Community Health Nursing

Set 3

Which of the following conditions may be acceptable truths applied to Community Health Nursing Practice?
1. Which of the following is the primary focus of community health nursing practice?
a. Cure of illnesses
b. Prevention of illness
c. Rehabilitation back to health
d. Promotion of health

2. In community health nursing, which of the following is our unit of service as nurses?
a. The community
b. The extended members of the family
c. The individual members of the Barangay
d. The family

3. A very important part of the Community Health Nursing Assessment Process includes:
a. The application of professional judgment in estimating importance of facts to family and community
b. Evaluation structures and classifications of health center team
c. Coordination with other sectors in relation to health concerns
d. Carrying out nursing procedures as per plan of action

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. Evaluation
b. Assessment
c. Implementation
d. Planning

5. Which is true of primary facilities?

A. They are usually government-run.
B. Their services are provided on an out-patient basis.
C. They are training facilities for health professionals.
D. A community hospital is an example of this level of health facilities.

6. R.A. 7160 mandates devolution of basic services from the national government to local government units.
Which of the following is the major goal of devolution?
A. To strengthen local government units
B. To allow greater autonomy to local government units
C. To empower the people and promote their self-reliance
D. To make basic services more accessible to the people

7. Who is the Chairman of the Municipal Health Board?

A. Mayor
B. Municipal Health Officer
C. Public Health Nurse
D. Any qualified physician

8. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory
function of the public health nurse?
A. Referring cases or patients to the midwife
B. Providing technical guidance to the midwife
C. Providing nursing care to cases referred by the midwife
D. Formulating and implementing training programs for midwives

1|CHN Set 3
 9. 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

10. You are the public health nurse in a municipality with a total population of about 20,000. There are 3 rural
health midwives among the RHU personnel. How many more midwife items will the RHU need?
A. 1
B. 2
C. 3
D. The RHU does not need any more midwife item.

Community Organizing Participatory Action Research is the process and structure through which members of a community
are/or become organized for participation in health care and community development activities. The following questions
apply:

11. The following statement regarding community organizing are correct except:
a. the context of community organizing is the current situation
b. community organizing is biased towards the poor, deprived and oppressed segments
c. to initiate people’s participation, the nurse applies community organizing
d. One aspect of community organizing is assessment of health needs and problems

12. Integration to the community is best done through:

a. House – to – house visits
b. Attending community occasions
c. Participation in work setting
d. Visits to where people are

13. This activity is done in the selection of a core group under the entry phase wherein the nurse conducts leader
spotting
a. Sociogram
b. ARAS
c. Organizational Chart
d. Leadership formation

14. In selecting communities, the community organizer considers criteria. Which of the following would probably
suggest a negative criterion in initial site selection?
a. Must have a population of 100 – 200 families
b. Economically depressed
c. No strong resistance from the community
d. With serious peace and order problems

15. Deepening social investigation is an activity in the entry phase wherein the organizer conducts:
a. verification and enrichment of data collected from initial survey
b. leadership spotting
c. community selection
d. living with the community

16. The basic reason why community organizers need to phase out from the community is to enable people to:
a. prove that they can provide basic health services to the community
b. Expand their reach to adjacent communities
c. Stand on their own feet and rely on their own resources
d. Test their unity and strength

17. Which among the following criteria disqualifies the family of Mang Dodong to be a host family:
a. Their house is strategically located in the community
b. They belong to the poor segment
2|CHN Set 3
 c. Their neighbors are not hesitant to enter their house
d. His son is migrating to New Zealand

PHC has been used by the Philippines since 1979. Technology is one of the cornerstones in its implementation.
18. What is a desirable outcome of technology:
a. Unhazardous to children c. understandable to people
b. Effectiveness and safety d. compatible with supply

19. Feasibility of technology means that methods could be used even without electricity. If there is no power, what
can the nurse use to ensure sterility of equipments:
a. Autoclave c. LPG stove
b. Sterilization d. solar powered stove

20. What law created the Philippine Institute of Traditional and Alternative Health Care?
A. R.A. 8423
B. R.A. 4823
C. R.A. 2483
D. R.A. 3482

Situation: Family Planning and Expanded Program on Immunization

21. The following statements refer to the family planning program EXCEPT:
a. The policy program advocates partnership, participation and promotion of health
b. The aim of the program is birth control
c. The program is anchored on safe motherhood and child survival
d. Females may decide independently on choice of contraceptive method

