PRACTICE TEST COMMUNITY HEALTH NURSING SET: C

Situation: After passing the nurse licensure examination, Bianca is the community.
accepted as a community health nurse in the rural health unit of a
municipality. The healthy personnel are known to her. She is
aware that disease prevention is one important goal in PH
Nursing.
1. Bianca decides to make an ocular survey of one of the
barangays of the municipality where she is assigned. Upon
entrance to a barangays, Bianca should:
A. Conduct community assembly
B. Courtesy call to the Barangay Captain
C. Identify the presence of the community
D. Encourage community participation

2. In order to gain support from the community, Bianca underscores

the importance of community participation which are the
following EXCEPT:
A. It gives the feeling of ownership of the community
B. It encourages dependence on the health workers
and representatives of other government agencies.
C. It provides the community the opportunity to assume
responsibility and leadership
D. It creates awareness of interests.

3. Community development advocates the principles of self-help

and the voluntary participation of the people of community.
Community development rests upon certain assumptions, this
does not include:
A. Everyone has something to contribute to the community
B. People have limited ability to learn
C. Community development provides the opportunity by which
the worth of an individual is revealed
D. Worth and dignity of individual are the basic values in a
democratic society

4. Nurse Bianca is preparing for integration at her community. One

of the purposes of integration in COPAR is to:
A. Gather data that is necessary in the identification of
community health problems
B. Understand deeply the culture and lifestyle in the community
C. Validate the community health needs identified earlier
D. Identify the community leaders that may be tapped for
organizing purposes

5. Nurse Bianca is choosing an activity that will facilitate

integration into the community. The appropriate activity for this
is to:
A. Organize a mahjong session
B. Participate during harvesting
C. Encourage clinic visits to every people
D. Act like a visitor

6. A step in organizing the community that Bianca will do in order

to have an overview of the demographic characteristics of the
community and community health related services is:
A. Core Group formation C. Integrate with the people
B. Community profiling D. Area Selection

7. The CO should realize that the poor:

A. Do not know what is the best health care delivery system for
their community
B. Have the capability to change or bring about change
C. Will eventually learn but it will take time
D. Should be taken care of by the government and the richer
sections of society

8. Participatory action research in the context of COPAR means

that the community:
A. Participates in collecting data
B. Will use the knowledge generated from research to improve
their condition
C. Should be the on to conceptualize how the research will
be conducted
D. Manages the research project

