1. Which is the primary goal of community health nursing?

A. To support and supplement the efforts of the medical 9. According to C.E. Winslow, which of the following is the goal
profession in the promotion of health and prevention of of Public Health?
B. To enhance the capacity of individuals, families and A. For people to attain their birthrights and longevity
communities to cope with their health needs B. For promotion of health and prevention and diseases
C. To increase the productivity of the people by providing C. For people to have access to basic health services
them with services that will increase their level of health D. For people to be organized in their health efforts
D. To contribute to national development through promotion
of family welfare, focusing particularly on mothers and 10. We say that a Filipino has attained longevity when he is able
children to reach the average life span of Filipinos. What other statistic
may be used to determine attainment of longevity?
2. CHN is a community-based practice. Which best explains this A. Age-specific mortality rate
statement? B. Proportionate mortality rate
A. The service is provided in the natural environment of C. Swaroop’s index
people D. Case fatality rate
B. The nurse has to conduct community diagnosis to
determine nursing needs and problems 11. Which of the following is the most prominent feature of
C. The service are based on the available resources within the public health nursing?
community A. It involves providing home care to sick people who are not
D. Priority setting is based on the magnitude of the health confined in the hospital
problems identified B. Services are provided free of charge to people within the
catchment area
3. Population- focused nursing practice requires which of the C. The public health nurse functions as part of a team
following processes? providing a public health nursing service
A. Community organizing D. Public health nursing focuses on preventive, not curative
B. Nursing, process services
C. Community diagnosis
D. Epidemiologic process 12. According to Margaret Shetland, the philosophy of public
health nursing is based on which of the following?
4. RA 1054 is also known as the Occupational Health Act. Aside A. Health and longevity as birthrights
from the number of employees, what other factor must be B. The mandate of the state to protect the birthrights of its
considered in determining the occupational health privileges to citizens
which the workers will be entitled? C. Public health nursing as a specialized field of nursing
A. Type of occupation: agriculture, commercial, industrial D. The worth and dignity of man
B. Location of the workplace in relation to health facilities
C. Classification of the business enterprise based on net profit 13. Which of the following is the mission of the Department of
D. Sex and age composition of employees Health?
A. Health for all Filipinos
5. A business firm must employ an occupational health nurse B. Ensure the accessibility and quality of health
when it has at least how many employees. C. Improve the general health status of the population
A. 21 D. Health in the hands of the Filipino people by the year 2020
B. 101
C. 201 14. Region IV Hospital is classified as what level of facility?
D. 301 A. Primary
B. Secondary
6. When the occupational health nurse employs ergonomic C. Intermediate
principles, she is performing which of her roles? D. Tertiary
A. Health care provider
B. Health educator 15. What is true of primary facilities?
C. Health care coordinator A. They are usually government-run
D. Environment manager B. Their services are provided on an out-patient basis
C. They are training facilities for health professionals
7. A garment factory does not have an occupational nurse. Who D. A community hospital is an example of this level of health
shall provide the occupational health needs of the factory facilities
workers?
A. Occupational health nurse at the Provincial Health Office 16. Which is an example of the school nurse‘s health care
B. Physician employed by the factory provider function?
C. Public Health nurse of the RHU of their municipality A. Requesting for BCG from the RHU for school entrance
D. Rural Sanitary inspector of the RHU in their municipality immunization
B. Conducting random classroom inspection
8. “Public health services are given free of charge”. Is this during measles epidemic
statement true or false? C. Taking remedial action on an accident hazard in the school
A. The statement is true; it is the responsibility of government playground
to provide haste services D. Observing places in the school where pupils spend their
B. The statement is false; people pay indirectly for public free times
health services
C. The statement may be true or false; depending on the 17. When the nurse determines whether resources were
Specific service required maximized in implementing Ligtas Tigdas, she is evaluating:
D. The statement may be true or false; depending on policies A. Effectiveness
of the government concerned. B. Efficiency
C. Adequacy C. RA 1054
D. Appropriateness D. RA 1082

