19. It is defined by WHO as essential care made universally accessible to individuals and families in the community by means of
acceptable to them through their full participation and a cost that the community and country can afford at every stage of development:
a. DOH
b. RHU
c. PHC
d. Sentrong Sigla
20. The first international conference of PHC was held in:
a. Switzerland
b. USA
c. Paris
d. USSR
21. Health services were devolved to local government units for the following reasons EXCEPT:
a. to transform LGUs into self reliant communities
b. to involved people in the development and progress of their communities
c. to empower people better access to decision making
d. none of the above
22. Which of the following agencies will be responsible for the protection and promotion of the peoples health?
a. Local Government Unit
c. Department of Health
b. Department of Interior and Local Government
d. Provincial Health Council
23. Which of the following public health programs are developed and made more accessible to the people?
a. environmental health and communicable disease
c. control of non-communicable disease
control
d. all these program
b. maternal and child health program
24. The Department of Health adopts measures to augment basic health services and facilities provided by LGUs. Which of the
following is not a priority area for the provision of assistance by the DOH?
a. areas where studies/research on health are conducted
b. selected areas in the city
c. areas recommended by governors and other local officials
d. deserving but less developed LGUs
25. Which law mandates devolution of health services to LGUs?
a. RA7610
b. RA7160
c. RA6170
d. RA6710
SITUATION: Robbie, 3 years old was brought by his mother to the health center because of cough and colds.
26. Which of the following signs will indicate that Robbie is suffering from severe pneumonia?
a. stridor
b. chest in-drawing
c. fast breathing
d. wheezing
27. While assessing Robbie for the above sign, you have to make sure that he is:
a. not aware you are counting his respiratory rate
c. asleep
b. not crying
d. not playing
28. You decided that Robbie has pneumonia. What is the best management that you can administer?
a. prescribe an antibiotic
b. provide close follow up of his condition
c. all of these measures
d. give the mother instructions on how to take care of him at home
29. If Robbie manifests wheezing, you will:
a. give him a bronchodilator
c. refer him to the nearest hospital
b. diagnose him as having very severe disease
d. prescribe an antibiotic and follow up closely
SITUATION: Marie, 25 years old, G1P0, came to the center for her prenatal checkup.
30. When is the best time to start preparing Marie for breastfeeding?
a. on the lat month of pregnancy
c. in the second trimester
b. on the first prenatal checkup
d. immediately after delivery
31. During her pregnancy, Marie may not be given which supplement?
a. ferrous sulfate 100mg OD from the fifth month of pregnancy until two months after delivery
b. retinol 200,000 units once every 6 months
c. iodine 200 mg capsule once during the pregnancy
d. all of these may be given
32. Marie is instructed to offer her breast to the baby for the first time within 30 minutes after delivery. What is the purpose for offering
the breasts this early?
a. to foster early maternal bonding
c. to stimulate milk production
b. all of these
d. none of the above
33. After delivery and based on the recommended schedule in the Under Five Care Program, you will encourage Marie to bring her
baby to the health center:
a. whenever the baby has a health problem
d. at the time when the baby is scheduled for
b. regularly every 2 months
immunization
c. regularly every month
34. Mrs. Josie Cruz had a home delivery under the care of a traditional birth attendant. She was noted to have excessive vaginal
bleeding. The traditional birth attendant will refer her to which of the following?
a. public health nurse
c. rural health midwife
b. municipal health officer
d. private obstetrician
35. Which diarrheal disease/s warrant/s the prescription of antibiotics?
a. giardiasis
b. bacillary dysentery
c. amoebiasis
d. all of these
SITUATION: Mr. Ison, a public health nurse is conducting community class in Brgy. Baliuag about PTB.
