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Fundamentals in nursing (Manila Central University)

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Community Health Nursing

PNLE: Community Health Nursing Exam 1

1. Which is the primary goal of community health nursing? C. Classification of the business enterprise
based on net profit
D. Sex and age composition of employees
A. To support and supplement the efforts of
the medical profession in the promotion of
health and prevention of illness 5. A business firm must employ an occupational health
B. To enhance the capacity of individuals, nurse when it has at least how many employees?
families and communities to cope with
their health needs
C. To increase the productivity of the people A. 21
by providing them with services that will B. 101
increase their level of health C. 201
D. To contribute to national development D. 301
through promotion of family welfare,
focusing particularly on mothers and
children. 6. When the occupational health nurse employs ergonomic
principles, she is performing which of her roles?

2. CHN is a community-based practice. Which best

A. Health care provider
explains this statement?
B. Health educator
C. Health care coordinator
A. The service is provided in the natural D. Environmental manager
environment of people.
B. The nurse has to conduct community
diagnosis to determine nursing needs 7. A garment factory does not have an occupational nurse.
and problems. Who shall provide the occupational health needs of the
C. The services are based on the available factory workers?
resources within the community.
D. Priority setting is based on the magnitude
A. Occupational health nurse at the
of the health problems identified.
Provincial Health Office
B. Physician employed by the factory
C. Public health nurse of the RHU of their
3. Population-focused nursing practice requires which of
municipality
the following processes?
D. Rural sanitary inspector of the RHU of
their municipality
A. Community organizing
B. Nursing process
C. Community diagnosis 8. “Public health services are given free of charge.” Is
D. Epidemiologic process this statement true or false?

A. The statement is true; it is the

4. R.A. 1054 is also known as the Occupational Health
responsibility of government to provide
Act. Aside from number of employees, what other factor
basic services.
must be considered in determining the occupational
B. The statement is false; people pay
health privileges to which the workers will be entitled?
indirectly for public health services.
C. The statement may be true or false,
A. Type of occupation: agricultural, depending on the specific service
commercial, industrial required.
B. Location of the workplace in relation to
health facilities

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D. The statement may be true or false, D. The worth and dignity of man
depending on policies of the government
concerned.
13. Which of the following is the mission of the
Department of Health?
9. According to C.E.Winslow, which of the following is the
goal of Public Health?
A. Health for all Filipinos
B. Ensure the accessibility and quality of
A. For people to attain their birthrights of health care
health and longevity C. Improve the general health status of the
B. For promotion of health and prevention of population
disease D. Health in the hands of the Filipino people
C. For people to have access to basic health by the year 2020
services
D. For people to be organized in their health
efforts 14. Region IV Hospital is classified as what level of
facility?

10. We say that a Filipino has attained longevity when he

is able to reach the average lifespan of Filipinos. What A. Primary
other statistic may be used to determine attainment of B. Secondary
longevity? C. Intermediate
D. Tertiary

A. Age-specific mortality rate

B. Proportionate mortality rate 15. Which is true of primary facilities?
C. Swaroop’s index
D. Case fatality rate
A. They are usually government-run.
B. Their services are provided on an
11. Which of the following is the most prominent feature out-patient basis.
of public health nursing? C. They are training facilities for health
professionals.
D. A community hospital is an example of this
A. It involves providing home care to sick level of health facilities.
people who are not confined in the
hospital.
B. Services are provided free of charge to 16. Which is an example of the school nurse’s health care
people within the catchment area. provider functions?
C. The public health nurse functions as part
of a team providing a public health nursing
A. Requesting for BCG from the RHU for
services.
school entrant immunization
D. Public health nursing focuses on
B. Conducting random classroom inspection
preventive, not curative, services.
during a measles epidemic
C. Taking remedial action on an accident
12. According to Margaret Shetland, the philosophy of hazard in the school playground
public health nursing is based on which of the following? D. Observing places in the school where
pupils spend their free time

A. Health and longevity as birthrights

B. The mandate of the state to protect the 17. When the nurse determines whether resources were
birthrights of its citizens maximized in implementing Ligtas Tigdas, she is
C. Public health nursing as a specialized field evaluating
of nursing

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B. Providing technical guidance to the

