CHN BASIC CONCEPTS 207-J

Situation: One important principle of Community Health Nursing is the recognition of needs of individuals, families and communities
as basis for community health services.

1. What factor contributes to the effectiveness of care to your clients as a Rural Health Unit nurse?
a. Interpersonal relationship with barangay officials c. Knowledge of the objectives of health programs
b. Expertise in health education d. Respect of customs beliefs and values of clients

2. As a nurse, you organize community groups to participate in community activities. In what way could you motivate people to
participate in your program?
a. Instruct them to agree with you c. Let people decide for themselves
b. Assign roles d. Conduct group work

3. Utilizing of indigenous resources maximizes efforts of the Community Health Nurse. Which of the following Department of Health
programs could you apply this principle?
a. Vegetable gardening b. Training of Hilots c. Herbal medicine d. Nutrition of children

4. One supervised project in the Barangay is putting up “Botika sa Baryo” which is supervised by one of the following health care
providers:
a. Pharmacist b. Physician c. Midwife d. Nurse

5. When complication occurs due to improper use of technology to whom should the case be referred to?
a. Physician c. Nurse c. Medical Specialist d. Chief of District hospital

Situation: Elena is applying as regional Training Nurse. She holds a master degree in Public Health. However her experience is be
validated:

6. The required experience for Regional Training Nurse is six years, three of which should be one of the following:
a. Research work and publication c. Supervisor in the city health
b. Staff nursing in a medical center d. Teaching in a school nursing

7. One important function and responsibility of the Regional Training Nurse is:
a. Designing training program for nurses and midwives c. Organize field trips to tertiary hospitals
b. Assessing needs of nurses and midwives d. Evaluating credentials of applicants

8. The Regional Training Nurse is under the supervision of the Nursing Program Supervisors. In the concept of Public Health Nursing
supervision, what would Elena expect from her boss?
a. Keeping of records in Rural Health Unit
b. Soliciting donations from Non-Government Organizations
c. Formulation of policies and standard
d. Attendance in Barangay meetings

9. Perla is Elena’s co-worker as Community Health Nurse. Which of the following is the general duty of Perla?
a. Provides nursing care to the community c. Coordinates with Municipal Health Officer
b. Communicates to the health team d. Establishes rapport with clients

10. The Rural Health Midwife, Rosita, is under the Supervision of the Public Health Nurse. In which of the following health care
aspects should Rosita be assigned?
a. Reporting of disease incidence c. Basic maternal child care
b. Coordinating with clients d. Monitoring use of equipment

Situation: Activities of the PHN are directed toward helping clients attain OLOF.

11. Which factor influences OLOF?

a. Eco-system b. Environment c. Health care delivery d. Behavior

12. What is the four primary health care prevention?

a. Health care services c. Health care delivery system
b. Health for all people d. Health promotion and protection

13. What is the focus of secondary health care?

a. Early malnutrition c. Early diagnosis and treatment
b. Early signs and symptoms d. Early detection

14. What is the focus of Tertiary level?

a. Prevention of E.D. c. Prevention of permanent damage
b. Prevention of secondary influence d. Prevention of complication

15. Each process has unique way of adaptation. Which aspect should man co-exist with?
a. Environment b. Family c. Church d. Organization

Situation: Some people in the community do not believe in immunization due to superstition.
16. What would you tell a mother who refuses to immunize her baby?
a. “Immunization is okay for your baby.” c. “It’s up to you if your baby gets sick.”
b. “Vaccines are expensive, you get if free.” d. “Vaccines will prevent diseases.”

17. A pregnant woman seeks the help of a trained hilot. What are the reason why they like the hilot?
a. Cumadrona is busy c. Babaylan is better than none
b. Hilot renders holistic touch d. Faith healers are less expensive

18. If nurses are busy, hilots can really be of health. What cases should be assigned to hilots?
a. Wound dressing b. Respiratory infection c. Normal deliveries d. Immunization

Situation: Community Health Nurses need to know the laws affecting health and nursing practice in our country.

19. Which one of the following administrative orders updated roles and functions of the municipal health officers, Public Health
Nurses and Rural Health Midwives?
a. Number 114 s. 1991 c. Magna Carta of Public Health workers
b. Letter of instructional #949 d. Circular Number 2 s. 1986

20. Which one of the following Acts means that “Health Workers” are all persons engaged in health-related work regardless of their
employment status?
a. Magna Carta of Public Health Workers
b. Security of Tenure of regular employees
c. Discrimination Prohibition
d. Code of conduct and ethical standard of Public Officials and employees

21. The Philippine Nursing Act of 1991, Section 27 Scope of Nursing, describes the person practicing Nursing when the person uses
which one of the following scientific knowledge?
a. Nursing process c. Studies of nursing manpower needs
b. Management skills d. Diagnostic procedure

22. Which one of the following use of documents is a prohibition in the practice of Nursing in the Philippines?
a. Personal endorsement of health products c. Authenticated registration card
b. Another nurse identification card d. Valid certificate of registration

23. For a refresher course required to take fourth nurse license examination, the applicant must have enrolled for one year during
which level of the curriculum?
a. Second b. Third c. Fourth d. First

Situation: The Department of Health of our county gives due to importance to the contribution of Filipino nurse in the improvement of
the health care system.

