CDO B1

CDO B2

CDO B3

CDO B4

ZAMBOANGA 1

ZAMBOANGA 2

ILIGAN B1

ILIGAN B2

TACLOBAN

PURE ONLINE S1

PURE ONLINE S2

PURE ONLINE S3

PURE ONLINE S4

PURE ONLINE S5

PURE ONLINE S6

PURE ONLINE S7

PURE ONLINE S8

Situation: As a Community Health Nurse, you must be aware of the *1/1

different legal laws related to health care to promote awareness on
proper health teaching to the people.
1. Republic Act 1054 is known as the:

A. School Health Act

B. Occupational Health Act

C. Mother and Child Health Act

D. Family Health Act

2. A muriatic acid factory has 195 workers. As mandated by Republic At *0/1

1054, the factory needs to have:

A. A graduate first aid provider

B. Part time physician & dentist

C. Full time physician & dentist

D. Occupational health nurse

3. Almost all Hospitals in the Philippines observe the Expanded *0/1

Breastfeeding Promotion Act of 2009 is:

A. RA 12800

B. RA 9800

C. RA 7600

D. RA 10028

4. It is mandated that a Community health Nurse must be aware of the *1/1

Universal Law on Immunization which is the:

A. PD 4

B. PD 5

C. PD 6

D. PD 7
5. Nurse Rona explains to the mother the importance of Breastfeeding *1/1
which is based on Milk Code of:

A. EO 51

B. PD 51

C. EO 15

D. PD 15

Situation: Immunization is one of the significant programs of the *0/1

Department of Health to prevent childhood morbidity.
6. Nurse Dorothy is preparing to administer vaccinations to children.
She knows that the following are correct EXCEPT:

A. The vaccination schedule should not be restarted from the beginning even if
the interval between doses exceeded the recommended interval by months or
years.

B. Giving doses of a vaccine at less than the recommended 4 weeks interval may
lessen the antibody response.

C. Lengthening the interval between doses of vaccines leads to higher antibody

levels.

D. Use one syringe and one needle for all the children receiving the same
vaccination.

7. Rose, a mother of a 7-month-old baby, is asking the nurse in the *1/1

Health Center regarding the 7 vaccine preventable diseases. All of the
following diseases are included EXCEPT:

A. Diphtheria

B. Measles

C. Poliomyelitis

D. Dengue

8. Kurt, 4 years old, has Measles. His mother asks the nurse if there is a *1/1
chance that Kurt will contract the virus again. The nurse’s response
should be based on her knowledge that:

A. reactivation of old infection is common with Measles.

B. immunity from Measles is lifelong after the first attack.

C. no immunity is induced by the infection.

D. immunity from Measles is just for 6 months after the first attack.

9. When can you say that a child is already a “Fully Immunized Child”? * 1/1

A. If he received one dose of BCG, 3 doses of OPV, 2 doses of DPT, 3 doses of HB

and one dose of measles before his/her first birthday.

B. If he received two doses of BCG, 3 doses of OPV, 3 doses of DPT, 3 doses of HB

and one dose of measles before his/her first birthday.

C. If he received one dose of BCG, 2 doses of OPV, 3 doses of DPT, 3 doses of HB

and one dose of measles before his/her first birthday.

D. If he received one dose of BCG, 3 doses of OPV, 3 doses of DPT, 3 doses of

HB and one dose of measles before his/her first birthday.

10. Annabelle, a new mother, asks the nurse about the purpose of the *1/1
first BCG vaccination given to her son. The nurse’s best response should
be:

A. “An early start with BCG reduces the chance of severe pertussis.”

B. “The extent of protection against polio is increased the earlier the BCG is given.”

C. “BCG given at earliest possible age protects the possibility of TB meningitis

and other TB infections in which infants are prone.”

D. “An early start of BCG reduces the chance of being infected and becoming a
carrier. It prevents liver cirrhosis and liver cancer.”
Situation: One of the dramatic advances of immunization is the decline of *0/1
infectious diseases to children and also to mothers.
11. A Public health nurse prepares the necessary equipments before
immunization. Which of the following vaccines is/are most sensitive to
heat?
1. OPV
2. DPT
3. BCG
4. HepB
5. Measles

A. 1,3,5

B. 1,5

C. 2,3,4

D. 2,4

12. This is a practice in immunization that aims to assure that all *1/1
vaccines are utilized before its expiry date.

A. “first expiry and first out”

B. “last expiry and last out”

C. “first expiry and last out”

D. “last expiry and first out”

13. Nurse George, the Public Health Nurse, is preparing to administer *0/1
the Measles vaccine. He knows that this vaccine is administered:

A. Orally

B. Intradermally

C. Subcutaneously

D. Intramuscularly

14. Nurse George administered DPT1 to Baby Lynzee. Maria, Lynzee’s *1/1
mom, asked Nurse George about what she needs to expect after the
administration of DPT1? The Nurse response would be based on his
knowledge of the following side effects of DPT EXCEPT:

A. fever within 24 hours

B. pus formation within 3 months

C. swelling within 3-4 days

D. pain within 3-4 days

15. Rosalie, 2 months pregnant, came to the health center for her first *0/1
dose of Tetanus Toxoid Immunization. After the administration, she asks
the nurse when she needs to come back for the next dose. The nurse’s
response should be:

