SCHOOL OF NURSING

General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: [email protected]

ROTATIONAL EXAM

NAME: _____________________________________________________
Hospital: LUIS HORA REGIONAL MEMORIAL HOSPITAL
Ward: PEDIA WARD Shift: ______________
Inclusive Dates: December 13-18, 2021_

Instruction: Encircle the best answer for each item.

PART I. MULTIPLE CHOICE

1. Patient Jane, with suspected rheumatic fever is admitted to pediatric

ward. When taking child’s history, Nurse Faith considers which of the
following most important information?
a. Lack of appetite
b. A recent episode of pharyngitis
c. Vomiting episodes
d. Fever for 3 days
2. Nurse Gerry assessed patient Joe with ulcerative colitis. The most
common assessment finding in a child is:
a. Anal fissures
b. Abdominal pain
c. Intense abdominal cramps
d. Profuse diarrhea
3. When developing Nursing Care plan for pediatric patients, nurse
Christine understands that their illness is a form of punishment.
a. Adolescence
b. Infancy
c. Preschool age
d. School age
4. Nurse Faye is assessing a child’s vision, she should ask?
a. “Do you see this color?”
b. “Do you sleep well at night?”
c. “How are you doing at school?”
d. “Do you have problem with your eyesight?”
5. Georgia, age 12 is 5 months pregnant. As a nurse, what is the least
effective health teaching strategy?
a. Provide age-appropriate reading materials for the patient.
b. Encourage the child to join support groups with first aid and
parenting skills
c. Give one-on-one demonstration using a live infant model
d. Use audio-visuals that show discussion of feelings and
skills
6. Patient Corrine, 6 years old, female is diagnosed with Kawasaki
disease. She has the symptoms and may also develop ______________.
a. Heart disease
b. Hydrocephalus
c. Infection of the blood
d. Aneurysm formation
7. A child diagnosed with heart failure is having a manifestation of
digoxin toxicity?
a. Abdominal pain
b. Respiratory distress
c. Extreme bradycardia
d. Severe headache
 SCHOOL OF NURSING
General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: [email protected]

8. Nurse Gelli is addressing the needs of
patient Jhimzer with admitting diagnosis of PCAP-C. PCAP-C stands for
a. Philippine Community Acquired Pneumonia type C.
b. Pneumonae Community Acquired Pneumonia tye C

c. Pediatric Community Acquired Pneumonia type C

d. Pediatric Community Acquisition Pneumonae type C
9. Nurse Alvin carried out doctor’s order of administering 800,000 IU
PenG. The available stock is 1M IU and shall be diluted into 2cc. How
many cc of PenG should be given?
a. 1.6cc
b. 25cc
c. 2.5cc
d. 5cc
10. Increased White Blood Cell in a Complete Blood Count laboratory
result is an indication of _________________.
a. Sepsis
b. Pneumonia
c. Infection
d. Fever
11. Patient Wariel, 1 week old was diagnosed with ABO
incompatibility. This usually happens to ______________.
a. a mother’s blood type is AB and father is O
b. a motther’s blood type is O and mother is AB
c. a mother’s blood type is A or B and father is O
d. a mother’s blood type is O and father is A or B
12. Patient Josh, pediatric patient was diagnosed with Dengue fever
with warning signs. In managing fever, it is indicated to give
____________________.
a. Paracetamol PRN for fever
b. Paracetamol every 4 hours
c. Ibuprofen PRN for fever
d. Ibuprofen every 6 hours
13. Patient Memphise, 3 months old with a diagnosis of seizure
disorder, t/c meningitis is to be given diazepam for Frank seizure. What
is the indicated dose for the medication?
a. Diazepam 5mg IV
b. Diazepam 1-2mg IV
c. Diazepam 10mg IV
d. Diazepam 5mg PO
14. Nurse Charlene is regulating IVF of patient Ana with doctor’s
order BMMS 1l x KVO. How many gtts/min is to be regulated by the
nurse?
a. 10-15 gtts/min
b. 10 gtts/min
c. 10-15cc/hr
d. 15cc/hr
15. Patient Nathaniel, 5 months old is having fever episodes and was
given Paracetamol 100mg IV at 8pm. After 2 hrs, the patient is having
another episode of fever. What is the expected nursing intervention of
the nurse?
a. Give another dose of paracetamol 100mg IV
b. Give paracetamol 120mg PO
c. Do TSB
d. Refer to the physician immediately
 SCHOOL OF NURSING
General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: [email protected]

