JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

Directions: Each question lists 4-5 possible answers. Choose the one that best answers the question and shade the
letter of the best answer on the separate answer card provided. Use ballpen in writing and pencil in shading. Avoid
making any form of erasures.

Situation – The nurse is involved in community organizing activities of Barangay Malusog. The following questions
pertain to this situation.

1. The nurse makes an ocular survey of Barangay Malusog. Upon reaching the barangay, it is appropriate for her
to:
a. Encourage community involvement
b. Introduce self to the community
c. Assemble community members for a meeting
d. Pay a visit to the barangay captain

2. Carrying out the planned activities involving maximum community participation is referred to as:

a. Community assembly
b. Mobilization
c. Community organization
d. Integration

3. To ensure collective participation of the people, community organization should be formed through a
community assembly. The purposes of having community assemblies are the following EXCEPT:
a. Undertake measures to solve existing problems of the community
b. Help people identify their own problem
c. Gain cooperation, pledge support and work together their own
d. Plan for solution of identified problem/s

4. Which of the following approaches is the BEST in applying community organization in Community Health?
a. Community-oriented organization
b. Primary Health Care
c. Community Development
d. Universal Health Care

5. Community organizing ends when the community is already self-reliant. This signals that the community
organizers are now ready to pull out of the community because:
a. It indicates that community organization is finished
b. It can evaluate the outcomes of the programs
c. It will prevent dependency of the community
d. Organizers can expand to other poor communities

Situation – The occurrence of non-communicable diseases (NCDs) is on the rise and is attributed to the changing
lifestyle of the Filipinos. The major NCs are cardiovascular diseases (CVDs), cancer, chronic obstructive pulmonary
disease (COPD) and diabetes mellitus (Dm). The community health nurse can help address these problems.

6. The major risk factors common to the above mentioned 4 major NCDs are:
a. Obesity, sedentary lifestyle and smoking
b. Unhealthy diet, alcoholism, and sedentary lifestyle
c. Hypertension, sedentary lifestyle and poor stress management
d. Unhealthy diet, physical inactivity and smoking
JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

7. The Filipino Food Guide Pyramid strongly emphasizes the need for:
1. Ensuring variety of foods everyday
2. Eating diet low in fats and sugar
3. Maintaining specific daily serving of food groups
4. Ensuring that bulk of our diet consists of water, grains, vegetables and fruits
5. Avoiding poor eating habits

a. 1 and 2 only c. 1,2,3,and 4

b. 1,2,3,4 and 5 d. 1,2, and 3

8. Diabetes has become a major problem. The nurses can help to reduce the incidence of diabetes by?
a. Establishing of organization among diabetes patients
b. Extensive screening of diabetes patients
c. Increasing the community awareness of diabetes prevention
d. Helping implement Republic Act 8191 – National Diabetes Act

9. The learning process whereby knowledge, attitudes and practice of the people are changed to improve the
health of individuals, families and communities is:
a. Disease prevention
b. Counseling
c. Motivation
d. Health education

10. The BEST strategies to address the nutrition problems of Filipinos related to Non-Communicable diseases are
the following EXCEPT:
a. Consider food preferences of family members
b. Aim for ideal body weight
c. Build healthy nutrition-related practices
d. Choose food wisely

Situation – In the practice of Community Health Nursing the nurse utilizes specialized knowledge and skills and
collaboration with other governmental and non-government agencies. The concept of Primary Health Care and
Health Promotion are crucial in community health development.

11. Which does NOT describe primary health care?

a. It stresses the use of appropriate technology
b. It emphasizes partnership between health care providers and the people
c. It aims to provide free health service to the people
d. It is a total approach to community development

12. Primary Health care advocates for the use of appropriate technology in the delivery of health services. This is
demonstrated by any of the following EXCEPT:
a. Teaching mothers how to prepare low-cost, easily digestible and highly nutritious protein powders to
feed children with malnutrition
b. Use of komiks in information and educational campaign against dengue
c. Use of Bayabas/Guava for washing wounds and for diarrhea
d. Use of portable X-ray machines in far-flung communities

13. Which of the following is a mark of success in primary health care?

a. Barangay officials participate actively in health-related activity
b. The people are able to attain the highest level of health through their own effort
c. The people utilize health service according to their needs
d. Health workers are able to provide efficient and acceptable service.
JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

14. Accessibility of health service implies that:

a. Health care providers maximize the service of traditional healers whom people commonly approach
for health problems
b. The people and the government can afford the health services being provided
c. Health service providers are within 5 kilometers from most of the catchment population
d. Health services are available in health facilities on a round the clock basis

15. A major lesson of the Alma-Ata and the different charters of health promotion is that:
a. Health workers must be effective in advocacy and mediation to enable the people to gain control over
their lives
b. Community participation is a fundamental requirement to achieve health and sustainable development
c. Creation of supportive environment is crucial to achieving health and sustainable development
d. Meaningful improvements in the socioeconomic determinants of health are required to have
significant improvements in people’s health

Situation – For safety and quality purposes, it is equally important to be mindful of the roles and functions and the
instituted systems and procedures in relation to the practices of Community Health Nursing (CHN). The following
questions apply.