9. Community participation is made possible through:

A. Shared leadership in the community at the onset of the program.
B. Provision of comprehensive and understandable information.
C. Full participation of nurses in decision-making
D. Conducting consultation meetings with key leaders of
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PRACTICE TEST COMMUNITY HEALTH NURSING
10. Pre-entry Phase is the most complex phase in terms of actual
outputs, activities, strategies, and time spent for it. Which of
the following is not included in the pre-entry phase?
A. Laying out the site criteria
B. Statement of objectives, and realization of CIP or
COPAR guidelines
C. Courtesy call to the barangay level
D. General Assembly
11. Also called the social preparation phase. The activities are done
in this phase includes the sensitization of the people on the
critical events in their life, motivating them to share their
dreams and ideas on how to manage their concerns and
eventually mobilizing them to take collective action.
A. Pre-entry phase C. Organization-building phase
B. Entry phase D. Sustenance & strengthening
phase
12. With the community health activities started during the
ENTRY phase, which of these activities should not be
included?
A. Core group formation
B. Conduct of deepening social investigation
C. Project management
D. Information campaign on health programs
13. Identification of potential leaders is crucial during the entry
phase. Which of the characteristics may NOT be necessary to
an efficient and effective community leader?
A. Must have relatively good communication skill
B. A college graduate with management skills
C. Responsive and willing to work for change
D. Respected members of the community
14. The BEST technique in identifying potential leaders in
the community proven to be effective is to:
A. Ask community residents to directly name person whom
they consider as community leaders
B. Ask volunteers who are willing to become community leaders
C. Review family background, properties and academic
19. When an elected barangay health worker is consistently
performing poorly. What is the best recommended
action?
A. Recommend her expulsion
B. Give another chance
C. Have a heart-to-heart talk to her
D. Raise the matter to other barangay health workers
20. Nurse Tess intends to get maximum participation from the
community members to get an accurate assessment of their
health needs. To do this, nurse Tess collaborates with the
community to do a situational analysis. The process entails the
following EXCEPT:
A. Allowing people to freely express what they consider their
health problem
B. Asking people why they think the health problems exist.
C. Assisting the community to identify health situations that
need change.
D. Providing immediate solution to identified health problems.
21. Which statement best describes mobilization?
A. To go around and motivate people on a one-to-one basis to
do something on community issues.
B. An activity that will make leaders become aware of their
progress in terms of knowledge, attitudes and skills. Strengths
and weaknesses are likewise checked.
C. The actual exercise of people’s power
D. Analyzation of the finished mass action, its good and weak
points identified.
22. The nurse working as an organizer in the community is already
on the sustenance and strengthening phase of the COPAR
process. Which of the following activities are expected tasks for
her to do along with the people?
1. Identification and development of secondary leaders
2. Organization and training of community health workers
3. Continuing education and upgrading of community
leaders, BHW’s and CHO members
4. Teambuilding of officers
2 |NOVEMBER 2019 PNLE REVIEW
SET: C
records of community residents
D. Observe people who are active in small mobilization activities
that motivate residents to start working.
15. The core group is composed of individuals in the community
who possess leadership potentials organized into cohesive
working unit. The core group works with the team in:
A. Setting-up community organization that will serve the interest of
a sector in the community.
B. Mobilizing the community to act on their most immediate felt
needs and participate in the deliver of essential health
services.
C. Monitoring the performance of the barangay officials
D. Selecting community activities according to their preferences.
16. A key component in the CHN process when increasing the
wellness of the client in the community is that people involved
are able to:
A. Access private health insurance to cover their medical expenses
B. Stop activities such as smoking or alcohol consumptions that
are harmful to health
C. Recognize their health needs, help develop strategies to
improve their own health
D. Depend on the community health nurse and always follow
given instructrion
17. This phase entails the formation of more formal structures in
the community:
A. Pre-entry phase
B. Organizational building phase
C. Entry phase
D. Sustenance and strengthening phase
18. In a meeting with the people’s organization in the community,
the nurse was asked regarding her position on gambling and
betting. Most appropriate response is:
A. As long as people do not harm others, it is okay
B. Gambling and betting are part of Filipino culture so let them be
C. Betting, yes! Gambling, no!
D. Consider other forms of recreation and economic sources
5. Development of medium and long-term goals
6. PIME (Program Implementation Monitoring and Evaluation) of
health services.
A. 1, 3, 5 C. 1,3,5,6
B. 1, 2, 3, 4, 5 D. All of the above
23. The research team after collecting and collation of data is now
ready to present the results of the community diagnosis to the
people, One the members of the research team asks the nurse
organizer, what type of graph would they utilized in presenting the
salary of males in comparison to females. The nurse responds:
A. Since you are going to show breakdown of a group where the
number of categories is not too many, it is best that you use a pie
chart.
B. You better utilize Scatterplot diagram in showing correlation
between two quantitative variables
C. You better use of histogram will easily compare the salary of