18. You are a new B.S.N. graduate. You want to become a Public 27. According to Freeman and Heinrich, community health
Health Nurse. Where will you apply? nursing is a developmental service. Which of the following best
A. Department of Health illustrates this statement?
B. Provincial Health Office A. The community health nurse continuously develops himself
C. Regional Health Office personally and professionally
D. Rural Health Unit B. Health education and community organizing are necessary
in providing community health services
19. RA 7160 mandates devolution of basic services from the C. Community health nursing in intended primarily for health
national government to local government units. Which of the promotion and prevention and treatment of disease.
following is the major goal of devolution? D. The goal of community health nursing is to provide nursing
A. To strengthen local government units services to people in their own place of residence
B. To allow greater autonomy to local government units.
C. To empower the people and promote their self-reliance 28. Which disease was declared through Presidential
D. To make basic services more accessible to the people Proclamation No. 4 as a target for, eradication in the
Philippines?
20. Who is the Chairman of the Municipal Health Board? A. Poliomyelitis
A. Mayor B. Measles
B. Municipal Health Officer C. Rabies
C. Public Health Nurse D. Neonatal Tetanus
D. Any qualified physician
29. The public health nurse is responsible for presenting the
21. Which level of health facility is the usual point of entry of a municipal health statistics using graphs and tables. To compare
client into the health care delivery system? the frequency of the leading causes of mortality in the
A. Primary municipality, which graph will you prepare?
B. Secondary A. Line
C. Intermediate B. Bar
D. Tertiary C. Pie
D. Scatter diagram
22. The public health nurse is the supervisor of rural health
midwives. Which of the following is a supervisory function of 30. Which step in community organizing involves training of
the public health nurse? potential leaders in the community?
A. Referring cases or patients to the midwife A. Integration
B. Providing technical guidance to the midwife B. Community organization
C. Proving nursing care to cases referred by the midwife C. Community study
D. Formulating and implementing training programs for D. Core group formation
midwives
31. In which step are plans formulated for solving community
23. One of the participants in a hilot training class asked you to problems?
whom she should refer a patient in labor who develops a A. Mobilization
complication. You will answer, to the; B. Community organization
A. Public health nurse C. Follow-up/extension
B. Rural health midwife D. Core group formation
C. Municipal health officer
D. Any of these health professionals 32. The public health nurse takes an active role in community
participation. What is the primary goal of community
24. You are the public health nurse in a municipality with a total organizing?
population of about 20,000. There are3 health midwives among A. To educate the people regarding community health
the RHU personnel. How many more midwife items will the problems
RHU need? B. To mobilize the people to resolve community health
A. 1 problems
B. 2 C. To maximize the community’s resources in dealing with
C. 3 health problems
D. 4
33. An indicator of success in community organizing is when
25. If the RHU needs additional midwife items, you will submit people are able to:
the request for additional midwife items for approval to the: A. Participate in community activities for the solution of a
A. Rural Health Unit community problem
B. District Health Office B. Implement activities for the solution of the community
C. Provincial Health Office problem
D. Municipal Health Board C. Plan activities for the solution of the community problem
D. Identify the health problem as a common concern
26. As an epidemiologist, the nurse is responsible for reporting
cases or notifiable diseases. What law mandates reporting 34. Tertiary prevention is needed in which stage of the natural
cases of notifiable diseases? history of disease?
A. Act 3573 A. Pre-pathogenesis
B. RA.3753 B. Pathogenesis
C. Predromal 43. To maintain the cleanliness of the bag and its contents,
D. Terminal which of the following must the nurse do?
A. Wash his/her hands before and after providing nursing care
35. Isolation of a child with measles belongs to what level of to the family members
prevention? B. In the care of family member’s, as much as possible, use
A. Primary only articles taken from the bag
B. Secondary C. Put on an apron to protect her uniform and fold it with the
C. Intermediate right side out before putting it back into the bag.
D. Tertiary D. At the end of the visit, fold the lining on which the bag was
placed, ensuring that the contaminated side is on the outside.
36. On the other hand, Operation Timbang is_____ prevention?
A. Primary 44. The public health conducts a study on the factors
B. Secondary contributing to the high morality rate due to heart diseases in
C. Intermediate the municipality where she works. Which branch of
D. Tertiary epidemiology does the nurse practice in this situation?
A. Descriptive
37. Which type of family-nurse contact will provide you with B. Analytical
the best opportunity to observe family dynamics? C. Therapeutic
A. Clinic consultation D. Evaluation
B. Group conferences
C. Home visit 45. Which of the following is a function of epidemiology?
D. Written communication A. Identifying the disease condition based on manifestations
presented by a client
38. The typology of family nursing problems is used in the B. Determining factors that contributed to the occurrence
statement of nursing diagnosis in the care of families. The of pneumonia in a 3 year old
youngest child of the delos Reyes family has been diagnosed as C. Determining the efficacy of the antibiotic used in the
mentally retarded. This is classified as: treatment of the 3 year old client with pneumonia
A. Health threat D. Evaluating the effectiveness of the implementation of the
B. Health deficit Integrated Management of Childhood Illness
C. Foreseeable crisis
D. Stress point 46. Which of the following is an epidemiologic function of the
nurse during an epidemic?
39. The delos Reyes couple have 6-year old child entering A Conducting assessment of suspected cases to detect the
school for the first time. The delos Reyes family has a: communicable diseases
A. Health threat B. Monitoring the condition of the cases affected by the
B. Health deficit communicable disease
C. Foreseeable crisis C. Participating in the investigation to determine the source of
D. Stress point epidemic
D. Teaching the community on preventive measures against
40. Which of the following is an advantage of a home visit? the disease
A. It allows the nurse to provide nursing care to a greater
number of people 47. The primary purpose of conducting an epidemiologic
B. It provides an opportunity to do first hand appraisal of the investigation is to;
home situation A. Delineate the etiology of the epidemic
C. It allows sharing of experience among people with similar B. Encourage cooperation and support of the community
health problems C. Identify groups who are at risk of contracting the disease
D. It develops the family’s initiative in providing for health D. Identify geographical location of cases of the disease in the
needs of its members community