A. Effectiveness
midwife
B. Efficiency
C. Providing nursing care to cases referred
C. Adequacy
by the midwife
D. Appropriateness
D. Formulating and implementing training
programs for midwives
18. You are a new B.S.N. graduate. You want to become a
Public Health Nurse. Where will you apply?
23. One of the participants in a hilot training class asked
you to whom she should refer a patient in labor who
A. Department of Health develops a complication. You will answer, to the
B. Provincial Health Office
C. Regional Health Office
A. Public Health Nurse
D. Rural Health Unit
B. Rural Health Midwife
C. Municipal Health Officer
19. R.A. 7160 mandates devolution of basic services from D. Any of these health professionals
the national government to local government units. Which
of the following is the major goal of devolution?
24. You are the public health nurse in a municipality with
a total population of about 20,000. There are 3 rural
A. To strengthen local government units health midwives among the RHU personnel. How many
B. To allow greater autonomy to local more midwife items will the RHU need?
government units
C. To empower the people and promote
A. 1
their self-reliance
B. 2
D. To make basic services more accessible to
C. 3
the people
D. The RHU does not need any more midwife
item.
20. Who is the Chairman of the Municipal Health Board?

25. If the RHU needs additional midwife items, you will

A. Mayor submit the request for additional midwife items for
B. Municipal Health Officer approval to the
C. Public Health Nurse
D. Any qualified physician
A. Rural Health Unit
B. District Health Office
21. Which level of health facility is the usual point of C. Provincial Health Office
entry of a client into the health care delivery system? D. Municipal Health Board

A. Primary 26. As an epidemiologist, the nurse is responsible for

B. Secondary reporting cases of notifiable diseases. What law
C. Intermediate mandates reporting of cases of notifiable diseases?
D. Tertiary

A. Act 3573
22. The public health nurse is the supervisor of rural B. R.A. 3753
health midwives. Which of the following is a supervisory C. R.A. 1054
function of the public health nurse? D. R.A. 1082

A. Referring cases or patients to the

midwife

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27. According to Freeman and Heinrich, community health 1. In which step are plans formulated for solving
nursing is a developmental service. Which of the following community problems?
best illustrates this statement?

A. Mobilization
A. The community health nurse continuously B. Community organization
develops himself personally and C. Follow-up/extension
professionally. D. Core group formation
B. Health education and community
organizing are necessary in providing
community health services. 2. The public health nurse takes an active role in
C. Community health nursing is intended community participation. What is the primary goal of
primarily for health promotion and community organizing?
prevention and treatment of disease.
D. The goal of community health nursing is to
A. To educate the people regarding
provide nursing services to people in their
community health problems
own places of residence.
B. To mobilize the people to resolve
community health problems
28. Which disease was declared through Presidential C. To maximize the community’s resources in
Proclamation No. 4 as a target for eradication in the dealing with health problems
Philippines? D. To maximize the community’s resources
in dealing with health problems

A. Poliomyelitis
B. Measles 3. An indicator of success in community organizing is
C. Rabies when people are able to
D. Neonatal tetanus

A. Participate in community activities for

29. The public health nurse is responsible for presenting the solution of a community problem
the municipal health statistics using graphs and tables. B. Implement activities for the solution of
To compare the frequency of the leading causes of the community problem
mortality in the municipality, which graph will you C. Plan activities for the solution of the
prepare? community problem
D. Identify the health problem as a common
concern
A. Line
B. Bar
C. Pie 4. Tertiary prevention is needed in which stage of the
D. Scatter diagram natural history of disease?

30. Which step in community organizing involves training A. Pre-pathogenesis

of potential leaders in the community? B. Pathogenesis
C. Prodromal
D. Terminal
A. Integration
B. Community organization
C. Community study 5. Isolation of a child with measles belongs to what level
D. Core group formation of prevention?

PNLE: Community Health Nursing Exam 2 A. Primary

B. Secondary
C. Intermediate

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D. Tertiary D. It develops the family’s initiative in

providing for health needs of its
members.
6. On the other hand, Operation Timbang is _____
prevention.
11. Which is CONTRARY to the principles in planning a
home visit?
A. Primary
B. Secondary
C. Intermediate A. A home visit should have a purpose or
D. Tertiary objective.
B. The plan should revolve around family
health needs.
7. Which type of family-nurse contact will provide you C. A home visit should be conducted in the
with the best opportunity to observe family dynamics? manner prescribed by the RHU.
D. Planning of continuing care should involve a
responsible family member.
A. Clinic consultation
B. Group conference
C. Home visit 12. The PHN bag is an important tool in providing nursing
D. Written communication care during a home visit. The most important principle of
bag technique states that it

