Nursing Board Exam Reviewer | Community Health Nursing II

COMMUNITY HEALTH NURSING EXAMINATION PART I

SITUATION : Epidemiology and Vital statistics is a very important tool that a nurse could use in controlling the spread of disease in the community and at the same time, surveying the impact of the disease on the population and prevent it’s future occurrence.

1. It is concerned with the study of factors that influence the occurrence and distribution of diseases, defects, disability or death which occurs in groups or aggregation of individuals.

*A. Epidemiology

B. Demographics

C. Vital Statistics

D. Health Statistics

2. Which of the following is the backbone in disease prevention?

*A. Epidemiology

B. Demographics

C. Vital Statistics

D. Health Statistics

3. Which of the following type of research could show how community expectations can result in the actual provision of services?

A. Basic Research

*B. Operational Research

C. Action Research

D. Applied Research

4. An outbreak of measles has been reported in Community A. As a nurse, which of the following is your first action for an Epidemiological investigation?

A. Classify if the outbreak of measles is epidemic or just sporadic

B. Report the incidence into the RHU

C. Determine the first day when the outbreak occurred

*D. Identify if it is the disease which it is reported to be

5. After the epidemiological investigation produced final conclusions, which of the following is your initial step in your operational procedure during disease outbreak?

*A. Coordinate personnel from Municipal to the National level

B. Collect pertinent laboratory specimen to confirm disease causation

C. Immunize nearby communities with Measles

D. Educate the community in future prevention of similar outbreaks

6. 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. Use of epidemiological tools and vital health statistics

B. Determine the spread and occurrence of the disease

C. Political empowerment and Socio Economic Assistance

*D. Organized Community Efforts

7. In order to control a disease effectively, which of the following must first be known?

1. The conditions surrounding its occurrence

*2. Factors that do not favor its development

3. The condition that do not surround its occurrence

4. Factors that favors its development

A. 1 and 3

B. 1 and 4

C. 2 and 3

D. 2 and 4

8. All of the following are uses of epidemiology except:

A. To study the history of health population and the rise and fall of disease

B. To diagnose the health of the community and the condition of the people

*C. To provide summary data on health service delivery

D. To identify groups needing special attention

9. Before reporting the fact of presence of an epidemic, which of the following is of most importance to determine?

*A. Are the facts complete?

B. Is the disease real?

C. Is the disease tangible?

D. Is it epidemic or endemic?

10. An unknown epidemic has just been reported in Barangay Dekbudekbu. People said that affected person demonstrates hemorrhagic type of fever. You are designated now to plan for epidemiological investigation. Arrange the sequence of events in accordance with the correct outline plan for epidemiological investigation.

1. Report the presence of dengue

2. Summarize data and conclude the final picture of epidemic

3. Relate the occurrence to the population group, facilities, food supply and carriers

4. Determine if the disease is factual or real

5. Determine any unusual prevalence of the disease and its nature; is it epidemic, sporadic, endemic or pandemic?

6. Determine onset and the geographical limitation of the disease.

A. 4,1,3,5,2,6

*B. 4,1,5,6,3,2

C. 5,4,6,2,1,3

D. 5,4,6,1,2,3

E. 1,2,3,4,5,6

11. In the occurrence of SARS and other pandemics, which of the following is the most vital role of a nurse in epidemiology?

A. Health promotion

B. Disease prevention

C. Surveillance

D. Casefinding

12. Measles outbreak has been reported in Barangay Bahay Toro, After conducting an epidemiological investigation you have confirmed that the outbreak is factual. You are tasked to lead a team of medical workers for operational procedure in disease outbreak. Arrange the correct sequence of events that you must do to effectively contain the disease

1. Create a final report and recommendation

2. Perform nasopharyngeal swabbing to infected individuals

3. Perform mass measles immunization to vulnerable groups

4. Perform an environmental sanitation survey on the immediate environment

5. Organize your team and Coordinate the personnels

6. Educate the community on disease transmission

A. 1,2,3,4,5,6

B. 6,5,4,3,2,1

C. 5,6,4,2,3,1

D. 5,2,3,4,6,1

13. All of the following are function of Nurse Budek in epidemiology except

A. Laboratory Diagnosis

B. Surveillance of disease occurrence

C. Follow up cases and contacts

D. Refer cases to hospitals if necessary

E. Isolate cases of communicable disease

14. All of the following are performed in team organization except

A. Orientation and demonstration of methodology to be employed

B. Area assignments of team members

C. Check team’s equipments and paraphernalia

D. Active case finding and Surveillance

15. Which of the following is the final output of data reporting in epidemiological operational procedure?

A. Recommendation

B. Evaluation

C. Final Report

D. Preliminary report

16. The office in charge with registering vital facts in the Philippines is none other than the

A. PCSO

B PAGCOR

C. DOH

D. NSO

17. The following are possible sources of Data except:

A. Experience

B. Census

C. Surveys

D. Research

18. This refers to systematic study of vital events such as births, illnesses, marriages, divorces and deaths

A. Epidemiology

B. Demographics

C. Vital Statistics

D. Health Statistics

19. In case of clerical errors in your birth certificate, Where should you go to have it corrected?

A. NSO

B. Court of Appeals

C. Municipal Trial Court

D. Local Civil Registrar

20. 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

21. 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

22. Deejay, The birth attendant noticed that Lestat has low set of ears, Micrognathia, Microcephaly and a typical cat like cry. What should Deejay do?

A. Bring Lestat immediately to the nearest hospital

B. Ask his assistant to call the nearby pediatrician

C. Bring Lestat to the nearest pediatric clinic

D. Call a Taxi and together with Acasia, Bring Lestat to the nearest hospital

23. Deejay would suspect which disorder?

A. Trisomy 21

B. Turners Syndrome

C. Cri Du Chat

D. Klinefelters Syndrome

24. Deejay could expect which of the following congenital anomaly that would accompany this disorder?

A. AVSD

B. PDA

C. TOF

D. TOGV

26. Which presidential decree orders reporting of births within 30 days after its occurrence?

A. 651

B. 541

C. 996

D. 825

25. These rates are referred to the total living population, It must be presumed that the total population was exposed to the risk of occurrence of the event.

