CHN Practice Test
CHN Practice Test
CHN Practice Test
INSTRUCTION: Select the correct answer for each of the following questions. Mark only one answer for
each item by shading the box corresponding to the letter of your choice on the answer sheet provided.
STRICTLY NO ERASURE ALLOWED.
Situation - Nurses can be instrumental in communications with patients and families, and our
communities for the health impacts of climate change.
1. Which sustainable development goal, calls for urgent action to combat climate change and its
impacts.
A. 3 - good health C. 13
B. Ozone D. Methane
5. The law that prohibits the improper disposal of garbage and other forms of uncleanliness.
Situation – Many Filipinos are suffering from malnutrition. Nurse Agot knows that it is a result from poor
diet or lack of food.
A. Sentrong Sigla X
7. You assess for a child's nutritional status using the mid-upper arm circumference (MUAC).
Measurement reads 12 cm which falls under the orange color of a 4-colored tape. This indicates
that the child __________.
D. well-nourished.
8. You compute for the ideal weight of Edward whose actual weight is 135 lbs (61.3) and height is
5'10(178 cm). His ideal body weight is ________ lbs.
A. 140 C. 150
B. 135 D. 170
A. 108.15 C. 100
B. 96.43 D. 92.46
Situation- Health Centers regularly conduct "Operation Timbang" to assess the nutritional status of
children 0-5 years old.
11. The nutritional status of children is determined by "weight by age". Weight is an example of
what level of measurement?
A. Ratio C. Ordinal
B. Interval D. Nominal
13. The sex of the children included in his study will be classified as male and female. This
measurement is:
A. Interval C. Ratio
B. Ordinal D. Nominal
14. The educational level of the parents is also recorded with the possible choices given as :
A. Ratio C. Nominal
B. Interval D. Ordinal
15. The mothers of children are also asked particularly on the child's health history. One of the
questions, "Did your child experience episodes of diarrhea within the last 6 months?" If yes, skip
item no. 4 and item no. 5. This question item is referred to as:
Group of community Health Nurses who are tasked to conduct a Community Diagnosis in one of the far-
flung barangays of the municipality.
16. While preparing to depart to their assigned barangay, Nurse Betty informs her group that the
PRIMARY purpose of conducting community diagnosis is to
17. Nurse Betty and her group followed the steps of community diagnosis. Which comes after the
formulation of objectives?
18. In the step of community diagnosis where data are collected which of the following tools is
utilized less?
19. To prepare the collected data about t he health status of the community for analysis. Which is
the APPROPRIATE step that the group of Nurse Betty should do?
20. Once the group of Nurse Betty is able to identify community health problems. Which would be
APPROPRIATE for them to do in order to be able to plan for necessary intervention?
SITUATION- Health education is the process whereby knowledge, attitudes, and practices are changed to
improve individual, family and community health.
A. 1, 2 and 4 C. 2, 3 and 5
B. 2, 4 and 5 D. 1, 3 and 4
22. The nurse is designing a health education program for the community. Show the CORRECT
sequence of the process that the nurse would have to undertake.
A. 1, 4, 2, 3 C. 2, 3, 1, 4
B. 3, 1, 4, 2 D. 1, 2, 4, 3
23. The BEST example of how the nurse can create a climate in which clients do not feel threatened
is by teaching on a topic about:
A. Stress, where the nurse plays pop music throughout the first session
C. Exercise, where the nurse begins to share her difficulties she sometimes finds in trying to
exercise
D. Diabetes, where the nurse asks diabetics to talk to the class during the first session
24. The nurse is working in a clinic that is designed to provide health education and immunization.
As such, the clinic aims to provide_______________
Situation - Nurse Nona is a newly hired Community Health Nurse. At the start of her duty, she takes into
consideration that she should assume numerous roles and functions that are primarily focused on
promoting a healthy community.
26. In order for Nurse Nona to become effective in her caregiving role to the different types of
clientele in the community, she should be equipped with the BASIC knowledge about ________.
27. As planner and programmer in the community setting, Nurse Nona should understand that the
primary objective of Community Health Nursing is focused on the importance of ________.
