COMMUNITY HEALTH NURSING

1. The Focus of Care in CHN is the

a. Individual c. Population Group
b. Family d. Community

2. Stephen visited Rodrigo, the factory nurse, and talked about occupational health nursing. The most basic concern of
Rodrigo is:
a. Health of all workers c. Dignity of labor
b. Industrial peace d. Harmony between management and workers

3. The CH Services provided by the nurse are directed towards the following:
1 – Families in their home
2 – The School population
3 – Workers of all occupation
4 – Population groups

a. 1 only c. 2 and 3
b. 1 and 4 d. All

4. The legal basis of PHC in the Philippines is the:

a. LOI 949 c. RA 7305
b. RA 949 d. RA 7160

5. The devolution of health services to local government unit is mandated by:

a. RA 7160 c. RA 7600
b. RA 7305 d. RA 9173

6. One of the roles of community health nurse is that of researcher. Which of the following best describes the role?
a. active listening, giving guidance, knowing one’s limitations, and referrals
b. assess, plans, directs, controls, and evaluates the overall care to clients
c. teaches clients, promotes the public’s health, works with individuals and groups
d. investigates, collects and analyzes data, interprets the results & shares the findings

7. All of the following compose the intermediate level health workers, except:
a. Andong, a Traditional Birth Attendant c. Vanessa, a Midwife
b. Gibo, a Physician d. Errol, a Rural Health Inspector

8. An example of health promotion is:

a. physical therapy for leg injury c. sputum exam for suspected TB patients
b. TSE for male adolescents d. sex education for high school students

9. Which of the following would be included in the tertiary level of institution?

a. Monumento District Hospital c. Shield Medical Center
b. Puericulture Centers d. Isabela Provincial hospitals

10. Which element of the FOURmula ONE for Health aims to foster greater, better, and sustained investments in health?
a. Health Financing c. Health Service Delivery
b. Health Regulation d. Good Governance

11. Local health boards were established at the provincial and municipal levels. At the provincial level, the vice chairman
of the board is the:
a. Vice Mayor c. Municipal Health Officer
b. Vice Governor d. Provincial Health Officer

12. The EPI is a government program to help in the prevention of the 7 immunizable diseases of the childhood which
include the following:
a. TB, hepatitis, mumps c. measles, mumps, rubella
b. diphtheria, pertussis, TB d. hepatitis, mumps, pertussis

13. Immunization is part of specific protection measure against the different disease of childhood. This falls under what
level of prevention?
a. primary c. tertiary
b. secondary d. specialized

14. When reviewing the immunization schedule for a 6-month-old, the nurse would expect that the infant had been
previously immunized against:
a. pertussis, tetanus, polio, and measles c. measles, diphtheria, and tuberculosis
b. polio, pertussis, tetanus, and diphtheria d. measles, polio, tuberculosis and pertussis

15. DPT protects children against:

a. Diphtheria, pertussis and tuberculosis c. Diarrhea, pertussis and tetanus
b. Diphtheria, tetanus and whooping cough d. Diphtheria, polio and tetanus
16. The second booster dose was given to Mrs. Sta.Ana on June 23, 2009. The third booster dose should be given:
a. July 23, 2009 c. June 23, 2009
b. December 23, 2009 d. June 23, 2010

17. In a population of 400,000, how many pregnant mothers are calculated to receive tetanus toxoid immunization?
a. 14,000 c. 70,000
b. 12,000 d. 60,000

18. In a population of 345,789, the eligible infants needing BCG Vaccination are:
a. 10,373 c. 12,102
b. 10,374 d. 12,103

19. When asked by the midwife under your supervision about the content of the Measles Vaccine. You immediately
replied that it is a:
a. Live attenuated virus c. Plasma derivative
b. Weakened toxin d. Killed bacteria

20. Before giving DPT2, Ramon’s mother told you that Ramon had Convulsion after he had DPT1. Your best course of
action is:
a. refer Ramon to a neurologist
b. give DPT2 with anti-pyretic and anti-convulsant medication
c. not to give DPT2
d. teach mother home remedies for convulsion

21. To maintain the cold chain, the appropriate storage temperature for DPT and Hepa B Vaccine is
a. Frozen at -2 to -8 C c. Refrigerated at 2 to 8 C
b. Frozen at -25 to -15 C d. Refrigerated at 15 to 25 C

22. As a CHN, one of your responsibilities is the supervision of midwife. You know very well that the midwife under your
supervision is adept in immunizing infants if she administers DPT by observing:
a. Injects 0.05ml, ID at the right deltoid area
b. Injects 0.5ml, SQ at the right upper arm
c. Injects 0.5ml, IM at the right vastus lateralis
d. Aspirates first before injecting 0.5ml, IM at the right vastus lateralis

23. Which of the following dose of tetanus toxoid is given to the mother to protect her infant from neonatal tetanus and
likewise provide 10 years protection for the mother?
a. Tetanus toxoid 3 c. Tetanus toxoid 1
b. Tetanus toxoid 2 d. Tetanus toxoid 4

24. Tetanus toxoid is given:

a. 0.5 cc subcutaneously c. 0.5 cc IM
b. 0.05 cc. IM for 5 doses d. 0.5 cc for 5 doses at monthly at monthly interval

