ANSWER AND RATIONALE 1.

Answer: D
COMMUNITY HEALTH NURSING Rationale: Assessment is the systematic and
POST TEST LEVEL I NOVEMBER 2009 continuous collection, organization, validation, and
documentation of data (information). All phases of
the nursing process depend on the accurate and
Situation 1. The application of the nursing complete collection of data. Data collection
process is rational method of planning and (intensive fact-finding) is the process of gathering
providing nursing care. As basic tool in information about a client's health status. It must
professional nursing practice, its utilization be both systematic and continuous to prevent
ensures competent and safe practice. It is a omission of significant data and reflect a client's
scientific tool that is utilized also in changing health status.
Community Health Nursing. Option A is incorrect because auditing nursing
1. Which of the following is Community Health record and appraisals are part of the evaluation
Nursing Assessment? phase of the nursing process.
a. Auditing Nursing Record Option B is incorrect because monitoring health
b. Monitoring health services services is done during the
c. Prioritizing needs implementation/intervention phase.
d. Intensive fact-finding Option C is incorrect because prioritization of
health needs is part of the planning phase.
(Community Health Nursing Services in the
Philippines)
2. Answer: D
Rationale: Data collection is done during the
Assessment phase. It is the process of gathering
information about a client's health status. It must
be both systematic and continuous to prevent
2. Once the nurse initiates contact with a client, omission of significant data and reflect a client's
asking questions to gather data, this process changing health status. There are 4 phases of
is called: data gathering: data collection, collation,
a. Implementation c. Planning presentation or tabulation, and analysis.
b. Evaluation d. Assessment Option A is incorrect because in the
implementation phase, the nurse carry out
interventions and utilizes resources.
Option B is incorrect because in the evaluation
phase, the nurse perform auditing and appraisal.
The elements of evaluation includes: structural
(inputs), process (methods), and outcome
(outputs).
Option C is incorrect because in the planning
phase, the nurse performs prioritization, evaluation
of parameters, goal setting, plan of action
construction, and development of an operational
plan. (Community Health Nursing Services in the
3. When the RHU nurse provides health Philippines)
teaching to individuals or families, this 3. Answer: A
process is called: Rationale: During the implementation or
a. Intervention c. Assessment intervention phase, the nurse carry out
b. Planning d. Evaluation interventions (such as providing health teachings)
and utilizes resources.
Option B is incorrect because in the planning
phase, the nurse performs prioritization, evaluation
of parameters, goal setting, plan of action
construction, and development of an operational
plan.
Option C is incorrect because in the assessment
phase, the nurse gathers data through data
collection, collation, presentation, and analysis.
Option D is incorrect because in the evaluation
phase, the nurse perform auditing and appraisal.
(Community Health Nursing Services in the
Philippines)