A. after one year

B. at least 4 weeks later

C. at least 4 months later

D. after 6 months
Situation: In the Community Health Center several children were admitted *0/1
for treatment of various health disorders. The Nurse Harold utilizes the
integrated approach in child illness management.
16. Nurse Harold, a new Public health Nurse, upon conducting his
assessment following the integrated case management process in the
Rural Health Unit, classified Baby Lou under the color yellow. He knows
that the management of baby Lou will be done:

A. at home

B. in the RHU

C. in the ambulance, on their way to the hospital

D. in the hospital

17. The following are the danger signs that need to be assessed *0/1
following the Integrated Case Management process EXCEPT:

A. Convulsions

B. Vomits everything

C. Fever

D. Unable to drink

18. Which of the following statements made by a mother about her one *0/1
year old son reflects a need for immediate referral?

A. My son is restless at all times

B. My son drinks normally

C. My son’s eyes looks sunken

D. My son sleeps more often than usual

19. What would be the most appropriate way to measure the height and *0/1
weight of a 13-month-old child?

A. Stand the child on the scale for weight, and then measure the height with the
child standing up.

B. Lay the child down to measure length, and then stand the child on the scale.

C. Lay the child down to measure length, and then lay the child on a baby scale.

D. Stand the child up to measure height, and then lay the baby on the baby scale for
weight.

20. Nurse Harold is reviewing the appropriate approach of health *0/1

promotion. Which of the following is defined as the study of all factors in
man’s physical environment, which may exercise a deleterious effect on
his well-being and survival?

A. Food sanitation

B. Excreta disposal

C. Environmental sanitation

D. Water sanitation

Situation: Barangay Dionisia is situated in a remote area. The Public *1/1

Health Nurse conducted several health training programs regarding
Herbal plants that would be useful in the treatment of illness and health
problems. The following can be found in the small garden of the
Barangay.
21. Tsaang Gubat is used to treat which of the following?

A. Diarrhea and Stomachache

B. Cough and Fever

C. Colds and Pain

D. Hypertension
22. Niyog-niyogan is an: * 0/1

A. Analgesic

B. Anti-helminthic

C. Anti-hypertensive

D. Anti-gout

23. Ulasimang Bato or Pansit-pansitan is used to: * 1/1

A. lower cholesterol levels

B. lower blood sugar levels

C. lower ammonia levels

D. lower uric acid levels

24. This refers to a drug outlet managed by a legitimate community *1/1

organization, non-government organization, and the local government
unit with a trained operator and a supervising pharmacist, and specifically
licensed by the Bureau of Food and Drugs to sell, distribute, offer for sale,
and or make available low-priced generic home remedies, Over the
Counter (OTC) drugs, antibiotics, and medication for chronic diseases.

A. Mercury drugs

B. Right Med

C. Generic Pharmacy

D. Botika ng Barangay

25. One strategy to address the problem in a poor Barangay aside from *0/1
Herbal Plants is food production. Which of the following is a priority?

A. A community managed poultry and piggery

B. Planting plenty of Malunggay

C. Planting tomatoes and eggplants in containers

D. Engaging in a home –based food processing business

Situation: Community Health Nurse Sebastian is collaborating with the *1/1

Health team on the topics to be discussed in the Community Health
Sessions. The topics are about Newborn Screening (N.S.) and Elderly
Care. Newborn screening is a simple procedure to determine if the infant
has congenital conditions that may lead to serious complications.
26. The Newborn Screening Act of 2004 is:

A. RA 9288

B. RA 8829

C. RA 8299

D. RA 9928

27. The following are diseases included in the newborn screening *0/1
EXCEPT:

A. Galactosemia

B. G6PD

C. Phenylketonuria

D. Hepatitis
28. Congenital Hypothyroidism is one of the diseases screened in the *1/1
Newborn Screening Program. When asked by the mother why her
newborn baby does not manifest signs of hypothyroidism when it is a
congenital condition , the Nurse’s response will reflect an understanding
of which of the following:

A. Thyroid hormone can pass through placental barrier and the fetus had
received enough to delay the onset of the signs of hypothyroidism

B. The mother’s own antibodies act to protect the Newborn from early signs of
hypothyroidism

C. The immaturity of the thyroid gland at the same time of birth favors the delayed
onset of hypothyroidism

D. The influence of anterior pituitary gland is not so much in the neonatal period
causing delay in the onset signs

29. Nurse Sebastian also discusses the different programs and legal *1/1
benefits of our Elderly to promote Health Care. The law that mandates the
provision of 20% discount in all public establishments for the Elderly is:

A. RA 7423

B. RA 7432

C. RA 7342

D. RA7243

30. This is also a beneficial legal act for every individual especially to *1/1
those who are economically conscious of their medical maintenance.
This refers to Republic Act 6675 which is:

A. Generics Act of 1988

B. Dangerous Drug Act

C. Hospital Licensure Act

D. AIDS Prevention and Control

Situation: A Community health Nurse plans to analyze the health status in *1/1
her assigned community area. She is aware of the knowledge on the
different concepts of health and health promotion.
31. She used a problem tree to analyze the community problems. The
diagram includes that:

A. Health problems have solution

B. Poverty is the cause of all health problems

C. Health is influenced by many factors

D. People can solve existing problems

32. Health needs and interventions are categorized as primary, *0/1

secondary, and tertiary. If the outcome of health is “complications” from
disease: this is classified under:

A. Primary

B. Secondary

C. Tertiary

D. All of the above

33. In order to help achieve its mission of the Philippine Health Care *0/1
Delivery System (PHCDS) the Department of Health (DOH) adopted which
of the following best strategies ?

