Easter College
DEPARTMENT OF NURSING
Easter School Road, Guisad, Baguio City
Phone: (074) 424-5483
E-mail: ndcon2013@gmail.com
Website: www.eastercollege.ph
Multiple Choices (100pts) ANSWER KEY (TEST 1)
1. It refers to the practice of nursing in
local/national health departments (health
centers, RHU’s and public schools). It is
community health nursing practiced in public
sector.
A. Community health nursing( broader than
public health nursing because it
encompasses nursing practice in a wide
variety pf community services and
consumer advocate areas, and in variety of
roles, a times including independent practice
community nursing is certainly not confined
to public health nursing agencies)
B. Public health nursing
C. Nursing service(separate and distinct unit of
the local health agency / unit which is
composed of nurses, midwives and
auxiliaries such as barangay health workers,
nursing aides and volunteers)
D. Public health nurse (refers to the nurses in
the local health departments whether their
official position title is Public Health Nurse or
nurse or school nurse.)
2. One of the most significant laws that
dramatically changed the health care delivery in
the Philippines is through the devolution of
health services. This is supported by which law
A. RA 8976(Philippine Food Fortification)
B. RA 9211(Tobacco Regulation Act)
C. RA 7160(local government code in
which all structures, personnel and
budgetary allocations from the
provincial health level down to the
barangays were devolved to the local
government units to facilitate health
service delivery)
D. EO No. 2009 (The Family Code of the
Philippines)
3. The goal 2000 Nutritional guidelines for Filipinos
is to improve the nutritional status, productivity
and quality of life of the population through
adoption of desirable practices and healthy
lifestyle. There are ten nutritional guidelines
under this program and the 8th guideline focuses
on:
A. Promoting the use of iodized salt to
prevent iodine deficiency(the 10
nutritional guidelines under the
program are:
1: intended to give the message that
no single food provides all the
nutrients the body needs;
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2: promoting exclusive breastfeeding
from birth up to 4-6 months;
3: gives advice on proper feeding of
children. It also includes regular
weighing to monitor the growth of the
children;
4: eating of fish, meat poultry products
and beans;
5: eating more vegetables;
6: eat cooked food in edible oil;
7: consume milk and milk products;
8: using iodized salt to prevent iodine
deficiency;
9: preventing food-borne diseases
10; promoting healthy lifestyle
B. Promoting exclusive breastfeeding from
birth up to 4-6 months
C. Giving advice on proper feeding of children
D. Preventing food-borne diseases
4. To prevent beri-beri, support normal appetite
and nerve function, what vitamin should be
taken?
A. Riboflavin(Vitamin B2 helps release energy
from nutrients, support skin health, prevent
deficiency manifested by cracks and redness
at corners of the mouth)
B. Thiamine(beriberi is a vitamin
deficiency disease in which the body
does not have enough
thiamine(Vitamin B1)
C. Niacin(also called Vitamin B3 prevents
pellagra)
D. Vitamin A(maintains normal vision, skin
health and prevents xeropthalmia)
5. Communal faucet system or stand posts is
classified under what level of water supply
facilities
A. Level 1(point source: a protected well or a
developed spring with an outlet but without
distribution system; serves 15 households
and its outreach must not be more than 250
meters from the farthest user)
B. Level 2(communal faucet system or
stand posts: has source of reservoir, a
piped distribution network and
communal faucets located at not more
than 25 meters from the farthest
house. It delivers water to an average
of 100 households, with one faucet per
4 to 6 households)
C. Level 3(water work systems or individual
house connections: has a source reservoir, a
piped distribution network and household
 taps. Suited for densely populated urban
areas)
D. Level 4
6. Under the approved types of toilet facilities,
what level are on site toilet facilities of the water
carriage type with water-sealed and flush type
with septic vault/ tank disposal facilities
A. Level 1(non-water carriage toilet facility; (pit
latrines, reed odorless earth closet: ) toilets
requiring small amount of water to wash
waste into receiving space( pour flush and
aqua privies)
B. Level 2(on site toilet facilities of the
water carriage type with water sealed
and flushed type with septic
vault/tank disposal facilities)
C. Level 3(water carriage types of toilet
facilities connected to septic tanks and /or
to sewerage system to treatment plant.)
D. Level 4
7. It provides summary of data on health services
delivery and selected program accomplished
indicators at the barangay, municipality/city, and
district, provincial, regional and national levels.
A. Family treatment record( the fundamental
block of FHSIS; it is a document upon which
the presenting symptoms or complaints of
the patient on consultation and the
diagnosis, treatment and date of treatment
is recorded)
B. Target client list( second building block of
FHSIS; used to plan and carry out patient
care and service delivery( e.g. determining
targets of a program) ; used to report
services delivered and to provide clinic level
data base)
C. Field health services and information
system(has four major components:
family treatment record; target client
list; tally reporting forms and output
reports)
D. Reporting forms
8. A medicinal herb that has chrysophanic acid, a
fungicide used to treat fungal infections, like
ringworms and scabies. This is also known as
bayabas-bayabasan.
