Started on Sunday, 30 April 2017, 6:13 PM

State Finished

Completed on Sunday, 30 April 2017, 6:45 PM

Time taken 32 mins 16 secs

Marks 118/150

Grade 79 out of 100

Question 1
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During a health center visit, a woman approached the nurse and made an inquiry about oral
contraceptive pills. Which of the following is not true regarding oral contraceptive pills?
Select one:
A. It inhibits fertility

B. It produces chemical that disrupt sperm mobility

C. It consist of hormones estrogen and progesterone
D. It creates a reversible effect

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Other choices are true about contraceptive pills. Choice "it produces chemical…." refers to IUD.

Question 2
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Question text
When the PHN conduct pre-marriage counseling or responsibility, she performs:
Select one:
A. Change agent model
B. Advocate

C. Counselor
D. Role modeling

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The key word given in the question is counseling, therefore the nurse role is that of a counselor.

Question 3
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As a trainer/supervisor, the PHC nurse focuses on the following function except:
Select one:
A. Develops competencies of health auxiliary personnel
B. Determines learning needs of birth attendants

C. Establishes mechanism for maximum participation of community for health action

D. Initiate training needs analysis and design

Question 4
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Situation: Ms. Estrelle, a Public Health Nurse, is conducting a community class in Brgy. Salapan
about Control of Communicable Diseases Program particularly Pulmonary Tuberculosis. Category
I treatment regimen for TB is prescribed to:
Select one:

A. New pulmonary TB patients whose sputum is positive

B. Relapsed TB patients
C. Previously treated patients who are failures
D. Previously treated patients who are on relapse

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Isoniazid (INH), Rifampicin and Pyrazinamide are given for the first 2 months. INH and Rifampicin
are continued for another 2 months.

Question 5
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One of the essential elements of Primary Health Care which stressed on Malaria control,
Select one:

A. Locally Endemic Disease Control

B. Essential Drugs
C. Safe Water and Sanitation
D. Treatment of Communicable Disease

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Treatment of Communicable Disease – aim to address the curative aspect of care in the treatment of
CD Locally Endemic Disease Control – aim to address the disease prevention of endemic disease in
the country Safe Water and Sanitation – aim to promote the use of safe water and environmental
sanitation Essential Drugs – the provision of commonly used medicines that used to treat common
illnesses in the community as well as those diseases that are treated in the health center.

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One of the most important roles of the nurse in the Primary Health Care is to mobilize the community
for health action. This role refers to:
Select one:
A. Community Organization

B. Health Promotion
C. Health Education
D. Supervision

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The term "Mobilize" means or referring to Community organization

Question 7
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During the time Lina was setting up the community wide organization, she encountered resistance
from the people especially encouraging maximum attendance. Setting up the community wide
organization is otherwise referred as:
Select one:

A. Community assembly
B. Community Diagnosis
C. Community Analysis
D. Community Service

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Setting up the community wide organization is otherwise known as community assembly. It involves
maximum participation of people in the community to get their feedbacks towards solving their short
term/long term health problems.

Question 8
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Lina is a student nurse assigned as a community organizer at Brgy. Dose, Sampaloc, Manila. During
the pre-entry phase, the following are the criteria she should follow in identifying her host family
except…
Select one:
A. The family should be respected by the leaders of the community.
B. The family should have a house where neighbors are not hesitant to enter.

C. The host family should belong to the rich segment of the community.
D. The house should be strategically located in the barangay to enable communication.

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All the choices except choice B are criteria in choosing the host family in CO. The host family should
NOT belong to the rich segment of the community.

Question 9
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The public health nurse, in one of her home visit detected signs and symptoms of breast cancer from
one of her client in the community. The foremost action she should take can possibly be:
Select one:
A. Advise the client and give re-assurance
B. Refer to the public health physician
C. Initiate treatment regimen

D. Suggest client to undergo breast ultrasound

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The primary role of the nurse in the National Cancer Program is through case referral.

Question 10
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This law refers to the process of testing newborn babies for treatable genetic, endocrinologic,
metabolic, and hematologic diseases that can be missed clinically at birth:
Select one:
A. RA 9228
B. RA 9822

C. RA 9288
D. RA 9928

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RA 9288 is the NBS law -Newborn Screening act of 2004

Question 11
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Situation: A group of 4th year nursing students of Far Eastern University is conducting their
community diagnosis at Barangay Masaya of the municipality of San Lorenzo, Laguna. The
barangay is divided into three puroks: Purok 1, Purok 2, and Purok 3. The land area of Barangay
Masaya is 144.9 hectares, composed mainly of agricultural land. Farming is the main source of
livelihood. The total population of Barangay Masaya is 1, 938. There are 486 households and 493
families. Majority of the population are males with 989, while females are 949, respectively.
According to statistics by the Rural Health Center, there is a total of 31 live births from January to
December of the current year. The crude birth rate is 16. Among the female population, there are
463 individuals who belong to the reproductive age (15-44 years old). According to the RHU midwife,
5% of the female population belongs to the high-risk pregnancy group. There are also cases of
maternal deaths due to pregnancy, childbirth and post-partum complications. The nursing students
are very much aware of the prenatal service delivery of the health center. Based on the above data,
5% of females belong to the high-risk pregnancy group.

The students also know that the following are considered high-risk ante-partum cases:
Select one:
A. All options are correct
B. A mother with no history of post-partum hemorrhage
C. A mother of 7 children
D. A mother with a height of 4'10"
E. A mother with history of at least one miscarriage or stillbirth

Question 12
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The process of establishing rapport with the people in a continuing effort to imbibe community life
refers to..
Select one:

A. Integration
B. Core group formation
C. People empowerment
D. Participative Action

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Participative Action – a research strategy in CO that involves the participation of the people. Core
group formation – refers to the identification of potential leaders. People empowerment – refers to
achieving effective power for the people. Integration – is the process of establishing rapport with the
people in a continuing effort to imbibe community life.

Question 13
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Situation: A group of 4th year nursing students of Far Eastern University is conducting their
community diagnosis at Barangay Masaya of the municipality of San Lorenzo, Laguna. The
barangay is divided into three puroks: Purok 1, Purok 2, and Purok 3. The land area of Barangay
Masaya is 144.9 hectares, composed mainly of agricultural land. Farming is the main source of
livelihood. The total population of Barangay Masaya is 1, 938. There are 486 households and 493
families. Majority of the population are males with 989, while females are 949, respectively.
According to statistics by the Rural Health Center, there is a total of 31 live births from January to
December of the current year. The crude birth rate is 16. Among the female population, there are
463 individuals who belong to the reproductive age (15-44 years old). According to the RHU midwife,
5% of the female population belongs to the high-risk pregnancy group. There are also cases of
maternal deaths due to pregnancy, childbirth and post-partum complications.

How many percent does the male population have?

Select one:
A. 50.05%
B. 50.03%
C. 51.05%

D. 51.03%

Question 14
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Sudden increase in the number of cases of a disease in a short period of time is known as:
Select one:
A. Pandemic

B. Endemic
C. Epidemic
D. Sporadic

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Sporadic – Intermittent occurrence, Endemic – continuous occurrence, Pandemic – worldwide
phenomenon. Epidemic – sudden outbreak.

Question 15
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During one of the interviews, Josie an enthusiastic student nurse leader encountered respondent
couples who live together as husband and wife without the benefit of a legal marriage. This refers
to…
Select one:
A. Married
B. Separated

C. Common Law

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Common law refers to those couple living in without the bound of marriage.

Question 16
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Lifestyle-related diseases considered emerging public health problems may be controlled through
the promotion of ____________, except:
Select one:
A. Smoking prevention/cessation
B. Increased physical activity

C. Proper diet and nutrition

D. Prevention of cross infection

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"Prevention of cross infection" focuses on Treatment and control of CD.

