Académique Documents
Professionnel Documents
Culture Documents
A. To support and supplement the efforts of the medical profession in the promotion of health and prevention of
B. To enhance the capacity of individuals, families and communities to cope with their health needs
C. To increase the productivity of the people by providing them with services that will increase their level of health
D. To contribute to national development through promotion of family welfare, focusing particularly on mothers and
children
A. Community organizing .
B. Nursing, process
C. Community diagnosis
D. Epidemiologic process
4. RA 1054 is also known as the Occupational Health Act. Aside from the number of employees, what other
factor must be considered in determining the occupational health privileges to which the workers will be
entitled?
5. A business firm must employ an occupational health nurse when it has at least how many employees.
A. 21
B. 101
C. 201
D. 301
6. When the occupational health nurse employs ergonomic principles, she is performing which of her roles?
7. A garment factory does not have an occupational nurse. Who shall provide the occupational health needs of
the factory workers?
8. "Public health services are given free of charge". Is this statement true or false?
9. According to C.E. Winslow, which of the following is the goal of Public Health?
A. For people to attain their birthrights and longevity
B. For promotion of health and prevention and diseases
C. For people to have access to basic health services
D. For people to be organized in their health efforts
10. We say that a Filipino has attained longevity when he is able to reach the average life span of Filipinos. What
other statistic may be used to determine attainment of longevity?
11. Which of the following is the most prominent feature of public health nursing?
A. It involves providing home care to sick people who are not confined in the hospital
B. Services are provided free of charge to people within the catchment area
C. The public health nurse functions as part of a team providing a public health nursing service
D. Public health nursing focuses on preventive, not curative services
12. According to Margaret Shetland, the philosophy of public health nursing is based on which of the following?
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
16. Which is an example of the school nurse's health care provider function?
A. Requesting for BCG from the RHU for school entrance immunization
B. Conducting random classroom inspection during measles epidemic
C. Taking remedial action on an accident hazard in the school playground
D. Observing places in the school where pupils spend their free times
17. When the nurse determines whether resources were maximized in implementing Ligtas Tigdas, she is
evaluating:
A. Effectiveness
B. Efficiency
C. Adequacy
D. Appropriateness
18. You are a new B.S.N. graduate. You want to become a Public Health Nurse. Where will you apply?
A. Department of Health
B. Provincial Health Office
C. Regional Health Office
D. Rural Health Unit
19. RA 7160 mandates devolution of basic services from the national government to local government units.
Which of the following is the major goal of devolution?
A. Mayor
B. Municipal Health Officer
C. Public Health Nurse
D. Any qualified physician
21. Which level of health facility is the usual point of entry of a client into the health care delivery system?
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
22. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory
function of the pubic health nurse?
23. One of the participants in a hilot training class asked you to whom she should refer a patient in labor who
develops a complication. You will answer, to the;
24. You are the public health nurse in a municipality with a total population of about 20,000. There are3 health
midwives among the RHU personnel. How many more midwife items will the RHU need?
A. 1
B. 2
C. 3
D. 4
25. If the RHU needs additional midwife items, you will submit the request for additional midwife items for
approval to the:
26. As an epidemiologist, the nurse is responsible for reporting cases or notifiable diseases. What law mandates
reporting cases of notifiable diseases?
A. Act 3573
B. RA.3753
C. RA 1054
D. RA 1082
27. According to Freeman and Heinrich, community health nursing is a developmental service. Which of the
following best illustrates this statement?
A. The community health nurse continuously develops himself personally and professionally
B. Health education and community organizing are necessary in providing community health services
C. Community health nursing in intended primarily for health promotion and prevention and treatment of disease.
D. The goal of community health nursing is to provide nursing services to people in their own place of .residence
28. Which disease was declared through Presidential Proclamation No. 4 as a target for, eradication in the
Philippines?
A. Pioliomyelitis
B. Measles
C. Rabies
D. Neonatal Tetanus
29. The public health nurse is responsible for presenting the municipal health statistics using graphs and tables.
To compare the frequency of the leading causes of mortality in the municipality, which graph will you prepare?
A. Line
B. Bar
C. Pie
D. Scatter diagram
30. Which step in community organizing involves training of potential leaders in the community?
A. Integration
B. Community organization
C. Community study
D. Core group formation
31. In which step are plans formulated for solving community problems?
A. Mobilization
B. Community organization
C. Follow-up/extension
D. Core group formation
32. The public health nurse takes an active role in community participation. What is the primary goal of
community organizing?
