TESDA Caregiving NC II Assessment (Philippines)

What is the recommended water temperature range when bathing an infant to prevent burns while maintaining comfort?

• A37°C to 38°C (98.6°F to 100°F)
• B42°C to 45°C (107.6°F to 113°F)
• C30°C to 32°C (86°F to 89.6°F)
• D20°C to 25°C (68°F to 77°F)

According to safe sleep guidelines, what is the most appropriate sleeping position for a healthy infant to reduce the risk of Sudden Infant Death Syndrome (SIDS)?

• ASupine (on the back)
• BProne (on the stomach)
• CLateral (on the side)
• DSemi-Fowler's position

When cleaning an infant's face during a bath, which method should the caregiver use?

• AWipe the eyes from the inner canthus to the outer canthus using a clean, damp cotton ball…
• BWipe the eyes from the outer canthus to the inner canthus using a washcloth lathered with…
• CScrub the cheeks and forehead in a circular motion using a sponge and regular bath soap.
• DUse alcohol-free baby wipes to clean the eyelids, rubbing back and forth to remove secret…

Which of the following describes the correct technique for burping an infant after feeding?

• AHold the infant upright against the shoulder, supporting the head and neck, and gently pa…
• BLay the infant face down on the caregiver's lap and apply firm pressure to the lower back.
• CPlace the infant in a sitting position on the lap, tilt them backward, and pat the chest.
• DJiggle the infant gently in an upright position without patting to release trapped air.

What is the correct way to support an infant's body when lifting them from a crib?

• ASlide one hand under the infant's head and neck, and the other hand under their buttocks…
• BLift the infant by grasping both of their upper arms firmly.
• CHold the infant by their wrists and pull them gently into an upright position.
• DSlide both hands under the infant's armpits and lift them up quickly.

Which of the following is a key clinical indicator that an infant is suffering from moderate to severe dehydration?

• ASunken fontanelle, dry mouth, and fewer than six wet diapers in 24 hours
• BIncreased tear production, moist tongue, and clear yellow urine
• CBulging fontanelle, excessive drooling, and frequent loose stools
• DRapid weight gain, warm skin, and normal sleep patterns

When preparing powdered infant formula, which sequence must the caregiver follow to ensure correct nutrition and concentration?

• APour the exact amount of sterilized water into the bottle first, then add the measured po…
• BFill the bottle with powdered formula first, then add warm tap water to the desired line.
• CMix water and powder in equal, unmeasured parts until the fluid appears milky and thick.
• DAdd boiling water directly to the powder inside the bottle and shake vigorously immediate…

What is the recommended method for sterilizing infant feeding bottles, nipples, and caps using the boiling method?

• ASubmerge all disassembled parts in boiling water and boil them for 5 to 10 minutes.
• BRinse the parts under hot running tap water for 30 seconds.
• CSoak the parts in cold water mixed with a splash of household bleach for 1 minute.
• DBoil the fully assembled bottles in water for 1 minute.

An infant is irritable, drooling excessively, and constantly biting on objects. What is the safest caregiving intervention to relieve teething discomfort?

• AGive the infant a clean, chilled rubber teething ring or a cold, damp washcloth to chew o…
• BRub a small amount of brandy or alcohol onto the infant's swollen gums to numb them.
• CApply over-the-counter topical benzocaine gels directly to the gums four times daily.
• DGive the infant small pieces of ice to suck on to reduce the swelling.

Which of the following describes the correct procedure for umbilical cord care in a newborn?

• AKeep the cord dry and clean, fold the diaper below the cord stump, and let it fall off na…
• BApply a thick layer of petroleum jelly and cover the stump tightly with a plastic bandage.
• CClean the base of the cord stump with full-strength iodine solution at every diaper chang…
• DPull the cord stump gently if it is hanging by a thread to speed up detachment.

To prevent diaper rash in an infant, which caregiving protocol is most effective?

• AChange diapers immediately when wet or soiled, clean the area gently, let it air dry, and…
• BApply talcum powder generously inside the diaper to absorb moisture after washing.
• CUse alcohol-saturated wipes to thoroughly disinfect the diaper area during every change.
• DWait for the diaper to be fully saturated before changing to minimize skin disturbance.