A. Ulasimang bato(commonly known as pansit-
pansitan;it’s main purpose is to lower uric
acid for clients with rheumatism and gout)
B. Guava(effective as wound antiseptic)
C. Tsaang gubat(also known as carmona
retusa; use to treat stomach
D. Akapulko
9. Which is not included in the ten medicinal plants
that the DOH through its “Traditonal Health
Program” have endorsed:
A. Mamordica charantia
B. Ulasimang bato
C. Ginger
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D. Pansit pansitan
(The following ar the ten medicinal plants
endores by the DOH: bawang;ulasimang
bato(panist-pansitan), bayabas; lagundi;
yerba buena; sambong;
amaplaya(mamordica charantia); niyug-
niyugan; tsaang gubat; akapulko)
10. Niyug-niyogan is commonly given to children
above four years old as anti-helminthic. Which
part of the medicinal plant you will prepare to be
taken two hours after supper
A. Leaves
B. Stem
C. Flower
D. Seeds(the seeds are given two hours
after supper and if no worms are
expelled the dose may be repeated
after week: Adult = 8-10 seeds; 7-12
years old = 6-7 seeds; 6-8 years old =
5-6 seeds; 4-5 years old = 4-5 seeds)
11. Tsaang gubat is a shrub with small, shiny nice-
looking leaves that grows in wild uncultivated
areas and forests. This herb is known as remedy
for which ailment
A. Diarrhea and stomach ache
B. Anti-edema and anti-urolithiasis(sambong)
C. Rheumatism and swollen gums(yerba
buena)
D. Asthma, cough fever(lagundi)
12. This law created the Philippine Institute of
traditional and Alternative health care
A. RA 6675(Generics Acts of 1998)
B. RA 7719(National Blood Service)
C. RA 8423
D. RA 6425(Dangerous Drug Act)
13. Administrative order No. 3A s. 2000: Guidelines
on Vitamin A and Iron Supplementation of the
Department of health indicates which of the
following is not the first priority of Vit A
supplementation
A. All active vitamin A deficiency cases
B. 6-59 months old children with diarrhea
C. Post-partum/ lactating mother within one
month after delivery
D. Pregnant women
(DOH AO No.: 3A s. 2000: Guidleines
on Vitamin A and Iron
Supplementation priority targets:
First priority: all active Vitamin A
deficiency cases; 6-59 months old high
risk groups (1st 2nd 3rd degree
underweight children with measles,
ARI, diarrhea); post-partum/lactating
mother within one month after
delivery
Second priority: 60-72 month old high
risk preschoolers; pregnant women
 Third priority: 3rd, 2nd, 1st degree
underweight school children (above 2-
12 years old)))
14. This program is done twice a year. It involves
services such as giving vit A supplementation
and catch up immunization. What do you call
this program of DOH?
A. Child 21(a strategic framework for planning
programs and interventions that promote
and safeguard the rights of Filipino children.
Covering the period 2000 – 2005, it paints in
broad strokes a vison for the quality of life
of Filipino children in 2025 and a roadmap
to achieve the vision.)
B. Garantisadong pambata
C. Knock out tigdas 2007(a sequel to the 1998
and 2004 “Ligtas Tigdas” mass measles
immunization campaigns. This is the second
follow up measles campaign to eliminate
measles infection as a public health
problem)
D. Expanded program on immunization (one of
the DOH programs that has already been
institutionalized and adopted by all LGUs in
the region. Its objective is to reduce infant
mortality and morbidity though decreasing
the prevalence of six(6) immunizable
diseases ( TB, diphtheria, pertussis, tetanus,
polio and measles)
15. An endocrine disorder that causes sever salt
loses, dehydration and abnormally high levels of
male sex hormones in both boys and girls. If not
detected and treated early, babies may die from
7 to 14 days.
A. Congenital hypothyroidism (results from lack
or absence of thyroid hormones which is
essential to growth of the brain and the
body. If the disorder is not detected and
hormone replacement is not initiated within
4 weeks, the baby’s physical growth will be
stunted and she/he may suffer from mental
retardation)
B. Congenital adrenal hyperplasia
C. Galactosemia (a condition in which the body
is unable to process galactose, the sugar
present in milk. Accumulation of excessive
galactose in the body can cause many
problems including liver damage, brain
damage and cataracts)
D. Phenylketonuria (metabolic disorder in
which the body cannot properly use one of
the building blocks of protein called
phenylalanine. Excessive accumulation of
phenylalanine in the body cause brain
damage)
16. I is the entry point in working with the whole
family
A. Community(group of people sharing
common geographic boundaries and/or
common values and interest)
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B. Population group(group of people who share
common characteristics, developmental
stage or common exposure to particular
environmental factors)
C. Individual(since the health problems
of the individual are intertwined with
those of the other members of the
family, the individual can be
considered as the entry point in
working with the whole family)
D. Aggregate( another term for population
group)
17. Family nursing assessment involves a set of
actions by which the nurse measures the status
of the family as a client. Which of the following
is not a component of assessment?
