Part 1 CD Mastery Test
Part 1 CD Mastery Test
B. Prevent the spread of communicable diseases A. Tetanus toxoid enhance effect of antivenom.
a. Client was exposed to the infection 2 days ago C. A tentative diagnosis of viral pneumonia with
but without any symptoms productive brown sputum
b. Oral temperature shows fever D. Advanced carcinoma of the lung with hemoptysis
c. Acute symptoms are no longer visible 26. The nurse is assigned to a client newly
diagnosed with active tuberculosis. Which of these
d. Client “feels sick” but can do normal activities protocols would be a priority for the nurse to
23. Which action by a new nurse signifies an implement?
understanding about infection control? A. Have the client cough into a tissue and dispose in
A. The nurse touches the the inside portion of the a separate bag
gloves only when wearing gloves. B. Instruct the client to cover the mouth with a
B. The nurse washes gloved hands before removing. tissue when coughing
C. The nurse uses her bare hands to change the C. Reinforce for all to wash their hands before and
dressing after entering the room
D. The nurse applies standard precaution to all D. Place client in a negative pressure private room
types of patients. and have all who enter the room use masks with
shields
24. A 20 year-old client has an infected leg wound
from a motorcycle accident, and the client has 27. A sputum specimen was collected from Mr.
returned home from the hospital. The client is to Ramos for culture and sensitivity. This study is to
keep the affected leg elevated and is on contact ascertain which of the following facts?
precautions. The client wants to know if visitors can A. The virulence of microorganism involved
come. The appropriate response from the home
health nurse is that: B. The antibiotics which would be most helpful
30. While you were obtaining intravenous access to 33. You are caring for a client who had a near-
start fluids, you accidentally pricked yourself with drowning incident in a lake. Which assessment will
the needle you were about to use. Which the you perform to monitor for possible complications?
following is the BEST action to do?
A. Check the client’s blood glucose level before
A. Dispose the needle, change gloves and restart meals
the procedure
B. Assess the client’s bowel sounds three times
B. Discontinue the procedure and report to the daily
Head nurse
C. Check the client’s skin for petechiae daily
C. Dispose the needle, ask to be excused and secure
D. Assess the client’s temperature every 8 hours.
treatment for the needleprick
34. Your nursing action which indicates your
D. Ignore the needleprick, replace the needle and
observance of standard precautions would be when
proceed with the IV insertion
you:
A. dispose needles, scalpel blades, sharp instrument B.ICU is never empty so disinfection of this special
in double bags. area is difficult to accomplish
B. protect yourself from infections through contact C. Clients are critically ill and highly susceptible to
with blood or body fluid borne viruses. infection
C. protect yourself from contact with blood, open D. ICU personnel are less strict with asepsis since
wounds, and body fluids. clients are on antibiotics all the time
D. practice frequent hand washing including 38. The effectiveness of nurse's teaching regarding
washing of contaminated gloves. take home prescribed antibiotic self-administration
is indicated in which statement of the client?
35. You have mild cough, runny nose and low fever
but you still reported to work. Which of the A. "I will see to it that the medication schedule is
following actions is NOT an effective way to control synchronized with my daily routine."
infection?
B. "I have read the prescription and its specific
A. Do frequent hand washing. instructions"
B. Cover your mouth and nose when you sneeze or C. "I fully understand the beneficial effects of the
cough. antibiotic"
C. Minimize working with clients highly susceptible D. "I will report side effects immediately."
to infections.
39. Where should you put Mr.Alejar, with Category
D. Use mask, gloves and gown while working. II TB?
36. Understanding the risks of infection, who among A. In a room with positive air pressure and at least 3
the clients listed below should receive immediate air exchanges an hour
attention and care?
B. In a room with positive air pressure and at least 6
A. Adult female with Vitamin B deficiency due to air exchanges an hour
chronic alcohol intake.
C. In a room with negative air pressure and at least
B. Adult male with fresh second degree burns on 3 air exchanges an hour
arms and chest.
D. In a room with negative air pressure and at least
C. A teenager who is bleeding due to a cut on the 6 air exchanges an hour
finger.
40. A new technology adopted by the Philippines for
D. An elderly male with diabetes mellitus and toe a rapid diagnosis of TB in less than 2 hours?
infection
A. Chest X ray
37. During the seminar the nurses are informed that
B. Sputum Microscopy
Intensive Care Unit (ICU) patients have a high risk of
contracting hospital acquired infections. Which of C. Xpert-MTB/RIF
the following explanations is TRUE?
D. Mantoux Test
A. Many procedures done in the ICU expose clients
to more pathogens 41. Which of the following anti TB drugs would least
likely allergic reaction?
