PNLE: CHN

1. Which is the primary goal of community health 7. A garment factory does not have an occupational
nursing? nurse. Who shall provide the occupational health needs
A. To support and supplement the efforts of the of the factory workers?
medical profession in the promotion of health and A. Occupational health nurse at the Provincial Health
prevention of illness Office
B. To enhance the capacity of individuals, families and B. Physician employed by the factory
communities to cope with their health needs C. Public health nurse of the RHU of their
C. To increase the productivity of the people by municipality
providing them with services that will increase their D. Rural sanitary inspector of the RHU of their
level of health municipality
D. To contribute to national development through 8. “Public health services are given free of charge.” Is this
promotion of family welfare, focusing particularly statement true or false?
on mothers and children. A. The statement is true; it is the responsibility of
2. CHN is a community-based practice. Which best government to provide basic services.
explains this statement? B. The statement is false; people pay indirectly for
A. The service is provided in the natural environment public health services.
of people. C. The statement may be true or false, depending on
B. The nurse has to conduct community diagnosis to the specific service required.
determine nursing needs and problems. D. The statement may be true or false, depending on
C. The services are based on the available resources policies of the government concerned.
within the community. 9. According to C.E.Winslow, which of the following is
D. Priority setting is based on the magnitude of the the goal of Public Health?
health problems identified. A. For people to attain their birthrights of health and
3. Population-focused nursing practice requires which of longevity
the following processes? B. For promotion of health and prevention of disease
A. Community organizing C. For people to have access to basic health services
B. Nursing process D. For people to be organized in their health efforts
C. Community diagnosis 10. We say that a Filipino has attained longevity when he
D. Epidemiologic process is able to reach the average lifespan of Filipinos. What
4. R.A. 1054 is also known as the Occupational Health other statistic may be used to determine attainment of
Act. Aside from number of employees, what other factor longevity?
must be considered in determining the occupational A. Age-specific mortality rate
health privileges to which the workers will be entitled? B. Proportionate mortality rate
A. Type of occupation: agricultural, commercial, C. Swaroop’s index
industrial D. Case fatality rate
B. Location of the workplace in relation to health 11. Which of the following is the most prominent feature
facilities of public health nursing?
C. Classification of the business enterprise based on A. It involves providing home care to sick people who
net profit are not confined in the hospital.
D. Sex and age composition of employees B. Services are provided free of charge to people
5. A business firm must employ an occupational health within the catchment area.
nurse when it has at least how many employees? C. The public health nurse functions as part of a team
A. 21 providing a public health nursing services.
B. 101 D. Public health nursing focuses on preventive, not
C. 201 curative, services.
D. 301 12. According to Margaret Shetland, the philosophy of
6. When the occupational health nurse employs public health nursing is based on which of the following?
ergonomic principles, she is performing which of her A. Health and longevity as birthrights
roles? B. The mandate of the state to protect the birthrights
A. Health care provider of its citizens
B. Health educator C. Public health nursing as a specialized field of
C. Health care coordinator nursing
D. Environmental manager D. The worth and dignity of man
13. Which of the following is the mission of the
Department of Health?
A. Health for all Filipinos
B. Ensure the accessibility and quality of health care
C. Improve the general health status of the population
D. Health in the hands of the Filipino people by the
year 2020

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14. Region IV Hospital is classified as what level of 22. The public health nurse is the supervisor of rural
facility? health midwives. Which of the following is a supervisory
A. Primary function of the public health nurse?
B. Secondary A. Referring cases or patients to the midwife
C. Intermediate B. Providing technical guidance to the midwife
D. Tertiary C. Providing nursing care to cases referred by the
15. Which is true of primary facilities? midwife
A. They are usually government-run. D. Formulating and implementing training programs
B. Their services are provided on an out-patient basis. for midwives
C. They are training facilities for health professionals. 23. One of the participants in a hilot training class asked
D. A community hospital is an example of this level of you to whom she should refer a patient in labor who
health facilities. develops a complication. You will answer, to the
16. Which is an example of the school nurse’s health care A. Public Health Nurse
provider functions? B. Rural Health Midwife
A. Requesting for BCG from the RHU for school C. Municipal Health Officer
entrant immunization D. Any of these health professionals
B. Conducting random classroom inspection during a 24. You are the public health nurse in a municipality
measles epidemic with a total population of about 20,000. There are 3
C. Taking remedial action on an accident hazard in the rural health midwives among the RHU personnel. How
school playground many more midwife items will the RHU need?
