PNLE: COMMUNITY HEALTH NURSING 2024/2025 EXAM 4
QUESTIONS WITH FULLY SOLVED AND UPDATED ANSWERS
In immunizing school entrants with BCG, you are not obliged to secure parental consent.
_ _ _ _ _ _ _ _ _ _ _ _ _
_This is because of which legal document?
_ _ _ _ _ _
A. P.D. 996 _
B. R.A. 7846 _
C. Presidential Proclamation No. 6 _ _ _
D. Presidential Proclamation No. 46 -- Correct Answer ✔✔ (A) P.D. 996.
_ _ _ _ _ _ _ _ _ _ _
Presidential Decree 996, enacted in 1976, made immunization in the EPI
_ _ _ _ _ _ _ _ _ _ _
compulsory for children under 8 years of age. Hepatitis B vaccination was made
_ _ _ _ _ _ _ _ _ _ _ _ _
compulsory for the same age group by R.A. 7846. _ _ _ _ _ _ _ _
Which immunization produces a permanent scar?
_ _ _ _ _
A. DPT
B. BCG
C. Measles vaccination _
D. Hepatitis B vaccination -- Correct Answer ✔✔ (B) BCG. BCG causes the
_ _ _ _ _ _ _ _ _ _ _ _
formation of a superficial abscess, which begins 2 weeks after immunization. The
_ _ _ _ _ _ _ _ _ _ _ _
abscess heals without treatment, with the formation of a permanent scar.
_ _ _ _ _ _ _ _ _ _
A 4-week old baby was brought to the health center for his first immunization. Which
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
can be given to him?
_ _ _ _
A. DPT1
B. OPV1
C. Infant BCG _
D. Hepatitis B vaccine 1 -- Correct Answer ✔✔ (C) Infant BCG. Infant BCG may be
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
given at birth. All the other immunizations mentioned can be given at 6 weeks of
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
age.
, You will not give DPT 2 if the mother says that the infant had
_ _ _ _ _ _ _ _ _ _ _ _ _
A. Seizures a day after DPT 1. _ _ _ _ _
B. Fever for 3 days after DPT 1. _ _ _ _ _ _
C. Abscess formation after DPT 1. _ _ _ _
D. Local tenderness for 3 days after DPT 1. -- Correct Answer ✔✔ (A) Seizures a
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
day after DPT 1. Seizures within 3 days after administration of DPT is an
_ _ _ _ _ _ _ _ _ _ _ _ _ _
indication of hypersensitivity to pertussis vaccine, a component of DPT. This is
_ _ _ _ _ _ _ _ _ _ _ _
considered a specific contraindication to subsequent doses of DPT. _ _ _ _ _ _ _ _
A 2-month old infant was brought to the health center for immunization. During
_ _ _ _ _ _ _ _ _ _ _ _ _
assessment, the infant's temperature registered at 38.1°C. Which is the best course of
_ _ _ _ _ _ _ _ _ _ _ _ _
action that you will take?
_ _ _ _
A. Go on with the infant's immunizations.
_ _ _ _ _
B. Give Paracetamol and wait for his fever to subside.
_ _ _ _ _ _ _ _
C. Refer the infant to the physician for further assessment.
_ _ _ _ _ _ _ _
D. Advise the infant's mother to bring him back for immunization when he is well. --
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Correct Answer ✔✔ (A) Go on with the infant's immunizations. In the EPI, fever
_ _ _ _ _ _ _ _ _ _ _ _ _ _
up to 38.5°C is not a contraindication to immunization. Mild acute respiratory
_ _ _ _ _ _ _ _ _ _ _ _
tract infection, simple diarrhea and malnutrition are not contraindications either.
_ _ _ _ _ _ _ _ _
A pregnant woman had just received her 4th dose of tetanus toxoid. Subsequently, her
_ _ _ _ _ _ _ _ _ _ _ _ _ _
baby will have protection against tetanus for how long?
_ _ _ _ _ _ _ _
A. 1 year
_
B. 3 years
_
C. 10 years _
D. Lifetime -- Correct Answer ✔✔ (A) 1 year. The baby will have passive natural
_ _ _ _ _ _ _ _ _ _ _ _ _ _
immunity by placental transfer of antibodies. The mother will have active artificial
_ _ _ _ _ _ _ _ _ _ _ _
immunity lasting for about 10 years. 5 doses will give the mother lifetime
_ _ _ _ _ _ _ _ _ _ _ _ _
protection.
A 4-month old infant was brought to the health center because of cough. Her
_ _ _ _ _ _ _ _ _ _ _ _ _ _
respiratory rate is 42/minute. Using the Integrated Management of Child Illness (IMCI)
_ _ _ _ _ _ _ _ _ _ _ _
guidelines of assessment, her breathing is considered
_ _ _ _ _ _
QUESTIONS WITH FULLY SOLVED AND UPDATED ANSWERS
In immunizing school entrants with BCG, you are not obliged to secure parental consent.
