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Community-Health-Nursing Test Questions with Answers

Nursing (Lyceum-Northwestern University)

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Community Health Nursing: Post-test

1. . As an important tool for planning a community health survey was conducted. There is a first
tangible outcome ofcollaboration and teamwork with the Local Health Department and it’s
Rural Health Units (RHUs). This later led to casefindings activities via collection and examination
of stools from children for suspected parasitism. Which of the followingcommunity nursing
diagnoses will guide the Parish Health Team for concrete action?
A. Parasitism as a foreseeable crisis C. Parasitism as a health deficit
B. Malnutrition as a health deficit D. Parasitism as a health threat

2.The following are nursing interventions to address the problems on parasitism EXCEPT:
A. Treatment of patients with the broad spectrum antihelmintics
B. Stress that vegetables should be thoroughly washed especially if eaten raw
C. Teach proper disposal of stools and stress that is shouldn’t be use a fertilizer
D. Encouraging hand washing before and after eating

3. In evaluating the nursing care given, which of the following vital statistics in the communities served
will indicate BEST their health status?
A. 0 crude death rate for the year 2012
B. 50% (Swaroop’s ) index for the year 2011
C. 0 infant mortality rate for the year 2011
D. 0 crude birth rate for the year 2011

Situation 1– You are aware that one of the continuing challenges faced by nurses in community health
nursing practice is how to maximally engage people to participate in the development of their own
communities. The following situation applies:
4. You organize community groups to participate in the community activities. You can BEST motivate to
participate in community health development program by:
A. Conducting group works
B. Instructing the people to agree with your plans
C. Allowing the people to exercise decision-making
D. Assigning people participative roles

5. As community health nurse engaged in the process community empowerment, it is essential that you:
A. Gather data from the community
B. Make decisions for people in the community
C. Form partnerships with people in the community
D. Accepts responsibility for people’s action

6. You understand that one characteristics of a community that is described as having community
competencies is that which has the ability to:
A. Identify their needs, achieve consensus, and plan and implement goals
B. Delegate any community processes to an outside expert such as the community health nurse
C. Perform their own cross-sectional epidemiological studies
D. Predict morbidity and mortality rates in the population or geographic area

7. Which of the following is NOT a part of the community assessment process?

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A. Identify available resources such as time, money and team skills

B. Setting action priorities based on the needs of the community and available resource
C. Withholds results from the community until they can statistically be confirmed, to avoid alarming
people
D. Collecting and analyzing information

8. Which of the following describes a valid way to collect data for community assessment?
A. Using a library database to conduct a literature review
B. All of these strategies are helpful in doing community assessment
C. Using surveys or questionnaires to gather information from members of the community
D. Reading government documents to find out if similar data have already been collected

Situation 4 – In community health work, you arm yourself with Community Health Nursing Concepts and
Principles. This serves as basis for safe and quality care for individual, families, population/vulnerable
groups and communities. Consider these situations.
9. As a community health nurse covering a cluster of Barangays, your population coverage include the
following:
1. Families in their homes 3. workers in factories
2. School population 4. patients in hospital

A. 1, 2, and 3 C. 1, 2, 3, 4
B. All except 3 D. All except 4

Situation 8 – Nowadays, traditional medicine is being recognized by medical practitioners as an

alternative treatment to illness conditions affecting individuals and families. While complimentary
health care is universally accepted it is still professionally sound to be SAFE and LEGALLY cautious. The
following questions apply:
10. A traditional plant used to lower uric-acid is used by Rosario, a 55 old client with rheumatism. This
herbal plats called “ulasimang bato”. How is it commonly known?
A. Lagundi C. Bayabas
B. Pancit pacitan D. Sambong

11. Joseph, 45 years of age, a community resident of Baranggay 22-A suddenly had 2 bouts of soft to
almost watery stools after having taken his lunch. While observing his condition further at home later
deciding whether to refer him for medical treatment you recommended that he boil a decoction for 15
minutes at low fire 10-15 leaves of what medicinal plant?
A. Bayabas C. Sambong
B. Pancit pacitan D. Lagundi