33. An indicator of success in community organizing is when people are able to:
34. Tertiary prevention is needed in which stage of the natural history of disease?
A. Pre-pathogenesis
B. Pathogenesis
C. Predromal
D. Terminal
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
37. Which type of family-nurse contact will provide you with the best opportunity to observe family dynamics?
A. Clinic consultation
B. Group conferences
C. Home visit
D. Written communication
38. The typology of family nursing problems is used in the statement of nursing diagnosis in the care of families.
The youngest child of the delos Reyes family has been diagnosed as mentally retarded. This is classified as:
A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point
39. The delos Reyes coupled have 6-year old child entering school for the first time. The delos Reyes family has
a:
A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point
42. The PHN bag is an important tool in providing nursing care during a home visit. The most important
principle in bag technique states that it;
43. To maintain the cleanliness of the bag and its contents, which of the following must the nurse do?
A. Wash his/her hands before and after providing nursing care to the family members
B. In the care of family member's, as much as possible, use only articles taken from the bag
C. Put on an apron to protect her uniform and fold it with the right side out before putting it back into the bag.
D. At the end of the visit, fold the lining on which the bag was placed, ensuring that the contaminated side is on the
outside.
44. The public health conducts a study on the factors contributing to the high morality rate due to heart diseases
in the municipality where she works. Which branch of epidemiology does the nurse practice in this situation?
A. Descriptive
B. Analytical
C. Therapeutic
D. Evaluation
46. Which of the following is an epidemiologic function of the nurse during an epidemic?
49. In the investigation of an epidemic, you compare the present frequency of the disease with the usual
frequency at this time of the year in this community. This is done during which stage of the investigation?
50. The number of cases of Dengue fever usually increases towards the end of the rainy season. This pattern of
occurrence of Dengue fever is best described as;
A. Epidemic occurrence
B. Cyclical variation
C. Sporadic occurrence
D. Secular occurrence
51. In the year 1980, the World Health Organization declared the Philippines, together with some other
countries in the Western Pacific Region, “free" of which disease?
A. Pneumonic plaque
B. Poliomyelitis
C. Small pox
D. Anthrax
52. In the census of the Philippines in 1995, there were about 35,299,000 males and about 34,968,000 females.
What is the sex ratio?
A. 99.06:100
B. 100.94:100
C. 50.23%
D. 49.76%
53. Primary health care is a total approach to community development. Which of the following is an indicator of
success in the use of the primary health care approach?
54. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients would sometimes get
false negative results in this exam. This means that the test is not perfect in terms of which characteristic of a
diagnostic examination?
A. Effectiveness
B. Efficacy
C. Specificity
D. Sensitivity
55. Use of appropriate technology requires knowledge of indigenous technology. Which medical herb is given for
fever, headache and cough?
A. Sambong
B. Tsaang gubat
C. Akapulko
D. Lagundi
56. What law created the Philippine institute of Traditional and Alternative Health Care?
A. RA 8483
B. RA4823
C. RA 2483
D. RA 3482
57. In traditional Chinese medicine, the yielding, negative and feminine force is termed:
A. Yin
B. Yang
C. Qi
D. Chai
58. What is the legal basis of Primary Health Care approach in the Philippines?
60. The municipality assigned to you has a population of about 20/000. Estimate the number of 1-4 year old
children who be given Retinol capsule 200.000 every 6 months.
A. 1,500
B. 1,800
C. 2,000
D. 2,300
61. Estimate the number of pregnant women who will be given tetanus toxoid during an immunization outreach
activity in a barangay with a population of about 1,500.
A. 265
B. 300
C. 375
D. 400
62. To describe the sex composition of the population, which demographic tool may be used?
A. Sex ratio
B. Sex proportion
C. Population pyramid
D. Any of these maybe used
64. You are computing the crude rate of your municipality, with a total population o about 18,000 for last year.
There were 94 deaths. Among those who died, 20 died because of diseases of the heart and 32 were aged 50 years
or older. What is the crude death rate?
A. 4.1/1000
B. 5.2/1000
C. 6.3/1000
D. 7.3/1000
65. Knowing that malnutrition is a frequent community health problem, you decided to conduct nutritional
assessment. What population is particularly susceptible to protein energy malnutrition (PEM)?
66. Which statistic can give the most accurate reflection of the health status of a community?
67. In the past year, Barangay A had an average population of 1655. 46 babies were born in that year, 2 of whom
died less than 4 weeks after they were born. They were 4 recorded stillbirths. What is the neonatal mortality
rate?
A. 27.8/1000
B. 43.5/1000
C. 86.9/1000
D. 130.4/1000
A. Census
B. Survey
C. Record Review
D. Review of civil registry
71. In the conduct of a census, the method of population assignment based on the actual physical location of the
people is termed;
A. De jure
B. De locus
C. De facto
D. De novo
72. The Field Health Services and information System (FHSIS) is the recording and reporting system in public
health) care in the Philippines. The monthly field health service activity report is a form used in which of the
components of the FHSIS?
A. Tally report
B. Output report
C. Target/client list
D. Individual health record
73. To monitor clients registered in long-term regimens, such as the Multi-Drug Therapy, which component will
be most useful?
A. Tally report
B. Output report
C. Target/client list
D. Individual health record
74. Civil registries are important sources of data. Which law requires registration of births within 30 days from
the occurrence of the birth?
