Community Health Nursing Exam

1. Which is the primary goal of community health nursing?

A. To support and supplement the efforts of the medical profession in the promotion of
health and prevention of
B. To enhance the capacity of individuals, families and communities to cope with their
health needs
C. To increase the productivity of the people by providing them with services that will
increase their level of health
D. To contribute to national development through promotion of family welfare, focusing
particularly on mothers and children
2. CHN is a community-based practice. Which best explains this statement?
A. The service is provided in the natural environment of people
B. The nurse has to conduct community diagnosis to determine nursing needs and problems
C. The service are based on the available resources within the community
D. Priority setting is based on the magnitude of the health problems identified
3. Population- focused nursing practice requires which of the following processes?
A. Community organizing.
B. Nursing, process
C. Community diagnosis
D. Epidemiologic process
4. RA 1054 is also known as the Occupational Health Act. Aside from the number of
employees, what other factor must be considered in determining the occupational health
privileges to which the workers will be entitled?
A. Type of occupation,: agriculture, commercial, industrial
B. Location of the workplace in relation to health facilities
C. Classification of the business enterprise based on net profit
D. Sex and age composition of employees

5. Food fortification is one of the strategies to prevent micronutrient deficiency conditions.

RA 8976 mandates fortification of certain food items. Which of the following is among these
food items?
A. Sugar
B. Bread
C. Margarine
D. Filled milk
6. What is the best course of action when there is a measles epidemic in a nearby
municipality?
A. Give measles vaccine to babies aged 6 to 3 months
B. Give babies aged 6 to 11 months one dose of 100,000 IU of Retinol
C. Instruct mother to keep their babies at home to prevent disease transmission
D. Instruct mothers to feed their babies adequately to enhance their babies’ resistance
7. A mother brought her daughter, 4 years old, to the RHU because of cough and
colds. Following the IMCI assessment guide, which of the following is a danger sign that
indicates the need for urgent referral to hospital?
A. Inability to drink
B. High grade fever
C. Signs of severe dehydration
D. Cough for more than 30 days
8. Management of a child with measles includes the administration of which of the
following?
A. Gentian violet on mouth lesions
B. Antibiotic to prevent pneumonia
C. Tetracycline eye ointment for corneal opacity
D. Retinol capsule regardless of when the last dose was given
9. A mother brought her 10 month old infant for consultation because of fever which started
4 days prior to consultation. To determine malaria risk, what will you do?
A. Do a tourniquet test
B. Ask where the family resides
C. Get a specimen for blood smear
D. Ask if the fever is present everyday
10. The following are strategies implemented by the DOH to prevent mosquito-borne
diseases. Which of these is most effective in the control of Dengue fever?
A. Stream seeding with larva-eating fish
B. Destroying breeding places of mosquitoes
C. Chemoprophylaxis of non-immune persons going to endemic areas
D. Teaching people in endemic areas to use chemically treated mosquito nets
11. Secondary prevention for malaria includes?
A. Planting of neem or eucalyptus trees
B. Residual spraying of insecticides at night
C. Determining whether a place is endemic or not
D. Growing larva-eating fish in mosquito breeding places
11. Scotch tape swab is done to check for which intestinal parasite?
A. Ascaris
B. Pinworm
C. Hookworm
D. Schistosoma
12. Which of the following signs indicates the need for sputum examination for AFB?
A. HematemesisB. Fever for 1 week
C. Cough for 3 weeks
D. Chest pain for 1 week
14. Which clients are considered targets for DOTS category?
A. Sputum negative cavitary cases
B. Clients returning after default
C. Relapses and failures of previous PTB treatment regimens
D. Clients diagnosed for the first time through a positive sputum exam
15. To improve compliance to treatment, what innovation is being implemented in
DOTS?
A. Having the health worker follow up the client at home
B. Having the health worker or a responsible family member monitor drug intake
C. Having the patient come to the health center every month to get his medications
D. Having a target list to check on whether the patient has collected his monthly supply of
drugs
16. Diagnosis of leprosy is highly dependent on recognition of symptoms. Which of the
following is an early sign of leprosy?
A. Macular lesions
B. Inability to close eyelids
C. Thickened painful nerves
D. Sinking of the nose bridge
17. Which of the following clients should be classified as a case of mutibacillary
leprosy?
A. 3 skin lesions, negative slit skin smear
B. 3 skin lesions, positive slit skin smear
C. 5 skin lesions, negative slit skin smear
D. 5 skin lesions, positive slit skin smear
18. In the Philippines, which condition is the most frequent cause of death associated
by schistosomiasis?
A. Liver cancer
B. Liver cirrhosis
C. Bladder cancer
D. Intestinal perforation
19. What is the most effective way of controlling schistosomiasis in anendemic area?
A. Use of molluscicides
B. Building of foot bridges
C. Proper use of sanitary toilets
D. Use of protective footwear, such as rubber boots
20. When residents obtain water from an artesian well in the neighborhood, the level of
this approved type of water facility is:
A. I
B. II
C. IIID. IV
21. For prevention of Hepatitis A, you decided to conduct health education activities. Which
of the following is Irrelevant?