8. The typology of family nursing problems is used in the

statement of nursing diagnosis in the care of families. A. Should save time and effort.
The youngest child of the de los Reyes family has been B. Should minimize if not totally prevent
diagnosed as mentally retarded. This is classified as a: the spread of infection.
C. Should not overshadow concern for the
patient and his family.
A. Health threat D. May be done in a variety of ways
B. Health deficit
depending on the home situation, etc.
C. Foreseeable crisis
D. Stress point
13. To maintain the cleanliness of the bag and its
contents, which of the following must the nurse do?
9. The de los Reyes couple have a 6-year old child
entering school for the first time. The de los Reyes
family has a: A. Wash his/her hands before and after
providing nursing care to the family
members.
A. Health threat B. In the care of family members, as much as
B. Health deficit
possible, use only articles taken from the
C. Foreseeable crisis
bag.
D. Stress point
C. Put on an apron to protect her uniform
and fold it with the right side out before
putting it back into the bag.
10. Which of the following is an advantage of a home
D. At the end of the visit, fold the lining on
visit?
which the bag was placed, ensuring that
the contaminated side is on the outside.
A. It allows the nurse to provide nursing care
to a greater number of people.
B. It provides an opportunity to do first 14. The public health nurse conducts a study on the
hand appraisal of the home situation. factors contributing to the high mortality rate due to
C. It allows sharing of experiences among heart disease in the municipality where she works. Which
people with similar health problems.

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branch of epidemiology does the nurse practice in this

A. There are more cases of the disease than
situation?
expected.
B. The disease must necessarily be
transmitted through a vector.
A. Descriptive
B. Analytical C. The spread of the disease can be
C. Therapeutic attributed to a common vehicle.
D. Evaluation D. There is a gradual build up of cases
before the epidemic becomes easily
noticeable.
15. Which of the following is a function of epidemiology?

19. In the investigation of an epidemic, you compare the

A. Identifying the disease condition based on present frequency of the disease with the usual
manifestations presented by a client frequency at this time of the year in this community.
B. Determining factors that contributed to This is done during which stage of the investigation?
the occurrence of pneumonia in a 3 year
old
C. Determining the efficacy of the antibiotic A. Establishing the epidemic
used in the treatment of the 3 year old B. Testing the hypothesis
client with pneumonia C. Formulation of the hypothesis
D. Evaluating the effectiveness of the D. Appraisal of facts
implementation of the Integrated
Management of Childhood Illness
20. The number of cases of Dengue fever usually
increases towards the end of the rainy season. This
16. Which of the following is an epidemiologic function of pattern of occurrence of Dengue fever is best described
the nurse during an epidemic? as

A. Conducting assessment of suspected cases A. Epidemic occurrence

to detect the communicable disease B. Cyclical variation
B. Monitoring the condition of the cases C. Sporadic occurrence
affected by the communicable disease D. Secular variation
C. Participating in the investigation to
determine the source of the epidemic
21. In the year 1980, the World Health Organization
D. Teaching the community on preventive
declared the Philippines, together with some other
measures against the disease
countries in the Western Pacific Region, “free” of which
disease?
17. The primary purpose of conducting an epidemiologic
investigation is to
A. Pneumonic plague
B. Poliomyelitis
C. Small pox
A. Delineate the etiology of the epidemic
B. Encourage cooperation and support of the D. Anthrax
community
C. Identify groups who are at risk of
22. In the census of the Philippines in 1995, there were
contracting the disease
about 35,299,000 males and about 34,968,000 females.
D. Identify geographical location of cases of
What is the sex ratio?
the disease in the community

A. 99.06:100
18. Which is a characteristic of person-to-person
B. 100.94:100
propagated epidemics?
C. 50.23%

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D. 49.76% 27. In traditional Chinese medicine, the yielding, negative

and feminine force is termed

23. Primary health care is a total approach to community

development. Which of the following is an indicator of A. Yin
success in the use of the primary health care approach? B. Yang
C. Qi
D. Chai
A. Health services are provided free of
charge to individuals and families.
B. Local officials are empowered as the 28. What is the legal basis for Primary Health Care
major decision makers in matters of approach in the Philippines?
health.
C. Health workers are able to provide care
based on identified health needs of the A. Alma Ata Declaration on PHC
people. B. Letter of Instruction No. 949
D. Health programs are sustained according C. Presidential Decree No. 147
to the level of development of the D. Presidential Decree 996
community.

