PRACTICE TEST COMMUNITY HEALTH NURSING SET: C

Situation: After passing the nurse licensure examination, Bianca is 10. Pre-entry Phase is the most complex phase in terms of actual
accepted as a community health nurse in the rural health unit of a outputs, activities, strategies, and time spent for it. Which of the
municipality. The healthy personnel are known to her. She is aware following is not included in the pre-entry phase?
that disease prevention is one important goal in PH Nursing. A. Laying out the site criteria
1. Bianca decides to make an ocular survey of one of the barangays B. Statement of objectives, and realization of CIP or COPAR
of the municipality where she is assigned. Upon entrance to a guidelines
barangays, Bianca should: C. Courtesy call to the barangay level
A. Conduct community assembly D. General Assembly
B. Courtesy call to the Barangay Captain
C. Identify the presence of the community 11. Also called the social preparation phase. The activities are done in
D. Encourage community participation this phase includes the sensitization of the people on the critical
events in their life, motivating them to share their dreams and ideas
2. In order to gain support from the community, Bianca underscores on how to manage their concerns and eventually mobilizing them
the importance of community participation which are the following to take collective action.
EXCEPT: A. Pre-entry phase C. Organization-building phase
A. It gives the feeling of ownership of the community B. Entry phase D. Sustenance & strengthening phase
B. It encourages dependence on the health workers and
representatives of other government agencies. 12. With the community health activities started during the ENTRY
C. It provides the community the opportunity to assume responsibility phase, which of these activities should not be included?
and leadership A. Core group formation
D. It creates awareness of interests. B. Conduct of deepening social investigation
C. Project management
3. Community development advocates the principles of self-help and D. Information campaign on health programs
the voluntary participation of the people of community.
Community development rests upon certain assumptions, this does 13. Identification of potential leaders is crucial during the entry phase.
not include: Which of the characteristics may NOT be necessary to an efficient
A. Everyone has something to contribute to the community and effective community leader?
B. People have limited ability to learn A. Must have relatively good communication skill
C. Community development provides the opportunity by which the B. A college graduate with management skills
worth of an individual is revealed C. Responsive and willing to work for change
D. Worth and dignity of individual are the basic values in a democratic D. Respected members of the community
society
14. The BEST technique in identifying potential leaders in the
4. Nurse Bianca is preparing for integration at her community. One of community proven to be effective is to:
the purposes of integration in COPAR is to: A. Ask community residents to directly name person whom they
A. Gather data that is necessary in the identification of community consider as community leaders
health problems B. Ask volunteers who are willing to become community leaders
B. Understand deeply the culture and lifestyle in the community C. Review family background, properties and academic records of
C. Validate the community health needs identified earlier community residents
D. Identify the community leaders that may be tapped for organizing D. Observe people who are active in small mobilization activities that
purposes motivate residents to start working.

5. Nurse Bianca is choosing an activity that will facilitate integration 15. The core group is composed of individuals in the community who
into the community. The appropriate activity for this is to: possess leadership potentials organized into cohesive working unit.
A. Organize a mahjong session The core group works with the team in:
B. Participate during harvesting A. Setting-up community organization that will serve the interest of a
C. Encourage clinic visits to every people sector in the community.
D. Act like a visitor B. Mobilizing the community to act on their most immediate felt
needs and participate in the deliver of essential health services.
6. A step in organizing the community that Bianca will do in order to C. Monitoring the performance of the barangay officials
have an overview of the demographic characteristics of the D. Selecting community activities according to their preferences.
community and community health related services is:
A. Core Group formation C. Integrate with the people 16. A key component in the CHN process when increasing the
B. Community profiling D. Area Selection wellness of the client in the community is that people involved are
able to:
7. The CO should realize that the poor: A. Access private health insurance to cover their medical expenses
A. Do not know what is the best health care delivery system for their B. Stop activities such as smoking or alcohol consumptions that are
community harmful to health
B. Have the capability to change or bring about change C. Recognize their health needs, help develop strategies to improve
C. Will eventually learn but it will take time their own health
D. Should be taken care of by the government and the richer sections D. Depend on the community health nurse and always follow given
of society instructrion