both genders.
D. Line diagram is best, trust me, I’m a statistician
24. The basic reason why community organizers need to phase out
from the community is to enable:
A. Nurse to open CO work in other depressed community
B. People to exercise self-reliance
C. The people’s organization to expand their coverage
D. People test their unity and strength
Situation: The San Antonio Health Station in Barangay 33-A is
about to conduct community health services and the Community
Health nurse is in charge of this activity. The following questions
apply.
25. Considering cultural diversities, Nurse Venezza and her team
considered which of the following as NOT included in variables
that could potentially make for population groupings within the
community?
A. Concepts about health and illness
B. Cultural beliefs and practices that affect health
C. Ethnicity, social class, religion, race, language, political orientation
D. Lifestyle, norms and practices
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PRACTICE TEST COMMUNITY HEALTH NURSING
26. Nurse Venezza, and nursing team involved in conducting
community surveys, are aware that to effectively provide
appropriate intervention after completing the necessary
Community Survey they must come up with a comprehensive
community diagnosis. Which of the following has the correct
step by step process?
A. Define study population, determine objective, determine data
to be collected, develop instruments, collect data, actual data
gathering, data analysis, community health nursing problem,
priority setting, data presentation, determine data to be
collected,
B. Determine objective, define study population, actual data
gathering, data presentation, develop instruments, data analysis,
data presentation, priority setting, identify community
C. Determine objective, define study population, determine data
to be collected, actual data gathering, data presentation,
develop instruments, data analysis, data presentation, priority
setting, identify community
D. A combination of two approximates the best procedure
to be adopted by the community health nurse
27. While Nurse Venezza and her team start to deliberate on
their approaches to the delivery of community health
services, other nurses want to find out which sex groups
need immediate and continued attention. In this case, which
formula is best to be applied?
A. Sex ratio is equal to population size divided by the
number of female plus males multiplied by 100
B. Sex ratio is equal to number of females divided by no.of
females multiplied by 1000
C. Sex ratio is equal to population size at later time divided by
the number of males multiplied by 1000
D. Sex ratio is equal to number of males divided by
numbers of females multiplied by 100
28. Nurse Venezza and her team concluded their planning phase in
partnership with significant community resource e.g. The
municipal doctor, midwives, the barangay health workers,
barangay nutrition scholars, and other willing community
resident volunteers, and they came up with specific goals. To
33. In doing CO, we do appropriate social preparation before
actual full-scale engagement. Our main aim here is to:
A. Lay the foundation towards the creation of an organization
B. Imbibe a community way of life – immersion/integration.
C. Establish rapport with the leaders of the community –
courtesy call
D. Develop potential leaders – core group formation
34. As a nurse, Kat knows very well that she can perform all of
the following except: - OLD QUESTION?
A. Assist in home deliveries
B. Perform Leopold’s maneuver in the home setting
C. Conduct lectures on the importance of prenatal visits to all
pregnant women
D. Suture 2nd degree lacerations during home deliveries
- 3rd degree and up ang hindi pwede
35. The community health nurse leads a class on breastfeeding with
a group of prenatal parents. The nurse allows the participants to
ask questions, make comments, and reason out loud as feedback
is given. Which of the following teaching techniques is the
nurse using?
A. Lecture C. Demonstration
B. Role playing D. Discussion
36. The four major change agents that impact the future of
community health care for children and families are
demographic, science and
A. The amount of influence the public has on legislator and
the political party in power
B. The stock market and recession periods
C. Hospital administrative policies and health care reimbursement
D. Market-driven economic policy and technology
37. The following statements describe the human health
resources, except:
A. Every year there is a marked increase in the number of
health professionals
B. Despite the increase in the number of health providers, there is
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SET: C
accomplish these goals it is essential for people to work together.
Which of the following is NOT part of the process?
A. Cooperation, collaboration C. Coalition or collaboration
B. Networking, coordination D. Transportation, communication
Situation: Part of the important task faced by community health
nurses is COMMUNITY ORGANIZING (CO). These questions
apply.
29. These statements regarding Community Organizing (CO) are
true, EXCEPT
A. CO is successful only if the nurse takes action for the people
B. CO is biased towards the poor, deprived and oppressed
segments of society
C. The nurse applies CO as strategy to initiate people participation
D. The context of CO is the current situation affecting people
and their communities
30. You have engaged 3 barangays in CO and now you are trying
to evaluate their level of awareness as a cohesive group of
people responding to issues and concerns affecting them and
their communities in general. The highest level of awareness
by these organized group of people is manifested when there is
proof of their capability in doing:
A. Interest aggregation C. Interest articulation
B. Political socialization D. Political mobilization
31. Social investigation (SI) is always a part of aligning local issues
with those of higher concerns of society. In doing SI we
normally utilize:
A. Local records and reports
B. Results generated from ocular inspection (immersion,
do participant observation)
