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Situation: Nurse Anna is a new BSN graduate and has just passed her Licensure Examination for Nurses in the Philippines. She
has likewise been hired as a new Community Health Nurse in one of the Rural Health Units in their city, which of the following
conditions may be acceptable TRUTHS applied to the Community Health Nursing Practice
1.Which of the following is the primary focus of community health nursing practice?
A. Promotion of health
C. Prevention of illness
D. Cure of illness
2. In community health nursing, which of the following is out unit of service as nurses?
A. The Family
B. The community
3. A very important part of the Community Health Nursing Assessment Process includes:
D. The application of professional judgment in estimating importance of facts to family and community
4. In community health nursing, it is important to take into account the family health data coupled with an equally important
need to perform ocular inspection of the area as activities which are powerful elements of:
A. Implementation
B. Evaluation
C. Planning
D. Assessment
5. The initial step in PLANNING process in order to engage in any nursing project or activities at the community level
involves:
A. Monitoring
B. Goal-setting`
C. Provision of data
D. Evaluation of data
Situation 2 – The nurse is involved in community organizing activities of Barangay Malusog. The following questions pertain to
this situation.
6. The nurse makes an ocular survey of Barangay Malusog. Upon reaching the barangay, it is appropriate for her to:
7. Carrying out the planned activities involving maximum community participation is referred to as:
a. Community assembly
b. Mobilization
c. Community organization
d. Integration
8. To ensure collective participation of the people, community organization should be formed through a community
assembly. The purposes of having community assemblies are the following EXCEPT:
9. Which of the following approaches is the BEST in applying community organization in Community Health?
a. Community-oriented organization
c. Community Development
10. Community organizing ends when the community is already self-reliant. This signals that the community organizers are
now ready to pull out of the community because:
11. Which type of family-midwife contact will provide you with the best opportunity to observe family dynamics?
a. Clinic consultation
b. Group conferences
c. Home visit
d. Written communication
d. It develops the family’s initiative in providing for health needs of its members
14. The PHN bag is an important tool in providing care during a home visit. The most important principle in bag technique
states that it;
a. Should save time and effort
c. Should not overshadow concern for the patient and his family
15. 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 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.
Situation: epidemiologic function of the nurse during an epidemic are Monitoring the condition of the cases affected by the
communicable disease, Participating in the investigation to determine the source of epidemic. Epidemiologic nurse must keep an
intact understanding in different statistical data computation.
16. 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%
17. You are computing the crude rate of your municipality, with a total population of 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
18. Which statistic can give the most accurate reflection of the health status of a community?
c. Swaroop’s index
19. In the past year, Barangay A had an average population of 1655. 46 babies were born in that year, 2 of whom died less
than 4 weeks after they were born. They were 4 recorded stillbirths. What is the neonatal mortality rate?
a. 27.8/1000
b. 43/1000
c. 86.9/1000
d. 2.4/1000
21. Unused BCG should be discarded how many hours after reconstitution?
a. 2
b. 4
c. 6
22. 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
23. 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 Vaccine
24. You will not give DPT 2 if the mother says that the infant had?
25. 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?
Situation: Traditional Alternative medicine act under the implementation of DOH used the 10 accepted herbal medicine in the
treatment of less severe ailments.
26. Herbal medicines are now used in many fields of medicine. What law mandates the use of the 10 medicinal herbs by the
DOH?
a. RA 8423
b. RA 9173
c. RA 6310
d. RA 7260
a. Niyog-niyogan
b. Pansit-pasitan
c. Sambong
d. Luyang Dilaw
28. Essential drugs are of primary importance to the primary health care framework. Which among the following is
considered as part of the 10 medicinal herbal medicines by the DOH?
a. Katakataka
b. Luya
c. Kamote
d. Lagundi
29. Use of appropriate technology requires knowledge of indigenous technology. Which medical herb is given for edema
and urolithiasis?
a. Sambong
b. Ulisimang bato
c. Niyog-Niyogan
d. Yerba Buena
30. As a community health nurse, you conduct a class that teaches mothers on how to care for their children with stomach
ache, as part of your teaching, which herbal medicine will you recommend for them to use?
a. Lagundi C. Niyug-Niyogan
Situation: A child is exposed to a playmate who contracted chickenpox. Two days later, the child is admitted to the hospital for
another problem, and the parents inform Nurse Karlo of the exposure on admission.
