1. What is the
primary goal of community health nursing?
- To support and
supplement the efforts of the medical profession in the promotion of
health and prevention of diseases.
- To enhance the capacity
of individuals, families and communities to cope with their health needs.
- To increase the
productivity of the people by providing them with services that will
increase their level of health.
- To contribute to
national development through promotion of family welfare, focusing
particularly on mothers and children
2. When the
occupational health nurse employs ergonomic principles, she is performing which
of her roles?
- Health care provider
- Health educator
- Health care coordinator
- Environment manager
3. Which of the following is the most prominent
feature of public health nursing?
- It involves providing
home care to sick people who are not confined in the hospital
- Services are provided free of charge to
people within the catchment area
- The public health nurse
functions as part of a team providing a public health nursing service.
- Public health nursing focuses on preventive, not curative services
4. Which of the following is an example of the
school nurse’s role?
- Requesting for BCG from
the cold room for school entrance immunization
- Conducting random classroom inspection during measles epidemic
- Taking remedial action
on an accident hazard in the school playground
- Observing places in the school where
pupils spend their free times
5. The public health nurse is the supervisor
of rural health midwives. Which of the following is a supervisory function of
the public health nurse?
- Referring cases or
patients to the midwife
- Providing technical guidance to the midwife
- Proving nursing care to
cases referred by the midwife
- Formulating and
implementing training programs for midwives
6. Which of the following is an advantage of a
home visit?
- It allows the nurse to
provide nursing care to a greater number of people
- It provides an opportunity to do first
hand appraisal of the home situation
- It allows sharing of
experience among people with similar health problems
- It develops the family’s initiative in providing for health needs
of its members
7. Which of the following is CONTRARY to the principles
in planning a home visit?
A. A home visit should have a purpose of objective
B. The plan should revolve around the family health needs
C. A home visit should be conducted in
the manner prescribed by RHU
D. planning of continuing care should involve a responsible-family member
8. 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;
- Should save time and
effort
- Should
minimize if not totally prevent the spread of infection
- Should not overshadow
concern for the patient and his family
- May be done in variety
of ways depending on the home situation, etc.
9. To maintain the cleanliness of the bag and
its contents, which of the following must the nurse do?
- Wash his/her hands
before and after providing nursing care to the family members
- In the care of family member’s, as much as possible, use only
articles taken from the bag
- Put on an apron to
protect her uniform and fold it with the right side out before putting it
back into the bag.
- At the end of the
visit, fold the lining on which the bag was placed, ensuring that the
contaminated side is on the outside.
10. The public health nurse, conducts a study
on the factors contributing to the high mortality rate due to heart diseases in
the municipality where she works. Which branch of epidemiology does the nurse
practice in this situation?
- Descriptive
- Analytical
- Therapeutic
- Evaluation
11. Which of the following is a function of
epidemiology?
- Identifying the disease
condition based on manifestations presented by a client
- Determining factors
that contributed to the occurrence of pneumonia in a 3 year old.
- Determining the efficacy of the
antibiotic used in the treatment of the 3 year old client with pneumonia.
- Evaluating the
effectiveness of the implementation of the Integrated Management of
Childhood Illness.
12. Which of the following is an epidemiologic
function of the nurse during an epidemic?
- Conducting assessment of
suspected cases to detect the communicable diseases
- Monitoring the condition
of the cases affected by the communicable disease
- Participating in the
investigation to determine the source of epidemic
- Teaching the community on
preventive measures against the disease
13. The primary purpose of conducting an
epidemiologic investigation is to;
- Delineate the etiology of
the epidemic
- Encourage cooperation and
support of the community
- Identify groups who are
at risk of contracting the disease
- Identify geographical
location of cases of the disease in the community
14. Which is a characteristic of person-to-person
propagated epidemic?
- There are more cases of
the disease than expected
- The disease must necessarily
be transmitted through a vector
- The spread of the
disease can be attributed to a common vehicle
- There is gradual
buildup of cases before the epidemic becomes easily noticeable
15. 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;
- Epidemic occurrence
- Cyclical variation
- Sporadic occurrence
- Secular occurrence
16. What is given to a woman within a month
after the delivery of a baby?
- Malunggay capsule
- Ferrous sulfate l00mg
- Retinol 200.000 IU 1
capsule
- Potassium Iodate 200
mg, 1 capsule
17. What biological used in EPI is stored in
the freezer?
- DPT
- Tetanus toxoid
- Measles vaccine
- Hepatitis B vaccine
18. Unused BCG should be discarded how many
hours after reconstitution?
- 2
- 4
- 6
- At the end of the day
19. Which immunization produces a permanent
scar?
- DPT
- BCG
- Measles vaccination
- Hepatitis B vaccination
20. A 4 week old baby was brought to the
health center for his first immunization. Which of the following should be
given to him?
