NURSING PRACTICE I COMMUNITY HEALTH NURSING

INSTRUCTION: Select the correct answer for each of the following questions. Mark only answer for
each item by shading the box corresponding to the letter of your choice answer home sheet
provided. STRICLY NO ERASURES ALLOWED.

SITUATION 1- Nurse Vera made a home visit to a newly married couple whom the wife is a primigravida
and three months pregnant. The would be mother asked questions about pregnancy and prenatal care.
1. In assessing the health condition of the pregnant patient, Nurse Vera should focus on the_____.

A. last menstrual period

B. number of days of menstruation
C. age of the patient during menarche
D. amount of menstrual flow

Answer: A

2. The patient asked Nurse Vera when is the best time to visit the clinic for her first prenatal care.
Which should be the APPROPRIATE answer of the nurse?
A. Second trimester C. Third trimester
B. Before delivery D. First trimester

Answer: D

3. The patient seems indecisive whether to breastfeed her baby or not. Which is the desired
nursing action of Nurse Vera to help the pregnant patient make a decision on the breastfeeding? A.
Give pamphlets and books to read.
B. Provide ample time for the patient to decide
C. Refer the patient to the nutritionist
D. Assist to identify breastfeeding goal and plan.

Answer: D

4. The patient asks Nurse Vera, when could you hear the fetal heart of my baby? Which of the
following should be the BEST answer of the Nurse Vera?
A. Ninth month C. Third month
B. Fifth month D. First month

Answer: C

5. Nurse Vera informs the patient she should be screened for pre- eclampsia during this term
of pregnancy______.
A. First
B. Second
C. Third
D. before delivery
Answer: B
SITUATION 2 – In the practice of her profession as a public health nurse, Nurse Mary is guided by
ethical and moral principles.
6. The nurse in the practice of her profession is guided by pregnancy____.
A. code of ethics C. third
B. standards of care D. before delivery

Answer: A

7. In the ethical principle of the beneficence, which is the BASIS of every nursing action in all
work settings?
A. Treating all patient selectively.
B. Informing patients of hospital bills.
C. Respecting refusal of treatment.
D. Doing good at all time.

Answer: D

8. In handling all information about the families in the community, which of the following
principles should the nurse consider ethical?
A. Confidentiality C. Justice
B. Fair treatment D. Beneficence

Answer: A

9. Nurse Mary randomly selected individuals in the community who will be part of a project. Which
of the following ethical principle is observed by the nurse?
A. Autonomy C. Confidentiality
B. Beneficence D. Fair Treatment

Answer: D

10. Identify the primary indicator that Nurse Mary observes FIDELITY in the practice of her
profession. A. Faithfully promotes health and prevents disease.
B. Frequently assist in the providing health services.
C. Fairly evaluates health programs and initiatives.
D. Collaborates and works with barangay officials.

Answer: A

SITUATION 3 – Nurse Gina is assigned to supervise the home for the aged in the barangay.

11. In planning the care of the elderly, which should be the important consideration that Nurse Gina
has to consider._____
A. The educational qualification
B. Family support
C. Activities of daily living
D. Residence of the elderly Ans: C

12. Nurse Gina also has to consider in terms of financial status most of the elderly
care. A. Sufficient
B. Disoriented
C. Dependent to others financially
D. Have pension

Ans: C

13. In planning their care Nurse Gina should consider_____.

A. Socialization is more important
B. Holistic care
C. Physically dependent
D. Spiritual healing

Ans: B

14. In her recommendation, Nurse Gina stated, elderly should be given independence. This
means___ A. They must live on their own
B. The environment should be safe for them
C. They are free what to do
D. They have rights

Answer: C

15. The elderly should be afforded health protection by

A. Avoid and hazards
B. Pollution environment
C. Placing them in the home for aged
D. Regular health check ups
Answer: D

SITUATION 4- Nurse Jenny is in charge of record keeping in the health center.

