COMMUNITY HEALTH NURSING

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
illness
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
. To contribute to national development through promotion of family welfare, focusing particularly on mothers
and children.
!. C"# is a community$based practice. Which best e%plains this statement?
A. The service is provided in the natural environment of people.
B. The nurse has to conduct community diagnosis to determine nursing needs and problems.
C. The services are based on the available resources within the community.
. &riority setting is based on the magnitude of the health problems identified.
'. &opulation$focused nursing practice re(uires which of the following processes?
A. Community organi)ing
B. #ursing process
C. Community diagnosis
. *pidemiologic process
+. ,.A. 1-.+ is also /nown as the 0ccupational "ealth Act. Aside from number of employees, what other factor must
be considered in determining the occupational health privileges to which the wor/ers will be entitled?
A. Type of occupation1 agricultural, commercial, industrial
B. 2ocation of the wor/place in relation to health facilities
C. Classification of the business enterprise based on net profit
. 3e% and age composition of employees
.. A business firm must employ an occupational health nurse when it has at least how many employees?
A. !1
B. 1-1
C. !-1
. '-1
4. When the occupational health nurse employs ergonomic principles, she is performing which of her roles?
A. "ealth care provider
B. "ealth educator
C. "ealth care coordinator
. *nvironmental manager
5. A garment factory does not have an occupational nurse. Who shall provide the occupational health needs of the
factory wor/ers?
A. 0ccupational health nurse at the &rovincial "ealth 0ffice
B. &hysician employed by the factory
C. &ublic health nurse of the ,"6 of their municipality
. ,ural sanitary inspector of the ,"6 of their municipality
7. 8&ublic health services are given free of charge.9 :s this statement true or false?
A. The statement is true; it is the responsibility of government to provide basic 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 re(uired.
. The statement may be true or false, depending on policies of the government concerned.
<. According to C.*.Winslow, which of the following is the goal of &ublic "ealth?
A. =or people to attain their birthrights of health and longevity
B. =or promotion of health and prevention of disease
C. =or people to have access to basic health services
. =or people to be organi)ed in their health efforts
1-. We say that a =ilipino has attained longevity when he is able to reach the average lifespan of =ilipinos. What
other statistic may be used to determine attainment of longevity?
A. Age$specific mortality rate
B. &roportionate mortality rate
C. 3waroop>s inde%
. Case fatality rate
11. Which of the following is the most prominent feature of public health nursing?
A. :t involves providing home care to sic/ people who are not confined in the hospital.
B. 3ervices are provided free of charge to people within the catchment area.
C. The public health nurse functions as part of a team providing a public health nursing services.
. &ublic health nursing focuses on preventive, not curative, services.
1!. According to ?argaret 3hetland, the philosophy of public health nursing is based on which of the following?
A. "ealth and longevity as birthrights
B. The mandate of the state to protect the birthrights of its citi)ens
C. &ublic health nursing as a speciali)ed field of nursing
. The worth and dignity of man
1'. Which of the following is the mission of the epartment of "ealth?
A. "ealth for all =ilipinos
B. *nsure the accessibility and (uality of health care
C. :mprove the general health status of the population
. "ealth in the hands of the =ilipino people by the year !-!-
1+. ,egion :@ "ospital is classified as what level of facility?
A. &rimary
B. 3econdary
C. :ntermediate
. Tertiary
1.. Which is true of primary facilities?
A. They are usually government$run.
B. Their services are provided on an out$patient basis.
C. They are training facilities for health professionals.
. A community hospital is an e%ample of this level of health facilities.
14. Which is an e%ample of the school nurse>s health care provider functions?
A. ,e(uesting for BCA from the ,"6 for school entrant immuni)ation
B. Conducting random classroom inspection during a measles epidemic
C. Ta/ing remedial action on an accident ha)ard in the school playground
. 0bserving places in the school where pupils spend their free time
15. When the nurse determines whether resources were ma%imi)ed in implementing 2igtas Tigdas, she is evaluating
A. *ffectiveness
B. *fficiency
C. Ade(uacy
. Appropriateness
17. Bou are a new B.3.#. graduate. Bou want to become a &ublic "ealth #urse. Where will you apply?
A. epartment of "ealth
B. &rovincial "ealth 0ffice
C. ,egional "ealth 0ffice
. ,ural "ealth 6nit
.
1<. ,.A. 514- mandates devolution of basic services from the national government to local government units. Which
of the following is the maCor goal of devolution?
A. To strengthen local government units
B. To allow greater autonomy to local government units
C. To empower the people and promote their self$reliance
. To ma/e basic services more accessible to the people
!-. Who is the Chairman of the ?unicipal "ealth Board?