28. The Best Community Health Nursing principle that will guide Nurse Nona in the effective
performance of her various roles and function is focused on the community that _______.
29. As health monitor which of the following should be considered by the nurse as health threats in
the community?
HEALTH THREATS – CONDITION that are conducive or disease accident or failure to realize once potential
EX. FAMILY, HEREDITY, INFECTION, ACCIDENT HAZZARDS, HABITS, ENVIRONMENTAL SANITATION POOR,
UNHEALTHY LIFESTYLE, PERSONAL HABITS
1. Ineffective breastfeeding
2. Fire hazards
3. Inadequate immunization
A. 3,4 C. 1,2,3,4
B. 2, 3, 4 D. 1,2
Situation- Nurse Bella takes charge of handling the Mental Health Promotion program in the midst of the
ongoing health crisis due to the COVID 19 pandemic.
31. Teaching the families on promoting mental health at home in this pandemic time should focus
on the following EXCEPT
32. During this pandemic time, which of the following roles of Nurse Bella should she significantly
intensify to prevent more cases of mental problems in the community ?
33. There are individuals who are suffering from mental health challenges due to the pandemic. The
BEST nursing action is _______.
34. Which of the following information about severity of mental illness would be important to the
mental health program in the community setting
35. After a webinar on the Mental Health Act, Nurse Bella realized that the community has to
change which of-the following perceptions?
36. In the first session, the nurse presented the organizational chart of the Rural Health Unit. Which
of the following aspects of organizational structure is illustrated in the chart?
3. Levels of management
A. 2, 3 and 4 C. 1, 3 and 4
B. 3 and 4 D. 1 and 3
37. The PHN wants to emphasize to the new nurses that it is important to observe professional
accountability which is taking responsibility for one's actions. She explains that accountability
can be done by:
A. 1, 2 and 3 C. 2, 4 and 5
B. 1, 3 and 5 D. 2, 3 and 4
38. Accountability also includes a commitment to continuing education to stay current and
knowledgeable. According to the guidelines Implementing Continuing Professional Education for
Nurses (CPE), from which of the following can a nurse earn credit units?
1. Participation in seminars
3. As peer reviewer
4. Innovations
A. 2 and 3 only C. 1 and 2 only
B. 1, 2, 3 and 4 D. 1, 3 and 4
40. To better address emerging public health issues, a public nurse enrolls in a course in:
A. Ethics C. Communication
B. Research D. Leadership
Situation - Nurse Betty knows that ethics is important in community health nursing practice and that
ethical decisions are conducted in a universal and standard framework.
41. One step in ethical decision-making is to place ethical issue or dilemma within a meaningful
context. The rationale for this step is:
A. The nature of ethical issues and dilemmas determines the specific ethical approach used.
B. People cannot make sound ethical decisions if they cannot identify ethical issues and
dilemmas.
C. Multiple factors affect the interpretation and justification of ethical issues and dilemmas.
D. Health professionals cannot avoid choice and action in applying ethics in their work setting.
42. The historical character in nursing whose work in environmental health providing care to
destitute people, and disease prevention establish the nurse as a leader and community-
oriented was ______________.
43. Ethical decision making is the component of ethics that focuses on ___________.
44. The ethical principle that empowers the client groups or communicate to make knowledgeable
decision is ___________.
45. When Nurse Betty cannot meet a need of the client, it is most appropriate for her to:
D. Inform the client that insurance will not pay for the care.
Situation - Interdisciplinary teamwork is an important model for delivering health care to patients.
Integrating services among many health providers leads to better outcomes delivered to underserved
populations and communities with limited access to health care.
46. Professional group productivity and member satisfaction are best achieved by which of the
following leadership styles?
A. Democratic C. Laissez-faire
B. Authoritarian D. Autocratic
48. The nurse is making a referral for the client. what should be the first consideration for the nurse
to do?
50. You have volunteered to be part of a work group whose purpose is to look at ways to prevent
medication errors. You know that:
Situation- Nurse Danica is assigned to the Health Education initiative of the health center.
51. Nurse Danica would like to put more emphasis on healthy lifestyle in her health education
classes. Which step of the teaching-learning process should she FIRST start ?