24. Which one of the following is the focus of the promotive level of care in community health nursing?
a. Evaluation b. Assessment c. Planning d. Diagnosis

25. The nurse assigned in the Rural Health Unit as a beginning nurse practitioner is described as one of the following :
a. Specialist b. Mother-child nurse c. Generalist d. Home care nurse

26. In the Rural Health Unit, which kind of health services are available?
a. Safe motherhood b. Post hospitalization c. Home care d. All types

27. Which of these scientific processes is used by the nurse where in biological and sociological sciences are utilized to obtain
community resources?
a. Nursing management b. Nursing program c. Nursing networking d. Nursing process

28. Which one of the following processes is used by the nurse wherein biological and sociological sciences are utilized to obtain
community resources?
a. Community-based b. Community health c. Health networking d. Nursing process
 CHN 1 L-207-J
1. For which types of clients is the community health nurse primarily responsible?
a. individuals b. families c. populations d. geopolitical entities

2. As community health nurses engage in the process of community empowerment, it is essential that they:
a. Gather data for the community c. Make decisions for people in the community
b. Form partnership with people in the community d. Accept responsibility for people’s actions

3. A person with no known illness whose daily routine consists of walking and following a healthy diet would be best characterized as
engaging in which kind of activities?
a. health balance b. disease prevention c. health promotion d. self-fulfillment

4. A community health action that focuses on reducing frequency and severity of asthma attacks in inner-city children by requiring a
local incinerator to install particulate filters is an example of:
a. downstream thinking b. health promotion c. primary prevention d. upstream thinking

5. A community that uses the resources of a neighborhood church to provide a latchkey children’s program, to sponsor prayer/support
groups for people who are ill, and to grow a community garden that sends vegetables to elderly shut-ins are engaged in what kind of
activity?
a. disease prevention b. health protection c. risk management d. health balance

6. A nursing activity designed to diagnosed and to treat a disease or condition in its earliest stages, before it becomes full-blown,
would classified as:
a. primary prevention b. secondary prevention c. tertiary prevention d. health education

7. Which of the following is a contribution of community health nurse to the community’s health?
a. Providing health education to vulnerable populations
b. Coordinating access to integrated care for a population
c. Developing comprehensive systems of health care in a variety of settings
d. All of the above

8. In which of the following settings would a community health nurse be less likely to be involved?
a. Neighborhood or community clinic or senior center
b. Physician’s office with focus on individual client care
c. Home-based care
c. Neighborhood planning care

9. A key component of health promotion is that people in a community are able to:
a. Access private health insurance to cover their medical expenses
b. Recognize their health needs and help develop strategies to improve their own health care
c. Stop activities such as smoking or alcohol consumption that are harmful to health
d. None of the above

10. Which of the following is not a part of a population-based approach to community health care?
a. Focus on health needs of the whole community rather than just individuals
b. Attention to the economic, social and political environment of the community
c. Needs assessment and planning
d. Minimizing preventive health care strategies

11. Primary prevention strategies for a chronic illness such as heart disease could include:
a. Modifying risk factors such as obesity or high-fat diet
b. Implementing disease prevention strategies such as regular aerobic exercise
c. Teaching people about healthy diet and exercise
d. All of the above

12. The principle of empowerment can best defined as:

a. A way to place the responsibility for health care on clients
b. Recognizing that people can identify their own problems and solutions
c. Having clients choose between traditional and alternative health care
d. Making sure that the client is strengthened by the nurse’s input

13. An example of a secondary prevention strategy for chronic illness would include which of the following?
a. Showing a client who has had a stroke how to walk with a cane
b. Conducting blood pressure screenings at the local mall
c. Helping people with diabetes find a support group and affordable monitoring supplies
d. Immunizing a client against influenza
14. An effective tertiary prevention strategy for a client with a significant hearing impairment would be:
a. Enrolling the client in a book group to avoid social isolation
b. Providing information on a company that makes lights that flash when telephone rings
c. Insisting the client get hearing aids
 d. Talking louder

CHN 2 (L – 207-J)
1. Which of the following statements best describes a community?
a. People living in a particular geographic location
b. Organizations, family groups, or friend groups that intact
c. Groups that have common interest or needs
d. All of the above

2. A community of interest could be described as:

a. People who live in the same geographic area and share common interest
b. People who share beliefs, values or interest but not a geographic location
c. People with the ability to identify their own needs
d. People who have the same life expectancy

3. A community that is described as having community competences has which of the following characteristics?
a. The ability to perform their own cross-sectional epidemiological studies
b. The ability to delegate any community processes to an outside expert such as community health nurse
c. The ability to identify their needs, achieve consensus, and plan and implement goals
d. The ability to predict morbidity and mortality rates for the population or geographic area

