A.
To transform LGU’s into self-reliant
CHN POST TEST MT2                                 communities
                                                  B. To involve people in the development and
                                                  progress of their communities
Situation: Community Health Nursing is a          C. To empower local officials
                                                  D. To provide people better access to decision
very relevant field in the practice of the
                                                  making
healthcare profession and must be
understood through its basic concepts. The        4.     A woman in her 3rd month of
following questions apply to  this.               pregnancy consulted for the first time at the
                                                  health center. Which of the following
1.    Which of the following is the main
                                                  nursing actions is done for secondary
responsibility of the community health
                                                  prevention?
nurse?
                                                  1 point
1 point
                                                  A. Checking her blood pressure
A. To develop health programs                     B. Administering tetanus toxoid
B. To identify high risk population groups        c. Performing Leopold’s maneuver
C. To educate the public                          d. Giving micronutrient supplements
D. To supervise the implementation of health
programs                                          5.     Community health services are
                                                  usually preventive in nature. Which of the
2.      Which of the following action of the
                                                  following is an example of primary level
community health nurse constitutes health
                                                  prevention?
promotion and disease prevention
                                                  1 point
activities?
1 point                                           A. Operation timbang
                                                  B. BantayPresyon Project
A. Administration of Streptomycin to a            c. Health education on diarrhea management
Tuberculosis patient.                             d. Isolation of a patient with measles
B. Referral of severely dehydrated child in the
hospital.                                         6.    The nurse is providing tertiary
C. Assessment of school age children for          prevention.  An example of tertiary
malnutrition through “Operation Timbang”
                                                  prevention is:
D. Teaching pregnant mothers about the
benefits of breastfeeding                         1 point
                                                  A. Poison control
3.     Health services were devolved to
                                                  B. Identifying complication of diabetes
local government units (LGU’s) for the            C. Self-examination for breast cancer
following reasons. EXCEPT:                        D. Marriage counselling
1 point
                                                  7.    PHC promotes use of herbal
                                                  medicines and other indigenous resources.
This is within the context of which PHC              D. Evaluator
pillar?                                              Situation: Community empowerment is an
1 point                                              important aspect in the work of a
A. Support mechanisms made available                 community health nurse. The following
B. Use of multisectoral approach                     questions apply.
c. Promotion of community participation
d. Development of appropriate technology             11.     To empower community members,
                                                     the community health nurse performs which
8.      Primary Health Care approach is
                                                     activity?
utilized in planning and implementing public
                                                     1 point
health programs. Which is NOT TRUE of
PHC?                                                 A. Step back at the beginning and giving little
                                                     output
1 point
                                                     B. Do all the activities for community members
A. It has the ultimate goal of Health for All        C. Define the community needs for the
B. It emphasizes the health care provider role of    members
health professionals                                 D. Give ownership and leadership to the
C. It encourages the development and use of          community
indigenous resources
D. It means providing essential, acceptable and      12.    Descriptors of a healthy community
affordable health care                               include:
                                                     1 point
9.     As a health care provider, you utilize
different types of family-nurse contacts.            A. Keeping the sub-groups informed of changes
                                                     whenever necessary
Which is an advantage of a home visit?
                                                     B. A community where the members are
1 point                                              disease free
A. The nurse is able to save time and effort         C. Seeking to make all the resources available
B. It emphasizes the family’s initiative in health   to all members
care                                                 D. The leaders making decision for the
C. Health center equipment may be readily            community members
utilized
                                                     13.   When a community health nurse
D. The nurse is able to observe family
relationships                                        works as a client advocate, the nurse:
                                                     1 point
10.     The nurse as a community health
                                                     A. Uses a passive approach in solving identified
practitioner functions as a community:
                                                     problem
1 point                                              B. Is aggressive in pursuing the achievement of
A. Leader                                            the client goals
B. Planner                                           C. Is assertive in speaking and acting on behalf
C. Facilitator                                       of the client
D. Attempts to smooth problems over to keep     B. Flexible and practical
the community calm                              C. Available information
                                                D. Policy of the department of health
14.     The community health nurse leads a
class on breastfeeding with a group of          17.   Which of the following is the first step
prenatal parents. The nurse allows the          when conducting a home visit?