C. Secondary data (check health records)
D. Registries available from municipal/ city government
32. In doing CO, the best entry strategy to the community is:
A. Via free clinics
B. A low key approach
C. Use of an endorsement by known community leaders
D. Entry with the parish priest or pastor
still an enormous need in the rural areas
C. The growing number of health professionals contributes to their
low salaries and lack of benefits
D. Migration to other countries is primarily an economic issue
38. Nurse Kat knows that only one of the following statements is
correct. Which is it?
A. In CHN, the client is considered as passive recipient of care, not
an active partner
B. The goal of CHN is achieved through sectoral efforts
C. CHN practice is affected by the development in health
technology, in particular, and changes in society, in general
D. CHN is independent from health care system and the larger
human services system
SITUATION: The Aquino Health Agenda (AHA) is being launched to
improve, streamline and scale up reform interventions espoused in
the HSRA and implemented under fourmula One. This deliberate
focus on the poor will ensure that as the implementation of health
reforms moves forward, nobody are left behind.
39. The goals of Aquino Health Agenda is directed towards:
1. Ensuring better health outcomes
2. Sustained health financing
3. Ensuring equitable access to affordable health care
4. Ensuring free health care services delivery to all Filipinos
A. All except 1 C .All except 3
B. All except 2 D. All except 4
40. The Aquino Health Agenda (AHA) is a focused approach to health
reform implementation in the context of HSRA And Fourmula
one, ensuring that all Filipinos especially the poor receive the
benefits of health reform. AHA shall be attained by pursuing three
strategic thrusts. This does not include:
A. Financial risk protection through expansion in NHIP enrollment
and benefit delivery
B. Improved access to quality hospitals and health care facilities
C. Attainment of the health-related Millennium Development
Goals (MDG)
D. Creation of additional public hospitals to address the growing
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PRACTICE TEST
demand in health care services
4 |NOVEMBER 2019 PNLE REVIEW
COMMUNITY HEALTH NURSING SET: C
41. The success of AHA will be based on progress made in:
1. Prevention of premature deaths
2. Controlling communicable and non-communicable diseases
3. Reduction of underweight among children
4. Reducing maternal and newborn deaths
A. 1 and 2 C. 3 and 4
B. All except 3 D. All of the above
42. Improvements in NHIP benefit delivery can be achieved by:
A. Promoting the availment of quality outpatient and inpatient
services at accredited facilities through reformed capitation and
no balance billing arrangements for sponsored members,
respectively.
B. Fiscal autonomy and income retention schemes for
government hospitals and health facilities
C. Aggressively promoting healthy lifestyle changes to reduce
non- communicable diseases
D. Unified and streamlined DOH licensure and
philhealth accreditation for hospitals and health
facilities
43. The Philippine health care delivery system is composed of two
sectors. This is a largely financed sector through tax-based
budgeting system both national and local levels, hence,
socialized user fees have been introduced in recent years for
certain type of service.
A. Public sector C. Non government sector
B. Private sector D. None of the above
44. To empower community members, the community nurse
performs which activity?
A. Do all the activities for community members
B. Step back at the beginning and giving little output
C. Define the community needs for the members
D. Give ownership and leadership to the community
45. Descriptors of a healthy community include:
A. A community where the members are disease free
B. Seeking to make all the resources available to all members
C. Keeping the sub-groups informed of changes whenever necessary
D. The leaders making decision for the community members
46. When a community health nurse works as a client advocate,
the nurse:
A. Uses a passive approach in solving identified problem
B. Attempts to smooth problems over to keep the community calm
C. Is assertive in speaking and acting on behalf of the client
D. Is aggressive in pursuing the achievement of the client goals
47. Ana BEST exemplifies secondary prevention by which of
the following activities?
A. Teaching new mothers infant care
B. Infant phototherapy
C. Oxygen humidification
D. Tracheostomy care
48. Which of Ana’s teaching activities would not be considered
SECONDARY prevention when caring for clients in her
case load?
A. Providing families with her telephone number for any
home emergencies
B. Teaching parents first aid for insect bites
C. Educating parents on the importance of routine immunization
D. Educating parents on the signs of lead poisoning
49. BEMONC (Basic Emergency Obstetric and Newborn Care)
facilities are established in the community in order to rapidly
achieve the goal of reducing maternal and child mortality. The
following capabilities are done in the BEMONC facilities
Except:
1. Parenteral administration of oxytocin in the third stage of labor.
2. Parenteral administration of anticonvulsants
3. Parenteral administration of initial dose of antibiotics
4. Performance of assisted deliveries
5. Removal of retained products of conception
6. Manual removal of retained placenta
7. Adminstration of blood transfusion
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PRACTICE TEST COMMUNITY HEALTH NURSING SET: C
8. Cesarean section A. 1, 2, 3 C. 7, 8
B. 1, 2, 3, 8 D. 4, 5, 6 is a sign of Vitamin A deficiency:
50. While on skin to skin contact up to 3 minutes after delivery, the A. Corneal clouding C. “Halo signs”
nurse prepares to clamp and cut the cord. Arrange in sequence
the procedure that the nurse will perform.
1. Remove first set of gloves
2. Cut ties with sterile instrument
3. Put ties tightly around the cord 2 cm and 5 cm from
the newborn’s abdomen.
4. Observe for oozing blood
5. Injection of 10 IU oxytocin IM to the mother
A. 1, 3, 2, 4, 5 C. 4, 3, 2, 5, 1
B. 3, 2, 4, 1, 5 D. 5, 1, 3, 2, 4