4. The key role for the community health nurse in dealing with communities is to:
a. Make sure that people in the community are empowered and able to participate
b. Provide incentives for community members to follow the protocols of any study or drug trial
c. Establish project teams that will collect and analyze data
d. Closely direct community members so that the community assessment are done appropriately

5. Which of the following is not a part of the community assessment process?

a. Identify available resources such as time, money and team skills
b. Collecting and analyzing information
c. Withhold results from the community until they can be statistically confirmed, to avoid alarming
people
d. Setting action priorities based on the needs of the community and available resources

6. Which of the following describes a valid way to collect data for a community assessment?
a. Using a library database to conduct a literature review
b. Reading government documents to find out if similar data have already been collected
c. Using surveys or questionnaires to gather information from members of the community
d. All of the above
 CHN 3 (L – 207-J)
1. Which of the following statements best describes the term epidemiology?
a. Applied science that uses surveys to track communicate disease (spread from person to person)
b. Applied science that uses research and statistics to find out about how disease affects populations and
the reasons disease occurs
c. Applied science whose sole function is to find the etiology of all disease
d. Applied science that uses correlation studies to determine the appropriate tertiary prevention
strategies for a community

2. Community health is made up of which of the following?

a. Epidemiology, parasitology, and correlation studies
b. Etiology studies, prevention and demographics
c. Epidemiology, human ecology and demography
d. Infectious agents, natural history of a disease and demography

3. Which of the following factors can contribute to a person being a host?

a. Exposure to physical, chemical or nutritive agents c. Poverty
b. Bring young or old d. All of the above

4. Which of the following statements about the natural history of a disease is correct?
a. It has nothing to do with epidemiological studies
b. Using this method works only for communicable disease
c. Following the course the disease would take if there were no interventions can lead to developing
strategies or therapeutic interventions
d. None of the above

5. Which statement most accurately reflects prevalence rate and incidence rate?
a. There is no difference; they mean the same thing
b. Prevalence rate indicates the rate of change from people who do not have the disease, to their having
it
c. Both cover unspecified, unlimited periods of time
d. Incidence rate reflects new cases of a disease during a specified time

6. Which of the following are considered key vital statistics?

a. Attach rate and morbidity rate c. Maternal mortality rate and fetal death rate
b. Incidence and prevalence rate d. Relative risk

7. An illness that spreads because of contract between an infectious agent and a susceptible host is called:
a. endemic b. pandemic c. infectious agent d. communicable disease

8. The difference between endemic and epidemic is that:

a. Endemic affects only elderly people while epidemic does not
b. Epidemic affects a particular population while endemic affects a geographic area
c. Endemic affects a particular population while epidemic affects a geographic area
d. Endemic and epidemic, like pandemic are worldwide in scope

9. The virus that causes an influenza epidemic would be classified as:

a. Infectious disease b. Infectious agent c. Pandemic d. Target disease
 CHN 4 (L – 207-J)
1. Which of the following statements about families is true?
a. They are always made up of people who are related by birth or adoption
b. The current definition of the family is much less flexible than it was in the past
c. Alternate family configurations are increasingly common
d. Never-married couples are not included under the definition of family

2. A nuclear family of husband, wife and immediate children plus other person related by blood, or voluntary relationships is called
a/an:
a. blended family b. family of procreation c. family of origin d. extended family

3. An extramarital family configuration is characterized by:

a. Both adults in the family working outside the home
b. Child abuse
c. Open marriage or co-primary relationships
d. Adults who voluntary decide not to have children

4. The family living in Anytown USA consists of two adults who are cohabitating and four children from previous relationships. The
adults adhere to strict traditional gander roles and expect the children to be respectful obedient to the adult in the household. This
description tells about the family’s:
a. social environment c. community environment
b. psychological environment d. dysfunction

5. A family’s social environment consist of:

a. Family member’s communication skills c. The extended family status
b. Housing conditions inside and outside the house d. Religion, race and socioeconomic class

6. Which of the following would be considered appropriate parts in a family assessment by a community health nurse?
a. Relationships between family members and between the family and community
b. Ability of family members to grow, help one another and help themselves
c. Ability of family members to be flexible about roles and responsibilities
d. All of the above

7. A family that copes with a stressful situation by saying, “Our family is always upbeat, no matter what happens” is using which of
the following dysfunctional coping strategies?
a. pseudomutuality b. scapegoating c. triangulation d. family myth

8. A family health tree is used to tract which of the following?

a. Mental health disorder that occur is a family
b. Marriage and divorce
c. Health conditions with no genetic basis
d. Places of residence

9. Which of the following is useful for showing the deference between a family’s needs and the resources that are available to them?
a. Omaha system b. family health tree c. ecomap d. genogram
 CHN 5 (L – 207)
1. Primary prevention strategies for tuberculosis include all of the following except:
a. immunization b. skin testing c. health promotion d. education

