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1. Which of the following statements is
markedly stated by Dr. Charles Edward

A. CHN is based on worth and dignity of man

B. Raise level of health of citizenry
C. PHN is service that is available to all
D. Every citizen has his birthright of health
and longevity
2. Organized community participation is
embodied by:

A. Maglaya
B. Winslow
C. Freeman
D. Jacobson
3. In CHN, which of the following is our UNIT

A. Community
B. Family
C. Individual
D. all of the above
4. The philosophy of CHN was stated by:

A. Dr. Winslow
B. Dr. Margaret Shetland
C. Dr. Maglaya
D. Freeman
5. Which of the following is NOT an application of
public health principle?
A. Nursing care is mainly directed to sick
population who seek consultation in the health
B. The nurse utilizes various vital and health
statistics to describe the population
C. In preventing diseases, the nurse’s priority is to
protect the population by instituting preventive
D. The nurse analyses the determinants of health
needs and problems as basis in developing
community health programs
6. Community health nursing is service
rendered by professional nurse with
communities, groups, families, individuals at
home, clinic, school and places of work”. This
definition of CHN came from:

B. Shetland
C. Winslow
D. Freeman
7. A family consists of a 32-year-old woman
married to a 35-year-old man, the woman’s
6-year-old daughter from a previous
relationship, the couple’s 3-year-old son, and
a newborn daughter. What type of family is
A. Adoptive
B. Blended
C. Extended
D. Nuclear
8. The members of a family include a 3-year-
old son, 7-year-old twin daughters, and a 28-
year-old single mother. In what
developmental stage is this family?

A. Early childbearing family

B. Family with preschool children
C. Family with school-age children
D. Launching family
9. The children in a family attend a local
public school. With what family functions is
the community assisting?

A. Distribution of resources
B. Division of labor
C. Meeting physical needs
D. Socialization of the children
10. In the hospital, a nurse is discussing child
care with a postpartum woman. What would
be the most appropriate way to collect
information about community services
available to the woman?

A. Ask the woman questions

B. Look in the telephone book
C. Review the community’s website
D. Visit the community
11. The nurse is helping a postpartum woman
to breastfeed. What nursing action would be
most appropriate with regard to invasion of
intimate space?

A. Ask to loosen her clothing

B. Explain actions before touching her
C. Pull the curtain around the bed
D. Shut the door to the room
12. A newly delivered woman is transferred to
the postpartum unit. Which of the following
remarks by the nurse would reflect the most
awareness of the client’s culture?
A. “Do you need help to go to the bathroom?”
B. “I will help you into the nursery to see the
baby’s bath?”
C. “Taking a shower would make you feel
D. “Would you prefer your water iced or room
13. The nurse is answering questions during a
woman’s prenatal visit at week 24. What
information would be most significant?
A. At this time, the fetus is most sensitive to
B. Fetal lung maturity is complete at this
C. Fetus weighs 2.5 lb and is about 14 in.
D. Survival is possible if the fetus is born now.
14. What assessment data would the nurse
expect to collect from a woman who is 13
weeks gestation?

A. Auscultation of fetal heart beat by Doppler.

B. Counting fetal heart rate with a fetoscope.
C. Fetal movement associated with fetal
heart rate acceleration.
D. Mother reports fetal movements.
15. What statement by the client would indicate
understanding of the physiologic anemia of
A. “All pregnant women are anemic, so I don’t
have to worry about it.”
B. “Because I am anemic, I am more likely to have
high blood pressure.”
C. “I am a little anemic, because my body is
producing extra fluid in my blood.”
D. “I did not get enough iron in my diet before I
became pregnant so I am anemic now.”
16. What change in the urinary system
predisposes the pregnant woman to urinary
tract infection?