A. Data collection
B. Data analysis
C. Problem definition
D. Prioritized conditions/problems
(nursing assessment includes data
collection, data analysis or
interpretation, problem definition or
nursing diagnosis. Prioritized condition
is a component of family care plan)
18. In family nursing assessment , it is operationally
defined as process whereby existing and
potential health conditions or problems are
determined
A. First level assessment
B. Second level assessment((there are only two
major types of nursing assessment; first and
second level of assessment : second level of
assessment defines the nature or type of
nursing problems that the family encounters
in performing health tasks with respect to
given health condition/problem)
C. Third level assessment
D. Fourth level assessment
19. During data analysis there are standards and
norms used to identify the status of the family
as client or patient. One of which explains the
physical as well as the psychological and socio-
cultural milieu. This norm is termed;
A. Normal health of individual members(all
options are standards of used to determine
status of the family as a client or patient;
option A involves the physical , social and
emotional well-being of each family
member)
B. Family characteristics, dynamics or level of
functioning(client’s ability as a system to
maintain its integrity and achieve its
purposed through dynamic interchange
among its members)
C. Home and environmental conditions
conducive to health development
D. None of the above
 20. This is defined as anticipated periods of unusual
demands on the individual ,or family in terms of
adjustment/ family resources
a. Health deficits(instance of failure in health
maintenance)
b. Stress points(also known as
foreseeable crisis)
c. Health threats(conditions conducive to
disease or accident)
d. Wellness condition( clinical nursing
judgment about a client in transition from a
specific level of wellness or capability to a
higher level)
21. Which of the following assessment you can
classify as foreseeable crisis
A. Unwanted pregnancy
B. Father who has active pulmonary
tuberculosis is living with his family in a
house with no proper ventilation(health
threat: threat of cross infection from TB due
to absence of proper ventilation)
C. Mother who has legs amputated due to
complication of diabetes mellitus(health
deficit: amputation of leg is an actual
disability)
D. Multiple sexual partners(health threat:
sexual promiscuity is an unhealthy lifestyle)
22. There are four criteria used in prioritizing health
conditions/problems, one of which refers to the
probability of success in enhancing wellness
state, alleviating or totally eradicating the
problem under consideration. This is known as
A. Nature of the problem(categorized the
problem into wellness state/potential, health
threat, health deficit and foreseeable crisis)
B. Modifiability of the condition (the four
options given above are the criteria
used in prioritizing health
conditions/problems.)
C. Preventive potential (refers to the nature
and magnitude of future problems that can
be minimized or totally prevented if
intervention is done.)
D. Salience (refers to the family’s perception
and evaluation of the condition or problem
in terms of seriousness and urgency of
attention needed or family readiness)
23. It involves investigation of problems and issues
concerning the life and environment of the
underprivileged by way of research collaboration
with the underprivileged themselves
A. Community development (options A and C:
a social group determined by geographical
boundaries and/or common values and
interest.)
B. Participatory action research(it is a
community directed process of
gathering and analyzing information
on an issue for the process of taking
action and making changes)
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C. Community
D. Development ( a multi-dimensional process
involving major changes in social structures,
population attitudes and national
institutions, as well as the acceleration of
economic growth, reduction of inequality
and eradication of absolute poverty)
24. A relationship among organizations that consists
of exchanging information about each other’s
goals and objectives, services or facilities
A. Networking
B. Coordination(relationship where
organizations modify their activities in order
to provide better service to the target
beneficiary)
C. Cooperation(a relationship where
organizations share information and
resources and make adjustments in one’s
own agenda to accommodate the
organization’s agenda)
D. Collaboration(the level of organizational
relationship where organizations help each
other to enhance their capacities in
performing their tasks as well as in the
provision of services)
25. Also referred as agitation, this entails going
around and motivating people on one-to-one
basis to do something about common issues
A. Groundwork(involves motivating
people)
B. Social investigation(process of systematically
learning and analyzing the various
structures and forces in the community)
C. Mobilization( activities done by the
community to solve problems confronting
the community and which serve to build and
strengthen the people’s self-confidence and
collective spirit)
D. None of the above
26. Stress can have an effect to a person depending
on how he/she handles it. One form of stress
management is through massage. What type of
massage stroke is involved when there is
circular kneading movement applied with the
tips of the thumb the three middle fingers of the
area of the cushion of the thumb and massed
finger?
a. Effleurage(used to stimulate nerve endings)
b. Petrissage(stimulates circulation by
milking excess blood and waste matter
out of the muscle.)
c. Tapotement(variety of strokes done with
sudden light blows, such as percussion,
hacking or clapping)
d. Vibration(manipulation of the muscles with
the palm by shaking or vibrating them)
27. The Department of Health is strengthening its
programs regarding maternal and child health
nursing. As a newly appointed community health
 nurse in town, you are oriented and well verse
on these. With regards to women’s health and
safe motherhood project, the following
strategies are included to prevent maternal
mortality except one:
A. Establishment of BEmoNC and CEmoNC
networks
B. TBA facilitated home deliveries (home
deliveries are not recommended by the
government even it is assisted by a
health professional or a trained hilot
nowadays. Maternal complications
leading to maternal mortality has been
found to be due to this.)
C. Improved Family planning Counselling
D. Emphasis on Facility based deliveries
28. The following qualifications reflect possible
delivery in the Rural health Unit, except for one
A. Cephalic presentation
B. Adequate pelvis
C. History of caesarian section delivery
(rural health units do not have the
capacity and the facilities to facilitate
CS delivery. Aside from that women
with history of CS deliveries usually
have previous history of serious or
potentially serious complications, thus
they are usually advised to seek
consult to the nearest hospital during
their prenatal period to prepare them
for their delivery.)
D. Less than five pregnancies
29. You have observed that there are reports of
dengue hemorrhagic fever in the barangay. You
are to perform community awareness lecture
about the said disease. Which is the best
preventive measure for dengue hemorrhagic
fever?
A. Frequent fogging in the vicinity to kill
mosquitoes
B. Use of mosquito nets and mosquito coils
C. Use of mosquito repellent lotions
D. Cleaning of surroundings and proper
disposal of coconut shells, tires and
containers(fogging is not
recommended for it only scares away
mosquito and it even causes some
respiratory consequences; use of
mosquito nets, coils and repellants are
options but the best preventive
measures is through searching and
destroying of breeding sites by
cleaning the surroundings.)