participants to ask questions, make             1 point
comments, and reason out loud as                A. Place PHN bag in a convenient place before
feedback is given. Which of the following       performing bag technique
teaching techniques is the nurse using?         B. Greet client and family and introduce yourself
                                                C. Explain the purpose of the visit
1 point                                         D. Look into detailed aspect of the household
A. Discussion
B. Lecture
                                                18.    A public health nurse bag is essential
C. Demonstration                                and an indispensable tool when the nurse
D. Role playing                                 conducts a home visit. Which of the
                                                following is vital principle in the use of the
15.    Primary Health Care aims to
                                                bag technique?
strengthen the health care delivery system
                                                1 point
by increasing opportunities and supporting
the conditions wherein people will manage       A. The bag, when used in communicable cases,
their own health care, as a strategy, what is   should be thoroughly cleaned and disinfected
                                                before keeping and reusing
its main focus?
                                                B. It should minimize if not totally prevent the
1 point                                         spread of infection from individuals to families
                                                to the community
A. Creating multi-sectoral linkages
                                                C. Arrangements of the contents is convenient
B. Responsibility for health rests on the
                                                to the user
individual, his family and the community
                                                D. It should contain all the necessary supplies
C. Support for frontline health workers
                                                and equipment
D. Assurance of increasing investment for
health care services                            19.     Considering the steps and
Situation: A home visit is a professional       procedures in bag technique, which side of
face to face contact made by the nurses to      the linen or paper lining of the bag is clean
the client and the family.                      to make a non-contaminated work or area?
                                                1 point
16.     Which of the following is priority
factor to determine the frequency of a home     a. Beneath
                                                b. Outside
visit?                                          c. Cover
1 point                                         d. Inside
A. Acceptance of the family
20.    When beginning a relationship with a        A. Salience
                                                   B. Modifiability
family on home visit, the Community Health
                                                   C. Preventive potential
Nurse:                                             D. Nature of the problem
1 point
                                                   23.     Nurse Nene finds that a toddler has
A. Allows the discussion to be open and non-
                                                   some developmental delays during a home
directional
B. Encourages others to speak for the main         visit. When looking for a cause or
client to get an unbiased view                     contributing factor, which of the following
C. Focuses on the problem of one of the family     environmental factors would she consider
member
                                                   MOST important to assess?
D. Is accepting and listens carefully to problem
of all family members                              1 point
                                                   A. House pets
SITUATION: The nurse makes use of her
                                                   B. Lead paint in the crib
critical thinking skills and applies the           C. Presence of asbestos in the home
nursing process in identifying community           D. Dust mites in child’s toys
needs and in developing action plans for
                                                   24.     While analyzing the data from a
health services.
                                                   community assessment, the nurse notes
21.     During a home visit Nurse Nene             that the segment of the population with the
noted that 3 out of 5 of the children in the       greatest growth is the group age 65 and
family are lacking in immunization. This           over. What is the primary implication related
increases their chance of acquiring                to this data? There likely will be an
infectious diseases. Such problem can be           increased need for
documented by the nurse as a:                      1 point
1 point                                            A. Health services
A. Health threat                                   B. Leisure-time programs
B. Health deficit                                  C. Educational opportunities
C. Stress point                                    D. Retirement planning services
D. Foreseeable crisis
                                                   25.    Based on the population size of your
22.     In response to the nurse’s comment         catchment area, your health center is
about her 2-year old son’s underweight,            supposed to have three midwives. There
Mrs. Reyes replied, “Like his brothers and         are only 2 midwives assigned in the health
sisters, he just takes after me and my             center. What type of health problem is this?