12. A unit Girl Scouts went up hiking over Mt. Makiling. While resting, scout Jaymee, 14 years of age
complained of sudden moderately bearable toothache. In checking their first- aid kit they found none of
mefenamic acid BUT they luckily chanced upon a home who uses alternative pain relieving medicinal
plants. What would this plant be:
A. Bawang C. Sambong
B. Lagundi D. Tsaang gubat

13. Manny Pacquiao, a Filipino and world boxing used to advertise a muscle pain-relieving drug
popularly known in Philippines market. What can be an equally effective medicinal alternative which

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one can use, especially on far flung communities and provinces, to relieve muscles and joint pains and
prove to be non-costly?
A. Sambong C. Akapulko
B. Lagundi D. Yerba Buena

14. We are aware that Community Health Nursing (CHN) in the Philippines encompasses health care
provisions affecting 4 clients: individuals, families, population groups and communities. In the course of
our community health work, traditional, non-traditional, alternative, or complimentary health care
strategies are stabilized. Legal basis for this action maybe derived from the:
A. PhilHealth Act
B. Traditional and Alternative Health Care Law
C. Philippine Nursing Act
D. Philippine Medical Act

Situation 9 – The occurrence of non-communicable disease (NCDs) is on the rise and is attributed to the
changing lifestyle of Filipinos. The major NCDs are cardiovascular diseases (CVDs), cancer, chronic
obstructive pulmonary disease (COPD) and diabetes mellitus (DM). The community health nurse can
help address these problems.
15. The major risk factors common to the above mentioned 4 major NCDs are:
A. Unhealthy diet, physical inactivity and smoking
B. Hypertension, sedentary lifestyle and poor stress management
C. Obesity, sedentary lifestyle and smoking
D. Unhealthy diet, alcoholism, and sedentary lifestyle

16. The Filipino Food Guide Pyramid strongly emphasizes the need for:
1. Ensuring variety of foods everyday
2. Eating diet low in fats and sugar
3. Maintaining specific daily serving of food groups
4. Avoiding poor eating habits
A. 1, 2, 3 and 4 C. 1, 2, 3, 4, and 5
B. 1 and 2 only D. 1, 2, and 3

17. Diabetes has become a major health problem. The nurses can help to reduce the incidence of
diabetes by:
A. Extensive screening of diabetes patients
B. Helping implement Republic Act 8191-Natioanal Diabetes Act
C. Establishing the support group for diabetes patients
D. Increasing the community awareness of diabetes prevention

18. This is a learning process whereby knowledge, attitudes and practice of people are changed to
improve the health status of individuals, families or communities
A. Motivating C. Disease prevention
B. Counseling D. Health education

19. The BEST strategies to addresses the nutrition problems of Filipinos related to Non-communicable
diseases are the following, EXCEPT:
A. Aim for ideal body weight
B. Consider food preferences of family members

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C. Build healthy nutrition-related practices

D. Choose food wisely

Situation 10 – You are attending to a childbirth process. You are aware of its continuing and peripheral
concerns even after the delivery of the infant. Consider the following conditions:
20. The appropriate order of steps in active management of the third stage of labor include:
A. Cord clamping and cutting, controlled cord traction, ergometrine administration, and inspection to be
sure the placenta is intact.
B. Intravenous oxytocin, cord clamping and cutting, and fundal massage
C. Intramuscular injection oxytocin, controlled cord traction with counter traction to the uterus, uterine
massage
D. Controlled cord traction, fundal massage and oxytocin

21. If bleeding continuous after delivery of the placenta using management, the FIRST thing you should
do is call for help and:
A. Massage the uterus
B. Insert a urinary catheter
C. Start an IV
D. Check the placenta to make sure that it is complete

22. Contaminated instruments used during delivery should be:

A. Wash with soap and water and soaked in 0.5% chlorine solution for 10 minutes
B. Soaked in 0.5% chlorine solution for 30 minutes
C. Washed with soap and water and boiled for 2 hours
D. Soaked in 0.5% chlorine solution for 10 minutes