A. Rate

B. Ratio

C. Crude/General Rates

D. Specific Rate

26. These are used to describe the relationship between two numerical quantities or measures of events without taking particular considerations to the time or place.

A. Rate

B. Ratios

C. Crude/General Rate

D. Specific Rate

27. This is the most sensitive index in determining the general health condition of a community since it reflects the changes in the environment and medical conditions of a community

A. Crude death rate

B. Infant mortality rate

C. Maternal mortality rate

D. Fetal death rate

28. According to the WHO, which of the following is the most frequent cause of death in children underfive worldwide in the 2003 WHO Survey?

A. Neonatal

B. Pneumonia

C. Diarrhea

D. HIV/AIDS

29. In the Philippines, what is the most common cause of death of infants according to the latest survey?

A. Pneumonia

B. Diarrhea

C. Other perinatal condition

D. Respiratory condition of fetus and newborn

30. The major cause of mortality from 1999 up to 2002 in the Philippines are

A. Diseases of the heart

B. Diseases of the vascular system

C. Pneumonias

D. Tuberculosis

31. Alicia, a 9 year old child asked you “ What is the common cause of death in my age group here in the Philippines? “ The nurse is correct if he will answer

A. Pneumonia is the top leading cause of death in children age 5 to 9

B. Malignant neoplasm if common in your age group

C. Probability wise, You might die due to accidents

D. Diseases of the respiratory system is the most common cause of death in children

32. In children 1 to 4 years old, which is the most common cause of death?

A. Diarrhea

B. Accidents

C. Pneumonia

D. Diseases of the heart

33. Working in the community as a PHN for almost 10 years, Aida knew the fluctuation in vital statistics. She knew that the most common cause of morbidity among the Filipinos is

A. Diseases of the heart

B. Diarrhea

C. Pneumonia

D. Vascular system diseases

34. Nurse Aida also knew that most maternal deaths are caused by

A. Hemorrhage

B. Other Complications related to pregnancy occurring in the course of labor, delivery and puerperium

C. Hypertension complicating pregnancy, childbirth and puerperium

D. Abortion

SITUATION : Barangay PinoyBSN has the following data in year 2006

1. July 1 population : 254,316

2. Livebirths : 2,289

3. Deaths from maternal cause : 15

4. Death from CVD : 3,029

5. Deaths under 1 year of age : 23

6. Fetal deaths : 8

7. Deaths under 28 days : 8

8. Death due to rabies : 45

9. Registered cases of rabies : 45

10. People with pneumonia : 79

11. People exposed with pneumonia : 2,593

12. Total number of deaths from all causes : 10,998

The following questions refer to these data

35. What is the crude birth rate of Barangay PinoyBSN?

A. 90/100,000

B. 9/100

C. 90/1000

D. 9/1000

36. What is the cause specific death rate from cardiovascular diseases?

A. 27/100

B. 1191/100,000

C. 27/100,000

D. 1.1/1000

37. What is the Maternal Mortality rate of this barangay?

A. 6.55/1000

B. 5.89/1000

C. 1.36/1000

D. 3.67/1000

38. What is the fetal death rate?

A. 3.49/1000

B. 10.04/1000

C. 3.14/1000

D. 3.14/100,000

39. What is the attack rate of pneumonia?

A. 3.04/1000

B. 7.18/1000

C. 32.82/100

D. 3.04/100

40. Determine the Case fatality ratio of rabies in this Barangay

A. 1/100

B. 100%

C. 1%

D. 100/1000

41. The following are all functions of the nurse in vital statistics, which of the following is not?

A. Consolidate Data

B. Collects Data

C. Analyze Data

D. Tabulate Data

42. The following are Notifiable diseases that needs to have a tally sheet in data reporting, Which one is not?

A. Hypertension

B. Bronchiolitis

C. Chemical Poisoning

D. Accidents

43. Which of the following requires reporting within 24 hours?

A. Neonatal tetanus

B. Measles

C. Hypertension

D. Tetanus

44. Which Act declared that all communicable disease be reported to the nearest health station?

A. 1082

B. 1891

C. 3573

D. 6675

45. In the RHU Team, Which professional is directly responsible in caring a sick person who is homebound?

A. Midwife

B. Nurse

C. BHW

D. Physician

46. During epidemics, which of the following epidemiological function will you have to perform first?

A. Teaching the community on disease prevention

B. Assessment on suspected cases

C. Monitor the condition of people affected

D. Determining the source and nature of the epidemic

47. Which of the following is a POINT SOURCE epidemic?

A. Dengue H.F

B. Malaria

C. Contaminated Water Source

D. Tuberculosis

48. All but one is a characteristic of a point source epidemic, which one is not?

A. The spread of the disease is caused by a common vehicle

B. The disease is usually caused by contaminated food

C. There is a gradual increase of cases

D. Epidemic is usually sudden

49. The only Microorganism monitored in cases of contaminated water is

A. Vibrio Cholera

B. Escherichia Coli

C. Entamoeba Histolytica

D. Coliform Test

50. Dengue increase in number during June, July and August. This pattern is called

A. Epidemic

B. Endemic

C. Cyclical

D. Secular

SITUATION : Field health services and information system provides summary data on health service delivery and selected program from the barangay level up to the national level. As a nurse, you should know the process on how these information became processed and consolidated.

51. All of the following are objectives of FHSIS Except

A. To complete the clinical picture of chronic disease and describe their natural history

B. To provide standardized, facility level data base which can be accessed for more in depth studies

C. To minimize recording and reporting burden allowing more time for patient care and promotive activities

D. To ensure that data reported are useful and accurate and are disseminated in a timely and easy to use fashion

52. What is the fundamental block or foundation of the field health service information system?

A. Family treatment record

B. Target Client list

C. Reporting forms

D. Output record

53. What is the primary advantage of having a target client list?

A. Nurses need not to go back to FTR to monitor treatment and services to beneficiaries thus saving time and effort

B. Help monitor service rendered to clients in general

C. Facilitate monitoring and supervision of services

D. Facilitates easier reporting

54. Which of the following is used to monitor particular groups that are qualified as eligible to a certain program of the DOH?