Question 17
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It is a systematic process of collecting, collating, synthesizing and analyzing data to draw a clear
picture of the community, particularly its problem:
Select one:
A. Community Analysis Report
B. Community Survey

C. Community Diagnosis
D. Core group formation

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CDX – the systematic process of collecting, collating, synthesizing and analyzing data to draw a
clear picture of the community, particularly its problem Core group formation – identification of
potential leaders Community survey – a method of community assessment

Question 18
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Situation: Smoking and alcohol drinking are two important unhealthy lifestyle practices among the
people of Barangay Masaya that contribute to its leading causes of mortality and morbidity. Among
the households surveyed, 75% had at least one member who is an active smoker. It was also
observed that cigarettes are easily available and affordable to the people. 100% of the sari-sari
stores sell cigarettes. Even sari-sari stores near the vicinity of schools sell cigarettes to teenagers.
On December 20, 2012, the Sin Tax Bill was signed into Law. This Law aims to:
Select one:
A. All are correct
B. Provide for the construction and upgrade of local and major hospitals nationwide.

C. Raise revenues that will be collected would go to the government's health care program
D. Raise additional revenues by increasing taxes in so called "sin products" such as alcohol and
cigarettes.
E. Lessen the number of smokers and alcohol drinkers in the country because of the increase in
prices

Question 19
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One of Lina's roles as a PHN involves provision of basic health services which includes immediate
intervention for acute health problems of the community. In this case, she is playing the nurse role of
a:
Select one:
A. Community organizer
B. Trainer
C. Supervisor

D. Health care provider

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Health care provision involves provision of basic health services which includes immediate
intervention for acute health problems of the community Community Organizer – mobilizing people
into action Supervisor/trainer – trains, supervise the other health workers

Question 20
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The primary health care element that focuses to improve case of fully immunized child..
Select one:
A. Locally Endemic Disease Control

B. Expanded Program on Immunization

C. Essential Drugs
D. Maternal and Child Health

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EPI is one element of PHC that aims to reduce the morbidity and mortality among infants and
children caused by the seven childhood immunizable diseases.

Question 21
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Situation: Smoking, unhealthy diet, physical inactivity and poor nutrition are prevalent among the
people in Brgy. Masaya. These unhealthy lifestyle practices have contributed to the occurrence of
chronic diseases such as hypertension, heart diseases, stroke, diabetes and asthma. Hypertension
ranked as the leading cause of morbidity in the community.
Program components of the Healthy Lifestyle Program are the following, except:
Select one:
A. Bantay-Presyon Program

B. Stress Management Program

C. Tobacco Control Program
D. Healthy Diet and Weight Control Program

Question 22
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Which of the following strategy is the least priority in dealing with the prevention and control of
Dengue?
Select one:

A. Health Education
B. Residual spraying and fogging
C. Environmental sanitation
D. Screening of windows

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All choices are priority strategy in the control and prevention of dengue. Residual is least among the
priority since fogging only drives away the mosquito but not totally killing them.

Question 23
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It refers to a practical approach to the effective provision of health services that are community
based, accessible, acceptable and sustainable at cost which the community and the government can
afford:
Select one:
A. National Health Plan

B. Primary Health Care

C. Community Organizing
D. Participative Action Research

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NHP - It defines the country's health problems, policies, thrusts, strategies and targets PHC – the
provision of health care services that are accessible, affordable and sustainable at cost which the
government can afford. PAR – An approach in Community Organizing CO – the process of
educating the people through self-reliance and community participation

Question 24
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Approved type of toilet facilities may need water or not depending on receiving space. What type of
toilet is without need of water?
Select one:
A. Flush-type toilet
B. Aqua privies
C. Water-sealed

D. Pit latrines

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Pit Latrines belong to Level I of approved types of toilet facilities. Level I includes: non-water carriage
facility which does not require water such as pit latrines and reed odorless earth closet.

Question 25
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What TB drug is not given to children under age 6 who are too young to report visual disturbances?
Select one:
A. PZA

B. Ethambutol
C. INH
D. Rifampicin

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The major side effect of Ethambutol is optic neuritis- an impairment of visual acuity and color vision.

Question 26
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___________ provides the opportunity and the means by which the worth of an individual is
revealed, his/her contributions can be made and learning can take place.
Select one:
A. None of these choices
B. Community health
C. Community development

D. Community diagnosis

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Community Development is participative in nature and is geared towards enhancing people's
capacity to think, make sound judgment and self-help.

Question 27
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In checking major symptoms in a sick child, IMCI includes the following symptoms except:
Select one:

A. Inability to drink
B. Fever
C. Cough
D. Difficulty of breathing

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Major symptoms include: DOB, cough, fever, diarrhea, and ear problems. Inability to drink is a
"danger sign"

Question 28
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You are about to provide health teachings about pulmonary tuberculosis in your area of assignment.
What diagnostic procedure is usually done early in the morning to confirm PTB?
Select one:
A. Chest X-ray
B. Bronchoscopy
C. All of the above

D. Sputum Exam

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Sputum specimen is best provided early in the morning because it is easy to expectorate the sputum
since it goes up to our respiratory tract while we are sleeping. The possibility of getting the right
specimen is high and not the saliva.

Question 29
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The DOH in its new role in the national authority on health has several functions. Which one is
specific to the role of the DOH as enabler and capacity builder?
Select one:
A. Serve as the national policy and regulatory institution
B. Innovate new strategies in health to improve effectiveness of programs

C. Administer direct services for emergent health concerns that require new technologies
D. Serve as advocate in adoption of health policies

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Choice B is the answer because the keyword is "innovate" and "effectiveness" which describes the
role of DOH as enabler and capacity builder that empower people to achieve optimum health level.

Question 30
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An exclusive breastfeeding recommendation is:
Select one:
A. Up to 6 weeks
B. Up to 16 months

C. Up to 6 months
D. Up to 26 months

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Breast milk is the best food for the baby from birth up to 6 months. It meets all the food and fluid
needs of the baby from birth up to 6 months and it protects the baby from disease and malnutrition

Question 31
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In checking danger signs in a sick child, IMCI includes the following signs except:
Select one:
A. Lethargy
B. Convulsion
C. Vomiting

D. Severe diarrhea

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Danger signs include: vomiting, convulsion, lethargy/ unconscious, inability to drink/ breastfeed
Diarrhea is a "major symptoms" according to IMCI.

Question 32
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Community development is based on the philosophy of self help and participation. This statement is:
Select one:

A. True
B. False

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The statement pertaining to Com Devt. is geared towards self reliance and collaboration.

Question 33
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The process of exposing the body to an antigen to generate an adaptive immune system is referred
to:
Select one:

A. Active immunity
B. Natural passive immunity
C. Acquired passive immunity
D. Passive immunity

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Active immunity - the process of exposing the body to an antigen to generate an adaptive immune
system Passive immunity – providing immune-globulin antibody to protect against infection. Natural
passive – transfer of maternal antibody to a child Acquired passive – obtaining serum from immune
individuals

Question 34
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Situation 1: A group of 4th year nursing students of Far Eastern University is conducting their
community diagnosis at Barangay Mapayapa of the municipality of San Mateo, Rizal. The barangay
is divided into three puroks: Purok 1, Purok 2, and Purok 3. The land area of Barangay Mapayapa is
144.9 hectares, composed mainly of agricultural land. Farming is the main source of livelihood. The
total population of Barangay Mapayapa is 1, 938. There are 486 households and 493 families.
Majority of the population are males with 989, while females are 949, respectively. According to
statistics by the Rural Health Center, there is a total of 31 live births from January to December of
the current year. The crude birth rate is 16. Among the female population, there are 463 individuals
who belong to the reproductive age (15-44 years old). According to the RHU midwife, 5% of the
female population belongs to the high-risk pregnancy group. There are also cases of maternal
deaths due to pregnancy, childbirth and post-partum complications. How many percent does the
male population have?
Select one:
A. 51.05%
B. 50.03%

C. 51.03%
D. 50.05%

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989/1938 X 100 = 51.03

Question 35
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The following are conditions in order to continuously avail of the benefits from the 4Ps , EXCEPT:
Select one:
A. 6-14 years old children must receive deworming pills twice a year
B. 0-5 year old children must receive regular prevention health check-ups and vaccines

C. 1-5 years old children must attend day care or pre-school classes at least 85% of the time
D. Parents must attend Family Development Sessions (FDS)

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3-5 years old children, not 1-5 years old.

Question 36
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PHC is the building blocks of DOH programs. The following statements pertaining to PHC are
correct, except:
Select one:

A. Transfer of high technology to the hands of the people

B. Essential care with ultimate goal of self reliance
C. Foundations of alternatives in health and health care
D. Utilization of appropriate technology

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All three choices except B are principles of PHC. Choice B should Transfer of appropriate
technology.