16. The basic unit of care in CHN is:

a. Community
b. Groups
c. Family
d. Individual client

17. The most important role of a community health nurse is in the area of:
a. Change agent
b. Health education
c. Advocacy
d. Care provider

18. The focus of activities in specific protection is a level of prevention classified is:
a. Secondary intervention
b. Intervention prevention
c. Tertiary prevention
d. Primary prevention

19. In-patient and diagnostic care including surgery belongs to what level of health care?
a. Secondary level
b. Tertiary level
c. Primary level
d. Specialized level

20. PRIMARY HEALTH CARE embraces all of the following concepts, EXCEPT:
a. People’s participation is essential
b. Community organizing as the core of PHC
c. Use of appropriate technology
d. It is an approach to provide the basic needs of the community

Situation – Community Organizing and Participatory Research (COPAR) may be seen as an important tool in
moves towards quality improvement at the community level. Shaula is a senior nursing student assigned in the
municipality of Sta. Maria for her intensive community health nursing practice. The following questions apply.
JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

21. Shaula needs to establish rapport with people of Sta. Maria and establish mutual trust with them in order that
she may undertake the necessary Community organizing task. Shaula believes that it is important for her to live
with the people and imbibe appropriate community lifestyles. This is part of the process known as:
a. Community diagnosis
b. Networking
c. Social preparation
d. Community integration

22. The conduct of community-based health nursing intervention, Shaula must be aware that Participatory Action
Research (PAR) is delineable from traditional research based on the following differences, EXCEPT:
a. The researcher in traditional research is a professional whereas the task of identifying the community
health problem in PAR is done by the nurse with the community people involved in data collection
and collation
b. Community people are just merely study subjects in traditional research whereas in PAR, they are
both subjects and researchers at the same time
c. Traditional research is not conducive to subsequent actions compared to the results from PAR
d. Traditional research makes use of qualitative methods whereas PAR does not adhere to a standard
design

23. The integral part of the Participatory Action Research (PAR) is Community Organizing. Which of the
following statement about Community Health Organization (CHO) is TRUE?
a. The leader of the CHO should emanate from the core group formed
b. The CHO structure may take various forms and shape depending on the conditions prevailing in the
community
c. The CHO should develop a monitoring scheme on the community projects implemented
d. The building foundation of the CHO is the core group formed by the nurse mainly composed of well-
educated individuals

24. In community organizing and participatory action research (COPAR), a supervisory plan would work out well
to ensure that work is done effectively by the Community Health Worker (CHW). Which of the following
would be an initial activity of Shaula to ensure effective supervision of community health workers?
a. Identify indicators for evaluation
b. Assess availability of resources needed to meet the identified need of the BHW
c. Set learning goal and objectives with the BHW
d. Interview co-worker and client of the BHW

25. Shaula is fully aware that RHWs need to be trained in order for them to be effective partners of health care
delivery at the community level. Blood pressure and temperature taking and the knowledge on common
illnesses as well as their respective preventions are provided at what level of CHW training?
a. Level II
b. Level III
c. Level I
d. Level IV
EPI
26. Which of the following statements is not true about TT immunization?
A. TT1 and TT2 are ideally administered within the first trimester
B. TT3 will confer 99%, 10-year protection for the mother and all her infants
C. TT5 gives lifetime protection for the mother
D. All of the above

27. All of the following statements regarding postpartum care visits are true, except:
A. The first visit should be within the 1st week post partum
B. The second visit should be done by the 4th week postpartum
C. The first visit is preferably done within 3-5 days post partum
D. The second visit should be done by the 6th week postpartum
JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

28. During your rotation in the health center, a mother carrying an infant approaches you. Jacob, her son, is an
infant that she brought to the center for OPV immunization. However, upon further assessment, you find out
that that Jacob has diarrhea for 5 days already. What is your appropriate action?
A. Administer the OPV
B. Defer giving OPV
C. Refer immediately
D. Notify the attending physician

A relevant DOH program addresses community health conditions particularly tuberculosis. Again, safety and quality
remains priority.

