c.

ear discharge

COMMUNITY HEALTH NURSING

By: Niel Allison V. Oro, RN d. is there any fever?

Situation: Developing countries such as the 8. If the child does not have ear problem, using IMCI,
Philippines suffer from high infant and child what you do next?
mortality rates. Thus, as a management to the a. go to the next question, check for malnutrition
existing problem, the WHO and UNICEF launched b. check for ear pain
the IMCI. c. check for tender swelling behind the ear
d. check for ear discharge
1. A 6 months old baby Jen was brought to the health
center because of fever and cough for 2 days. She 9. An ear discharge that has been present for more
weighs 7 kgs., her temperature is 38’C taken rectally. than 14 days can be classified as:
Further examination revealed that she has general a. complicated ear infection b. acute ear infection
rashes, her eyes are red and she has mouth ulcers non c. chronic ear infection d. mastoiditis
deep and non-extensive. There was no pus draining
from the eyes. Most probably Baby Jen has: 10. An ear discharge that has been present for less
a. measles than 14 days can be classified as:
b. measles with eye or mouth complications a. complicated ear infection b. acute ear infection
c. severe complicated measles c. chronic ear infection d. mastoiditis
d. very severe febrile disease
11. If the child has severe classification because of ear
2. The dosage of Vitamin A supplement given to Baby problem, what would be the best thing that you should
Jen would be: do as a nurse?
a. 100,000 iu b. 200,000 iu a. dry the ear by wicking
c. 10,000 iu d. 20,000 iu b. give an antibiotic for 5 days
c. refer urgently to hospital
3. Using IMCI chart, this child can be managed with: d. instruct the mother when to return immediately
a. treat the child with paracetamol and follow up in 2
days if fever persist. 12. When a nurse uses the IMCI chart, using illness
b. give Vitamin A 100,000 iu and follow up in 5 days if classification, pink row needs:
not improving a. no specific treatments such as antibiotic
c. Give Vitamin A, apply Gentian violet for mouth ulcers b. urgent referral
and follow up in 2 days c. appropriate antibiotics
d. Give the first dose of antibiotic, give Vitamin A, apply d. no urgent measures
Gentian violet for mouth ulcers and refer urgently to
hospital 13. Which of the following treatment should not be
considered if the child has severe dengue hemorrhagic
4. The following are signs of severe complicated fever?
measles: a. use plan C if there is bleeding from the nose or gums
a. clouding of the cornea b. give ORS if there is skin petechiae, persistent
b. any general danger sign vomiting and positive tourniquet test
c. deep or extensive mouth ulcers c. give aspirin
d. all of the above d. prevent low blood sugar
e. A and C only
14. In assessing the patient’s condition using the
5. If the child is having 3 weeks ear discharges, how Integrated Management of Childhood Illness approach
would you classify and treat the child: strategy, the first thing that the nurse should do is to:
1. Green 5. Dry the ear by wicking a. Ask what the child’s problems are
2. Yellow 6. 5 days antibiotic b. Check the patient’s level of consciousness
3. Pink 7. Urgent referral c. Check for the general danger sign
4. Red 8. Give first dose of antibiotic d. Check for the main symptoms

a. 4, 7, 8 b. 2, 5, 6 c. 3, 7, 8 d. 2, 5 15. A child with diarrhea is observed for the following,

except:
6. The following are treatments for acute ear infections: a. how long the child has diarrhea
a. dry the ear by wicking b. skin petechiae
b. give antibiotic for 5 days c. presence of blood in the stool
c. follow up in 5 days d. signs of dehydration
d. A and C only
e. all of the above 16. A child with no dehydration needs home treatment.
Which of the following is not included in the care for
7. A child with ear problem should be assessed for the home management at this case?
following, except: a. give drugs every 4 hours
a. ear pain b. continue feeding the child
b. if discharge is present, for how long? c. give the child more fluids
d. inform when to return to the health center

