1.

The Philippine Health Care Delivery System is composed of two sectors: ______(PUBLIC)_______ and
__(PRIVATE)____.The Philippine Health Care Delivery System has three levels:
______(PRIMARY)______, _____(SECONDARY)______ and _______(TERTIARY)_______.
Nurse Rose is a newly hired PHN in her community. As a PHN, she should be aware of the different referral
levels in the PHCDS. Which of the following statements is true with the characteristics and examples of tertiary
level facilities?
A. First contact between the community members and HCP
B. Its either privately owned or government like infirmaries and district hospital
C. Performing minor surgeries and laboratory exams
D. Care is rendred by specialist
(C/ CT)
· PHCDS

Rationale: Option D is the correct answer.

Option A- Primary
Option B and C is Secondary

2. In PHCDS, the higher the level of health care and referral system, the more qualified the health
personnel needed. Knowing the levels of care and referral system, Nurse Irene is correct to identify that and an
intubated patient with respiratory complictions should be under what level of health care?
A. Primary Level
B. Secondary Level
C. Tertiary Level
D. Quaternity Level

Rationale:
Choice C is the answer because the tertiary level is the referral center for the secondary care facilities and for
complicated cases and intensive care.

3. Health Sector Reform Agenda is done because the poor performance regarding to health improvement is still
sen among population. Nurse Trisha Echivaria knows that the framework nof HSRA is?
a. FOURmula One for Health
b. FOUR P’s program: Pantawid Pamilyang Pilipino Program\
c. Phil. Health
d. Community Diagnosis

Rationale: This is adopted as the implementation framework for HSRA. PHN p. 26

2. ____(HSRA)______ is the goal of DOH. DOH is continuously developing its strategies based on the pressing
needs. The latest VISION of DOH states that:
A. A global leader for attaining better health outcomes, competitive and responsive health care system, and
equitable health financing.
B. To be a leader, advocate and model of promoting health for all in the Philippines.
C. Health in the Hands of the People
D. To guarantee equitable, sustainable and quality health for all Filipinos, especially the poor, and to lead the
quest for excellence in health.
(C/ CT)
· DOH: Vision, Mission, Goal, Framework

Rationale: Option A IS THE CORRECT ANSWER. The latest vision of DOH is a global leader for attaining better
health outcomes, competitive and responsive health care system and equitable health financing. Option B is the old
vision, Option C is for Primary HEALTH Care. Option D is the current mission of the DOH.
5. The Department of Health (DOH) holds the over-all technical authority on health as it is a national
health policy-maker and regulatory institution. Nurse Procopio is correct to identify that the current mission
of the DOH is:
A. A global leader for attaining better health outcomes, competitive and responsive health care system, and
equitable health financing.
B. To be a leader, advocate and model of promoting health for all in the Philippines.
C. Health in the Hands of the People
D. To guarantee equitable, sustainable and quality health for all Filipinos, especially the poor, and to lead the
quest for excellence in health.
Rationale: Option D is the current mission of the DOH. Option A is the latest vision of DOH. Option B is the old
vision, Option C is for Primary HEALTH Care.

6. Universal Health Care (UHC), also referred to as KalusuganPangkalahatan (KP), is the “provision to
every Filipino of the highest possible quality of health care that is accessible, efficient, equitably
distributed, adequately funded, fairly financed, and appropriately used by an informed and empowered
public”.The following are the major thrust of the Universal health Care EXCEPT:
A. Financial Risk Protection
B. Improved Access to Quality Hospitals and Health Care Facilities
C. Health Information
D. Attainment of Health-related MDGs
C/ CT, PPR)
· Universal Health Care

Rationale: there are 3 major thrust of the Universal health care which are the Financial Risk Protection, Improved
Access to quality hospitals and HEALTH Care facilities and Attainment of health related MDGS. Choice C is not
included.

7. Goals of FOURmula one: _________________ ____________ _____________: Among the four elements
of the strategy of FOURmula one which among the following has the goal of enhancing health system
performance at national and local levels?
A. Health Financing
B. Health Regulation
C. Healtrh Service Delivery
D. Good Governance
Rationale: OPTION D IS THE CORRECT ANSWER
Option A- to foster graeter, better and sustained investement in health
OptionB- To ensure quality and affordability of health goods and services
Option C- To ensure accessibility and availability of health care services.