29. Directly Observed Treatment Short Course (D.O.T.S.) is inclusive of the following except:
A. Stop resistance to anti-TB drugs
B. Cure TB patients
C. Require hospitalization
D. Prevent new infection among children and adults

30. Which vital statistics relating Tuberculosis (TB) in the Philippines is NOT ACCURATE?
A. The Philippines is among the 22 highly burdened poor countries in the world
B. TB is the 6th leading cause of illness among Filipinos
C. TB is the 6th leading cause of deaths among Filipinos
D. Most TB patients belong to the 0-15 age groups

31. The T.B. – D.O.T.S. elements needing proper implementation include all of the following EXCEPT:
A. Regular supply of anti-TB drugs
B. Supervised treatment by a treatment partner
C. Regular chest x-ray for diagnosis
D. Standardized recording and reporting of TB data

32. We should suspect pulmonary TB if the client exhibits which clinical manifestation?
A. Cough for more than 2 weeks
B. Precordial chest pain
C. Hematemesis
D. Sudden weight loss

Assessment will involve data collection. The PHN analyzes the data in accordance with the nurse’s conception of
the source of the client’s problems and needs that can be met through nursing interventions.
Nurse Angeli is conducting the nursing assessment of the Brandes family. Mr. Brandes is security guard in a public
school and Mrs. Brandes recently lost her job. They have 5 children, ages 9,7,5,3 and 1. They live in a small house
by the railroad tracks. Mr. Brandes was recently diagnosed to have TB. Their house has only 1 room for sleeping
with poor ventilation. The eldest child has chickenpox which he got from a neighbor while the youngest child has
not received any immunizations yet.

33. Health conditions identified by nurse Angeliinthe Brandes family include:

1. Health deficits
2. Wellness state
3. Health threats
4. Foreseeable crises
A. 1,2,3
B. 2,3,4
C. 1,3,4
D. All of the above
JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

34. A health threat is defined as a condition that promotes disease or injury. In the above conditions, Nurse Angeli
would be correct in stating which of the following as health threats?
1. Youngest child with no immunizations
2. Eldest child with chicken pox
3. House with poor ventilation
4. Mother who recently lost her job
5. Father who was diagnosed with TB
A. I and IV
B. II and V
C. I and III
D. IV and V

35. In determining priorities among health conditions, there are four criteria. When Nurse Angeli is determining the
probability of success in minimizing or eradicating the existing problem, she is using which criterion in
prioritization?
A. Nature of the problem
B. Modifiability of the problem
C. Preventive potential
D. Salience

36. Each criterion is multiplied by a given weight and the total, highest possible score a problem may have is 5.
Which of the following criterion should Nurse Angeli give the biggest weight when prioritizing problems?
A. Nature of the problem
B. Modifiability of the problem
C. Preventive potential
D. Salience

37. A cardinal principle in goal setting states that goals must be set jointly with the family.This ensures the
family’s commitment to their realization. There are several barriers as to why the nurse and the family can’t
set goals together. Which of the following will be considered the biggest barrier to collaborative goal setting
between the Nurse Angeliand the BRandesfamily?
a. Failure of the Brandesfamily to perceive the existence of a problem
b. Brandes family refuses to do something about the situation
c. Failure of nurseAngeli to develop a working relationship with the family
d. Failure of the Brandesfamily to see the seriousness of a situation

38. The family nursing care plan is the blueprint of the care that the nurse designs to systematically minimize or
eliminate the health and family nursing problems. All of the following are features of the FNCP, except:
A. The FNCP is based upon identified health and nursing problems
B. The FNCP relates to the future
C. The FNCP is an end in itself
D. The FNCP focuses on actions designed to solve a problem

39. There are specific qualities of a nursing care plan, which help to maximize its effectiveness. FNCP should be
based on a problem, realistic, prepared with the family and in written form. Which quality of the FNCP is
Nurse Angeli adhering to when the FNCP she and the family developed can be implemented with reasonable
chance of success?
A. It should be based on clear, explicit definition of a problem.
B. It is realistic.
C. It is prepared jointly with the family.
D. It is most useful in written form.
JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