husband.” This comment will be considered          1 point
in rating which criterion?                         A. Wellness state
1 point                                            B. Health status problem
                                                   C. Health resource problem
D. Health-related problem                        and the people’s organization takes over.
SITUATION: Community organizing plays            Hence, the relationship between the
an important role in building the capabilities   community organizer and the people should
of people for empowerment.                       be a temporary one. This is period is
                                                 referred to as:
26.   The strategy to attain the principle of
                                                 1 point
accessibility, availability of health services
                                                 A. Turn-over and phase-out
1 point
                                                 B. Reflection
A. Indigenous/resident volunteer workers must    C. Evaluation
be trained by health care providers              D. Mobilization
B. The community uses local resources
C. Mass health campaign and mobilization to      30.     Community development advocates
combat health problems                           the principles of self-help and the voluntary
D. Incorporation of income generating projects   participation of the people of the
27.     Nurse Isabel is choosing an activity     community. Community development rests
that will facilitate integration into the        upon certain assumptions, this does not
community. The appropriate activity for this     include:
is to:                                           1 point
1 point                                          A. Everyone has something to contribute to the
                                                 community
A. Organize a mahjong session                    B. People have limited ability to learn
B. Encourage clinic visits to every people       C. Community development provides the
C. Participate during harvesting                 opportunity by which the worth of an individual
D. Act like a visitor                            is revealed
                                                 D. Worth and dignity of individuals are the basic
28.    Nurse Isabel is training a group of
                                                 values in a democratic society
community health officers in conducting an
action-reflection-action session. She is in      SITUATION: Community organizing is a
what phase of the COPAR process?                 process by which people, health services
1 point                                          and agencies of the community are brought
                                                 together to act and solve their own
A. Sustenance and strengthening phase
B. Pre-Entry phase                               problems.
C. Community organization and capability
                                                 31.     Mang Andoy approaches you for
building
D. Entry phase                                   counseling. You are an effective counselor
                                                 if you:
29.   Community organizing is an enabling
                                                 1 point
process where after some time the
                                                 A. Give good advice to MangAndoy
community organizers leave the community
B. Identify MangAndoy’s problems                     decision in accordance with the set criteria.
C. Help Mang Andoy identify his problems
                                                     Before they can be trained by the nurse, the
D. Convince MangAndoy to follow your advice
                                                     nurse must first:
32.   The most important factor in                   1 point
determining the proper area for community
                                                     A. Make a lesson plan
organizing is that this area should:                 B. Assess their learning needs
1 point                                              C. Set learning goals and objective
                                                     D. Review materials needed for training
A. Be already adopted by another organization
B. Be able to finance the projects                   Situation: The following are 2015 data of
C. Have people with expertise to be developed
                                                     your community:
as leaders
D. Have problems and needs assistance
33.    Which of the following dwelling place
should the nurse choose when integrating
with the people?
1 point
A. A modest dwelling place where people will
not hesitate to enter located in the center of the
community
B. A simple house in the border of Barangay          36.       What is the crude birth rate?
Tinago and San Pablo                                 1 point
C. A simple house with fencing and gate
located in the center of Barangay Tinago             a. 20 / 1000
D. A modest dwelling place where people will         b. 2 / 1000
not hesitate to enter                                c. 20%
                                                     d. 2%
34.   In choosing a leader in the
                                                     37.       What is the crude death rate?
community during the organizational phase,
                                                     1 point
which among these people will you choose?
1 point
                                                     a. 1.66 / 1000
                                                     b. 16.6/ 1000
A. Ricky, 30 years old, influential and willing to   c. 16%
work for the desired change                          d. 166
B. Miguel Zobel, 50 years old, rich and famous
C. Rustom, 27 years old, Actor                       38.       Compute for prevalence rate of TB:
D. Manong Pepe, 70, willing to work for the          1 point
desired change
                                                     a. 20 / 1000
35.    The people named the community                b. 2 / 1000
health workers based on the collective               c. 20%
d. 2                                             4. Measles vaccine
                                                 A. 1, 2
39.       Maternal mortality rate:               B. 1, 3
1 point                                          C. 2, 3
                                                 D. 2, 4
a. 13%
b. 1.3%                                          43.    All of the following vaccines are
c. 13 / 1000                                     included in the Pentavalent formulation
d. 1.3 / 1000
                                                 EXCEPT?
