PNLE Community Health Nursing Exam 2
PNLE Community Health Nursing Exam 2
PNLE Community Health Nursing Exam 2
A. Mobilization
B. Community organization
C. Follow-up/extension
2. The public health nurse takes an active role in community participation. What is the primary goal of
community organizing?
A. Pre-pathogenesis
B. Pathogenesis
C. Prodromal
D. Terminal
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
7. Which type of family-nurse contact will provide you with the best opportunity to observe family
dynamics?
A. Clinic consultation
B. Group conference
C. Home visit
D. Written communication
8. The typology of family nursing problems is used in the statement of nursing diagnosis in the care of
families. The youngest child of the de los Reyes family has been diagnosed as mentally retarded. This is
classified as a:
A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point
9. The de los Reyes couple have a 6-year old child entering school for the first time. The de los Reyes
family has a:
A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point
D. It develops the family’s initiative in providing for health needs of its members.
12. The PHN bag is an important tool in providing nursing care during a home visit. The most important
principle of bag technique states that it
C. Should not overshadow concern for the patient and his family.
13. 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 members, 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.
14. The public health nurse conducts a study on the factors contributing to the high mortality rate due
to heart disease 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
C. Determining the efficacy of the antibiotic used in the treatment of the 3 year old client with
pneumonia
16. Which of the following is an epidemiologic function of the nurse during an epidemic?
D. There is a gradual build up of cases before the epidemic becomes easily noticeable.
19. In the investigation of an epidemic, you compare the present frequency of the disease with the usual
frequency at this time of the year in this community. This is done during which stage of the
investigation?***
D. Appraisal of facts
20. 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 variation
21. 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 plague
B. Poliomyelitis
C. Small pox
D. Anthrax
22. In the census of the Philippines in 1995, there were about 35,299,000 males and about 34,968,000
females. What is the sex ratio?
A. 99.06:100
B. 100.94:100
C. 50.23%
D. 49.76%
23. Primary health care is a total approach to community development. Which of the following is an
indicator of success in the use of the primary health care approach?**
B. Local officials are empowered as the major decision makers in matters of health.
C. Health workers are able to provide care based on identified health needs of the people.
D. Health programs are sustained according to the level of development of the community.
24. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients would
sometimes get false negative results in this exam. This means that the test is not perfect in terms of
which characteristic of a diagnostic examination?
A. Effectiveness
B. Efficacy
C. Specificity
D. Sensitivity
25. Use of appropriate technology requires knowledge of indigenous technology. Which medicinal herb
is given for fever, headache and cough?
A. Sambong
B. Tsaang gubat
C. Akapulko
D. Lagundi
26. What law created the Philippine Institute of Traditional and Alternative Health Care?
B. R.A. 4823
C. R.A. 2483
D. R.A. 3482
27. In traditional Chinese medicine, the yielding, negative and feminine force is termed
A. Yin
C. Qi
D. Chai
28. What is the legal basis for Primary Health Care approach in the Philippines?
B. Team approach
30. The municipality assigned to you has a population of about 20,000. Estimate the number of 1-4 year
old children who will be given Retinol capsule 200,000 I.U. every 6 months.
A. 1,500
B. 1,800
C. 2,000
5. Answer: (A) Primary. The purpose of isolating a client with a communicable disease is to protect
those who are not sick (specific disease prevention).
7. Answer: (C) Home visit. Dynamics of family relationships can best be observed in the family’s
natural environment, which is the home.
8. Answer: (B) Health deficit. Failure of a family member to develop according to what is expected,
as in mental retardation, is a health deficit.
9. Answer: (C) Foreseeable crisis. Entry of the 6-year old into school is an anticipated period of
unusual demand on the family.
10. Answer: (B) It provides an opportunity to do first hand appraisal of the home situation.. Choice A
is not correct since a home visit requires that the nurse spend so much time with the family.
Choice C is an advantage of a group conference, while choice D is true of a clinic consultation.
11. Answer: (C) A home visit should be conducted in the manner prescribed by the RHU.The home
visit plan should be flexible and practical, depending on factors, such as the family’s needs and
the resources available to the nurse and the family.
12. Answer: (B) Should minimize if not totally prevent the spread of infection. Bag technique is
performed before and after handling a client in the home to prevent transmission of infection to
and from the client.
13. Answer: (A) Wash his/her hands before and after providing nursing care to the family
members. Choice B goes against the idea of utilizing the family’s resources, which is encouraged
in CHN. Choices C and D goes against the principle of asepsis of confining the contaminated
surface of objects.
14. Answer: (B) Analytical. Analytical epidemiology is the study of factors or determinants affecting
the patterns of occurrence and distribution of disease in a community.
15. Answer: (D) Evaluating the effectiveness of the implementation of the Integrated Management
of Childhood Illness. Epidemiology is used in the assessment of a community or evaluation of
interventions in community health practice.
16. Answer: (C) Participating in the investigation to determine the source of the
epidemic. Epidemiology is the study of patterns of occurrence and distribution of disease in the
community, as well as the factors that affect disease patterns. The purpose of an epidemiologic
investigation is to identify the source of an epidemic, i.e., what brought about the epidemic.
17. Answer: (A) Delineate the etiology of the epidemic. Delineating the etiology of an epidemic is
identifying its source.
18. Answer: (D) There is a gradual build up of cases before the epidemic becomes easily
noticeable. A gradual or insidious onset of the epidemic is usually observable in person-to-
person propagated epidemics.
19. Answer: (A) Establishing the epidemic. Establishing the epidemic is determining whether there is
an epidemic or not. This is done by comparing the present number of cases with the usual
number of cases of the disease at the same time of the year, as well as establishing the
relatedness of the cases of the disease.
20. Answer: (B) Cyclical variation. A cyclical variation is a periodic fluctuation in the number of cases
of a disease in the community.
21. Answer: (C) Small pox. The last documented case of Small pox was in 1977 at Somalia.
22. Answer: (B) 100.94:100. Sex ratio is the number of males for every 100 females in the
population.
23. Answer: (D) Health programs are sustained according to the level of development of the
community. Primary health care is essential health care that can be sustained in all stages of
development of the community.
24. Answer: (D) Sensitivity. Sensitivity is the capacity of a diagnostic examination to detect cases of
the disease. If a test is 100% sensitive, all the cases tested will have a positive result, i.e., there
will be no false negative results.
25. Answer: (D) Lagundi. Sambong is used as a diuretic. Tsaang gubat is used to relieve diarrhea.
Akapulko is used for its antifungal property.
27. Answer: (A) Yin. Yang is the male dominating, positive and masculine force.
28. Answer: (B) Letter of Instruction No. 949. Letter of Instruction 949 was issued by then President
Ferdinand Marcos, directing the formerly called Ministry of Health, now the Department of
Health, to utilize Primary Health Care approach in planning and implementing health programs.
29. Answer: (D) Cooperation between the PHN and public school teacher. Intersectoral linkages
refer to working relationships between the health sector and other sectors involved in
community development.
30. Answer: (D) 2,300. Based on the Philippine population composition, to estimate the number of
1-4 year old children, multiply total population by 11.5%.