A. Use of sterile syringes and needles

B. Safe food preparation and food handling by vendors
C. Proper disposal of human excreta and personal hygiene
D. Immediate reporting of water pipe leaks and illegal water connections
22. Which biological used in EPI should not be stored in the freezer?
A. DPT
B. OPVC. Measles vaccine
D. MMR
23. You will conduct outreach immunization in a barangay with a population of about 1500.
Estimate the number of infants in the barangay.
A. 45
B. 50C. 55D. 60
24. In IMCI, severe conditions generally require urgent referral to a hospital. Which of
the following severe conditions Does not alwaysrequire urgent referral to hospital?
A. Mastoiditis
B. Severe dehydration
C. Severe pneumonia
D. Severe febrile disease.
25. A client was diagnosed as having Dengue Fever. You will say thatthere is slow capillary
refill when the color of the nailbed that youpressed does not return within how many
seconds?
A. 3
B. 5
C. 8
D. 10
26. A 3-year old child was brought by his mother to the health center because of fever of 4-
day duration. The child had a positive tourniquet test result. In the absence of other signs,
which of the most appropriate measure that the PHN may carry out to prevent Dengue
shock syndrome?
A. Insert an NGT and give fluids per NGT
B. Instruct the mother to give the child Oresol
C. Start the patient on IV Stat
D. Refer the client to the physician for appropriate management
27. The pathognomonic sign of measles is Koplik’s spot. You may see Koplik’s spot by
inspecting the:
A. Nasal Mucosa
B. Buccal mucosa
C. Skin on the abdomen
D. Skin on the antecubital surface
28. Among the following diseases, which is airborne?
A. Viral conjunctivitis
B. Acute poliomyelitis
C. Diptheria
D. Measles
29. Among children aged 2 months to 3 years, the most prevalent form of meningitis is
caused by which microorganism?
A. Hemophilus Influenzae
B. Morbillivirus
C. Streptococcus Pneumoniae
D. Neisseria meningitides
30. Human beings are the major reservoir of malaria. Which of the following strategies in
malaria control is based on this fact?
A. Stream seeding
B. Stream clearing
C. Destruction of breeding places
D. Zooprophylaxis

31. The use of larvivorous fish in malaria control is the basis for which strategy of malaria
control?
A. Stream seeding
B. Stream clearing
C. Destruction of breeding places
D. Zooprophylaxis .
32. Mosquito-borne diseases are prevented mostly with the use of mosquito control
measures. Which of the following is NOT appropriate for malaria control?