22. Which of the following statement is correct?

a. Effectiveness or sterility will come after 25 to 40 days after vasectomy
b. Multiparous women have high fertility post-IUD removal
c. Pills are advisable to those who have occasional sex
d. Condoms can be reused

23. Life-long immunity for tetanus is achieved by a woman after

a. 3 pregnancies
b. 2 doses during pregnancy
c. 3 booster doses
d. fourth tetanus toxoid

24. DPT is given at

a. 0.05 ml.ID
b. 0.5 ml IM
c. 0.5 ml SQ
d. 0.1 ml ID

25. Which of the following is a normal reaction of BCG vaccination?

a. Deep abscess
b. Indolent ulceration
c. Glandular enlargement
d. Koch’s phenomenon

26. The allowable timeframes for the storage of vaccines in regional level:
a. 3 months
b. 6 months
c. 2 months
d. 5 months

27. The allowable timeframes for the storage of vaccines in main health centers with refrigerator:
a. 1 month
b. 1 ½ months
c. 2 months
3|CHN Set 3
 d. 2 ½ months

28. Which of the following tetanus toxoid is given to the mother to protect from neonatal tetanus and 3 years
protection of the mother?
a. TT2
b. TT3
c. TT4
d. TT1

29. Which of the following tetanus toxoid is given to the mother to protect from neonatal tetanus and 5 years
protection of the mother?
a. TT2
b. TT3
c. TT4
d. TT1

Situation: You work as a Public Health Nurse in a family planning clinic. You provide expert services on family planning
methods.
30. While waiting for the physician, you explain to your clients that family planning:
a. All of these
b. Provides benefits not only to the mother but also to the father
c. Contributes to the improvement of the health of children
d. Is a voluntary action of couples to decide the number of children they desire.

31. If you were asked about the advantage of intrauterine device (IUD), you will explain that these are the following,
except:
a. Does not interfere with intercourse
b. Is very effective and inexpensive
c. Does not interfere with the flow of milk and mother can continue breastfeeding
d. None of the above

32. If a mother tells you that she does not want to take pills because she heard that pills cause cancer, you will:
a. Blame the mother for believing an information that is not true
b. Explain to the mother why the information she heard is not true
c. Tell the mother that there is no truth to what she heard
d. Refer the mother to the doctor

33. A more frequent family planning method that may be advised for women whose lives may be endangered by
another pregnancy is:
a. Vasectomy
b. Intrauterine device
c. Pills
d. Tubal ligation

34. Breastfeeding provides 98% protection against another pregnancy only as long as:
a. The baby is under six months
b. All these conditions
c. Mother has not experienced menstrual bleeding
d. The mother is fully breastfeeding for a minimum of six feedings during the day time and two at night

Environmental Sanitation Program

35. You were invited to be the resource person in a training class for food handlers. Which of the following would
you emphasize regarding prevention of staphylococcal food poisoning?
A. All cooking and eating utensils must be thoroughly washed.
B. Food must be cooked properly to destroy staphylococcal microorganisms.
C. Food handlers and food servers must have a negative stool examination result.
D. Proper handwashing during food preparation is the best way of preventing the condition.

36. Human beings are the major reservoir of malaria. Which of the following strategies in malaria control is based
on this fact?
A. Stream seeding

4|CHN Set 3
 B. Stream clearing
C. Destruction of breeding places
D. Zooprophylaxis

37. 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

Situation: One important tool a community health nurse uses in the conduct of his/her activities is the CHN bag.
Which of the following best describes the use of this vital facility of our practice?

38. The Community / Public Health Bag is:

a. A requirement for home visits
b. An essential and indispensable equipment of the community health nurse
c. Contains basic medications and articles used by the Community Health Nurse
d. A tool used by the Community health nurse in rendering effective nursing procedures during a home visit

39. What is the rationale in the use of bag technique during home visits?
a. It helps render effective nursing care to clients or other members of the family
b. It saves time and effort of the nurse in the performance of nursing procedures
c. It should minimize or prevent the spread of infection from individuals to families
d. It should not overshadow concern for the patient

40. This is an important procedure of the nurse during home visits.

a. Protection of the CHN bag
b. Arrangement of the contents of the CHN bag
c. Cleaning the CHN bag
d. Proper hand washing

41. In consideration of the steps in applying bag technique, which side of the paper lining of the CHN bag is
considered clean to make a non – contaminated work area?
a. The lower lip
b. The outer surface
c. The upper tip
d. The inside surface

Situation: Quality health services are in the aim of the DOH. Numerous programs have been devised to promote such
goal.