At what age range does a typically developing infant begin to roll over from stomach to back and back to stomach?

• A4 to 6 months
• B1 to 2 months
• C9 to 12 months
• D14 to 16 months

What is the recommended age and food type for introducing solid foods to a healthy, term infant?

• AAround 6 months, starting with iron-fortified single-grain infant cereal or pureed meats…
• BAround 2 months, starting with cow's milk and honey-sweetened purees.
• CAround 10 months, starting with soft table foods like whole grapes and hot dog slices.
• DAround 4 months, starting with citrus fruit juices and egg whites.

What are the safe guidelines for storing freshly expressed breast milk for later use?

• AUp to 4 hours at room temperature, up to 4 days in the refrigerator, and up to 6 to 12 mo…
• BUp to 24 hours at room temperature, up to 2 weeks in the refrigerator, and indefinitely i…
• CUp to 2 hours at room temperature, up to 24 hours in the refrigerator, and never freeze.
• DUp to 12 hours at room temperature, and discard if not used immediately.

A 2-year-old toddler begins screaming and kicking on the floor because they were not allowed to have a candy bar. How should the caregiver manage this tantrum?

• AEnsure the immediate environment is safe, remain calm, ignore the behavior, and redirect…
• BSpank the toddler gently on the buttocks to teach them that throwing tantrums is unaccept…
• CGive the toddler the candy bar immediately to stop the screaming and prevent distress.
• DHold the toddler down firmly on the floor until they stop crying and promise to behave.

Which of the following signs indicates that a toddler is developmentally ready to begin toilet training?

• AThe toddler stays dry for 2 or more hours, communicates the need to eliminate, and can fo…
• BThe toddler turns 18 months old, regardless of behavior or bladder control.
• CThe toddler can run fast, stand on one foot, and stack ten wooden blocks.
• DThe toddler cries whenever they are wet and refuses to wear diapers.

Which of the following nutritional strategies is most appropriate for promoting healthy growth in school-age children?

• AProvide a balanced diet consisting of whole grains, lean proteins, dairy, fruits, vegetab…
• BRestrict fat intake completely to prevent childhood obesity.
• CMake dietary fiber the primary food group, making up 80% of daily caloric intake.
• DEncourage high-calorie processed snacks to ensure they have enough energy for school.

A 10-month-old infant displays intense crying and clings to the caregiver when an unfamiliar relative attempts to hold them. What is the caregiver's best response?

• AAcknowledge the infant's fear, maintain a close distance, and allow the infant to warm up…
• BForce the infant into the relative's arms to help them overcome their fear of strangers q…
• CScold the infant for being rude and walk away to encourage independence.
• DCover the infant's face so they do not see the relative while being held.

When selecting toys for a 2-year-old toddler, which safety standard is most critical to prevent choking?

• AEnsure the toy and its removable parts do not fit entirely inside a standard toilet paper…
• BSelect toys with complex electronic parts and small button batteries to stimulate learnin…
• CEnsure the toy is made of brittle plastic that breaks easily to allow creative shapes.
• DChoose toys labeled 'Ages 5+' to encourage advanced cognitive development.

Which of the following play activities is most effective for fostering fine motor development in a preschooler?

• ACutting shapes with safety scissors, stringing large beads, and sculpting with play dough.
• BRunning on a track, jumping over hurdles, and throwing a basketball.
• CWatching educational cartoons on a tablet for several hours.
• DListening to the caregiver read a storybook without physical interaction.

Which play activity best supports gross motor development in a 6-year-old child?

• ARiding a bicycle with training wheels, playing tag, and climbing playground structures.
• BAssembling a 100-piece jigsaw puzzle at a table.
• CPlaying video games using a handheld controller.
• DDrawing detailed pictures with colored pencils.

A 4-year-old child has a fever of 38.5°C (101.3°F). Which caregiving intervention is most appropriate and safe?

• ADress the child in lightweight clothing, offer plenty of fluids, and consult the guardian…
• BGive the child an adult aspirin to quickly break the fever.
• CWrap the child in several thick blankets to sweat out the fever.
• DSubmerge the child in an ice-water bath for 15 minutes.