2. An example of educating people to prevent E. coli infection would include:

a. Urging people not to eat any hamburger to avoid infection
b. Providing antibiotics for the diarrhea associated with E. coli
c. Telling people how E. coli leads to kidney failure
d. Showing people how to cook hamburger to the proper temperature

3. A population that is exposed to rodent droppings or urine could be at risk for:

a. Ebola virus b. hepatitis A c. Scabies d. Hantavirus

4. Which of the following is true about the Ebola virus?

a. It occurs only in Africa and Asia, not in the United States
b. It cannot be spread from person to person
c. The mortality rate is around 90 percent
d. Blood tests in exposed people to show no antibodies

5. Which of the following is commonly spread through sexual contact?

a. hepatitis B b. hantavirus c. rabies d. none of the above

6. Which types of hepatitis can be prevented by vaccination?

a. All types of hepatitis can be prevented by vaccination
b. No types of hepatitis can be prevented by vaccination
c. All types except hepatitis C and E can be prevented by vaccination
d. Only hepatitis A can be prevented by vaccination

7. Which type of hepatitis are commonly contracted through contaminated food or water?
a. Hepatitis A and E c. Hepatitis A and C
b. Hepatitis B and C d. Hepatitis D and E

8. The most effective treatment of pediculosis is:

a. Scratching the affected area
b. Removing lice and nits from body, clothes and bleeding
c. Immunization
d. Avoiding sharing and hats and combs

9. The most effective primary strategy for preventing influenza in the residents of an assisted living facility would be:
a. To immunize residents and staff against influenza
b. To screen staff from influenza symptoms as they come to work
c. To provide antibiotics to all residents beginning in November
d. To hospitalize any residents who develop fever, body aches or sore throat

10. An effective strategy to prevent elementary school children from contracting rabies would be to:
a. Give all children the rabies vaccine
b. Teach them never to approach or touch unknown or strange-acting animals
c. Examine the children to see if they have difficulty swallowing
d. Show the children hot to proper feed wild animals

11. Which of the following statements about chronic illness is true?

a. The community health nurse can do little to prevent chronic illness in a population
b. It is curable when the correct medical therapy is identified
c. Very few people in the United States are impacted by chronic illness
d. Nursing emphasis consists of preventing chronic illness before it occurs
 Primary Health Care (L – 207-J)
Situation: Community participation is very important in community health development through Primary Health Care. Community
involvement is a fundamental principle.

1. Involvement is not only cleaning surroundings and toilet construction but also sharing responsibilities and participation in one of the
following:
a. Problem-solving seminar c. Social work about livelihood
c. Meetings with barangay officials d. Defining health needs

2. To encourage community participation, which of the following should a nurse do?

a. Invite people from civic organizations c. Encourage sponsorship to programs
b. Refer to the doctor for prescription d. Listen when people relate their problems

3. The nurse can teach healthy life style to the family by which one of the following?
a. Dispense drugs without doctor’s prescription c. Teach benefits of not smoking and drinking
b. Select viewing of local movies d. Teach importance of high school education

4. Which of the following is appropriate for common ailments such as cough and fever?
a. Indigenous plants with proven benefits c. Medicine from other drugstores
b. Medicine at Botika sa Baryo Project d. Medicine in the doctor’s clinic

5. Which one of the following is NOT an essential element of Primary Health Care?
a. Multi Sectoral Approach c. Appropriate technology
b. Community involvement d. Qualification of Health Providers

Situation: Primary Health Care is included in the DOH national health plan of our country.

6. The mission of PHC must be embodied in the hearts of health care providers. Which mission strengthems health care system?
a. Supporting conditions for healthy habits c. Letting people manage their own health
b. Increasing opportunities to be healthy d. Financing health care program

7. The key strategy to obtain the mission of PHC is:

a. Linkages with health organizations c. Partnership with people
b. Requesting donations from NGO’s d. Electing good people in government

8. Primary Health Care permeates as core strategy the thrusts of government health programs. What do you expects from the people of
the community?
a. Active involvement and participation c. Preparation of teaching materials
b. Donation of money and materials d. Voluntary time without cost

9. Aim of PHC is to evolve a total community health care system integrated in people’s way of life. What was done by the
government?
a. Mandate of devolution c. International acceptance
b. Soliciting from NGO’s d. Linkages with WHO

10. What is the element of PHC advocated by health care system?

a. Multisectoral approaches c. Team building among organizations
b. Acceptance of primary, secondary and tertiary care d. Linkage in global health care
 COMMUNITY HEALTH NURSING FORMULAS
Situation: Based on safe motherhood survey, maternal morbidity ratio is 209/100,000 live births and prenatal mortality rate is also
high.