A. ?ayor
B. ?unicipal "ealth 0fficer
C. &ublic "ealth #urse
. Any (ualified physician
!1. Which level of health facility is the usual point of entry of a client into the health care delivery system?
A. &rimary
B. 3econdary
C. :ntermediate
. Tertiary
!!. 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. ,eferring cases or patients to the midwife
B. &roviding technical guidance to the midwife
C. &roviding nursing care to cases referred by the midwife
. =ormulating and implementing training programs for midwives
!'. 0ne of the participants in a hilot training class as/ed you to whom she should refer a patient in labor who
develops a complication. Bou will answer, to the
A. &ublic "ealth #urse
B. ,ural "ealth ?idwife
C. ?unicipal "ealth 0fficer
. Any of these health professionals
!+. Bou are the public health nurse in a municipality with a total population of about !-,---. There are ' rural health
midwives among the ,"6 personnel. "ow many more midwife items will the ,"6 need?
A. 1
B. !
C. '
. The ,"6 does not need any more midwife item.
!.. :f the ,"6 needs additional midwife items, you will submit the re(uest for additional midwife items for approval to
the
A. ,ural "ealth 6nit
B. istrict "ealth 0ffice
C. &rovincial "ealth 0ffice
. ?unicipal "ealth Board
!4. As an epidemiologist, the nurse is responsible for reporting cases of notifiable diseases. What law mandates
reporting of cases of notifiable diseases?
A. Act '.5'
B. ,.A. '5.'
C. ,.A. 1-.+
. ,.A. 1-7!
!5. According to =reeman and "einrich, 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. "ealth education and community organi)ing are necessary in providing community health services.
C. Community health nursing is intended primarily for health promotion and prevention and treatment of disease.
. The goal of community health nursing is to provide nursing services to people in their own places of
residence.
!7. Which disease was declared through &residential &roclamation #o. + as a target for eradication in the
&hilippines?
A. &oliomyelitis
B. ?easles
C. ,abies
. #eonatal tetanus
!<. The public health nurse is responsible for presenting the municipal health statistics using graphs and tables. To
compare the fre(uency of the leading causes of mortality in the municipality, which graph will you prepare?
A. 2ine
B. Bar
C. &ie
. 3catter diagram
'-. Which step in community organi)ing involves training of potential leaders in the community?
A. :ntegration
B. Community organi)ation
C. Community study
. Core group formation
'1. :n which step are plans formulated for solving community problems?
A. ?obili)ation
B. Community organi)ation
C. =ollow$upDe%tension
. Core group formation
'!. The public health nurse ta/es an active role in community participation. What is the primary goal of community
organi)ing?
A. To educate the people regarding community health problems
B. To mobili)e the people to resolve community health problems
C. To ma%imi)e the community>s resources in dealing with health problems
. To ma%imi)e the community>s resources in dealing with health problems
''. An indicator of success in community organi)ing is when people are able to
A. &articipate in community activities for the solution of a community problem
B. :mplement activities for the solution of the community problem
C. &lan activities for the solution of the community problem
. :dentify the health problem as a common concern
'+. Tertiary prevention is needed in which stage of the natural history of disease?
A. &re$pathogenesis
B. &athogenesis
C. &rodromal
. Terminal
'.. :solation of a child with measles belongs to what level of prevention?
A. &rimary
B. 3econdary
C. :ntermediate
. Tertiary
'4. 0n the other hand, 0peration Timbang is EEEEE prevention.
A. &rimary
B. 3econdary
C. :ntermediate
. Tertiary
'5. Which type of family$nurse contact will provide you with the best opportunity to observe family dynamics?
A. Clinic consultation
B. Aroup conference
C. "ome visit
. Written communication
'7. The typology of family nursing problems is used in the statement of nursing diagnosis in the care of families. The
youngest child of the de los ,eyes family has been diagnosed as mentally retarded. This is classified as a
A. "ealth threat
B. "ealth deficit
C. =oreseeable crisis
. 3tress point
'<. The de los ,eyes couple have a 4$year old child entering school for the first time. The de los ,eyes family has a
A. "ealth threat
B. "ealth deficit
C. =oreseeable crisis
. 3tress point
+-. Which of the following is an advantage of a home visit?
A. :t allows the nurse to provide nursing care to a greater number of people.
B. :t provides an opportunity to do first hand appraisal of the home situation.
C. :t allows sharing of e%periences among people with similar health problems.
. :t develops the family>s initiative in providing for health needs of its members.
+1. Which is C0#T,A,B to the principles in planning a home visit?
A. A home visit should have a purpose or obCective.
B. The plan should revolve around family health needs.
C. A home visit should be conducted in the manner prescribed by the ,"6.
. &lanning of continuing care should involve a responsible family member.