36. Category 3 treatment regimen for TB is prescribed to:
a. new PTB patiens whose sputum is positive
b. previously treated patients who are relapse
c. new PTB patient whose sputum is serum negative for 3x and CXR of PTB minimal
d. previously treated patients who are failures
37. What TB drug is not given to children under age 6 who are too young to report visual disturbance?
a. INH
b. rifampicin
c. ethambutol
d. PZA
38. Regimen 1 treatment for TB is prescribed. This is given:
a. 2 months intensive phase, 4 months maintenance phase
b. 3 months intensive phase, 5 months maintenance phase
c. 2 months intensive phase, 2 months maintenance phase
d. 3 months intensive phase, 6 months maintenance phase
39. The usual treatment for TB includes the use of isoniazid (INH) and which of the following therapies?
a. theophyline inhaler 100
c. three antibacterial agents
b. IM penicillin
d. aerosol treatments with pentamidine
40. Mr. Ison is aware that family members of a client diagnosed with TB may have been exposed to the disease. A tuberculin skin test
may show which of the following conditions?
a. active disease
c. extent of the infection
b. recent infection
d. infection of some points
SITUATION: As a public health nurse, you play an important role in the implementation of the Expanded Program on Immunization.
41. Maintenance of the cold chain is necessary to keep the vaccines and toxoids potent. Who is the cold chain officer in the rural health
unit?
a. rural health midwife
c. municipal health officer
b. public health nurse
d. rural sanitary inspector
42. What is the dose of hepatitis B vaccine in the EPI?
a. 0.5ml
b. 0.05ml
c. 0.1ml
d. 1.0ml
43. Which of the following is/are true after giving BCG?
a. you must not apply alcohol on the site of injection
b. a wheal is formed, it disappears after about 30 minutes
c. all of these are true
d. the patient develops an abscess at the site of injection
44. What reaction is/are expected after giving DPT?
a. All of these are expected
b. the patient will have fever lasting for 1 day only
c. the patient will have a permanent scar in the site of injection
d. the patient will have a local tenderness at the site of injection on the 2nd week
45. Which vaccines should not be stored in the freezer?
a. DPT
c. all of these
b. tetanus toxoid
d. hepatitis B vaccine
46. Which disease can also be prevented by BCG vaccination?
a. tuberculosis
b. leprosy
c. both of these
d. none of these
47. According to Margaret Shetland, public health nursing is based on which philosophy?
a. health and longevity are birthrights
b. man has worth and dignity
c. public health nursing functions as part of a total public health program
d. the public health nurse is responsible for developing the peoples health capability
48. In the health center, who is the supervisor of midwives?
a. midwife supervisor
c. health center physician
b. public health nurse
d. obstetrician
49. As an epidemiologist, the nurse is responsible for presentation of health statistics. To compare the frequency of occurrence of
pneumonia and disease of the heart, which graph will she prepare?
a. line
b. bar
c. pie
d. scatter diagram
50. Which step in community organizing involves establishing a two-way communication system with the people?
a. community study
b. integration
c. entry
d. mobilization
51. You are a newly appointed public health nurse. What is the first activity that you will be concerned with?
a. establish a working relationship
b. study the set-up of the local government system
c. assess the health needs of the people by conducting a survey
d. make plan of care together with the doctor and midwives
52. You were designated to be the public health nurse in a doctor-less municipality. Who will be the manager of the rural health unit?
a. public health nurse
c. municipal health officer
b. rural health midwife
d. rural sanitary inspector
53. When the occupational health nurse applies ergonomic principles, she is carrying out which of her functions?
a. health care provider
c. health educator
b. environment manager
d. health coordinator
54. Which criteria must the nurse take into consideration when determining which of the identified health programs should be given
priority after conducting community diagnosis?
a. magnitude of the health problem
c. modifiability of the problem
b. nature of the problem
d. all of these should be taken into consideration
55. In assessing the familys coping capacity, you noted that the children have incomplete immunization. Under which area of
assessment in the family coping index will you include this observation?
a. application of principles of general hygiene
c. health attitudes
b. therapeutic competence
d. family living
56. To which level of prevention does screening of potential blood donors belong?
a. primary
b. secondary
c. intermediate
d. tertiary
57. Primary health care is a total approach to community development. Which of the following is an indicator of success in the use of
primary health care?