A. Decreased bladder capacity

B. Increased plasma volume flow
C. Pressure on the bladder from the
enlarging uterus
D. Stasis of urine in the bladder and ureters
17. The context of community organizing is:

A. Primary health care

B. Current situation
C. Community development
D. peoples participation
18. Preliminary Social Investigation utilizes:

A. Primary data sources

B. Interviews and observation
C. Registries and records
D. Focus group discussion
19. Upon Entry to the community, the nurse can
start the following except:

A. Deepening social investigation

B. Community integration
C. Small group formation
D. Social preparation
20. Manageable units of the community to
facilitate service delivery and peoples
participation is called:

A. Spot map
B. Small group
C. core group
D. organizing group
21. The goal of Community Organizing is:

A. Community Participation
B. Community development
C. Peoples organization
D. Peoples awareness
22. A pregnant woman asks the nurse, “My doctor told me
some numbers about the baby’s lungs. What does that
mean?” In reviewing the medical record, the L/S ratio
taken by amniocentesis is 1.5:1. What would be the best
initial response by the nurse?
A. “Amniocentesis results indicate that your baby’s lungs
are not mature.”
B. “Delivery will be scheduled soon because the baby’s
lungs are mature.”
C. “I will arrange another appointment so your doctor can
explain this to you.”
D. “This indicates there is a problem with your baby’s
lungs and needs further evaluation.”
23. A client at 29 weeks of gestation weighs 154 lbs.
She expresses concern about this weight gain. Her
prepregnant weight of 125 lb is within her ideal body
weight range. What would be the nurse’s best
A. “Let us talk about your diet. You are gaining too
much weight.”
B. “Pregnancy is the not the time to be concerned
about your weight gain.”
C. “This weight gain is typical for this time in your
D. “You are not gaining enough weight. Let us review
your diet.”
24. Which lunch menu would best meet the
nutritional needs of a pregnant woman?

A. Hamburger on a roll with tomato and

lettuce, Jell-O, and iced tea.
B. Fried chicken fingers, coleslaw, and milk.
C. Macaroni and cheese, tossed green salad,
and orange soda.
D. Chicken salad sandwich with sliced
tomatoes and milk.
25. Which statement by a client indicates that
further teaching about nausea and vomiting of
pregnancy needs to be done by the nurse?

A. “I hope that taking a nap when I get home from

work makes me feel better.”
B. “I need to drink an extra glass of water with
every meal.”
C. “I will ask my husband not to wear aftershave
because it upset s my stomach.”
D. “I will try to eat five or six smaller meals during
the day.”
26. A woman at her 28 week prenatal visit
complains of weakness and lightheadedness
when lying on the examination table. What
would be the primary nursing action?

A. Assess the woman’s blood pressure.

B. Encourage the woman to take slow, deep
C. Lower the head of the exam table.
D. Turn the woman one her left side.
27. The overriding goal of DOH is:

A. Primary Health Care

B. Control of Communicable Diseases
C. FOURmula One for Health
D. Health Sector Reform Agenda
28. This refers to the framework for
implementation of the overriding goal of

A. Primary Health Care

B. Control of Communicable Diseases
C. FOURmula One for Health
D. Health Sector Reform Agenda
29. What strategy of FOURmula One aims to
improve and ensure accessibility and
availability of basic and essential health care
both in public and private:

A. Health financing
B. Health service delivery
C. Health regulation
D. Good governance
30. The Philippine Health Insurance Program
through National Health Insurance Program
and DOH will lead this FOURmula One
component jointly:

A. Health financing
B. Health service delivery
C. Health regulation
D. Good governance
31. Devolution of health services transferred
power and authority to LGU for self –
reliance. Who among the following nursing
personnel in the municipalities?

A. Municipal mayor
B. Health Officer
C. Congressman
D. Health Board
32. The nurse observes the fetal monitor tracing for
a women who is 9cm dilated and 100% effaced.
The fetal heart rate begins to decrease when a
contraction begins, and returns to the baseline as
the contraction goes way. What is the appropriate
nursing action?
A. Increase the IV flow rate.
B. Change the mother’s position.
C. Administer oxygen by mask to the mother.
D. Reassure the mother that the tracing reflects
pressure on the baby’s head.
33. Why should the mother in labor be
encouraged to void every 2 hours?

A. A full bladder may prevent the presenting

part from descending.
B. Several urine specimens are required
during labor.
C. There will be no need to catheterize the
client at the time of delivery.
D. Keeping the bladder empty will prevent
postpartum cystitis.
34. What is the nurse’s first action when an
intrapartal woman’s membranes rupture?