29. Which of the following demonstrates intersectoral

24. Sputum examination is the major screening tool for linkages?
pulmonary tuberculosis. Clients would sometimes get false
negative results in this exam. This means that the test is
A. Two-way referral system
not perfect in terms of which characteristic of a
B. Team approach
diagnostic examination?
C. Endorsement done by a midwife to
another midwife
A. Effectiveness D. Cooperation between the PHN and public
B. Efficacy school teacher
C. Specificity
D. Sensitivity

25. Use of appropriate technology requires knowledge of

indigenous technology. Which medicinal herb is given for
fever, headache and cough?
30. The municipality assigned to you has a population of
about 20,000. Estimate the number of 1-4 year old
children who will be given Retinol capsule 200,000 I.U.
A. Sambong
B. Tsaang gubat every 6 months.
C. Akapulko
D. Lagundi
A. 1,500
B. 1,800
C. 2,000
26. What law created the Philippine Institute of
D. 2,300
Traditional and Alternative Health Care?

PNLE: Community Health Nursing Exam 3

A. R.A. 8423
B. R.A. 4823
C. R.A. 2483
1. Estimate the number of pregnant women who will be
D. R.A. 3482
given tetanus toxoid during an immunization outreach
activity in a barangay with a population of about 1,500.

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265 assessment. What population is particularly susceptible

to protein energy malnutrition (PEM)?
300
Pregnant women and the elderly
375
Under-5 year old children
400
1-4 year old children
2. To describe the sex composition of the population,
which demographic tool may be used? School age children

Sex ratio 6. Which statistic can give the most accurate reflection
of the health status of a community?
Sex proportion
1-4 year old age-specific mortality rate
Population pyramid
Infant mortality rate
Any of these may be used.
Swaroop’s index
3. Which of the following is a natality rate?
Crude death rate
Crude birth rate

Neonatal mortality rate

Infant mortality rate

General fertility rate

4. You are computing the crude death rate of your 7. In the past year, Barangay A had an average population
municipality, with a total population of about 18,000, for of 1655. 46 babies were born in that year, 2 of whom
last year. There were 94 deaths. Among those who died, died less than 4 weeks after they were born. There were
20 died because of diseases of the heart and 32 were 4 recorded stillbirths. What is the neonatal mortality
aged 50 years or older. What is the crude death rate? rate?

4.2/1,000 27.8/1,000

5.2/1,000 43.5/1,000

6.3/1,000 86.9/1,000

7.3/1,000 130.4/1,000

Ratio: To compute crude death rate divide total number 8. Which statistic best reflects the nutritional status of
of deaths (94) by total population (18,000) and multiply a population?
by 1,000.
1-4 year old age-specific mortality rate

Proportionate mortality rate

5. Knowing that malnutrition is a frequent community

Infant mortality rate
health problem, you decided to conduct nutritional

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Swaroop’s index Output report

9. What numerator is used in computing general fertility Target/client list

rate?
Individual health record
Estimated midyear population
13. To monitor clients registered in long-term regimens,
Number of registered live births such as the Multi-Drug Therapy, which component will be
most useful?
Number of pregnancies in the year
Tally report
Number of females of reproductive age
Output report
10. You will gather data for nutritional assessment of a
purok. You will gather information only from families with Target/client list
members who belong to the target population for PEM.
Individual health record
What method of data gathering is best for this purpose?

Census

Survey

Record review

Review of civil registry

14. Civil registries are important sources of data. Which

11. In the conduct of a census, the method of population
law requires registration of births within 30 days from
assignment based on the actual physical location of the
the occurrence of the birth?
people is termed

P.D. 651
De jure

Act 3573
De locus

R.A. 3753
De facto

R.A. 3375
De novo

15. Which of the following professionals can sign the

birth certificate?

Public health nurse

12. The Field Health Services and Information System Rural health midwife
(FHSIS) is the recording and reporting system in public
Municipal health officer
health care in the Philippines. The Monthly Field Health
Service Activity Report is a form used in which of the Any of these health professionals
components of the FHSIS?

Tally report 16. Which criterion in priority setting of health problems

is used only in community health care?