D. Observing places in the school where pupils spend A. 1
their free time B. 2
17. When the nurse determines whether resources were C. 3
maximized in implementing Ligtas Tigdas, she is D. The RHU does not need any more midwife item.
evaluating 25. If the RHU needs additional midwife items, you will
A. Effectiveness submit the request for additional midwife items for
B. Efficiency approval to the
C. Adequacy A. Rural Health Unit
D. Appropriateness B. District Health Office
18. You are a new B.S.N. graduate. You want to become a C. Provincial Health Office
Public Health Nurse. Where will you apply? D. Municipal Health Board
A. Department of Health 26. As an epidemiologist, the nurse is responsible for
B. Provincial Health Office reporting cases of notifiable diseases. What law
C. Regional Health Office mandates reporting of cases of notifiable diseases?
D. Rural Health Unit A. Act 3573
19. R.A. 7160 mandates devolution of basic services from B. R.A. 3753
the national government to local government units. C. R.A. 1054
Which of the following is the major goal of devolution? D. R.A. 1082
A. To strengthen local government units 27. According to Freeman and Heinrich, community
B. To allow greater autonomy to local government health nursing is a developmental service. Which of the
units following best illustrates this statement?
C. To empower the people and promote their self- A. The community health nurse continuously develops
reliance himself personally and professionally.
D. To make basic services more accessible to the B. Health education and community organizing are
people necessary in providing community health services.
20. Who is the Chairman of the Municipal Health Board? C. Community health nursing is intended primarily for
A. Mayor health promotion and prevention and treatment of
B. Municipal Health Officer disease.
C. Public Health Nurse D. The goal of community health nursing is to provide
D. Any qualified physician nursing services to people in their own places of
21. Which level of health facility is the usual point of residence.
entry of a client into the health care delivery system? 28. Which disease was declared through Presidential
A. Primary Proclamation No. 4 as a target for eradication in the
B. Secondary Philippines?
C. Intermediate A. Poliomyelitis
D. Tertiary B. Measles
C. Rabies
D. Neonatal tetanus

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29. The public health nurse is responsible for presenting 7. Which type of family-nurse contact will provide you
the municipal health statistics using graphs and tables. with the best opportunity to observe family dynamics?
To compare the frequency of the leading causes of A. Clinic consultation
mortality in the municipality, which graph will you B. Group conference
prepare? C. Home visit
A. Line D. Written communication
B. Bar 8. The typology of family nursing problems is used in the
C. Pie statement of nursing diagnosis in the care of families.
D. Scatter diagram The youngest child of the de los Reyes family has been
30. Which step in community organizing involves diagnosed as mentally retarded. This is classified as a:
training of potential leaders in the community? A. Health threat
A. Integration B. Health deficit
B. Community organization C. Foreseeable crisis
C. Community study D. Stress point
D. Core group formation 9. The de los Reyes couple have a 6-year old child
1. In which step are plans formulated for solving entering school for the first time. The de los Reyes family
community problems? has a:
A. Mobilization A. Health threat
B. Community organization B. Health deficit
C. Follow-up/extension C. Foreseeable crisis
D. Core group formation D. Stress point
2. The public health nurse takes an active role in 10. Which of the following is an advantage of a home
community participation. What is the primary goal of visit?
community organizing? A. It allows the nurse to provide nursing care to a
A. To educate the people regarding community health greater number of people.
problems B. It provides an opportunity to do first hand
B. To mobilize the people to resolve community health appraisal of the home situation.
problems C. It allows sharing of experiences among people with
C. To maximize the community’s resources in dealing similar health problems.
with health problems D. It develops the family’s initiative in providing for
D. To maximize the community’s resources in dealing health needs of its members.
with health problems 11. Which is CONTRARY to the principles in planning a
3. An indicator of success in community organizing is home visit?
when people are able to A. A home visit should have a purpose or objective.
A. Participate in community activities for the solution B. The plan should revolve around family health
of a community problem needs.
B. Implement activities for the solution of the C. A home visit should be conducted in the manner
community problem prescribed by the RHU.
C. Plan activities for the solution of the community D. Planning of continuing care should involve a
problem responsible family member.
