Ob 2007
Ob 2007
Ob 2007
Situation 1 - Nurse Minette is an independent Nurse Practitioner following-up referred clients in their respective
homes. Here she handles a case of POSTPARTIAL MOTHER AND FAMILY focusing on HOME CARE.
1. Nurse Minette needs to schedule a first home visit to OB client Leah. When is a first home-care visit typically
made?
a. Eat more frequent small meals instead of three large one daily
b. Walk for at least half an hour daily to stimulate peristalsis
c. Drink more milk, increased calcium intake prevents constipation
d. Drink eight full glasses of fluid such as water daily
3. If you were Minette, which of the following actions, would alert you that a new mother is entering a
postpartial at taking-hold phase?
a. She urges the baby to stay awake so that she can breast-feed him in her
b. She tells you she was in a lot of pain all during labor
c. She says that she has not selected a name fir the baby as yet
d. She sleeps as if exhausted from the effort of labor
4. At 6-week postpartum visit what should this postpartial mother's fundic height be?
5. This postpartal mother wants to loose the weight she gained in pregnancy, so she is reluctant to increase her
calorin intake for breast-feeding. By how much should a lactating mother increase her caloric intake during the
first 6 months after birth?
a. 350 kcal/day
b. 5CO kcal/day
c. 200 kcal/day
d. 1,000 kcal/day
Situation 2 - As the CPES is applicable for all professional nurse, the professional growth and development of Nurses
with specialties shall be addressed by a Specialty Certification Council.
The following questions apply to these special groups of nurses.
6. Which of the following serves as the legal basis and statute authority for the Board of nursing to promulgate
measures to effect the creation of a Specialty Certification Council and promulgate professional development
programs for this group of nurse-professionals?
a. R.A. 7610
b. R.A. 223
c. R.A. 9173
d. R.A. 7164
7. By force of law, therefore, the PRC-Board of Nursing released Resolution No. 14 Series of the entitled:
"Adoption of a Nursing Specialty Certification Program and Creation of Nursing Specialty Certification
Council." This rule-making power is called:
a. Quasi-Judicial Power
b. Regulatory Power
c. Quasi/Legislative Power
d. Executive/Promulgation Power
8. Under the PRC-Board of Nursing Resolution promulgating the adoption of a Nursing Specialty-Certification
Program and Council, which two (2) of the following serves as the strongest for its enforcement?
(a) Advances made in science aid technology have provided the climate for specialization in almost all aspects of
human endeavor and
(b) As necessary consequence, there has emerged a new concept known as globalization which seeks to remove barriers
in trade, .industry and services imposed by the national laws of countries all over the world; and
(c) Awareness of this development should impel the nursing sector to prepare our people in the services sector to meet
.the above challenges; and
(d) Current trends of specialization in nursing practice recognized by; the International Council of Nurses (ICN) of
which the Philippines is a member for the benefit of the Filipino in terms of deepening and refining nursing practice
and enhancing the quality of nursing care.
a. The Board of Nursing intended to create the Nursing Specialty Certification Program as a means of perpetuating the
creation of an elite force of Filipino Nurse Professionals
b. The Board of Nursing shall oversee the administration of the NSCP through the various Nursing Specialty Boards
which will eventually, be created
c. The Board of Nursing at the time exercised their powers under R.A. 7164 in order to adopt the creation of the
Nursing Specialty Certification /council and Program
d. The Board of Nursing consulted nursing leaders of national nursing associations and other concerned nursing groups
which later decided to ask a special group of nurses of .the program for nursing specialty certification
10. The NSCC was created for the purpose of implementing the Nursing Specialty policy under the direct
supervision and stewardship of the Board of Nursing. Who shall comprise the NSCC?