40.       Cause specific mortality rate for TB   1 point
1 point                                          A. Hepa B vaccine
a. 20 / 1000                                     B. DPT
b. 2 / 1000                                      C. HIb vaccine
c. 5 / 10,000                                    D. OPV
d. 5 / 1000
                                                 44.    Which of the following vaccines was
SITUATION: The Expanded Program on               added in the new schedule of immunization
Immunization has reduced morbidity and           in our country with the end in mind of
mortality among young children. The              reducing cases of meningitis among
following questions are relevant to this         children?
program.                                         1 point
41.     You are aware that parental consent      A. Hepa B vaccine
for the immunization is not needed. This is      B. DPT vaccine
                                                 C. HIb vaccine
based on which legal document?                   D. OPV
1 point
                                                 45.   Immunization aims to reduce the
A. R.A. 7846
                                                 number of deaths among children under 5
B. PD 996
C. P.D. 856                                      years of age and therefore contribute to the
D. RA 10152                                      achievement of?
                                                 1 point
42.     To maintain the cold chain, which
vaccines/toxoids should be stored in the         A. HFA by the year 2000
refrigerator compartment at a temperature        B. MDG
                                                 C. AHA
of +2 C to +8C?                                  D. FourmulaOne
1 point
                                                 46.   Among the biologicals given in the
1. BCG
                                                 EPI, which contains killed microorganisms?
2. OPV
3. PentaHIb                                      1 point
A. BCG                                        A. The vaccine will create a scar
B. RNA recombinant Hepatitis B vaccine        B. The infant will have fever
c. OPV                                        C. A small red nodule will appear after two
d. PentaHib                                   weeks
                                              D. The child will develop rashes
47.   Which biologicals are freeze-dried
and therefore require the use of a diluent?   51.    Children with which condition cannot
1 point
                                              be given immunization?
                                              1 point
1. OPV
2. PentaHib                                   A. Cough and colds
3. BCG                                        B. Fever of 39 degrees Celsius
4. Measles vaccine                            C. Diarrhea without dehydration
a. 1 and 2                                    D. Malnutrition
b. 2 and 3
c. 1 and 3                                    52.    During an Operation Timbang, you
d. 3 and 4                                    observed a 1 ½ year old child having
                                              normal weight for age. However, he has
48.    What type of immunity does a baby
                                              bipedal edema. Which of the following signs
develop after tetanus toxoid immunization
                                              indicates that this child has kwashiorkor?
of his mother?
                                              1 point
1 point
                                              A. Apathy
A. Active natural
                                              B. Severe wasting
B. Active artificial
                                              c. Skin dryness and flaking
c. Passive natural
                                              d. Old man’s look
d. Passive artificial
                                              53.     You also examined Sofia for signs of
49.   A woman has received 4 doses of
                                              vitamin A deficiency. Which of the following
tetanus toxoid. Thereafter, her baby will
                                              is the earliest visible sign of vitamin A
have immunity against tetanus lasting for
                                              deficiency?
how long?
                                              1 point
1 point
                                              A. Night blindness
A. 9 months
                                              B. Conjunctival dryness
b. 3 years
                                              c. Photophobia
c. 5 years
                                              d. Bitot’s spots
d. 10 years
                                              54.     One of the children was classified
50.    Before giving BCG, you will inform
                                              under the category of third degree under-
the mother of the following expected
                                              nutrition. What is the best management that
reactions except:
                                              you can provide to this child?
1 point
1 point                                          57.     The DOH Secretary stated that "it
A. Refer him urgently to a hospital.
                                                 costs between P500 to P15,000 to treat a
B. Provide nutrition education to his mother.    child with measles, but preventing measles
C. Assess him for other forms of malnutrition,   through vaccination is free. Vaccination has
such as vitamin A deficiency.                    side-effects however the benefit outweighs
D. Give him priority in a feeding program.
                                                 the risk." In realizing this statement, which
55.     A mother brought her 8-month old         ethical principle should be in the mind of
child to the health center. Which                Nurse Samantha during the campaign as a
supplement can you give to the child?            driving force to convince hesitant mothers?