+!. The &"# bag is an important tool in providing nursing care during a home visit. The most important principle of
bag techni(ue states that it
A. 3hould save time and effort.
B. 3hould minimi)e if not totally prevent the spread of infection.
C. 3hould not overshadow concern for the patient and his family.
. ?ay be done in a variety of ways depending on the home situation, etc.
+'. To maintain the cleanliness of the bag and its contents, which of the following must the nurse do?
A. Wash hisDher hands before and after providing nursing care to the family members.
B. :n the care of family members, as much as possible, use only articles ta/en from the bag.
C. &ut on an apron to protect her uniform and fold it with the right side out before putting it bac/ into the bag.
. At the end of the visit, fold the lining on which the bag was placed, ensuring that the contaminated side is on
the outside.
++. The public health nurse conducts a study on the factors contributing to the high mortality rate due to heart disease
in the municipality where she wor/s. Which branch of epidemiology does the nurse practice in this situation?
A. escriptive
B. Analytical
C. Therapeutic
. *valuation
+.. Which of the following is a function of epidemiology?
A. :dentifying the disease condition based on manifestations presented by a client
B. etermining factors that contributed to the occurrence of pneumonia in a ' year old
C. etermining the efficacy of the antibiotic used in the treatment of the ' year old client with pneumonia
. *valuating the effectiveness of the implementation of the :ntegrated ?anagement of Childhood :llness
+4. Which of the following is an epidemiologic function of the nurse during an epidemic?
A. Conducting assessment of suspected cases to detect the communicable disease
B. ?onitoring the condition of the cases affected by the communicable disease
C. &articipating in the investigation to determine the source of the epidemic
. Teaching the community on preventive measures against the disease
+5. The primary purpose of conducting an epidemiologic investigation is to
A. elineate the etiology of the epidemic
B. *ncourage cooperation and support of the community
C. :dentify groups who are at ris/ of contracting the disease
. :dentify geographical location of cases of the disease in the community
+7. Which is a characteristic of person$to$person propagated epidemics?
A. There are more cases of the disease than e%pected.
B. The disease must necessarily be transmitted through a vector.
C. The spread of the disease can be attributed to a common vehicle.
. There is a gradual build up of cases before the epidemic becomes easily noticeable.
+<. :n the investigation of an epidemic, you compare the present fre(uency of the disease with the usual fre(uency at
this time of the year in this community. This is done during which stage of the investigation?
A. *stablishing the epidemic
B. Testing the hypothesis
C. =ormulation of the hypothesis
. Appraisal of facts

.-. The number of cases of engue fever usually increases towards the end of the rainy season. This pattern of
occurrence of engue fever is best described as
A. *pidemic occurrence
B. Cyclical variation
C. 3poradic occurrence
. 3ecular variation

.1. :n the year 1<7-, the World "ealth 0rgani)ation declared the &hilippines, together with some other countries in
the Western &acific ,egion, 8free9 of which disease?
A. &neumonic plague
B. &oliomyelitis
C. 3mall po%
. Anthra%
.!. :n the census of the &hilippines in 1<<., there were about '.,!<<,--- males and about '+,<47,--- females.
What is the se% ratio?
A. <<.-411--
B. 1--.<+11--
C. .-.!'F
. +<.54F
.'. &rimary 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. "ealth services are provided free of charge to individuals and families.
B. 2ocal officials are empowered as the maCor decision ma/ers in matters of health.
C. "ealth wor/ers are able to provide care based on identified health needs of the people.
. "ealth programs are sustained according to the level of development of the community.
.+. 3putum e%amination is the maCor screening tool for pulmonary tuberculosis. Clients would sometimes get false
negative results in this e%am. This means that the test is not perfect in terms of which characteristic of a diagnostic
e%amination?
A. *ffectiveness
B. *fficacy
C. 3pecificity
. 3ensitivity
... 6se of appropriate technology re(uires /nowledge of indigenous technology. Which medicinal herb is given for
fever, headache and cough?
A. 3ambong
B. Tsaang gubat
C. A/apul/o
. 2agundi
.4. What law created the &hilippine :nstitute of Traditional and Alternative "ealth Care?
A. ,.A. 7+!'
B. ,.A. +7!'
C. ,.A. !+7'
. ,.A. '+7!
.5. :n traditional Chinese medicine, the yielding, negative and feminine force is termed
A. Bin
B. Bang
C. Gi
. Chai
.7. What is the legal basis for &rimary "ealth Care approach in the &hilippines?
A. Alma Ata eclaration on &"C
B. 2etter of :nstruction #o. <+<
C. &residential ecree #o. 1+5
. &residential ecree <<4
.<. Which of the following demonstrates intersectoral lin/ages?