42. It is the certification recognition program that develops and promotes standard for health facilities:
a. Sentrong Sigla Movement
b. Sangmilyong Sepilyo
c. Reproductive Health
d. Expanded Program of immunization (EPI)

43. Among are pillars of Sentrong Sigla Movement except:

a. Quality assurance
b. Awards
c. International recognition
d. Grants and Technical Assistance

44. The following directs the nurse of her family care plan:
a. Rationale of action
b. Goals and objectives
c. Health Care action
5|CHN Set 3
 d. Monitoring tool

45. Which health problem would you prioritize in your family care plan?
a. 3rd degree malnutrition
b. no source of drinking water
c. 14-year old pregnant without prenatal checkup
d. very dirty canals surrounding the house

46. The most reliable indicator of a long term change for a family who has a malnourished child is:
a. Increase in the weight of the child
b. Mother cooks a well balanced meal
c. Attendance of malnourish child in feeding class
d. Bringing of child the hospital for check-up

Situation: Immunization is one of the activities done by the nurse and midwives in the community
47. During immunization sessions, which of the following should be done first:
a. Inform mothers what immunizations the child will receive
b. Administer the immunization
c. Tell the mother when they should return and reason for return visit
d. Inform the mother of the possible side effects of the immunization

48. You are assessing the child for possible contraindications of the immunizations to be given today which are DPT2,
OPV2, and HB2. Which of the following will alert you not to give DPT:
a. Convulsion within 3 days of the previous dose
b. Diarrhea and vomiting
c. Koch’s phenomenon
d. Fever and rashes in 3 days of previous dose

49. Which of the following vaccines should not be placed in the freezer:
a. Anti tetanus and Hepa B c. BCG and Measles
b. BCG and Measles d. Anti tetanus and Measles

50. A parent calls you after you gave BCG immunization to the child. She says that there is a small pustule that has
developed in the site of the injection. You should tell the mother to:
a. Bring the child to the center immediately
b. Tell her it is a normal response
c. Tell her not to panic since it is normal and to put a warm compress over the site
d. Tell her to give her child antipyretic in case she develops fever and go to the hospital immediately

51. To prevent parents from panicking after immunization, we should tell them that the measles vaccine has a normal
reaction which is:
a. Rashes and fever c. appearance of koplik’s spots
b. Koch’s phenomenon d. pustule formation in the site

Situation 2: The Levels of Health Care

52. The management of health problems at the community level is done through activities under:
a. Primary health care c. Tertiary health care
b. Secondary health care d. All of these

53. Management of AIDS patient is a service of:

a. Primary health care c. Tertiary health care
b. Secondary health care d. All of these

54. The ultimate level in a referral system that provides specialized health services is:
a. Primary health care c. Tertiary health care
b. Secondary health care d. All of these

55. Complicated deliveries are handled at the level of:

a. Primary health care c. Tertiary health care
b. Secondary health care d. All of these
6|CHN Set 3
Situation: Integrated Management of Childhood Illnesses is one of the latest programs of the Department of Health.
56. A 4 – month old child named Jonee was brought to the health center because he has had a diarrhea for 5 days.
He was not coughing but he is irritable and when his skin is pinched it goes back to its original state slowly. The
midwife assessed the child’s diarrhea and recorded it and classified it as:
a. Severe dehydration
b. Some dehydration
c. No dehydration
d. Emergency case

57. As the midwife assigned to the child it is your responsibility to teach his mother his treatment plan. Jonee’s
treatment plan should include:
a. 200-450 ml ORS for the first 4 hours, teach the mother the 3 rules of home treatment.
b. 450-800ml ORS for the first 4 hours, teach the mother the 3 rules of home treatment.
c. 800-960 ml ORS for the first 4 hours, teach the mother the 3 rules of home treatment.
d. 960-1600ml ORS for the first 4 hours, teach the mother the 3 rules of home treatment.