16. Which of the following is NOT a step f the record keeping?
A. Structuring C. Securing
B. Storing D. Easy Disposal

Answer: D

17. In the community setting which is the ESSENTIAL record about the
patient? A. TREATMENT RECORD C. CHART
B. TALLY SHEET D. KARDEX

Answer: A
18. WHICH OF THE FOLLOWING IS THE PURPOSE OF RECORD KEEPING
A. Quantify medication usage
B. Evidence of health care
C. Quantifying services provided
D. For the physician to read

Answer: B

19. Records are IMPORTANT in health care for

A. counting hospital bills
B. evidence of health care
C. Quantifying services provided
D. For the physician to read

Answer: B

20. What is the ultimate purpose of record keeping

A. Safeguard information
B. Archive
C. History
D. Store information

Answer: A

SITUATION 5- Nurse Emma was informed that a family who had just moved in has family members
who are infested with Scabies.

21. Which infection control measure should Nurse Emma observe during her visit to the
family. A. Wear mask
B. Use gloves
C. Use face shield
D. Wear gown

Answer: D

22. During the history taking, which of the following is the MOST common symptom of Scabies that
the family would report to Nurse Emma?
A. Rashes
B. Swelling
C. Scaling
D. Itchiness

Answer: D
23. In providing health teaching to the family, Nurse Emma would include in her teachings the
etiology of scabies which is ____.
A. Virus
B. Fungi
C. bacteria
D. parasite

Answer: D

24. The mother of the family asked Nurse Emma how to apply the anti-scabies lotion. The nurse
should teach the family to apply the anti-scabies lotion to____.
A. all skin areas
B. affected skin
C. open lesions
D. Reddened areas

Answer: A

25. In order PREVENT the spread of scabies infestation to other residents in the community,
Nurse Emma should teach the family, which of the following?
A. Boil the utensils used by the patients
B. Avoid sharing items used by the infected person
C. Take a bath three or more times a day.
D. Wear mask and shield at all times even at home.

Answer: B

SITUATION 6- As nurse supervisor of the health center Nurse Ellen intends to enhance
her competencies regarding resource management and care of the environment.

26. Which type of plan should the nurse employ to assess the strengths and weakness of
the organization?
A. Nursing care
B. Operational
C. Strategic
D. Program

Answer: C

27. Which BEST describes the planning function of Nurse Ellen in her role as nurse
manager? A. Get and develop people to do the work.
B. Distributes and arranges work to ensure smooth operation of the unit.
C. Determines the actual performance compared with the desired output.
D. Determine how to achieve the mandate of work

Answer: D
28. To assist them enhance their performance at work, the nurse manager should review
regularly pertaining to the staff’s
A. Number of submitted incident report
B. Academic performance incident report
C. job description
D. Family dynamics

Answer: C

29. Doing year end performance evaluation of the staff is an example of

A. planning
B. controlling
C. organizing
D. staffing

Answer: B

30. Which is the MOST important criterion in budgeting?

A. flexibility
B. standardized
C. Consistency
D. Cost effectiveness

Answer: D

SITUATION 7- Nurse Mely considers teamwork and collaboration as important components

of community HEALTH NURSING

31. Which of the following is the PRIMARY goal of collaboration

A. Less number of people is needed
B. Camaraderie
C. Accomplish goals
D. Work is faster

Answer: C

32. Which are KEY ELEMENTS of collaboration

1. Shared vision
2. Partnership
3. Working together
4. Unity
A. 1 ,2, 3
B. 3, 4
C. 1, 2
D. 1, 2, 3, 4
Answer: D
33. Which of the following is the MOST important purpose of
teamwork 1. Work is faster
2. Promotes trust
3. Sense of security
4. Unity
A. 1, 2
B. 1, 2, 3, 4
C. 3,4
D. 1, 2, 3

Answer: B

34. Which of the following BEST describe strong team?

A. Cohesive
B. Shared goal
C. Driven
D. Sense of mission

Answer: B

35. Collaboration and teamwork are essential in public health to

improve A. staff performance
B. Proper use of resources
C. Equity in services
D. Quality of health care

Answer: D

SITUATION 8- An 18 years old, female college student was accompanied by her mother for consultation
at the municipal health center. According to her mother the patient had been having difficulty
concentrating with her lesson, had tendency to isolate inside her room and frequently in an angry
mood. The physician ordered for psychiatric consult.

