June Monthly Long Test Questions and
Answers Updated 2023 with complete
solution
Situation: Nurse JC is on duty when a mother came to the clinic asking for an
injection for her son was bitten by a dog.
Which of the following should be done by nurse JC?
A. Refer to the municipal health office
B. Ask about the history of the incident
C. Wash the wound with soap and water
D. Immediately inject anti rabies medicine
Ask about the history of the incident
The nurse should be able to follow the nursing process. Assessment should always be
a priority. This is to establish a database about the client's response to health concerns
or illness and the ability to manage health care needs. The activities included in
assessment are: obtain a nursing health history, conduct physical assessment, review
client's record, consult support persons, and consult health professionals.
Option A: Nurses should not pass the back. It is important to obtain history and
implement Nursing intervention to the patient.
Options C: This is under implementation. Implementing is to assist the client to meet
desired goals/outcomes; promote wellness, prevent illness and disease; restore health;
and facilitate coping with altered functioning.
Option D: Immediately injecting anti rabies medicine without the doctor's order can
place the nurse to be liable of malpractice.
Situation: Nurse JC is on duty when a mother came to the clinic asking for an
injection for her son was bitten by a dog.
When assessment has been completed and nurse JC saw the wound, he should:
A. Wash the wound with soap and water
B. Ask prescription from the doctor
C. Apply ointment and dress the wound
D. Ask for immunoglobulin
Wash the wound with soap and water
,Before anything else, it is important that the wound must be washed with soap and
water immediately and thoroughly. Antiseptics such as povidone iodine or alcohol may
be done.
Option B: This may be done after wound care. The patient may be given antibiotics and
anti-tetanus treatment.
Option C: There is usually no ointment applied and the wound may be left open
Option D: The post-exposure treatment is given to persons who are exposed to rabies.
Passive immunization- the process of giving an antibody to the persons (with head and
neck bites, multiple single deep bites, contamination of mucous membranes) in order to
provide immediate protection against rabies which should be administered within the
first seven days of active immunization. The effect of immunoglobulin is short term.
Source: Public Health Nursing in the Philippines page 290.
Situation: Nurse JC is on duty when a mother came to the clinic asking for an
injection for her son was bitten by a dog.
In the nurse health teaching, which of the following is included?
A. Observe the dog for 14 days
B. Report to authorities
C. Kill the dog immediately
D. Give the dog immunization immediately
Observe the dog for 14 days
The maximum infectious stage of rabies in dogs and cats is ten days. If a dog or cat
remains healthy for 10 days after biting a person, it is safe to assume that rabies was
not transmitted. This quarantine/observation period is extended to 14 days for dogs and
cats when the bite occurs in a country with endemic canine rabies.
Option B: Although it is important to report to authorities, it is much more important to
quarantine or observe the dog for 14 days.
Option C: Killing the dog immediately is not advisable because it should be observed for
14 days for signs and symptoms of rabies.
Option D: Dogs and cats should be initially immunized at 3 months of age, re-
immunized at 12 months after the first vaccination, with booster needed every three
years if they are vaccinated with a licensed rabies vaccine and the label indicates 3
years duration of immunity. If an animal is vaccinated with a one-year rabies vaccine
(label indicates 1 year duration of immunity), then a booster is needed annually. In order
to improve rabies vaccination coverage, use of 3-year rabies vaccines is encouraged for
dogs and cats. However, there are no laboratory or epidemiologic data to support the
annual or biennial administration of 3-year vaccines following the initial series. Three
,months is considered to be minimum age for primary vaccination.
Source: http://www.azdhs.gov/phs/oids/vector/pdf/manual06.pdf
Situation: Nurse JC is on duty when a mother came to the clinic asking for an
injection for her son was bitten by a dog.
In the assessment, nurse JC must observe which of the following signs and
symptoms affecting deglutition?
A. Sensory changes
B. Muscle spasms
C. Headache
D. Fever
Muscle spasms
It is characterized by spasmodic contraction of the larynx on attempts at swallowing.
The sight of water produces great fear, and often precipitates a spasm which is
attended with great suffering; the dyspnea is great, and the convulsive action of the
larynx and muscles of the mouth causes the patient to emit guttural sounds, which, to
the excited
Other options: Sensory changes, Headache and Fever does not affect swallowing.
Source; http://www.henriettesherbal.com/eclectic/thomas/rabies.html
Situation: Nurse JC is on duty when a mother came to the clinic asking for an
injection for her son was bitten by a dog.