St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732 1
4. When the nurse invites other members of the
nursing team to develop evaluation
parameters, this process is called:
a. Interpreting data
b. Tabulating data
c. Planning nursing action
d. Putting plan of action
5. When the nurse performs appraisals, this
process is called:
a. Assessment c. Evaluation
b. Planning d. Diagnosing
Situation 2. Community Health Nursing is a
unique blend of nursing and public health
practice woven into a human service that
properly developed and applied has a
tremendous impact on human well being.
6. The context of Community Health Nursing is
based on the nurse's evaluation about the:
a. Existing health problems and needs of the
people
b. Current health status of the people
c. Department of Heath (DOH) goals
d. Devolution of health
7. The primary goal of Community Health
Nursing is to:
a. Support and supplement the efforts of the
medical professions in the promotion of
health and prevention of illness
b. Enhance the capacity of individuals,
families and communities to cope with
their heath needs
c. Increase the productivity of the people
d. Raise the level of health of the citizenry
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
4. Answer: C
Rationale: In the planning phase, the nurse
performs prioritization, evaluation of parameters,
goal setting, plan of action construction, and
development of an operational plan.
Options A and B are incorrect because interpreting
and tabulating data are done in the assessment
phase.
Option D is incorrect because putting plan of action
is done in the implementation phase. (Community
Health Nursing Services in the Philippines)
5. Answer: C
Rationale: In the evaluation phase, the nurse
perform auditing and appraisal. The elements of
evaluation includes: structural (inputs), process
(methods), and outcome (outputs).
Option A is incorrect because in the assessment
phase, the nurse gathers data through data
collection, collation, presentation, and analysis.
Option B is incorrect because in the planning
phase, the nurse performs prioritization, evaluation
of parameters, goal setting, plan of action
construction, and development of an operational
plan.
Option D is incorrect because in the diagnosis
phase, the nurse performs problem identification.
(Community Health Nursing Services in the
Philippines)
6. Answer: A
Rationale: The context of Community Health
Nursing is based on the nurse's evaluation about
the existing health problems and needs of the
people. One of the principles of CHN states that
Community Health Nursing is based on the
recognized needs of individuals, families,
communities and groups. (Community Health
Nursing Services in the Philippines)
7. Answer: B
Rationale: The primary goal of Community
Health Nursing is to help communities and families
to cope with the discontinuities of health and
threats in such a way as to maximize their
potential for high level wellness, as well as to
promote reciprocally supportive relationship
between people and their physical and social
environment. (Community Health Nursing
Services in the Philippines)
2
8. Community Health Nursing is a specialized
field of nursing that follows the basic
principles in Community Development work.
Which of the following statements best
described Community Development as a
process of empowering people in the
community?
a. Community development may allow
women to discover and strengthen their
innate capabilities to enjoy and utilize
equal opportunities in all aspects of
development work
b. Sustainability aspects of development
strategies can be taken into consideration
c. Community development is solely
confined to the meeting of the day to day
survival of the people
d. Community development is a learning
process where both women and men
participate to improve their lives
9. Which of the following statement is correct?
a. If people are not attending to the services
offered by the health staff, the team must
reassess the needs of the people
b. In participatory approach, the nurse must
devotedly adhere to what the people want
c. In a peasant community where people are
fighting for land ownership, the nurse
must not participate as this is not a
health concern
d. Nurses must not join protest actions as
nurses should always be neutral at all
times
10. If a particular health service fails, the most
basic question is:
a. Is this what the people demanded?
b. What went wrong?
c. Is this what the people need?
d. Who is responsible for the failure?
Situation 3. There are several factors in the
ecosystem which affect the optimum level
of functioning (OLOF) of individuals,
families and communities. The nurse must
be knowledgeable on this.
11. The modern concept of health refers to:
a. How individuals can be called disease-free
b. How individuals can avail of their immune
system
c. How individuals maintain a maximum
level of wellness
d. How individuals avoid diseases
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
8. Answer: D
Rationale: Community Development is defined as
an organized effort of people to improve the
conditions of the community life and the capacity
of the people for participation, self-direction and
integrated efforts in community affairs in which
development is accomplished by the people.
Everyone has something to contribute to the life
of the community.
It is not solely for women (option A) and not a
short term process (option C). (C.E Jimenez, CO-
PAR)
9. Answer: A
Rationale: If people are not attending to the
services offered by the health staff, the team must
reassess the needs of the people. This is base on
the principle that Community Health Nursing is
based on the recognized needs of individuals,
families, communities and groups. (Community
Health Nursing Services in the Philippines)
10.Answer: C
Rationale: If a particular health service fails, it is
important to reassess the felt needs of the people
not their demands (option A). (Community Health
Nursing Services in the Philippines)
11.Answer: C
Rationale: The modern concept of health refers to
the optimum level of functioning (OLOF) or the
maximum level of wellness of individual, families
and communities. (Community Health Nursing
Services in the Philippines)
3
12. The factor in the ecosystem affecting the
individual's health that is involved in the
menace of pollution, basically man-made, is:
a. Behavioral
b. Socio-economic
c. Environmental influences
d. Health Care Delivery System
13. The factor in the ecosystem affecting the
individuals health that is involved in the
provision of essential health services whether
community-based, accessible, sustainable
and affordable is the:
a. Socio-economic influences
b. Health Care Delivery System
c. Behavioral
d. Political
14. Which is not an example of behavioral
influences in OLOF on health status?
a. Cigarette smoking and alcohol drinking
b. A grandmother with an adult-onset
diabetes
c. Sedentary lifestyle of an office worker
d. Exposure to toxic substances in the
workplace
15. In the Health Care Delivery System, ideally,
rehabilitation services begin:
a. Upon admission of the client in the health
care system
b. Upon discharge of the client from the
health care system
c. After the client's physical condition
stabilizes
d. Soon after the client had requested for
rehabilitation services
Situation 4. One of the national objectives
of the Department of Health (DOH) is to
improve the general health status of the
population.
16. Filipino people are characterized by the
following descriptions, except:
a. The top leading cause of mortality is due
to cardiovascular diseases
b. Life expectancy of females has always
been higher than males
c. Productive age group belongs to 15 to 59
years old
d. Accident is the leading cause of death
among newborns and children aged below
5 years old; pneumonia among older
children aged 5 to 9 years old
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
12.Answer: C
Rationale: Environmental influences is the factor
in the ecosystem that is involved in the menace of
pollution, which has been growing over the years
and has greatly affected the health of the people.
The disease today are largely man-made.
Examples of these are communicable diseases due
to poor sanitation, poor garbage collection
,smoking, air pollution and utilization of chemicals
such as pesticides. (Community Health Nursing
Services in the Philippines)
13.Answer: B
Rationale: Health Care Delivery System is the
factor in the ecosystem affecting the individuals
health that is involved in the provision of essential
health services whether community-based,
accessible, sustainable and affordable. Although
promotive and preventive health measures are
emphasized in community health, the availability
and accessibility of curative and rehabilitative
services also affect people's health. (Community
Health Nursing Services in the Philippines)
14.Answer: D
Rationale: Behavioral influences refers to the
factor in the ecosystem affecting the individuals
health through certain habits that a person has.
These may be in the form of smoking, intake of
alcoholic drinks, substance abuse or lack of
exercise. The people's lifestyle, health care and
child rearing practices are shaped, to a large
extent, by their culture and ethnic heritage.
Option D is not a behavioral influence, it is an
environmental influence. (Community Health
Nursing Services in the Philippines)
15.Answer: A
Rationale: In the Health Care Delivery System,
ideally, rehabilitation services begin upon
admission of the client in the health care system.
(Community Health Nursing Services in the
Philippines)
16.Answer: D
Rationale: The Filipino people are characterized by
the following descriptions: (option A) The ten
leading causes of Mortality are due non-
communicable diseases with diseases of the heart
and vascular systems as the two most common
causes of death; (option B) The projected life
expectancy at birth year for 2000-2005 is 64.10
years for males and 70.10 years for females; and
(option C) The productive age group belongs to 15
to 59 years old.
Option D is incorrect because Pneumonia is the
leading cause of death among newborns and
children aged below 5 years old (37.76/100,000)
followed only by accidents at the rate of
17.63/100,000, while Accidents are identified as
the top cause of mortality among older children
aged 5 to 9 years old followed by pneumonia and
malignant neoplasm. (Public Health Nursing in the
Philippines)
4
17. Which one is correct regarding the health
status of the population?
a. The leading cause of disease among
younger people is influenza
b. The leading cause of morbidity among the
elderly population is infectious in nature
c. Cataract is the leading cause of visual
impairment while errors of refraction is
the leading cause of blindness
d. Enuresis is the leading cause of mental
illness among adult Filipinos
18. Which among the following is incorrect about
the health status of the Filipino people?
a. Hypertension is the leading cause of
maternal death
b. The fertility rate is 3.5 children per
woman wherein women aged 15-24 years
are the age group with the lowest unmet
need for family planning services
c. There are lesser adult women who die
due to accidents and injuries compared to
adult males
d. Among adolescent aged 19, there are
about 12% of the young people who are
already sexually active
19. The most widely used summary measure of
the burden of diseases which combines the
number of years of healthy life lost to
premature death with time spent in less than
full health is known as:
a. Activities of Daily Living (ADL)
b. Swaroop's index
c. Disability Adjusted Life Year (DALY)
d. Human development index
20. The process of aging brings out myriad of
health problems that are degenerative. The
life expectancy of Filipinos is set at what age?
a. 66.74 years c. 69.6 years
b. 72.61 years d. 100 years
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
17. Answer: B
Rationale: The leading cause of morbidity among
the elderly population is infectious in nature, such
as influenza (making option A incorrect),
pneumonia and tuberculosis.
Option C is incorrect because errors of refraction is
the leading cause of visual impairment and of
bilateral or monocular low vision while Cataract is
leading cause of bilateral (62%) and monocular
blindness.
Option D is incorrect because Anxiety disorders
(10.5%) is the leading cause of mental illness
among adult Filipinos. (Public Health Nursing in
the Philippines)
18.Answer: B
Rationale: The 2003 fertility rate in the country
remains at 3.5 children per woman, much higher
than the desired fertility rate of 2.5 children per
woman. However, option B is an incorrect
statement because Women aged 15-24 years are
the age group with the highest, not lowest, unmet
need for family planning services at 26%.
Option A is a correct statement because according
the 2000 Philippine health Statistics, 25% of all
maternal deaths are due to hypertension, 20.3% to
postpartum hemorrhage and 9% to pregnancy with
abortive outcomes.
Option C is correct because there are lesser adult
women who die due to accidents and injuries
compared to adult males (86.85%).
Option D is a correct statement because among
adolescent aged 19, there are about 12% of the
young people who are already sexually active and
by age 24, 45% of women are already mothers.
(Public Health Nursing in the Philippines)
19.Answer: C
Rationale: The most widely used summary
measure of the burden of diseases which combines
the number of years of healthy life lost to
premature death with time spent in less than full
health is known as the Disability Adjusted Life Year
or DALY. (Public Health Nursing in the Philippines)
20.Answer: C
Rationale: The life expectancy of Filipinos in 2002
has gone up to 69.6 years. (Public Health Nursing
in the Philippines)
5
Situation 5. Primary Health Care as an
approach to delivery of health care services
21. The law that provided mandate for the
implementation of Primary Health Care in the
Philippines is:
a. R.A. 7160 c. R.A. 8423
b. LOI 949 d. R.A. 9255
22. Which one is the goal of Primary Health Care
in the Philippines?
a. Reorientation and reorganization of the
national health care system with the
establishment of functional support
mechanism
b. Essential health care made universally
accessible, acceptable, available, and
affordable to all
c. Health for all Filipinos and health in the
hands of the people by the year 2020
d. To strengthen the health care system, let
the people manage their own health care
23. The mission of Primary Health Care refers to
which of the following?
a. To strengthen the health care system, let
the people manage their own health care
b. Guarantee equitable, sustainable and
quality health for all Filipinos, especially
the poor, and shall lead the quest for
excellence in health
c. Health for all by the year 2020
d. Health for all Filipinos and health in the
hands of the people by the year 2020
24. Which of the following is not a corner stone
of Primary Health Care?
a. Support mechanisms made available
b. Active community participation
c. Intra and intersectoral solicitation
linkages
d. Use of appropriate technology
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
21.Answer: B
Rationale: Primary Health Care was declared during
the First International Conference on Primary Health
Care held in Alma Ata, USSR on September 6-12,
1978 by WHO. The goal was “Health for All by the
year 2000.” This was adopted in the Philippines
through Letter of Instruction (LOI) 949 signed by
President Marcos on October 19, 1979 and has an
underlying theme of “Health in the hands of the
people by 2020.”
Option A is incorrect because Republic Act No. 7160 is
the Local Government Code. With the passage of this
law, the responsibility for the delivery of basic
services and facilities of the national government has
been transferred to the local government.
Option C is incorrect because Republic Act No. 8423 is
the Traditional and Alternative Medicine Act that
paved way to the creation of the Philippine Institute
of Traditional and Alternative Health Care (PITAHC).
Option D is incorrect because Republic Act No. 9255
(February 24, 2004) provides for illegitimate children
to use the surname of their fathers. (Public Health
Nursing in the Philippines)
22. Answer: C
Rationale: The goal of Primary Health Care in the
Philippines is “Health for all Filipinos and health in
the hands of the people by the year 2020.”
Option A is incorrect because this is one of the
strategies of PHC.
Option B is incorrect because this is the concept of
PHC.
Option D is incorrect because this is the mission of
PHC in the Philippines. (Public Health Nursing in
the Philippines)
23.Answer: A
Rationale: The mission of Primary Health Care in
the Philippines is “To strengthen the health care
system, let the people manage their own health
care.”
Option B is incorrect because the concept of PHC is
characterized by partnership and empowerment of
the people that shall permeate as the core strategy
in the effective provision of essential health
services that are community based, accessible,
acceptable, and sustainable at a cost which the
community and the government can afford.
Option C is incorrect because it is the vision of
PHC.
Option D is incorrect because it is the goal of PHC
in the Philippines. (Public Health Nursing in the
Philippines)
24.Answer: C
Rationale: The four corner stones or pillars in PHC
are as follows: active community participation
(option B); intra and inter-sectoral linkages (option
C); use of appropriate technology (option D); and
support mechanism made available (option A).
Option C is incorrect because solicitation is not
included. (Public Health Nursing in the Philippines)
6
25. Which does not describe Primary Health 25.Answer: D
Care? Rationale: The concept of PHC is characterized by
a. It emphasizes partnership between health partnership and empowerment of the people
care providers and the people (option A) that shall permeate as the core strategy
b. It is a total approach to community in the effective provision of essential health
development services that are community based, accessible,
c. It stresses the importance of linkages acceptable, and sustainable at a cost which the
d. It aims to provide free health services to community and the government can afford. It is a
the people strategy, which focuses responsibility for health on
the individual, his family and the community. It
includes the full participation and active
involvement of the community towards the
development of self-reliant people (option B),
capable of achieving an acceptable level of health
and well being. It also recognizes the
interrelationship (option C) between health and the
Situation 6. Clinic Visit is done at the health overall political, socio-cultural, and economic
center or health station so that the development of society.
community health nurse can provide the Option D is incorrect because PHC aims to provide
necessary health care services to the affordable, not free, health services to the people.
people in the community. (Public Health Nursing in the Philippines)
26. Arrange the following standard check-up 26.Answer: C
procedures in proper sequence of doing the Rationale: The proper sequence of doing the clinic
clinic visit: visit are as follows: Registration or admission;
1. Diagnostics 5. Prescription Waiting time; Triaging; Clinical Evaluation;
2. Registration 6. Triaging Laboratory and other diagnostic examinations;
3. Referral 7. Health Education Referral system; Prescription and Dispensing; and
4. Waiting 8. Clinical Evaluation Health Education. (Public Health Nursing in the
a. 4, 2, 6, 1, 8, 5, 7, 3 Philippines)
b. 2, 1, 4, 6, 8, 3, 5, 7
c. 2, 4, 6, 8, 1, 3, 5, 7
d. 6, 1, 4, 2, 8, 5, 7, 3