41. Which is CONTRARY to the principles in planning a home 48. Which is a characteristic of person-to-person propagated
visit? epidemic?
A. A home visit should have a purpose of objective A. There are more cases of the disease than expected
B. The plan should revolve around the family health .needs B. The disease must necessarily be transmitted through a
C. A home visit should be conducted in the manner prescribed vector
by RHU C. The spread of the disease can be attributed to a common
D. Planning of continuing care should involve a responsible- vehicle
family member D. There is gradual build up of cases before we epidemic
becomes easily noticeable
42. The PHN bag is an important tool in providing nursing care
during a home visit. The most important principle in bag 49. In the investigation of an epidemic, you compare the
technique states that it; present frequency of the disease with the usual frequency at
A. Should save time and effort this time of the year in this community. This is done during
B. Should minimize if not totally prevent the spread which stage of the investigation?
of infection A. Establishing the epidemic
C. Should not overshadow concern for the patient and his B. Testing the hypothesis
family C. Formulation of the hypothesis
D. May be done in variety of ways depending on the home D. Appraisal of facts
situation, etc.
50. The number of cases of Dengue fever usually increases A. Alma Ata Declaration of PHC
towards the end of the rainy season. This pattern of occurrence B. Letter of Instruction No 949
of Dengue fever is best described as; C. Presidential Decree No. 147
A. Epidemic occurrence D. Presidential Decree 996
B. Cyclical variation
C. Sporadic occurrence 59. Which of the following demonstrates inter-sectoral
D. Secular occurrence linkages?
A. Two-way referral system
51. In the year 1980, the World Health Organization declared B. Team approach
the Philippines, together with some other countries in the C. Endorsement done by a midwife to another midwife
Western Pacific Region, “free” of which disease? D. Cooperation between PHN and public-school teacher
A. Pneumonic plaque
B. Poliomyelitis 60. The municipality assigned to you has a population of about
C. Small pox 20/000. Estimate the number of 1-4-year-old children who be
D. Anthrax given Retinol capsule 200.000 every 6 months.
A. 1,500
52. In the census of the Philippines in 1995, there were about B. 1,800
35,299,000 males and about 34,968,000 females. What is the C. 2,000
sex ratio? D. 2,300
A. 99.06:100
B. 100.94:100 61. Estimate the number of pregnant women who will be given
C. 50.23% tetanus toxoid during an immunization outreach activity in a
D. 49.76% barangay with a population of about 1,500.
A. 265
53. Primary health care is a total approach to community B. 300
development. Which of the following is an indicator of success C. 375
in the use of the primary health care approach? D. 400
A. Health services are provided free of charge to individuals
and families 62. To describe the sex composition of the population, which
B. Local officials are empowered as the major decision makers demographic tool may be used?
in matters of health A. Sex ratio
C. Health workers are able too provide care based on B. Sex proportion
identified health needs of the people C. Population pyramid
D. Health programs are sustained according to the level of D. Any of these maybe used
development of the community
63. Which of the following is a natality rate?
54. Sputum examination is the major screening tool A. Crude birth rate
for pulmonary tuberculosis. Clients would sometimes get false B. Neonatal mortality rate
negative results in this exam. This means that the test is not C. Infant mortality rate
perfect in terms of which characteristic of a diagnostic D. General fertility rate
examination?
A. Effectiveness 64. You are computing the crude rate of your municipality, with
B. Efficacy a total population o about 18,000 for last year. There were 94
C. Specificity deaths. Among those who died, 20 died because of diseases of
D. Sensitivity the heart and 32 were aged 50 years or older. What is the
crude death rate?
55. Use of appropriate technology requires knowledge of A. 4.1/1000
indigenous technology. Which medical herb is given for fever, B. 5.2/1000
headache and cough? C. 6.3/1000
A. Sambong D. 7.3/1000
B. Tsaang gubat
C. Akapulko 65. Knowing that malnutrition is a frequent community health
D. Lagundi problem, you decided to conduct nutritional assessment. What