A. PD 651
B. Act 3573
C. RA 3753
D. RA 3375
75. Which of the following professionals can sign the birth certificate?
76. Which criterion in priority setting of health problems is used only in community health care?
77. The Sentrong Sigla Movement has been launched to improve health service delivery. Which of the following
is/are true of this movement?
79. Freedom of choice in one of the policies of the Family Planning Program of the Philippines. Which of the
following illustrates this principle?
80. A woman, 6 months pregnant, came to the center for consultation. Which of the following substances is
contraindicated?
A. Tetanus toxoid
B. Retinol 200,000 IU
C. Ferrous sulfate 200mg
D. Potassium iodate 200 mg, capsule
81. During prenatal consultation, a client asked you if she can have her delivery at home. After history taking
and physical examination, you advised her against a home delivery. Which of the following findings disqualifies
her for a home delivery?
82. Inadequate intake by the pregnant woman of which vitamin may cause neural tube defects?
A. Niacin
B. Riboflavin
C. Folic Acid
D. Thiamine
83. You are in a client's home to attend to a delivery. Which of the following will you do first?
84. In preparing a primigravida for breastfeeding, which of the following will you do?
85. A primigravida is instructed to offer her breast to the baby for the first time within 30 minutes after delivery.
What is the purpose of offering the breast this early?
86. In a mother's class, you discuss proper breastfeeding technique. Which of these is a sign that the baby has
"lactated on" the breast property?
87. You explain to a breastfeeding mother that breastmilk is sufficient for all of the baby's nutrient needs only up
to:
A. 3 months
B. 6 months
C. 1 year
D. 2 years
88. What is given to a woman within a month after the delivery of a baby?
A. Malunggay capsule
B. Ferrous sutfate l00mg O.D.
C. Retinol 200.000 IU 1 capsule
D. Potassium Iodate 200 mg, 1 capsule
A. DPT
B. Tetanus toxoid
C. Measles vaccine
D. Hepatitis B vaccine
90. Unused BCG should be discarded how many hours after reconstitution?
A. 2
B. 4
C. 6
D. At the end of the day
91. In immunity school entrants with BCG, you not obliged to secure parental consent. This is because of which
legal document?
A. PD 996
B. RA 7864
C. Presidential Proclamation No. 6
D. Presidential Proclamation No. 46
A. DPT
B. BCG
C. Measles vaccination
D. Hepatitis B vaccination
93. A 4 week old baby was brought to the health center for his first immunization. Which can be given to him?
A. DPT1
B. OPV1
C. Infant BCG
D. Hepatitis B Vaccin
94. You will not give DPT 2 if the mother says that the infant had?
95. A 2-month old infant was brought to the health center for immunization. During assessment, the infant's
temperature registered at 38.1 C. Which is the best course of action that you will take?
96. A pregnant woman had just received her 4th dose of tetanus toxoid. Subsequently, her baby will have
protection against tetanus for how long?
A. 1 year
B. 3 years
C. 10 years
D. Lifetime
97. A 4-month old infant was brought to the health center of cough. Her respiratory rate is 42/minute. Using the
IMCI guidelines of assessment, her breathing is considered;
A. Fast
B. Slow
C. Normal
D. Insignificant
98. Which of the following signs will indicate that a young child is suffering from severe pneumonia?
A. Dyspnea
B. Wheezing
C. Fast breathing
D. Chest indrawing
99. Using IMCI guidelines, you classify a child as having severe pneumonia. What is the best management for
the child?
A. Prescribe antibiotic
B. Refer him urgently to the hospital
C. Instruct the mother to increase fluid intake
D. Instruct the mother to continue breastfeeding
100. A 5-month old infant was brought by his mother to the health center because of diarrhea occurring 4 to 5
times a day. His skin goes back slowly after a skin pinch and his eyes are sunken. Using the IMCI guidelines, you
will classify this infant in which category?
A. No signs of dehydration
B. Some dehydration
C. Severe dehydration
D. The data is insufficient
101. Based on the assessment, you classified a 3-month old infant with the chief complaint of diarrhea in the
category of SOME DEHYDRATION. Based on the IMCI management guidelines, which of the following will
you do?
A. Bring the infant to the nearest facility where IV fluids can be given
B. Supervise the mother in giving 200 to 400ml of Oresol in 4 hours
C. Give the infant's mother instructions on home management
D. Keep the infant in your health center for close observation
102. A mother is using Oresol' in the management of diarrhea of her 3-year old child. She asked you what to do
if her child vomits. You will tell her to:
103. A 1 1/2 year old child was classified as having 3rd degree of protein energy malnutrition, kwashjorkor.
Which of the following signs will be most apparent in this child?
A. Voracious appetite
B. Wasting
C. Apathy
D. Edema
104. Assessment of a 2-year old child revealed "baggy pants". Using the IMCI guidelines, how will you manage
this child?