1. Based on DOH findings, maternal tragedies occur due to delayed referrals. Which one below contributes primarily to delay?
a. Transportation and communication c. Late detection of complication
b. Untrained manpower d. Lack of blood and supplies

2. Target population for total care during pregnancy, delivery and postpartum belongs to this age group.
a. 15-40 b. 15-49 c. 16-45 d. 18-35

3. Maternal mortality rate is the number of maternal deaths per 1,000 live births in a specific year. Which one below is the correct
formula?
a. Live births + number of fetal deaths x 1,000
Number of deaths of maternal causes
b. a. Live births + number of fetal deaths x 1,000
Number of maternal deaths
c. Number of deaths due to maternal causes x 1,000
Live births + number of fetal deaths
d. Number of deaths due to maternal causes x 1,000
Live births + number of fetal deaths of the same year

4. Neonatal mortality rate is the number of deaths of liveborn infants under 28 days per 1,000 live births in a specific year. Which
formula is correct?
a. Death under 28 days x 1,000
Live births of the same year
b. Death under 25 days x 10,000
Live births of the same year
c. Live births of the same year x 1,000
Death under 28 days
d. Death under 28 days x 1,000
Live births of the same year
5. Infant mortality rate is death under one year of age per 1,000 live births in a specific year. Which formula is correct?
a. Death under one year x 1,000
Live births of the same year
b. Death below one year x 1,000
Live births of the same year
c. Death below one year x 1,000
Live births below one year
d. Live births below one year x 1,000
Deaths below one year
6. Maternal mortality rate is the number of maternal deaths per 1,000 live births in a specific year. Which formulate below is
CORRECT?
a. Neonatal deaths and fetal deaths x 1,000
Live births and fetal death
b. Number of deaths due to maternal causes x 1,000
Live births and fetal death below 28 days
c. Number of deaths due to maternal causes
Live births or live births + number of fetal deaths of the same year x 1,000
d. Neonatal mortality below 28 days x 1,000
Live births of the same year
7. The statistical work in the community vital statistics is mostly done by the Sanitation but which program’s data is done great by the
nurse?
a. CD cases b. Primary Health Care c. Maternal Child Health d. Vital Statistic

8. Town A has a population of 50,000 as of July 1, 1998 (midyear) as per calendar year 1998 (January to December) 600 died. Which
formula below should be used to compute crude death?
a. 50, 000 x 1,000 c. 50, 000 x 1,000
50, 000 600
b. 600 x 100 d. 600 x 1,000
50, 000 50, 000
9. Incidence rate means new cases as percent of population and prevalence rate means cases in a given period of time as percent of
population. Which formula below is prevalence rate?
a. Number of cases of a specific disease x 1,000
Estimate populating
b. Total number of cases of a disease (old + new) x 1,000
Estimated population at the time
c. Number of cases of a specific disease during specific time x 100
Estimated population exposed to that disease during the time
d. Total number of cases of a disease (old + new) at a given time x 100
Estimated population at the time
 DOH PROGRAMS (L – 204)

Situation: The Department of Health formulated plans, programs and projects with the vision, “Health for all Filipinos”.

1. Which one of the following is the mission of the Department of Health?

a. Promote healthy life style c. Reduce morbidity and mortality
b. Ensure accessibility and quality of health care d. Improve general health status of the people

2. Which of the following is not a basic principle in the achievement of improved health?
a. Health and nutrition as priorities c. Enhancement of performance of health sector
b. Universal access to health service d. Investment for primary health care

3. Which one of the following is not a primary strategy to achieved health goals?
a. Support of local health system c. Assurance of health care for all
b. Development of national standards for health d. Funding from non-government organization

4. The Dental Health Program of the Department of Health has committed to contribute to the improvement of the quality of life of
Filipinos through its project “Isang Milyong Sepilyo” for which strategy?
a. Operation research studies c. Partnership with other sectors
b. Social Mobilization d. Capability Building and Value formation

5. The “Sentrong Sigla Movement” is a joint program of the Department of Health and the local government levels. What is the aim of
this movement?
a. Promote availability of quality health services c. Benefits for local executions and health workers
b. Certification and recognition programs d. Better and more effective collaboration

Situation: One important DOH programs is nutrition. The Filipino diet is high in carbohydrates and low in fats and proteins.

6. Which disease condition refers to protein energy malnutrition that is characterized by failure of growth and development or loss of
body tissue?
a. Kwashiorkor b. Marasmus c. Anorexia nervosa d. Bulimia

7. Which disease condition is due to lack of protein, even if carbohydrates are adequate, and is characterized by moon face, skin
lesions and apathy?
a. Kwashiorkor b. Obesity c. Underweight d. Marasmus

8. Affected by malnutrition are children 0-4 years. Which of the following is the main cause?
a. Poverty b. Poor appetite c. Wrong choice of food d. Too much oil in the diet

9. Vitamin A deficiency are mostly in children. What is the result of poor Vitamin A diet?
a. Glaucoma b. Growth retardation c. Closing the eyes in sunlight d. Scar in the eye

10. Children with protein-energy malnutrition has also Vitamin A deficiency. What is the probable cause of this?
a. Non-breastfed b. Low protein c. High protein d. Marasmus and kwashiorkor

Situation: According to the Department of Health, Acute Respiratory Infections (ARI) especially pneumonia remains to be the leading
causes of death among Filipino Children.