31. How long after the exposure should the child be watched for signs of upper respiratory illness?
a. 5 to 10 days
b. 10 to 21 days
c. 21 to 25 days
d. One month
32. Nurse Karlo notes an elevated temperature. To prevent a common complication of an elevated temperature in a child
with chickenpox, he recommends which of the following?
d. Antibiotics as ordered
33. Which nursing intervention by Nurse Karlo will best prevent secondary skin infections in a child with chickenpox?
a. Caladryl lotion
b. Acetylsalicylic acid
34. In evaluating the effectiveness of the instruction after client teaching, Nurse Karlo determines that the mother needs
additional information after the mother makes which statement?
a. “I should monitor the child for Reye syndrome, which is a complication of chickenpox.”
c. “During the prodromal period, my child will have pox all over his body.”
35. On another admission, a child has been diagnosed with mumps, and the mother has been given instructions on caring for
the child during the acute period. Which statement by the mother indicates a need for additional education?
b. “My child will be more comfortable if I give him fluids and soft foods.”
d. “I will give my child antibiotics every four hours around the clock.”
Situation: The case of Acquired Immunodeficiency Syndrome (AIDS) in the Philippines has been rapidly increasing. Official
records of the Department of Health (DOH) showed that the number of HIV cases rose to 709 in 2009, compared to the 528
recorded the previous year. Nurses have a pivotal role in educating the public to prevent an increase in occurrence of this
transmissible disease.
36. The nurse looks for results of which laboratory measurement that provides a reliable indicator of lymphocyte status in a
client with HIV infection?
a. B lymphocytes
d. T-cytotoxic cells
37. A male client who has acquired immunodeficiency syndrome (AIDS) asks why oral progesterone (Megace) is being
prescribed for treatment. What is the nurse’s best response?
38. Which one of the following suggestions by the nurse would be most helpful to a human immunodeficiency virus (HIV)
positive client who has altered taste perception?
a. Drink plenty of salty broths and other fluids to stimulate taste buds.
39. Which of the following suggestions would the nurse give to a client with human immunodeficiency virus infection to best
alleviate nausea?
40. The nurse is caring for a pediatric client with acquired immunodeficiency syndrome (AIDS). Which activity by the nurse
should be reported to the employee health department as an exposure for the nurse?
a. While flushing out the used bedpan, fluid splashes in the nurse’s eyes.
b. Nurse does not wear a mask while in the client’s room.
c. During the bath, the nurse removes gloves when giving a backrub on intact skin.
d. The nurse is stabbed with a sterile syringe to be used to draw up the client’s medications.
Situation: A mother brings her child to clinic with reports of malaise and low-grade temperature. In reviewing the child’s medical
history, Nurse Lesly notes the child is behind on immunizations. She also notes the presence of Koplik spots when assessing the
mouth of the child.
41. Based on the above findings, Nurse Lesly suspects that the child has which childhood communicable disease?
a. Mumps
b. Measles
c. Chickenpox
d. Rubella
42. The child developed a rash covering the entire body, photophobia, and stuffy nose that interferes with breathing. Nurse
Lesly utilizes which of the following nursing diagnoses as a priority when administering care to this child?
43. The mother asks Nurse Lesly why it is important to know the incubation period. Her reply would include which of the
following statements about the incubation period?
44. Nurse Lesly is aware that the pathognomonic sign of measles is Koplik’s spot and you may see Koplik’s spot by
inspecting the:
Situation:Among conditions found in children especially among poor communities are ear infection/problems. The following
questions apply.
46. Robert was brought by her Dad to the clinic and complained of problems on his left ear. A child with ear problems should
be assessed for the following EXCEPT:
47. If the child does not have an ear problem, using IMCI, what should you do as a nurse?
A. Go to the next question, check for malnutrition C. Check for tender swellings behind the ear
48. An ear discharge that has been present for more than 14 days can be classified as
49. An ear discharge that has been present for less than 14 days can be classified as:
A. Mastoiditis
50. If the child has severe classification because of ear problem, what would be the best thing that you as the nurse can do?
B. Instruct the mother when to return immediately D. Give an antibiotic for 5 days
B. Minimize recording and reporting burden allowing more time for patient care and promotive activities
D. Provide standardized facility level data base which can be used for depth studies
52. As a nurse, you should know the process of how these information are processed and consolidated. The fundamental
block of the FHSIS system is the?
A. Reporting
D. Output record
53. The monthly field health service activity report is a form used in which of the component of FHSIS?
B. Tally report
D. Output record
54. In using tally sheet, recommended frequency in tallying activities and services is
A. Weekly
B. Quarterly
C. Monthly
D. Daily
55. To monitor clients client registered in long term regimen such as the multi drug therapy, which component of reporting
system will be most useful?
A. Output report
B. Tally report
Situation:You are still in your self-managed Child Health Nursing Clinic, you encounter theses cases pertaining to the CARE OF
CHILDREN WITH PULMONARY INFECTION
56. Carol brought her 4 month old child to your clinic because of colds and cough. Which of the following is your primary
action?