Nursing care of clients diagnosed with rabies is provisions of this comfortable
environment which is:
A. Adequately supplied with food and water
B. Quiet and dark
C. Provided with soft music
D. Accessible to medications
Quiet and dark
The first clinical symptoms are generally non-specific and may be flu-like (i.e. malaise,
fever and headache). Pain and abnormal feelings (paresthesia) at the wound site are
also common. Clinical disease quickly progresses to an acute neurologic phase with
symptoms including one or more of the following: anxiety, confusion, hallucinations,
hydrophobia, aerophobia, photophobia and insomnia. Since the patient develops
photophobia, the environment should be dimmed as well as quiet to decrease stimuli.
http://www.rabies.net/cont_36.faq.php#19
Option A: People with rabies experiences spasms of the muscles of deglutition making it
difficult for them to swallow food and water. They also experiences hydrophobia.
, Option C: The environment should be quiet as much as possible to decrease the stimuli
because the patient is usually hyperactive and there is hyper excitability.
Option D: Once symptoms appear in humans, rabies can not be cured therefore,
accessibility to medications is not a priority. There have been only a few human rabies
survivors, and almost all suffered permanent neurological damage. Therefore, efforts
are focused on preventing exposure or providing immunity that will prevent disease in
those exposed.
http://www.in.gov/isdh/programs/rabies/rabies.htm#Can%20rabies%20be%20cured?
Situation: Endemic malaria occurs in the tropical and subtropical areas where
socio-economic conditions are very poor.
The nurse explains that the best way to prevent malaria is to avoid:
A. mosquito bites
B. untreated water
C. undercooked food
D. overpopulated areas
mosquito bites
A person can become infected with malaria if he/she was bitten by an infective
Anopheles mosquito.
In the country, it is the adult female Anopheles mosquito that can become infective and
therefore carries the malaria parasite after she bites a person infected with malaria. The
malaria parasite undergoes several developmental stages inside the adult female
mosquito until such time that the mosquito becomes infective with malaria parasites.
This anopheles mosquito bites from dusk to dawn and it breeds in clear, slow flowing
streams that are found in mountainous/forested areas or in brackish water where salt
and fresh water meet. This is usually found in coastal areas.
Malaria cannot be transmitted through this medium because The malaria parasite has to
undergo development inside the adult female mosquito.
http://www.doh.gov.ph/node/1331
Situation: Endemic malaria occurs in the tropical and subtropical areas where
socio-economic conditions are very poor.
When caring for a client with malaria, the nurse should know that:
A. Seizure precautions must be followed
B. Blood transfusion are usually indicated
C. Isolation is necessary to prevent cross-infection
D. Nutrition should be provided between paroxysms.
Answers Updated 2023 with complete
solution
Situation: Nurse JC is on duty when a mother came to the clinic asking for an
injection for her son was bitten by a dog.
Which of the following should be done by nurse JC?
A. Refer to the municipal health office
B. Ask about the history of the incident
C. Wash the wound with soap and water
D. Immediately inject anti rabies medicine
Ask about the history of the incident
The nurse should be able to follow the nursing process. Assessment should always be
a priority. This is to establish a database about the client's response to health concerns
or illness and the ability to manage health care needs. The activities included in
assessment are: obtain a nursing health history, conduct physical assessment, review
client's record, consult support persons, and consult health professionals.
Option A: Nurses should not pass the back. It is important to obtain history and
implement Nursing intervention to the patient.
Options C: This is under implementation. Implementing is to assist the client to meet
desired goals/outcomes; promote wellness, prevent illness and disease; restore health;
and facilitate coping with altered functioning.
Option D: Immediately injecting anti rabies medicine without the doctor's order can
place the nurse to be liable of malpractice.
Situation: Nurse JC is on duty when a mother came to the clinic asking for an
injection for her son was bitten by a dog.
When assessment has been completed and nurse JC saw the wound, he should:
A. Wash the wound with soap and water
B. Ask prescription from the doctor
C. Apply ointment and dress the wound
D. Ask for immunoglobulin
Wash the wound with soap and water
,Before anything else, it is important that the wound must be washed with soap and
water immediately and thoroughly. Antiseptics such as povidone iodine or alcohol may
be done.
Option B: This may be done after wound care. The patient may be given antibiotics and
anti-tetanus treatment.
Option C: There is usually no ointment applied and the wound may be left open
Option D: The post-exposure treatment is given to persons who are exposed to rabies.
Passive immunization- the process of giving an antibody to the persons (with head and
neck bites, multiple single deep bites, contamination of mucous membranes) in order to
provide immediate protection against rabies which should be administered within the
first seven days of active immunization. The effect of immunoglobulin is short term.
Source: Public Health Nursing in the Philippines page 290.
Situation: Nurse JC is on duty when a mother came to the clinic asking for an
injection for her son was bitten by a dog.
In the nurse health teaching, which of the following is included?