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Modifiability of the problem 20. A woman, 6 months pregnant, came to the center for
consultation. Which of the following substances is
Nature of the problem presented
contraindicated?

Magnitude of the health problem

Tetanus toxoid

Preventive potential of the health problem

Retinol 200,000 IU

17. The Sentrong Sigla Movement has been launched to

Ferrous sulfate 200 mg
improve health service delivery. Which of the following
is/are true of this movement? Potassium iodate 200 mg. capsule

This is a project spearheaded by local government units. 21. During prenatal consultation, a client asked you if she
can have her delivery at home. After history taking and
It is a basis for increasing funding from local government
physical examination, you advised her against a home
units.
delivery. Which of the following findings disqualifies her
for a home delivery?
It encourages health centers to focus on disease
prevention and control.
Her OB score is G5P3.

Its main strategy is certification of health centers

She has some palmar pallor.
able to comply with standards.
Her blood pressure is 130/80.
18. Which of the following women should be considered as
special targets for family planning? Her baby is in cephalic presentation.

Those who have two children or more 22. Inadequate intake by the pregnant woman of which
vitamin may cause neural tube defects?
Those with medical conditions such as anemia
Niacin
Those younger than 20 years and older than 35 years
Riboflavin
Those who just had a delivery within the past 15
months Folic acid

19. Freedom of choice is one of the policies of the Family Thiamine

Planning Program of the Philippines. Which of the
23. You are in a client’s home to attend to a delivery.
following illustrates this principle?
Which of the following will you do first?
Information dissemination about the need for family
Set up the sterile area.
planning

Put on a clean gown or apron.

Support of research and development in family planning
methods
Cleanse the client’s vulva with soap and water.

Adequate information for couples regarding the

Note the interval, duration and intensity of labor
different methods
contractions.

Encouragement of couples to take family planning as a

24. In preparing a primigravida for breastfeeding, which
joint responsibility
of the following will you do?

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Tell her that lactation begins within a day after delivery. Malunggay capsule

Teach her nipple stretching exercises if her nipples are Ferrous sulfate 100 mg. OD
everted.
Retinol 200,000 I.U., 1 capsule
Instruct her to wash her nipples before and after each
Potassium iodate 200 mg, 1 capsule
breastfeeding.

29. Which biological used in Expanded Program on

Explain to her that putting the baby to breast will
Immunization (EPI) is stored in the freezer?
lessen blood loss after delivery.

DPT
25. A primigravida is instructed to offer her breast to
the baby for the first time within 30 minutes after
Tetanus toxoid
delivery. What is the purpose of offering the breast this
early? Measles vaccine

To initiate the occurrence of milk letdown Hepatitis B vaccine

To stimulate milk production by the mammary acini 30. Unused BCG should be discarded how many hours
after reconstitution?
To make sure that the baby is able to get the colostrum
2
To allow the woman to practice breastfeeding in the
presence of the health worker 4

26. In a mothers’ class, you discuss proper breastfeeding 6

technique. Which is of these is a sign that the baby has
At the end of the day
“latched on” to the breast properly?

The baby takes shallow, rapid sucks.

The mother does not feel nipple pain.

The baby’s mouth is only partly open.

Only the mother’s nipple is inside the baby’s mouth.

PNLE: Community Health Nursing Exam 4
27. You explain to a breastfeeding mother that breast
milk is sufficient for all of the baby’s nutrient needs only 1. In immunizing school entrants with BCG, you are not
obliged to secure parental consent. This is because of
up to ____.
which legal document?
3 months
P.D. 996

6 months R.A. 7846

1 year Presidential Proclamation No. 6

2 years Presidential Proclamation No. 46

28. What is given to a woman within a month after the 2. Which immunization produces a permanent scar?
delivery of a baby?
DPT

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BCG 7. A 4-month old infant was brought to the health center

because of cough. Her respiratory rate is 42/minute.
Measles vaccination Using the Integrated Management of Child Illness
(IMCI) guidelines of assessment, her breathing is
Hepatitis B vaccination considered

3. A 4-week old baby was brought to the health center Fast

for his first immunization. Which can be given to him?
Slow
DPT1
Normal
OPV1
Insignificant
Infant BCG
8. Which of the following signs will indicate that a young
Hepatitis B vaccine 1 child is suffering from severe pneumonia?