A. Focusing on programs that will fight poverty at the family and community level

B. Family empowerment rather than individual

C. People centered programs

D. All these strategies

34. Public Health Nurse Clarita is guided by the Primary Health Care’s *1/1
contribution to National Health Development. . Nurse Clarita is aware that
this is best illustrated by:

A. Provision of adequate health services

B. Reduction in the Community’s mortality and morbidity

C. Mobilization of people effort for production activities

D. Increase social awareness and civic consciousness

35. In the Health Center Integrated Management of Childhood Illness *0/1

(IMCI), conditions are classified so that corresponding urgency could be
determined. Which of the following severe conditions does not always
require urgent referral to a hospital?

A. Mastoiditis

B. Severe Dehydration

C. Severe Pneumonia

D. Severe Febrile disease

Situation: The Integrated Management of Childhood Illness strategy has *0/1

been introduced as a strategy for survival, growth, and development
among children. IMCI includes preventive and curative treatments based
on the combination of the health care deliveries in the community.
41. Which among these clients is not covered by the IMCI protocol?

A. A mother’s 5-day-old child with wheezing

B. A three-month-old infant noted to have diarrhea

C. A six-year-old patient suspected to have measles

D. A two-year-old infant with fever

42. In identifying malarial risks for a certain area, which among these *0/1
conditions would indicate high-risk?

A. More than 5% of the fever cases in children are due to malaria

B. Less than 5% of the fever cases in children are due to malaria

C. More than 10% of the fever cases in children are due to malaria

D. Less than 10% of the fever cases in children are due to malaria

43. A 5-month-old infant is brought to the health center. No danger *1/1

signs and other problems were noted except for pus draining from his
ear. The mother said it has been present for 5 days already. Based on the
proper classification, which among these actions is best?

A. Advice for follow-up in 2 days.

B. Give Paracetamol for pain.

C. Refer to the hospital immediately.

D. Instill quinolone drops after dry wicking three times daily for two weeks

44. Oral thrush is present in an infant with HIV. In which stage of HIV *0/1
does the patient fall under?

A. Asymptomatic

B. Mild

C. Moderate

D. Severe
45. Which of these is not included in the preferred antiretroviral regimen *0/1
for HIV-patients who are 3 years old and above?

A. Nevirapine (NVP)

B. Efavirenz (EFV)

C. Abacavir (ABC)

D. Lamivudine (3TC)

Situation: The Essential Intrapartum and Newborn Care (EINC) is *1/1

composed of standards and protocols that are evidence-based and
suggested to be adopted by the hospitals and other birthing facilities in
the country.
46. As per the EINC, when may a newborn be bathed or washed to
prevent hypothermia?

A. Immediately after delivery

B. Within 1 hour after delivery

C. 2 hours after delivery

D. At least 6 hours after delivery

47. Which of these is not a recommended practice during the intrapartal *1/1
period?

A. Perineal shaving prior to delivery

B. Spontaneous pushing in a semi-upright position

C. Continuous support during childbirth

D. Administration of oxytocin before placental delivery

48. You are counselling a woman on proper attachment and suckling *0/1
during breastfeeding. Further instruction is needed with which of the
following statements made by the mother?

A. “The upper lip should be turned outwards, with the lower lip inwards”

B. “The baby’s mouth should be wide open.”

C. “My baby’s chin should be touching my breast”

D. “Pauses between suckling are normal.”

49. Which of these is not anymore recommended as a newborn care *0/1

practice?

A. Immediate drying

B. Skin to skin contact

C. Immediate cord clamping

D. Initiation of early breastfeeding

50. Why is properly-timed cord clamping important? * 1/1

A. It reduces iron reserves of the newborn for less load for the kidneys.

B. It reduces the newborn’s blood volume and prevent increased cardiac load.

C. It promotes placental transfusion and prevents iron-deficiency anemia.

D. It supports the need for blood transfusions in newborns.

Situation: During a journal club meeting of staff in the Pediatric ICU, Ricci *0/1
is presenting a study regarding effective ways of preventing hospital-
acquired pneumonia among critically-ill pediatric patients.
51. Which of the following is a significant finding of the study?

A. There is no difference in the rate of pneumonia between pediatric patients born

term and pre-term (p-value=0.04).

B. The 5-minute APGAR score of the neonates correlate with the number of hospital
stays due to pneumonia (r=-0.9, p-value=0.5)

C. A chi-square of the sex of the pediatric patient, and the incidence of pneumonia
is 1.83, p-value=0.1.

D. A nurse-led intervention to prevent hospital-acquired pneumonia did not

improve the rate of pneumonia among pediatric patients.

52. An intervention is reported in the journal article to decrease the *0/1

incidence of pneumonia among pediatric patients. This study will follow
which of the following guidelines in reporting?