58. MJ is 6 months old. He weighs 5.6 kg and has a temperature of 38.5°C. His father says he has had a cough for 3
days but was able to breastfeed. He has no convulsions and he’s not lethargic. His RR is 58 bpm. He has no chest
indrawing and no stridor. The midwife will classify his case as:
a. Very severe Pneumonia
b. Pneumonia
c. No Pneumonia
d. Cough or cold

59.The midwife explained to MJ’s father that the management for a child with pneumonia are:
a. Soothe the sore throat and relieve the cough with a safe remedy; follow up in 5 days if not improving
b. Give the first dose of antibiotic; give vitamin A; treat the child to prevent low blood sugar
c. Give appropriate antibiotic for 7 days; soothe the sore throat and relieve the cough with safe remedy; follow up
after 2 days
d. Give appropriate antibiotic for 5 days, soothe the sore throat and relieve cough with a safe remedy; follow up
after 2 days

60. Leo is 2 years old and was brought to the hospital by his mother. The mother says that Leo has an ear discharge
for almost 10 days and constantly rubs his ears and cries. As you assess him further you determined that he has:
a. Chronic ear infection
b. Mastoiditis
c. Acute ear infection
d. No ear infection

Situation: When assessing a sick child, a combination of individual signs leads to one or more classifications rather than to
a diagnosis. IMCI classifications are action oriented and allow the nurses and other health care providers to determine if
a child should be urgently referred to another health facility.

61. IMCI is a case management process for a first level facility such as the following except:
a. A health center
b. An OPD
c. Pedia ward
d. A clinic

62. The complete IMCI case management involves the following elements:
I. Assess a child by checking first for the danger signs
II. Classify a child’s illnesses using a color coded triage system
III. Identify specific treatments for the child
IV. Provide practical treatment instructions
1. I, II, III
2. II, III, IV
3. I, II, IV
4. I, II, III, IV

63. For all sick children aged 1 week up to 5 years who are brought to the clinic, what is the first information that you
need to ask?
7|CHN Set 3
 a. Ask why the child was brought to the clinic
b. Ask for specific signs and symptoms
c. Ask the child’s age
d. Ask for danger signs

64. The case management process for the sick child age 2 months up to 5 years is presented on three charts. Which
chart is not included?
a. Assess, classify and treat the sick young infant
b. Assess and classify the sick child
c. Counsel the mother
d. Treat the child

65. The IMCI case management charts and recording forms guide you through the following steps:
a. Assess the sick child or sick young infant; Classify the illness; identify treatment; treat the child or young
infant; counsel the mother; give follow up care
b. Assess the sick child or sick young infant; classify the illness; identify treatment; treat the child or young
infant; give follow up care; counsel the mother
c. Assess the sick child or sick young infant; Classify the illness; treat the child or young infant; identify
treatment; counsel the mother; give follow up care
d. Assess the sick child or sick young infant; ; treat the child or young infant; Classify the illness; identify
treatment; counsel the mother; give follow up care

Situation: The community health nurse must be adept with the concepts of Community Health Nursing:
66. The community is always in a state of continuous movement and change. This means:
a. Change in the community is inherent
b. After a particular period of time, community’s situation becomes predictable
c. The condition in the community is static
d. Traditional interventions are always applicable at any given time and situation

67. If the condition in the community is always changing, it is necessary to:

a. Isolate community problems from societal problems
b. Develop a community health plan
c. Identify sources of conflicts in the community
d. Continuously assess community situation

68. The Community Health Nurse recognizes the roles of community leaders because:
a. The nurse as a leader can dictate on the people
b. Leadership is borne out of love for people
c. Community members are dependent on their leaders
d. Community participation must be upheld at all times

69. If a particular health services fails, the most basic question is:
a. Is this what people demanded?
b. What went wrong?
c. Is this what people need?
d. Who is responsible for the failure?

Situation: Mrs. Fuentes, a nurse who has been with the DOH for more than twelve years already, was promoted as a Nurse
Supervisor.

