ENHANCEMENT PROGRAM

RHEA MALLARI-ESPENORIO RN-MAN

INSTRUCTION: Select the correct answer for each item of the following questions. Mark only one
answer for each item by shading the box corresponding to the letter of your choice on the answer sheet
provided. STRICTLY NO ERASURE ALLOWED. Use pencil No. 2 only.

1. Which of the following agencies will be responsible for the protection and promotion of the
people’s health:
a. DSWD
b. DOH
c. DILG
d. LGU

2. The overriding goal of the Department of Health is:

a. Health sector reform Agenda
b. Primary Health Care
c. Health Care Delivery System
d. Fourmula 1

3. This refers to the framework for the implementation of the Health Sector Reform Agenda:
a. FOURmula One for Health
b. Primary Health Care
c. DOH programs
d. Health Care delivery System

4. Speed, precision and effective coordination towards improving the efficiency, effectiveness and
equity of health care delivery.
a. Health sector reform agenda
b. Fourmula 1
c. Health care delivery system
d. Health financing

5. The following are components or elements of Fourmula 1 except:

a. Health sector reform agenda
b. Health regulation
c. Health financing
d. Good governance
e. None of the above

6. The basic principles to achieve improvement in health include all BUT:

a. Universal access to basic health services must be ensured
b. The health and nutrition of vulnerable groups must be prioritized
c. Performance of the health sector must be enhanced
d. The epidemiological shifting from infectious to degenerative must be managed
e. None of the above

7. It is the network of health facilities and personnel that carry out the task of providing health
services to the people.
a. Phil.Health Care Delivery System
b. Primary health Care
c. DOH
d. Sentrong Sigla Movement
 8. It is a service rendered by a registered nurse in the Local/National Health departments or public
school.

a. Community Organizing
b.Nursing process
c.Community health Nursing
d.Epidemiological process

9. There are two subspecialties of CHN in the Philippines and these are:

1-Private Duty Nursing

2-Clinic Nursing
3-School Health Nursing
4-Occupational Health Nursing
a. 1 and 2
b. 2 and 3
c. 3 and 4
d. 1 and 4
e. 2 and 4

10. As an Occupational health nurse in the industry, you are primarily responsible to:
a. Institute health precautionary measure in preventing accidents (helmets, gloves, mask)
b. Assess each employee for possible respiratory infections
c. Follow-up existing medical problems and appropriate medical referral
d. Health education and awareness dissemination regarding communicable disease

11. The two key elements of Occupational Health programs that the occupational health nurse must
perform are:
1. Health promotion
2. Health protection
3. Emergency treatment
4. Rehabilitation
a. 1, 2
b. 1,2,3
c. 1,2,3,4
d. 1,2,4
e. 1

12. In terms of CHN practice the nurse in the community is trained as:
a.Nurse midwife
b. generalist in nursing
c.practice nursing
d. nurse trainor

13. The philosophy of community health nursing :

a. dignity and worth of a man
b. raise the level of health of the citizenry
c. birthright of health and longevity
d. optimum level of functioning

14. The ultimate goal of community health nursing :

a. dignity and worth of a man
b. raise the level of health of the citizenry
c. birthright of health and longevity
d. optimum level of functioning

15. Which of the following principle of community health nursing is inaccurate:

a. CHN is based on recognized needs of individuals, families and communities
b. In CHN, the family is the unit of service
 c. Health teaching is part and parcel of the responsibility of the community health nurse
d. The community health nurse can work alone even if she is a member of the health team
e. None of the above
16. When a community health nurse works as a client advocate, the nurse:
A. Uses a passive approach in solving identified problem.
B. Is aggressive in pursuing the achievement of the client goals.
C. Is assertive in speaking and acting on behalf of the client.
D. Attempts to smooth problems over to keep the community calm.