Question 37
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As a public health nurse conducting health teaching among mothers, which of the following family
planning method is not reversible in terms of fertility and infertility is concerned?
Select one:
A. Contraceptive pills
B. IUD
C. Depot Medroxy Progesterone Acetate

D. Vasectomy

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Vasectomy is an irreversible FP method.

Question 38
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The Department of Health is strengthening its programs regarding maternal and child health nursing.
As a newly appointed community health nurse in town, you are oriented and well verse on these.
With regards to Women's Health and Safe Motherhood Project, the following strategies are included
to prevent maternal mortality, except one:
Select one:
A. Improved Family Planning counseling
B. Emphasis on Facility Based deliveries

C. TBA facilitated home deliveries

D. Establishment of BEmoNC and CEmoNC networks

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The DOH does not advocate home deliveries nowadays in order to avoid cases of tetanus
neonatorum.

Question 39
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Which of the following indicates the state of health of a community and the success or failure of
implementation of DOH programs?
Select one:

A. Morbidity and Mortality rate

B. Demographic profile
C. Literacy rate
D. Environmental sanitation

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The success or failure of the implementation of DOH program lies on the Morbidity and Mortality rate
because these 2 vital statistics are based on the result of the health programs of DOH which focus
on health promotion and disease prevention.

Question 40
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This serve as basis for developing and implementing community health nursing interventions and
strategies. The statement refers to:
Select one:

A. Community diagnosis
B. Community health
C. None of these items
D. Community problems

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CDX is a tool in determining interventions in the implementation of community projects/ programs.

Question 41
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Napoles was bitten by a dog. You interviewed Napoles and her father to take the history before
seeing a doctor. You told Napoles' father not to kill the dog because the dog will be:
Select one:
A. Confined
B. Given a vaccine

C. Observed for 10-14 days

D. Be examined
Feedback
when a person is bitten by a dog, the dog should be observed for 10-14 days. If the dog dies before
the observation period, the bitten person should consult a physician and be immunized. If the dog
shows signs of rabies, it should be killed immediately and its brain should be examined for presence
of Negri Bodies which is the diagnostic sign.

Question 42
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The WHO held a meeting in this place where primary health care was discussed. What is this place?
Select one:
A. US
B. Geneva
C. Vienna

D. Alma Ata

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The WHO - Alma Ata Declaration was held to discuss a strategy to deliver health care service for
developing countries (Primary Health Care). It was held in Russia which was formerly known as
Alma Ata.

Question 43
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In determining drinking water supply of a family, the following are the 4 most important factors a
community nurse should consider…
Select one:
A. Storage, Source, Potability, and Distance from the house

B. All are correct

C. Source, Storage, Container, and Distance from the house
D. Storage, Source, Water taste, and Distance from the house

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container, water taste is not a factor that determines if the water is safe for consumption.

Question 44
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Mrs. Chua ask if there are any precautions she should take to prevent serious side effects if she
decides to take an oral contraceptive. As a nurse, you will instruct Mrs. Chua to:
Select one:
A. Increase sexual activity
B. Exercise regularly
C. Take vitamins daily

D. Quit smoking

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Smoking is a contraindication for pills, it increases cardiovascular implications since the pill itself
increases amount of body fat.

Question 45
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The following are essential elements of PHC which are the basis of DOH programs, except;
Select one:
A. Control of communicable diseases
B. Emergency and medical treatment
C. Environmental Sanitation

D. FHSIS

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FHSIS – Field Health Service Information System is the Recording and Reporting System of DOH
while the other choice are all elements of PHC.

Question 46
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The nurse should teach the clients that the most common route of transmitting tubercle bacilli is
through contaminated:
Select one:

A. Droplet nuclei
B. Eating utensils
C. Dust particle
D. Water

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Mode of transmission is through airborne droplet, direct invasion, or exposure to tuberculosis cattle

Question 47
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The following qualifications reflect possible delivery in the Rural Health Unit, except for one:
Select one:
A. Adequate pelvis
B. Cephalic presentation
C. Less than five pregnancies

D. History of Caesarean section delivery

Feedback
HX of CS is one among the risk factor in pregnancy.

Question 48
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One of the major roles and responsibility of a public nurse is health education. During client teaching
in the prevention of hypertension includes the following, except:
Select one:

A. Reduce intake of potassium rich foods

B. Decrease saturated fat
C. Have a regular pattern of exercise
D. Moderation in sodium intake

Feedback
Potassium does not affect blood viscosity, lining of the arteries and blood volume

Question 49
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Disinfection of water supply sources is required on a newly-constructed well, required water pipes,
contaminated water supply and container disinfections collected from all EXCEPT:
Select one:
A. Open dug wells
B. Unimproved spring
C. Surface water

D. River dam

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River dams do not provide potable source of water and not safe for human consumption.

Question 50
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With regards to the Proper Excreta and Sewage Disposal Program, which is the accurate instruction
of the public health nurse to the families whose toilets are pit latrines?
Select one:
A. Handwashing
B. Flush with water
C. Use newspapers instead of tissue paper

D. Cover latrines against flies

Feedback
To prevent spread of microorganisms which may and communicable diseases, which may be carried
by flies as vectors.

Question 51
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At what age of the child should the 7 immunizable diseases be scheduled to provide immunity to the
child?
Select one:

A. Before child's 1st birthday

B. After the child's 1st birthday
C. At 8 months
D. At 2 years old

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By the time the child is 1 year old, he should have received the following immunizations already: one
BCG, three DPT, three OPV, one measles and three Hepatitis B.

Question 52
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The foremost management of the child with diarrhea in the Control of Diarrheal Disease must
include:
Select one:
A. Frequent feeding

B. Oral Rehydration Therapy

C. Giving of Attapulgite
D. Monitoring of stool

Feedback
Objectives of CDD include the following: To promote Oral Hydration Therapy, To promote
breastfeeding, & To promote personal/ domestic hygiene.

Question 53
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In doing a Tourniquet Test, how many petechiae be considered positive?
Select one:
A. 5
B. 20
C. 15
D. 10

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The test is positive if the patient develops 20 or more petechiae within the antecubital fossa with a
one-inch square measurement.

Question 54
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The following items are included as part of the Social Indicators except:
Select one:
A. Population

B. Educational level
C. Transportation system
D. Communication networks

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Other choices belongs to Social indicators, population is not a social indicator. It is a demographic
variable.

Question 55
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Which element of FOURmula one aims to ensure quality and affordability of health services?
Select one:
A. Health regulation
B. Health financing
C. Good governance

D. Health service delivery

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Health financing – to secure more, better and sustained investments in health to provide equity and
improve health outcomes. Health regulation - assuring access to quality and affordable health
products, devices, facilities and services. Health service delivery - improving the accessibility and
availability of basic and essential health care for all. Good governance - improve health systems
performance at the national and local levels.

Question 56
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Which of the following measurements obtained from a pregnant client is important during pre-natal
check-up that determine growth of fetus in the womb of the mother?
Select one:
A. Weight
B. Blood pressure
C. Height

D. EDC

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The increasing weight of a pregnant mother indicates that there is an obvious growth and
development of the fetus.

Question 57
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Last April 2011, the DOH together with the LGUs conducted a nationwide campaign on:
Select one:

A. Measles- Rubella
B. Reproductive Health Bill
C. Disaster and Preparedness
D. Isang Milyong Sepilyo

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This refers to the mopping-up operation of DOH against measles and rubella. All children with or
without the AMV vaccine are given AMV shots provided they reached 7 months old and above.

Question 58
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Public information on the promotion of health and prevention of illness refers to the role of primary
health care nurse as.
Select one:
A. Program Planner
B. Supervisor

C. Health Educator
D. Community Organizer

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Health Education, one of the primary roles of the PHN which focus on the promotion of health and
prevention of illness through public information.

Question 59
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Which among the following Family Planning Methods has an advantage of preventing sexually-
transmitted diseases/infections among couples?
Select one:
A. Pills

B. Condom
C. IUD
D. Two-day method

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Condom serves as a barrier to prevent direct contact to the carrier

Question 60
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Expanded Program on Immunization is one important flagship program of the DOH that aim to
increase the number of children who received the 8 important antigen + required doses of Hepatitis-
B vaccines before the child reaches the age of 14 months. This child refers to…
Select one:
A. Completely Immunized Child

B. Fully Immunized Child

C. Incomplete Immunization
D. Boosters

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The child who received the 8 important antigen + required doses of Hepatitis-B vaccines before the
child reaches the age of 14 months is called fully immunized.