A. Use of chemically treated mosquito nets

B. Seeding of breeding places with larva-eating fish
C. Destruction of breeding places of the mosquito vector
D. Use of mosquito-repelling soaps, such as those with basil or citronella
33. A 4-year old client was brought to the health center with chief complaint of severe
diarrhea and the passage of “rice water”. The clientis most probably suffering from
which condition?
A. Giardiasis
B. Cholera
C. Amebiasis
D. Dysentery
34. In the Philippines, which specie of schistosoma is endemic in certainregions?
A. S. mansoni
B. S. japonicum
C. S. malayensis
D. S. haematobium
35. A 32 year old client came for consultation at the health center with the chief complaint
of fever for a week. Accompanying symptoms were muscle pains and body malaise. A week
after the start of fever, the client noted yellowish discoloration of his sclera. History showed
that he wadedin flood waters about 2 weeks before the onset of symptoms. Based on this
history/ which disease condition will you suspect?
A. Hepatitis A
B. Hepatitis B
C. Tetanus
D. Leptospirosis
36. MWSS provides water to Manila and other cities in Metro Manila.This is an example
of which level of water facility?
A. IB. II
C. III
D. IV
37. You are the PHN in the city health center. A client underwent screening for AIDS using
ELISA. His result was positive. What is the best course of action that you may take?
A. Get a thorough history of the client, focusing on the practice of high risk behaviour
B. Ask the client to be accompanied by a significant person before revealing theresult..
C. Refer the client to the physician since he is the best person to reveal the result to the
client
D. Refer the client for a supplementary test, such as Western blot, since the ELISA result
maybe false
38. Which is the BEST control measure for AIDS?

A. Being faithful to a single sexual partner

B. Using a condom during each sexual contact
C. Avoiding sexual contact with commercial sex workers
D. Making sure that one's sexual partner does not have signs of AIDS
39. The most frequent causes of death among clients with AIDS areopportunistic diseases.
Which of the following opportunistic infections is characterized by tonsilllo pharyngitis?
A. Respiratory candidiasis
B. Infectious mononucleosis
C. Cytomegalovirus disease
D. Pneumocystis carinii pneumonia
40. To determine the possible sources of sexually transmitted infections, which is the BEST
method that may be undertaken by the public health nurse?
A. Contact tracing
B. Community survey
C. Mass screening tests
D. Interview suspects
41. Antiretroviral agents, such as AZT are used in the management of AIDS. Which of the
following is not an action expected of these drugs?
A. They prolong the life of the client with AIDSB. They reduce the risk of opportunistic
infections
C. They shorten the period of communicability of the disease
D. They are able to bring about a cure of the disease condition
42. A barangay had an outbreak of German measles. To prevent congenital rubella, what is
the BEST advice that you can give to womenin the first trimester of pregnancy in
the barangay?
a. Advise them on the sign of German measles
b. Avoid crowded places, such as markets and movie houses
c. Consult at the health center where rubella vaccine may be given
d. Consult a physician who may give them rubella immunoglobuli

43. Which disease was declared through Presidential Proclamation No. 4as a target
for, eradication in the Philippines?
A. Pioliomyelitis
B. Measles
C. Rabies
D. Neonatal Tetanus
44. The public health nurse is responsible for presenting the municipal health statistics
using graphs and tables. To compare the frequency of the leading causes of mortality in
the municipality, which graph will you prepare?
A. Line
B. Bar
C. Pie
D. Scatter diagram
45. Which step in community organizing involves training of potential leaders in
the community?
A. Integration
B. Community organization
C. Community study
D. Core group formation

46. In which step are plans formulated for solving community problems?
A. Mobilization
B. Community organization
C. Follow-up/extension
D. Core group formation
47. The public health nurse takes an active role in community participation. What is the
primary goal of community organizing?
A. To educate the people regarding community health problems
B. To mobilize the people to resolve community health problems
C. To maximize the community's resources in dealing with health problems
48. An indicator of success in community organizing is when people are able to:
A. Participate in community activities for the solution of a community problem
B. Implement activities for the solution of the community problem
C. Plan activities for the solution of the community problem
D. Identify the health problem as a common concern
49. Tertiary prevention is needed in which stage of the natural history of disease?

