STARS NKL REVIEW SERVICES AND CONSULTANCY

“HOME OF A SUCCESSFUL EXAMINEES”

10. Under the devolution law, health services were transferred from the DOH’s national
COMMUNITY HEALTH NURSING office to the local government units. Which of the following is the legitimate body that
serves as good venue for making the local health system more responsive to the needs
Situation: In light of the changing national and global health situation and the of the people?
acknowledgement that nursing is a significant contributor to health, the PUBLIC a. Local Health Board b. Rural Health Unit
HEALTH NURSE is strategically positioned to make a difference in the health outcomes c. Barangay Health Station d. Municipal Health Office
of individuals, families and communities cared for. 11. The function of the public health nurse in the current health care delivery system is
1. Public health systems are operating within the context of on-going changes, which an?
exert a number of pressures on the public health system. These changes include: a. intermediate level health worker b. liaison person of the community
a. Demographic and epidemiologic shift of disease c. low level health worker d. manager of the RHU
b. New technologies for health care, communication and information 12. What level of health care services is being rendered at specialized national hospital
c. Existing and emerging environmental hazards d. Health reforms using highly technical equipments.
A. a and b are both correct B. c and d are both correct a. primary level b. secondary level c. tertiary level d. any of these level
C. a, b and c are all correct D. a, b, c and d are all correct Situation: A home visit is a professional face to face contact made by a nurse to the
client or his family.
2. In response to new health trends, the global community, represented by United 13. Planning for a home visit is an essential tool in achieving best results in health care.
Nations General Assembly, decided to adopt a common vision of poverty reduction and The following but one are principles:
sustainable development. This vision is exemplified by the Millenium Development a. home visit should have a purpose
Goals (MDS). Essential Intrapartal and Newborn Care (EINC) is our country’s health b. plans are based on available information including those from other agencies that
program addressing the challenge of UN’s 2 out of 8 MDGs targeted to be achieved by may have rendered services to the family
2015. Which are these 2 MDGs? c. planning of continuing care must be developed by the nurse
a. MDGs 4 and 5 b. MDGs 7 and 8 c. MDGs 3 and 6 d. MDGs 1 and 2 d. planning should be flexible and practical
14. In any case, home visit should be done by a responsible nurse for how many times?
3. The modern concept of health refers to: a. at least thrice
a. a state of complete physical, social and mental well being, not merely the absence b. at least once so as to give other clients a chance to be visited also
of disease or infirmity c. there is no such rule as to the frequency of the home visit
b. a science and art of preventing disease, promoting health and prolonging life d. it depends upon the convenience of the nurse
c. a science that deals with optimum level of functioning of the general population 15. Before leaving the family after the home visit, which of the following activity is
d. a state of being well and using every power the individual possesses to the fullest necessary for the nurse to accomplish?
extent a. explain the nature of the nursing measures provided to the members
b. record all the activities that have been given to the family
Situation: In order for a community health nurse to fully appreciate the public health c. set contract for the next home visit
system it is important to have an understanding of the agency mandated to protect the d. takes vital signs of the family members
health of the people, the Department of Health (DOH). Situation: You are now in the entry phase of community organizing process, after
4. Nurse Ruth is a newly appointed nursing consultant of the DOH. She is aware of the establishing rapport with the people in Barangay Stars. The following questions apply.
new roles and functions of the organization under E. O 102 if she identifies which of the 16. With the community health activities started during the ENTRY PHASE which of
following pertains to the leadership function of the department? these activities should NOT be included?
a. serve as an advocate in the adoption of health policies, plans and programs to a. Core group formation b. Deepening social investigation
address national and sectoral concerns c. Project management d. Information campaign on health program
b. innovate new strategies in health to improve the effectiveness of health programs 17. Identification of potential leaders is crucial during the entry phase. Which of the
c. exercise oversight functions and monitoring and evaluation of national health characteristics may NOT be necessary to an efficient and effective community leader?
programs, plans and policies a. must have relatively good communication skills b. a college graduate with
d. manage selected health facilities and hospitals management skills
c. responsive and willing to work for change d. a respected member of
5. A nurse instructor asked one of his students to identify the vision of the DOH. The the community
student is correct in doing so by choosing which of the following statements? 18. The core group is composed of individuals in the community who possess
a. health sector reform agenda leadership potentials organized into a cohesive working unit. The core group works with
b. FOURmula ONE for health the team in:
c. guarantee equitable, sustainable and quality health for all Filipinos, especially the a. setting-up community organization that will serve the interest of a sector in the
poor and shall lead the quest for excellence in health community
d. leader, staunch advocate and model in promoting health for all in the Philippines b. mobilizing the community to act on their most immediate felt needs and participate
in the delivery of essential health services
6. FOURmula ONE for Health serves as the framework for the implementation of the c. monitoring the performance of the barangay officials
health sector reform agenda that intends to employ critical interventions as a single d. selecting community activities according to their preferences
package backed by effective management, infrastructure and financing arrangements. 19. The nurse as a community health practitioner functions as a community:
Which of its elements is exemplified by ensuring quality and affordable health goods a. Evaluator b. Leader c. Facilitator d. Planner
and services? 20. To empower community members, the community nurse performs which activity?
a. health financing b. health regulation a. do all the activities for community members
c. health service delivery d. good governance b. giving little output
c. define the community needs for the members
Situation: WHO defines Primary Health Care as essential health care made universally d. give ownership and leadership to the community
accessible to individuals and families in the community by means acceptable to them Situation: Integrated Management of Childhood Illness (IMCI) is one of the programs
through their full participation and at a cost that the community and country can afford introduced by WHO and UNICEF adopted by the DOH in order to address the high
at every stage of development. The following questions apply. number of under-five mortality in the country. The following questions apply.