1 point                                          1 point
A. Retinol 200,000 IU                            A. Epikia
B. Retinol 100,000 IU                            B. Double effect
c. Ferrous sulfate 100 mg                        C. Beneficence
d. Potassium iodate 200 mg.                      D. Autonomy
SITUATION: Nurse Samantha is a                   58.   The strategy of the vaccination
"Bakunador" for the "Iligtas sa Tigdas ang       teams is to focus on reaching the poorest of
Pinas" campaign of the DOH                       the poor, the hardest to reach areas and the
                                                 marginalized sectors. This exhibits:
56.    Nurse Samantha knocked on the
                                                 1 point
door of a household and had the
opportunity to talk to the head of the family    A. Totality
                                                 B. Epikeia
which is coincidentally the mother of 5
                                                 C. Fidelity
children, in which all are within 8 years of     D. Justice
age. Nurse Samantha stated the purpose of
her visit and upon hearing the word              59.    Nurse Samantha has walked many
"vaccination", the mother hesitantly said        miles in search of legible children within
that she does not want her children to be        Barangay Sisa. As she walks, she makes
vaccinated. What would be the best action        sure that the MMR (Measles-Rubella)
of the nurse?                                    vaccine is in adherence to the cold chain.
                                                 Nurse Samantha is exhibiting?
1 point
                                                 1 point
A. Educate further the mother
B. Get inside the house and vaccinate the        A. Autonomy
children                                         B. Non-maleficence
C. Leave the household                           C. Beneficence
D. Report the mother to the area program         D. Fidelity
coordinator
60.     Nurse Samantha saw several                    1 point
"eligible" children playing in the park. The          A. 4 weeks
best action of Nurse Samantha is:                     B. 6 weeks
1 point                                               c. 6 months
                                                      d. 1 year
A. Vaccinate the children
B. Ask the children whether they wanted to be         63.     She told you of a neighbor friend
vaccinated                                            who delivered her baby yesterday after
C. Conduct health teaching on the playground
                                                      receiving only one dose of the “bakuna”
D. Assist and follow the children in going home
                                                      (referring to tetanus toxoid). What will be
SITUATION: The Maternal and Child Health              your best response?
(MCH) is one of the flagship programs of              1 point
the DOH, in realization of the MDG of
                                                      A. “I’m sorry. It’s too late. There’s nothing we
lowering the maternal and infant mortality            can do about it now.”
rate in the country.                                  B. “Tell her to come to the health center for the
                                                      second dose as soon as possible.”
61.     Mrs. Batungbakal verbalized, “I’m             C. “Let’s just pray that her baby will not develop
flat-chested. Do you think I’ll have enough           a serious disease.”
milk for my baby?” Which is your most                 D. “If her baby develops tetanus, it’s because of
appropriate response?                                 lack of immunization.”
1 point                                               64.    A major objective of the maternal
A. “Don’t worry. I’ll teach you exercises that will   care program is the establishment of the
make your breasts large enough to produce             BEMOCs, which of the following services
enough milk in time for your delivery.”               are offered by the BEMOCs.
B. “I’ll teach you nipple stretching and nipple
                                                      1 point
rolling exercises. These will ensure that you will
be able to breastfeed.”                               1. Administration of antibiotics, oxytocics and
C. “That’s why I’m glad you consulted while the       anticonvulsants
pregnancy is still young and while there is           2. Manual removal of the placenta
something that can be done about it.”                 3. Removal of retained products following
D. “The size of the breasts does not affect milk      miscarriage or abortion
production. What’s important is you can make          4. Assisted vaginal delivery, with vacuum
the baby suck effectively.”                           extractor
                                                      A. 1 2 3
62.    On her second visit, you were able to          B. 1 3 4
give Mrs. Batungbakal her second dose of              C. 2 3 4
tetanus toxoid. She asked you when she is             D. all of these
supposed to receive her third dose. You will
                                                      65.   Right after her delivery, you visited
say after _____________.