a. health services are affordable to individuals and families
b. health programs are sustained according to the level of development of the community
c. all of these
d. health workers utilize appropriate technology
58. To which level of health care delivery does the Region V hospital belong?
a. primary
b. secondary
c. intermediate
d. tertiary
59. Which of the level of water supply is best in an urban setting?
a. point source
b. water stand post
c. communal
d. waterworks system
60. The Sentrong Sigla Movement has been launched to improved health services delivery. Which of the following is/are true of this
movement?
a. all of this are true
b. this is a joint project of the Department of Health and Local Government Units
c. it encourages health centers to focus on health promotion
d. the DOH provides grants and technical assistance to Sentrong Sigla
61. As a public health nurse one of the functions that you will perform is monitoring of the health status of the community. Weekly
monitoring will be accomplished for which disease?
a. several acute diarrhea
c. all of these diseases
b. typhoid fever
d. pneumonia
62. Which cases should be reported within 24 hours from time of diagnosis?
a. measles
c. both of these
b. AFP polio type
d. none of these
63. Which of the following should be given priority in providing care to pregnant women and their families?
a. a pregnant women whose systolic and diastolic pressures have increased by 5-10 mmHg over her baseline systolic diastolic
pressure
b. a pregnant woman who weighs 110 lbs.
1. health threat
2. health deficit
3. foreseeable crisis
a. 2, 1, 3
b. 2, 3, 1
c. 1, 3, 2
d. 1, 2, 3
85. The following criteria are helpful to determining priorities:
1. nature of problem presented
3. preventive potential
2. modifiability of the problem
4. perception as to attention needed
a. 1, 2, 3
b. 1, 2
c. 1, 3
d. 1, 2, 3, 4
SITUATION: Aling Juana, 25 years old, a mother to Ana 4 years old, Totoy 3 years old, and Tintin 3 months. They lived in depressed
area, several kilometers from the nearest health center. Mang Pilo is only a rice cake vendor. He does peddling every morning. On
nurse Almas first visit, she noted the following:
- children without immunization
-flies, insects surrounding the
environment
- lack of toilet facilities
- water supply is across the street
86. The above mentioned conditions are characteristics of:
a. health deficit
b. stress point
c. health threat
d. all of the above
87. Both Ana and Totoy are 2nd degree malnourished which Tintin is first degree. This constitute as:
a. health threat
b. foreseeable crisis
c. health deficit
d. health problem
88. For Tintin to be fully immunized, the nurse will take the plan that the child will have all:
1. antibodies
3. before 12 months of age
2. antigens
4. before 18 months of age
a. 1, 3
b. 1, 4
c. 2, 3
d. 2, 4
89. In assessing health care needs of patients, he community health nurse can use the following as principal source of data:
a. patient, patients records and members of the family
c. doctor and other members of the health team
b. members of the family
d. nurses observation
90. Which of the following administrative orders updated roles and functions of the municipal health officers, PH nurse and rural
midwife?
a. AO#114 s. 1991
c. Magna Carta of Public Health Workers
b. LOI949
d. Circular#2 s. 1986
91. Which one of the following Acts means that Health Workers are all persons engaged in health related work regardless of their
employment status?
a. Magna Carta of Public Health Workers
b. Security of Tenure of Regular Employees
c. Discrimination Prohibition
d. Code of Conduct and Ethical Standards of Public Officials and Employees
92. The Philippine Nursing Act of 1991 in Section 27 Scope of Nursing, describes the person practicing Nursing when the person uses
which one of the following scientific knowledge?
a. nursing process
c. studies of nursing manpower needs
b. management skills
d. diagnostic procedures
93. Which one of the following use of documents is prohibition in the practice of nursing in the Philippines?
a. personal endorsement of health products
c. authenticated registration card
b. another nurse identification card
d. valid certificate of registration
94. For a refresher course required taking fourth nurse licensure examination, the applicant must have enrolled for one year during
which level of the curriculum?
a. second
b. third
c. fourth
d. first
SITUATION: The Occupational Health Nurse Program Supervisor has varied functions and responsibilities. These are still concepts of
CHN. Sally is a nurse supervisor in the non-com unit of the DOH.