40. There are 2 major categories or kinds of nursing interventions and the nature and objective of the intervention
measure. This classification is based on the risk approach to health care and the levels of prevention in public
health work. These 2 categories are anticipatory and compensatory nursing intervention. Who among the
following nurses is performing anticipatory nursing interventions?
A. Nurse Sheena who is organizing a community based rehabilitation program
B. Nurse Mariel who is immunizing the elderly population against pneumonia
C. Nurse Alex who is giving medications to TB patients under the DOTS program
D. All of the above

41. Evaluation of nursing care can be done utilizing several steps. Which is the correct sequence to be followed
when doing evaluation?
1. Decide on type of evaluation and decide what to evaluate.
2. Gather data and analyze.
3. Make conclusions
4. Review client’s problem and the nursing care plan.
5. Define criteria and standards for evaluation.
A. 2,1,4,3,5
B. 4,1,5,2,3
C. 1,4,2,5,3
D. 4,2,1,5,3

NURSING PROCEDURES

42. The bag technique is a tool by which the nurse will be able to perform a nursing procedure with ease and
deftness with the end view of rendering effective nursing care to clients. Nurse Cerya is performing the bag
technique. She is aware that among the following which is considered an important principle of bag technique?
A. The bag should contain all necessary articles.
B. The bag technique can be performed in a variety of ways.
C. The arrangement of the bag’s contents should be what is convenient to the nurse.
D. The bag should be cleaned very often.

43. When a patient visits the Health center to avail of services offered in the heath facility and for consultation on
matters that ailed them physically, the client is showing initiative for health care. The first phase of this
interaction is called the registration/admission. Arrange the following steps done during the first phase
I. Prepare the family record or retrieve the records.
II. Perform physical exam on the client and record it.
III. Greet the client and establish rapport
IV. Elicit and record client’s chief complaint and history
A. III, IV, II, I
B. III, I, IV, II
C. III, IV, I, II
D. III, I, II, IV

44. Home visit is a family nurse contact which allows the health worker to assess the home and family situations in
order to provide the necessary nursing care and health related activities. Nurse Cerya is preparing for a home
visit. Which of the following is not a principle she should consider in planning for a home visit?
A. A home visit should have a purpose
B. A home visit should be conducted in an approach that is set by the health care unit
C. A home visit should revolve and focus on the needs of the client
D. Planning of continuing care for the family should involve the clients themselves
JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

45. One of the principles of in preparing for a home visit is that it should have purpose or objective. On the day of
the first interaction with the family, nurse Cerya is asked by the mother if a home visit is really necessary
because she is embarrassed by the state of their home. Which of the following statements would best describe
the necessity of a home visit?
a. “It is necessary because the health center is often crowded and we will not be able to hear each other
well.”
b. “It is necessary because I can also ask your neighbors about your health problems.”
c. “It is necessary because I would like to see your home environment and your health practices in that
setting.”
d. “It is necessary so I would know where to find you whenever I want.”

FHSIS

46. The Field Health Service and Information System is the system of recording and reporting used in the
community.Nurse Mary is preparing the data of the different diseases in the community. Where will she
include the tally of the diarrheal cases in her barangay?
A. Family Treatment Record
B. Target Client List
C. Reporting forms
D. Output reports

SUBSPECIALTIES OF CHN

47. School nursing is a type of public health nursing that focuses on the promotion and wellness of the students,
teaching and non-teaching personnel of the schools.Nurse Olivia is a newly hired school nurse in Matimyas
Elementary School. She should examine each school child at least how many times a year?
A. once a year
B. once every grading period
C. twice a year
D. as the need arises

Nurse Sarah is a PHN in Barangay Bunga Menor. She is handling the maternal health services in her RHU.

48. Pregnancy poses a risk to the life of every woman. Every woman has to visit the nearest health facility for
antenatal registration and to avail prenatal services. The minimum number of prenatal visits is 4. If the mother
can only have 4 visits, when should Nurse Sarah ask the mother to return for her 2nd prenatal visit?
A. 1st trimester
B. 2nd trimester
C. 6th-7th month
D. 8th month of pregnancy

49. There are other conditions that might occur among pregnant women. These conditions may endanger her health
and complications could occur. Elena, a housewife who is in her 2nd month of pregnancy has intestinal
parasitic infection and comes to the health center for consultation. What should Nurse Sarah do?
A. Give mebendazole as soon as possible to avoid infection of the fetus
B. Give mebendazole on the 4th month of pregnancy regardless of when the previous dose was given
C. Give mebendazole on the 4th month of pregnancy if none was given in the past 6 months
D. Do not give any anti-helminthic as this may cause problems during pregnancy
JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