27. Which among the following activities is done 27. Answer: A

during pre-consultation conference? Rationale: Pre-clinic lecture is usually done during
a. Pre-clinic lecture pre-consultation conference that is conducted prior
b. First come, first served queuing to the admission of patients, which is one way of
c. Record preparation providing health education. (Public Health Nursing
d. One-on-one counseling in the Philippines)

28. Certain DOH programs utilizes an acceptable 28. Answer: A

decision to which the nurse has to follow.
What should the public health nurse do to a
program-based case?
a. Manage the case
b. Refer to the physician
c. Provide first aid treatment
d. Refer the case to the next level of care
Rationale: In triaging, a public health nurse
manage a program-based case. Certain programs
of the DOH like the IMCI utilize an acceptable
decision to which the nurse has to follow in the
management of a simple case.
All non-program based cases are refer to the
physician (option B).
All emergency cases are provided with first aid
treatment and refer the case to the next level of
care (option C and D). (Public Health Nursing in the
Philippines)

St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732 7
29. Clinic visit is being executed by a health
team. Who acts as a leader in planning the
clinical activities?
a. Barangay Health Worker
b. Public Health Nurse
c. Physician-in-Charge
d. Rural Health Midwife
30. Amparo, a pregnant woman, went to the
center during prenatal clinic for treatment of
syphilis. Your midwife, Lorna, shared the
matter to the other mothers who were there
at that time. As the Public Health Nurse who
is higher in rank than the Rural Health
Midwife, what will you do?
a. Confirm the story to the other mothers
b. Confront the midwife immediately to
correct her behavior
c. Explain to the other mothers that syphilis
can be treated
d. Deny the gossip when the midwife is not
around to avoid conflict with her
Situation 7. Home visit is a family-nurse
contact which allows the health worker to
assess the home and family situations in
order to provide necessary nursing care.
31. The following best describes a home visit,
except:
a. A professional contact made by the nurse
b. Extension of the services of the health
center
c. May or may not be recorded
d. Should have an objective
32. The following are the steps in a home visit.
Arrange them in proper sequence:
1. Determine health needs
2. Explain purpose of visit
3. Place the bag in a convenient place
4. Introduce self
5. Perform nursing care
6. Greet the client
7. Health teaching
8. Make a return appointment
9. Do the recording
10. Observe the client
a. 6, 4, 2, 1, 3, 5, 7, 9, 8, 10
b. 6, 4, 2, 10, 1, 3, 5, 7, 9, 8
c. 6, 4, 2, 3, 10, 5, 1, 7, 9, 8
d. 6, 4, 2, 1, 3, 5, 10, 7, 8, 9
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
29.Answer: C
Rationale: The Physician-in-Charge is the leader
in planning the clinical activities. (Public Health
Nursing in the Philippines)
30.Answer: C
Rationale: Health Education is the appropriate
response by the nurse to the situation.
Option A is incorrect because the nurse breach the
right of confidentiality.
Options B and D are incorrect because nurses
should never confront a fellow health care team in
front of a patient and should never practice
avoidance. (Public Health Nursing in the
Philippines)
31. Answer: C
Rationale: Home visit is a professional contact
made by the nurse and an extension of the
services of the health center. When preparing for a
home visit, it should have a purpose or objective.
Home visit should always be recorded or
documented (making option C incorrect). (Public
Health Nursing in the Philippines)
32.Answer: B
Rationale: The steps in home visits are as follows:
Greet the client or household member and
introduce yourself; Explain the purpose of the
home visit; Inquire about health and welfare of the
client and other family members. Ask about any
health and health-related problems; Place bag in a
convenient place before doing bag technique;
Wash hands and wear apron and put out needed
articles and/or medicines, dressings from bag;
Perform physical assessment and nursing care
needed. Give the necessary heath teaching and
advice based on client's need and condition; Wash
hands and close bag; Record findings and nursing
care given; make appointment either for a clinic or
home visit. (Public Health Nursing in the
Philippines)
8
33. When the nurse reviews the records of the
family in the clinic, in what phase of the visit
is this?
a. Preparatory phase c. Post visit phase
b. Home visit phase d. Recording phase
34. In performing home visit, it is important that
nurse should accomplish which of the
following to meet the needs of clients and
achieve the best results of desired outcome?
a. Develop a family nursing care plan
b. Apply the nursing process and prioritize
needs of the client
c. Perform bag technique
d. Formulate plan of visit
35. Planning for a home visit is an essential tool
in achieving best results in health care. The
following are principles in a home visit,
except:
a. Planning should be flexible and practical
b. Home visit should have a purpose
c. Plans are based in available information
including those from other agencies that
may have rendered services to the family
d. Planning of continuing care must be
developed by the nurse
Situation 8. The following procedures are
very important to the public health nurse in
rendering effective nursing care to clients
in varied settings.
36. The nurse should understand which rationale
when performing the bag technique?
a. It should save time and effort when
performing nursing procedures
b. It should minimize or prevent the spread
of infection
c. It should not overshadow the concerns for
the client
d. It should render effective nursing care to
clients or other family members
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
33.Answer: A
Rationale: In the Preparatory phase, the nurse
reviews the records of the family in the clinic.
(Public Health Nursing in the Philippines)
34.Answer: D
Rationale: In performing home visit, it is
necessary to prepare a plan of visit to meet the
needs of the client and achieve the best results of
desired outcomes. (Public Health Nursing in the
Philippines)
35.Answer: D
Rationale: The following are principles of home
visits: A home visit must have a purpose or
objective (option B); Planning for a home visit
should make use of all available information about
the patient and his family through family records
and from other agencies that may have rendered
services to the family (option C); In planning for a
visit, the nurse should consider and give priority to
the essential needs of the individual and his family;
Planning and delivery of care should involve the
individual and family; and the plan should be
flexible and practical (option A). (Public Health
Nursing in the Philippines)
36.Answer: D
Rationale: The rationale when performing the bag
technique is that it should render effective nursing
care to clients or other family members.
(Community Health Nursing Services in the
Philippines)
9
37. The nurse utilizes three different agents
when wiping the thermometer after use.
Arrange them according to sequence:
a. 3x soap, 3x water, 3x alcohol
b. 1x soap, 1x water, 1x alcohol
c. 3x soap, 3x water, 1x alcohol
d. 1x soap, 1x water, 3x alcohol
38. An orange result of a Benedict's test should
be interpreted by the nurse as to which
extent of glucosuria?
a. (-) b. +c. ++ d. +++
39. If the result of a Heat and Acetic acid test is
clear, the nurse knows that:
a. There is no albumin in the urine
b. Protein is traced in the urine
c. This is a positive result of protein leak
d. Albuminuria is abnormal
40. Tourniquet test or Rumpel-Lead's test is used
as screening for dengue. If the nurse counted
10 petechial spots in the imaginary one
square inch just below the BP cuff or in the
antecubital fossa, this should be interpreted
as:
a. Positive c. Alarming
b. Negative d. Warning
Situation 9. COPAR (Community Organizing
Participatory Action Research) recognizes
people's participation as a tool for
community development.
41. The following statements pertain to
Community Organizing, except:
a. Its goal is community development
b. A never-ending process once started
c. Can apply for increasing awareness
d. A process for increasing organization and
initiating responsible action
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
37.Answer: C
Rationale: When wiping the thermometer after
use, clean the thermometer in a downward spiral
motion from the stem to the bulb, holding it over
the waste paper bag using the following technique:
1st - 3 cotton balls moistened with soap. Discard.
2Nd - 3 cotton balls moistened with water. 3 Rd - 1
cotton ball moistened with alcohol, then wrap
around the bulb of the thermometer and lay it
inside the kidney basin. (Community Health
Nursing Services in the Philippines)
38.Answer: D
Rationale: An orange result of a Benedict's test
indicates a +++ result.
Blue indicates (-) (option A). Green indicates +
(option B). Yellow indicates ++ (option C).
In addition, blue-green indicates traces of glucose
in the urine and brick red indicates ++++.
(Community Health Nursing Services in the
Philippines)
39.Answer: A
Rationale: If the result of a Heat and Acetic acid
test is clear, there is no albumin in the urine. If it is
cloudy, the nurse should repeat the procedure. If
on the second test, the result is still cloudy then it
is interpreted as positive protein leak or positive
proteinuria. (Community Health Nursing Services in
the Philippines)
40.Answer: B
Rationale: Tourniquet test or Rumpel-Lead's test
is used as screening for dengue. An imaginary one
square inch just below the BP cuff or in the
antecubital fossa is made to check for the presence
of petechial rashes. If it manifested 20 or more
petechial rashes, it indicates a positive dengue
result. If it is less than 20 it means that the test is
negative. (Community Health Nursing Services in
the Philippines)
41.Answer: B
Rationale: Community Organizing is a process by
which people, health services and agencies of the
community are brought together to learn about the
common problems, identify these problems as their
own, plan the kind of action needed to solve these
problems and act on this basis. Its goal is
community development (option A). It can be
applied to increase the awareness of the
community (option C). It is also a process for
increasing organization and initiating responsible
action (option D).
Option B is incorrect because it sets up action
pattern to solve problems, not a never-ending
process once started. (Community Health Nursing
10
Services in the Philippines)
42. Arrange the activities of community
organizing as a continuous sustained process
for community development.
a. Organization, Education, Mobilization
b. Education, Organization, Mobilization
c. Organization, Mobilization, Education
d. Education, Mobilization, Organization
43. Which among the following does not pertain
to participatory action research?
a. Problem identification involves the
community or group experiencing the
problem
b. Method of data gathering is determined
by local culture and innovativeness
c. Use of research results is within the full
control of the people
d. It is done by an outsider utilizing
technical quantitative techniques for
publication use
44. Manageable units of the community to
facilitate service delivery and people's
participation is called the:
a. Spot map c. Core group
b. Small group d. Organizing group
45. The basic reasons why community organizers
need to phase out from the community is to
enable the:
a. Nurse to open community organization
work in other depressed communities
b. People to exercise self-reliance
c. People's organization to expand their
coverage
d. People to test their unity and strength
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
42.Answer: B
Rationale: Community Organizing as a continuous
sustained process for community development
involves the process of Education, Organization
and Mobilization. (Community Health Nursing
Services in the Philippines)
43.Answer: D
Rationale: Participatory action research pertains
to a problem identification that involves the
community or group experiencing the problem
(option A). It is a method of data gathering
determined by local culture and innovativeness
(option B). The use of research results is within the
full control of the people (option C).
Option D is incorrect because it is not done by an
outsider. (Community Health Nursing Services in
the Philippines)
44.Answer: C
Rationale: Core group is the manageable units of
the community to facilitate service delivery and
people's participation. (Community Health Nursing
Services in the Philippines)
45.Answer: B
Rationale: The reason why community organizers
need to phase out from the community is to enable
the people to exercise self-reliance. People are
given a chance to study their problems, offer
solutions and give a chance to plan an action.
(Community Health Nursing Services in the
Philippines)
11
Situation 10.Community Assessment
through Epidemiology and Vital Statistics
46. The following are steps in data processing. As 46.Answer: C
a nurse, you should know its proper Rationale: The proper sequencing of steps in data
sequencing: processing are as follows: Data collection, data
1. Data analysis 3. Data presentation collation, data presentation or tabulation, and data
2. Data collection 4. Data collation analysis. (Community Health Nursing Services in
a. 2, 4, 1 and 3 c. 2, 4, 3, and 1 the Philippines)
b. 2, 3, 4 and 1 d. 2, 3, 1, and 4