17. According to Winslow the main concern of a public health nurse is the prevention of disease,
prolonging of life and promoting physical health and efficiency through which of the following?
a. Determine the spread and occurrence of the disease
b. Political empowerment and assistance
c. Organized community efforts
d. Use of vital health statistics and epidemiology tools
e. None of the above

18. While community health nurses focus on the individual or the family, which of the following do
they also have as their final objective?
a. The well-being of the chronically ill
b. The financial well-being of the family
c. The well-being of the extended family
d. The well-being of the community

19. The following are the duties of the PHN except:

a. conduct of pre or post consultation conference for clinic patients
b. provision of technical and administrative support to rural health midwives
c. leave to the BHW the responsibilities of educating the community
d. provision of nursing care to the sick and well individuals
e. none of the above

20. Which of the following is an emerging role of the nurse in her mission to provide quality care in
any setting regardless of the type of a client and meet her goal to contribute new knowledge and
technology in nursing?
a .Nurse educator
b.Nurse executive
c.Nurse manager
d.Nurse researcher

21. An emerging and pressing health problems being seen in the communities among the lower
income groups are:
a. Communicable diseases
b. Sexually transmitted diseases
c. Inherited diseases
d. Lifestyle diseases and drug abused

22. When the public health nurse assess needs and plan health interventions for a group of people in
coordination with other health professionals, she is demonstrating which of the following features
of CHN;
a. CHN involves interdisciplinary collaboration
b. Use of epidemiology approach is an essential part of the nurse practice.
c. CHN promotes clients’s participation in determining their own health
d. All of the above

23. The modern or new concepts of health refers to:

a. Optimum level of functioning of individuals
b. Optimum level of functioning of families
c. Optimum level of functioning of community
d. Optimum level of functioning of individuals, families and community
e. State of complete physical, mental and social well being
 24. Community health nurse must involve the patient’s and his family in the implementation of his
care to:
a. Motivate patient to assume responsibility
b. Lessen expenses of the family
c. Relieve nurse from her work
d. Motivate nurse to assume responsibility
e. All of the above

25. In the communities, families, from the lower income groups are the ones mostly served by the
public health services and by the community health nurses because:
a. They have proportionally greater number of illness and health problems
b. Those from the higher income groups do not trust the government services
c. The poor people have no choice but to go to government public health services where
services are free
d. Those from the higher income groups do not get sick
e. All of the above

26. Family health care plan is a shared responsibility but the primary responsibility of planning for
child rearing rests on the:
a. Physician
b. Family
c. Midwife
d. Nurse

SITUATION: Jenny, 25 years old is a postpartum case who was referred to the Public Health Nurse for
Family nursing care. Her 1 month old son was premature at birth. Her other children are aged 4, 3 and
2 years old.
27. The objective of the family nursing care is to
a. coordinate with the other agency representative for the care of the family
b. evaluate effect of the nursing interventions done
c. study the family and learn new things
d. help family achieve optimum level of wellness

28. In working with Jenny’s family the nurse remember that her patient is/are:
a. Jenny, the postpartum mother
b. the premature infant
c. jenny and her 1 year old infant
d. the whole family

29. In the preparation of your health education plan, the first thing to do is:
a. Assess community needs for health education
b. Specify your goals and objectives
c. Identify who will provide support and the type of support to be provided
d. Identify the subjects for health teaching

30. Which type of family-nurse contact will provide you with the best opportunity to observe family
dynamics?
a. Clinic consultation
b. Group conference
c. Home visit
d. Written communication

31. The following best describes a home visits except:

a. Should have an objective and purpose
b. May or may not be recorded
c. Extension of the services of the health center
 d. A professional face to face contact made by a nurse to families
e. None of the above

32. This refers to the tool by which the PHN performs procedures during home visit with ease and
deftness.

a. Public health bag

b. Public health
c. Home visit
d. Bag technique

33. One important principle of CHN is accurate recording and reporting of data as basis for evaluation
of health program. This vital responsibility of the nurse must be executed for which further reason:
a. schedule of assignment
b. national archives
c. research and legal
d. financial evaluation

34. Home visit is one of the ways by which PHN renders care to the families. Which of the following
case should be visited FIRST 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. any of the above

35. Sanitary inspector is identified as what level of primary health care worker:
a. Intermediate level of health care
b. Village or Grassroot worker
c. First line Hospital Personnel
d. TBA
e. All of the above

36. Trained barangay health worker is identified as what level of primary health care worker:
a. Intermediate health care worker
b. Village or Grassroot worker
c. First line Hospital Personnel
d. TBA
e. All of the above

37. Under the local government code, health services must be devolved to the local governments.
This means that local health agencies such as health centers/rural health units must be under
the:
a. Municipal government office
b. Barangay health councils
c. District health office
d. Provincial government office

38. Under the local government code, health services must be devolved to the local governments.
This means that local health agencies such as provincial hospitals must be under the:
A. Municipal government office
B. Barangay health councils
C. District health office
D. Provincial government office