30. According to the AHA, the following instruments
are vital in implementing the three strategic
thrusts. Which one refers to the access to
professional health providers capable in the
provision of their health needs at the
appropriate level of care?
A. Service delivery
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B. Governance for health
C. Human resources for health (Human
Resources for Health refer to health
professionals such as midwives, nurses
and the like which could provide their
needs in the community. They will be
skillfully trained to be competent in
the provision of health care in every
family’s door steps as much as
possible)
D. Health information
31. A nurse educator who is explaining the definition
of community health nursing would select which
of the following? Community health nursing is:
A. Nursing care provided to clients in the
community. (Community health nursing
must have a population focus, not merely
providing care to individuals in a community
setting.)
B. A general term for all nurses providing care
outside of an acute care setting.
(Community health nursing must have a
population focus, not merely providing care
to individuals in a community setting.)
C. The practice of promoting and
protecting the health of populations
using knowledge from nursing, social,
and public health sciences. (This
definition is provided by the American
Public Health Association (APHA).)
D. A term used to identify nurses providing
care through state and local health
departments.
32. Which of the following nurses will have the best
understanding of the mission of community
health nursing? The nurse who:
A. Provides the most appropriate care to
individuals within the community.
B. Gets to know each individual and family that
he is working with. (The focus of community
health nursing must be within the context of
the population, not individual or family
context.)
C. Understands the needs of the
individuals and families that comprise
the populations with which they work.
( Several authors have noted that
community health nurses are most
effective at the population level when
they are grounded in knowledge of the
needs of the individuals and families
that comprise the populations with
which they work)
D. Is diligent about keeping abreast of new
treatments and technologies. (The focus of
community health nursing must be within
the context of the population, not individual
or family context.)
 33. A community health nurse exemplifies true
advocacy by:
A. Securing a grant for a wellness vehicle to
provide health screenings at homeless
shelters.( Advocacy in community health
highlights the fact that measures to achieve
social justice are apt to be unpopular with
the "rich" and will require concerted
advocacy by community health nurses and
others. This type of advocacy is specific to
community health nursing and is more
specific than generalized advocacy within
the profession of nursing.)
B. Providing occupational health screenings
within industrial sections of the city.
C. Providing teaching and education sessions
to new teenage mothers in a public school
setting.
D. Helping to open a free clinic to
underserved clients within a private,
affluent hospital. (Advocacy in
community health nursing involves
striving for social justice. Social justice
requires "taking from the rich and
giving to the poor [and] ambushing
the public conscience and budget
whenever possible)
36. The community health nurse is assisting a
34. A community health nurse witnesses the final
function of advocacy when she sees:
A. The need for continuing services of a free
health care clinic and attends a city council
budget meeting. (This is an example of the
fourth task in advocacy that is presenting
the client's case to the appropriate decision
makers.)
B. A need for a free service clinic to
underserved women in the community.(
This is the first function as an advocate in
community health nursing, not the final one)
C. A record of individuals who utilize a free
health care clinic. (Collecting facts related to
the problem is another advocacy-related
function, but does not represent the final
function.)
D. Community members attend a city
council meeting to report on the
37. A school nurse, who is working with a young
positive effects and continuing needs
of the free, women's health clinic.( The
final function of the nurse as an
advocate is to prepare clients to speak
for themselves. The nurse, alone,
should not carry out the activities and
functions of advocacy; this should be a
collaborative effort between nurse and
client.)
35. A community health nurse determines that a
high number of school-aged children are not
immunized and decides to understand why. This
nurse is demonstrating which attribute of
community health nursing?
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A. Collaboration (At this point, the community
health nurse in this situation has not
enlisted the help of any other professional.
This would be an example of collaboration.)
B. Orientation to health (Health promotion as
practiced by community health nurses
encompasses both promotion of self-care
behaviors by clients and advocacy for social
and environmental conditions that promote
health (Uosukainen, 2001). In the situation
described, the community health nurse is
not promoting health care behaviors, but
merely trying to understand the reason for
this population's practices.)
C. Autonomy (Community health nurses must
possess a high degree of professional
autonomy; many times, perhaps, being the
only care provider available in certain
situations. In this case, the community
health nurse providing immunizations would
exemplify this.)
D. Population consciousness (The nurse
must develop an awareness of how
information related to individual
clients relates to the health status of
the total population.)
community group in finding acceptable
transportation services for the elderly of the
community. This is an example of which step of
the counseling process?
A. Third step (The third step in the
counseling process is assisting the
client to develop criteria for an
acceptable solution to the problem.)
B. Fourth step (The fourth step helps the client
evaluate each alternative solution in terms
of criteria established for an acceptable
solution.)
C. First step (The first step helps the client
identify and clarify the problem.)
D. Second step (The second step of the
counseling process helps the client identify
alternative solutions to the problem.)
student, decides to set up a meeting with the
parents, the principal, and the teacher. In this
situation, the nurse is working in the role of:
A. Educator. (Educator is not a population-
oriented role, but a client-oriented role for
the community health nurse.)
B. Liaison. (As a liaison, the community nurse
incorporates the roles of coordinator and
resource person. It would be premature for
the nurse to act as a liaison since no plan
has been made.)
