lOMoARcPSD|57074627

IMCI Practice Exam ( Answer KEY)

Entrepreneurship (Centro Escolar University)

Scan to open on Studocu

Studocu is not sponsored or endorsed by any college or university

Downloaded by Abner Agliam (agliamabner@[Link])
 lOMoARcPSD|57074627

MATERNAL AND NURSING II SKILLS LABORATORY

IMCI Practice Exam
1. IMCI is an integrated approach to child C. 50 ml to 100 ml after each loose stool
health that focuses on the well-being of the D. 125 to 150 ml after each loose stool
whole child. The following are steps
included in the IMCI strategy except: SITUATION: Jojo has had diarrhea for five days.
A. Classify the illness. He has no blood in the stool. He is irritable. The
B. Assessing children 5 years old above health worker offers some Jojo some water, and the
for major symptoms. child drinks poorly. His eyes are not sunken. No
C. Treating the child. general danger signs. Skin pinch goes back
D. Counseling and follow-up care. immediately.
2. When a sick infant or child is brought to the
health center for consultation, the initial 11. Jojo is classified under what category?
action of the nurse is to assess for danger A. NO DEHYDRATION
signs which include checking the following B. SOME DEHYDRATION
except: C. SEVERE DEHYDRATION
A. Is the child able to drink or breastfeed? D. VERY SEVERE DEHYDRATION
B. Has the child had convulsions? 12. Jojo is under what color code?
C. Does the child vomit everything? A. Pink
D. Is the child passing watery stool B. Red
frequently? C. Yellow
3. The major symptoms being assessed in D. Green
IMCI includes all of the following except: 13. Which of the following foods for dehydration
A. Cough is least likely be offered to Jojo?
B. Fever A. Rice water
C. Diarrhea B. Buko juice
D. Anemia C. Orange juice
4. When assessing for the elasticity of the D. Soups
skin, Nurse Mona should perform this in the 14. While giving the ORS, Jojo vomits. The
abdomen with the fold of the skin: mother should be taught to:
A. Horizontal to the child’ s body A. Immediately give another ORS, but
B. Diagonal to the child’ s body more slowly.
C. Vertical to the child’ s body B. Call the health center and ask for
D. In different directions with the child’s another way of giving ORS.
body C. Mix 2 tbsp of sugar to the ORS.
5. Generally speaking, a child is considered D. Wait for 10 mins. Then continue, but
seriously ill if he/she possesses: more slowly.
A. All of the four general danger signs 15. If a child is classified under SEVERE
(GDS) DEHYDRATION, the health worker should
B. All of the four main symptoms first:
C. One or more GDS A. Refer the child immediately.
D. Weight problem B. Give fluids using NGT.
6. Signs of good attachment include: (1) Child’ C. Proceed with Plan A
s chin touching breast, (2) Child’ s mouth D. Advise the mother to return after 5 days.
wide open, (3) Child’ s tongue protrudes in-
between sucking, (4) Child’ s lower lip SITUATION: Boboy is 6 months old. He weighs 5.5
turned outward, (5) Child sucks with kg. His temperature is 38 deg C. His mother said
characteristic sound, (6) More areola is he has had cough for 2 days. Boboy is able to
visible above than below the mouth. breastfeed. He has no general danger signs. His
A. 1, 3, 5, 6 respiration is 58 breaths per minute. There is no
B. 1, 2, 4, 6 chest indrawing, and no stridor.
C. 1, 2, 3, 4 16. Boboy is classified under:
D. All of the above A. SEVERE PNEUMONIA or VERY
SEVERE DISEASE
SITUATION: Aina is 10 months old. She weighs 8 B. PNEUMONIA
kg. Her temperature is 38.5 deg C. She is here C. NO PNEUMONIA: COUGH or COLD
today because she has had diarrhea for 3 days. D. VERY SEVERE PNEUMONIA
17. The first- line of antibiotic to be administered
Aina does not have any general danger signs. She as part of the pre- referral treatment to
does not have cough or difficult breathing. The child Boboy is:
A. Amoxicillin
drank normally when offered some water and does B. Tetracycline
not seem thirsty. She does not have sunken eyes. C. Cotrimoxazole
Skin pinch goes back immediately. D. Nalidixic Acid
18. Which of the following findings should be
7. Aina is classified under: present to classify a patient to SEVERE
A. NO DEHYDRATION PNEUMONIA?
B. SOME DEHYDRATION A. Dyspnea
C. SEVERE DEHYDRATION B. Wheezing
D. VERY SEVERE DEHYDRATION C. Fast breathing
8. She is classified under what color? D. Chest indrawing
A. Red 19. If a child is classified under SEVERE
B. Pink. PNEUMONIA, the management should be
C. Yellow to:
D. Green A. Soothe the throat.
9. Treatment would include all of the following B. Instruct the mother to increase fluid
except: intake.
A. Give extra fluid. C. Refer him urgently to the hospital.
B. Breastfeed frequently. D. Instruct the mother to continue
C. Follow up in 7 days if not improving. breastfeeding.
D. Give Zinc supplement 1 tablet 20 mg for
14 days SITUATION: Andoy is a 3-week-old infant. His
10. For every loose stool, Aina should be given weight is 3.6 kg. His axillary temperature is 36.5
how much extra fluid? deg C. He is brought to the health center because
A. 25 ml to 50 ml after each loose stool he is having difficulty breathing. His mother says
B. 100 ml to 125 ml after each loose stool that Andoy has not had any convulsions. The health
1