25. Mrs. Manalastas brought her 10-month-old child to the health center for immunization. Upon checking the records,
The PHN noted that the child received his second dose of OPV & DPT when he was 3 months old. The PHN should:
a. give the third dose
b. reprimand the mother for not bringing the mother to the scheduled date
c. start the series all over again
d. not give the third dose but instead give the measles vaccine

26. During the immunization sessions in the health center, one child vomited after he was given OPV. Ruth should:
a. give one drop in addition c. give a booster dose after 4 weeks
b. give the child another 2 drops d. refer the child to the doctor

27. A mother on her 36th week of gestation is encouraged to have her prenatal check up every:
a. week c. month
b. 2 weeks d. none of the above

28. Supplementation of Vitamin A for pregnant women is given starting on the:

a. 1st month of pregnancy c. 3rd month of pregnancy
b. 2nd month of pregnancy d. 4th month of pregnancy

29. All of the following may have a home delivery EXCEPT:

a. more than 5 deliveries c. full term
b. imminent delivery d. no CS previously

30. During home delivery, which concepts must be emphasized?

a. Clean cutting of cord c. Clean delivery surface
b. Clean hands d. All of the above

31. Nanay Tonya had a stroke and died. The death of a family member is a
a. Health threat c. Foreseeable Crisis
b. Health deficit d. B and C
32. This is an important factor that serves as basis in preparing the family health care plan:
a. data gathered from the health center
b. needs and problems as seen and accepted by the family
c. needs as expressed by the midwife assigned in the area where the family resides
d. needs and problems gathered and recognized by the nurse herself

33. The family health care plan includes the following components listed in sequence:
a. objectives, statement of problems, interventions
b. evaluation, statement of problems objectives, interventions
c. statement of problems, objectives, interventions, evaluation
d. objectives, interventions, evaluation, statement of problem

34. Which of the following is the process element of nursing care?

a. Financial Resources c. Nursing Interventions
b. Budget and equipment d. Improvement in Client’s condition

35. NARS Program was launched by:

a. DOLE c. PRC-BON
b. DOH d. PGMA

36.The criteria for the selection of NARS Trainees will be the following, except:
a. With valid nurse license issued by PRC c. Resident of the identified municipalities
b. Over 35 years of age d. Without nursing-related practice for the past 3 years

37. Which of the following is not an element of RH?

a. Family Planning c. Employment
b. Violence against Women and Children d. Men’s Reproductive Health

38. Because of the availability of resources, the DOH has focused in addressing the health concerns of the priority
elements of RH, which includes all of the following, except:
a. Family Planning
b. Adolescent Reproductive Health
c. Maternal and Child Health Nutrition
d. Prevention and Management of Abortion and its Complications

39. The international focus of reproductive health is

a. women only c. men only
b. young adult d. women and men

40. The name for a comprehensive strategy which primary health services around the world is using to detect and cure TB
Patients:
a. National TB Program c. Center for Communicable Diseases
b. Direct Observe Treatment Short Course (DOTS) d. International TB Organization

41. Prescribed category 2 treatment regimen for TB is given:

a. 2 months intensive phase, 4 months maintenance phase
b. 3 months intensive phase, 5 months maintenance phase
c. 2 months maintenance phase, 2 months intensive phase
d. 3 months intensive phase, 6 months maintenance phase

42. Patients with sputum smear negative PTB and extensive parenchymal lesions on CXR are placed under what DOTS
category?
a. Category I d. Category III
b. Category II d. Category IV

43. The Sentrong Sigla Movement (SSM) promotes availability of quality health services in health centers and hospitals to
make these services accessible to every Filipino. Which level of certification refers to the highest level quality standards?
a. Basic SS Certification c. Award for Excellence
b. Specialty Awards d. All of the above

44. The promotion of the concept of health as personal responsibility is an element of this SSM pillar:
a. Quality Assurance c. Health promotion
b. Grants and technical assistance d. Award

45. Which Pillar of the Sentrong Sigla Movement requires the assessment of the health organizations’ programs,
infrastructure, human resources, and community interventions?
a. Quality Assurance c. Health Promotion
b. Grants and Technical Assistance d. Award

46. Infant Mortality Rate measures the risk of dying during the first year of life. Which one below is the correct formula?
a. Livebirths + number of maternal deaths X 1,000
Number of deaths under one year of age
b. Livebirths - number of maternal deaths X 1,000
Number of deaths under one year of age
c. Number of deaths under one year of age X 1,000
Midyear Population
d. Number of deaths under one year of age X 1,000
Livebirths in the same year

47. This pattern of disease occurrence and distribution refers to unusually large number of cases in a relatively short
period of time:
a. Sporadic c. Epidemic
b. Endemic d. Pandemic

48. Which is concerned with the systematic study of vital events?

a. Morbidity c. Vital statistics
b. Epidemiology d. Mortality

49. Which of the following tests can be done by Nurse Teddy to check for the presence of Glucose in the urine?
a. Heat and Acetic Acid c. Home Visit
b. Benedict’s test d. Bag Technique

50. The following are steps in processing the data

1 – data analysis 3 – data presentation
2 – data collection 4 – data collation

a. 2, 4, 1 and 3
b. 2, 3, 4 and 1
c. 2, 4, 3 and 1
d. 2, 3, 1 and 4