C. Coordinator. (The coordinator
organizes the care that meets clients'
needs as effectively as possible.)
 D. Collaborator. (As a collaborator, the
community health nurse engages in joint
decision-making regarding action to be
taken to resolve client health problems. At
this point in the situation, the nurse is not
engaging in the decision making process,
only providing all parties access to the
situation.)
38. The community nurse has been asked to
investigate a sudden outbreak of symptoms
among restaurant patrons. This nurse will be
acting as a:
A. Educator. (Educator is not a population-
oriented role, but a client-oriented role for
the community health nurse.)
B. Case finder. (Case finding involves
identifying individual occurrences of
specific diseases or other health-
related conditions requiring services.)
C. Community mobilizer. (Community
mobilization is defined as "a process by
which community groups identify common
goals and mobilize assets to implement
strategies that address local concerns.")
D. Change agent. (A change agent is one who
initiates change. In this situation, the nurse
is investigating the cause of the outbreak.)
39. A nurse working at the state level is involved in
legislation affecting an underserved group within
a community. The nurse's role is best described
as:
A. Change agent. (The nurse in this case has
not participated in changing anything at this
point.)
B. Community mobilizer. (The key feature of
community mobilization is participation by
members of the community or population
group in identifying population health needs,
and in developing, implementing, and
evaluating strategies.)
C. Policy advocate. (A policy advocate is a
person or group of people who work
for and argue on behalf of policy
formation or changes in policy that
influence the health of population
groups.)
D. Coalition builder.( A coalition builder's
functions include identifying other potential
coalition members; presenting the alliance's
mutual benefit to potential coalition
members; helping to delineate goals;
assisting in the development of operating
guidelines; and participating in the selection
and implementation of means to accomplish
the alliance's goals.)
40. Which attribute allows the community health
nurse to influence the action of the local city
commission leaders in taking an active role
regarding the health of their community?
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A. Policy advocate (A policy advocate works for
formation or changes that influence group
health. Policy advocates might or might not
influence others' behavior.)
B. Change agent (A change agent does not
necessarily influence the behavior of
others.)
C. Leadership (Leadership is the ability to
influence the behavior of others.
Community health nurses can assume
a leadership role with a variety of
individuals, including clients; other
health care professionals; members of
other disciplines; public officials; and
the general public.)
D. Coalition builder(A coalition builder's
functions include identifying other potential
coalition members; presenting the alliance's
mutual benefit to potential coalition
members; helping to delineate goals;
assisting in the development of operating
guidelines; and participating in the selection
and implementation of means to accomplish
the alliance's goals.)
41. A clinic treating a child for otitis media is an
example of which of the following?
A. Community-oriented care (team of health
professionals and community members’
work in partnership over a long period,
diagnosing and treating a community in
much the same way as does a primary care
physician with an individual patient.)
B. Community – based care (in
community-based nursing, the nurse
focuses on “illness care” of individuals
and families across the life span. The
aim is to manage acute and chronic
health conditions in the community,
and the practice is family-centered
illness care. Community based nursing
is not a specialty in nursing but rather
a philosophy that guides care in all
nursing.)
C. Public health care
D. Tertiary health care
42. A community oriented nurse has identified
obesity as a problem in the middle school. The
next step in a population focused practice is to
make information available about the health of
the middle school students. This describe the
public health core function of which of the
following/
A. Assessment (the three public health
core functions are assessment, policy
development, and assurance.
Assessment is systematic data,
collecting on the population,
monitoring the population’s health
status, and making information
available about the health of the
community.)
B. Assurance
 C. Policy development
D. Research
43. A nurse planning a smoking cessation for
adolescents in the local middle schools and high
schools is providing which of the following?
A. Community oriented care (community-
oriented nurses emphasize health
protection, maintenance, and
promotion and disease prevention, in
addition to self-reliance among clients.
Regardless of whether the client is a
person, a family, or a group, the goal is
to promote health through education
about prevailing health problems,
proper nutrition, beneficial forms of
exercise, and environmental factors
such as safe food, water, air and
buildings.)
B. Community based care
C. Secondary care
D. Tertiary care
44. Public health nursing is a specialty with a
distinct focus and scope of practice and requires
a special knowledge base from other specialty
areas of nursing. A public health nurse would
first be interested in which of the following?
A. Drug treatments for diabetes
B. Populations with the highest rate of
diabetes (the primary focus that has
differentiated public health nursing
from other specialties has been the
emphasis on the population rather
than on single individuals or families.)
C. Educational materials for individuals with
diabetes
D. New technology for diabetic care
45. A nurse in a clinic that provides direct care
services to clients with tuberculosis would be
classified as practicing which of the following?
A. Community based nursing ( the nurse
practicing as a community based nurse
is more likely to give direct care to
people than are nurses who practice
from a community oriented
framework. A community oriented
framework includes community
oriented nursing and public health
nursing.)
B. Community oriented nursing
C. Institutional nursing
D. Public health nursing
46. A parish nurse decides to use a community-
oriented primary care model to approach care
within the church community served. The parish
nurse would do which of the following?
A. Collaborate with community physicians to
set goals
B. Base goals on available research literature
for this population
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C. Set goals based on an analysis of available
governmental data
D. Work with the community to set
priorities and select solutions
(community oriented primary care is a
community responsive model of health
care delivery that integrates primary
care and public health. It combines the
care of individuals and families in the
community with a focus on the
community and its subgroups in
planning, providing, and evaluating
services. A community based practice
must involve community members by
allowing them to set their own
priorities and solutions.)