A. Assess the patient using the chart on management of children with cough
57. In responding to the care concerns of children with severe disease, referral to the hospital is of the essence especially if
the child manifests which of the following?
A. Difficulty to awaken
B. Fast breathing
D. Wheezing
58. Which of the following is the most important responsibility of a nurse in the prevention of unnecessary deaths from
pneumonia and other severe diseases?
B. Giving antibiotics
59. You were able to identify factors that lead to respiratory problems in the community where your health facility serves.
Your primary role therefore in order to reduce morbidity due to pneumonia is to:
A. Seek assistance and mobilize the BHWs to have a meeting with mothers
60. Which of the following is the principal focus of the CARI program of the Department of Health?
SITUATION: Nurses must be knowledgeable about the policies and standard in carrying out various public health programs.
61. Botika ng barangay is established with the objective of EXCEPT:
A. To rationalize the distribution of common drugs and medicines among intended beneficiaries
B. To serve mechanism of DOH to establish partnership with LGU and community organizations
62. When the nurse determines whether the targets for the Municipal Nutrition Program were attained, she is evaluating?
63. A program entitled “Operation Timbang” is being conducted in Barangay San Agustin. Nurse Eddy knows that this is
included in what type of prevention?
64. The DOH designed a comprehensive, integrated and responsive emergency, disaster related service and research
oriented program which is:
65. The DOH now recommends the most cost effective screening method for early detection of Cervical Cancer:
A. Pap smear
D. Internal examination
Situation 1 – Diarrhea in young children may be life threatening and requires immediate attention.
66. Joel, 3 years old, has had diarrhea for 5 days and is irritable. He has sunken eyeballs but has no blood in his stools. He
drinks eagerly when offered liquid. Skin pinch at the abdomen shows slow return. Using Integrated Management of Childhood
Illness (IMCI), Joel’s illness maybe classified as:
a. No dehydration
b. Some dehydration
c. Severe dehydration
d. Persistent diarrhea
67. Which of the following treatments should be immediately considered in Joel’s case?
d. Continue feeding
68. Fely, 1 year old has had diarrhea for 2 days. She has sunken eyes, skin pinch goes back slowly and she is drinking poorly
and is irritable. There is no blood in the stool. How will you classify Fely’s illness?
69. As a nurse you must remember that any child with diarrhea who has no general danger sign and classified to have no
dehydration, no anemia and not very low weight, may be given at least 2 packets of ORS to use at home. You may also
encourage the mother the following to drink as long as diarrhea continues EXCEPT:
a. Water
70. Which of the following should not be given to children with diarrhea under the plan A management of IMCI?
a. If the child is exclusively breastfed, give ORS or clean water in addition to breast milk
b. Give the child ORS, water and food based fluids like soup, rice water
Situation: rate measures the proportion of the population which exhibits a particular disease at a particular time. This can only be
determined following a survey of the population concerned. It deals with total (old and new) number cases.
72. Prevalence is a useful measure of the frequency of some disease like non-insulin dependent diabetes because
diabetes has:
73. Infant mortality of a community is determined by the number of deaths of infants less than one year old divided by:
74. The number of live births is used as the denominator in computing for:
a. Still birth c. Maternal mortality b. Neonatal mortality rate d. All of the above
Situation: Errors while providing nursing care to patients must be avoided and minimized at all time. Effective management of
available resources enables the nurse to provide safe, quality patient care.
76. In the hospital where you work, increased in medication errors were identified as the number one problem in the unit.
During the brainstorming session of the nursing service department, probable causes were identified. Which of the following is
process related?
B. Interruptions
D. Lack of knowledge
77. Miscommunication of drug orders was identified as a probable cause of medication errors. Which of the following is safe
medication practice related to this?
A. Note both generic and brand name of the medication in the Medication Administration Method
C. Maintain medication in its unit dose package until point of actual administration
78. The hospital has an ongoing quality assurance program. Which of the following indicates implementation process
standards?
79. Which of the following actions indicate that Nurse Jerome is performing outcome evaluation or quality care?
A. Measures waiting time for nurse's arrival when client calls and patient's satisfaction
80. An order for a client was given and the nurse in charge of the client reports that she has no experience of doing the
procedure before. Which of the following is the most appropriate action of the nurse supervisor?
Situation 5 – In the practice of Community Health Nursing the nurse utilizes specialized knowledge and skills and collaboration
with other governmental and non-government agencies. The concept of Primary Health Care and Health Promotion are crucial in
community health development.
