4. An outbreak of measles has been reported in Community A.

As a nurse, which of
the following is your frst action for an Epidemiological investigation?
A. Classify if the outbreak of measles is epidemic or ust sporadic
!. "eport the incidence into the "#$
C. %etermine the frst day when the outbreak occurred
D. Identify if it is the disease which it is reported to be
&. After the epidemiological investigation produced fnal conclusions, which of the
following is your initial step in your operational procedure during disease outbreak?
A. Coordinate personnel from Municipal to the National level
!. Collect pertinent laboratory specimen to confrm disease causation
C. 'mmuni(e nearby communities with )easles
%. Educate the community in future prevention of similar outbreaks
*. +he main concern of a public health nurse is the prevention of disease,
prolonging of life and promoting physical health and e,ciency through which of the
following?
A. $se of epidemiological tools and vital health statistics
!. %etermine the spread and occurrence of the disease
C. -olitical empowerment and .ocio Economic Assistance
D. Organized Community !orts
/. 'n order to control a disease e0ectively, which of the following must frst be
known?
1. +he conditions surrounding its occurrence
2. 3actors that do not favor its development
4. +he condition that do not surround its occurrence
4. 3actors that favors its development
A. 1 and 4
". # and $
C. 2 and 4
%. 2 and 4
5. All of the following are uses of epidemiology e6cept7
A. +o study the history of health population and the rise and fall of disease
!. +o diagnose the health of the community and the condition of the people
C. %o provide summary data on health service delivery
%. +o identify groups needing special attention
8. !efore reporting the fact of presence of an epidemic, which of the following is of
most importance to determine?
A. Are the facts complete&
!. 's the disease real?
C. 's the disease tangible?
%. 's it epidemic or endemic?
19. An unknown epidemic has ust been reported in !arangay %ekbudekbu. -eople
said that a0ected person demonstrates hemorrhagic type of fever. :ou are
designated now to plan for epidemiological investigation. Arrange the se;uence of
events in accordance with the correct outline plan for epidemiological investigation.
1. "eport the presence of dengue
2. .ummari(e data and conclude the fnal picture of epidemic
4. "elate the occurrence to the population group, facilities, food supply and carriers
4. %etermine if the disease is factual or real
&. %etermine any unusual prevalence of the disease and its nature< is it epidemic,
sporadic, endemic or pandemic?
*. %etermine onset and the geographical limitation of the disease.
A. 4,1,4,&,2,*
". $'#'(')'*'+
C. &,4,*,2,1,4
%. &,4,*,1,2,4
E. 1,2,4,4,&,*
11. 'n the occurrence of .A". and other pandemics, which of the following is the
most vital role of a nurse in epidemiology?
A. #ealth promotion
!. %isease prevention
C. ,urveillance
%. Casefnding
12. )easles outbreak has been reported in !arangay !ahay +oro, After conducting
an epidemiological investigation you have confrmed that the outbreak is factual.
:ou are tasked to lead a team of medical workers for operational procedure in
disease outbreak. Arrange the correct se;uence of events that you must do to
e0ectively contain the disease
1. Create a fnal report and recommendation
2. -erform nasopharyngeal swabbing to infected individuals
4. -erform mass measles immuni(ation to vulnerable groups
4. -erform an environmental sanitation survey on the immediate environment
&. =rgani(e your team and Coordinate the personnels
*. Educate the community on disease transmission
A. 1,2,4,4,&,*
!. *,&,4,4,2,1
C. &,*,4,2,4,1
D. ('+'*'$')'#
14. All of the following are function of >urse !udek in epidemiology e6cept
A. -aboratory Diagnosis
!. .urveillance of disease occurrence
C. 3ollow up cases and contacts
%. "efer cases to hospitals if necessary
E. 'solate cases of communicable disease
14. All of the following are performed in team organi(ation e6cept
A. =rientation and demonstration of methodology to be employed
!. Area assignments of team members
C. Check team?s e;uipments and paraphernalia
D. Active case .nding and ,urveillance
1&. @hich of the following is the fnal output of data reporting in epidemiological
operational procedure?
