Community Health Nursing Exam
Community Health Nursing Exam
Community Health Nursing Exam
A. Community organizing .
B. Nursing, process
C. Community diagnosis
D. Epidemiologic process
4. RA 1054 is also known as the Occupational Health Act. Aside from the
number of employees, what other factor must be considered in
determining the occupational health privileges to which the workers will
be entitled?
A. 21
B. 101
C. 201
D. 301
10. We say that a Filipino has attained longevity when he is able to reach
the average life span of Filipinos. What other statistic may be used to
determine attainment of longevity?
11. Which of the following is the most prominent feature of public health
nursing?
A. It involves providing home care to sick people who are not confined in the
hospital
B. Services are provided free of charge to people within the catchment area
C. The public health nurse functions as part of a team providing a public health
nursing service
D. Public health nursing focuses on preventive, not curative services
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
A. Requesting for BCG from the RHU for school entrance immunization
B. Conducting random classroom inspection during measles epidemic
C. Taking remedial action on an accident hazard in the school playground
D. Observing places in the school where pupils spend their free times
A. Effectiveness
B. Efficiency
C. Adequacy
D. Appropriateness
18. You are a new B.S.N. graduate. You want to become a Public Health
Nurse. Where will you apply?
A. Department of Health
B. Provincial Health Office
C. Regional Health Office
D. Rural Health Unit
A. Mayor
B. Municipal Health Officer
C. Public Health Nurse
D. Any qualified physician
21. Which level of health facility is the usual point of entry of a client into
the health care delivery system?
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
22. The public health nurse is the supervisor of rural health midwives.
Which of the following is a supervisory function of the pubic health
nurse?
23. One of the participants in a hilot training class asked you to whom
she should refer a patient in labor who develops a complication. You will
answer, to the;
24. You are the public health nurse in a municipality with a total
population of about 20,000. There are3 health midwives among the RHU
personnel. How many more midwife items will the RHU need?
A. 1
B. 2
C. 3
D. 4
25. If the RHU needs additional midwife items, you will submit the
request for additional midwife items for approval to the:
A. Act 3573
B. RA.3753
C. RA 1054
D. RA 1082
A. Pioliomyelitis
B. Measles
C. Rabies
D. Neonatal Tetanus
29. The public health nurse is responsible for presenting the municipal
health statistics using graphs and tables. To compare the frequency of
the leading causes of mortality in the municipality, which graph will you
prepare?
A. Line
B. Bar
C. Pie
D. Scatter diagram
A. Integration
B. Community organization
C. Community study
D. Core group formation
31. In which step are plans formulated for solving community problems?
A. Mobilization
B. Community organization
C. Follow-up/extension
D. Core group formation
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
37. Which type of family-nurse contact will provide you with the best
opportunity to observe family dynamics?
A. Clinic consultation
B. Group conferences
C. Home visit
D. Written communication
A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point
39. The delos Reyes coupled have 6-year old child entering school for the
first time. The delos Reyes family has a:
A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point
42. The PHN bag is an important tool in providing nursing care during a
home visit. The most important principle in bag technique states that it;
43. To maintain the cleanliness of the bag and its contents, which of the
following must the nurse do?
A. Wash his/her hands before and after providing nursing care to the family
members
B. In the care of family member's, as much as possible, use only articles taken
from the bag
C. Put on an apron to protect her uniform and fold it with the right side out before
putting it back into the bag.
D. At the end of the visit, fold the lining on which the bag was placed, ensuring
that the contaminated side is on the outside.
44. The public health conducts a study on the factors contributing to the
high morality rate due to heart diseases in the municipality where she
works. Which branch of epidemiology does the nurse practice in this
situation?
