1.​ 1. Which is the primary goal of community health nursing?

a.​ To support and supplement the efforts of the medical profession in the
promotion of health and prevention of illness
b.​ To enhance the capacity of individuals, families and communities to
cope with their health needs
c.​ To increase the productivity of the people by providing them with services that
will increase their level of health
d.​ To contribute to national development through promotion of family welfare,
focusing particularly on mothers and children.

Answer: (B) To enhance the capacity of individuals, families and

communities to cope with their health needs

2.​ 2. CHN is a community-based practice. Which best explains this statement?

a.​ The service is provided in the natural environment of people.
b.​ The nurse has to conduct community diagnosis to determine nursing
needs and problems.
c.​ The services are based on the available resources within the community.
d.​ Priority setting is based on the magnitude of the health problems identified.

Answer: (B) The nurse has to conduct community diagnosis to determine

nursing needs and problems.

3.​ 3. Population-focused nursing practice requires which of the following processes?

a.​ Community organizing
b.​ Nursing process
c.​ Community diagnosis
d.​ Epidemiologic process

Answer: (C) Community diagnosis. Population-focused nursing care means

providing care based on the greater need of the majority of the population.
The greater need is identified through community diagnosis.
 4.​ 4. R.A. 1054 is also known as the Occupational Health Act. Aside from number of
employees, what other factor must be considered in determining the occupational
health privileges to which the workers will be entitled?
a.​ Type of occupation: agricultural, commercial, industrial
b.​ Location of the workplace in relation to health facilities
c.​ Classification of the business enterprise based on net profit
d.​ Sex and age composition of employees

Answer: (B) Location of the workplace in relation to health facilities. Based on

R.A. 1054, an occupational nurse must be employed when there are 30 to 100
employees and the workplace is more than 1 km. away from the nearest
health center.

5.​ 5. A business firm must employ an occupational health nurse when it has at least
how many employees?
a.​ 21
b.​ 101
c.​ 201
d.​ 301

Answer: (B) 101. Again, this is based on R.A. 1054.

6.​ 6. When the occupational health nurse employs ergonomic principles, she is
performing which of her roles?
a.​ Health care provider

Role in CHN: As health care providers, community health nurses deliver direct care to individuals and
families within the community. They assess health needs, provide clinical services, and manage health
conditions. Example: A community health nurse conducts health screenings at a local health fair. They
check blood pressure, glucose levels, and provide immunizations. This direct care helps identify health
issues early and connects individuals to necessary health services.

b.​ Health educator

c.​ Health care coordinator
d.​ Environmental manager
Answer: (D) Environmental manager. Ergonomics is improving efficiency of
workers by improving the worker’s environment through appropriately
designed furniture, for example.

7.​ 7. A garment factory does not have an occupational nurse. Who shall provide the
occupational health needs of the factory workers?
a.​ Occupational health nurse at the Provincial Health Office
b.​ Physician employed by the factory
c.​ Public health nurse of the RHU of their municipality
d.​ Rural sanitary inspector of the RHU of their municipality

Answer: (C) Public health nurse of the RHU of their municipality. You’re right!
This question is based on R.A.1054.

8.​ 8. “Public health services are given free of charge.” Is this statement true or false?
a.​ The statement is true; it is the responsibility of government to provide basic
services.
b.​ The statement is false; people pay indirectly for public health services.
c.​ The statement may be true or false, depending on the specific service
required.
d.​ The statement may be true or false, depending on policies of the government
concerned.

Answer: (B) The statement is false; people pay indirectly for public health
services. Community health services, including public health services, are
pre-paid services, though taxation, for example.

9.​ 9. According to C.E.Winslow, which of the following is the goal of Public Health?
a.​ For people to attain their birthrights of health and longevity
b.​ For promotion of health and prevention of disease
c.​ For people to have access to basic health services
d.​ For people to be organized in their health efforts
Answer: (A) For people to attain their birthrights of health and longevity.
According to Winslow, all public health efforts are for people to realize their
birthrights of health and longevity.

10.​10. We say that a Filipino has attained longevity when he is able to reach the
average lifespan of Filipinos. What other statistic may be used to determine
attainment of longevity?
a.​ Age-specific mortality rate
b.​ Proportionate mortality rate
c.​ Swaroop’s index
d.​ Case fatality rate

Answer: (C) Swaroop’s index. Swaroop’s index is the percentage of the

deaths aged 50 years or older. Its inverse represents the percentage of
untimely deaths (those who died younger than 50 years).

11.​11. Which of the following is the most prominent feature of public health nursing?
a.​ It involves providing home care to sick people who are not confined in the
hospital.
b.​ Services are provided free of charge to people within the catchment area.
c.​ The public health nurse functions as part of a team providing a public health
nursing services.
d.​ Public health nursing focuses on preventive, not curative, services.

Answer: (D) Public health nursing focuses on preventive, not curative,

services.The catchment area in PHN consists of a residential community,
many of whom are well individuals who have greater need for preventive
rather than curative services.

12.​12. According to Margaret Shetland, the philosophy of public health nursing is based
on which of the following?
a.​ Health and longevity as birthrights
b.​ The mandate of the state to protect the birthrights of its citizens
c.​ Public health nursing as a specialized field of nursing
d.​ The worth and dignity of man
Answer: (D) The worth and dignity of man. This is a direct quote from Dr.
Margaret Shetland’s statements on Public Health Nursing.

