CHN Reviewer
CHN Reviewer
CHN Reviewer
Questions
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. Type of occupation,: agriculture, commercial, industrial
B. Location of the workplace in relation to health facilities
C. Classification of the business enterprise based on net profit
D. Sex and age composition of employees
8. “Public health services are given free of charge”. Is this statement true or
false?
A. The statement is true; it is the responsibility of government to provide haste
services
B. The statement is false; people pay indirectly for public health services
C. The statement may be true or false; depending on the Specific service required
D. The statement may be true or false; depending on policies of the government
concerned.
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?
A. Age-specific mortality rate
B. Proportionate mortality rate
C. Swaroop’s index
D. Case fatality rate
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
16. Which is an example of the school nurse’s health care provider function?
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
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
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?
A. Referring cases or patients to the midwife
B. Providing technical guidance to the midwife
C. Proving nursing care to cases referred by the midwife
D. Formulating and implementing training programs for midwives
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;
A. Public health nurse
B. Rural health midwife
C. Municipal health officer
D. Any of these health professionals
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. Rural Health Unit
B. District Health Office
C. Provincial Health Office
D. Municipal Health Board
31. In which step are plans formulated for solving community problems?
A. Mobilization
B. Community organization
C. Follow-up/extension
D. Core group formation
32. The public health nurse takes an active role in community participation.
What is the primary goal of community organizing?
A. To educate the people regarding community health problems
B. To mobilize the people to resolve community health problems
C. To maximize the community’s resources in dealing with health problems
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
39. The delos Reyes couple 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;
A. Should save time and effort
B. Should minimize if not totally prevent the spread of infection
C. Should not overshadow concern for the patient and his family
D. May be done in variety of ways depending on the home situation, etc.
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
52. 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%
56. What law created the Philippine institute of Traditional and Alternative
Health Care?
A. RA 8483
B. RA4823
C. RA 2483
D. RA 3482
58. What is the legal basis of Primary Health Care approach in the
Philippines?
A. Alma Ata Declaration of PHC
B. Letter of Instruction No 949
C. Presidential Decree No. 147
D. Presidential Decree 996
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
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. 1-4 year old age-specific mortality rate
B. Infant mortality rate
C. Swaroop’s index
D. Crude death rate
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
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
73. To monitor clients registered in long-term regimens, such as the Multi-
Drug Therapy, which component will be most useful?
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?
A. Public health nurse
B. Rural health midwife
C. Municipal health officer
D. Any of these health professionals
77. The Sentrong Sigla Movement has been launched to improve health
service delivery. Which of the following is/are true of this movement?
A. This is a project spearheaded by local government units
B. It is a basis for increasing funding from local government units
C. It encourages health centers to focus on disease prevention and control
D. Its main strategy is certification of health centers able to comply with
standards
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. Her OB score is G5P3
B. She has some palmar pallor
C. Her blood pressure is 130/80
D. Her baby is in cephalic presentation
82. Inadequate intake by the pregnant woman of which vitamin may cause
neural tube defects?
A. Niacin
B. Riboflavin
C. Folic Acid
D. Thiamine
83. You are in a client’s home to attend to a delivery. Which of the following
will you do first?
A. Set up a sterile area
B. Put on a clean gown and apron
C. Cleanse the client’s vulva with soap and water
D. Note the interval, duration and intensity of labor and contractions
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. To initiate the occurrence of milk letdown
B. To stimulate milk production by the mammary acini
C. To make sure that the baby is able to get the colustrum
D. To allow the woman to practice breastfeeding in the presence of the health
worker
87. You explain to a breastfeeding mother that breastmilk is sufficient for all
of the baby’s nutrient needs only up to:
A. 3 months
B. 6 months
C. 1 year
D. 2 years
88. What is given to a woman within a month after the delivery of a baby?
A. Malunggay capsule
B. Ferrous sutfate l00mg O.D.
C. Retinol 200.000 IU 1 capsule
D. Potassium Iodate 200 mg, 1 capsule
90. Unused BCG should be discarded how many hours after reconstitution?
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
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?