PART II. True or False

TRUE1. Bacterial pneumonia is the most common form that tends to

be more serious than other types of pneumonia.
FALSE 2. Most children aged 2 years old were infected with Covid19
TRUE 3. BCG is given to school children intradermally at the right
deltoid

FALSE 4. ORS is not recommended in treating dehydration among

children
FALSE 5. Breastfeeding is only for children up to 2 years old.
TRUE 6. Community acquired is the most common cause of diseases
among children.
TRUE 7. Blood dyscrasia is an imbalance of body fluids, a nonspecific
term referring to a disorder in the blood
FALSE 8. Phototherapy is not indicated to patients with jaundice
FALSE 9. Epistaxis and increased platelet count is an indication of
Dengue fever.
TRUE 10. Bacterial, Viral and mycoplasma pneumonia are the three (3)
main types of pneumonia.

PART II. IDENTIFICATION

___________________1. Normal range of Respiratory rate among infants

___________________2. Normal range of Cardiac rate among neonates
___________________3. Normal Body temperature of children
___________________4. Normal Cardiac rate of toddler (1-3 years old)
___________________5. Normal platelet count
___________________6. Term for severe malnutrition among children
___________________7. Pediatric category/age bracket
___________________8. Best IVF for dehydration management among
children
___________________9. The most appropriate vein for children
___________________10. It is a disease among children manifested by
wheezing sound as the classic sign.
___________________11. Normal Oxygen level
___________________12. Commonly used Unit for temperature
___________________13. Drop factor for pediatrics IVF set
___________________14.

PART III. ACCRONYMS

1. I & O ____________________________________________________________
2. RTC _____________________________________________________________
3. ORS _____________________________________________________________
4. bpm ____________________________________________________________
5. gtts ____________________________________________________________
6. ugtts ____________________________________________________________
7. RTI _____________________________________________________________
8. UTI _____________________________________________________________
9. t/c _____________________________________________________________
10. S/P ____________________________________________________________
11. R/O _____________________________________________________________
12. q _____________________________________________________________
 SCHOOL OF NURSING
General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: [email protected]

13. BID
_____________________________________________________________
14. TID _____________________________________________________________
15. os ______________________________________________________________
16. od _____________________________________________________________
17. URTI ___________________________________________________________
18. PCAP ____________________________________________________________
19. LRS _____________________________________________________________
20. BMMS ____________________________________________________________
21. PNSS _____________________________________________________________
22. IU ______________________________________________________________
23. Stat _______________________________________________________________
24. cpm ______________________________________________________________
25. ANST ______________________________________________________________
26. PRN _______________________________________________________________
27. CBC _______________________________________________________________
28. RT-PCR ____________________________________________________________
29. RAT _______________________________________________________________
30. LHMRH _____________________________________________________________

PART IV.

1-5. Compute the gtts/min if the doctor ordered 1l of D5LRS x 12 hours for a
pediatric patient. Show your solution.

6-10. Nurse Jelly is to administer 800,000IU Pen G to a pediatric patient. The

available dose is 1,000,000 IU. How many ml should the nurse administer of the
diluent is 2.5cc?

PART V. Enumeration

Enumerate at least 5 laboratory tests done to your patient

1. ____________________________________
2. ____________________________________
3. ____________________________________
4. ____________________________________
5. ____________________________________
 SCHOOL OF NURSING
General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: [email protected]

Enumerate 5 cases in Pedia ward presently admitted at LHMRH

6. _____________________________________
7. _____________________________________
8. _____________________________________
9. _____________________________________
10. _____________________________________

11. Name at least one (1) Nurse on duty at the Pediatric ward of
LHRMH.
__________________________________________________________________________

12. Who is the Chief Nurse of LHRMH?

__________________________________________________________________________
73. Full name of your Clinical Instructor
__________________________________________________________________________
74. Name of the School RLE Coordinator
_________________________________________________________________________
75. Name of School’s program Chairperson
_________________________________________________________________________

COMMENTS/NOTES:
1. Duty/Hospital/Staff
________________________________________________________________________
________________________________________________________________________
____________________________________________________________
2. Clinical Instructor
________________________________________________________________________
________________________________________________________________________
____________________________________________________________
3. Self-reflection during the rotation
________________________________________________________________________
________________________________________________________________________
____________________________________________________________