95. Which of the following function is important?
a. participates in formulation of health policies
c. chooses employees for training
b. acts as resource person in prevention and control of
d. assess the community environment
CD
96. In the Industrial Toxicology Health Program of the DOH, the nurse is expected to have basic knowledge of health hazard due to
chemical substances. Which substances can cause respiratory illness?
a. sodium chloride
c. nitroglycerine
b. carbon dioxide
d. carbon monoxide
97. In Agricultural Workers Environment, the nurse is expected to have basic knowledge of substance which can cause illness. Which
substances from the farm are poisonous?
a. insecticides
b. pesticides
c. germicides
d. fertilizers
98. When a farmer exhibits the symptoms of poisoning especially respiratory distress, what should the nurse do first?
a. call an ambulance
c. loosen tight clothing
b. bring to the nearest doctor clinic
d. destroy the container of poison
99. Health promotion in Occupational Health is doing assessment of health risk associated with lifestyle of the employee. What health
risk is associated with a bagasse loader?
a. asthma
c. bagasosis
b. delirium
d. congestive heart failure
SITUATION: The DOH promotes use of herbal drugs. As a public health nurse, you implement the program on Traditional Medicine in
the community.
100. To promote the use of herbal medicines which, of the following projects would you encourage the people in the community to do?
a. backyard herbal gardening
c. save mother earth
b. plant a tree
d. clean and green
PART 2
1. The Public Health Nurse is determined that she needed to reinforce the initial health teachings given by the midwife-on-duty
regarding the administration of Tetracycline Eye Ointment when the mother stated:
a. I can use clean cloth to wipe the eye.
b. I should wear sterile gloves when administering the medications.
c. I should wash my hands before and after administering the medication.
d. I will continue the treatment until redness is gone.
2. The Public health nurse had her regular barangay health station visits. As she was making her community-rounds she noted in one
barangay health station that the midwife-on-duty had the following cases at hand and shed assisted her. Which of the following
medication is indicated for hookworm infections?
a. Albendazole
b. Gentamicin
c. Chloroquine
d. Benzylpenicillin
SITUATION 1 - Two children were brought to the Barangay Health Center. Tin-tin with chest in-drawing and Tam-tam has diarrhea.
Apply the Integrated Management and Childhood Illness (IMCI) approach.
3. Tin-tin who is 13 months has fast breathing, she has:
a. 30 breaths per minute or more
c. 40 breaths per minute or more
b. 60 breaths per minute
d. 50 breaths per minute
4. How would you classify the illness of the Tin-tin?
a. Severe pneumonia
c. Bronchopneumonia
b. Pneumonia
d. No pneumonia: cough and cold
5. Tam-tam, the 2nd child has diarrhea for 5 days, there is no blood in the stool. She is irritable; her eyes are sunken. The nurse offered
fluids, the child drinks eagerly. How would you classify Tam-tams illness?
a. Severe dehydration
c. Some dehydration
b. No dehydration
d.Dysentery
6. Tam-tams treatment should include the following EXCEPT:
a. For infants under 6 months old who are not breastfed, give 100-200 ml clean water as well during this period
b. Give in the health center the recommended amount of ORS for 4 hours
c. Reassess the child and classify her for dehydration
d. Do not give any other foods to the child for home treatment
7. While on treatment, Tam-tam who is 18 months old weighs 18kgs. and her temperature registered at 37C. Her mother says she
developed cough for 3 days. She has no general danger signs. She has 45 breaths/minute, no chest in-drawing, no stridor. How will
you classify Tam-tams manifestation?
a. No pneumonia
b. Bronchopneumonia
c. Severe pneumonia
d. Pneumonia
8. Which of the following i s NOT the application of public health principles?
a. The nurse utilizes vital and health statistics to describe the communitys health status.
b. Nursing care is mainly directed to sick population who seek consultation in the health center.
c. In preventing and controlling disease transmission in the community, the nurses priority is to protect the healthy population by
instituting specific protection measures against a disease.
d. The nurse analyses the determinants of health needs and problems as basis in developing community
heath programs.