a. A Chairperson who is the current President of the APO a member from .the Academe, and the last member coming
from the Regulatory Board
b. The Chairperson and members of the Regulatory Board ipso facto acts as the CPE Council
c. A Chairperson, chosen from among the Regulatory Board Members, a Vice Chairperson appointed by the BON at-
large; two other members also chosen at-large; and one representing the consumer group
d. A Chairperson who is the President of the Association from the Academe; a member from the Regulatory Board, and
the last member coming from the APO
Situation 3 - Nurse Anna is a new BSEN graduate and has just passed her Licensure Examination for Nurses in the
Philippines. She has likewise been hired as a new Community Health Nurse in one of the Rural Health Units in their
City, which of the following conditions may be acceptable TRUTHS applied to Community Health Nursing Practice.
11. Which of the following is the primary focus of community health nursing practice?
a. Cure of illnesses
b. Prevention of illness
c. Rehabilitation back to health
d. Promotion of health
12. In community health nursing, which of the following is our unit of service as nurses?
a. The Community
b. The Extended Members of every family
c. The individual members of the Barangay
d. The Family
13. A very important part of the Community Health Nursing Assessment Process includes
a. the application of professional judgment in estimating importance of facts to family and community
b. evaluation structures arid qualifications of health center team
c. coordination with other sectors in relation to health concerns
d. carrying out nursing procedures as per plan of action
14. In community health nursing it is important to take into account the family health with an equally important
need to perform ocular inspection of the areas activities which are powerful elements of:
a. evaluation
b. assessment
c. implementation
d. planning
15. The initial step in the PLANNING process in order to engage in any nursing project or parties at the
community level involves:
a. goal-setting
b. monitoring
c. evaluation of data
d. provision of data
Situation 4 - Please continue responding as a professional nurse in these other health situations through the following
questions.
17. The medical record of a client reveals a condition in which the fetus cannot pass through the maternal pelvis.
The nurse interprets this as:
a. Contracted pelvis
b. Maternal disproportion
c. Cervical insufficiency
d. Fetopelvic disproportion
18. The nurse would anticipate a cesarean birth for a client who has which infection present at the onset of
labor?
19. After a vaginal examination, the nurse»e determines that the client's fetus is in an occiput posterior position.
The nurse would anticipate that the client will have:
a. A precipitous birth
b. Intense back pain
c. Frequent leg cramps
d. Nausea and vomiting
20. The rationales for using a prostaglandin gel for a client prior to the induction of labor is to:
21. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?
a. Prostaglandins released from the cut fallopian tubes can kill sperm
b. Sperm cannot enter the uterus, because the cervical entrance is blocked
c. Sperm can no longer reach the ova, because the fallopian tubes are blocked
d. The ovary no longer releases ova, as there is no where for them to go
22. The Dators are a couple undergoing testing for infertility. Infertility is said to exist when:
23. Another client names Lilia is diagnosed as having endometriosis. This condition interferes with the fertility
because:
24. Lilia is scheduled to have a hysterosalpingogram. Which of the following, instructions would you give her
regarding this procedure?
a. She will not be able to conceive for 3 months after the procedure
b. The sonogram of the uterus will reveal any tumors present
c. Many women experience mild bleeding as an after effect
d. She may feel some cramping when the dye is inserted
25. Lilia's cousin on the other hand, knowing nurse Lorena's specialization asks what artificial insemination by
donor entails. Which would be your best answer if you were Nurse Lorena?
Situation 6 - There are other important basic knowledge in the performance of our task as Community Health Nurse in
relation to IMMUNIZATION these include:
27. Which of the following vaccines is not done by intramuscular (IM) injection?
a. Measles vaccine
b. DPT
c. Hepa B vaccines
d. DPT
a. Measles
b. Tetanus toxoids
c. Hepatitis B vaccines
d. DPT
29. This is the vaccine needed before a child reaches one (1) year in order for him/her to qualify as a "fully
immunized child".
a. DPT
b. Measles
c. Hepatitis B
d. BCG
30. Which of the following dose of tetanus toxoid is given to the mother to protect her .infant from neonatal
tetanus and likewise provide 10 years protection for the mother?
a. Tetanus toxoid 3
b. Tetanus toxoid 2
c. Tetanus toxoid 1
d. Tetanus toxoid 4
Situation 7 - Records contain those, comprehensive descriptions of patient's health conditions and needs and at the
same serve as evidences of every nurse's accountability in the, care giving process. Nursing records normally differ
from institution to, institution nonetheless they follow similar patterns of .meeting needs for specifics, types of
information. The following pertalos to documentation/records management.
