Question 1
Urgent referral should be suggested with the presence of danger signs. Which of the following are considered as general danger signs to a sick young child?
I. Stridor, chest in-drawing and low fever with clouding of the cornea and deep extensive mouth ulcers
II. High fever, lethargy and inability to drink
III. Stiff neck with high fever and tender swelling behind the ear
IV. Unable to breastfeed and difficulty to awaken
V. Visible severe wasting, edema of both feet and severe palmar pallor with diarrhea
A. III, IV
B. II, III, IV, V
C. II, IV
D. II, III, IV
Urgent referral should be suggested with the presence of danger signs. Which of the following are considered as general danger signs to a sick young child?
I. Stridor, chest in-drawing and low fever with clouding of the cornea and deep extensive mouth ulcers
II. High fever, lethargy and inability to drink
III. Stiff neck with high fever and tender swelling behind the ear
IV. Unable to breastfeed and difficulty to awaken
V. Visible severe wasting, edema of both feet and severe palmar pallor with diarrhea
A. III, IV
B. II, III, IV, V
C. II, IV
D. II, III, IV
Answer
C. II, IV
Question 2
Baby Xavier an 11 month old infant, has cough with wheezing and an RR of 57 per minute. The nurse gave him a trial of rapid-acting inhaled bronchodilators. After 3 cycles, the child has 53 breaths per minute. The nurse would:
A. Administer another bronchodilators and return in 25 days if cough is still present
B. Give an IM Benzyl Penicillin 10,000 units/lbs and Gentamicin 7.5 mg/lbs and refer right away.
C. Give amoxicillin 2 capsules three times daily for five days
D. Administer amoxicillin 15ml two times daily for three day
Baby Xavier an 11 month old infant, has cough with wheezing and an RR of 57 per minute. The nurse gave him a trial of rapid-acting inhaled bronchodilators. After 3 cycles, the child has 53 breaths per minute. The nurse would:
A. Administer another bronchodilators and return in 25 days if cough is still present
B. Give an IM Benzyl Penicillin 10,000 units/lbs and Gentamicin 7.5 mg/lbs and refer right away.
C. Give amoxicillin 2 capsules three times daily for five days
D. Administer amoxicillin 15ml two times daily for three day
Answer
D. Administer amoxicillin 15ml two times daily for three day
Question 3
If inhaler is not available, the nurse should do which of the following?
A. Refer the child for assessment for TB or asthma
B. Consider oral salbutamol as the second choice
C. Tell the mother to bring the child for a follow up check after 5 days
D. Soothe the throat and relieve cough with a safe remedy
If inhaler is not available, the nurse should do which of the following?
A. Refer the child for assessment for TB or asthma
B. Consider oral salbutamol as the second choice
C. Tell the mother to bring the child for a follow up check after 5 days
D. Soothe the throat and relieve cough with a safe remedy
Answer
A. Sputum teachings
Question 4
Situation: Nikko, 3 years old is brought to the clinic due to fever, cough and difficulty of breathing. You suspect that this is a case pneumonia.
Your basic assessment of Nikko should include:
A. Looking for signs of ear infection
B. Looking signs of dehydration
C. All of these
D. Looking for intercostals and subcostal retractions
Situation: Nikko, 3 years old is brought to the clinic due to fever, cough and difficulty of breathing. You suspect that this is a case pneumonia.
Your basic assessment of Nikko should include:
A. Looking for signs of ear infection
B. Looking signs of dehydration
C. All of these
D. Looking for intercostals and subcostal retractions
Answer
D. Looking for intercostals and subcostal retractions
Question 5
Situation: Nikko, 3 years old is brought to the clinic due to fever, cough and difficulty of breathing. You suspect that this is a case pneumonia.
Nikko is diagnosed of having pneumonia you expect his respiratory rate to be:
A. 60 breaths per minute
B. 50 breathsper minute
C. 40 breaths per minute
D. 20 breathsper minute
Situation: Nikko, 3 years old is brought to the clinic due to fever, cough and difficulty of breathing. You suspect that this is a case pneumonia.
Nikko is diagnosed of having pneumonia you expect his respiratory rate to be:
A. 60 breaths per minute
B. 50 breathsper minute
C. 40 breaths per minute
D. 20 breathsper minute
Answer
B. Pregnant women to prevent nerve deafness in their fetus
Question 6
Situation: Nikko, 3 years old is brought to the clinic due to fever, cough and difficulty of breathing. You suspect that this is a case pneumonia.