A. Assess the fetal heart rate.

B. Change the woman’s bed linens.
C. Document the time of rupture.
D. Assess the amount and color of the fluid.
35. The nurse assesses variable decelerations
on the fetal heart monitor of a woman in
labor. What would be the first nursing

A. Call the physician or midwife.

B. Change the woman’s position.
C. Increase the IV flow rate.
D. Administer oxygen by mask to the client.
36. A laboring woman is experiencing
contractions of strong intensity. She
complains of numbness and tingling of the
lips and fingers and of dizziness. What would
the nurse encourage her to do?

A. Continue her breathing techniques.

B. Hold her breath and bear down.
C. Slow her breathing rate.
D. Increase her breathing rate.
37. In clinic visits triaging, PHN manages
program based cases. Example of program
based cases are the following except:

A. Diarrhea
C. Pneumonia classification
D. Tuberculosis
38. Triaging is done by the nurse during the
clinic visit. What should PHN do to program
based cases?
A. Manage the case using acceptable decisions
following establish protocols
B. Refer to the physician for medical
C. Provide first aid treatment to emergency
D. Submit cases whenever necessary to the next
level of care
39. Which of the following is incorrect in
obtaining BP reading by auscultation?

A. Stethoscope head is placed over the

brachial pulse
B. For obese, use the bell of the stethoscope
to auscultate the pulse
C. Inflate the cuff until the column reaches
30 mmHg over the palpated SBP
D. Deflate the cuff 2 – 3 mmHg per beat.
40. A significant factor in determining the
frequency of home visit is:

A. Continuing care involving individual and

B. Policy of LGU
C. Acceptance of the family
D. Purpose of visit
41. The purpose of first home visit is to:

A. Develop health care plan with the family

B. Make personal account of family’s health
C. Assess family situation initial data base
D. Promote health of the family
42. What findings would the nurse expect when
assessing a client who had a vaginal birth 5 days
A. Bright-red vaginal discharge; uterus at 4-5
fingerbreadths below the umbilicus.
B. Light pink or brown vaginal discharge; uterus 4-
5 fingerbreadths below the umbilicus.
C. Pinkish, watery vaginal discharge; uterus 1-2
fingerbreadths below the umbilicus.
D. Yellow, mucusy vaginal discharge; uterus at the
43. When assessing a client who gave birth 4
hours earlier, the nurse finds the uterus to be
firm, 2 fingerbreadths above the umbilicus,
and displaced to the right. Lochia rubra is
moderate. What would be the first nursing
A. Encourage the woman to urinate.
B. Gently massage the fundus.
C. Insert a foley catheter.
D. Record these normal findings.
44. When teaching a client after a cesarean
delivery, what would the nurse emphasize for
the client to report to the health care
provider about the incision?

A. Edges are together.

B. Fading bruises and slight swelling.
C. Redness and drainage.
D. Tenderness to touch during a shower.
45. When assessing the client 14 hours after birth,
the following data are collected: Temperature 38.1
°C (100.6 °F), pulse 104, respirations 19, blood
pressure 118/72. What would be the best nursing
A. Assess for uterine tenderness and odor to
B. Encourage the client to increase her fluid intake.
C. Massage the uterus and express clots.
D. Report these findings to the health care
46. The nurse makes a postpartum home visit on
day 5 to assess a first time mother and her baby.
The client states that she is beginning to care for
her baby, has many questions about infant care,
and indicates that she bathes the baby when her
mother is there to help her. What nursing
intervention is most appropriate?

A. Give information about self-care.

B. Identify resources for paternal decision making.
C. Make a referral for follow-up.
D. Provide positive reinforcement for infant-care
47. Primary health care is best characterized

A. Use of indigenous resources

B. Intra and intersectoral linkages
C. Active community participation
D. All of these
48. The principal and unique strategy of PHC

A. Empowerment of the people

B. Holistic health care delivery
C. Teamwork among personnel
D. Socialization of health care
49. The core strategy of PHC is characterized

A. Mandate of devolution
B. Partnership and empowerment of people
C. Community based, accessible services
D. Essential health care services
50. Under restructured health care delivery
system, physician, public health nurse and
midwives compose the:

A. Front liners
B. Intermediate level health workers
C. Grassroots health workers
D. Barangay health workers
51. PHC permeates as a core strategy, the
thrust of government health programs. What
do you expect from the members of the

