Nursing Board Exam Free Practice Test | Community Health Nursing

Situation 1. The following pertains to some concepts and principles of community health nursing that a nurse must apply in carry out CHN services.

1. Community heatlth nursing is a field of nursing which utilize

1. Knowledge about the history and philosophy of public health practices
2. Concepts of epidemiology and bio-statistics
3. Principles of leadership and management
4 Principles of social change

a. 1, 2, 3 & 4
b. 1 & 2
C. 2 & 3
d. 1,2 & 3

2. Which of the following features should the nurse incorporate in her practice of community health nursing (CHN)?

1. CHN is oriented to population
2. CHN emphasize health
3. CHN involves interdisciplinary collaboration
4. CHN promotes client participation in determining their own health

a. 1, 2, 3 & 4
b. 3 & 4 only
c. 1 & 2 only
d. 1, 2 & 3

3. In order to strengthen community participation in health activities in the community, which of this following should be done by the Public Health Nurse?

1. Identify the existing and potential leaders of the community
2. Form a core group for health
3. Formulate action program for health
4. Tell the community leaders what to do for their health problems

a.1 & 3
b.3 & 4
c.1 & 2
d.2 & 3

4. Which of the following characterize Primary Health Care?

1. Essential health care accessible and acceptable to individual and families in the community
2. The cost of care is affordable to community and country
3. The setting is in tertiary hospitals
4. Require; health personnel and specialized training

a. 1 & 4
b. 3 & 4
c. 1 & 2
d. 2 & 3

5. Which of the following statements about the PHN’s role in the community is/are correct?

1. The PHN will only enjoy her work if she accepts her role and is able to perform that role
2. The PHN is a community health nurse if she is able to establish rapport with the community officials and members
3. The PHN wish only give bedside nursing care
4. The PHN can walkthrough mud, work under stress and eat with the people in the barangay

a.1 & 2
b.3 & 4
C. 2 & 3
d. 1, 2 & 4

Situation 2. Cynthia Payas at 30 weeks of gestation has been admitted to the labor room. She says she been having moderate contractions every 3-5 minutes lasting almost a minute. Her membranes are placed.

6. From the nurse's assessment findings of Leopold maneuvers TS revealed a soft, rounded mass, irregular nodules on Cynthia's right side and a hard prominence on her right, just above the symphisis. Which of the following best describe the fetal presentation and position?

a. ROP
b. LOA
c. LSA
d. RSP

7. Health teaching during the prenatal period emphasize the expectant mother's need to go to the hospital when:

a. Contractions are 5-10 min, apart lasting 30 seconds and are felt as strong as menstrual cramp.
b. Contractions are 5 min. apart lasting 60 seconds and in increasing intensity
c. Contractions are 3-5 min. apart with rectal pressure and bloody show
d. contractions are 2-3 min apart lasting 90 seconds and membranes have ruptured

8. The nurse continues with her admission assessment. Which location should the nurse anticipate finding the fetal heart tones?

a. above the umbilicus on her left side
b. above the umbilicus on her right side
c. below the umbilicus of Mona's left side
d. below the umbilicus of Mona’s right side

9. The nurse assessed the frequency, duration and intensity of Cynthia's contractions. Which of the following techniques should the nurse use?

a. Holding the finger and palm over the area below the umbilicus
b. Moving of her ringers of one hand over the uterus pressing into the muscle
c. Spreading the ringers of one hand tightly over the hand
d. Indenting the uterus in several places during and between contractions

10. During labor, when positioning a client on lithotomy, the nurse should

a. Make sure the legs are safety strapped on the stirrups
b. Put her on semi-ceiling position first
c. Gradually lift one legs after the other
d. Put up hef client's leg together

Situation 3. An early childhood febrile syndrome affecting the lymphodes was identified by the Public Health Nuse(PHN)

11. Cristina a three years old girl came to RHU due to fever unresponsive to antibiotics. During assessment, the nurse noticed that she has "strawberry tongue ". Which the following syndrome her diagnosis?