A. Refer the child urgently to a hospital for confinement
B. Coordinate with the social worker to enroll the child in a feeding program
C. Make a teaching plan for the mother, focusing on the menu planning for her child
D. Assess and treat the child for health problems like infections and intestinal parasitism
105. During the physical examination of a young child, what is the earliest sign of xerophthalmia that may
observe?
A. Keratomalacia
B. Corneal opacity
C. Night blindness
D. Conjunctival xerosis
106. To prevent xerophthalmia, young children are given Retinol capsule every 6 months. What is the dose given
to preschoolers?
A. 10, 000 IU
B. 20, 000 IU
C. 100, 000 IU
D. 200, 000 IU
107. The major sign of iron deficiency anemia is pallor. What part is best examined for pallor?
A. Palms
B. Nailbeds
C. Around the lips
D. Lower conjunctival sac
108. Food fortification is one of the strategies to prevent micronutrient deficiency conditions. RA 8976 mandates
fortification of certain food items. Which of the following is among these food items?
A. Sugar
B. Bread
C. Margarine
D. Filled milk
109. What is the best course of action when there is a measles epidemic in a nearby municipality?
110. A mother brought her daughter, 4 years old, to the RHU because of cough and colds. Following the IMCI
assessment guide, which of the following is a danger sign that indicates the need for urgent referral to a
hospital?
A. Inability to drink
B. High grade fever
C. Signs of severe dehydration
D. Cough for more than 30 days
111. Management of a child with measles includes the administration of which of the following?
A. Do a tourniquet test
B. Ask where the family resides
C. Get a specimen for blood smear
D. Ask if the fever is present everyday
113. The following are strategies implemented by the DOH to prevent mosquito-borne diseases. Which of these is
most effective in the control of Dengue fever?
115. Scotch tape swab is done to check for which intestinal parasite?
A. Ascaris
B. Pinworm
C. Hookworm
D. Schistosoma
116. Which of the following signs indicates the need for sputum examination for AFB?
A. Hematemesis
B. Fever for 1 week
C. Cough for 3 weeks
D. Chest pain for 1 week
119. Diagnosis of leprosy is highly dependent on recognition of symptoms. Which of the following is an early sign
of leprosy?
A. Macular lesions
B. Inability to close eyelids
C. Thickened painful nerves
D. Sinking of the nose bridge
120. Which of the following clients should be classified as a case of mutibacillary leprosy?
A. Liver cancer
B. Liver cirrhosis
C. Bladder cancer
D. Intestinal perforation
122. What is the most effective way of controlling schistosomiasis in an endemic area?
A. Use of molluscicides
B. Building of foot bridges
C. Proper use of sanitary toilets
D. Use of protective footwear, such as rubber boots
123. When residents obtain water from an artesian well in the neighborhood, the level of this approved type of
water facility is:
A. I
B. II
C. III
D. IV
124. For prevention of Hepatitis A, you decided to conduct health education activities. Which of the following is
Irrelevant?
125. Which biological used in EPI should not be stored in the freezer?
A. DPT
B. OPV
C. Measles vaccine
D. MMR
126. You will conduct outreach immunization in a barangay with a population of about 1500. Estimate the
number of infants in the barangay.
A. 45
B. 50
C. 55
D. 60
127. In IMCI, severe conditions generally require urgent referral to a hospital. Which of the following severe
conditions Does not always require urgent referral to hospital?
A. Mastoiditis
B. Severe dehydration
C. Severe pneumonia
D. Severe febrile disease.
128. A client was diagnosed as having Dengue Fever. You will say that there is slow capillary refill when the color
of the nailbed that you pressed does not return within how many seconds?
A. 3
B. 5
C. 8
D. 10
129. A 3-year old child was brought by his mother to the health center because of fever of 4-day duration. The
child had a positive tourniquet test result. In the absence of other signs, which of the most appropriate measure
that the PHN may carry out to prevent Dengue shock syndrome?
A. Insert an NGT and give fluids per NGT
B. Instruct the mother to give the child Oresol
C. Start the patient on IV Stat
D. Refer the client to the physician for appropriate management
130. The pathognomonic sign of measles is Koplik’s spot. You may see Koplik’s spot by inspecting the:
A. Nasal Mucosa
B. Buccal mucosa
C. Skin on the abdomen
D. Skin on the antecubital surface
A. Viral conjunctivitis
B. Acute poliomyelitis
C. Diptheria
D. Measles
132. Among children aged 2 months to 3 years, the most prevalent form of meningitis is caused by which
microorganism?
A. Hemophilus Influenzae
B. Morbillivirus
C. Streptococcus Pneumoniae
D. Neisseria meningitides
133. Human beings are the major reservoir of malaria. Which of the following strategies in malaria control is
based on this fact?
A. Stream seeding
B. Stream clearing
C. Destruction of breeding places
D. Zooprophylaxis
134. The use of larvivorous fish in malaria control is the basis for which strategy of malaria control?
A. Stream seeding
B. Stream clearing
C. Destruction of breeding places
D. Zooprophylaxis .
135. Mosquito-borne diseases are prevented mostly with the use of mosquito control measures. Which of the
following is NOT appropriate for malaria control?
