MoH/EHPLE-Nursing 2013/2021 IER/AAU/N-II
1. A mother, who has been lactating for six months, came to a family planning clinic upon return
of her menstrual period. The nurse discussed about contraception options, their side effects and
benefits with the mother, and she prefers the injectable method of contraception.
What is the appropriate site of administration of the contraceptive she chose?
A. Ventro-gluteal muscle B. Deltoid muscle C. Gluteal muscle D. Pectoral muscle
2. A postpartum woman came to clinic seeking for a non-hormonal and long-acting contraceptive
as she does not need more children. The nurse explained about the benefits and side effects of the
contraceptive method requested and planned to provide the service for the woman.
What is the most appropriate time to provide this contraception after delivery?
A. 45 days B. 48 hours C. Six months D. Nine months
3. A woman, who has been using IUCD for six months, came to a clinic with complaints of lower
abdominal pain and pain during sexual intercourse. On vaginal examination, uterine and cervical
tenderness were identified.
What is the priority nursing diagnosis for this woman?
A. Risk for injury B. Risk for infection C. Risk for bleeding D. Risk for trauma
4. A woman came to gynecologic OPD with complaints of prolonged, excessive and menses after
six months of taking IUCD contraception. She also has cramp and pain during menses in addition
to premenstrual syndrome.
What is the priority intervention for this woman?
A. Remove the IUCD and appoint her after seven days
B. Assess for any medical condition
C. Change the contraceptive
D. Counsel and support
5. A woman with her husband came to gynecologic OPD with complaints of inability to conceive
for three years. She has regular menstrual period and never used any kind of contraceptive. A
nurse planned to investigate the cause for their complaint.
What is the initial laboratory investigation to be requested?
A. DNA assays B. Semen analysis C. Antibody studies D. Sperm penetration assay
,6. A 17-week pregnant woman come to ANC clinic with a complaint of slight vaginal bleeding.
She also has lower abdominal cramp and backache. On physical examination: her blood pressure is
110/60 mmHg and pulse rate is 76/minute, and she has mild uterine contraction, closed cervix and
intact membrane.
What is the most likely diagnosis of the woman’s condition?
A. Incomplete abortion C. Threaten abortion
B. Inevitable abortion D. Complete abortion
7. A 16-year-old postpartum mother came with a complaint of urinary incontinence after six days
of delivery. She is distressed and frustrated with the condition. Her blood pressure is 90/70 mmHg,
pulse rate is 82/min and temperature is 37.90C.Pelvic examination findings suggest vesico-vaginal
fistula.
What is the priority nursing diagnosis for this mother?
A. Hypotension B. Hypothermia C. Knowledge deficit D. Disturbed body image
8. A 49-year-old woman was admitted to a gynecologic ward with the diagnosis of uterine
prolapse. She is frightened and is suffering from repeated occurrence of a sudden leakage of urine
with activities which increases abdominal pressure.
What is the priority nursing diagnosis for the woman?
A. Stress urinary incontinence C. Impaired urinary elimination
B. Urge urinary incontinence D. Reflex urinary incontinence
9. A 12-week pregnant woman came to a hospital with excessive vaginal bleeding for one day. On
physical examination, cervix is opened and a conceptus tissue is identified. Her blood pressure is
85/60 mmHg, pulse rate is 120/min and temperature is 37.40C.
What is the most priority outcome criterion for this woman?
A. Stable blood pressure within an hour C. Stable body temperature within an hour
B. Demonstrate daily activity after 2 days D. Cessation of bleeding within an hour
10. A 53-year-old mother was admitted to gynecologic ward with the diagnosis of uterine prolapse.
After four days of providing care, she still has low backache and dragging sensation. However, she
got voluntary control of urination and relief pelvic pressure. She developed fear of relapse of the
condition.
Which is the most effective measurement of patient’s outcome?
, A. Low backache B. Dragging sensation C. Voluntary urination D. Relief pelvic pressure
11. An 18-year-old woman came to a gynecologic clinic for scheduled health checkup. Her history
shows that she is sexually active and had multiple sexual partners. After taking detailed history, the
nurse concluded that the woman is at risk of cervical cancer.
What is the priority screening method to e requested for this patient?
A. Pap-smear test C. Colposcopic examination
B. Ultrasound examination D. Endocervical curetting test
12. A 17-week gestational age pregnant woman comes to an emergency room with loss of
consciousness for one hour. She has severe vaginal bleeding and pale conjunctiva. Her blood
pressure is 80/50 mmHg, pulse rate is 110/min, respirations are 14/min and temperature is 37.20C.
What is the most appropriate initial intervention to stabilize this woman?
A. Give oxygen 6L/min y nasal cannula C. Monitor fluid intake and urine output
B. Provide Penicillin G 2 million units IM D. Start normal saline 1L in 15min IV
13. A nurse assessed the growth and developmental status of a child. On assessment, the child can
climb a chair, feed himself with spoon and name body parts. But, the child is unable to speak
simple sentences.
What is the most likely age of this child?
A. nine-month-old B. 12-month-old C. 15-month-old D. 18-month-old
14. A 16- month-old child was brought to pediatric OPD with complaints of failure to thrive
associated with anorexia, vomiting and incomplete eruption of primary teeth for age.
What is the priority nursing intervention for this child?
A. Provide treatments to relieve anorexia C. Provide nutritional rehabilitation service
B. Provide dental hygiene according to age D. Examine the mouth fully and treat accordingly
15. An EPI focal person supervised the vaccine store site of a health center found in highland area.
The focal person found that all vaccines were improperly stored at -30C.
What is the most likely type of vaccine at risk of damage?