a. Karachi fever
b. Igarashi fever
c. Kawasaki fever
d. Nagasaki fever

12. Upon assessment, you have observed that Cristina was irritable with mood changes and cervical lymphadenopalhy. What would you do to her?

a. Blame the mother
b. Give medication
c. Divert bar attention
d. Spank her

13. When the doctor arrived, the mother wanted to bring her child to a tertiary hospital. Which level of bars would you put Cristina in?

a. fourth
b. first
c. second
d. third

14. Which among the treatment below was ordered by the physician for Cristina's mother to buy from the "Botika sa barangay"?

a. Immunoglobuline
b. Antihistamine
c. Paracetamol
d. Salicylatea

15. Susceptibility of the syndrome that Cristina was affected with, is from what ancestry?

a. Aryan
b. Caucasian
c. Asian
d. America

Situation 4. Hearing, impairment appears to be common among elderly patients. But also occurs among children.

16. To assess the degree of hearing impairment of a 70-year-old client. Which communication approach would you initiate?

a. Use verbal communication and observe the response
b. Give message to client in writing
c. Asks a family member about the client's
d. Post a sign "Patient deaf"

17. While you are mating your routine rounds you were told that there is a client in the 1CU who is in respirator and who lip-reads. To establish relationship with him, communication is best accomplished by:

a. Speaking slowly but aloud
b. Writing messages
c. Gesturing while speaking
d. Using simple "charade" approach or strategy

18. One of your client's has just undergone an ear surgery. Which of the following would be inappropriate in planning for his care?

a. Administration of anti-emetics and analgesics as ordered
b. Daily irrigation of the ear canal
c. Walking with assistance at least 24 hours after operation
d. Teaching the patient to avoid sneezing, coughing and nose blowing

19. Which of the following conditions would an irrigation of the ear canal be appropriate intervention?

a. Foreign body in the ear canal
b. Serious otitis
c. Impacted cerumen
d. Tympanic membrane perforation

20. Children who have undetected hearing loss are likely to exhibit which of the following:

a. Indifference and lack of interest in the environment
b. Hyperactivity
c. An increased interest in reading
d. Hand gestures while speaking

Situation 5. As a professional nurse you take responsibility for personal & professional growth

21. Regulation of nursing practice is mainly based on:

a. Board of Nursing resolutions and pronouncements
b Legal rules and principles governing nursing practice
c. Standards of nursing practice
d. Decisions made by the PRC relating the nursing practice

22. You are a graduate of new BSN curriculum feat aims to prepare a fully functioning nurse. Which of the following best describe this graduate?

a. Sensitive awareness to the health needs of society
b. Collaboration with multi-sectoral groups
c. Compassionate attitude to all those cared for
d. Consideration of needs of patients and others

23. Accountability and responsibility in nursing practice is enhanced by utilization of

a. Assessment or appraisal tools
b. Code of Ethics of nurse's
c. Records for care plan
d. The nursing process

24. The professional license is renewable every three years during which of the following periods?

a. Every April 15 of each year
b. Every march 15 of each year
c. Every January 20 of each year
d. On or before one’s birth month

25. Which of the following Acts means that "Health Workers" are all persons engaged in health relate work regardless of their employment status?

a. Magna Carta of Public Health Worker
b. Security of Tenure of regular employees
c. Discrimination Prohibition
d. Code of Conduct and Ethical Standard of Public Officials and Employees

Situation 6. Nurses provide care to individuals in the various stages of health & illness.

