IMCI CA-PRELIMS 2 PDF

a. Hepatitis a d. Malnutrition b. Hepatitis b e. AIDS c. Tetanus f. Covid d. Leptospirosis...

a. Hepatitis a d. Malnutrition b. Hepatitis b e. AIDS c. Tetanus f. Covid d. Leptospirosis 2. This is designed to help you systematically record 46. MH, a 3-year old client was brought to the health information about a child or young infant’s condition. center with the chief complaint of severe diarrhea a. Chart booklet and the passage of “rice water” stools. The client is b. The wall charts most probably suffering from which condition? c. Under five recording forms a. Giardiasis d. Case recording forms b. Cholera c. Amebiasis 3. After Nurse Katie classifies all conditions present, d. Dysentery the nurse identifies specific treatments for the sick child or the sick young infant. If the child requires 47. Mrs. LA has gestational diabetes and it is usually urgent referral, which category will the child fall in? managed by which of the following therapy? a. Yellow row a. Diet b. Green row b. Oral hypoglycemic c. Pink row c. Long-acting insulin d. Oral hypoglycemic drug and insulin 4. This is designed to help health practitioners systematically record information about a child or 48. Magnesium sulfate is given to Mrs. JN with young infant’s condition. preeclampsia to prevent which of the following a. Chart booklet conditions? b. The wall charts a. Hemorrhage c. Under five recording forms b. Hypomagnesemia d. Case recording forms c. Hypertension d. Seizure 5. In the presence of any danger signs, which of the following should be done? 49. When teaching umbilical cord care for Mrs. LS, a a. Apply the nursing process, assess new mother, nurse Jenny would include which further, classify and identify treatment information? b. Make sure the child is referred after the a. Apply peroxide to the cord with each diaper first dose of appropriate antibiotic change c. Advice mother when to return immediately b. Cover the cord with petroleum jelly after d. Send home and follow up in 5 days if not bathing improving c. Keep the cord dry and open to air d. Wash the cord with soap and water each 6. Baby Albert, 11 months old, was brought to the clinic day during a tub bath for severe chest indrawing. Upon checking the respiratory rate is 51 breaths per minute. What is 50. Mrs. Z experienced painless vaginal bleeding and the classification to the integratedManagement of has just been diagnosed as having a placenta Childhood Illness Of Baby Albert? previa. WHich of the following procedures is usually a. Severe Pneumonia or Very Severe performed to diagnose placenta previa? Disease a. Amniocentesis b. Pneumonia b. External fetal monitoring c. Cough or Cold c. Digital or speculum examination d. Ultrasound 7. If there is a need for referral, and it is not possible, what should the nurse do? a. Send the child home after administration of the first dose of antibiotic and urgent IMCI management b. Manage the child as described in 1. Which of the following are among the 5 main causes Management of Childhood illness, treat of mortality in under-five children in the country? the child Select all that apply c. Make parents understand the limitation of a. Diarrheal diseases resources and have parents sign the b. Pneumonia consent c. Road traffic injuries  d. Call for the priest to perform the last chest indrawing has sunken eyes, drinks normally, sacrament in whom the skin pinch goes back immediately and has no other s/sx? 8. If the child has a cough or difficulty breathing, the a. PNEUMONIA, SEVERE DEHYDRATION, nurse should ask for the duration of the child's DYSENTERY illness and do the following b. PNEUMONIA SOME DEHYDRATION, 1. Calm the child or perform an assessment DYSENTERY while the child is calm c. PNEUMONIA NO DEHYDRATION, 2. Count the breaths in one full minute DYSENTERY 3. Look for chest indrawing d. NO PNEUMONIA COUGH OR COLD, 4. Look and listen for stridor and wheezing SEVERE DEHYDRATION, DYSENTERY 5. Look if the child is abnormally sleepy or e. NO PNEUMONIA COUGH OR COLD, difficult to awaken SOME DEHYDRATION, DYSENTERY f. NO PNEUMONIA COUGH OR COLD, NO a. 1,2,3 & 4 DEHYDRATION, DYSENTERY b. 1,2 &3 c. 3 ,4 & 5 13. In a 12-month-old child with cough and diarrhea, d. all of the above which of the following signs is an indication for the urgent referral? 