NURSING PRACTICE I COMMUNITY HEALTH NURSING

INSTRUCTION: Select the correct answer for each of the following

questions. Mark only answer for each item by shading the box
corresponding to the letter of your choice answer home sheet provided.
STRICLY NO ERASURES ALLOWED.

SITUATION 1- Nurse Vera made a home visit to a newly married couple

whom the wife is a primigravida and three months pregnant. The would
be mother asked questions about pregnancy and prenatal care.
1. In assessing the health condition of the pregnant patient, Nurse
Vera should focus on the_____.
A. last menstrual period
B. number of days of menstruation
C. age of the patient during menarche
D. amount of menstrual flow

2. The patient asked Nurse Vera when is the best time to visit the
clinic for her first prenatal care. Which should be the APPROPRIATE
answer of the nurse?
A. Second trimester C. Third trimester
B. Before delivery D. First trimester

3. The patient seems indecisive whether to breastfeed her baby or not.

Which is the desired nursing action of Nurse Vera to help the
pregnant patient make a decision on the breastfeeding?
A. Give pamphlets and books to read.
B. Provide ample time for the patient to decide
C. Refer the patient to the nutritionist
D. Assist to identify breastfeeding goal and plan.

4. The patient asks Nurse Vera, when could you hear the fetal heart of
my baby? Which of the following should be the BEST answer of the Nurse
Vera?
A. Ninth month C. Third month
B. Fifth month D. First month

5. Nurse Vera informs the patient she should be screened for pre-
eclampsia during this term of pregnancy______.
A. First
B. Second
C. Third
D. before delivery

SITUATION 2 – In the practice of her profession as a public health

nurse, Nurse Mary is guided by ethical and moral principles.
6. The nurse in the practice of her profession is guided by
pregnancy____.
A. code of ethics C. third
B. standards of care D. before delivery
7. In the ethical principle of the beneficence, which is the BASIS of
every nursing action in all work settings?
A. Treating all patient selectively.
B. Informing patients of hospital bills.
C. Respecting refusal of treatment.
D. Doing good at all time.

8. In handling all information about the families in the community,

which of the following principles should the nurse consider ethical?
A. Confidentiality C. Justice
B. Fair treatment D. Beneficence

9. Nurse Mary randomly selected individuals in the community who will

be part of a project. Which of the following ethical principle is
observed by the nurse?
A. Autonomy C. Confidentiality
B. Beneficence D. Fair Treatment

10. Identify the primary indicator that Nurse Mary observes FIDELITY
in the practice of her profession.
A. Faithfully promotes health and prevents disease.
B. Frequently assist in the providing health services.
C. Fairly evaluates health programs and initiatives.
D. Collaborates and works with barangay officials.

SITUATION 3 – Nurse Gina is assigned to supervise the home for the

aged in the barangay.

11. In planning the care of the elderly, which should be the important
consideration that Nurse Gina has to consider._____
A. The educational qualification
B. Family support
C. Activities of daily living
D. Residence of the elderly

12. Nurse Gina also has to consider in terms of financial status most
of the elderly care.
A. Sufficient
B. Disoriented
C. Dependent to others financially
D. Have pension

13. In planning their care Nurse Gina should consider_____.

A. Socialization is more important
B. Holistic care
C. Physically dependent
D. Spiritual healing

14. In her recommendation, Nurse Gina stated, elderly should be given

independence. This means___
A. They must live on their own
B. The environment should be safe for them
C. They are free what to do
D. They have rights

15. The elderly should be afforded health protection by

A. Avoid and hazards
B. Pollution environment
C. Placing them in the home for aged
D. Regular health check ups

SITUATION 4- Nurse Jenny is in charge of record keeping in the health

center.
16. Which of the following is NOT a step f the record keeping?
A. Structuring C. Securing
B. Storing D. Easy Disposal

17. In the community setting which is the ESSENTIAL record about the
patient?
A. TREATMENT RECORD C. CHART
B. TALLY SHEET D. KARDEX

18. WHICH OF THE FOLLOWING IS THE PURPOSE OF RECORD KEEPING

A. Quantify medication usage
B. Evidence of health care
C. Quantifying services provided
D. For the physician to read

19. Records are IMPORTANT in health care for

A. counting hospital bills
B. evidence of health care
C. Quantifying services provided
D. For the physician to read

20. What is the ultimate purpose of record keeping

A. Safeguard information
B. Archive
C. History
D. Store information

SITUATION 5- Nurse Emma was informed that a family who had just moved
in has family members who are infested with Scabies.