26. Which of the following are internal factors that influence health practices?

a. Family practices
b. Norms of society
c. Religious beliefs
d. Developmental stage

27. Health-illness continuum refers to which of the following statements? A person

a. Can both be healthy or ill
b. Is either healthy or sick
c. Can be at the level of health & illness
d. Is either not healthy or not ill

28. One's ideas convictions and attitudes which influence his level of health is referred to as his:

a. Health beliefs
b. Health habits
c. health practice
d. health perceptions

29. Health Beliefs Model states that one takes health action if:

a. Is consistent of his health beliefs
b. Get support from family
c. Agree with the society's norms
d. Will prevent his getting sick

30. Health action that keeps one's present level of health is referred to as:

a. Health enhancement
b. Health promotion
c. Death prevention
d. Health maintenance

Situation 7.Cathy is in the early first trimester of her first pregnancy. ,

31. Cathy visits her gynecologist to confirm a suspected pregnancy. During the nursing history, she states that her last menstrual period began April 11. Cathy states that some spotting occurred in May 8. The Nurse calculates that her due date is:

a. January 10
b. January 18
c. February 12
d. February 15

32. Cathy asks the nurse why menstruation ceases once pregnancy occurs. The nurse's best response would be that this occurs because of the

a. Reduction in the secretion of hormones by the ovaries
b. Production of estrogen and progesterone by the ovaries.
c. Secretion of luteinizing hormone produced by the pituitary
d. Secretion of follicle-stimulating hormone produced by the pituitary.

33. The nurse is aware that the nausea and vomiting commonly experienced by many women during the first trimester of pregnancy is an adaptation to the increased level of

a. Estrogen
b. Progesterone
c. Luteinizing hormone
d. Chorionic gonadothropin

34. The nurse in the prenatal clinic should provide nutritional counseling to all newly pregnant women because:

a. Most weight gain during pregnancy is fluid retention
b. Dietary allowance should not increase during pregnancy
c. Pregnant women must adhere to a specific pregnancy diet
d. Different sources of essential nutrients are favored by different cultural groups

35. Cathy is now in her 8 weeks of pregnancy and complains of having to go to the bathroom often to urinate. The nurse explains to her that urinary frequency often occurs because the capacity of the bladder during pregnancy is diminished by:

a. Atony of the detrusor muscle
b. Compression by the ascending uterus
c. Compromise of the autonomic reflexes
d. Constriction of the ureteral entrance at the trigone

Situation 8. AIDS cases has been all over the country and yet only few are reported cases due to the stigma attach to it.

36. What is the causative agent in HIV/AIDS?

a. trichomonas vaginalis
b. Human, T-cell lymphotrophio virus
c. Treponema pallidum
d. Chlamydia tranchomatis

37. A classic full blown AIDS case is identified by clinical manifestations such as:

a. Persistent generalized lymphadenopathy
b. Sudden loss of weight, afternoon fever and general malaise
c. Tumors and opportunistic infections
d. Fever, weight loss, night sweats and diarrhea

38. Pulmonary complications are the most common problem in caring for AIDS patients. This is caused:

a. Kaposi's Sarcoma
b. Filterable Virus
c. Pneumonia Carnii
d. Staphylococcus bacteria

39. The cause of death of most AIDS patients who develop multiple opportunistic infections is/are the following:

a. Weakened immune system impairs response to therapy
b. AH of these (a, b, c)
c. Weakened immune system impairs resistance to infection
d. Infection cannot be treated effectively

40. Implementation of the following activities can help prevent the transmission of AIDS through the blood.

1. Conduct public education campaign, with the aim of implementation self-deferral of blood donate who are risk of HIV infection
2. Educate health care workers on the correct use of blood
3. Conduct surveillance of women attending anti-natal clinics
4. Use of condoms of those found to be infected with HIV

a. 1 & 2
b. 3 & 4
C. 1 & 3
d. 2 & 3

Situation 9. One of the main fools of the nursing profession is the use of therapeutic communication. The following situation would require you of your communication skills.

41. A patient who is diagnosed to have terminal illness tells you. "I’m really scared. Am I dying?" What could be your most appropriate response?

a. "Tell me about what you think."
b. "I'm sure you are scared; other clients in your situation feel the same way."
c. "You should be careful not to let your family know you're scared"
d. "Why are you scared?"

42. The nurse assessing a male client who has been admitted for treatment of alcoholism. Which question by the nurse is least appropriate?

a. "How much do you think?"
b. "What other drugs do you use?" .
c. "How is your general health?"
d. "Why do you drink so much?"