52. In planning for the health education program about healthy lifestyle Nurse Danica targets to
work with parents in the community. Noting different ethnics backgrounds among them, which
important consideration should be part of the plan?
A. Economic C. Cultural
B. Social D. Educational
53. Based on the Theory of Adult Learning by Knowles, which of the following principles will guide
the nurse to be an effective educator?
A. Educational attainment
54. Nurse Danica plans to have the residents of the community conduct brainstorming about their
community problems. Which of the following is the rationale of this teaching format?
55. Successful teaching and learning activities in any health care setting PRIMARILY fostered through
________.
Situation- Nurse Roy assumes various roles and functions of community health nurse. He considers
collaboration and teamwork as essential in public health.
56. Which of the following is the rationale why team work is ESSENTIAL in health care?
58. Nurse Roy as member of the health team describes himself as good team player: Which of the
following is the BEST characteristic of good team player?
1. Sense of humor +
2. Good listener +
3. Inspires others +
4. Proactive thinking +
A. I, 2, 3, 4 C. 1, 2, 3
B. 1, 2 D. 3, 4
A. Communication C. Networking
60. Nurse Roy in his dealings with his co-workers instills collaborative partnership in doing their task
which is the aim of this type of partnership?
B. Shared goals
D. Staffs' satisfaction
Situation - Nurse Nancy is in charge of the Geriatric care program of the barangay.
61. To plan out for the activities intended for the elderly population the nurse should begin to
______.
62. In assessing the health condition of the older persons, which is the BEST, measure in determining
their functional status?
D. Educational attainment
63. Which information should the nurse provide to the elderly and their Families regarding drug
regimen prescribed to patients?
64. Care giving to older person can be burdensome to other members of family who are the
caregivers. During home visit to the family, the nurse should look for symptoms of ______.
A. Agitation C. withdrawal
65. For an effective program for the elderly population, which should be the appropriate approach ?
B. Supervised by physicians
C. Multidisciplinary
Situation - Nurse Elisa has been promoted as Nurse Manger in the health unit. Her functions include
management of resources and environment and budgeting.
66. As nurse manager, which should she consider IMPORTANT when preparing the budget needed
for the operation of the unit.
67. In the process of planning. Which of the following, Nurse Elisa should use the plan that would
review the strengths and weakness of the organization.
A. Operational - C. strategic
68. For cost effectiveness measure which of the following is the BEST nursing action
69. Nurse Elisa advocates for safe staffing pattern at the health center. Which BEST practice she
should instill to the staff?
A. Delegates task
2. Observe protocols +
3. Adheres to policies +
4. Observe quality +
A. 2,3,4 C. 3,4
B. 1,2 D. 1,2,3,4
Situation –In public health, quality improvement (QI) techniques are used to improve performance and
service delivery
71. PDCA is the basic structure for most quality improvement (QI) process. In public health, PDCA is
focused on activities that are responsive to community needs and improving population health.
PDCA stands for:
A. Perform-Document-Correct-Act
B. Perform-Do-Check-Analyze
C. Plan-Document-Check-Analyze
D. Plan-Do-Check-Act
72. There are several approaches and tools in (QI). Which of these is the Fishbone diagram,
developed by K. Ishikawa. Which BEST describes the Fishbone diagram? It is _________.
73. As a QI (Quality improvement) tool, the Gantt chart us useful for planning and scheduling
projects. Which of the following statements is INCORRECT about the Gantt chart? It ________.
2. 5.Evaluate QI outcomes
A. 4, 1, 3, 5, 2 C. 4, 2, 1, 3, 5
B. 2, 1, 5, 3, 4 D. 1, 4, 5, 3, 2
75. Client satisfaction survey is an important and commonly used indicator for measuring the quality
in health care. In the context of public health, which is NOT a purpose of satisfaction surveys? To
_____________.
Situation - Nurse Zoe as a public health nurse together with other members of the health team ensure
there is quality in health and nursing care in their work place.
76. Which of the following is an important tool of assessing quality in the delivery of health
services?
