CHN Basics
CHN Basics
SITUATION 1: Mang Digong came to your health center and is complaining of chest and back pain.
1. The specimen used for specific test for tuberculosis is best taken.
A. Anytime
B. Early morning
C. Height of fever
D. After meals
2. This treatment plan must be followed by the patient for a minimum of six months, divided as:
A. 3 months intensive & 3 months maintenance phase
B. 4 months intensive & 2 months maintenance phase
C. 2 months intensive & 4 months maintenance phase
D. 1 months intensive & 5 months maintenance phase
3. What is the side effects of ethambutol, an anti-TB drug used in combination with Rifampicin, Isoniazid and
pyrazinamide:
A. Peripheral neuritis
B. Otoxicity
C. Orange- colored urine
D. Optic neuritis
4. Which one of these anti TB drugs are not indicated to children with primary complex TB:
A. Rifampicin C. Ethambutol
B. INH D. PZA
5. Treatment for paucibacillary type of leprosy would include which of the following?
A. Rifampicin, dapsone & clofazimine for 24-36 months
B. Rifampicin & dapsone for 6-9 months
C. Rifampicin, ofloxacin, minocycline once a month
D. Rifampicin & clofazimine for 1 year
A. 27%
B. 27.9%
C. 27/1000
D. 28/1000
A. 32/100
B. 33/1000
C. 33%
D. Data not sufficient
9. RA 8976 requires the mandatory fortification of the following commonly consumed food products except:
A. Rice with Iron
B. Wheat flour with vitamin A and Iron
C. Refined sugar with Vitamin A
D. Noodles with vitamins A and iron
10. The Philippines Nursing Act of 1991, section 27-scope of nursing, describes the person practicing community health
nursing when the person uses which of the following scientific knowledge:
A. Nursing process
B. Management skills
C. Studies on community organizing
D. Diagnostic procedures
Situation 2: Alternative or traditional remedies are safe, effective and economic alternative drugs for the treatment of
common ailments. As a public health nurse, you are aware of the herbal medications, other alternative remedies
accepted, and being promote by the DOH.
11. A Chinese remedy that involves massaging and application of pressure on strategic areas of the body to relieve
ailment.
A. Acupuncture
B. Acupressure
C. Reiki
D. Biofeedback
12. Mr. Chan, a chinoy who has heart diseases, asked the nurse about possible benefits of acupressure on him. The
correct response of the nurse would be:
A. Acupressure is not an advisable alternative treatment for him
B. He should have it 2-3 times a week at least once a day to be effective
C. He should eat plenty of peanuts and seafood during the treatment to help in the circulation
D. No foods are prohibits or recommended during the treatment
14. The fresh matured leaves of this herb are pounded and applied as soap or poultice over the area infected with
ringworm 1-2 times a day:
A. Bayabas C. Lagundi
B. Akapulko D. Bawang
15. Which of the following herbal plants is use for respiratory problems, such as fever and cough and is currently
marked under the brand name of ascof?
A. Lagundi
B. Sambong
C. Nyug-nyugan
D. Erba Buena
16. You conducted a health teaching about herbal plants in a community that can be reached by a 5 hours Banka ride
only from the town proper. You gave those following instructions when using herbal medicines except:
A. Do not used insecticides when growing the plants
B. Do not cover the plants while boiling it
C. It’s alright to combine up to 3 herbs only
D. Consult the doctor if the herb is not effective the 3rd dose
17. Its leaves are boiled for 15 minutes at low fire and decoction that can be used for wound washing, diarrhea, mouth
gargle, and toothache.
A. Lagundi
B. Guava
C. Garlic
D. Gumamela
19. During the use of herbal plants as medication, what should one do in cases of untoward reaction such as allergy?
A. Give accurate dose of suggested preparation
B. Use only one kind of herbal plants for the sickness
C. Stop giving the herbal medication
D. All of the above
20. In the use of herbal medicine, which of the following is an important reminder?
A. Use for one week
B. Use as many kinds for different dosages
C. Avoid insecticides and use clay pots to boil
D. Prepare ahead of time for convenience
21. Families may be the unit of service in the community because of certain high-risk behavior or for individualized care-
giving focusing on family growth, or health maintenance. Family concerns includes:
A. High-risk lifestyle behaviors that jeopardize individual health
B. Chronic illness
C. Communicable diseases
D. Environmental issues needing investigation and or resolution
A. A,B
B. A,B,C
C. B,C,D
D. A,B,C,D
22. When the nurse assesses the perception of the family to a health problem, the nurse is prioritizing health problems
according to its:
A. Preventive potential
B. Nature
C. Salience
D. Modifiability
23. Which type of the family-nurse contact will provide you with the best opportunity to observe family dynamics?
A. Clinic consultant
B. Group conference
C. Home visit
D. Written communication
24. Which of the following is useful for showing the difference between a family’s health needs and the resources that
are available to them:
A. Family health tree
B. Ecomap
C. Genogram
D. Resources index
25. When working with the family, Nurse Bianca must remember that the most important principle in setting is that:
A. The goal targets the most serious problem of the family
B. The goal is within the budget of the family
C. The goal would involve interventions that the nurse is capable of doing
D. The goal is approved by the family
Situation 3: Jeseca is applying as regional training nurse. She holds a master degree in public health. However her
experience is be validated:
26. The required experience for regional training nurse is six years, three of which should be one of the following.
A. Research work and publication
B. Staff nursing in a medical center
C. Supervisor in the city health
D. Teaching in a school nursing
27. Regional training nurse is under the supervision of the nursing program supervisors. In the concept of public health
nursing supervision, what would Elena expect from her boss?
A. Keeping of records in rural health unit
B. Soliciting donations from non-government organization
C. Formulation of policies and standard
D. Attendance in barangay meetings
28. The following are requirements and qualifications of a Chief Nurse in Public Health work is BSN, RN with
1. At least 2 years’ experience in supervisory position
2. At least 3 years’ experience in supervisory position
3. MAN major in Public Health Nursing
4. At least 6 years’ experience in public health
5. At least 5 years’ experience in public health
A. 1,3,5
B. 1,3,6
C. 2,3,5
D. 2,3,6
29. You want to serve the people in your municipality as a Public Health Nurse. You should be aware that you need to
have which of the following qualifications?
A. BSN graduate
B. Registered Nurse in the Philippines
C. With at least 1 year experience as professional nurse
D. With units in master of public Health or MAN
A. 1 and 2
B. 1,2 and 4
C. 1,2 and 3
D. All of these
A. A,B,C
B. B,C,D
C. A,B,C,D
D. A,B,D
32. Considering the steps and procedure in bag technique, with side of the linen or paper lining of the bag is clean to
make non-contaminated work or area.
A. Beneath
B. Outside
C. Cover
D. Inside
33. The home visit is a professional contact between the nurses and family, it can be done for the following reasons.
A. Render nursing care to the sick
B. Use the referral system
C. Give health teaching
D. Assess living condition
34. Which one of the following is the basic procedure a nurse must do before and after nursing care or treatment?
A. Wash hands with soap and water
B. Protect bag from contamination
C. Render comfort measure to clients
D. Protect care givers always
35. In addition to your standards pre-natal assessment, you may also basic screening test for possible signs of high risk
pregnancy, one of these is a urine test for the presence of proteinuria, you CHN bag must have which reagent to
conduct the said testing?
A. Benedict’s solution
B. Gentian blue
C. Acetic acid
D. Acid fast test
36. A client being treated for chronic emphysema would benefit from home visits because:
A. Care outcomes from home visits are better than hospitalization especially for chronic conditions
B. The community health nurse can bring in any needed equipment for the client
C. The family is relieved of having to care for the client
D. The nurse will not be distracted by family members or visitors
37. Health services are provided at various levels of the health care. Early detection and control of acute respiratory
infection in an example of a service provided at the:
A. Provincial Hospital
B. Tertiary health care level
C. Primary health care level
D. Secondary health care level
38. Local health boards were established at the provincial and municipal levels. At the provincial level, the vice chairman
of the board is the:
A. Vice mayor
B. Vice governor
C. Municipal health officer
D. Provincial health officer
39. In intersect oral linkages, which of the following levels of health services in the pyramidal organization focuses on
the treatment of prevalent diseases in the community?
A. Primary level C. Tertiary level
B. Secondary level D. Any of these
40. Disease prevention has three levels, what level of disease prevention caters to the early sick with purpose of early
detection & treatment
A. Primary C. Tertiary
B. Secondary D. Quarterly
41. It is defined by the WHO as essential health care made universally accessible to individuals and families in the
community by means of access to them through their full cooperation and to a cost at the community a country can
afford every stage of delivery.