23. What is the FIRST STEP for thermal protection of newborn?

A. Drying the baby thoroughly immediately after birth
B. Covering the baby with a clean, dry cloth after the cord has been cut
C. Drying the baby thoroughly after the cord has been cut
D. Covering the baby with a clean , dry cloth immediately after birth

24. Vaginal bleeding immediately after birth is MOST OFTEN due to

A. Uterine atony C. Abnormal clothing mechanism
B. Genital lacerations D. endometritis

25.A patient in Mindanao was diagnosed to have Dengue Hemorrhagic Fever. The therapeutic regimen
for the patient includes the following EXCEPT:
1. Rapid replacement of plasma loss
2. Aspirin for high fever
3. Rapid fluid and electrolyte replacement
4. Oxygen therapy

Situation 14 – a relevant DOH program addresses community health conditions particularly

Tuberculosis. Again, safety and quality of care is every nurse’s concern. The following questions apply.

26.Directly Observed treatment Short Course (D.O.T.S.) can do all of the following except.
1.Stop resistance to anti-Tb drugs

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2.Cure TB patients
3.Require hospitalization
4.Prevent new infection among children and adults.

27.Which of the following statement about TB treatment is INCORRECT?

1.Combination of 3-4 anti-TB drugs is the treatment of choice
2.Single drug is appropriate
3.Treatment rendere patients non-infection and cured
4.Tuberculosis is a curable disease

Situation 15 – the integrated Management of Childhoods illness of IMCI technology is a World health
organization strategy which aims to curb the growing infant/child mortality and morbidity concerns in
many countries especially the 3rd world economies like the Philippines. This program integrates many
dependent health programs to singular approach. Safety and quality would be any nurse’s focus. The
following questions apply.

28. James is an 18 month old child who has cough for 7 days with no general danger signs with
temperature 37.50 C and respiratory rate of 41 breaths/minute. How will you classify jame’s breathing?

1.Slow breathing
2.Fast breathing
3.Normal breathing
4.Very fast breathing

29.James illness can be classified as:

1.Pneumonia
2.Very service disease
3.Severe pneumonia
4.No pneumonia

30.After 3 days, the nurse notes that james has chest in drawing and stidor. His mother returned him to
the health center immediately. The nurse should:
1.Change the medicine to the second line antibiotics
2.Advice mother to observe the child and continue giving the antibiotics
3.Give first dose of antibiotics and refer urgently
4.Observe the child in the center

31.The nurse should consider the following assessing the child for chest in drawing EXCEPT
1.Chest in drawing should be present at all time
2.The lower chest wall does not go in when the breaths in
3.The lower chest goes in when the child breaths in
4.The child should be calm

32.Integration is the process of establishing rapport with the people in the community. It can BEST be
achieved by:
a.Conversing with the people where they are and participating in social activities
b.Bringing in some gifts to win acceptance of the people in the community
c.Cleaning the house and doing other household chores

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d.Sponsoring a sport festival to have an opportunity to meet more people

33.Community organizing is an important part of community nursing function. Given the following
elements choosing an organizational structure identifying and recruiting members defining mission
vision and goals clarifying roles and responsibilities at which stage do these elements belong?
a.Program maintenance-consolidation
b.Dissemination-Reassessment
c.Community Analysis/diagnosis
d.Design and initiation

34.At which phase of the community organizing process are the leaders or groups given training to
develop their knowledge skills and attitude in managing their own programs?
a.Sustenance and strengthening phase
b.Pre-entry phase
c.Organizing-building phase
d.Entry phase

35.When you have already organized, follow-up visits are likewise needed. Which of the following
should you do first?
a.Explain the purpose of the visit
b.Wash your hands and perform the necessary procedure
c.Do an environmental surveillance
d.Greet the patient/resident introduce self

