Situation: There are 4 Major Non-communicable diseases in the country.

The DOH sets guidelines on

Prevention and Screening of Non-Communicable Disease Prevention and Control program

1. The 7th report on the Joint National Convention on the Detection, Evaluation and treatment of High
Blood Pressure defines hypertension as sustained systolic BP of 14o mmHg above and sustained
diastolic BP of 90mm Hg above. A male client, 48 years of age, has a family of cardiovascular
problem has an average blood pressure reading of 135mmHg SBP / 85 mmHg DBP. This blood
pressure average reading is under what category:
A. Normal acceptable range
B. Hypertension Stage 1
C. Maximum Normal
D. Prehypertension
Answer: D

2. The recommended screening test for cholesterol is taking a small blood sample and tested for total
blood cholesterol. If the clients blood cholesterol result is 205 mg/ 100ml, what would be the nursing
responsibility:
A. Inform the client that this examination will be repeated every 5 years
B. Tell the client that the result is elevated and at risk, and there will be another test to be perform
C. Further assess the client based on the result and tell him at the later part of the assessment that
the result is normal
D. Instruct the client that the test will be repeated with the same procedure, an average result will be
done because the result is may be at risk but elevated
Answer: D

3. The cheapest and affordable way of screening for breast cancer is the BSE which is done one week
after menstrual period. Mrs. Poca Hontas, came in at the health center because she overheard a
group of students assigned in their barangay who were talking about risk factors for breast cancer.
What would be the baseline age for a woman who has family history of breast cancer and but does
not presents the warning sign:
A. Between 35 – 39 years of age
B. At 30 years old
C. Before 40 years of age or menopausal period
D. After 40 years of age
Answer: B

4. Women are at greater risk for developing Cervical cancer if they are sexually active, has multiple
sexual partners or if they are commercial sex workers. Pap’s smear is the primary screening tool for
women ages 18 and above. A client asks the nurse what is the initial warning sign of Cervical cancer,
the nurse would be correct if she gave what answer:
 A. Abnormal vaginal bleeding
B. Post-coital bleeding
C. It is often asymptomatic
D. There is abnormal bleeding or post –coital bleeding that are accompanied by rectal bleeding and
pressure on the rectum
Answer: C

5. Body fats are assessed by using the Quetelets’ Index and waist circumference. A male client who
weighs 175 pounds with a height of 5 feet 8 inches, what would be his BMI and how will the nurse
interpret his BMI:
A. BMI is 23 kg/ m2 and Overweight
B. BMI is 22.94 kg/ m2 and with in healthy weight
C. BMI is 23 kg/ m2 and normal
D. BMI is 2.94 kg/m2 and overweight
Answer: A

Situation: The DOST conducted the study on the herbal plants in the Philippines (90-94)

6. During your mothers’ class in the community, you emphasizes the use of herbal plants. Laylayna
Suzuko, one of the audience asks you on the reasons why the DOH advocated the use of herbal
plants as herbal medicines. Your answer will focus on which of the following choices:
1. There was a scientific study done for the use of herbal plants
2. This can augment the price of high-cost medicines
3. It is available in every part of the country
4. This are rare plants that are only found in rural areas and far-flung communities

A. 1 and 2
B. 2 and 4
C. 1, 2, and 3
D. All of the above choices are true and correct
Answer: C

7. This herbal plant has a scientific name of Vitex Negundo:

A. Yerba Buena
B. Lagundi
C. Sambong
D. Tsaang Gubat
Answer: B

8. During your home visit at Jolly Big’s family, one of the member approached you and asked; what
herbal plant would she use if she has stomach ache. As a nurse, you will promote this plant:
A. Niyug-niyugan
B. Akapulko
C. Bayabas
 D. Tsaang Gubat
Answer: D

9. The use of this plant will reduce the swelling, this also act as a diuretic and anti-urolithiasis:
A. Ulasimang Bato
B. Pansit-Pansitan
C. Tsaang gubat
D. Sambong
Answer: D

