DECEMBER 2006

COMMUNITY HEALTH NURSING AND CARE OF MOTHER AND CHILD

1. A child who is 13 months has fast breathing if he has:
A. 30 breaths per minute or more
B. 60 breaths per minute

C. 40 breaths per minute or more

D. 50 breaths per minute

2. Which of the following is true about discharge planning?

A. basic discharge plans involve referral to community resources
B. discharge plans involve referral to community resources
C. simple referral involves use of a discharge planner
D. complex referral includes interdisciplinary collaboration
3. A nurse may keep opened vials of OPV for use in the next session if:
A. you have taken out the vaccine at the health center for some other reasons
B. the expiry date has not passed
C. the vaccines have been stored at a temperature between 0 deg C and 8 deg C
D. the vaccines have change its color
4. The primary preventive measures against HIV-AIDS is:
A. withdrawal
C. foams and gels use
B. virus killing drugs
D. condom use
5. Ms. Amodia, RN works for a home health agency and cares for an older adult mental patient. On reporting to work, she
observes numerous bruise and red marks on her patients face. Her patient seems upset. Ms. Amodia suspects that either
abuse has occurred. Ms. Amodia should:
A. contact the mobile police to investigate the abuse
B. make an appointment with an elder adult counselor
C. wake her son and ask him who would hurt his mother
D. call her supervisor right away to report the findings
6. If there develops severe pre-eclampsia, what would be the drug you would anticipate to be prescribed and that you
would have to administer?
A. a loop diuretic
C. ranitidine (zantac)
B. magnesium sulfate
D. a non-steroidal inflammatory agent
7. As a community health nurse you always bear in mind that the purpose of empowering victims of violence is to:
A. tell them how to solve their problems
B. convince victims to leave their abusers
C. help clients become aware that they have control over their lives
D. develop safety escape plans for them
8. Maria is developing constipation from being on bed rest. What measure would you suggest she take to help prevent
this?
A. drink 8 full glasses of fluid such as water daily
B. drink more milk, increased calcium intake prevents constipation
C. eat more frequent small meals instead of three large ones daily
D. walk for at least half an hour daily to stimulate peristalsis
9. A bilateral amputee is assisted by his wife and children to the commode for bowel evacuation. This example best
demonstrates the familys assistance to meet which need?
A. Elimination
C. nutrition and metabolism
B. activity
D. health perception and health maintenance
10. Which of the following is the most important reason for doing a literature review for constructing a research study?
A. helpful information on demographic instrument development could be uncovered
B. existing knowledge about the identified problem can be found
C. a determination of the studys feasibility could be extrapolated
D. the research design can be copied from another study
11. Martina develops endometritis. What would be the best activity for her?
A. lying in bed with a cold cloth on her forehead
B. reading while resting in a trendelenburg position
C. sitting with her feet elevated while playing cards
D. walking around her room listening to music
12. Grace sustained a laceration on her leg from automobile accident. Why are lacerations of lower extremities potentially
more serious among pregnant women than other?
A. lacerations can provoke allergic responses due to gonadotropic hormone release
B. a woman is less able to keep the laceration clean because of her fatigue
C. healing is limited during pregnancy so these will not heal until after birth
D. increased bleeding can occur from uterine pressure on leg veins

13. Fely has diarrhea for 2 days. She has sunken eyes, skin pinch goes back very slowly, and she is drinking poorly and
irritable. She is not able to drink and there is no blood in the stool. How will you classify Felys illness?
A. persistent diarrhea
C. severe dehydration
B. some dehydration
D. no dehydration
14. The infectious agent that causes pulmonary tuberculosis is:
A. mycobacterium tubercle
C. Wuchereria bancrofti
B. Hansens bacillus
D. mycobacterium diphtheria
15. Your client, who happens to be female resident of the barangay you are covering, is an adult survivor who states:
Why couldnt I make him stop the abuse? If I were stronger person, I would have been able to make him stop. Maybe it
was my fault to be abused. Based on this, which would be your most appropriate nursing diagnosis?
A. social isolation
C. chronic low self-esteem
B. anxiety
D. ineffective family coping
16. Maybelle is also scheduled to have an amniocentesis to test for fetal maturity. What instructions would you give her
before this procedure?
A. void immediately before the procedure to reduce your bladder size
B. no more amniotic fluid forms afterward, that is why only a small amount is removed
C. the intravenous fluid infused to dilate your uterus does not hurt the fetus
D. the x-ray used to reveal your fetus position has no long-term effects
17. When planning teaching strategy for a pregnant woman, the nurse should do which of the following?
A. give information about how the woman can manage the specific problems she identifies as relevant in her life
B. omit information related to minor pains of pregnancy to prevent the woman from developing hypochondria
C. provide all information to the woman in a group session with other pregnant women so she can have someone
to discuss it with
D. during the first prenatal visit, teach a woman the care measures necessary for health promotion
throughout the pregnancy
18. Which of the following symptoms is LESS commonly noted in EARLY pregnancy?
A. frequency of urination
C. varicosities
B. chills and fever
D. Braxton Hicks Contractions
19. Bonnie, 3 months pregnant, has reported for her first prenatal visit. The nurse should instruct her to do which of the
following?
A. eat more dairy products and green leafy vegetables to provide an additional 300 calories each day
B. increase her intake of carbohydrates-breads and sweets to prevent protein metabolism
C. eat whenever she feels hungry because her body will let her know when she needs nutrients and extra calories
D. limit intake of amino acids to prevent development of diabetic ketoacidosis
20. The nurse is assisting Mr. and Mrs. Cruz to prepare for childbirth in the home setting. Which of the following supplies
should be readily available for the infant immediately after birth?
A. vitamin K to avoid bleeding
B. mild soap without perfume so as not to irritate the skin
C. bulb syringe to suction fluid and mucous from the mouth
D. heating lamp to avoid chilling from water evaporation
21. Which of the following could be included in the outcome criteria for a patient with a nursing diagnosis, Knowledge
deficit related to potential for altered tissue perfusion in fetus or mother related to maternal cardiovascular disease?
A. bedrest is maintained at home after the 36th week of gestation
B. fetal heart rate will remain between 120 and 160 beats a minute
C. jugular vein distention is evident when lying at 45 degrees
D. maternal blood pressure maintained above 150 systolic
22. Pregnant women should be taught to be careful to avoid accidental injury. They are prone to falls for which of the
following reasons?
A. additional weight from pregnancy may disturb balance when walking
B. fetal activity stimulates the nerves of the legs and causes weakness
C. high levels of hormones often impair judgment resulting in reckless behavior
D. increased adrenalin released during pregnancy causes women to move faster than usual
23. When a nurse uses the IMCI model, the IMCI chart uses illness classification, e.g. the pink row needs:
A. no specific treatments such as antibiotics
C. appropriate antibiotics
B. urgent referral
D. no urgent measures
24. Which of the four signs of good attachment is true in this statement?
A. the chin should touch the breast while the mouth is wide open and while the lower lip is turned inward more areola is
visible above than below
B. the chin should touch the breast, the mouth is wide open while the lower lip turned outward and more areola visible
above than below

C. the chin should touch the breast while the mouth is wide open while the lower lip turned outward and more areola
visible below than above
D. the chin should touch the breast while the mouth is wide open and the lower lip turned inward, more areola is visible
above than below
25. Which type of research inquiry investigates the issues of human complexity ( e. g. Understanding the human
expertise?)
A. positivism
C. logical position
B. quantitative research
D. natural inquiry
26. Carol is 15 months old and weighs 5.5 kgs and it is her initial visit. Her mother says that Carol is not eating well and
unable to breastfeed, he has no vomiting, has no convulsion and not abnormally sleepy or difficult to awaken. Her
temperature is 38.9 deg C. Using the integrated management of childhood illness or IMCI strategy, if you were the nurse
in charge of Carol, how will you classify her illness?
A. a child at a general danger sign
C. severe pneumonia
B. very severe febrile disease
D. severe malnutrition
27. Why are small for gestational age newborns at risk for difficulty maintaining body temperature?
A. their skin is more susceptible to conduction of cold
B. they are preterm so are born relatively small in size
C. they do not have as many fat stored as other infants
D. they are more active than usual so they throw off comes
28. Oxytocin is administered to Rita to augment labor. What are the first symptoms of water intoxication to observe for
during this procedure?
A. headache and vomiting
C. a high choking voice
B. a swollen tender tongue
D. abdominal bleeding and pain
29. Which of the following treatment should NOT be considered if the child has severe dengue hemorrhagic fever?
A. use plan C if there is bleeding from the nose or gums
B. give ORS if there is skin Petechiae, persistent vomiting, and positive tourniquet test
C. give aspirin
D. prevent low blood sugar
30. In assessing the patients condition using the Integrated Management of Childhood Illness approach strategy, the first
thing that a nurse should do is to:
A. ask what are the childs problem
C. check for the four main symptoms
B. check the patients level of consciousness
D. check for the general danger signs
31. A child with diarrhea is observed for the following EXCEPT:
A. how long the child has diarrhea
C. presence of blood in the stool
B. skin Petechiae
D. signs of dehydration
32. The child with no dehydration needs home treatment. Which of the following is NOT included in the care for home
management at this case?
A. give drugs every 4 hours
C. give the child more fluids
B. continue feeding the child
D. inform when to return to the health center
33. Ms. Jordan, RN, believes that a patient should be treated as individual. This ethical principle that the patient referred
to:
A. beneficence
C. respect for person
B. nonmaleficence
D. autonomy
34. When patients cannot make decisions for themselves, the nurse advocate relies on the ethical principle of:
A. justice and beneficence
C. beneficence and nonmaleficence
B. fidelity and nonmaleficence
D. fidelity and justice
35. Being a community health nurse, you have the responsibility of participating in protecting the health of people.
Consider this situation: Vendors selling bread with their bare hands. They receive money with these hands. You do not
see them washing their hands. What should you say/do?
A. Miss, may I get the bread myself because you have not washed your hands
B. All of these
C. Miss, it is better to use a pick up forceps/ bread tong
D. Miss, your hands are dirty. Wash your hands first before getting the bread
36. If a child with diarrhea has 2 or more signs in the IMCI pink row chart, the classification will be:
A. moderate dehydration
C. no dehydration
B. some dehydration
D. severe dehydration
37. If the capillary refill takes more than 3 seconds it may mean:
A. the child is in shock
C. circulatory failure
B. the child is dehydrated
D. the child is alright

38. Leprosy is a chronic disease of the skin and peripheral nerves. Which of the following signs are present in the early
stage?
A. loss of eyebrows
C. contractures
B. clawing of fingers
D. thickening or painful nerves
39. In asking the mother about her childs problem the following communication skills should be used EXCEPT:
A. use words that the mother understand
C. listen attentively
B. give time for the mother to answer the question
D. ask checking questions
40. Patients eligible under the short term chemotherapy (STC) are the following EXCEPT:
A. all newly discovered and reconfirmed sputum positive cases
B. those with cavitary lung findings after two successive negative sputum examination
C. patients without having been given consent for anti-TB treatment
D. patients willing to undergo treatment
41.When planning comfort measures to help the woman in active labor to tolerate her pain, the nurse must consider
which of the following?
A. early labor contractions are usually regular, coordinated, and very painful
B. if women are properly prepared, they will require no pain medication to manage their pain
C. pain medication given during the latent phase of labor is not likely to impair contractions
D. the acceleration phase of labor can be a time of true discomfort and high anxiety
42. Francis is admitted in active labor. The nurse locates fetal heart sounds in the upper left quadrant of the mothers
abdomen. The nurse would recognize which of the following?
A. Francis will probably deliver very quickly and without problems]
B. This indicates Francis will probably have a breech delivery
C. The fetus is in the most common anterior fetal positions
D. this position is referred to as being left anteriopelvic
43. While interviewing a woman in labor, the nurse would address which of the following?
A. whether the pregnancy was planned
C. maternal concerns regarding fetal health
B. the use of medications during pregnancy
D. all of the above
44. If a woman will be placing her baby for adoption, which of the following nursing measures should be implemented
during the labor stages?
A. avoid discussing the baby during the historical assessment to minimize the womans anxiety
B. support the woman as needed by accepting the decisions she makes regarding holding the baby
C. protect the woman from visitors and family members who might try to change her mind
D. take the baby away as soon as possible after birth to prevent bonding from occurring
45. During the third stage of labor, the nurse may have which of the following responsibilities?
A. administration of intramuscular Oxytocin to facilitate uterine contractility
B. monitoring for blood loss greater than 100 cc, which would indicate gross hemorrhage
C. noting if the placenta makes a Schultz presentation, which is a sign of gross complication
D. pushing down on the relaxed uterus to aid in the removal of the placenta
46. Immediately following episiotomy repair, the nurse would do which of the following?
A. cleanse the womans anal area, then perineum and vulva, to remove any fecal incontinence or vaginal
secretions
B. monitor the woman for shaking and complaints of chill sensations, which may indicate an adverse reaction
to medications
C. palpate the uterus fundus for size, consistency and position and take vital signs to obtain baseline data
D. remove all coverings except a clean, light hospital gown to prevent the development of postpartal fever
47. Mr. Tony has been hospitalized for months following special spinal cord surgery. The boys club in his hometown was
renamed the Tony boys club, and a parade is planned to honor Mr. Tony. Such community action should positively
influence Mr. Tonys:
A. self-perception and self concept
C. health perception and health maintenance
B. cognition and perception
D. coping and stress tolerance
48. Which of the following conditions is not true about contraindication to immunization?
A. do not give BCG if the child has known hepatitis
B. do not give BCG if the child has known AIDS
C. do not give DPT to a child who has recurrent convulsion or active neurologic disease
D. do not give DPT2 or DPT3 to a child who has had convulsions within 3 days of DPT1
49. Which of the following might prevent the conduct of a research study?
A. in order to gather data for the research, excessive risk to subject is required
B. costs for conducting the study are low compared to the potential benefits from the researcher
C. the identified problem is covered in the literature
D. the research problem is based on untested nursing theories