9. Which best describes community health nursing practice?
a. Setting of practice is situated in the natural environment of the people.
b. It is population focused.
c. A synthesis of nursing practice and public health practice.
d. Prioritizes health-promotive and disease preventive strategies
10. In your community home visits, you have scheduled several cases. Who is your LAST priority?
a. Family planning defaulters
c. G4P3 3-day Post Partum
b. G3P2 36 weeks AOG
d. PTB case on D.O.T.S.
11. A step in the development of the Community Health Plan that answers the questions. What health problems, health threats and
health deficits exist and how the community copes with these health problems is referred to as:
a. Plan formulation
b. Evaluation
c. Assessment
d. Plan implementation
12. Community Health Nursing is aggregate-focused. Which best demonstrates this concept?
a. The provision of nursing care in the natural environment of the people.
b. The provision of service at an affordable cost.
c. The performance of community diagnosis
d. The coordination of service by different members of the health team
13. Evaluating the nursing care given, which of the following vital statistics in the communities served indicates the BEST health status?
a. 50% Swaroops index for the year 2006
c. 0 infant mortality rate for the year 2006
b. 0 crude death rate for the year 2007
d. 0 crude birth rate for the year 2007
14. A pregnant client comes to her first prenatal visit. She reports a pregnancy history of two babies born near the due date, twins born
prematurely, and a miscarriage in the first trimester. Using the GTPAL notation, how would her pregnancy history be recorded?
a. Gravida 5 Para 2-2-1-4
b. Gravida 4 Para 2-1-1-4
c. Gravida 5 Para 2-1-1-4
d. Gravida 4 Para 2-2-1-4
15. Which of the following is TRUE of the Philippine Health Care Delivery System (PHCDS)?
a. The Department of Interior and Local Government is the countrys foremost health coordinating agency because of the
Implementation of devolution
b. Health insurance companies dictate the current referral system in the country
c. The PHCDS is composed of a 3-tier referral system
d. Health care delivery system in the country was specially designed for the poor congruent with the Primary Health Care concept
16. When solving environmental health problems, the Community Health Nurse seeks out the extent of the problem, questions all
people involved, formulates nursing diagnosis. This describes which phase of the community nursing process:
a. Evaluation.
b. Implementation.
c. Planning.
d. Assessment.
17. Your first home visit is in the home of a 75 year old client who had cerebrovascular accident about 6 weeks ago. During
assessment, the client complains of severe headache. Your most appropriate intervention is to:
a. Ask the client what medication he has taken
b. Ask the client if he has pain relievers such as ibuprofen or acetaminophen
c. Assess the clients pain level on a scale 1-10
d. Put the client in a sitting position and check blood pressure
18. A safe water supply is basic to environmental health. Sources of water pollution are:
a. It results from industrial and automotive emissions
b. Groundwater coming from the surface through wells and springs
c. It is a recent phenomenon, coming about since the 1960s
d. Infective substances such as bacteria and parasites
19. In a community with 25,000 population and 73 total deaths where 7 died of cancer, what is the proportionate mortality?
a. 9.59
b. 10.43
c. 0.0958
d. 0.014
20. The community health nurse prepares to administer immunization. The nurse should remember the contraindication of
immunization. Which of the following conditions is NOT true about contraindication to immunization?
a. Do not give DPT to a child who has recurrent convulsion or active neurologic disease
b. Do not give DPT2 or DPT3 to a child who has had convulsions within 3 days of DPT1
c. Do not give BCG if the child has known AIDS
d. Do not give BCG if the child has known hepatitis
21. Directly Observed Treatment Short course (D.O.T.S) can do all of the following EXCEPT:
a. Prevent new infection among children and adults
c. Cure TB patients
b. Require hospitalization
d. Stop resistance to anti-TB drugs
22. A nurse considering being a community organizer should have knowledge on the elements of community development. Which of
the following should NOT be considered by the nurse as a basic element of community development?
a. Full active participation in decision making
b. Basic daily needs of the people are met
survey fully aware of the importance of demography, health statistics, and epidemiology in her tasks as Community Health Nurse. The
following applies.