11. Which one of the following is the Major factor which contributes to the protein like ARI?
a. Poor nutrition of mother and child
b. Inadequate training of health workers
c. Lack of antibiotics for treatment of pneumonia
d. Mothers failure to recognize signs and symptoms of pneumonia

12. Which of the following is the first step in preventing unnecessary deaths from pneumonia which must be taught to health workers
in the community?
a. Classification of respiratory problem c. Interpretation of signs
b. Assessment by asking question d. Identification of treatment

13. BAlex Mayette 1 month is brought by her mother to the RHU for inability to feed well, cough and abnormal sleep. Which
classification of pneumonia is she suffering from?
a. Very severe b. No pneumonia c. Cough and cold d. Severe

14. If Mayette need procaine penicillin, what unit dose is given at the RHU before referring her to the district hospital?
a. 600,000 b. 200,000 c. 300,000 d. 400,000

15. If Mayette needs home care, which one of the following should be taught to the mother?
a. Bring to the RHU clinic daily c. Give antibiotics for 5 days
b. Clear nose if it interfere with feeding d. Weigh bAlex every morning

Situation: Mr. Alex is a homosexual. His exposure to night life contributes to his having AIDS.
16. What is your function in AIDS?
a. Prevention b. Health Planning c. Curative d. Spiritual

17. How would you protect your self?

a. Immunization b. Wear gloves c. Protect wound d. Avoid contact

18. What is the causative organism in AIDS?

a. Bacillus b. Sexual contact c. Retrovirus d. Mycobacterium

19. Which one below is a sign of severe manifestation of AIDS?

a. Candidiasis b. Herpes simplex c. Kaposis sarcoma d. Carbuncle

20. What is your preventive teaching to the public to avoid AIDS?

a. Avoid promiscuity b. Don’t talk to AIDS patients c. Isolate d. Avoid visitors

Situation: The occupational Health Nurse Program Supervisor has varied functions and responsibilities. There are still concepts in
community health nursing.

21. Sally is a nurse supervisor in the non-com unit of DOH. Which of the following functions is most important?
a. Participates in formulation of health policies c. Choose employees for training
b. Acts as resource person in prevention and control of CD

22. In the Industrial Toxicology Health Program of DOH, the nurse is expected to have basic knowledge of health hazards due to
chemical substances. Which substances can cause respiratory illnesses.
a. Sodium chloride b. Carbon dioxidec. Nitroglycerine d. Carbon monoxide

23. In Agricultural Workers Environment, the nurse is expected to have basic knowledge of substances which can cause illness. Which
substances from the farm are poisonous?
a. Insecticides b. Pesticides c. Germicides d. Fertilizers

24. When a farmer exhibits signs and symptoms of poisoning especially respiratory distress, what should the nurse do first?
a. Call an ambulance c. Loosen tight clothing
b. Bring to the nearest doctors clinic d. Destroy the container of poison

25. Health Promotion in Occupational Health is doing assessment of health risk associated with lifestyle of the employee. What health
risk is associated with a bagasse loader?
a. Asthma b. Delirium c. Bagasosis d. Congestive heart failure

Situation: During the last decade, there has been significant changes in the health situation that affected the health care delivery system
in the country.

26. The aging population. Longer life span, and increase in the incidence of chronic disorders have given rise to the need to improve in
which of the following services?
a. Rehabilitation and home care services c. Prevention of disease and promotion of health
b. Hospice and care of the terminally ill d. Diagnosis and treatment

27. In which of the following stages of illness is rehabilitation services best initiated?
a. Soon after the client’s request for rehabilitation services
b. After the client’s physical condition stabilized
c. Upon admission of clients in the health care system
d. Upon discharge of clients from the health care system

28. Health promotion and assisting the client to attain a higher level of health is best associated with which of the following
statements?
a. They are unrealistic considering the large population
b. They are the functions mainly of community health nurses
c. They are reserved for community health nurse specialist
d. They are integral part of the nursing process

29. There is proliferation of day care centers today especially in the barangay level. Which of the following services can be provided
legally by nurses manning the day care centers?
a. Care and supervision of preschool children
b. Ambulatory care to clients of all ages
c. Care and supervision of geriatric patients
d. Emergency psychiatric cars and counseling services to rape victims and abused children

30. Which of the following issues involving health services should be effectively and directly addressed by the nurses in health care
instructions?
a. Underemployment and understaffing c. Access to health care facility
b. Increasing cost of hospitalization d. Quality health care services

Situation: The goal of the 2000 Nutritional guidelines for Filipino is the improvement of the nutritional status through dietary practices
and healthy life style.
31. What are the chemical substances present in the foods that keep the body healthy?
a. Vitamins b. Micro nutrientsc. Macro nutrients d. Nutrients

32. Which of the vitamins help in the formation of new cells, maintain nerves cells and assist in the metabolism of fatty acids and
amino acids?
a. Vitamin D b. Vitamin K c. Vitamin A d. Vitamin B12

33. Which mineral maintains normal fluids and electrolytes I the body?
a. Magnesium b. Chloride c. Fluoride d. Calcium

34. Water helps regulate body temperature and transport nutrients and excretion of waste products. What si the required volume of
water daily?
a. 6-8 glasses b. 5-8 glasses c. 4-6 glasses d. 3-6 glasses

35. Which nursing procedure is vital in relation to water requirement which should not be delegated to non-nursing personnel?
a. Measurement of intake and output c. Formula computation of water requirement
b. Water and electrolyte balancing d. Health teaching about water sanitation

Situation: Environmental protection is a global concern.