A. STROBE

B. CONSORT

C. PRISMA

D. MOOSE

53. Another staff nurse presented a study that looks into the factors *0/1
that decrease (or increase) the incidence of pneumonia in the pediatric
ICU. What is the most likely research purpose of this study?

A. Description

B. Exploration

C. Prediction

D. Control

54. Which of the following sampling techniques produces a less likely *1/1
representative sample for study?

A. Convenience Sampling

B. Stratified Sampling

C. Purposive Sampling

D. Nonprobability Sampling

55. The head nurse of the pediatric ICU reported a study that looked *1/1
into how a nurse-led infection prevention intervention is implemented in
Singapore, which included how the nurse-led team is composed, the
manner how teams orient the different participating hospitals, and the
factors associated with successful implementation. This refers to what
kind of evaluation research?

A. Process Analysis

B. Outcome Analysis

C. Impact Analysis

D. Adherence Analysis
Situation: Different communicable diseases spike up in today’s trends. It *0/1
is important for the nurse to understand the background of different
emerging diseases, its presentation, diagnosis and interventions
associated to the diseases. The following questions apply to emerging
communicable diseases.
56. Ebola virus was discovered in 1978 in Congo and re-appeared last
2014 in Guinea with a case fatality rate of 50%. It has several different
causative agents and is transmitted through direct or indirect contact to
affected primates such as bats. It is also commonly known as the
hemorrhagic fever. Given its signs and symptoms of myalgia, high fever,
malaise, internal bleeding and shock, the nurse should anticipate all of
the following management except:

A. Intensive fluid replacement

B. Contact tracing

C. Isolation

D. Close-door home care

57. Zika virus is another emerging disease which was discovered in *1/1
Uganda in 1947. It is known to be transmitted through mosquito bites
specifically of Aedesaegypti and albopictus. Aside from a known
complication of microcephaly to infants born to a mother who had a
history of Zika virus, which complication is known to develop among
adults who have had a history of the disease?

A. Guillain-Barre Syndrome

B. Alzheimer’s disease

C. Degenerative spondylosis

D. Hunter’s syndrome

58. In caring for a client with AIDS and is currently on HAART therapy, *0/1
which of the following statements indicates a need for further teaching
regarding the management of the disease?

A. “I should take my HAART medications with meals”

B. “I should regularly check my liver function.”

C. “I should immediately consult my physician if I experience abdominal pain

which radiates to the back”

D. “I could go swimming in a public resort with my family and friends”

59. Nurse Pau is teaching a group of student nurses about Dengue. *1/1
Which of the following statements, if said by the student indicates correct
understanding of the topic being discussed?

A. “The confirmatory test for Dengue virus is the complete blood count test”

B. “20 or more petechial spots inside a 2.5 cm2 box may indicate presence of
bleeding according to the principle of the Rumpel lead test”

C. “The drug of choice for the client’s fever is acetylsalicylic acid”

D. “There is a need to restrict the client’s fluid during Grade III Dengue Fever”

60. SARS and MERS-COV almost have the same presenting signs and *0/1
symptoms. Although they both have the same causative agent which
beta-coronavirus, MERS-COV has a higher case fatality rate of 30%
compared to the 10% CFR of SARS. The difference between the statistics
of the two diseases can be attributed to:

A. The extent of respiratory complications in MERS-COV

B. The presence of renal involvement in MERS-COV

C. The easier diagnosis of SARS

D. The self-limiting nature of SARS

Situation: Epidemiology is the study of occurrence and distribution of *1/1
health conditions such as disease, death, deformities or disabilities on
human populations. It is also concerned on the probable factors which
influence the development of these conditions.
61. In a far-flung community in Masbate, over the total of 7,500 male
population, there are 45 cases of lung cancer recorded in 2012. Among
the total cases, 42 males reported a history of chronic heavy use of
cigarettes (25 or more per day) while the rest reported complete
abstinence from smoking. Given this data, the nurse computes the
relative risk ratio of smoking to the development of lung cancer as:

A. 9

B. 12

C. 14

D. 3

62. In a birthday party in a community, several suspected case of food *0/1

poisoning has been reported to the rural health unit. During the case-
control study of the epidemiologic team, it has been found that the
spaghetti which was served in the party was the possible cause of the
poisoning. Among those 56 who attended the party, there were a total of
32 people who reported nausea and vomiting. Of the total poisoned
individuals, 28 reported to have eaten spaghetti and 2 reported that they
were not able to eat the meal provided. There were 24 individuals who
haven’t had any episodes of nausea and vomiting. Of these 24, three
reported to have consumed spaghetti from the party. Given the data, what
is the odds ratio of food poisoning to the consumption of spaghetti in the
party?

A. 98

B. 24

C. 78

D. 23

63. In an epidemiologic study done on Poblacion Uno and *0/1

PoblacionTres in Mendez, Cavite in June 2016, it has been known that the
prevalence rate of measles among children aged 2-6 years old is 7.1 and
3.4, respectively. The following is a correct statement about the two
barangays:

A. Poblacion Uno has a higher herd immunity to measles compared to

PoblacionTres.

B. PoblacionTres has higher susceptibility to measles compared to Poblacion Uno.

C. PoblacionTres has higher herd immunity to measles compared to Poblacion

Uno.

D. Both Barangays have the same herd immunity and susceptibility levels to
measles.

64. This statistical data is the most sensitive and a good index of the *0/1
general condition of a community as it is able to reflect the minimal
changes in its environment and medical condition.