A. Department of health
B. Rural health unit
C. Primary health care
D. Integrated management of childhood illness.
42. To put emphasis on health promotion the WHO organized an international conference on health promotion, this is
more popularly known as the:
A. Alma ata conference
B. Health for all
C. Ottawa conference
D. Kyoto conference
44. Primary health care workers focuses on which of the following program to instigated community health?
A. Environmental sanitation
B. Treatment of common emergencies
C. Communicable disease
D. Maternal child health
45. “It is best to teach people how to fish rather than give them fish to eat.” This statement is a reflection of what
principle in primary health care.
A. Self-reliance
B. Sensitivity to people’s needs
C. Respect for indigenous foods
D. All of the above
E. Resourcefulness
46. Which pillar in PHC relates to the use of acupressure for alternative treatment of common illness?
A. Intersectoralkaging
B. Use of appropriate technology
C. Support mechanism participation
D. Active community participation
47. Two levels of primary Health Care workers have been identified. General medical practitioners and their assistant’s,
Public Health Nurse, Rural Sanitary Inspectors and midwives may compose this group:
A. Intermediate health workers
B. Core group health workers
C. Small group health workers
D. Barangay health workers
SITUATION 4: A 2-year-old boy is brought to the health center because he felt hot for 2 days. There is malaria risk. He
does not have general danger signs. He does not have cough or difficult breathing or diarrhea. When the health
worker assessed the child’s fever, he found out that the child has runny nose.
48. Classify:
A. Very severe febrile disease C. Fever: malaria unlikely
B. Fever: no malaria D. Malaria
49. Management:
A. First dose of antibiotic , prevent low blood sugar, give paracetamol, refer urgently
B. Give paracetamol, advise mother when to return, follow up in 2 days
C. Refer urgently
D. Give antibiotics and follow up in 2 days
50. Boykulit, 18 months old, weight 10 lbs. his temperature is 38.9 degrees centigrade. The child is coughing for 5 days.
He is brought to the clinic for the first time by mother. The health center nurse checked data for general danger
signs and classified him under “pink” of the IMCI color-coded triad. Which of the following assessment finding made
the nurse such classification?
A. Boy kulit does not want to drink or breastfeed, he is not abnormally sleepy
B. Boy kulit is no able to drink from a cup, he is vomiting, no convulsion
C. Boy kulit is not having vomiting or convulsion
D. Boy kulit is abnormally sleepy or difficult to awake
51. Mario a 3 months ‘old baby was brought by his mother to the RHU because of cough and colds and based on your
assessment the respiration of Mario is 59 beats per minute. Referring to the available chart, which classification
does he belong?
a. URTI
b. Severe pneumonia or very severe disease
c. No pneumonia
d. Possible serious bacterial infection
52. In case of pneumonia in a 2-year-old child, which drug must be available at the RHU based on the standard IMCI
management?
A. Chloramphenicol
B. Oxygen tank
C. Cotrimoxazole
D. Injectable gentamycin
53. Yellow color coded triage in a patient with cough and colds means:
A. Severe pneumonia or very severe pneumonia
B. Pneumonia
C. URTI
D. No pneumonia
E. Bronchitis
54. Recommended treatment to soothe the throat and relieve the cough includes:
A. Oral and nasal decongestants
B. Cough syrup
C. Tamarind, calamansi and ginger juice
D. Antitussive
E. All of the above
55. The following are treatment to severe dengue hemorrhagic fever includes the following, except:
A. Do not give paracetamol with aspirin
B. If the skin petechiae or with positive tourniquet test, give fluids rapidly as in plan C
C. Treat the child to prevent low blood sugar
D. Refer the child to the nearest hospital
E. None of the above
56. Carlo is 15 months old weights 5.5 kgs and it is her initial visit. Her mother says that carlo is not eating well & unable
to abnormally sleepy or difficult to awaken. Her temperature is 38.9 C. using the integrated management of
childhood illness or IMCI strategy, if you were the nurse in charge of carlo, how will you classify her illness?
