COMMUNITY HEALTH NURSING

INSTRUCTIONS: Select the correct answer for each of the following questions. Mark only one answer for each item by
making the box corresponding to the letter of your choice on the answer sheet provided.
1.

Community Health Nursing is a service that is provided to an environment that is constantly changing. This implies that the
community health nurse to be able to provide relevant service must:
A. involve other disciplines in carrying out health services in various settings
B. provide a service that is community based
C. provide a service that is integrated and comprehensive
D. update her knowledge on the current and evolving characteristics of the health care system

2.

The concept of community health nursing as a population-based service means that it should be provided to be:
A. home only
B. nursing community
C. individuals only
D. individual and families

3.

The goal of community health nursing is to:

A. lessen caseload of public health nurse
B. provide clinic-nursing services to the populace
C. assist families to be self-reliant and be able to identify and solve own problem
D. spread information about facilities of rural health units or centers

4.

A phase of the nursing process where the needs of the patient or family are being observed
A. nursing diagnosis
B. assessment
C. evaluation
D. intervention

5.

Health services were devolved to local government units (LGUs) for the following reasons EXCEPT
A. to transform LGUs into self-reliant communities
B. to involve people in the development and progress of their communities
C. to empower local officials
D. to provide people better access to decision-making

6.

Which of the following public health program are devolved and are made more accessible to the people?
A. Environmental health and communicable disease control
B. Maternal and Child Health Program
C. Control of non-communicable diseases
D. All these programs

7.

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 local government units

8.

Which law mandates devolution of health services to LGUs?

A. R.A. 7610
B. R.A. 7160
C. R.A. 6170
D. R.A. 6710

9.

According to C.E. Winslow, public health is directed towards assisting every citizen to
A. Be free from illness
B. Realize his birth rights of health and longevity
C. Get social services and welfare support
D. Have medicine at an affordable

10. Which best demonstrate the concept that community health nursing is population-focused?
A. The performance of community diagnosis
B. The provision of services at an affordable cost
C. The provision of nursing care in the natural environment of people
D. The coordination of services by different members of the health team
11. Which is the primary goal of community health nursing?
A. To support and supplement the efforts of the medical profession in the promotion of health and prevention of illness
B. To enhance the capacity of individuals, families and communities to cope with their health needs
C. To increase the productivity of the people
D. To contribute to national development

12. Which DOES NOT describe primary health care?

A. It emphasizes partnership between health care providers and the people
B. It is a total approach to community development
C. It aims to provide free health services to the people.
D. It stresses the use of appropriate technology
13. When we determines whether the objectives of a program were attained or not, we are determining
A. Effectiveness
B. Efficiency
C. Adequacy
D. Appropriateness
14. Which is a mark of success in Primary Health Care?
A. The people utilize health services according to their needs
B. Health workers are able to provide efficient and acceptable services
C. The people are able to attain the highest level of health through their own efforts
D. Barangay officials participate actively in health related activities
15. Accessibility of health services means all of the following EXCEPT
A. Health service providers are within 5 kilometers from most of their catchment population
B. Health services and the manner of delivery of these services are acceptable to the people.
C. The people and the government can afford the health services provided
D. Government and non-government agencies participate in providing
16. In the present health care delivery system, the public health nurse is a
A. Manager of the Rural Health Unit
B. Primary health worker
C. Grassroots health worker
D. Secondary health worker
17. In a conference with midwives and the rural sanitary inspector, you reviewed the functions of the Rural Health Unit. You agreed
that the RHU should function as a
A. Health are of the LGU
B. Resource of the community
C. All of these
D. Municipal Clinic
18. Which herbal preparation may be recommended for fever, cough and abdominal pain?
A. Sambong
B. Tsaang Gubat
C. Yerba Buena
D. Bayabas
19. Which herbal preparation may be used to relieve pain due to arthritis?
A. Lagundi
B. Herba Buena
C. Both of these
D. None of these
20. The Public Health Nurse in the Rural Health Unit is expected to participate in the planning of the total public health program for
the municipality. Her main contribution is to
A. Collect and collate community data
B. Prepare the nursing component of the plan
C. Implement the community health plan
D. Assess the total health needs of the community
21. Epidemiology is used for
A. Determining the factors that brought about occurrence of an epidemic
B. Evaluating the effectiveness of the Under Five Clinic Program
C. Determining the efficacy of garlic in preventing hypertension
D. All of these programs
22. Immunity by antibody formation during the course of a disease is
A. Active natural
B. Active artificial
C. Passive natural
D. Passive artificial
23. When a factor must necessarily be present for a disease to occur, it is described as
A. Predictive
B. Associative
C. Contributory
D. Causative