36. In order to determine the patient’s ability to concentrate and focus, which would be the
PRIORITY nursing action?
A. Ask for the academic performance
B. Conduct paper and pencil test
C. Assess the metal status of the patient
D. Refer the patient to the psychiatrist

Answer: C

37. While the nurse was taking her blood pressure, the patient suddenly stated.” They are talking
about me !” She was referring to other patients who were waiting for their consultation. Which of the
following should be the APPROPRIATE nursing action?
A. Present the reality situation
B. Distract patient’s attention
C. Disagree with the patient
D. Validate the statement

Answer: A

38. In taking patient’s history from the mother, the nurse should ask the mother information related
to the daughters’_____.
A. Schooling
B. Menarche
C. Pregnancy
D. Immunization

Answer: B

39. Nurse May is alarm by the incidence of number of young adults in the community with
mental problems. Which of the following should be her PRIORITY nursing initiative?
A. Refer all to tertiary hospital
B. Request for psychiatric drugs.
C. Set up debriefing center
D. Set up mental health program

Answer: D

40. In giving health teaching to the mother how to manage the patient at home, which of the
following she should emphasize?
A. Give the patient more time for self
B. Impost strict discipline
C. Do traditional parenting style
D. Need for emotional support

Answer: D

SITUATION 9- When prioritizing problems in the community, the problems are categorized as
health status, health resource or health related.
41. Nurse Maris is correct in identifying which of the following is a health resource
problem? A. Increase in number of deaths from Pneumonia
B. Feud between the midwife and head of the Sanitation Committee
C. Absence of midwife in the community to render health services
D. High Maternal Morality Rate.

Answer: C

42. There are five criteria in prioritizing community health problems. If Nurse Maris is estimating
the proportion of the population affected by the problem, she is using what criterion in
prioritization? A. Social Concern
B. Nature of the problem
C. Magnitude of the problem
D. Modifiability of the problem

Answer: C

43. Nurse Maris oftentimes encounter barriers select a barrier to goal setting between the nurse and
the family.
A. Educational attainment
B. Nature of employment
C. Failure of family to perceive existence of problem
D. Socio economic status

Answer: C

44. Which is the MOST appropriate intervention should the nurse do to help family perform the
health tasks?
A. Allow family to decide to use health resources
B. Help the family to recognize the problem
C. Leave the family what action take on their problem
D. Refer family to barangay officials for guidance

Answer: B

45. Choose the step of nursing process that identifies the family health seeking
behavior. A. Assessment
B. Implementation
C. Planning
D. Evaluation

Answer: A

SITUTAION 10 – Nurse Jane is the team leader of group of nurses who plans to utilize
community organizing Participative Action Research {CO-PAR}
46. Which of the following BEST describes the PRIMARY goal of CO-PAR?
A. Enhances the skills of the nurse in research.
B. Makes the community empowered and self-reliant
C. Increases of the community programs
D. Helps clean-up and beautiful the community

Answer: B

47. At the pre- Entry phase, which of the following is the FIRST step in the CO-PAR
process A. Survey the community
B. Train technical working group
C. Hold a community assembly
D. Create a core group

Answer: A

48. In participative Action Research [PAR] which step will empower the
community? A. The nurse performs most of the task
B. Health team directs all the activities of the place
C. Participation and engagement of the community
D. Barangay head appoints people in charge

Answer: C

49. The nurse, as the community organizer, immerses self by joining local folks in their usual
everyday activities in order to_____
A. gain trust and rapport of people
B. make self popular among people
C. identify the spot leaders
D. become familiar with the place

Answer: C

50. In CO-PAR, which is the MOST important role of the public health
nurses? A. Caregiver
B. Expert
C. Financer
D. Adviser

Answer: D

SITUATION 11- Nurse Vince is assigned as the team leader of newly hired community health nurses
of the component city in the province. He oriented them about primary health care.