- DPT1
- OPV1
- Infant BCG
- Hepatitis B Vaccine
21. You will not give DPT 2 if the mother says
that the infant had?
- Seizures a day after
DPT1
- Fever for 3 days after DPT1
- Abscess formation after
DPT1
- Local tenderness for 3
days after DPT1
22. A pregnant woman had just received her 4th
dose of tetanus toxoid. Subsequently, her baby will have protection against
tetanus for how long?
- 1 year
- 3 years
- 10 years
- Lifetime
23. To prevent xerophthalmia, young children
are given Retinol capsule every 6 months. What is the dose given to
preschoolers?
- 10, 000 IU
- 20, 000 IU
- 100, 000 IU
- 200, 000 IU
24. What is the best course of action when there
is a measles epidemic in a nearby municipality?
- Give measles vaccine to
babies aged 6 to 3 months
- Give babies aged 6 to
11 months one dose of 100,000 IU of Retinol
- Instruct mother to keep
their babies at home to prevent disease transmission
- Instruct mothers to
feed their babies adequately to enhance their babies resistance
25. Management of a child with measles
includes the administration of which of the following?
- Gentian violet on mouth
lesions
- Antibiotic to prevent
pneumonia
- Tetracycline eye
ointment for corneal opacity
- Retinol capsule
regardless of when the last dose was given
26. A mother brought her 10 month old infant
for consultation because of fever which started 4 days prior to consultation.
To determine malaria risk, what will you do?
- Do a tourniquet test
- Ask where the family
resides
- Get a specimen for
blood smear
- Ask if the fever is
present everyday
27. The following are strategies implemented
by the DHMT to prevent mosquito-borne diseases. Which of these is most
effective in the control of Dengue fever?
- Stream seeding with
larva-eating fish
- Destroying breeding
places of mosquitoes
- Chemoprophylaxis of
non-immune persons going to endemic areas
- Teaching people in
endemic areas to use chemically treated mosquito nets
28. Secondary prevention for malaria includes?
- Planting of neem or
eucalyptus trees
- Residual spraying of
insecticides at night
- Determining whether a
place is endemic or not
- Growing larva-eating fish
in mosquito breeding places
29. Which of these clients are considered
targets for DOTS category?
- Sputum negative cases
- Clients returning after
default
- Relapses and failures of
previous PTB treatment regimens
- Clients diagnosed for the
first time through a positive sputum exam
30. To improve compliance to treatment, what
innovation is being implemented in DOTS?
- Having the health worker
follow up the client at home
- Having the health worker
or a responsible family member monitor drug intake
- Having the patient come
to the health center every month to get his medications
- Having a target list to
check on whether the patient has collected his monthly supply of drugs
31. Diagnosis of leprosy is highly dependent
on recognition of symptoms. Which of the following is an early sign of leprosy?
- Macular lesions
- Inability to close eyelids
- Thickened painful nerves
b, c and d are complications called gangosa
- Sinking of the nose bridge
32. Which of the following clients should be
classified as a case of mutibacillary leprosy?
- 3 skin lesions,
negative slit skin smear
- 3 skin lesions,
positive slit skin smear
- 5 skin lesions,
negative slit skin smear
- 5 skin lesions, positive slit skin smear
33. Which biological used in EPI should not be
stored in the freezer?
- DPT
- OPV
- Measles vaccine
- MMR
34. The pathognomonic sign of measles is
Koplik’s spot. You may see Koplik’s spot by inspecting the:
- Nasal Mucosa
- Buccal mucosa
- Skin on the abdomen
- Skin on the antecubital
surface
35. Among the following diseases, which is
airborne?
- Viral conjunctivitis
- Acute poliomyelitis
- Diphtheria
- Measles
36. Mosquito-borne
diseases are prevented mostly with the use of mosquito control measures. Which
of the following is NOT appropriate for malaria control?
- Use of chemically
treated mosquito nets
- Seeding of breeding places with larva-eating fish
- Destruction of breeding
places of the mosquito vector
- Use of
mosquito-repelling soaps, such as those with basil or citronella.
37. A main characteristic of population based public health
nursing practice is that it:
a.
Gives preference to primary prevention
b.
Gives preference to secondary prevention
c.
Gives preference to tertiary prevention
d. Considers multiple levels of prevention
38 . Madam Grace Pokuaa is a regular CWC attendant. She
visited your clinic with her 14- week old baby Akua. What immunization will
baby Akua be due for?
a.
OPV 0, DPT/Hep B / Hib 3/ Rotarix 2/ yellow
fever
b.
OPV 3, DPT/Hep B/ Hib 3, BCG and Pneumococcal 3
c.
OPV 3, DPT/ Hep B / Hib 3/ Rotarix 3 and
pneumococcal 3
d. OPV 3,DPT/ Hep B / Hib 3, and pneumococcal
3
39. A 2-month old
infant was brought to the health centre for immunization. During assessment,
the infant’s temperature registered at 38.10C. Which is the best
course of action that you will take?
a.