50. Marsha is concerned she may loose an excessive amount of blood with cesarean surgery. What is the usual amount
of blood loss with cesarean birth?
A. 250 350 ml
C. 100 220 ml
C. 500 1000 ml
D. 300 500 ml
51. If the child is 4 months, which of the following questions SHOULD NOT be included in checking the general danger
signs?
A. ask if the child is eating well during illness
C. ask if the child has had no convulsion
B. ask if the child is able to breastfeed
D. ask if the child vomits everything
52. Arnie, like all newborns, can loose body heat by conduction. Under which conditions is this most apt to occur?
A. if the nursery is cooled by air conditioning
C. if Arnie is placed in a cold bassinet
B. if the infant is wet from amniotic fluid
D. if there is a breeze from an open window
53. You have just entered Mr. Tiangcos room and observed him lying on the floor next to the bed. The side rails on the
bed are down. When you asked Mr. Tiangco what happened, he replies. I was asleep and the next thing I knew I was on
the floor. Which of the following examples of documentation is MOST APPROPRIATE for this situation?
A. Lying on floor next to bed. No complaints verbalized. Side rails down. Appears to have fallen out of bed
while asleep.
B. Mr. Tiangco was found lying on the floor next to his bed. When asked what happened, he stated I was asleep
and the next thing I knew I was on the floor.
C. Lying on the floor, side rails down. Rolled out of bed while asleep.
D. Mr. Tiangco fell out of bed while asleep; both side rails were left down.
54. The application of public health, medical and engineering practices to health services and effectiveness of workers
may be termed as:
A. community health
C. school health
B. occupational health
D. mental health
55. A literature review should be:
A. brief and limited
B. broad and theoretical

C. systematic and exhaustive

D. general and context

56. The Santiago Family lives in a makeshift house in Julugan, Tanza, Cavite. Composed of 8 members, the eldest son
Rhio is 7 years old. Rhean is 6, Queenie and Quency are twins 5, Peter is 4 and the youngest is 6 months old named
Oscar. Aling Rosa works in a laundry earning Php 1,500.00 a month and husband Mang Sony works as fish vendor
earning Php 150.00 per day. Peter and the twins are enrolled in the day care. Rhio and Rhean stopped studying to help
their parents for their younger brothers and sisters. With the current condition besetting the Santiago family, which of the
following interventions can lend assistance to them?
A. refer the children to a hospice care facility
B. assist Aling Rosa to be referred to the DSWD for livelihood assistance
C. give Aling Rosas family a Php 2,000.00 worth of capital for them to put a fishball stand
D. advise Aling Rosa to use contraceptive pills
57. Every year we discover new methods or gadgets to improve mans life. The research typed used of this nature is:
A. applied
C. experimental
B. developmental
D. quantitative
58. When should the mother give complementary foods to a 5 months old infant?
A. if the child gives adequate weight for his age
B. if the child shows interest in semi solid foods
C. supplementary foods should be given before breastfeeding
D. if the child is breastfed less than 8 times in 24 hours
59. Hepatitis A is differentiated from hepatitis B by their mode of transmission. Hepatitis B is transmitted through:
A. insect bites
C. transfusion and injection
B. urine
D. fecal waste
60. The nurse wants to immunize a 1 year old child for measles. The child has been classified as having pneumonia and
no anemia and not very low weight. The childs mother does not want her child to be immunized and instead they will just
return as soon as the child is better. How will the nurse explain the importance of immunizing the child with measles now?
A. the childs condition is not a hindrance to immunization according to W.H.O.
B. the child has lower resistance and more prone to disease
C. the child will recover faster if the child will be immunized
D. it is the childs schedule to have the immunization
61. To implement the case finding aspect of TB control, sputum examination should be done to the following groups:
A. children 0-9 years old with cough for 2 weeks or more
B. all persons of all ages above 1 year with symptoms indicative of tuberculosis
C. children below 10 years old with fever for 3-5 days
D. all persons ages 10 years and over with progressive loss of weight

62. Mr. Barmonte was brought home with an advance directive, but the nurse is not sure that she can follow his wishes.
The nurse should:
A. follow the directive even though the nurse is uncomfortable with the directives
B. call Mr. Barmontes lawyer
C. discuss with the interdisciplinary team in charge of Mr. Barmonte and the organizations ethics committee
D. ignore the advance directive
63. A term concerning body resistance which refers to protein present in the serum of the blood:
A. antibodies
C. antigen
B. antitoxin
D. allergen
64. A health care service in which risk factors are identified, occupational safety measures reduce, and a public education
program begun is:
A. health promotion
C. treatment facility
B. illness prevention
D. rehabilitation
65. A community health nurse (CHN) visits the Gomez family weekly. Although family income seems adequate, Mrs.
Gomez is unable to budget it over a 4-week period. The nurse asks what may be done to help Mrs. Gomez shrugs her
shoulders and says, Tomorrow may never come. Mrs. Gomezs reaction is described as:
A. reflecting her culture, values, and time orientation
B. one of not caring about her familys needs
C. her belief that income may not be adequate as perceived by the CHN
D. indicating that her budget needs is a private matter
66. A positive or negative feeling toward a person, object, or idea is known as a/an:
A. merit
C. moral
B. value
D. attitude
67. When the nurse assists the clients in understanding personal values, this is an example of value:
A. validation
C. clarification
B. discovery
D. choice
68. While doing a nutritional assessment of a low-income family, the community health nurse determines the familys diet
is inadequate in protein content. The nurse could suggest which of the following foods to increase protein content with
little increase in food expenditure?
A. oranges and potatoes
C. rice and macaroni
B. potatoes and rice
D. peas and beans
69. A new mother who is breast-feeding her baby asks the nurse when she should start her feeding baby vegetables. The
nurse would suggest the MOST APPROPRIATE age to begin vegetables is:
A. 3 to 4 months
C. 6 to 8 months
B. 4 to 5 months
D. 9 to 12 months
70. Assessment areas for the nurse is working with the family on health promotion strategies would include:
A. the television shows that they watch
C. the perceived health status and illness patterns of the
family
B. the family and all the relatives statuses
D. the mental status of family and friends
71. The nurse manager wishes to implement a new way of determining the vacation schedule for the staff. The senior staff
opposes the change while the newer staff seems more accepting of the change. An effective strategy for resolving this
difference in acceptance would be to:
A. explain that the change will occur as designed, regardless of the staffs preference
B. tell the staff that if they really do not want the change, it will not be implemented
C. provide extensive and detailed rationale for the proposed change
D. encourage each side to share their views with each other
72. The following are the duties of the Public Health Nurse EXCEPT:
A. leave to the BHW the responsibilities of educating the community
B. provision of nursing care to the sick and well individuals
C. provision of technical and administrative support to rural health midwives
D. conduct of pre and post consultation conference for clinic patients
73. An 8 month old has fast breathing if he has:
A. 40 breaths per minute
B. 55 breaths per minute

C. 38 breaths per minute

D. 45 breaths per minute

74. The following are the concerns of the Public Health Nurse on the third trimester of pregnancy EXCEPT:
A. advice for the mother to take oral contraceptive
B. where to give birth
C. proper timing in the separation of mother to other siblings
D. type of feeding

75. When a child with persistent diarrhea returns for follow-up visit after 5 days, the nurse should ask the mother if the
diarrhea has stopped when:
A. the child has less than 3 loose bowels per day
B. the child has 4 semi formed stool
C. the child has 5 formed stools
D. the child has 3 loose stools/day
76. In barangay Y, one of the identified problems is unavailability of toilet facility for the residents. The appropriate
intervention is:
A. secure donations in the form of toilet bowls
B. ask help from local government
C. none of the above
D. conduct a community assembly and discuss the consequences of this problems
77. A home visit is a professional interaction between the community health nurse and his patient or the family. Where
could the nurse get available information about the patient or the family to be visited?
A. document file
C. doctors office
B. records and reports
D. family health record
78. In planning a home visit, the nurse considers the individual needs. Which of the following is a priority?
A. needs of all family members
C. follow-up of medication and treatment
B. needs recognized by the family
D. clinic schedules after home visit
79. Which of the following is the FIRST action of the nurse during a home visit?
A. greet the client or the household members
B. state the purpose or objective of the visit
C. give necessary health teaching
D. inquire about welfare and health condition of the client
80. Which factor must be considered by the nurse as vital to determine frequency of the home visit?
A. available resources
C. acceptance of the family
B. policy of the agency
D. past nursing services
81. Eating habits of the family has changed due to the existing fast food establishment in the area. What health risk
should you warn the family?
A. food-borne infection
C. increase weight
B. indigestion
D. hand washing
82. To show a mother how to help her to have good attachment of the infant during breast feeding. Which of the following
statement SHOULD NOT be included?
A. place the infant in your most convenient position
B. touch the infants lips with her nipples
C. wait until the infants mouth is widely open
D. move the infant quickly onto her breast, aiming the infants lips well below the nipple
83. When members of the community identify needs, work on its solutions with confidence in the spirit of cooperation. The
process is:
A. nurses professional effort
C. community organizing
B. government assistance
D. leadership through traditional leaders
84. In assessing the level of family cohesion, you have determined that the family is very close and has very high loyalty,
and members are highly dependent on one another. You would document this as which level of cohesion:
A. separated
C. connected
B. enmeshed
D. disengaged
85. Mrs. Ayuyao, 77 year old, has been admitted with pneumonia. Her husband asks the nurse about the living will. As a
license nurse, you remember that living wills:
A. are legally binding in all states
B. allow the court to decide when the care can be given
C. allow the individual to express his or her wishes regarding care
D. allow health workers to withhold fluids and medications
86. Maybelle is scheduled to have an ultrasound examination. What instructions would you give her before her
examination?
A. The intravenous fluid infused to dilate your uterus does not hurt the fetus
B. you will need to drink at least 3 glasses of fluid before the procedure
C. void immediately before the procedure to reduce your bladder size
D. you can have medicine for pain for any contractions cause by the test

87. What is the most common type of health problem seen in the health care system?
A. poor prenatal care
C. immobility
B. lack of information available to patients
D. increased rate of chronic disease
88. Which of the following is the best type of disease prevention?
A. immunization
C. community social events
B. yearly physical exam
D. behavior that promotes health
89. Nurses who deliver community-based care must have which of the following qualities?
A. adaptability
C. ability to be self-directed
B. tolerance of various lifestyle
D. all of the above
90. A nurse has scheduled a hypertension clinic. This service would be an example of which of the following types of
health care?
A. tertiary prevention
C. primary prevention
B. secondary prevention
D. protection
91. When providing care in a home, how might the nurse best implement infection control?
A. cleanse the hands before and after giving direct patient care
B. remove the patients wound dressings from the home
C. dispose off patients syringes in the patients garbage
D. disinfect all work areas in the patients home
92. Which of the following is a leading health problem of school-age children?
A. earaches
C. obesity
B. attention disorders
D. malnutrition
93. If the child does not have ear problem, what should the nurse do?
A. check for tender swelling behind the ear
C. check for ear drainage
B. check for ear pain
D. got to diet question, check for malnutrition
94. Nona had her pelvic measurement taken. What size should the ischial tuberosity diameter be, to be considered
adequate?
A. have the width of the symphysis pubis
C. 11 cm
B. 8 cm
D. twice the width of the conjugate diameter
95. In classifying the childs illness using the IMCI color-coded triage, each illness is classified according to whether it
requires the following EXCEPT:
A. urgent pre-referral treatment and referral
C. immunization
B. simple advice on home management
D. specific medical treatment
96. Which of the following is an example of hostile environment in terms of sexual harassment?
A. the boss assures you of a big promotion if you go out on a couple of dates with him
B. your supervisor makes masturbatory gestures every time you walk pass him
C. the personnel manager hints that the job will be yours if you cooperate sexually with him
D. your boss suggests that your raise is dependent upon having sex with him
97. Which among these activities is the concern of the Primary Level?
A. administration of BCG vaccine for a 10 days old baby
B. insertion of a nasogastric tubes to patients
C. administer diuretics such as furosemide per doctors order
D. regulate intravenous fluid drop rates
98. Which of the following vaccine in the Expanded Program of Immunization have a 4 weeks interval?
A. OPV
C. BCG
B. AMV
D. Tetanus Toxoid
99. The nurse who is planning a health promotion program with clients in the community will have the LEAST focus on:
A. assisting the clients to make informed decisions
B. organizing methods to achieve optimal mental health
C. reducing genetic risk factors for illness
D. providing information and skills to maintain lifestyle changes
100. A holistic belief system by the nurse would be most evident if the nurse:
A. incorporates client perceptions of health when planning care
B. encourages behavior modification program
C. supports goal-directed learning to improve health
D. accepts death as an outcome of life

JUNE 2007
Situation 1 Nurse Minette is an Independent Nurse Practitioner following-up referred clients in their respective
homes. Here she handles a case of POSTPARTIAL MOTHER AND FAMILY focusing on HOME CARE.
1. Nurse Minette needs to schedule a first home visit to OB client Leah. When is a first home-care visit typically made?
A. Within 4 days after discharge
C. Within 1 hour after discharge
B. Within 24 hours after discharge
D. Within 1 week of discharge
2. Leah is developing constipation from being on bed rest. What measures would you suggest she take to help prevent
this?
A. Eat more frequent small meals instead of three large one daily
B. Walk for at least half an hour daily to stimulate peristalsis
C. Drink more milk, increased calcium intake prevents constipation
D. Drink eight full glasses of fluid such as water daily
3. If you were Minette, which of the following actions would alert you that a new mother is entering a postpartal taking-hold
phase?
A. She urges the baby to stay awake so that she can breast-feed him or her
B. She tells you she was in a lot of pain all during labor
C. She says that she has not selected a name for the baby as yet
D. She sleeps as if exhausted from the effort of labor
4. At 6-week postpartum visit what should this postpartal mothers fundic height be?
A. Inverted and palpable at the cervix
C. No longer palpable on her abdomen
B. Six fingerbreadths below umbilicus
D. One centimeter above the symphysis pubis
5. This postpartal mother wants to loose the weight she gained in pregnancy, so she is reluctant to increase her caloric
intake for breast-feeding. By how much should a lactating mother increase her caloric intake during the first 6 months after
birth?
A. 350 kcal/day
B. 500 kcal/day
C. 200 kcal/day
D. 1000 kcal/day
Situation 2 As the CPE is applicable for all professional nurse, the professional growth and development of Nurses with
specialties shall be addressed by a Specialty Certification Council. The following questions apply to these special groups
of nurses.
6. Which of the following serves as the legal basis and statute authority for the Board of
Nursing to promulgate measures to effect the creation of a Specialty Certification Council
and promulgate professional development programs for this group of nurse professionals?
A. R.A. 7610
B. P.D. 223
C. R.A. 9173
D. R.A. 7164
7. By force of law, therefore, the PRC-Board of Nursing released Resolution No. 14 Series of
1999 entitled: Adoption of a Nursing Specialty Certification Program and Creation of Nursing Specialty Certification
Council. This rule-making power is called:
A. Quasi-Judicial Power
C. Quasi-Legislative Power
B. Regulatory Power
D. Executive/Promulgating Power
8. Under the PRC-Board of Nursing Resolution promulgating the adoption of a Nursing Specialty Certification Program
and Council, which two (2) of the following serves as the strongest for its enforcement?
(a) Advances made in Science and Technology have provided the climate for specialization in almost all aspects of human
endeavor; and
(b) As necessary consequence, there has emerged a new concept known as globalization which seeks to remove barriers
in trade, industry and services imposed by the national laws of countries all over the world; and
(c) Awareness of this development should impel the nursing sector to prepare our people in the services sector to meet
the above challenge; and
(d) Current trends of specialization in nursing practice recognized by the International Council of Nurses (ICN) of which
the Philippines is a member for the benefit of the Filipino in terms of deepening and refining nursing practice and
enhancing the quality of nursing care.
A. b & c are strong justifications
B. a & b are strong justifications

C. a & c are strong justifications

D. a & d are strong justifications

9. Which of the following IS NOT a correct statement as regards Specialty Certification?

A. The Board of Nursing intended to create the Nursing Specialty Certification Program as a means of perpetuating the
creation of an elite force of Filipino Nurse Professionals.
B. The Board of Nursing shall oversee the administration of the NSCP through the various Nursing Specialty Boards
which will eventually be created
C. The Board of Nursing at the time exercised their powers under R.A. 7164 in order to adopt the creation of the Nursing
Specialty Certification Council and Program
D. The Board of Nursing consulted nursing leaders of national nursing associations and other concerned nursing groups
which later decided to ask a special group of nurses of the program for nursing specialty Certification.