A. Rifampicin a. Wear an N95 respirator
44. In removing protective devices, which should be C. Bacterial toxins that have been made inactive by
the exact sequence? either chemicals or heat
D. Should avoid people with the flu because it is C. “only certain antibodies were able to cross the
hard for her to developed antibodies. placenta to protect my baby.”
49. Jane who is recovering from Hepatitis A asks you D. “My baby received some antibodies from me
if should take the vaccine to avoid contacting the before birth and I will give him more when I
disease again. What is your BEST response? breastfeed.”
A. “No, your liver and immune system are too 52. Gerry who is receiving intravenous
impaired at this time.” chemotherapy asks you why you are wearing a
mask, gloves and gown when giving the drugs to
B. “Yes, because the Hepatitis A virus strain changes
him. What is your BEST response?
from year to year.”
A. “There clothing protect me from accidentally
C. “No, having had Hepatitis A has done the same
absorbing these drugs through the skin and mucous
thing a vaccination would.”
membrane.”
D. “Yes, because now you are more susceptible to
B. “I am preventing the spread of infection from you
have Hepatitis A.”
to me or to any other clients.”
50. While you are preparing to administer a tetanus
C. “Our hospital policy requires that any nurse
toxoid vaccination for Carlo who had a punctured
giving these drugs should wear a gown.
wound, he tells you that he had tetanus shot just 1
year ago. What will be your BEST response? D. “These protective barriers will prevent you from
getting an infection coming from me.”
A. ” Antibody production slows down as you age.
You need a booster.” 53. What antibodies is transmitted through
breastmilk
B. “You probably do not need another vaccination
now.” A. IgG
B. Neck, hip, knee flexed and feet plantar flexed A. Monitor vital signs especially the respiratory rate
B. Place a padded tongue blade in the patient’s
C. Head flexed forward, jaw clenched, arms mouth
pronated and feet plantar flexed C. Provide mechanical ventilation
D. Turn patient to his side
D. Head hyper extended hip flexed and feet
extended
60. You are at the RHU clinic when a mother
56. Taking into consideration the incubation period,
brought in her infant Dodong, for his OPV
which of the ff. data in Rolando’s’ health history will
immunization. You have assessed that the infant
you consider relevant?
has diarrhea. What will be your next action?
A. positive for type 2 diabetes mellitus
a. Notify the physician
B. Immunization status uncertain, no booster dose b. Give the OPV and record the dose
administered c. Give the OPV but do not record the dose
d. Do not give the OPV
C. Wound laceration, sustained a week ago, was
treated at home
Situation: Patient with Rabies
D. Wound pain, unbearable and unrelieved by
analgesic 61. Nursing care of clients diagnosed with rabies is
provision of this comfortable environment which is:
57. To decrease stimuli that cause muscle spasms
and seizures, which of the ff. nursing interventions a. Adequately supplied with food and water
is LEAST relevant for you to do? b. Quiet and dark
c. Provided with soft music
A. Maintain a quiet, well ventilated and darkened
d. Accessible to medication
room
a. Covering the IV fluid bag with paper 67. The community health nurses primary concern
b. Opening the windows in the room in the immediate control of hemorrhage among
c. Bringing extra fan for the patient to avoid patients with dengue is:
hyperthermia
a. advising low fiber and non-fat diet
d. Avoiding dim light
b. providing warmth through light weight covers
c. observing closely the patient for vital signs
Situation: Patient with Dengue leading to shock
d. keeping the patient at rest
64. Which of the following treatment should NOT
be considered if the child has severe dengue
hemorrhagic fever? 68. Which of these signs may NOT be REGARDED as
a truly positive signs indicative of Dengue H-Fever?
A. use plan C if there is bleeding from the nose or
gums a. Prolonged bleeding time
B. give ORS if there is skin petechiae, persistent b. Appearance of at least 5 petechiae
vomiting and positive tourniquet test c. Steadily increasing hematocrit count
C. give aspirin d. Fall in the platelet count
D. prevent low blood sugar
69. Which of the following is the most important
treatment of patients with Dengue H-Fever?
65. An important role of the community health
nurse in the prevention and control of Dengue H- a. Give aspirin for fever
fever includes: b. Replacement of body fluids
c. Avoid unnecessary movement of patient
a. advising the elimination of vectors by keeping
d. Ice cap over the abdomen in case of melena
water containers covered
b. conducting strong health education
drivers/campaign directed towards proper garbage 70. The community health nurses primary concern
disposal in the immediate control of hemmorrhage among
c. explaining to the individuals, families, groups patients with dengue is:
and community the nature of the disease and its
A. Advising low fiber and non-fat diet
causation
d. practicing residual spraying with insecticides B. Providing warmth through light weight covers
D. Fall in the platelet count B. Virus multiply in the midgut of the mosquito
72. Which of the ff. Was MOST likely the description C. Mosquito feeds on an infected human
of Bobby's fever prior to onset of hematuria that
D. Mosquito's saliva is invaded by the virus during
supported the physician's diagnosis of DENGUE
subsequent biting of infected human
FEVER?