8. Participatory action research in the context of COPAR means that 17. This phase entails the formation of more formal structures in the
the community: community:
A. Participates in collecting data A. Pre-entry phase
B. Will use the knowledge generated from research to improve their B. Organizational building phase
condition C. Entry phase
C. Should be the on to conceptualize how the research will be D. Sustenance and strengthening phase
conducted
D. Manages the research project 18. In a meeting with the people’s organization in the community, the
nurse was asked regarding her position on gambling and betting.
9. Community participation is made possible through: Most appropriate response is:
A. Shared leadership in the community at the onset of the program. A. As long as people do not harm others, it is okay
B. Provision of comprehensive and understandable information. B. Gambling and betting are part of Filipino culture so let them be
C. Full participation of nurses in decision-making C. Betting, yes! Gambling, no!
D. Conducting consultation meetings with key leaders of the D. Consider other forms of recreation and economic sources
community.

1 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
PRACTICE TEST COMMUNITY HEALTH NURSING SET: C
19. When an elected barangay health worker is consistently 26. Nurse Venezza, and nursing team involved in conducting
performing poorly. What is the best recommended action? community surveys, are aware that to effectively provide
A. Recommend her expulsion appropriate intervention after completing the necessary
B. Give another chance Community Survey they must come up with a comprehensive
C. Have a heart-to-heart talk to her community diagnosis. Which of the following has the correct step
D. Raise the matter to other barangay health workers by step process?
A. Define study population, determine objective, determine data to be
20. Nurse Tess intends to get maximum participation from the collected, develop instruments, collect data, actual data gathering,
community members to get an accurate assessment of their health data analysis, community health nursing problem, priority setting,
needs. To do this, nurse Tess collaborates with the community to data presentation, determine data to be collected,
do a situational analysis. The process entails the following B. Determine objective, define study population, actual data gathering,
EXCEPT: data presentation, develop instruments, data analysis, data
A. Allowing people to freely express what they consider their health presentation, priority setting, identify community
problem C. Determine objective, define study population, determine data to be
B. Asking people why they think the health problems exist. collected, actual data gathering, data presentation, develop
C. Assisting the community to identify health situations that need instruments, data analysis, data presentation, priority setting,
change. identify community
D. Providing immediate solution to identified health problems. D. A combination of two approximates the best procedure to be
adopted by the community health nurse
21. Which statement best describes mobilization?
A. To go around and motivate people on a one-to-one basis to do 27. While Nurse Venezza and her team start to deliberate on their
something on community issues. approaches to the delivery of community health services, other
B. An activity that will make leaders become aware of their progress nurses want to find out which sex groups need immediate and
in terms of knowledge, attitudes and skills. Strengths and continued attention. In this case, which formula is best to be
weaknesses are likewise checked. applied?
C. The actual exercise of people’s power A. Sex ratio is equal to population size divided by the number of
D. Analyzation of the finished mass action, its good and weak points female plus males multiplied by 100
identified. B. Sex ratio is equal to number of females divided by no.of females
multiplied by 1000
22. The nurse working as an organizer in the community is already on C. Sex ratio is equal to population size at later time divided by the
the sustenance and strengthening phase of the COPAR process. number of males multiplied by 1000
Which of the following activities are expected tasks for her to do D. Sex ratio is equal to number of males divided by numbers of
along with the people? females multiplied by 100
1. Identification and development of secondary leaders
2. Organization and training of community health workers 28. Nurse Venezza and her team concluded their planning phase in
3. Continuing education and upgrading of community leaders, partnership with significant community resource e.g. The
BHW’s and CHO members municipal doctor, midwives, the barangay health workers,
4. Teambuilding of officers barangay nutrition scholars, and other willing community resident
5. Development of medium and long-term goals volunteers, and they came up with specific goals. To accomplish
6. PIME (Program Implementation Monitoring and Evaluation) of these goals it is essential for people to work together. Which of the
health services. following is NOT part of the process?
A. 1, 3, 5 C. 1,3,5,6 A. Cooperation, collaboration C. Coalition or collaboration
B. 1, 2, 3, 4, 5 D. All of the above B. Networking, coordination D. Transportation, communication