9. The sick child is classified as having severe a. Restless, irritable pneumonia or very severe disease if the following b. Respiratory rate of 65 per minute are present c. Axillary temperature > 39.0°C 1. Any general danger signs d. Thirsty 2. chest indrawing e. Child unable to breastfeed 3. stridor in calm child 4. fast breathing 14. A 2-year-old girl does not have a general danger. 5. wheezing She is classified: SEVERE DEHYDRATION, No ANEMIA, AND NOT VERY LOW WEIGHT. The a. 1&2 clinician gives IV fluids. Does he need an urgent b. 2&3 referral? c. 1&3 a. Yes d. 2, 3, & 5 b. NO 10. In severe pneumonia or very severe disease 15. Patient Ino has no runny nose, no measles, and no treatment are as follows: (BONUS) other causes of fever but has a malaria risk. This 1. give first dose of appropriate antibiotics could be classified as a? 2. give vit c a. Malaria 3. treat the child to prevent low blood sugar b. Fever: Malaria Unlikely 4. refer urgently to hospital c. Very Severe febrile disease/malaria d. Fever: No Malaria a. 1,2 b. 1,2,3 16. Patient Karl has had measles for the last three c. 1,4 months. There is pus draining from his right eye. d. 3,4 This can be classified as a. Measles with eye or mouth 11. If the child is wheezing and either fast breathing or complications chest indrawing, the nurse should: b. Severe Complicated measles a. refer urgently c. Severely complicated measles with eye or b. give a trial acting inhaled mouth complications bronchodilator for up to 3 times d. Measles c. assess VS d. give Vit A 17. How do you dassity a 7-month-old girl whose weight for height is between less than -3 Z-score and who 12. How do you classify a 7 mos old child who has had has some palmar pallor? a cough for 6 days and diarrhea with blood in the a. COMPLICATED SEVERE stools since yesterday when he vomited 3 times, MALNUTRITION, SEVERE ANEMIA has no general danger signs, breastfed this b. MARASMUS, ANEMIA morning, has a respiratory rate of 44 bpm has no  c. UNCOMPLICATED SEVERE ACUTE 25. Which of the following is not true about the MALNUTRITION, ANEMIA tourniquet test? d. NOT LOW WEIGHT, ANEMIA a. It is confirmatory test for dengue fever e. NOT LOW WEIGHT, NO ANEMIA b. Presence of 20 petechiae in an inch square indicates positive findings 18. An essential component of IMCI is the counseling of c. The BP cuff is applied around for 2 minutes caregivers regarding. home care, appropriate d. It is also known as capillary fragility or feeding and fluids,and Rumple Leads test a. When to return to the clinic b. When to immunize the child 26. Following the IMCI protocol and using the IMCI c. When to give hospital treatment recording form, if the child does not have an ear d. When to have another child problem, what should be your next step? a. Check for ear pain 19. In soothing the throat or in relieving cough, which is b. Check for ear discharge the safest remedy? c. Check for tender swelling behind the ear a. Oral and nasal decongestants d. Go to the next question, check for b. Tamarind, calamansi and ginger. malnutrition c. Codeine cough syrup d. Milk formula for exclusively breastfed 27. A 4-month-old infant named Baby Manny was infants brought to the health center because of cough. His RR is 42/minute. Using the IMCI guidelines of 20. If dehydration is present and if diarrhea is 14 days assessment, his breathing is considered: or more, the child is classified having a. Fast a. Severe persistent dehydration b. Slow b. Severe persistent diarrhea c. Normal c. Persistent dehydration d. Insignificant d. Persistent diarrhea 28. Which of the following signs will indicate that Baby 21. How much ORS should be given at home to a Manny is suffering from severe pneumonia? 