50. Micronutrient supplementation is vital for pregnant women. These are necessary to prevent anemia, vitamin A
deficiency and other nutritional disorders. Clara is a 24-year old resident of the community. She is on the 4th
month of her first pregnancy. She comes to the health center for her pre-natal check-up. During this visit, which
of the following can the nurse Sarah give to Clara?
a. Tetanus Toxoid vaccine
b. Retinol, 10,000 iu OD for 6months
c. Iron with folate, 2x a week for 6months
d. Retinol, 200,000 iu once during pregnancy
e. A, B, C

51. After delivery, it is important to inform the mother about the following MCH messages: birth registration,
importance of breastfeeding, Newborn Screening, and schedule of postpartum visits.When Clara gives birth,
when should be the recommended schedule for the 2nd post partum visit?
A. 1 week after delivery
B. 2-4 weeks after delivery
C. On the 6th week post partum
D. 4 weeks after the first postpartum visit

52. Neonatal tetanus is one of the public health concerns that we need to address among newborns. A series of 2
doses of TT vaccination must be received by a woman one month before delivery to protect the baby from
neonatal tetanus. Which of the following statements about tetanus toxoid immunization is not true?
A. The TT vaccine of 0.5ml is given to mothers in 5 doses to be considered a FIM.
B. Infants born by the mother with 5 doses of TT vaccine will be protected from neonatal tetanus
C. Mothers who have received 3rd dose of TT vaccine will have 5 years protection from tetanus
D. 2nd dose of TT is given at least 4 months after the first dose

FAMILY PLANNING
Nurse Rachelle is a nurse in the RHU. Several mothers in her community are interested about family planning and
would like to know more about this program.

53. Family planning has four pillars: Birth spacing, Respect for life, Responsible parenthood and Informed choice.
Nurse Rachelle will inform the mothers that the recommended number of years interval between births by the
Family Planning program would be?
A. 1-2 years
B. 2-4 years
C. 3-5 years
D. 4-6 years

54. Fertility Awarenes-Based (FAB) Methods are contraceptive methods hinged on the awareness of the end of the
fertile time of a woman’s menstrual cycle. Nurse Rachelle would be correct in stating that all but one of the
following are examples of FAB methods:
A. Basal Body Temperature
B. Billing’s Method [cerv mucous test]
C. Lactational Amenorrhea Method
D. Standard Days Method

55. The overall goal of Family Planning is to provide universal access to family planning information and services
wherever and whenever these are needed. It addresses the need to help couples achieve their desired family
size within the context of responsible parenthood. Margie, who just gave birth to her 2ndchild came to the
family planning clinic because she was interested in using an intrauterine device for family planning. When
should Nurse Rachelle recommend the device be inserted?
A. At the end of the puerperium
B. Any time within 48 hours after childbirth
C. When the client has menstrual bleeding
D. Immediately after childbirth and before expulsion of the placenta
JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

56. Methods to be used by breastfeeding mothers immediately after birth include: LAM, BTL, IUD and Condom.
Celeste, 6 weeks postpartum is at the RHU for her 2nd postpartum visit. She is exclusively breastfeeding.
Which method of family planning can Nurse Rachelle recommend to Celeste?
A. Combined oral contraceptive pills [pap only proges based]
B. Standard days method
C. DMPA [estro based]
D. Calendar method

57. Male sterilization is one of the 2 permanent methods of family planning. This involves cutting the vas deferens
through a small opening on the scrotal skin. All of the following statements are true with regards to vasectomy,
except:
A. It has no apparent long term health risks.
B. It is very effective 3 months after the procedure
C. It does not affect male hormonal function, erection and ejaculation.
D. It cannot be done in the RHU.

58. Exclusive breastfeeding of infants means giving the baby only breast milk and no other liquids or solids, not
even water. All of the following statements are true with regards to breastfeeding, except:
A. Mothers with mastitis shall continue to breastfeed their infants
B. Mothers with mild to moderate medical problems such as TB who have been adequately treated for at least
2 days shall continue to breastfeed [2 weeks dapat]
C. Mothers who are taking anticancer drugs are not allowed to breastfeed
D. Breastmilk shall be given to all infants who are sick but can tolerate oral and tube feeding

59. When teaching the mother of an infant the correct positioning during breastfeeding, you would include which
of the following items?
i. Show the mother how to hold her infant
ii. Infant’s head and body should be straight
iii. The infant should face the breast, with the nose opposite her nipple
iv. The infant’s body should be close to her body
v. The mother should support only the neck and shoulder
A. All of the above
B. All but v
C. I,ii,iv
D. I,ii,iii

EPI: Nurse Tony is handling the immunization of all children in his barangay every Wednesday.