23. The research team after collecting and collation of data is now Situation: Part of the important task faced by community health nurses
ready to present the results of the community diagnosis to the is COMMUNITY ORGANIZING (CO). These questions apply.
people, One the members of the research team asks the nurse 29. These statements regarding Community Organizing (CO) are true,
organizer, what type of graph would they utilized in presenting the EXCEPT
salary of males in comparison to females. The nurse responds: A. CO is successful only if the nurse takes action for the people
A. Since you are going to show breakdown of a group where the B. CO is biased towards the poor, deprived and oppressed segments
number of categories is not too many, it is best that you use a pie of society
chart. C. The nurse applies CO as strategy to initiate people participation
B. You better utilize Scatterplot diagram in showing correlation D. The context of CO is the current situation affecting people and
between two quantitative variables their communities
C. You better use of histogram will easily compare the salary of both
genders. 30. You have engaged 3 barangays in CO and now you are trying to
D. Line diagram is best, trust me, I’m a statistician evaluate their level of awareness as a cohesive group of people
responding to issues and concerns affecting them and their
24. The basic reason why community organizers need to phase out communities in general. The highest level of awareness by these
from the community is to enable: organized group of people is manifested when there is proof of
A. Nurse to open CO work in other depressed community their capability in doing:
B. People to exercise self-reliance A. Interest aggregation C. Interest articulation
C. The people’s organization to expand their coverage B. Political socialization D. Political mobilization
D. People test their unity and strength
31. Social investigation (SI) is always a part of aligning local issues
Situation: The San Antonio Health Station in Barangay 33-A is about with those of higher concerns of society. In doing SI we normally
to conduct community health services and the Community Health utilize:
nurse is in charge of this activity. The following questions apply. A. Local records and reports
25. Considering cultural diversities, Nurse Venezza and her team B. Results generated from ocular inspection (immersion, do
considered which of the following as NOT included in variables participant observation)
that could potentially make for population groupings within the C. Secondary data (check health records)
community? D. Registries available from municipal/ city government
A. Concepts about health and illness
B. Cultural beliefs and practices that affect health 32. In doing CO, the best entry strategy to the community is:
C. Ethnicity, social class, religion, race, language, political orientation A. Via free clinics
D. Lifestyle, norms and practices B. A low key approach
C. Use of an endorsement by known community leaders
D. Entry with the parish priest or pastor