A. Active participation
B. Preparation of IEC materials
C. Donations of materials for the project
D. Voluntary time without pay
52. In the conceptual framework of PHC in PHCDS,
its goal is embodied in which of the following
statement of objective?
A. Quality health for all Filipinos especially the
B. Community based, accessible, acceptable and
cost effective health care services
C. Providing free health care services to all
Filipinos by 2020
D. Health for all Filipinos and Health in the Hands
of the People by year 2020
53. Which patient would be a candidate for
postpartum administration of Rh immune globulin
A. Mother Rh negative with no antibody
formation, infant Rh positive.
B. Mother Rh negative with antibody formation,
infant Rh positive.
C. Mother Rh negative with no antibody
formation, infant Rh negative.
D. Mother Rh positive with no antibody formation,
infant Rh negative.
54. When administering rubella vaccine, what
information is essential for the nurse to explain to
the client?

A. Arrange for an antibody titer level to be done.

B. Avoid becoming pregnant for at least 1 month
after having the vaccine.
C. Make an appointment for the administration of
subsequent doses.
D. Prevent pregnancy for at least 3 months after
having the vaccine.
55. Drying the infant immediately after birth
helps prevent heat loss from what

A. Conduction
B. Convection
C. Evaporation
D. Radiation
56. Which chemical stimulus contributes to
the initiation of breathing immediately after

A. Chest wall compression with recoil.

B. Decreased peripheral oxygen levels.
C. Rubbing the infant’s back with a blanket.
D. Temperature change in extrauterine
57. The ultimate level in referral system that
provides specialized health services is:

A. Primary health care

B. Secondary level
C. tertiary level
D. all of these
58. Nurse Splarat is newly hired PHN. She will be
deployed to the nearest Barangay Health Station
(BHS) in her hometown. Which statement about
BHS is incorrect?
A. It is located beyond 3 – 5 kilometer radius from
main RHU
B. It serves a catchment area of 5000 population
more or less
C. It is staffed by rural health midwife whose
services are available 24 hours a day
D. None of the above
59. Who among the member of the health
team is administratively in charge of the

A. Rural health physician

B. Public health nurse
C. Rural health midwive
D. Municipal health officer
60. Part of PHN responsibility is to prepare
and submit adequate, accurate and complete
records and reports. To whom will the PHN
submit or report the community health
A. Rural health physician
D. Municipal health officer
61. District hospitals and emergency clinics
belongs to the:

A. Fourth level health care

B. Primary health care
C. Secondary level health care
D. Tertiary level health care
62. Nursing assessment data of a term newborn
includes temperature 36.1 °C (97 °F), pulse rate 148,
respiration rate 52, color pink, and strong cry. Rank
the nursing actions from 1-4 in order of priority.
1. ___ Assess for tremors.
2. ___ Place the infant under a radiant warmer.
3. ___ Recheck the temperature in 30 minutes.
4. ___ Verify the temperature.

A. 3241
B. 2413
C. 1423
D. 3412
63. In areas with very limited water source,
the most practical type of toilet is:

A. Septic tank
B. Pit privy
C. pour flush
D. bucket latrine
64. The best type of toilet is:

A. Septic tank
B. Pit privy
C. pour flush
D. bucket latrine
65. The following are measures for food
sanitation except:

A. Fruits and vegetables must be fresh and

washed with clean water
B. Meat must come from healthy animals and
must have been approved by meat inspector
C. Canned goods must have dents and bulges
D. Transfer time must be short to prevent
66. The people must be informed that in
order to prevent contamination of drinking
water, the source must be how many meters
away from washing and bathing areas?

A. 25
B. 30
C. 20
D. 32
67. A point of facility normally serves around
15 – 25 households and its outreach must be
how many meters away from its farthest

A. 25 meters
B. 250 meters
C. 225 meters
D. 500 meters
68. A newborn male infant at 39 weeks of
gestation is born. What gestational age
characteristics would the nurse expect to
observe during the initial assessment?

A. Creases over the entire sole.

B. Dry, leathery skin with deep creases.
C. Smooth scrotal sac with undescended
D. Thick lanugo on face, shoulders, and back.
69. The newborn medical record indicates the
presence of a cephalhematoma. What
assessment data would support this finding?