51. Which of the following are some elements of the primary health care
except? A. Use of appropriate technology
B. Safe water supply
C. Free medicine
D. Maternal and child care

Answer: C

52. Nurse Vince is going to refer patient to secondary health facility. Which of the following is
an example of secondary health facility?
A. District Hospital
B. Puereculture center
C. Rural health unit
D. Barangay Health Station Answer: A
53. Which of the following herbal medicine is recommended for cough?
A. Sambong
B. Guava
C. bawang
D. Lagundi

Answer: D

54. Guava leaves are recommended by the department of health to

A. Dissolve kidney stones
B. Lower blood pressure
C. Remedy for cough
D. Wash wound

Answer: D

55. This global program aims to end poverty and protect the planet?
A. Center of the disease control
B. Sustainable development goal
C. Millenium development goal
D. World health organization

Answer: B

SITUATION 12- IN the community where Nurse Noli is assigned there are many obese individual who
are suffering from different heart ailment.

56. Which initiative should Nurse Noli introduce in order decrease incidence of risk factors
especially obesity.
A. Wellness and fitness program
B. Obesity is natural body response
C. Tell them to go the gym
D. They have to undergo strict dietary regimen

Answer: A

57. Which should be emphasize by the nurse in her health teachings

A. Jogging a mile a day
B. No need to diet
C. Vigorous exercise
D. Weight reduction

Answer: D
58. Nurse Noli should advise the patients the following except:
A. Cut down on salt intake
B. More fruits and vegetables
C. Eat regular meals
D. Eat more saturated fats

Answer: D

59. To prevent complications from their heart diseases the nurse recommends to the patient
regular monitoring of their blood.
A. Cholesterol
B. Nitrogen
C. Type
D. Oxygenation

Answer: A

60. Nurse Noli should include in his health teaching the following EXCEPT:
A. Less saturated fat
B. Weight within normal limits
C. Exercise regularly
D. More fats in the diet

Answer: D

SITUATION 13- NURSE Mae is a new supervisor of the health center. Her program thrust
include excellent and quality provision of services and performance of the staff.
61. To ensure that the staff adheres to their job responsibilities which should be the APPROPRIATE
tool should Nurse Mae utilize in evaluating staff performance?
A. Memorandum
B. Performance evaluation
C. Incident report
D. Anecdotal report

Answer: B

62. As a nurse manager, which nursing action should do to let the staff imbibe the culture of quality
at the health center?
A. Become a role model
B. Reprimand every now and then
C. Frequent meetings
D. allow them to read books

Answer: A
63. Which measures will be used in the unit to ensure patients satisfaction of the delivery of
health services?
A. Encourage to use social media
B. Provides means to evaluate services
C. Verbal feedback
D. Ask the local officials

Answer: B

64. Which is the simple meaning of standards of nursing care?

A. What protects the nurse
B. How the nurse will behave
C. How much work is done
D. What to do

Answer: D

65. Which is the BEST strategy that nurse should employ to give feedback on patient evaluation
of health services?
A. Put the evaluation at supervisors office
B. Send letter to all
C. Conduct staff meeting
D. Through bulletin board

Answer: C

SITUATION 14- With the onset of rainy seasons, Nurse Nena and their team are on alert for increase
in case of dengue fever.
66. Identify the causative agent of dengue fever.
A. Fomite
B. Vector
C. Bacteria
D. Virus
Answer: D

67. Which of the following strategies would prove effective in preventing more incidence of
dengue infection?
A. Healthy nutritious food
B. Burning of leaves and garbage
C. Destruction of breeding place of vectors
D. Adequate rest and sleep