A. Seizures a day after DPT1
B. Fever for 3 days after DPT1
C. Abscess formation after DPT1
D. Local tenderness for 3 days after DPT1
95. A 2-month old infant was brought to the health center for
immunization. During assessment, the infant’s temperature registered at
38.1 C. Which is the best course of action that you will take?
A. Go on with the infants immunization
B. Give paracetamol and wait for his fever to subside
C. Refer the infant to the physician for further assessment
D. Advise the infant’s mother to bring him back for immunization when he is well
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
99. Using IMCI guidelines, you classify a child as having severe pneumonia.
What is the best management for the child?
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 400 ml 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
105. During the physical examination of a young child, what is the earliest
sign of xerophthalmia that may observe?
A. Keratomalacia
B. Corneal opacity
C. Night blindness
D. Conjunctival xerosis
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
109. What is the best course of action when there is a measles epidemic in a
nearby municipality?
A. Give measles vaccine to babies aged 6 to 3 months
B. Give babies aged 6 to 11 months one dose of 100,000 IU of Retinol
C. Instruct mother to keep their babies at home to prevent disease transmission
D. Instruct mothers to feed their babies adequately to enhance their babies
resistance
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
113. The following are strategies implemented by the DOH to prevent
mosquito-borne diseases. Which of these is most effective in the control of
Dengue fever?
A. Stream seeding with larva-eating fish
B. Destroying breeding places of mosquitoes
C. Chemoprophylaxis of non-immune persons going to endemic areas
D. Teaching people in endemic areas to use chemically treated mosquito nets
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
121. In the Philippines, which condition is the most frequent cause of death
associated by schistosomiasis?
A. Liver cancer
B. Liver cirrhosis
C. Bladder cancer
D. Intestinal perforation
125. Which biological used in EPI should not be stored in the freezer?
A. DPT
B. OPV
C. Measles vaccine
D. MMR
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?
A. Insert an NGT and give fluids per NGT
B. Instruct the mother to give the child Oresol
C. Start the patient on IV Stat
D. Refer the client to the physician for appropriate management
130. The pathognomonic sign of measles is Koplik’s spot. You may see
Koplik’s spot by inspecting the:
A. N asal Mucosa
B. Buccal mucosa
C. Skin on the abdomen
D. Skin on the antecubital surface
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
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
144. Antiretroviral agents, such as AZT are used in the management of AIDS.
Which of the following is not an action expected of these drugs?
A. They prolong the life of the client with AIDS
B. They reduce the risk of opportunistic infections
C. They shorten the period of communicability of the disease
D. They are able to bring about a cure of the disease condition
8. Answer: (B) The statement is false; people pay indirectly for public health
services.
Community health services, including public health services, are prepaid paid
services, through taxation, for example.
9. Answer: (A) For people to attain their birthrights of health and longevity
According to Winslow, all public health efforts are for people to realize their
birthrights of health and longevity.
13. Answer: (B) Ensure the accessibility and quality of health care
19. Answer: (C) To empower the people and promote their self-reliance
People empowerment is the basic motivation behind devolution of basic services
to LGU’s.
20. Answer: (A) Mayor
The local executive serves as the chairman of the Municipal Health Board.
27. Answer: (B) Health education and community organizing are necessary in
providing community health services.
The community health nurse develops the health capability of people through
health education and community organizing activities.
32. Answer: (D) To maximize the community’s resources in dealing with health
problems
Community organizing is a developmental service, with the goal of developing
the people’s self-reliance in dealing with community health problems. A, B and C
are objectives of contributory objectives to this goal.
40. 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.
41. 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.
42. 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.
43. 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.
44. Answer: (B) Analytical
Analytical epidemiology is the study of factors or determinants affecting the
patterns of occurrence and distribution of disease in a community.
46. 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.
48. 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.
53. 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.