31. This special form used when the patient is admitted to the unit. The nurse completes, the information in this
records particularly his/her .basic personal data, current illness, previous health history, health history of the
family, emotional profile, environmental history as well as physical assessment together with nursing diagnosis
on admission. What do you call this record?
a. Nursing Kardex
b. Nursing Health History and Assessment Worksheet
c. Medicine and Treatment Record
d. Discharge Summary
32. These, are sheets/forms which provide an efficient and time saving way to record information that must be
obtained repeatedly at regular and/or short intervals, of .time. This does not replace the progress notes; instead
this record of information on vital signs, intake and output, treatment, postoperative care, postpartum care, and
diabetic regimen, etc., this is used whenever specific measurements or observations are needed to-be documented
repeatedly. What is this?
a. Nursing Kardex
b. Graphic Flow sheets
c. Discharge Summary
d. Medicine and Treatment Record
33. These records show all medications and treatment provided on a repeated basis. What do you call this
record?
34. This flip-over card is usually kept in a portable file at the Nurses Station. It has 2-parts: the activity and
treatment section and a nursing care plan section. This carries information about basic demographic data,
primary medical diagnosis, current orders of the physician to be carried out by the nurse, written nursing care
plan, nursing orders, scheduled tests and procedures, safety precautions in-patient care and factors related to
daily living activities/ this record is used in the charge-of-shift reports or during the beside rounds or walking
rounds. What record is this?
a. Discharge Summary
b. Medicine and Treatment Record
c. Nursing Health History and Assessment Worksheet
d. Nursing Kardex
35. Most nurses regard this as conventional recording of the date, time and mode by which the patient leaves a
healthcare unit but this record includes importantly, directs of planning for discharge that starts soon after the'
person is admitted to a healthcare institution, it is accepted that collaboration or multidisciplinary involvement
(of all members of the health team) in discharge results in comprehensive care. What do you call this?
a. Discharge Summary
b. Nursing Kardex
c. Medicine and Treatment Record
d. Nursing Health History and Assessment Worksheet
Situation 8 - As Filipino Professional Nurses we must be knowledgeable, about the Code of Ethics for Filipino Nurses
and practice these by heart. The next questions pertain to this Code of Ethics.
36. Which of the following is TRUE about the Code of Ethics of Filipino Nurses?
a. The Philippine Nurses Association for being the accredited professional organization was given the privilege to
formulate a Code of Ethics which the Board of Nurses promulgated
b. Code of Nurses was first formulated in 1982 published in the Proceedings of the Third Annual Convention of the
PNA House of Delegates
c. The present code utilized the Code of Good Governance for the Professions in the Philippines
d. Certificate of Registration of registered nurses; may be revoked or suspended for violations of any provisions of the
Code of Ethics
37. Based on the Code of Ethics for Filipino Nurses, what is regarded as the hallmark of nursing responsibility
and accountability?
38. Which of the following nurses behavior is regarded as a violation of the Code of Ethics of Filipino Nurses?
39. A nurse should be cognizant that professional programs for specialty certification by the Board of Nursing
are accredited through the
40. Mr. Santos, R.N. works in a nursing home, and he knows that one of his duties is to be an advocate for his
patients. Mr. Santos knows a primary duty of an advocate is to:
Situation 9 - Nurse Joanna works as an OB-Gyne Nurse and attends to several HIGH-RISK PREGNANCIES:
Particularly women with preexisting of Newly Acquired illness. The following conditions apply.