population is particularly susceptible to protein energy
56. What law created the Philippine institute of Traditional and malnutrition (PEM)?
Alternative Health Care? A. Pregnant women and the elderly
A. RA 8483 B. Under 5 year old children
B. RA4823 C. 1-4 year old children
C. RA 2483 D. School age children
D. RA 3482
66. Which statistic can give the most accurate reflection of the
57. In traditional Chinese medicine, the yielding, negative and health status of a community?
feminine force is termed: A. 1-4 year old age-specific mortality rate
A. Yin B. Infant mortality rate
B. Yang C. Swaroop’s index
C. Qi D. Crude death rate
D. Chai
67. In the past year, Barangay A had an average population of
58. What is the legal basis of Primary Health Care approach in 1655. 46 babies were born in that year, 2 of whom died less
the Philippines?
than 4 weeks after they were born. They were 4 recorded A. Modifiability of the problem
stillbirths. What is the neonatal mortality rate? B. Nature of the problem presented
A. 27.8/1000 C. Magnitude of the health problem
B. 43.5/1000 D. Preventive potential of the health problem
C. 86.9/1000
D. 130.4/1000 77. The Sentrong Sigla Movement has been launched to
improve health service delivery. Which of the following is/are
68. Which statistic best reflects the nutritional status of a true of this movement?
population? A. This is a project spearheaded by local government units
A. 1-4-year-old age-specific mortality rate B. It is a basis for increasing funding from local government
B. Proportionate mortality rate units
C. Infant mortality rate C. It encourages health centers to focus on disease prevention
D. Swaroop’s index and control
D. Its main strategy is certification of health centers able to
69. What numerator is used in computing general fertility rate? comply with standards
A. Estimated midyear population
B. Number of registered live births 78. Which of the following women should be considered as
C. Number of pregnancies in the year special targets for family planning?
D. Number of females of reproductive age A. Those who have two children or more
B. Those with medical conditions such as anemia
70. You will gather data for nutritional assessment of a purok. C. Those younger than 20 years and older than 35 years
You will gather information only from families with members D. Those who just had a delivery within the past 15 months
who belong to the target population for PEM. What method of
delta gathering is best for this purpose? 79. Freedom of choice in one of the policies of the Family
A. Census Planning Program of the Philippines. Which of the following
B. Survey illustrates this principle?
C. Record Review A. Information dissemination about the need for family
D. Review of civil registry planning
B. Support of research and development in family planning
71. In the conduct of a census, the method of population methods
assignment based on the actual physical location of the people C. Adequate information for couples regarding the different
is termed; methods
A. De jure D. Encouragement of couples to take family planning as a joint
B. De locus responsibility
C. De facto
D. De novo 80. A woman, 6 months pregnant, came to the center for
consultation. Which of the following substances is
72. The Field Health Services and information System (FHSIS) is contraindicated?
the recording and reporting system in public health) care in the A. Tetanus toxoid
Philippines. The monthly field health service activity report is a B. Retinol 200,000 IU
form used in which of the components of the FHSIS? C. Ferrous sulfate 200mg
A. Tally report D. Potassium iodate 200 mg, capsule
B. Output report
C. Target/client list 81. During prenatal consultation, a client asked you if she can
D. Individual health record have her delivery at home. After history taking and physical
examination, you advised her against a home delivery. Which of
73. To monitor clients registered in long-term regimens, such as the following findings disqualifies her for a home delivery?
the Multi-Drug Therapy, which component will be most useful? A. Her OB score is G5P3
A. Tally report B. She has some palmar pallor
B. Output report C. Her blood pressure is 130/80
C. Target/client list D. Her baby is in cephalic presentation
D. Individual health record
82. Inadequate intake by the pregnant woman of which vitamin
74. Civil registries are important sources of data. Which law may cause neural tube defects?
requires registration of births within 30 days from the A. Niacin