Situation: Field health services and information system provides summary data on health service
delivery and selected program from the barangay level up to the national level. As a nurse, you should
know the process on how these information became processed and consolidated
36.All of the following are objectives of FHSIS Except
a.To complete the clinical picture of chronic disease and describe their natural history
b.To provide standardized, facility level data base which can be accessed for more in depth studies
c.To minimize recording and reporting burden allowing more time for patient care and promotive
activities
d.To ensure that data reported are useful and accurate and are disseminated in a timely and easy to use
fashion

37.What is the fundamental block or foundation of the field health service information system?
a.Family treatment record
b.Target Client list
c.Reporting forms
d.Output record

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

a.Nurses need not to go back to FTR to monitor treatment and services to beneficiaries thus saving time
and effort
b.Help monitor service rendered to clients in general
c.Facilitate monitoring and supervision of services
d.Facilitates easier reporting

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39.Which of the following is used to monitor particular groups that are qualified as eligible to a certain
program of the DOH?
a.Family treatment record
b.Target Client list
c.Reporting forms
d.Output record

Siyuation-WHO partograph is a useful tool in monitoring the progress of labor. It guides birth attendant
to identify women whose labor is delayed and therefore decide appropriate action. As a future midwife
you should be knowledgeable in using partograph. The following questions pertains to this tool.

40.Mrs. Laugo, a clinical instructor is discussing concepts about partograph. She asked Donna V, a
midwifery student about parts of a partograph, Donna is correct if she responded to her CI that the
following are the parts of the partograph. SELECT ALL THAT APPLY
1. Maternal Wellbeing
2. Fetal Wellbeing
3. Fetal Heart Rate
4. Maternal Vital Signs
5. Progress of Labor
a. All except 5 b. 1, 2 & 5 c. 3 & 4 d. All are correct

41. Donna needs further teaching about the use of partograph if she said to her CI that:
a. “I will start using the partograph if the patient cervix’s is already 4 cm dilated.”
b. “I can use partograph in all pregnant women.”
c. “I will plot the cervical dilatation using “x”.”
d. “I need to refer my patient to the hospital if the cervical dilatation reached the action line.”

Situation 11: The goal of the Nutrition program is to improve quality of life of Filipinos through better
nutrition, improved health and increased productivity.
42. Malnutrition continues to be a public health concerns in the country. The common nutritional
deficiencies are the following, except:
a.Vitamin A b. Iron c. Iodine d. Calcium

43.Garantisadong Pambata (GP) or Child Health Week is the approach adopted to provide micronutrient
supplements to 6-71 months old preschoolers on a nationwide scale. This involves twice a year
distribution of:
a.retinol b. Iron c. Iodine d. Calcium

44.The food Fortification Act of 2000 provides for the mandatory fortification of staple food, which
include:
a.Flour with iron c. refined sugar with iron
b.Cooking oil with vitamin A d. rice with vitamin A

45.This involves voluntary fortification of processed foods:

a.Garantisadong Pambata c. Sangkap Pinoy Seal
b.Food Fortification d. Child Health Week
46.Micronutrient supplementation is included in what program of the DOH?
a.Expanded Program on Immunization c. Araw ng Sangkap Pinoy

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b.Reproductive Health d. Sentrong Sigla Movement