A. Pre-pathogenesis
B. Pathogenesis
C. Predromal
D. Terminal
50. Isolation of a child with measles belongs to what level of prevention?
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
51. On the other hand, Operation Timbang is_____ prevention?
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
52. Which type of family-nurse contact will provide you with the best opportunity to observe
family dynamics?
A. Clinic consultation
B. Group conferences
C. Home visit
D. Written communication
53. The typology of family nursing problems is used in the statement of nursing diagnosis in
the care of families. The youngest child of the delos Reyes family has been diagnosed as
mentally retarded. This is classified as:
A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point
54. The delos Reyes coupled have 6-year old child entering school for the first time. The
delos Reyes family has a:
A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point
55. Which of the following is an advantage of a home visit?
A. It allows the nurse to provide nursing care to a greater number of people
B. It provides an opportunity to do first hand appraisal of the home situation
C. It allows sharing of experience among people with similar health problems
D. It develops the family's initiative in providing for health needs of its members
56. Which is CONTRARY to the principles in planning a home visit?
A. A home visit should have a purpose of objective
B. The plan should revolve around the family health .needs

C. A home visit should be conducted in the manner prescribed by RHU

D. Planning of continuing care should involve a responsible-family member
57. The PHN bag is an important tool in providing nursing care during a home visit. The
most important principle in bag technique states that it;
A. Should save time and effort
B. Should minimize if not totally prevent the spread of infection
C. Should not overshadow concern for the patient and his family
D. May be done in variety of ways depending on the home situation, etc.
58. To maintain the cleanliness of the bag and its contents, which of the following must the
nurse do?
A. Wash his/her hands before and after providing nursing care to the family members
B. In the care of family member's, as much as possible, use only articles taken from the bag
C. Put on an apron to protect her uniform and fold it with the right side out before putting it
back into the bag.
D. At the end of the visit, fold the lining on which the bag was placed, ensuring that the
contaminated side is on the outside.
59. The public health conducts a study on the factors contributing to the high morality rate
due to heart diseases in the municipality where she works. Which branch of epidemiology
does the nurse practice in this situation?
A. Descriptive
B. Analytical
C. Therapeutic
D. Evaluation
60. Which of the following is a function of epidemiology?
A. Identifying the disease condition based on manifestations presented by a client
B. Determining factors that contributed to the occurrence of pneumonia in a 3year old
C. Determining the efficacy of the antibiotic used in the treatment of the 3 year old client
with pneumonia
D. Evaluating the effectiveness of the implementation of the Integrated Management of
Childhood Illness
61. Which of the following is an epidemiologic function of the nurse during an epidemic?
A Conducting assessment of suspected cases to detect the communicable diseases
B. Monitoring the condition of the cases affected by the communicable disease
C. Participating in the investigation to determine the source of epidemic
D. Teaching the community on preventive measures against the disease
62. The primary purpose of conducting an epidemiologic investigation is to;
A. Delineate the etiology of the epidemic

B. Encourage cooperation and support of the community C. Identify groups who are at risk
of contracting the disease
D. Identify geographical location of cases of the disease in the community
6348. Which is a characteristic of person-to-person propagated epidemic?
A. There are more cases of the disease than expected
B. The disease must necessarily be transmitted through a vector
C. The spread of the disease can be attributed to a common vehicle
D. There is gradual build-up of cases before we epidemic becomes easily noticeable
34. In the investigation of an epidemic, you compare the present frequency of the disease
with the usual frequency at this time of the year in this community. This is done during
which stage of the investigation?

A. Establishing the epidemic

B. Testing the hypothesis
C. Formulation of the hypothesis
D. Appraisal of facts
65. The number of cases of Dengue fever usually increases towards the end of the rainy
season. This pattern of occurrence of Dengue fever is best described as;
A. Epidemic occurrence
B. Cyclical variation

C. Sporadic occurrence
D. Secular occurrence

66. You will gather data for nutritional assessment of a purok. You will gather information
only from families with members who belong to the target population for PEM. What
method of delta gathering is best for this purpose?
A. Census
B. Survey
C. Record Review
D. Review of civil registry
67. In the conduct of a census, the method of population assignment based on the actual
physical location of the people is termed;
A. De jure
B. De locus
C. De facto
D. De novo
68. The Field Health Services and information System (FHSIS) is the recording and
reporting system in public health) care in the Philippines. The monthly field health service
activity report is a form used in which of the components of the FHSIS?