A. Descriptive
B. Analytical
C. Therapeutic
D. Evaluation
50. The number of cases of Dengue fever usually increases towards the
end of the rainy season. This pattern of occurrence of Dengue fever is
best described as;
A. Epidemic occurrence
B. Cyclical variation
C. Sporadic occurrence
D. Secular occurrence
51. In the year 1980, the World Health Organization declared the
Philippines, together with some other countries in the Western Pacific
Region, “free" of which disease?
A. Pneumonic plaque
B. Poliomyelitis
C. Small pox
D. Anthrax
A. 99.06:100
B. 100.94:100
C. 50.23%
D. 49.76%
A. Effectiveness
B. Efficacy
C. Specificity
D. Sensitivity
A. Sambong
B. Tsaang gubat
C. Akapulko
D. Lagundi
A. RA 8483
B. RA4823
C. RA 2483
D. RA 3482
A. Yin
B. Yang
C. Qi
D. Chai
58. What is the legal basis of Primary Health Care approach in the
Philippines?
A. 1,500
B. 1,800
C. 2,000
D. 2,300
61. Estimate the number of pregnant women who will be given tetanus
toxoid during an immunization outreach activity in a barangay with a
population of about 1,500.
A. 265
B. 300
C. 375
D. 400
A. Sex ratio
B. Sex proportion
C. Population pyramid
D. Any of these maybe used
64. You are computing the crude rate of your municipality, with a total
population o about 18,000 for last year. There were 94 deaths. Among
those who died, 20 died because of diseases of the heart and 32 were
aged 50 years or older. What is the crude death rate?
A. 4.1/1000
B. 5.2/1000
C. 6.3/1000
D. 7.3/1000
66. Which statistic can give the most accurate reflection of the health
status of a community?
A. 27.8/1000
B. 43.5/1000
C. 86.9/1000
D. 130.4/1000
70. You will gather data for nutritional assessment of a purok. You will
gather information only from families with members who belong to the
target population for PEM. What method of delta gathering is best for
this purpose?
A. Census
B. Survey
C. Record Review
D. Review of civil registry
A. De jure
B. De locus
C. De facto
D. De novo
72. The Field Health Services and information System (FHSIS) is the
recording and reporting system in public health) care in the Philippines.
The monthly field health service activity report is a form used in which of
the components of the FHSIS?
A. Tally report
B. Output report
C. Target/client list
D. Individual health record
A. Tally report
B. Output report
C. Target/client list
D. Individual health record
74. Civil registries are important sources of data. Which law requires
registration of births within 30 days from the occurrence of the birth?
A. PD 651
B. Act 3573
C. RA 3753
D. RA 3375
75. Which of the following professionals can sign the birth certificate?
77. The Sentrong Sigla Movement has been launched to improve health
service delivery. Which of the following is/are true of this movement?
A. Tetanus toxoid
B. Retinol 200,000 IU
C. Ferrous sulfate 200mg
D. Potassium iodate 200 mg, capsule
81. During prenatal consultation, a client asked you if she can have her
delivery at home. After history taking and physical examination, you
advised her against a home delivery. Which of the following findings
disqualifies her for a home delivery?
A. Niacin
B. Riboflavin
C. Folic Acid
D. Thiamine
85. A primigravida is instructed to offer her breast to the baby for the
first time within 30 minutes after delivery. What is the purpose of
offering the breast this early?
A. 3 months
B. 6 months
C. 1 year
D. 2 years
A. Malunggay capsule
B. Ferrous sutfate l00mg O.D.
C. Retinol 200.000 IU 1 capsule
D. Potassium Iodate 200 mg, 1 capsule
A. DPT
B. Tetanus toxoid
C. Measles vaccine
D. Hepatitis B vaccine
A. 2
B. 4
C. 6
D. At the end of the day
91. In immunity school entrants with BCG, you not obliged to secure
parental consent. This is because of which legal document?
A. PD 996
B. RA 7864
C. Presidential Proclamation No. 6
D. Presidential Proclamation No. 46
A. DPT
B. BCG
C. Measles vaccination
D. Hepatitis B vaccination
93. A 4 week old baby was brought to the health center for his first
immunization. Which can be given to him?