38. Upon completion of data collection N.A.R.S. Yoona develops the barangays population pyramid. The population pyramid has a
broad base of information which points to what cluster of indicators:
1. High percentage of the 0-4 group
3. A young population
2. High birth rates on males
4. More females
A. 1 and 2
B. 2, 3 and 4
C. 1, 2, and 3
D. 1, 2, 3 and 4
39. After having identified the demographic variables of the community, N.A.R.S. Yoona made a literature review on the different health
indicators and their significance. She re-appreciated that vital statistics includes the following data:
a. Births, deaths and illnesses
c. Births, deaths, and migration
b. Fertility, mortality and migration
d. Fertility, mortality and marriage
40. N.A.R.S. Yoona also came across the case of Mang Rain, a construction worker in Mabalacat City and who was hit by a large log
during his work. He was rushed toJBLMGH where he unfortunately expired after 3 hours. His remains were taken to his home at
Barangay Mapagmahal, Mabalacat City and buried in the nearby community cemetery. In this case N.A.R.S. Yoona is confident that the
death of Mang Rain will be reported and registered in:
a. Angeles City.
b. San Fernando City
c. Mabalacat City.
d. Tarlac City.
41. In the course of data collection, N.A.R.S. Yoona further generated the following data:
No. of populations
25,000
Population under 1 year
600
No. of live births
800
No. of maternal deaths
8
Total deaths from all causes
1,025
No. of deaths from pneumonia
110
No. of pneumonia cases
500
Based on the data above, the crude birth rate is:
a. 30/1000
b. 25/1000
c. 24/1000
d. 32/1000
42. Here, part of N.A.R.S. Yoonas job as Community Health Nurse is monitoring the occurrences of selected notifiable diseases by
weekly charting or graphing of cases. The primary goal of this so-called epidemiological process is to:
a. Identify geographical location of cases of the disease in the community
b. Promote wellness and prevent disease
c. Suggest a cure to solve disease occurrences
d. Encourage cooperation and support of the community
43. The Department of Health implements the following programs that affect the productive years of life, EXCEPT:
a. Environmental sanitation.
c. Family planning.
b. Maternal and child care.
d. EPI.
44. The principal government agency mandated by the constitution for the health and protection of our people is the:
a. Department of Health
c. Department of Transportation
b. Department of Education
d. Department of Justice
45. As a public health nurse, one of the functions that you will perform is monitoring of the health status of the community. Weekly
monitoring should be accomplished for what disease?
1. Typhoid fever.
3. Pneumonia
2. Severe acute diarrhea.
4. Pulmonary Tuberculosis
a. 1 only
c. only 1, 3, and 4
b. 2 only
d.. 1, 2, 3, and 4
46. Which of the following provides for the control of environmental sanitation in order to promote and maintain health?
a. Republic Act No. 7160
c. Presidential Decree No. 856
b. Executive Order No. 119
d. Republic Act No. 9003
47. To protect the other members of the household, which of the following is the priority objective in the care of a patient with active
pulmonary tuberculosis?
a. To offer emotional support
b. To coordinate with various agency services that the patient require.
c. To teach the patient about the nature of the disease
d. To assess the environment for standard of sanitation and provide needed health teaching.
48. Which of the following is true about program evaluation?
a. It determines which program will be retained or stopped
b. The evaluation is designed and conducted by the community
c. Benefits include refunds of costs from the government
d. Program evaluation is a critical phase in the planning process
49. The elements of T.B. - D.O.T.S that needs to be fulfilled include all of the following EXCEPT?
a. Regular chest x-ray for diagnosis
c. Standardized recording and reporting of TB data
b. Supervised treatment by a treatment partner
d. Regular supply of anti-TB drugs
50. Pulmonary TB is suspected when client manifests which symptom?
a. Hematemesis
b. Cough for more than 2 weeks
c. Precordial chest pain
d. Sudden loss of weight