24. The chief advantage in conducting a home visit is

A. The nurse is able to save time and effort
B. The nurse is able to provide service to many peoples within a given period of time
C. The nurse is able to perform first hand appraisal of the home situation
D. It emphasizes the family initiative in health care
25. The school nurse provides direct nursing care by
A. Guiding pupils in developing health habits
B. Enhancing interpersonal relationships among pupils and the teaching staff
C. Maintaining a healthy and safe physical environment for the children
D. Conducting annual physical exams to pupils
26. Primary level prevention is illustrated by:
A. Teaching the mother of a child with diarrhea how to use Oresol
B. Isolation of a child with chickenpox
C. Conducting Operation Timbang
D. Teaching a patient post mastectomy exercises
27. Which is a secondary level facility?
A. San Juan Rural Health Unit
B. Ilocos Norte Provincial Hospital
C. San Lazaro Hospital
D. University of Santo
Tomas Hospital
Situation: From July to September, there were two outbreaks of typhoid fever in Santa Rosa, Laguna. Epidemiologic investigation was
undertaken by the Rural Health Unit team.
28. As a public health nurse, you know that typhoid fever is caused by:
A. Poor personal hygiene practices
B. Intake of unsafe food and/or water
C. Inhalation of contaminated air
D. Fomites
29. The primary purpose of conducting an epidemiologic investigation is to
A. Identify groups who are at risk of contracting the disease
B. Delineate the etiology of the epidemic
C. Encourage cooperation and support of the community
D. d.) Identify geographical location of cases of the disease in the community
30. To which step of epidemiologic investigation will ascertaining the number of cases of typhoid fever occurring in the community
belong?
A. Establishing the epidemic
B. Appraisal of facts
C. Formulation of the hypothesis
D. Testing the hypothesis
31. As an epidemiologist, among other living things, you are expected to
A. Institute appropriate control
B. Check the presence of signs and symptoms in patients according to the standard case definition of the disease
C. Monitor the occurrence of selected notifiable diseases by weekly charting or graphing cases.
D. Plan and secure necessary resources needed for disease control measures
32. In the Under Five Clinic, which of the following services can be competently provided by the public health nurse?
A. Assessment of the nutritional status of children
B. Assessment of childrens motor development
C. All of these services
D. Treatment of common childhood diseases
33. The expanded role of the public health nurse includes making a medical diagnosis when the physician is not around. What is used
as a guide in performing this task?
A. Management guidelines
B. Diagnostic guidelines
C. Assessment guidelines
D. Standard case definition
34. Which component of the Field Heath Services and Information System is most helpful in monitoring PTB cases enrolled in
DOTS?
A. Individual health record
B. Output report
C. Tally report
D. Client List