47.Answer: D
Rationale: Major factors affecting population
47. Major factors affecting population include the include the following: Mortality or the number of
following, except: deaths, Birth rates and even Migration or
a. Births c. Migration movement of people from one locality to another.
b. Mortality d. Morbidity Option D is incorrect because morbidity doesn't
affect population change, it only determines the
number of people acquiring diseases or illnesses.
(Community Health Nursing Services in the
Philippines)
48. Which of the following patterns is intermittent 48.Answer: A
and confined to a certain geographical area Rationale: Sporadic is an epidemiological event
or locality? that is intermittent in nature and confined to a
a. Sporadic c. Epidemic certain geographical area or locality. (Community
b. Endemic d. Pandemic Health Nursing Services in the Philippines)

49. The town of Bagong Pag-asa has a population 49.Answer: D

of 100,000 as of July 1, 2008 (midyear) as Rationale: Prevalence rate measures the
per calendar year 2008 (January to proportion of the population which exhibits a
December) 2,000 died. Which formula below particular disease at a particular time. This can
should be used to compute the crude death only be determined following a survey of the
rate? population concerned. It deals with the total (old
a. 100,000 / 100,000 x 1,000 and new) number of cases. The formula of PR is:
b. 2,000 / 100,000 x 100 Total number of cases of a disease (old + new) at
c. 100,000 / 2,000 x 1,000 a given time divided by the estimated population
d. 2,000 / 100,000 x 1,000 examined at same given time multiplied by 100.
(Community Health Nursing Services in the
Philippines)

50. Incidence rate means new cases as percent 50.Answer: C

of population and prevalence rate means
cases in a given period of time as percent of
population. Which formula below is a
prevalence rate?
a. Number of cases of a specific disease /
1,000 estimated population x 100
b. Total number of cases of a disease (old +
new) / 1,000 estimated population at the
time x 100
c. Number of cases of a specific disease
during a specific time / Estimated
population exposed to that disease during
that time x 100
d. Total number of cases of a disease (old +
new) at a given time / Estimated
population at the time x 100
Rationale: The goal of the National Tuberculosis
Control Program which is also reflected in the
Millennium Development Goal is to reduce
prevalence and mortality from TB by half by the
year 2015.
Option A is incorrect because this is the vision of
the NTC program.
Option B is incorrect because this is the mission of
the NTC program.
Option D is incorrect because this is one of the
targets of the NTC program. The other one is to
detect at least 70% of the estimated new sputum
smear-positive TB cases. (Public Health Nursing in
the Philippines)