A. /ecommendation
!. Evaluation
C. 3inal "eport
%. -reliminary report
1*. +he o,ce in charge with registering vital facts in the -hilippines is none other
than the
A. -C.=
! -AAC="
C. %=#
D. N,O
1/. +he following are possible sources of %ata e6cept7
A. 0perience
!. Census
C. .urveys
%. "esearch
15. +his refers to systematic study of vital events such as births, illnesses,
marriages, divorces and deaths
A. Epidemiology
!. %emographics
C. 1ital ,tatistics
%. #ealth .tatistics
18. 'n case of clerical errors in your birth certifcate, @here should you go to have it
corrected?
A. >.=
!. Court of Appeals
C. )unicipal +rial Court
D. -ocal Civil /egistrar
29. Acasia ust gave birth to Bestat, A healthy baby boy. @ho are going to report the
birth of !aby Bestat?
A. >urse
!. )idwife
C. =! Ayne
D. "irth Attendant
21. 'n reporting the birth of !aby Bestat, where will he be registered?
A. At the -ocal Civil /egistrar
!. 'n the >ational .tatistics =,ce
C. 'n the City #ealth %epartment
%. 'n the 3ield #ealth .ervices and 'nformation .ystem )ain =,ce
22. %eeay, +he birth attendant noticed that Bestat has low set of ears,
)icrognathia, )icrocephaly and a typical cat like cry. @hat should %eeay do?
A. !ring Bestat immediately to the nearest hospital
!. Ask his assistant to call the nearby pediatrician
C. !ring Bestat to the nearest pediatric clinic
D. Call a %a0i and together with Acasia' "ring -estat to the nearest
hospital
24. %eeay would suspect which disorder?
A. +risomy 21
!. +urners .yndrome
C. Cri Du Chat
%. Clinefelters .yndrome
24. %eeay could e6pect which of the following congenital anomaly that would
accompany this disorder?
A. A1,D
!. -%A
C. +=3
%. +=AD
2*. @hich presidential decree orders reporting of births within 49 days after its
occurrence?
A. )(#
!. &41
C. 88*
%. 52&
2&. +hese rates are referred to the total living population, 't must be presumed that
the total population was e6posed to the risk of occurrence of the event.
A. "ate
!. "atio
C. Crude23eneral /ates
%. .pecifc "ate
2*. +hese are used to describe the relationship between two numerical ;uantities or
measures of events without taking particular considerations to the time or place.
A. "ate
". /atios
C. CrudeEAeneral "ate
%. .pecifc "ate
2/. +his is the most sensitive inde6 in determining the general health condition of a
community since it reFects the changes in the environment and medical conditions
of a community
A. Crude death rate
". Infant mortality rate
C. )aternal mortality rate
%. 3etal death rate
25. According to the @#=, which of the following is the most fre;uent cause of
death in children underfve worldwide in the 2994 @#= .urvey?
A. Neonatal
!. -neumonia
C. %iarrhea
%. #'DEA'%.
28. 'n the -hilippines, what is the most common cause of death of infants according
to the latest survey?
A. -neumonia
!. %iarrhea
C. Other perinatal condition
%. "espiratory condition of fetus and newborn
49. +he maor cause of mortality from 1888 up to 2992 in the -hilippines are
A. Diseases of the heart
!. %iseases of the vascular system
C. -neumonias
%. +uberculosis
41. Alicia, a 8 year old child asked you G @hat is the common cause of death in my
age group here in the -hilippines? G +he nurse is correct if he will answer
A. -neumonia is the top leading cause of death in children age & to 8
!. )alignant neoplasm if common in your age group
C. 4robability wise' 5ou might die due to accidents
%. %iseases of the respiratory system is the most common cause of death in
children
42. 'n children 1 to 4 years old, which is the most common cause of death?