136. A 4-year old client was brought to the health center with chief complaint of severe diarrhea and the passage
of “rice water”. The client is most probably suffering from which condition?
A. Giardiasis
B. Cholera
C. Amebiasis
D. Dysentery
A. S. mansoni
B. S. japonicum
C. S. malayensis
D. S. haematobium
138. A 32 year old client came for consultation at the health center with the chief complaint of fever for a week.
Accompanying symptoms were muscle pains and body malaise. A week after the start of fever, the client noted
yellowish discoloration of his sclera. History showed that he waded in flood waters about 2 weeks before the
onset of symptoms. Based on this history/ which disease condition will you suspect?
A. Hepatitis A
B. Hepatitis B
C. Tetanus
D. Leptospirosis
139. MWSS provides water to Manila and other cities in Metro Manila. This is an example of which level of
water facility?
A. I
B. II
C. III
D. IV
140. You are the PHN in the city health center. A client underwent screening for AIDS using ELISA. His result
was positive. What is the best course of action that you may take?
A. Get a thorough history of the client, focusing on the practice of high risk behavior
B. Ask the client to be accompanied by a significant person before revealing the result.
C. Refer the client to the physician since he is the best person to reveal the result to the client
D. Refer the client for a supplementary test, such as Western blot, since the ELISA result maybe false
142. The most frequent causes of death among clients with AIDS are opportunistic diseases. Which of the
following opportunistic infections is characterized by tonsilllopharyngitis?
A. Respiratory candidiasis
B. Infectious mononucleosis
C. Cytomegalovirus disease
D. Pneumocystis carinii pneumonia
143. To determine the possible sources of sexually transmitted infections, which is the BEST method that may be
undertaken by the public health nurse?
A. Contact tracing
B. Community survey
C. Mass screening tests
D. Interview suspects
144. Antiretroviral agents, such as AZT are used in the management of AIDS. Which of the following is not an
action expected of these drugs?
145. A barangay had an outbreak of German measles. To prevent congenital rubella, what is the BEST advice that you
can give to women in the first trimester of pregnancy in the barangay?
Situation: The nurse is interviewing a handsome man. He is intelligent and very charming. When asked about his
family, he states he has been married four times. He says three of those marriages were "shotgun" weddings. He states
he never really loved any of his wives. He doesn't know much about his three children. "I've lost track," he states.
1. If a patient is very resistant in taking responsibility of his action and asks, "Can you just give me some
medication?" the best response is:
2. The patient asks the nurse, "What is this therapy for anyway. I just don't understand it." the best reply is:
4. In planning care for the patient with a personality disorder, the nurse realizes that this patient will most
likely:
5. The person with an antisocial personality is participating in therapy while a patient at a psychiatric hospital.
The nurse’s expectations are that he will:
6. One of the reasons that persons with antisocial personalities may marry repeatedly or get into trouble with
legal authorities is:
a. Bipolar disorder
b. Alcoholic personality
c. Antisocial personality
d. Borderline personality
Situation: The patient with bipolar disorder is pacing continuously and is skipping meals.
8. Blood levels are drawn on the patient who has been taking Lithium for about six months. The present level is
2.1 meq/L. The nurse evaluates this level as:
a. Therapeutic
b. Below therapeutic
c. Potentially dangerous
d. Fatally toxic
10. The most recent Lithium level on bipolar patient indicates a drop non-therapeutic level. What associated
behavior does the nurse assess?
a. Ataxia
b. Confusion
c. Hyperactivity
d. Lethargy
12. The physician orders Lithium carbonate for the bipolar patient. The nurse is aware that:
Situation: Anna, 25 years old was raped six months ago states, "I just can't seem to get over this. My husband and I
don't even have sex anymore. What can I do?"
14. Supportive therapy to the rape victim is directed at overwhelming feeling that the victim experiences just
after the rape has occurred?
a. Guilt
b. Rage
c. Damaged
d. Despair
15. Anna asks, "Why do I need to have pelvic exam?" The nurse explains:
16. In providing support therapy, the nurse explains that rape has nothing to do with sexual desires or heeds.
The two most common elements in rape are:
17. The rape victim will not talk, is withdrawn and depressed. The defensive mechanism being used is:
a. Rationalization
b. Denial
c. Repression
d. Regression
18. The composite picture of rape victim reveals that most victimized women are:
a. Secretaries
b. Elderly
c. Students
d. Professionals
Situation: Obsessions are recurring thoughts that become prevalent in the consciousness and may be considered as
senseless or repulsive white compulsion are the repetitive acts that follow obsessive thoughts.
20. To understand the meaning of the cleaning rituals, the nurse must realize:
21. Upon admission to the hospital the patient increases the ritual behavior at bedtime. She cannot sleep. The
treatment plan should include:
22. A patient has been diagnosed with a personality disorder with .compulsive traits. Of the following behavior's,
which one would you expect the patient to exhibit?