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PRACTICE TEST COMMUNITY HEALTH NURSING SET: C
33. In doing CO, we do appropriate social preparation before actual
full-scale engagement. Our main aim here is to: 41. The success of AHA will be based on progress made in:
A. Lay the foundation towards the creation of an organization 1. Prevention of premature deaths
B. Imbibe a community way of life – immersion/integration. 2. Controlling communicable and non-communicable diseases
C. Establish rapport with the leaders of the community – courtesy 3. Reduction of underweight among children
call 4. Reducing maternal and newborn deaths
D. Develop potential leaders – core group formation
A. 1 and 2 C. 3 and 4
34. As a nurse, Kat knows very well that she can perform all of the B. All except 3 D. All of the above
following except: - OLD QUESTION?
A. Assist in home deliveries 42. Improvements in NHIP benefit delivery can be achieved by:
B. Perform Leopold’s maneuver in the home setting A. Promoting the availment of quality outpatient and inpatient services
C. Conduct lectures on the importance of prenatal visits to all pregnant at accredited facilities through reformed capitation and no balance
women billing arrangements for sponsored members, respectively.
D. Suture 2nd degree lacerations during home deliveries B. Fiscal autonomy and income retention schemes for government
- 3rd degree and up ang hindi pwede hospitals and health facilities
C. Aggressively promoting healthy lifestyle changes to reduce non-
35. The community health nurse leads a class on breastfeeding with a communicable diseases
group of prenatal parents. The nurse allows the participants to ask D. Unified and streamlined DOH licensure and philhealth
questions, make comments, and reason out loud as feedback is accreditation for hospitals and health facilities
given. Which of the following teaching techniques is the nurse
using? 43. The Philippine health care delivery system is composed of two
A. Lecture C. Demonstration sectors. This is a largely financed sector through tax-based
B. Role playing D. Discussion budgeting system both national and local levels, hence, socialized
user fees have been introduced in recent years for certain type of
36. The four major change agents that impact the future of community service.
health care for children and families are demographic, science and A. Public sector C. Non government sector
A. The amount of influence the public has on legislator and the B. Private sector D. None of the above
political party in power
B. The stock market and recession periods 44. To empower community members, the community nurse performs
C. Hospital administrative policies and health care reimbursement which activity?
D. Market-driven economic policy and technology A. Do all the activities for community members
B. Step back at the beginning and giving little output
37. The following statements describe the human health resources, C. Define the community needs for the members
except: D. Give ownership and leadership to the community
A. Every year there is a marked increase in the number of health
professionals 45. Descriptors of a healthy community include:
B. Despite the increase in the number of health providers, there is still A. A community where the members are disease free
an enormous need in the rural areas B. Seeking to make all the resources available to all members
C. The growing number of health professionals contributes to their C. Keeping the sub-groups informed of changes whenever necessary
low salaries and lack of benefits D. The leaders making decision for the community members
D. Migration to other countries is primarily an economic issue
46. When a community health nurse works as a client advocate, the
38. Nurse Kat knows that only one of the following statements is nurse:
correct. Which is it? A. Uses a passive approach in solving identified problem
A. In CHN, the client is considered as passive recipient of care, not an B. Attempts to smooth problems over to keep the community calm
active partner C. Is assertive in speaking and acting on behalf of the client
B. The goal of CHN is achieved through sectoral efforts D. Is aggressive in pursuing the achievement of the client goals
C. CHN practice is affected by the development in health technology,
in particular, and changes in society, in general 47. Ana BEST exemplifies secondary prevention by which of the
D. CHN is independent from health care system and the larger human following activities?
services system A. Teaching new mothers infant care
B. Infant phototherapy
SITUATION: The Aquino Health Agenda (AHA) is being launched to C. Oxygen humidification
improve, streamline and scale up reform interventions espoused in D. Tracheostomy care
the HSRA and implemented under fourmula One. This deliberate
focus on the poor will ensure that as the implementation of health 48. Which of Ana’s teaching activities would not be considered
reforms moves forward, nobody are left behind. SECONDARY prevention when caring for clients in her case
39. The goals of Aquino Health Agenda is directed towards: load?
1. Ensuring better health outcomes A. Providing families with her telephone number for any home
2. Sustained health financing emergencies
3. Ensuring equitable access to affordable health care B. Teaching parents first aid for insect bites
4. Ensuring free health care services delivery to all Filipinos C. Educating parents on the importance of routine immunization
A. All except 1 C .All except 3 D. Educating parents on the signs of lead poisoning
B. All except 2 D. All except 4
49. BEMONC (Basic Emergency Obstetric and Newborn Care)
40. The Aquino Health Agenda (AHA) is a focused approach to health facilities are established in the community in order to rapidly
reform implementation in the context of HSRA And Fourmula achieve the goal of reducing maternal and child mortality. The
one, ensuring that all Filipinos especially the poor receive the following capabilities are done in the BEMONC facilities Except:
benefits of health reform. AHA shall be attained by pursuing three 1. Parenteral administration of oxytocin in the third stage of labor.
strategic thrusts. This does not include: 2. Parenteral administration of anticonvulsants
A. Financial risk protection through expansion in NHIP enrollment 3. Parenteral administration of initial dose of antibiotics
and benefit delivery 4. Performance of assisted deliveries
B. Improved access to quality hospitals and health care facilities 5. Removal of retained products of conception
C. Attainment of the health-related Millennium Development Goals 6. Manual removal of retained placenta
(MDG) 7. Adminstration of blood transfusion
D. Creation of additional public hospitals to address the growing 8. Cesarean section
demand in health care services A. 1, 2, 3 C. 7, 8