Situation 4- Pertains to Categories of Health Problems:
47.It includes stressful occurrences called as:
a.Health deficit c. Health need
b.Health threats d. Forrseeable crisis
48.A health deficit is:
a.Conditions that promote disease or injury and prevent people from realizing their health potential
b.There is a health problem that can be alleviated with medical or social technology.
c.There is a gap between actual and achievable health status.
d.Illness of a family member is an example.
49. Conditions that promote disease or injury and prevent people from realizing their health potential
termed as:
a.Health deficit c. Health need
b.Health threats d. Forrseeable crisis
50.No regular health check-up is an example of:
a.Health deficit c. Health problem
b.Health threats d. Forrseeable crisis
51.A situation in which there is a demonstrated health need combined with actual or potential
resources to apply remedial measures and a commitment o act on the part of the provider or the client
is:
a.Health deficit c. Health need
b.Health problem d. Forrseeable crisis
Situation- 5 As part of the community health nursing, a community health nurse must be
knowledgeable in Primary Health Care as an approach to delivery of health care services.
52.Otherwise known as Primary Health Care?
a.PD 442 c. PD 949
b.PD 996 d. RA 8981
53.The following are four cornerstones or pillars in primary health care, except:
a.Active community participation c. Support mechanism made available
b.Use of appropriate technology d. Inter- sectoral linkages only
54.This refers to trained community health workers or health auxiliary volunteer:
a. Village health workers c. All of the above
b.Barangay health workers d. None of the above
55.Rural sanitary inspector is under of what level of primary health care workers?
a.Village health workers c. Barangay helath workers
b.Intermediate level health workers d. All of the above
56.A traditional birth attendant or a healer is under of:
a.None of the above c. Barangay health workers
b.Intermediate level health workers d. All of the above
Situation 6- the following questions pertains to levels of health care and referral system.
57.It is usually the first contact between the community members and the other levels of health facility
is called as:
a.Secondary level health care c. Primary health of care
b.Tertiary level of care d. Intermediate level of care
58.These facilities are capable of performing minor surgeries and perform some simple laboratory
examinations:
a.Secondary level health care c. Intermediate level of care
b.Tertiary level of care d. Primary health of care

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59.Community hospital is an example of these level of health care:

a.Secondary level health care c. Primary health of care
b.Tertiary level of care d. Intermediate level of care
60.Care rendered by specialists in health facilities including medical centers as well as regional and
provincial hospitals is under of what level of care:
a. Secondary level health care c. Primary health of care
b.Tertiary level of care d. Intermediate level of care
61. This serves as a referral center for the primary health facilities?
a.Secondary level health care c. Primary health of care
b.Tertiary level of care d. Intermediate level of care

Situation 1- The following questions are definition of terms that a public health nurse must be familiarize
62.The World Health Organization defines health as a:
a.It is the health of individuals and communities are, to a large extent, affected by a combination of
many factors.
b.A state of complete physical, mental, and social well-being, not merely the absence of disease or
infirmity.
c.Refers to an OLOF of individuals, families and communities being influenced by several factors in the
eco-system.
d.Science and art of preventing disease, prolonging life, promoting health and efficiency through
organized community effort for the sanitation of the environment, control of CD, education of
individuals in personal hygiene, so organizing these benefits as to enable every citizen to realize his
birthright of health and longevity.
63.The classic definition of public health, defines as:
a.It is the health of individuals and communities are, to a large extent, affected by a combination of
many factors.
b.A state of complete physical, mental, and social well-being, not merely the absence of disease or
infirmity.
c.Refers to an olof of individuals, families and communities being influenced by several factors in the
eco-system.
d.Science and art of preventing disease, prolonging life, promoting health and efficiency through
organized community effort for the sanitation of the environment, control of CD, education of
individuals in personal hygiene, so organizing these benefits as to enable every citizen to realize his
birthright of health and longevity.
64.The classic definition of public health comes from?
a.Ruth B. Freeman
b.Lilian Wald
c.Dr. C. E. Winslow
d.World Health Organization Expert Committee of Nursing
65.Refers to the nurses in the local/national health departments or public schools whether:
a.Public health nursing c. Registered midwives
b.Public health nurse d. Registered nurses
66.It is community health nursing practiced in the public sector:
a.Public health nursing c. Registered nurse
b.Public health nurse d. registered midwives

Situation 8- the public health nurse must be knowledgeable in vital statistics. The following questions
pertain.

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67.It refers to a systematic approach of obtaining, organizing and analyzing numerical facts so that
conclusion may be drawn from them.
a.Vital statistics c. Morbidity
b.Statistics d. Mortality
68. Refers to the systematic study of vital events such as births, illnesses, marriages, divorce, separation
and deaths.
a.Vital statistics c. Morbidity
c.Statistics d. Mortality
69.Statistics of disease and death is termed as:
b.Vital statistics c. Morbidity
a.Statistics d. Mortality
70.Statistics of illnesses termed as:
a.Vital statistics c. morbidity
b.Statistics d. Mortality

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