St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732 12
Situation 11. Tuberculosis ranks sixth
among the leading causes of morbidity and
mortality in the Philippines.
51. The goal of the National Tuberculosis Control
Program which is also reflected in the
Millennium Development Goal is:
a. A country where TB is no longer a public
health problem
b. Ensure that TB DOTS services are
available, accessible, and affordable to
communities in collaboration with the
LGUs and other partners
c. To reduce prevalence and mortality from
TB by half by the year 2015
d. Cure at least 85% of the sputum smear-
positive TB patients discovered
52. Smearing , fixing, and staining of sputum
specimens, as well as recording and reporting
results for DSSM shall be performed only by
trained medical technologists or
microscopists. However, in far flung areas,
who are allowed to do the DSSM as long as
they have been trained?
a. Rural Health Midwife
b. Public Health Nurse
c. Barangay Health Worker
d. PTB Community Patient
53. Bulilit, is a new known patient of PTB with
three consecutive negative results in DSSM
yet PTB positive-extensive as revealed in
CXR. Bulilit should be classified as Category:
a. 1 b. 2 c. 3 d.
54. Nurse Camela knows that Bulilit should start
the treatment with which of the following
anti-TB drugs?
a. Rifampicin and Isoniazid
b. Rifampicin, Isoniazid, and Ethambutol
c. Rifampicin, Isoniazid, Pyrazinamide, and
Ethambutol
d. Rifampicin, Isoniazid, Pyrazinamide,
Ethambutol, and Streptomycin
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
51.Answer: C
Rationale: Only trained medical technologists or
microscopists shall perform DSSM or Direct
Sputum Smear Microscopy (smearing, fixing, and
staining of sputum specimens, as well as reading,
recording, and reporting of results). However, in
far flung area, BHWs (Barangay Health Workers)
may be allowed to do smearing and fixing of
specimens, as long as they have been trained and
are supervised by their respective NTP medical
technologists or microscopists. (Public Health
Nursing in the Philippines)
52.Answer: C
Rationale: Only trained medical technologists or
microscopists shall perform DSSM or Direct
Sputum Smear Microscopy (smearing, fixing, and
staining of sputum specimens, as well as reading,
recording, and reporting of results). However, in
far flung area, BHWs (Barangay Health Workers)
may be allowed to do smearing and fixing of
specimens, as long as they have been trained and
are supervised by their respective NTP medical
technologists or microscopists. (Public Health
Nursing in the Philippines)
53. Answer: A Rationale: Category 1 patients
include: new smear-positive PTB; new smear-
negative PTB with extensive parenchymal lesions
on CXR as assessed by the TBDC (TB Diagnostic
Committee); Extra-pulmonary TB; and severe
concomitant HIV disease.
Option B is incorrect because Category 2 patients
include old cases such as treatment failure, relapse,
4 and return after default.
Option C is incorrect because Category 3 patients
include new smear-negative PTB with minimal
parenchymal lesions on CXR as assessed by the
TBDC. Option D is incorrect because Category 4
patients include chronic cases (still smear-positive
after supervised re-treatment). (Public Health Nursing
in the Philippines)
54.Answer: C Rationale: The initial treatment
regimen for Category 1 (Intensive phase) is a
combination of Rifampicin, Isoniazid,
Pyrazinamide, and Ethambutol. In addition, it is
also the Intensive phase treatment for Category
3.
Option A is incorrect because a combination of
Rifampicin and Isoniazid is the Maintenance or
Continuation phase treatment for Category 1 and 3.
Option B is incorrect because a combination of
Rifampicin, Isoniazid, and Ethambutol is the
Maintenance phase treatment for Category 2.
Option D is incorrect because a combination of
Rifampicin, Isoniazid, Pyrazinamide, Ethambutol, and
Streptomycin is the Intensive phase treatment for
Category 2. (Public Health Nursing in the Philippines)
13
55. The most important among the elements of 55.Answer: A
the DOTS strategy is: Rationale: DOTS is the internationally-
a. Sustained political strategy recommended TB control strategy and combines
b. Access to quality-assured sputum five elements. The five elements are the following:
microscopy sustained political strategy or commitment (option
c. Standardized short-course chemotherapy A); access to quality-assured sputum microscopy
d. Uninterrupted supply of quality-assured (option B); standardized short-course
drugs chemotherapy (option C) for all cases of TB under
proper case management conditions, including
direct observation of treatment; uninterrupted
supply of quality-assured drugs (option D); and
Situation 12. Mortality statistics showed recording and reporting system enabling outcome
that 7 out of 10 leading causes of deaths assessment of all patients and assessment of
are lifestyle related. In other words, these overall program performance.
are chronic, degenerative non- Option A is the best answer because sustained
communicable diseases. Among these political strategy or commitment is the most
include diseases of the heart and the important element. (Public Health Nursing in the
vascular system, cancers, COPD, DM, and Philippines)
kidney problems. Programs should be
implemented to improve longevity of the
population. 56.Answer: A
56. The goal of the prevention and control Rationale: The goal of the prevention and control
program of non-communicable disease is: program of non-communicable disease is to reduce
a. Reduce the toll of morbidity, disability, the toll of morbidity, disability, and premature
and premature deaths deaths.
b. Lessen exposure of populations to major Option B is incorrect because this is one of the
determinants of non-communicable objectives of the prevention and control program of
diseases non-communicable disease.
c. Implement comprehensive approach Options C and D are incorrect because they are
focused on primary prevention approaches to achieve significant reduction in
d. Recognize the role of people for a morbidity and mortality from major NCDs. (Public
community based and integrated Health Nursing in the Philippines)
approach of prevention

57.Answer: B Rationale: The initial step in

57. The initial step in developing a plan for non-
communicable disease prevention and control
is:
a. Surveillance to identify and monitor
healthy population groups
b. Assessment of disease burden in a locality
c. Reduce exposure of the population to
major determinants of non-communicable
diseases
d. Modification of unhealthy lifestyles and
behaviors that predispose populations to
diseases
58. Which of the following is considered as a
major risk factor in developing non-
communicable diseases?
a. Physical inactivity c. Smoking
b. Hypertension d. Obesity
developing a plan for non-communicable
disease prevention and control is the
assessment of disease burden in a locality.
Option A is incorrect because it is done during
assessment of disease burden in a locality. In
addition, surveillance is done to identify vulnerable,
not healthy, population groups along with the
social, political, economic, and cultural factors that
predispose population to NCD.
Options C and D are incorrect because they are
objectives of the prevention and control program of
non-communicable disease. (Public Health Nursing
in the Philippines)
58.Answer: A Rationale: The result of the
National Nutrition and Health Survey conducted
in 2003 concluded that presently 90% of
Filipinos has one or more risk factors associated
with chronic, non-communicable diseases. The
following are the risk factors with the
corresponding prevalence rates: physical
inactivity - 60.5% (option A); smoking - 34.8%
(option C); hypertension (SBP >140 or DBP
>90) - 22.5% (option B); hypercholesterolemia
(TC >240) - 8.5%; obesity (BMI >30) - 4.9%
(option D); and diabetes - 4.6%. (Public Health

St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732 14
 Nursing in the Philippines)
59. A nurse knows that all of the following are
warning signs of cancer, except:
a. Obvious change in mole
b. Hoarseness of voice
c. Alteration in bladder habits
d. Weight loss
60. The cardiovascular disease commonly
experienced by the population during early to
late childhood is:
a. Congenital heart disease
b. Rheumatic heart disease
c. Hypertension
d. Coronary artery disease
Situation 13. Environmental health is a
branch of public health that deals with the
study of preventing illnesses by managing
the environment and changing people's
behavior to reduce exposure to biological
and non-biological agents of disease and
injury.
61. Which of the following is responsible for the
promotion of health environmental conditions
and prevention of environmental related
diseases?
a. Environmental and Occupational Health
Office (EOHO)
b. Environmental Sanitation Code of the
Philippines
c. Center for Health and Development
d. Rural Health and Sanitary Office
59.Answer: D
Rationale: The following are so-called 9 Warning
Signs of Cancer even though these may be
symptoms of advanced rather than early disease:
change in bowel or bladder habits (option C); a
sore that does not heal; unusual bleeding or
discharge; thickening of lump in breast or
elsewhere; indigestion or difficulty in swallowing;
obvious change in wart or mole (option A); nagging
cough or hoarseness (option B); unexplained
anemia; and sudden unexplained weight loss.
Option D is the correct answer because weight loss
is a manifestation of various disease not specific to
cancer. However, weight loss in cancer should be
sudden and unexplained. (Community Health
Nursing Services in the Philippines)
60.Answer: B
Rationale: The cardiovascular disease commonly
experienced by the population during early to late
childhood is Rheumatic fever or Rheumatic heart
disease with a prevalence rate of 1/1000 school
children (aged 5-15 years old).
Option A is incorrect because Congenital heart
disease is commonly experienced by the population
during first day of life to early childhood with a
prevalence rate of 2/1000 school children (aged 5-
15 years old).
Option C is incorrect because Essential
hypertension and Diseases of Heart Muscles are
commonly experienced by the population during
early adulthood with a prevalence rate of 10/100
adults.
Option D is incorrect because Coronary artery
disease and Cerebrovascular accident are
commonly experienced by the population during
middle to old age with a prevalence rate of 5/100
adults. (Community Health Nursing Services in the
Philippines)
61.Answer: A
Rationale: The Environmental and Occupational
Health Office (EOHO) is responsible for the
promotion of health environmental conditions and
prevention of environmental related diseases.
(Public Health Nursing in the Philippines)

62.Answer: A
62. A protected well or a developed spring with Rationale: Point Source or Level I water supply
an outlet but without a distribution system is facilities are protected wells or developed springs
known as: with an outlet but without a distribution system.
a. Point Source Communal faucet system and Stand Posts (option
b. Communal Faucet B and C) are level II water supply facilities
c. Stand Post composed of a source, a reservoir, a piped
d. Waterworks System distribution network and communal faucets,
located at not more than 25 meters from the
farthest house.
Waterworks system (option D) or Individual House
Connections are level III water supply facilities
composed of a system with a source, a reservoir, a
piped distribution network and household taps.
This type requires a minimum treatment or
disinfection. (Public Health Nursing in the