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PRACTICE TEST COMMUNITY HEALTH NURSING SET: C
B. 1, 2, 3, 8 D. 4, 5, 6 B. Fatigue D. Opaque lens
50. While on skin to skin contact up to 3 minutes after delivery, the 59. Affected by malnutrition are children 0-4 years. Which of the
nurse prepares to clamp and cut the cord. Arrange in sequence the following is the main cause?
procedure that the nurse will perform. A. Poverty C. Poor appetite
1. Remove first set of gloves B. Wrong choice of food D. Too much oil in diet
2. Cut ties with sterile instrument
3. Put ties tightly around the cord 2 cm and 5 cm from the 60. Which of the following therefore is the most important
newborn’s abdomen. responsibility of a nurse in the prevention of unnecessary deaths
4. Observe for oozing blood from pneumonia and other severe disease?
5. Injection of 10 IU oxytocin IM to the mother A. Taking of the temperature of the sick child
A. 1, 3, 2, 4, 5 C. 4, 3, 2, 5, 1 B. Provision of careful assessment
B. 3, 2, 4, 1, 5 D. 5, 1, 3, 2, 4 C. Weighing of the sick child
D. Giving of antibiotics
51. Rooming in (RA 7600) is the practice of placing the newborn in
the same room as the mother right after delivery up to discharge to 61. The IMCI guidelines recommend case management procedures
facilitate mother-infant bonding and to initiate breastfeeding. based on these strategies:
Which statement is not included under this provisions? A. Children age 2 months up to 5 years, and young infants age of less
A. Normal Spontaneous delivery shall be put to the breast of the than 2-months
mother within 3 – 4 hours after birth. B. Children age 3 months up to 6 years old and infants age 1 week up
B. Deliveries outside health institutions whose mothers have been to 2 months
admitted to the Obstetrics unit shall be roomed-in immediately. C. Children 3 years of age up to preschoolers
C. Mothers are exempted from rooming in if determined by the D. None of the above
physician to be seriously ill.
D. Wet nursing is an option for the mother is determined to be 62. The Integrated Management of Childhood Illness (IMCI) chart
violently psychotic provides the necessary procedure when identifying the appropriate
interventions to be done. However, the community health nurse
52. Expanded Breastfeeding Act (RA 10028) guidelines includes the should be aware that the following factor should be considered in
following EXCEPT: utilizing the case management chart:
A. This act designates August as the Breastfeeding awareness month. A. Age of the child C. Danger signs
B. Health institutions are likewise encouraged to set up milk banks for B. Chief complaint D. Problem of the child
storage of breastmilk donated by mothers and which have
undergone pasteurization. The stored breastmilk will primarily be 63. In the IMCI classification tables, color yellow indicates that a:
given to children in the neonatal intensive care unit whose own A. Child needs an appropriate antibiotic or other treatment
mothers are seriously ill. B. Child does not need specific medical treatment
C. Nursing employees shall granted break intervals in addition to the C. Referral or admission is needed
regular time-off for meals to breastfeed or express milk.That such D. Chief complaint that needs an urgent attention
intervals shall not be less than a total of 30 minutes for every eight
(8)-hour working period. Situation - Carol is 15 months old, weighs 8.5 kgs, is not eating well
D. Integration of Breastfeeding Education in the elementary, high and is unable to breast feed. She is not vomiting, has no convulsion
school and college levels. and not abnormally sleepy or difficult to awaken. Her temperature
is 38.5 C. Use the IMCI strategy.
53. This vaccine content is derived from RNA recombinants: 64. If you were the nurse in charge of Carol, how will you classify her
A. Tetanus toxoid C. DPT illness?
B. Hepa B vaccine D. AMV A. Febrile w/ a general danger sign C. Severe pneumonia
B. Very severe febrile disease D. Severe malnutrition
54. The following are true about EPI vaccination:
1. The vaccines most sensitive to heat are OPV and Measles which 65. Which of the following signs is considered to be a general danger
should be stored in the freezer of the refrigerator. sign in Carol’s case?
2. The vaccines that should be mixed with diluents are BCG and A. No vomiting C. Temperature of 38.5 C
measles B. Has no convulsion D. Unable to breastfeed
3. The temperature cold chain in the freezer should be maintained
between +2 to +8 66. Which of the following signs is NOT included in the general
4. The nurse can proceed with the vaccination if the inner circle is danger sign?
darker than the outer square. A. Vomits everything C. Has had convulsion
A. 1, 2 B. 1, 2, 3 C. 1, 2, 3, 4 D. 2, 3, 4 B. Unable to drink or breast fed D. Fast breathing