A. Family treatment record

B. Target Client list

C. Reporting forms

D. Output record

55. In using the tally sheet, what is the recommended frequency in tallying activities and services?

A. Daily

B. Weekly

C. Monthly

D. Quarterly

56. When is the counting of the tally sheet done?

A. At the end of the day

B. At the end of the week

C. At the end of the month

D. At the end of the year

57. Target client list will be transmitted to the next facility in the form of

A. Family treatment record

B. Target Client list

C. Reporting forms

D. Output record

58. All but one of the following are eligible target client list

A. Leprosy cases

B. TB cases

C. Prenatal care

D. Diarrhea cases

59. This is the only mechanism through which data are routinely transmitted from once facility to another

A. Family treatment record

B. Target Client list

C. Reporting forms

D. Output record

60. FHSIS/Q-3 Or the report for environmental health activities is prepared how frequently?

A. Daily

B. Weekly

C. Quarterly

D. Yearly

61. Nurse Budek is preparing the reporting form for weekly notifiable diseases. He knew that he will code the report form as

A. FHSIS/E-1

B. FHSIS/E-2

C. FHSIS/E-3

D. FHSIS/M-1

62. In preparing the maternal death report, which of the following correctly codes this occurrence?

A. FHSIS/E-1

B. FHSIS/E-2

C. FHSIS/E-3

D. FHSIS/M-1

63. Where should Nurse Budek bring the reporting forms if he is in the BHU Facility?

A. Rural health office

B. FHSIS Main office

C. Provincial health office

D. Regional health office

64. After bringing the reporting forms in the right facility for processing, Nurse Budek knew that the output reports are solely produced by what office?

A. Rural health office

B. FHSIS Main office

C. Provincial health office

D. Regional health office

65. Mang Raul entered the health center complaining of fatigue and frequent syncope. You assessed Mang Raul and found out that he is severely malnourished and anemic. What record should you get first to document these findings?

A. Family treatment record

B. Target Client list

C. Reporting forms

D. Output record

66. The information about Mang Raul’s address, full name, age, symptoms and diagnosis is recorded in

A. Family treatment record

B. Target Client list

C. Reporting forms

D. Output record

67. Another entry is to be made for Mang Raul because he is in the target client’s list, In what TCL should Mang Raul’s entry be documented?

A. TCL Eligible Population

B. TCL Family Planning

C. TCL Nutrition

D. TCL Pre Natal

68. The nurse uses the FHSIS Record system incorrectly when she found out that

A. She go to the individual or FTR for entry confirmation in the Tally/Report Summary

B. She refer to other sources for completing monthly and quarterly reports

C. She records diarrhea in the Tally sheet/Report form with a code FHSIS/M-1

D. She records a Child who have frequent diarrhea in TCL : Under Five

69. The BHS Is the lowest level of reporting unit in FHSIS. A BHS can be considered a reporting unit if all of the following are met except

A. It renders service to 3 barangays

B. There is a midwife the regularly renders service to the area

C. The BHS Have no mother BHS

D. It should be a satellite BHS

70. Data submitted to the PHO is processed using what type of technology?

A. Internet

B. Microcomputer

C. Supercomputer

D. Server Interlink Connections

SITUATION : Community organizing is a process by which people, health services and agencies of the community are brought together to act and solve their own problems.

71. Mang ambo approaches you for counseling. You are an effective counselor if you

A. Give good advice to Mang Ambo

B. Identify Mang Ambo’s problems

C. Convince Mang Ambo to follow your advice

D. Help Mang Ambo identify his problems

72. As a newly appointed PHN instructed to organize Barangay Baritan, Which of the following is your initial step in organizing the community for initial action?

A. Study the Barangay Health statistics and records

B. Make a courtesy call to the Barangay Captain

C. Meet with the Barangay Captain to make plans

D. Make a courtesy call to the Municipal Mayor

73. Preparatory phase is the first phase in organizing the community. Which of the following is the initial step in the preparatory phase?

A. Area selection

B. Community profiling

C. Entry in the community

D. Integration with the people

74. the most important factor in determining the proper area for community organizing is that this area should

A. Be already adopted by another organization

B. Be able to finance the projects

C. Have problems and needs assistance

D. Have people with expertise to be developed as leaders

75. Which of the following dwelling place should the Nurse choose when integrating with the people?

A. A simple house in the border of Barangay Baritan and San Pablo

B. A simple house with fencing and gate located in the center of Barangay Baritan

C. A modest dwelling place where people will not hesitate to enter

D. A modest dwelling place where people will not hesitate to enter located in the center of the community

76. In choosing a leader in the community during the Organizational phase, Which among these people will you choose?

A. Miguel Zobel, 50 years old, Rich and Famous

B. Rustom, 27 years old, Actor

C. Mang Ambo, 70, Willing to work for the desired change

D. Ricky, 30 years old, Influential and Willing to work for the desired change

77. Which type of leadership style should the leaders of the community practice?

A. Autocratic

B. Democratic

C. Laissez Faire

D. Consultative

78. Setting up Committee on Education and Training is in what phase of COPAR?

A. Preparatory

B. Organizational

C. Education and Training

D. Intersectoral Collaboration

E. Phase out

79. Community diagnosis is done to come up with a profile of local health situation that will serve as basis of health programs and services. This is done in what phase of COPAR?

A. Preparatory

B. Organizational

C. Education and Training

D. Intersectoral Collaboration

E. Phase out

80. 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

81. Nurse Budek wrote a letter to PCSO asking them for assistance in their feeding programs for the community’s nutrition and health projects. PCSO then approved the request and gave Budek 50,000 Pesos and a truckload of rice, fruits and vegetables. Which phase of COPAR did Budek utilized?

A. Preparatory

B. Organizational

C. Education and Training

D. Intersectoral Collaboration

E. Phase out

82. Ideally, How many years should the Nurse stay in the community before he can phase out and be assured of a Self Reliant community?

A. 5 years

B. 10 years

C. 1 year

D. 6 months

83. Major discussion in community organization are made by

A. The nurse

B. The leaders of each committee

C. The entire group

D. Collaborating Agencies

84. The nurse should know that Organizational plan best succeeds when

1. People sees its values

2. People think its antagonistic professionally

3. It is incompatible with their personal beliefs

4. It is compatible with their personal beliefs

A. 1 and 3

B. 2 and 4

C. 1 and 2

D. 1 and 4

85. Nurse Budek made a proposal that people should turn their backyard into small farming lots to plant vegetables and fruits. He specified that the objective is to save money in buying vegetables and fruits that tend to have a fluctuating and cyclical price. Which step in Community organizing process did he utilized?