A. Two$way referral system
B. Team approach
C. *ndorsement done by a midwife to another midwife
. Cooperation between the &"# and public school teacher
4-. The municipality assigned to you has a population of about !-,---. *stimate the number of 1$+ year old children
who will be given ,etinol capsule !--,--- :.6. every 4 months.
A. 1,.--
B. 1,7--
C. !,---
. !,'--
41. *stimate the number of pregnant women who will be given tetanus to%oid during an immuni)ation outreach
activity in a barangay with a population of about 1,.--.
A. !4.
B. '--
C. '5.
. +--
4!. To describe the se% composition of the population, which demographic tool may be used?
A. 3e% ratio
B. 3e% proportion
C. &opulation pyramid
. Any of these may be used.
4'. Which of the following is a natality rate?
A. Crude birth rate
B. #eonatal mortality rate
C. :nfant mortality rate
. Aeneral fertility rate
4+. Bou are computing the crude death rate of your municipality, with a total population of about 17,---, for last year.
There were <+ deaths. Among those who died, !- died because of diseases of the heart and '! were aged .- years
or older. What is the crude death rate?
A. +.!D1,---
B. ..!D1,---
C. 4.'D1,---
. 5.'D1,---
4.. Hnowing that malnutrition is a fre(uent community health problem, you decided to conduct nutritional
assessment. What population is particularly susceptible to protein energy malnutrition I&*?J?
A. &regnant women and the elderly
B. 6nder$. year old children
C. 1$+ year old children
. 3chool age children
44. Which statistic can give the most accurate reflection of the health status of a community?
A. 1$+ year old age$specific mortality rate
B. :nfant mortality rate
C. 3waroop>s inde%
. Crude death rate
45. :n the past year, Barangay A had an average population of 14... +4 babies were born in that year, ! of whom
died less than + wee/s after they were born. There were + recorded stillbirths. What is the neonatal mortality rate?
A. !5.7D1,---
B. +'..D1,---
C. 74.<D1,---
. 1'-.+D1,---
47. Which statistic best reflects the nutritional status of a population?
A. 1$+ year old age$specific mortality rate
B. &roportionate mortality rate
C. :nfant mortality rate
. 3waroop>s inde%
4<. What numerator is used in computing general fertility rate?
A. *stimated midyear population
B. #umber of registered live births
C. #umber of pregnancies in the year
. #umber of females of reproductive age
5-. Bou will gather data for nutritional assessment of a puro/. Bou will gather information only from families with
members who belong to the target population for &*?. What method of data gathering is best for this purpose?
A. Census
B. 3urvey
C. ,ecord review
. ,eview of civil registry
.
51. :n the conduct of a census, the method of population assignment based on the actual physical location of the
people is termed
A. e Cure
B. e locus
C. e facto
. e novo
5!. The =ield "ealth 3ervices and :nformation 3ystem I="3:3J is the recording and reporting system in public health
care in the &hilippines. The ?onthly =ield "ealth 3ervice Activity ,eport is a form used in which of the components of
the ="3:3?
A. Tally report
B. 0utput report
C. TargetDclient list
. :ndividual health record
5'. To monitor clients registered in long$term regimens, such as the ?ulti$rug Therapy, which component will be
most useful?
A. Tally report
B. 0utput report
C. TargetDclient list
. :ndividual health record
5+. Civil registries are important sources of data. Which law re(uires registration of births within '- days from the
occurrence of the birth?
A. &.. 4.1
B. Act '.5'
C. ,.A. '5.'
. ,.A. ''5.
5.. Which of the following professionals can sign the birth certificate?
A. &ublic health nurse
B. ,ural health midwife
C. ?unicipal health officer
. Any of these health professionals
54. Which criterion in priority setting of health problems is used only in community health care?
A. ?odifiability of the problem
B. #ature of the problem presented
C. ?agnitude of the health problem
. &reventive potential of the health problem
55. The 3entrong 3igla ?ovement has been launched to improve health service delivery. Which of the following isDare
true of this movement?
A. This is a proCect spearheaded by local government units.
B. :t is a basis for increasing funding from local government units.
C. :t encourages health centers to focus on disease prevention and control.
. :ts main strategy is certification of health centers able to comply with standards.
57. 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 !- years and older than '. years
. Those who Cust had a delivery within the past 1. months
5<. =reedom of choice is one of the policies of the =amily &lanning &rogram of the &hilippines. Which of the following
illustrates this principle?
A. :nformation dissemination about the need for family planning
B. 3upport of research and development in family planning methods
C. Ade(uate information for couples regarding the different methods
. *ncouragement of couples to ta/e family planning as a Coint responsibility
7-. A woman, 4 months pregnant, came to the center for consultation. Which of the following substances is
contraindicated?