51. Rooming in (RA 7600) is the practice of placing the newborn in

the same room as the mother right after delivery up to discharge
to facilitate mother-infant bonding and to initiate breastfeeding.
Which statement is not included under this provisions?
A. Normal Spontaneous delivery shall be put to the breast of
the mother within 3 – 4 hours after birth.
B. Deliveries outside health institutions whose mothers have
been admitted to the Obstetrics unit shall be roomed-in
immediately.
C. Mothers are exempted from rooming in if determined by
the physician to be seriously ill.
D. Wet nursing is an option for the mother is determined to
be violently psychotic

52. Expanded Breastfeeding Act (RA 10028) guidelines includes

the following EXCEPT:
A. This act designates August as the Breastfeeding awareness month.
B. Health institutions are likewise encouraged to set up milk banks
for storage of breastmilk donated by mothers and which have
undergone pasteurization. The stored breastmilk will primarily be
given to children in the neonatal intensive care unit whose own
mothers are seriously ill.
C. Nursing employees shall granted break intervals in addition to
the regular time-off for meals to breastfeed or express milk.That
such intervals shall not be less than a total of 30 minutes for
every eight (8)-hour working period.
D. Integration of Breastfeeding Education in the elementary,
high school and college levels.

53. This vaccine content is derived from RNA recombinants:

A. Tetanus toxoid C. DPT
B. Hepa B vaccine D. AMV

54. The following are true about EPI vaccination:

1. The vaccines most sensitive to heat are OPV and Measles
which should be stored in the freezer of the refrigerator.
2. The vaccines that should be mixed with diluents are BCG
and measles
3. The temperature cold chain in the freezer should be
maintained between +2 to +8
4. The nurse can proceed with the vaccination if the inner circle
is darker than the outer square.
A. 1, 2 B. 1, 2, 3 C. 1, 2, 3, 4 D. 2, 3, 4

55. If attenuated measles vaccine (AMV) is given at 9 months, what

is the percentage that measles be prevented?
A.100% B. 85% C. 60% D. 95%

56. A nurse may keep opened vials of OPV for use in the next
session if:
A. You have taken out the vaccine at the health center for some
other reasons
B. The expiry date has not passed
C. The vaccines have been stored at a temperature between 0 & 8 deg
C
D. The vaccine have change its color

57. You are at the RHU clinic when a mother brought in her
infant Dodong, for his OPV immunization. You have assessed
that the infant has diarrhea. What will be your next action?
A. Notify the physician C. Refer immediately
B. Give the OPV D. Do not give the OPV

58. Vitamins help fight various deficiencies which affect the eye. As
a health care provider, you are aware that ONE of the following
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PRACTICE TEST COMMUNITY HEALTH NURSING SET: C
B. Fatigue D. Opaque lens Her temperature is 38.5 C. Use the IMCI strategy.
59. Affected by malnutrition are children 0-4 years. Which of 64. If you were the nurse in charge of Carol, how will you classify
the following is the main cause? her illness?
A. Poverty C. Poor appetite A. Febrile w/ a general danger sign C. Severe pneumonia
B. Wrong choice of food D. Too much oil in diet B. Very severe febrile disease D. Severe malnutrition