A. Fact finding

B. Determination of needs

C. Program formation

D. Education and Interpretation

86. One of the critical steps in COPAR is becoming one with the people and understanding their culture and lifestyle. Which critical step in COPAR will the Nurse try to immerse himself in the community?

A. Integration

B. Social Mobilization

C. Ground Work

D. Mobilization

87. The Actual exercise of people power occurs during when?

A. Integration

B. Social Mobilization

C. Ground Work

D. Mobilization

88. Which steps in COPAR trains indigenous and informal leaders?

A. Ground Work

B. Mobilization

C. Core Group formation

D. Integration

89. As a PHN, One of your role is to organize the community. Nurse Budek knows that the purposes of community organizing are

1. Move the community to act on their own problems

2. Make people aware of their own problems

3. Enable the nurse to solve the community problems

4. Offer people means of solving their own problems

A. 1,2,3

B. 1,2,3,4

C. 1,2

D. 1,2,4

90. This is considered the first act of integrating with the people. This gives an in depth participation in community health problems and needs.

A. Residing in the area of assignment

B. Listing down the name of person to contact for courtesy call

C. Gathering initial information about the community

D. Preparing Agenda for the first meeting

SITUATION : Health education is the process whereby knowledge, attitude and practice of people are changed to improve individual, family and community health.

91. Which of the following is the correct sequence in health education?

1. Information

2. Communication

3. Education

A. 1,2,3

B. 3,2,1

C. 1,3,2

D. 3,1,2

92. The health status of the people is greatly affected and determined by which of the following?

A. Behavioral factors

B. Socioeconomic factors

C. Political factors

D. Psychological factors

93. Nurse Budek is conducting a health teaching to Agnesia, 50 year old breast cancer survivor needing rehabilitative measures. He knows that health education is effective when

A. Agnesia recites the procedure and instructions perfectly

B. Agnesia’s behavior and outlook in life was changed positively

C. Agnesia gave feedback to Budek saying that she understood the instruction

D. Agnesia requested a written instruction from Budek

94. Which of the following is true about health education?

A. It helps people attain their health through the nurse’s sole efforts

B. It should not be flexible

C. It is a fast and mushroom like process

D. It is a slow and continuous process

95. Which of the following factors least influence the learning readiness of an adult learner?

A. The individuals stage of development

B. Ability to concentrate on information to be learned

C. The individual’s psychosocial adaptation to his illness

D. The internal impulses that drive the person to take action

96. Which of the following is the most important condition for diabetic patients to learn how to control their diet?

A. Use of pamphlets and other materials during instructions

B. Motivation to be symptom free

C. Ability of the patient to understand teaching instruction

D. Language used by the nurse

97. An important skill that a primigravida has to acquire is the ability to bathe her newborn baby and clean her breast if she decides to breastfeed her baby, Which of the following learning domain will you classify the above goals?

A. Psychomotor

B. Cognitive

C. Affective

D. Attitudinal

98. When you prepare your teaching plan for a group of hypertensive patients, you first formulate your learning objectives. Which of the following steps in the nursing process corresponds to the writing of the learning objectives?

A. Planning

B. Implementing

C. Evaluation

C. Assessment

99. Rose, 50 years old and newly diagnosed diabetic patient must learn how to inject insulin. Which of the following physical attribute is not in anyway related to her ability to administer insulin?

A. Strength

B. Coordination

C. Dexterity

D. Muscle Built

100. Appearance and disposition of clients are best observed initially during which of the following situation?

A. Taking V/S

B. Interview

C. Implementation of the initial care

D. Actual Physical examination

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Nursing Board Exam Free Practice Test | Community Health Nursing

Situation 1. The following pertains to some concepts and principles of community health nursing that a nurse must apply in carry out CHN services.

1. Community heatlth nursing is a field of nursing which utilize

1. Knowledge about the history and philosophy of public health practices
2. Concepts of epidemiology and bio-statistics
3. Principles of leadership and management
4 Principles of social change

a. 1, 2, 3 & 4
b. 1 & 2
C. 2 & 3
d. 1,2 & 3

2. Which of the following features should the nurse incorporate in her practice of community health nursing (CHN)?

1. CHN is oriented to population
2. CHN emphasize health
3. CHN involves interdisciplinary collaboration
4. CHN promotes client participation in determining their own health

a. 1, 2, 3 & 4
b. 3 & 4 only
c. 1 & 2 only
d. 1, 2 & 3

3. In order to strengthen community participation in health activities in the community, which of this following should be done by the Public Health Nurse?

1. Identify the existing and potential leaders of the community
2. Form a core group for health
3. Formulate action program for health
4. Tell the community leaders what to do for their health problems

a.1 & 3
b.3 & 4
c.1 & 2
d.2 & 3

4. Which of the following characterize Primary Health Care?

1. Essential health care accessible and acceptable to individual and families in the community
2. The cost of care is affordable to community and country
3. The setting is in tertiary hospitals
4. Require; health personnel and specialized training

a. 1 & 4
b. 3 & 4
c. 1 & 2
d. 2 & 3

5. Which of the following statements about the PHN’s role in the community is/are correct?

1. The PHN will only enjoy her work if she accepts her role and is able to perform that role
2. The PHN is a community health nurse if she is able to establish rapport with the community officials and members
3. The PHN wish only give bedside nursing care
4. The PHN can walkthrough mud, work under stress and eat with the people in the barangay

a.1 & 2
b.3 & 4
C. 2 & 3
d. 1, 2 & 4

Situation 2. Cynthia Payas at 30 weeks of gestation has been admitted to the labor room. She says she been having moderate contractions every 3-5 minutes lasting almost a minute. Her membranes are placed.