Dyspnea

Wheezing

4. You will not give DPT 2 if the mother says that the Fast breathing
infant had
Chest indrawing
Seizures a day after DPT 1.
9. Using IMCI guidelines, you classify a child as having
Fever for 3 days after DPT 1. severe pneumonia. What is the best management for the
child?
Abscess formation after DPT 1.
Prescribe an antibiotic.
Local tenderness for 3 days after DPT 1.
Refer him urgently to the hospital.
5. A 2-month old infant was brought to the health center
for immunization. During assessment, the infant’s Instruct the mother to increase fluid intake.
temperature registered at 38.1°C. Which is the best
course of action that you will take? Instruct the mother to continue breastfeeding.

Go on with the infant’s immunizations. 10. A 5-month old infant was brought by his mother to
the health center because of diarrhea occurring 4 to 5
Give Paracetamol and wait for his fever to subside. times a day. His skin goes back slowly after a skin pinch
and his eyes are sunken. Using the IMCI guidelines, you
Refer the infant to the physician for further assessment.
will classify this infant in which category?

Advise the infant’s mother to bring him back for

No signs of dehydration
immunization when he is well.
Some dehydration
6. A pregnant woman had just received her 4th dose of
tetanus toxoid. Subsequently, her baby will have Severe dehydration
protection against tetanus for how long?
The data is insufficient.
1 year
11. Based on assessment, you classified a 3-month old
3 years infant with the chief complaint of diarrhea in the
category of SOME DEHYDRATION. Based on IMCI
10 years
management guidelines, which of the following will you
do?
Lifetime

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Bring the infant to the nearest facility where IV fluids 15. During the physical examination of a young child, what
can be given. is the earliest sign of xerophthalmia that you may
observe?
Supervise the mother in giving 200 to 400 ml. of
Oresol in 4 hours. Keratomalacia

Give the infant’s mother instructions on home Corneal opacity

management.
Night blindness
Keep the infant in your health center for close
observation. Conjunctival xerosis

12. A mother is using Oresol in the management of 16. To prevent xerophthalmia, young children are given
diarrhea of her 3-year old child. She asked you what to Retinol capsule every 6 months. What is the dose given to
do if her child vomits. You will tell her to preschoolers?

Bring the child to the nearest hospital for further 10,000 IU

assessment.
20,000 IU
Bring the child to the health center for intravenous fluid
therapy. 100,000 IU

Bring the child to the health center for assessment by 200,000 IU

the physician.
17. The major sign of iron deficiency anemia is pallor.
Let the child rest for 10 minutes then continue giving What part is best examined for pallor?
Oresol more slowly.
Palms
13. A 1 ½ year old child was classified as having 3rd
Nailbeds
degree protein energy malnutrition, kwashiorkor. Which
of the following signs will be most apparent in this child?
Around the lips
Voracious appetite
Lower conjunctival sac
Wasting
18. Food fortification is one of the strategies to prevent
micronutrient deficiency conditions. R.A. 8976 mandates
Apathy
fortification of certain food items. Which of the
Edema following is among these food items?

14. Assessment of a 2-year old child revealed “baggy Sugar

pants”. Using the IMCI guidelines, how will you manage
Bread
this child?

Margarine
Refer the child urgently to a hospital for confinement.

Filled milk
Coordinate with the social worker to enroll the child in a
feeding program.
19. What is the best course of action when there is a
measles epidemic in a nearby municipality?
Make a teaching plan for the mother, focusing on menu
planning for her child.
Give measles vaccine to babies aged 6 to 8 months.
Assess and treat the child for health problems like
Give babies aged 6 to 11 months one dose of 100,000 I.U.
infections and intestinal parasitism.
of Retinol

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Instruct mothers to keep their babies at home to Chemoprophylaxis of non-immune persons going to
prevent disease transmission. endemic areas

Instruct mothers to feed their babies adequately to Teaching people in endemic areas to use chemically
enhance their babies’ resistance. treated mosquito nets

20. A mother brought her daughter, 4 years old, to the 24. Secondary prevention for malaria includes
RHU because of cough and colds. Following the IMCI
assessment guide, which of the following is a danger sign Planting of neem or eucalyptus trees
that indicates the need for urgent referral to a hospital?
Residual spraying of insecticides at night
Inability to drink
Determining whether a place is endemic or not
High grade fever
Growing larva-eating fish in mosquito breeding places
Signs of severe dehydration
25. Scotch tape swab is done to check for which
Cough for more than 30 days intestinal parasite?