A. A child at a general danger sign C. Severe pneumonia
B. Very severe febrile disease D. Severe malnutrition
58. Using the IMCI strategy how should you manage a child that was brought to you in the health center?
A. Check main symptoms
B. Check the child’s immunization
C. Check danger signs
D. Check feeding problems
E. Classifies the child based on the evidence signs
F. Check the child’s nutritional status
G. Check the child for other potential status
A. A,B,C,D,E,F,G
B. A,C,B,D,G,E
C. C,A,F,B,D,G,E
D. C,A,B,F,D,G,E
E. C,A,B,D,F,E,G
59. A nurse working in the community assumes different roles. When the nurse acts as a community organizer, she does
which of the following functions?
I. Motivate the enhance community participation when planning and implementing health programs and services
II. Develops family capability to take care to a sick member
III. Identifies needs priorities and problems of individuals families and community
IV. Participate in community development activities
V. Coordinates with government and non-government organization in the implementation research and studies
A. II and III
B. IV and V
C. I and IV
D. III and V
60. As community health nurse engage in the process of community empowerment, it is essential that they:
A. Gather data for the community
B. Form partnerships with people in the community
C. Make decisions for people in the community
D. Accepts responsibility for people’s actions.
61. This phase of COPAR signals the start of community self-management of any development program.
A. Consolidation and expansion phase
B. Core group formation
C. Entry phase
D. Organization-building phase
62. During the presentation of baseline survey it is important that the CHN encourage the presentators to:
A. Present a clear concise and comprehensive picture of communities specific health problems
B. Utilize computer generated presentation to formalize presentation
C. Use creative art work in the form of picture caricature to arouse their interest
D. Use role playing and dramatization to facilitate better understanding
64. One of the critical steps in COPAR is becoming one with the people and understanding their culture and lifestyle.
Which critical steps in COPAR will the nurse try to immerse himself in the community?
A. Integration
B. Social mobilization
C. Ground work
D. Mobilization
65. Sheena is assigned as the new CH nurse. Upon entrance to the community. Sheena should;
A. Courtesy call to the barangay captain
B. Conduct community assembly
C. Identify the presence of community problem
D. Encourage community participation
66. To identify & organize a core group for planning is done in what stage?
A. Community study
B. Design and initiation
C. Program maintenance
D. Reassessment
67. Based on the five stage-organizing model for health promotion, what stage is the nurse-performing if she or he
assessing and defining the needs of the community?
A. Community study
B. Design and initiation
C. Program maintenance
D. Reassessment
69. COPAR maximize community participation and involvement. To make this possible, which of the following is
primarily utilized for community services?
A. Government donation
B. Community resources
C. Free clinic
D. Local government assistance
71. The nurse should know that the activities listed below belong to the SUSTENENCE/STRENNGNTHENING PHASE in
COPAR EXCEPT:
A. Developing of secondary leaders
B. Ratification of constitution and by laws
C. Continuing education
D. Organization and training of CHW
72. Training of HRDP staff and faculty in CO-PAR happens in what phase?
A. Pre-entry
B. Community building
C. Entry
D. Sustenance
74. The national objectives of the department of health are all towards the improvement of health for all Filipinos.
Which of the following is the DOH’s objective?
A. Ensure accessibility and quality of health care to improve the quality of life of all Filipinos, especially the poor
B. Improve the general health status of the population
C. Reduce morbidity, disability and complications from noted diseases
D. Promote healthy lifestyle through diet and nutrition, physical activity and fitness, hygiene and mental health
75. To fulfill these mandate, the DOH launched what it describes as an implementation framework for the health sector
reform, DOH refers to this as the
A. Health for all agenda
B. Formula 1 for health
C. Medium term development plan
D. Good governance in health
A. A,B,C
B. B,C,D
C. A,C,D
D. all of these
77. The strategy objective of maternal program is to reduce women’s exposure to health risks through the
institionalization of responsible parenthood, specially this targets expects:
A. Those who are less than 18 years old and over 35 years of age
B. Women with low education and financial resources
C. Women with unmanaged chronic illness
D. Women who had just given birth in the last 18 months
A. A&B
B. 2 only
C. one of these
D. all of these
78. Which of the following dose of tetanus toxoid is given to the mother to protect her infant from neonatal tetanus and
likewise provide 10 years protection for the mother?
A. Tetanus toxoid 3
B. Tetanus toxoid 2
C. Tetanus toxoid 1
D. Tetanus toxoid 4
79. The most common form of this intervention is the distribution of iodized salt sachets in some health centers , these
are commonly called as:
A. FIDEL salt
B. GLORIA salt
C. ERAP salt
D. None of these
Situation 5: Nurse Karen is a new BSN graduate and has just passed her licensure Examination for Nurses in the
Philippines. She has likewise been hired as a new Community Health Nurse in one of the rural health Units in their city.