7. The legal basis for the PHC is: 21. Pnuemonia and diarrhea are considered to be the leading cause of underfive
a. LOI 949 b. EO 51 c. PD 996 d. RA 7160 mortality. Which of the following conditions is associated as a major factor that
increases the risk of children dying from these conditions?
8. Which is not considered as pillar of PHC? a. Infection b. Malnutrition c. Maternal disease d.
a. support mechanism made available b. intra and inter sectoral solicitation linkages HIV/AIDS
c. active community participation d. use of appropriate technology 22. Other than IMCI, which of the following is included in Essential Package of Child
Survival Interventions of the DOH?
9. Which does not describe PHC? a. Skilled birth attendance b. Care of the newborn
a. it emphasizes partnership between health care providers and the people c. Breastfeeding and complementary feeding d. Micronutrient
b. it is a total approach to community development supplementation
c. it stresses the importance of linkages e. Immunization of children and mother f. Use of insecticide-treated bed nets
d. it aims to provide free health services to the people A. a, b and c only B. a, b, c and d are all correct
C. all are correct except f D. all are correct
Situation: The Philippine Health Care delivery System has gone through developmental 23. The following are TRUE regarding IMCI, except:
transformations from a highly centralized health infrastructure towards a greater a. It utilizes evidence-based syndromic approach
participation of local government and organizations. b. It involves the family members and the community in the health care process
c. It was embedded in the nursing curriculum in 2008
 STARS NKL REVIEW SERVICES AND CONSULTANCY
“HOME OF A SUCCESSFUL EXAMINEES”

d. It aims to reduce infant and child mortality and contribute the healthy growth and 36. When the nurse obtained the multi –dose vial of hepatitis B vaccine, he noted that
development of children the inner square of the vaccine vial monitor has the same color with the outer ring. What
24. The case management process is of IMCI is presented in a series of charts which will be the best action of the nurse?
show the sequence of steps and provide information for performing them. Arrange the a. discard the vaccine
following steps in order: b. put it back at the refrigerator and get another vial
I. Assess the child II. Identify treatment c. proceed with his vaccination
III. Classify the illness IV. Counsel the mother d. performed shake test to assure that the vaccine is still potent
V. Treat the child or refer VI. Give follow-up care 37. The student nurse is incorrect in identifying the safe practice in handling vaccines
a. I, III, II, V, IV, VI b. I, III, V, II, IV, VI by choosing which of the following statement?
c. I, IV, II, V, III, VI d. I, III, IV, II, V, VI a. the nurse must check the temperature of the refrigerator upon arrival at the center
25. In using the IMCI protocol, which of the following is an important consideration? and before leaving in the afternoon
a. Age of the child b. Duration of illness b. defrost the refrigerator when the ice has reached 1-inch thickness
c. Chief complaint d. Presence of significant other c. observe first expiry, first out principle
Situation: A child with a general danger sign has serious problem. Most children with d. AMV and BCG can still be used even after 6 hours of being reconstituted
danger signs need URGENT referral to a hospital. They may need life saving treatment 38. Which of the following vaccines need to be stored in the refrigerator compartment?
with injectible antibiotics, oxygen and other treatments which may not be available in a. AMV and BCG b. OPV and DPT
the health center. The following questions apply. c. BCG and Hepa B d. AMV and Tetanus toxoid
26. Nurse Rob is CORRECT in identifying general danger signs which INCLUDE the Situation: According to reports, there are more women giving birth at home (58.5%)
following BUT ONE: than in the health facilities. Majority of these deliveries are without skilled attendance.
a. Convulsion b. Vomiting c. High grade fever d. This means that many women and their babies still lack access to life-saving obstetrics
Lethargy and neonatal care whenever emergencies occur at the village level. The following
27. The following are guidelines that may be used by the nurse in assessing a child with questions apply.
danger signs. Which is INCORRECT? 39. There are three barriers to timely access on proper health care. Which of the
a. If a child is too weak to drink and is not able to suckle or swallow when offered a following is not included?
drink or breast milk consider it as a danger sign: UNABLE TO DRINK OR a. delay in seeking care b. delay in receiving appropriate care
BREASTFEED c. delay in reaching appropriate facilities d. delay in budget appropriations in health care
b. A child who vomits several times but can hold down some fluids does not have a 40. Basic Emergency Obstetric and Newborn Care (BEmONC) is one of the strategies
general danger sign devise by the DOH in order to help reduce maternal mortality. Which of the following is
c. A child who is abnormally sleepy or difficult to awaken or is lethargic does not respond not a service provided by a BEmONC facility?
when he is touched, shaken or spoken to a. administration of oxytocin, anticonvulsants and antibiotics b. blood transfusion
d. Ask the mother of a child with history of convulsion if the child loses consciousness c. assisted delivery d. removal of retained placenta
during the incident. 41. In order to ensure availability of obstetric emergency care services, it is ideal that 1
e. None of the above CEmONC facility will be able to cater how many individuals?