6. From the nurse's assessment findings of Leopold maneuvers TS revealed a soft, rounded mass, irregular nodules on Cynthia's right side and a hard prominence on her right, just above the symphisis. Which of the following best describe the fetal presentation and position?

a. ROP
b. LOA
c. LSA
d. RSP

7. Health teaching during the prenatal period emphasize the expectant mother's need to go to the hospital when:

a. Contractions are 5-10 min, apart lasting 30 seconds and are felt as strong as menstrual cramp.
b. Contractions are 5 min. apart lasting 60 seconds and in increasing intensity
c. Contractions are 3-5 min. apart with rectal pressure and bloody show
d. contractions are 2-3 min apart lasting 90 seconds and membranes have ruptured

8. The nurse continues with her admission assessment. Which location should the nurse anticipate finding the fetal heart tones?

a. above the umbilicus on her left side
b. above the umbilicus on her right side
c. below the umbilicus of Mona's left side
d. below the umbilicus of Mona’s right side

9. The nurse assessed the frequency, duration and intensity of Cynthia's contractions. Which of the following techniques should the nurse use?

a. Holding the finger and palm over the area below the umbilicus
b. Moving of her ringers of one hand over the uterus pressing into the muscle
c. Spreading the ringers of one hand tightly over the hand
d. Indenting the uterus in several places during and between contractions

10. During labor, when positioning a client on lithotomy, the nurse should

a. Make sure the legs are safety strapped on the stirrups
b. Put her on semi-ceiling position first
c. Gradually lift one legs after the other
d. Put up hef client's leg together

Situation 3. An early childhood febrile syndrome affecting the lymphodes was identified by the Public Health Nuse(PHN)

11. Cristina a three years old girl came to RHU due to fever unresponsive to antibiotics. During assessment, the nurse noticed that she has "strawberry tongue ". Which the following syndrome her diagnosis?

a. Karachi fever
b. Igarashi fever
c. Kawasaki fever
d. Nagasaki fever

12. Upon assessment, you have observed that Cristina was irritable with mood changes and cervical lymphadenopalhy. What would you do to her?

a. Blame the mother
b. Give medication
c. Divert bar attention
d. Spank her

13. When the doctor arrived, the mother wanted to bring her child to a tertiary hospital. Which level of bars would you put Cristina in?

a. fourth
b. first
c. second
d. third

14. Which among the treatment below was ordered by the physician for Cristina's mother to buy from the "Botika sa barangay"?

a. Immunoglobuline
b. Antihistamine
c. Paracetamol
d. Salicylatea

15. Susceptibility of the syndrome that Cristina was affected with, is from what ancestry?

a. Aryan
b. Caucasian
c. Asian
d. America

Situation 4. Hearing, impairment appears to be common among elderly patients. But also occurs among children.

16. To assess the degree of hearing impairment of a 70-year-old client. Which communication approach would you initiate?

a. Use verbal communication and observe the response
b. Give message to client in writing
c. Asks a family member about the client's
d. Post a sign "Patient deaf"

17. While you are mating your routine rounds you were told that there is a client in the 1CU who is in respirator and who lip-reads. To establish relationship with him, communication is best accomplished by:

a. Speaking slowly but aloud
b. Writing messages
c. Gesturing while speaking
d. Using simple "charade" approach or strategy

18. One of your client's has just undergone an ear surgery. Which of the following would be inappropriate in planning for his care?

a. Administration of anti-emetics and analgesics as ordered
b. Daily irrigation of the ear canal
c. Walking with assistance at least 24 hours after operation
d. Teaching the patient to avoid sneezing, coughing and nose blowing

19. Which of the following conditions would an irrigation of the ear canal be appropriate intervention?

a. Foreign body in the ear canal
b. Serious otitis
c. Impacted cerumen
d. Tympanic membrane perforation

20. Children who have undetected hearing loss are likely to exhibit which of the following:

a. Indifference and lack of interest in the environment
b. Hyperactivity
c. An increased interest in reading
d. Hand gestures while speaking

Situation 5. As a professional nurse you take responsibility for personal & professional growth

21. Regulation of nursing practice is mainly based on:

a. Board of Nursing resolutions and pronouncements
b Legal rules and principles governing nursing practice
c. Standards of nursing practice
d. Decisions made by the PRC relating the nursing practice

22. You are a graduate of new BSN curriculum feat aims to prepare a fully functioning nurse. Which of the following best describe this graduate?

a. Sensitive awareness to the health needs of society
b. Collaboration with multi-sectoral groups
c. Compassionate attitude to all those cared for
d. Consideration of needs of patients and others

23. Accountability and responsibility in nursing practice is enhanced by utilization of

a. Assessment or appraisal tools
b. Code of Ethics of nurse's
c. Records for care plan
d. The nursing process

24. The professional license is renewable every three years during which of the following periods?

a. Every April 15 of each year
b. Every march 15 of each year
c. Every January 20 of each year
d. On or before one’s birth month

25. Which of the following Acts means that "Health Workers" are all persons engaged in health relate work regardless of their employment status?

a. Magna Carta of Public Health Worker
b. Security of Tenure of regular employees
c. Discrimination Prohibition
d. Code of Conduct and Ethical Standard of Public Officials and Employees

Situation 6. Nurses provide care to individuals in the various stages of health & illness.

26. Which of the following are internal factors that influence health practices?

a. Family practices
b. Norms of society
c. Religious beliefs
d. Developmental stage

27. Health-illness continuum refers to which of the following statements? A person

a. Can both be healthy or ill
b. Is either healthy or sick
c. Can be at the level of health & illness
d. Is either not healthy or not ill

28. One's ideas convictions and attitudes which influence his level of health is referred to as his:

a. Health beliefs
b. Health habits
c. health practice
d. health perceptions

29. Health Beliefs Model states that one takes health action if:

a. Is consistent of his health beliefs
b. Get support from family
c. Agree with the society's norms
d. Will prevent his getting sick

30. Health action that keeps one's present level of health is referred to as:

a. Health enhancement
b. Health promotion
c. Death prevention
d. Health maintenance

Situation 7.Cathy is in the early first trimester of her first pregnancy. ,

31. Cathy visits her gynecologist to confirm a suspected pregnancy. During the nursing history, she states that her last menstrual period began April 11. Cathy states that some spotting occurred in May 8. The Nurse calculates that her due date is:

a. January 10
b. January 18
c. February 12
d. February 15

32. Cathy asks the nurse why menstruation ceases once pregnancy occurs. The nurse's best response would be that this occurs because of the

a. Reduction in the secretion of hormones by the ovaries
b. Production of estrogen and progesterone by the ovaries.
c. Secretion of luteinizing hormone produced by the pituitary
d. Secretion of follicle-stimulating hormone produced by the pituitary.