Answer: C

68. Bleeding is the most serious complication of dengue infection. When is the patient be watched
for symptoms of bleeding?
A. 4th to 4days
B. At the onset symptoms
C. 2 to 3 day
nd rd

D. 1 day
st

Answer: A

69. Which of the information about the nature of dengue fever the nurse should relay to
the community?
A. It is always life threatening
B. It could be deadly but preventable
C. It responds well do antibiotics
D. The incubation period is variable

Answer: B

70. Which diagnostic test could be useful in confirming the diagnosis of Dengue
Fever? A. Rumpell –Lead
B. Mantoux
C. Elisa
D. Widal

Answer: C

SITUATION 15- Nurse Rica find effective communication as the key to successful community
health nursing.
71. When writing a memorandum, which of the following is the MOST important
guideline A. Purpose is included
B. Content clear
C. Friendly tone
D. One topic at time

Answer: B

72. Which of the following is an INDICATOR of effective communication?

A. Receiver
B. Feedback
C. Sender
D. Non Verbal communication

Answer: B

73. Nurse Rica, would like to start about her treatment to make she understood the patient
which communication technique she should use?
A. Clarifying
B. Restating
C. Challenging
D. Board opening

Answer: A

74. The patient told her something about her treatment to make she understood the patient
which communication technique should be used by the nurse?
A. Clarifying
B. Focusing
C Validating
D. Restating

Answer: A

75. Non Verbal communication is as strong in conveying information because the nurse
can. A. Observes gestures
B. Body language could be observed
C. Sender less effort
D. Actions speaks louder than words

Answer: D

SITUATION 16- Nurse Lyn plans to enhance her personal and professional
development 76. Choose an indicators that model personal professional behavior and
values. A. Utilizes communication and social media responsibly
B. Attends conferences
C. Enrolls in school
D. Joins civic organization

Answer: A

77. Nurses should have knowledge about professional organization. Which o the following is
the accredited professional organization of the nurses?
A. Maternal child nursing
B. Philippine nurses Association, Inc.
C. National League of Government Nurses of the Philippines
D. Association Nursing Service Administrators of the Philippine

Answer: B

78. A profession is characterized by the following except:

A. Body of knowledge
B. Code of ethics
C. Member of professional organization
D. Engages in research
Answer: C
79. Which of the following is an example of self directed learning activity-?
A. Research at work
B. Attends webinars
C. Attendance to graduate school
D. Engaged in research

Answer: B

80. Aside from attending seminars which of the following information continuing education
programs should the nurse engage herself EXCEPT:
A. Attending professional conventions
B. webinars
C. Symptoms
D. Doing research as academic conventions.

Answer: D

SITUATION 17- Nurse Betty is assigned as team leader of the group of community health Nurses
who are tasked to conduct a Community Diagnosis in one of the far-flung barangays of the
municipality.

81. While preparing to depart to their assigned barangay, Nurse Betty informs her group that the
PRIMARY purpose of conducting community diagnosis is to____.
A. do assessment of the community profile
B. count the number of morbidity in the place
C. asses the number of indigenous people
D. form a core group of selected residents

Answer: A

82. Nurse Betty and her group followed the steps of community diagnosis. Which come after
the formulation of objectives?
A. Determine data to be collected
B. Define the study population
C. Analyzed the collected data
D. Collect the needed data

Answer: B

83. In the step of community diagnosis where data are collected. Which of the following tools is
utilized less?
A. Interview guide
B. Observation checklist
C. Survey questionnaire
D. Case study
Answer: D
84. To prepare the collected data about the health status of the community for analysis, which is
the APROPRIATE step that the group of Nurse Betty should do?
A. Analyze data
B. Interpret data
C. Present data
D. Make conclusion

Answer: C

85. Once of the group of Nurse Betty is able to identify community health problems. Which would
be APPROPRIATE for them to do in order to be able to plan for necessary intervention? A. present
the data
B. Formulate objective
C. Evaluate the data
D. Set priorities

Answer: D

SITUATION 18- At present the public knows their right in health care. The Community health
nurse should be confident and safe in the practice of her profession.

