D. Sexual intercourse committed with force of the threat if force of the threat Of force without a persons contact.

51. A public health nurse would instruct a pregnant woman to notify the physician immediately if which of the following symptoms occur during pregnancy?

A. Presence of dark color in the neck B. Increased vaginal discharge C. Swelling of the face D. Breast tenderness 52. A woman who is week 9 pregnant comes to the Health center with moderate bright red vaginal bleeding. On physical examination, the physician finds the clients cervix 2 cm dilated. Which term best describes the clients condition? A. missed abortion B. Incomplete abortions C. Inevitable abortion D. Threatened abortion 53. In a big government hospital, Nurse Pura is taking care of a woman with diagnosis of abruption placenta. What complication of this condition is most concerned to Nurse Pura? A. Urinary tract infection B. Pulmonary embolism C. Hypocalcemia D. Disseminated intravascular coagulation 54. Which of the following findings on a newly delivered womans chart would indicate she is at risk for developing postpartum hemorrhage? A. Post-term delivery B. Epidural anesthesia C. Grand multiparity D. Premature rupture of membrane 55. Mrs. Hacienda Gracia, 35 years old postpartum client is at risk of thrombophlebitis. Which of the following nursing interventions decrease her chances of developing postpartum thrombophlebitis? A. Breastfeeding the newborn B. Early ambulation C. Administration of anticoagulant postpartum D. Immobilization and elevation of the lower extremities

Situation With increasing documented cases of CANCER the best alternative to treatment still remains to be PREVENTION. The following conditions apply. 56. Which among the following is the primary focus of prevention of cances? A. Elimination of conditions causing cancer B. Diagnosis and treatment C. Treatment at early stage D. Early detection 57. In the prevention and control of cancer, which of the following activities is the most important function of the community health nurse? A. Conduct community assembles B. Referral to cancer specialist those clients with symptoms of cancer

C. Use the nine warning signs of cancer as parameters in our process of detection, control, and treatment modalities D. Teach woman about proper/ correct nutrition 58. Who among the following are recipients of the secondary level of care for cancer cases? A. Those under early case detection B. Those under post case treatment C. Those under early detection D. Those scheduled for surgery 59. Who among the following are recipients of the tertiary level of care for cancer cases? A. Those under treatment B. Those under supportive care C. Those under early detection D. Those scheduled for surgery 60. In Community Health Nursing, despite the availability and the use of many equipment and devices to facilitate the job of the community health nurse, the best tool any nurse should be well be prepared to apply is a scientific approach. This approach ensures quality of care even at the community setting. This in nursing parlance is nothing less than the: A. Nursing diagnosis B. Nursing protocol C. Nursing research D. Nursing process 61. The tone and pitch of the voice, volume, inflection, speed, grunts and other vocalizations are referred to by which of the following terms? A. Paraverbal clues B. Ancillary speech C. Third element D. Enhancements 62. The plan-do-study-act cycle begins with: A. Four stages B. Five agendas C. Three questions D. Two concepts 63. During your shift, you noted one of your pregnant clients considered as waiting case manifests morning sickness and which later progressed. Which assessment finding may indicate possible developing complication? A. Maternal pulse 90 B. Trace glucose in the urine C. FHT 155 D. 1 + ketones in the urine 64. The nurse is working with a child who is going to have a bone marrow aspiration. The physician orders TAC (tetracaine, adrenaline and cocaine). Which of the following is the route of administration? A. Application to the skin, covered with a dressing prior to the procedure