A child with a history of asthma begins wheezing and coughing during play. What is the caregiver's immediate course of action?

• AHelp the child sit upright, encourage slow breathing, and assist them in administering th…
• BLay the child flat on their back and apply cold compresses to their chest.
• CEncourage the child to run around to clear their lungs of mucus.
• DAdminister a double dose of oral cough syrup and leave them to rest in a dark room.

According to major pediatric health organizations, what is the recommended screen time limit for children aged 2 to 5 years?

• ALimit screen time to no more than 1 hour per day of high-quality, educational programming…
• BAllow unlimited access to educational games on tablets to promote digital literacy.
• CAllow up to 4 hours of cartoons daily to keep the child quiet and occupied.
• DScreens should be avoided entirely until the child reaches 8 years of age.

To foster cooperative play among 4-year-old preschoolers, which activity should the caregiver organize?

• AA group building activity using blocks where children work together to build a castle.
• BProvide each child with their own individual tablet to play games alone.
• CSit the children in a row and have them play with separate coloring books without talking.
• DOrganize a highly competitive game where only one child wins and others are eliminated.

Which of the following is the most effective method for establishing a healthy bedtime routine for a toddler?

• AMaintain a consistent bedtime, follow a calming sequence (e.g., warm bath, reading a book…
• BAllow the toddler to play highly active games until they fall asleep from exhaustion.
• CGive the toddler a heavy meal and sugary snacks right before bed to help them sleep.
• DChange the bedtime schedule daily based on the caregiver's changing schedule.

Two siblings (aged 5 and 7) are arguing loudly over a toy. How should the caregiver manage this conflict to teach positive social behavior?

• AHelp the children express their feelings, guide them to brainstorm sharing solutions, and…
• BTake the toy away, lock it in a closet, and ignore both children for the rest of the day.
• CBlame the older child and force them to give the toy to the younger sibling immediately.
• DTell them to fight it out until one of them wins and takes the toy.

Which of the following actions by a caregiver best supports a 3-year-old child's self-help skill development?

• AEncourage them to feed themselves, wash their hands with supervision, and put on simple s…
• BDo everything for the child (feeding, dressing, washing) to ensure tasks are completed qu…
• CReprimand the child whenever they make a mess while attempting to perform a task.
• DAssign the child complex chores like washing dishes and cleaning the bathroom alone.

A 5-year-old child has a minor nosebleed during play. What is the correct first-aid response?

• AHave the child lean forward slightly, pinch the soft part of the nose for 10 minutes, and…
• BTilt the child's head far back and apply pressure to the forehead.
• CHave the child lie flat on their back and plug both nostrils tightly with dry tissues.
• DTell the child to blow their nose forcefully to clear out blood clots.

Which caregiving strategy is most effective for promoting language development in a 15-month-old toddler?

• ATalk to the toddler frequently, name everyday objects, read simple books, and respond to…
• BUse baby talk exclusively to avoid confusing the toddler with adult pronunciation.
• CKeep the television playing in the background all day so they can hear spoken words.
• DIgnore the toddler's babbling until they can speak in complete, grammatically correct sen…

When transferring a semi-dependent elderly client from bed to a wheelchair, where should the wheelchair be positioned?

• AOn the client's stronger side, angled at 45 degrees to the bed, with brakes locked.
• BOn the client's weaker side, perpendicular to the bed, with brakes unlocked to allow move…
• CDirectly at the foot of the bed, facing away from the client.
• DDirectly behind the caregiver, so the client has to step backward.

To prevent pressure ulcers in a bedridden elderly client, how often should the caregiver reposition them?

• AAt least every 2 hours
• BOnce every 8 hours
• COnly when the client complains of discomfort
• DTwice a day (morning and night)

Which of the following is a potential sign of physical abuse or neglect in an elderly client that a caregiver must report?

• AUnexplained bruises in various stages of healing, poor hygiene, and sudden withdrawal fro…
• BThe client having a high interest in playing card games and reading newspapers.
• CThe client taking afternoon naps and eating three balanced meals a day.
• DA gradual loss of high-frequency hearing and minor memory lapses.