17. Laine is 17 months old and weighs 6.5 kgs. And it is
her initial visit. Her mother says that Laine is not eating
well and unable to breast feed, she has no vomiting,
has no convulsions and not abnormally sleepy or
difficult to awaken. Her temperature is 38.9’C. Using
IMCI strategy, if you were the nurse in charge of Laine,
how would you classify her illness?
a. A child with a general danger sign
b. Very severe febrile disease
c. Severe pneumonia
d. Severe malnutrition
18. A child who has had diarrhea for 14 days and has
sign of dehydration is classified as:
a. severe persistent diarrhea b. dysentery
c. severe dysentery d. persistent diarrhea
19. If the child is irritable, drinking eagerly, thirsty and
skin pinch goes back very slowly, the classification
would be:
a. no dehydration b. moderate dehydration
c. some dehydration d. severe dehydration
20. A child who has some palmar pallor can be
classified:
a. not very low weight / no anemia
b. severe malnutrition or anemia
c. moderate anemia or normal weight
d. anemia or very low weight
21. Which is the primary goal of community health
nursing?
a. To support and supplement the efforts of the medical
professional in the promotion of health and prevention
of illness
b. To enhance the capacity of individuals, families and
communities to cope with their health needs
c. To increase the productivity of the people by
providing them with services that will increase their
level of health
d. To contribute to national development through
promotion of family welfare, focusing particularly on
mothers and children
22. Which of the following is the mission of the
Department of Health?
a. Health for all Filipinos
b. Ensure the accessibility and quality of health care
c. Improve the general health status of the population
d. Health in the hands of the Filipino people by the year
2020
23. Which level of health facility is the usual point of
entry of a client into the health care delivery system?
a. Primary b. Secondary
c. Intermediate d. Tertiary
24. Which step in community organizing involves
training of potential leaders in the community?
a. Integration b. Community organization
c. Community study d. Core group formation
25. The delos Reyes couple have a 6-year-old child
entering school for the first time. The delos Reyes
family has a:
a. Health threat b. Health deficit
c. Foreseeable crisis d. Stress point
26. Which of the following is an advantage of a home
visit?
a. It allows the nurse to provide nursing care to a
greater number of people
b. It provides an opportunity to do first hand appraisal
of the home situation
c. It allows sharing of experiences among people with
similar health problems
d. It develops the family’s initiative in providing for
health needs of its members
27. What is the legal basis for Primary Health Care
approach in the Philippines?
a. Alma Ata Declaration on PHC
b. Letter of Instruction No. 949
c. Presidential Decree No. 147
d. Presidential Decree 996
28. Which biological used in Expanded Program on
immunization (EPI) is stored in the freezer?
a. DPT b. Tetanus Toxoid
c. Measles vaccine d. Hepatitis B vaccine
29. Which immunization produces a permanent scar?
a. DPT b. BCG
c. Measles Vaccination d. Hepatitis B vaccination
30. A 4-week old baby was brought to the health center
for his first immunization. Which can be given to him?
a. DPT 1 b. OPV 1
c. Infant BCG d. Measles Vaccine
31. You will not give DPT 2 if the mother says that the
infant had
a. Seizures a day after DPT 1
b. Fever for 3 days after DPT 1
c. Abscess formation after DPT 1
d. Local tenderness for 3 days after DPT 1
32. The Public Health Nurse needs to visit different
patient and families. Among these listed who should be
visited last?
a. Diabetic patient
b. Pregnant mother and her family
c. Patient with typhoid fever
d. Adolescent with a psycho-social problem
33. The most reliable indicator of a long term change
for a family who has a malnourished child is:
a. Increase in the weight of the child
b. Mother cooks a well balanced meal
c. Attendance of malnourished child in feeding class
d. Bringing of child in the hospital for check up
34. Primary health care is a strategy which focuses on
which of the following groups?
a. Maternal-child
b. Communicable cases
c. Post Hospitalized cases
d. Individuals, families and communities
35. The basic goal of research in community health is:
a. To source out funds and other resources for
community projects
b. To be able to protect medical needs
c. Improvement of healthcare
d. Proof of competence
36. The Public Health Nurse in the municipality is 47. Planning for a home visit includes:
appointed by the: a. Flexibility
a. Provincial Health Office b. The patient and his/her family
b. Rural Health Office c. Recognized needs of the family
c. Civil Services Commission Regional Office d. All of the above
d. Municipal Mayor
48. Before proceeding with your home visit, the most
37. The rooming in and breastfeeding act is also known important action to do is:
as: a. Bring along extra clothing and umbrella just in case it
a. RA 7160 b. RA 9288 rains
c. EO 51 d. RA 7600 b. Review records of family at the office
c. Consult with a doctor on what interventions you
38. This refers to the systematic study of vital events should do for the patient
such as births, illnesses, marriages, divorce, separation d. Contact the BHW to accompany you during your visit
and deaths
a. Vital Signs b. Morality 49. The frequency of home visits is affected by which of
c. Vital Statistics d. Demography the following factors?
a. Existing health organizations/agencies already in the
39. This measures the risk of dying the first month of area
life and serves as an index of the effects of prenatal b. Policy of your agency
care and obstetrical management of the newborn. c. Acceptance of the family
a. Maternal mortality rate d. All of the above
b. Neonatal death rate
c. Infant morality rate 50. A necessary and primary nursing action in doing
c. Crude death rate home visit is:
a. Place CHN bag in a convenient and sterile place
40. Toilets requiring small amount of water to wash b. Explain the purpose of home visit
waste into the receiving space or non water carriage c. Locate for the lavatory and wash hands
toilet facilities are examples of what level of toilet d. Ask for the patient and conduct physical assessment
facility?
a. Level III b. Level II 51. When conducting a class on reproductive health,
c. Level I d. Unclassified who would your target clients be?
a. Newly wed-couple
41. A Level 1 type of water supply and facility should b. High school students
supply how many households c. Pregnant mothers
a. 50-100 households b. 15-25 households d. All of the above
c. 200 households d. 5-10 households
52. As a CHN, you should immediately be concerned
42. Which of the following elements of Primary Health about a pregnant woman’s condition when she reports
Care (PHC) states, “Health in the hands of the people a. “I have difficulty of breathing, especially when I lie flat
by 2020.” in bed.”
a. Goal b. Mission b. “I feel like vomiting especially in the morning.”
c. Concept d. Framework c. “I cannot rotate and remove my wedding ring.”
d. “I often have th urge of urinating.”
43. How often is prenatal visit done after the 8th month
of pregnancy until delivery? 53. After delivery and based on the recommended