43. A 58-year-old male client tells the office nurse that his wife does not let him change his colostomy bag himself. Which response by the nurse indicates as understanding of the situation?

a. "Your wife's need to help you is a reality you should accept"
b. "Do you think your wife might benefit from counseling?"
c. "You feel you need privacy when changing your colostomy?"
d. "Have you discussed the situation with your doctor?"

44. An 87 year old widow was hospitalized for treatment of chronic renal disease. She lives with her daughter and son-in-law and their family, who are very supportive. She is now ready for discharge. The doctor has ordered high carbohydrates, low-protein, low sodium diet for her and the family has asked for assistance in planning low-sodium diet meals. Which of the following choices best reflects the pre-discharge information the nurse should provide for the client's family regarding low-sodium diet?

a. Avoid canned and processed foods, do not use salt replacements substitute herbs and replaces for salt in cooking and when seasoning foods, call a dietitian for help.
b. Use potassium salts in place of table salt when coking and seasoning foods, read the labels on packaged foods to determine sodium content, and avoid snacks food
c. Limit milk and dairy products, cook separate meals that are low in sodium and encourage increased fluid intake
d. Avoid eating in a restaurant, soak vegetables well before cooking to remove sodium, omit all canned foods, and remove salt shakes from table.

45. You are encouraging your patient for major cancer operation to verbalize her fears. She remarked," I am afraid to do". Your appropriate response is

a. "I know how you feel about your condition".
b. "Don't worry, you are in good hands."
c. "Let me call a chaplain to see you."
d. "Let us asks your doctor about your operation."

Situation 10. You are assigned as a public health nurse to oversee the different health activities in your community.

46. While you were going over the record of Mrs. Uy who missed her prenatal appointment date. Her review of the family folder showed the following: GR-II, PARA II; with slight edema; BP=150/100. Mra. Uy eldest son in underweight is sick of H-fever. Nurse Linda planned a home visit. Which of the following would you give priority in planning her for the family?

a. Mrs. Uy's eldest son who is sick with H-fever
b. Mrs. Uy pre-eclampsia
c. Nutritional status of Mrs. Uy’s eldest son
d. Family potential threat of cross-infection from H-fever

47. The midwife refers to you a family who fails to take action regarding a sick member of the family despite her suggestions. In helping the family decide on what actions to take you will.

1. Explain the consequences of inaction
2. Identify the courses of action open to the family and resources needed for each
3. Discuss the consequences of each course of action available
4. Influence me family to act on what you think is best for the situation

a. 1 & 4
b. 2, 3 & 1
c. 2 & 3
d. 4 only

48. Elisa is on her 1 1/2 month pregnancy. Her first child 3 1/2 months old. She asked you if she should stop breastfeeding her first baby since she is now pregnant. Your response should be the following. EXCEPT:

a. Breastfeeding during pregnancy is not harmful to either of the babies.
b. Sudden weaning can be harmful and can make the older child ill
c. Breast milk is only valuable until the child is 4 months old
d. She can start giving solid foods in preparation for weaning when her child is 4 to 6 months old

49. Which of the following statements is correct regarding Community Health Nursing (CHN)?

a. Professional growth and development of the PHN is the responsibility of the Department health
b. Provision of CHN care is not any way affected by policies of the agency where the Nurse work
c. The PHN worked with community 19 for 6 years can solely determine the health needs of the community
d. Evaluation of the health status of individuals and families should be done in consultation with them

50. In developing capability of people to assume more responsibility for their health, which of the following statements would you consider most important?

a. Lead-lag in the health activities
b. Organizing me community for health
c. Identifying health problems with the people
d. Making medicine available

Situation 11. Demographic profile of the elderly population is important in the nursing profession and it is therefore important to know the basic facts about it

51. According to the definition of UN and WHO elderly people are who belong to the age bracket of

a. 60 years old and above
b. 65 to 74 years old
c. 85 years old and above
d. 75 to 84 years old