35. Which herbal preparation is specifically recommended for cough and colds by the DOH?
A. Lagundi
B. Yerba Buena
C. Both of these
D. None of these
36. Which of the following can give the most accurate reflection of the health status of a community?
A. 1 4 year old age-specific mortality rate
B. Maternal mortality rate
C. Infant mortality rate
D. Crude death rate
37. In a community with insufficient water supply, which type of toilet will you recommend to be constructed?
A. water sealed
B. Aqua privy
C. Covered Pit privy
D. Overhung
Situation: You are assigned to a municipality with a total population of 25,000.
38. You work with two rural health midwives. How many more midwife items will you request?
A. 2
B. 3
C. 4
D. 5
39. The request for additional midwife items will be submitted for approval to the
A. Rural Health Unit
B. Municipal Health Board
C. District Health Office
D. Provincial Health Office
40. In making the staff schedule, you will see to it that the rural health midwives visit their Barangay assignments at least
A. Twice a week
B. Once a week
C. Twice a month
D. Once a month
41. 1, 350 persons died within the past year. 36 persons died due to pneumonia. 540 of those who died were aged 50 years and above.
What is the crude death rate?
A. 52/1,000
B. 54/1,000
C. 2.7 %
D. 27 %
42. What is the Swaroop's index of community?
A. 30%
B. 35%
C. 40%
D. 45%
43. What numerator will be used in computing neonatal mortality rate?
A. Number of deaths aged 1 week and below
B. Number of deaths aged 1 month and below
C. Number of deaths aged 28 days and below
D. Number of deaths aged 11 months and below
44. What denominator is used in computing general fertility rate?
A. Estimated midyear population
B. Number of registered live births
C. Number of pregnancies in the year
D. Number of females of reproductive age

45. In gathering data about the community, which of these are important?
A. Peoples major concerns even if they are not health related
B. Their occupation, geographic distribution and seasonal movement of the population
C. Health status, nutrition, housing and sanitation
D. All of these are important

46. You will know that you were successful in the social preparation of the community in relation to a community heath problem if
the people participate in
A. Identify their common concerns and planning and implementing activities for the solution of the community problem
B. Planning activities to solve the health problem
C. Implementing activities to solve the health problem
D. Identifying the health problem as a common concern
47. When the nurse collects information about 100% of the population, she is conducting a/an?
A. Community survey
B. Epidemiological survey
C. Census
D. None of these is correct
48. The number of cases of influenza in the past month will be reflected in which record/ report of the Rural Health Unit?
A. Family health record
B. Client list
C. Tally report
D. Output report
49. The public health nurse must be aware that erasures in the clients record must be avoided because the
A. Record will look messy
B. Writing would be blurred and difficult to read.
C. Record is a statistical document
D. Record is a legal document.
50. What law requires the registry of births within 30 days from its occurrence?
A. Act 3573
B. R.A. 3753
C. R.A. 3375
D. P.D. 651
51. Which of the following professionals can sign the death certificate?
A. Rural health midwife
B. Municipal health officer
C. Public health nurse
D. any of these health professionals
52. 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. Severe acute diarrhea
B. Typhoid fever
C. all of these disease
D. Pneumonia
53. Which cases have to be reported within 24 hours from the time of diagnosis?
A. Measles
B. Acute polio
C. both of these
D. none of these
54. Which of the following should be given priority in providing care to pregnant and their families?
A. Pregnant women whose systolic and diastolic pressures have increased by 5-10 mmHg over her baseline systolic-diastolic
pressures
B. A pregnant woman who weighs 110 lbs.
C. A pregnant woman with a history of hypertension in a previous pregnancy
D. A women pregnant for the third time and is 33 years old
55. Which of the following statements is INCORRECT regarding measles control?
A. Treating measles patients with high dose vitamin A significantly reduces mortality rate.
B. All cases of measles should be reported.
C. As a routine, measles vaccine is given to infants between 9-12 months of age.
D. There are specific contraindications for giving measles vaccine.
56. For prevention of hepatitis A, you decided to conduct health education activities. Which of the following is IRRELEVANT?
A. Safe food preparation and food handling by vendors
B. Proper disposal of human excreta and personal hygiene
C. Use of sterile syringes and needles for injection
D. Immediate reporting of water pipe leaks and illegal water connections
57. Which of the following are strategies implemented by the Department of Health to prevent transmission of malaria?
A. Teaching people in endemic areas to use chemically treated mosquito nets
B. All of these strategies
C. Chemoprophylaxis of non immune personal going to endemic areas.
D. Chemoprophylaxis of pregnant women in endemic areas