60. Which of the following therefore is the most important 65. Which of the following signs is considered to be a general
responsibility of a nurse in the prevention of unnecessary danger sign in Carol’s case?
deaths from pneumonia and other severe disease? A. No vomiting C. Temperature of 38.5 C
A. Taking of the temperature of the sick child B. Has no convulsion D. Unable to breastfeed
B. Provision of careful assessment
C. Weighing of the sick child 66. Which of the following signs is NOT included in the
D. Giving of antibiotics general danger sign?
A. Vomits everything C. Has had convulsion
61. The IMCI guidelines recommend case management B. Unable to drink or breast fed D. Fast breathing
procedures based on these strategies:
A. Children age 2 months up to 5 years, and young infants age of 67. Which of the following steps is NOT included in the
less than 2-months IMCI strategy?
B. Children age 3 months up to 6 years old and infants age 1 week A. Identify treatment C. Referral
up to 2 months B. Counsel and follow up D. Assess and classify
C. Children 3 years of age up to preschoolers
D. None of the above 68. Which of the following signs should NOT be included in
deciding that “the child vomits everything”?
62. The Integrated Management of Childhood Illness (IMCI) chart A. Child experience occasional vomiting
provides the necessary procedure when identifying the B. When offered fluids, may not be able to drink
appropriate interventions to be done. However, the community C. Maybe too weak to drink and eat at all
health nurse should be aware that the following factor should D. Child is not able to keep anything down at all
be considered in utilizing the case management chart:
A. Age of the child C. Danger signs 69. Using IMCI, which of the following management is not
B. Chief complaint D. Problem of the child included in the classification very severe febrile
disease/malaria?
63. In the IMCI classification tables, color yellow indicates that a: A. Give the 1st dose of quinine
A. Child needs an appropriate antibiotic or other treatment B. Give the 1st dose of an appropriate antibiotic
B. Child does not need specific medical treatment C. Send a blood smear of the child to the referral hospital
C. Referral or admission is needed D. Follow up in 2 days if the fever persists
D. Chief complaint that needs an urgent attention
70. A 1 month old infant has blood in the stool. What color health
Situation - Carol is 15 months old, weighs 8.5 kgs, is not eating management will it suggests?
well and is unable to breast feed. She is not vomiting, has no A. Red C. Yellow
convulsion and not abnormally sleepy or difficult to awaken.
B. Pink D. Green 76. A child living in a non-malaria risk area who has stiff neck may
71. In giving chloroquine you should: be classified as having:
A. Heavily guard the patient A. Malaria C. Severe febrile disease
B. Explain to the mother that she should watch her child carefully B. R/O Malaria D. Fever: no malaria
for 30 minutes after giving medicine
C. Explain to the mother that it should be given for 2 days only 77. Vitamin A is given to a child with measles because it:
D. Instruct the mother to give the first dose at home A. Resists the viral infection in the eyes, cell layers in the
lungs gastrointestinal tract, mouth and throat
72. After assessing Junjun, your nursing diagnosis is dehydration B. Reinforces the body’s immune response
secondary to diarrhea. ORS was administered. Which health C. Is needed for supplementation
instruction regarding ORS therapy will you give the mother D. Helps the immune system prevent other infections
once the diarrhea has stopped?
A. Increase the administration of ORS 78. The child’s symptoms are under the classification of severe
B. Return to the clinic dengue hemorrhagic fever of the IMCI strategy. Which of the
C. Stop the administration of ORS following treatments should be done IMMEDIATELY?
D. Decrease the administration of ORS A. Observe the patient at the health center and refer urgently if the
condition worsens
Situation: Kathrina, 5 months old, weighs 5.2 kgs, temperature 38 B. Give fluids or ORS and refer urgently to the hospital
C., is brought to the center. Her mother says she is not eating C. Immunize the child before referral
well, feels hot to touch, able to drink, no vomiting, no D. Give the first dose of appropriate antibiotics and refer urgently
convulsions and not lethargic, no cough. They live in a malaria to the hospital
risk area. Her fever started 2 days ago. She has no signs of