36. Which program should CHN participate actively to support global action for the environment?
a. Toxic chemical waste management c. Zero hospital waste management
b. Anti-smoke belching d. Zero-solid waste campaign

37. Under the environmental health services which of the following should the nurse participate?
a. Water disease c. Environmental friendly
d. Gastrointestinal disease d. Diarrhea and vector borne

38. As a PHN what is your primary function or responsibility?

a. Reporting of cases b. Assisting the doctor c. Community diagnosis d. Health teaching

Situation: The Department of Health prepared the National Health Plan and its blue print to define the country’s health programs,
thrusts and strategies.

39. Which DOH project aims to eradicate polio and expressed in one slogan below?
a. “Health is in the hands of the people” c. “Ceasefire for children: support immunization day”
b. “Eradicate polio for 9 million kids” d. “Shoot vaccines, not bullets”

40. Sarah Jane is dead, victim of AIDS. Which program of DOH was established to check prevalence rate of AIDS?
a. AIDS surveillance program c. National AIDS prevention and control
b. Philippine National AIDS council d. AIDS awareness activities
 EPI (L – 207-J)
Situation: The Expanded Program on Immunization (EPI) was launched in 1976 in cooperation with the World Health Organization
(WHO) to reduce morbidity and mortality among infants and children.

1. The MAIN principle of the EPI program is one of the following:

a. Based on epidemiological situation c. Target setting is considered
b. Existing policies are carried out d. Legal basis is important

2. Which one of the is NOT an element of the EPI program?

a. Cold chain logistic management c. Presidential decrees and proclamation
b. Information, education and communication d. Target setting, surveillance and evaluation

3. When should the seven EPI disease be scheduled to provide community to the family at what age?
a. Newborn to six months c. Before child’s first birthday
b. After child’s first birthday d. Six months to one yet

4. BCG is given to protect the baby from infection from other members of the family at what age?
a. Six weeks b. Six months c. At first birthday d. At birth

5. Which of the following tetanus toxiod is given to the mother to protect from neonatal tetanus and ten years protection of the
mother?
a. TT2 b. TT3 c. TT4 d. TT1

Situation: The Department of Health launched in July 1976 the expanded program on immunization (EPI_ in cooperation with the
World Health Organization (WHO) to reduce morbidity and morality among infants and children.

6. Which of the following is the MAIN principle of the EPI program?

a. It is based on epidemiological situation c. Setting is considered
b. Existing policies are explicit carried out d. Legal basis is important

7. Which one of the following is not an element of the EPI program?

a. Information, education and communication c. Presidential decrees and proclamation
b. Cold chain logistic management d. Target setting, surveillance and evaluation

8. The seven EPI disease are scheduled for immunization to provide immunity during which one of these infants age?
a. After the child’s first birthday c. Before a child’s first birthday
b. Newborn to six months d. Six months to one year

9. At which of the following ages should BCG be given for protection against possible infection from other members of the family?
a. First birthday b. Six weeks c. At birth d. Nine months

10. Which one of the following tetanus toxiod immunization can give protection from neonatal tetanus and ten years protection for the
mother?
a. TT3 b. TT2 c. TT$ d. TT1

Situation: The Expanded program of Immunization (EPI) was started in July 1976 by virtue of PD 996, a compulsory immunization of
children below 8-year-old.

11. The EPI is based on 3 principles. Which one is pro-people?

a. Case finding and treatment on site c. Based on epidemiological situation
b. A basic health service d. Mass approach rather than individuals

12. Which one is primary element if EPI?

a. Logistic management c. Information campaign
b. Target setting d. Surveillance and research

13. The General objective of EPI is to reduce morbidity and mortality among children. BCG is given a birth:
a. Pre-school booster c. Two month after the 1st dose
b. One and a half month after one month after d. Every month for 2 months

14. Measles is given subcutaneously as a dose of 0.5 ml. At what age is this done?
a. Nine months b. Six months c. One and a half year d. One year

15. Which collaborating agency in the world helps erase Polio in children?
a. Canadian international development agency c. Rotary International
 b. WHO d. UNICEF

CHN – LAWS/PROVISIONS

Primary Health Care is an approach in Health Care Delivery that was implemented in the Philippines in 1979.