10. The NSCC was created for the purpose of implementing the Nursing Specialty policy under the direct supervision and
stewardship of the Board of Nursing. Who shall comprise the NSCC?
A. A Chairperson who is the current President of the APO; a member from the Academe; and the last member coming
from the Regulatory Board
B. The chairperson and members of the Regulatory Board ipso facto acts as the CPE Council
C. A Chairperson, chosen from among the Regulatory Board members; a Vice Chairperson appointed by the BON atlarge; two other members also chosen atlarge; and one representing the consumer group;
D. A Chairperson who is the President of the Association from the Academe; a member from the Regulatory Board; and
the last member coming from the APO
Situation 3 Nurse Anna is a new BSN graduate and has just passed her Licensure Examination for Nurses in
the Philippines. She has likewise been hired as a new Community Health Nurse in one of the Rural Health Units in
their City, which of the following conditions may be acceptable TRUTHS applied to Community Health Nursing
Practice.
11. Which of the following is the primary focus of community health nursing practice?
A. Cure of illnesses
B. Prevention of illnesses
C. Rehabilitation back to health D. Promotion of health
2. In community health nursing, which of the following is our unit of service as nurses?
A. The community
C. The individual members of the Barangay
B. The extended members of every family
D. The Family
13. A very important part of the Community Health Nursing Assessment Process includes:
A. the application of professional judgment in estimating importance of facts to family and community
B. evaluation structures and qualifications of health center team
C. coordination with other sectors in relation to health concerns
D. carrying out nursing procedures as per plan of action
14. In community health nursing it is important to take into account the family health data coupled with an equally
important need to perform ocular inspection of the area as activities
which are powerful elements of:
A. evaluation
B. assessment
C. implementation
D. planning
15. The initial step in PLANNING process in order to engage in any nursing project or activities at the community level
involves
A. goal-setting
B. monitoring
C. evaluation of data
D. provision of data
Situation 4 Please continue responding as a professional nurse in these other health situations through the
following questions.
16. Transmission of HIV from an infected individual to another person occurs:
A. Most frequently in nurses with needlesticks
C. Most commonly as a result of sexual contact
B. Only if there is a large viral load in the blood
D. In all infants born to women with HIV infection
17. The medical record of a client reveals a condition in which the fetus cannot pass through the maternal pelvis. The
nurse interprets this as:
A. Contracted pelvis
B. Maternal disproportion
C. Cervical insufficiency
D. Fetopelvic disproportion
18. The nurse would anticipate a cesarean birth for a client who has which infection present at the onset of labor?
A. Herpes-simplex virus
B. Human papilloma virus
C. Hepatitis
D. Toxoplasmosis
19. After a vaginal examination, the nurse determines that the clients fetus is in an occiput posterior position. The nurse
would anticipate that the client will have:
A. A precipitous birth
B. Intense back pain
C. Frequent leg cramps
D. Nausea and vomiting
20. The rationales for using a prostaglandin gel for a client prior to the induction of labor is to:
A. Soften and efface the cervix
C. Prevent cervical lacerations
B. Numb cervical pain receptors
D. Stimulate uterine contractions
Situation 5 Nurse Lorena is a Family Planning and Infertility Nurse Specialist and currently attends to FAMILY
PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meeting the nursing needs
of this particular population group.
21. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?
A. Prostaglandins released from the cut fallopian tubes can kill sperm
B. Sperm can not enter the uterus because the cervical entrance is blocked.
C. Sperm can no longer reach the ova, because the fallopian tubes are blocked
D. The ovary no longer releases ova as there is no where for them to go.
22. The Dators are a couple undergoing testing for infertility. Infertility is said to exist when:
A. a woman has no uterus
B. a woman has no children
C. a couple has been trying to conceive for 1 year
D. a couple has wanted a child for 6 months

23. Another client named Lilia is diagnosed as having endometriosis. This condition interferes with fertility because:
A. endometrial implants can block the fallopian tubes
B. the uterine cervix becomes inflamed and swollen
C. the ovaries stop producing adequate estrogen
D. pressure on the pituitary leads to decreased FSH levels
24. Lilia is scheduled to have a hysterosalphingogram. Which of the following instructions would you give her regarding
this procedure?
A. She will not be able to conceive for 3 months after the procedure
B. The sonogram of the uterus will reveal any tumors present
C. Many women experience mild bleeding as an after effect
D. She may feel some cramping when the dye is inserted
25. Lilias cousin on the other hand, knowing nurse Lorenas specialization asks what artificial insemination by donor
entails. Which would be your best answer if you were Nurse Lorena?
A. Donor sperm are introduced vaginally into the uterus or cervix
B. Donor sperm are injected intra-abdominally into each ovary
C. Artificial sperm are injected vaginally to test tubal patency
D. The husbands sperm is administered intravenously weekly
Situation 6 There are other important basic knowledge in the performance of our task as Community Health
Nurse in relation to IMMUNIZATION, these include:
26. The correct temperature to store vaccines in a refrigerator is:
A. between -4 deg C and +8 deg C
C. between -8 deg C and 0 deg C
B. between 2 deg C and +8 deg C
D. between -8 deg C and +4 deg C
27. Which of the following vaccines is not done by intramuscular (IM) injection?
A. Measles vaccine
B. DPT
C. Hepa-B vaccine
28. This vaccine content is derived from RNA recombinants.
A. Measles
B. Tetanus toxoids
C. Hepatitis B vaccines

D. Tetanus toxoids
D. DPT

29. This is the vaccine needed before a child reaches one (1) year in order for him/her to qualify as a :fully immunized
child.
A. DPT
B. Measles
C. Hepatitis B
D. BCG
30. Which of the following dose of tetanus toxoid is given to the mother to protect her infant from neonatal tetanus and
likewise provide 10 years protection for the mother?
A. Tetanus toxoid 3
B. Tetanus toxoid 2
C. Tetanus toxoid 1
D. Tetanus toxoid 4
Situation 7 Records contain those comprehensive descriptions of patients health conditions and needs and at
the same serve as evidences of every nurses accountability in the care giving process. Nursing records normally
differ from institution to institution nonetheless they follow similar patterns of meeting needs for specific types of
information. The following pertains to documentation/records management.
31. This special form is used when the patient is admitted to the unit. The nurse completes the information in this record
particularly his/her basic personal data, current illness, previous health history, health history of the family, emotional
profile, environmental history as well as physical assessment together with nursing diagnosis on admission. What do you
call this record?
A. Nursing Kardex
C. Medicine and Treatment Record
B. Nursing Health History and Assessment Worksheet
D. Discharge Summary
32. These are sheets/forms which provide an efficient and time saving way to record information that must be obtained
repeatedly at regular and/or short intervals of time. This does not replace the progress notes; instead this record of
information on vital signs, intake and output, treatment, postoperative care, post partum care, and diabetic regimen, etc.
This is used whenever specific measurements or observations are needed to be documented repeatedly. What is this?
A. Nursing Kardex
C. Discharge Summary
B. Graphic Flow Sheets
D. Medicine and Treatment Record
33. These records show all medications and treatment provided on a repeated basis. What do you call this record?
A. Nursing Health History and Assessment Worksheet
C. Nursing Kardex
B. Discharge Summary
D. Medicine and Treatment Record
34. This flip-over card is usually kept in a portable file at the Nurses Station. It has 2-parts: the activity and treatment
section and a nursing care plan section. This carries information about basic demographic data, primary medical
diagnosis, current orders of the physician to be carried out by the nurse, written nursing care plan, nursing orders,
scheduled tests and procedures, safety precautions in patient care and factors related to daily living activities.
This record is used in the charge-of-shift reports or during the bedside rounds or walking rounds. What record is this?
A. Discharge Summary
B. Medicine and Treatment Record
C. Nursing Health History and Assessment Worksheet
D. Nursing Kardex

35. Most nurses regard this conventional recording of the date, time, and mode by which the patient leaves a healthcare
unit but this record includes importantly, directs of planning for discharge that starts soon after the person is admitted to a
healthcare institution. It is accepted that collaboration or multidisciplinary involvement (of all members of the health team)
in discharge results in comprehensive care. What do you call this?
A. Discharge Summary
C. Medicine and Treatment Record
B. Nursing Kardex
D. Nursing Health History and Assessment Worksheet
Situation 8 As Filipino Professional Nurses we must be knowledgeable about the Code of Ethics for Filipino
Nurse and practice these by heart. The next questions pertain to this Code of Ethics.
36. Which of the following is TRUE about the Code of Ethics of Filipino Nurses?
A. The Philippine Nurses Association for being the accredited professional organization was given the privilege to
formulate a Code of Ethics for Nurses which the Board of Nursing promulgated
B. Code for Nurses was first formulated in 1982 published in the Proceedings of the Third Annual Convention of the PNA
House of Delegates
C. The present code utilized the Code of Good Governance for the Professions in the Philippines
D. Certificates of Registration of registered nurses may be revoked or suspended for violations of any provisions of the
Code of Ethics.
37. Based on the Code of Ethics for Filipino Nurses, what is regarded as the hallmark of nursing responsibility and
accountability?
A. Human rights of clients, regardless of creed and
C. Health, being a fundamental right of every individual
gender
D. Accurate documentation of actions and outcomes
B. The privilege of being a registered professional
nurses
38. Which of the following nurses behavior is regarded as a violation of the Code of Ethics of
Filipino Nurses?
A. A nurse withholding harmful information to the family members of a patient
B. A nurse declining commission sent by a doctor for her referral
C. A nurse endorsing a person running for congress.
D. Nurse Reviewers and/or nurse review center managers who pays a considerable amount of cash for reviewees who
would memorize items from the licensure exams and submit these to them after the examination.
39. A nurse should be cognizant that professional programs for specialty certification by the Board of Nursing accredited
through the:
A. Professional Regulation Commission
C. Association of Deans of Philippine Colleges of
B. Nursing Specialty Certification Council
Nursing
D. Philippine Nurse Association
40. Mr. Santos, R.N. works in a nursing home, and he knows that one of his duties is to be an advocate for his patients.
Mr. Santos knows a primary duty of an advocate is to;
A. act as the patients legal representative
C. safeguard the well being of every patient
B. complete all nursing responsibilities on time
D. maintain the patients right to privacy
Situation 9 Nurse Joanna works as an OB-Gyne Nurse and attends to several HIGH-RISK PREGNANCIES:
Particular women with preexisting or Newly Acquired illness. The following conditions apply
41. Bernadette is a 22-year old woman. Which condition would make her more prone than others to developing a Candida
infection during pregnancy?
A. Her husband plays golf 6 days a week
C. She usually drinks tomato juice for breakfast
B. She was over 35 when she became pregnant
D. She has developed gestational diabetes
42. Bernadette develops a deep vein thrombosis following an auto accident and is prescribed heparin sub-Q. What should
Joanna educate her about in regard to this?
A. Some infants will be born with allergic symptoms to heparin
B. Her infant will be born with scattered petechiae on his trunk
C. Heparin can cause darkened skin in newborns
D. Heparin does not cross placenta and so does not affect a fetus
43. The cousin of Bernadette with sickle-cell anemia alerted Joanna that she may need further instruction on prenatal
care. What statement signifies this fact?
A. Ive stopped jogging so I dont risk becoming dehydrated.
B. I take an iron pill every day to help grow new red blood cells
C. I am careful to drink at least eight glasses of fluid every day
D. I understand why folic acid is important for red cell formation
44. Bernadette routinely takes acetylsalicylic acid (aspirin) for arthritis. Why should she limit or discontinue this toward the
end of pregnancy?
A. Aspirin can lead to deep vein thrombosis following birth
B. Newborns develop a red rash from salicylate toxicity
C. Newbors develop withdrawal headaches from salicylates
D. Salicylates can lead to increased maternal bleeding at childbirth