Downloaded by Abner Agliam (agliamabner@[Link])

 lOMoARcPSD|57074627

MATERNAL AND NURSING II SKILLS LABORATORY

IMCI Practice Exam
worker counts 74 breaths per minute. He repeats supervision or if a hospital is not accessible
the count. The second count is 70 breaths per within 4 hours:
minute. He finds mild chest indrawing and nasal A. Chloramphenicol
flaring. He has no grunting. The fontanel does not B. Quinine
bulge. There is no pus in his ears, the umbilicus is C. Cotrimoxazole
normal, there are no skin pustules. Andoy is calm D. Tetracycline
and awake, and his movements are normal. He
does not have diarrhea. SITUATION: Budoy, a 5-year-old child, has
diarrhea for 2 days with a frequency of 6- 7 times
20. Andoy is classified under: per day. Assessment revealed that he has sunken
A. VERY SEVERE DISEASE eyes, vomits everything he ate, difficult to feed and
B. SEVERE DISEASE OR LOCAL considered as lethargic.
INFECTION UNLIKELY
C. LOCAL BACTERIAL INFECTION 29. Based on the assessment, Budoy is
D. SEVERE PNEUMONIA classified under:
21. Treatment plan for Andoy would include: A. NO DEHYDRATION
A. Give the first dose of intramuscular B. SOME DEHYDRATION
antibiotic. C. SEVERE DEHYDRATION
B. Treat to prevent low blood sugar. D. VERY SEVERE DEHYDRATION
C. Refer urgently to the hospital. 30. A 3-year-old child is complaining of tender
D. All of the above swelling behind his right ear. The health
22. Upon history taking and assessment you worker should:
found out that Moja has pus draining from A. Advise the mother to go to the
his ears and is complaining of ear pain for nearest hospital.
the past 10 days. What color in the IMCI B. Advise the mother for follow up in 3
row would you classify his condition? days.
A. Pink C. Dry the ear by wicking.
B. Yellow D. Give the child chloramphenicol.
C. Green
D. Red SITUATION: A 3-week-old infant is rushed to the
23. Under IMCI, an ear discharge that has been health center. The infant has red umbilicus. No
present for less than 14 days can be convulsions, no chest indrawing, the temperature is
classified as: 37 degrees Celsius. Not abnormally sleepy or
A. Complicated ear infection difficult to awaken.
B. Acute ear infection
C. Chronic ear infection 31. The infant is classified under:
D. Mastoiditis A. Pink row
24. Nurse Ana is teaching a mother on how to B. Green row
wick her child’ s ear. Nurse Ana determines C. Yellow row
that the mother understood her instructions D. Red row
if she retells the correct sequence of the 32. Appropriate treatment for this infant would
procedure: (1) Remove the wick when wet, include:
(2) Replace the wick with a clean one and A. Refer to the hospital.