21. Which infection control measure should Nurse Emma observe during
her visit to the family.
A. Wear mask
B. Use gloves
C. Use face shield
D. Wear gown

22. During the history taking, which of the following is the MOST
common symptom of Scabies that the family would report to Nurse Emma?
A. Rashes
B. Swelling
C. Scaling
D. Itchiness

23. In providing health teaching to the family, Nurse Emma would

include in her teachings the etiology of scabies which is ____.
A. Virus
B. Fungi
C. bacteria
D. parasite

24. The mother of the family asked Nurse Emma how to apply the anti-
scabies lotion. The nurse should teach the family to apply the anti-
scabies lotion to____.
A. all skin areas
B. affected skin
C. open lesions
D. Reddened areas

25. In order PREVENT the spread of scabies infestation to other

residents in the community, Nurse Emma should teach the family, which
of the following?
A. Boil the utensils used by the patients
B. Avoid sharing items used by the infected person
C. Take a bath three or more times a day.
D. Wear mask and shield at all times even at home.

SITUATION 6- As nurse supervisor of the health center Nurse Ellen

intends to enhance her competencies regarding resource management and
care of the environment.

26. Which type of plan should the nurse employ to assess the strengths
and weakness of the organization?
A. Nursing care
B. Operational
C. Strategic
D. Program

27. Which BEST describes the planning function of Nurse Ellen in her
role as nurse manager?
A. Get and develop people to do the work.
B. Distributes and arranges work to ensure smooth operation of the
unit.
C. Determines the actual performance compared with the desired
output.
D. Determine how to achieve the mandate of work

28. To assist them enhance their performance at work, the nurse

manager should review regularly pertaining to the staff’s
A. Number of submitted incident report
B. Academic performance incident report
C. job description
D. Family dynamics
29. Doing year end performance evaluation of the staff is an example
of
A. planning
B. controlling
C. organizing
D. staffing

30. Which is the MOST important criterion in budgeting?

A. flexibility
B. standardized
C. Consistency
D. Cost effectiveness

SITUATION 7- Nurse Mely considers teamwork and collaboration as

important components of community HEALTH NURSING

31. Which of the following is the PRIMARY goal of collaboration

A. Less number of people is needed
B. Camaraderie
C. Accomplish goals
D. Work is faster

32. Which are KEY ELEMENTS of collaboration

1. Shared vision
2. Partnership
3. Working together
4. Unity
A. 1 ,2, 3
B. 3, 4
C. 1, 2
D. 1, 2, 3, 4

33. Which of the following is the MOST important purpose of teamwork

1. Work is faster
2. Promotes trust
3. Sense of security
4. Unity
A. 1, 2
B. 1, 2, 3, 4
C. 3,4
D. 1, 2, 3

34. Which of the following BEST describe strong team?

A. Cohesive
B. Shared goal
C. Driven
D. Sense of mission

35. Collaboration and teamwork are essential in public health to

improve
A. staff performance
B. Proper use of resources
C. Equity in services
D. Quality of health care

SITUATION 8- An 18 years old, female college student was accompanied

by her mother for consultation at the municipal health center.
According to her mother the patient had been having difficulty
concentrating with her lesson, had tendency to isolate inside her room
and frequently in an angry mood. The physician ordered for psychiatric
consult.

36. In order to determine the patient’s ability to concentrate and

focus, which would be the PRIORITY nursing action?
A. Ask for the academic performance
B. Conduct paper and pencil test
C. Assess the metal status of the patient
D. Refer the patient to the psychiatrist

37. While the nurse was taking her blood pressure, the patient
suddenly stated.” They are talking about me !” She was referring to
other patients who were waiting for their consultation. Which of the
following should be the APPROPRIATE nursing action?
A. Present the reality situation
B. Distract patient’s attention
C. Disagree with the patient
D. Validate the statement

38. In taking patient’s history from the mother, the nurse should ask
the mother information related to the daughters’_____.
A. Schooling
B. Menarche
C. Pregnancy
D. Immunization

39. Nurse May is alarm by the incidence of number of young adults in

the community with mental problems. Which of the following should be
her PRIORITY nursing initiative?
A. Refer all to tertiary hospital
B. Request for psychiatric drugs.
C. Set up debriefing center
D. Set up mental health program

