A.
To transform LGU’s into self-reliant
CHN POST TEST MT2
Situation: Community Health Nursing is a
very relevant field in the practice of the
healthcare profession and must be
understood through its basic concepts. The
following questions apply to  this.
1. Which of the following is the main
responsibility of the community health
nurse?
1 point
A. To develop health programs
B. To identify high risk population groups
C. To educate the public
D. To supervise the implementation of health
programs
2. Which of the following action of the
community health nurse constitutes health
promotion and disease prevention
activities?
1 point
A. Administration of Streptomycin to a
Tuberculosis patient.
B. Referral of severely dehydrated child in the
hospital.
C. Assessment of school age children for
malnutrition through “Operation Timbang”
D. Teaching pregnant mothers about the
benefits of breastfeeding
3. Health services were devolved to
local government units (LGU’s) for the
following reasons. EXCEPT:
1 point
communities
B. To involve people in the development and
progress of their communities
C. To empower local officials
D. To provide people better access to decision
making
4. A woman in her 3rd month of
pregnancy consulted for the first time at the
health center. Which of the following
nursing actions is done for secondary
prevention?
1 point
A. Checking her blood pressure
B. Administering tetanus toxoid
c. Performing Leopold’s maneuver
d. Giving micronutrient supplements
5. Community health services are
usually preventive in nature. Which of the
following is an example of primary level
prevention?
1 point
A. Operation timbang
B. BantayPresyon Project
c. Health education on diarrhea management
d. Isolation of a patient with measles
6. The nurse is providing tertiary
prevention.  An example of tertiary
prevention is:
1 point
A. Poison control
B. Identifying complication of diabetes
C. Self-examination for breast cancer
D. Marriage counselling
7. PHC promotes use of herbal
medicines and other indigenous resources.
This is within the context of which PHC D. Evaluator
pillar? Situation: Community empowerment is an
1 point important aspect in the work of a
A. Support mechanisms made available community health nurse. The following
B. Use of multisectoral approach questions apply.
c. Promotion of community participation
d. Development of appropriate technology 11. To empower community members,
the community health nurse performs which
8. Primary Health Care approach is
activity?
utilized in planning and implementing public
1 point
health programs. Which is NOT TRUE of
PHC? A. Step back at the beginning and giving little
output
1 point
B. Do all the activities for community members
A. It has the ultimate goal of Health for All C. Define the community needs for the
B. It emphasizes the health care provider role of members
health professionals D. Give ownership and leadership to the
C. It encourages the development and use of community
indigenous resources
D. It means providing essential, acceptable and 12. Descriptors of a healthy community
affordable health care include:
1 point
9. As a health care provider, you utilize
different types of family-nurse contacts. A. Keeping the sub-groups informed of changes
whenever necessary
Which is an advantage of a home visit?
B. A community where the members are
1 point disease free
A. The nurse is able to save time and effort C. Seeking to make all the resources available
B. It emphasizes the family’s initiative in health to all members
care D. The leaders making decision for the
C. Health center equipment may be readily community members
utilized
13. When a community health nurse
D. The nurse is able to observe family
relationships works as a client advocate, the nurse:
1 point
10. The nurse as a community health
A. Uses a passive approach in solving identified
practitioner functions as a community:
problem
1 point B. Is aggressive in pursuing the achievement of
A. Leader the client goals
B. Planner C. Is assertive in speaking and acting on behalf
C. Facilitator of the client
D. Attempts to smooth problems over to keep
the community calm
14. 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?
1 point
A. Discussion
B. Lecture
C. Demonstration
D. Role playing
15. Primary Health Care aims to
strengthen the health care delivery system
by increasing opportunities and supporting
the conditions wherein people will manage
their own health care, as a strategy, what is
its main focus?
1 point
A. Creating multi-sectoral linkages
B. Responsibility for health rests on the
individual, his family and the community
C. Support for frontline health workers
D. Assurance of increasing investment for
health care services
Situation: A home visit is a professional
face to face contact made by the nurses to
the client and the family.
16. Which of the following is priority
factor to determine the frequency of a home
visit?
1 point
A. Acceptance of the family
B. Flexible and practical
C. Available information
D. Policy of the department of health
17. Which of the following is the first step
when conducting a home visit?
1 point
A. Place PHN bag in a convenient place before
performing bag technique
B. Greet client and family and introduce yourself
C. Explain the purpose of the visit
D. Look into detailed aspect of the household
18. A public health nurse bag is essential
and an indispensable tool when the nurse
conducts a home visit. Which of the
following is vital principle in the use of the