A. Tetanus to%oid
B. ,etinol !--,--- :6
C. =errous sulfate !-- mg
. &otassium iodate !-- mg. capsule
71. uring prenatal consultation, a client as/ed you if she can have her delivery at home. After history ta/ing and
physical e%amination, you advised her against a home delivery. Which of the following findings dis(ualifies her for a
home delivery?
A. "er 0B score is A.&'.
B. 3he has some palmar pallor.
C. "er blood pressure is 1'-D7-.
. "er baby is in cephalic presentation.
7!. :nade(uate inta/e by the pregnant woman of which vitamin may cause neural tube defects?
A. #iacin
B. ,iboflavin
C. =olic acid
. Thiamine
7'. Bou are in a client>s home to attend to a delivery. Which of the following will you do first?
A. 3et up the sterile area.
B. &ut on a clean gown or apron.
C. Cleanse the client>s vulva with soap and water.
. #ote the interval, duration and intensity of labor contractions.
7+. :n 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 e%ercises if her nipples are everted.
C. :nstruct her to wash her nipples before and after each breastfeeding.
. *%plain to her that putting the baby to breast will lessen blood loss after delivery.
7.. A primigravida is instructed to offer her breast to the baby for the first time within '- minutes after delivery. What is
the purpose of offering the breast this early?
A. To initiate the occurrence of mil/ letdown
B. To stimulate mil/ production by the mammary acini
C. To ma/e sure that the baby is able to get the colostrum
. To allow the woman to practice breastfeeding in the presence of the health wor/er
.
74. :n a mothers> class, you discuss proper breastfeeding techni(ue. Which is of these is a sign that the baby has
8latched on9 to the breast properly?
A. The baby ta/es shallow, rapid suc/s.
B. The mother does not feel nipple pain.
C. The baby>s mouth is only partly open.
. 0nly the mother>s nipple is inside the baby>s mouth.
75. Bou e%plain to a breastfeeding mother that breast mil/ is sufficient for all of the baby>s nutrient needs only up to
EEEE.
A. ' months
B. 4 months
C. 1 year
. ! years
77. What is given to a woman within a month after the delivery of a baby?
A. ?alunggay capsule
B. =errous sulfate 1-- mg. 0
C. ,etinol !--,--- :.6., 1 capsule
. &otassium iodate !-- mg, 1 capsule
7<. Which biological used in *%panded &rogram on :mmuni)ation I*&:J is stored in the free)er?
A. &T
B. Tetanus to%oid
C. ?easles vaccine
. "epatitis B vaccine
<-. 6nused BCA should be discarded how many hours after reconstitution?
A. !
B. +
C. 4
. At the end of the day
<1. :n immuni)ing school entrants with BCA, you are not obliged to secure parental consent. This is because of which
legal document?
A. &.. <<4
B. ,.A. 57+4
C. &residential &roclamation #o. 4
. &residential &roclamation #o. +4
<!. Which immuni)ation produces a permanent scar?
A. &T
B. BCA
C. ?easles vaccination
. "epatitis B vaccination
<'. A +$wee/ old baby was brought to the health center for his first immuni)ation. Which can be given to him?
A. &T1
B. 0&@1
C. :nfant BCA
. "epatitis B vaccine 1
<+. Bou will not give &T ! if the mother says that the infant had
A. 3ei)ures a day after &T 1.
B. =ever for ' days after &T 1.
C. Abscess formation after &T 1.
. 2ocal tenderness for ' days after &T 1.
<.. A !$month old infant was brought to the health center for immuni)ation. uring assessment, the infant>s
temperature registered at '7.1KC. Which is the best course of action that you will ta/e?
A. Ao on with the infant>s immuni)ations.
B. Aive &aracetamol and wait for his fever to subside.
C. ,efer the infant to the physician for further assessment.
. Advise the infant>s mother to bring him bac/ for immuni)ation when he is well.
<4. A pregnant woman had Cust received her +th dose of tetanus to%oid. 3ubse(uently, her baby will have protection
against tetanus for how long?
A. 1 year
B. ' years
C. 1- years
. 2ifetime
<5. A +$month old infant was brought to the health center because of cough. "er respiratory rate is +!Dminute. 6sing
the :ntegrated ?anagement of Child :llness I:?C:J guidelines of assessment, her breathing is considered
A. =ast
B. 3low
C. #ormal
. :nsignificant
<7. Which of the following signs will indicate that a young child is suffering from severe pneumonia?
A. yspnea
B. Whee)ing
C. =ast breathing
. Chest indrawing
<<. 6sing :?C: guidelines, you classify a child as having severe pneumonia. What is the best management for the
child?