41. Bernadette is a 22-year old woman. Which condition would make her more prone than others to developing a
Candida infection during pregnancy?
42. Bernadette develops a deep-vein thrombosis following an auto accident and is prescribed heparin sub-Q.
What should Joanna educate her about in regard to this?
43. The cousin of Bernadette with sickle-cell anemia alerted Joanna that she may need further instruction on
prenatal care. Which statement signifies this fact?
44. Bernadette routinely takes acetylsalicylic acid (aspirin) for arthritis. Why should she limit or discontinue this
toward the end of pregnancy?
45. Bernadette received a laceration on her leg from her automotive accident. Why are lacerations of lower
extremities potentially more serious in pregnant women than others?
Situation 10 - Still in your self-managed Child Health Nursing Clinic, your encounter these cases pertaining to the
CARE OF CHILDREN WITH PULMONARY AFFECTIONS.
46. Josie brought her 3-rnonths old child to your clinic because of cough and colds. Which of the following is
your primary action?
47. In responding to the care concerns of children with severe disease, referral to the hospital of the essence
especially if the child manifests which of the following?
a. Wheezing
b. Stopped bleeding
c. Fast breathing
d. Difficulty to awaken
48. Which of the following is the most important responsibility of a nurse in the prevention of necessary deaths
from pneumonia and other severe diseases?
a. Giving of antibiotics
b. Taking of the temperature of the sick child
c. Provision of Careful Assessment
d. Weighing of the sick child
49. You were able to identify factors that lead to respiratory problems in the community where your health
facility serves. Your primary role therefore in order to reduce morbidity due to pneumonia is to:
50. Which of the following is the principal focus on the CARI program of the Department of Health?
Situation 11 - You are working as a Pediatric Nurse in your own Child Health Nursing Clinic, the following cases
pertain to ASSESSMENT AND CARE OP THE NEWBORN AT RISK conditions.
51. Theresa, a mother with a 2 year old daughter asks, "at what are can I be able to take the blood pressure of
my daughter as a routine procedure since hypertension is common in the family?" Your answer to this is:
52. You typically gag children to inspect the back of their throat. When is it important NOT to solicit a gag
reflex?
53. Baby John was given a drug at birth to reverse the effects of a narcotic given to his mother in' labor. What
drug is commonly used for this?
a. Naloxone (Narcan)
b. Morphine Sulfate
c. Sodium Chloride
d. Penicillin G
54. Why are small-for-gestational-age newborns at risks for difficulty maintaining body temperature?
55. Baby John develops hyperbilirubinemia. What is a method used to treat hyperbilirubinemia in a newborn?
Situation 12 - You are the nurse in the Out-Patient-Department and during your shift you encountered multiple
children's condition. The following questions apply.
a. edema
b. LBM
c. kwashiorkor
d. marasmus
57. Which of the following conditions is NOT true about contraindication to immunization?
a. do not give DPT2 or DPT3 to a child who has convulsions within 3 days of DPT1
b. do not give BOG if the child has known hepatitis .
c. do not give OPT to a child who has recurrent convulsion or active neurologic disease
d. do not give BCG if the child has known AIDS
a. A child with diarrhea who is due for OPV should receive the OPV and make extra dose on the next visit
b. There is no contraindication to immunization if the child is well enough to go home
c. There is no contraindication to immunization if the child is well enough to go home and a child should be immunized
in the health center before referrals are both correct
d. A child should be immunized in the center before referral
59. A child with visible severe wasting or severe palmar pallor may be classified as:
a. moderate malnutrition/anemia
b. severe malnutrition/anemia
c. not very tow weight no anemia
d. anemia/very low weight
60. A child who has some palmar pallor can be classified as:
Situation 13 - Nette, a nurse palpates the abdomen of Mrs. Medina, a primigravida. She is unsure of the date of her last
menstrual period. Leopold's Maneuver is done. The obstetrician told mat she appears to be 20 weeks pregnant. .