bag technique?
1 point
A. The bag, when used in communicable cases,
should be thoroughly cleaned and disinfected
before keeping and reusing
B. It should minimize if not totally prevent the
spread of infection from individuals to families
to the community
C. Arrangements of the contents is convenient
to the user
D. It should contain all the necessary supplies
and equipment
19. Considering the steps and
procedures in bag technique, which side of
the linen or paper lining of the bag is clean
to make a non-contaminated work or area?
1 point
a. Beneath
b. Outside
c. Cover
d. Inside
20. When beginning a relationship with a
family on home visit, the Community Health
Nurse:
1 point
A. Allows the discussion to be open and non-
directional
B. Encourages others to speak for the main
client to get an unbiased view
C. Focuses on the problem of one of the family
member
D. Is accepting and listens carefully to problem
of all family members
SITUATION: The nurse makes use of her
critical thinking skills and applies the
nursing process in identifying community
needs and in developing action plans for
health services.
21. During a home visit Nurse Nene
noted that 3 out of 5 of the children in the
family are lacking in immunization. This
increases their chance of acquiring
infectious diseases. Such problem can be
documented by the nurse as a:
1 point
A. Health threat
B. Health deficit
C. Stress point
D. Foreseeable crisis
22. In response to the nurse’s comment
about her 2-year old son’s underweight,
Mrs. Reyes replied, “Like his brothers and
sisters, he just takes after me and my
husband.” This comment will be considered
in rating which criterion?
1 point
A. Salience
B. Modifiability
C. Preventive potential
D. Nature of the problem
23. Nurse Nene finds that a toddler has
some developmental delays during a home
visit. When looking for a cause or
contributing factor, which of the following
environmental factors would she consider
MOST important to assess?
1 point
A. House pets
B. Lead paint in the crib
C. Presence of asbestos in the home
D. Dust mites in child’s toys
24. While analyzing the data from a
community assessment, the nurse notes
that the segment of the population with the
greatest growth is the group age 65 and
over. What is the primary implication related
to this data? There likely will be an
increased need for
1 point
A. Health services
B. Leisure-time programs
C. Educational opportunities
D. Retirement planning services
25. Based on the population size of your
catchment area, your health center is
supposed to have three midwives. There
are only 2 midwives assigned in the health
center. What type of health problem is this?
1 point
A. Wellness state
B. Health status problem
C. Health resource problem
D. Health-related problem
SITUATION: Community organizing plays
an important role in building the capabilities
of people for empowerment.
26. The strategy to attain the principle of
accessibility, availability of health services
1 point
A. Indigenous/resident volunteer workers must
be trained by health care providers
B. The community uses local resources
C. Mass health campaign and mobilization to
combat health problems
D. Incorporation of income generating projects
27. Nurse Isabel is choosing an activity
that will facilitate integration into the
community. The appropriate activity for this
is to:
1 point
A. Organize a mahjong session
B. Encourage clinic visits to every people
C. Participate during harvesting
D. Act like a visitor
28. Nurse Isabel is training a group of
community health officers in conducting an
action-reflection-action session. She is in
what phase of the COPAR process?
1 point
A. Sustenance and strengthening phase
B. Pre-Entry phase
C. Community organization and capability
building
D. Entry phase
29. Community organizing is an enabling
process where after some time the
community organizers leave the community
and the people’s organization takes over.
Hence, the relationship between the
community organizer and the people should
be a temporary one. This is period is
referred to as:
1 point
A. Turn-over and phase-out
B. Reflection
C. Evaluation
D. Mobilization
30. Community development advocates
the principles of self-help and the voluntary
participation of the people of the
community. Community development rests
upon certain assumptions, this does not
include:
1 point
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 individuals are the basic
values in a democratic society
SITUATION: Community organizing is a
process by which people, health services
and agencies of the community are brought
together to act and solve their own
problems.
31. Mang Andoy approaches you for
counseling. You are an effective counselor
if you:
1 point
A. Give good advice to MangAndoy
B. Identify MangAndoy’s problems decision in accordance with the set criteria.
C. Help Mang Andoy identify his problems
Before they can be trained by the nurse, the
D. Convince MangAndoy to follow your advice
nurse must first:
32. The most important factor in 1 point
determining the proper area for community
A. Make a lesson plan
organizing is that this area should: B. Assess their learning needs
1 point C. Set learning goals and objective
D. Review materials needed for training
A. Be already adopted by another organization
B. Be able to finance the projects Situation: The following are 2015 data of
C. Have people with expertise to be developed
your community:
as leaders
D. Have problems and needs assistance