23. The patient will not be able to stop her compulsive washing routines until she:
24. A 48-year-old female patient is brought to the hospital by her husband because her behavior is blocking her
ability to meet her family's needs. She has uncontrollable and constant desire to scrub her hands, the walls,
floors and sofa. She keeps repeating," Everything is dirty." This is an example of:
a. Compulsion
b. Obsession
c. Delusion
d. Hallucination
25. The female patient is preoccupied with rules and regulations. She becomes upset if others do not follow her
lead and adhere to the rules exactly. This is a characteristic of which of the following personality?
a. Compulsive
b. Borderline
c. Antisocial
d. Schizoid
26. In planning care focused on decreasing the patient's anxiety, what plan should the nurse have in regards to
the rituals?
27. After the patient entered the hospital she began to increase her ritualistic hand washing at bedtime and
could; not sleep. The nurse plans care around the fact that this patient needs:
28. The patient states, "I know all this scrubbing is silly but I can’t help it:'', this statement indicates that the
patient does not recognize:
29. The nurse is monitoring a drug abuser who states he was given cocaine and heroine that war cut with
cornstarch or some other kind of powder. He states, "It was really bad stuff." Which complication is most
threatening to this patient?
a. Endocarditis
b. Gangrene
c. Pulmonary abscess
d. Pulmonary embolism
30. The chronic drug abuser is suffering lymphedema in all extremities, but particularly in the arm where the
drug was obviously injected. There is severe obstruction of veins and lymphatics. The nurse suspects the patient
used:
31. The nurse is assessing a heroin user who injected the drug into an artery instead of a vein. Which
complication is the nurse most likely to expect?
a. Infection
b. Cardiac dysrhythmias
c. Gangrene
d. Thrombophlebitis
32. The nurse is assessing a 16-year-old patient for drug abuse. The patient is incoherent. Because she notes
irritation of eyes, nose and mouth, she suspects inhalants. Which sign is most indicative of inhalant abuse?
a. Vomiting
b. Bad breath
c. Bad trip
d. Sudden fear
33. An impaired nurse has been admitted for treatment of Demerol addiction. She asks, "When will the
withdrawal begin?" the best response is:
34. The patient has a blood pressure of 180/100, heart rate of 120, associated with extreme restlessness. He is
very suspicious of the hospital environment and actions of healthcare workers. The nurse should confront this
patient on abuse of;
a. Marijuana
b. Cocaine
c. Barbiturates
d. Tranquilizers
35. The nursing interventions most effective in working with substance dependent patients are:
36. An adolescent patient has bloodshot eyes, a voracious appetite (especially for junk foods), and a dry mouth.
Which drug of abuse would the nurse most likely suspect?
a. Marijuana
b. Amphetamines
c. Barbiturates
d. Anxiolytics
Situation: Defense mechanisms are unconscious intrapsychic process implemented to cope with anxiety. The use of
some of these mechanisms is healthy, while she use of others is unhealthy.
37. A patient cries and curls in a fetal position refusing to move or talk. This is an example of:
a. Regression
b. Suppression
c. Conversion
d. Sublimation
38. A person who expands sexual energy in a nonsexual, socially accepted way is using the coping mechanism of.
a. Projection
b. Conversion
c. Sublimation
d. Compensation
39. "The reason I did not do well on the exam is that I was tired." This is an example of:
a. Rationalization
b. Projection
c. Compensation
d. Substitution
40. An unattractive girl becomes a very good student. This is an example of:
a. displacement
b. Regression
c. Compensation
d. Projection
41. A patient has been sharing a painful experience of sexual abuse during his childhood. Suddenly he stops and
says, “l can't remember any more." The nurse assesses his behavior as:
a. Stubbornness
b. Forgetfulness
c. Blocking
d. Transference
42. The patient has a phobia about walking down in dark halls. The nurse recognizes that the coping mechanism
usually associated with phobia is:
a. Compensation
b. Denial
c. Conversion
d. Displacement
43. The patient is denying that he is an alcoholic He states that his wife is an alcoholic. The defense mechanism
he is utilizing is: v
a. Sublimation
b. Projection
c. Suppression
d. Displacement
Situation: Ms. Dwane, 17 years old, is admitted with anorexia nervosa. You have been assigned to sit with her while
she eats her dinner. Ms. Dwane says "My primary nurse trusts me. I don't see why you don't."