repeat this procedure, (3) Roll clean B. Give oral antibiotic for 5 days.
absorbent cloth or soft, strong tissue paper C. Follow up in 2 days.
into a wick, (4) Place the wick in the child’s D. Both B and C
ear.
A. 3, 4, 2, 1 SITUATION: A health worker is assessing a 3-
B. 3, 4, 1, 2 week-old infant, who is breastfeeding, for feeding
C. 4, 3, 2, 1 problem. While breastfeeding, the health worker
D. 4, 3, 1, 2 sits quietly and watches the infant breastfeed. The
25. Assessment of a 2- year old child revealed infant’ s chin is not touching the breast, there is
“baggy pants” . Using the IMCI guidelines, more areola visible below the infant’ s mouth than
how will you manage this child? above it. The mother reports less than 8
A. Refer the child urgently to a hospital breastfeeds in 24 hours.
for confinement.
B. Coordinate with the social worker to 33. The young infant is classified under:
enroll the child in a feeding program. A. NOT ABLE TO FEED- POSSIBLE
C. Make a teaching plan for the mother, SERIOUS BACTERAIL INFECTION
focusing on menu planning for her child. B. NO FEEDING PROBLEM
D. Assess and treat the child for health C. FEEDING PROBLEM OR LOW
problems like infections and intestinal WEIGHT
parasitism. D. VERY SERIOUS FEEDING PROBLEM
26. During the physical examination of a young 34. Appropriate management would include:
child, what is the earliest sign of A. Advise the mother to increase
xerophthalmia that you may observe? frequency of breastfeeding.
A. Keratomalacia B. Refer urgently to the hospital.
B. Corneal opacity C. Treat to prevent low blood sugar.
C. Night blindness D. Give ORS
D. Bitot’s spot 35. The nurse assesses for chest indrawing and
knows which of the following is true about
SITUATION: 3-year-old Baby Benjamin was chest indrawing?
brought in for a check-up. He had a high-grade A. It must be clearly visible and present
fever of (39 C) for 3 days. He had no cough and only during crying and feeding.
colds. He is lethargic and has stiff neck. He lives in B. It is more accurate if assessed as the
a place with known Malaria cases. child is in upright position.
C. It is when the intercostals area goes
27. Baby Benjamin will fall in what category? OUT as the child breaths IN.
A. MALARIA UNLIKELY D. It involves only the lower and upper
B. FEVER chest wall (subcostal).
C. VERY SEVERE FEBRILE 36. Dwyane has had diarrhea for a week and he
DISEASE/MALARIA is very irritable with sunken eyeballs, but no
D. NO MALARIA blood in the stool. When the nurse pinches
28. Baby Benjamin would be given a first dose the skin on the child’ s abdomen, it goes
of this second- line of drug under medical back slowly. His parents tell the nurse that
he is eager to drink whenever they offer
2