33. Which of the following dwelling place

should the nurse choose when integrating
with the people?
1 point

A. A modest dwelling place where people will

not hesitate to enter located in the center of the
community
B. A simple house in the border of Barangay 36. What is the crude birth rate?
Tinago and San Pablo 1 point
C. A simple house with fencing and gate
located in the center of Barangay Tinago a. 20 / 1000
D. A modest dwelling place where people will b. 2 / 1000
not hesitate to enter c. 20%
d. 2%
34. In choosing a leader in the
37. What is the crude death rate?
community during the organizational phase,
1 point
which among these people will you choose?
1 point
a. 1.66 / 1000
b. 16.6/ 1000
A. Ricky, 30 years old, influential and willing to c. 16%
work for the desired change d. 166
B. Miguel Zobel, 50 years old, rich and famous
C. Rustom, 27 years old, Actor 38. Compute for prevalence rate of TB:
D. Manong Pepe, 70, willing to work for the 1 point
desired change
a. 20 / 1000
35. The people named the community b. 2 / 1000
health workers based on the collective c. 20%
d. 2 4. Measles vaccine
A. 1, 2
39. Maternal mortality rate: B. 1, 3
1 point C. 2, 3
D. 2, 4
a. 13%
b. 1.3% 43. All of the following vaccines are
c. 13 / 1000 included in the Pentavalent formulation
d. 1.3 / 1000
EXCEPT?
40. Cause specific mortality rate for TB 1 point
1 point A. Hepa B vaccine
a. 20 / 1000 B. DPT
b. 2 / 1000 C. HIb vaccine
c. 5 / 10,000 D. OPV
d. 5 / 1000
44. Which of the following vaccines was
SITUATION: The Expanded Program on added in the new schedule of immunization
Immunization has reduced morbidity and in our country with the end in mind of
mortality among young children. The reducing cases of meningitis among
following questions are relevant to this children?
program. 1 point