occurrence of the birth? B. Riboflavin
A. PD 651 C. Folic Acid
B. Act 3573 D. Thiamine
C. RA 3753
D. RA 3375 83. You are in a client’s home to attend to a delivery. Which of
the following will you do first?
75. Which of the following professionals can sign the birth A. Set up a sterile area
certificate? B. Put on a clean gown and apron
A. Public health nurse C. Cleanse the client’s vulva with soap and water
B. Rural health midwife D. Note the interval, duration and intensity of labor and
C. Municipal health officer contractions
D. Any of these health professionals
84. In preparing a primigravida for breastfeeding, which of the
76. Which criterion in priority setting of health problems is used following will you do?
only in community health care?
A. Tell her that lactation begins within a day after delivery C. Infant BCG
B. Teach her nipple stretching exercises if her nipples are D. Hepatitis B Vaccine
everted
C. Instruct her to wash her nipples before and after each 94. You will not give DPT 2 if the mother says that the infant
breastfeeding had?
D. Explain to her that putting the baby to breast will lessen A. Seizures a day after DPT1
blood loss after delivery B. Fever for 3 days after DPT1
C. Abscess formation after DPT1
85. A primigravida is instructed to offer her breast to the baby D. Local tenderness for 3 days after DPT1
for the first time within 30 minutes after delivery. What is the
purpose of offering the breast this early? 95. A 2-month old infant was brought to the health center for
A. To initiate the occurrence of milk letdown immunization. During assessment, the infant’s temperature
B. To stimulate milk production by the mammary acini registered at 38.1 C. Which is the best course of action that you
C. To make sure that the baby is able to get the colustrum will take?
D. To allow the woman to practice breastfeeding in the A. Go on with the infants immunization
presence of the health worker B. Give paracetamol and wait for his fever to subside
C. Refer the infant to the physician for further assessment
86. In a mother‘s class, you discuss proper breastfeeding D. Advise the infant’s mother to bring him back for
technique. Which of these is a sign that the baby has “lactated immunization when he is well
on” the breast property?
A. The baby takes shallow, rapid sucks 96. A pregnant woman had just received her 4th dose of
B. The mother does not feel nipple pain tetanus toxoid. Subsequently, her baby will have protection
C. The baby’s mouth is only partly open against tetanus for how long?
D. Only the mother’s nipple is inside the baby’s mouth A. 1 year
B. 3 years
87. You explain to a breastfeeding mother that breastmilk is C. 10 years
sufficient for all of the baby’s nutrient needs only up to: D. Lifetime
A. 3 months
B. 6 months 97. A 4-month old infant was brought to the health center of
C. 1 year cough. Her respiratory rate is 42/minute. Using the IMCI
D. 2 years guidelines of assessment, her breathing is considered;
A. Fast
88. What is given to a woman within a month after the delivery B. Slow
of a baby? C. Normal
A. Malunggay capsule D. Insignificant
B. Ferrous sutfate l00mg O.D.
C. Retinol 200.000 IU 1 capsule 98. Which of the following signs will indicate that a young child
D. Potassium Iodate 200 mg, 1 capsule is suffering from severe pneumonia?
A. Dyspnea
89. Which biological used in EPI is stored in the freezer? B. Wheezing
A. DPT C. Fast breathing
B. Tetanus toxoid D. Chest indrawing
C. Measles vaccine
D. Hepatitis B vaccine 99. Using IMCI guidelines, you classify a child as having severe
pneumonia. What is the best management for the child?
90. Unused BCG should be discarded how many hours after A. Prescribe antibiotic
reconstitution? B. Refer him urgently to the hospital
A. 2 C. Instruct the mother to increase fluid intake
B. 4 D. Instruct the mother to continue breastfeeding
C. 6
D. At the end of the day 100. A 5-month old infant was brought by his mother to the
health center because of diarrhea occurring 4 to 5 times a day.
91. In immunity school entrants with BCG, you not obliged to His skin goes back slowly after a skin pinch and his eyes are
secure parental consent. This is because of which legal sunken. Using the IMCI guidelines, you will classify this infant in
document? which category?
A. PD 996 A. No signs of dehydration
B. RA 7864 B. Some dehydration
C. Presidential Proclamation No. 6 C. Severe dehydration
D. Presidential Proclamation No. 46 D. The data is insufficient