A. &rescribe an antibiotic.
B. ,efer him urgently to the hospital.
C. :nstruct the mother to increase fluid inta/e.
. :nstruct the mother to continue breastfeeding.
1--. A .$month old infant was brought by his mother to the health center because of diarrhea occurring + to . times a
day. "is s/in goes bac/ slowly after a s/in pinch and his eyes are sun/en. 6sing the :?C: guidelines, you will classify
this infant in which category?
A. #o signs of dehydration
B. 3ome dehydration
C. 3evere dehydration
. The data is insufficient.
1-1. Based on assessment, you classified a '$month old infant with the chief complaint of diarrhea in the category of
30?* *"B,AT:0#. Based on :?C: management guidelines, which of the following will you do?
A. Bring the infant to the nearest facility where :@ fluids can be given.
B. 3upervise the mother in giving !-- to +-- ml. of 0resol in + hours.
C. Aive the infant>s mother instructions on home management.
. Heep the infant in your health center for close observation.
1-!. A mother is using 0resol in the management of diarrhea of her '$year old child. 3he as/ed you what to do if her
child vomits. Bou will tell her to
A. Bring the child to the nearest hospital for further assessment.
B. Bring the child to the health center for intravenous fluid therapy.
C. Bring the child to the health center for assessment by the physician.
. 2et the child rest for 1- minutes then continue giving 0resol more slowly.
1-'. A 1 L year old child was classified as having 'rd degree protein energy malnutrition, /washior/or. Which of the
following signs will be most apparent in this child?
A. @oracious appetite
B. Wasting
C. Apathy
. *dema
1-+. Assessment of a !$year old child revealed 8baggy pants9. 6sing the :?C: guidelines, how will you manage this
child?
A. ,efer the child urgently to a hospital for confinement.
B. Coordinate with the social wor/er to enroll the child in a feeding program.
C. ?a/e a teaching plan for the mother, focusing on menu planning for her child.
. Assess and treat the child for health problems li/e infections and intestinal parasitism.
1-.. uring the physical e%amination of a young child, what is the earliest sign of %erophthalmia that you may
observe?
A. Heratomalacia
B. Corneal opacity
C. #ight blindness
. ConCunctival %erosis
1-4. To prevent %erophthalmia, young children are given ,etinol capsule every 4 months. What is the dose given to
preschoolers?
A. 1-,--- :6
B. !-,--- :6
C. 1--,--- :6
. !--,--- :6
1-5. The maCor sign of iron deficiency anemia is pallor. What part is best e%amined for pallor?
A. &alms
B. #ailbeds
C. Around the lips
. 2ower conCunctival sac
.
1-7. =ood fortification is one of the strategies to prevent micronutrient deficiency conditions. ,.A. 7<54 mandates
fortification of certain food items. Which of the following is among these food items?
A. 3ugar
B. Bread
C. ?argarine
. =illed mil/
1-<. What is the best course of action when there is a measles epidemic in a nearby municipality?
A. Aive measles vaccine to babies aged 4 to 7 months.
B. Aive babies aged 4 to 11 months one dose of 1--,--- :.6. of ,etinol
C. :nstruct mothers to /eep their babies at home to prevent disease transmission.
. :nstruct mothers to feed their babies ade(uately to enhance their babies> resistance.
11-. A mother brought her daughter, + years old, to the ,"6 because of cough and colds. =ollowing the :?C:
assessment guide, which of the following is a danger sign that indicates the need for urgent referral to a hospital?
A. :nability to drin/
B. "igh grade fever
C. 3igns of severe dehydration
. Cough for more than '- days
111. ?anagement of a child with measles includes the administration of which of the following?
A. Aentian violet on mouth lesions
B. Antibiotics to prevent pneumonia
C. Tetracycline eye ointment for corneal opacity
. ,etinol capsule regardless of when the last dose was given
11!. A mother brought her 1- month old infant for consultation because of fever, which started + days prior to
consultation. To determine malaria ris/, what will you do?
A. o a tourni(uet test.
B. As/ where the family resides.
C. Aet a specimen for blood smear.
. As/ if the fever is present everyday.
.
11'. The following are strategies implemented by the epartment of "ealth to prevent mos(uito$borne diseases.
Which of these is most effective in the control of engue fever?
A. 3tream seeding with larva$eating fish
B. estroying breeding places of mos(uitoes
C. Chemoprophyla%is of non$immune persons going to endemic areas
. Teaching people in endemic areas to use chemically treated mos(uito nets
11+. 3econdary prevention for malaria includes
A. &lanting of neem or eucalyptus trees
B. ,esidual spraying of insecticides at night
C. etermining whether a place is endemic or not
. Arowing larva$eating fish in mos(uito breeding places
11.. 3cotch tape swab is done to chec/ for which intestinal parasite?