3. With a sectorwide approach, the FOURmula One for Health intends to implement interventions under
effective management, infrastructure and financing arangements.Nurse Darla is correct to identify all of the
following are Goals of FOURmula ONE for Health except for one:
A. Equitable health financing
B. Improve the general health status of the population
C. Better Health Outcomes
D. More responsive health systems
Rationale: Option B is not included.
Goals OfFOURmula ONE for Health
1. Better health outcomes
2. More responsive health systems
3. Equitable health care financing
9. The four pillars of Safe Motherhood and Women’s Health are: F(amily Planning), A(Antenatal Care),
C(lean and safe delivery)and E(emergency OB care).Nurse Kevin is aware that the following activities can
be done in a Basic Emergency Obstetric and Newborn Care or BEmONC set-up:
i. Administration of initial loading parenteral anticonvulsants for management of eclampsia
ii. Administration of initial loading dose of antibiotics parenterally, as well as the round the
clock doses
iii. Blood banking and transfusion
iv. Removal of placenta manually
v. Administration of corticosteroids in a patient in preterm labor
vi. Hysterectomy and Other Gynecologic Procedures
vii. Essential Newborn Care

A. i,ii,iv,v,vii C.I,iii,iv,v,vii
B. i,ii,iii,v,vi D.ii,iii,iv
(An/ SCQ)
· Pillars of Safe Motherhood: CEmONC

Rationale: choices 1,3,4,5,and 7 are activities that can be done in BEmONC while choices 2 and 6 are only done in
CemONC

10. As part of primary health care, the use of locally available medicinal plants has been advocated by the
DOH. There are 10 advocated herbal plants by the DOH. Which of the following should the nurse inform
the mother of WingieBuday, a 2 year old child suffering from round worm infestation? (AP, HE/SQC)
A. Niyug-niyugan seeds
B. Decocted niyug-niyugan leaves
C. Pounded niyug-niyugan leaves
D. None of the above
(An/ HE)
· Herbal Medicine

RATIONALE: NIYUG-niyugan seeds is not given to children below 4 years old

11. Herbal medicines are encouraged by the Department of Health because they are approved affordable and
effective treatments of common ailments in the community setting. Nurse Maggie is working as a nurse in
an isolated area in the Mountain Province. Mr. Lagid is a 45 year-old man living in the community, and is
experiencing mouth sores. Nurse Enobaria is correct in recommending which treatment for this manifestation?
A. Bayabas C. Pansit-pansitan
B. Akapulko D. Tsaanggubat
(Ap/ MRE)
· Herbal Medicine

Rationale:
Bayabas is an excellent source or herbal medicine for mouthe sores and wound infection. Option B is used as anti-
fungal primarily for patient with skin problem(itchiness etc scabies) option C IS for worm infestation while option D
tsaanggubat is used for stomach problem(diarrhea and stomach pain)

12. As attested to by the National Science Development Board and other government and private agencies,
the use of herbal medicines is considered as use of appropriate materials in the community.Which among
the following herbal medicines can be a treatment to lower the uric acid?
A. Sambong C. Pansit- Pansitan
B. Ampalaya D. Yerba Buena

Rationale:
- Pansit pansitan also known as ULASIMANG BATO:
- Sambong- anti-edema, diuretic, anti-urolithiasis
- Ampalaya– lowers blood sugar levels; diabetes mellitus
- Yerba Buena – pain, rheumatism arthritis, headache, cough and colds, swollen gums, toothache, menstrual
and gas pain, nausea and finting, insect bites and pruritus.

13. Nurse Lorna is teaching Manang Adora about the proper preparation and usage of hearbal medication, she is
giving a correct information except?
a. Use clay pot and remove the cover while boiling at low heat
b. You can mix two herbal medicine at a time but not more than three for each type of sign and
symptoms.
c. If signs and symptoms are not relievd after 2 or 3 doses of herbal meds, consult a doctor
d. Stop giving herbal medication in case untoward reaction.

Rationale: Only one herbal medication at a time. MIXING is NOT ALLOWED.