47. Why should nurses understand the
nontraditional healing practices of their clients?
A. Folk practices are usually ineffective
B. Nurses can refer clients to the appropriate
local folk healers
C. Safe, effective nontraditional healing
methods can be blended with Western
medicine (nurses need to understand
the nontraditional healing practices
that their client use. Many of these
treatments have proven effective and
can be blended with traditional
western medicine. The key is to know
what practices are being used so that
the blending can be done
knowledgeably.)
D. The nurse must understand them to help
the client give them up.
48. A nurse demonstrates cultural competence by
using statement such as which of the following?
A. “I know how you feel.”
B. “Tell me about your health care
beliefs.”(Cultural competence includes
acknowledging the fundamental
differences in the ways patients and
families respond to illness and
treatment from what might be the
typical response or more generalized
western health care response.
Culturally competent nursing care is
grounded in the following four
principles: Care is designed for the
specific client; Care is based on the
uniqueness of the person’s culture and
includes cultural norms and values;
Care includes self-empowerment
strategies to facilitate client decision
making in health behavior; Care is
provided with sensitivity and is based
on the cultural uniqueness of clients.)
C. “Let me show you the way you should do
this.”
D. “You can do things in a more modern way
now.”
 49. The development of cultural competence is an
ongoing process that is challenging and
sometimes painful as nurse struggle to adopt
new ways of thinking and performing. The nurse
in community health who understands the basis
of his or her own behaviors and how those
behaviors help or hinder the delivery of
competent care to persons from cultures other
than their own is demonstrating what cultural
competence development process construct?
A. Cultural awareness (the five
constructs that explain the process of
developing cultural competence are
cultural awareness, cultural
knowledge, cultural skill, cultural
encounter, and cultural desire. Cultural
awareness is self-examination and in-
depth exploration of one’s own beliefs
and values as they influence behavior.
Nurses who are receptive to learning
about cultural dimensions understand
the basis of their own behaviors and
how they help or hinder the delivery of
competent care and recognize that
health is expressed differently across
cultures have developed cultural
awareness.)
B. Cultural desire
C. Cultural encounter
D. Cultural skill
50. A nurse in community health seeks to determine
whether the visit with an elderly Asian woman is
successful. The nurse has not encountered
many clients from this culture. An effective way
to judge whether a cultural encounter has been
effective would include the nurse’s sense that
the visit was successful, nurse and client
experience little or no stress, and which of the
following?
A. The client says thank you.
B. The client nods frequently.
C. The client’s family members do not
complain.
D. Tasks are performed efficiently.
(Having cultural competence is not the
same thing as being an expert on the
culture of a group that is different
from one’s own. A successful
encounter may be judged on the basis
of the following four aspects: 1) The
nurse feels successful about the
relationship with the client. 2) The
client feels that interactions are warm,
cordial, respectful and cooperative. 3)
Tasks are performed efficiently. 4)
Nurse and client experience little or no
stress.)
51. In caring for a young adult from West Africa, the
community nurse is introduced toanother
individual, who is referred to as “auntie”, with
the young adult. A culturally competent nurse
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who is aware of the basic organizing factor of
culture related to social organization would do
which of the following/
A. Assess the competence of the “auntie” to
care for the young adult.
B. Assume that the “auntie is related to one of
the young adult’s parents.
C. Declare that the young adult is capable of
making his or her own health decisions.
D. Find out who is considered to be a
member of the family. (Social
organization is one of the basic
organizing factors related to cultures.
It refers to the way in which a cultural
group structures itself around family
to carry out roles and functions. In
some cultures, family may include
people who are not actually related to
one another.)
52. The aging population is expected to affect
health services more than any other
demographic factor. Another demographic
population factor that affects health care costs
can be related to which of the following?
A. Consumer demand
B. Illnesses such as AIDS( because the
majority of older adults and other
special populations receive services,
through publicly funded programs, the
growing health needs among these
populations have a great effect on
costs, payments and providers
associated with Medicaid and
medicare programs.)
C. Marketing practices for new drugs
D. Technology advancement
53. Health care costs are influenced by factors
related to demographic changes, new
technology, resource intensity and which of the
following?
A. Chronic illness (the factors that
influence health care costs are
demographic changes, technology,
resource intensity, and chronic illness.
More than 44% of total health care
costs in 1996 are related to the top 15
highest-cost conditions. The highest-
cost conditions are identified as those
with the highest costs, utilization of
bed days, work-loss days, and activity
impairments.)
B. Market practices
C. Nursing shortage
D. Professional competition
54. Clinical medicine and epidemiology differ in
which major aspect?
A. Practice focus (clinical medicine
focuses on the diagnosis and
treatment of indiiduals. Epidemiology
is the study of populations to monitor
 the health of the population,
understand the determinants of health
and disease in communities, and
investigate and evaluate interventions
to prevent disease and maintain
health.)
B. Health monitoring
C. Determinants of health and disease
D. Evaluation of interventions
55. Nurses in community health often use
epidemiology because in the community it is
often difficult to control the environment. Which
of the following statements demonstrates an
epidemiologic strategy for monitoring disease
trends?
A. A nurse in community health conducts a
newly diagnosed diabetic education class
B. A nurse in community health
investigates a breakout of whooping
cough in a local middle school. (Nurses
are key part of the interdisciplinary
team in community settings and often
use epidemiology to look at health and
disease causation and how to prevent
and treat illness.)