70. In terms of CHN practice, the nurse in the community is trained as:
a. Nurse-midwife
b. Practice nursing
c. Generalist in nursing
d. Midwife

71. The following are the qualifications of Nurse Supervisor at the provincial level except:
a. BSN, RN
b. At least 3 years experience
c. Masters in Public Health
d. At least 5 years experience in public health

8|CHN Set 3
 72. The following are requirements and qualifications of regional nurse supervisor:
a. BSN, RN
b. With at least 5 years experience in CHN
c. With MAN major in CHN
d. With 2 years experience in supervisory position
a. 1 & 2
b. 2 & 4
c. 1, 2, 3
d. 1, 2, 3, 4

73. A colleague who is interested in the position of a chief nurse in a city health office asked Mrs. Fuentes about the
qualifications she must meet. Mrs. Fuentes correctly answers that the following are qualifications of chief nurse
in city health departments and health offices:
a. Master’s Degree in Public Health major in Community Health Nursing Administration
b. Doctorate Degree in Public Health
c. 3 years in supervisory position
d. 2 years in the Asst. Chief Nurse position
a. 1 & 3
b. 2 & 4
c. 1, 2, 3
d. 1, 2, 3, 4

74.The acceptable minimum qualifications of a Nurse instructor II include:

a. BSN, RN, MAN, 3 years experience
b. BSN, RN, MAN, 6 years experience with 3 years in nursing education or training
c. BSN, RN, 5 years experience with 2 years in supervisory position, MAN major in CHN administration and
supervision
d. BSN, RN, 5 years experience with 3 years supervisory position, Master’s Degree in Nursing major in CHN,
demonstrated leadership ability

75. To be able to work as a public health nurse, the minimum requirement that should be met is:
a. BSN
b. BSN, RN
c. BSN, RN, 1 year experience
d. BSN, RN, 25 years old, 1 year experience

Situation: As a nurse working in the DOH, Minda must have a good understanding of the concepts of CHN and the programs
of the DOH.
76. The DOH National Objective for Health does not include:
a. Increasing fertility rate
b. Reducing infant and child mortality rate
c. Increasing life expectancy
d. Reducing maternal mortality rate

77. Refers to the “examination of ideas, inferences, arguments, concepts, issues, statement, beliefs and actions”
which is an important trait that a nurse must possess in order to carry out her functions properly:
a. Decision making
b. Critical thinking
c. Problem solving
d. Nursing process

78. When the nurse assesses the perception of the family to a health problem, the nurse is prioritizing heath problem
according to its:
a. Preventive potential
b. Nature
c. Salience
d. Modifiability

79. When working with a family, the nurse must remember that the most important principle in goal setting is that:
a. The goal targets the most serious problem of the family
b. The goal is within the budget of the family
9|CHN Set 3
 c. The goal would involve interventions that the nurse is capable of doing
d. The goal is approved by the family

80. The devolution of health services to the local government unit was mandated by:
a. RA 7160
b. EO 851
c. RA 6713
d. RA 8749

81. When the nurse formulates the municipal health plan in a community she is performing her roles as a:
a. Community organizer
b. Health educator
c. Planner/Programmer
d. Provider of nursing care

82. One of your objectives in formulating your community health plan is based on a problem which states that “many
of the children in the community are undernourished.” In order to select appropriate activities to achieve your
objective what question answer first:
a. Who among the staff will be responsible?
b. What resources will be needed to solve this problem?
c. What proportion of the children is undernourished?
d. Why are many children undernourished?

Vaccines are substances very sensitive at various temperatures. To avoid spoilage and maintain its potency, vaccines need
to be stored at correct temperature.

83. As the team leader during immunization during school entrance you should immunize the child with BCG. What is
the site of administration during this time?
a. Left – deltoid region of the arm
b. Right – deltoid of the arm
c. Upper outer portion of the thigh
d. Mouth

84. The standard routine immunization schedule for infants is adopted to provide maximum immunity against 7
vaccine preventable diseases before a child’s first birthday. A child is considered to be a “ fully immunized child”
if:
a. Receives 2 doses of BCG, 2 doses of OPV, 2 doses of DPT and 3 doses Hepa B and 2 doses of Measles
b. Receives 1 dose BCG, 3 doses OPV, 3 doses DPT, 3 doses Hepa B, 1 dose of Measles
c. Receives 2 doses of BCG, 1 dose OPV, 3 doses DPT, 3 doses Hepa B, and 1 dose Measles
d. Receives 2 doses BCG, 2 doses OPV, 2 doses DPT, 2 doses Hepa B, and 2 doses of Measles

85. 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

86. Which of the following is an advantage of a home visit?

A. It allows the nurse to provide nursing care to a greater number of people.
B. It provides an opportunity to do first hand appraisal of the home situation.
C. It allows sharing of experiences among people with similar health problems.
D. It develops the family’s initiative in providing for health needs of its members.