D. Identify the health problem as a common concern 12. The PHN bag is an important tool in providing
4. Tertiary prevention is needed in which stage of the nursing care during a home visit. The most important
natural history of disease? principle of bag technique states that it
A. Pre-pathogenesis A. Should save time and effort.
B. Pathogenesis B. Should minimize if not totally prevent the spread of
C. Prodromal infection.
D. Terminal C. Should not overshadow concern for the patient and
5. Isolation of a child with measles belongs to what level his family.
of prevention? D. May be done in a variety of ways depending on the
A. Primary home situation, etc.
B. Secondary
C. Intermediate
D. Tertiary
6. On the other hand, Operation Timbang is _____
prevention.
A. Primary
B. Secondary
C. Intermediate
D. Tertiary

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13. To maintain the cleanliness of the bag and its 19. In the investigation of an epidemic, you compare the
contents, which of the following must the nurse do? present frequency of the disease with the usual frequency
A. Wash his/her hands before and after providing at this time of the year in this community. This is done
nursing care to the family members. during which stage of the investigation?
B. In the care of family members, as much as possible, A. Establishing the epidemic
use only articles taken from the bag. B. Testing the hypothesis
C. Put on an apron to protect her uniform and fold it C. Formulation of the hypothesis
with the right side out before putting it back into D. Appraisal of facts
the bag. 20. The number of cases of Dengue fever usually
D. At the end of the visit, fold the lining on which the increases towards the end of the rainy season. This
bag was placed, ensuring that the contaminated pattern of occurrence of Dengue fever is best described
side is on the outside. as
14. The public health nurse conducts a study on the A. Epidemic occurrence
factors contributing to the high mortality rate due to B. Cyclical variation
heart disease in the municipality where she works. C. Sporadic occurrence
Which branch of epidemiology does the nurse practice in D. Secular variation
this situation? 21. In the year 1980, the World Health Organization
A. Descriptive declared the Philippines, together with some other
B. Analytical countries in the Western Pacific Region, “free” of which
C. Therapeutic disease?
D. Evaluation A. Pneumonic plague
15. Which of the following is a function of epidemiology? B. Poliomyelitis
A. Identifying the disease condition based on C. Small pox
manifestations presented by a client D. Anthrax
B. Determining factors that contributed to the 22. In the census of the Philippines in 1995, there were
occurrence of pneumonia in a 3 year old about 35,299,000 males and about 34,968,000 females.
C. Determining the efficacy of the antibiotic used in What is the sex ratio?
the treatment of the 3 year old client with A. 99.06:100
pneumonia B. 100.94:100
D. Evaluating the effectiveness of the implementation C. 50.23%
of the Integrated Management of Childhood Illness D. 49.76%
16. Which of the following is an epidemiologic function 23. Primary health care is a total approach to community
of the nurse during an epidemic? development. Which of the following is an indicator of
A. Conducting assessment of suspected cases to detect success in the use of the primary health care approach?
the communicable disease A. Health services are provided free of charge to
B. Monitoring the condition of the cases affected by individuals and families.
the communicable disease B. Local officials are empowered as the major decision
C. Participating in the investigation to determine the makers in matters of health.
source of the epidemic C. Health workers are able to provide care based on
D. Teaching the community on preventive measures identified health needs of the people.
against the disease D. Health programs are sustained according to the
17. The primary purpose of conducting an epidemiologic level of development of the community.
investigation is to 24. Sputum examination is the major screening tool for
A. Delineate the etiology of the epidemic pulmonary tuberculosis. Clients would sometimes get
B. Encourage cooperation and support of the false negative results in this exam. This means that the
community test is not perfect in terms of which characteristic of a
C. Identify groups who are at risk of contracting the diagnostic examination?
disease A. Effectiveness
D. Identify geographical location of cases of the B. Efficacy
disease in the community C. Specificity
18. Which is a characteristic of person-to-person D. Sensitivity
propagated epidemics? 25. Use of appropriate technology requires knowledge of
A. There are more cases of the disease than expected. indigenous technology. Which medicinal herb is given
B. The disease must necessarily be transmitted for fever, headache and cough?
through a vector. A. Sambong
C. The spread of the disease can be attributed to a B. Tsaang gubat
common vehicle. C. Akapulko
D. There is a gradual build up of cases before the D. Lagundi
epidemic becomes easily noticeable.