B. Subcutaneous C. IV using very slow drip over approximately 4 hours prior to procedure D. Nasal inhalation 65. Infant head control is judged by the: A. Ability to hold the head without support B. Presence or absence of head lag C. Rigidity of the neck and head D. Amount of neck wrinkling 66. Which of the following could be included in the outcome criteria for a patient with a nursing diagnosis, Knowledge Deficit related to potential for altered tissue perfusion in fetus or mother related to maternal cardiovascular? A. B. C. D. Bedrest is maintained at home after the 36th wee of gestation Fetal heart rate will remain between 120 and 160 beats a minute Jugular vein distention is evident when lying at 45 degrees Maternal blood pressure maintained above the 150 systolic 67. Pregnant women should be taught to be careful to avoid accidental injury. They are prone to falls for which of the following reasons? A. additional weight from pregnancy may disturb balance when walking B. fetal activity stimulates the nerves of the legs and causes weakness C. high levels of hormones often impair judgment resulting in reckless behavior D. increased adrenalin released during pregnancy causes women to move faster than usual 68 . When a nurse uses the IMCI model, the IMCI chart uses illness classification, e.g. the pink row needs: A. no specific treatments such as antibiotics B. urgent referral C. appropriate antibiotics D. no urgent measures 69. Which of the four signs of good attachment is true in this statement? A. the chin should touch the breast while the mouth is wide open and while the lower lip is turned inward more areola is visible above than below B. the chin should touch the breast, the mouth is wide open while the lower lip turned outward and more areola visible above than below C. the chin should touch the breast while the mouth is wide open while the lower lip turned outward and more areola visible below than above D. the chin should touch the breast while the mouth is wide open and the lower lip turned inward, more areola is visible above than below 70. Which type of research inquiry investigates the issues of human complexity ( e. g. understanding the human expertise?) A. positivism B. quantitative research C. logical position D. natural inquiry

71. Carol is 15 months old and weighs 5.5 kgs and it is her initial visit. Her mother says that Carol is not eating well and unable to breastfeed, he has no vomiting, has no convulsion and not abnormally sleepy or difficult to awaken. Her temperature is 38.9 deg C. Using the integrated management of childhood illness or IMCI strategy, if you were the nurse in charge of Carol, how will you classify her illness? A. a child at a general danger sign B. very severe febrile disease C. severe pneumonia D. severe malnutrition 72. Why are small for gestational age newborns at risk for difficulty maintaining body temperature? A. their skin is more susceptible to conduction of cold B. they are preterm so are born relatively small in size C. they do not have as many fat stored as other infants D. they are more active than usual so they throw off comes 73. Oxytocin is administered to Rita to augment labor. What are the first symptoms of water intoxication to observe for during this procedure? A. headache and vomiting B. a swollen tender tongue C. a high choking voice D. abdominal bleeding and pain 74. Which of the following treatment should NOT be considered if the child has severe dengue hemorrhagic fever? A. use plan C if there is bleeding from the nose or gums B. give ORS if there is skin Petechiae, persistent vomiting, and positive tourniquet test C. give aspirin D. prevent low blood sugar 75. In assessing the patients condition using the Integrated Management of Childhood Illness approach strategy, the first thing that a nurse should do is to: A. ask what are the childs problem B. check the patients level of consciousness C. check for the four main symptoms D. check for the general danger signs 76. A child with diarrhea is observed for the following EXCEPT: A. how long the child has diarrhea B. skin Petechiae C. presence of blood in the stool D. signs of dehydration 77. The child with no dehydration needs home treatment. Which of the following is NOT included in the care for home management at this case? A. give drugs every 4 hours B. continue feeding the child C. give the child more fluids D. inform when to return to the health center

78. Ms. Jordan, RN, believes that a patient should be treated as individual. This ethical principle that the patient referred to: A. beneficence B. nonmaleficence C. respect for person D. autonomy 79. When patients cannot make decisions for themselves, the nurse advocate relies on the ethical principle of: A. justice and beneficence B. fidelity and nonmaleficence C. beneficence and nonmaleficence D. fidelity and justice 80. Being a community health nurse, you have the responsibility of participating in protecting the health of people. Consider this situation: Vendors selling bread with their bare hands. They receive money with these hands. You do not see them washing their hands. What should you say/do? A. Miss, may I get the bread myself because you have not washed your hands B. All of these C. Miss, it is better to use a pick up forceps/ bread tong D. Miss, your hands are dirty. Wash your hands first before getting the bread Situation 7 Nurse Joanna works as an OB-Gyne Nurse and attends to several HIGH-RISK PREGNANCIES: Particular women with preexisting or Newly Acquired illness. The following conditions apply 81. Bernadette is a 22-year old woman. Which condition would make her more prone than others to developing a Candida infection during pregnancy? A. Her husband plays golf 6 days a week B. She was over 35 when she became pregnant C. She usually drinks tomato juice for breakfast D. She has developed gestational diabetes 82. Bernadette develops a deep vein thrombosis following an auto accident and is prescribed heparin sub-Q. What should Joanna educate her about in regard to this? A. Some infants will be born with allergic symptoms to heparin B. Her infant will be born with scattered petechiae on his trunk C. Heparin can cause darkened skin in newborns D. Heparin does not cross placenta and so does not affect a fetus 83. The cousin of Bernadette with sickle-cell anemia alerted Joanna that she may need further instruction on prenatal care. What statement signifies this fact? A. Ive stopped jogging so I dont risk becoming dehydrated. B. I take an iron pill every day to help grow new red blood cells C. I am careful to drink at least eight glasses of fluid every day D. I understand why folic acid is important for red cell formation 84. Bernadette routinely takes acetylsalicylic acid (aspirin) for arthritis. Why should she limit or discontinue this toward the end of pregnancy?