A. DPT1
B. OPV1
C. Infant BCG
D. Hepatitis B Vaccin
94. You will not give DPT 2 if the mother says that the infant had?
96. A pregnant woman had just received her 4th dose of tetanus toxoid.
Subsequently, her baby will have protection against tetanus for how
long?
A. 1 year
B. 3 years
C. 10 years
D. Lifetime
97. A 4-month old infant was brought to the health center of cough. Her
respiratory rate is 42/minute. Using the IMCI guidelines of assessment,
her breathing is considered;
A. Fast
B. Slow
C. Normal
D. Insignificant
98. Which of the following signs will indicate that a young child is
suffering from severe pneumonia?
A. Dyspnea
B. Wheezing
C. Fast breathing
D. Chest indrawing
A. Prescribe antibiotic
B. Refer him urgently to the hospital
C. Instruct the mother to increase fluid intake
D. Instruct the mother to continue breastfeeding
100. A 5-month old infant was brought by his mother to the health center
because of diarrhea occurring 4 to 5 times a day. His skin goes back
slowly after a skin pinch and his eyes are sunken. Using the IMCI
guidelines, you will classify this infant in which category?
A. No signs of dehydration
B. Some dehydration
C. Severe dehydration
D. The data is insufficient
101. Based on the assessment, you classified a 3-month old infant with
the chief complaint of diarrhea in the category of SOME DEHYDRATION.
Based on the IMCI management guidelines, which of the following will
you do?
A. Bring the infant to the nearest facility where IV fluids can be given
B. Supervise the mother in giving 200 to 400ml of Oresol in 4 hours
C. Give the infant's mother instructions on home management
D. Keep the infant in your health center for close observation
103. A 1 1/2 year old child was classified as having 3rd degree of protein
energy malnutrition, kwashjorkor. Which of the following signs will be
most apparent in this child?
A. Voracious appetite
B. Wasting
C. Apathy
D. Edema
104. Assessment of a 2-year old child revealed "baggy pants". Using the
IMCI guidelines, how will you manage this child?
A. Refer the child urgently to a hospital for confinement
B. Coordinate with the social worker to enroll the child in a feeding program
C. Make a teaching plan for the mother, focusing on the menu planning for her
child
D. Assess and treat the child for health problems like infections and intestinal
parasitism
A. Keratomalacia
B. Corneal opacity
C. Night blindness
D. Conjunctival xerosis
A. 10, 000 IU
B. 20, 000 IU
C. 100, 000 IU
D. 200, 000 IU
107. The major sign of iron deficiency anemia is pallor. What part is best
examined for pallor?
A. Palms
B. Nailbeds
C. Around the lips
D. Lower conjunctival sac
108. Food fortification is one of the strategies to prevent micronutrient
deficiency conditions. RA 8976 mandates fortification of certain food
items. Which of the following is among these food items?
A. Sugar
B. Bread
C. Margarine
D. Filled milk
109. What is the best course of action when there is a measles epidemic
in a nearby municipality?
110. A mother brought her daughter, 4 years old, to the RHU because of
cough and colds. Following the IMCI assessment guide, which of the
following is a danger sign that indicates the need for urgent referral to a
hospital?
A. Inability to drink
B. High grade fever
C. Signs of severe dehydration
D. Cough for more than 30 days
112. A mother brought her 10 month old infant for consultation because
of fever which started 4 days prior to consultation. To determine malaria
risk, what will you do?
A. Do a tourniquet test
B. Ask where the family resides
C. Get a specimen for blood smear
D. Ask if the fever is present everyday
115. Scotch tape swab is done to check for which intestinal parasite?
A. Ascaris
B. Pinworm
C. Hookworm
D. Schistosoma
116. Which of the following signs indicates the need for sputum
examination for AFB?