A. OPV B. Rubella C. Measles D. DPT-HepB-Hib
1. A mother, who has been lactating for six months, came to a family planning clinic upon return
of her menstrual period. The nurse discussed about contraception options, their side effects and
benefits with the mother, and she prefers the injectable method of contraception.
What is the appropriate site of administration of the contraceptive she chose?
A. Ventro-gluteal muscle B. Deltoid muscle C. Gluteal muscle D. Pectoral muscle
2. A postpartum woman came to clinic seeking for a non-hormonal and long-acting contraceptive
as she does not need more children. The nurse explained about the benefits and side effects of the
contraceptive method requested and planned to provide the service for the woman.
What is the most appropriate time to provide this contraception after delivery?
A. 45 days B. 48 hours C. Six months D. Nine months
3. A woman, who has been using IUCD for six months, came to a clinic with complaints of lower
abdominal pain and pain during sexual intercourse. On vaginal examination, uterine and cervical
tenderness were identified.
What is the priority nursing diagnosis for this woman?
A. Risk for injury B. Risk for infection C. Risk for bleeding D. Risk for trauma
4. A woman came to gynecologic OPD with complaints of prolonged, excessive and menses after
six months of taking IUCD contraception. She also has cramp and pain during menses in addition
to premenstrual syndrome.
What is the priority intervention for this woman?
A. Remove the IUCD and appoint her after seven days
B. Assess for any medical condition
C. Change the contraceptive
D. Counsel and support
5. A woman with her husband came to gynecologic OPD with complaints of inability to conceive
for three years. She has regular menstrual period and never used any kind of contraceptive. A
nurse planned to investigate the cause for their complaint.
What is the initial laboratory investigation to be requested?
A. DNA assays B. Semen analysis C. Antibody studies D. Sperm penetration assay
,6. A 17-week pregnant woman come to ANC clinic with a complaint of slight vaginal bleeding.
She also has lower abdominal cramp and backache. On physical examination: her blood pressure is
110/60 mmHg and pulse rate is 76/minute, and she has mild uterine contraction, closed cervix and
intact membrane.
What is the most likely diagnosis of the woman’s condition?
A. Incomplete abortion C. Threaten abortion
B. Inevitable abortion D. Complete abortion
7. A 16-year-old postpartum mother came with a complaint of urinary incontinence after six days
of delivery. She is distressed and frustrated with the condition. Her blood pressure is 90/70 mmHg,
pulse rate is 82/min and temperature is 37.90C.Pelvic examination findings suggest vesico-vaginal
fistula.
What is the priority nursing diagnosis for this mother?
A. Hypotension B. Hypothermia C. Knowledge deficit D. Disturbed body image
8. A 49-year-old woman was admitted to a gynecologic ward with the diagnosis of uterine
prolapse. She is frightened and is suffering from repeated occurrence of a sudden leakage of urine
with activities which increases abdominal pressure.
What is the priority nursing diagnosis for the woman?
A. Stress urinary incontinence C. Impaired urinary elimination
B. Urge urinary incontinence D. Reflex urinary incontinence
9. A 12-week pregnant woman came to a hospital with excessive vaginal bleeding for one day. On
physical examination, cervix is opened and a conceptus tissue is identified. Her blood pressure is
85/60 mmHg, pulse rate is 120/min and temperature is 37.40C.
What is the most priority outcome criterion for this woman?
A. Stable blood pressure within an hour C. Stable body temperature within an hour
B. Demonstrate daily activity after 2 days D. Cessation of bleeding within an hour
10. A 53-year-old mother was admitted to gynecologic ward with the diagnosis of uterine prolapse.
After four days of providing care, she still has low backache and dragging sensation. However, she
got voluntary control of urination and relief pelvic pressure. She developed fear of relapse of the
condition.
Which is the most effective measurement of patient’s outcome?
, A. Low backache B. Dragging sensation C. Voluntary urination D. Relief pelvic pressure
11. An 18-year-old woman came to a gynecologic clinic for scheduled health checkup. Her history
shows that she is sexually active and had multiple sexual partners. After taking detailed history, the
nurse concluded that the woman is at risk of cervical cancer.
What is the priority screening method to e requested for this patient?
A. Pap-smear test C. Colposcopic examination
B. Ultrasound examination D. Endocervical curetting test
12. A 17-week gestational age pregnant woman comes to an emergency room with loss of
consciousness for one hour. She has severe vaginal bleeding and pale conjunctiva. Her blood
pressure is 80/50 mmHg, pulse rate is 110/min, respirations are 14/min and temperature is 37.20C.
What is the most appropriate initial intervention to stabilize this woman?
A. Give oxygen 6L/min y nasal cannula C. Monitor fluid intake and urine output
B. Provide Penicillin G 2 million units IM D. Start normal saline 1L in 15min IV
13. A nurse assessed the growth and developmental status of a child. On assessment, the child can
climb a chair, feed himself with spoon and name body parts. But, the child is unable to speak
simple sentences.
What is the most likely age of this child?
A. nine-month-old B. 12-month-old C. 15-month-old D. 18-month-old
14. A 16- month-old child was brought to pediatric OPD with complaints of failure to thrive
associated with anorexia, vomiting and incomplete eruption of primary teeth for age.
What is the priority nursing intervention for this child?
A. Provide treatments to relieve anorexia C. Provide nutritional rehabilitation service
B. Provide dental hygiene according to age D. Examine the mouth fully and treat accordingly
15. An EPI focal person supervised the vaccine store site of a health center found in highland area.
The focal person found that all vaccines were improperly stored at -30C.
What is the most likely type of vaccine at risk of damage?
A. OPV B. Rubella C. Measles D. DPT-HepB-Hib