A. %iarrhea
!. Accidents
C. 4neumonia
%. %iseases of the heart
44. @orking in the community as a -#> for almost 19 years, Aida knew the
Fuctuation in vital statistics. .he knew that the most common cause of morbidity
among the 3ilipinos is
A. %iseases of the heart
!. %iarrhea
C. 4neumonia
%. Dascular system diseases
44. >urse Aida also knew that most maternal deaths are caused by
A. #emorrhage
". Other Complications related to pregnancy occurring in the course of
labor' delivery and puerperium
C. #ypertension complicating pregnancy, childbirth and puerperium
%. Abortion
.'+$A+'=> 7 !arangay -inoy!.> has the following data in year 299*
1. Huly 1 population 7 2&4,41*
2. Bivebirths 7 2,258
4. %eaths from maternal cause 7 1&
4. %eath from CD% 7 4,928
&. %eaths under 1 year of age 7 24
*. 3etal deaths 7 5
/. %eaths under 25 days 7 5
5. %eath due to rabies 7 4&
8. "egistered cases of rabies 7 4&
19. -eople with pneumonia 7 /8
11. -eople e6posed with pneumonia 7 2,&84
12. +otal number of deaths from all causes 7 19,885
+he following ;uestions refer to these data
4&. @hat is the crude birth rate of !arangay -inoy!.>?
A. 89E199,999
!. 8E199
C. 89E1999
D. 62#777
4*. @hat is the cause specifc death rate from cardiovascular diseases?
A. 2/E199
". ##6#2#77'777
C. 2/E199,999
%. 1.1E1999
4/. @hat is the )aternal )ortality rate of this barangay?
A. ).((2#777
!. &.58E1999
C. 1.4*E1999
%. 4.*/E1999
45. @hat is the fetal death rate?
A. *.$62#777
!. 19.94E1999
C. 4.14E1999
%. 4.14E199,999
48. @hat is the attack rate of pneumonia?
A. 4.94E1999
!. /.15E1999
C. 42.52E199
D. *.7$2#77
49. %etermine the Case fatality ratio of rabies in this !arangay
A. 1E199
". #778
C. 1I
%. 199E1999
41. +he following are all functions of the nurse in vital statistics, which of the
following is not?
A. Consolidate Data
!. Collects %ata
C. Analy(e %ata
%. +abulate %ata
42. +he following are >otifable diseases that needs to have a tally sheet in data
reporting, @hich one is not?
A. #ypertension
!. !ronchiolitis
C. Chemical -oisoning
D. Accidents
44. @hich of the following re;uires reporting within 24 hours?
A. >eonatal tetanus
". Measles
C. #ypertension
%. +etanus
44. @hich Act declared that all communicable disease be reported to the nearest
health station?
A. 1952
!. 1581
C. *(9*
%. **/&
4&. 'n the "#$ +eam, @hich professional is directly responsible in caring a sick
person who is homebound?
A. Midwife
!. >urse
C. !#@
%. -hysician
4*. %uring epidemics, which of the following epidemiological function will you have
to perform frst?
A. +eaching the community on disease prevention
!. Assessment on suspected cases
C. )onitor the condition of people a0ected
D. Determining the source and nature of the epidemic
4/. @hich of the following is a -='>+ .=$"CE epidemic?
A. %engue #.3
!. )alaria
C. Contaminated :ater ,ource
%. +uberculosis
45. All but one is a characteristic of a point source epidemic, which one is not?
A. +he spread of the disease is caused by a common vehicle
!. +he disease is usually caused by contaminated food
C. %here is a gradual increase of cases
%. Epidemic is usually sudden
48. +he only )icroorganism monitored in cases of contaminated water is
A. Dibrio Cholera
". scherichia Coli
C. Entamoeba #istolytica
%. Coliform +est
&9. %engue increase in number during Hune, Huly and August. +his pattern is called
A. Epidemic
!. Endemic
C. Cyclical
%. .ecular
.'+$A+'=> 7 3ield health services and information system provides summary data on
health service delivery and selected program from the barangay level up to the
national level. As a nurse, you should know the process on how these information
became processed and consolidated.
&1. All of the following are obectives of 3#.'. E6cept
A. %o complete the clinical picture of chronic disease and describe their
natural history
!. +o provide standardi(ed, facility level data base which can be accessed for more
in depth studies
C. +o minimi(e recording and reporting burden allowing more time for patient care
and promotive activities
%. +o ensure that data reported are useful and accurate and are disseminated in a
timely and easy to use fashion
&2. @hat is the fundamental block or foundation of the feld health service
information system?