a. At the level the umbilicus, and the fetal heart can be heard with a fetoscope
b. 18 cm, and the baby is just about to move
c. is just over the symphysis, and fetal heart cannot be heard
d. 28 cm, and fetal heart can be heard with a Doppler
62. In doing Leopold's maneuver palpation which among the following is NOT considered a good preparation?
a. The woman should lie in a supine position wither knees flexed slightly
b. The hands of the nurse should be cold so that abdominal muscles would contract and tighten
c. Be certain that your hands are warm (by washing them in warm water first if necessary)
d. The woman empties her bladder before palpation
63. In her pregnancy, she experienced fatigue and drowsiness. This probably occurs because:
65. If Mrs. Medina comes to you for check-up on June 2, her EDO is June 11, what do you expect during
assessment?
Situation 14: - Please continue responding as a professional nurse in varied health situations through the following
questions.
66. Which of the following medications would the nurse expect the physician to order for recurrent convulsive
seizures of a 10-year old child brought to your clinic?
a. Phenobarbital
b. Nifedipine
c. Butorphanol
d. Diazepam
67. RhoGAM is given to Rh-negative women to prevent maternal sensitization from occurring. The nurse is
aware that in addition to pregnancy, Rh-negative women would also receive this medication after which of the
following?
68. Which of the following would the nurse include when describing the pathophysiologv of gestational diabetes?
69. When providing prenatal education to a pregnant woman with asthma, which of the following would be
important for the nurse to do?
70. Which of the following conditions would cause an insulin-dependent diabetic client the most difficulty during
her pregnancy?
a. Rh incompatibility
b. Placenta previa
c. Hyperemesis gravidarum
d. Abruption placentae
Situation 15 - One important toot a community health nurse uses in the conduct of his/her activities is the CHN Bag.
Which of the following BEST DESCRIBES the use of this vital facility for our practice?
71. The Community/Public Health Bag is:
72. What is the rationale in the use of bag technique during home visit?
a. It helps render effective nursing care to clients or other members of the family
b. It saves time and effort of the nurse in the performance of nursing procedures
c. It should minimize or prevent the spread of infection from individuals to families
d. It should not overshadow concerns for the patient
73. Which among the following is important in the use of the bag technique during home visit?
75. In consideration of the steps in applying the bag technique, which side of the paper lining of the CHN bag is
considered clean to make a non-contaminated work area?
Situation 16 - As a Community Health Nurse relating with people in different communities, and in the implementation
of health programs and projects you experience vividly as well the varying forms of leadership and management from
the Barangay Level to the Local Government/Municipal City Level.
76. The following statements can correctly be made about Organization and management?
A. An organization (or company) is people. Values make people persons: values give vitality, meaning and direction to
a company. As the people of an organization value, so the company becomes.
B. Management is the process by which administration achieves its mission, goals, and objectives
C. Management effectiveness can be measured in terms of accomplishment of the purpose of the organization while
management efficiency is measured in terms of the satisfaction of individual motives
D. Management principles are universal therefore one need not be concerned about people, culture, values, traditions
and human relations.
a. B and C only
b. A, B and D only
c. A and D only
d. B, A, and C only
77. Management by Filipino values advocates the consideration of the Filipino goals trilogy according to the
Filipino priority-values which are:
a. Employee satisfaction
b. Organizational commits .ants, organizational objectives and employee satisfaction
c. Employee objectives/satisfaction, commitments and organizational objectives
d. Organizational objectives, commitments and employee objective/satisfaction
79. The following statements can correctly be made about an effective and efficient community or even agency
managerial-leader.