92. Which immunization produces a permanent scar? 101. Based on the assessment, you classified a 3-month old
A. DPT infant with the chief complaint of diarrhea in the category of
B. BCG SOME DEHYDRATION. Based on the IMCI management
C. Measles vaccination guidelines, which of the following will you do?
D. Hepatitis B vaccination A. Bring the infant to the nearest facility where IV fluids can be
given
93. A 4 week old baby was brought to the health center for his B. Supervise the mother in giving 200 to 400 ml of Oresol in 4
first immunization. Which can be given to him? hours
A. DPT1 C. Give the infant’s mother instructions on home management
B. OPV1 D. Keep the infant in your health center for close observation
102. A mother is using Oresol’ in the management of diarrhea 110. A mother brought her daughter, 4 years old, to the RHU
of her 3-year old child. She asked you what to do if her child because of cough and colds. Following the IMCI assessment
vomits. You will tell her to: guide, which of the following is a danger sign that indicates the
A. Bring the child to the nearest hospital for further need for urgent referral to a hospital?
assessment A. Inability to drink
B. Bring the child to the health center for IV therapy B. High grade fever
C. Bring the child to the health center for assessment by the C. Signs of severe dehydration
physician D. Cough for more than 30 days
D. Let the child rest for 10 minutes then continue giving Oresol
more slowly 111. Management of a child with measles includes the
administration of which of the following?
103. A 1 1/2 year old child was classified as having 3rd degree A. Gentian violet on mouth lesions
of protein energy malnutrition, kwashjorkor. Which of the B. Antibiotic to prevent pneumonia
following signs will be most apparent in this child? C. Tetracycline eye ointment for corneal opacity
A. Voracious appetite D. Retinol capsule regardless of when the last dose was given
B. Wasting
C. Apathy 112. A mother brought her 10 month old infant for consultation
D. Edema because of fever which started 4 days prior to consultation. To
determine malaria risk, what will you do?
104. Assessment of a 2-year old child revealed “baggy pants”. A. Do a tourniquet test
Using the IMCI guidelines, how will you manage this child? B. Ask where the family resides
A. Refer the child urgently to a hospital for confinement C. Get a specimen for blood smear
B. Coordinate with the social worker to enroll the child in a D. Ask if the fever is present everyday
feeding program
C. Make a teaching plan for the mother, focusing on the menu 113. The following are strategies implemented by the DOH to
planning for her child prevent mosquito-borne diseases. Which of these is most
D. Assess and treat the child for health problems like effective in the control of Dengue fever?
infections and intestinal parasitism A. Stream seeding with larva-eating fish
B. Destroying breeding places of mosquitoes
105. During the physical examination of a young child, what is C. Chemoprophylaxis of non-immune persons going to
the earliest sign of xerophthalmia that may observe? endemic areas
A. Keratomalacia D. Teaching people in endemic areas to use chemically treated
B. Corneal opacity mosquito nets
C. Night blindness
D. Conjunctival xerosis 114. Secondary prevention for malaria includes?
A. Planting of neem or eucalyptus trees
106. To prevent xerophthalmia, young children are given B. Residual spraying of insecticides at night
Retinol capsule every 6 months. What is the dose given to C. Determining whether a place is endemic or not
preschoolers? D. Growing larva-eating fish in mosquito breeding places
A. 10, 000 IU
B. 20, 000 IU 115. Scotch tape swab is done to check for which intestinal
C. 100, 000 IU parasite?
D. 200, 000 IU A. Ascaris
B. Pinworm
107. The major sign of iron deficiency anemia is pallor. What C. Hookworm
part is best examined for pallor? D. Schistosoma
A. Palms
B. Nailbeds 116. Which of the following signs indicates the need for sputum
C. Around the lips examination for AFB?
D. Lower conjunctival sac A. Hematemesis
B. Fever for 1 week
108. Food fortification is one of the strategies to prevent C. Cough for 3 weeks
micronutrient deficiency conditions. RA 8976 mandates D. Chest pain for 1 week
fortification of certain food items. Which of the following is
among these food items? 117. Which clients are considered targets for DOTS category?
A. Sugar A. Sputum negative cavitary cases
B. Bread B. Clients returning after default
C. Margarine C. Relapses and failures of previous PTB treatment regimens
D. Filled milk D. Clients diagnosed for the first time through a positive
sputum exam
109. What is the best course of action when there is a measles
epidemic in a nearby municipality? 118. To improve compliance to treatment, what innovation is
A. Give measles vaccine to babies aged 6 to 3 months being implemented in DOTS?