10. A client came in at the barangay health station due to scabies, as a nurse oriented ad trained in the
use of herbal medicines which one will you give to this client:
A. Quisqualis indica
B. Psidium Guajava
C. Casia Alata
D. Peperonia Pellucida
Answer: C

11. Which of the following is CHN assessment?

A. Auditing nursing record
B. Monitoring health services
C. Prioritizing needs
D. Intensive fact-finding
Answer: D

12. As community health nurse engage in the process of community empowerment, it is essentially that
they
A. Gather data for the community
B. Form partnerships with people in the community
C. Make decisions for people in the community
D. Accept responsibility for people’s action
Answer: B

13. A person with unknown illness whose daily routine consist of walking and following a healthy diet
would be best characterized as engaging in which kind of activities?
A. Health balance
B. Disease prevention
C. Health promotion
D. Health education
Answer: C

14. When is newborn screening done?

A. Within 14 days
B. After 24 hours not later than 3 days
C. After 24 hours of 3 days
D. Within 7 days
Answer: B

15. A key component of health promotion is that people in a community are able to:
A. Access private health insurance to cover their medical expenses
B. Recognize their health needs and help develop strategies to improve their own
health care
C. Stop activities such as smoking or alcohol consumption that is harmful to health
D. None of the above
Answer B

16. Which of the following statements best describes the term epidemiology?
A. Applied science that uses surveys to track communicable disease (spread from person to
person)
B. Applied science that uses research and statistics to find out how disease affects population and
the reasons disease occurs
C. Applied science whose sole function is to find the etiology of all disease
D. Applied science that uses correlation studies to determine that appropriate tertiary prevention
strategies for a community
Answer: B

Situation: Philippine Health Care Delivery System

17. Which of the following is the vision of the Department of Health?

A. To guarantee equitable, sustainable and quality health for all Filipinos
B. Leader, staunch advocate and model in Promoting Health for All in the Philippines
C. Health For All by year 2000
D. Health In the Hands of All People by year 2020
Answer: B

18. Donnie, a PH Nurse supervisor is conducting an orientation to a group of newly hired PH nurses.
One of the nurses was asked regarding the overriding goal of the DOH. The nurse is correct when
she answered Donnie, that the overriding goal of DOH is:
A. Promoting Health for All in the Philippines
B. Health for All Filipinos
C. Fourmula One for Health
D. Health Sector Reform Agenda
Answer: D

19. The implementation framework for the goal of the DOH is F1. All but one are goals of Fourmula One
for Health:
A. Better Health outcomes
B. More responsive health systems
C. Equitable health care financing
D. Poor coverage of public health
Answer: D

20. F1 is a critical intervention as a single package backed by effective management infrastructure. The
goal of this reform is to foster greater, better and sustained investment in health such as the sector-
wide policy support for Phil Health insurance:
A. Good Governance
B. Health Service Delivery
C. Health Financing
D. Health Regulation
Answer: C

21. The PHC team may be composed or consist of RHU physicians, PH nurses, Midwives and even
trained community health workers. This type of health care services are provided by physicians with
basic health training and are capable of performing minor surgeries:
A. Primordial Level of Care
B. Primary Level of Care
C. Secondary Level of Care
D. Tertiary Level of Care
Answer: C

22. The DOH, in its new role as the national authority on health has three main functions. All but one is
not part of the roles of the DOH:
A. Leadership in health
B. Promoting health for all in the Philippines
C. Enabler and capacity builder
D. Administrator of specific services
Answer: B

23. The DOH shall spearhead sectoral planning and formulation as well as assessment at the national
and regional levels is under what role of the DOH:
A. Leadership in health
B. Promoting health for all in the Philippines
C. Enabler and capacity builder
D. Administrator of specific services
Answer: A

24. In pursuit of its constitutional mandate to safeguard and promote health for all Filipinos, the DOH
mission is:
A. The leaders, staunch advocate and model in promoting health for all in the Philippines
B. To Guarantee, equitable, sustainable and quality health for all Filipinos
C. Health for all
D. Health in the Hands of the People
Answer: B
25. Support mechanisms are done in various efforts, the goal of the DOH is:
A. Fourmula One for Health
B. National Health Insurance Program
C. Health Sector Reform Agenda
D. Health for all in the Philippines
Answer: C