28. If a child present any of the danger signs, the following interventions must be a. 125, 000 b. 500, 000 c. 300, 000 d. 400, 000
accomplished except: Situation: Alternative medicine includes the use of herbal medicines, acupressure,
a. Complete the assessment acupuncture, and aromatherapy to name a few.
b. Give the first dose of appropriate antibiotic and other pre-referral treatment 42. A group of patient in the community is seeking the help of the community health
c. Refer the child immediately nurse on the appropriate herbal medicine to use. Which of the following patients require
d. If the child has severe dehydration, initiate PLAN C and then refer the child a need for further teaching?
immediately a. a patient with insect bite using yerba buena
29. Which of the following antibiotic can be used if the child is unable to take oral b. a patient with edema using sambong
preparation due to vomiting and inability to drink? c. a patient with fungal infection using akapulko
a. Intramascular gentamicin b. Intravenous benzylpenicillin d. a patient with headache using bawang
c. Amoxicillin syrup d. Penicillin suspension 43. You gave them the following instructions when using herbal medicines, except:
30. When giving intramascular antibiotic the following guidelines must not be observed a. do not use insecticides when growing the plants
except: b. do not cover when boiling
a. Explain to the mother why the drug is given c. combine 3 herbs in one concoction
b. Use clean needles and syringe d. consult the doctor if the herb is not effective after the 3rd dose
c. Determine the dose appropriate for the client’s height 44. Which of the following herbal plant is used to lower uric acid?
d. Allow the mother to measure the dose and administer the drug a. lagundi b. bayabas c. pancit-pancitan d. sambong
Situation: The Expanded Program on Immunization (EPI) was established in 1976 to 45. Tatang is experiencing muscle and joint pain, which of the ff herbal plants will the
ensure that infants/children and mothers have access to routinely recommended nurse will prescribe?
infant/childhood vaccines. Six vaccine-preventable diseases were initially included in a. yerba Buena b. niyug-niyogan c. bawang d. tsaang gubat
the EPI: tuberculosis, poliomyelitis, diphtheria, tetanus, pertussis and measles. In 1986, Situation: Environmental sanitation is health-related program of the DOH.
21.3% “fully immunized” children less than fourteen months of age based on the EPI 46. The ff laws are related to the environmental sanitation practices in the Philippines.
Comprehensive Program review. The following questions apply. Clean Air act refers to:
31. This law is also known as Mandatory Infants and Children Health Immunization Act a. RA 9003 b. RA 8749 c. PD 856 d. PD 825
of 2011, which requires that all children under five years old be given basic 47. This law is also known as Solid Management Act:
immunization against vaccine-preventable diseases. Specifically, it also mandates that a. RA 9003 b. RA 8749 c. PD 856 d. PD 825
all infants must be given the birth dose of the Hepatitis-B vaccine within 24 hours of 48. A level II water facility produces approximately how much volume per day?
birth. a. 40-140L/min b. 40-80L/min c. 40-140L/capita d. 40-80L/capita
a. RA 10152 b. PD 996 c. PP 1066 d. RA 7846 49. Distance of the farthest house away from a level I water source:
32. Manang Mina brought her 4 month-old child at the health center for her scheduled a. 250 m b. 150 m c. 25 m d. 15 m
vaccines. She expressed her concerns to the public her nurse because her child is 50. Excreta disposal facility which is water-carriage connected to septic tank going
having diarrhea and asked the nurse if it is safe to perform immunization considering through the sewerage system with treatment plan is classified as:
the condition of her child. What will be the best response of the nurse? a. level I b. level II c. level III d. level IV
a. “It is safe to give vaccines even the child has diarrhea.”
b. “Please go back next week hoping that you child has no diarrhea anymore.”
c. “I will refer to the physician if we can give the vaccines today.”
d. “There is no contraindication to immunization.”
33. Which of the following conditions is not true about contraindication to immunization?
a. do not give BCG if the child has known hepatitis
b. do not give BCG if the child has known AIDS
c. do not give DPT to a child who has recurrent convulsion or active neurologic disease
d. do not give DPT2 or DPT3 to a child who has had convulsions within 3 days of DPT1
34. Which of the following vaccine in the Expanded Program of Immunization have at
least 4 weeks interval?
a. OPV b. AMV c. BCG d. Tetanus Toxoid
35. Among the vaccines, OPV and AMV are the most sensitive to heat. Their storage
temperature is:
a. +2 to +80C b. -15 to -250C c. -2 to -80C d. +15 to +250C