A. Ascaris
B. &inworm
C. "oo/worm
. 3chistosoma
114. Which of the following signs indicates the need for sputum e%amination for A=B?
A. "ematemesis
B. =ever for 1 wee/
C. Cough for ' wee/s
. Chest pain for 1 wee/
115. Which clients are considered targets for 0T3 Category :?
A. 3putum negative cavitary cases
B. Clients returning after a default
C. ,elapses and failures of previous &TB treatment regimens
. Clients diagnosed for the first time through a positive sputum e%am
117. To improve compliance to treatment, what innovation is being implemented in 0T3?
A. "aving the health wor/er follow up the client at home
B. "aving the health wor/er or a responsible family member monitor drug inta/e
C. "aving the patient come to the health center every month to get his medications
. "aving a target list to chec/ on whether the patient has collected his monthly supply of drugs
11<. iagnosis of leprosy is highly dependent on recognition of symptoms. Which of the following is an early sign of
leprosy?
A. ?acular lesions
B. :nability to close eyelids
C. Thic/ened painful nerves
. 3in/ing of the nosebridge
1!-. Which of the following clients should be classified as a case of multibacillary leprosy?
A. ' s/in lesions, negative slit s/in smear
B. ' s/in lesions, positive slit s/in smear
C. . s/in lesions, negative slit s/in smear
. . s/in lesions, positive slit s/in smear
1!1. :n the &hilippines, which condition is the most fre(uent cause of death associated with schistosomiasis?
A. 2iver cancer
B. 2iver cirrhosis
C. Bladder cancer
. :ntestinal perforation
1!!. What is the most effective way of controlling schistosomiasis in an endemic area?
A. 6se of molluscicides
B. Building of foot bridges
C. &roper use of sanitary toilets
. 6se of protective footwear, such as rubber boots
1!'. When residents obtain water from an artesian well in the neighborhood, the level of this approved type of water
facility is
A. :
B. ::
C. :::
. :@
1!+. =or prevention of hepatitis A, you decided to conduct health education activities. Which of the following is
:,,*2*@A#T?
A. 6se of sterile syringes and needles
B. 3afe food preparation and food handling by vendors
C. &roper disposal of human e%creta and personal hygiene
. :mmediate reporting of water pipe lea/s and illegal water connections
1!4. Which biological used in *%panded &rogram on :mmuni)ation I*&:J should #0T be stored in the free)er?
A. &T
B. 0ral polio vaccine
C. ?easles vaccine
. ??,
1!5. Bou will conduct outreach immuni)ation in a barangay with a population of about 1.--. *stimate the number of
infants in the barangay.
A. +.
B. .-
C. ..
. 4-
1!7. :n :ntegrated ?anagement of Childhood :llness, severe conditions generally re(uire urgent referral to a hospital.
Which of the following severe conditions 0*3 #0T always re(uire urgent referral to a hospital?
A. ?astoiditis
B. 3evere dehydration
C. 3evere pneumonia
. 3evere febrile disease
1!<. A client was diagnosed as having engue fever. Bou will say that there is slow capillary refill when the color of
the nailbed that you pressed does not return within how many seconds?
A. '
B. .
C. 7
. 1-
1'-. A '$year old child was brought by his mother to the health center because of fever of +$day duration. The child
had a positive tourni(uet test result. :n the absence of other signs, which is the most appropriate measure that the
&"# may carry out to prevent engue shoc/ syndrome?
A. :nsert an #AT and give fluids per #AT.
B. :nstruct the mother to give the child 0resol.
C. 3tart the patient on intravenous fluids 3TAT.
. ,efer the client to the physician for appropriate management.
1'1. The pathognomonic sign of measles is Hopli/>s spot. Bou may see Hopli/>s spot by inspecting the EEEEE.
A. #asal mucosa
B. Buccal mucosa
C. 3/in on the abdomen
. 3/in on the antecubital surface
1'!. Among the following diseases, which is airborne?
A. @iral conCunctivitis
B. Acute poliomyelitis
C. iphtheria
. ?easles
1''. Among children aged ! months to ' years, the most prevalent form of meningitis is caused by which
microorganism?
A. "emophilus influen)ae
B. ?orbillivirus
C. 3teptococcus pneumoniae
. #eisseria meningitidis
1'+. "uman beings are the maCor reservoir of malaria. Which of the following strategies in malaria control is based on
this fact?
A. 3tream seeding
B. 3tream clearing
C. estruction of breeding places
. Mooprophyla%is
1'.. The use of larvivorous fish in malaria control is the basis for which strategy of malaria control?