A. Considers the achievement and advancement of the organization she/he represents as well as his people
B. Considers the recognition of individual efforts toward the realization of organizational goals as well as the welfare of
his people
C. Considers the welfare of the organization above all other consideration by higher administration
D. Considers its own recognition by higher administration for purposes of promotion and prestige
80. Whether management at the community or agency level, there are 3 essential types of skills managers must
have, these are:
A. Human relation skills, technical skills, and cognitive skills
B. Conceptual skills, human relation/behavioral skills, and technical skills
C. Technical skills, budget and accounting skills, skills in fund-raising
D. Manipulative skills, technical skills, resource management skills
Situation 17 - You are actively practicing nurse who just finished your Graduate Studies. You earned the value of
Research and would like to utilize the knowledge and skills gained in the application of research to Nursing service.
The following questions apply to research.
81. Which type of research Inquiry investigates the issue of human complexity (e.g. understanding the human
expertise)
a. Logical position
b. Naturalistic inquiry
c. Positivism
d. Quantitative Research
a. A study examining the bereavement process in spouses of clients with terminal cancer
b. A study exploring factors influencing weight control behavior
c. A study measuring the effects of sleep deprivation on wound healing
d. A study examining client's feelings before, during and after a bone marrow aspiration
84. An 85 year old client in a nursing home tells a nurse, "I signed the papers for that research study because the
doctor was so insistent and I want: him to continue taking care of me." Which client right is being violated?
85. "A supposition or system of ideas that is proposed to explain a given phenomenon," best defines:
a. a paradigm
b. a concept
c. a theory
d. a conceptual framework
Situation 18 - Nurse Michelle works with a Family Nursing Team in Calbayog Province specifically handling a
UNICEF Project for Children. The following conditions pertain, to CARE OP THE FAMILIES PRESCHOOLERS.
86. Ronnie asks constant questions. How many does a typical 3-year-old ask in a day's time?
a. 1,200 or more
b. Less than 50
c. 100-200
d. 300-400
87. Ronnie will need to change to a new bed because his baby sister will need Ronnie's old crib. What measure
would you suggest that his parents take to help decrease sibling rivalry between Ronnie and his new sister?
88. Ronnie's parents want to know how to react to him when he begins to masturbate while watching television.
What would you suggest?
a. About 12 words
b. Twenty or more words
c. About 50 words
d. Two, plus "mama" and "dada"
90. As a nurse. You reviewed infant safety procedures with Bryan's mother. What are two of the most common
types of accidents among infants?
Situation 19 - Among common conditions found in children especially among poor communities are ear
infection/problems. The following questions apply.
91. A child with ear problem should be assessed for the following EXCEPT:
92. If the child does not have ear problem, using IMCI, what should you as the nurse do?
93. An ear discharge that has been present for more than 14 days can be classified as:
a. mastoditis
b. chronic ear infection
c. acute ear infection
d. complicated ear infection
94. An ear discharge that has been present for jess than 14 days can be classified as:
95. If the child has severe classification because of ear problem, what would be the best thing that you as the
nurse can do?
Situation 20 - If a child with diarrhea registers one sign in the pink row and one in the yellow; row in the IMCI Chart.
a. moderate dehydration
b. some dehydration
c. no dehydration
d. severe dehydration
97. The child with no dehydration needs home treatment Which of the following is not included the rules for
home treatment in this case:
98. A child who has had diarrhea for 14 days but has no sign of dehydration is classified as:
99. If the child has sunken eyes, drinking eagerly, thirsty and skin pinch goes back slowly, the classification
would be:
a. no dehydration
b. moderate dehydration
c. some dehydration
d. severe dehydration
100. Carlo has had diarrhea for 5 days. There is no blood in the stool, he is irritable. His eyes are sunken the
nurse offers fluid to Carlo and he drinks eagerly. When the nurse pinched the abdomen, it goes back slowly.
How will you classify Carlo’s illness?
a. severe dehydration
b. no dehydration
c. some dehydration
d. moderate dehydration