Downloaded by Abner Agliam (agliamabner@[Link])

 lOMoARcPSD|57074627

MATERNAL AND NURSING II SKILLS LABORATORY

IMCI Practice Exam
fluids. These signs are classified on to what D. Chest indrawing
type of dehydration? 45. Chest indrawing is defined as:
A. SEVERE DEHYDRATION A. Lower chest wall goes in when the
B. VERY SEVERE DEHYDRATION child breaths in.
C. SOME DEHYDRATION B. Lower chest wall goes in when the child
D. NO DEHYDRATION breaths out.
37. After administration of additional fluids, the C. Lower chest wall goes out when the
child vomits, the mother correctly child breaths out.
understood the nurse instruction if she did D. Lower chest wall goes out when the
which of the following? child breaths in.
A. Stop the feeding and bring the child to 46. A child with fever has an axillary
the health center. temperature of at LEAST?
B. Let the child lie down on his side. A. 37.5 degrees Celsius
C. Pause for 10 minutes and resume B. 37.6 degrees Celsius
more slowly. C. 37.7 degrees Celsius
D. Discontinue the feeding until Miguelito D. 37.8 degrees Celsius
ask for water. 47. Under IMCI, children with severe disease
38. In assessing severe palmar pallor, the nurse are referred to the hospital especially if the
would be right if she is looking for a palm child manifests which of the following?
that is: A. Wheezing
A. Paper white B. Stopped feeding well.
B. Paper white with a tinge of pink C. Difficult to awaken.
C. Acrocyanotic D. Fast breathing
D. None of the above 48. Under IMCI, a child with ear problem should
be assessed for the following except:
SITUATION: The World Health Organization A. Ear pain
(WHO), hand in hand with UNICEF and other B. Is there any fever?
agencies, developed a strategy known as the C. Ear discharge
Integrated Management of Childhood Illness D. If discharge is present for how long?
(IMCI). The strategies used in IMCI are not only 49. Under IMCI, if the child does not have ear
focused on the needs of curative care but it also problem, using IMCI, what should you as
answers aspects of nutrition, immunization, and the nurse do?
other important elements of disease prevention and A. Check for tender swellings, behind the
health promotion. The following questions are ear.
about IMCI. B. Check for ear discharge.
C. Go the next question, check for
39. Most classification tables have three rows. malnutrition.
The colored rows signify the severity of the D. Check for ear pain.
illness. If a child is to be treated with home 50. Under IMCI, an ear discharge that has been
treatment this is classified under what present for less than 14 days can be
color? classified as:
A. Pink A. Complicated ear infection
B. Yellow B. Acute ear infection
C. Blue C. Chronic ear infection
D. Green D. Mastoiditis
40. The following assessments are to be done 51. Under IMCI, a child who no dehydration
prior to checking of general danger signs, needs home treatment. Which of the
except: following is not included in instructions for
A. Determine the age of the child. home treatment/home treatment care?
B. Assess if the child has cough or A. Know when to return to the health
difficulty of breathing. center.
C. Ask the mother what the problems is/are B. Give oresol every 4 hours.
of the child. C. Give the child extra fluids.
D. Determine if it is an initial or follow – up D. Continue feeding the child.
visit. 52. Under IMCI, a child who has had diarrhea
41. Use the steps on the ASSESS AND for 14 days but has no signs of dehydration
CLASSIFY THE SICK CHILD chart for is classified as:
ages: A. Severe dysentery
A. 1 week to 2 months old B. Severe persistent diarrhea
B. 1 week to 5 years old C. Dysentery
C. 2 months to 5 years old D. Persistent diarrhea
D. anyone under 5 years old 53. Muymuy has had diarrhea for 5 days. There
42. Which of the following findings indicate fast is no blood in the stool, he is irritable. His
breathing? eyes are sunken. The nurse offers fluid to
A. Respiratory rate of 50 or more breaths the child and he drinks eagerly. When the
for a 15-month-old child. nurse pinched the abdomen, it goes back
B. Respiratory rate of 40 or more breaths slowly. Considering the classifications under
for a 2-month-old child. IMCI, how will you classify Muymuy’ s
C. Respiratory rate of 50 or more breaths illness?
for a 2-week-old infant. A. No dehydration
D. Respiratory rate of 60 or more B. Moderate dehydration
breaths for a 6-week-old infant. C. Severe dehydration
43. The first- line antibiotic administered as part D. Some dehydration
of the pre-referral treatment to a child with 54. Under IMCI, which of the following
SEVERE PNEUMONIA OR VERY SEVERE classifications requires a follow up visit in 14
DISEASE is: days?
A. Amoxycillin A. ANEMIA
B. Tetracycline B. VERY LOW WEIGHT FOR AGE
C. Cotrimoxazole C. CHRONIC EAR INFECTION
D. Nalidixic Acid D. FEVER: MALARIA UNLIKELY, if fever
44. A child with SEVERE PNEUMONIA will persists
manifest which of the following? 55. In breastfeeding, the following are principles
A. Dyspnea for good attachment, except:
B. Wheezing A. Mouth wide open
C. Fast breathing B. More areola visible below than above
3

Downloaded by Abner Agliam (agliamabner@[Link])