C. A nurse in community health organizes a
health fair at the community health center
D. A nurse in community health participates on
a county school board that addresses
student health issues.
56. Twenty people attend a church picnic the
previous weekend. By Monday, four individuals
exhibited symptoms of food poisoning. On
Tuesday, the nurse in community health records
the addition of two new cases. The incidence
rate would be which of the following?
A. Two new cases divided by 16 at risks
(an incidence rate quantifies the rate
of development of new cases in a
population risk (persons without the
event or outcome of interest but who
are at risk of experiencing it.))
B. Two new cases divided by 20
C. Six cases divided by 20
D. Four cases divided 16
57. A breast cancer screening program screened
8000 women and discovered 35 women
previously diagnosed with breast cancer, and 20
with no history of breast cancer were diagnosed
as a result of the screening. The prevalence
proportion would reflect which of the following?
A. Current and past breast cancer events
in this population of women( the
prevalence proportion is a measure of
existing disease in a population at a
particular time; e.g. the number of
existing cases divided by the current
population)
B. Newly diagnosed cases of breast cancer in
this population of women
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C. Past breast cancer events in this population
of women
D. Population of women that had no evidence
of breast cancer
58. A business executive develops symptoms of the
flu 1 day after returning by air from a cross-
Atlantic business trip that ran for 2 consecutive
stressful 10 hour days. This individual’s
development of flu symptoms illustrates the
relationship between which of the following?
A. Host and agent
B. Host, agent and environment
(epidemiologists understand that
disease results from complex
relationships among causal agents,
susceptible persons, and
environmental factors. These three
elements- agent, hosts and
environment- are called the
epidemiologic triangle. Changes in one
of the elements of the triangle can
influence the occurrence of disease by
decreasing or increasing a person’s
risk of disease.)
C. Risk and causality
D. Morbidity and disease
59. A nurse in community health who teaches an
asthmatic client to recognize and avoid exposure
to asthma triggers and assists the family to
implement specific protection strategies such as
removing carpets and avoiding pets is
intervening at the level of which of the
following?
A. Assessment
B. Primary prevention (primary
prevention refers to interventions that
promote health and prevent the
occurrence of disease, injury, or
disability. Interventions at this level
are aimed at individualks and groups
who are susceptible to disease but
have no discernible pathology (state of
prepathogenesis))
C. Secondary prevention
D. Tertiary prevention
60. This determines how congested a place is and
has implications in terms of adequacy of basic
health services present in the community.
A. Urban rural distribution(illustrates the
portion of the people living in urban
compared to the rural areas)
B. Crowding index(describes the ease by which
a communicable disease will be transmitted
from one host to another susceptible host)
C. Population pyramid(graphical presentation
of the age composition of the population)
D. Population density(can be derived by
dividing the number of people living in
a given land area)
 61. The science that deals with the study of human C. Hep B3 (0.05 ml) given 6 weeks after HepB2
population size , composition and distribution in (HepB3 is given 8 weeks after HepB2)
space D. Measles (0.05 ml) given at 9 months (dose
A. Demography of measles is 0.5 ml)
B. Vital statistics(refers to the systematic study
Vaccine Route Dose
of vital events such as births, illnesses,
marriages, divorce separation and death) BCG Intradermal 0.05 ml
C. Epidemiology( study of occurrence and OPV Oral 2-3 drops
distribution of health conditions such as DPT Intramuscular 0.5 ml
diseases, death, deformities or disabilities on HEP B Intramuscular 0.5 ml
human population) MEASLES Subcutaneous 0.5 ml
D. Census(official and periodic enumeration of 66. In order to maintain potency of vaccines
population) appropriate temperature has to maintain. Which
of the following adheres to the guidelines of cold
62. Using appropriate technology is one of the chain management?
corner stones of primary health care. This can A. DPT and OPV stored at temperature of +0
be used in solving problems in malnutrition by to + 8 degrees Celsius
providing low costs, easy digestible and highly B. BCG and HepB stored at temperature
nutritious food sources of protein. Which of the of +2 to +8 degrees Celsius (cold
following can you include in your meal chain management is a system used to
containing the highest amount of protein? maintain potency of a vaccine from
A. Small shrimp (63%) that of manufacture to the time it is
B. Small fish such as dilis (68.4%) given to child or pregnant woman.
C. Mongo (26%)
Part Temp. Vaccines
D. White beans (21%)
Freeze -15 to -25 deg OPV, Measles
r C
63. A tool by which the nurse , during her visit will
Body +2 to +8 deg BCG,DPT,
enable her to perform a nursing procedure with
C HepB, TT
ease and deftness, with the ultimate goal of
rendering effective nursing care to clients
C. DPT and OPV stored at temperature of -15
A. Public health bag ( an essential and
to – 25 degrees Celsius
indispensable equipment of a public health
D. BCG and HepB stored at temperature of -15
nurse which she has to carry along during
to -25 degrees Celsius
home visits)
B. Bag technique
67. Tetanus toxoid vaccination to women is
C. Primary health care (essential health care
important to prevent tetanus in both mother and
made universally accessible to individuals
baby. For how many year/s will TT4 give
and families in the community by means of
protection to the mother?
acceptable to them through their full
A. 1 year( “TT1 gives no protection to the
participation and at a cost that a community
mother)
and country can afford at every stage of
B. 3 years (TT2)
development.)