measles, no stiff neck or runny nose. 79. If the child has severe classification because of ear problem,
73. How will you classify Kathrina’s illness? what would be the best thing that you, as the nurse can do:
A. Plain fever C. Sever febrile disease A. Instruct the mother when to return immediately
B. Malaria D. Fever: no malaria B. Refer urgently
C. Give an antibiotic for 5 days
74. The following treatments are appropriate for Kathrina EXCEPT: D. Dry the ear by wicking
A. Follow up in 2 days
B. Give oral anti malarial drugs 80. The nurse uses the IMCI chart for illness classification, which of
C. Advise when to return immediately the following is not correct?
D. Give 1 dose of paracetamol for temp. 37.5 C A. Mastoiditis: pink C. Chronic ear infection: yellow
B. Acute ear infection: pink D. No ear infection: green
75. A child should be checked for capillary refill if:
A. If the child has petechiae 81. A mother brought her child to the health center due to ear
B. The child’s extremities feel warm discharge, upon assessment, a “tender swelling” Behind the child’s
C. There is fever for more than 7 days ear was noted. This is classified as:
D. If the extremities feel cold A. No ear infection C. Chronic ear infection
B. Acute ear infection D. Mastoiditis
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PRACTICE TEST COMMUNITY HEALTH NURSING
82. A child needs urgent referral for mastoidistis. The following
is a list treatments for all ear problems in IMCI classification.
Which among these pre-referral treatments should NOT be
included:
A. Give the child the appropriate antibiotics for 5 days
B. Do not give any medications
C. Give the child the first dose of antibiotics
D. Give first dose of paracetamol for pain
83. Corazon brought her child to the clinic for palmar pallor
suggestive of anemia. The doctor prescribed iron medications
and it was only the 3rd day of taking such medication. Your next
action would be to:
A. Give iron medication 3x a day
B. Give iron and return tomorrow
C. Instruct the mother to continue giving iron for 14 days
D. Refer the child immediately
84. A 3 year old child (14 kg.) Has anemia with some palmar
pallor and needs iron and mebendazole. The card shows he was
not given mebendazole previously. As the nurse you should give
the child Iron Folate and Mebendazole in what dosage?
A. 7.5 ml or tsp daily for 14 days and mebendazole 500 mgs
single dose
B. 10 cc or 2 tsp daily for 30 days and mebendazole 500 mg
single dose
C. 10 cc or 2 tsp daily 30 days and mebendazole 250 mg single dose
D. 5 ml or 1 tsp 2- 3x/ daily for 14 days and mebendazole 500
mgs single dose
85. Which of the following is NOT TRUE about home care for all
sick infants?
A. Blood in the stool is a danger sign that needs to be reported
B. Bring the infant to the clinic if he/she shows sign of
difficulty of breathing
C. Breastfeed frequently, day and night during sickness and health
D. Make sure the young infant stays cool at all times
D. Is a societal and political venture and not a medical service
although health professionals have an important role in
advocating and enabling health promotion
90. In order to motivate people to participate in physical activities
for health promotion, the nurse should consider the following
EXCEPT:
A. Provide options for age- based physical activities
B. Brisk walking as the best form of exercise for all age groups
C. Once a week of intense physical activities can compensate for
the desired exercise three times a week
D. Help clients to determine physical activities that can easily
be integrated into their daily activities
91. RE-orienting focus of health care delivery from cure to
health promotion or wellness is achieved by enhancing the
skills of health workers in which of the following?
1. Screening
2. Case finding
3. Prevention of risk factors that contribute to development
of major non- communicable diseases (NCD) –
primordial prevention.
4. Prevention and management of NCD
A. 1 and 2 C. All except 4
B. 3 and 4 D. 1,2,3,4
92. Raising public awareness to ensure full community participation
in health promotion initiatives can be done through:
1. Producing and disseminating information through mass media,
health campaigns, public information system and school
education
2. Adopt and support policies and programs focused on health
i.e. Anti smoking
3. Initiating health promotion initiative such as Healthy
Cities, Healthy Schools, Healthy Worksites
4. Posting of community bulletin boards in places where
people converge such as for mothers class, barangay
assemblies etc.
A. All except 2 C. 1,2,3,4
B. 1 and 2 D. 3 and 4