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Question text
Situation 1: A group of 4th year nursing students of Far Eastern University is conducting their
community diagnosis at Barangay Mapayapa of the municipality of San Mateo, Rizal. The barangay
is divided into three puroks: Purok 1, Purok 2, and Purok 3. The land area of Barangay Mapayapa is
144.9 hectares, composed mainly of agricultural land. Farming is the main source of livelihood. The
total population of Barangay Mapayapa is 1, 938. There are 486 households and 493 families.
Majority of the population are males with 989, while females are 949, respectively. According to
statistics by the Rural Health Center, there is a total of 31 live births from January to December of
the current year. The crude birth rate is 16. Among the female population, there are 463 individuals
who belong to the reproductive age (15-44 years old). According to the RHU midwife, 5% of the
female population belongs to the high-risk pregnancy group. There are also cases of maternal
deaths due to pregnancy, childbirth and post-partum complications. How many percent does the
female population have?
Select one:
A. 49.87%
B. 48.95%
C. 49.95%

D. 48.97%

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949/1938 X 100 = 48.97

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Situation 3: Smoking and alcohol drinking are two important unhealthy lifestyle practices among the
people of Barangay Mapayapa that contribute to its leading causes of mortality and morbidity.
Among the households surveyed, 75% had at least one member who is an active smoker. It was
also observed that cigarettes are easily available and affordable to the people. 100% of the sari-sari
stores sell cigarettes. Even sari-sari stores near the vicinity of schools sell cigarettes to teenagers.
On December 20, 2012, the Sin Tax Bill was signed into Law. This Law aims to:
Select one:
A. Provide for the construction and upgrade of local and major hospitals nationwide.

B. Raise revenues that will be collected would go to the government's health care program
C. All options are correct
D. Lessen the number of smokers and alcohol drinkers in the country because of the increase in
prices
E. Raise additional revenues by increasing taxes in so called "sin products" such as alcohol and
cigarettes.

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Choices A, B & C are the aims of the Sin Tax Bill.

Question 63
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Community study and deepening social investigation (data gathering) include the following data
except…
Select one:

A. Physical, beliefs, health practices and inactive core groups

B. Geographical, education, cultural patterns and education
C. Physical, demographic, economic and nutritional status
D. Geographical, economic, education and health facilities

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Data gathering does not include "Inactive core group "

Question 64
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Which among the following information regarding vaccine reaction is most likely correct?
Select one:

A. Vaccines are sensitive agents that should not be given in cocktail preparation
B. Polio vaccines are given orally if in case injectable is not tolerated by the child
C. DTP is known to have local reaction that may trigger hyperthermia
D. The local reaction of all vaccines include reddening of the affected injection site

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The most accurate answer is choice c because DPT is most likely to cause fever. Other choices are
more likely incorrect.

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According to IMCI, which of the following is not a major childhood illness?
Select one:
A. Pneumonia
B. Malnutrition
C. Measles
D. Diphtheria

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Diphtheria is not one of them.

Question 66
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Malou Wang, came to the health center and had her first injection of DMPA (Depot
medroxyprogesterone acetate). Nurse Lyn instructed her to come back for the next shot after:
Select one:
A. 1 month
B. 2 months
C. 3 months
D. 4 months

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For contraception purposes, should be given deep IM every 3 months

Question 67
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Tetanus vaccine is a/an:
Select one:

A. Bacterial toxin
B. antibody
C. Weakened microorganism
D. live attenuated tetanus bacilli

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Tetanus toxoid is derived from the toxin produced by the clostridium tetani. It produces artificial
active immunity. It is administered to the infant via IM.

Question 68
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Situation: Smoking, unhealthy diet, physical inactivity and poor nutrition are prevalent among the
people in Brgy. Masaya. These unhealthy lifestyle practices have contributed to the occurrence of
chronic diseases such as hypertension, heart diseases, stroke, diabetes and asthma. Hypertension
ranked as the leading cause of morbidity in the community. The government's efforts of addressing
problems on unhealthy lifestyle have paved way to the formulation and implementation of the
National Healthy Lifestyle Program. The objectives of the program are the following, except:
Select one:
A. Develop the program components of the National Healthy Lifestyle Program

B. Quality assurance through Batang Sigla

C. Institutionalize the promotion of healthy lifestyle in local government units
D. Launch a Comprehensive Healthy Lifestyle Advocacy and Health Promotion

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Quality Assurance through Sentrong Sigla

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These are conditions that are conducive to disease or illness or failure to realize one's own potential:
Select one:
A. Health Deficit

B. Health Threats
C. Foreseeable crisis
D. Wellness state

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HT - conditions that are conducive to disease or illness or failure to realize one's own potential. HD –
failure in health maintenance. FC – anticipated periods of unusual demands in terms of family
resources Wellness state – potential for HT, HD, & FC.

Question 70
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This condition is an inborn error of metabolism that predisposes an infant to destruction of RBC that
resulted to a severe anemia?
Select one:

A. G6PD
B. Galactosemia
C. Phenylketonuria
D. Congenital Adrenal Hyperplasia

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Congenital Adrenal Hyperplasia – autosomal recessive disorder resulting from mutation of genes for
enzymes mediating the production of sex hormones. Phenylketonuria - a condition of inborn error of
metabolism characterized by decrease metabolism of amino acids and phenylalanine Galactosemia
– inability to metabolize the sugar galactose. G6PD - condition is an inborn error of metabolism that
predisposes an infant to destruction of RBC that resulted to a severe anemia

Question 71
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The emphasis of community organizing in primary health care include the following:
Select one:
A. Direction is established internally rather than externally
B. Technology change follows social movement.

C. All options are correct

D. Community working to solve its own problem

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All choices are principles of PHC

Question 72
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In evaluating programs and services in the RHU, which of the following refers to the outcome of
program or project effect that shows actual long range results?
Select one:

A. Effect
B. Output
C. Impact
D. Feedback

Feedback
Output - refers to the products or services which an activity is expected to produce Effect – refers to
the outcome of the utilized project outputs Impact - refers to the outcome of program/project effects.
It shows actual long range results Feedback – is an evaluative process

Question 73
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Program components of the Healthy Lifestyle Program are the following, except:
Select one:
A. Tobacco Control Program
B. Bantay-Presyon Program

C. Stress Management Program

D. Healthy Diet and Weight Control Program

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Bantay Presyon is not one among these components.

Question 74
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Field Health Service Information System (FHSIS) is the recording and reporting mechanism of DOH.
Which of the following is not true about FHSIS?
Select one:
A. It provides data which when combined with data from other sources, can be used for program
monitoring and evaluation.
B. It provides a standardized, facility level data base which can be accessed for more in-depth
studies.

C. None of the options

D. It provides summary data on health service delivery and selected program accomplished
indicators at different levels.

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All choices are true are true about FHSIS.

Question 75
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The element of EPI that involves the calculation of eligible population which consists of any group of
people for specific immunizations due to their susceptibility to one or several of the EPI diseases
Select one:

A. None of the above

B. Surveillance and research
C. Cold chain management
D. Target setting

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Elements of EPI include: Cold chain – the provision of the maintenance of vaccine temperature to
ensure vaccine shelf life Target setting – is the calculation of eligible population which consists of
any group of people for specific immunizations. No such element as surveillance and research.

Question 76
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The Sin Tax Law is also known as:
Select one:
A. Republic Act 10352
B. Republic Act 10350
C. Republic Act 10354

D. Republic Act 10351

Question 77
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During pre-natal assessment, the following are considered to be an ate-partum risk factor except:
Select one:
A. Age less than 17 years old and above 35 years old
B. Having 4 deliveries or more

C. Nausea and vomiting on the first trimester of pregnancy

D. Patient's history of heart ailment

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Nausea and vomiting on the first trimester of pregnancy is a normal manifestation in pregnancy
(Presumptive sign)

Question 78
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As a community nurse, you are concerned with the country's vital statistics. Which of the following
are vital statistics in which the causes are not preventable?
Select one:
A. Infant Mortality Rate

B. Demographic profile
C. Neonatal Mortality rate
D. Maternal Mortality rate

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Demographic Variables are non-preventable variables. All the other choices are preventable
variables since all are modifiable.