                                                      Mrs Roxas at home. You informed her of
the availability of Newborn Screening in the     breastfeed her baby well.  You will respond
Provincial Hospital. You encourage her           to this by advising the following except:
guided by the knowledge that the Newborn         1 point
Screening is a test for the early detection of   A. Take amoxicillin antibiotics for 7 days
the following congenital illness except:         B. Keep the baby’s mouth on correct position
1 point                                          C. Start feeding on a nipple that has no sore
                                                 D. Help the baby to fix on the nipple and the
A. Congenital Hypothyroidism                     areola
B. Congenital Adrenal Hyperplasia
C. Congenital Mental Retardation                 69.    Which of the following is an
D. Galactosemia                                  important message for the mothers after
Situation:  After delivery, the PHN visits the   delivery:
post-partum mother for follow up. The nurse      1 point
is planning to teach her how to care for         A. Sometimes breasts feel soft. Give
herself and her newborn.                         breastfeeding in between.
                                                 B. Baby cries sometimes. This means the
66.    The nurse assesses the patient after      breast milk is not sufficient
delivery. What data would suggest that the       C. Supplementary feeding should be started as
woman is at increased risk for hemorrhage?       early as 3 months old
                                                 D. Continue breastfeeding alone until the baby
1 point                                          is 6 months
A. Infant birth weight of 7 lbs 11 oz (3487g)
                                                 70.   Which of the following is NOT TRUE
B. Gravida 7 Para 5
C. 8 hours length of labor                       about home care for all sick infants?
D. History of gestational diabetes               1 point
67.    In preparing the post partum mother       A. Make sure the young infant stays cool at all
for breastfeeding, you will teach her that the   times
                                                 B. Breastfeed frequently, day and night during
following are signs of proper breastfeeding      sickness and health
technique except?                                C. Blood in the stool needs to be reported
1 point                                          D. Bring the infant to the clinic if he/she shows
                                                 sign of difficulty of breathing
A. The baby’s mouth is wide open
B. Only the nipple is inside the mouth           Situation: One of the flagship programs of
C. The baby is relaxed and happy                 the DOH is the National Tuberculosis
D. The mother feels no nipple pain
                                                 Program through DOTS.
68.    The post-partum mother complained
                                                 71.   In the National TB Program, PTB
of cracked nipple.  Hence, she cannot
                                                 suspects are encouraged to have sputum
                                                 examination. In addition to cough for 2
weeks or more, what other signs will make      c. Pyridoxine
                                               d. Niacin
a person a PTB suspect?
1 point                                        75.    What is the rationale that supports
i. fever for 1 month or more                   multi-drug treatment for clients with
ii. progressive, unexplained weight loss       tuberculosis?
iii. chest pain for 2 weeks or more            1 point
iv. hematemesis
a. 1, 2, 3                                     A. multiple drug potentiate the drug's actions
b. 1, 3, 4                                     B. multiple drugs reduce undesirable drug side
c. 2, 3, 4                                     effects
d. 1, 2, 3, 4                                  C. multiple drugs allow reduced drug dosages
                                               to be given
72.     One of the additional drugs ordered    D. multiple drugs reduce development of
by the physician is Pyrazinamide (PZA).        resistant strains of bacteria
The nurse evaluates that the teaching          SITUATION: Nurses must be
concerning the drug was effective when the     knowledgeable about the policies and
client says “I will:                           standards in carrying out various public
1 point                                        health programs.
A. Take the medication 2 hours after meals
                                               76.    Which community program would
B. Report any changes in my vision to the
physician                                      best encourage the use of herbal
c. Drink at least 2 quarts of fluid per day    medicines?
d. Expect discoloration in my secretions       1 point
73.    What is an adverse effect of            A. Adopt-a-tree program
Isoniazid, a drug used in treatment of         B. Consult an albularyo
                                               C. Clean and Green program
tuberculosis?
                                               D. Backyard herbal gardening
1 point
                                               77.    A client experiencing stomach ache.
A. Optic neuritis
B. Color blindness                             Nurse Queen suggest to her mother to
c. Peripheral neuropathy                       obtain which herbal medicines in their
d. Nephrotoxicity                              backyard?