33. The nurse is aware that the nausea and vomiting commonly experienced by many women during the first trimester of pregnancy is an adaptation to the increased level of

a. Estrogen
b. Progesterone
c. Luteinizing hormone
d. Chorionic gonadothropin

34. The nurse in the prenatal clinic should provide nutritional counseling to all newly pregnant women because:

a. Most weight gain during pregnancy is fluid retention
b. Dietary allowance should not increase during pregnancy
c. Pregnant women must adhere to a specific pregnancy diet
d. Different sources of essential nutrients are favored by different cultural groups

35. Cathy is now in her 8 weeks of pregnancy and complains of having to go to the bathroom often to urinate. The nurse explains to her that urinary frequency often occurs because the capacity of the bladder during pregnancy is diminished by:

a. Atony of the detrusor muscle
b. Compression by the ascending uterus
c. Compromise of the autonomic reflexes
d. Constriction of the ureteral entrance at the trigone

Situation 8. AIDS cases has been all over the country and yet only few are reported cases due to the stigma attach to it.

36. What is the causative agent in HIV/AIDS?

a. trichomonas vaginalis
b. Human, T-cell lymphotrophio virus
c. Treponema pallidum
d. Chlamydia tranchomatis

37. A classic full blown AIDS case is identified by clinical manifestations such as:

a. Persistent generalized lymphadenopathy
b. Sudden loss of weight, afternoon fever and general malaise
c. Tumors and opportunistic infections
d. Fever, weight loss, night sweats and diarrhea

38. Pulmonary complications are the most common problem in caring for AIDS patients. This is caused:

a. Kaposi's Sarcoma
b. Filterable Virus
c. Pneumonia Carnii
d. Staphylococcus bacteria

39. The cause of death of most AIDS patients who develop multiple opportunistic infections is/are the following:

a. Weakened immune system impairs response to therapy
b. AH of these (a, b, c)
c. Weakened immune system impairs resistance to infection
d. Infection cannot be treated effectively

40. Implementation of the following activities can help prevent the transmission of AIDS through the blood.

1. Conduct public education campaign, with the aim of implementation self-deferral of blood donate who are risk of HIV infection
2. Educate health care workers on the correct use of blood
3. Conduct surveillance of women attending anti-natal clinics
4. Use of condoms of those found to be infected with HIV

a. 1 & 2
b. 3 & 4
C. 1 & 3
d. 2 & 3

Situation 9. One of the main fools of the nursing profession is the use of therapeutic communication. The following situation would require you of your communication skills.

41. A patient who is diagnosed to have terminal illness tells you. "I’m really scared. Am I dying?" What could be your most appropriate response?

a. "Tell me about what you think."
b. "I'm sure you are scared; other clients in your situation feel the same way."
c. "You should be careful not to let your family know you're scared"
d. "Why are you scared?"

42. The nurse assessing a male client who has been admitted for treatment of alcoholism. Which question by the nurse is least appropriate?

a. "How much do you think?"
b. "What other drugs do you use?" .
c. "How is your general health?"
d. "Why do you drink so much?"

43. A 58-year-old male client tells the office nurse that his wife does not let him change his colostomy bag himself. Which response by the nurse indicates as understanding of the situation?

a. "Your wife's need to help you is a reality you should accept"
b. "Do you think your wife might benefit from counseling?"
c. "You feel you need privacy when changing your colostomy?"
d. "Have you discussed the situation with your doctor?"

44. An 87 year old widow was hospitalized for treatment of chronic renal disease. She lives with her daughter and son-in-law and their family, who are very supportive. She is now ready for discharge. The doctor has ordered high carbohydrates, low-protein, low sodium diet for her and the family has asked for assistance in planning low-sodium diet meals. Which of the following choices best reflects the pre-discharge information the nurse should provide for the client's family regarding low-sodium diet?

a. Avoid canned and processed foods, do not use salt replacements substitute herbs and replaces for salt in cooking and when seasoning foods, call a dietitian for help.
b. Use potassium salts in place of table salt when coking and seasoning foods, read the labels on packaged foods to determine sodium content, and avoid snacks food
c. Limit milk and dairy products, cook separate meals that are low in sodium and encourage increased fluid intake
d. Avoid eating in a restaurant, soak vegetables well before cooking to remove sodium, omit all canned foods, and remove salt shakes from table.

45. You are encouraging your patient for major cancer operation to verbalize her fears. She remarked," I am afraid to do". Your appropriate response is

a. "I know how you feel about your condition".
b. "Don't worry, you are in good hands."
c. "Let me call a chaplain to see you."
d. "Let us asks your doctor about your operation."

Situation 10. You are assigned as a public health nurse to oversee the different health activities in your community.

46. While you were going over the record of Mrs. Uy who missed her prenatal appointment date. Her review of the family folder showed the following: GR-II, PARA II; with slight edema; BP=150/100. Mra. Uy eldest son in underweight is sick of H-fever. Nurse Linda planned a home visit. Which of the following would you give priority in planning her for the family?

a. Mrs. Uy's eldest son who is sick with H-fever
b. Mrs. Uy pre-eclampsia
c. Nutritional status of Mrs. Uy’s eldest son
d. Family potential threat of cross-infection from H-fever

47. The midwife refers to you a family who fails to take action regarding a sick member of the family despite her suggestions. In helping the family decide on what actions to take you will.