 lOMoARcPSD|57074627

MATERNAL AND NURSING II SKILLS LABORATORY

IMCI Practice Exam
the mouth D. Refer to the hospital.
C. Chin touching the breast. 64. Baby Gee is classified under:
D. Lower lip turned outward. A. Pink row
56. In dehydration using PLAN B, how much of B. Yellow row
the ORS will you give to a child who weighs C. Green row
10 kg in the first 4 hours? D. Red row
A. 450 ml
B. 550 ml SITUATION: A three-year-old child has had
C. 650 ml
D. 750 ml diarrhea for three days. There is no blood in the
57. The correct sequence in performing the stool. The child is drinking poorly. He is not
case management process is: (1) Give
follow- up care, (2) Classify the illness, (3) abnormally sleepy. And skin pinch goes back
Identify the treatment, (4) Assess the slowly.
child/young infant, (5) Counsel the mother,
(6) Treat the child/refer. 65. The child is classified under:
A. 4, 2, 3, 6, 5, 1 A. VERY SEVERE DEHYDRATION
B. 4, 2, 3, 3, 1, 5 B. SEVERE DEHYDRATION
C. 4, 2, 3, 1, 5, 6 C. SOME DEHYDRATION
D. 4, 2, 3, 1, 5, 6 D. NO DEHYDRATION
58. A nurse is a community health nurse. Her 66. Treatment for the child would include:
approach in dealing with childhood illnesses A. Plan A
is guided by the principles stated in her B. Plan B
IMCI manual. Which is not included? C. Plan C
A. All sick children must be routinely D. Plan D
assessed for major symptoms. 67. For every loose stool the mother should
B. A combination of individual signs give how many extra fluids to the child?
leads to a child’s diagnosis. A. 25 ml
C. The IMCI guidelines address most, but B. 25 to 50 ml
not all, of the major reasons a sick child C. 50 to 100 ml
is brought to a clinic. D. 100 to 200 ml
D. The guidelines under IMCI do not
describe the management of trauma or
other acute emergencies due to SITUATION: Minion is 3 years old. She has had
accidents or injuries. diarrhea for 15 days. Minion has no general danger
59. A classification in IMCI table that means the
child does not need specific medical signs. She does not difficulty breathing. There is no
treatment. And the health worker teaches blood in the stool. She is restless and skin pinch
the mother how to care for her child at
home: goes back very slowly.
A. Pink
B. Yellow 68. Minion is classified as having:
C. Red A. VERY SEVERE PERSISTENT
D. Green DIARRHEA
60. Which of the following findings indicate fast B. PERSISTENT DIARRHEA
breathing? C. SEVERE PERSISTENT DIARRHEA
A. An 18-month-old child with a respiratory D. DYSENTERY
rate of 35 69. If Minion has blood in the stool, he is
B. A 2-month-old infant with a classified under:
respiratory rate of 55 A. VERY SEVER PERSISTENT
C. A 2-month-old child with a respiratory DIARRHEA
rate of 45 B. PERSISTENT DIARRHEA
D. A 6-week-old infant with a respiratory C. SEVERE PERSISTENT DIARRHEA
rate of 50 D. DYSENTERY
61. A mother or any significant others usually
brings the child to the health center because SITUATION: Mitsui, 2-year-old, is brought to the
the child is sick. When you see the mother
with her sick child you should first: health center because he has felt hot for 2 days.
A. Greet the mother appropriately. There is malaria risk. He does not have general
B. Ask the child’s age.
C. Ask what the child’s problem. danger signs. He does not have a cough, difficulty
D. Determine if this is an initial or follow- up breathing or diarrhea. He has a runny nose, and
visit for this problem.
the blood smear was negative.
SITUATION: Baby Gee is 10 months old. She is 70. This child is classified as having:
coughing for 3 days. She is not vomiting. There is A. VERY SEVERE FEBRILE
DISEASE/MALARIA
no convulsion, and she is not abnormally sleepy. B. FEVER: MALARIA UNLIKELY
Her RR is 45 breaths per minute. C. MALARIA
D. COUGH OR COLD
62. Nurse Hannah asks the mother if this is the 71. The first line antimalarial drug is:
child’ s first visit. The mother replies, “Opo, A. Artemether-Lumefantrine
unang bisita namin dito sa health center.” B. Chloroquine
Based on the mother’s statement, the health C. Primaquine
worker documents this as: D. Sulfadoxine
A. An initial visit
B. Follow-up visit SITUATION: Shibang is 3 years old. She weighs
C. Chief complaint
D. Follow through visit. 14.5 kg. Her temperature is 37-degree C. Her
63. Based on the assessment, the appropriate mother came to the health center today because
treatment for this child is:
A. Plan A Shibang has been sick for the last two days. She
B. Plan B was crying last night and complained that her ear
C. Plan C
4

Downloaded by Abner Agliam (agliamabner@[Link])

 lOMoARcPSD|57074627

MATERNAL AND NURSING II SKILLS LABORATORY

IMCI Practice Exam

was hurting. She has no GDS. Shibang does not hospital?