87. Which is CONTRARY to the principles in planning a home visit?

A. A home visit should have a purpose or objective.
B. The plan should revolve around family health needs.
C. A home visit should be conducted in the manner prescribed by the RHU.
D. Planning of continuing care should involve a responsible family member.

10 | C H N S e t 3
The Community Health Nurse is faced with different situations, she should respond to each situation responsibly.

88. In areas where there is a high incidence of goiter, which supplement should be given?
a. Vit A. capsule
b. Iron capsule
c. Iodine capsule
d. Chloroquine capsule

89. The prophylactic treatment for pregnant women during malaria infection is
a. Chloroquine
b. Dapsone
c. Mebendazole
d. Rifampicin

90. The following are qualified for home delivery, except

a. 5th normal pregnancy
b. full term
c. cephalic presentation
d. primigravida with no history of prenatal visits

91. A mother previously showing signs of PIH gave birth at the center. After the delivery, she showed no signs of
risk. What should the CHN do?
a. Bring her immediately to the hospital upon delivery
b. Continue to monitor her for signs of risks
c. Call the municipal doctor for proper check-up
d. Give her medications for PIH

92. The incidence of CAD in women before 60 years old is far less than men of the same age. The stage when the
incidence among women equals that of men is
a. Before 60 years of age
b. After menopause
c. During childbearing
d. After retirement

93. Weight control is useful for preventing and correcting high blood pressure and diabetes. The goal for body
weight is within what percentage of desirable weight?
a. 15% b. 20% c. 25% d. 30%

94. During health teaching the CHN should emphasize that the primary prevention for colon cancer is:
a. Minimal alcohol intake
b. Eating high fiber food
c. Clean safe sex
d. Avoid betel nut chewing

95. Early detection is a necessary safeguard against cancer. What is the detection method used for uterine
/cervical cancer?
a. Pap smear
b. Mammography
c. Digital/trans-rectal examination
d. Sigmoidoscopy

96. Mental Health is one of the programs actively participated in by the CHN. During prenatal visits, it is important
to emphasize to the mother that the fetus starts reacting to various stimuli through the amniotic sac as early as:
a. 6 months
b. 18th week
c. 1st week
d. onset of labor

97. In one of the barrio visits, a 60-year old woman complaining of pain in her left shoulder joint. You advised her to
avoid the exercise her arm and taught her to apply.
a. Young banana leaves
11 | C H N S e t 3
 b. Hot moist pack
c. Cold compress
d. Yerba Buena

98. The nurse decides that the most pressing needs of the family is nutrition education. Which steps in the nursing
process is this?
a. Assessment b. Intervention c. Planning D. Evaluation

99. Which of the following statements regarding home visits is FALSE?

a. The contents of the home visit to a family is always based on a pre-set plan made by the nurse
b. The frequency of the home visits depends on the willingness and interests of the family to cooperate
c. The contents of the home visit should include what the family wants and needs to know during the visit.
d. Planning of a continuing care should involve the members of the family

100. At the age of two weeks, Celia’s child must have which of these immunizations?
a. BCG
b. BCG and Oral Polio vaccine
c. BCG and 1st dose of DPT
d. None of these yet

101. The Public Health Nurse needs to visit different patient and families. Among these listed who should
be visited last:
a. Diabetic patient
b. Pregnant mother and her family
c. Patient with typhoid fever
d. Adolescent with a psycho-social problem

102. A client using DMPA needs further health teaching when she states that:
a. “I will come back for my next injection after three months”
b. “I will report to the clinic immediately if I did not have any menstruation”
c. “It will take some time before I will get pregnant again in case I decided to stop DMPA”
d. “I can delay my schedule of injection for two weeks”

103. As a supervisor, one of the most basic tasks of the BHW’s that you should emphasize is:
a. Provide maternal care at home
b. Identify pregnant women in the community
c. Conduct thorough physical assessment in the clinic
d. Health teaching to pregnant women