60. PD 996 requires the compulsory immunization of all children below 8 years of age, against the six childhood
immunizable diseases.Nurse Tony is aware that all of the following statements are true with regards to
vaccinating children, except:
A. It is safe and immunologically effective to administer all EPI vaccines on the same day
B. Use one syringe, one needle per child during vaccination
C. Fever and systemic symptoms result as an abnormal immune response to vaccination
D. Do not immunize a child that needs to be hospitalized.

61. The standard routine immunization schedule for infants is adopted to provide maximum immunity against the
seven vaccine preventable diseases before the child’s first birthday. A 6 weeks old infant was brought to the
health center for her regular well-baby check-up. The infant is to receive her scheduled immunization. Upon
assessment, Nurse Tony noted that the temperature of the child is 38.1C and with no other signs and
symptoms. What is his best course of action?
A. Refer the infant to the hospital
B. Give paracetamol for fever and when the fever is gone, administer the immunization.
C. Give the immunization as scheduled
D. Advise mother to go home and return when the baby’s fever is gone
JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

62. Freeze dried vaccines do not contain preservatives, thus have to be discarded within the day of opening. Which
of the following vaccines are freeze dried and need diluents?
A. Anti-measles vaccine and DPT
B. BCG and DPT
C. BCG and Anti-measles vaccine [freeze dried and needs diluent]
D. Anti-measles vaccine and OPV

63. The nurse has an important role in immunization because every child immunized decreases the susceptibility
of the population to the target diseases. Which of the following is NOT a role of the nurse in the delivery of
immunization services in the community?
a. Manage vaccines properly by following the recommended storage of vaccines.
b. Actively include in the master list the infants eligible for vaccination in the community.
c. Observe clean technique on immunization and maximize the use of the syringe in order to
cut costs.
d. Identify cases of EPI target diseases per standard case definition
64. The common nutritional deficiencies in the country are Vitamin A deficiency, Iron deficiency, and Iodine
deficiency. Infants are given one dose of 100,000 IU of Vitamin A supplementation at the same time they are
given what vaccine?
a. Hep B vaccine (1st dose)
b. BCG vaccine
c. Measles vaccine
d. OPV vaccine (1st dose)

65. Each level of health facility has cold chain equipment for use in the storage of vaccines. Temperature
monitoring of vaccines is done in all levels of health facilities. How many times should Nurse Tony do this?
A. Once, during the morning
B. Once in the afternoon before going home
C. Twice a day, one in the morning and in the afternoon before going home
D. Thrice a day, one in the morning, at noon and in the afternoon before going home

66. Immunization is the process by which vaccines are introduced into the body before infection sets in. vaccines
are administered to induce immunity. There are several general principles to be applied when vaccinating
children. It is a scheduled immunization day at the barangay health center and you are on duty. Vaccination
will NOT be given to which of the following children?
A. Baby Santino, 9 months, classified as low weight for age, who is scheduled to receive a measles vaccination.
B. Baby Josh, 2 months old, with colds for 2 days, who is scheduled to receive OPV.
C. Baby James, 4 months old, scheduled to receive DPT3 and was noted to have convulsions 2 days after receiving
DPT2.
D. Baby Kyla, 1 month old, with mild diarrhea, who is scheduled to receive BCG vaccination.

MICRONUTRIENT SUPPLEMENTATION

67. Children with Malnutrition, severe pneumonia and persistent diarrhea are given Vitamin A capsules
upon diagnosis. How much should Nurse Glenda give to a 2 year old child with cough, chest
indrawing and stridor?
A. 100,000 iu
B. 200,000 iu
C. 600,000 iu
D. 800,000 iu
JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

68. Nina, a 2 year old child is brought to the health center for her well-baby check up. The nurse noted that
Nina has xerophthalmia.Xerophthalmia caused by a severe vitamin A deficiency is described by
pathologic dryness of the eyes and cornea. Based on the guidelines of supplementation, Nina should be
given Vitamin A to treat her xerophthalmia. How much would she receive all in all for treatment of
xerophthalmia?
A. 200,000 IU
B. 400,000 IU
C. 600,000 IU
D.100,000 IU