1. Explain the consequences of inaction
2. Identify the courses of action open to the family and resources needed for each
3. Discuss the consequences of each course of action available
4. Influence me family to act on what you think is best for the situation

a. 1 & 4
b. 2, 3 & 1
c. 2 & 3
d. 4 only

48. Elisa is on her 1 1/2 month pregnancy. Her first child 3 1/2 months old. She asked you if she should stop breastfeeding her first baby since she is now pregnant. Your response should be the following. EXCEPT:

a. Breastfeeding during pregnancy is not harmful to either of the babies.
b. Sudden weaning can be harmful and can make the older child ill
c. Breast milk is only valuable until the child is 4 months old
d. She can start giving solid foods in preparation for weaning when her child is 4 to 6 months old

49. Which of the following statements is correct regarding Community Health Nursing (CHN)?

a. Professional growth and development of the PHN is the responsibility of the Department health
b. Provision of CHN care is not any way affected by policies of the agency where the Nurse work
c. The PHN worked with community 19 for 6 years can solely determine the health needs of the community
d. Evaluation of the health status of individuals and families should be done in consultation with them

50. In developing capability of people to assume more responsibility for their health, which of the following statements would you consider most important?

a. Lead-lag in the health activities
b. Organizing me community for health
c. Identifying health problems with the people
d. Making medicine available

Situation 11. Demographic profile of the elderly population is important in the nursing profession and it is therefore important to know the basic facts about it

51. According to the definition of UN and WHO elderly people are who belong to the age bracket of

a. 60 years old and above
b. 65 to 74 years old
c. 85 years old and above
d. 75 to 84 years old

52. There are four classifications of elderly, which age group do old-old person, belong

a. 55 to 60 years old
b. 65 to 74 years old
c. 75 to 84 years old
d. 85 years old and above

53. Factors that affect Reproductive health includes, except,

a. Socio-economic
b. Status of Women
c. Status of Men
d. Social and Gender Issues

54. Element of Reproductive Hearth is responsible for the sex education for students,

a. Men's Reproductive Health
b. Adolescent Reproductive Health
c. Family Planning
d. V.A.W

55. Essential Tool used in Community Health Nursing, that saves time and effort,

a. Bag technique
b. Public Health Bag
c. BP Apparatus
d. Thermometer Technique

56. Principles in Home Visit include, except

a. Home visit should have an objective or purpose.
b. Planning of Home Visit should be flexible and practical.
c. Planning revolves around the needs of the Nurse.
d. Planning should revolve around the essential needs of the family,

57. Steps in Home Visit, which should be done initially?

a. Wash hands
b. Greet Client or household
c. Explain purpose of visits
d. Ask about client's health status.

58. After home delivery, the Nurse should include in her health teaching

a. Circumcision of the Infant
b. Immunization
c. Starting the infant on bottle feeding
d. Breast feeding of infant

59. In giving tetanus toxoid immunization for pregnant women, the first dose should be given.

a. Second Trimester
b. 3rd Trimester
c. 1 year after delivery
d. as early as possible during pregnancy

60. The legal mandate that supports the PHC act

a. LOI 949
b. PD 996
c. E.O 51
d. RA7180

61. Requirements to be a Public Health Nurse Includes

1. Filipino citizen
2. BSN, RN
3. Masters degree in Nursing
4. 3 years as a C. I

a. 1, 3
b. 3, 4
c. 1, 2
d. 2, 4

62. Which of the following statements best explain the concept of people empowerment?

a. People are the health beneficiaries
b. People themselves are health resources
c. People can demand health services
d. People are our partners in health

63. As a PHN you also have an active role in disease surveillance sod epidemiology of disease in the community. Among others you also do the following.

1. Immediately inform the rural health physician of any unusual increases cases in the community disease.
2. Conduct epidemiological investigation on all reported outbreaks
3. Request the midwife to graph weekly disease incidence cases in the municipality
4. Assist in the planning and implementing disease control measures during outbreak

a. 1, 2 & 4
b. 2 & 4
c. 1 & 4
d. 3 & 4

64. The habitual presence of a disease or infectious agent within a given geographic area is:

a. Epidemic
b. Endemic
c. Pandemic
d. Sporadic

65. Measures the frequency of occurrence of new cases of a certain disease during a given period of time

a. Prevalence rate
b. Endemic
c. Fatality rate
d. Mortality rate

Situation 13. Theories regarding the aging process were formulated in order to guide the health care profession in their care of the elderly patient.

66. Theories proposed to explain aging are organized as:

a. Fully explanatory and partially explanatory
b. Complete and incomplete
c. Genetic, biochemical and sociopsychological
d. Known and unknown

67. In the "Wear and Tear" theory of aging continued use of the body is supposed to lead to worn out parts, similar to the breakdown and wearing out ®f old machinery. This could not explain aging because:

a. Continued use has little effect
b. Nothing over wears out completely
c. The human body can’t be compared to machinery
d. Greater use leads to improvement in some systems such as muscles

68. The "Somatic Mutation Theory" states that low doses of radiation accelerate aging. The theory has been criticized for three reasons. Which of the following is not of the reasons why this theory explains little about the aging process.

a. Sunscreens are now available to block out fee harmful ultraviolet rays
b. The effect of the sun occurs mainly in dividing cells while the effects of aging are seen mainly in calls that no longer divide
c. The number of cells that undergo mutation is too small to account for overall aging.
d. Most cells contain mechanisms for the repair of DNA

69. Which of the following explains that the critical factor in framing old age concerns is how well persons function in regards to activities of daily living?

a. The functional capacity theory
b. The activity theory
c. the disengagement theory
d. the personal meaning theory

70. The view of the older people "Withdraw" from the soclety is:

a. The adics theory
b. The disengagement theory
c. The parling theory
d. The absence theory

Situation 14. Mrs. Castro is one-week post partum. She visits health center because of fever and intense pain over the episiotomy site.

71. What will be first action of the nurse?

a. Assess for signs of anemia
b. Determine nutritional status
c. Ask for the possibility of sexual intercourse
d. Elici: history of delivery

72. Upon inspection the nurse observes an edematous episiotomy site. Which of the following intervention will you first apply?

a. Administer antimicrobials as ordered
b. Expose the wound to perilight
c. Cleanse the episiotomy with iodine solution
d. Give oral analgesic

73. Upon inspection the nurse observes an edematous episiotomy site. Which of the following herbal plants can be used to related perineal infection?

a. Lagundi
b. Banana Leaves
c. Herba Buena
d. Guava Leaves

74. Breast engorgement can also cause temperature elevation, but does not last longer than how many hours?

a. 48 hours
b. 12 hours
c. 10 hours
d. 24 hours

75. Which of the following is an anti-inflammatory drug?

a. Metoprotol succinate
b. Mefenamic Acid
c. Meperidine hydrochloride
d. Mefhylergonovine oaaleate

Situation 15. The Department of Health implements various health programs and projects in order to achieve its goals and objectives. As a Public Health Nurse you are one of the implementers of these programs at the municipal level.