When communicating with an elderly client who has presbycusis (age-related hearing loss), which approach is most effective?

• AFace the client directly, speak clearly in a moderate, lower-pitched voice, and reduce ba…
• BShout loudly directly into the client's ear from behind them.
• CSpeak rapidly in a high-pitched tone to capture their attention.
• DAvoid verbal communication and communicate only through written notes.

An elderly client with Alzheimer's disease exhibits increased confusion, agitation, and pacing during the late afternoon and early evening. What is this phenomenon called, and how should it be managed?

• ASundowning; manage by establishing a calming routine, keeping the area well-lit, and redu…
• BDelirium tremens; manage by administering sedatives immediately.
• CSenile dementia; manage by isolating the client in their bedroom.
• DPresbyopia; manage by providing reading glasses.

Which of the following describes the correct procedure for measuring a client's blood pressure using a manual sphygmomanometer?

• APlace the cuff 1 inch above the antecubital fossa, locate the brachial artery, inflate th…
• BWrap the cuff tightly around the wrist and hold the arm high above the head.
• CPlace the cuff over a thick sweater sleeve and inflate it to 300 mmHg quickly.
• DLocate the radial pulse, pump the cuff until the pulse stops, and deflate it rapidly in 1…

What is the normal physiological resting pulse rate range for a healthy elderly adult?

• A60 to 100 beats per minute
• B40 to 50 beats per minute
• C110 to 130 beats per minute
• D80 to 120 beats per minute

An elderly client experiences dizziness and lightheadedness when rising quickly from a lying to a standing position. What is the caregiver's best advice to prevent this?

• AHave the client sit on the edge of the bed for a few minutes (dangle) before standing up…
• BTell the client to stand up as quickly as possible to get blood to the brain faster.
• CInstruct the client to hold their breath while standing up.
• DAdvise the client to drink a hot cup of coffee immediately before rising.

Which of the following describes the correct technique for assisting a client walking with a walker?

• AThe walker is moved forward first, then the weaker foot steps forward, followed by the st…
• BThe client steps forward with the stronger foot first, then slides the walker forward.
• CThe client carries the walker off the ground while stepping forward with both feet.
• DThe walker is kept far ahead of the client, who leans forward at a 45-degree angle.

What is the primary rule of body mechanics that a caregiver must follow when lifting a heavy object or assisting a client?

• ABend at the knees and hips, keep the back straight, and keep the load close to the body.
• BKeep the knees locked, bend from the waist, and pull the load with the arms.
• CTwist the spine while lifting to pivot quickly.
• DHold the object at arm's length to protect the chest.

Which of the following is the most important environmental modification to prevent falls in an elderly client's home?

• ARemove all scatter rugs, install grab bars in the bathroom, and ensure all walkways are w…
• BWax the wooden floors weekly to keep them shiny.
• CKeep all lights turned off during the day to save electricity.
• DPlace extension cords across hallways where they can be easily reached.

While walking, an elderly client suddenly loses balance and begins to fall. What is the caregiver's correct action?

• AWiden your stance, pull the client close to your body, and gently slide them down your le…
• BGrab the client's arms and pull them upward forcefully to prevent them from hitting the f…
• CStep back to avoid being pulled down by the client.
• DStand stiffly and try to catch the client in your arms.

Which feeding intervention is most critical when assisting an elderly client with dysphagia (difficulty swallowing)?

• AHave the client sit upright at a 90-degree angle, offer small bites, encourage them to tu…
• BServe all foods in liquid form and have the client drink them quickly through a straw whi…
• CFeed the client rapidly to complete the meal before they get tired.
• DInstruct the client to tilt their head backward when swallowing to clear the throat.

What is the single most effective way for a caregiver to prevent the spread of infections in a care setting?

• APerform proper hand hygiene before and after contact with every client and their environm…
• BWear sterile surgical gloves at all times throughout the day.
• CSpray chemical disinfectants in the air of the client's room hourly.
• DEnsure the client takes prophylactic antibiotics daily.