41. You are aware that parental consent A. Hepa B vaccine

for the immunization is not needed. This is B. DPT vaccine
C. HIb vaccine
based on which legal document? D. OPV
1 point
45. Immunization aims to reduce the
A. R.A. 7846
number of deaths among children under 5
B. PD 996
C. P.D. 856 years of age and therefore contribute to the
D. RA 10152 achievement of?
1 point
42. To maintain the cold chain, which
vaccines/toxoids should be stored in the A. HFA by the year 2000
refrigerator compartment at a temperature B. MDG
C. AHA
of +2 C to +8C? D. FourmulaOne
1 point
46. Among the biologicals given in the
1. BCG
EPI, which contains killed microorganisms?
2. OPV
3. PentaHIb 1 point
A. BCG A. The vaccine will create a scar
B. RNA recombinant Hepatitis B vaccine B. The infant will have fever
c. OPV C. A small red nodule will appear after two
d. PentaHib weeks
D. The child will develop rashes
47. Which biologicals are freeze-dried
and therefore require the use of a diluent? 51. Children with which condition cannot
1 point
be given immunization?
1 point
1. OPV
2. PentaHib A. Cough and colds
3. BCG B. Fever of 39 degrees Celsius
4. Measles vaccine C. Diarrhea without dehydration
a. 1 and 2 D. Malnutrition
b. 2 and 3
c. 1 and 3 52. During an Operation Timbang, you
d. 3 and 4 observed a 1 ½ year old child having
normal weight for age. However, he has
48. What type of immunity does a baby
bipedal edema. Which of the following signs
develop after tetanus toxoid immunization
indicates that this child has kwashiorkor?
of his mother?
1 point
1 point
A. Apathy
A. Active natural
B. Severe wasting
B. Active artificial
c. Skin dryness and flaking
c. Passive natural
d. Old man’s look
d. Passive artificial
53. You also examined Sofia for signs of
49. A woman has received 4 doses of
vitamin A deficiency. Which of the following
tetanus toxoid. Thereafter, her baby will
is the earliest visible sign of vitamin A
have immunity against tetanus lasting for
deficiency?
how long?
1 point
1 point
A. Night blindness
A. 9 months
B. Conjunctival dryness
b. 3 years
c. Photophobia
c. 5 years
d. Bitot’s spots
d. 10 years
54. One of the children was classified
50. Before giving BCG, you will inform
under the category of third degree under-
the mother of the following expected
nutrition. What is the best management that
reactions except:
you can provide to this child?
1 point
1 point
A. Refer him urgently to a hospital.
B. Provide nutrition education to his mother.
C. Assess him for other forms of malnutrition,
such as vitamin A deficiency.
D. Give him priority in a feeding program.
55. A mother brought her 8-month old
child to the health center. Which
supplement can you give to the child?
1 point
A. Retinol 200,000 IU
B. Retinol 100,000 IU
c. Ferrous sulfate 100 mg
d. Potassium iodate 200 mg.
SITUATION: Nurse Samantha is a
"Bakunador" for the "Iligtas sa Tigdas ang
Pinas" campaign of the DOH
56. Nurse Samantha knocked on the
door of a household and had the
opportunity to talk to the head of the family
which is coincidentally the mother of 5
children, in which all are within 8 years of
age. Nurse Samantha stated the purpose of
her visit and upon hearing the word
"vaccination", the mother hesitantly said
that she does not want her children to be
vaccinated. What would be the best action
of the nurse?
1 point
A. Educate further the mother
B. Get inside the house and vaccinate the
children
C. Leave the household
D. Report the mother to the area program
coordinator
57. The DOH Secretary stated that "it
costs between P500 to P15,000 to treat a
child with measles, but preventing measles
through vaccination is free. Vaccination has
side-effects however the benefit outweighs
the risk." In realizing this statement, which
ethical principle should be in the mind of
Nurse Samantha during the campaign as a
driving force to convince hesitant mothers?
1 point
A. Epikia
B. Double effect
C. Beneficence
D. Autonomy
58. The strategy of the vaccination
teams is to focus on reaching the poorest of
the poor, the hardest to reach areas and the
marginalized sectors. This exhibits:
1 point
A. Totality
B. Epikeia
C. Fidelity
D. Justice
59. Nurse Samantha has walked many
miles in search of legible children within
Barangay Sisa. As she walks, she makes
sure that the MMR (Measles-Rubella)
vaccine is in adherence to the cold chain.
Nurse Samantha is exhibiting?
1 point
A. Autonomy
B. Non-maleficence
C. Beneficence
D. Fidelity
60. Nurse Samantha saw several 1 point
"eligible" children playing in the park. The A. 4 weeks
best action of Nurse Samantha is: B. 6 weeks
1 point c. 6 months
d. 1 year
A. Vaccinate the children
B. Ask the children whether they wanted to be 63. She told you of a neighbor friend
vaccinated who delivered her baby yesterday after
C. Conduct health teaching on the playground
receiving only one dose of the “bakuna”
D. Assist and follow the children in going home
(referring to tetanus toxoid). What will be
SITUATION: The Maternal and Child Health your best response?
(MCH) is one of the flagship programs of 1 point
the DOH, in realization of the MDG of
A. “I’m sorry. It’s too late. There’s nothing we
lowering the maternal and infant mortality can do about it now.”
rate in the country. B. “Tell her to come to the health center for the
second dose as soon as possible.”
61. Mrs. Batungbakal verbalized, “I’m C. “Let’s just pray that her baby will not develop
flat-chested. Do you think I’ll have enough a serious disease.”
milk for my baby?” Which is your most D. “If her baby develops tetanus, it’s because of
appropriate response? lack of immunization.”