St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732 15
Philippines)
63. Pour flush toilet and aqua privies are 63.Answer: A Rationale: Level I toilet facilities
classified under which level of approved toilet include pour flush toilet and aqua privies (non-
facilities? water carriage toilet facility). No water is
a. Level I c. Level III necessary to wash the waste into the receiving
b. Level II d. Level IV space.
Level II toilet facilities (option B) are on site toilet
facilities of the water carriage type with water-
sealed and flush type with septic tank/vault
disposal facilities.
Level III toilet facilities (option C) are water
carriage type or toilet facilities connected to septic
tanks and/or sewerage system to treatment plant.
There is no Level IV toilet facility. (Public Health
64. The four rights in food safety include the Nursing in the Philippines)
following, except: 64.Answer: B
a. Right source c. Right preparation Rationale: The four rights in food safety include
b. Right handling d. Right cooking the following: Right source; Right preparation;
Right Cooking; and Right Storage. (Public Health
Nursing in the Philippines)

65. Which among the following is an important 65. Answer: A

requirement for registration and renewal of Rationale: Hospital waste management program
licenses of newly constructed and existing is an important requirement for registration and
hospitals? renewal of licenses of newly constructed and
a. Hospital waste management program existing hospitals. (Public Health Nursing in the
b. Municipal refuse disposal system Philippines)
c. Incineration system of hazardous hospital
wastes
d. Disinfection treatment to prevent
transmission of diseases
66.Answer: B
Rationale: Republic Act 8423 or the Traditional
and Alternative Medicine Act paved way for the
creation of the Philippine Institute of Traditional
and Alternative Health Care.
Situation 14. Alternative medicines include Option A is the Anti-child Abuse Law (R.A. 7610).
the use of herbal medicines, and the Option C is the Devolution Law (R.A. 7160).
practice of acupressure, acupuncture and Option D requires that couples intending to get
aromatherapy. married must first undergo a family planning an
66. Which of the following laws paved way for the responsible parenthood instruction prior to the
creation of the Philippine Institute of issuance of a marriage license. (Venzon,
Traditional and Alternative Health Care? Professional Nursing in the Philippines, 10th Edition)
a. R.A. 7610 c. R.A. 7160
b. R.A. 8423 d. P.D. 965 67.Answer: D
Rationale: Ulasimang bato or Pansit-pansitan
(Peperonia pellucida) is the herbal plant used for
the treatment of rheumatism and gout as it lowers
uric acid level.
Option A is incorrect because Sambong (Blumea
67. The herbal plant used for the treatment of balsamifera) is the herbal plant used as anti-edema
rheumatism and gout as it lowers uric acid and anti-urolithiasis.
level is: Option B is incorrect because Yerba Buena (Mentha
a. Sambong c. Akapulko cordifelia) is the herbal plant used for the
b. Yerba Buena d. Ulasimang bato treatment of pain in the different parts of the body
such as headache and stomach ache; rheumatism
and arthritis; as well as cough and cold.
Option C is incorrect because Akapulko (Cassia
alata L.) is the herbal plant used as an anti-fungal.

St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732 16
(Public Health Nursing in the Philippines)
68. The herbal plant used as an anti-helmintic,
which expels round worms that cause
ascariasis, is:
a. Tsaang gubat c. Lagundi
b. Niyug-niyogan d. Bayabas
69. Based on the principle that life is the result of
Qi or life energy, what is the alternative
medicine practice that maintains health,
treats diseases, and alleviates pain by
massaging certain points on the body
surface?
a. Tai Chi c. Acupressure
b. Cupping d. Acupuncture
70. Which of the following refers to
acupuncture?
a. Auriculotherapy c. Moxibustion
b. Homeopathy d. QiGong
Situation 15. Immunization schedules are
to be used in order to provide maximal
immunity to the seven EPI diseases before
the child reaches the first birthday.
71. Which of the following vaccines is given at
the earliest possible age to protect against
the possibility of infection from other family
members?
a. OPV b. Hep B c. BCG d. DPT
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
68.Answer: B Rationale: Niyug-niyogan
(Quisqualis indica L.) is the herbal plant used as
an anti-helmintic. It expels round worms that
cause ascariasis. The seeds are taken 2 hours
after supper. If no worms are expelled, the
dose may be repeated after one week. It should
not be given to children below 4 years old.
Option A is incorrect because Tsaang gubat
(Carmona retusa) is used for the treatment of
diarrhea.
Option C is incorrect because Lagundi (Vitex
negundo) is used for the asthma, cough and fever;
dysentery, colds and pain in any parts of the body
as in influenza; skin diseases (dermatitis, scabies,
ulcer, and eczema) and wounds; headache;
rheumatism, sprain, contusions; insect bites; and
used as an aromatic bath for sick clients.
Option D is incorrect because Bayabas (Psidium
guajava L.) is used for washing wounds; for
diarrhea; and as gargle to relieve toothache.
(Community Health Nursing Services in the
Philippines)
69.Answer: C
Rationale: Based on the principle that life is the
result of Qi or life energy, Acupressure is the
alternative medicine practice that maintains health,
treats diseases, and alleviates pain by massaging
certain points on the body surface.
Tai Chi (option A) is also known as the Chinese
shadow boxing.
Cupping (option B) uses suctions.
Acupuncture (option D) uses needles. (Community
Health Nursing Services in the Philippines)
ear
70.Answer: A
Rationale: Auriculotherapy is also known as ear
acupuncture.
Homeopathy (option B) uses diluted remedy.
Moxibustion (option C) uses heat on acupuncture
site.
QiGong (option D) uses gentle movement, deep
breathing and meditation. QiGong is the activation
(Gong) of life energy (Qi).
71.Answer: A
Rationale: Auriculotherapy is also known as ear
acupuncture.
Homeopathy (option B) uses diluted remedy.
Moxibustion (option C) uses heat on acupuncture
site.
QiGong (option D) uses gentle movement, deep
breathing and meditation. QiGong is the activation
(Gong) of life energy (Qi).
17

72. What is the minimum interval between the
second dose and the third dose when giving a
Hepatitis B vaccine?
a. 4 weeks c. 8 weeks
b. 6 weeks d. 14 weeks
73. BCG is given intradermally at a dose of 0.05
ml. It is given at what site?
a. Right deltoid region of the upper arm
b. Left deltoid region of the upper arm
c. Upper outer portion of the inner thigh
d. Outer part of the upper arm
74. Protection against polio is increased if given
earlier. When is the right age?
a. 4 weeks c. 6 weeks
b. 2 weeks d. At birth
75. Measles is given subcutaneously at a dose of
0.5 ml. At what age is this done?
a. 9 months c. One and a half year
b. 6 months d. One year
Situation 16. All birth attendants shall
ensure clean and safe deliveries at home or
at the facilities (RHUs/hospitals) and
proper nursing care during the post partum
periods
76. Which among the following criteria allows the
nurse to perform home deliveries?
a. Mother with a gynecoid pelvis
b. Previous caesarian section
c. Grand multigravida
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
d. Breech presentation
72.Answer: C
Rationale: In giving Hepatitis B vaccine, the
minimum interval between the second dose and
the third dose is 8 weeks.
Option A is incorrect because OPV and DPT have a
minimum interval between doses of 4 weeks.
Option B is incorrect because 6 weeks is the
minimum interval between the first dose and the
second dose when giving a Hepatitis B vaccine.
Option D is incorrect because 14 weeks is the
minimum age for the 3rd dose of Hepatitis B
vaccine. (Public Health Nursing in the Philippines)
73.Answer: A
Rationale: Preferably, intradermal administration
of BCG is given at the right deltoid region of the
upper arm.
Option B is incorrect because tetanus toxoid is
given at the left deltoid region of the upper arm.
Option C is incorrect because DPT and Hep B
vaccine are given at the upper outer portion of the
inner thigh.
Option D is incorrect because measles vaccine is
given at the outer part of the upper arm. (Public
Health Nursing in the Philippines)
74.Answer: C
Rationale: The extent of protection against polio is
increased the earlier the OPV is given. The
minimum age for the 1st dose of OPV is at 6
weeks.
Option A is incorrect because 4 weeks is the
minimum interval between doses for DPT and OPV.
Option B is incorrect because 2 weeks is too early.
Option D is incorrect because the minimum age for
the 1st dose of BCG is at birth. (Public Health
Nursing in the Philippines)
75.Answer: A
Rationale: Measles is given subcutaneously at a
dose of 0.5 ml. At least 85% of measles can be
prevented by immunization at 9 months.
Option B is incorrect because 6 months is too
early.
Options C and D are incorrect because 1 ½ years
and 1 year are too late. (Public Health Nursing in
the Philippines)
76.Answer: A
Rationale: The following are qualified for home
delivery: full term; less than 5 pregnacies; cephalic
presentation; without existing diseases such as
diabetes, bronchial asthma, heart disease,
hypertension, goiter, tuberculosis and sever
anemia; no history of complications like
hemorrhage during previous deliveries; no history
of difficulty delivery and prolonged labor; no
previous caesarian section; imminent deliveries; no
premature rupture of membranes (bag of water);
adequate pelvis (gynecoid); and abdominal
enlargement is appropriate for age of gestation.
18
(Community Health nursing Services in the
Philippines)
77. All of the following are considered as pointers 77.Answer: D Rationale: The 3 pointers during
for safe home delivery, except: home deliveries are Clean hands , Clean
a. Clean hands c. Clean cord surface and Clean cord. (Community Health
b. Clean surface d. Clean scissors nursing Services in the Philippines)