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26. What law created the Philippine Institute of 5. Knowing that malnutrition is a frequent community
Traditional and Alternative Health Care? health problem, you decided to conduct nutritional
A. R.A. 8423 assessment. What population is particularly susceptible
B. R.A. 4823 to protein energy malnutrition (PEM)?
C. R.A. 2483 A. Pregnant women and the elderly
D. R.A. 3482 B. Under-5 year old children
27. In traditional Chinese medicine, the yielding, C. 1-4 year old children
negative and feminine force is termed D. School age children
A. Yin 6. Which statistic can give the most accurate reflection of
B. Yang the health status of a community?
C. Qi A. 1-4 year old age-specific mortality rate
D. Chai B. Infant mortality rate
28. What is the legal basis for Primary Health Care C. Swaroop’s index
approach in the Philippines? D. Crude death rate
A. Alma Ata Declaration on PHC 7. In the past year, Barangay A had an average
B. Letter of Instruction No. 949 population of 1655. 46 babies were born in that year, 2 of
C. Presidential Decree No. 147 whom died less than 4 weeks after they were born. There
D. Presidential Decree 996 were 4 recorded stillbirths. What is the neonatal
29. Which of the following demonstrates intersectoral mortality rate?
linkages? A. 27.8/1,000
A. Two-way referral system B. 43.5/1,000
B. Team approach C. 86.9/1,000
C. Endorsement done by a midwife to another midwife D. 130.4/1,000
D. Cooperation between the PHN and public school 8. Which statistic best reflects the nutritional status of a
teacher population?
30. The municipality assigned to you has a population of A. 1-4 year old age-specific mortality rate
about 20,000. Estimate the number of 1-4 year old B. Proportionate mortality rate
children who will be given Retinol capsule 200,000 I.U. C. Infant mortality rate
every 6 months. D. Swaroop’s index
A. 1,500 9. What numerator is used in computing general fertility
B. 1,800 rate?
C. 2,000 A. Estimated midyear population
D. 2,300 B. Number of registered live births
1. Estimate the number of pregnant women who will be C. Number of pregnancies in the year
given tetanus toxoid during an immunization outreach D. Number of females of reproductive age
activity in a barangay with a population of about 1,500. 10. You will gather data for nutritional assessment of a
A. 265 purok. You will gather information only from families
B. 300 with members who belong to the target population for
C. 375 PEM. What method of data gathering is best for this
D. 400 purpose?
2. To describe the sex composition of the population, A. Census
which demographic tool may be used? B. Survey
A. Sex ratio C. Record review
B. Sex proportion D. Review of civil registry
C. Population pyramid 11. In the conduct of a census, the method of population
D. Any of these may be used. assignment based on the actual physical location of the
3. Which of the following is a natality rate? people is termed
A. Crude birth rate A. De jure
B. Neonatal mortality rate B. De locus
C. Infant mortality rate C. De facto
D. General fertility rate D. De novo
4. You are computing the crude death rate of your 12. The Field Health Services and Information System
municipality, with a total population of about 18,000, (FHSIS) is the recording and reporting system in public
for last year. There were 94 deaths. Among those who health care in the Philippines. The Monthly Field Health
died, 20 died because of diseases of the heart and 32 Service Activity Report is a form used in which of the
were aged 50 years or older. What is the crude death components of the FHSIS?
rate? A. Tally report
A. 4.2/1,000 B. Output report
B. 5.2/1,000 C. Target/client list
C. 6.3/1,000 D. Individual health record

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13. To monitor clients registered in long-term regimens, 20. A woman, 6 months pregnant, came to the center for
such as the Multi-Drug Therapy, which component will consultation. Which of the following substances is
be most useful? contraindicated?
A. Tally report A. Tetanus toxoid
B. Output report B. Retinol 200,000 IU
C. Target/client list C. Ferrous sulfate 200 mg
D. Individual health record D. Potassium iodate 200 mg. capsule
14. Civil registries are important sources of data. Which 21. During prenatal consultation, a client asked you if she
law requires registration of births within 30 days from can have her delivery at home. After history taking and
the occurrence of the birth? physical examination, you advised her against a home
A. P.D. 651 delivery. Which of the following findings disqualifies her
B. Act 3573 for a home delivery?
C. R.A. 3753 A. Her OB score is G5P3.
D. R.A. 3375 B. She has some palmar pallor.
15. Which of the following professionals can sign the C. Her blood pressure is 130/80.
birth certificate? D. Her baby is in cephalic presentation.