Advise the infant’s mother to bring him back for
immunization when he is well.
b. Give paracetamol and wait for his fever to
subside
c.
Go ahead and give the infant the immunization
d.
Refer the infant to the physician for further
assessment.
- The family is known as
the basic unit of society. Which of the following is a very important
function performed by a family?
a.
Acculturation
b.
Identification
c. Socialization
d.
Stratification
- The process whereby
vaccines are kept in a potent state from the manufacture to the consumer,
is referred to as
a.
Chain of command
b. Cold chain
c.
Food chain
d.
Vaccination chain
- The aim of childhood
immunization is to protect the child from:
a.
All childhood diseases
b.
Communicable diseases
c.
Life threatening diseases
d. Specific childhood diseases
- After exposure to an
infection, the vaccine administered to the individual confers:
a.
Active artificial immunity
b.
Active natural immunity
c. Passive artificial immunity
d.
Passive natural immunity
- One of the factors which
may demotivate mothers from patronizing a child welfare clinic is
a.
Community durbars
b.
Community mobilization
c.
Home visits
d. Long waiting time
- After giving a vaccine
you should do all of the following EXCEPT:
a.
Observe the recipient for immediate adverse
reactions
b. Keep the recipient under observation for
one hour
c.
Dispose off equipment used for vaccination in a
safety box
d.
Keep accurate and accessible records on both the
receipient and vaccine given.
- Madma Adwoa Diewuo holds
child welfare clinic daily at Medowo health centre. What type of clinic is
this?
a.
Outreach
b.
Satellite
c.
Special
d. Static
- The mother of a
four-year-old baby who had his second DPT/HEP B/ Hib immunization
yesterday called you the nurse and reported that the baby has a
temperature of 38.7oC and a hard reddened area on his thigh.
The best interpretation of this data is that, the child :
a.
Has developed a secondary infection
b.
Is developing symptoms of the disease
c. Is reacting normally to the immunization
d.
May be allergic to the vaccine
- Control of environmental
hazards and protection against occupational hazards are all examples of
a.
Health promotion
b. Primary prevention
c.
Secondary prevention
d.
Tertiary prevention
- The weakest link in the
chain of infection that nurses can manipulate to prevent spread of
infection and disease is the
a.
Infectious agent
b. Mode of transmission
c.
Portal of entry
d.
Susceptible host
- Communicability of a disease
depends upon the availability of:
a.
Parasite
b. Pathogen
c.
Reserviour
d.
Susceptible host
- A person who has been in
such association with an infected person or animal or a contaminated
environment as to have had an opportunity to acquire the infection is a :
a.
Carrier
b. Contact
c.
Vector
d.
Vehicle
- River blindness is a
chronic……………infection
a.
Bacterial
b. Parasitic
c.
Protozoan
d.
Viral
- The recommended site of
administration of DPT/Hep B/ Hib in infants is:
a.
Deltoid muscle
b.
Forearm
c.
Left thigh.
d. Lateral aspect of the thigh
- A foreign substance that
elicit an immune response is referred to as :
a.
Antibody
b. Antigen
c.
Leucocytes
d.
Phagocytes
- Which is true about BCG
immunization?
a.
It is normally given in to the lateral aspect of
the arm at the level of the insertion of the deltoid muscle
b.
It must be administerd subcutaneously
c.
The correct dose for children is 0.5ml
d. The injection should be given with the
needle bevel downwards
- A nurse planning a home
visit to a mother who has a high risk infant knows that the visit will be
more productive if scheduled when, the:
a.
Husband is out of the home
b.
Mother is feeding the infant
c.
Nurse has time to spend with the family
d. Time is convenient for the family
- Mr and Mrs. Quansah
visited the CWC with their newborn who has an obvious physical defect.
Which nursing intervention provides the most appropriate support to these
parents?
a.
Discourage them from talking about their baby
b. Encourage them to express their concern
c.
Show them postoperative photogragphs of infants
had similar defects
d.
Tell them not to worry because the defect can be
corrected
- A mother wants to know
how to differentiate between measles (ruboela) and German measles (
rubella). What characteristic feature of ruboela will you tell her?
a. A high fever and koplik spots
b.
A rash on the trunk with pruritus
c.
Nausea, vomiting and abdominal cramps
d.
Signs that are similar to those of acold,
followed by a rash.
- Isolation of a child
with measles belongs to what level of prevention?
a.
Intermediate
b. Primary
c.
Secondary
d.
Tertiary
- 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?
a.
Health programmes are sustained according to the
level of development of the community
b.
Health services are provided free of charge to individuals
and families
c.
Health workers are able to provide care based on
identified health needs of the people
d. Local officials are empowered as the major
decision makers in matters of health
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