26. The goal of this element is to enhance health system performance at national and local levels:
A. Health Financing
B. Health Regulation
C. Health Service Delivery
D. Good Governance
Answer: D

27. The Local Government Code of 1991 is put into law by what republic act:
A. 7160
B. 7610
C. 9288
D. 8976
Answer: A

28. The Philippine Clean Air act is enacted into law by:
A. RA 9275
B. RA 8749
C. RA 8423
D. RA 8976
Answer: B

29. An act promulgating a comprehensive policy and a national system for ensuring newborn screening:
A. RA 9257
B. RA 9288
C. RA 9211
D. RA 9165
Answer: B

30. PD 856 is known as:

A. Ecological Solid Waste Management Act
B. Toxic Substance, Nuclear and Hazardous Waste Control Act
C. Sanitation Code of the Philippines
D. Penalty for improper disposal of garbages
Answer: C
31. Birth and death registration is enacted by what law:
A. PD 825
B. PD 856
C. PD 651
D. PD 996
Answer: C

32. Home visit is a family-nurse contact done in the community. The nurse is correct when she perform
which purpose of home visit:
A. She make use of all available information
B. She carefully evaluate past services given to the family
C. She uses the inter-referral system and promote the utilization of community services
D. If she involve the client and family in the delivery of care
Answer: C

33. Bag technique is a tool by which the nurse will perform nursing procedures with ease and deftness,
as well as to save time and effort. By doing this, the end view of bag technique is:
A. will minimize, and if not prevent the spread of infection
B. rendering effective nursing care
C. saves time and effort in the performance of procedures
D. the bag and its content are protected from any contact with any article in the home
Answer: B

34. You are training a group of newly hired public health workers which are composed by nurses and
midwives at a given Municipal Health Department. The trainees need further teaching regarding the
principles in bag technique if they choose which of the following:
A. The bag should be well protected from contact with any articles in the client house
B. It should show the effectiveness of the total care given to clients
C. Performing the technique will save time and effort in performance of nursing procedures
D. It minimizes and prevent the spread of infection
Answer: A

35. Matutina, a PHN-I has a schedule home visit at 2:30pm to a sick child who is 5 years of age. Due to
the bulk of clients in the afternoon Matutina decided to visit the client at 10:00am. Unfortunately the
child was only asleep for 10 minutes. What would be the initial action nurse Matutina:
A. Ask the mother to wake –up the child because this is the only time that the nurse is available and
can render nursing care
B. Inform the mother that she will refer the child to another public health worker for assessment
because she will be very busy in the afternoon
C. Ask the mother on time and frequency as well as the duration of the child’s sleeping pattern
 D. Make another schedule by informing the mother that you will be back tomorrow on the same
time.
Answer: C

36. Arrange in sequence the recording process for blood pressure and other guidelines:
1. Inform the client of the result and stay for awhile to answer client’s questions or concerns
2. If the first 2 readings differ by 5 mm Hg or more, obtain a 3rd reading and include this in the
average
3. Document phase I, IV and V
4. Take the mean of 2 readings, obtained at least 2 minutes apart, and consider this as the client’s
BP

A. 4, 3, 2, 1
B. 4, 2, 1, 3
C. 4, 2, 3, 1
D 4, 1, 3, 2
Answer: C

Situation: All children less than 8 years of age and before reaching 12 months should be completely and
fully immunized under the expanded program for immunization.