A. Public health nurse 22. Inadequate intake by the pregnant woman of which
B. Rural health midwife vitamin may cause neural tube defects?
C. Municipal health officer A. Niacin
D. Any of these health professionals B. Riboflavin
16. Which criterion in priority setting of health problems C. Folic acid
is used only in community health care? D. Thiamine
A. Modifiability of the problem 23. You are in a client’s home to attend to a delivery.
B. Nature of the problem presented Which of the following will you do first?
C. Magnitude of the health problem A. Set up the sterile area.
D. Preventive potential of the health problem B. Put on a clean gown or apron.
17. The Sentrong Sigla Movement has been launched to C. Cleanse the client’s vulva with soap and water.
improve health service delivery. Which of the following D. Note the interval, duration and intensity of labor
is/are true of this movement? contractions.
A. This is a project spearheaded by local government 24. In preparing a primigravida for breastfeeding, which
units. of the following will you do?
B. It is a basis for increasing funding from local A. Tell her that lactation begins within a day after
government units. delivery.
C. It encourages health centers to focus on disease B. Teach her nipple stretching exercises if her nipples
prevention and control. are everted.
D. Its main strategy is certification of health centers C. Instruct her to wash her nipples before and after
able to comply with standards. each breastfeeding.
18. Which of the following women should be considered D. Explain to her that putting the baby to breast will
as special targets for family planning? lessen blood loss after delivery.
A. Those who have two children or more 25. A primigravida is instructed to offer her breast to the
B. Those with medical conditions such as anemia baby for the first time within 30 minutes after delivery.
C. Those younger than 20 years and older than 35 What is the purpose of offering the breast this early?
years A. To initiate the occurrence of milk letdown
D. Those who just had a delivery within the past 15 B. To stimulate milk production by the mammary
months acini
19. Freedom of choice is one of the policies of the Family C. To make sure that the baby is able to get the
Planning Program of the Philippines. Which of the colostrum
following illustrates this principle? D. To allow the woman to practice breastfeeding in the
A. Information dissemination about the need for presence of the health worker
family planning 26. In a mothers’ class, you discuss proper breastfeeding
B. Support of research and development in family technique. Which is of these is a sign that the baby has
planning methods “latched on” to the breast properly?
C. Adequate information for couples regarding the A. The baby takes shallow, rapid sucks.
different methods B. The mother does not feel nipple pain.
D. Encouragement of couples to take family planning C. The baby’s mouth is only partly open.
as a joint responsibility D. Only the mother’s nipple is inside the baby’s mouth.

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27. You explain to a breastfeeding mother that breast 6. A pregnant woman had just received her 4th dose of
milk is sufficient for all of the baby’s nutrient needs only tetanus toxoid. Subsequently, her baby will have
up to ____. protection against tetanus for how long?
A. 3 months A. 1 year
B. 6 months B. 3 years
C. 1 year C. 10 years
D. 2 years D. Lifetime
28. What is given to a woman within a month after the 7. A 4-month old infant was brought to the health center
delivery of a baby? because of cough. Her respiratory rate is 42/minute.
A. Malunggay capsule Using the Integrated Management of Child Illness
B. Ferrous sulfate 100 mg. OD (IMCI) guidelines of assessment, her breathing is
C. Retinol 200,000 I.U., 1 capsule considered
D. Potassium iodate 200 mg, 1 capsule A. Fast
29. Which biological used in Expanded Program on B. Slow
Immunization (EPI) is stored in the freezer? C. Normal
A. DPT D. Insignificant
B. Tetanus toxoid 8. Which of the following signs will indicate that a young
C. Measles vaccine child is suffering from severe pneumonia?
D. Hepatitis B vaccine A. Dyspnea
30. Unused BCG should be discarded how many hours B. Wheezing
after reconstitution? C. Fast breathing
A. 2 D. Chest indrawing
B. 4 9. Using IMCI guidelines, you classify a child as having
C. 6 severe pneumonia. What is the best management for the
D. At the end of the day child?
1. In immunizing school entrants with BCG, you are not A. Prescribe an antibiotic.
obliged to secure parental consent. This is because of B. Refer him urgently to the hospital.
which legal document? C. Instruct the mother to increase fluid intake.
A. P.D. 996 D. Instruct the mother to continue breastfeeding.
B. R.A. 7846 10. A 5-month old infant was brought by his mother to
C. Presidential Proclamation No. 6 the health center because of diarrhea occurring 4 to 5
D. Presidential Proclamation No. 46 times a day. His skin goes back slowly after a skin pinch
2. Which immunization produces a permanent scar? and his eyes are sunken. Using the IMCI guidelines, you
A. DPT will classify this infant in which category?
B. BCG A. No signs of dehydration
C. Measles vaccination B. Some dehydration
D. Hepatitis B vaccination C. Severe dehydration
3. A 4-week old baby was brought to the health center for D. The data is insufficient.
his first immunization. Which can be given to him? 11. Based on assessment, you classified a 3-month old
A. DPT1 infant with the chief complaint of diarrhea in the
B. OPV1 category of SOME DEHYDRATION. Based on IMCI
C. Infant BCG management guidelines, which of the following will you
D. Hepatitis B vaccine 1 do?
4. You will not give DPT 2 if the mother says that the A. Bring the infant to the nearest facility where IV
infant had fluids can be given.