1 point 64. A major objective of the maternal

A. “Don’t worry. I’ll teach you exercises that will care program is the establishment of the
make your breasts large enough to produce BEMOCs, which of the following services
enough milk in time for your delivery.” are offered by the BEMOCs.
B. “I’ll teach you nipple stretching and nipple
1 point
rolling exercises. These will ensure that you will
be able to breastfeed.” 1. Administration of antibiotics, oxytocics and
C. “That’s why I’m glad you consulted while the anticonvulsants
pregnancy is still young and while there is 2. Manual removal of the placenta
something that can be done about it.” 3. Removal of retained products following
D. “The size of the breasts does not affect milk miscarriage or abortion
production. What’s important is you can make 4. Assisted vaginal delivery, with vacuum
the baby suck effectively.” extractor
A. 1 2 3
62. On her second visit, you were able to B. 1 3 4
give Mrs. Batungbakal her second dose of C. 2 3 4
tetanus toxoid. She asked you when she is D. all of these
supposed to receive her third dose. You will
65. Right after her delivery, you visited
say after _____________.
Mrs Roxas at home. You informed her of
the availability of Newborn Screening in the
Provincial Hospital. You encourage her
guided by the knowledge that the Newborn
Screening is a test for the early detection of
the following congenital illness except:
1 point
A. Congenital Hypothyroidism
B. Congenital Adrenal Hyperplasia
C. Congenital Mental Retardation
D. Galactosemia
Situation:  After delivery, the PHN visits the
post-partum mother for follow up. The nurse
is planning to teach her how to care for
herself and her newborn.
66. The nurse assesses the patient after
delivery. What data would suggest that the
woman is at increased risk for hemorrhage?
1 point
A. Infant birth weight of 7 lbs 11 oz (3487g)
B. Gravida 7 Para 5
C. 8 hours length of labor
D. History of gestational diabetes
67. In preparing the post partum mother
for breastfeeding, you will teach her that the
following are signs of proper breastfeeding
technique except?
1 point
A. The baby’s mouth is wide open
B. Only the nipple is inside the mouth
C. The baby is relaxed and happy
D. The mother feels no nipple pain
68. The post-partum mother complained
of cracked nipple.  Hence, she cannot
breastfeed her baby well.  You will respond
to this by advising the following except:
1 point
A. Take amoxicillin antibiotics for 7 days
B. Keep the baby’s mouth on correct position
C. Start feeding on a nipple that has no sore
D. Help the baby to fix on the nipple and the
areola
69. Which of the following is an
important message for the mothers after
delivery:
1 point
A. Sometimes breasts feel soft. Give
breastfeeding in between.
B. Baby cries sometimes. This means the
breast milk is not sufficient
C. Supplementary feeding should be started as
early as 3 months old
D. Continue breastfeeding alone until the baby
is 6 months
70. Which of the following is NOT TRUE
about home care for all sick infants?
1 point
A. Make sure the young infant stays cool at all
times
B. Breastfeed frequently, day and night during
sickness and health
C. Blood in the stool needs to be reported
D. Bring the infant to the clinic if he/she shows
sign of difficulty of breathing
Situation: One of the flagship programs of
the DOH is the National Tuberculosis
Program through DOTS.
71. In the National TB Program, PTB
suspects are encouraged to have sputum
examination. In addition to cough for 2
weeks or more, what other signs will make
a person a PTB suspect?
1 point
i. fever for 1 month or more
ii. progressive, unexplained weight loss
iii. chest pain for 2 weeks or more
iv. hematemesis
a. 1, 2, 3
b. 1, 3, 4
c. 2, 3, 4
d. 1, 2, 3, 4
72. One of the additional drugs ordered
by the physician is Pyrazinamide (PZA).
The nurse evaluates that the teaching
concerning the drug was effective when the
client says “I will:
1 point
A. Take the medication 2 hours after meals
B. Report any changes in my vision to the
physician
c. Drink at least 2 quarts of fluid per day
d. Expect discoloration in my secretions
c. Pyridoxine
d. Niacin
75. What is the rationale that supports
multi-drug treatment for clients with
tuberculosis?
1 point
A. multiple drug potentiate the drug's actions
B. multiple drugs reduce undesirable drug side
effects
C. multiple drugs allow reduced drug dosages
to be given
D. multiple drugs reduce development of
resistant strains of bacteria
SITUATION: Nurses must be
knowledgeable about the policies and
standards in carrying out various public
health programs.
76. Which community program would
best encourage the use of herbal
medicines?
1 point