A. ;amily treatment record
!. +arget Client list
C. "eporting forms
%. =utput record
&4. @hat is the primary advantage of having a target client list?
A. Nurses need not to go bac< to ;%/ to monitor treatment and services to
bene.ciaries thus saving time and e!ort
!. #elp monitor service rendered to clients in general
C. 3acilitate monitoring and supervision of services
%. 3acilitates easier reporting
&4. @hich of the following is used to monitor particular groups that are ;ualifed as
eligible to a certain program of the %=#?
A. 3amily treatment record
". %arget Client list
C. "eporting forms
%. =utput record
&&. 'n using the tally sheet, what is the recommended fre;uency in tallying activities
and services?
A. Daily
!. @eekly
C. )onthly
%. Juarterly
&*. @hen is the counting of the tally sheet done?
A. At the end of the day
!. At the end of the week
C. At the end of the month
%. At the end of the year
&/. +arget client list will be transmitted to the ne6t facility in the form of
A. 3amily treatment record
!. +arget Client list
C. /eporting forms
%. =utput record
&5. All but one of the following are eligible target client list
A. Beprosy cases
!. +! cases
C. -renatal care
D. Diarrhea cases
&8. +his is the only mechanism through which data are routinely transmitted from
once facility to another
A. 3amily treatment record
!. +arget Client list
C. /eporting forms
%. =utput record
*9. 3#.'.EJK4 =r the report for environmental health activities is prepared how
fre;uently?
A. %aily
!. @eekly
C. =uarterly
%. :early
*1. >urse !udek is preparing the reporting form for weekly notifable diseases. #e
knew that he will code the report form as
A. 3#.'.EEK1
!. 3#.'.EEK2
C. 3#.'.EEK4
D. ;>,I,2M?#
*2. 'n preparing the maternal death report, which of the following correctly codes
this occurrence?
A. 3#.'.EEK1
". ;>,I,2?+
C. 3#.'.EEK4
%. 3#.'.E)K1
*4. @here should >urse !udek bring the reporting forms if he is in the !#$ 3acility?
A. "ural health o,ce
!. 3#.'. )ain o,ce
C. 4rovincial health o@ce
%. "egional health o,ce
*4. After bringing the reporting forms in the right facility for processing, >urse
!udek knew that the output reports are solely produced by what o,ce?
A. "ural health o,ce
!. 3#.'. )ain o,ce
C. 4rovincial health o@ce
%. "egional health o,ce
*&. )ang "aul entered the health center complaining of fatigue and fre;uent
syncope. :ou assessed )ang "aul and found out that he is severely malnourished
and anemic. @hat record should you get frst to document these fndings?
A. ;amily treatment record
!. +arget Client list
C. "eporting forms
%. =utput record
**. +he information about )ang "aul?s address, full name, age, symptoms and
diagnosis is recorded in
A. ;amily treatment record
!. +arget Client list
C. "eporting forms
%. =utput record
*/. Another entry is to be made for )ang "aul because he is in the target client?s
list, 'n what +CB should )ang "aul?s entry be documented?
A. +CB Eligible -opulation
!. +CB 3amily -lanning
C. %C- Nutrition
%. +CB -re >atal
*5. +he nurse uses the 3#.'. "ecord system incorrectly when she found out that
A. .he go to the individual or 3+" for entry confrmation in the +allyE"eport .ummary
". ,he refer to other sources for completing monthly and Auarterly reports
C. .he records diarrhea in the +ally sheetE"eport form with a code 3#.'.E)K1
%. .he records a Child who have fre;uent diarrhea in +CB 7 $nder 3ive
*8. +he !#. 's the lowest level of reporting unit in 3#.'.. A !#. can be considered a
reporting unit if all of the following are met e6cept
A. 't renders service to 4 barangays
!. +here is a midwife the regularly renders service to the area
C. +he !#. #ave no mother !#.
D. It should be a satellite ">,
/9. %ata submitted to the -#= is processed using what type of technology?