39. If your RHU needs additional midwife items, this request will be submitted to the:
a. Municipal Health Board
b. Provincial Health Board
c. District Health Office
d. Barangay Health Office
40. Which level of health facility is the usual point of entry of a client into the health care delivery
system?
a.Primary
b.Secondary
c.Tertiary
d.Intermediate

41. The initial step in the PLANNING process in order to engage in any nursing project or activities at
the community levels involves?
A. Monitoring C. Goal setting
B. Provision of data D. Evaluation of data

42. In community health nursing it is important to take into account the family health data coupled
with equally important need to perform ocular inspection of the area as activities, which are
powerful elements of:
A. Evaluation C. Implementation
B. Assessment D. Planning

43. Knowing the large segment of the population is made up of young children, you decided to
conduct nutritional assessment. To do this, what type of community diagnosis
a.Comprehensive community diagnosis
b.Problem – Specific community diagnosis
c.Problem – oriented community diagnosis
d.Children’s Community Diagnosis

44. Which among these activities is the concern of the primary levels of prevention:
A. regulate IVF
B. administer diuretics such as furosemide per doctors order
C. insertion of NGT
D. administration of BCG
E.all of the following

45. Prevention is better than cure. Immunization falls under what level of prevention?
A. Primary C. Secondary
B. Tertiary D. None of the above

46. Sputum exam falls under what level of prevention?

A. Primary C. Secondary
B. Tertiary D. None of the above

47. In secondary level of prevention which of the following is usually done:

A. Proper disposal of garbage
B. Giving oresol to a child with diarrhea
C. Operation tuli
D. Cooking lesson to people with DM
E. All of the above

48. A nurse activity designed to diagnose and treat a disease or condition in its earliest stages
before it comes full blown would be classified as:

a.primary
b. secondary
c. tertiary
d. health education

49. Which is NOT considered a primary level of prevention

1. Case finding, cataract screening, sputum microscopy
2. EPI, one a year vitamin A supplementation of 100,000 units to infant
3. Circumcision
 4. TB Multiple drug therapy and ORT
a. 1,3,4
b. 1,4
c. 2,3
d. 4

50. An example of secondary prevention strategy would be:

a. Cataract screening
b. Educating teenagers about using condom
c. Using pain control medications for terminal cancer patient
d. All of the above

51. Nurse Rina intends to get maximum participation from the community members to get an
accurate assessment of their health needs. To do this, nurse Rina collaborates with the
community to do a situational analysis. This process entails the following EXCEPT:
a. Asking people why they think the health problems exist.
b. Allowing people to freely express what they consider their health problems.
c. Providing immediate solution to identified health problem.
d. Assisting the community to identify health situations that need change.
e. None of the above

52. In the preparation of your health education plan, the first thing to do is:
a. Assess community needs for health education
b. Specify your goals and objectives
c. Identify who will provide support and the type of support to be provided
d. Identify the subjects for health teaching
e. All of the above

53. The people named the community health workers based on the collective decision in
accordance with the set criteria. Before they can be trained by the Nurse, The Nurse must first
a. Make a lesson plan
b. Set learning goals and objective
c. Assess their learning needs
d. Review materials needed for training

54. The following are classified as essential health services except:

a. maternal and child care
b. immunization
c. provision of eyeglasses and dentures for the elderly
d. promotion of proper nutrition
e, none of the above

55. The main concern of a public health nurse is the prevention of disease, prolonging of life and
promoting physical health and efficiency through which of thefollowing?
A. Use of epidemiological tools and vital health statistics
B. Determine the spread and occurrence of the disease
C. Political empowerment and Socio Economic Assistance
E.Organized Community Efforts

56. Which presidential decree orders reporting of births

within 30 days after its occurrence?

A. 651
B. 996
C. 825
D. None of the above

57. Acasia just gave birth to Lestat, A healthy baby boy. Who are going to report the birth of Baby
Lestat?
A. Nurse
B. Midwife
C. OB Gyne
D. Birth Attendant

58. In reporting the birth of Baby Lestat, where will he be

registered?
A. At the Local Civil Registrar
B. In the National Statistics Office
C. In the City Health Department
D. In the Field Health Services and Information System
Main Office

Situation: Mrs, Herras is the nurse at the mother and child health nursing unit of a health care facility,
which includes home visits in the homes of mother and child after delivery,

60. Which of the following is Mrs. Herras’ concern when she visits the mother and child?
a. Post natal care and lactation of the mother and newborn care
b. Make a schedule of the visit to the doctor’s office
c. Determine family planning method for the family
d. Evaluate socio-economic status of the family