58. To protect the other members of the household, which of the following is a priority objective in the care of a patient with active
pulmonary tuberculosis?
A. To offer emotional support
B. To assess the environment for standards of sanitation and provide needed health teachings
C. To teach the patient about the nature of the disease
D. To coordinate with various agency services that the patient requires
59. Secondary prevention for malaria includes
A. Residual spraying of insecticides at night
B. Planting of neem or eucalyptus trees
C. Determining whether a place is endemic or not
D. Growing larva-eating fish in mosquito breeding places
60. Which is the best preventive measure of schistosomiasis?
A. Destruction of snails
B. Environmental sanitation
C. Use of protective footwear
D. Irrigation of snail breeding places
Situation: Nedi, 3 years old, was brought by his mother to the health center because of cough and colds.
61. Which of the following signs will indicate that Nedi is suffering from severe pneumonia?
A. Cyanosis
B. Chest indrawing
C. Fast breathing
D. Wheezing
62. While assessing Nedi for the above sign, you have to make sure that he is
A. Not aware you are counting respiratory rate
B. Not crying
C. Asleep
D. Not playing
63. You decide that Nedi 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.
64. If Nedi manifests wheezing, you will
A. Give him a bronchodilator.
B. Diagnose him as having very severe disease.
C. Refer him to the nearest hospital
D. Prescribe an antibiotic and follow up closely.
Situation: As a public health nurse, you play an important role in the implementation of the Expanded Program on Immunization.
65. 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
B. Public Health Nurse
C. Municipal Health officer
D. Rural sanitary inspector
66. What is the dose f hepatitis B vaccine in the EPI?
A. 0.5 ml.
B. 0.05 ml.
C. 0.1 ml.
D. 1.0 ml.
67. Which of the following is/are true after giving BCG?
A. You must not use alcohol on the site of injection.
B. All of these are true.
C. A wheal is formed; it disappears after about 30 mins.
D. The child develops an abscess at the site of injection.
68. What reaction/s is/are expected after giving DPT?
A. All of these are expected.
B. The patient will have fever lasting for 24 hrs.
C. The patient will have a permanent scar at the site of injection.

D. The patient will have local tenderness at the site of injection of the 2nd week.
69. Which vaccines should not be stored in the freezer?
A. DPT
B. Tetanus toxoid vaccine
C. All of these
D. Hepatitis B
70. 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 party of a total public health program.
D. The public health nurse is responsible for developing the peoples health capability.
71. In the health center, who is the supervisor of midwives?
A. Midwife supervisor
B. Public health nurse
C. Health center physician
D. Obstetrician
72. As an epidemiologist, the nurse is responsible for presentations of health statistics. To compare the frequency of occurrence of
pneumonias and diseases of the heart, which graph will she prepare?
A. Line
B. Bar
C. Pie
D. Scatter diagram
73. Which step in community organizing involves establishing a two-way communication system with the people?
A. Community study
B. Core group formation
C. Entry/Integration
D. Mobilization
74. You are aware that you have to report notifiable diseases to the proper authorities. This is mandated by which law?
A. R.A. 3573
B. Act 3573
C. R.A. 3753
D. Act 3753
75. You are newly appointed public health nurse. What is the first activity that you will be concerned with?
A. Establish a working relationship with the people.
B. Study the set-up of the local government system.
C. Assess the health needs of the people by conducting a survey.
D. Make a plan of care together with the doctor and midwives.
76. 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
B. Rural health midwifer
C. Municipal health officer
D. Rural sanitary inspecto
77. When the occupational health nurse applies ergonomic principles, she is carrying out which of her functions?
A. Health care provider
B. Environmental manager
C. Health educator
D. Health coordinator
78. Which criteria must the nurse take into consideration when determining which of the identified health problems should be given
priority after conducting community diagnosis?
A. Magnitude of the health problem
B. Nature of the problem presented
C. Modifiability of the problem
D. All of these should be taken into consideration
79. 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 the observation?
A. Application of principles of general hygiene
B. Therapeutic competence
C. Health attitudes
D. Family living
80. To which level of prevention does screening of potential blood donors belong?
A. Primary
B. Secondary