11. ___(Botika ng Barangay)____ refers to a drug outlet that was established to promote equity in health
by ensuring the availability and accessibility of affordable, safe and effective quality essential
drugs.NurseMenthaCordifolia and Nurse MomordicaCharantia considered criteria for
establishingBotikangBarangay EXCEPT:
A. The community should be a far flung service area
B. It should be supervised by a licensed pharmacist
C. Service area is a barangay with a licensed drugstore
D. There should be at least 2 accredited barangay health workers trained as botikangbarangay aides.
(An/MRE)
· Botika ng Barangay

Rationale: choice C is incorrect and not included in the criteria for establishing Botikang Barangay hence servie area
is barangay WITHOUT A LICENSED DRUG STORE all mentioned( choices a,b, and d) are important criteria to be
followed.

15. Two known prescription antbiotic drugs, as well as selected medication for chronic diseases are available
over the counter in Botika ng Barangay. Which of the following antibiotic anti-infectives is included in the
list of medications for Botika ng Barangay?
A. Acyclovir C. Amoxicillin
B. Pennicillin D. Ceftriaxone

Rationale:
Anti-infectives that are included in the list of OTC Drug Preparations for Botika ng Barangay are Amoxicillin and
Cotrimoxazole. Other options are not included.

16. __(RA 7719)___ is known as the Blood services act of 1994. It promotes voluntary blood
donation.___(Walking blood donors)_____ are community members on the list with their blood types and
“on call” when the need arises.NurseAndromeda is screening volunteer blood donors. Who among the
following will he allow to donate blood?
A. PeperomiaPellucida, who has a BP of 80/60 mmHg
B. VtexNegundo, whose HGB is 13g/dl
C. Allium Sativum, who is 67yrs old and of general good health
D. PsidiumGuajava, who weighs 44kgs and 4 ft 11 only
(E/SQC)
· National Voluntary Blood Services Program: Qualifications

Rationale: Qualifications for blood donation are:

Age:16-65 blood pressure should be 90-160 and 60-100
Hemoglobin of 12.5g/dl
Weight of more than 45kg for 250 ml of blood and 50kg for 450ml blood donation.
Option B is the only acceptable qualification from the given options.

17. The National Voluntary Blood Services Program's mission is to ensure adequate, safe and accessible
blood supply. Edward is a qualified blood donor. After donating blood. He must consider the all of the
following interventions except for one:
A. He should eat regular meals and increase fluid intake
B. He should avoid carrying healvy objects with his donating arm
C. He must be alarmed if there will be bruising and discoloration of the donating site that will persist for a few
days
D. He should not smoke for the next 2 hours and avoid alcohol for the next 12 hours

Rationale:
After donating blood do the following:
- Keep an eye on your dressing. Do not be alarmed if some bruising or discolorations occurs. It will disappear in a
few days.
- Avoid carrying heavy objects with your donating arm.
- Do not smoke for the next 2 hours and avoid alcohol intake for the next 12 hours.
- Eat regular meals and increase fluid intake following your donation.

18. Based on AO # 6 the __(DOH)____ institutionalized the Health Emergency Preparedness and Response
program. Which of the following statements is true with regards to disaster management?
A. First priority is protection of people at riskand second priority is protection of critical resources
B. Disaster management must relies upon an understanding of hazard risks
C. Hazard is a situation which needs immediate response.
D. Emergency is a serious disruption of the functioning of the community.
(C/ MRE)
· Healthy Emergency Preparedness And Response Program

Rationale:
Option A is included as a general principle of disaster management all other options are just factors or elemets or
descriptions related to disaster management

19. The DOH institutionalized the Health Emergency Preparedness and Response Program based on the
Administrative Order no. 6 Bs of 1999. This is designed to a comprehensive, integrated, and responsive
emergency disaster related service and research oriented program.In the disaster and Health Emergency
Management, what is termed as the level of loss or damage that can be predicted from a particular hazard
affecting a particular place at a particular time from the point of view of the community?
A. Disaster C. Hazards
B. Emergency D. Risk