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

62.What is the main objective of prenatal care?

a. To avoid complication of babies upon delivery, like fetal death in utero
b. To reach all pregnant women to give sufficient care and insure health pregnancies in full
term birth of healthy babies
c. To ensure that all pregnant women are given tetanus toxiod immunization
d. To schedule at least 3 pre-natal visits during the time of pregnancy

63.Jasmine is pregnant for the 3 rd time. Jasmine will likely notice which of the following normal
physiologic changes in pregnancy?
a. blurring of vision
b. increased blood pressure

c. physiologic anemia
d. none of the above

64.Jasmine is given instructions to notify the nurse if she noticed any of the following signals except:
A. puffy eyelids
B. persistent headache
C. vaginal bleeding
D. nausea and vomiting in the first trimester
E. all of the above

65. Which of the following tool is provided to a pregnant mother where vital information related to
pregnancy are recorded?
A. Mothers Growth Monitoring Record
B.Home-based mother’s Card
C.Growth Monitoring Card
D.Home-based mother’s record
66. When is a first homecare visit to a postpartum client typically made?
A. within 48 t0 72 hours after discharge
B. within 24 hours after discharge
C. within 1 hour after discharge
D. within 1 week after discharge

67. Mrs. Corazon, one of your prenatal is receiving iron, complaint of difficulty of passing her hard brown
stools. Your health teaching would include:
a.Telling her to take deep breath and pray once a day
b.Telling her not to worry for her bowel movement will return to normal
c.Stop taking iron, anyway its only a food supplement
d.Advising her to take fiber food and increase fluid intake

68. TubalLigation prevents pregnancy on the following manner:

A. The ovary can no longer releases ova,as there is no where for them to go
B. Prostaglandins released from the cut fallopian tubes can kill sperm
C. Sperm can not enter the uterus, because the cervical entrance is blocked
D. Sperm can no longer reach the ova,because the fallopian tubes are blocked
E. None of the above

69. Which of the following statements is not correct regarding family planning;
a. Family planning services should be made available to those who need them.
b. It is the responsibility of every parent to determine whether to have children when or how
many.
c. Family planning is geared towards individual and family welfare.
d. The ultimate goal of family planning is to prevent pregnancies
e. None of the above
70.In the implementation of the national family planning program, a nurse assumes the role of a;
A.Decision maker in the practice of family planning method
B.Regulator
C.Facilitator
D.Dictator

71. The following are pillars of family planning except:

a. Respect for life
b. Responsible parenthood
c. Informed Choice
d. Birth spacing
e. None of the above

72.Which of the following statements can be used to motivate a couple to practice family
planning?
a. Family Planning helps families to improve their standard of living
b. Family Planning reduces/eliminates fear of unwanted pregnancies

c. Family planning afford family members time to study or pursue occupational

interests
d. All of these (a, b, c)

73.Which of the following statement is correct?

A. Breastfeeding causes sagging of the breast
B. The ability to secrete milk is affected by the size and shape of the mothers breast
C. A mother can breastfeed even if she is tired
D. Breast milk aggravates diarrhea

74. Cervical discharge during ovulation generally describe as:

A. Watery , sticky and abundant
B. Watery, clear and abundant
C. Watery, clear and with streaks of blood
D. Watery, clear and sticky

75.Injectable forms of contraceptives are only effective up to how many days?

 a. 80 days
b. 30 days
c. 120 days
d. 90 days

76.A family planning method that may be advised for women whose lives may be endangered
by another pregnancy:
a. IUD
b. VASECTOMY
c. PILLS
d. TUBAL LIGATION

77.Which of the following family planning method is related to breastfeeding:

A. sympto thermal
B. basal body temperature
C. spinnbarkeit
D. lactational amennorhea
E. cervical mucus

78.Reproductive Health is another program of DOH, its vision is, Reproductive Health Practice
is:
A. Provision of care, treatment and rehabilitation to man and woman
B. Increase and improvement in the use of more effective or modern contraceptives
C. A way of life for every man and woman throughout life
D. The exercise of reproductive right with responsibility

79.The following are goals of RH except:

A. Every pregnancy should be intended

B. Every birth should be healthy
C. Every married couple should use artificial contraceptive
D. Achieve a desired family size
E. None of the above

80.In the International framework of RH, the focus is on:

A. Past 40 years age group
B. Women’s health
C. Displaced people with RH problem
D. Men and Women’s health

81.In the International frameworks of RH, which one of the following is the ultimate goal?
A. Women’s health
B. Enhance healthy lifestyle
C. Prevention of sexually diseases
D. Quality of life

82.In the Philippines, the focus of RH is on:

A. Men and Women
B. Men only
C. Women only
D. Women and Children

83. In correcting misconceptions and myths about

certain diseases and their management, the health worker should first:
A. Identify the myths and misconceptions prevailing in the community
B. Identify the source of these myths and misconceptions
C. Explain how and why these myths came about
D. Select the appropriate IEC strategies to correct them
Pulmonary TB is still a leading cause of morbidity and mortality in the country today.

84. Which of the following sets of signs and symptoms would best distinguish tuberculosis from a simple
upper respiratory tract infection.
A. Weight loss, Hemoptysis, diarrhea
B. Cough, weight loss, low grade afternoon fever
C. Dyspnea, wheezing, cyanosis
D. Non-productive cough, weight loss, abdominal mass
E. All the above

85 In a follow up visit to a TB patient, you are explaining to the other members of the family that the
patient is communicable:
a. As long as the patient is coughing.
b. About 1 year to 2 years after infection
c. As long as infection tubercle bacilli are being discharged in the sputum.
d. About 4-12 weeks from infection
e. Two weeks after treatment

86.The primary element of DOTS is:

A. Health workers counsel and observe their patients swallow each anti-TB medication and monitor
progress until cured.
B. Regular drug supply
C. Political will in terms of manpower and funding
D. Sputum microscopy services
E. All of the above

87. Which of the following preventive measure is the RHU nurse most involved?
A. Health education of the community, family, individuals; regarding the mode of
transmission
B. Advising families to transfer to subdivisions
C. Scheduling clinic visits of those found with TB infection
D. Health teaching on drug compliance
E. All of the above

88. In TB control program, DOH has specific objectives, one prevention program which is focused on
children. Which one below is this program?
A. Sputum collection and examination
B. Tuberculin skin testing
C. BCG vaccination
D. Maternal and child health nursing
E. Chest Xray

89.. Collection of sputum shall be the responsibility of the:

A. Midwife
B. Nurse
C. Medical technology
D. Barangay health worker

90. The comprehensive strategy which primary health services around the world is using to detect and
cure TB patients:
A. National TB program
B. Direct Observed Treatment Short course
C. Primary Health Care strategy
D. Center for Communicable Diseases
91.TT3 provides how many percentages of protection against tetanus?
A. 95
B. 80
C. 88
D. 99

92. How many boosters dose of TT will you give to a pregnant mother to assure 10 years immunity?
a. 2 b. 3 c. 5 d. 1

93. Which of the following is a live attenuated bacterial vaccine:

A. OPV
B. Measles
C. BCG
D. All the above

94. Which of the following vaccine reconstituted with special diluents before use?
a. BCG, measles
b. Tetanus toxoid and Hep.B
c. OPV, and tetanus toxoid
d. OPV and Pentavalent

95. Measles vaccine is supplied in:

1. Freeze dried form in a sealed glass ampule
2. Freeze dried form in a sealed glass vial
3. Liquid form in a sealed glass ampule
4. Liquid form in a vial
A.2 only C.1 only
B.3 only D.4 only

96. After giving Pentavalent to Baby Rout, which of the following statements of Mrs. Rout indicates that
she understood the instruction given by the nurse?
a. I will give my baby paracetamol right away and TSB.
b. The vaccine tastes awful, he should have some fruit juices.
c. I will withhold feeding for 30 minutes.
d. He must be thirsty so I will give him glucose water.

97.In the immunization schedule, when is the Measles vaccine be given?

a. At nine months together with iron supplementation
b. At 12 to 15 months together with vitamin a supplementation
c. At nine months together with vitamin a supplementation
d. At 6 weeks together with Pentavalent
98.. During one of the immunization sessions one child vomited after he was given an OPV. What would
you do?
a. Give one drop in addition c. Give a booster dose after 4 weeks.
b. Give the child another two drops d. Refer the child to the doctor.

99.The following vaccines are given in 3 doses:

a. PCV and OPV c. OPV and hepatitis
b. ROTA and OPV d. IPV and Pentavalent

100.Which of the following vaccines is done by intramuscular (IM) injection?

a. BCG d. Tetanus Toxoid
b. OPV e. None of the above
c. Measles
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