B. Give babies aged 6 to 11 months one dose of 100,000 IU of A. Having the health worker follow up the client at home
Retinol B. Having the health worker or a responsible family member
C. Instruct mother to keep their babies at home to prevent monitor drug intake
disease transmission C. Having the patient come to the health center every month
D. Instruct mothers to feed their babies adequately to to get his medications
enhance their babies resistance
D. Having a target list to check on whether the patient has 128. A client was diagnosed as having Dengue Fever. You will
collected his monthly supply of drugs say that there is slow capillary refill when the color of the
nailbed that you pressed does not return within how many
119. Diagnosis of leprosy is highly dependent on recognition of seconds?
symptoms. Which of the following is an early sign of leprosy? A. 3
A. Macular lesions B. 5
B. Inability to close eyelids C. 8
C. Thickened painful nerves D. 10
D. Sinking of the nose bridge
129. A 3-year old child was brought by his mother to the health
120. Which of the following clients should be classified as a center because of fever of 4-day duration. The child had a
case of mutibacillary leprosy? positive tourniquet test result. In the absence of other signs,
A. 3 skin lesions, negative slit skin smear which of the most appropriate measure that the PHN may carry
B. 3 skin lesions, positive slit skin smear out to prevent Dengue shock syndrome?
C. 5 skin lesions, negative slit skin smear A. Insert an NGT and give fluids per NGT
D. 5 skin lesions, positive slit skin smear B. Instruct the mother to give the child Oresol
C. Start the patient on IV Stat
121. In the Philippines, which condition is the most frequent D. Refer the client to the physician for appropriate
cause of death associated by schistosomiasis? management
A. Liver cancer
B. Liver cirrhosis 130. The pathognomonic sign of measles is Koplik’s spot. You
C. Bladder cancer may see Koplik’s spot by inspecting the:
D. Intestinal perforation A. Nasal Mucosa
B. Buccal mucosa
122. What is the most effective way of controlling C. Skin on the abdomen
schistosomiasis in an endemic area? D. Skin on the antecubital surface
A. Use of molluscicides
B. Building of foot bridges 131. Among the following diseases, which is airborne?
C. Proper use of sanitary toilets A. Viral conjunctivitis
D. Use of protective footwear, such as rubber boots B. Acute poliomyelitis
C. Diphtheria
123. When residents obtain water from an artesian well in the D. Measles
neighborhood, the level of this approved type of water facility
is: 132. Among children aged 2 months to 3 years, the most
A. I prevalent form of meningitis is caused by which
B. II microorganism?
C. III A. Hemophilus Influenzae
D. IV B. Morbillivirus
C. Streptococcus Pneumoniae
124. For prevention of Hepatitis A, you decided to conduct D. Neisseria meningitides
health education activities. Which of the following is Irrelevant? 133. Human beings are the major reservoir of malaria. Which
A. Use of sterile syringes and needles of the following strategies in malaria control is based on this
B. Safe food preparation and food handling by vendors fact?
C. Proper disposal of human excreta and personal hygiene A. Stream seeding
D. Immediate reporting of water pipe leaks and illegal water B. Stream clearing
connections C. Destruction of breeding places
D. Zooprophylaxis
125. Which biological used in EPI should not be stored in the
freezer? 134. The use of larvivorous fish in malaria control is the basis
A. DPT for which strategy of malaria control?
B. OPV A. Stream seeding
C. Measles vaccine B. Stream clearing
D. MMR C. Destruction of breeding places
D. Zooprophylaxis .
126. You will conduct outreach immunization in a barangay
with a population of about 1500. Estimate the number of 135. Mosquito-borne diseases are prevented mostly with the
infants in the barangay. use of mosquito control measures. Which of the following is
A. 45 NOT appropriate for malaria control?
B. 50 A. Use of chemically treated mosquito nets
C. 55 B. Seeding of breeding places with larva-eating fish
D. 60 C. Destruction of breeding places of the mosquito vector
D. Use of mosquito-repelling soaps, such as those with basil or
127. In IMCI, severe conditions generally require urgent referral citronella
to a hospital. Which of the following severe conditions Does not
always require urgent referral to hospital? 136. A 4-year old client was brought to the health center with
A. Mastoiditis chief complaint of severe diarrhea and the passage of “rice
B. Severe dehydration water”. The client is most probably suffering from which
C. Severe pneumonia condition?
D. Severe febrile disease. A. Giardiasis
B. Cholera
C. Amebiasis C. They shorten the period of communicability of the disease
D. Dysentery D. They are able to bring about a cure of the disease condition