a. Weekly schedule in the Under Five Care Program, you will
b. Every two (2) weeks encourage the mother to bring her baby to the health
c. Every three (3) weeks center
d. As often as possible a. Whenever the baby has a health problem
b. Regularly every two months
44. A pregnant mother should have her 1st postpartum c. Regularly every month
visit on: d. Everytime the baby is scheduled for immunization
a. 1st week postpartum
b. 2nd week postpartum 54. A mother asks why her child needs a BCG vaccine.
c. 3rd week postpartum Your response would be:
d. 4th week postpartum a. To make sure she will have protection from
whooping cough
45. The function of the nurse in disease surveillance is: b. To make sure she gets a scar for proper
a. Teacher b. Counselor identification during entry into school
c. Researcher d. Surveyor c. To protect her against possible infection from family
members with TB
46. The most essential activity to do before conducting d. To comply with the DOH program
a home visit is
a. Call the family for an appointment 55. RA 1054 is also known as the Occupational Health
b. Make a plan of your home visit Act. Aside form number of employees, what other factor
c. Cancel your appointments for the day must be considered in determining the occupational
d. Ask for the BHW to arrange for your visit health privileges to which the workers will be entitled?
a. Type of occupation: agricultural, commercial,
industrial
b. Location of the workplace in relation to health
facilities
c. Classification of the business enterprise based on
net profit
d. Sex and age composition of employees
56. A business firm must employ an occupational
health nurse when it has at least how many
employees?
a. 21 b. 101
c. 201 d. 301
57. This is adopted as the implementation framework
that intends to implement critical interventions as a
single package backed by effective management
infrastructure and financing arrangements following a
sector wide approach?
a. Health in the hands of the people by the year 2020
b. FOURmula ONE for health
c. Health for all Filipinos by the year 2000
d. Access to and use of hospitals as Centers of
wellness
58. What is the goal of primary heath care?
a. To strengthen the health care delivery system by
increasing opportunities and supporting the conditions
wherein the people will manage their won health care
b. Health for all Filipinos and health in the hands of the
people by the 2020
c. Primary Health care as essential health care made
universally accessible to individuals and families in the
community by means acceptable to them through their
full participation and at a cost that the community and
the country can afford at every stage
d. It is a strategy which focuses on responsibility for
health on the individual, his family, and the community
59. Which is not an element or component of Primary
Health Care?
a. Immunization
b. Active community participation
c. Health education
d. Control of communicable disease
60. This is the primary purpose of community health
nursing
a. Disease prevention b. Primary prevention
c. Health promotion d. Rehabilitation
61. In community health nursing, the basic recipient of
care is the:
a. Individual b. Community
c. Family d. Municipality
62. An example of a primary prevention activity by the
nurse would be:
a. Correction of dietary deficiencies
b. Establishing goals for rehabilitation
c. Prevention of disabilities
d. Assisting in immunization programs
63. The basic goal of research in community health is:
a. To source out funds and other resources for
community projects
b. To be able to project medical needs
c. Improvement of healthcare
d. Proof of competence
64. As a Public Health Nurse, you will be working in:
a. Primary Health Care delivery system
b. Secondary Health Care delivery system
c. Tertiary Health Care delivery system
d. Barangay Hall
65. The series of steps that the Public Health Nurse
takes in planning and giving care to a patient or family
is
a. Scientific method
b. Primary health care approach
c. Problem- solving approach
d. Nursing Process
66. The public health nurse takes an active role in
community participation. What is the primary goal of
community organization.
a. to educate the people regarding the community
health problems
b. to mobilize the people to resolve community health
problems
c. to maximize the community’s resources in dealing
with health problems
d. to develop the people’s capacity in resolving
community health problems
67. An elderly client, 84 years old, is unconscious.
Assessment of the mouth reveals excessive dryness
and presence of sores. Which of the following is BEST
to use for oral care?
a. lemon glycerine b. hydrogen peroxide
c. mineral oil d. Normal Saline Solution
68. When performing oral care to an unconscious
client, which of the following is a special consideration
to prevent aspiration of fluids into the lungs?
a. Put the client on a sidelying position with head of bed
lowered
b. Keep the client dry by placing towel under the chin
c. Wash hands and observe appropriate infection
control
d. Clean mouth with oral swabs in a careful and an
orderly progression
69. When should rehabilitation commence?
a. The day before discharge
b. When the patient desires
c. Upon admission
d. 24 hours after discharge
70. Prevention is an important responsibility of the
nurse in:
a. Hospital b. Community
c. Workplace d. All of the above
71. An important role of the community health nurse in
the prevention and control of Dengue H-fever includes?
a. Advising the elimination of vectors by keeping water
containers covered
b. Conducting strong health education drives/campaign
directed towards proper garbage disposal
c. Explaining to the individuals, families, groups and
community the nature of the disease and its causes
d. Practicing residual spraying with insecticide
SITUATION : Epidemiology and Vital statistics is a
very important tool that a nurse could use in
controlling the spread of disease in the community
and at the same time, surveying the impact of the
disease on the population and prevent it’s future A. Preparatory
occurrence. B. Organizational
C. Education and Training
72. It is concerned with the study of factors that D. Intersectoral Collaboration
influence the occurrence and distribution of diseases, E. Phase out
defects, disability or death which occurs in groups or
aggregation of individuals. 82. Ideally, How many years should the Nurse stay in
A. Epidemiology B. Demographics the community before he can phase out and be
C. Vital Statistics D. Health Statistics assured of a Self Reliant community?
A. 5 years B. 10 years
73. Which of the following is the backbone in disease C. 1 year D. 6 months
prevention?
A. Epidemiology B. Demographics 83. The nurse should know that Organizational plan
C. Vital Statistics D. Health Statistics best succeeds when
i. People sees its values
74. In order to control a disease effectively, which of the ii. People think its antagonistic professionally
following must first be known? iii. It is incompatible with their personal beliefs
i. The conditions surrounding its occurrence iv. It is compatible with their personal beliefs
ii. Factors that do not favor its development
iii. The condition that do not surround its occurrence A. i and iii B. ii and iv
iv. Factors that favors its development C. i and ii D. i and iv