78. The nurse teaches a mother on 78.Answer: C

breastfeeding, but the latter worries about
her small breasts. Which of the following
statements of the mother indicates that she
needs no further instructions?
a. “I need to exercise in order to increase
the size of my breast.”
b. “I will shift to infant formula.”
c. “The size of my breasts does not affect
lactation.”
d. “My breasts will gradually increase as I
breastfeed my baby.”
Rationale: When breastfeeding it is important to
teach mothers that the size of their breasts doesn't
affect lactation.
Option A is incorrect because exercise doesn't
increase the size of the breasts.
Option B is incorrect because breastfeeding is
encouraged and recommended for the first six
months of an infant's life.
Option D is incorrect because will not increase in
size when the baby breastfeed on it. (Community
Health nursing Services in the Philippines)

79. The law that provides mandate for newborn 79.Answer: A

screening is which of the following? Rationale: Republic Act 9288 or the Newborn
a. R.A. 9288 c. R.A. 7600 Screening Act is the law that provides mandate for
b. R.A. 7846 d. R.A. 8749 newborn screening.
Option B is the national Hepatitis B Immunization
Act (R.A. 7846).
Option C is the Rooming in and Breastfeeding Act
(R.A. 7600).
Option D is the Clean Air Act (R.A. 8749). (Venzon,
Professional Nursing in the Philippines, 10th Edition)

80. Presidential Decree 651 refers to the Birth 80.Answer: A

Registration Law. Which record should be Rationale: Municipal Form 102 or the Birth
submitted to the local civil registrar's office Certificate is the record that should be submitted
within 30 days after the mother's delivery? to the local civil registrar's office within 30 days
a. Municipal Form 102 after the mother's delivery. This is according to the
b. FHSIS/E-3 Birth Registration Law or Presidential Decree 651.
c. FHSIS/E-2 FHSIS/E-3 (option B) refers to the Perinatal death
d. Community tax Certificate report.
FHSIS/E-2 (option C) refers to the maternal death
report.
Community tax Certificate (option D) is the cedula.
(Community Health nursing Services in the
Philippines)

St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732 19
Situation 17. There are other public health
programs that the Public Health Nurse must
be aware of as they are an important
support in the achievement of quality
health services in the community.
81. The Public Health Nurse knows that all of the
following are guiding principles of Sentrong
Sigla, except:
a. Quality improvement is an unending
process
b. Assessment for certification shall involve
other stakeholders in order to provide
objectivity and varying perspective into
the process
c. The DOH shall give purposive technical
assistance to targeted health facilities
d. The first priority is the protection of
people who are at risk
82. Which of the following is the long-term goal
of Sentrong Sigla?
a. To improve quality of health care in
outpatient health facilities, hospitals, and
public health services in the communities
b. To improve the quality of outpatient
health care (public and private) and of
public health services in communities
c. To institutionalize within the health sector
the leadership, processes, knowledge,
attitudes, skills, and organizations to
generate continuous quality improvement
in health care
d. To establish an efficient system of
providing technical and other forms of
assistance, assessing health services
against established standards, and
monitoring key indicators in the SS
Certification process
83. In the general principles of Disaster
Management, the nurse knows that the
second priority is:
a. The protection of critical resources and
systems on which communities depend
b. The protection of people who are at risk
c. Environmental degradation resulting from
poor land use
d. Human vulnerability resulting from
poverty and social inequality
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
81.Answer: D Rationale: The following are
guiding principles of Sentrong Sigla: (1)
Recognition for achieving good quality shall be
the main incentive in SS Certification; (2)
Quality improvement is an unending process
(option A), thus the certification should
promote the continuing drive for ever
improving quality by providing multi-tired and
progressively higher quality standards; (3)
Focus shall be on core public health programs
that have proven to be most beneficial to the
people such as child health, maternal care and
family planning, prevention and control of
infectious diseases, and promotion of healthy
lifestyle; (4) Quality improvement is a
partnership that empowers all stakeholders,
and is based on trust and transparency; (5)
The DOH shall give purposive technical
assistance to targeted health facilities in order
to help them achieve quality improvement in
their health services particularly in the
underserved and marginalized areas (option C);
and Assessment for certification shall involve
other stakeholders in order to provide
objectivity and varying perspective into the
process (option B).
Option D is not a guiding principle of Sentrong
Sigla but a general principle of Disaster
Management. (Public Health Nursing in the
Philippines)
82.Answer: C
Rationale: The long-term goal of Sentrong Sigla is
to institutionalize within the health sector the
leadership, processes, knowledge, attitudes, skills,
and organizations to generate continuous quality
improvement in health care.
Option A is incorrect because this is the
intermediate goal of Sentrong Sigla.
Option B is incorrect because this is the specific
goal of Sentrong Sigla.
Option D is incorrect because this is one of the
objectives of Sentrong Sigla. (Public Health Nursing
in the Philippines)
83.Answer: A
Rationale: In the general principles of Disaster
Management, the second priority is the protection
of critical resources and systems on which
communities depend.
Option B is incorrect because this is the first
priority.
Options C and D are incorrect because they are not
general principles but contributing factors to
disaster occurrence and severity. (Public Health
Nursing in the Philippines)
20
 and health system

84. The law that provided mandate for the

planning and implementation of a National 84.Answer: B
Voluntary Blood Services Program (NVBSP) Rationale: By virtue of Republic Act 7719
is: otherwise known as the “National Blood Services
a. R.A. 9211 c. R.A. 2382 Act of 1994” the Department of Health in
b. R.A. 7719 d. R.A. 6675 cooperation with the Philippine National Red Cross
(PNRC) and Philippine Blood Coordinating Council
(PBCC) and other government agencies and non-
government organizations is mandated to plan and
implement a National Voluntary Blood Services
Program (NVBSP).
Option A is incorrect because Republic Act 9211 is
the Tobacco Regulation Act of 2003.
Option C is incorrect because Republic Act 2382 is
the Philippine Medical Act. This Act defines the
practice of medicine in the country.
Option D is incorrect because Republic Act 6675 is
the Generics Act of 1988 which promotes, requires,
and ensures the production of an adequate supply,
85. The DOH issued Administrative Order No. 23 distribution, use, and acceptance of drugs and
- A dated July 5, 1996 that outlines the medicines identified by their generic name. (Public
guidelines on the development and Health Nursing in the Philippines)
establishment of Botika ng Barangay. Which
of the following is not an objective of Botika 85.Answer: A
ng Barangay? Rationale: The DOH issued Administrative Order
a. To promote equity in health by ensuring No. 23 - A dated July 5, 1996 that outlines the
the availability and accessibility of guidelines on the development and establishment
affordable, safe, and effective quality of Botika ng Barangay. The following are its
essential drugs to all, with priority for objectives: to rationalize the distribution of
marginalized, underserved, critical, and common drugs and medicines among intended
hard to reach areas beneficiaries (option B); to serve as mechanism for
b. To rationalize the distribution of common the DOH to establish partnership with Local
drugs and medicines among intended Government Units (LGUs) and Community
beneficiaries Organizations (option C); and optimize
c. To serve as mechanism for the DOH to involvement of the Barangay Health Workers
establish partnership with Local addressing the health need of the community
Government Units (LGUs) and Community (option D).
Organizations Option A is the correct answer because it is the
d. Optimize involvement of the Barangay goal of Botika ng Barangay. (Public Health Nursing
Health Workers addressing the health in the Philippines)
need of the community