Question 79
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It is one of the elements of PHC that deals with the immunization of children against Pertussis and
Tetanus
Select one:
A. Maternal and Child Health
B. Nutrition

C. Expanded Program on Immunization

D. Locally Endemic Disease Control

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EPI focuses on the immunization of immunizable diseases namely, TB, Diphtheria, Pertussis,
Tetanus, Poliomyelitis, Hepatitis B, and Measles. Nowadays also include Haemophilus influenza B
virus.
Question 80
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Situation: According to the Community Diagnosis of Barangay Masaya, in terms of Solid Waste
Disposal, 86% of the population burn their garbage. The rest of the population usually bury (1%),
dump in the river (3%), compost, and throw their garbage in the truck across the subdivision. With
these data, it is believed that the methods of waste disposal by the community are harmful to the
environment. To address this environmental concern, the government enacted the Ecological Solid
Waste Management Act of 2000 that will allow people to manage waste disposal properly, and in
effect ensure the protection of the public health and environment.

This Law is also known as:

Select one:
A. RA 9030
B. RA 9330

C. RA 9003
D. RA 90030

Question 81
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In doing the actual health survey, the following belongs to the Demographic and Socio-economic
aspect except…
Select one:

A. none of the options

B. monthly income, daily family expenses, educational attainment, bills allotment
C. daily income, educational attainment, health status, occupation
D. family's daily expenses, occupation, income, leisure activities
Feedback
All choice are included in the Demographic and Socio-economic aspect of CDX.

Question 82
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Penta Hib (Five in 1) includes combination of what vaccines?
Select one:
A. Diphtheria, Pertussis, Polio Vaccine, Tetanus, Hepa B

B. Diphtheria, Pertussis, Tetanus, Hepa B, Haemophilus Influenza

C. DPT, Polio and Haemophilus Influenza
D. Diphtheria, Pertussis, Tetanus, Hepa B, Measles

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Five in 1 or Penta Hib include the combination of the following vaccines in one shot: Diphtheria,
Pertussis, Tetanus, Hepa B, Haemophilus Influenza.

Question 83
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The DOH programs are now refocusing toward health promotion and disease prevention services.
As far as the roles of community health nurse are concerned, the development of which
competencies is of growing importance?
Select one:
A. Therapeutic use of self

B. Health education
C. Administration of preventive medications
D. Execution of nursing procedures and techniques
Feedback
If we are talking about health promotion, the most important and appropriate technique is through
health education.

Question 84
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Situation 2: According to the Community Diagnosis of Barangay Mamayapa, in terms of Solid Waste
Disposal, 86% of the population burn their garbage. The rest of the population usually bury (1%),
dump in the river (3%), compost, and throw their garbage in the truck across the subdivision. With
these data, it is believed that the methods of waste disposal by the community are harmful to the
environment. To address this environmental concern, the government enacted the Ecological Solid
Waste Management Act of 2000 that will allow people to manage waste disposal properly, and in
effect ensure the protection of the public health and environment. This Law is also known as:
Select one:
A. RA 9330
B. RA 9300

C. RA 9003
D. RA 9030

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RA 9003 - Ecological Solid Waste Management Act of 2000

Question 85
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Signs and symptoms of 2 months old infant with cough and colds, fever, unusual feeding, noisy
inspiration, and convulsion is a determinant of what condition in the Care of Acute Respiratory
Infection (CARI)…
Select one:
A. No pneumonia
B. Pneumonia
C. Severe pneumonia

D. Very severe pneumonia

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Clinical assessment of children under five for CARI include the following: Respiratory rate -
distinguished who have pneumonia from normal Lower chest wall indrawing - severe pneumonia
Stridor (noisy inspiration) - severe pneumonia – very severe pneumonia

Question 86
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In cold chain monitor, it is always considered that all dry vaccines should be monitored according to
what temperature?
Select one:

A. +2 to +8 degree celcius
B. 0 degree celcius
C. -15 to -25 degree celcius

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Dry vaccines such as AMV, BCG are stored in the freezer with a standard temperature of -15 to -25
degree celcius. Other vaccines stored in the body of the ref are said to be liquid in form.

Question 87
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Field Health Services and Information System (FHSIS) has the following objective apart from:
Select one:
A. Providing summary of data on health services delivery and selected program accomplished
B. Provide data when combined with data from other sources which can be used for program
C. To give health teachings to prevent further spread of disease to individual and families

Studies
D. To provide standardized facility level data base which can be accessed for a more in depth
studies

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It focus on Control of communicable diseases.

Question 88
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A strategy that focuses on the care of children under five, not only in terms of their overall health
status but also on the diseases that may occasionally affect them. Thus, it reduces missed
opportunities for early detection and treatment of diseases that can escape the notice of both
parents and health workers:
Select one:
A. Care of Under five Children
B. International Management of Children's Illness
C. Primary Health care

D. Integrated Management of Childhood Illness

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IMCI – a WHO/ UNICEF program that aims to strategize the care of children under five, not only in
terms of their overall health status but also on the diseases that may occasionally affect them.

Question 89
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Dependency ratio is best described as:
Select one:
A. Illustrates the proportion of the people living in urban compared to the rural areas
B. Compares the # of economically dependent with the economically productive group

population
C. Graphical representation of the age-sex composition of the population
D. Compares the number of males to the number of females in the population

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Dependency ratio Compares the # of economically dependent with the economically productive
group population

Question 90
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The following are classification of pregnant women except:
Select one:
A. Those normal pregnant client
B. Patient with potentially serious obstetric problems

C. Pregnant women who are not consulting the health center for pre-natal check-up
D. Patient with serious pregnancy complications

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Pregnant women who are not consulting the health center is not included among the classification of
pregnant women consulting in the health center.

Question 91
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Question text
The following are the critical key program strategies in dealing with a child with severe malnutrition
except:
Select one:
A. Food fortification

B. Iodine supplementation
C. Operation timbang
D. Micronutrient supplementation

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Other choices are key program strategies that will address severe malnutrition. "Operation timbang"
is include only as an assessment strategy.

Question 92
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Philippines is composed of majority of population. An increase in the incidence of communicable
disease is commonly observed among countries with young population. Communicable Disease
Prevention Program is an important function of the Public Health Nurse in improving the quality of
life. Nursing intervention for preventing injury when a rabid patient is in convulsion. You tell the
family or watcher to:
Select one:

A. Restraint the patient and ring the bell

B. Call you when the patient is having convulsions
C. Give sedatives so patient can sleep
D. Stay with patient all the time

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Patients who are in danger of convulsion should never be left alone. When a patient is having
seizure, restraint should not be applied as this action can cause bone fracture.

Question 93
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As a public health nurse, what is your primary function or responsibility?
Select one:
A. Prevention of complication

B. Health promotion
C. Health restoration
D. Prevention of illness

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Health Promotion has always been the primary goal of CHN/PHN

Question 94
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Situation 1: A group of 4th year nursing students of Far Eastern University is conducting their
community diagnosis at Barangay Mapayapa of the municipality of San Mateo, Rizal. The barangay
is divided into three puroks: Purok 1, Purok 2, and Purok 3. The land area of Barangay Mapayapa is
144.9 hectares, composed mainly of agricultural land. Farming is the main source of livelihood. The
total population of Barangay Mapayapa is 1, 938. There are 486 households and 493 families.
Majority of the population are males with 989, while females are 949, respectively. According to
statistics by the Rural Health Center, there is a total of 31 live births from January to December of
the current year. The crude birth rate is 16. Among the female population, there are 463 individuals
who belong to the reproductive age (15-44 years old). According to the RHU midwife, 5% of the
female population belongs to the high-risk pregnancy group. There are also cases of maternal
deaths due to pregnancy, childbirth and post-partum complications. Based on the above data,
Barangay Mapayapa is considered to be a /an:
Select one:
A. Suburban Area
B. None of the above
C. Urban Area
D. Rural Area

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Rural area – less than 2500 population. communities in the remote municipality which include
barangay and sitios Urban area – more than 2500 population. usually seen in the metropolis/ cities
were establishments are present. Suburban – composed of areas that are developed (City) and a
portion that is remote.