A. 'nternet
". Microcomputer
C. .upercomputer
%. .erver 'nterlink Connections
.'+$A+'=> 7 Community organi(ing is a process by which people, health services
and agencies of the community are brought together to act and solve their own
problems.
/1. )ang ambo approaches you for counseling. :ou are an e0ective counselor if you
A. Aive good advice to )ang Ambo
!. 'dentify )ang Ambo?s problems
C. Convince )ang Ambo to follow your advice
D. >elp Mang Ambo identify his problems
/2. As a newly appointed -#> instructed to organi(e !arangay !aritan, @hich of the
following is your initial step in organi(ing the community for initial action?
A. ,tudy the "arangay >ealth statistics and records
!. )ake a courtesy call to the !arangay Captain
C. )eet with the !arangay Captain to make plans
%. )ake a courtesy call to the )unicipal )ayor
/4. -reparatory phase is the frst phase in organi(ing the community. @hich of the
following is the initial step in the preparatory phase?
A. Area selection
!. Community profling
C. Entry in the community
%. 'ntegration with the people
/4. the most important factor in determining the proper area for community
organi(ing is that this area should
A. !e already adopted by another organi(ation
!. !e able to fnance the proects
C. >ave problems and needs assistance
%. #ave people with e6pertise to be developed as leaders
/&. @hich of the following dwelling place should the >urse choose when integrating
with the people?
A. A simple house in the border of !arangay !aritan and .an -ablo
!. A simple house with fencing and gate located in the center of !arangay !aritan
C. A modest dwelling place where people will not hesitate to enter
D. A modest dwelling place where people will not hesitate to enter located
in the center of the community
/*. 'n choosing a leader in the community during the =rgani(ational phase, @hich
among these people will you choose?
A. )iguel Lobel, &9 years old, "ich and 3amous
!. "ustom, 2/ years old, Actor
C. )ang Ambo, /9, @illing to work for the desired change
D. /ic<y' *7 years old' InBuential and :illing to wor< for the desired
change
//. @hich type of leadership style should the leaders of the community practice?
A. Autocratic
". Democratic
C. Baisse( 3aire
%. Consultative
/5. .etting up Committee on Education and +raining is in what phase of C=-A"?
A. -reparatory
". Organizational
C. Education and +raining
%. 'ntersectoral Collaboration
E. -hase out
/8. Community diagnosis is done to come up with a profle of local health situation
that will serve as basis of health programs and services. +his is done in what phase
of C=-A"?
A. -reparatory
!. =rgani(ational
C. ducation and %raining
%. 'ntersectoral Collaboration
E. -hase out
59. +he people named the community health workers based on the collective
decision in accordance with the set criteria. !efore they can be trained by the
>urse, +he >urse must frst
A. )ake a lesson plan
!. .et learning goals and obective
C. Assess their learning needs
%. "eview materials needed for training
51. >urse !udek wrote a letter to -C.= asking them for assistance in their feeding
programs for the community?s nutrition and health proects. -C.= then approved
the re;uest and gave !udek &9,999 -esos and a truckload of rice, fruits and
vegetables. @hich phase of C=-A" did !udek utili(ed?
A. -reparatory
!. =rgani(ational
C. Education and +raining
D. Intersectoral Collaboration
E. -hase out
52. 'deally, #ow many years should the >urse stay in the community before he can
phase out and be assured of a .elf "eliant community?
A. ( years
!. 19 years
C. 1 year
%. * months
54. )aor discussion in community organi(ation are made by
A. +he nurse
!. +he leaders of each committee
C. %he entire group
%. Collaborating Agencies
54. +he nurse should know that =rgani(ational plan best succeeds when
1. -eople sees its values
2. -eople think its antagonistic professionally
4. 't is incompatible with their personal beliefs
4. 't is compatible with their personal beliefs
A. 1 and 4
!. 2 and 4
C. 1 and 2
D. # and $
5&. >urse !udek made a proposal that people should turn their backyard into small
farming lots to plant vegetables and fruits. #e specifed that the obective is to save
money in buying vegetables and fruits that tend to have a Fuctuating and cyclical
price. @hich step in Community organi(ing process did he utili(ed?