A. Tally report
B. Output report
C. Target/client list
D. Individual health record
69. To monitor clients registered in long-term regimens, such as the Multi-Drug Therapy,
which component will be most useful?
A. Tally report
B. Output report
C. Target/client list
D. Individual health record

70. Civil registries are important sources of data. Which law requires registration of births
within 30 days from the occurrence of the birth?
A. PD 651
B. Act 3573C. RA 3753
D. RA 3375
71. Which of the following professionals can sign the birth certificate?
A. Public health nurse B. Rural health midwife
C. Municipal health officer
D. Any of these health professionals
72. Which criterion in priority setting of health problems is used only in community health
care?
A. Modifiability of the problem
B. Nature of the problem presented
C. Magnitude of the health problem
D. Preventive potential of the health problem
73. The Sentrong Sigla Movement has been launched to improve health service delivery.
Which of the following is/are true of this movement?
A. This is a project spearheaded by local government units
B. It is a basis for increasing funding from local government units
C. It encourages health centers to focus on disease prevention and control
D. Its main strategy is certification of health centers able to comply with standards
74. Which of the following women should be considered as special targets for family
planning?
A. Those who have two children or more
B. Those with medical conditions such as anemia
C. Those younger than 20 years and older than 35 years
D. Those who just had a delivery within the past 15 months
75. Freedom of choice in one of the policies of the Family Planning Program of the
Philippines. Which of the following illustrates this principle?
A. Information dissemination about the need for family planning
B. Support of research and development in family planning methods
C. Adequate information for couples regarding the different methods
D. Encouragement of couples to take family planning as a joint responsibility
76. A woman, 6 months pregnant, came to the center for consultation. Which of the
following substances is contraindicated?
A. Tetanus toxoid
B. Retinol 200,000 IU
C. Ferrous sulfate 200mgD. Potassium iodate 200 mg, capsule
77. During prenatal consultation, a client asked you if she can have her delivery at
home. After history taking and physical examination, you advised her against a home
delivery. Which of the following findings disqualifies her for a home delivery?
A. Her OB score is G5P3
B. She has some palmar pallor
C. Her blood pressure is 130/80D. Her baby is in cephalic presentation
78. Inadequate intake by the pregnant woman of which vitamin may cause neural tube
defects?
A. Niacin
B. Riboflavin
C. Folic Acid
D. Thiamine
79. You are in a client's home to attend to a delivery. Which of the following will you do
first?
A. Set up a sterile area
B. Put on a clean gown and apron C. Cleanse the client's vulva with soap and water
D. Note the interval, duration and intensity of labor and contractions
80. In preparing a primigravida for breastfeeding, which of the following will you do?
A. Tell her that lactation begins within a day after delivery
B. Teach her nipple stretching exercises if her nipples are everted
C. Instruct her to wash her nipples before and after each breastfeeding
D. Explain to her that putting the baby to breast will lessen blood loss after delivery
81. A primigravida is instructed to offer her breast to the baby for the first time within
30 minutes after delivery. What is the purpose of offering the breast this early?
A. To initiate the occurrence of milk let down
B. To stimulate milk production by the mammary acini
C. To make sure that the baby is able to get the colostrum
D. To allow the woman to practice breastfeeding in the presence of the health worker
82. In a mother's class, you discuss proper breastfeeding technique. Which of these is a
sign that the baby has "lactated on" the breast property?
A. The baby takes shallow, rapid sucks
B. The mother does not feel nipple pain
C. The baby's mouth is only partly open
D. Only the mother's nipple is inside the baby's mouth
83. You explain to a breastfeeding mother that breast milk is sufficient for all of the
baby's nutrient needs only up to:
A. 3 months
B. 6 months
C. 1 year
D. 2 years
84. What is given to a woman within a month after the delivery of a baby?
A. Malunggay capsule
B. Ferrous sutfate l00mg O.D.
C. Retinol 200.000 IU 1 capsule
D. Potassium Iodate 200 mg, 1 capsule
85. Which biological used in EPI is stored in the freezer?
A. DPTB. Tetanus toxoid
C. Measles vaccine
D. Hepatitis B vaccine
86. Unused BCG should be discarded how many hours after reconstitution?
A. 2
B. 4
C. 6D. At the end of the day
87. In immunity school entrants with BCG, you not obliged to secure parental consent.
This is because of which legal document?