56. Answer: (A) R.A. 8423 or “AN ACT CREATING THE PHILIPPINE INSTITUTE OF
TRADITIONAL AND ALTERNATIVE HEALTH CARE (PITAHC) TO ACCELERATE THE
DEVELOPMENT OF TRADITIONAL AND ALTERNATIVE HEALTH CARE IN THE
PHILIPPINES, PROVIDING FOR A TRADITIONAL AND ALTERNATIVE HEALTH CARE
DEVELOPMENT FUND AND FOR OTHER PURPOSES” signed to a law on
December 9, 1997.
59. 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.
60. 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%.
78. Answer: (D) Those who just had a delivery within the past 15 months
The ideal birth spacing is at least two years. 15 months plus 9 months of
pregnancy = 2 years.
79. Answer: (C) Adequate information for couples regarding the different
methods
To enable the couple to choose freely among different methods of family
planning, they must be given full information regarding the different methods
that are available to them, considering the availability of quality services that can
support their choice.
83. Answer: (D) Note the interval, duration and intensity of labor contractions.
Assessment of the woman should be done first to determine whether she is
having true labor and, if so, what stage of labor she is in.
84. Answer: (D) Explain to her that putting the baby to breast will lessen blood
loss after delivery.
Suckling of the nipple stimulates the release of oxytocin by the posterior pituitary
gland, which causes uterine contraction. Lactation begins 1 to 3 days after
delivery. Nipple stretching exercises are done when the nipples are flat or
inverted. Frequent washing dries up the nipples, making them prone to the
formation of fissures.
86. Answer: (B) The mother does not feel nipple pain.
When the baby has properly latched on to the breast, he takes deep, slow sucks;
his mouth is wide open; and much of the areola is inside his mouth. And, you’re
right! The mother does not feel nipple pain.
101. Answer: (B) Supervise the mother in giving 200 to 400 ml. of Oresol in 4
hours.
In the IMCI management guidelines, SOME DEHYDRATION is treated with the
administration of Oresol within a period of 4 hours. The amount of Oresol is best
computed on the basis of the child’s weight (75 ml/kg body weight). If the weight
is unknown, the amount of Oresol is based on the child’s age.
102. Answer: (D) Let the child rest for 10 minutes then continue giving Oresol
more slowly.
If the child vomits persistently, that is, he vomits everything that he takes in, he
has to be referred urgently to a hospital. Otherwise, vomiting is managed by
letting the child rest for 10 minutes and then continuing with Oresol
administration. Teach the mother to give Oresol more slowly.
104. Answer: (A) Refer the child urgently to a hospital for confinement.
“Baggy pants” is a sign of severe marasmus. The best management is urgent
referral to a hospital.
111. Answer: (D) Retinol capsule regardless of when the last dose was given
An infant 6 to 12 months classified as a case of measles is given Retinol 100,000
IU; a child is given 200,000 IU regardless of when the last dose was given.
117. Answer: (D) Clients diagnosed for the first time through a positive sputum
exam
Category I is for new clients diagnosed by sputum examination and clients
diagnosed to have a serious form of extrapulmonary tuberculosis, such as TB
osteomyelitis.
118. Answer: (B) Having the health worker or a responsible family member
monitor drug intake
Directly Observed Treatment Short Course is so-called because a treatment
partner, preferably a health worker accessible to the client, monitors the client’s
compliance to the treatment.
140. Answer: (D) Refer the client for a supplementary test, such as Western blot,
since the ELISA result may be false.
A client having a reactive ELISA result must undergo a more specific test, such as
Western blot. A negative supplementary test result means that the ELISA result
was false and that, most probably, the client is not infected.
144. Answer: (D) They are able to bring about a cure of the disease condition.
There is no known treatment for AIDS. Antiretroviral agents reduce the risk of
opportunistic infections and prolong life, but does not cure the underlying
immunodeficiency.
145. Answer: (D) Consult a physician who may give them rubella immunoglobulin.
Rubella vaccine is made up of attenuated German measles viruses. This is
contraindicated in pregnancy. Immune globulin, a specific prophylactic against
German measles, may be given to pregnant women.
CategoriesNursingPost navigation
Search for:
Recent Posts