NEWBORN SCREENING

69. RA 9288 is referred to as the Newborn Screening Act of 2004. Newborn screening is available in
participating health institutions (hospitals, lying-ins, Rural Health Units and Health Centers). If babies are
delivered at home, babies may be brought to the nearest institution offering newborn screening. Nurse
Sarina is aware that newborn screening is ideally done:
A. Within the first 24 hours after birth
B. After 24 hours
C. On the 48th to 72nd hour after birth
D. Anytime after birth

70. Newborn screening is done using the heel prick method, wherein a few drops of blood are taken from the
baby's heel and blotted on a special absorbent filter card. The blood is dried for 4 hours and sent to the
Newborn Screening Laboratory (NBS Lab). Who is allowed to perform this method?
A. Midwife
B. Nurse
C. Physician
D. Any of these

71. Newborn screening (NBS) is a simple procedure to find out if the baby has a congenital metabolic
disorder that may lead to mental retardation and even death if left untreated. Nurse Sarina is teaching
pregnant mothers the importance of NBS. She is correct in stating that this disease could lead to
Kernicterus if not detected:
A. G6PD
B. PKU
C. Congenital adrenal hyperplasia
D. Congenital hypothyroidism

REPRODUCTIVE HEALTH

72. Within the framework of WHO's definition of health as a state of complete physical, mental and social
well-being, and not merely the absence of disease or infirmity, reproductive health addresses the
reproductive processes, functions and system at all stages of life.,Nurse Sarina shows knowledge
regarding the elements of Reproductive health if she states which of the following as the foremost
intervention in attaining reproductive health?
A. Maternal and Child health
B. Prevention and Management of RTI
C. Violence against Women and Children
D. Family planning
JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

73. There are 10 Elements of Reproductive health, four of which are consiered priority elements namely:
Family planning, Maternal and Child health, Prevention of RTIs and Adolescents Reproductive health. At
the same time, there are general guiding principles that govern and design the implementation of all
reproductive health elements and other health related programs and activities. These will include the
following, except:
A. Right based approach
B. Culturally-oriented
C. Gender-responsive
D. Women – centered

74. To encourage community participation, which of the following should a nurse do?
A. Listen when people relate their problems
B. Refer to the doctor for prescription
C. Encourage sponsorship to programs
D. Invite people from civic organization

75. A public health nurse bag is essential and indispensable when a nurse conducts a home visit. Which of the
following is the vital principle in the use of the bag technique?
A. It can be performed in variety of ways.
B. It should minimize or prevent the spread of infection from individuals to families
C. It saves time and effort of the nurse in the performance of nursing procedures
D. It helps to render effective and efficient nursing care in the community with ease and deftness.
E. It prevents the transmission of infection from one house to another.

76. This is an important procedure of the nurse during home visits:

A. Cleaning of the PHN bag whenever to visit a house
B. Arrangement of the contents of the PHN bag
C. Looking for potential business site.
D. Proper hand washing
E. Protecting the PHN bag from the heat and rain.

77. A home visit is a professional interaction between the community health nurse and his patient or the
family. Where should the nurse get available information about the patient or the family to be visited?
A. Diary
B. Target Client List [list ng dadalawin mo]
C. Community profile
D. Family Health Record

78. The initial action of the nurse on a home visit is:

A. Explain the purpose of the visit.
B. Explain the follow-up visit to the family.
C. Greet the client or family members.
D. Place the bag in a flat surface and wash hands.
E. Perform physical assessment and nursing care needed.

79. Home visit is one of the ways by which PHN renders care to the families. Which of the following case
should be visited LAST by the PHN?
A. A pregnant mother on her 3rd trimester
B. The post partum case
C. A patient with typhoid fever
D. A new born baby with the cord still intact
E. An elderly lying in the bed

80. Program of the DOH which primary goal is to ensure affordable, high quality, safe and effective drugs/
medicines and always available especially to the poor.
A. Botika sa paso c. Botika ng barangay
B. Generic Drugs d. GMA Botika
JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

81. One of the member of the family also experiencing rheumatism which is brought about by high uric acid, the
nurse can tell to them that they can use:
A. Niyug-niyogan [helmenthics] D. Ampalaya [diabetes]
B. Ulasimang bato E. Sambong [diuretics]
C. Acapulco [fungal]

82. What is the herbal medicine use to treat asthma, cough and colds?
a. Yerba Buena c. Ampalaya
b. Sambong d. Lagundi

SITUATION: Vital statistics is the systematic study of vital events such as births, deaths, illness, marriage,
separation and divorce.