37. Which law highlighted the Polio Eradication Program in the country:
A. PD 996
B. PP 46
C. PP 147
D. PP 6
Answer: B. Presidential Proclamation No. 46
Reference: Reaching Every Barangay To Improve Routine EPI Services: A Guide for Frontline Health
Workers

38. The first step utilized in a first level assessment in family nursing practice is the presence of:
A. Wellness condition
B. Health threats
C. Health Deficits
D. Foreseeable Crisis
Answer: A

39. Valerie, a clinical instructor assigned at Barangay Health Center has correct understanding on the
population where Immunization is concerned when she choose which of the following choices:
I. Pregnant women
II. Infants less than 12 months
III. School entrants
IV. School aged children and women at reproductive age

A. II, III and IV

B. I, II and IV
 C. I, II and III
D. I, II, III and IV
Answer: C

40. Jean, a nurse under the NARS program is conducting house to house immunization in a far-flung
rural area. Understanding the basic principles, which statement is a contraindication for immunization
:
A. Baby Alvin, 10 weeks of age for OPV administration who has mild to moderate fever
B. Baby Jepoy,9 months old with case of malnutrition for AM vaccination
C. Baby Leo, for Hepa.-B vaccination but with diarrhea
D. Baby Benjie, 14 weeks of age for dose-3 of DPT with neurological condition
Answer: D

41. A freeze dried vaccines need a special diluents, Anna is correct if she uses which diluents for freeze
dried vaccines:
I. Special diluents made by the manufacturer
II. 0.9% Sodium Chloride
III. Distilled Water for injection
IV. Dextrose in 5% Water

A. I and III
B. II and IV
C. I and II
D. III and IV
Answer: C

Situation: Family health program includes EPI, T.T and Maternal-Child health care and nutrition

42. Grace, G1 P0 came in for her first pre-natal visit at the RHU. She asks the nurse on duty regarding
the routine ante-natal visit. The nurse is correct if she responded by giving which information:
A. “For the 1st trimester should have at least one visit a month, Every 2 weeks for the 2nd
trimester, and once a week for the 3rd trimester”
B. “ You should have at least one visit for every trimester of pregnancy”
C. “For the 1st trimester, one visit would be enough and same goes with the 2nd and 3rd trimester,
and then every 2 weeks after 8 months of pregnancy till delivery”
D. A and B are correct
Answer: C

43. Vaccines are administered to induce immunity and causing immune system to react to the vaccine. A
midwife needs further teaching if she perform which of the following:
A. She administer all EPI vaccines on the same day at different sites
B. She injected the vaccines even the infant has low grade fever or mild respiratory infections
C. A child 20 weeks or 5 months old came in at the RHU with his mother for 3rd dose of DPT, OPV
and Hepa-B vaccines
D. An child undergoing therapy with immunosuppressive agent.
Answer: D
44. Charina, a clinical instructor is supervising a group of BSN affiliates at E. Rodriguez Maternity and
Lying-In center. Which action made by the student needs further teaching:
A. A student gave 200,000 IU of vitamin-A to a post-partum mother and provided health teachings
which included Iron supplementation
B. Injected 0.05ml of BCG intra-dermal on right deltoid and0.50ml Hepatitis-B vaccine
intramuscularly on left vastus lateralis
C. Administer 2.5% Povidone Iodine eye drops on both eyes, giving each eyes 2-3 drops
D. The student did not suction the newly delivered crying baby with a rubber bulb syringe, and even
delayed cord clamping and cutting
Answer: B

45. Tetanus toxoid is important for women to prevent tetanus for both mother and baby. Which statement
is incorrect regarding tetanus toxoid principles:
A. T.T 1 is given as possible during pregnancy and has 0% protection
B. T.T 4 is given at least 1 year after T.T 3 with 95% protected and 10 years protection
C. T.T 3 was given six (6) months after T.T2 and with 5 years protection
D. T.T 2 has 3 years protection and 80% protected, given 4 weeks after the first dose
Answer: B

46. Which of the following choices is considered to be an RNA recombinant vaccine:

A. AMV
B. OPV
C. DPT
D. Hepa-B
Answer: D

47. Vaccines are classified according to its sensitivity to heat. Which vaccine/s is/are considered to be
most sensitive to heat:
A. OPV and BCG
B. BCG and AMV
C. OPV and AMV
D. BCG and DPT
Answer: C