52. There are four classifications of elderly, which age group do old-old person, belong

a. 55 to 60 years old
b. 65 to 74 years old
c. 75 to 84 years old
d. 85 years old and above

53. Factors that affect Reproductive health includes, except,

a. Socio-economic
b. Status of Women
c. Status of Men
d. Social and Gender Issues

54. Element of Reproductive Hearth is responsible for the sex education for students,

a. Men's Reproductive Health
b. Adolescent Reproductive Health
c. Family Planning
d. V.A.W

55. Essential Tool used in Community Health Nursing, that saves time and effort,

a. Bag technique
b. Public Health Bag
c. BP Apparatus
d. Thermometer Technique

56. Principles in Home Visit include, except

a. Home visit should have an objective or purpose.
b. Planning of Home Visit should be flexible and practical.
c. Planning revolves around the needs of the Nurse.
d. Planning should revolve around the essential needs of the family,

57. Steps in Home Visit, which should be done initially?

a. Wash hands
b. Greet Client or household
c. Explain purpose of visits
d. Ask about client's health status.

58. After home delivery, the Nurse should include in her health teaching

a. Circumcision of the Infant
b. Immunization
c. Starting the infant on bottle feeding
d. Breast feeding of infant

59. In giving tetanus toxoid immunization for pregnant women, the first dose should be given.

a. Second Trimester
b. 3rd Trimester
c. 1 year after delivery
d. as early as possible during pregnancy

60. The legal mandate that supports the PHC act

a. LOI 949
b. PD 996
c. E.O 51
d. RA7180

61. Requirements to be a Public Health Nurse Includes

1. Filipino citizen
2. BSN, RN
3. Masters degree in Nursing
4. 3 years as a C. I

a. 1, 3
b. 3, 4
c. 1, 2
d. 2, 4

62. Which of the following statements best explain the concept of people empowerment?

a. People are the health beneficiaries
b. People themselves are health resources
c. People can demand health services
d. People are our partners in health

63. As a PHN you also have an active role in disease surveillance sod epidemiology of disease in the community. Among others you also do the following.

1. Immediately inform the rural health physician of any unusual increases cases in the community disease.
2. Conduct epidemiological investigation on all reported outbreaks
3. Request the midwife to graph weekly disease incidence cases in the municipality
4. Assist in the planning and implementing disease control measures during outbreak

a. 1, 2 & 4
b. 2 & 4
c. 1 & 4
d. 3 & 4

64. The habitual presence of a disease or infectious agent within a given geographic area is:

a. Epidemic
b. Endemic
c. Pandemic
d. Sporadic

65. Measures the frequency of occurrence of new cases of a certain disease during a given period of time

a. Prevalence rate
b. Endemic
c. Fatality rate
d. Mortality rate

Situation 13. Theories regarding the aging process were formulated in order to guide the health care profession in their care of the elderly patient.

66. Theories proposed to explain aging are organized as:

a. Fully explanatory and partially explanatory
b. Complete and incomplete
c. Genetic, biochemical and sociopsychological
d. Known and unknown

67. In the "Wear and Tear" theory of aging continued use of the body is supposed to lead to worn out parts, similar to the breakdown and wearing out ®f old machinery. This could not explain aging because:

a. Continued use has little effect
b. Nothing over wears out completely
c. The human body can’t be compared to machinery
d. Greater use leads to improvement in some systems such as muscles

68. The "Somatic Mutation Theory" states that low doses of radiation accelerate aging. The theory has been criticized for three reasons. Which of the following is not of the reasons why this theory explains little about the aging process.

a. Sunscreens are now available to block out fee harmful ultraviolet rays
b. The effect of the sun occurs mainly in dividing cells while the effects of aging are seen mainly in calls that no longer divide
c. The number of cells that undergo mutation is too small to account for overall aging.
d. Most cells contain mechanisms for the repair of DNA

69. Which of the following explains that the critical factor in framing old age concerns is how well persons function in regards to activities of daily living?

a. The functional capacity theory
b. The activity theory
c. the disengagement theory
d. the personal meaning theory

70. The view of the older people "Withdraw" from the soclety is:

a. The adics theory
b. The disengagement theory
c. The parling theory
d. The absence theory

Situation 14. Mrs. Castro is one-week post partum. She visits health center because of fever and intense pain over the episiotomy site.