73. What is an adverse effect of A. Adopt-a-tree program

Isoniazid, a drug used in treatment of B. Consult an albularyo
C. Clean and Green program
tuberculosis?
D. Backyard herbal gardening
1 point
77. A client experiencing stomach ache.
A. Optic neuritis
B. Color blindness Nurse Queen suggest to her mother to
c. Peripheral neuropathy obtain which herbal medicines in their
d. Nephrotoxicity backyard?
74.  Such problem identified above can 1 point

be prevented by giving the client with which A. Ginger solution

of the following? B. Bayabas solution
C. Tsaang gubat solution
1 point
D. None of these
A. Folic Acid
B. Cobalamin
78. The three R’s to be emphasized in
line with solid waste management are:
1 point
A. Reduce Reuse Recycle
B. Recycle Reuse Reduce
C. Reuse Recycle Reduce
D. Refuse Recycle Reuse
79. Food establishments in the
community shall be appraised for their
sanity conditions. Which of the following is
important for a cook or cook helpers to
have?
1 point
A. Approval of all food sources
B. Compliance to sanity permit
C. Updated health certificate
81. The IMCI strategy was formulated as
a response to prevent unnecessary deaths
of children from Pneumonia and Diarrhea.
All of the following are considered as goals
of the strategy which one is NOT?
1 point
A. Improvement of the HCDS
B. Improvement of health service delivery
through devolution
C. Improvement of skills of health workers
D. Improvement of family and community
practices
82. Which of the following levels of
prevention best exemplifies the use of the
IMCI strategy?
1 point

D. Inspector’s permit A. Primary

B. Secondary
80. Which of the following statistical data
C. Tertiary
is the most sensitive indicator of the total D. Emergency
health status of the community?
83. In observance of the principles of
1 point
ETAT, IMCI uses a tri-color classification
a. Prevalence Rate system that includes all of the following
b. Infant Mortality Rate
c. Proportionate Death rate
EXCEPT?
d. Case Fatality rate 1 point

SITUATION: The infant and child mortality A. Red

B. Yellow
rate in low to middle income countries is ten
C. Green
times higher than industrialized countries. In D. Pink
response to this, the WHO and UNICEF
84. Which of the following is NOT true in
launched the protocol Integrated
IMCI?
Management of Childhood Illnesses to
1 point
reduce the morbidity and mortality against
childhood illnesses. A. All sick children must be examined for
“general danger signs” which indicate the need
for immediate referral or admission to the
hospital.
B. All sick children must be assessed for main fever of 4 days duration. In your interview,
symptoms
you learned that his mother brought him for
C. IMCI makes use of advance and extensive
treatments and drugs a visit to his grandparents who reside in
D. The IMCI guidelines address most, but not Palawan. Jay-Ar will also be assessed for
all, of the major reasons a sick child is brought which of the following?
to the clinic
1 point
85. Which case if placed under the pink 1. Stiff neck
category in IMCI should not be brought to a 2. Blood smear
medical facility immediately? 3. Tourniquet test
4. Persistent abdominal pain
1 point
A. 1, 2, 3
A. Severe dehydration B. 1, 2, 4
B. Severe Pneumonia C. 2, 3, 4
C. Very severe febrile disease D. 1, 2, 3, 4
D. A child with a general danger sign
88. Audrey, 1 ½ years old, was brought
SITUATION: Integrated Management of to the health center because of cough.
Childhood Illness (IMCI) reduces mortality Which sign indicates that she may have
due to common childhood diseases. The home management with antibiotics?
following are questions about IMCI. 1 point

86. Marlene, 11 months old, was brought A. Stridor

by her mother for the first time to the health
center because of fever. Upon examination
for general danger signs, you learned that
Marlene is unable to drink. Relevant to this
finding, what is the next best thing that you
can do?
1 point
B. Chest indrawing
C. Respiratory rate = 44/minute
D. Cough that has lasted for 30 days or more
89. Santino, 8 months old, has been
having diarrhea for 6 days. Which signs
indicate severe dehydration?
1 point