Situation 18. Care of children with

pulmonary infections is one of the
responsibilities of the public health nurse in
the community, wherein Control of Acute
Respiratory Infections (CARI) Program can
be utilized.
86. Which of the following is the principal focus of 86.Answer: B
CARI program of the DOH? Rationale: The principal focus of CARI program of
a. Enhance health team capabilities to the DOH is to teach mothers and community health
assess patients workers how to detect and where to refer.
b. Teach mothers and community health (Integrated Management of Childhood Illness
workers how to detect and where to refer Chart)
c. Mortality reduction through early
detection
d. Improve family and community practices

St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732 21

87. Which of the following is the most important
responsibility of a nurse in the prevention of
unnecessary deaths from pneumonia and
other severe diseases?
a. Giving antibiotics as prompt treatment
b. Doing careful focused assessment
c. Taking temperature of the sick child
d. Weighing the sick child
88. The public health nurse was able to identify
factors that lead to respiratory problems in
the community where her health facility
serve. Her primary role therefore in order to
reduce morbidity due to pneumonia is:
a. Make a home visit to families with sick
children
b. Seek assistance and mobilize health
workers
c. Refer identified ARI problems to nearest
hospital
d. Teach mothers how to recognize early
signs and symptoms of pneumonia
89. In responding to the concerns of children
with severe disease, referral to the hospital is
essential especially if the child manifests
which of the following?
a. Difficulty to awaken or sleeping
abnormality
b. Lower chest indrawing
c. Wheezing with chest indrawing
d. Fast breathing with stridor
90. While on treatment, Jermel, 18 months old
weighed 18 kgs and her temperature
registered at 37°C. Her mother says she
developed cough 3 days ago. Jermel has no
general danger signs. She has 45
breaths/minute, no chest indrawing, no
stridor. With Jermel's condition, what should
the nurse do?
a. Classify the child's condition as severe
pneumonia
b. Classify the child's condition as
pneumonia
c. Give amoxicillin BID for 3 days
d. Assess further the condition of the child
by giving a trial of rapid-acting inhaled
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
bronchodilator
87.Answer: B
Rationale: Doing careful focused assessment is
the most important responsibility of a nurse in the
prevention of unnecessary deaths from pneumonia
and other severe diseases. This is because a
thorough assessment supported with laboratory
results is necessary for the classification,
confirmation and the treatment of the disease.
(Integrated Management of Childhood Illness
Chart)
88.Answer: D Rationale: The principal focus of
CARI program of the DOH is to teach mothers
and community health workers how to detect
and where to refer. (Integrated Management of
Childhood Illness Chart)
89.Answer: A
Rationale: Difficulty to awaken or sleeping
abnormality is one of the danger signs. It
should be classified in the pink row and
referral to the nearest hospital is an
essential intervention. (Integrated
Management of Childhood Illness Chart)
90.Answer: D
Rationale: Before classifying the child as
Pneumonia, the child is assess further by giving
a trial of rapid-acting inhaled bronchodilator.
This is to rule out Asthma, since children with
asthma also exhibits fast breathing. If the
symptom still persists then by now the child
can be classified as having pneumonia. The
patient in the situation is manifesting fast
breathing because base on her age, which is 18
months, it is considered fast breathing when
her respiratory rate exceeds 40
breaths/minute (1-5 years old). (Integrated
Management of Childhood Illness Chart)
22
Situation 19. Mika Dela Cruz, 4 years old,
has had diarrhea for 5 days. She weighs 15
kg. There is no blood in the stool, she is
irritable. Her eyes are sunken. Nurse
Pangitaon offers fluid to Mika and she
drinks eagerly. When the nurse pinched the
abdomen, it goes back slowly.
91. Nurse Pangitaon should classify the child's 91.Answer: B
condition as: Rationale: The child is classified under Some
a. No dehydration dehydration because he manifested more than 2
b. Some dehydration symptoms in the yellow row. They are as follows:
c. Severe dehydration irritable, sunken eyes, drinks eagerly and skin
d. Severe persistent diarrhea pinch goes back slowly. (Integrated Management
of Childhood Illness Chart)

92.Answer: B
Rationale: Since the child is classified under the
92. In treating the condition of the child, nurse yellow row, the appropriate intervention is
Pangitaon knows that she should utilize which following Plan B, which is the administration of ORS
treatment plan? (oral rehydration solution).
a. Plan A c. Plan C Plan A (option A) is used for children classified
b. Plan B d. Plan D under the green row that requires only home
management.
Plan C (option C) is the administration of IVF that
is used for children classified under the pink row.
Option D is incorrect because there is no Plan D.
(Integrated Management of Childhood Illness
Chart)

93. How many milliliter (ml) will be given to Mika 93.Answer: C

in 4 hours? Rationale: When giving ORS to a child, the nurse
a. 700-900 ml c. 1000-1200 ml first check if the weight is available before
b. 800-1100 ml d. 900-1400 ml considering the age. By simply multiplying the
child's weight with 75 (15 kg x 75 = 1125 ml), you
can determine the amount of ORS to be given.
Option D is correct if the weight is not mentioned
or unavailable (2-5 years old = 900-1400 ml).
(Integrated Management of Childhood Illness
Chart)

94. If a child vomits while receiving ORS, what is 94.Answer: B

the most appropriate action?
a. Discontinue taking the ORS
b. Wait for 10 minutes, then continue but
more slowly
c. Measure the amount of vomitus
d. Switch the oral rehydration to fruit juices
Rationale: If a child vomits while receiving ORS,
the appropriate action of the nurse is to wait for 10
minutes, then continue giving the ORS but more
slowly. (Integrated Management of Childhood
Illness Chart)

St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732 23

95. After 4 hours of giving interventions to Mika,
the child has one sign each both in the pink
and yellow rows. Nurse Pangitaon should
classify this condition as:
a. Severe dehydration c. Mild dehydration
b. Some dehydration d. No dehydration
Situation 20. The nurse should know the
following IMCI treatment standards using
appropriate medications.
96. When giving an appropriate oral antibiotic for
a child with pneumonia, acute ear infection,
very severe disease, and mastoiditis, the
nurse knows that the first line drug is:
a. Amoxicillin c. Nalidixic acid
b. Penicillin d. Cotrimoxazole
97. When treating dysentery, which one
considered as the first line of drug?
a. Nalidixic acid c. Tetracycline
b. Ciprofloxacin d. Cotrimoxazole
98. Which of the following antimalarial drugs is
considered as the first line drug?
a. Sulfadoxine and Pyrimethamine
b. Primaquine
c. Chloroquine
d. Artemeter-Lumefantrine
99. The nurse knows that a child should be given
albendazole as a single advised dose in the
center, except if:
a. Hookworm/whipworm infection is a
problem among children in the area
b. Child is 2 years of age or older
c. Child did not have a dose of the drug in
the previous 6 months
d. Child complains of severe abdominal pain
100. To treat oral thrush, the mother should:
a. All mentioned below
b. Wash hands
c. Wash mouth with clean soft cloth
wrapped around the finger and wet with
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
salt water
d. Paint the mouth with half-strength gentian
violet
95.Answer: B
Rationale: If the child has one sign each
both in the pink and yellow rows, the child
is classified under the yellow row (Some
dehydration). (Integrated Management of
Childhood Illness Chart)
96.Answer: A
Rationale: According to the new IMCI chart,
Amoxicillin is the appropriate oral antibiotic for a
child with pneumonia, acute ear infection, very
severe disease, and mastoiditis. (Integrated
Management of Childhood Illness Chart)
is
97.Answer: B
Rationale: According to the new IMCI chart,
Ciprofloxacin is the first line drug for treating
dysentery. (Integrated Management of Childhood
Illness Chart)
98.Answer: D
Rationale: According to the new IMCI chart,
Artemeter-Lumefantrine is considered as the first
line antimalarial drug. (Integrated Management of
Childhood Illness Chart)
99.Answer: D Rationale: A child should be given
albendazole as a single advised dose in the
center if: Hookworm/whipworm infection is a
problem among children in the area; the child
is 2 years of age or older; and the child did not
have a dose of the drug in the previous 6
months.
Option D is not included. (Integrated Management
of Childhood Illness Chart)
100. Answer: A
Rationale: To treat oral thrush, the mother should
do the following interventions: Wash hands; Wash
mouth with clean soft cloth wrapped around the
finger and wet with salt water; and Paint the
24
mouth with half-strength gentian violet.
(Integrated Management of Childhood Illness
Chart)

“Yesterday is not ours to recover, but

tomorrow is ours to win or to lose.”

St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732 25