Nikko is on antibiotic therapy which of the following statements indicates that the mother needs further teaching?
A. “l can slop giving the antibiotics he seems better.”
B. “He needs to finish the 5 day treatment even if he seems better”
C. “l’ll continue feeding my son as usual or add more if needed during the treatment”
D. “l’ll bring back my son to the health center in 2 days or sooner if his condition worsens.”
Situation: Nikko, 3 years old is brought to the clinic due to fever, cough and difficulty of breathing. You suspect that this is a case pneumonia.
Nikko is on antibiotic therapy which of the following statements indicates that the mother needs further teaching?
A. “l can slop giving the antibiotics he seems better.”
B. “He needs to finish the 5 day treatment even if he seems better”
C. “l’ll continue feeding my son as usual or add more if needed during the treatment”
D. “l’ll bring back my son to the health center in 2 days or sooner if his condition worsens.”
Answer
B. Improvement of the public’s acceptance of IMCI
Question 7
In order to check whether the mother understands and will be able to carry out the instructions given her, which of the
following will you do:
A. Ask the mother to demonstrate what she has heard
B. Ask the mother to repeat the instructions to correct any misinformation
C. Ask them other what problems she might have in giving the antibiotics
D. Any of these
In order to check whether the mother understands and will be able to carry out the instructions given her, which of the
following will you do:
A. Ask the mother to demonstrate what she has heard
B. Ask the mother to repeat the instructions to correct any misinformation
C. Ask them other what problems she might have in giving the antibiotics
D. Any of these
Answer
D. Any of these
Question 8
Situation: IMCI also is used to manage one of the most common causes of morbidity in the Philippines among children which is Diarrhea.
Andoy, has diarrhea for 5 days. Upon assessment, you noted that there is no blood in her stool and that she is irritable and her eyes are sunken. You offered her fluids and the child drank eagerly. How would you classify Andoy’s illness?
A. Some dehydation
B. Dysentery
C. Severe dehydration
D. No dehydration
Situation: IMCI also is used to manage one of the most common causes of morbidity in the Philippines among children which is Diarrhea.
Andoy, has diarrhea for 5 days. Upon assessment, you noted that there is no blood in her stool and that she is irritable and her eyes are sunken. You offered her fluids and the child drank eagerly. How would you classify Andoy’s illness?
A. Some dehydation
B. Dysentery
C. Severe dehydration
D. No dehydration
Answer
A. Some dehydation
Question 9
Situation: IMCI also is used to manage one of the most common causes of morbidity in the Philippines among children which is Diarrhea.
You know that Andoy’s treatment includes the following EXCEPT:
A. Reassess the child and classify him for dehydration
B. Give in the health center the recommended amount of ORS for 4 hours
C. Use the PLAN A: Treat Diarrhea at home
D. Use the PLAN B: Treat Some Dehydration with ORS
Situation: IMCI also is used to manage one of the most common causes of morbidity in the Philippines among children which is Diarrhea.
You know that Andoy’s treatment includes the following EXCEPT:
A. Reassess the child and classify him for dehydration
B. Give in the health center the recommended amount of ORS for 4 hours
C. Use the PLAN A: Treat Diarrhea at home
D. Use the PLAN B: Treat Some Dehydration with ORS
Answer
D. All of these
Question 10
Situation: IMCI also is used to manage one of the most common causes of morbidity in the Philippines among children which is Diarrhea.
Upon taking the information you find out that Andoy is 2 years old and weighed 16 kg. Based on the treatment plan for Andoy, how much amount of ORS must be given to him for the first 4 hours considering the following data?
A. 200-400 ml ORS
B. 400-700 ml ORS
C. 900 ml ORS
D. 900- 1400 ml ORS
Situation: IMCI also is used to manage one of the most common causes of morbidity in the Philippines among children which is Diarrhea.
Upon taking the information you find out that Andoy is 2 years old and weighed 16 kg. Based on the treatment plan for Andoy, how much amount of ORS must be given to him for the first 4 hours considering the following data?
A. 200-400 ml ORS
B. 400-700 ml ORS
C. 900 ml ORS
D. 900- 1400 ml ORS
Answer
D. 900- 1400 ml ORS