A. PD 996
B. RA 7864
C. Presidential Proclamation No. 6
D. Presidential Proclamation No. 46
88. Which immunization produces a permanent scar?
A. DPT
B. BCG
C. Measles vaccination
D. Hepatitis B vaccination
89. A 4 week old baby was brought to the health center for his first immunization.
Which can be given to him?
A. DPT1B. OPV1
B Vaccine
C. Infant BCG
D. Hepatitis
90. You will not give DPT 2 if the mother says that the infant had?
A. Seizures a day after DPT1
B. Fever for 3 days after DPT1C. Abscess formation after DPT1D. Local tenderness for 3
days after DPT1

91. A 2-month old infant was brought to the health center for immunization. During
assessment, the infant's temperature registered at38.1 C. Which is the best course of
action that you will take?
A. Go on with the infants immunization
B. Give paracetamol and wait for his fever to subside
C. Refer the infant to the physician for further assessment
D. Advise the infant's mother to bring him back for immunization when he is well
92. A pregnant woman had just received her 4th dose of tetanus toxoid. Subsequently,
her baby will have protection against tetanus for how long?
A. 1 year
B. 3 years
C. 10 years
D. Lifetime
93. A 4-month old infant was brought to the health center of cough. Her respiratory
rate is 42/minute. Using the IMCI guidelines of assessment, her breathing is
considered;
A. Fast
B. Slow
C. Normal
D. Insignificant
94. Which of the following signs will indicate that a young child is suffering from severe
pneumonia?
A. Dyspnea
B. Wheezing
C. Fast breathing
D. Chest in drawing
95. Using IMCI guidelines, you classify a child as having severe pneumonia. What is the
best management for the child?
A. Prescribe antibiotic
B. Refer him urgently to the hospital
C. Instruct the mother to increase fluid intake
D. Instruct the mother to continue breastfeeding
96. A 5-month old infant was brought by his mother to the health center because of
diarrhea occurring 4 to 5 times a day. His skin goes back slowly after a skin pinch
and his eyes are sunken. Using the IMCI guidelines, you will classify this infant in
which category?
A. No signs of dehydration
B. Some dehydration
C. Severe dehydration
D. The data is insufficient

97. In the year 1980, the World Health Organization declared the Philippines, together with
some other countries in the Western Pacific Region, “free" of which disease?
A. Pneumonic plaque
B. Poliomyelitis
C. Small pox
D. Anthrax
98. In the census of the Philippines in 1995, there were about35,299,000 males and about
34,968,000 females. What is the sex ratio?
A. 99.06:100
B. 100.94:100
C. 50.23%D. 49.76%
99. Primary health care is a total approach to community development. Which of the
following is an indicator of success in the use of the primary health care approach?
A. Health services are provided free of charge to individuals and families
B. Local officials are empowered as the major decision makers in matters of health
C. Health workers are able too provide care based on identified health needs of the people
D. Health programs are sustained according to the level of development of the community

100. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients
would sometimes get false negative results in this exam. This means that the test is not
perfect in terms of which characteristic of a diagnostic examination?
A. Effectiveness
B. Efficacy
C. Specificity
D. Sensitivity
101. What law created the Philippine institute of Traditional and Alternative Health Care?
A. RA 8483
B. RA4823
C. RA 2483
D. RA 3482
57. In traditional Chinese medicine, the yielding, negative and feminine force is termed:
A. Yin
B. Yang
C. Qi
D. Chai
102. What is the legal basis of Primary Health Care approach in the Philippines?
A. Alma Ata Declaration of PHC
B. Letter of Instruction No 949
C. Presidential Decree No. 147D. Presidential Decree 996
103. Which of the following demonstrates inter-sectoral linkages?
A. Two-way referral system
B. Team approach
C. Endorsement done by a midwife to another midwife
D. Cooperation between PHN and public school teacher
104. The municipality assigned to you has a population of about 20/000.Estimate the
number of 1-4 year old children who be given Retinol capsule 200.000 every 6 months.
A. 1,500B. 1,800
C. 2,000
D. 2,300
105. Estimate the number of pregnant women who will be given tetanus toxoid during an
immunization outreach activity in a barangay with a population of about 1,500.
A. 265
B. 300
C. 375
D. 400
106. To describe the sex composition of the population, which demographic tool may be
used?
A. Sex ratio
B. Sex proportion
C. Population pyramid
D. Any of these maybe used
107. Which of the following is a natality rate?
A. Crude birth rate
B. Neonatal mortality rate
C. Infant mortality rate
D. General fertility rate
108. You are computing the crude rate of your municipality, with a total population of about
18,000 for last year. There were 94 deaths. Among those who died, 20 died because of
diseases of the heart and 32 were aged 50 years or older. What is the crude death rate?
A. 4.1/1000
B. 5.2/1000
C. 6.3/1000
D. 7.3/1000
109. Knowing that malnutrition is a frequent community health problem, you decided to
conduct nutritional assessment. What population is particularly susceptible to protein
energy malnutrition (PEM)?
A. Pregnant women and the elderly
B. Under 5 year old children
C. 1-4 year old children
D. School age children
110. Which statistic can give the most accurate reflection of the health status of a
community?
A. 1-4 year old age-specific mortality rate
B. Infant mortality rate
C. Swaroop's index
D. Crude death rate
111. In the past year, Barangay A had an average population of 1655. 46babies were born in
that year, 2 of whom died less than 4 weeks after they were born. They were 4 recorded
stillbirths. What is the neonatal mortality rate?

A. 27.8/1000
B. 43.5/1000
C. 86.9/1000
D. 130.4/1000
112. Which statistic best reflects the nutritional status of a population?
A. 1-4 year old age-specific mortality rate
B. Proportionate mortality rate
C. Infant mortality rate
D. Swaroop's index
113. What numerator is used in computing general fertility rate?
A. Estimated midyear population
B. Number of registered live births
C. Number of pregnancies in the year
D. Number of females of reproductive age

6. When the occupational health nurse employs ergonomic principles, she is performing
which of her roles?
A. Health care provider
B. Health educator
C. Health care coordinator
D. Environment manager
114. A garment factory does not have an occupational nurse. Who shall provide the
occupational health needs of the factory workers?
A. Occupational health nurse at the Provincial Health Office
B. Physician employed by the factory
C. Public Health nurse of the RHU of their municipality
D. Rural Sanitary inspector of the RHU in their municipality
115. "Public health services are given free of charge". Is this statement true or false?
A. The statement is true; it is the responsibility of government to provide haste services
B. The statement is false; people pay indirectly for public health services
C. The statement may be true or false; depending on the Specific service required
D. The statement may be true or false; depending on policies of the government concerned.