74.      Such problem identified above can     1 point
be prevented by giving the client with which   A. Ginger solution
of the following?                              B. Bayabas solution
                                               C. Tsaang gubat solution
1 point
                                               D. None of these
A. Folic Acid
B. Cobalamin
78.     The three R’s to be emphasized in        81.     The IMCI strategy was formulated as
line with solid waste management are:            a response to prevent unnecessary deaths
1 point                                          of children from Pneumonia and Diarrhea.
A. Reduce Reuse Recycle
                                                 All of the following are considered as goals
B. Recycle Reuse Reduce                          of the strategy which one is NOT?
C. Reuse Recycle Reduce                          1 point
D. Refuse Recycle Reuse
                                                 A. Improvement of the HCDS
79.    Food establishments in the                B. Improvement of health service delivery
community shall be appraised for their           through devolution
                                                 C. Improvement of skills of health workers
sanity conditions. Which of the following is
                                                 D. Improvement of family and community
important for a cook or cook helpers to          practices
have?
                                                 82.   Which of the following levels of
1 point
                                                 prevention best exemplifies the use of the
A. Approval of all food sources                  IMCI strategy?
B. Compliance to sanity permit
C. Updated health certificate                    1 point
D. Inspector’s permit                            A. Primary
                                                 B. Secondary
80.    Which of the following statistical data
                                                 C. Tertiary
is the most sensitive indicator of the total     D. Emergency
health status of the community?
                                                 83.   In observance of the principles of
1 point
                                                 ETAT, IMCI uses a tri-color classification
a. Prevalence Rate                               system that includes all of the following
b. Infant Mortality Rate
c. Proportionate Death rate
                                                 EXCEPT?
d. Case Fatality rate                            1 point
SITUATION: The infant and child mortality        A. Red
                                                 B. Yellow
rate in low to middle income countries is ten
                                                 C. Green
times higher than industrialized countries. In   D. Pink
response to this, the WHO and UNICEF
                                                 84.   Which of the following is NOT true in
launched the protocol Integrated
                                                 IMCI?
Management of Childhood Illnesses to
                                                 1 point
reduce the morbidity and mortality against
childhood illnesses.                             A. All sick children must be examined for
                                                 “general danger signs” which indicate the need
                                                 for immediate referral or admission to the
                                                 hospital.
B. All sick children must be assessed for main      fever of 4 days duration. In your interview,
symptoms
                                                    you learned that his mother brought him for
C. IMCI makes use of advance and extensive
treatments and drugs                                a visit to his grandparents who reside in
D. The IMCI guidelines address most, but not        Palawan. Jay-Ar will also be assessed for
all, of the major reasons a sick child is brought   which of the following?
to the clinic
                                                    1 point
85.   Which case if placed under the pink           1. Stiff neck
category in IMCI should not be brought to a         2. Blood smear
medical facility immediately?                       3. Tourniquet test
                                                    4. Persistent abdominal pain
1 point
                                                    A. 1, 2, 3
A. Severe dehydration                               B. 1, 2, 4
B. Severe Pneumonia                                 C. 2, 3, 4
C. Very severe febrile disease                      D. 1, 2, 3, 4
D. A child with a general danger sign
                                                    88.    Audrey, 1 ½ years old, was brought
SITUATION: Integrated Management of                 to the health center because of cough.
Childhood Illness (IMCI) reduces mortality          Which sign indicates that she may have
due to common childhood diseases. The               home management with antibiotics?
following are questions about IMCI.                 1 point
86.    Marlene, 11 months old, was brought          A. Stridor
by her mother for the first time to the health      B. Chest indrawing
                                                    C. Respiratory rate = 44/minute
center because of fever. Upon examination
                                                    D. Cough that has lasted for 30 days or more
for general danger signs, you learned that
Marlene is unable to drink. Relevant to this        89.    Santino, 8 months old, has been
finding, what is the next best thing that you       having diarrhea for 6 days. Which signs
can do?                                             indicate severe dehydration?