A. i and iii B. i and iv 84. One of the critical steps in COPAR is becoming one
C. ii and iii D. ii and iv with the people and understanding their culture and
lifestyle. Which critical step in COPAR will the Nurse try
75. In the occurrence of SARS and other pandemics, to immerse himself in the community?
which of the following is the most vital role of a nurse in A. Integration B. Social Mobilization
epidemiology? C. Ground Work D. Mobilization
A. Health promotion B. Disease prevention
C. Surveillance D. Casefinding 85. The Actual exercise of people power occurs during
when?
76. The office in charge with registering vital facts in the A. Integration B. Social Mobilization
Philippines is none other than the C. Ground Work D. Mobilization
A. PCSO B PAGCOR
C. DOH D. NSO 86. Which steps in COPAR trains indigenous and
informal leaders?
77. This refers to systematic study of vital events such A. Ground Work B. Mobilization
as births, illnesses, marriages, divorces and deaths C. Core Group formation D. Integration
A. Epidemiology B. Demographics
C. Vital Statistics D. Health Statistics 87. As a PHN, One of your role is to organize the
community. Nurse Jen knows that the purposes of
78. These rates are referred to the total living community organizing are
population, It must be presumed that the total i. Move the community to act on their own problems
population was exposed to the risk of occurrence of the ii. Make people aware of their own problems
event. iii. Enable the nurse to solve the community problems
A. Rate B. Ratio iv. Offer people means of solving their own problems
C. Crude/General Rates D. Specific Rate
A. i, ii, iii B. ii, ii, iii, iv
79. In children 1 to 4 years old, which is the most C. i, ii D. i, ii, iv
common cause of death?
A. Diarrhea B. Accidents 88. Setting up Committee on Education and Training is
C. Pneumonia D. Diseases of the heart in what phase of COPAR?
A. Preparatory
80. Which Act declared that all communicable disease B. Organizational
be reported to the nearest health station? C. Education and Training
A. 1082 B. 1891 D. Intersectoral Collaboration
C. 3573 D. 6675 E. Phase out