116. According to C.E. Winslow, which of the following is the goal of Public Health?
A. For people to attain their birth rights and longevity
B. For promotion of health and prevention and diseases
C. For people to have access to basic health services
D. For people to be organized in their health efforts
10. We say that a Filipino has attained longevity when he is able to reach the average
life span of Filipinos. What other statistic may be used to determine attainment of
longevity?
A. Age-specific mortality rate
B. Proportionate mortality rate
C. Swaroop's index
D. Case fatality rate
117. Which of the following is the most prominent feature of public health nursing?
A. It involves providing home care to sick people who are not confined in the hospital
B. Services are provided free of charge to people within the catchment area
C. The public health nurse functions as part of a team providing a public health nursing
service
D. Public health nursing focuses on preventive, not curative services
118. According to Margaret Shetland, the philosophy of public health nursing is based
on which of the following?
A. Health and longevity as birth rights
B. The mandate of the state to protect the birth rights of its citizens
C. Public health nursing as a specialized field of nursing
D. The worth and dignity of man
13. Which of the following is the mission of the Department of Health?
A. Health for all Filipinos
B. Ensure the accessibility and quality of health
C. Improve the general health status of the population

D. Health in the hands of the Filipino people by the year 2020

119. Region IV Hospital is classified as what level of facility?
A. Primary
B. Secondary
C. Intermediate
D. Tertiary .
120. Use of appropriate technology requires knowledge of indigenoustechnology. Which
medical herb is given for fever, headache and cough?
A. Sambong
B. Tsaang gubat
C. Akapulko
D. Lagundi

121. What is true of primary facilities?

A. They are usually government-run
B. Their services are provided on an out-patient basis
C. They are training facilities for health professionals
D. A community hospital is an example of this level of health facilities
16. Which is an example of the school nurse's health care provider function?
A. Requesting for BCG from the RHU for school entrance immunization
B. Conducting random classroom inspection during measles epidemic
C. Taking remedial action on an accident hazard in the school playground
D. Observing places in the school where pupils spend their free times
122. When the nurse determines whether resources were maximized in implementing
Ligtas Tigdas, she is evaluating:
A. Effectiveness
B. Efficiency
C. Adequacy
D. Appropriateness
123. You are a new B.S.N. graduate. You want to become a Public Health Nurse. Where
will you apply?
A. Department of Health
B. Provincial Health Office
C. Regional Health Office
D. Rural Health Unit
19. RA 7160 mandates devolution of basic services from the national government to local
government units. Which of the following is the major goal of devolution?
A. To strengthen local government units
B. To allow greater autonomy to local government units.
C. To empower the people and promote their self-reliance
D. To make basic services more accessible to the people
124. Who is the Chairman of the Municipal Health Board?
A. Mayor
B. Municipal Health Officer
C. Public Health Nurse
D. Any qualified physician
21. Which level of health facility is the usual point of entry of a client into the health
care delivery system?
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
125. The public health nurse is the supervisor of rural health midwives. Which of the
following is a supervisory function of the public health nurse?
A. Referring cases or patients to the midwife
B. Providing technical guidance to the midwife
C. Proving nursing care to cases referred by the midwife
D. Formulating and implementing training programs for midwives
126. One of the participants in a hilot training class asked you to whom she should refer a
patient in labor who develops a complication. You will answer, to the;
A. Public health nurse
B. Rural health midwife
C. Municipal health officer
D. Any of these health professionals
127. You are the public health nurse in a municipality with a total population of about
20,000. There are3 health midwives among the RHU personnel. How many more
midwife items will the RHU need?
A. 1
B. 2C. 3D. 4
128. If the RHU needs additional midwife items, you will submit the request for additional
midwife items for approval to the:
A. Rural Health Unit
B. District Health Office
C. Provincial Health Office
D. Municipal Health Board
129. As an epidemiologist, the nurse is responsible for reporting cases or notifiable
diseases. What law mandates reporting cases of notifiable diseases?
A. Act 3573
B. RA.3753
C. RA 1054
D. RA 1082
130. According to Freeman and Heinrich, community health nursing is a developmental
service. Which of the following best illustrates this statement?
A. The community health nurse continuously develops himself personally and professionally
B. Health education and community organizing are necessary in providing community health
services
C. Community health nursing in intended primarily for health promotion and prevention and
treatment of disease.
D. The goal of community health nursing is to provide nursing services to people in their
own place of .residence