1. The legal basis of Primary Health Care in the Philippines is:

a. LOI 949 c. LOI 825
b. LOI 948 d. LOI 856
2. The first International Conference on Primary Health Care was held on September 6 – 12, 1978 in this city of the former USSR.
a. St. Petersburg c. Georgia
b. Alma Ata d. Schevslochia
3. The goal of Primary Health Care is to promote among the people:
a. dependency on health workers
b. independence among the people
c. self-reliance for their health care
d. self-discipline along health matters
4. The law requires that a birth should be registered within this period:
a. two weeks c. 30 days
b. 20 days d. 15 days
5. Birth certification are filed in the office of the:
a. local assessor c. local civil registry
b. local treasure d. municipal secretary
6. In rural areas of the Philippines where water is available, the type of toilet advocated is the:
a. water-sealed or pour flush c. antipolo
b. septic tank d. pit privy
7. The required distance between the source of drinking water and a toilet is:
a. 10 meters c. 20 meters
b. 15 meters d. 25 meters
8. The law that imposes penalty on improper disposal of garbage is:
a. P.D. 825 c. P.D. 955
b. P.D. 856 d. P.D. 925
9. The rules and regulations regarding environmental sanitation in the Philippines are included in the Sanitation Code which is:
a. P.D. 825 c. LOI 949
b. P.D. 856 d. P.D. 79
10. The study of factors in the environment that affect man’s health, well-being and survival is known as:
a. health education c. epidemiology
b. environmental sanitation d. demography
11. The science and art that is concerned with preventing disease, prolonging life and promoting health and efficiency through
organized community effort is called:
a. public health c. environmental sanitation
b. public health education d. ecology
12. The legal basis of the Expanded Program on Immunization is:
a. P.D. 956 c. P.D. 69
b. P.D. 996 d. P.D. 79
13. Which of the following administrative orders updated roles and functions of the municipal health officers, Public Health Nurses
and Rural Health Midwives?
a. Number 114 s. 1991 c. Magna Carta of Public Health Workers
b. LOI 949 d. Circular No. 2 s. 1986

14. Which of the following Acts means that “Health Workers” are all persons engaged in health-related work regardless of their
employment status?
a. Magna Carta of Public Health Workers
b. Security of Tenure of regular employees
c. Discrimination Prohibition
d. Code of conduct and ethical standard of Public Officials and employees
 CHN – Nursing Procedures

1. During clinic visits, all of the following are done in the consultation conference, except:
a. Take clinical history after greeting and making client at ease
b. Refer client to other health-related staff or agency if necessary
c. Take temperature, BP, height and weight
d. Perform physical assessment and selective laboratory examination

2. The following are steps in conducting home visit. Arrange them in a sequence as done in conducting a home visit.
I. Explain purpose of home visit
II. Place bag in a convenient place before doing bag technique
III. Greet client and introduce self
IV. Wash hands and wear apron
V. Ask about any health and health-related problems
a. I, III, V, II IV c. III, I, II, V, IV
b. III, I, V, II, IV d. III, I, V, IV, II

3. The frequency of home visit should take into consideration the following factors:
a. The physical, psychological and educational needs of the individual and family
b. Acceptance of services offered; the willingness and interest to cooperate
c. Other health agencies, number of health personnel already involved in the family care and past
services given
d. All of the above

4. This is the tool through which the nurse, during home visit, can perform nursing procedures with ease and deftness, saving time and
effort with the end in view of rendering effective nursing care.
a. public health bag c. home visit
b. bag technique d. all of the above

5. The public health bag contains basic medication and articles which are necessary for giving care during home visits. Its contents are
the following, except:
a. soap, adhesive plaster and tape measure
b. betadine, acetic acid and benedict’s solutin
c. surgical scissors and forceps
d. stethoscope and sphygmomanometer

6. In observing thermometer technique, the nurse should do which of the following after removing thermometer from the patient’s
mouth or axilla and before doing a temperature reading?
a. Wipe the thermometer with one dry cotton ball from her fingers downward to the bulb in a twisting
motion
b. Wipe the thermometer with one dry cotton ball from bulb downward to her fingers in a twisting
motion
c. Wipe the thermometer with one dry cotton ball from the fingers downward to the bulb in a straight
gentle stroke
d. Wipe the thermometer with one dry cotton ball from the bulb downward to the fingers in a straight
gentle stroke

7. The best way to clean the thermometer is to use soap, water and disinfecting agent. Arrange the following steps in cleaning the
thermometer:
I. 3 cotton balls moistened with soap
II. cotton ball moistened with alcohol
III. 3 cotton balls moistened with water
a. II, I, III b. I, III, II c. II, III, I d. III, I, II

8. Which one of the following principles of bag technique is important to prevent infection?
a. place waste paper outside work area
b. put on a apron
c. alcoholize upon arrival
d. open bag gently

9. Which of the following is an important procedures of the public health nurse during a home visit?
a. Cleaning the bag frequently
b. Handwashing
c. Arrangement of contents of the PHN bag
d. Protection of the PHN bag

10. Which of the following principles should the nurse consider during a home visit?
a. Identify family need
b. Flexible and practical plan
c. Purpose of home visit
d. Planning continued policies