76. The primary function of the Department of Health is the promotion, preservation or restoration of the health of the people through.

a. Regulation and encouragement of providers of health goods and services
b. Provision and delivery of health services
c. All of these except reduction of morbidity and mortality
d. Reduction of morbidity and mortality

77. In recent years, the government have given more emphasis of which of the following.

a. Rehabilitation
b. Treatment of disease
c. Prevention of illness
d. Treatment and rehabilitation

78. In your campaign against sexually transmitted disease which of these groups are your target audience for health education?

a. Commercial social workers
b. All of these groups
c. General population
d. Health workers and private practitioners

79. Knowing the policies if the National Family Planning Program which of these is the best contraceptive method to use for a couple who have already four children?

a. Use of IUD since she is still on her postpartum period
b. Natural family planning method since her menstruation is still regular
c. A method they will choose and use
d. Tubal ligation as this is more permanent method

80. Under the National Center Control Program, the following are primary prevention measures implemented cancer of the mouth except

a. Avoidance of inverted cigarette smoking
b. None of these
c. Improved dental hygiene
d. Avoidance of smoking and betel chewing

Situation 16. The Community Health Nurse prepares/participate in the preparation of the community health care plan.

81. In order to plan effectively, the nurse needs a -working knowledge on the following, except

a. None of these
b. The way people view health and how they are using health care services
c. Health status profile of the community
d. Data on quality assurance

82. In a rural health unit with full man power complement, the nurse's main contribution in the preparation of the total health care plan is the.

a. Preparation of the nursing component of the plan
b. Collation of the data on Health Statistics
e. Identification of health problem of the barangays
d. Analysis of the community survey data

83. Which of the following statement would serve as a guide in the preparation, of the community health care plan?

a. Recommendation for action should be stated in quantifiable terms
b. The formulation of criteria for evaluating the effectiveness of the plans must be an aspect of planning
c. All of these statements
d. Problems goals and objectives should be stated in quantifiable terms

84. Which of the following is a well-stated objective of a community health nursing care plan

a. To increase the number of mothers coming for prenatal check-up by 25% in 6 months time.
b. To increase the number of home visits by 50%
c. To increase the coverage for immunization in 1 year time
d. To increase the number of children receiving food assistance

85. If the objectives of the health care plan is to decrease the number of children with parasitism: by 50% by the end of 2 years, which of these would be an appropriate evaluation indicator?

a. Number of children found positive for ascaris/ amebiasis/ hookworm, infection
b. Number of children examined for parasitism
c. Number of children who consulted for abdominal pain and anemia
d. Number of children who were dewormed

Situation 17. Your head nurse participated a 2-weeks seminar. You were designated to be an officer-in-charge of your nursing unit.

86. In unit planning which of the following questions initiate the process?

a. How to schedule the activities?
b. Who will do the planning?
c. What is to be accomplished?
d. Where to get unit supplies?

87. This is an example of data that should be analyzed when identifying missing needs.

a. Number of nursing staff
b. Medical diagnosis of patient
c. Ward supplies and materials
d. Patient classification

88. To accomplish the nursing unit work, you should first get information about:

a. Objectives of the unit
c. Nursing budget
b. Nursing service organizational chart
d. Mission of the hospital

89. This is an example of a patient care unit objective

a. To ensure adequate unit supplies/materials
b. To use the kardex system of charting
c. To determine the number of nursing staff needed
d. To provide safe nursing

90. Which of the following tools can be most helpful in the evaluation of staff performance?

a. Performance assessment
b. Performance standard
c. Performance audit
d. Performance appraisal

Situation 18. Rebecca, a 2 year old and her Mother are consulting the community health nurse

91. The nurse observes Rebecca at play in the clinic. She realizes that at this age, Rebecca could be expected to exhibit which of the following?

a. Build houses with blocks
b. Is extremely possessive of toys
c. Attempts to stay within the hue when coloring
d. Amuses herself with a picture book of 15 minutes

92. When observing Rebecca, the nurse would expect her to engage in which type of play?

a. Parallel play
b. Solitary play
c. Competitive play
d. tumbling play

93. Rebecca's mother asks the nurse when it would be appropriate to take her to the dentist for dental prophylaxis. What is the nurse most appropriate response?

a. Before starting school
b. Between 2 and 3 years of age
c. When Rebecca begins to lose deciduous teeth
d. The next time another family member goes to the dental

94. Rebecca's mother say's that Rebecca consistently says "no” every time she is offered fluids. Considering Rebecca's development, how could the nurse assist the mother to increase Rebecca's fluid intake?

a. Distract her with some food
b. Be firm and hand her the glass
c. Offer her a choice of two things to drink
d. Let Rebecca see that she is making her mother angry

95. Rebecca is well and is to be discharged- Her mother asks the nurse why Rebecca persists in saying ''no'' to everything. The nurse explains to Rebecca's mother that this negativism is helping Rebecca to meet a 2 year old need for which of the following?

a. Trust
b. Attention
c. Discipline
d. Independence

Situation 19. You are the nurse assigned in the nursery unit and your patients are of various ages.

96. Assessment an infant, the nurse knows that a pincer grasp nornally appears

a. At the same time as the palmar grasp
b. Between 9 & 12 month of age
c. Between 5 & 7 month of age
d. Along with the ability to "rake" objects toward themselves

97. In a child development, the period of negativism begins when the child

a. Can manipulate his or her parents
b. Copies negative behavior of sibling.
c. Is struggling between dependence and independence
d. Is learning manual skills

98. The nurse is caring for a hospitalized toddler who was toilet trained home. He wets his pants. The best response to this situation is to say?

a. "Its okay, try not to wet your pants next time”
b. "That's okay. Now lets get you cleaned up”
c. "I know you understand how to use the toilet; what happened?"
d. "Your mom told me you don't wet anymore; what's wrong?"

99. Which of the following behavior would a normal 18 moths old be likely to exhibit during the first few hours of hospitalization?

a. Crying loudly when parents leave
b. Readily accepting the nurse caring for him
c. Showing considerable interest in new toy
d. Sitting quietly in the comer of the cab, showing little or no interest in his surrounding

100. Evaluating a 1 month old infant normal developmental skills, the Nurse should observe that the infant

a. Actively follow movement of familiar persons with her eyes
b. Responds to "No-No"
c. Turns her head to a familiar noise
d. Discriminates between family and strangers

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