A. Maternal mortality rate

B. Crude death rate

C. Infant mortality rate

D. Crude birth rate

65. In an epidemiologic study in the province of Sorsogon, it has been *0/1

seen that the case of Filiariasis recorded from years 2013-2015 were 12,
11, 14, respectively. This condition is known as:

A. Sporadic

B. Endemic

C. Epidemic

D. Chance
Situation: Family nursing practice emphasizes the need to understand the *0/1
behavior of the family as a dynamic, functioning unit which affects its
capability to help itself and maintain equilibrium within self. Family
community health nursing deals with an open and developing system of
interacting personalities which may affect the health status of the
community.
66. In the practice of family community health nursing, different
theoretical frameworks were developed to better understand the ever
dynamic system under the basic unit of the community. Which of the
following statements explains the Family Systems Theory?

A. “Views the family as a living social system within a context in which multiple
environmental actions or factor occur over the life course. It is composed of
interrelated and interdependent individuals who are organized into a single unit to
attain specific family goals.”

B. “Views the family as a unity of interacting personalities whose actions are based
on meanings they derive from interactions and taken in an ever changing process
of new interactions, new interpretations and new meanings”

C. “Specifies four structural dimensions: role structure, value system,

communication process, and power structure. It identifies five functional areas:
affective function, socialization and family placement function, reproductive
function, economic function and healthcare function.”

D. “Based on the principle that in order to achieve wellness among family

members and reduce or eliminate family health problems, the family as a
functioning unit performs the following health tasks (1) recognize the presence
of wellness state or health problem, (2) make decision about taking appropriate
health action, (3) provide nursing care to the sick, (4) maintain home
environment conducive to health maintenance and personal development and
(5) utilize community resources for health care.”

67. Assessment data base is an important tool used in planning care *0/1
for the whole family in the community. Data collection is an essential
step for a successful diagnosis of family health problems as well as
implementation of care needed by the clientele. This type of data
collection infers communication and interaction patterns, task
assumption and role perception of family members and home and
environmental conditions.

A. Interview

B. Focused group discussion

C. Observation

D. Records review

68. Using the Family Systems Theory of Murray Bowen, data which is *1/1
analyzed is then used in the diagnosis of the family health problems
which is included in the typology of nursing problems in family health
care. During the diagnosing part of planning care for Ventura family,
Nurse Gia found out that Mr. Alex Ventura, 45yo, the head of the family
reported that he is engaging unprotected sexual activities with multiple
sexual partners without the knowledge of his wife. He also engages into
physical activity at least 4 times a week. Mr. Alex’s sexual practices can
be considered as a:

A. Wellness condition

B. Health threat

C. Health deficit

D. Foreseeable Crisis

69. Mrs. Aleli, Mr. Alex’s wife is on her 28th week AOG. They have five *1/1
children in which 3 are currently attending school while two youngest
children are aged 1 and 3 respectively. During the interview, Mrs. Aleli
verbalized that she is worried that the family would not be able to supply
the needs of all their children and that they deem it necessary for the
eldest child to stop her schooling. This condition is considered as:

A. Wellness condition

B. Health threat

C. Health deficit

D. Foreseeable Crisis
70. Maria, the eldest child of Aleli and Alex has been reported to have a *1/1
feeling of nausea, vomiting and diarrhea. Upon Nurse Gia’s physical
assessment, she observed that there is an abdominal protrusion on the
child’s thin frame. Maria is also underweight and Aleli reported presence
of worms in her daughter’s stool. This condition is:

A. Wellness condition

B. Health threat

C. Health deficit

D. Foreseeable Crisis

71. In the second-level assessment of Ventura family, Aleli reported that *0/1
they think Maria is a healthy child and that there are no present health
problems. The couple seemed defensive as they explained that they are
trying their best to give the basic needs of their children. This reaction
from Aleli indicates which family health nursing problem?

A. Inability to recognize the presence of the problem

B. Inability to make decisions with respect to taking appropriate health action

C. Inability to provide adequate nursing care to the sick, disabled dependent or

vulnerable member of the family

D. Failure to utilize community resources for health care

72. When talking about the immunization status of their children, Alex *0/1
stated that all of their children did not have complete immunization
status despite knowing that it is available for free in the rural health unit.
The couple reported to have a problem with the rural health midwife in
the past and they have decided to never go back to the RHU for any
services again. In the second-level assessment, which family health task
does the family fail to perform?

A. Inability to recognize the presence of the problem

B. Inability to make decisions with respect to taking appropriate health action

C. Inability to provide adequate nursing care to the sick, disabled dependent or

vulnerable member of the family

D. Failure to utilize community resources for health care

Situation: Based on the standard of community health nursing practice, *0/1

the nurse handles a caseload of clients in a cluster of municipalities,
areas or clusters. In giving care for multiple families, there is a need to
prioritize the needs of each family to be able to provide efficient and just
care to all the clients in the community.
73. This criteria in health problem prioritization refers to the nature of
and magnitude of the problems which can be minimized or totally
prevented if an intervention is done under certain considerations:

A. Nature of the problem

B. Salience

C. Modifiability of the condition

D. Preventive potential

74. Effective family planning is a health intervention needed by the *1/1

Versoza family due to their unsustainable large family number. During the
planning phase, the couple verbalized that they deem the intervention
necessary and the problem requires an immediate attention since the
problem affects the quality of life of the whole family especially their
children. What score would the nurse give to the level of salience of the
Versoza family on the said problem?