82. Primary Health care advocates for the use of appropriate technology in the delivery of health services. This is
demonstrated by any of the following EXCEPT:
a. Teaching mothers how to prepare low-cost, easily digestible and highly nutritious protein powders to feed children with
malnutrition
b. The people are able to attain the highest level of health through their own effort
a. Health care providers maximize the service of traditional healers whom people commonly approach for health problems
b. The people and the government can afford the health services being provided
c. Health service providers are within 5 kilometers from most of the catchment population
d. Health services are available in health facilities on a round the clock basis
85. A major lesson of the Alma-Ata and the different charters of health promotion is that:
a. Health workers must be effective in advocacy and mediation to enable the people to gain control over their lives
d. Meaningful improvements in the socioeconomic determinants of health are required to have significant improvements in
people’s health
Situation 8 – in 2006, the Philippines Department of Health (DOH) has developed a more gender-responsive, culture-sensitive,
and rights-based Reproductive Health (RH) Framework for its national programs.
d. All of those mentioned here are included in the policy frame work of the program
87. In the new approach to maternal health called Emergency Obstetric Care (EMOC), the following are considered to be at
risk of developing complications during childbirth:
d. Multigravida
88. Absence of efficient referral system that covers access to transportation and communications contribute to delay in:
89. The important document for recording birth and emergency plans of pregnant mother is called:
c. Treatment Record
d. Partograph
90. Breast milk is the best and perfect foods for infants. This statement is TRUE because of the following reasons EXCEPT:
a. Breastfeeding prevents ovulation and therefore serves as a natural family planning method
d. Human milk has over 300 ingredients, including interferon, white blood cells, antibacterials and antiviral agents, while
cow’s milk has only 40 ingredients
Situation 16 – Community Organizing and Participatory Research (COPAR) may be seen as an important tool in moves towards
quality improvement at the community level. Shaula is a senior nursing student assigned in the municipality of Sta. Maria for her
intensive community health nursing practice. The following questions apply.
91. Shaula needs to establish rapport with people of Sta. Maria and establish mutual trust with them in order that she may
undertake the necessary Community organizing task. Shaula believes that it is important for her to live with the people and imbibe
appropriate community lifestyles. This is part of the process known as:
a. Community diagnosis
b. Networking
c. Social preparation
d. Community integration
92. The conduct of community-based health nursing intervention, Shaula must be aware that Participatory Action Research
(PAR) is delineable from traditional research based on the following differences, EXCEPT:
a. The researcher in traditional research is a professional whereas the task of identifying the community health problem in
PAR is done by the nurse with the community people involved in data collection and collation
b. Community people are just merely study subjects in traditional research whereas in PAR, they are both subjects and
researchers at the same time
c. Traditional research is not conducive to subsequent actions compared to the results from PAR
d. Traditional research makes use of qualitative methods whereas PAR does not adhere to a standard design
93. The integral part of the Participatory Action Research (PAR) is Community Organizing. Which of the following statement
about Community Health Organization (CHO) is TRUE?
a. The leader of the CHO should emanate from the core group formed
b. The CHO structure may take various forms and shape depending on the conditions prevailing in the community
c. The CHO should develop a monitoring scheme on the community projects implemented
d. The building foundation of the CHO is the core group formed by the nurse mainly composed of well-educated individuals
94. In community organizing and participatory action research (COPAR), a supervisory plan would work out well to ensure
that work is done effectively by the Community Health Worker (CHW). Which of the following would be an initial activity of Shaula
to ensure effective supervision of community health workers?
b. Assess availability of resources needed to meet the identified need of the BHW
95. Shaula is fully aware that RHWs need to be trained in order for them to be effective partners of health care delivery at the
community level. Blood pressure and temperature taking and the knowledge on common illnesses as well as their respective
preventions are provided at what level of CHW training?
a. Level II
b. Level III
c. Level I
d. Level IV
Situation:The use of massage and medication to help decrease stress and pain have been strongly recommended based on
documented testimonials.
96. What type of research best suits Nurse Fresco if he wants to do a study on this topic: "Effects of massage and meditation
on stress and pain":
A. Quantitative research
B. Basic research
C. Qualitative research
D. Applied research
97. When you don’t manipulate the independent variable, you call this type of research as:
A. Non-experimental design
B. Quantitative design
C. Experimental design
D. Quasi-experimental design
98. The research topic has the potential to contribute to nursing because it seeks to:
99. Nurse Fresco goes to the library to review some related literature connected to his study for the purpose of:
D. Gathering data about what is already known or unknown about the problem.
100. Clients' rights should be protected when doing research using human subjects. Nurse Freco identifies theses rights as
follows EXCEPT:
A. Right to privacy
B. Right
D. Right to compensation