137. In the Philippines, which specie of schistosoma is endemic 145. A barangay had an outbreak of German measles. To
in certain regions? prevent congenital rubella, what is the BEST advice that you can
A. S. mansoni give to women in the first trimester of pregnancy in the
B. S. japonicum barangay?
C. S. malayensis a. Advice them on the sign of German Measles
D. S. haematobium b. Avoid crowded places, such as markets and moviehouses
c. Consult at the health center where rubella vaccine may be
138. A 32 year old client came for consultation at the health given
center with the chief complaint of fever for a week. d. Consult a physician who may give them rubella
Accompanying symptoms were muscle pains and body malaise. immunoglobulin
A week after the start of fever, the client noted yellowish
discoloration of his sclera. History showed that he waded in
flood waters about 2 weeks before the onset of symptoms.
Based on this history/ which disease condition will you suspect?
A. Hepatitis A
B. Hepatitis B
C. Tetanus
D. Leptospirosis

139. MWSS provides water to Manila and other cities in Metro

Manila. This is an example of which level of water facility?
A. I
B. II
C. III
D. IV

140. You are the PHN in the city health center. A client
underwent screening for AIDS using ELISA. His result was
positive. What is the best course of action that you may take?
A. Get a thorough history of the client, focusing on the
practice of high risk behavior
B. Ask the client to be accompanied by a significant person
before revealing the result.
C. Refer the client to the physician since he is the best person
to reveal the result to the client
D. Refer the client for a supplementary test, such as Western
blot, since the ELISA result maybe false

141. Which is the BEST control measure for AIDS?

A. Being faithful to a single sexual partner
B. Using a condom during each sexual contact
C. Avoiding sexual contact with commercial sex workers
D. Making sure that one’s sexual partner does not have signs
of AIDS

142. The most frequent causes of death among clients with

AIDS are opportunistic diseases. Which of the following
opportunistic infections is characterized by tonsilllopharyngitis?
A. Respiratory candidiasis
B. Infectious mononucleosis
C. Cytomegalovirus disease
D. Pneumocystis carinii pneumonia

143. To determine the possible sources of sexually transmitted

infections, which is the BEST method that may be undertaken
by the public health nurse?
A. Contact tracing
B. Community survey
C. Mass screening tests
D. Interview suspects

144. Antiretroviral agents, such as AZT are used in the

management of AIDS. Which of the following is not an action
expected of these drugs?
A. They prolong the life of the client with AIDS
B. They reduce the risk of opportunistic infections