A. 1

B. 0.5

C. 2

D. 1.5
75. During the planning phase of the Valdez family on the current *0/1
problem of HIV of their mother, Mrs. Leila. This problem was seen by the
family as a problem which needs immediate attention with a moderate
preventive potential as the complications and disease process can be
halted but not prevented upon intervention. What prioritization score
should the nurse give to the presenting problem of the Valdez family?

A. 1.40

B. 3.16

C. 2

D. 1.0

Situation: Public health nursing has dynamically evolved as a practice *1/1

which is influenced by the changing global and local trends in the
Philippines. Public health nursing has evolved alongside the institution
and development of the Department of Health which was mandated to
promote and protect people’s health.
76. The term “Public Health Nursing” was coined by Lilian Wald who
advocated for services to be available to all people. With the different
definitions of public health nursing, the World Health Organization (WHO)
defined the term as:

A. “Nursing practice in a wide variety of community services and consumer

advocate areas, and in a variety of roles, at times including independent practice,
community health nursing is not confined to public health nursing agencies”

B. “A service rendered by a professional nurse with communities, groups, families,

individuals at home, in health centers, in clinics, in schools, in places of work for
promotion of health, prevention of illness, care of the sick at home and
rehabilitation”

C. “A special field of nursing that combines the skills of nursing, public health
and some phases of social assistance and functions as part of the total public
health programme for the promotion of health, the improvement of conditions
in the social and physical environment, rehabilitation of illness and disability”

D. “The art and science of preventing disease, prolonging life and promoting health
through the organized efforts of society.”

77. The public health nurse plays different vital roles in the promotion of *0/1
health in different fields in the community. The PHN coordinates with
other agencies for the provision of specific services at the same time
conducts home visits in the community to evaluate the plan of care
implemented on clients. When the nurse calls for active participation of
the community through community organizing and mobilization to assist
the community in solving their own problems and promote independence,
which role is the nurse portraying?

A. Management function

B. Nursing care function

C. Training function

D. Research function
78. In the year 2000, the United Nations Millennium Declaration was *0/1
signed wherein 189 participating UN member states agreed to try to
achieve the 8 Millennium Development Goals in the year 2015. After the
implementing period of the MDGs, the United Nations, through a
deliberative process involving its 193 member states, came up with the
Sustainable Development Goals 2030, officially known as the
“Transforming our world: the 2030 Agenda for Sustainable Development”.
Which of the following statements is not in line with the targets of the 17
SDGs?

A. Ensure sustainable food production systems and implement resilient agricultural

practices that increase productivity and production, that help maintain ecosystems,
that strengthen capacity for adaptation to climate change, extreme weather,
drought, flooding and other disasters and that progressively improve land and soil
quality

B. Ensure limited access to sexual and reproductive health-care services, including

for family planning, information and education, and the integration of reproductive
health into national strategies and programmes

C. Ensure that all learners acquire the knowledge and skills needed to promote
sustainable development, including, among others, through education for
sustainable development and sustainable lifestyles, human rights, gender
equality, promotion of a culture of peace and non-violence, global citizenship
and appreciation of cultural diversity and of culture’s contribution to sustainable
development

D. Sustain per capita economic growth in accordance with national circumstances

and, in particular, at least 7 per cent gross domestic product growth per annum in
the least developed countries

79. Public health and public health nursing is a practice which primarily *0/1
move in an increasingly health promotion direction beyond its
responsibility of providing clinical and curative services in the community.
All but one are principles of health promotion;

A. It involves the population as a whole in the context of their everyday life, rather
than focusing on people at risk from specific diseases

B. It is primarily a medical service and not a societal and political venture in which
healthcare professionals have a vital role

C. It aims particularly at effective and concrete public participation which requires

development of problem-defining and decision-making life skills both individually
and collectively

D. It is directed towards action on the determinants or causes of health. This

requires a close cooperation between sectors beyond healthcare which reflects
the diversity of conditions which influence health.

80. Nurse Lyka is assigned to a number of health centers in District 1 of *0/1

the Province of Iloilo. She manages and oversees different groups of
nurses in a total of 4 health centers from Oton, Miagao, Tigbauan, and
Guimbal. She does objective assessment of different health programs,
problems and services in all of these areas. She also initiates meetings,
discussions and conferences with other nursing staff and health
personnel to provide joint planning and stimulation of activities for staff
improvement and capacity-building. Nurse Lyka performs the function of
a:

A. Public Health Nurse II

B. Supervising Public Health Nurse

C. Public Health Nurse V

D. Nurse Program Supervisor

Situation: Current epidemiological studies have revealed rent outbreaks *0/1

of certain dormant diseases. The following questions are relevant:
81. Dengvaxia ™ (CYD-TDV) is the first dengue vaccine to be licensed in
Mexico in 2015 for use in individuals 9-45 years of age living in endemic
areas. This was developed by Sanofi Pasteur. What is the route of
administration for this vaccine?