1 point                                             1 point
A. Refer the child urgently to a hospital           1. Eyes are sunken
B. Assess the child for other signs of              2. The child is irritable
dehydration                                         3. Skin pinch goes back slowly
C. Start treatment with oral rehydrating salt       4. The child is not able to breastfeed
solution                                            A. 1, 2
D. Start intravenous fluid therapy using            B. 1, 4
Lactated Ringer’s solution                          C. 2, 3
                                                    D. 2, 4
87.   2-year old Jay-Ar was brought by his
mother to the health center because of
90.     Based on your findings, you               93.     Based from the monthly report in the
classified a 3-month old infant with diarrhea     RHU, there is a high incidence of diarrhea
as having severe dehydration. What                in the community. The nurse should refer to
management will be done for this infant?          the Rural Sanitary Inspector (RSI) to
1 point                                           conduct:
A. Refer the infant urgently to a hospital.       1 point
B. Give the infant 200 to 400 ml of Oresol in 4   A. Physical Analysis
hours.                                            B. Chemical Analysis
C. Start giving intravenous replacement fluids    C. Bacteriological Analysis
as soon as possible.                              D. Radiological Analysis
D. Give the infant 50 to 100 ml of Oresol after
each loose bowel movement.                        94.   During the home visit, the nurse
                                                  inspects the toilet facility of the family.  The
SITUATION: The nurse coordinates with
                                                  nurse would conclude that it is acceptable
the Sanitary inspector in the implementation
                                                  because:
of the Environmental sanitation programs in
                                                  1 point
the community.
                                                  1. Clean, does not emit any undesirable odor
91.     This type of water supply facility is     2. Made from local materials in the community
composed of a source reservoir, a piped           3. Easy to clean and has aesthetic appearance
distribution network & communal faucets           4. Has cover against animals & insects
                                                  5. Provides desirable privacy
and is located not more than 25 meter from
                                                  A. 1, 2, 3, 4
the farthest house                                B. 1, 2, 3, 5
1 point                                           C. 1, 3, 4, 5
                                                  D. 1, 2, 3, 4, 5
A. Level 1
B. Level 2                                        95.   This method of refuse disposal is
C. Level 3
                                                  discouraged because of the danger of
D. Level 4
                                                  seepage that will contaminate water tablets.
92.    Chemical disinfection is the most          1 point
commonly used water treatment. In rural
                                                  A. Land fill
areas, the cheapest and the most                  B. Recycling
commonly used water treatment in the              C. Incineration
household is:                                     D. Dumping
1 point
                                                  Situation: You are now in the entry phase of
A. Boiling                                        community organizing process, after
B. Filtration                                     establishing rapport with the people in
C. Floculation
D. Sedimentation
Barangay Purong Kasarinlan. The following         99.    The core group is composed of
questions apply.                                  individuals in the community who possess
                                                  leadership potentials organized into a
96.    With the community health activities
                                                  cohesive working unit. The core group
started and in the ENTRY PHASE, which of
                                                  works with the team in:
these activities should NOT be included?
                                                  1 point
1 point
                                                  A. Setting-up community organization that will
A. Conduct of deepening social investigation
                                                  serve the interest of a sector in the community
B. Information campaign on health programs
                                                  B. Selecting community activities according to
C. Project management
                                                  their preferences
D. Core group formation
                                                  C. Monitoring the performance of the
97.    Identification of potential leaders is     barangays officials
                                                  D. Mobilizing the community to act on their
crucial during the entry phase. Which of          most immediate felt needs and participate in
these characteristics may NOT be                  the delivery of essential health services
necessary to an efficient and effective
                                                  100. When mobilizing the community, the
community leader?
                                                  nurse must ensure maximum participation
1 point
                                                  of the community members.  This can be
A. Responsive and willing to work for change      done by:
B. A college graduate with management skills
                                                  1 point
C. Must have relatively good communication
skills                                            A. Situating the activity in their experiences
D. A respected member of the community            B. Invite local officials as observers
                                                  C. Give monetary rewards to participants
98.    The BEST technique in identifying          D. Punish members who will not participate
potential leaders in the community proven
to be effective is to:
1 point
A. Ask volunteers who are willing to become
community leaders
B. Ask community residents to directly name
person whom they consider as community
leaders
C. Review family background, properties and
academic records of community residents
D. Observe people who are active in small
mobilization activities that motivate residents
to start working