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It means achieving effective power for the people..
Select one:
A. Integration
B. Participative Action

C. People empowerment
D. Core group formation

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Participative Action – a research strategy in CO that involves the participation of the people. Core
group formation – refers to the identification of potential leaders. People empowerment – refers to
achieving effective power for the people. Integration – is the process of establishing rapport with the
people in a continuing effort to imbibe community life.

Question 96
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A diagnostic procedure which helps detect presence of Mycobacterium Tuberculosis in a suspected
patient endorsed by DOH because of its reliability and cost effectiveness:
Select one:
A. None of the above
B. Sputum smear
C. Chest xray

D. PPD test

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Sputum smear is the most effective/ definitive way of diagnosing TB. PPD is only advisable for
children. Chest X-ray only detects cavitation that describes TB status such as PTB minimal or Far-
advance.

Question 97
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Situation: A group of 4th year nursing students of Far Eastern University is conducting their
community diagnosis at Barangay Masaya of the municipality of San Lorenzo, Laguna. The
barangay is divided into three puroks: Purok 1, Purok 2, and Purok 3. The land area of Barangay
Masaya is 144.9 hectares, composed mainly of agricultural land. Farming is the main source of
livelihood. The total population of Barangay Masaya is 1, 938. There are 486 households and 493
families. Majority of the population are males with 989, while females are 949, respectively.
According to statistics by the Rural Health Center, there is a total of 31 live births from January to
December of the current year. The crude birth rate is 16. Among the female population, there are
463 individuals who belong to the reproductive age (15-44 years old). According to the RHU midwife,
5% of the female population belongs to the high-risk pregnancy group. There are also cases of
maternal deaths due to pregnancy, childbirth and post-partum complications.

How many per cent does the female population have?

Select one:
A. 49.87%
B. 49.95%
C. 48.95%

D. 48.97%

Question 98
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The primary group focus of community health nursing practice especially in terms of maintaining the
people's Optimun Level of Functioning is:
Select one:
A. Rehabilitation
B. Reduction of lifestyle diseases
C. Prevention of communicable diseases

D. Health promotion

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Health Promotion has always been the primary goal of CHN

Question 99
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It involves choosing the methodologies and instruments, setting targets in conducting a community
diagnosis:
Select one:
A. Implementation

B. Planning
C. Organizing
D. Assessment

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Assessment – includes a thorough investigation/ study which involve observation, KII, RR, Interview
or survey Planning involves choosing the methodologies and instruments, setting targets in
conducting a community diagnosis Implementation – the intervention phase of the nursing process
Organizing – mobilizing people into action
Question 100
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Demographic variables include the following:
Select one:

A. All options are demographic variables

B. life expectancy at birth, patterns of migration and population projections
C. total population, geographical distribution and population density
D. Age and sex composition, growth rate, crude birth rate, crude death rate

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Choices are all belong to Demographic variables.

Question 101
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Streptomycin should not be given to:
Select one:

A. Pregnant women to prevent nerve deafness in their fetus

B. Children below six years old to prevent tooth staining
C. Pregnant women to prevent abortion
D. Children below six years old to prevent growth shunting

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A major side effect of Streptomycin is hearing impairment.

Question 102
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As a community organizer, Lina recognizes the local authorities through Courtesy call to orient her
project objectives. On which phase of Community Organizing does this activity take place?
Select one or more:
A. Entry
B. Organizing

C. Pre-entry
D. Strengthening

Question 103
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Situation 3: Smoking and alcohol drinking are two important unhealthy lifestyle practices among the
people of Barangay Mapayapa that contribute to its leading causes of mortality and morbidity.
Among the households surveyed, 75% had at least one member who is an active smoker. It was
also observed that cigarettes are easily available and affordable to the people. 100% of the sari-sari
stores sell cigarettes. Even sari-sari stores near the vicinity of schools sell cigarettes to teenagers.
The Sin Tax Law is also known as:
Select one:
A. Republic Act 10352
B. Republic Act 10354
C. Republic Act 10350

D. Republic Act 10351

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RA 10351 is otherwise known as "The sin tax bill" authored by Sen. Franklin Drilon

Question 104
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The usual treatment for TB includes the use of INH and which of the following therapies?
Select one:

A. Three other antibacterial drugs

B. IM penicillin
C. Theophylline inhaler
D. None of the options

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In the Philippines, it is prudent to treat new cases with a 4th drug (Ethambutol or Streptomycin)
during the first 2 months due to the high levels of INH resistance in the country.

Question 105
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Situation 2: According to the Community Diagnosis of Barangay Mamayapa, in terms of Solid Waste
Disposal, 86% of the population burn their garbage. The rest of the population usually bury (1%),
dump in the river (3%), compost, and throw their garbage in the truck across the subdivision. With
these data, it is believed that the methods of waste disposal by the community are harmful to the
environment. According to the Law, the following are ways of reducing volumes of solid waste,
except:
Select one:

A. Incineration
B. Recovery
C. Recycling
D. Composting

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RA 9003 - Ecological Solid Waste Management Act of 2000 include the advocacy on composting,
recycling and recovery. Incineration or burning is not part of this RA.

Question 106
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Child Isabel is already 12 weeks old. What immunizations should Isabel have received?
Select one:
A. BCG, DPT+HIB-1, Hepatitis B1, OPV-1, and Measles

B. BCG, DPT+HIB-1, Hepatitis B1, DPT+HIB-2, Hepatitis B2, OPV-1 and OPV-2
C. BCG, DPT+HIB-1, Hepatitis B1, and OPV-1
D. BCG, DPT+HIB-1, and OPV-1

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All choices are lacking of the third dose of PentaHiB3 and OPV3. The closest answer is choice B
because at least, the child already received the 2nd dose of pentaHib and OPV.

Question 107
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Case finding of TB by the DOH uses primarily which diagnostic tests?
Select one:
A. Tuberculin test and Mantoux test

B. Chest X-ray and sputum exam

C. Sputum exam and Tuberculin test
D. Tuberculin test and Chest x-ray

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The general objective of case finding is the early detection and diagnosis of TB cases. The main
activities of TB case finding are sputum exam and chest x-ray.

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Which of the following is not an element of Reproductive health?
Select one:
A. Maternal and Child Health
B. Men's reproductive health

C. Violence against men and women

D. Prevention and treatment of RTI's

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Violence against women is also included (VAW)

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The Expanded Program on Immunization was launched in 1976 in cooperation with the World Health
Organization to reduce morbidity and mortality among infants and children. Which of the following IS
NOT an element of the EPI program?
Select one:

A. Presidential decrees and proclamation

B. Target setting surveillance and evaluation
C. Cold Chain Logistic Management
D. Information Education and Communication (IEC)

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All but C are elements of EPI

Question 110
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Failure in health maintenance is referred to:
Select one:
A. Health Threats
B. Foreseeable crisis

C. Health Deficit
D. Wellness state

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HT - conditions that are conducive to disease or illness or failure to realize one's own potential. HD –
failure in health maintenance. FC – anticipated periods of unusual demands in terms of family
resources Wellness state – potential for HT, HD, & FC.

Question 111
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Respiratory rate is an important vital signs which determine presence of pneumonia among children
under five years old. Which among the cut off breathing describes abnormality among young
infants?
Select one:

A. 60 breaths/ minute or more

B. 50 breaths/ minute or more
C. 40 breaths/ minute or more
D. 30 breaths/ minute or more
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30 breaths/ minute or more – not include in the cut-off breathing 40 breaths/ minute or more – 12
mos to 5 y/o 50 breaths/ minute or more – 2 to 12 mos old 60 breaths/ minute or more – less than 2
mos old

Question 112
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As an RHU nurse, you are aware that the duration of treatment for patients classified under
Category 1 with Tubeculosis Meningitis or spinal disease with neurologic complication is:
Select one:
A. 4 months
B. 7 months
C. 8 months

D. 9 months

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The Maintenance phase of Category I is extended from 4 months to 7 months in patients with this
kind of complication.