A. Intravenous

B. Oral

C. Intramuscular

D. Subcutaneous
82. Determine the dosage of this vaccine. * 1/1

A. 6 injections of 0.5mL each at 3-month intervals

B. 3 injections of 1mL each at 3-month intervals

C. 6 injections of 1mL: each at 6-month intervals

D. 3 injections of 0.5mL each at 6-month intervals.

83. Young women in your community are afraid that they could be *0/1
infected with Zika virus, and they approached you in request of
conducting a small gathering wherein you could share with them
information about it. The following are vital points to be discussed about
Zika virus, except:

A. Developing the infection can only be confirmed by laboratory testing of blood

and other bodily fluids.

B. Being affected by Zika virus may cause neurological and autoimmune

complications in the newborn.

C. Mothers of children with microcephaly have been exposed to Zika virus.

D. A means to control the spread of Zika virus is by vector side

reduction/eradication.

84. As an occupational nurse, you’ve been assigned to a response team *1/1

from your company in controlling the spread of EBOLA infection in one of
the affected areas. One of your tasks is to conduct health teaching on
preventive measures against the spread of the disease. You must include
the following concepts, except:

A. Wear personal protective equipment when caring for a client with EBOLA

B. Clients who had EBOLA but were treated should abstain from sexual
intercourse for the rest of his life.

C. A person with EBOLA becomes infectious upon the onset of signs and
symptoms.

D. A person with EBOLA remains infectious as long as the virus is present in his
blood.

85. You are approached by Paul and Phoebe, a couple, during your *1/1
medical mission to ask about EBOLA virus because Paul was infected
several months ago. Fortunately, he survived. Now, they are planning to
start a family. When they ask you about resuming their sexual practices,
which statement is appropriate for you to say?

A. Ebola virus can still be transmitted through blood for few years.

B. Ebola can still be transmitted through sex for months

C. Survivors can safely resume normal sexual practices without fear of Ebola
virus transmission after two negative results in laboratory testing.

D. Survivors can safely resume sexual practices provided that condom is used.

Situation: Nurses play an active role in the prevention, management and *0/1
containment of communicable diseases.
86. A client with human immunodeficiency virus positive had a mantoux
skin test. The nurse notes a 7 mm area of induration at the site of the
skin test. The nurse interprets the result as;

A. Positive

B. Negative

C. Uncertain

D. Borderline
SITUATION: Leprosy is a chronic mildly communicable disease that *0/1
mainly affects the skin, the peripheral nerves and the mucosa of the
upper respiratory tract. The Multi-Drug Therapy (MDT) is proven effective
cure for leprosy and renders patients non-infectious a week after starting
the treatment.
87. In a health education class conducted by the PHN, she informed
them about the early signs and symptoms of Leprosy. Which of the
following choices is inappropriate description of the disease?

A. Lagopthalmus

B. Painful nerves

C. Muscle weakness

D. Nasal bleeding

88. The PHN gave emphasis on signs and symptoms indicating the *1/1
infection had advanced to a later stage. Which of the following
information should be excluded

A. Madorosis

B. Hand contractures

C. Loss of sensation on skin lesion

D. Chronic ulcer

Situation: German Measles is a viral exanthem infection, caused by a *1/1

Paramyxo virus primarily affecting older children and young adults
occurring sporadically in the Philippines due to mildness of the infection.
The incubation period ranges from 10-21 days with clinical features
simulating Measles, also a viral exanthem infection
89. Prior to the exposure of the nursing affiliates to the Pediatric-
Isolation unit Mrs. Garcia, their C.I conducted pre-conference. She asks
her students to describe the hallmark of Rubella infection which is
lymphadenopathy. The C.I would not have to correct Elsa, one of the
nursing affiliates if she states:

A. It involves mucocutaneous lymph node syndrome

B. The superficial cubital noles are enlarged

C. This involves enlargement of axillary node

D. The post cervical nodes and post auricular nodes are enlarged

90. Clarisse, a student nurse is currently performing assessment on *1/1

Faith, a 9 year old child diagnosed with Rubella. Clarisse documented the
typical exanthem known as Forscheimer. Which of the following
assessment would support her findings?

A. Pinkish to reddish lesions on soft palate/uvula

B. Erythematous lesions over the neck

C. Vesicles all over the trunk

D. Petechial lesions over the face

91. Paramyxo virus is spread through direct contact with *1/1

nasopharyngeal secretions of infected individual. The S.N is conducting
health teachings to the mother. The health teachings to the mother. The
health teachings were effective of the mother states.

A. It is essential to isolate my other siblings who had Rubella infection last year

B. I should not allow my child to play with neighbors who recently recovered from
German measles

C. Playmates who live next door with uncertain immunization are highly risk

D. It is appropriate to inform my cousin who recently got married for us to

communicate over the phone and reset an outside meeting a week from now.
Situation: The WHO announced last April 2013 a new strain of H7N9 has *0/1
been found in birds and people in China. The WHO reported H7N9 viruses
had never before been detected in people from March 31, through April
30, 2013 however China reported more than 126 cases of human
infection with this new type of H7N9 virus.
92. The CDC and global public health experts are monitoring H7N9
viruses in China for changes that could allow the infection to spread more
easily among people.CDC issued a health alert for public health officials
and clinicians regarding flu symptoms of H7N9. Which of the ff. CDC
information guidance were included in the advisory:

a. Infection with H7N9 occurred after having contact with infected

poultry or contaminated environment
b. Symptoms started with high fever and cough. A lot of the cases have
progressed to very serious illness including severe pneumonia. Septic
shock and multi-organ failure leading to death
c. CDC recommends oseltamivis (tamiflu) and zanamivis (relenza) for
treatment of H7N9
d. Right now there is no vaccine to protect against this virus. It is
alarming because the CDC team has documented person to person
spread of the new virus