45. Bernadette received a laceration on her leg from her automobile accident. Why are lacerations of lower extremities
potentially more serious in pregnant women than others?
A. Lacerations can provoke allergic responses because of gonadothropic hormone
B. Increased bleeding can occur from uterine pressure on leg veins
C. A woman is less able to keep the laceration clean because of her fatigue
D. Healing is limited during pregnancy, so these will not heal until after birth.
Situation 10 Still in your self-managed Child Health Nursing Clinic, you encounter these cases pertaining to the
CARE OF CHILDREN WITH PULMONARY AFFECTIONS.
46. Josie brought her 3 months old child to your clinic because of cough and colds. Which of the following is your primary
action?
A. Give cotrimoxazole tablet or syrup
B. Assess the patient using the chart on management of children with cough
C. Refer to the doctor
D. Teach the mother how to count her childs breathing
47. In responding to the care concerns of children with severe disease, referral to the hospital is of the essence especially
if the child manifests which of the following?
A. Wheezing
B. Stop feeding well
C. Fast breathing
D. Difficulty to awaken
48. Which of the following is the most important responsibility of a nurse in the prevention of unnecessary deaths from
pneumonia and other severe diseases?
A. Giving antibiotics
C. Provision of Careful Assessment
B. Taking of the temperature of the sick child
D. Weighing of the sick child
49. You were able to identify factors that lead to respiratory problems in the community where your health facility serve.
Your primary role therefore in order to reduce morbidity due to pneumonia is to:
A. Teach mothers how to recognize early signs and symptoms of pneumonia
B. Make home visits to sick children
C. Refer cases to hospitals
D. Seek assistance and mobilize the BHWs to have a meeting with mothers
50. Which of the following is the principal focus of the CARI program of the Department of Health?
A. Enhancement of health team capabilities
B. Teach mothers how to detect signs and where to refer
C. Mortality reduction through early detection
D. Teach other community health workers how to assess patients.
Situation 11 You are working as a Pediatric Nurse in your own Child Health Nursing Clinic. The following cases
pertain to ASSESSMENT AND CARE OF THE NEWBORN AT RISK conditions.
51. Theresa, a mother with a 2 year old daughter asks, at what age can I be able to take the blood pressure of my
daughter as a routine procedure since hypertension is common in the family? Your answer to this is:
A. At 2 years you may
C. When shes 3 years old
B. As early as 1 year old
D. When shes 6 years old
52. You typically gag children to inspect the back of their throat. When is it important NOT to elicit a gag reflex?
A. when a girl has a geographic tongue
C. When a child has symptoms of epiglottitis
B. When a boy has a possible inguinal hernia
D. When children are under 5 years of age
53. Baby John was given a drug at birth to reverse the effects of a narcotic given to his mother in labor. What drug is
commonly used for this:
A. Naloxone (Narcan) B. Morphine Sulfate
C. Sodium Chloride
D. Penicillin G
54. Why are small-for-gestational-age newborns at risks for difficulty maintaining body temperature?
A. They do not have as many fat stores as other infants
B. They are more active than usual so throw off covers
C. Their skin is more susceptible to conduction of cold
D. They are preterm so are born relatively small in size
55. Baby John develops hyperbilirubinemia. What is a method used to treat hyperbilirubinemia in a newborn?
A. Keeping infants in a warm and dark environment
B. Administration of cardiovascular stimulant
C. Gentle exercise to stop muscle breakdown
D. Early feeding to speed passage of meconium
Situation 12 You are the nurse in the Out-Patient Department and during your shift you encountered multiple
childrens condition. The following questions apply.
56. You assessed a child with visible severe wasting, he has:
A. edema
B. LBM
C. Kwashiorkor

D. Marasmus

57. Which of the following conditions is NOT true about contraindication to immunization?
A. do not give DPT2 or DPT3 to a child who has had convulsions within 3 days of DPT1
B. do not give BCG if the child has known hepatitis
C. do not give DPT to a child who has recurrent convulsion or active neurologic disease
D. do not give BCG if the child has known AIDS
58. Which of the following statements about immunization is NOT true:
A. A child with diarrhea who is due for OPV should receive the OPV and make extra dose on the next visit
B. There is no contraindication to immunization if the child is well enough to go home
C. There is no contraindication to immunization if the child is well enough to go home and a child should be immunized in
the health center before referral are both correct
D. A child should be immunized in the health center before referral
59. A child with visible severe wasting or severe palmar pallor may be classified as:
A. moderate malnutrition/anemia
C. not very low weight no anemia
B. severe malnutrition/anemia
D. anemia/very low weight
60. A child has some palmar pallor can be classified as:
A. moderate anemia/normal weight
B. severe malnutrition/anemia

C. anemia/very low weight

D. not very low weight no anemia

Situation 13 Nette, a nurse palpates the abdomen of Mrs. Medina, a primigravida. She is unsure of the date of
her last menstrual period. Leopolds Maneuver is done. The obstetrician told that she appears to be 20 weeks
pregnant.
61. Nette explains this because the fundus is:
A. At the level of the umbilicus, and the fetal heart can be heard with a fetoscope
B. 18 cm, and the baby is just about to move
C. Is just over the symphisis, and fetal heart cannot be heard
D. 28 cm, and fetal heart can be heard with a Doppler
62. In doing Leopolds Maneuver palpation which among the following IS NOT considered a good preparation:
A. The woman should lie in a supine position with her knees flexed slightly
B. The hands of the nurse should be cold so that abdominal muscles would contract and tighten
C. Be certain that your hands are warm (by washing them in warm water first if necessary)
D. The woman empties her bladder before palpation
63. In her pregnancy, she experienced fatigue and drowsiness. This probably occurs because:
A. of high blood pressure
C. the fetus utilizes her glucose stores and leaves her
B. she is expressing pressure
with a low blood glucose
D. of the rapid growth of the fetus
64. The nurse assesses the woman at 20 weeks gestation and expects the woman to report:
A. Spotting related to fetal implantation
B. Symptoms of diabetes as human placental lactogen is released
C. Feeling fetal kicks
D. Nausea and vomiting related HCG production
65. Mrs. Medina comes to you for check-up on June 2, her EDC is June 11, what do you expect during assessment?
A. Fundic ht. 2 fingers below xyphoid process, engaged
B. Cervix close, uneffaced, FH-midway between the umbilicus and symphysis pubis
C. Cervix open, fundic ht. 2 fingers below xyphoid process, floating
D. Fundic height at least at the level of the xyphoid process, engaged
Situation 14 Please continue responding as a professional nurse in theses varied health situations through the
following questions.
66. Which of the following medications would the nurse expect the physician to order for recurrent convulsive seizures of
a 10-year old child brought to your clinic?
A. Phenobarbital
B. Nifedipine
C. Butorphanol
D. Diazepam
67. RhoGAM is given to Rh-negative women to prevent maternal sensitization from occurring. The nurse is aware that in
addition to pregnancy, Rh-negative women would also receive this medication after which of the following?
A. Unsuccessful artificial insemination procedure
C. Therapeutic or spontaneous abortion
B. Blood transfusion after hemorrhage
D. Head injury from a car accident
68. Which of the following would the nurse include when describing the pathophysiology of gestational diabetes?
A. Glucose levels decrease to accommodate fetal growth
B. Hypoinsulinemia develops early in the first trimester
C. Pregnancy fosters the development of carbohydrate cravings
D. There is progressive resistance to the effects of insulin

69. When providing prenatal education to a pregnant woman with asthma, which of the following would be important for
the nurse to do?
A. Demonstrate how to assess her blood glucose levels
B. Teach correct administration of subcutaneous bronchodilators
C. Ensure she seeks treatment for any acute exacerbation
D. Explain that she should avoid steroids during her pregnancy
70. Which of the following conditions would cause an insulin-dependent diabetic client the most difficulty during her
pregnancy?
A. Rh incompatibility
C. Hyperemesis Gravidarum
B. Placenta Previa
D. Abruprtion Placenta
Situation 15 One important tool a community health nurse uses in the conduct of his/her activities is the CHN
Bag. Which of the following BEST DESCRIBES the use of this vital facility for our practice?
71. The community/Public Health Bag is:
A. a requirement for home visits
B. an essential and indispensable equipment of the community health nurse
C. contains basic medications and articles used by the community health nurse
D. a tool used by the Community health nurse is rendering effective nursing procedures during a home visit
72. What is the rationale in the use of bag technique during home visits?
A. It helps render effective nursing care to clients or other members of the family
B. It saves time and effort of the nurse in the performance of nursing procedures
C. It should minimize or prevent the spread of infection from individuals to families
D. It should not overshadow concerns for the patient
73. Which among the following is important in the use of the bag technique during home visit?
A. Arrangement of the bags contents must be convenient to the nurse
B. The bag should contain all necessary supplies and equipment ready for use
C. Be sure to thoroughly clean your bag especially when exposed to communicable disease cases
D. Minimize if not totally prevent the spread of infection
74. This is an important procedure of the nurse during home visits.
A. protection of the CHN bag
C. cleaning of the CHN bag
B. arrangement of the contents of the CHN bag
D. proper hand washing
75. In consideration of the steps in applying the bag technique, which side of the paper lining of the CHN bag is
considered clean to make a non-contaminated work area?
A. The lower lip
B. The outer surface
C. The upper tip
D. The inside surface
Situation 16 As a Community Health Nurse relating with people in different communities, and in the
implementation of health programs and projects you experience vividly as well the varying forms of leadership
and management from the Barangay Level to the Local Government/Municipal or City Level.
76. The following statements can correctly be made about Organization and management:
A. An organization (or company) is people. Values make people persons; values give vitality, meaning and direction to a
company. As the people of an organization value, so the company becomes.
B. Management is the process by which administration achieves its mission, goals, and objectives.
C. Management effectiveness can be measured in terms of accomplishment of the purpose of the organization while
management efficiency is measured in terms of the satisfaction of individual motives.
D. Management principles are universal therefore, one need not be concerned about peoples, culture, values, traditions
and human relations.
A. B and C only
B. A, B and D only
C. A and D only
D. B, A and C only
77. Management by Filipino values advocate the consideration of the Filipino goals trilogy according to the Filipino priorityvalues which are:
A. Family goals, national goals, organizational goals
B. Organizational goals, national goals, family goals
C. National goals, organizational goals, family goals
D. Family goals, organizational goals, national goals
78. Since the advocacy for the utilization of Filipino value-system in management has been encouraged, the Nursing
sector is no except, management needs to examine Filipino values and discover its positive potentials and harness them
to achieve:
A. Employee satisfaction
B. Organizational commitments, organizational objectives and employee satisfaction
C. Employee objectives/satisfaction, commitments and organizational objectives
D. Organizational objectives, commitments and employee objective/satisfaction/

79. The following statements can correctly be made about an effective and efficient community or even agency
managerial-leader.
A. Considers the achievement and advancement of the organization she/he represents as well as his people
B. Considers the recognition of individual efforts toward the realization of organizational goals as well as the welfare of his
people
C. Considers the welfare of the organization above all other consideration by higher administration
D. Considers its own recognition by higher administration for purposes of promotion and prestige.
A. Only C and are correct
C. B, C and D are correct
B. A, C and D are correct
D. Only A and B are correct
80. Whether management at the community or agency level, there are 3 essential types of skills managers must have,
these are:
A. Human relation skills, technical skills, and cognitive skills
B. Conceptual skills, human relation/behavioral skills, and technical skills
C. Technical skills, budget and accounting skills, skills in fund-raising
D. Manipulative skills, technical skill, resource management skills
A. A and D are correct
C. A is correct
B. B is correct
D. C and D are correct
Situation 17 You are actively practicing nurse who just finished your Graduate Studies. You learned the value of
Research and would like to utilize the knowledge and skills gained in the application of research to Nursing
service. The following questions apply to research.
81. Which type of research inquiry investigates the issues of human complexity (e.g. understanding the human
expertise)?
A. Logical position
B. Naturalistic inquiry
C. Positivism
D. Quantitative Research
82. Which of the following studies is based on quantitative research?
A. A study examining the bereavement process in spouses of clients with terminal cancer
B. A study exploring factors influencing weight control behavior.
C. A study measuring the effects of sleep deprivation on wound healing
D. A study examining clients feeling before, during and after a bone marrow aspiration
83. Which of the following studies is based on qualitative research?
A. A study examining clients reactions to stress after open heart surgery
B. A study measuring nutrition and weight loss/gain in clients with cancer
C. A study examining oxygen levels after endotracheal suctioning
D. A study measuring differences in blood pressure before, during and after a procedure
84. An 85 year old client in a nursing home tells a nurse, I signed the papers for that research study because the doctor
was so insistent and I want him to continue takin care of me. Which client right is being violated?
A. Right of self determination
C. Right to full disclosure
B. Right to privacy and confidentiality
D. Right not to be harmed
85. A supposition or system of ideas that is proposed to explain a given phenomenon, best defines:
A. a paradigm
B. a concept
C. a theory
D. a conceptual framework
Situation 18 Nurse Michelle works with a Family Nursing Team in Calbayog Province specifically handling a
UNICEF Project for Children. The following conditions pertain to CARE OF THE FAMILIES WITH
PRESCHOOLERS.
86. Ronnie asks constant questions. How many does a typical 3-year-old ask in a days time?
A. 1,200 or more
B. Less than 50
C. 100-200
D. 300-400
87. Ronnie will need to change to a new bed because his baby sister will need Ronnies old crib. What measure would
you suggest that his parents take to help decrease sibling rivalry between Ronnie and his new sister?
A. Move him to the new bed before the baby arrives
B. Explain that new sisters grow up to become best friends
C. Tell him he will have to share with the new baby
D. Ask him to get his crib ready for the new baby
88. Ronnies parents want to know how to react to him when he begins to masturbate while watching television. What
would you suggest?
A. They refuse to allow him to watch television
B. They schedule a health check-up for sex-related disease
C. They remind him that some activities are private
D. They give her timeout when this begins
89. How many words does a typical 12-month-old infant use?
A. About 12 words
B. Twenty or more words

C. About 50 words
D. Two, plus mama and papa

90. As a nurse. You reviewed infant safety procedures with Bryans mother. What are two of the most common types of
accidents among infants?
A. Aspiration and falls B. Falls and auto accidents
C. Poisoning and burns
D. Drowning and homicide
Situation 19 Among common conditions found in children especially among poor communities are ear
infections/problems. The following questions apply.
91. A child with ear problem should be assessed for the following, EXCEPT:
A. is there any fever? B. Ear discharge
C. If discharge is present for how long? D. Ear pain
92. If the child does not have ear problem, using IMCI, what should you as the nurse do?
A. Check for ear discharge
C. Check for ear pain
B. Check for tender swellings behind the ear
D. Go to the next question, check for malnutrition
93. A ear discharge that has been present for more than 14 days can be classified as:
A. mastoiditis
C. acute ear infection
B. chronic ear infection
D. complicated ear infection
94. An ear discharge that has been present for less than 14 days can be classified as:
A. chronic ear infection
C. acute ear infection
B. mastoiditis
D. complicate ear infection
95. If the child has severe classification because of ear problem, what would be the best thing that you as the nurse can
do?
A. instruct mother when to return immediately
C. give an antibiotic for 5 days
B. refer urgently
D. dry the ear by wicking
Situation 20 If the child with diarrhea registers one sign in the pink row and one in the yellow row in the IMCI
Chart
96. We can classify the patient as:
A. moderate dehydration
B. some dehydration