55. If attenuated measles vaccine (AMV) is given at 9 months, what is 67. Which of the following steps is NOT included in the IMCI
the percentage that measles be prevented? strategy?
A.100% B. 85% C. 60% D. 95% A. Identify treatment C. Referral
B. Counsel and follow up D. Assess and classify
56. A nurse may keep opened vials of OPV for use in the next session
if: 68. Which of the following signs should NOT be included in deciding
A. You have taken out the vaccine at the health center for some other that “the child vomits everything”?
reasons A. Child experience occasional vomiting
B. The expiry date has not passed B. When offered fluids, may not be able to drink
C. The vaccines have been stored at a temperature between 0 & 8 deg C C. Maybe too weak to drink and eat at all
D. The vaccine have change its color D. Child is not able to keep anything down at all

57. You are at the RHU clinic when a mother brought in her infant 69. Using IMCI, which of the following management is not included
Dodong, for his OPV immunization. You have assessed that the in the classification very severe febrile disease/malaria?
infant has diarrhea. What will be your next action? A. Give the 1st dose of quinine
A. Notify the physician C. Refer immediately B. Give the 1st dose of an appropriate antibiotic
B. Give the OPV D. Do not give the OPV C. Send a blood smear of the child to the referral hospital
D. Follow up in 2 days if the fever persists
58. Vitamins help fight various deficiencies which affect the eye. As a
health care provider, you are aware that ONE of the following is a 70. A 1 month old infant has blood in the stool. What color health
sign of Vitamin A deficiency: management will it suggests?
A. Corneal clouding C. “Halo signs” A. Red C. Yellow