44. Which observation of the client with anorexia nervosa indicates the client is improving?
45. The nurse is caring for a client with anorexia nervosa who is to be placed on behavioral modification. Which
is appropriate to include in (he nursing care plan?
a. Remind the client frequently to eat all the food served on the tray
b. Increased phone calls allowed for client by one per day for each pound gained
c. Include the family of the client in therapy sessions two times per week
d. Weigh the client each day at 6:00 am in hospital gown and slippers after she voids
46. A nursing intervention based on the behavior modification model of treatment for anorexia nervosa would
be:
47. While admitting Ms. Dwane, the nurse discovers a bottle of pills that Ms. Dwane calls antacids. She takes
them because her stomach hurts. The nurse's best initial response is:
48. The primary objective in the treatment of the hospitalized anorexic client is to:
50. The nurse is monitoring a patient who is experiencing increasing anxiety related to recent accident. She notes
an increase in vital signs from 130/70 to 160/30, pulse rate of 120, respiration 36. He is having difficulty
communicating. His level of anxiety is:
a. Mild
b. Moderate
c. Severe
d. Panic
51. The patient who suffers panic attacks is prescribed a medication for short-term therapy. The nurse prepares
to administer.
a. Elavil
b. Librium
c. Xanax
d. Mellaril
52. In attempting to control a patient who is suffering panic attack, the nursing priority is:
a. Provide safely
b. Hold the patient
c. Describe crisis in detail
d. Demonstrate ADLs frequently
53. Which assessment would the nurse most likely find in a person who is suffering increased anxiety?
54. A patient who suffers an acute anxiety disorder approaches the nurse and while clutching at his shirt states
"I think I'm having a heart attack." The priority nursing action is:
a. Reassure him he is OK
b. Take vital signs stat
c. Administer Valium IM
d. Administer Xanax PO
56. Another client walks in to the mental health outpatient center and States, "I've had it. I can't go on any
longer. You've got to help me. "The nurse asks the client to be seated in a private interview room. Which action
should the nurse take next?
57. Mr. Juan is admitted for panic attack. He frequently experiences shortness of breath, palpitations, nausea,
diaphoresis, and terror. What should the nurse include in the care plan for Mr. Juan? When he is shaving a
panic attack?
58. Ms. Wendy is pacing about the unit and wringing his hands. She is breathing rapidly and complains of
palpitations and nausea, and she has difficulty focusing on what the nurse is saying. She says she is having a
heart attack but refuses to rest. The nurse would interpret her level of anxiety as:
a. Mild
b. Moderate
c. Severe
d. Panic
59. When assessing this client, the nurse must be particularly alert to:
a. Restlessness
b. Tapping of the feet
c. Wringing of the hands
d. His or her own anxiety level
Situation: Raul aged 70 was recently admitted to a nursing home because of confusion, disorientation, and negativistic
behavior. Her family states that Raul is in good health. Raul asks you, "Where am I?"
60. Another patient, Mr. Pat, has been brought to the psychiatric unit and is pacing up and down the hall. The
nurse is to admit him to the hospital. To establish a nurse-client relationship, which approach should the nurse
try first?
61. If Raul will say "I'm so afraid! Where I am? Where is my family'?" How should the nurse respond?
a. "You are in the hospital and you're safe here. Your family will return at 10 o'clock, which is one hour from now"
b. "You know were you are. You were admitted here 2 weeks ago. Don’t worry your family will be back soon."
c. "I just told you that you're in the hospital and your family will be here soon."
d. "The name of the hospital is on the sigh over the door. Let's go read it again."
62. Raul has had difficulty sleeping since admission. Which of the following would be the best intervention?
63. Which activity would you engage in Raul at the nursing home?
a. Reminiscence groups
b. Sing-along
d. Discussion groups
c. Exercise class
64. Which of the following would be an appropriate strategy in reorienting a confused client to where her room
is?
Situation: The police bring a patient to the emergency department. He has been locked in his apartment for the past 3
days, making frequent calls to the police and emergency services and stating that people are trying to kill him.
66. A client on an inpatient psychiatric unit refuses to eat and states that the staff is poisoning her food. Which
action should the nurse include in the client's care plan?
67. The client tells the nurse that he can't eat because his food has been poisoned. This statement is an indication
of which of the following?
a. Paranoia
b. Delusion of persecution
c. Hallucination
d. Illusion
68. The client on antipsychotic drugs begins to exhibit signs and symptoms of which disorder?
a. Akinesia
b. Pseudoparkinsonism
c. Tardive dyskinesia
d. Oculogyric crisis
69. During a patient history, a patient state that she used to believe she was God. But she knows this isn't true.
Which of the following would be your best response?"
a. "Does it bother you that you used to believe that about yourself?"
b. "Your thoughts are now more appropriate"
c. "Many people have these delusions."
d. "What caused you to think you were God?"
70. The nurse is caring for a client who is experiencing auditory hallucination. What would be most crucial for
the nurse to assess?
71. A patient with schizophrenia reports that the newscaster on the radio has a divine message especially for her.
You would interpret this as indicating.
a. Loose of associations
b. Delusion of reference
c. Paranoid speech
d. Flight of ideas
a. Persecutory
b. Grandiose
c. Jealous
d. Somatic
Situation: Helen, with a diagnosis of disorganized schizophrenia is creating a disturbance in the day room. She is
yelling and pointing at another patient, accusing him to stealing her purse. Several patients are in the day room when
this incident starts.