6-month-old child with acute diarrhea with NO a. Dyspnea DEHYDRATION weighing 8 kg? b. Wheezing a. As much as the child wants c. Stridor b. 50 to 100 mi of ORS after each loose stool d. Chest Indrawing c. 200 ml of ORS after each loose stool 29. Which of the following actions should be included in d. 400- 700 ml over 4 hours the treatment plan for a 46-month-old child, e. 700-900 ml over 4 hours complaining of ear pain for 4 days, who has no general danger signs, has no severe classification, 22. In the presence of blood in the stool the has no tender swelling behind the ear, has a history classification should be: of ear discharge for 2 days and has pus draining a. Dysentery in the red row from her right ear? Except: b. Dysentery in the pink row a. Give an antibiotic for 5 days c. Dysentery in the yellow row b. Refer urgently to hospital d. Dysentery in the green row c. Dry the ear by wicking d. Give paracetamol for pain 23. Which of the following diseases serve as the focus e. Follow up in 5 days if not improving of attention in IMCI among children with fever? a. Malaria 30. Liza, 6 weeks old, has very severe disease. The b. Malaria and measles following signs are observed, except: c. Malaria, measles, dengue a. severe chest indrawing d. Malaria, measles, dengue, and PTB b. not feeding well c. skin pustules 24. Which attributes to most (70%) of the cases of d. temperature of 35.4 degrees celsius Malaria in the Philippines? a. Plasmodium falciparum 31. How do you classify a 4-day-old newborn who is hot b. Plasmodium ovale to the touch (with an temperature of 38.0°C) and c. Plasmodium vivax has some skin pustules? Axillary d. Plasmodium malariae a. Very Severe Disease Or Possible Serious Bacterial Infection  b. Local Bacterial Infection 38. On assessment, you noted a runny nose, reddish c. Bacterial Infection Unlikely posterior palate, temperature of 37.6, nagging cough, and respiratory rate of 47 breaths per 32. What should you do after a first count of the minute. Using the assess the sick child chart, Angel respiratory rate of 68 breaths per minute in a calm can be classified under: 3-week-old child with no other signs? a. Severe Pneumonia or very severe disease a. Classify the child as VERY SEVERE b. Cough or cold DISEASE OR POSSIBLE SERIOUS c. Pneumonia BACTERIAL INFECTION d. No Pneumonia b. Classify the child as LOCAL BACTERIAL INFECTION 39. Based on Angel's classification, you plan to take c. Classify the child as BACTERIAL which of the following actions? INFECTION UNLIKELY a. Refer Angel to the nearest hospital d. Repeat the count for 30 seconds before b. Give oral Amoxicillin classifying the child c. Give the first dose of penicillin e. Repeat the count for 60 seconds before d. Soothe the throat with safe remedies classifying the child 40. What are the two most common indications in 33. How do you classify a 12-hour-old newborn who has classifying Pneumonia? jaundice extending to palms and soles? a. Fast breathing and stridor a. Severe Jaundice b. Fast breathing and rusty sputum b. Jaundice c. Fast breathing and chest indrawing c. No Jaundice d. Fast breathing and wheezing 34. Which of the following axillary temperatures, if 41. To accurately assess stridor, the nurse does all or measured in a 4 week-old infant, are consistent with any of the following: the classification of VERY SEVERE DISEASE OR 1. Put your ear near the child's mouth POSSIBLE SERIOUS BACTERIAL INFECTION? because stridor can be difficult to hear a. 35.6°C 2. Look to see when the child's breathes in b. 35.8°C 3. Be sure to look and listen when the child is c. 37.2°C calm d. 37.7°C 4. Listen to wheezing noise when the child's breathes out 35. You are treating Liza's umbilical infections. Which of a. 1 and 2 only the following should be used? b. 2 and 3 only a. Gentian violet c. 3 and 4 only b. Betadine d. 1,2, and 3 only c. 70% Ethyl Alcohol d. Gentamicin 42. On the left side of the ASSESS and CLASSIFY 36. Which of the following is not included in the chart, you find a box titled CHECK FOR GENERAL pre-referral treatment for very severe disease in sick DANGER SIGNS. Ask the questions and look for young infants? the clinical signs described in the box, which one is a. Advice mother to keep the baby warm not included: b. First doseIntramuscular Antibiotic a. Is the child able to drink or breastfeed? c. Treat to prevent low blood sugar b. Does the child vomits everything? d. Give Vitamin A c. Has the child had convulsions? d. Is the child able to breathe with ease? 37. How long will Riza, a 6 month old child, be exclusively breastfed? 