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PRACTICE TEST COMMUNITY HEALTH NURSING SET: C
B. Pink D. Green
71. In giving chloroquine you should: 82. A child needs urgent referral for mastoidistis. The following is a
A. Heavily guard the patient list treatments for all ear problems in IMCI classification. Which
B. Explain to the mother that she should watch her child carefully for among these pre-referral treatments should NOT be included:
30 minutes after giving medicine A. Give the child the appropriate antibiotics for 5 days
C. Explain to the mother that it should be given for 2 days only B. Do not give any medications
D. Instruct the mother to give the first dose at home C. Give the child the first dose of antibiotics
D. Give first dose of paracetamol for pain
72. After assessing Junjun, your nursing diagnosis is dehydration
secondary to diarrhea. ORS was administered. Which health 83. Corazon brought her child to the clinic for palmar pallor suggestive
instruction regarding ORS therapy will you give the mother once of anemia. The doctor prescribed iron medications and it was only
the diarrhea has stopped? the 3rd day of taking such medication. Your next action would be
A. Increase the administration of ORS to:
B. Return to the clinic A. Give iron medication 3x a day
C. Stop the administration of ORS B. Give iron and return tomorrow
D. Decrease the administration of ORS C. Instruct the mother to continue giving iron for 14 days
D. Refer the child immediately
Situation: Kathrina, 5 months old, weighs 5.2 kgs, temperature 38 C.,
is brought to the center. Her mother says she is not eating well, 84. A 3 year old child (14 kg.) Has anemia with some palmar pallor
feels hot to touch, able to drink, no vomiting, no convulsions and and needs iron and mebendazole. The card shows he was not given
not lethargic, no cough. They live in a malaria risk area. Her fever mebendazole previously. As the nurse you should give the child
started 2 days ago. She has no signs of measles, no stiff neck or Iron Folate and Mebendazole in what dosage?
runny nose. A. 7.5 ml or tsp daily for 14 days and mebendazole 500 mgs single
73. How will you classify Kathrina’s illness? dose
A. Plain fever C. Sever febrile disease B. 10 cc or 2 tsp daily for 30 days and mebendazole 500 mg single
B. Malaria D. Fever: no malaria dose
C. 10 cc or 2 tsp daily 30 days and mebendazole 250 mg single dose
74. The following treatments are appropriate for Kathrina EXCEPT: D. 5 ml or 1 tsp 2- 3x/ daily for 14 days and mebendazole 500 mgs
A. Follow up in 2 days single dose
B. Give oral anti malarial drugs
C. Advise when to return immediately 85. Which of the following is NOT TRUE about home care for all sick
D. Give 1 dose of paracetamol for temp. 37.5 C infants?
A. Blood in the stool is a danger sign that needs to be reported
75. A child should be checked for capillary refill if: B. Bring the infant to the clinic if he/she shows sign of difficulty of
A. If the child has petechiae breathing
B. The child’s extremities feel warm C. Breastfeed frequently, day and night during sickness and health
C. There is fever for more than 7 days D. Make sure the young infant stays cool at all times
D. If the extremities feel cold
86. A client is under plan-A. This also included the 4 rules of home
76. A child living in a non-malaria risk area who has stiff neck may be treatment such as giving an extra fluid, giving zinc supplements,
classified as having: continuously feeding the child, and advising when to return. The
A. Malaria C. Severe febrile disease nurse teaches a caretaker on how to mix and give ORS. Baby
B. R/O Malaria D. Fever: no malaria Garry ,11 months tomorrow should received with how many
volume of additional fluids:
77. Vitamin A is given to a child with measles because it: A.50 to 100 ml C.100 – 150 ml
A. Resists the viral infection in the eyes, cell layers in the lungs B.100 to 200 ml D. 50 – 200 ml
gastrointestinal tract, mouth and throat
B. Reinforces the body’s immune response 87. Which condition reflects when you pinch the skin it goes back
C. Is needed for supplementation slowly even if the child is not dehydrated or no signs of
D. Helps the immune system prevent other infections dehydration:
A. A child who is overweight C. A child who has marasmus
78. The child’s symptoms are under the classification of severe dengue B. A child with edema D. A child with kwashiorkor
hemorrhagic fever of the IMCI strategy. Which of the following
treatments should be done IMMEDIATELY? 88. In IMCI, a child has the main symptom for fever if the child
A. Observe the patient at the health center and refer urgently if the presents the following data: (1) has history of fever, (2) child feels
condition worsens hot or (3) has an axillary temperature of 37.5C and above. Baby
B. Give fluids or ORS and refer urgently to the hospital Pacquia does not have fever, the next step is to ask for which of the
C. Immunize the child before referral following choices:
D. Give the first dose of appropriate antibiotics and refer urgently to A. Assess for signs related to fever
the hospital B. Ask about the next main symptom; Malnutrition and Anemia
C. Assess for ear problem
79. If the child has severe classification because of ear problem, what D. Decide if this is Malaria Risk or No Risk
would be the best thing that you, as the nurse can do:
A. Instruct the mother when to return immediately Situation: You are participating in the health promotion program of
B. Refer urgently DOH. Your team has planned to incorporate various lifestyle
C. Give an antibiotic for 5 days related activities.
D. Dry the ear by wicking 89. The W.H.O. principle of health promotion serves as your guide.
Which of the following statements is not PART of the principles of
80. The nurse uses the IMCI chart for illness classification, which of health promotion of W.H.O.?
the following is not correct? A. Combines diverse but complementary methods or approached
A. Mastoiditis: pink C. Chronic ear infection: yellow including communication, education, legislation and fiscal
B. Acute ear infection: pink D. No ear infection: green development
B. Involves the population as a whole but focuses on people at risk
81. A mother brought her child to the health center due to ear from specific diseases
discharge, upon assessment, a “tender swelling” Behind the child’s C. Is directed towards action on the determinants of health and
ear was noted. This is classified as: requires close cooperation between sectors beyond healthcare
A. No ear infection C. Chronic ear infection
B. Acute ear infection D. Mastoiditis