104. As a CHN, you should immediately be concerned about a pregnant woman’s condition when she
reports.
a. “I have difficulty of breathing, especially when I lie flat in bed”
b. “I feel like vomiting especially in the morning”
c. “ I cannot rotate and remove my wedding ring”
d. “I often have the urge of urinating”

105. After delivery and based on the recommended schedule in the Under Five Care Program, you will
encourage the mother to bring her 1-year-old baby to the health center.
a. Whenever the baby has a health problem
b. Regularly every two months
c. Regularly every month
d. Every time the baby is scheduled for immunization

106. A mother complains for her daughter having slight fever after DPT injection. What should you as the
clinic nurse tell her?
a. It is good you reported it, we have to consult the doctor at once
b. Do not bother, your child will be fine
c. A slight fever is usually experienced by children DPT. You may give her the paracetamol that the doctor
prescribed.
d. Go on and observe your daughter and report to me any untoward incident.

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 107. A pregnant mother who has a record of her immunizations when she was young may not have the
following immunizations:
a. TT3 only
b. TT1 only
c. Both TT1 and TT2
d. TT1, TT2 and TT3

108. At all times, the community health nurse and provide quality nursing service based on
a. Standard of practice
b. Principles
c. Nursing philosophy
d. Concepts and objectives of CHN

109. When a patient took the initiative to communicate health problems with you, the best opportunity to
teach is:
a. At the times she asks you questions
b. When you find enough time to teach
c. When she follows-up her appointment with you
d. During informed when giving direct care

110. Regarding solid, foods, the best time to start with it is an early as
a. 4 weeks
b. 2 weeks
c. 2 months
d. 4 months

111. In case Oresol run out, the nurse can advise mother to mix one liter of cooled boiled water with:
a. 8 tsp. Sugar – 1 tsp. Salt
b. 8 tsp. Salt – 1 tsp sugar
c. 3 tsp. Sugar
d. 3 tsp. Salt

112. The nurse keeps records of her home visits for the following reason(s)
a. All of these reasons
b. As a basis for future health teaching to the family
c. To be enable to think clearly and plan her work ahead logically
d. For research purpose

113. In relation to the prevention of mosquito-borne diseases, the most practical health measure for
mosquito control is:
a. Fogging and use mosquito nets
b. Fogging
c. Use mosquito nets
d. Maintenance of clean and waster stagnant-free surroundings

114. Which of these activities should be done by the Public Health Nurse?
a. Conducts investigation of establishment
b. Conducts annual inspection of establishment
c. Conducts information-education communication campaign
d. Does regular review of medical records of workers in the establishments

115. Which of the following is a priority heath need/problem of the people in XL municipality?
a. Lack of formal education
b. Ignorance of community resources
c. Acute respiratory infection among children
d. Poor environmental sanitation and parasitism

116. Developing the capacity of people to assume more responsibility for their health is a major activity of
the nurse in PHC. This involves the following:
a. Leading in nursing activities
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 b. Sharing health resources with families
c. Identifying health problem with people
d. Giving free medicines

Situation: Lei, 3 years old is brought to the clinic due to fever, cough and difficulty of breathing. You suspect that it is a
case of pneumonia.
117. Your basic assessment of Lei should be:
a. Looking for signs of ear infection
b. Looking for signs of dehydration
c. All of these
d. Looking for intercostals and subcostal retractions

118. Lei is diagnosed of having pneumonia. You expect her respiratory rate to be
a. 60 breaths per minute
b. 50 breaths per minute
c. 40 breaths per minute
d. 20 breaths per minute

119. Lei is on antibiotic therapy. Which of the following statements indicates that the mother needs further
teaching?
a. “I can stop giving the antibiotics when she seems better”
b. “She needs to finish the 5 day treatment even if she seems better.”
c. “I’ll continue feeding my daughter as usual or add more if needed during her treatment.”
d. “I’ll bring back my daughter to the health center in 2 days or sooner if her condition worsens.”

120. In order to check whether the mother understands and will be able to carry out the instructions given to
her, which of the following will you do:
a. Ask the mother to demonstrate what she has heard
b. Ask the mother to repeat the instructions and correct any misinformation’
c. Ask the mother what problems she might have in giving the antibiotics
d. Any of these.

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