A. Hematemesis
B. Fever for 1 week
C. Cough for 3 weeks
D. Chest pain for 1 week
A. Macular lesions
B. Inability to close eyelids
C. Thickened painful nerves
D. Sinking of the nose bridge
A. Liver cancer
B. Liver cirrhosis
C. Bladder cancer
D. Intestinal perforation
A. Use of molluscicides
B. Building of foot bridges
C. Proper use of sanitary toilets
D. Use of protective footwear, such as rubber boots
A. I
B. II
C. III
D. IV
125. Which biological used in EPI should not be stored in the freezer?
A. DPT
B. OPV
C. Measles vaccine
D. MMR
A. 45
B. 50
C. 55
D. 60
A. Mastoiditis
B. Severe dehydration
C. Severe pneumonia
D. Severe febrile disease.
128. A client was diagnosed as having Dengue Fever. You will say that
there is slow capillary refill when the color of the nailbed that you
pressed does not return within how many seconds?
A. 3
B. 5
C. 8
D. 10
129. A 3-year old child was brought by his mother to the health center
because of fever of 4-day duration. The child had a positive tourniquet
test result. In the absence of other signs, which of the most appropriate
measure that the PHN may carry out to prevent Dengue shock syndrome?
130. The pathognomonic sign of measles is Koplik’s spot. You may see
Koplik’s spot by inspecting the:
A. Nasal Mucosa
B. Buccal mucosa
C. Skin on the abdomen
D. Skin on the antecubital surface
A. Viral conjunctivitis
B. Acute poliomyelitis
C. Diptheria
D. Measles
132. Among children aged 2 months to 3 years, the most prevalent form
of meningitis is caused by which microorganism?
A. Hemophilus Influenzae
B. Morbillivirus
C. Streptococcus Pneumoniae
D. Neisseria meningitides
133. Human beings are the major reservoir of malaria. Which of the
following strategies in malaria control is based on this fact?
A. Stream seeding
B. Stream clearing
C. Destruction of breeding places
D. Zooprophylaxis
134. The use of larvivorous fish in malaria control is the basis for which
strategy of malaria control?
A. Stream seeding
B. Stream clearing
C. Destruction of breeding places
D. Zooprophylaxis .
136. A 4-year old client was brought to the health center with chief
complaint of severe diarrhea and the passage of “rice water”. The client
is most probably suffering from which condition?
A. Giardiasis
B. Cholera
C. Amebiasis
D. Dysentery
A. S. mansoni
B. S. japonicum
C. S. malayensis
D. S. haematobium
138. A 32 year old client came for consultation at the health center with
the chief complaint of fever for a week. Accompanying symptoms were
muscle pains and body malaise. A week after the start of fever, the client
noted yellowish discoloration of his sclera. History showed that he waded
in flood waters about 2 weeks before the onset of symptoms. Based on
this history/ which disease condition will you suspect?
A. Hepatitis A
B. Hepatitis B
C. Tetanus
D. Leptospirosis
139. MWSS provides water to Manila and other cities in Metro Manila.
This is an example of which level of water facility?
A. I
B. II
C. III
D. IV
140. You are the PHN in the city health center. A client underwent
screening for AIDS using ELISA. His result was positive. What is the best
course of action that you may take?
A. Get a thorough history of the client, focusing on the practice of high risk
behavior
B. Ask the client to be accompanied by a significant person before revealing the
result.
C. Refer the client to the physician since he is the best person to reveal the result
to the client
D. Refer the client for a supplementary test, such as Western blot, since the
ELISA result maybe false
142. The most frequent causes of death among clients with AIDS are
opportunistic diseases. Which of the following opportunistic infections is
characterized by tonsilllopharyngitis?
A. Respiratory candidiasis
B. Infectious mononucleosis
C. Cytomegalovirus disease
D. Pneumocystis carinii pneumonia
A. Contact tracing
B. Community survey
C. Mass screening tests
D. Interview suspects