C. 5 years(TT3)
D. IMCI book (utilized in the health center not
D. 10 years(TT4)
during home visit)

68. Considering proper cold chain is maintained, for

64. Legal basis of primary healthcare that instructs
how long can you store the vaccines in the
the DOH to develop and implement programs
health center without compromising its potency/
which will focus on health development at the
A. 6 months (duration of storage of vaccine in
community level
the regional health unit)
A. LOI 949
B. 3 months (duration of storage of vaccine in
B. Ra 6713 (code of conduct and ethical
provincial/ district unit)
standards for public officials and employees)
C. 1 month
C. RA 7305 (magna carta for public health
D. 5 days (duration of storage of vaccines in
workers)
the transport boxes)
D. RA 2382 (Philippine medical act)

69. The presumptive identification of unrecognized

65. Which of the following schedules and doses of
diseases or defects through the application of
vaccines are correct?
diagnostic tests or laboratory examinations and
A. BCG(0.5 ml) given at birth (dose of BCG is
clinical assessment.
0.05 ml)
A. Case finding( an activity done to look for
B. DPT 2 (0.5 ml) given 4 weeks after
previously identified cases of diseases)
DPT 1

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 B. Sensitivity(an aspect considered during
screening and case finding that refers to 73. An activity done to look for previously identified
the portion of persons with a disease who cases of diseases.
test positive on a screening) A. Case finding
C. Specificity( an aspect considered during B. Herd immunity (the basis for determining
screening and case finding that refers to the the community’s reaction against disease
portion of persons with disease who have invasion since it represents the immunity
negative results on a screening test) and susceptibility levels of individuals
D. Screening comprising the population.)
C. Sensitivity (also known as contact rate, it
70. An immunity that develops after an antigen represents opportunities for progressive
enters the body and the individual’s immune transfer or transmission of an infectious
system actively responds with antibodies and agent to a susceptible host.)
specific lymphocytes. D. Specificity( an aspect considered during
A. Active immunity screening and case finding that refers to the
B. Passive immunity (develops when antibodies portion of persons with disease who have
enter the body from the outside source) negative results on a screening test)
C. Innate immunity( an inborn capacity of
74. Nurse Lizzie teaching a parenting class instructs
fighting disease that begins at birth)
that the hot water temperature in the home
D. Natural immunity(happens when it is
should be at what degree to prevent thermal
unintentional and occurs in natural scheme.
burns?
It could be either a natural active immunity
A. 100ºF
or natural passive immunity)
B. 120ºF
C. 140ºF(To prevent thermal burns and
71. Based on assessment, you classified a 3-month
scalding, hot water thermostats should
old infant with the chief complaint of diarrhea in
be set at 120 or less. Adult skin can
the category of SOME DEHYDRATION. Based on
tolerate temperatures somewhat
IMCI management guidelines, which of the
higher (that is, 140 or less). The class
following will you do?
here involved parents of children.)
A. Bring the infant to the nearest facility
D. 150ºF
where IV fluids can be given.
B. Supervise the mother in giving 200 to
75. Community accident prevention education will
400 ml. of Oresol in 4 hours. ( In the
include which of the following facts regarding
IMCI management guidelines, SOME
the most prevalent cause of accidental death
DEHYDRATION is treated with the
from age 1-44?
administration of Oresol within period
A. Drowning
of 4 hours. The amount of Oresol is
B. Burns
best computed on the basis of the
C. motor vehicle accidents (Accidents are
child’s weight (75 ml/kg body weight).
the number one cause of death for
If the weight is unknown, the amount
ages 1-44 with motor vehicle
of Oresol is based on the child’s age.)
accidents accounting for the majority,
C. Give the infant’s mother instructions on
while congenital conditions and
home management.
medical illnesses claim the youngest
D. Keep the infant in your health center for
and the oldest.)
close observation.
D. Firearms
76. The Food Fortification Law (Republic Act 8976)
72. The phase of epidemiologic approach that is
requires a mandatory food fortification of the
concerned with disease distribution and
following staple foods, except:
frequency
A. Rice
A. Descriptive epidemiology
B. Flour
B. Analytical epidemiology (all the given
C. Edible oil
options are phases of epidemiology. The
D. Soy sauce(RA 8976 requires a mandatory
second phase, it attempts to analyze the
food fortification of the staple foods such as
cause or determinants of disease through
rice, flour, edible oil and sugar and
hypothesis testing)
voluntary food fortification of processed
C. Intervention or experimental
foods or food products)
epidemiology(the third phase, it answers the
77. Which among of the following is not a
questions about the effectiveness of new
contraindication to immunization?
methods for controlling diseases or for
A. Giving BCG vaccine to a child known to have
improving underlying conditions)
AIDS
D. Evaluation epidemiology(the last phase, it
B. Giving DPT to a child with recurrent
attempts to measure the effectiveness of
convulsions
different health services and programs)

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 C. Giving DPT to a child with active
neurological disease of the CNS
D. Giving OPV to a child with diarrhea
(children with diarrhea who are due
for OPV should receive a dose of OPV
during visit. Do not count the dose
though. The child should return for an
extra dose of OPv when the net dose
of OPV is due)
78. Garlic (bawang) is given to which patients:
A. Male with high uric acid(Ulasimang bato)
B. Basketball player with athletes
foot(akapulko)
C. Hypertensive client
D. Child with small wound on his knee(guava)

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