C. no dehydration

D. severe dehydration

97. The child with no dehydration needs home treatment. Which of the following is not included in the rules for home
treatment in this case:
A. continue feeding the child
C. know when to return to the health center
B. gives oresol every 4 hours
D. give the child extra fluids
98. A child who has had diarrhea for 14 days but has no sign of dehydration is classified as:
A. severe persistent diarrhea
B. dysentery
C. severe dysentery
D. persistent diarrhea
99. If the child has sunken eyes, drinking eagerly, thirsty and skin pinch goes back slowly, the classification would be:
A. no dehydration
B. moderate dehydration
C. some dehydration
D. severe dehydration
100. Carlo has had diarrhea for 5 days. There is no blood in the stool, he is irritable. His eyes are sunken, the nurse offers
fluid to Carlo and he drinks eagerly. When the nurse pinched the abdomen, it goes back slowly. How will you classify
Carlos illness?
A. severe dehydration B. no dehydration
C. some dehydration
D. moderate dehydration
JUNE 2008
1. Which statement is correct regarding the use of cervical cap?
A.
It may affect the Pap Smear result
B.
It does not need to be fitted by the physician
C.
It does not require the use of spermicidal
D.
It must be removed within 24hours
2. The major components of the communication process are?
A. Verbal, written, and nonverbal
B. Speaker, Listener and reply
C. Facial expression, tone of voice and gestures
D. Message, sender, channel, Receiver and Feedback
3. The extent of burns in children are normally assessed and expressed in terms of:
A. The amount of body surface that is unburned
B. Percentages of total body surface area (TBSA)
C. How deep the deepest burns are
D. The severity of the burns on a 1 to 5 burn scale
4. The school nurse notices a child who is wearing old, dirty, poor-fitting clothes; is always hungry; has no lunch money;
and is always tired. When the nurse asks the boy his tiredness, he talks of playing outside until midnight. The nurse will
suspect that this child is:
A. Being raised by a parent of low intelligence (IQ)

B. An orphan
C. A victim of child neglect
D. The victim of poverty
5. Which of the following indicates the type(s) of acute renal failure?
A. Four types: hemorrhagic with and without clotting, and non hemorrhagic with and without clotting
B. One type: Acute
C. Three types: Prerenal, intrarenal, postrenal
D. Two types: Acute and subacute
6. A means of facilitating professional staff development is by building upon skills, abilities and of experience of each
practitioner is called:
A. The novice to expert model
C. Career enhancement
B. Situational leadership model
D. Clinical ladder
7. Which of the following questions by the nurse would be best fit the philosophy of the nursing mutual participation model
of care (NMPMC)?
A. Have you brushed your childs teeth today?
C. Where have you been all morning?
B. How does your child look to you today?
D. Do you think your childs color is worse?
8. There are numerous definitions of the word health. Which definition below is from Florence Nightingale?
A. A state or a process of being and becoming an integrated and whole person
B. The state of being free from illness or injury
C. Being well and using every power the individual processes to the fullest extent
D. A state of complete physical, social, and mental well-being and not merely the absence of diasease or infirmity.
9. Informal communication takes place when the individual talk and is best described by saying the participants:
A. Are involved in a preexisting informal relationship
C. Have no particular agenda or protocol
B. Talk with slang words
D. Are relaxed
10. Tertiary care by the home health nurse is directed toward children with:
A. Problem is mobility
C. Minor problems
B. Short-term needs
D. Clinically apparent disease
11. The endometrium thickens during which phase of the menstrual cycle?
A. Secretory phase
B. Menstrual phase
C. Proliferative phase D. Ischemic phase
12. A measurement tool to articulate the nursing workload for a specific patient or groups of patients over a specific period
of time is called:
A. Staffing pattern
B. Sill mix
C. Bench making
D. Patient classification
13. The mother of a 9 month-old infant is concerned that the head circumference of her baby is greater than the chest
circumference. The BEST response by the nurse is:
A. These circumference normally are the same, but in some babies this just differs
B. Perhaps your baby was small for gestational age or premature
C. This is normal until the age of 1 year, when the chest will be greater
D. Let me ask you a few questions, and perhaps we can figure out the cause of this difference
14. Which of the following approaches would work best when the nurse is communicating with an infant?
A. Use an adult voice just as you would for anyone
C. Allow the child time to warm up to the nurse
B. Communicate through the caregivers
D. Respond only after the child cries for a while
15. Evidence-based care started in medicine as a way to:
A. Promote technological advances in medicine
B. Incorporate collaboration within all health care disciplines
C. Integrate individual experience with clinical research
D. Teach medical students the art and science of medicine
16. Martina develops endometritis. What would be the best activity for her?
A. lying in bed with a cold cloth on her forehead
C. sitting with her feet elevated while playing cards
B. reading while resting in a trendelenburg position
D. walking around her room listening to music
17. Grace sustained a laceration on her leg from automobile accident. Why are lacerations of lower extremities potentially
more serious among pregnant women than other?
A. lacerations can provoke allergic responses due to gonadotropic hormone release
B. a woman is less able to keep the laceration clean because of her fatigue
C. healing is limited during pregnancy so these will not heal until after birth
D. increased bleeding can occur from uterine pressure on leg veins

18. Fely has diarrhea for 2 days. She has sunken eyes, skin pinch goes back very slowly, and she is drinking poorly and
irritable. She is not able to drink and there is no blood in the stool. How will you classify Felys illness?
A. persistent diarrhea
B. some dehydration C. severe dehydration
D. no dehydration
19. The infectious agent that causes pulmonary tuberculosis is:
A. mycobacterium tuber B. Hansens bacillus
C. Wuchereria bancrofti

D. mycobacterium diphtheria

20. Your client, who happens to be female resident of the barangay you are covering, is an adult survivor who states:
Why couldnt I make him stop the abuse? If I were stronger person, I would have been able to make him stop. Maybe it
was my fault to be abused. Based on this, which would be your most appropriate nursing diagnosis?
A. social isolation
B. anxiety C. chronic low self-esteem
D. ineffective family coping
21. Maybelle is also scheduled to have an amniocentesis to test for fetal maturity. What instructions would you give her
before this procedure?
A. void immediately before the procedure to reduce your bladder size
B. no more amniotic fluid forms afterward, that is why only a small amount is removed
C. the intravenous fluid infused to dilate your uterus does not hurt the fetus
D. the x-ray used to reveal your fetus position has no long-term effects
22. When planning teaching strategy for a pregnant woman, the nurse should do which of the following?
A. give information about how the woman can manage the specific problems she identifies as relevant in her life
B. omit information related to minor pains of pregnancy to prevent the woman from developing hypochondria
C. provide all information to the woman in a group session with other pregnant women so she can have someone
to discuss it with
D. during the first prenatal visit, teach a woman the care measures necessary for health promotion throughout
the pregnancy
23. Which of the following symptoms is LESS commonly noted in EARLY pregnancy?
A. frequency of urination B. chills and fever
C. varicosities
D. Braxton Hicks Contractions
24. Bonnie, 3 months pregnant, has reported for her first prenatal visit. The nurse should instruct her to do which of the
following?
A. eat more dairy products and green leafy vegetables to provide an additional 300 calories each day
B. increase her intake of carbohydrates-breads and sweets to prevent protein metabolism
C. eat whenever she feels hungry because her body will let her know when she needs nutrients and extra calories
D. limit intake of amino acids to prevent development of diabetic ketoacidosis
25. The nurse is assisting Mr. and Mrs. Cruz to prepare for childbirth in the home setting. Which of the following supplies
should be readily available for the infant immediately after birth?
A. vitamin K to avoid bleeding
C. bulb syringe to suction fluid and mucous from the
B. mild soap without perfume so as not to irritate the
mouth
skin
D. heating lamp to avoid chilling from water
evaporation
26. You were the nurse assigned to work with a child who has had whole brain radiation. You have assessed the child to
be sleeping up to 20 hours a day and is having some nausea, malaise, fever and dysphasia. Based on this assessment,
you are to work with the patients in which of the following areas.
A. Accepting a reoccurrence of the tumor
C. Caring for the dying child
B. Dealing with the side effects of radiation therapy
D. Accepting the imminent death of their child
27. The nurse is planning interventions for a child who has inflammatory bowel disease (IBD) with a nursing diagnosis of
Nutrition: Less than body requirements. Which of the following interventions will be most helpful in resolving this nursing
problem?
A. Two large meals a day instead of several minerals and snacks
B. Special IBD diet (diet that has been proven effective for crating IBD)
C. Salt free diet, high in potassium, vitamins and minerals
D. Diet as tolerated with lactose hydrolyzed milk instead of milk products and omission or highly seasoned foods and
reduction of fiber.
28. Emotional intelligence consists of a number of competencies. Some of these are listed below. Which is NOT a
characteristic of emotional intelligence?
A. Self-esteem
B. self-awareness
C. Empathy
D. Self-regulation
29. Data Collection for driving and restraining forces, including costs, desirability and feasibility is a:
A. People issue
B. Structural issue
C. Political issue
D. Technology issue
30. One of four factors describing the experience of sexually abused children and the effect it has on their growth and
development is stigmatization. Stigma will occur when:
A. A child blames him or himself for the sexual abuse and begins to withdraw and isolate
B. Newspapers and media dont keep sexual abuse private and accidentally or on purpose reveal the name of the victim.
C. The child as been blamed by the abuser for his or her sexual behaviors, saying that the child asked to be touched or
did not make the abuser to stop

D. The childs agony is shared by other members of the family or friends when the sexual abuse becomes public
knowledge
Situation Nurse Anna is a new BSN graduate and has just passed her Licensure Examination for Nurses in
the Philippines. She has likewise been hired as a new Community Health Nurse in one of the Rural Health Units in
their City, which of the following conditions may be acceptable TRUTHS applied to Community Health Nursing
Practice.
31. Which of the following is the primary focus of community health nursing practice?
A. Cure of illnesses
C. Rehabilitation back to health
B. Prevention of illnesses
D. Promotion of health
32. In community health nursing, which of the following is our unit of service as nurses?
A. The community
C. The individual members of the Barangay
B. The extended members of every family
D. The Family
33. A very important part of the Community Health Nursing Assessment Process includes:
A. the application of professional judgment in estimating importance of facts to family and community
B. evaluation structures and qualifications of health center team
C. coordination with other sectors in relation to health concerns
D. carrying out nursing procedures as per plan of action
34. In community health nursing it is important to take into account the family health data coupled with an equally
important need to perform ocular inspection of the area as activities which are powerful elements of:
A. evaluation
B. assessment
C. implementation
D. planning
35. The initial step in PLANNING process in order to engage in any nursing project or activities at the community level
involves
A. goal-setting
B. monitoring
C. evaluation of data
D. provision of data
Situation Please continue responding as a professional nurse in these other health situations through the
following questions.
36. Transmission of HIV from an infected individual to another person occurs:
A. Most frequently in nurses with needlesticks
C. Most commonly as a result of sexual contact
B. Only if there is a large viral load in the blood
D. In all infants born to women with HIV infection
37. The medical record of a client reveals a condition in which the fetus cannot pass through the maternal pelvis. The
nurse interprets this as:
A. Contracted pelvis
B. Maternal disproportion
C. Cervical insufficiency D. Fetopelvic disproportion
38. The nurse would anticipate a cesarean birth for a client who has which infection present at the onset of labor?
A. Herpes-simplex virus
B. Human papilloma virus
C. Hepatitis
D. Toxoplasmosis
39. After a vaginal examination, the nurse determines that the clients fetus is in an occiput posterior position. The nurse
would anticipate that the client will have:
A. A precipitous birth
B. Intense back pain
C. Frequent leg cramps
D. Nausea and vomiting
40. The rationales for using a prostaglandin gel for a client prior to the induction of labor is to:
A. Soften and efface the cervix
C. Prevent cervical lacerations
B. Numb cervical pain receptors
D. Stimulate uterine contractions
Situation Nurse Lorena is a Family Planning and Infertility Nurse Specialist and currently attends to FAMILY
PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meeting the nursing needs
of this particular population group.
41. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?
A. Prostaglandins released from the cut fallopian tubes can kill sperm
B. Sperm cannot enter the uterus because the cervical entrance is blocked.
C. Sperm can no longer reach the ova, because the fallopian tubes are blocked
D. The ovary no longer releases ova as there is nowhere for them to go.
42. The Dators are a couple undergoing testing for infertility. Infertility is said to exist when:
A. a woman has no uterus
C. a couple has been trying to conceive for 1 year
B. a woman has no children
D. a couple has wanted a child for 6 months
43. Another client named Lilia is diagnosed as having endometriosis. This condition interferes with fertility because:
A. endometrial implants can block the fallopian tubes
B. the uterine cervix becomes inflamed and swollen
C. the ovaries stop producing adequate estrogen
D. pressure on the pituitary leads to decreased FSH levels