A. Seizures a day after DPT 1. B. Supervise the mother in giving 200 to 400 ml. of
B. Fever for 3 days after DPT 1. Oresol in 4 hours.
C. Abscess formation after DPT 1. C. Give the infant’s mother instructions on home
D. Local tenderness for 3 days after DPT 1. management.
5. A 2-month old infant was brought to the health center D. Keep the infant in your health center for close
for immunization. During assessment, the infant’s observation.
temperature registered at 38.1°C. Which is the best 12. A mother is using Oresol in the management of
course of action that you will take? diarrhea of her 3-year old child. She asked you what to
A. Go on with the infant’s immunizations. do if her child vomits. You will tell her to
B. Give Paracetamol and wait for his fever to subside. A. Bring the child to the nearest hospital for further
C. Refer the infant to the physician for further assessment.
assessment. B. Bring the child to the health center for intravenous
D. Advise the infant’s mother to bring him back for fluid therapy.
immunization when he is well. C. Bring the child to the health center for assessment
by the physician.

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D. Let the child rest for 10 minutes then continue 20. A mother brought her daughter, 4 years old, to the
giving Oresol more slowly. RHU because of cough and colds. Following the IMCI
13. A 1 ½ year old child was classified as having 3rd assessment guide, which of the following is a danger sign
degree protein energy malnutrition, kwashiorkor. Which that indicates the need for urgent referral to a hospital?
of the following signs will be most apparent in this child? A. Inability to drink
A. Voracious appetite B. High grade fever
B. Wasting C. Signs of severe dehydration
C. Apathy D. Cough for more than 30 days
D. Edema 21. Management of a child with measles includes the
14. Assessment of a 2-year old child revealed “baggy administration of which of the following?
pants”. Using the IMCI guidelines, how will you manage A. Gentian violet on mouth lesions
this child? B. Antibiotics to prevent pneumonia
A. Refer the child urgently to a hospital for C. Tetracycline eye ointment for corneal opacity
confinement. D. Retinol capsule regardless of when the last dose was
B. Coordinate with the social worker to enroll the child given
in a feeding program. 22. A mother brought her 10 month old infant for
C. Make a teaching plan for the mother, focusing on consultation because of fever, which started 4 days prior
menu planning for her child. to consultation. To determine malaria risk, what will you
D. Assess and treat the child for health problems like do?
infections and intestinal parasitism. A. Do a tourniquet test.
15. During the physical examination of a young child, B. Ask where the family resides.
what is the earliest sign of xerophthalmia that you may C. Get a specimen for blood smear.
observe? D. Ask if the fever is present everyday.
A. Keratomalacia 23. The following are strategies implemented by the
B. Corneal opacity Department of Health to prevent mosquito-borne
C. Night blindness diseases. Which of these is most effective in the control
D. Conjunctival xerosis of Dengue fever?
16. To prevent xerophthalmia, young children are given A. Stream seeding with larva-eating fish
Retinol capsule every 6 months. What is the dose given B. Destroying breeding places of mosquitoes
to preschoolers? C. Chemoprophylaxis of non-immune persons going
A. 10,000 IU to endemic areas
B. 20,000 IU D. Teaching people in endemic areas to use chemically
C. 100,000 IU treated mosquito nets
D. 200,000 IU 24. Secondary prevention for malaria includes
17. The major sign of iron deficiency anemia is pallor. A. Planting of neem or eucalyptus trees
What part is best examined for pallor? B. Residual spraying of insecticides at night
A. Palms C. Determining whether a place is endemic or not
B. Nailbeds D. Growing larva-eating fish in mosquito breeding
C. Around the lips places
D. Lower conjunctival sac 25. Scotch tape swab is done to check for which
18. Food fortification is one of the strategies to prevent intestinal parasite?
micronutrient deficiency conditions. R.A. 8976 A. Ascaris
mandates fortification of certain food items. Which of B. Pinworm
the following is among these food items? C. Hookworm
A. Sugar D. Schistosoma
B. Bread 26. Which of the following signs indicates the need for
C. Margarine sputum examination for AFB?
D. Filled milk A. Hematemesis
19. What is the best course of action when there is a B. Fever for 1 week
measles epidemic in a nearby municipality? C. Cough for 3 weeks
A. Give measles vaccine to babies aged 6 to 8 months. D. Chest pain for 1 week
B. Give babies aged 6 to 11 months one dose of 27. Which clients are considered targets for DOTS
100,000 I.U. of Retinol Category I?