48. The nurse follows the recommended storage temperature of all EPI vaccines. All but one vaccine is
least sensitive to heat:
A. Bacillus Calmette Guerin (BCG)
B. Hepatitis-B vaccine
C. Oral Polio Vaccines
D. Tetanus toxoid
Answer: C
49. Cecille, is conducting a mothers’ class in Barangay Mayor AC Sapal regarding the importance and
benefits of Iron supplementation among pregnant women. Which statement is correct regarding iron
supplementation for all ages and groups of clients:
I. Adolescent females should received Iron once a day
II. Older persons are encouraged to take Iron on a daily basis
III. Pregnant clients should take Iron 1 tablet once a day for 6 months
IV. Lactating women are advised to take Iron once a day for 90 days

A. III and IV
B. I, II, and III
C. I, II, III and IV
D. I, II and IV
Answer: C

50. Aling Lei, came in at the RHU together with her 9 months old baby for AMV. The nurse, before
injecting the AMV gave Vitamin-A capsule. Vitamin-A capsule is given for this client at what standard
dosage:
A. 10,000 IU
B. 50,000 IU
C. 100,000 IU
D. 200,000 IU
Answer: C
Situation: Nursing care right after delivery is very crucial to both mother and baby.
51. Which of the following is NOT checked on the mother?
A. Vital signs
B. Contracted and hard uterus
C. Going home dress
D. Expelled placenta and laceration
52. Which of the following should be observed on the baby?
A. APGAR score and congenital defects
B. Birthmark and pigmentation
C. Sucking
D. Placenta
53. Registration of the baby must be done by a:
A. Nurse C. midwife
B. Brgy. Health worker D. trained hilot
54. The first postpartum visit in the home is
A. six weeks after delivery
B. four weeks after delivery
C. one week after delivery
D. within 24 hrs.
55. An important function of the nurse is recording of disease cases. Where should the reports be submitted?
A. Mayor’s office
B. Provincial office
C. Field health services information system
D. Rural health unit
Situation: Mrs. Herrera is the nurse at the Mother and Child Health Nursing Unit of a health care facility which
includes home visit in the homes of mother and child after delivery.

56. Which of the following is Mrs. Herrera’s concern when she visits the mother and child?
A. Post natal care and lactation of the mother and new born care
B. Make a schedule of the visit to the doctors office
C. Determine family planning method for the mother
D. Evaluate socio- economic status of the family

57. Which of the following is the primary goal of maternal- child health nursing?
A. To promote the well being of potential mothers and learn the right approach to family life and family
planning.
B. To consider that every child has love and security and has a better future.
C. To avoid having children who are misdirected and became street children.
D. To insure that every expectant mother maintains good health, learn the art of child care, have normal
delivery and have healthy children.

58. What is the objective of prenatal care?

A. To avoid complication of babies upon delivery, like fetal death in utero.
B. To reach all pregnant women to give sufficient care and ensure healthy pregnancies and full term birth of
healthy babies.
C. To ensure that all pregnant women are given tetanus toxoid immunization.
D. To schedule at least 3 prenatal visits during the time of pregnancy.

59. What vitamins should a pregnant woman take to increase hemoglobin?

A. Minerals
B. Vitamin A
C. Ferrous sulfate
D. Vitamin C

60. When should the first prenatal be advised:

A. First months
B. First trimester
C. First quickening
D. First LMP

Situation: The nurse is caring for a sick child at the barangay health center utilizing Integrated Management of
Childhood Illness protocol.

61. While assessing an 8 month old infant who has diarrhea, you noted that the diarrhea has been for 2 days
without presence of blood. The child kept playing with her rattle while sitting on her mother’s lap. The patient’s
eyes were not sunken. When offered milk, the baby greedily drank from the feeding bottle. What other
symptom will you look into before you classify the patient’s diarrhea?
A. capillary refill
 B. pallor of palm
C. skin turgor
D. dryness of mouth

62. You noted that when pinched, the above client’s abdomen returned to previous contour slowly. What will be
the classification of this baby’s diarrhea?
A. severe dehydration
B. some dehydration, persistent diarrhea
C. some dehydration, dysentery
D. some dehydration