44. Lilia is scheduled to have a hysterosalphingogram. Which of the following instructions would you give her regarding
this procedure?
A. She will not be able to conceive for 3 months after the procedure
B. The sonogram of the uterus will reveal any tumors present
C. Many women experience mild bleeding as an after effect
D. She may feel some cramping when the dye is inserted
45. Lilias cousin on the other hand, knowing nurse Lorenas specialization asks what artificial insemination by donor
entails. Which would be your best answer if you were Nurse Lorena?
A. Donor sperm are introduced vaginally into the uterus or cervix
B. Donor sperm are injected intra-abdominally into each ovary
C. Artificial sperm are injected vaginally to test tubal patency
D. The husbands sperm is administered intravenously weekly
46. A child suffers a head injury in a tumbling accident in gym class. The nurses best course of action is to:
A. Get the child up walking and makes sure he or she stays awake
B. Leave the child and go get help
C. Leave the child in the care of an older child and go get help
D. Stay with the child, keep assessing and have someone call the caregivers
47. The American Academy of Pediatrics suggests that caregivers do which of the following things in regard to physical
activities for preschoolers?
A. Push the child to practice sports activities while they are more flexible
B. Encourage a variety of physical activities in a noncompetitive environment
C. Have the child engage in competitive sports to see where they excel
D. Keep physical activities to a minimum until the child is in grade school.
48. Which of the following arrangements is generally considered to be the best for the parents of hospitalized infant or
young child?
A. Rooming in
C. Day visits and sleeping at home
B. Separate caregiver sleeping room on the unit
D. Staying at a nearby hotel or motel
49. When one person allows the conflict to be resolved at his or her own expense, this is referred in conflict management
as:
A. Losing
B. Winning while losing
C. The win-lose approach
D. The lose-win approach
50. Which of the following statements best describes acquaintance rape?
A. Sexual intercourse when one person engaging in the activity is unsure about wanting to do so.
B. When two people dont love each and engage in sexual activities
C. When someone on a date tricks the other person into having sexual intercourse
D. Sexual intercourse committed with force of the threat if force of the threat Of force without a persons contact.
51. A public health nurse would instruct a pregnant woman to notify the physician immediately if which of the following
symptoms occur during pregnancy?
A. Presence of dark color in the neck
C. Swelling of the face
B. Increased vaginal discharge
D. Breast tenderness
52. A woman who is week 9 pregnant comes to the Health center with moderate bright red vaginal bleeding. On physical
examination, the physician finds the clients cervix 2 cm dilated. Which term best describes the clients condition?
A. missed abortion
B. Incomplete abortions
C. Inevitable abortion
D. Threatened abortion
53. In a big government hospital, Nurse Pura is taking care of a woman with diagnosis of abruption placenta. What
complication of this condition is most concerned to Nurse Pura?
A. Urinary tract infection
C. Hypocalcemia
B. Pulmonary embolism
D. Disseminated intravascular coagulation
54. Which of the following findings on a newly delivered womans chart would indicate she is at risk for developing
postpartum hemorrhage?
A. Post-term delivery
B. Epidural anesthesia C. Grand multiparity
D. Premature rupture of membrane
55. Mrs. Hacienda Gracia, 35 years old postpartum client is at risk of thrombophlebitis. Which of the following nursing
interventions decrease her chances of developing postpartum thrombophlebitis?
A. Breastfeeding the newborn
C. Administration of anticoagulant postpartum
B. Early ambulation
D. Immobilization and elevation of the lower extremities
Situation With increasing documented cases of CANCER the best alternative to treatment still remains to be
PREVENTION. The following conditions apply.
56. Which among the following is the primary focus of prevention of cances?
A. Elimination of conditions causing cancer
C. Treatment at early stage
B. Diagnosis and treatment
D. Early detection

57. In the prevention and control of cancer, which of the following activities is the most important function of the
community health nurse?
A. Conduct community assembles
B. Referral to cancer specialist those clients with symptoms of cancer
C. Use the nine warning signs of cancer as parameters in our process of detection, control, and treatment modalities
D. Teach woman about proper/ correct nutrition
58. Who among the following are recipients of the secondary level of care for cancer cases?
A. Those under early case detection
C. Those under early detection
B. Those under post case treatment
D. Those scheduled for surgery
59. Who among the following are recipients of the tertiary level of care for cancer cases?
A. Those under treatment
C. Those under early detection
B. Those under supportive care
D. Those scheduled for surgery
60. In Community Health Nursing, despite the availability and the use of many equipment and devices to facilitate the job
of the community health nurse, the best tool any nurse should be well be prepared to apply is a scientific approach. This
approach ensures quality of care even at the community setting. This in nursing parlance is nothing less than the:
A. Nursing diagnosis
B. Nursing protocol
C. Nursing research
D. Nursing process
61. The tone and pitch of the voice, volume, inflection, speed, grunts and other vocalizations are referred to by which of
the following terms?
A. Paraverbal clues
B. Ancillary speech
C. Third element
D. Enhancements
62. The plan-do-study-act cycle begins with:
A. Four stages
B. Five agendas

C. Three questions

D. Two concepts

63. During your shift, you noted one of your pregnant clients considered as waiting case manifests morning sickness and
which later progressed. Which assessment finding may indicate possible developing complication?
A. Maternal pulse 90
B. Trace glucose in the urine
C. FHT 155
D. 1 + ketones in the urine
64. The nurse is working with a child who is going to have a bone marrow aspiration. The physician orders TAC
(tetracaine, adrenaline and cocaine). Which of the following is the route of administration?
A. Application to the skin, covered with a dressing prior to the procedure
B. Subcutaneous
C. IV using very slow drip over approximately 4 hours prior to procedure
D. Nasal inhalation
65. Infant head control is judged by the:
A. Ability to hold the head without support
B. Presence or absence of head lag

C. Rigidity of the neck and head

D. Amount of neck wrinkling

66. Which of the following could be included in the outcome criteria for a patient with a nursing diagnosis, Knowledge
Deficit related to potential for altered tissue perfusion in fetus or mother related to maternal cardiovascular?
A.
Bedrest is maintained at home after the 36th wee of gestation
B.
Fetal heart rate will remain between 120 and 160 beats a minute
C.
Jugular vein distention is evident when lying at 45 degrees
D.
Maternal blood pressure maintained above the 150 systolic
67. Pregnant women should be taught to be careful to avoid accidental injury. They are prone to falls for which of the
following reasons?
A. additional weight from pregnancy may disturb balance when walking
B. fetal activity stimulates the nerves of the legs and causes weakness
C. high levels of hormones often impair judgment resulting in reckless behavior
D. increased adrenalin released during pregnancy causes women to move faster than usual
68 . When a nurse uses the IMCI model, the IMCI chart uses illness classification, e.g. the pink row needs:
A. no specific treatments such as antibiotics
B. urgent referral
C. appropriate antibiotics
D. no urgent measures
69. Which of the four signs of good attachment is true in this statement?
A. the chin should touch the breast while the mouth is wide open and while the lower lip is turned inward more areola is
visible above than below
B. the chin should touch the breast, the mouth is wide open while the lower lip turned outward and more areola visible
above than below
C. the chin should touch the breast while the mouth is wide open while the lower lip turned outward and more areola
visible below than above
D. the chin should touch the breast while the mouth is wide open and the lower lip turned inward, more areola is visible
above than below

70. Which type of research inquiry investigates the issues of human complexity ( e. g. understanding the human
expertise?)
A. positivism B. quantitative research
C. logical position
D. natural inquiry
71. Carol is 15 months old and weighs 5.5 kgs and it is her initial visit. Her mother says that Carol is not eating well and
unable to breastfeed, he has no vomiting, has no convulsion and not abnormally sleepy or difficult to awaken. Her
temperature is 38.9 deg C. Using the integrated management of childhood illness or IMCI strategy, if you were the nurse
in charge of Carol, how will you classify her illness?
A. a child at a general danger sign
B. very severe febrile disease

C. severe pneumonia
D. severe malnutrition

72. Why are small for gestational age newborns at risk for difficulty maintaining body temperature?
A. their skin is more susceptible to conduction of cold
B. they are preterm so are born relatively small in size
C. they do not have as many fat stored as other infants
D. they are more active than usual so they throw off comes
73. Oxytocin is administered to Rita to augment labor. What are the first symptoms of water intoxication to observe for
during this procedure?
A. headache and vomiting
B. a swollen tender tongue
C. a high choking voice
D. abdominal bleeding and pain
74. Which of the following treatment should NOT be considered if the child has severe dengue hemorrhagic fever?
A. use plan C if there is bleeding from the nose or gums
B. give ORS if there is skin Petechiae, persistent vomiting, and positive tourniquet test
C. give aspirin
D. prevent low blood sugar
75. In assessing the patients condition using the Integrated Management of Childhood Illness approach strategy, the first
thing that a nurse should do is to:
A. ask what are the childs problem
C. check for the four main symptoms
B. check the patients level of consciousness
D. check for the general danger signs
76. A child with diarrhea is observed for the following EXCEPT:
A. how long the child has
diarrhea
B. skin Petechiae

C. presence of blood in the stool

D. signs of dehydration

77. The child with no dehydration needs home treatment. Which of the following is NOT included in the care for home
management at this case?
A. give drugs every 4 hours
B. continue feeding the child

C. give the child more fluids

D. inform when to return to the health center

78. Ms. Jordan, RN, believes that a patient should be treated as individual. This ethical principle that the patient referred
to:
A. beneficence B. nonmaleficence
C. respect for person
D. autonomy
79. When patients cannot make decisions for themselves, the nurse advocate relies on the ethical principle of:
A. justice and beneficence
B. fidelity and nonmaleficence

C. beneficence and nonmaleficence

D. fidelity and justice

80. Being a community health nurse, you have the responsibility of participating in protecting the health of people.
Consider this situation: Vendors selling bread with their bare hands. They receive money with these hands. You do not
see them washing their hands. What should you say/do?
A. Miss, may I get the bread myself because you have not washed your hands
B. All of these
C. Miss, it is better to use a pick up forceps/ bread tong
D. Miss, your hands are dirty. Wash your hands first before getting the bread
Situation 7 Nurse Joanna works as an OB-Gyne Nurse and attends to several HIGH-RISK
PREGNANCIES: Particular women with preexisting or Newly Acquired illness. The following conditions apply
81. Bernadette is a 22-year old woman. Which condition would make her more prone than others to developing a Candida
infection during pregnancy?
A. Her husband plays golf 6 days a week
B. She was over 35 when she became pregnant

C. She usually drinks tomato juice for breakfast

D. She has developed gestational diabetes
82. Bernadette develops a deep vein thrombosis following an auto accident and is prescribed heparin sub-Q. What should
Joanna educate her about in regard to this?
A. Some infants will be born with allergic symptoms to heparin
B. Her infant will be born with scattered petechiae on his trunk
C. Heparin can cause darkened skin in newborns
D. Heparin does not cross placenta and so does not affect a fetus
83. The cousin of Bernadette with sickle-cell anemia alerted Joanna that she may need further instruction on prenatal
care. What statement signifies this fact?
A. Ive stopped jogging so I dont risk becoming dehydrated.
B. I take an iron pill every day to help grow new red blood cells
C. I am careful to drink at least eight glasses of fluid every day
D. I understand why folic acid is important for red cell formation
84. Bernadette routinely takes acetylsalicylic acid (aspirin) for arthritis. Why should she limit or discontinue this toward the
end of pregnancy?
A. Aspirin can lead to deep vein thrombosis following birth
B. Newborns develop a red rash from salicylate toxicity
C. Newbors develop withdrawal headaches from salicylates
D. Salicylates can lead to increased maternal bleeding at childbirth
85. Bernadette received a laceration on her leg from her automobile accident. Why are lacerations of lower extremities
potentially more serious in pregnant women than others?
A. Lacerations can provoke allergic responses because of gonadothropic hormone
B. Increased bleeding can occur from uterine pressure on leg veins
C. A woman is less able to keep the laceration clean because of her fatigue
D. Healing is limited during pregnancy, so these will not heal until after birth.
Situation 8 Still in your self-managed Child Health Nursing Clinic, you encounter these cases pertaining to the
CARE OF CHILDREN WITH PULMONARY AFFECTIONS.
86. Josie brought her 3 months old child to your clinic because of cough and colds. Which of the following is your primary
action?
A. Give cotrimoxazole tablet or syrup
C. Refer to the doctor
B. Assess the patient using the chart on management of
D. Teach the mother how to count her childs breathing
children with cough
87. In responding to the care concerns of children with severe disease, referral to the hospital is of the essence especially
if the child manifests which of the following?
A. Wheezing
B. Stop feeding well
C. Fast breathing
D. Difficulty to awaken
88. Which of the following is the most important responsibility of a nurse in the prevention of unnecessary deaths from
pneumonia and other severe diseases?
A. Giving antibiotics
C. Provision of Careful Assessment
B. Taking of the temperature of the sick child
D. Weighing of the sick child
89. You were able to identify factors that lead to respiratory problems in the community where your health facility serve.
Your primary role therefore in order to reduce morbidity due to pneumonia is to:
A. Teach mothers how to recognize early signs and symptoms of pneumonia
B. Make home visits to sick children
C. Refer cases to hospitals
D. Seek assistance and mobilize the BHWs to have a meeting with mothers
90. Which of the following is the principal focus of the CARI program of the Department of Health?
A. Enhancement of health team capabilities
B. Teach mothers how to detect signs and where to refer
C. Mortality reduction through early detection
D. Teach other community health workers how to assess patients.
Situation Among common conditions found in children especially among poor communities are ear infections/problems.
The following questions apply.
91. A child with ear problem should be assessed for the following, EXCEPT:
A. is there any fever?
C. If discharge is present for how long?
B. Ear discharge
D. Ear pain
92. If the child does not have ear problem, using IMCI, what should you as the nurse do?
A. Check for ear discharge
B. Check for tender swellings behind the ear
C. Check for ear pain

D. Go to the next question, check for malnutrition

93. A ear discharge that has been present for more than 14 days can be classified as:
A. mastoiditis
B. chronic ear infection
C. acute ear infection

D. complicated ear infection

94. An ear discharge that has been present for less than 14 days can be classified as:
A. chronic ear infection
B. Mastoiditis
C. acute ear infection

D. complicate ear infection

95. If the child has severe classification because of ear problem, what would be the best thing that you as the nurse can
do?
A. instruct mother when to return immediately
C. give an antibiotic for 5 days
B. refer urgently
D. dry the ear by wicking
Situation If the child with diarrhea registers one sign in the pink row and one in the yellow row in the IMCI
Chart:
96. We can classify the patient as:
A. moderate dehydration
B. some dehydration

C. no dehydration
D. severe dehydration

97. The child with no dehydration needs home treatment. Which of the following is not included in the rules for home
treatment in this case:
A. continue feeding the child
C. know when to return to the health center
B. gives oresol every 4 hours
D. give the child extra fluids
98. A child who has had diarrhea for 14 days but has no sign of dehydration is classified as:
A. severe persistent diarrhea
C. severe dysentery
B. dysentery
D. persistent diarrhea
99. If the child has sunken eyes, drinking eagerly, thirsty and skin pinch goes back slowly, the classification would be:
A. no dehydration
C. some dehydration
B. moderate dehydration
D. severe dehydration
100. Genetic testing should be performed on a child only if:
A. The parents both want it performed
B. It is in the best interest of the clinic