Rationale:
- Risk – level of loss or damage that can be predicted from a particular hazard affecting a particular place at a
particular time from the point of view of the community.
- Disaster – is a serious disruption of the functioning of a society, causing widespread human, material or
environmental losses which exceed the ability of the affected society to cope, using only its own resources
- Emergency – as any occurrence, which requires immediate response.
- Hazards – any phenomenon, which has a potential to cause disruption or damage to humans and their
environment
20. __(SENTRONG SIGLA)__ is a joint project of the DOH and the LGU which aims to assure quality
health services at the local level.Which level of Certification refers to quality standards wherein the Local
health center manages the 5 core standards for 3 consecutive years?
A. Basic SS certification C. Award for excellence
A. Specialty awards D. Loyalty Award
(An/MRE)
· SentrongSigla Movement

Rationale: Award for Excellence is given for health center achieving the level 2 or 5 core standards. Option A IS
given with minimum input process output standars for level 1 only. While option B IS GIVEN FOR 2 ND
LEVEL QUALITY STANDARDS 4 selected core public health programs and loyalty award is not included
in sentrongsigla
21. __(TB DOTS)__ is the internationally-recommended TB control strategy and combines five elements..
Which of the following activities is directly related to one of the elements of the program which is “Intake
Should Be Supervised”?
A. She makes sure the Anti-TB drugs are made available, free of charge to all TB patients under the program.
B. She oversees the treatment of patients, observes and helps them take the drugs regularly to comply with
treatment
C. She documents pertinent patient data, treatment outcomes and compiles these for analysis and evaluation of
the program.
D. She communicates with the laboratory and refers patients who will undergo bacteriological testing for TB.
(Ap/RM)
· TB Control Program: Element/ Strategies

Rationale:
There are 5 elements for TB dots which are recording/reporting(option C), intake should be monitored or
supervised(option B)political commitment, essential drugs and sputum microscopy made available(options A and
D)

22. _____(DSSM)_____ shall be the primary diagnostic tool in NTP case finding.NurseMaricar is going to
conduct DSSM on patients suspected with TB. Among the following patients, who will be contraindicated to
undergo sputum collection
A. Pani, a patient who was on antibiotic therapy
B. Ate Jay, a patient having difficulty swallowing
C. Ejay, a patient with bloody sputum
D. Izonsa, who sneezed twice
(Ap/SQC)
· TB Control Program: Contraindications

Rationale: contraindications to undergo sputum collection are patient with hemoptysis and with svere respiratory
diseases.. All other choices can still be a candidate for sputum collecton

23. ____(TB)______ is considered as the world’s deadliest disease and remains as a major public health
problem in the Philippines. The National Tuberculosis Control Program envisions “a country where TB
is no longer a public health problem” by ensuring that the Direct Observed Treatment Short Course
(D.O.T.S) are available, accessible, and affordable to the communities. A new patient whose smear tests
negative but chest xray shows minimal parenchymal lesions as assessed by the TBDC, shall be placed under
which category?
A. Category I C. Category III
B. Category II D. Category IV
(K/SQC,R)
· TB Control Program: Statistics
Rationale: Category 1-extensive lesions on x ray, patient with hiv and extrapulmonary TB. Category 2- are those
patient s who had relapse/failure, return after default. Category 3 negative mear with minimal parenchymal
lesions on x ray. And category 4 are those chronic patient that need referral and further evaluation and treatment

24. The national and local government unts shall ensure the provision of drugs to smear positive TB cases.
Treatment shall be based on recommended category of treatment regimen. Ms. Ma. Lala is diagnosed to
have chronic pulmonary tuberculosis. Laboratory test still shows smear positive result after supervised
retreatment. What should be the appropriate treatment for her condition?
A. 2 RIPE; 4 RI
B. 2 RIPES/ 1 RIPE; 5 RIE
C. 2 RIPE; 4 RIE
D. Refer

Rationale: Choice D. The patient is classified under the Category IV, which are those chronic patient that need
referral and further evaluation and treatment.