A. Aspirin can lead to deep vein thrombosis following birth B. Newborns develop a red rash from salicylate toxicity C. Newbors develop withdrawal headaches from salicylates D. Salicylates can lead to increased maternal bleeding at childbirth 85. Bernadette received a laceration on her leg from her automobile accident. Why are lacerations of lower extremities potentially more serious in pregnant women than others? A. Lacerations can provoke allergic responses because of gonadothropic hormone B. Increased bleeding can occur from uterine pressure on leg veins C. A woman is less able to keep the laceration clean because of her fatigue D. Healing is limited during pregnancy, so these will not heal until after birth. Situation 8 Still in your self-managed Child Health Nursing Clinic, you encounter these cases pertaining to the CARE OF CHILDREN WITH PULMONARY AFFECTIONS. 86. Josie brought her 3 months old child to your clinic because of cough and colds. Which of the following is your primary action? A. Give cotrimoxazole tablet or syrup B. Assess the patient using the chart on management of children with cough C. Refer to the doctor D. Teach the mother how to count her childs breathing

87. In responding to the care concerns of children with severe disease, referral to the hospital is of the essence especially if the child manifests which of the following? A. Wheezing B. Stop feeding well C. Fast breathing D. Difficulty to awaken 88. Which of the following is the most important responsibility of a nurse in the prevention of unnecessary deaths from pneumonia and other severe diseases? A. Giving antibiotics B. Taking of the temperature of the sick child C. Provision of Careful Assessment D. Weighing of the sick child 89. You were able to identify factors that lead to respiratory problems in the community where your health facility serve. Your primary role therefore in order to reduce morbidity due to pneumonia is to: A. Teach mothers how to recognize early signs and symptoms of pneumonia B. Make home visits to sick children C. Refer cases to hospitals D. Seek assistance and mobilize the BHWs to have a meeting with mothers 90. Which of the following is the principal focus of the CARI program of the Department of Health?

A. Enhancement of health team capabilities B. Teach mothers how to detect signs and where to refer C. Mortality reduction through early detection D. Teach other community health workers how to assess patients. Situation Among common conditions found in children especially among poor communities are ear infections/problems. The following questions apply. 91. A child with ear problem should be assessed for the following, EXCEPT: A. is there any fever? B. Ear discharge C. If discharge is present for how long? D. Ear pain 92. If the child does not have ear problem, using IMCI, what should you as the nurse do? A. Check for ear discharge B. Check for tender swellings behind the ear C. Check for ear pain D. Go to the next question, check for malnutrition 93. A ear discharge that has been present for more than 14 days can be classified as: A. mastoiditis B. chronic ear infection C. acute ear infection D. complicated ear infection 94. An ear discharge that has been present for less than 14 days can be classified as: A. chronic ear infection B. mastoiditis C. acute ear infection D. complicate ear infection 95. If the child has severe classification because of ear problem, what would be the best thing that you as the nurse can do? A. instruct mother when to return immediately B. refer urgently C. give an antibiotic for 5 days D. dry the ear by wicking Situation If the child with diarrhea registers one sign in the pink row and one in the yellow row in the IMCI Chart: 96. We can classify the patient as: A. moderate dehydration B. some dehydration C. no dehydration D. severe dehydration

97. The child with no dehydration needs home treatment. Which of the following is not included in the rules for home treatment in this case: A. continue feeding the child B. gives oresol every 4 hours C. know when to return to the health center D. give the child extra fluids 98. A child who has had diarrhea for 14 days but has no sign of dehydration is classified as: A. severe persistent diarrhea B. dysentery C. severe dysentery D. persistent diarrhea 99. If the child has sunken eyes, drinking eagerly, thirsty and skin pinch goes back slowly, the classification would be: A. no dehydration B. moderate dehydration C. some dehydration D. severe dehydration 100. Genetic testing should be performed on a child only if: A. The parents both want it performed B. It is in the best interest of the clinic C. It is necessary for the child to survive D. No one objects