21. Management of a child with measles includes the Ascaris

administration of which of the following?
Pinworm
Gentian violet on mouth lesions
Hookworm
Antibiotics to prevent pneumonia
Schistosoma
Tetracycline eye ointment for corneal opacity
26. Which of the following signs indicates the need for
Retinol capsule regardless of when the last dose was sputum examination for AFB?
given
Hematemesis
22. A mother brought her 10 month old infant for
consultation because of fever, which started 4 days prior Fever for 1 week
to consultation. To determine malaria risk, what will you
Cough for 3 weeks
do?

Chest pain for 1 week

Do a tourniquet test.

27. Which clients are considered targets for DOTS

Ask where the family resides.
Category I?
Get a specimen for blood smear.
Sputum negative cavitary cases
Ask if the fever is present everyday.
Clients returning after a default

Relapses and failures of previous PTB treatment

regimens

23. The following are strategies implemented by the Clients diagnosed for the first time through a positive
Department of Health to prevent mosquito-borne sputum exam
diseases. Which of these is most effective in the control
28. To improve compliance to treatment, what innovation
of Dengue fever?
is being implemented in DOTS?
Stream seeding with larva-eating fish
Having the health worker follow up the client at home
Destroying breeding places of mosquitoes

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Having the health worker or a responsible family Intestinal perforation

member monitor drug intake
2. What is the most effective way of controlling
Having the patient come to the health center every schistosomiasis in an endemic area?
month to get his medications
Use of molluscicides
Having a target list to check on whether the patient has
collected his monthly supply of drugs Building of foot bridges

29. Diagnosis of leprosy is highly dependent on Proper use of sanitary toilets

recognition of symptoms. Which of the following is an
early sign of leprosy? Use of protective footwear, such as rubber boots

Macular lesions 3. When residents obtain water from an artesian well in

the neighborhood, the level of this approved type of
Inability to close eyelids water facility is

Thickened painful nerves I

Sinking of the nosebridge II

30. Which of the following clients should be classified as III

a case of multibacillary leprosy?
IV
3 skin lesions, negative slit skin smear

3 skin lesions, positive slit skin smear

4. For prevention of hepatitis A, you decided to conduct
5 skin lesions, negative slit skin smear health education activities. Which of the following is
IRRELEVANT?
5 skin lesions, positive slit skin smear
Use of sterile syringes and needles

Safe food preparation and food handling by vendors

Proper disposal of human excreta and personal hygiene

Immediate reporting of water pipe leaks and illegal water

connections

5. Which biological used in Expanded Program on

Immunization (EPI) should NOT be stored in the
freezer?

DPT

PNLE: Community Health Nursing Exam 5 Oral polio vaccine

1. In the Philippines, which condition is the most frequent Measles vaccine

cause of death associated with schistosomiasis?
MMR
Liver cancer
6. You will conduct outreach immunization in a barangay
Liver cirrhosis with a population of about 1500. Estimate the number of
infants in the barangay.
Bladder cancer
45

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50 Skin on the antecubital surface

55 11. Among the following diseases, which is airborne?

60 Viral conjunctivitis

7. In Integrated Management of Childhood Illness, Acute poliomyelitis

severe conditions generally require urgent referral to a
hospital. Which of the following severe conditions DOES Diphtheria
NOT always require urgent referral to a hospital?
Measles
Mastoiditis
12. Among children aged 2 months to 3 years, the most
Severe dehydration prevalent form of meningitis is caused by which
microorganism?
Severe pneumonia
Hemophilus influenzae
Severe febrile disease
Morbillivirus
8. A client was diagnosed as having Dengue fever. You will
say that there is slow capillary refill when the color of Steptococcus pneumoniae
the nailbed that you pressed does not return within how
many seconds? Neisseria meningitidis

3 13. Human beings are the major reservoir of malaria.

Which of the following strategies in malaria control is
5 based on this fact?

8 Stream seeding

10 Stream clearing

9. A 3-year old child was brought by his mother to the Destruction of breeding places
health center because of fever of 4-day duration. The
child had a positive tourniquet test result. In the absence Zooprophylaxis
of other signs, which is the most appropriate measure
14. The use of larvivorous fish in malaria control is the
that the PHN may carry out to prevent Dengue shock
basis for which strategy of malaria control?
syndrome?