A. Observe the dog for 14 days
B. Report to authorities
C. Kill the dog immediately
D. Give the dog immunization immediately
Observe the dog for 14 days
The maximum infectious stage of rabies in dogs and cats is ten days. If a dog or cat
remains healthy for 10 days after biting a person, it is safe to assume that rabies was
not transmitted. This quarantine/observation period is extended to 14 days for dogs and
cats when the bite occurs in a country with endemic canine rabies.
Option B: Although it is important to report to authorities, it is much more important to
quarantine or observe the dog for 14 days.
Option C: Killing the dog immediately is not advisable because it should be observed for
14 days for signs and symptoms of rabies.
Option D: Dogs and cats should be initially immunized at 3 months of age, re-
immunized at 12 months after the first vaccination, with booster needed every three
years if they are vaccinated with a licensed rabies vaccine and the label indicates 3
years duration of immunity. If an animal is vaccinated with a one-year rabies vaccine
(label indicates 1 year duration of immunity), then a booster is needed annually. In order
to improve rabies vaccination coverage, use of 3-year rabies vaccines is encouraged for
dogs and cats. However, there are no laboratory or epidemiologic data to support the
annual or biennial administration of 3-year vaccines following the initial series. Three
,months is considered to be minimum age for primary vaccination.
Source: http://www.azdhs.gov/phs/oids/vector/pdf/manual06.pdf
Situation: Nurse JC is on duty when a mother came to the clinic asking for an
injection for her son was bitten by a dog.
In the assessment, nurse JC must observe which of the following signs and
symptoms affecting deglutition?
A. Sensory changes
B. Muscle spasms
C. Headache
D. Fever
Muscle spasms
It is characterized by spasmodic contraction of the larynx on attempts at swallowing.
The sight of water produces great fear, and often precipitates a spasm which is
attended with great suffering; the dyspnea is great, and the convulsive action of the
larynx and muscles of the mouth causes the patient to emit guttural sounds, which, to
the excited
Other options: Sensory changes, Headache and Fever does not affect swallowing.
Source; http://www.henriettesherbal.com/eclectic/thomas/rabies.html
Situation: Nurse JC is on duty when a mother came to the clinic asking for an
injection for her son was bitten by a dog.
Nursing care of clients diagnosed with rabies is provisions of this comfortable
environment which is:
A. Adequately supplied with food and water
B. Quiet and dark
C. Provided with soft music
D. Accessible to medications
Quiet and dark
The first clinical symptoms are generally non-specific and may be flu-like (i.e. malaise,
fever and headache). Pain and abnormal feelings (paresthesia) at the wound site are
also common. Clinical disease quickly progresses to an acute neurologic phase with
symptoms including one or more of the following: anxiety, confusion, hallucinations,
hydrophobia, aerophobia, photophobia and insomnia. Since the patient develops
photophobia, the environment should be dimmed as well as quiet to decrease stimuli.
http://www.rabies.net/cont_36.faq.php#19
Option A: People with rabies experiences spasms of the muscles of deglutition making it
difficult for them to swallow food and water. They also experiences hydrophobia.
, Option C: The environment should be quiet as much as possible to decrease the stimuli
because the patient is usually hyperactive and there is hyper excitability.
Option D: Once symptoms appear in humans, rabies can not be cured therefore,
accessibility to medications is not a priority. There have been only a few human rabies
survivors, and almost all suffered permanent neurological damage. Therefore, efforts
are focused on preventing exposure or providing immunity that will prevent disease in
those exposed.
http://www.in.gov/isdh/programs/rabies/rabies.htm#Can%20rabies%20be%20cured?
Situation: Endemic malaria occurs in the tropical and subtropical areas where
socio-economic conditions are very poor.
The nurse explains that the best way to prevent malaria is to avoid:
A. mosquito bites
B. untreated water
C. undercooked food
D. overpopulated areas
mosquito bites
A person can become infected with malaria if he/she was bitten by an infective
Anopheles mosquito.
In the country, it is the adult female Anopheles mosquito that can become infective and
therefore carries the malaria parasite after she bites a person infected with malaria. The
malaria parasite undergoes several developmental stages inside the adult female
mosquito until such time that the mosquito becomes infective with malaria parasites.
This anopheles mosquito bites from dusk to dawn and it breeds in clear, slow flowing
streams that are found in mountainous/forested areas or in brackish water where salt
and fresh water meet. This is usually found in coastal areas.
Malaria cannot be transmitted through this medium because The malaria parasite has to
undergo development inside the adult female mosquito.
http://www.doh.gov.ph/node/1331
Situation: Endemic malaria occurs in the tropical and subtropical areas where
socio-economic conditions are very poor.
When caring for a client with malaria, the nurse should know that:
A. Seizure precautions must be followed
B. Blood transfusion are usually indicated
C. Isolation is necessary to prevent cross-infection
D. Nutrition should be provided between paroxysms.