73. The nurse is preparing to care for a client diagnosed with catatonic schizophrenia. In anticipation of this
client's arrival, what should the nurse do?
a. Notify security
b. Prepare a magnesium sulfate drip
c. Place a specialty mattress overlay on the bed
d. Communicable the client's nothing-by-mouth status to the dietary department
74. The nurse is caring for a client whom she suspects is paranoid. How would the nurse confirm this
assessment?
a. indirect questioning
b. Direct questioning
c. Les-ad-in-sentences
d. Open-ended sentences
a. Delusions
b. Disorganized speech
c. Flat affect
d. Catatonic behavior
76. The patient tells you that a "voice" keeps laughing at him and tells him he must crawl on his hands and
knees like a dog. Which of the following would be the most appropriate response?
a. "They are imaginary voices and we're here to make them go, away."
b. "If it makes you feel better, do what the voices tell you."
c. "The voices can't hurt you here in the hospital"
d. "Even though I don't hear the voices, I understand that you do."
77. A 23-year-old patient is receiving antipsychotic medication to treat his schizophrenia. He's experiencing some
motor abnormalities called extrapyramidal effects. Which of the following extrapyramidal effects occurs most
frequently in younger make patients?
a. Akathisia
b. Akinesia
c. Dystonia
d. Pseudoparkinsonism
79. You're reaching a community group about schizophrenia disorders. You explain the different types of
schizophrenia and delusional disorders. You also explain that, unlike schizophrenia, delusional disorders:
80. A patient with schizophrenia (catatonic type) is mute and can't perform activities of daily living. The patient
stares out the window for hours. What is your first priority in this situation?
a. Assist the patient with feeding
b. Assist the patient with showering and tasks for hygiene
c. Reassure the patient about safely, and try to orient him to his surroundings
d. Encourage, socialization with peers, and provide a stimulating environment
81. Which of the following would you suspect in a patient receiving Chlorpromazine (Thorazine) who complains
of a sore throat and has a fever?
a. An allergic reaction
b. Jaundice
c. Dyskinesia
d. Agranulocytosis
82. While providing information for the family of a patient with schizophrenia, you should be sure to inform
them about which of the following characteristics of the disorder?
83. While caring for John, the nurse knows that John may have trouble with:
84 Which nursing diagnosis is most likely to be associated with a person who has a medical diagnosis of
schizophrenia, paranoid type?
85. Which of the following behaviors can the nurse anticipate with this client?
Situation: A client is admitted to the hospital. During the assessment the nurse notes that the client has not slept for a
week. The client is talking rapidly, and throwing his arms around randomly.
86. When writing an assessment of a client with mood disorder, the nurse should specify:
a. Fear
b. Anxiety
c. Antisocial
d. Schizoid
a. Fear
b. Anxiety
c. Antisocial
d. Schizoid
a. Menstruation
b. Role changes
c. Rape
d. Divorce
90. What would be the highest priority in formulating a nursing care plan for this client?
Situation: Wendell, 24 year-old student with a primary sleep disorder, is unable to initiate maintenance of sleep.
Primary sleep disorders may be categorized as dyssomnias or parasomnias.
91. The nurse is caring for a client who complains; of fat?gue, inability to concentrate, and palpitations. The
client stales that she has been experiencing these symptoms for the past 6 months. Which factor in the client’s
history has most likely contributed to.these symptoms?
92. If Wendell complains of experiencing an overwhelming urge to sleep and states that he's been falling asleep
while studying and reports that these episodes occur about 5 times daily Wendell is most likely experiencing
which sleep disorder?
93. The nurse is preparing a teaching plan for a client diagnosed with primary insomnia. Which of the following
teaching topics should be included in the plan?
95. When preparing to conduct group therapy, the nurse keeps in mind that the optimal number of clients in a
group would be:
a. 6 to 8
b. 10 to 12
c. 3 to 5
d. Unlimited
97. A 42 year-old homemaker arrives at the emergency department with uncomfortable crying and anxiety. Her
husband of 17 years has recently asked her for a divorce. The patient is sitting in a chair, rocking back and forth.
Which is the best response for the nurse to make?
a. "You must stop crying so that we can discuss your feelings about the divorce."
b. "Once you find a job, you will feel much better and more secure."
c. "I can see how upset you are. Let's sit in the office so that we can talk about how you're feeling."
d. "Once you have a lawyer looking out for your interests, you will feel better."
98. A client on the unit tells the nurse that his wife's nagging really gets on his nerves. He asks the nurse if she
will talk with his wife about nagging during their family session tomorrow afternoon. Which of the following
would be most therapeutic response to client?
99. The nurse is working with a client who has just stimulated her anger by using a condescending tone of voice.
Which of the following responses by the nurse would be the most therapeutic?
100. A 35 year-old client tells the nurse that he never disagrees with anyone and that he has loved everyone he's
ever known. What would be the nurse's best response to this client?