C. Intermediate
D. Tertiary
Situation: Bennie, 7 weeks old, was brought by his mother to the health center because of diarrhea occurring 4 to 5 times a day.
81. Your assessment revealed that Bennie has sunken eyes and he is restless and irritable. What will be your diagnosis?
A. No sign of dehydration
B. Some dehydration
C. Severe dehydration
D. You need to assess him further to be able to make a diagnosis.
82. Based on your diagnosis, which of the following is the best that you can do for Bennie?
A. Accompany Bennie to the nearest facility where IV fluids can be given.
B. Give Bennie, 200 to 400 ml. Oresol in 4 hours.
C. Give Bennies mother instructions on home management.
D. Keep him in your health center for close observation.
83. Bennies assessment, what other problems do you have to consider?
A. The presence of blood in his stools
B. Severe undernutrition
C. Fever or hypothermia
D. All of these
84. Bennies mother says Bennie has been having diarrhea for 6 days now. You will decide that Bennie has
A. Acute diarrhea
B. You cannot be certain
C. Chronic diarrhea
D. Sub-acute diarrhea
85. After your management of Bennies condition, your assessment revealed that he has no more signs of dehydration. What
instructions will you give Bennies mother?
A. Continue breastfeeding him frequently.
B. Give him Oresol, 50-100ml after every loose stool.
C. Observe him for danger signs.
D. All of these instructions.
86. Primary health care is a total approach to community development. Which of the following is an indicator of success in the use of
the primarily health care approach?
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.
87. To which level of health care delivery does the Region I Provincial belong?
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
88. Which level of water supply is best in an urban setting?
A. Point source
B. Water standpost
C. Communal
D. Waterworks system
89. The Sentrong Sigla Movement has been launched to improve health service delivery. Which of the following is/are true of this
movement?
A. All of these are true.
B. This is a joint project of the Department of Health and Local Government Units.
C. It aims to promote availability of quality health services.
D. The DOH provides grants and technical assistance to a Sentrong Sigla.
Situation: Marie, 25 years old, G1P0, cam to the center for her first prenatal check-up
90. When is the best time to start preparing Marie for breastfeeding?
A. On the last month of pregnancy
B. On the first prenatal check-up
C. In the second trimester
D. Immediate after delivery
91. During her pregnancy, Marie may NOT be given which supplement?
A. Ferrous sulfate 100 mg. OD from the fifth month of pregnancy until 3 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
92. Marie is instructed to offer her breasts to the baby for the first time w/in 30 minutes after delivery. What is the purpose for
offering the breasts this early?
A. To foster early maternal bonding with the child
B. All of these
C. To lessen blood loss after delivery
D. To stimulate milk production
93. After delivery and based on the recommended schedule in the Under Five Clinic Program, you will encourage Marie to bring her
baby to the health center.
A. Whenever the baby has a health problem
B. Regularly every 2 months
C. Regularly every month
D. At the time when the baby is scheduled for immunization
94. Mrs. Jose 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
B. Municipal health officer
C. Rural health midwife
D. Private obstetrician
95. Which diarrhea disease/s warrant/s the prescription of antibiotics?
A. Giardiasis
B. Bacillary dysentery
C. Amoebiasis
D. All of these
Situation: Two other diseases endemic in certain parts of the Philippines are Malaria and Schistosomiasis.
96. The most common diagnostic test for Schistosomiasis is through a:
A. Stool analysis
B. Blood examination
C. Urine examination
D. Sputum examination
97. Schistosomiasis can be controlled by observing the following:
1. building of foot bridges
2. wearing of boots by farmers and fishermen
3. using sanitary toilets
4. clearing vegetation
A.
B.
C.
D.

1, 2, 4
2, 3, 4
1, 3, 4
1, 2, 3, 4

98. Malaria is endemic in the following areas except:

A. Q.C.
B. Palawan
C. Tawi-Twai
D. Kalinga and Apayao
99. To confirm the presence of the disease in a victim, she should be subjected to:
A. urine exam
B. stool analysis
C. blood smear
D. sputum mecioscopy
100. Part of Malarial control in an endemic area are the following EXCEPT:
A. Use of mosquito repellant at night
B. Propagating tilapia in fish foods
C. Planting Eucalyptus trees
D. Destroy fishes in ponds