75. To prevent transmission of the virus to others.
A. intermittent fever for 4 days
Which of the ff. Is MOST appropriate isolation
B. onset of fever was abrupt and remained elevated measure the nurse should implement in the care of
for 4 days Bobby?
C. abrupt onset of fever and sudden drop on the A. screen the environment
4th day
B. use gown, gloves, and mask
D. gradual increase of body temperature and
C. blood and body secretion isolation
sudden drop on the 4th day
D. use strict universal isolation technique
73. With proper medical care and early recognition,
case-fatality rates are below 1%. On the other hand, 76. The mother is preparing for their discharge. She
special attention needs to be given to these warning tells the nurse that she is relieved that everything is
signs as it could lead to severe dengue: Select all fine and her daughter is now immune to dengue.
that apply The nurse replies based on the knowledge that:
1. Severe abdominal pain a. Immunity against one serotype can lead to
immunity to other serotypes
2. Persistent vomiting
b. Immunity against one serotype does not make
3. Bleeding gums
the individual immune to other serotypes
4. Vomiting blood
c. Immunity against all dengue viruses is based on
5. Rapid breathing the individual’s immune response
A. “your child cannot return to school until all the D. painful raised vesicles
lesions disappear.”
81. A client with neutropenia has an absolute
B. “your child is contagious as long as your child is neutrophil count of 900. What is the client’s risk of
itching.” infection?
D. seizures
85. A second year nursing student has just suffered B. All of these
a needlestick while working with a patient that
C. unprovoked bites
ispositive for AIDS. Which of the following is the
most important action that nursing student should D. Animals display abnormal behavior
take?
89. In another health education session, Nurse
A: Immediately see a social worker Gabriela explains about LEPROSY. Which of the
following should be included?
B: Start prophylactic AZT treatment
1. Leprosy is curable
C: Start prophylactic Pentamide treatment
2. not all leprosy patients are infectious
D: Seek counseling
3. leprosy is hereditary
Situation: The Department of Health has vowed to
end Neglected Tropical diseases (NTDs) by 2030. In 4. Casual contact with a patient causes leprosy
the Philippines, the NTDs that are prevalent include
leprosy and rabies. One of the strategies to address 5. Regular and adequate treatment is essential
this goal is through conduct of Health Education A. 1,3,4
program.
B. 2,4,5
86. Public Health Nurse Gabriela is educating a
group of residents in Community X about rabies. A C. 1,2,5
partciipant asks, “How can you get the virus?” The D. 2,3,4
nurse explains that the virus can be transmitted by
which source? 90. Nurse Garbriela stated that a definitive
diagnosis of Leprosy is obtained through _____.
A. Saliva
A. blood examinations
B. Blood
B. Tuberculin testing
C. Urine
C. Skin smears/biopsies
D. Stool
D. Nasal smears
87. She emphasized that the bites, which are
responsible for nearly 99 percent of human rabies Situation: – In recent months, “bird flu” or avian
infections, are those of the infected ____. influenza caused a significant concern among the
people especially those in Central Luzon and Metro
A. monkeys Manila. It is both an emerging and re-emerging
B. Dogs infection.
A. Fever C. Neutropenia
B. Sore eyes/Sore throat
D. Lymphocytosis
C. Chicken rashes
D. Body weakness 97. Syphilis is another infection that may impose
risk during pregnancy. Since we are under the
93. Which of the following is NOT included in practice of health science, you know that Syphilis is
the control measures in infected birds? caused by:
A. Restrictions on the movement of the live poultry. A. Treponema Syphilis
B. Rapid destruction of all infected or exposed birds
C. Transferring of the live poultry in another area B. Neisseria gonorrhoeae
or location. C. Chlamydia Trachomatis
D. Vigorous disinfection of poultry farms
D. Treponema Pallidum
94. There are measures that should be 98. Under the second level of prevention, you know
observed by the humans to prevent bird flu that one of the focuses of care is the screening of
infection. Which of the following is NOT included? diseases. What is the screening test for syphilis?
95. For patients with bird flu infection, health A. Rapid triage of symptomatic infection
care workers should observe the following, EXCEPT:
B. Implement respiratory hygiene and cough
A. Establish a separate isolation facility etiquette.
B. Utilize Personal Protective Equipment (PPE) C. Have a separate, well-ventilated space that
allows waiting symptomatic patients to be
C. Avoid going near the patient as much as possible
separated by 6 or more feet.
D. Apply the principles of handwashing.
D. All of the above
100. Which of the following is the most effective
method for prevention of COVID-19 infection in the
health care setting?
B. Vaccination
C. Handwashing