40. In giving health teaching to the mother how to manage the patient
at home, which of the following she should emphasize?
A. Give the patient more time for self
B. Impost strict discipline
C. Do traditional parenting style
D. Need for emotional support

SITUATION 9- When prioritizing problems in the community, the problems

are categorized as health status, health resource or health related.
41. Nurse Maris is correct in identifying which of the following is a
health resource problem?
A. Increase in number of deaths from Pneumonia
B. Feud between the midwife and head of the Sanitation Committee
C. Absence of midwife in the community to render health services
D. High Maternal Morality Rate.
42. There are five criteria in prioritizing community health problems.
If Nurse Maris is estimating the proportion of the population affected
by the problem, she is using what criterion in prioritization?
A. Social Concern
B. Nature of the problem
C. Magnitude of the problem
D. Modifiability of the problem

43. Nurse Maris oftentimes encounter barriers select a barrier to goal

setting between the nurse and the family.
A. Educational attainment
B. Nature of employment
C. Failure of family to perceive existence of problem
D. Socio economic status

44. Which is the MOST appropriate intervention should the nurse do to

help family perform the health tasks?
A. Allow family to decide to use health resources
B. Help the family to recognize the problem
C. Leave the family what action take on their problem
D. Refer family to barangay officials for guidance

45. Choose the step of nursing process that identifies the family
health seeking behavior.
A. Assessment
B. Implementation
C. Planning
D. Evaluation

SITUTAION 10 – Nurse Jane is the team leader of group of nurses who

plans to utilize community organizing Participative Action Research
{CO-PAR}
46. Which of the following BEST describes the PRIMARY goal of CO-PAR?
A. Enhances the skills of the nurse in research.
B. Makes the community empowered and self-reliant
C. Increases of the community programs
D. Helps clean-up and beautiful the community

47. At the pre- Entry phase, which of the following is the FIRST step
in the CO-PAR process
A. Survey the community
B. Train technical working group
C. Hold a community assembly
D. Create a core group
48. In participative Action Research [PAR] which step will empower the
community?
A. The nurse performs most of the task
B. Health team directs all the activities of the place
C. Participation and engagement of the community
D. Barangay head appoints people in charge

49. The nurse, as the community organizer, immerses self by joining

local folks in their usual everyday activities in order to_____
A. gain trust and rapport of people
B. make self popular among people
C. identify the spot leaders
D. become familiar with the place

50. In CO-PAR, which is the MOST important role of the public health
nurses?
A. Caregiver
B. Expert
C. Financer
D. Adviser

SITUATION 11- Nurse Vince is assigned as the team leader of newly

hired community health nurses of the component city in the province.
He oriented them about primary health care.

51. Which of the following are some elements of the primary health
care except?
A. Use of appropriate technology
B. Safe water supply
C. Free medicine
D. Maternal and child care

52. Nurse Vince is going to refer patient to secondary health

facility. Which of the following is an example of secondary health
facility?
A. District Hospital
B. Puereculture center
C. Rural health unit
D. Barangay Health Station

53. Which of the following herbal medicine is recommended for cough?

A. Sambong
B. Guava
C. bawang
D. Lagundi

54. Guava leaves are recommended by the department of health to

A. Dissolve kidney stones
B. Lower blood pressure
C. Remedy for cough
D. Wash wound
55. This global program aims to end poverty and protect the planet?
A. Center of the disease control
B. Sustainable development goal
C. Millenium development goal
D. World health organization

SITUATION 12- IN the community where Nurse Noli is assigned there are
many obese individual who are suffering from different heart ailment.

56. Which initiative should Nurse Noli introduce in order decrease

incidence of risk factors especially obesity.
A. Wellness and fitness program
B. Obesity is natural body response
C. Tell them to go the gym
D. They have to undergo strict dietary regimen

57. Which should be emphasize by the nurse in her health teachings

A. Jogging a mile a day
B. No need to diet
C. Vigorous exercise
D. Weight reduction

58. Nurse Noli should advise the patients the following except:
A. Cut down on salt intake
B. More fruits and vegetables
C. Eat regular meals
D. Eat more saturated fats

59. To prevent complications from their heart diseases the nurse

recommends to the patient regular monitoring of their blood.
A. Cholesterol
B. Nitrogen
C. Type
D. Oxygenation