_ _ _ _ _ _ _ _ _ _ _ _ _
_This is because of which legal document?
_ _ _ _ _ _
A. P.D. 996 _
B. R.A. 7846 _
C. Presidential Proclamation No. 6 _ _ _
D. Presidential Proclamation No. 46 -- Correct Answer ✔✔ (A) P.D. 996.
_ _ _ _ _ _ _ _ _ _ _
Presidential Decree 996, enacted in 1976, made immunization in the EPI
_ _ _ _ _ _ _ _ _ _ _
compulsory for children under 8 years of age. Hepatitis B vaccination was made
_ _ _ _ _ _ _ _ _ _ _ _ _
compulsory for the same age group by R.A. 7846. _ _ _ _ _ _ _ _
Which immunization produces a permanent scar?
_ _ _ _ _
A. DPT
B. BCG
C. Measles vaccination _
D. Hepatitis B vaccination -- Correct Answer ✔✔ (B) BCG. BCG causes the
_ _ _ _ _ _ _ _ _ _ _ _
formation of a superficial abscess, which begins 2 weeks after immunization. The
_ _ _ _ _ _ _ _ _ _ _ _
abscess heals without treatment, with the formation of a permanent scar.
_ _ _ _ _ _ _ _ _ _
A 4-week old baby was brought to the health center for his first immunization. Which
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
can be given to him?
_ _ _ _
A. DPT1
B. OPV1
C. Infant BCG _
D. Hepatitis B vaccine 1 -- Correct Answer ✔✔ (C) Infant BCG. Infant BCG may be
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
given at birth. All the other immunizations mentioned can be given at 6 weeks of
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
age.
, You will not give DPT 2 if the mother says that the infant had
_ _ _ _ _ _ _ _ _ _ _ _ _
A. Seizures a day after DPT 1. _ _ _ _ _
B. Fever for 3 days after DPT 1. _ _ _ _ _ _
C. Abscess formation after DPT 1. _ _ _ _
D. Local tenderness for 3 days after DPT 1. -- Correct Answer ✔✔ (A) Seizures a
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
day after DPT 1. Seizures within 3 days after administration of DPT is an
_ _ _ _ _ _ _ _ _ _ _ _ _ _
indication of hypersensitivity to pertussis vaccine, a component of DPT. This is
_ _ _ _ _ _ _ _ _ _ _ _
considered a specific contraindication to subsequent doses of DPT. _ _ _ _ _ _ _ _
A 2-month old infant was brought to the health center for immunization. During
_ _ _ _ _ _ _ _ _ _ _ _ _
assessment, the infant's temperature registered at 38.1°C. Which is the best course of
_ _ _ _ _ _ _ _ _ _ _ _ _
action that you will take?
_ _ _ _
A. Go on with the infant's immunizations.
_ _ _ _ _
B. Give Paracetamol and wait for his fever to subside.
_ _ _ _ _ _ _ _
C. Refer the infant to the physician for further assessment.
_ _ _ _ _ _ _ _
D. Advise the infant's mother to bring him back for immunization when he is well. --
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Correct Answer ✔✔ (A) Go on with the infant's immunizations. In the EPI, fever
_ _ _ _ _ _ _ _ _ _ _ _ _ _
up to 38.5°C is not a contraindication to immunization. Mild acute respiratory
_ _ _ _ _ _ _ _ _ _ _ _
tract infection, simple diarrhea and malnutrition are not contraindications either.
_ _ _ _ _ _ _ _ _
A pregnant woman had just received her 4th dose of tetanus toxoid. Subsequently, her
_ _ _ _ _ _ _ _ _ _ _ _ _ _
baby will have protection against tetanus for how long?
_ _ _ _ _ _ _ _
A. 1 year
_
B. 3 years
_
C. 10 years _
D. Lifetime -- Correct Answer ✔✔ (A) 1 year. The baby will have passive natural
_ _ _ _ _ _ _ _ _ _ _ _ _ _
immunity by placental transfer of antibodies. The mother will have active artificial
_ _ _ _ _ _ _ _ _ _ _ _
immunity lasting for about 10 years. 5 doses will give the mother lifetime
_ _ _ _ _ _ _ _ _ _ _ _ _
protection.
A 4-month old infant was brought to the health center because of cough. Her
_ _ _ _ _ _ _ _ _ _ _ _ _ _
respiratory rate is 42/minute. Using the Integrated Management of Child Illness (IMCI)
_ _ _ _ _ _ _ _ _ _ _ _
guidelines of assessment, her breathing is considered
_ _ _ _ _ _