C. Instruct mothers to keep their babies at home to A. Sputum negative cavitary cases
prevent disease transmission. B. Clients returning after a default
D. Instruct mothers to feed their babies adequately to C. Relapses and failures of previous PTB treatment
enhance their babies’ resistance. regimens
D. Clients diagnosed for the first time through a
positive sputum exam

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28. To improve compliance to treatment, what 6. You will conduct outreach immunization in a barangay
innovation is being implemented in DOTS? with a population of about 1500. Estimate the number of
A. Having the health worker follow up the client at infants in the barangay.
home A. 45
B. Having the health worker or a responsible family B. 50
member monitor drug intake C. 55
C. Having the patient come to the health center every D. 60
month to get his medications 7. In Integrated Management of Childhood Illness,
D. Having a target list to check on whether the patient severe conditions generally require urgent referral to a
has collected his monthly supply of drugs hospital. Which of the following severe conditions DOES
29. Diagnosis of leprosy is highly dependent on NOT always require urgent referral to a hospital?
recognition of symptoms. Which of the following is an A. Mastoiditis
early sign of leprosy? B. Severe dehydration
A. Macular lesions C. Severe pneumonia
B. Inability to close eyelids D. Severe febrile disease
C. Thickened painful nerves 8. A client was diagnosed as having Dengue fever. You
D. Sinking of the nosebridge will say that there is slow capillary refill when the color
30. Which of the following clients should be classified as of the nailbed that you pressed does not return within
a case of multibacillary leprosy? how many seconds?
A. 3 skin lesions, negative slit skin smear A. 3
B. 3 skin lesions, positive slit skin smear B. 5
C. 5 skin lesions, negative slit skin smear C. 8
D. 5 skin lesions, positive slit skin smear D. 10
1. In the Philippines, which condition is the most 9. A 3-year old child was brought by his mother to the
frequent cause of death associated with schistosomiasis? health center because of fever of 4-day duration. The
A. Liver cancer child had a positive tourniquet test result. In the absence
B. Liver cirrhosis of other signs, which is the most appropriate measure
C. Bladder cancer that the PHN may carry out to prevent Dengue shock
D. Intestinal perforation syndrome?
2. What is the most effective way of controlling A. Insert an NGT and give fluids per NGT.
schistosomiasis in an endemic area? B. Instruct the mother to give the child Oresol.
A. Use of molluscicides C. Start the patient on intravenous fluids STAT.
B. Building of foot bridges D. Refer the client to the physician for appropriate
C. Proper use of sanitary toilets management.
D. Use of protective footwear, such as rubber boots 10. The pathognomonic sign of measles is Koplik’s spot.
3. When residents obtain water from an artesian well in You may see Koplik’s spot by inspecting the _____.
the neighborhood, the level of this approved type of A. Nasal mucosa
water facility is B. Buccal mucosa
A. I C. Skin on the abdomen
B. II D. Skin on the antecubital surface
C. III 11. Among the following diseases, which is airborne?
D. IV A. Viral conjunctivitis
4. For prevention of hepatitis A, you decided to conduct B. Acute poliomyelitis
health education activities. Which of the following is C. Diphtheria
IRRELEVANT? D. Measles
A. Use of sterile syringes and needles 12. Among children aged 2 months to 3 years, the most
B. Safe food preparation and food handling by vendors prevalent form of meningitis is caused by which
C. Proper disposal of human excreta and personal microorganism?
hygiene A. Hemophilus influenzae
D. Immediate reporting of water pipe leaks and illegal B. Morbillivirus
water connections C. Steptococcus pneumoniae
5. Which biological used in Expanded Program on D. Neisseria meningitidis
Immunization (EPI) should NOT be stored in the 13. Human beings are the major reservoir of malaria.