Stream seeding
Insert an NGT and give fluids per NGT.

Stream clearing
Instruct the mother to give the child Oresol.

Destruction of breeding places

Start the patient on intravenous fluids STAT.

Zooprophylaxis
Refer the client to the physician for appropriate
management.
15. Mosquito-borne diseases are prevented mostly with
the use of mosquito control measures. Which of the
10. The pathognomonic sign of measles is Koplik’s spot.
following is NOT appropriate for malaria control?
You may see Koplik’s spot by inspecting the _____.

Use of chemically treated mosquito nets

Nasal mucosa

Seeding of breeding places with larva-eating fish

Buccal mucosa

Destruction of breeding places of the mosquito vector

Skin on the abdomen

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Use of mosquito-repelling soaps, such as those with basil 20. You are the PHN in the city health center. A client
or citronella underwent screening for AIDS using ELISA. His result
was positive. What is the best course of action that you
16. A 4-year old client was brought to the health center may take?
with the chief complaint of severe diarrhea and the
passage of “rice water” stools. The client is most Get a thorough history of the client, focusing on the
probably suffering from which condition? practice of high risk behaviors.

Giardiasis Ask the client to be accompanied by a significant person

before revealing the result.
Cholera
Refer the client to the physician since he is the best
Amebiasis person to reveal the result to the client.

Dysentery Refer the client for a supplementary test, such as

Western blot, since the ELISA result may be false.
17. In the Philippines, which species of schistosoma is
endemic in certain regions? 21. Which is the BEST control measure for AIDS?

S. mansoni Being faithful to a single sexual partner

S. japonicum Using a condom during each sexual contact

S. malayensis Avoiding sexual contact with commercial sex workers

S. haematobium Making sure that one’s sexual partner does not have signs
of AIDS
18. A 32-year old client came for consultation at the
health center with the chief complaint of fever for a 22. The most frequent causes of death among clients
week. Accompanying symptoms were muscle pains and with AIDS are opportunistic diseases. Which of the
body malaise. A week after the start of fever, the client following opportunistic infections is characterized by
noted yellowish discoloration of his sclera. History tonsillopharyngitis?
showed that he waded in flood waters about 2 weeks
before the onset of symptoms. Based on his history, Respiratory candidiasis
which disease condition will you suspect?
Infectious mononucleosis

Cytomegalovirus disease
Hepatitis A
Pneumocystis carinii pneumonia
Hepatitis B
23. To determine possible sources of sexually
Tetanus transmitted infections, which is the BEST method that
may be undertaken by the public health nurse?
Leptospirosis
Contact tracing
19. MWSS provides water to Manila and other cities in
Metro Manila. This is an example of which level of water Community survey
facility?
Mass screening tests
I
Interview of suspects
II
24. Antiretroviral agents, such as AZT, are used in the
III management of AIDS. Which of the following is NOT an
action expected of these drugs.
IV

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They prolong the life of the client with AIDS. To prevent an outbreak in the community, quarantine may
be imposed by health authorities.
They reduce the risk of opportunistic infections
Chicken pox vaccine is best given when there is an
They shorten the period of communicability of the impending outbreak in the community.
disease.
28. Complications to infectious parotitis (mumps) may be
They are able to bring about a cure of the disease serious in which type of clients?
condition.
Pregnant women
25. A barangay had an outbreak of German measles. To
prevent congenital rubella, what is the BEST advice that Elderly clients
you can give to women in the first trimester of pregnancy
in the barangay? Young adult males

Advice them on the signs of German measles. Young infants

Avoid crowded places, such as markets and moviehouses.

Consult at the health center where rubella vaccine may

be given.

Consult a physician who may give them rubella

immunoglobulin.

26. You were invited to be the resource person in a

training class for food handlers. Which of the following
would you emphasize regarding prevention of
staphylococcal food poisoning?

All cooking and eating utensils must be thoroughly

washed.

Food must be cooked properly to destroy staphylococcal

microorganisms.

Food handlers and food servers must have a negative

stool examination result.

Proper handwashing during food preparation is the

best way of preventing the condition.

27. In a mothers’ class, you discussed childhood diseases

such as chicken pox. Which of the following statements
about chicken pox is correct?

The older one gets, the more susceptible he becomes

to the complications of chicken pox.

A single attack of chicken pox will prevent future

episodes, including conditions such as shingles.

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