SITUATION : Community organizing is a process by
which people, health services and agencies of the
community are brought together to act and solve
their own problems.
81. Nurse Myke wrote a letter to PCSO asking them for
assistance in their feeding programs for the
community’s nutrition and health projects. PCSO then
approved the request and gave Myke 50,000 Pesos
and a truckload of rice, fruits and vegetables. Which
phase of COPAR is being utilized?
89. This is considered the first act of integrating with the
people. This gives an in depth participation in
community health problems and needs.
A. Residing in the area of assignment
B. Listing down the name of person to contact for
courtesy call
C. Gathering initial information about the community
D. Preparing Agenda for the first meeting
90. In community health Nursing, the basic recipient of
care is the:
A. individual B. family B. Provincial Health Office
C. community D. municipality C. Regional Health Office
D. Rural Health Unit
91. This is the professional face to face contact made
by the nurse to the patient or family to provide 101. R.A. 7160 mandates devolution of basic services
necessary health care activities: from the national government to local government
a. social call b. therapeutic relationships units. Which of the following is the major goal of
c. home visit d. health campaign devolution?
A. To strengthen local government units
92. The essential and indispensable equipment of the B. To allow greater autonomy to local government units
public health nurse which she has to carry along when
she goes home visiting: C. To empower the people and promote their self-
a. home visit technique b. bag technique reliance
c. thermometer bag d. PHN bag D. To make basic services more accessible to the
people
93. The elemental focus of reproductive health status in
the Philippines is/are the: SITUATION : Field health services and information
a. men only b. women only system provides summary data on health service
c. women and children d. men and women delivery and selected program from the barangay
level up to the national level. As a nurse, you
94. This is the method of maintaining health, treating should know the process on how these information
disease and alleviating pain through the use of became processed and consolidated.
pressure or massaging certain points of body surfaces:
a. acupuncture b. aromatherapy 102. All of the following are objectives of FHSIS Except
c. guided imagery d. acupressure A. To complete the clinical picture of chronic disease
and describe their natural history
95. A student nurse asks the nurse in the barangay B. To provide standardized, facility level data base
clinic how to determine if the BCG is injected correctly which can be accessed for more in depth studies
into the skin. The nurse tells the student nurse that it is C. To minimize recording and reporting burden allowing
when: more time for patient care and promotive activities
a. fever is not noted by the mother within 2 days of D. To ensure that data reported are useful and
injection accurate and are disseminated in a timely and easy to
b. a papule appears and fades over time use fashion
c. a flat wheal with the surface pitted like an orange
peel appears at the injected site. 103. Which of the following is used to monitor particular
d. an induration more than 100mm in diameter is noted groups that are qualified as eligible to a certain
after 72 hours. program of the DOH?
A. Family treatment record B. Target Client list
96. Which of the following should not be included as a C. Reporting forms D. Output record
health teaching regarding sambong?
a. boil chopped leaves in a glass of water for 15 104. In using the tally sheet, what is the recommended
minutes frequency in tallying activities and services?
b. it is an anti-edema, herbal medicine A. Daily B. Weekly
c. it must be used together with other herbal medicines C. Monthly D. Quarterly
with the same indication to be more effective
d. let cool before using. 105. When is the counting of the tally sheet done?
A. At the end of the day
97. The practice of acupressure makes use of: B. At the end of the week
a. traditional karate strokes targeting painful areas C. At the end of the month
b. needles penetrating nerve areas D. At the end of the year
c. pressure applied on certain points on the body
surfaces
d. warm water to relieve body pain. “Soar high future RN’s” - //sir niel
98. The most common herbal medicine available in the
home for hypertension is:
a. onion b. garlic
c. ampalaya d. lagundi

99. When conducting a class on reproductive health,

who would your target clients be/
a. newly wed couples
b. high school students
c. pregnant mothers
d. all of the above

100. You are a new B.S.N. graduate. You want to

become a Public Health Nurse. Where will you apply?
A. Department of Health