Question 113
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The Pantawid Pamilyang Pilipino Program focuses on the following Millennium Development Goals
or MDGs, EXCEPT :
Select one:
A. Reducing child mortality
B. Reducing extreme poverty and hunger

C. Promoting sexuality
D. Promoting gender equaity
E. Achieving universal primary education

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Not an objective of MDG

Question 114
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The importance of outbreak investigation includes which of the following?
Select one:
A. Control and prevention measure
B. Severity and risk to others
C. Training

D. All options are correct

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All the 3 choices focus on the ways on how to do outbreak investigation (epidemiologic approach)

Question 115
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Which of the following is a factor that is being considered in environmental sanitation?
Select one:
A. Garbage disposal
B. Potability of water supply
C. Food Sanitation
D. All options are correct

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All options are factor that is being considered in environmental sanitation.

Question 116
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Components of FHSIS include which of the following?
Select one:
A. Reporting forms

B. Health Survey
C. Studies and research
D. Registration of vital data

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Components of FHSIS: 1. Treatment Record 2. Target/client list 3. Tally/reporting forms 4. Output
reports

Question 117
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Situation 4: Smoking, unhealthy diet, physical inactivity and poor nutrition are prevalent among the
people in Brgy. Mapayapa. These unhealthy lifestyle practices have contributed to the occurrence of
chronic diseases such as hypertension, heart diseases, stroke, diabetes and asthma. Hypertension
ranked as the leading cause of morbidity in the community. The government's efforts of addressing
problems on unhealthy lifestyle have paved way to the formulation and implementation of the
National Healthy Lifestyle Program. The objectives of the program are the following, except:
Select one:
A. Institutionalize the promotion of healthy lifestyle in local government units
B. Quality assurance through Batang Sigla
C. Launch a Comprehensive Healthy Lifestyle Advocacy and Health Promotion
D. Develop the program components of the National Healthy Lifestyle Program

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All choices are focusing on the healthy lifestyle program. There is no such thing as "Batang Sigla".

Question 118
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Situation 3: Smoking and alcohol drinking are two important unhealthy lifestyle practices among the
people of Barangay Mapayapa that contribute to its leading causes of mortality and morbidity.
Among the households surveyed, 75% had at least one member who is an active smoker. It was
also observed that cigarettes are easily available and affordable to the people. 100% of the sari-sari
stores sell cigarettes. Even sari-sari stores near the vicinity of schools sell cigarettes to teenagers.
The Sin Tax Law was authored by:
Select one:
A. Sen. Lino Cayetano
B. Sen. Loren Legarda

C. Sen. Franklin Drilon

D. Sen. Vicente Sotto III

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RA 10351 is otherwise known as "The sin tax bill" authored by Sen. Franklin Drilon

Question 119
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The following are Objectives of CDD (Control of Diarrheal Diseases) except:
Select one:
A. To promote personal/ domestic hygiene

B. To promote breastfeeding
C. To promote oral hydration therapy
D. To promote oral hygiene therapy

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Choice "To promote oral hygiene therapy" is irrelevant, others are objectives of CDD program

Question 120
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Newborn Screening act of 2004 test newborn babies for at least 6 congenital diseases. Which of the
following diseases describe a condition of inborn error of metabolism characterized by decrease
metabolism of amino acids and phenylalanine. If untreated can lead to mental disorder and
intellectual disability?
Select one:
A. G6PD

B. Phenylketonuria
C. Galactosemia
D. Congenital Adrenal Hyperplasia

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Congenital Adrenal Hyperplasia – autosomal recessive disorder resulting from mutation of genes for
enzymes mediating the production of sex hormones. Phenylketonuria - a condition of inborn error of
metabolism characterized by decrease metabolism of amino acids and phenylalanine Galactosemia
– inability to metabolize the sugar galactose. G6PD - condition is an inborn error of metabolism that
predisposes an infant to destruction of RBC that resulted to a severe anemia

Question 121
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It defines the country's health problems, policies, thrusts, strategies and targets..
Select one:
A. Decentralization Program

B. National Health Plan

C. Primary Health Care
D. National Health Situation

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National Health Situation – the current health situation in the country NHP - It defines the country's
health problems, policies, thrusts, strategies and targets PHC – the provision of health care services
that are accessible, affordable and sustainable at cost which the government can afford.
Decentralization – refers to the devolution of health care services of the government

Question 122
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When a person receives immunization against Hepa B, what kind of immunity is this?
Select one:
A. Natural active immunity
B. Natural passive immunity
C. Acquired passive immunity

D. Acquired active immunity

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Natural Active immunity – exposure to hepaB infection Acquired active immunity – giving of
immunization ex. bcg, amv, etc. Natural passive – transfer of maternal antibody to a child Acquired
passive – obtaining serum from immune individuals

Question 123
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Situation: A group of 4th year nursing students of Far Eastern University is conducting their
community diagnosis at Barangay Masaya of the municipality of San Lorenzo, Laguna. The
barangay is divided into three puroks: Purok 1, Purok 2, and Purok 3. The land area of Barangay
Masaya is 144.9 hectares, composed mainly of agricultural land. Farming is the main source of
livelihood. The total population of Barangay Masaya is 1, 938. There are 486 households and 493
families. Majority of the population are males with 989, while females are 949, respectively.
According to statistics by the Rural Health Center, there is a total of 31 live births from January to
December of the current year. The crude birth rate is 16. Among the female population, there are
463 individuals who belong to the reproductive age (15-44 years old). According to the RHU midwife,
5% of the female population belongs to the high-risk pregnancy group. There are also cases of
maternal deaths due to pregnancy, childbirth and post-partum complications.

Based on the above data, Barangay Masaya is considered to be a /an:

Select one:
A. Suburban Area
B. None of the above

C. Rural Area
D. Urban Area

Question 124
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A 20-year old woman who is 3-months pregnant asked you about Prenatal Services. What would
you tell her?
Select one:
A. Do you have any obstetrician?
B. Why did you come only today?

C. Let me tell you the importance of pre-natal check-up

D. Are you going to practice Family Planning?
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There should be at least three prenatal visits during pregnancy. First visit should be made as early
as possible during the First Trimester. Second visit is on the Second Trimester. The third and
subsequent visits should be made on the third trimester.

Question 125
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When the nurse assesses the perception of the family to a health problem, the nurse is prioritizing
health problem according to:
Select one:

A. Salience
B. Nature
C. Modifiability
D. Preventive potential

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Preventive potential – nature and magnitude of future problem that can be minimized or prevented
Nature of the problem – considered as wellness state, HT, HD, FC Salience - the perception of the
family to a health problem Modifiability – the probability of success in enhancing wellness state, HT,
HD & FC

Question 126
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In the care of children with acute respiratory infection, which of the following clinical signs does not
include in the assessment?
Select one:
A. Lower chest wall indrawings
B. Presence of wheezes in a sick child
C. Presence of stridor in a calm child
D. Respiratory rate

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Presences of wheezes is not a sign of Pneumonia, hence a sign of asthma.

Question 127
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What is the immunization administered to an infant before reaching one year old?
Select one:
A. DPT
B. OPV

C. Measles
D. BCG

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The last immunization given during the first year of life is Measles.

Question 128
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Hospital waste management program is a new requirement before construction of a facility. The
hospital personnel are required to train in waste management to prevent which of the following?
Select one:
A. Cross infection

B. Nosocomial infection
C. Communicable diseases
D. Transmission of diseases

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Nosocomial infection refers to infection acquired in the hospital or health care facility

Question 129
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Situation: According to the Community Diagnosis of Barangay Masaya, in terms of Solid Waste
Disposal, 86% of the population burn their garbage. The rest of the population usually bury (1%),
dump in the river (3%), compost, and throw their garbage in the truck across the subdivision. With
these data, it is believed that the methods of waste disposal by the community are harmful to the
environment.

According to the Law, the following are ways of reducing volumes of solid waste, except:
Select one:
A. Composting

B. Incineration
C. Recycling
D. Recovery

Question 130
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Malaria can be prevented by the following except:
Select one:
A. Avoiding outdoor night time activities
B. Spending leisure time in the forest
C. Planting of herbal plants which can be mosquito repellants
D. Use of mosquito repellants

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all but "Spending leisure time in the forest" are preventive measures against Malaria. Malaria is
caused by a protozoan, Plasmodium Vivax, P. Falciparum, P. Malariae and P. Ovale which are
carried thru a vector, an Anopheles mosquito. Anopheles mosquito is a night-biting mosquito.