C. It is necessary for the child to survive

D. No one objects

NOVEMBER 2008
Situation 1: Mariah is a 31 year old lawyer who has been married for 6 months. She consults you for guidance in
relation with her menstrual cycle and her desire to get pregnant.
1. She wants to know the length of her menstrual cycle. Her periodic menstrual period is October 22 to 26. Her LMB is
November 21. Which of the following number of days will be your correct response?
A. 29
B. 28
C. 30
D. 31
2. You advised her to observe and record the signs of Ovulation. Which of the following signs will she likely note down?
1.
A 1 degree Farenheit rise in basal body temperature
2.
Cervical mucus becomes copious and clear
3.
One pound increase in weight
4.
Mitteischmerz
A. 1,2,4
B. 1,2,3
C. 2,3,4
D. 1,3,4
3. You instruct Mariah to keep record of her basal temperature everyday, which of the following instructions is incorrect?
A. If coitus has occured, this should be reflected in the chart
B. It is best to have coitus on the evening following a drop in BBT to become pregnant
C. Temperature should be taken immediately after waking and before getting out of bed
D. BBT is lowest during the secretory phase
4. She reports an increase in BBT on December 16. Which hormone brings about this change in her BBT?
A. Estrogen
B. Progesterone
C. Gonadootrophine
D. Follicle Stimulating Hormone
5. The following month, Mariah suspects she is pregnant. Her urine is positive for Human Chorionic Gonadotrophin. Which
structure produce HCG?
A. Pituitary Gland
B. Trophoblastic cells of the embryo
C. Uterine deciduas
D. Ovarian follicles
Situation 2: Mariah came back and she is now pregnant.
6. At 5 moths gestation, which of the following fetal development would probably be expected:
A. Fetal development are felt by Mariah
B. Vernix caseosa covers the entire body
C. Viable if delivered within this period
D. Braxton hicks contractions are observed

7. The nurse palpates the abdomen of Mariah. Now at 5 month gestation, what level of the abdomen can be the fundic
height be palpated?
A. Symphysis pubis
C. Midpoint between the Symphysis pubis the umbilicus
B. Midpoint between the umbilicus and the xiphoid
D. Umbilicus
process
8. She worries about her small breast, thinking that she probably will incapable to breastfeed her baby. Which of the
following responses of the nurse is correct?
A. The size of your breast will not affect your lactation.
B. You can switch to bottle feeding.
C. You can try to have exercise to increase the size of your breast.
D. Manual expression of milk is possible.
9. She tells the nurse that she does not take milk regularly. She claims that she does not want to gain too much weight
during her pregnancy. Which of the following nursing diagnosis is a priority?
A. Potential self-esteem disturbance related to physiologic changes in pregnancy
B. Ineffective individual coping related to physiologic changes in pregnancy
C. Fear related to the effects of pregnancy
D. Knowledge deficit regarding nutritional requirements pregnancies related to lack of information sources.
10. Which of the following interventions will likely ensure compliance of Mariah?
A. Incorporate her food preferences that are adequately nutritious in her meal plan.
B. Consistently counsel toward optimum nutritional intake
C. Respect her right to reject dietary information if she chooses
D. Information of the adverse effects of inadequate nutrition to her fetus
Situation 3: Susan is a patient in the clinic where you work. She is inquiring about pregnancy.
11. Susan tells you she is worried because she develops breast later than most of her friends. Breast development is
termed as:
A. Adrenarche
B. Mamarche
C. Thelarche
D. Menarche
12. Kevin, Susans husband tells you that he is considering vasectomy. After the birth of their new child. Vasectomy
involves the incision of which organ?
A. The testes
B. The vas deferens
C. The epididymis
D. The scrotum
13. On examination, Susan has been found of having a cystocele. A cystocele is:
A. A sebaceous cyst arising from the vulvar fold.
C. Prolapse of the uterus into the vagina
B. Protrusion of intestines into the vagina
D. Herniation of the bladder into the vaginal wall.
14. Susan typically has menstrual cycle of 34 days. She told you she had a coitus on days 8, 10 and 20 of her menstrual
cycle. Which is the day on which she is most likely to conceive?
A. 8th day
B. 10th day
C. Day 15
D. Day 20
15. While taking with Susan, 2 new patients arrived and they are covered with large towels and the nurse noticed that
there are many cameraman and news people outside of the OPD. Upon assessment the nurse noticed that both of them
are still nude and the male clients penis is still inside the female clients vagina and the male client said that I cant pull
it. Vaginismus was your first impression. You know that the psychological cause of Vaginismus is related to:
A. The male client inserted the penis too deeply that it stimulates vaginal closure
B. The penis was too large thats why the vagina triggered its defense to attempt to close
C. The vagina do not want to be penetrated
D. It is due to learning patterns of the female client where she views sex as bad or sinful.
Situation 4: Overpopulation is one problem in the Philippines that case economic drain. Most Filipinos are
against in legalizing abortion. As a nurse, Mastery of contraception is needed to contribute to the society and
economic growth.
16. Supposed that Dana, 17 years old, tells you she wants to use fertility awareness method of contraception. How will
she determine her fertile days?
A. She will notice that she feels hot as if she has an elevated temperature
B. She should assess whether her cervical mucus is thin colour, clear and watery.
C. She should monitor her emotions fro sudden anger or crying
D. She should assess whether her breast feel sensitive to cool air.
17. Dana chooses to use COC as her family planning method, what is the danger sign of COC you would ask her to
report?
A. A stuffy or runny nose
B. Arthritis like symptoms
C. Slight weight gain
D. Migraine headache
18. Dana asks about subcutaneous implants and she asks how long will these implants be effective. Your best answer is:
A. One month
C. Five years
B. Twelve month
D. 10 years

19. Dana asks about female condoms. Which of the following is true with regards to female condoms?
A. The hormone the condom releases might cause mild weight gain.
B. She should insert the condom before any penile penetration
C. She should coat the condom with spermecide before use
D. Female condoms unlike male condoms are reusable.
20. Dana has asked about GIFT procedure. What makes her a good candidate for GIFT?
A. She has patent fallopian tubes, so fertilized ova can be implanted on them.
B. She is RH negative, a necessary stipulation to rule out RH incompatibity.
C. She has normal uterus, so the sperm can be injected through the cervix into it.
D. Her husband is taking sildenafil, so all sperms will be motile.
Situation 5 Nurse Lorena is a Family Planning and Infertility Nurse Specialist and currently attends to FAMILY
PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meeting the nursing needs
of this particular population group.
21. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?
A. Prostaglandins released from the cut fallopian tubes can kill sperm
B. Sperm cannot enter the uterus because the cervical entrance is blocked.
C. Sperm can no longer reach the ova, because the fallopian tubes are blocked
D. The ovary no longer releases ova as there is nowhere for them to go.
22. The Dators are a couple undergoing testing for infertility. Infertility is said to exist when:
A. a woman has no uterus
C. a couple has been trying to conceive for 1 year
B. a woman has no children
D. a couple has wanted a child for 6 months
23. Another client named Lilia is diagnosed as having endometriosis. This condition interferes with fertility because:
A. endometrial implants can block the fallopian tubes
C. the ovaries stop producing adequate estrogen
B. the uterine cervix becomes inflamed and swollen
D. pressure on the pituitary leads to decreased FSH
levels
24. Lilia is scheduled to have a hysterosalphingogram. Which of the following instructions would you give her regarding
this procedure?
A. She will not be able to conceive for 3 months after the
C. Many women experience mild bleeding as an after
procedure
effect
B. The sonogram of the uterus will reveal any tumors
D. She may feel some cramping when the dye is
present
inserted
25. Lilias cousin on the other hand, knowing nurse Lorenas specialization asks what artificial insemination by donor
entails. Which would be your best answer if you were Nurse Lorena?
A. Donor sperm are introduced vaginally into the uterus
C. Artificial sperm are injected vaginally to test tubal
or cervix
patency
B. Donor sperm are injected intra-abdominally into each
D. The husbands sperm is administered intravenously
ovary
weekly
Situation 6: You are assigned to take care of a group of patients across the lifespan.
26. Pain in the elder persons require careful assessment because they:
A. Experienced reduce sensory perception
C. Are expected to experience chronic pain
B. Have increased sensory perception
D. Have decreased pain threshold
27. Administration of analgesics to the older persons require careful patient assessment because older people:
A. Are more sensitive drugs
C. Have increased sensory perception
B. Have increased hepatic, renal, and gastrointestinal
D. Mobilize drugs more rapidly
function
28. The elderly patient is at higher risk for urinary incontinence because:
A. Increased glomerular filtration
B. Diuretic use
C. Decreased bladder capacity
29. Which of the following is the MOST COMMON sign of infection among the elderly?
A. Decreased breath sounds with crackles
C. Pain
B. Fever
D. Change in the mental status
30. Priorities when caring for the elderly trauma patient:
A. Circulation, airway, breathing
B. Disability(Neurologic), airway, breathing
C. Airway, Breathing, Disability(Neurologic),
D. Airway, breathing, Circulation

31. Preschoolers are able to see things from which of the following perspectives?
A. Their peers
C. Their own and their mothers
B. Their own and their caregivers
D. Only their own
32. In conflict management, the win-win approach occurs when:
A. There are two conflicts and the parties agree to each one
B. Each party gives in on 50% of the disagreement making the conflict
C. Both parties involved are committed in solving the conflict
D. The conflict is settled out of court so the legal system mandates parties win.
33. According to the social-International perspective of child abuse and neglect, four factors place the family members at
risk for abuse, these risk factors are the family members at risk for abuse. These risk factors are the family itself, the
caregiver, the child and:
A. The presence of a family crisis
C. The national emphasis on sex
B. Genetics
D. Chronic poverty
34. Which of the following signs and symptoms would you most likely find when assessing an infant with Arnold-Chari
malformation?
A. Weakness of the leg muscles, loss of sensation in the legs, and restlessness
B. Difficulty swallowing diminished or absent gag reflex and respiratory distress
C. Difficulty sleeping, hypervigilant and an arching of the back
D. Paradoxical irritability, diarrhea and vomiting
35. A parent calls you and frantically reports that her child has gotten into her famous ferrous sulfate pills and ingested a
number of these pills. Her child is now vomiting, has bloody diarrhea and is complaining of abdominal pain. You will tell
the mother to:
A. Call emergency medical services (EMS) and get the child to the emergency room
B. Relax because these symptoms will pass and the child will be fine
C. Administer syrup of pecac
D. Call the poison control center
36. A client says she heard from a friend that you stop having periods once you are on the pill. The most appropriate
response would be:
A. The pill prevents the uterus from making such endometrial lining that is why period may often be scant or skipped
occasionally.
B. If your friend has missed her period, she should stop taking the pills and get a pregnancy test.
C. The pill should cause a normal menstrual period every month. It sounds like your friend has not been taking the pills
properly.
D. Missed period can be very dangerous and may lead to the formation of precancerous cells.
37. The nurse assessing newborn babies and infants during their hospital stay notice which of the following symptoms as
a primary manifestation of Hirschprungs disorder?
A. A fine rash over the trunk
B. Failure to pass meconium during the first 24 hours after birth
C. The skin turns yellow and then brown over the first 24 hours to 46 hours after birth.
D. High grade fever.
38. A client is 7 months pregnant and has just been diagnosed as having a partial placenta previa. She is able and has
minimal spotting and is being sent home. Which of these instructions to the client may indicate a need for further
teaching?
A. Maintain bed rest with bathroom privileges
C. Call if contractions occur.
B. Avoid intercourse for three days
D. Stay on left side as much as possible when lying
down.
39. A woman has been rushed to the hospital with ruptured membrane. Which of the following should the nurse check
first?
A. Check for the presence of infarction.
C. Check the maternal heart rate
B. Assess for Prolapse of the umbilical cord
D. Assess the color of the amniotic fluid
40. The nurse notes that the infant is wearing a plastic-coated diaper. If a topical medication were to be prescribed and it
were to go on the stomachs or buttocks, the nurse would teach the caregivers to:
A. Avoid covering the area of the topical medication with the diaper
B. Avoid the use of clothing on top of the diaper
C. Put the diaper on as usual
D. Apply an icepack for 5 minutes to the outside of the diaper
41. Which of the following factors is most important in determining the success of relationships used in delivering nursing
care?
A. Type of illness of the client
B. Transference and counter Transference
C. Effective communication