A. Circular area of bruising on the back of the

B. Cranial bones overlap with palpable
C. Edema over the entire back of the scalp.
D. Firm swelling on the left side of the head.
70. Which data from the nursing assessment
should be reported to the primary care

A. Anterior fontenelle bulges slightly when

infant cries.
B. Positive Babinski sign.
C. Subconjuctival hemorrhage present in
right eye.
D. Tuft of hair at base of spine.
71. The mother observes the nurse holding her infant’s
head and letting it to drop back suddenly. She
expresses concern that this is too rough and would
hurt the baby. What would be the best response by
the nurse?
A. “Sometimes it appears that we are rough with the
baby, but it is the only way we can evaluate the
spinal cord.”
B. “This is a way to evaluate the nervous system
through the Moro response. I am very careful to
support your baby’s head and neck.”
C. “The tonic neck reflex is tested this way. You will
notice that I am supporting the baby’s head and
D. “Your baby won’t be hurt by what I am doing. I
need to do this to test for the Babinski reflex.”
72. Upon entering the room of a postpartum client,
the nurse can hear the breastfeeding infant make
smacking sounds as it nurses. What is the
appropriate nursing intervention?
A. Assist the mother to detach the infant from the
breast and have the infant latch on again.
B. Detach the infant and have the mother nurse
the infant on the opposite breast.
C. Encourage the mother to continue
breastfeeding because correct technique is
being demonstrated.
D. Observe the mother’s technique when she has
the infant latch on the opposite breast.
73. Which day of the week is designated as
immunization day?

A. Monday
B. Wednesday
C. Saturday
D. Friday
74. The following vaccine/s need to be
transported properly since this is/are
damaged by freezing:

B. Tetanus Toxoid
C. Hepa B
D. All of these
75. You see to it that Measles vaccine is
administered as follows:

A. 0.1 ml subcutaneously
B. 0.5 ml intramuscularly
C. 0.1 ml intramuscularly
D. 0.5 ml subcutaneously
76. Which of the following vaccines do you
need to reconstitute before use?

A. BCG and DPT

B. DPT and Hepa B
C. BCG and Measles
D. TT and DPT
77. At 2 weeks old, Tere’s child must have
which of these immunizations?

B. BCG and DPT
C. BCG and OPV
D. BCG and Hep B
78. Joey, 10 weeks old was given DPT 2 at
RHU. When is the best time for mother of
Joey return for DPT3?

A. After 6 weeks
B. After 5 weeks
C. After 4 weeks
D. Anytime after DPT 2
79. A pregnant woman has just received the
diagnosis of high-risk condition. When the
nurse enters the room, the client begins to cry.
What first response by the nurse would be most

A. “Did you understand what your doctor told

B. “I am sure that everything will work out.”
C. “Is there someone you like me to call?”
D. “Let me get you a tissue. It is all right to cry.”
80. A postpartum client and her family have
returned from the special care nursery. The nurse
learns that their premature infant has just died.
What statement by the nurse would be most
A. “I am sorry for your loss, what can I do to help
B. “I know just how you feel. I have taken care of
other women who have lost babies.”
C. “The baby would have been very ill and
probably would not have developed normally.”
D. “You just have to focus on taking care of your
other children.”
81. A woman attends a perinatal loss support group for
the first time. She reports that she had a stillbirth 6
months earlier, still dreams frequently of the infant, cries
often, doesn’t sleep well, and can’t concentrate at work.
She thinks that she is “going crazy.” What would be the
most appropriate action of the nurse leading the support
A. Determine that she is experiencing complicated grief.
B. Explain to the woman that her behaviors are part of
the normal grief process and will resolve with support.
C. Make a referral to a psychologist for in-depth grief
D. Tell her that although these reactions are normal, she
can expect to experience them for the rest of her life.
82. The nurse interviews a woman at her first
prenatal visit. Which element of her past
places this client at risk for an ectopic

A. Appendectomy at age 17.

B. History of high blood pressure.
C. Pelvic inflammatory disease treated at age
D. Report of oral contraceptive failure.
83. A client is being admitted to the
outpatient surgical area for a dilatation and
currettage for an incomplete spontaneous
abortion. What nursing assessment has
highest priority?