63. In assessing for diarrhea, the IMCI trained nurse knows that a patient can have:
A. one classification
B. two classifications
C. three classifications
D. four classifications

64. You are taking care of an 8 month old infant taken to the health center because of diarrhea and fever. The
mother reported that the baby had an episode of fever. The baby had no general danger signs. The baby had
no cough. The mother reported that the baby had diarrhea for 15 days, with some tinge of blood. The baby
was quite restless during the assessment. When offered milk, she drank eagerly and skin pinch went back
briskly. When you took the temperature of the baby the temperature was 37.30C. They do not live in a malaria
or dengue endemic area. The baby had no generalized rash. From your assessment, the nurse knows that:
A. the client has three classification for diarrhea and no other classification
B. the client needs urgent referral with no additional interventions
C. the client can be treated in the health center
D. the client has to be treated with plan B for dehydration on the way to the hospital

65. Given the above client, the nurse would institute which of the following measures?
A. measures under classification for dehydration
B. measures under classification for persistent diarrhea
C. measures under classification for dysentery
D. measures under classification for fever: no malaria

Situation: A mother brought her infant to the health center with a chief complaint of fever. As a public health nurse,
apply your knowledge on IMCI to the following situations.

66. A mother comes with her 2 month old child with a chief complaint of fever. To assess for general danger signs,
the nurse would ask all of these questions EXCEPT?
A. How long has your child had fever?
B. Is your child able to drink or breastfeed?
C. Has she vomited everything she ate?
D. Has the child had convulsions?

67. A mother reported that her 4 month old baby is having fever for two days already. The baby’s temperature is
37.3 0C. The patient lives in San Andres Manila and has never traveled elsewhere. She did not have measles
for the past 3 months and has not developed any generalized rash. The baby has a cough for 3 days already.
What other information would be necessary before you decide on the patient’s classification?
 A. presence of pus draining from the eyes
B. presence of signs of bleeding
C. episodes of high grade fever
D. episodes of diarrhea

68. In assessing for the presence of measles, the nurse would take note of all of the following EXCEPT?
A. generalized rash and redness of the eyes
B. generalized rash or presence of cough or runny nose
C. clouding of the cornea
D. mouth sores

69. You have a 10 month old patient coming in with fever of 38 0C lasting for eight days. The patient lives in a
malaria endemic area, manifests with runny nose and generalized rash with no signs of bleeding. What will be
one of the actions of the nurse/
A. classify the client
B. if possible, have a malaria smear done
C. conduct tourniquet test
D. refer immediately

70. You are to assess a 12-month old baby whose main symptom is cough and fever. You noted that the baby has
had the cough for 5 days. You also noted that his respiratory rate is 50/min, there is no chest in drawing nor
stridor. The nurse will classify this client as:
A. no pneumonia: cough or colds
B. Severe pneumonia or very severe disease
C. Pneumonia
D. Very severe disease

Situation: The IMCI also deals with ensuring that the child would get proper nutrition.

71. In teaching the mother of a 2 week old infant how to ensure proper attachment, the nurse would have the
mother do all of the following EXCEPT:
A. touch infants lips with her finger
B. after stimulating infant, wait until infants mouth is wide open then move infant quickly to breast
C. aim the infants lower lip well below the nipple
D. proper positioning technique is used

72. A mother comes in with her 3 week old infant. The nurse would know that part of basic assessment in IMCI
would include:
A. assessing for breast infection
B. assessing for good mother-father and child bonding
C. assessing for breastfeeding
D. assessing for uterine involution of the mother

73. You are to assess for breastfeeding of a 1 month old newborn brought to the health center. Which of the
following is not included in checking for attachment?
A. check if chin is touching breast
B. check if sucking is effective
C. check if mouth wide open
D. check if more areola above than below the mouth
74. A mother of a 10 month old baby tells you that she feeds the baby lugaw, with lots of fluid in it 3x a day. The
baby is still breastfed. The nurse would:
A. congratulate the mother for doing giving correct feeding to the child
B. tell the mother to increase frequency of solid foods to 5x a day
C. tell the mother to decrease frequency of solid foods to 2x a day
D. congratulate the mother for her practice as well as advice her that a thicker mixture of lugaw is more
recommended by adding oil, pulverized meat source or ground vegetables