D. Personality of the participants

42. Grace sustained a laceration on her leg from automobile accident. Why are lacerations of lower extremities potentially
more serious among pregnant women than other?
A. lacerations can provoke allergic responses due to gonadotropic hormone release
B. a woman is less able to keep the laceration clean because of her fatigue
C. healing is limited during pregnancy so these will not heal until after birth
D. increased bleeding can occur from uterine pressure on leg veins
43. In working with the caregivers of a client with an cute or chronic illness, the nurse would:
A. Teach care daily and let the caregivers do a return demonstration just before discharge
B. Difficulty swallowing, diminished or absent gag reflex and respiratory distress
C. Difficulty sleeping, hypervigilant and arching of the back
D. Paradoxical irritability, diarrhea and vomiting
44. Which of the following roles BEST exemplifies the expanded role of the nurse?
A. Circulating nurse in surgery
C. Obstretical nurse
B. Medication nurse
D. Pediatric nurse practitioner
45. According to De Rosa and Kochuras (2006) article entitled Implement Culturally Health Care in your workplace,
cultures have different patterns of verbal and nonverbal communication. Which difference does NOT necessarily belong?
A. Personal behaviour
C. Subject Matter
B. Eye contact
D. Conversational style
46. You are the nurse assigned to work with a child with acute glomerulonephritis. By following the prescribed treatment
regimen, the child experiences a remission. You are now checking to make sure the child does not have a relapse. Which
finding most lead you to the conclusion that a relapse is happening?
A. Elevated temperature, cough, sore throat, changing complete blood count (CBC) with differential count
B. A urine dipstick measurement of 2+ proteinuria or more for 3 days or the child found to have 3-4+ proteinuria plus
edema.
C. The urine dipstick showing glucose in the urine for 3 days, extreme thirst, increase in urine output and a moon face.
D. A temperature of 37.8 degrees (100 degrees F) flank pain, burning frequency, urgency on voiding and cloudy urine.
47. The nurse is working with an adolescent who complains of being lonely and having a lack of fulfilment in her life. This
adolescent shies away from intimate relationships at times yet at other times she appears promiscuous. The nurse will
likely work with this adolescent in which of the areas?
A. Isolation
B. Loneliness
C. Lack of fulfillment
D. Identity
48. The use of interpersonal decision making psychomotor skills and application of knowledge expected in the role of a
licensed health care professional in the context of public health welfare and safety as an example of?
A. Delegation
B. Supervision
C. Responsibility
D. Competence
49. The painful phenomenon known as back labor occurs in a client whose fetus in what position?
A. Brow position
C. Breech position
B. Right occipito-Anterior Position
D. Left occipito-Posterior Position
50. Focus methodology stands for?
A. Focus, Organize, Clarify, Understand and Solution
B. Focus, Opportunity, Continuous, Utilize, Substantiate
C. Focus, Organize, Clarify, Understand, Substantiate
D. Focus, Opportunity, Continuous (process), Understand, Solution
Situation 7: The infant and child mortality rate in the low to middle income countries is ten times higher than
industrialized countries. In response to this the WHO and UNICEF launched protocol Integrated Management of
Childhood Illness to reduce the morbidity and mortality against childhood illnesses.
51. If a child with diarrhea registers two signs in the yellow row in the IMCCI char, we can classify the patient as:
A. Moderate dehydration
C. Severe dehydration
B. Some dehydration
D. No dehydration
52. Celeste has had diarrhea for 8 days. There is no blood in the stool, he is irritable, his eyes are sunken, the nurse
offers fluid to Celeste and he drinks eagerly. When the nurse pinched the abdomen it goes back slowly. How will you
classify Celestes Illness?
A. Moderate dehydration
C. Severe dehydration
B. Some dehydration
D. No dehydration
53. A child who is 7 weeks has had diarrhea for 14 days but has no sign of dehydration is classified as?
A. Persistent diarrhea
B. Severe dysentery
C. Dysentery
D. Severe Persistent diarrhea

54. The child with no dehydration needs home treatment. Which of the following is not included in the rules for home
treatment in this case?
A. Forced fluids
C. Give Vitamin A supplement
B. When to return
D. Feeding more
55. Fever as used in IMCI includes:
A. Axillary temperature of 37.5 or higher
B. Rectal temperature of 38 or higher
C. Feeling hot to touch
D. All of the above
E. A and C only
Situation: Prevention of Dengue is an important nursing responsibility and controlling its spread is priority once outbreak
has been observed.
56. An important role of the community health nurse in the prevention and control of Dengue H-fever includes:
A. Advising the elimination of vectors by keeping water containers covered
B. Conducting strong health education drives/campaign directed toward proper garbage disposal
C. Explaining to the individuals, families, groups and community the nature of the disease and its causation.
D. Practicing residual spraying with insectesides
57. Community health nurses should be alert in observing a Dengue suspect. The following is NOT an indicator for
hospitalization of H-fever suspects?
A. Marked anorexia, abdominal pain and vomiting
C. Cough of 30 days
B. Increasing hematocrit count
D. Persistent headache
58. The community health nurses primary concern in the immediate control of hemmorrhage among patients with dengue
is:
A. Advising low fiber and non-fat diet
C. Observing closely the patient for vital signs leading to
B. Providing warmth through light weight covers
shock
D. Keeping the patient at rest
.
59. Which of these signs may NOT be REGARDED as a truly positive signs indicative of Dengue H-fever?
A. Prolonged Bleeding Time
B. Appearance of at least 20 petechiae within 1 cm square
C. Steadily increasing hematocrit count
D. Fall in the platelet count
60. Which of the following is the most important treatment of patients with Dengue H-fever?
A. Give aspirin for fever
C. Avoid unnecessary movement
B. Replacement of body fluids
D. Ice cap over abdomen in case of melena
Situation 9: Health education and Health Promotion is an important part of nursing responsibility in the
community. Immunization is a form of health promotion that aims at preventing the common childhood illnesses.
61. In correcting misconception and myths about certain diseases and their management, the health worker should first:
A. Identify the myths and misconceptions prevailing in the community
B. Identify the source of these myths and misconceptions
C. Explain how and why these myths came about
D. Select the appropriate IEC strategies to correct them.
62. How many percent of measles are prevented by immunization at 9 months age?
A. 80 %
B. 90%
C. 99 %
D. 95 %
63. After TT3 vaccination a mother is said to be protected to tetanus by around?
A. 80 %
B. 85 %
C. 99 %
D. 90 %
64. If ever convulsion occurs after administering DPT, what should nurse best suggest to the mother?
A. Do not continue DPT vaccination anymore
C. Give DT instead of DPT
B. Advise mother to come back aster 1 week
D. Give pertussis of the DPT and remove DT
65. These vaccines are given 3 doses at one month intervals:
A. DPT, BCG, TT
B. DPT, TT, OPV

C. OPV, Hep. B, DPT

D. Measles, OPV, DPT

Situation 10: With the increasing documented cases of CANCER the best alternative to treatment still remains to
be PREVENTION. The following conditions apply.
66. Which among the following is the primary focus of prevention of cancer?
A. Elimination of conditions causing cancer
B. Diagnosis and treatment

C. Treatment at early stage

D. Early detection
67. In the prevention and control of cancer, which of the following activity is the most important function of the community
health nurse?
A. Conduct community assemblies
B. Referral to cancer specialist those clients with symptoms of cancer
C. Use the nine warning signs of cancer as parameters in our process of detection; control and treatment modalities.
D. Teach woman about proper/correct nutrition.
68. Who among the following are recipients of the secondary level of care for cancer cases?
A. Those under early case detection
C. Those scheduled for surgery
B. Those under supportive care
D. Those undergoing treatment
69. Who among the following are recipients of the tertiary level of care for cancer cases?
A. Those under early treatment
C. Those under early detection
B. Those under supportive care
D. Those scheduled for surgery
70. In Community Health Nursing, despite the availability and use of many equipment and devices to facilitate the job of
the community health nurse, the nurse should be prepared to apply is a scientific approach. This approach ensures quality
of care even at the community setting. This nursing parlance is nothing less than the:
A. Nursing diagnosis
B. Nursing protocol
C. Nursing research
D. Nursing process
Situation 11 Two children were brought to you. One with chest indrawing and the other had diarrhea. The
following questions apply:
71. Using Integrated Management and Childhood Illness (IMCI) approach, how would you classify the 1st child?
A. Brochopneumonia
C. Severe pneumonia
B. No pneumonia: cough or cold
D. Pneumonia
72. The 1st child who is 13 months has fast breathing using IMCI parameters he has:
A. 40 breaths per minute or more
C. 30 breaths per minute or more
B. 50 breaths per minute
D. 60 breaths per minute
73. Nina, the 2nd child has diarrhea for 5 days. There is no blood in the stool. She is irritable and her eyes are sunken.
The nurse offered fluids and the child drinks eagerly. How would you classify Ninas illness?
A. Some dehydration
B. Dysentery
C. Severe dehydration
D. No dehydration
74. Ninas treatment should include the following EXCEPT:
A. Reassess the child and classify him for dehydration
B. For infants under 6 months old who are not breastfed, give 100-200 ml clean water as well during this period.
C. Give in the health center the recommended amount of ORS for 4 hours.
D. Do not give any other foods to the child for home treatment
75. While on treatment, Nina 18 months old weighed 18 kgs and her temperature registered at 37 degrees C. Her mother
says she developed cough 3 days ago. Nina has no general danger signs. She has 45 breaths/minute, no chest
indrawing, no stridor. How would you classify Ninas manifestation.
A. No pneumonia
B. Severe pneumonia
C. Pneumonia
D. Bronchopneumonia
76. Carol is 15 months old and weighs 5.5 kgs and it is her initial visit. Her mother says that Carol is not eating well and
unable to breastfeed, he has no vomiting, has no convulsion and not abnormally sleepy or difficult to awaken. Her
temperature is 38.9 deg C. Using the integrated management of childhood illness or IMCI strategy, if you were the nurse
in charge of Carol, how will you classify her illness?
A. a child at a general danger sign
B. very severe febrile disease
C. severe pneumonia
D. severe malnutrition
77. Why are small for gestational age newborns at risk for difficulty maintaining body temperature?
A. their skin is more susceptible to conduction of cold
B. they are preterm so are born relatively small in size
C. they do not have as many fat stored as other infants
D. they are more active than usual so they throw off comes
78. Oxytocin is administered to Rita to augment labor. What are the first symptoms of water intoxication to observe for
during this procedure?
A. headache and vomiting
C. a high choking voice
B. a swollen tender tongue
D. abdominal bleeding and pain
79. Which of the following treatment should NOT be considered if the child has severe dengue hemorrhagic fever?
A. use plan C if there is bleeding from the nose or gums
B. give ORS if there is skin Petechiae, persistent vomiting, and positive tourniquet test
C. give aspirin
D. prevent low blood sugar

80. In assessing the patients condition using the Integrated Management of Childhood Illness approach strategy, the first
thing that a nurse should do is to:
A. ask what are the childs problem
C. check for the four main symptoms
B. check the patients level of consciousness
D. check for the general danger signs
81. A child with diarrhea is observed for the following EXCEPT:
A. how long the child has diarrhea
B. skin Petechiae

C. presence of blood in the stool

D. signs of dehydration

82. The child with no dehydration needs home treatment. Which of the following is NOT included in the care for home
management at this case?
A. give drugs every 4 hours
C. give the child more fluids
B. continue feeding the child
D. inform when to return to the health center
83. Ms. Jordan, RN, believes that a patient should be treated as individual. This ethical principle that the patient referred
to:
A. beneficence
B. nonmaleficence C. respect for person
D. autonomy
84. When patients cannot make decisions for themselves, the nurse advocate relies on the ethical principle of:
A. justice and beneficence
C. beneficence and nonmaleficence
B. fidelity and nonmaleficence
D. fidelity and justice
85. Being a community health nurse, you have the responsibility of participating in protecting the health of people.
Consider this situation: Vendors selling bread with their bare hands. They receive money with these hands. You do not
see them washing their hands. What should you say/do?
A. Miss, may I get the bread myself because you have not washed your hands
B. All of these
C. Miss, it is better to use a pick up forceps/ bread tong
D. Miss, your hands are dirty. Wash your hands first before getting the bread
Situation 12: The following questions refer to common clinical encounters experienced by an entry level nurse.
86. A female client asks the nurse about the use of cervical cap. Which statement is correct regarding the use of the
cervical cap?
A. It may affect Pap smear results
C. It does not require the use of spermicide
B. It does not need to be fitted by the physician
D. It must be removed within 24 hours
87. The major components of the communication process are?
A. Verbal, written, and nonverbal
B. Speaker, Listener and reply

C. Facial expression, tone of voice and gestures

D.Message, sender, channel, Receiver and Feedback

88. The extent of burns in children are normally assessed and expressed in terms of:
A. The amount of body surface that is unburned
B. Percentages of total body surface area (TBSA)
C. How deep the deepest burns are
D. The severity of the burns on a 1 to 5 burn scale
89. The school nurse notices a child who is wearing old, dirty, poor-fitting clothes; is always hungry; has no lunch money;
and is always tired. When the nurse asks the boy his tiredness, he talks of playing outside until midnight. The nurse will
suspect that this child is:
A. Being raised by a parent of low intelligence (IQ)
B. An orphan

C. A victim of child neglect

D. The victim of poverty

90. Which of the following indicates the type(s) of acute renal failure?
A. Four types: hemorrhagic with and without clotting, and non hemorrhagic with and without clotting
B. One type: Acute
C. Three types: Prerenal, intrarenal, postrenal
D. Two types: Acute and subacute
Situation 13: Mike 16 y/o has been diagnose to have AIDS, he worked as entertainer in a cruise ship:
91. Which method of transmission is common to contract AIDS:
A. Syringe and needles
B. Body fluids
C. Sexual contact
D. Transfusion
92. Causative organism in AIDS is one of the following:
A. Fungus
B. Bacteria
C. Retrovirus

D. Parasites

93. You are assigned in a private room of Mike. Which procedure should be of outmost importance:
A. Alcohol washing
B. Universal precaution
C. Washing isolation
D. Gloving technique

94. What primary health teaching would you give to Mike?

A. Daily exercise
B. Prevent infection

C. Reversal Isolation

D. Proper nutrition

95. Exercise precaution must be taken to protect health worker dealing with the AIDS patients, which among these must
be done as priority?
A. Boil used syringed and needles
C. Label personal belonging
B. Use gloves when handling specimen
D. Avoid accidental wound
Situation 14: Michelle is a 6 year old preschooler. She was reported by her sister to have measles but she was at
home because of fever, upper respiratory problem and white sports in her mouth.
96. Rubeola is an Arabic term meaning Red, the rash appears on the skin in invasive stage prior to eruption. As a nurse,
your physical examination must determine complication especially:
A. Otitis media
C. Inflammatory conjunctiva
B. Bronchial pneumonia
D. Membranous laryngitis
97. To render comfort measure is one of the priorities, which includes care of the skin, eyes, ears, mouth and nose. To
clean the mouth, your antiseptic is in some form of which one below?
A. Water
B. Sulfur
C. Alkaline
D. Salt
98. As a public health nurse, you teach mother and family members the prevention of complication of measles. Which of
the following should be closely watched?
A. Temperature fails to drop
C. Inflammation of the nasopharynx
B. Inflammation of the conjunctiva
D. Ulcerative stomatitis
99. Source of infection of measles is secretion of nose and throat of infection person. Filterable of measles is transmitted
by:
A. Water supply
B. Droplet
C. Food ingestion
D. Sexual contact
100. Method of prevention is to avoid exposure to an infection person. Nursing responsibility for rehabilitation of patient
includes the provision of:
A. Terminal disinfection
B. Injection of gamma globulin
C. Immunization
D. Comfort measures

With God, nothing is impossible.

Everything is POSSIBLE.

Padawil, Wilma Bongotan