60. Nurse Noli should include in his health teaching the following
EXCEPT:
A. Less saturated fat
B. Weight within normal limits
C. Exercise regularly
D. More fats in the diet

SITUATION 13- NURSE Mae is a new supervisor of the health center. Her
program thrust include excellent and quality provision of services and
performance of the staff.
61. To ensure that the staff adheres to their job responsibilities
which should be the APPROPRIATE tool should Nurse Mae utilize in
evaluating staff performance?
A. Memorandum
B. Performance evaluation
C. Incident report
D. Anecdotal report
62. As a nurse manager, which nursing action should do to let the
staff imbibe the culture of quality at the health center?
A. Become a role model
B. Reprimand every now and then
C. Frequent meetings
D. allow them to read books

63. Which measures will be used in the unit to ensure patients

satisfaction of the delivery of health services?
A. Encourage to use social media
B. Provides means to evaluate services
C. Verbal feedback
D. Ask the local officials

64. Which is the simple meaning of standards of nursing care?

A. What protects the nurse
B. How the nurse will behave
C. How much work is done
D. What to do

65. Which is the BEST strategy that nurse should employ to give
feedback on patient evaluation of health services?
A. Put the evaluation at supervisors office
B. Send letter to all
C. Conduct staff meeting
D. Through bulletin board

SITUATION 14- With the onset of rainy seasons, Nurse Nena and their
team are on alert for increase in case of dengue fever.
66. Identify the causative agent of dengue fever.
A. Fomite
B. Vector
C. Bacteria
D. Virus

67. Which of the following strategies would prove effective in

preventing more incidence of dengue infection?
A. Healthy nutritious food
B. Burning of leaves and garbage
C. Destruction of breeding place of vectors
D. Adequate rest and sleep

68. Bleeding is the most serious complication of dengue infection.

When is the patient be watched for symptoms of bleeding?
A. 4th to 4days
B. At the onset symptoms
C. 2nd to 3rd day
D. 1st day

69. Which of the information about the nature of dengue fever the
nurse should relay to the community?
A. It is always life threatening
B. It could be deadly but preventable
C. It responds well do antibiotics
D. The incubation period is variable

70. Which diagnostic test could be useful in confirming the diagnosis

of Dengue Fever?
A. Rumpell –Lead
B. Mantoux
C. Elisa
D. Widal

SITUATION 15- Nurse Rica find effective communication as the key to

successful community health nursing.
71. When writing a memorandum, which of the following is the MOST
important guideline
A. Purpose is included
B. Content clear
C. Friendly tone
D. One topic at time

72. Which of the following is an INDICATOR of effective communication?

A. Receiver
B. Feedback
C. Sender
D. Non Verbal communication

73. Nurse Rica, would like to start about her treatment to make she
understood the patient which communication technique she should use?
A. Clarifying
B. Restating
C. Challenging
D. Board opening

74. The patient told her something about her treatment to make she
understood the patient which communication technique should be used by
the nurse?
A. Clarifying
B. Focusing
C Validating
D. Restating

75. Non Verbal communication is as strong in conveying information

because the nurse can.
A. Observes gestures
B. Body language could be observed
C. Sender less effort
D. Actions speaks louder than words

SITUATION 16- Nurse Lyn plans to enhance her personal and professional
development
76. Choose an indicators that model personal professional behavior
and values.
A. Utilizes communication and social media responsibly
B. Attends conferences
C. Enrolls in school
D. Joins civic organization

77. Nurses should have knowledge about professional organization.

Which o the following is the accredited professional organization of
the nurses?
A. Maternal child nursing
B. Philippine nurses Association, Inc.
C. National League of Government Nurses of the Philippines
D. Association Nursing Service Administrators of the Philippine

78. A profession is characterized by the following except:

A. Body of knowledge
B. Code of ethics
C. Member of professional organization
D. Engages in research

79. Which of the following is an example of self directed learning

activity-?
A. Research at work
B. Attends webinars
C. Attendance to graduate school
D. Engaged in research

80. Aside from attending seminars which of the following information

continuing education programs should the nurse engage herself EXCEPT:
A. Attending professional conventions
B. webinars
C. Symptoms
D. Doing research as academic conventions.