71. What will be first action of the nurse?

a. Assess for signs of anemia
b. Determine nutritional status
c. Ask for the possibility of sexual intercourse
d. Elici: history of delivery

72. Upon inspection the nurse observes an edematous episiotomy site. Which of the following intervention will you first apply?

a. Administer antimicrobials as ordered
b. Expose the wound to perilight
c. Cleanse the episiotomy with iodine solution
d. Give oral analgesic

73. Upon inspection the nurse observes an edematous episiotomy site. Which of the following herbal plants can be used to related perineal infection?

a. Lagundi
b. Banana Leaves
c. Herba Buena
d. Guava Leaves

74. Breast engorgement can also cause temperature elevation, but does not last longer than how many hours?

a. 48 hours
b. 12 hours
c. 10 hours
d. 24 hours

75. Which of the following is an anti-inflammatory drug?

a. Metoprotol succinate
b. Mefenamic Acid
c. Meperidine hydrochloride
d. Mefhylergonovine oaaleate

Situation 15. The Department of Health implements various health programs and projects in order to achieve its goals and objectives. As a Public Health Nurse you are one of the implementers of these programs at the municipal level.

76. The primary function of the Department of Health is the promotion, preservation or restoration of the health of the people through.

a. Regulation and encouragement of providers of health goods and services
b. Provision and delivery of health services
c. All of these except reduction of morbidity and mortality
d. Reduction of morbidity and mortality

77. In recent years, the government have given more emphasis of which of the following.

a. Rehabilitation
b. Treatment of disease
c. Prevention of illness
d. Treatment and rehabilitation

78. In your campaign against sexually transmitted disease which of these groups are your target audience for health education?

a. Commercial social workers
b. All of these groups
c. General population
d. Health workers and private practitioners

79. Knowing the policies if the National Family Planning Program which of these is the best contraceptive method to use for a couple who have already four children?

a. Use of IUD since she is still on her postpartum period
b. Natural family planning method since her menstruation is still regular
c. A method they will choose and use
d. Tubal ligation as this is more permanent method

80. Under the National Center Control Program, the following are primary prevention measures implemented cancer of the mouth except

a. Avoidance of inverted cigarette smoking
b. None of these
c. Improved dental hygiene
d. Avoidance of smoking and betel chewing

Situation 16. The Community Health Nurse prepares/participate in the preparation of the community health care plan.

81. In order to plan effectively, the nurse needs a -working knowledge on the following, except

a. None of these
b. The way people view health and how they are using health care services
c. Health status profile of the community
d. Data on quality assurance

82. In a rural health unit with full man power complement, the nurse's main contribution in the preparation of the total health care plan is the.

a. Preparation of the nursing component of the plan
b. Collation of the data on Health Statistics
e. Identification of health problem of the barangays
d. Analysis of the community survey data

83. Which of the following statement would serve as a guide in the preparation, of the community health care plan?

a. Recommendation for action should be stated in quantifiable terms
b. The formulation of criteria for evaluating the effectiveness of the plans must be an aspect of planning
c. All of these statements
d. Problems goals and objectives should be stated in quantifiable terms

84. Which of the following is a well-stated objective of a community health nursing care plan

a. To increase the number of mothers coming for prenatal check-up by 25% in 6 months time.
b. To increase the number of home visits by 50%
c. To increase the coverage for immunization in 1 year time
d. To increase the number of children receiving food assistance

85. If the objectives of the health care plan is to decrease the number of children with parasitism: by 50% by the end of 2 years, which of these would be an appropriate evaluation indicator?

a. Number of children found positive for ascaris/ amebiasis/ hookworm, infection
b. Number of children examined for parasitism
c. Number of children who consulted for abdominal pain and anemia
d. Number of children who were dewormed

Situation 17. Your head nurse participated a 2-weeks seminar. You were designated to be an officer-in-charge of your nursing unit.