A. All except B

B. All except C

C. All except D

D. A, B, C, D

Situation: Tetanus is a neurologic disorder characterized by increased *1/1

toxin elaborated by Clostridium Tetani.
93. Prior to exposure to Tetanus ward, Ms. Garcia, a clinical instructor,
asks her students to recall the disease entity. The C.I would correct Elvie,
her student, if she states

A. The immediate sources of infection include soil, dust, animal and human feces

B. The masseter muscles are oftentimes affected

C. Series of painful generalized muscle spasms may lead to respiratory problem

D. The disease may lead to sustained contraction of the back muscles

producing an arched back termed as RisusSardonicus

94. A 12 year old child is scheduled for camping in Antipolo a month *0/1
from now. the mother ask the PHN the purpose of doctors prescription of
Tetanus Toxoid instead of Tetanus Immune Globulin. The nurse responds
correctly that Tetanus toxoid confers;

A. Lifelong passive immunity

B. Lifelong active natural immunity

C. Temporary passive immunity

D. Longer lasting immunity

Situation: Roseola Infantum also known as Sixth Disease is an acute *1/1

highly febrile condition followed by occurrence of rashes caused by HHV-
human herpes virus Type 6 with high incidence between 6Mos-24Mos of
age.
95. A clinical instructor assesses the knowledge of Debbie, one of her
student assignment at the Health Center to perform clinical history ot a
child with an admitting impression as Exanthema Subitum (Roseola
Infantum). Which of the following data gathered from the mother is
helpful to make this conclusive?

A. My child develops pruritic rashes for four days duration, coupled with low grade
fever

B. My child is apparently sick with vesicle lesions for 3 days duration

C. I gave my child medicine to control the fever of 39° and yet fever persists for
3 days, with an abrupt appearance of elevated rashes, non-pruritic as soon as
the fever declines

D. My child develops painful, pruritic rashes without history of fever

Situation: The Expanded Program for Immunization involves the *1/1
improvement in the immunological capacity of children to prevent the
occurrence of immunizable diseases. Its implementation is one of the
tasks of the public health nurse, usually done once a week. You are
preparing a request on the vaccine supply for your municipality with a
mid-year population of 50,000.
96. A primigravid woman asks you about the importance of having
tetanus toxoid immunization during her pregnancy. The following are true
of this infection, except:

A. Tetanus infection causes muscular spasm of the muscles only in the

extremities, which could affect its development in children.

B. This may be acquired if the newborn’s umbilical cord becomes contaminated

postpartum.

C. On her first pregnancy, the mother is expected to receive at most two doses of
tetanus toxoid vaccine.

D. Clostridium tetani is found in the soil or in fecal matter.

97. You are to request for supply of DPT vaccine. When tasked to *0/1
conduct a health teaching of the infections this vaccine will cover, the
following must be included when diphtheria is discussed, except:

A. If a mother acquires diphtheria during her pregnancy, the child she will give birth
to will be born immune to the disease.

B. If a lactating mother has an active diphtheria infection, the bacteria may be

passed through her milk.

C. Its distinct manifestation is a wound with patches of grayish membrane on the

respiratory tract.

D. Diphtheria is transmitted via droplet transmission.

98. The DOH recognizes immunization as a key element in reducing the *0/1
burden of childhood mortality and morbidity with the new inclusion of the
IPV. Which of the following statements are inappropriate regarding IPV?

A. IPV protects against polio type 1 and type 3

B. IPV protects against outbreaks of wild or vaccine-derived polio virus type 2

C. IPV will be given in addition to oral polio vaccine when a child is 14 weeks old

D. IPV an inactivated polio vaccine also known as the Sabin vaccine

99. A clinical instructor is supervising her student giving immunization. *0/1

During OPV administration the student nurse opens the child’s mouth by
squeezing the cheeks gently between her finger and put drops of vaccine
from the dropper to the child’s tongue; however the child spits it out. The
instructor reminds her student to;

A. Advise the mother to maintain child’s upright position while breastfeeding

B. Wipe child’s mouth and position baby to supine

C. Repeat OPV dose and breastfeed immediately

D. Put two drops of vaccine straight from the dropper on child’s mouth but
precaution not to allow the dropper touch child’s tongue

100. Mrs. De Leon, mother of a 6 month old baby, asks the PHN about *0/1
the new Pentavalent vaccine and Rotavirus vaccine. Which among the
following information should be excluded?

A. Pentavalent vaccine will be injected in three doses together with DPT and OPV

B. Pentavalent vaccine is given to children which starts when the child is six weeks
old

C. Rotavirus vaccine is given in two doses, the first dose is given when the child
is six weeks old to less than 15 weeks old

D. For the Rotavirus vaccine, the priority will be given to 4 P’s PantawidPamilya
Pilipino program beneficiaries

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