A. Mastoiditis
have cough or difficulty breathing. She does not B. Severe dehydration
have diarrhea and fever. The health worker does C. Severe pneumonia
D. Severe febrile disease
not see any pus draining for the child’s ear. There is 81. Dolor brought her 2- year- old daughter to
a tender swelling behind the child’ s left ear. the health center because of 2 days cough
and 3 days colds. On assessment, the
72. The health worker record Shibang’ s sign of nurse counted the child’ s respiration to be
ear problem and classify them as: 56 cycle/minute. Based on this finding, the
A. Acute ear infection following statements are true and
B. Chronic ear infection applicable: (A) The child has pneumonia,
C. Mastoiditis (B) The child must be referred to the
D. No ear infection hospital immediately, (C) Soothe the throat
73. If Shibang has pus draining in her ear for 15 and relieve cough with a safe remedy, (D)
days and no ear pain instead of having The child can be treated at home.
tenderness behind the left ear, she is A. A, B, C
classified under: B. A, C, D
A. Acute ear infection C. B, C
B. Chronic ear infection D. C, D
C. Mastoiditis 82. A child who was found to have pneumonia
D. No ear infection was being treated appropriately in the rural
74. Under CHRONIC EAR INFECTION health center. After parental counseling
classification, appropriate management about the disease the child was discharged.
would include: The mother is instructed to return to the
A. Oral antibiotic for 5 days health center after:
B. Urgent referral to hospital A. One day
C. Dry the ear by wicking. B. Two days
D. No treatment necessary C. 30 days
75. As you wick the child’ s ear, you should tell D. 14 days
the mother to: 83. To effectively and accurately assess for
A. Use a piece of bond paper for making a chest indrawing the nurse should be aware
wick. of the principle of respiratory assessment.
B. Carefully rotate the wick to completely Which is not true is assessing chest
remove the pus. indrawing?
C. Use a cotton- tipped applicator for A. It is when the intercostals areas goes IN
wicking. when the child breaths IN.
D. Place the wick in the child’ s ear until B. It is more accurate if assessed as the
the wick is wet. child is lying flat.
76. The mother asks the health worker, “ C. It must be clearly visible and present all
Pagkatapos maubos ng luga, ano pa ang the time and not only during crying and
ilalagay ko sa tainga nya?” The health feeding.
worker accurately responds by saying: D. It involves only the lower chest wall
A. “Lagyan nyo po ng baby oil ang tainga (subcostal) and not all the areas in
nya pagkatapos nitong matuyo” between the ribs.
B. “Lagyan nyo po ng bulak ang tainga nya 84. The mother and her 12- month- old infant
pagkatapos matanggal ang luga” return to the clinic after 3 days because the
C. “Wala na pong ilalagay sa tainga ng symptoms are not relieved. The infant
anak niyo pagkatapos matuyo ito” developed stridor and was not able to
D. “Buhusan nyo po ng maligamgam na breast feed. Part of the management in this
tubig para malinis ng mabuti ang tainga situation is giving Vitamin A supplements.
nya” Based on the child’ s age the dose of the
77. A child who is 10 months old and Vitamin A to be given is:
breastfeeding should be given with what A. 10, 000 IU
complementary foods? B. 100, 000 IU
A. Flaked fish, malunggay, peanuts C. 200, 000 IU
B. Steamed tokwa, mashed vegetables, D. 1 capsule
egg yolk 85. Johnny, a 3- year- old, was brought to the
C. Pulverized roasted dilis, squash, banana RHU by her mother because of diarrhea. On
D. Monggo, camote, boiled yellow corn assessment, the child is playful and alert.
78. The following except one are Which of the following will you not advise
recommendations for a child who is not the boy’s mother?
feeding well during illness: A. Boil water for formula for 15-30 minutes.
A. Breastfeed the child more frequently, B. Tell the mother she can give the child a
and for a longer time at each feed. banana to eat.
B. Give the child soft, varied and C. Stop giving milk as it worsens
appetizing foods, as well as the child’ s diarrhea.
favorite foods. D. Instruct the mother to return the child to
C. Clear the child’ s blocked nostrils if they the RHU after 3 days.
interfere with feedings. 86. As Johnny or a child comes to the clinic
D. Follow-up any feeding problem in 10 complaining of diarrhea the nurse should:
days. A. Classify for dehydration.
79. What is the sign that the infant is sucking B. Child is restless and irritable.
effectively during breastfeeding? C. Ask how long the diarrhea has been
A. The infant suckles with slow deep present.
sucks and sometimes pauses. D. All of the above.
B. There is cheek indrawing. 87. Based on Johnny’ s presented condition, he
C. The infant is taking a rapid, shallow was classified in the green row. He was
suck. sent home after the nurse counseled his
D. Silent sucking mother with regards to the 4 rules of home
80. In Integrated Management of Childhood treatment. Which of the following is not
Illness (IMCI), severe conditions generally included?
require urgent referral to a hospital. Which A. Give extra fluid.
of the following severe conditions DOES B. Give Vitamin A supplement.
NOT always require urgent referral to a C. Continue feeding.
5