43. If sleeping and has a cough or difficulty breathing: a. 2 months a. Count the number of breaths first before b. 4 months waking the child c. 5 months b. count the number of breaths after waking d. 6 months the child c. Refer the child immediately to the district Situation: Mrs. Soriano brought Angel, his 3-year-old son to hospital the center due to a cough for 1 week, unusual irritability, and d. immediately wake or shake the child episodes of vomiting. Situation Child Fidel had diarrhea for five days. He has no Has not had measles within the past 3 months blood on the stool. He is irritable His eyes are sunken. His Does not have a stiff neck mother and father also think that Billy's eyes are sunken. The Has a runny nose nurse offered the child some water and the child drank Does not have generalized rash eagerly. When the nurse pinches the skin of the child's Other causes of fever present abdomen, it goes back slowly. 49. How would you classify Joy's fever? 44. How do you classify the child's dehydration? a. Very severe febrile disease a. Severe Dehydration b. Malaria b. Moderate Dehydration c. Fever: No Malaria c. Some Dehydration d. Fever d. No Dehydration 50. Which of the following immunizations should a 45. At least how many signs should the child have in 9-month-old child classified as diarrhea with SOME order to be classified as having such? DEHYDRATION receive today? Her immunization a. 1 signs card shows that she has already received the b. 2 signs following vaccinations: BCG, OPV-2, Penta-2, c. 3 signs PCV3, Hepatitis B. (choose all the correct options) d. 4 signs a. PCV 2 b. OPV 3 46. A child with Diarrhea is assessed for the following c. Penta 3 except? d. MMR a. How long that the child has diarrhea e. e. Measles b. Blood in the Stool c. Signs of Dehydration d. History of Fever FUNDAMENTALS IN NURSING Situation: Jacob is 18 months old. He weighs 9 kg. His 1. Which of the following indicates a normal finding on temperature is (37°C. His mother said that he had discharge percussion of the lungs? coming from the ear. The nurse asked about his ear problem. a. Tympany over the right upper lobe The mother said that the child does not have an ear pain, but b. Resonance over the left upper lobe the discharge is coming from the child's ear for 3-4 days. The c. Hyperresonance over the left lower lobe nurse saw pus draining from the child's right ear. He did not d. Dullness above the left 10th intercostal feel any tender swelling behind either ear. space. 47. How do you classify the child's ear problem? 2. After auscultating the abdomen, the nurse should a. Mastoiditis report which of the following to the primary care b. Acute Ear Infection provider? c. Chronic Ear Infection a. Bruit over the aorta d. No ear Infection b. Absence of bowel sound for 60 seconds c. Continuous bowel sounds over the 48. Treatment of this child includes all of the following ileocecal valve 1. Refer Urgently to Hospital d. A completely irregular pattern of bowel 2. Give an Antibiotic for 5 days sounds. 3. Give Paracetamol for Pain 4. Dry the Ear by Wicking 3. The nurse instructed a client to sit with feet elevated a. 1&3 in order to enhance venous return. The client b. 2,3 & 4 however refuses to perform the activity. Which c. 1,2,3 & 4 statement by the nurse would be most useful? d. 1,3 & 4 a. “If you won't cooperate, I can't help you.” b. “Tell me the reasons you won’t put your Situation: Joy is 12 months old. She weighs 7.2 kg. Her feet up” axillary temperature is 36.5C. The health worker says, "You c. “It is essential that you do this” brought Joy today because she feels hot, I will check her for d. “I'll notify your doctor that you are unable to fever." The risk of malaria is high. keep your feet up” Joy: Has felt hot for 2 days