A. 3tream seeding
B. 3tream clearing
C. estruction of breeding places
. Mooprophyla%is
1'4. ?os(uito$borne diseases are prevented mostly with the use of mos(uito control measures. Which of the
following is #0T appropriate for malaria control?
A. 6se of chemically treated mos(uito nets
B. 3eeding of breeding places with larva$eating fish
C. estruction of breeding places of the mos(uito vector
. 6se of mos(uito$repelling soaps, such as those with basil or citronella
1'5. A +$year old client was brought to the health center with the chief complaint of severe diarrhea and the passage
of 8rice water9 stools. The client is most probably suffering from which condition?
A. Aiardiasis
B. Cholera
C. Amebiasis
. ysentery
1'7. :n the &hilippines, which specie of schistosoma is endemic in certain regions?
A. 3. mansoni
B. 3. Caponicum
C. 3. malayensis
. 3. haematobium
3. mansoni is found mostly in Africa and 3outh America; 3. haematobium in Africa and the ?iddle *ast; and 3.
malayensis only in peninsular ?alaysia.
1'<. A '!$year old client came for consultation at the health center with the chief complaint of fever for a wee/.
Accompanying symptoms were muscle pains and body malaise. A wee/ after the start of fever, the client noted
yellowish discoloration of his sclera. "istory showed that he waded in flood waters about ! wee/s before the onset of
symptoms. Based on his history, which disease condition will you suspect?
A. "epatitis A
B. "epatitis B
C. Tetanus
. 2eptospirosis
1+-. ?W33 provides water to ?anila and other cities in ?etro ?anila. This is an e%ample of which level of water
facility?
A. :
B. ::
C. :::
. :@
1+1. Bou are the &"# in the city health center. A client underwent screening for A:3 using *2:3A. "is result was
positive. What is the best course of action that you may ta/e?
A. Aet a thorough history of the client, focusing on the practice of high ris/ behaviors.
B. As/ the client to be accompanied by a significant person before revealing the result.
C. ,efer the client to the physician since he is the best person to reveal the result to the client.
. ,efer the client for a supplementary test, such as Western blot, since the *2:3A result may be false.
1+!. Which is the B*3T control measure for A:3?
A. Being faithful to a single se%ual partner
B. 6sing a condom during each se%ual contact
C. Avoiding se%ual contact with commercial se% wor/ers
. ?a/ing sure that one>s se%ual partner does not have signs of A:3
1+'. The most fre(uent causes of death among clients with A:3 are opportunistic diseases. Which of the following
opportunistic infections is characteri)ed by tonsillopharyngitis?
A. ,espiratory candidiasis
B. :nfectious mononucleosis
C. Cytomegalovirus disease
. &neumocystis carinii pneumonia
1++. To determine possible sources of se%ually transmitted infections, which is the B*3T method that may be
underta/en by the public health nurse?
A. Contact tracing
B. Community survey
C. ?ass screening tests
. :nterview of suspects
1+.. Antiretroviral agents, such as AMT, are used in the management of A:3. Which of the following is #0T an
action e%pected of these drugs.
A. They prolong the life of the client with A:3.
B. They reduce the ris/ of opportunistic infections
C. They shorten the period of communicability of the disease.
. They are able to bring about a cure of the disease condition.
1+4. A barangay had an outbrea/ of Aerman measles. To prevent congenital rubella, what is the B*3T advice that
you can give to women in the first trimester of pregnancy in the barangay?
A. Advice them on the signs of Aerman measles.
B. Avoid crowded places, such as mar/ets and moviehouses.
C. Consult at the health center where rubella vaccine may be given.
. Consult a physician who may give them rubella immunoglobulin.
1+5. Bou were invited to be the resource person in a training class for food handlers. Which of the following would
you emphasi)e regarding prevention of staphylococcal food poisoning?
A. All coo/ing and eating utensils must be thoroughly washed.
B. =ood must be coo/ed properly to destroy staphylococcal microorganisms.
C. =ood handlers and food servers must have a negative stool e%amination result.
. &roper handwashing during food preparation is the best way of preventing the condition.
1+7. :n a mothers> class, you discussed childhood diseases such as chic/en po%. Which of the following statements
about chic/en po% is correct?
A. The older one gets, the more susceptible he becomes to the complications of chic/en po%.
B. A single attac/ of chic/en po% will prevent future episodes, including conditions such as shingles.
C. To prevent an outbrea/ in the community, (uarantine may be imposed by health authorities.
. Chic/en po% vaccine is best given when there is an impending outbrea/ in the community.
1+<. Complications to infectious parotitis ImumpsJ may be serious in which type of clients?
A. &regnant women
B. *lderly clients
C. Boung adult males
. Boung infants