Downloaded by Abner Agliam (agliamabner@[Link])

 lOMoARcPSD|57074627

MATERNAL AND NURSING II SKILLS LABORATORY

IMCI Practice Exam
D. When to return. ear.
88. To check for the skin turgor of a child having B. Check for ear discharge.
diarrhea, the nurse will: C. Go to the next question, check for
A. Pinch the child’s abdomen. malnutrition.
B. Pinch the child’s outer upper arm. D. Check for ear pain.
C. Apply pressure on the skin at the foot 98. Part of the curriculum of student nurses is
area. the community involvement in the nearest
D. Look for sunken eyes. barangay. Leah together with her team
89. Part of the discharge counseling done to members suggest conducting Operation
Johnny’ s mother, the nurse would conclude Timbang of children 10 years- old and
that she understands the teaching with below in Barangay Maybunga. Totoy Bato,
regards to the child’ s need for additional an 8- year- old with obvious edema of the
fluid intake when she states that she needs feet and weighing 20% less than his ideal
to give additional fluids to his child weight for age was spotted by the team.
amounting of: According to the IMCI manual, they will
A. 50 to 100 ml after each loose stool classify Totoy in what color- code category?
B. 150 to 200 ml after each loose stool A. Pink
C. 100 to 200 ml after each loose stool B. Yellow
D. 50 to 200 ml after each loose stool C. Green
90. If Johnny vomits after administration of D. Red
additional fluids, the mother is instructed to: 99. Measles is one of the common childhood
A. Pause for 10 minutes and resume diseases nowadays because of increased
more slowly. temperature. If a child comes to the clinic
B. Let the baby lie down on his side. complaining of pus draining from his eyes,
C. Stop feeding and bring the baby to the you will place the child in what color
health center. classification?
D. Discontinue feeding. A. Pink
91. If Johnny has diarrhea for 8 days but he has B. Yellow
no signs and symptoms of dehydration, the C. Green
following are true except: D. Red
A. He is drinking normally. 100. In the IMCI treatment plan, what is
B. His skin pinch went back immediately. used to clean the mouth if a child has
C. He has severe persistent diarrhea. measles with mouth complication?
D. He is classified in the green row. A. Diluted hydrogen peroxide
92. Syd, a 5- year- old child, is brought to the B. Sterile water only
clinic by her mother because of ear C. Diluted betadine
problem. Under IMCI, a child with ear D. Diluted gentian violet
problem should be assessed for the
following except:
A. Ear pain
B. Is there any fever?
C. Ear discharge
D. If discharge is present for how long?
93. Upon history taking and assessment you
found out that Syd is having pus draining
from his ears and is complaining of ear pain
for the past 10 days. What color in the IMCI
row would you classify his condition?
A. Pink
B. Yellow
C. Green
D. Red
94. Under IMCI, an ear discharge that has been
present for less than 14 days can be
classified as:
A. Complicated ear infection
B. Acute ear infection
C. Chronic ear infection
D. Mastoiditis
95. You advise and instruct Syd’ s mother to
wick his ears to remove the discharges. As
a nurse, you determine that the mother
understands your instruction after she
retells the correct sequence of the
procedure: (1) Remove the wick when wet,
(2) Replace the wick with a clean one and
repeat this procedure, (3) Roll clean
absorbent cloth or soft, strong tissue paper
into a wick, (4) Place the wick in the child’ s
ear.
A. 3, 4, 2, 1
B. 3, 4, 1, 2
C. 4, 3, 2, 1
D. 4, 3, 1, 2
96. After classifying Syd’ s condition, you will
advise his mother to return to the clinic for a
follow up check- up after how many days?
A. 2 days
B. 5 days
C. 14 days
D. 30 days
97. Under IMCI, if the child does not have ear
problem, what should you do as his nurse
do?
A. Check for tender swellings, behind the
6

Downloaded by Abner Agliam (agliamabner@[Link])