SITUATION 17- Nurse Betty is assigned as team leader of the group of

community health Nurses who are tasked to conduct a Community
Diagnosis in one of the far-flung barangays of the municipality.
81. While preparing to depart to their assigned barangay, Nurse Betty
informs her group that the PRIMARY purpose of conducting community
diagnosis is to____.
A. do assessment of the community profile
B. count the number of morbidity in the place
C. asses the number of indigenous people
D. form a core group of selected residents

82. Nurse Betty and her group followed the steps of community
diagnosis. Which come after the formulation of objectives?
A. Determine data to be collected
B. Define the study population
C. Analyzed the collected data
D. Collect the needed data
83. In the step of community diagnosis where data are collected. Which
of the following tools is utilized less?
A. Interview guide
B. Observation checklist
C. Survey questionnaire
D. Case study

84. To prepare the collected data about the health status of the
community for analysis, which is the APROPRIATE step that the group of
Nurse Betty should do?
A. Analyze data
B. Interpret data
C. Present data
D. Make conclusion

85. Once of 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?
A. present the data
B. Formulate objective
C. Evaluate the data
D. Set priorities

SITUATION 18- At present the public knows their right in health care.
The Community health nurse should be confident and safe in the
practice of her profession.

86. Nurse has complaint from a parent for administering wrong dose of
vaccine to the child. This act is a form of___.
A. Battery
B. Assault
C. Negligence
D. Malpractice

87. When Nurse Ace submitted a report to the physician that she
committed an error in medication. This is an example of____.
A. Responsibility
B. Accountability
C. Commitment
D. Delegation

88. Who among the following is the BEST to sign an informed consent
during a surgical procedure of a child at the health center?
A. A 26 year old brother who is a drug addict
B. A father who is 40 years old and illiterate
C. A sister, 21 years old but undergoing dialysis
D. A mother , 35 years old with on and off seizure

89. A nurse administer extra dose of vaccine to a child and the

patient developed adverse reaction and died. She can be used for____.
A. Negligence
B. Malpractice
C. Tort
D. Battery
90. A patient was for transfer to a tertiary hospital because of
severe asthma, but the nurse does not prepare the patient right away
and the patient dies. Which of the following the nurse is liable?
A. Malpractice
B. Assault
C. Murder
D. Battery

SITUATION 19- Health education is one of the essential services at the

community setting. Nurse Nene is in charge of health education
activities of the rural health unit.
91. Which of the following is TRUE about the health education in
public health?
A. It only done by professionals like nurses.
B. It is every health worker responsibility
C. It is remains constant
D. It is seldom use in public health setting

92. The BEST result of health education process is

A. It influences and change behavior
B. It provides new inputs
C. Update others
D. Information transfer

93. Which of the following explains health education is creative

process?
1. It could employ a variety of strategies
2. It is can be done anywhere
3. It could perform by any member of the heath team
4. It is a valuable health service
A. 1, 2, 3
B. 1, 2
C. 3, 4
D. 1, 2, 3, 4

94. To families and individual in the community, Which is the MOST

important goal of health education?
A. To study their life history
B. to identify their weaknesses
C. To totally change their lifestyle
D. To motivate them to develop skills and literacy in health.

95. As a whole health education in public health aims to____.

A. Transfers information
B. Make life changes
C. Better health opportunities
D. Change personality
SITUATION 20- Nurse Mary is assigned to manage the Non Communicable
Disease residents who are having Hypertensions.
96. Which assessment findings is INDICATIVE of the diagnosis of
hypertension?
A. Family members with high blood pressure
B. Elevation of blood cholesterol level
C. Stressful work environment
D. Consistent elevation of blood pressure

97. Identify the MOST appropriate diagnostic examination that confirms

the incidence of hypertension among residence.
A. Chest Xray
B. Electrocardiogram
C. Ultrasound
D. BP monitoring

98. Which medication will be prescribed to control and maintain the

blood pressure of patients at normal level?
A. Lidocaine
B. Epinephrine
C. Amlodipine
D. Furosemide

99. Nurse Mary had observed that most patient with hypertension stop
taking their medications and heard them saying “ I feel good already”
Which is the APPROPRIATE nursing diagnosis?
A. Impaired gas exchange
B. Anxiety
C. Knowledge deficit
D. Ineffective coping

100. During the conduct of his health teaching to the patients, Which
should the nurse emhasixe to maintain blood pressure at normal level?
1. Smoke in moderation
2. Exercise regularly
3. Consume less salt
4. Maintain normal weight
5. Less stress
A. 2, 3, 4, 5
B. 1, 2, 3, 4
C. 1, 2, 4, 5
D. 1, 3, 4, 5