75. When assessing for feeding problems in a 36-month old client, you noted that the mother said that the baby
eats family food 3X a day with 2 snacks specifically one between breakfast and lunch and one between lunch
and dinner. This indicates?
A. a feeding problem
B. a potential feeding problem
C. no feeding problem
D. a tendency for obesity
Situation: The following situations would necessitate the application of your knowledge on the IMCI.
76. You are assessing a 7 month old’s development. During this time you noted that the baby didn’t have much
things to stimulate development. The best advice to give the mother is:
A. to give child clean, safe household things to handle, bang and drop
B. give household things to stack up or to put into a container
C. help child count and name things
D. provide an area where there lots of colorful things
77. A mother of an 18 month old baby tells you that she has already returned to work and have less time spent
with her child. Which of the following would be the most appropriate advice to the mother?
A. ask a trusted person to spend more time with baby
B. interact with the baby while doing chores in the house
C. ask father to spend more time with baby
D. give more toys to baby to play with such as stack up toys
78. As a nurse trained in IMCI, you know that if assessment findings needs emergency treatment and emergent
hospital care, the box where you will look at to determine your actions will be?
A. All the first box for whichever symptom is concerned
B. All the yellow box for whichever symptom is concerned
C. All colored boxes for whichever symptom is concerned
D. the pink box for whichever symptom is concerned
79. You are assessing a 2 week old newborn. The chief complaint of the mother is that the child has been
coughing for 3 days. The baby had no nasal flaring, no grunting and no chest in drawing. You noted that the
RR was 55/min. Your next action is:
A. classify the client
B. proceed with the other assessment parameters not related to the cough
C. count the RR again
D. check for airway obstruction
80. You are taking care of a 3 week old newborn brought by the mother because of persistent crying leading to a
decrease in frequency of feeding. During your assessment, the only thing you noted is the presence of
redness of the umbilicus up to the surrounding skin. You also noted that baby has less than 8 feedings in 24
hours. The next action of the nurse is:
A. initiate measures in the yellow classification pertaining to localized infection
B. initiate measures in the yellow classification feeding problem
 C. initiate measures in the pink classification possible serious bacterial infection and not able to feed---
possible serious bacterial infection
D. initiate measures in the pink classification possible serious bacterial infection

Situation: Integrated Management of Childhood Illness (IMCI) aims to reduce the child mortality in the Philippines
specifically.

81. The following statement refers to the treatment modalities in a child with jaundice EXCEPT:
A. Follow up in 1 day
B. Advise mother to return immediately if palms and soles appear yellow
C. Treat to prevent low blood sugar
D. If the young infant is older than 3 weeks, refer to a hospital for assessment

82. Ken, 2 weeks old, is brought to the OPD with a red umbilicus with draining pus. His temperature was found to
be 34°C. He is not able to suck or swallow. Proper management should include:
A. Urgent referral
B. Give an appropriate oral antibiotic
C. Tetracycline ointment
D. Gentian violet

83. Arrange the following steps in preparing treatment for mouth ulcers using Gentian Violet.
1. Instruct the mother to continue using GV for 48 hours after the ulcers have been cured
2. Wash hands
3. Wash the child's mouth with a clean soft cloth wrapped around the finger and wet with salt water
4. Wash hands again
5. Paint the mouth with ½ strength gentian violet (O.25% dilution)
A. 2, 3, 5, 4, 1
B. 2, 5, 4, 3, 1
C. 2, 1, 3, 5, 4,
D. 2, 3, 4, 5, 1

84. In checking for general danger signs, the nurse will be required to ask: “Does the child vomit everything?” If the
nurse is not sure about the mother’s answer, what should she do next?
A. She should proceed by asking if the child has convulsions
B. She should ask when the child has last taken in any food or fluid.
C. She should ask when the child last vomited.
D. She should ask the mother to offer the child a drink and then note if vomiting occurs.