A. Amount of bleeding.
B. Level of discomfort.
C. Stage of the grief process.
D. Understanding of the procedure.
84. When is Tetanus Toxoid (TT) 2 given?

A. At least 2 weeks after TT1

B. At least 2 months after TT1
C. At least 4 weeks after TT1
D. At least 4 months after TT1
85. How many years of protection doe
Tetanus Toxoid (TT) 4 give to the mother?

A. 3
B. 5
C. 10
D. lifetime
86. How much dosage and best site of
Tetanus Toxoid injection?

A. 0.5 ml, vastus lateralis

B. 0.5 ml, outer side of upper arm
C. 0.05 ml, deltoid region
D. 0.05 ml, vastus lateralis
87. Which of the following is a live,
attenuated bacterial vaccine?

A. Tetanus
B. Pertussis
C. Diphtheria
88. Life long immunity for tetanus is achieved
by a woman after:

A. 3 pregnancies
B. 2 doses during pregnancy
C. 3 booster doses
D. Fourth tetanus toxoid
89. Health Financing, an element of Fourmula
One aims for better and sustained
investments in health. An example is:

A. Sentrong Sigla movement

B. Philhealth
C. Primary health care
90. Which of the following is the principle of EPI in
relation to the protection of the population?

A. The target population is the whole community

rather than just the individual so the mass
approach is utilized
B. The target setting should be established before
the cold chain logistics is computed
C. Surveillance studies and research should be part
of the epidemiology
D. There should be overall performance on
assessment and evaluation
91. The correct temperature to store vaccines
in the body of the refrigerator is:

A. between -4 deg C and +8 deg C

B. between +2 deg C and +8 deg C
C. between -8 deg C and 0 deg C
D. between -8 deg C and +4 deg C
92. To prevent xerophthalmia, young children
are given Retinol capsule every 6 months.
What is the dose given to preschoolers?

A. 10,000 IU
B. 20,000 IU
C. 100,000 IU
D. 200,000 IU
93. If the child presents with swelling and
tenderness behind the ear, how would you classify
this child?
1. Green
2. Yellow
3. Pink
4. Urgent referral plus a dose of antibiotic and
5. Dry the ear by wicking
A. 1&4
B. 2&5
C. 3&4
D. 3&5
94. Community Organizing Participatory Action
Research is a collective, participatory, transformative,
liberative, sustained and systematic process. And
therefore it follows a step by step process which
A. Sustenance and Strengthening Phase, Organization-
building Phase, Pre-Entry Phase, Entry Phase
B. Entry Phase, Pre-Entry Phase, Organization-building
Phase, Sustenance and Strengthening Phase
C. Pre-Entry Phase, Entry Phase, Organization-building
Phase, Sustenance and Strengthening Phase
D. Entry Phase, Pre-Entry Phase, Sustenance and
Strengthening Phase, Organization-building Phase
95. To ensure that the nurse can perform
nursing procedures with ease and deftness,
saving time and effort with new end in view
of rendering effective nursing care, he must:

A. Apply nursing process

B. Perform bag technique
C. Develop family care plan
D. Prioritize family health nursing problem
96. Which vital principle should the RHU
nurse consider before conducting home visit?

A. Careful evaluation should be recorded

B. Greeting a client is vital in home visit
C. Frequency should be determined
D. Home visit must have an objective
97. What is the rationale in the use of bag
technique during home visit?

A. It helps render effective nursing care

B. It saves time and effort
C. It minimize or prevent spread of infection
D. It should not overshadow concerns of the
98. Which of the following is the correct pointer to
consider in the use of public health bag?

A. The bag should contain all necessary articles

that will be needed or used solely for
emergency cases
B. The bag and its contents are not considered
C. The arrangement of the contents of the bag
should be one most convenient to the user
D. The arrangement of the contents should be one
most convenient to the patient
99. In the absence of ORESOL, you teach
families to use homemade ORESOL for
diarrhea which consists of the following

A. Salt
B. Sugar
C. Tea
D. Water
100. The best description of a community as
a client is:

A. A social group
B. A group of people
C. A specific geographic group
D. Shared values