86. Nurse has complaint from a parent for administering wrong dose of vaccine to the child. This act is
a form of___.
A. Battery
B. Assault
C. Negligence
D. Malpractice

Answer: C

87. When Nurse Ace submitted a report to the physician that she committed an error in medication.
This is an example of____.
A. Responsibility
B. Accountability
C. Commitment
D. Delegation

Answer: B

88. Who among the following is the BEST to sign an informed consent during a surgical procedure of
a child at the health center?
A. A 26 year old brother who is a drug addict
B. A father who is 40 years old and illiterate
C. A sister, 21 years old but undergoing dialysis
D. A mother , 35 years old with on and off seizure
Answer: D

89. A nurse administer extra dose of vaccine to a child and the patient developed adverse reaction
and died. She can be used for____.
A. Negligence
B. Malpractice
C. Tort
D. Battery

Answer: B

90. A patient was for transfer to a tertiary hospital because of severe asthma, but the nurse does
not prepare the patient right away and the patient dies. Which of the following the nurse is liable?
A. Malpractice
B. Assault
C. Murder
D. Battery

Answer: A

SITUATION 19- Health education is one of the essential services at the community setting. Nurse Nene
is in charge of health education activities of the rural health unit.
91. Which of the following is TRUE about the health education in public
health? A. It only done by professionals like nurses.
B. It is every health worker responsibility
C. It is remains constant
D. It is seldom use in public health setting

Answer: B

92. The BEST result of health education process is

A. It influences and change behavior
B. It provides new inputs
C. Update others
D. Information transfer

Answer: A

93. Which of the following explains health education is creative process?

1. It could employ a variety of strategies
2. It is can be done anywhere
3. It could perform by any member of the heath team
4. It is a valuable health service
A. 1, 2, 3
B. 1, 2
C. 3, 4
D. 1, 2, 3, 4
Answer: D

94. To families and individual in the community, Which is the MOST important goal of health
education? A. To study their life history
B. to identify their weaknesses
C. To totally change their lifestyle
D. To motivate them to develop skills and literacy in health.

Answer:D

95. As a whole health education in public health aims to____.

A. Transfers information
B. Make life changes
C. Better health opportunities
D. Change personality

Answer: C

SITUATION 20- Nurse Mary is assigned to manage the Non Communicable Disease residents who
are having Hypertensions.
96. Which assessment findings is INDICATIVE of the diagnosis of hypertension?
A. Family members with high blood pressure
B. Elevation of blood cholesterol level
C. Stressful work environment
D. Consistent elevation of blood pressure

Answer: D

97. Identify the MOST appropriate diagnostic examination that confirms the incidence of
hypertension among residence.
A. Chest Xray
B. Electrocardiogram
C. Ultrasound
D. BP monitoring

Answer: D

98. Which medication will be prescribed to control and maintain the blood pressure of patients
at normal level?
A. Lidocaine
B. Epinephrine
C. Amlodipine
D. Furosemide

Answer: C
99. Nurse Mary had observed that most patient with hypertension stop taking their medications
and heard them saying “ I feel good already” Which is the APPROPRIATE nursing diagnosis? A.
Impaired gas exchange
B. Anxiety
C. Knowledge deficit
D. Ineffective coping

Answer: C

100. During the conduct of his health teaching to the patients, Which should the nurse emhasixe
to maintain blood pressure at normal level?
1. Smoke in moderation
2. Exercise regularly
3. Consume less salt
4. Maintain normal weight
5. Less stress
A. 2, 3, 4, 5
B. 1, 2, 3, 4
C. 1, 2, 4, 5
D. 1, 3, 4, 5

Answer: A