83. This mortality measures refers to the number of children who die before reaching twenty eight days of age:
a. Incidence Rate c. Infant Mortality Rate
b. Neonatal Mortality Rate d. Fetal Death Rate

84. Which of the following measures the frequency of occurrence of the phenomenon during a given period
of time and which deals with new cases
a. Prevalence rate c. Swaroops index
b. Proportionate mortality rate d. Incidence rate

85. This refers to the total number of livebirths in a given year.

a. Proportionate mortality rate c. Crude Birth rate
b. Prevalence rate d. Incidence rate

86. This serves as a good index of the general health condition of the community.
a. infant mortality rate c. Crude Death rate
b. Prevalence rate d. Incidence rate

87. Which of the following indicates health condition of the population using 50 years of age as an indication?
a. Proportionate Mortality rate c. Crude death rate
b. Swaroops index d. Incidence rate

SITUATION: A patient was brought to the hospital due to on and off high grade fever for 3 days, the patient
was endorsed to your care with an admitting diagnosis of: To rule out malaria.

88. The patient’s wife asked you: “What is the probable cause of his on and off high grade fever?” you will
respond based on the knowledge that:
A. The symptoms occur as a result of platelet destruction
B. RBC rupture leads to periods of intermittent fever
C. The plasma of is infected by the parasite, hence the fever
D. The parasite intermittently hyper stimulates the CNS

89. The physician ordered for a thick and thin smear. The patient asked you of the difference between the two.
Which of the following is an appropriate response?
A. The thick smear identifies the type of malarial species while the thin smear determines parasite
density.
B. Thick smear serves as culture and sensitivity test while the thin smear detects presence of
parasitic eggs in your blood stream.
C. The thick smear determines the presence and percentage of parasite in the blood, while the thin
smear determines the specific species in the blood.
D. The thick smear determines the parasites sensitivity to anti malarial drugs while the thin smear
detects presence of malarial parasites in the blood.
JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

90. Which of the following malarial species has an incubation period of 30 days?
A. Plasmodium Falciparum C. Plasmodium Ovale
B. Plasmodium Malariae D. Plasmodium Vivax

91. The drug of choice for Malaria

A. Chloroquine C. Primaquine
B. Sulfadoxine D. Pyrimethamine

92. The drug given to prevent relapse of malaria.

A. Chloroquine C. Primaquine
B. Sulfadoxine D. Pyrimethamine

Situation: A 4 year old child was brought to the emergency room by her mother. The child is febrile for 2 days
now, with runny nose and cough. The periorbital area appears swollen and the mother stated that the she is
having difficulty in feeding her child.

93. What could be the possible disease of the child?

A. Measles C. German Measles
B. Chickenpox D. Poliomyelitis

94. Based on your answer on number 1, what is the causative agent of the child’s disease?
A. Paramyxovirus C. Varicella Zoster Virus
B. Morbidii virus D. Polio virus

95. You inspect the mouth of the child and noted several inflammatory lesions on the inner cheek. These
lesions are also termed as:
A. Stimsons C. Landry’s sign
B. Koplik’s spot D. Vesicular lesions

96. The mother asks you: “What should I expect on my child’s prognosis?” the appropriate response is:
A. “Your daughter will start to have rashes by next week but it will disappear after a few days.”
B. “Your daughter will have high grade fever within the coming days but you should not worry.”
C. “Your daughter may start to show rashes tomorrow or the day after.”
D. “She will have rashes that will start to appear on the chest and back.”

97. You are rendering health education to the mother, which statement coming from the mother indicates
proper understanding?
A. “I should keep her finger nails untrimmed to avoid skin breaks.”
B. “I will see to it that she does not stay in bed all day to prevent accumulation of fluid in her lungs.”
C. “I should not worry about any ear infection because her disease affects only her lungs.”
D. “I will encourage her baby brother to play with her so that she won’t get bored.”

SITUATION: In the process of taking family history, the nurse discovers that Mang Poldo, the father has PTB.

98. To prevent the spread of PTB to others, the following instruction should be given except:
a. all children should be immunized with BCG
b. Chest X-ray must be done to others
c. Sputum exam may be done to high risk members
d. only children below 1 year should receive BCG

99. Isoniazid (INH) is always given with Pyridoxine

a. For it’s synergestic effect c. To prevent development of resistance
with INH
b. for better absorption of the drug d. To prevent peripheral neuropathy
JULY, 2021 Mock Nurse Licensure Exam Nursing Practice 1- CHN

100. A patient has been exposed to TB. He had mantoux test. The nurse reads the result after 72 hours. Which
of the following responses is interpreted as positive?
a. redness without induration c. 5mm redness
b. 10mm redness d. 10mm induration