80. In community health nursing, which of the following is our unit of service?
A. The community
B. The family
C. The individual members of the barangay
D. The extended members of the family
81. The theoretical basis of community health nursing practice are theories and principles of
A. Community development
B. Public health and research
C. Nursing and public health
D. Nursing and health sciences
82. Which of the following best explains the concept of the people empowerment?
A. People are the recipients of health services
B. People are partners in health
C. People are health beneficiaries
D. The people themselves are health resources
83. A key component of health promotions is that people in a community are able to:
A. Access private health insurance to cover their medical expenses
B. Recognizing their health needs and help develop strategies to improve their own health care
C. Stop activities such as smoking or alcohol consumption that are harmful to health
D. None of the above
85. Community health workers health influences the health of communities through which of the following functions?
A. Legislating health behavior
B. Recording health status of individuals in a similar geographic region
C. Influencing health behavior and engaging in health promotion
D. Encouraging self-care & self determination
SITUATION 6: When the increasing documented cases of CANCER the best alternative of treatment still to be
PREVENTION. The following conditions apply.
86. Which among the following is the primary focus of prevention of cancer?
A. Elimination of conditions causing cancer
B. Diagnosis and treatment
C. Treatment and early stage
D. Early detection
87. Who among the following are recipients of the secondary level of care for cancer cases?
A. Those under early case detection
B. Those under post case treatment
C. Those under early detection
D. Those scheduled surgery
89. Humanitarian issues affect care for the elderly Filipino values are changing. Which one would you maintain in the
care of the elderly?
A. Security and protection
B. Education and recreation
C. Income of the elderly
D. Labor and management
90. In the Philippines, the older persons are cared for by the family. As a community health nurse what should be
observed during a home visit?
A. Social development
B. Emotional symptoms
C. Total developmental tasks
91. As a CHN, one of your responsibilities is the supervision of midwife. You know very well that the midwife under your
supervision is adept in immunizing infants if she administers DPT by observing:
A. Injects 0.05ml, ID at the right deltoid area
B. Injects 0.5ml, SQ at the right upper arm
C. Injects 0.5ml, IM at the right vastuslateralis
D. Aspirates first before injecting 0.5ml, IM at the right vastuslateralis
92. After giving OPV to a child, which of the following statement of the mother indicates that she understood the
instruction given by the nurse.
A. “She must be thirsty so I will give her glucose water.”
B. “I will give my baby paracetamol right away.”
C. “The vaccine must taste awful; she should have some fruit juices.”
D. “I will not feed or give anything to my baby.”
93. The mother asked the nurse how often she should give paracetamol to her infant after a dose of DPT vaccine. Which
of the following responses is correct?
A. Give when temperature is 38.5 C and above
B. Give it once and them every 4 hours round the clock for 24 hours
C. Give at once and when there is pain over injection site
D. Give 3x a day
94. Which of the following conditions is NOT true about contraindication to immunization?
A. Do not give DPT2 or DPT3 to a child who has had convulsions within 3 days of DPT1
B. Do not give BCG if the child has cough and fever
C. Do not give DPT to a child who has recurrent convulsion or active neurologic disease
D. Do not give BCG if the child has known AIDS
Situation 7: Public Health is defined by the who as the art of applying science in the context of politics so as to reduce
inequalities in health while ensuring the best health for the greatest number.
97. WHO further consider this as the core of element of government attempts to improve and promote health and
welfare of their citizens.
A. Community heath
B. Primary health care
C. Public health
D. Home visitation
98. The diseases today which are largely man-made such as poor sanitation, poor garbage collection, air pollution,
smoking and utilization of chemicals and pesticides refer to:
A. Political
B. Behavior
C. Health care delivery system
D. Environment
99. According to Hanlon, health is “the result of the combination of many forces, intrinsic, inherited and contrived,
individuals and collective, private and public, medical, environmental and social; and it is conditioned by culture,
economy, law and government. Experts and authorities agree on four basic factors that affects and determine health
status of human populations, namely:
A. Human biology/hereditary, environment, health care system, lifestyle
B. Demography, socioeconomic, epidemiology, ecology, human biology
C. Political, socioeconomic, spiritual, ecology
D. Education, hereditary, enrolment, family, health care delivery system