A. Refer the child urgently to a hospital 1. Eyes are sunken

B. Assess the child for other signs of 2. The child is irritable
dehydration 3. Skin pinch goes back slowly
C. Start treatment with oral rehydrating salt 4. The child is not able to breastfeed
solution A. 1, 2
D. Start intravenous fluid therapy using B. 1, 4
Lactated Ringer’s solution C. 2, 3
D. 2, 4
87. 2-year old Jay-Ar was brought by his
mother to the health center because of
90. Based on your findings, you
classified a 3-month old infant with diarrhea
as having severe dehydration. What
management will be done for this infant?
1 point
A. Refer the infant urgently to a hospital.
B. Give the infant 200 to 400 ml of Oresol in 4
hours.
C. Start giving intravenous replacement fluids
as soon as possible.
D. Give the infant 50 to 100 ml of Oresol after
each loose bowel movement.
SITUATION: The nurse coordinates with
the Sanitary inspector in the implementation
of the Environmental sanitation programs in
the community.
91. This type of water supply facility is
composed of a source reservoir, a piped
distribution network & communal faucets
and is located not more than 25 meter from
the farthest house
1 point
A. Level 1
B. Level 2
C. Level 3
D. Level 4
92. Chemical disinfection is the most
commonly used water treatment. In rural
areas, the cheapest and the most
commonly used water treatment in the
household is:
1 point
A. Boiling
B. Filtration
C. Floculation
D. Sedimentation
93. Based from the monthly report in the
RHU, there is a high incidence of diarrhea
in the community. The nurse should refer to
the Rural Sanitary Inspector (RSI) to
conduct:
1 point
A. Physical Analysis
B. Chemical Analysis
C. Bacteriological Analysis
D. Radiological Analysis
94. During the home visit, the nurse
inspects the toilet facility of the family.  The
nurse would conclude that it is acceptable
because:
1 point
1. Clean, does not emit any undesirable odor
2. Made from local materials in the community
3. Easy to clean and has aesthetic appearance
4. Has cover against animals & insects
5. Provides desirable privacy
A. 1, 2, 3, 4
B. 1, 2, 3, 5
C. 1, 3, 4, 5
D. 1, 2, 3, 4, 5
95. This method of refuse disposal is
discouraged because of the danger of
seepage that will contaminate water tablets.
1 point
A. Land fill
B. Recycling
C. Incineration
D. Dumping
Situation: You are now in the entry phase of
community organizing process, after
establishing rapport with the people in
Barangay Purong Kasarinlan. The following
questions apply.
96. With the community health activities
started and in the ENTRY PHASE, which of
these activities should NOT be included?
1 point
A. Conduct of deepening social investigation
B. Information campaign on health programs
C. Project management
D. Core group formation
97. Identification of potential leaders is
crucial during the entry phase. Which of
these characteristics may NOT be
necessary to an efficient and effective
community leader?
1 point
A. Responsive and willing to work for change
B. A college graduate with management skills
C. Must have relatively good communication
skills
D. A respected member of the community
98. The BEST technique in identifying
potential leaders in the community proven
to be effective is to:
1 point
99. The core group is composed of
individuals in the community who possess
leadership potentials organized into a
cohesive working unit. The core group
works with the team in:
1 point
A. Setting-up community organization that will
serve the interest of a sector in the community
B. Selecting community activities according to
their preferences
C. Monitoring the performance of the
barangays officials
D. Mobilizing the community to act on their
most immediate felt needs and participate in
the delivery of essential health services
100. When mobilizing the community, the
nurse must ensure maximum participation
of the community members.  This can be
done by:
1 point
A. Situating the activity in their experiences
B. Invite local officials as observers
C. Give monetary rewards to participants
D. Punish members who will not participate

A. Ask volunteers who are willing to become

community leaders
B. Ask community residents to directly name
person whom they consider as community
leaders
C. Review family background, properties and
academic records of community residents
D. Observe people who are active in small
mobilization activities that motivate residents
to start working