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SET: C
86. A client is under plan-A. This also included the 4 rules of home
treatment such as giving an extra fluid, giving zinc supplements,
continuously feeding the child, and advising when to return. The
nurse teaches a caretaker on how to mix and give ORS. Baby
Garry ,11 months tomorrow should received with how many
volume of additional fluids:
A.50 to 100 ml C.100 – 150 ml
B.100 to 200 ml D. 50 – 200 ml
87. Which condition reflects when you pinch the skin it goes
back slowly even if the child is not dehydrated or no signs
of dehydration:
A. A child who is overweight C. A child who has marasmus
B. A child with edema D. A child with kwashiorkor
88. In IMCI, a child has the main symptom for fever if the child
presents the following data: (1) has history of fever, (2) child
feels hot or (3) has an axillary temperature of 37.5C and above.
Baby Pacquia does not have fever, the next step is to ask for
which of the following choices:
A. Assess for signs related to fever
B. Ask about the next main symptom; Malnutrition and Anemia
C. Assess for ear problem
D. Decide if this is Malaria Risk or No Risk
Situation: You are participating in the health promotion program
of DOH. Your team has planned to incorporate various
lifestyle related activities.
89. The W.H.O. principle of health promotion serves as your guide.
Which of the following statements is not PART of the principles
of health promotion of W.H.O.?
A. Combines diverse but complementary methods or
approached including communication, education,
legislation and fiscal development
B. Involves the population as a whole but focuses on people at
risk from specific diseases
C. Is directed towards action on the determinants of health and
requires close cooperation between sectors beyond
healthcare
Situation: Nurse Ansherina is making an annual report of the RHU.
This prompted her to review the importance of the Field Health
Service Information System.
93. This constitutes the mechanism of transmitting data from one
facility to another
A. Family Treatment Record
B. Target Client List
C. Tally Form
D. Output Report
94. This is where the signs and symptoms or chief complaint of the
patient on consultation, the diagnosis, treatment and treatment
date is recorded:
A. Family Treatment Record
B. Target Client List
C. Tally Form
D. Output Report
95. Cases of Diptheria should be reported on which basis?
A. Immediately
B. Weekly
C. Monthly
D. Quarterly
Situation: From January to September 2006, there were two
outbreaks of typhoid fever in Cavite City. Epidemiologic
Investigation was undertaken by the rural health unit to investigate
the outbreaks.
96. The primary purpose of epidemiologic investigation is to:
A. Identify who are at risk of contracting the disease.
B. Delineate the etiology of the epidemic
C. Encourage cooperation and support of the community
D. Identify the geographical location of cases of the disease in the
community.
97. This step of epidemiological investigation ascertains the number
of cases of typhoid fever occurring in the community.
A. Establishing the epidemic.
B. Establishing the time and space relationship of the disease.
GLOCAL REVIEW AND TUTORIAL CENTER INC.
PRACTICE TEST COMMUNITY HEALTH NURSING SET: C
C. Establishing the relationship between cases to the
characteristic of the community
D. Correlating all data obtained.

98. As an epidemiologist, among other things, you are expected to:

A. Institute appropriate control measures in the confirmation
of an outbreak.
B. Check the presence of signs and symptoms in patients
according to the standard case definition of the disease.
C. Monitor the occurrence of selected notifiable diseases by
weekly charting or graphing of cases.
D. Plan and secure necessary resource needed for disease
control measure.

99. Lately, an epidemiologic shift in the health status of

Filipinos is said to be occurring as an effect of a change in
lifestyle. An epidemiologic shift is characterized by:
A. Resurgence of tuberculosis as an important and largely
unattended disease burden.
B. Increasing importance of chronic diseases side by side
with infectious diseases as a major cause of death.
C. Improved control of epidemic diseases versus control of
epidemics.
D. Increasing level of pollution in the environment.

100. Mental health problems have four facets as a public

health burden. This one refers to the stigma and violation of
human rights?
A. Hidden burden C. Undefined Burden
B. Future burden D. Defined burden

8 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.