A. 3act fnding
!. %etermination of needs
C. 4rogram formation
%. Education and 'nterpretation
5*. =ne of the critical steps in C=-A" is becoming one with the people and
understanding their culture and lifestyle. @hich critical step in C=-A" will the >urse
try to immerse himself in the community?
A. Integration
!. .ocial )obili(ation
C. Around @ork
%. )obili(ation
5/. +he Actual e6ercise of people power occurs during when?
A. 'ntegration
!. .ocial )obili(ation
C. Around @ork
D. Mobilization
55. @hich steps in C=-A" trains indigenous and informal leaders?
A. Around @ork
!. )obili(ation
C. Core 3roup formation
%. 'ntegration
58. As a -#>, =ne of your role is to organi(e the community. >urse !udek knows
that the purposes of community organi(ing are
1. )ove the community to act on their own problems
2. )ake people aware of their own problems
4. Enable the nurse to solve the community problems
4. =0er people means of solving their own problems
A. 1,2,4
!. 1,2,4,4
C. 1,2
D. #'+'$
89. +his is considered the frst act of integrating with the people. +his gives an in
depth participation in community health problems and needs.
A. /esiding in the area of assignment
!. Bisting down the name of person to contact for courtesy call
C. Aathering initial information about the community
%. -reparing Agenda for the frst meeting
.'+$A+'=> 7 #ealth education is the process whereby knowledge, attitude and
practice of people are changed to improve individual, family and community health.
81. @hich of the following is the correct se;uence in health education?
1. 'nformation
2. Communication
4. Education
A. #'+'*
!. 4,2,1
C. 1,4,2
%. 4,1,2
82. +he health status of the people is greatly a0ected and determined by which of
the following?
A. !ehavioral factors
". ,ocioeconomic factors
C. -olitical factors
%. -sychological factors
84. >urse !udek is conducting a health teaching to Agnesia, &9 year old breast
cancer survivor needing rehabilitative measures. #e knows that health education is
e0ective when
A. Agnesia recites the procedure and instructions perfectly
". AgnesiaCs behavior and outloo< in life was changed positively
C. Agnesia gave feedback to !udek saying that she understood the instruction
%. Agnesia re;uested a written instruction from !udek
84. @hich of the following is true about health education?
A. 't helps people attain their health through the nurse?s sole e0orts
!. 't should not be Fe6ible
C. 't is a fast and mushroom like process
D. It is a slow and continuous process
8&. @hich of the following factors least inFuence the learning readiness of an adult
learner?
A. %he individuals stage of development
!. Ability to concentrate on information to be learned
C. +he individual?s psychosocial adaptation to his illness
%. +he internal impulses that drive the person to take action
8*. @hich of the following is the most important condition for diabetic patients to
learn how to control their diet?
A. $se of pamphlets and other materials during instructions
". Motivation to be symptom free
C. Ability of the patient to understand teaching instruction
%. Banguage used by the nurse
8/. An important skill that a primigravida has to ac;uire is the ability to bathe her
newborn baby and clean her breast if she decides to breastfeed her baby, @hich of
the following learning domain will you classify the above goals?
A. 4sychomotor
!. Cognitive
C. A0ective
%. Attitudinal
85. @hen you prepare your teaching plan for a group of hypertensive patients, you
frst formulate your learning obectives. @hich of the following steps in the nursing
process corresponds to the writing of the learning obectives?
A. 4lanning
!. 'mplementing
C. Evaluation
C. Assessment
88. "ose, &9 years old and newly diagnosed diabetic patient must learn how to
inect insulin. @hich of the following physical attribute is not in anyway related to
her ability to administer insulin?
A. .trength
!. Coordination
C. %e6terity
D. Muscle "uilt
199. Appearance and disposition of clients are best observed initially during which
of the following situation?
A. +aking DE.
". Interview
C. 'mplementation of the initial care
%. Actual -hysical e6amination
8&K199 are taken from actual board ;uestions, #owever the answer key given in the
compilation are incorrect. Comments, Juestion, .uggestion or "eactions? :) or
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