Question 131
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Pillars of primary health care include all of the following, except:
Select one:
A. Support mechanism made available
B. Active community participation
C. Use of appropriate technology

D. Provision of medical care and emergency treatment

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PHC focus on health promotion and disease prevention. Choice B is the only one that focus on the
curative aspect of care.

Question 132
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If there were 250 infant deaths and 36,114 live births registered in Region III, with a total population
of 200,000, the fetal death rate would be?
Select one:
A. 0.0014 per 1000 live births
B. 0.16 per 1000 live births

C. 6.9 per 1000 live births

D. 7.8 per 1000 live births

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Formula for fetal death rate: 250/3,6114 X 1,000 = 6.9

Question 133
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It is defined by WHO as essential health care made universally accessible to individuals and families
in the community by means acceptable to them:
Select one:
A. UNICEF

B. PHC
C. ANSAP
D. Primary health service

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PHC - essential health care made universally accessible to individuals and families in the community
by means acceptable to them No such thing as Primary Health Service UNICEF – United Nation
International Children's Emergency Fund ANSAP – Association of Nursing Service Administrators of
the Philippines

Question 134
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Anticipated periods of unusual demands in terms of family resources is known as:
Select one:

A. Foreseeable crisis
B. Health Deficit
C. Health Threats
D. Wellness state

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HT - conditions that are conducive to disease or illness or failure to realize one's own potential. HD –
failure in health maintenance. FC – anticipated periods of unusual demands in terms of family
resources Wellness state – potential for HT, HD, & FC.

Question 135
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This type of Community diagnosis involves a community assessment that responds to a particular
need.
Select one:

A. Problem oriented community diagnosis

B. None of these choices
C. Comprehensive community diagnosis
D. Health related community diagnosis

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Comprehensive CDX – include the study of the five variables that will totally describe the general
picture of the community through a survey. Problem-oriented CDX – involves activities that may
utilize records review, KII, and observation as a means of data gathering in relation to the obvious
problems identified. Choice c & d are none existent.

Question 136
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The element of Primary Health Care that focus on the treatment and management of a specific
disease occurring rampantly in a specific location:
Select one:
A. Control of Communicable disease

B. Locally endemic disease control

C. Essential drugs
D. EPI

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Elements of PHC include: Control of Communicable disease – focus on CD Locally endemic disease
control - focus on the treatment and management of a specific disease occurring rampantly in a
specific location Essential drugs – provision of drugs/medicine commonly used in the health center
EPI – focus on the provision of immunization to eradicate the immunizable diseases.

Question 137
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The RA 10354 is also known as:
Select one:

A. Reproductive Health Law of 2012

B. Solid Waste Management Act of 2002
C. 4 P's
D. Solid Waste Management Act of 2012

Question 138
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The vaccine administered to infants as part of the EPI which is given at birth is:
Select one:

A. Hepa B vaccine
B. DPT
C. Oral Polio Vaccine
D. None of the above

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among the choices, the one being given at birth is heap-B aside from BCG.

Question 139
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Situation: You have observed that there are reports of dengue hemorrhagic fever in the barangay.
You are to perform community awareness lecture about the said disease. Which is the best
preventive measure for dengue hemorrhagic fever?
Select one:
A. Frequent fogging in the vicinity to kill mosquitoes
B. Use of mosquito repellent lotions
C. Use of mosquito nets and mosquito coils

D. Cleaning of surroundings and proper disposal of coconut shells, tires and containers

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All choices are correct but the only best practice to eliminate the cases of dengue in the community
is through environmental sanitation.

Question 140
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As the lead agency for health, the DOH has programs that address the following, except:
Select one:

A. Health resource problem

B. Priority health problems
C. Emerging health problems
D. Community problems

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Community Problems is not the primary focus of care of DOH. There are problems that is said to be
the "priority" of the government. And these are other choices.

Question 141
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The DOH National Objective for Health does not include:
Select one:

A. Increasing fertility rate

B. Reducing infant and child mortality rate
C. Increasing life expectancy
D. Reducing maternal mortality rate

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Increasing fertility is not included. DOH aim is to decrease fertility rate.

Question 142
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Situation 1: A group of 4th year nursing students of Far Eastern University is conducting their
community diagnosis at Barangay Mapayapa of the municipality of San Mateo, Rizal. The barangay
is divided into three puroks: Purok 1, Purok 2, and Purok 3. The land area of Barangay Mapayapa is
144.9 hectares, composed mainly of agricultural land. Farming is the main source of livelihood. The
total population of Barangay Mapayapa is 1, 938. There are 486 households and 493 families.
Majority of the population are males with 989, while females are 949, respectively. According to
statistics by the Rural Health Center, there is a total of 31 live births from January to December of
the current year. The crude birth rate is 16. Among the female population, there are 463 individuals
who belong to the reproductive age (15-44 years old). According to the RHU midwife, 5% of the
female population belongs to the high-risk pregnancy group. There are also cases of maternal
deaths due to pregnancy, childbirth and post-partum complications. The nursing students are very
much aware of the prenatal service delivery of the health center. Based on the above data, 5% of
females belong to the high-risk pregnancy group. The students also know that the following are
considered high-risk ante-partum cases:
Select one:

A. All of the above

B. A mother with a height of 4'10"
C. A mother with no history of post-partum hemorrhage
D. A mother of 7 children
E. A mother with history of at least one miscarriage or stillbirth

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Multi gravida is one among the ante-partum risk factor.

Question 143
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As an Occupational Health Nurse (OHN) in the industry, you are primarily responsible to:
Select one:
A. All options are responsibilities of OHN

B. Follow-up existing medical problems and appropriate medical referral

C. Institute health precautionary measure preventing accidents (helmets, gloves, mask)
D. Health education and awareness dissemination regarding communicable disease

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All choices are functions of OHN.
Question 144
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Framework for the implementation of the HSRA is FOURmula One for Health. Goals of FOURmula
one for health includes:
Select one:

A. Both options are goals of FOURmula One

B. Equitable health care financing
C. Better health outcomes

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Both choices are among the four goals of FOURmula One for Health.

Question 145
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In a patient with Dengue fever, which of the following will you give the patient as part of your nursing
interventions?
Select one:
A. Saline solution
B. IV fluids
C. Water and salt solution

D. ORESOL

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Dengue Fever is characterized by internal bleeding so rapid fluid replacement is the most important
part of treatment. If the patient is awake and can tolerate oral fluids, this can be achieved by
administering ORESOL at 75ml/kg in 4-6 hours. Up to 2-3 liters can be given in adult patients.
Question 146
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Operation Timbang is in which level of prevention of health problem?
Select one:
A. Intermediate
B. Secondary
C. Tertiary

D. Primary

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Operation Timbang focus on primary health care principle in order to prevent cases of malnutrition

Question 147
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A comprehensive strategy endorsed by WHO and DOH which involves watching the patient take his
medication to ensure that medications are taken in the right combination, and correct duration:
Select one:
A. Generic Act
B. Expanded Program on Immunization

C. Directly Observed Treatment Short Course

D. Control of Diarrheal Disease

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DOTS is a brand given by the WHO and the National Union of Lung and TB Diseases which aim to
provide a strategy which is intended to manage of growing cases of TB in the Philippines through
watching the patient take his medication to ensure that medications are taken in the right
combination, and correct duration.

Question 148
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Shiela is a grass root level community health worker. Steven is identified at what level of primary
health care worker?
Select one:

A. BHW
B. Trained hilot
C. Intermediate level health care
D. Volunteer

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Barangay Health workers is otherwise known as grass root health workers because, basically they
lived in the community where they serve.

Question 149
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To promote appropriate health practices of a pregnant woman, you as a Public Health Nurse must
focus on:
Select one:
A. Prompt referral system
B. Accurate records and reports
C. Linkages with PMA

D. Public education programs

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Pregnant women should be well- informed about the advantages and disadvantages of prenatal
services in order to promote wellness of both mother and child.

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Which of the following Philosophy of Maternal and Child Health care is true?
Select one:
A. Maternal and child nursing is family centered. The father of the child is as important as the
mother.
B. Pregnancy, labor and delivery are part of the continuum of the total life cycle.
C. Personal, cultural and religious attitudes and beliefs influence the meaning of pregnancy for
individuals and make each experience unique.

D. All of the above

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All options are philosophy of Maternal and Child Health care