5 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
PRACTICE TEST COMMUNITY HEALTH NURSING SET: C
D. Is a societal and political venture and not a medical service C. Establishing the relationship between cases to the characteristic of
although health professionals have an important role in advocating the community
and enabling health promotion D. Correlating all data obtained.
90. In order to motivate people to participate in physical activities for
health promotion, the nurse should consider the following 98. As an epidemiologist, among other things, you are expected to:
EXCEPT: A. Institute appropriate control measures in the confirmation of an
A. Provide options for age- based physical activities outbreak.
B. Brisk walking as the best form of exercise for all age groups B. Check the presence of signs and symptoms in patients according to
C. Once a week of intense physical activities can compensate for the the standard case definition of the disease.
desired exercise three times a week C. Monitor the occurrence of selected notifiable diseases by weekly
D. Help clients to determine physical activities that can easily be charting or graphing of cases.
integrated into their daily activities D. Plan and secure necessary resource needed for disease control
measure.
91. RE-orienting focus of health care delivery from cure to health
promotion or wellness is achieved by enhancing the skills of 99. Lately, an epidemiologic shift in the health status of Filipinos is
health workers in which of the following? said to be occurring as an effect of a change in lifestyle. An
1. Screening epidemiologic shift is characterized by:
2. Case finding A. Resurgence of tuberculosis as an important and largely unattended
3. Prevention of risk factors that contribute to development of disease burden.
major non- communicable diseases (NCD) – primordial B. Increasing importance of chronic diseases side by side with
prevention. infectious diseases as a major cause of death.
4. Prevention and management of NCD C. Improved control of epidemic diseases versus control of epidemics.
A. 1 and 2 C. All except 4 D. Increasing level of pollution in the environment.
B. 3 and 4 D. 1,2,3,4
100. Mental health problems have four facets as a public health
92. Raising public awareness to ensure full community participation in burden. This one refers to the stigma and violation of human
health promotion initiatives can be done through: rights?
1. Producing and disseminating information through mass media, A. Hidden burden C. Undefined Burden
health campaigns, public information system and school B. Future burden D. Defined burden
education
2. Adopt and support policies and programs focused on health i.e.
Anti smoking
3. Initiating health promotion initiative such as Healthy Cities,
Healthy Schools, Healthy Worksites
4. Posting of community bulletin boards in places where people
converge such as for mothers class, barangay assemblies etc.
A. All except 2 C. 1,2,3,4
B. 1 and 2 D. 3 and 4

Situation: Nurse Ansherina is making an annual report of the RHU.

This prompted her to review the importance of the Field Health
Service Information System.
93. This constitutes the mechanism of transmitting data from one
facility to another
A. Family Treatment Record
B. Target Client List
C. Tally Form
D. Output Report

94. This is where the signs and symptoms or chief complaint of the
patient on consultation, the diagnosis, treatment and treatment date
is recorded:
A. Family Treatment Record
B. Target Client List
C. Tally Form
D. Output Report

95. Cases of Diptheria should be reported on which basis?

A. Immediately
B. Weekly
C. Monthly
D. Quarterly

Situation: From January to September 2006, there were two outbreaks

of typhoid fever in Cavite City. Epidemiologic Investigation was
undertaken by the rural health unit to investigate the outbreaks.
96. The primary purpose of epidemiologic investigation is to:
A. Identify who are at risk of contracting the disease.
B. Delineate the etiology of the epidemic
C. Encourage cooperation and support of the community
D. Identify the geographical location of cases of the disease in the
community.

97. This step of epidemiological investigation ascertains the number of

cases of typhoid fever occurring in the community.
A. Establishing the epidemic.
B. Establishing the time and space relationship of the disease.

6 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.