86. In unit planning which of the following questions initiate the process?

a. How to schedule the activities?
b. Who will do the planning?
c. What is to be accomplished?
d. Where to get unit supplies?

87. This is an example of data that should be analyzed when identifying missing needs.

a. Number of nursing staff
b. Medical diagnosis of patient
c. Ward supplies and materials
d. Patient classification

88. To accomplish the nursing unit work, you should first get information about:

a. Objectives of the unit
c. Nursing budget
b. Nursing service organizational chart
d. Mission of the hospital

89. This is an example of a patient care unit objective

a. To ensure adequate unit supplies/materials
b. To use the kardex system of charting
c. To determine the number of nursing staff needed
d. To provide safe nursing

90. Which of the following tools can be most helpful in the evaluation of staff performance?

a. Performance assessment
b. Performance standard
c. Performance audit
d. Performance appraisal

Situation 18. Rebecca, a 2 year old and her Mother are consulting the community health nurse

91. The nurse observes Rebecca at play in the clinic. She realizes that at this age, Rebecca could be expected to exhibit which of the following?

a. Build houses with blocks
b. Is extremely possessive of toys
c. Attempts to stay within the hue when coloring
d. Amuses herself with a picture book of 15 minutes

92. When observing Rebecca, the nurse would expect her to engage in which type of play?

a. Parallel play
b. Solitary play
c. Competitive play
d. tumbling play

93. Rebecca's mother asks the nurse when it would be appropriate to take her to the dentist for dental prophylaxis. What is the nurse most appropriate response?

a. Before starting school
b. Between 2 and 3 years of age
c. When Rebecca begins to lose deciduous teeth
d. The next time another family member goes to the dental

94. Rebecca's mother say's that Rebecca consistently says "no” every time she is offered fluids. Considering Rebecca's development, how could the nurse assist the mother to increase Rebecca's fluid intake?

a. Distract her with some food
b. Be firm and hand her the glass
c. Offer her a choice of two things to drink
d. Let Rebecca see that she is making her mother angry

95. Rebecca is well and is to be discharged- Her mother asks the nurse why Rebecca persists in saying ''no'' to everything. The nurse explains to Rebecca's mother that this negativism is helping Rebecca to meet a 2 year old need for which of the following?

a. Trust
b. Attention
c. Discipline
d. Independence

Situation 19. You are the nurse assigned in the nursery unit and your patients are of various ages.

96. Assessment an infant, the nurse knows that a pincer grasp nornally appears

a. At the same time as the palmar grasp
b. Between 9 & 12 month of age
c. Between 5 & 7 month of age
d. Along with the ability to "rake" objects toward themselves

97. In a child development, the period of negativism begins when the child

a. Can manipulate his or her parents
b. Copies negative behavior of sibling.
c. Is struggling between dependence and independence
d. Is learning manual skills

98. The nurse is caring for a hospitalized toddler who was toilet trained home. He wets his pants. The best response to this situation is to say?

a. "Its okay, try not to wet your pants next time”
b. "That's okay. Now lets get you cleaned up”
c. "I know you understand how to use the toilet; what happened?"
d. "Your mom told me you don't wet anymore; what's wrong?"

99. Which of the following behavior would a normal 18 moths old be likely to exhibit during the first few hours of hospitalization?

a. Crying loudly when parents leave
b. Readily accepting the nurse caring for him
c. Showing considerable interest in new toy
d. Sitting quietly in the comer of the cab, showing little or no interest in his surrounding

100. Evaluating a 1 month old infant normal developmental skills, the Nurse should observe that the infant

a. Actively follow movement of familiar persons with her eyes
b. Responds to "No-No"
c. Turns her head to a familiar noise
d. Discriminates between family and strangers