B. Standards D. Legislation
77. Choose the key words that BEST describes quality improvement in public health.
78. Choose the description that quality exists at the health center
79. Nurse Elisa would like to enhance the process standard at the health center. Which should be
her PRIORITY nursing initiative?
80. Identity to whom Nurse Elise would seek help to improve health resources like medicines in
order to provide quality nursing care at the health center
Situation - Nurse Henie uses the Family coping index in assessing family health needs and problems of
particularly of families who are vulnerable to illness.
81. Which of the following is an evidence of a poor family coping Index related to healthcare
attitudes?
A. A parents who washes the wound of the child with running water
C. A young mother who introduced solid food to her three-month-old baby. – 5-6 mnths
82. Which of the following is the BEST evidence of a family whose family coping index on therapeutic
competence is rated as coping well?
83. Which of the following tools used by nurses in the community setting for assessing health needs
and problems of families that is similar to family coping index.
A. Nursing theories C. Case study
84. In utilizing family coping index nurses should be knowledgeable that the focus of this tool is
identifying the family's ________.
B. Manner of interaction
85. Nurse Myrna is taking care of a family chose there young children are sick with malnutrition
particularly protein deficiency, which of the following behaviors is indicative of the family's
positive coping index
D. Cooking foods in variety that include meat, dairy products and beans.
Situation – Public Health Nurse Lucio is a member of the health team there is tasked by the Rural Health
Unit to identify, define and measure major health problems of interest.
86. Public health surveillance includes the following activities, EXCEPT ___________.
87. Public health surveillance can be BEST described PRIMARY as which of the following?
D. A system for monitoring persons who have been exposed to communicable disease
88. Which of the following is NOT a criterion for prioritizing health problem for surveillance?
89. Current public health surveillance targets the following. Which one is NOT included?
90. Common uses and applications of public health surveillance include which of the following
examples?
1. Detecting individual persons with malaria so that they can receive prompts and
appropriate treatment.
2. Helping public health officials decide how to allocate their disease control resources.
3. Identifying changes over time in the proportion of children with elevated blood lead
levels in a community.
A. 1, 2, 3, and 4 C. 1, 2, and 3
B. 1 and 2 D. 2 and 4
Situation –A 7 Magnitudeearthquake struck last July 27, 2022 inNorthern Luzon. Mary grace was a
trained nurse in emergency and disaster preparedness.
91. As a primary health care giver, which of the following activities should Nurse Mary Grace NOT
involve in?
92. One function of Mary Grace in emergency and disaster is to provide immediate care EXCEPT?
C. Trauma care
93. A resident in Abra by the name Aldrim Richard sustained injury. First aid was initiated by Nurse
Mary Grace. This is given _________.
94. Which of the following is NOT true regarding nurses responsibilities in disaster preparedness?
A. Nurses will be leaders in the incident command structure set up at the disaster site.
B. Nurses have a personal and family plan as a part of their disaster preparedness plan.
C. Nurses who are prepared for disasters will be better able to help themselves, their
families, and their communities in a disaster situation.
95. Mary Grace considers the following factors in patients triage EXCEPT _______.
A. Pulse and respiration C. Mental status
Situation- Occurrence of the conflicts is a natural part of the workplace. Conflict management is the
ability to be able to identify and handle conflicts sensibly, fairly and efficiently.
96. Public Health Nurse Cony has become very disagreeable among her team members. The other
nurses know that she has requested to be transferred to another Rural Health Unit. The nurses
decided to ignore the situation. This illustrates which method of conflict resolution?
A. Collaboration C. Accommodation
B. Avoidance D. Passive-aggressiveness
A. 2, 3, 5 C. 2, 4, 5
B. 1, 3, 4 D. 1, 2, 3
98. A health care worker approaches the public health supervisor with a complaint about the RHU
Nurse and said, "She doesn't do same amount of work as the other health professionals in
health unit". After investigating about the complaint, the Nurse Supervisor believes the health
care worker does not understand the role of the RHU nurse. What kind of conflict has this
situation caused the health worker?
100. The public health midwife was very upset regarding a reprimand issued by her
supervisor. The former confronts her supervisor in the hallway. How should the supervisor
respond?