freezer? Which of the following strategies in malaria control is
A. DPT based on this fact?
B. Oral polio vaccine A. Stream seeding
C. Measles vaccine B. Stream clearing
D. MMR C. Destruction of breeding places
D. Zooprophylaxis

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14. The use of larvivorous fish in malaria control is the 21. Which is the BEST control measure for AIDS?
basis for which strategy of malaria control? A. Being faithful to a single sexual partner
A. Stream seeding B. Using a condom during each sexual contact
B. Stream clearing C. Avoiding sexual contact with commercial sex
C. Destruction of breeding places workers
D. Zooprophylaxis D. Making sure that one’s sexual partner does not have
15. Mosquito-borne diseases are prevented mostly with signs of AIDS
the use of mosquito control measures. Which of the 22. The most frequent causes of death among clients
following is NOT appropriate for malaria control? with AIDS are opportunistic diseases. Which of the
A. Use of chemically treated mosquito nets following opportunistic infections is characterized by
B. Seeding of breeding places with larva-eating fish tonsillopharyngitis?
C. Destruction of breeding places of the mosquito A. Respiratory candidiasis
vector B. Infectious mononucleosis
D. Use of mosquito-repelling soaps, such as those with C. Cytomegalovirus disease
basil or citronella D. Pneumocystis carinii pneumonia
16. A 4-year old client was brought to the health center 23. To determine possible sources of sexually
with the chief complaint of severe diarrhea and the transmitted infections, which is the BEST method that
passage of “rice water” stools. The client is most may be undertaken by the public health nurse?
probably suffering from which condition? A. Contact tracing
A. Giardiasis B. Community survey
B. Cholera C. Mass screening tests
C. Amebiasis D. Interview of suspects
D. Dysentery 24. Antiretroviral agents, such as AZT, are used in the
17. In the Philippines, which specie of schistosoma is management of AIDS. Which of the following is NOT an
endemic in certain regions? action expected of these drugs.
A. S. mansoni A. They prolong the life of the client with AIDS.
B. S. japonicum B. They reduce the risk of opportunistic infections
C. S. malayensis C. They shorten the period of communicability of the
D. S. haematobium disease.
18. A 32-year old client came for consultation at the D. They are able to bring about a cure of the disease
health center with the chief complaint of fever for a condition.
week. Accompanying symptoms were muscle pains and 25. A barangay had an outbreak of German measles. To
body malaise. A week after the start of fever, the client prevent congenital rubella, what is the BEST advice that
noted yellowish discoloration of his sclera. History you can give to women in the first trimester of pregnancy
showed that he waded in flood waters about 2 weeks in the barangay?
before the onset of symptoms. Based on his history, A. Advice them on the signs of German measles.
which disease condition will you suspect? B. Avoid crowded places, such as markets and
A. Hepatitis A moviehouses.
B. Hepatitis B C. Consult at the health center where rubella vaccine
C. Tetanus may be given.
D. Leptospirosis D. Consult a physician who may give them rubella
19. MWSS provides water to Manila and other cities in immunoglobulin.
Metro Manila. This is an example of which level of water 26. You were invited to be the resource person in a
facility? training class for food handlers. Which of the following
A. I would you emphasize regarding prevention of
B. II staphylococcal food poisoning?
C. III A. All cooking and eating utensils must be thoroughly
D. IV washed.
20. You are the PHN in the city health center. A client B. Food must be cooked properly to destroy
underwent screening for AIDS using ELISA. His result staphylococcal microorganisms.
was positive. What is the best course of action that you C. Food handlers and food servers must have a
may take? negative stool examination result.
A. Get a thorough history of the client, focusing on the D. Proper handwashing during food preparation is the
practice of high risk behaviors. best way of preventing the condition.
B. Ask the client to be accompanied by a significant 27. In a mothers’ class, you discussed childhood diseases
person before revealing the result. such as chicken pox. Which of the following statements
C. Refer the client to the physician since he is the best about chicken pox is correct?
person to reveal the result to the client. A. The older one gets, the more susceptible he
D. Refer the client for a supplementary test, such as becomes to the complications of chicken pox.
Western blot, since the ELISA result may be false.

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B. A single attack of chicken pox will prevent future
episodes, including conditions such as shingles.
C. To prevent an outbreak in the community,
quarantine may be imposed by health authorities.
D. Chicken pox vaccine is best given when there is an
impending outbreak in the community.
28. Complications to infectious parotitis (mumps) may
be serious in which type of clients?
A. Pregnant women
B. Elderly clients
C. Young adult males
D. Young infants

ELAINE CRUZ 11