85. Pinching the skin is part of checking the signs for dehydration. How could the nurse correctly note that the skin goes
back “Very Slowly”?
A. Skin in the upper arm goes back in place more than two seconds after being pinched.
B. Skin in the abdomen goes back in place one second after being pinched.
C. Skin in the upper arm goes back immediately after being pinched.
D. Skin in abdomen goes back in place more than two seconds after being pinched.

Situation: As a practicing nurse in the community setting, the PHN nurse must be familiar with the existing standards that
govern safe nursing practice.

86. School nursing is a type of public health nursing that focuses on the promotion of health and wellness of the
pupils/students, teaching and non-teaching personnel of the schools. Which is not the duties and responsibility of a
school nurse?
A. Health advocacy
 B. Screening procedure such as hearing and vision
C. Monitoring and evaluation programs and projects
D. None of the above

87. All of the following are steps in conducting home visits except:
A. Greet the patient and introduce yourself.
B. State the purpose of the visit.
C. Observe the patient and determine the health needs.
D. Make use of the inter-referral system.

88. In the making of a family care plan first-level assessment includes all except
I. Presence of wellness condition
II. Health status of each family member
III. Presence of health deficits
IV. Foreseeable crisis situations
V. Inability to provide home environment conducive to health maintenance
VI. Presence of Stress points
A. I and IV
B. II and V
C. III and VI
D. None of the above

89. The Field Health Services and Information System (FHSIS) is the recording and reporting system in public
health care in the Philippines. The Monthly Field Health Service Activity Report is a form used in which of the
components of the FHSIS?
A. Target/ client list
B. Output report
C. Tally report
D. Individual health record

90. Public Health Nurse Ryan wants to research on Brgy. Manila malaria cases. The following information should
be included in his report except?
A. Trends of cases across time
B. Estimates of case fatality ratio
C. Immediate Interventions done by the PHN
D. Clustering of cases in a geographical area

Situation: AB, 32 years old, has returned from Hongkong and was admitted to a hospital with a tentative diagnosis of
SARS.

91. AB is expected to have which of the following symptoms?

A. fever, rapid progressive respiratory compromise
B. fever and dyspnea
C. fever and reproductive cough
D. fever and cyanosis

92. Incubation period of SARS:

A. 2- 7 days C. 1- 10 days
B. 5- 11 days D. 1- 5 days
93. The following countries where SARS originated include the following, except:
A. China C. Philippines
 B. Canada D. Hong Kong
94. What is the causative agent of SARS?
A. Corona virus C. Rhabdo virus
B. Retro virus D. Influenza virus

95. Which of the following is the most serious complication of SARS?

A. pulmonary congestion
B. atelectasis
C. respiratory distress
D. anaphylaxis
Situation: Acute respiratory infection remains to be the leading cause of illness and death among Filipinos especially
children.
96. The nurse is able to identify factors that lead to respiratory problem. Primary function of the nurse is
A. to detect early signs for early treatment.
B. to mobilize field workers to meet parents.
C. to refer severe cases to district hospitals.
D. to teach the mother to recognize early signs and symptoms of pneumonia.
97. Which of the following is the primary focus of the Care of Acute Respiratory Infection (CARI) program of the
Department of Health?
A. Teaching midwives to assess patients
B. Early detection
C. Enhancement of workers capabilities
D. Teaching parents how and when to refer

98. A mother brings her child to the Rural Health Unit (RHU) for consultation. Which of the following should the
nurse do to the child with difficulty in breathing?
A. Intervention C. Planning
B. Assessment D. Evaluation

99. After training in the DOH program on how to assess children with respiratory problem, the nurse can use
which chart?
A. IMCI protocol
B. Management of child with cough
C. CARI program protocol
D. Ask, look, listen chart

100. If the child is in the “No Pneumonia” category, the nurse can advise mother to give home care like:
A. changing clothing frequently
B. keeping the child warm
C. letting the child sleep longer
D. continuing the play therapy