Treatment
Category I 2 RIPE; 4 RI
Category II 2 RIPES/ 1 RIPE; 5 RIE
Category III 2 RIPE; 4 RI
Category IV Refer

25. _(BCG)_ is routinely given to all infants at birth and when they enter Grade 1. However, there are still
children who are suspected of having TB since BCG can only provide a protective efficacy of 50%. Nurse
Maricar is screening children for primary complex. She knows that a child shall be suspected of having TB if
the following are present except:
A. Cough or wheezing for 2 weeks or more
B. Unexplained fever of 2 weeks
C. Night sweats and chest pain
D. Loss of weight and failure to thrive
(Ap/SQC)
· TB Control Program: Primary Complex Sign and Symptoms
Rationale: there are 3 major signs and symptoms for a child with primary complex these include: Cough or
wheezing for 2 weeks or more, Unexplained fever of 2 weeks and Loss of weight and failure to thrive. Option C Is
more on for adult tb.

26. Nurse Heaven encountered a child in the RHU whose father has TB, without signs and symptoms of TB but
with positive tuberculin test. What will be her best action?
A. Start the treatment with RIPES.
B. Start chemoprophylaxis of INH for 3 months
C. Refer for Chest XRay.
D. Follow up in 1month. The child has no Primary Complex
(Ap/SQC)
· TB Control Program: Primary Complex Sign and Symptoms
Rationale: for a child who is exposed to adult TB and with positive TST, the child should be referred for Xray.
And if positive in xray the child has primary complex and if negative still the child shuld start chemoprophylaxis of
INH for 3 months

27. There are _(4)__ major non-communicable diseases in the Philippines.In the Philippines, there is a rising
burden from the degenerative, non-communicable diseases. This is one of the rational for HSRA. This growing
challenge threatens economic and social development. The following belong to the major non-communicable
diseases in the country, except:
A. Cancer C.Diabeted Mellitus
 B. COPD D.Accidents
(Ap/ R)
· Non Communicable Disease Control

Rationale: OPTION D is obviously not a non communicable disease while Cncer, COPD and Diabetes Mellitus are
all considered major non communicable diseases.

28. There are 3 major risk factors for NCDs: ___(unhealthy diet, sedentary lifestyle and smoking)___. The
basis of non-communicable disease prevention is the identification of these risk factors and their
prevention and control. Risk factor assessment includes obesity.NurseLassie Pecson is doing community
diagnosis and found out that around 42% of her adult clients have a BMI of 24. This finding can be interpreted
as:
A. 50% of her clients are within normal range.
B. 50% of her clients are overweight or at risk.
C. 50% of her clients are under the category Obese I
D. 50% of her clients are under the category Obese II
(Ap/R)
· Non Communicable Disease Control: BMI
Rationale:BMI OF 24 is considered overweight or at risk.
BMI<18.5 Underweight 18.6-22.9-Healthy Weight ,>23 overweight 25-29.9 obese 1 and >30 obese 2

29. RN HEALS is an acronym for __(RN HEALTH ENHANCEMENT AND LOCAL SERVICES)__.Itaims
to improve access to quality health care services and increase nurses’ employability through provision of
learning and development opportunities.Which of the following statements is accurate with regards to RN
HEALS?
A. The nurses and midwives shall undergo learning and development in clinical and public health
competencies during their 1 year of deployment.
B. Nurses will receive an allowance of P10,000 a month. DOH hospitals will provide P2,000 meal allowance
for the nurses.
C. Priority will be given to nurses and midwives without training or exposure in the hospital.
D. This is the first government initiatives to address nurse unemployment.
(C/ CT, PPR)
· Program for Nurses: RN Heals
Rationale:
Option A is the only true statement about the program of RN HEALS. STATEMENT b is incorrect it should be
8000 allowance per month and priority will be given to those who had experiences and trainings, however this is not
the first government initiative to address nurse unemployment.

30. (Nurses Deployment Program)___ aims to improve local health systems and support the UHC, and is a
successor of RNHeals.Which of the following statements is NOT TRUE with regards to NDP?
A. It is sometimes dubbed as RNHeals 2014 or Nurses to Barrios Program.
B. Nurses will receive a Salary Grade 11 (P 18,594) monthly, equivalent to an entry-level nurse..
C. RHUs and BHS are the only assignment areas during deployment.
D. Examination will be given to all applicants.
(C/ CT, PPR)
· Program for Nurses: NDP
Rationale:
Option C is not true about NDP RHU and bhs are not only the assignment areas during employment. ALL other
choicers are true.