13.​13. Which of the following is the mission of the Department of Health?

a.​ Health for all Filipinos
b.​ Ensure the accessibility and quality of health care
c.​ Improve the general health status of the population
d.​ Health in the hands of the Filipino people by the year 2020

Answer: (B) Ensure the accessibility and quality of health care

14.​14. Region IV Hospital is classified as what level of facility?

a.​ Primary
b.​ Secondary
c.​ Intermediate
d.​ Tertiary

Answer: (D) Tertiary. Regional hospitals are tertiary facilities because they
serve as training hospitals for the region.

15.​15. Which is true of primary facilities?

a.​ They are usually government-run.
b.​ Their services are provided on an out-patient basis.
c.​ They are training facilities for health professionals.
d.​ A community hospital is an example of this level of health facilities.

Answer: (B) Their services are provided on an out-patient basis. Primary

facilities government and non-government facilities that provide basic
out-patient services.

16.​16. Which is an example of the school nurse’s health care provider functions?
a.​ Requesting for BCG from the RHU for school entrant immunization
 b.​ Conducting random classroom inspection during a measles epidemic
c.​ Taking remedial action on an accident hazard in the school playground
d.​ Observing places in the school where pupils spend their free time

Answer: (B) Conducting random classroom inspection during a measles

epidemic. Random classroom inspection is assessment of pupils/students and
teachers for signs of a health problem prevalent in the community

17.​17. When the nurse determines whether resources were maximized in implementing
Ligtas Tigdas, she is evaluating
a.​ Effectiveness
b.​ Efficiency
c.​ Adequacy
d.​ Appropriateness

Answer: (B) Efficiency. Efficiency is determining whether the goals were

attained at the least possible cost.

18.​18. You are a new B.S.N. graduate. You want to become a Public Health Nurse.
Where will you apply?
a.​ Department of Health
b.​ Provincial Health Office
c.​ Regional Health Office
d.​ Rural Health Unit

Answer: (D) Rural Health Unit. R.A. 7160 devolved basic health services to
local government units (LGU’s ). The public health nurse is an employee of
the LGU.

19.​19. R.A. 7160 mandates devolution of basic services from the national government
to local government units. Which of the following is the major goal of devolution?
a.​ To strengthen local government units
b.​ To allow greater autonomy to local government units
c.​ To empower the people and promote their self-reliance
 d.​ To make basic services more accessible to the people

Answer: (C) To empower the people and promote their self-reliance. People
empowerment is the basic motivation behind devolution of basic services to
LGU’s.

20.​20. Who is the Chairman of the Municipal Health Board?

a.​ Mayor
b.​ Municipal Health Officer
c.​ Public Health Nurse
d.​ Any qualified physician

Answer: (A) Mayor. The local executive serves as the chairman of the
Municipal Health Board.

21.​21. Which level of health facility is the usual point of entry of a client into the health
care delivery system?
a.​ Primary
b.​ Secondary
c.​ Intermediate
d.​ Tertiary

Answer: (A) Primary. The entry of a person into the health care delivery
system is usually through a consultation in out-patient services.

22.​22. The public health nurse is the supervisor of rural health midwives. Which of the
following is a supervisory function of the public health nurse?
a.​ Referring cases or patients to the midwife
b.​ Providing technical guidance to the midwife
c.​ Providing nursing care to cases referred by the midwife
d.​ Formulating and implementing training programs for midwives
Answer: (B) Providing technical guidance to the midwife. The nurse provides
technical guidance to the midwife in the care of clients, particularly in the
implementation of management guidelines, as in Integrated Management of
Childhood Illness.

23.​23. One of the participants in a hilot training class asked you to whom she should
refer a patient in labor who develops a complication. You will answer, to the
a.​ Public Health Nurse
b.​ Rural Health Midwife
c.​ Municipal Health Officer
d.​ Any of these health professionals

Answer: (C) Municipal Health Officer. A public health nurse and rural health
midwife can provide care during normal childbirth. A physician should attend
to a woman with a complication during labor.

24.​24. You are the public health nurse in a municipality with a total population of about
20,000. There are 3 rural health midwives among the RHU personnel. How many
more midwife items will the RHU need?
a.​ 1
b.​ 2
c.​ 3
d.​ The RHU does not need any more midwife item.

Answer: (C) Municipal Health Officer. A public health nurse and rural health
midwife can provide care during normal childbirth. A physician should attend
to a woman with a complication during labor.

25.​25. If the RHU needs additional midwife items, you will submit the request for
additional midwife items for approval to the
a.​ Rural Health Unit
b.​ District Health Office
c.​ Provincial Health Office
d.​ Municipal Health Board
Answer: (D) Municipal Health Board. As mandated by R.A. 7160, basic health
services have been devolved from the national government to local
government units

26.​26. As an epidemiologist, the nurse is responsible for reporting cases of notifiable

diseases. What law mandates reporting of cases of notifiable diseases?
a.​ Act 3573
b.​ R.A. 3753
c.​ R.A. 1054
d.​ R.A. 1082

Answer: (A) Act 3573. Act 3573, the Law on Reporting of Communicable
Diseases, enacted in 1929, mandated the reporting of diseases listed in the
law to the nearest health station

27.​27. According to Freeman and Heinrich, community health nursing is a

developmental service. Which of the following best illustrates this statement?
a.​ The community health nurse continuously develops himself personally and
professionally.
b.​ Health education and community organizing are necessary in providing
community health services.
c.​ Community health nursing is intended primarily for health promotion and
prevention and treatment of disease.
d.​ The goal of community health nursing is to provide nursing services to people
in their own places of residence.

Answer: (B) Health education and community organizing are necessary in

providing community health services. The community health nurse develops
the health capability of people through health education and community
organizing activities.

28.​28. Which disease was declared through Presidential Proclamation No. 4 as a target
for eradication in the Philippines?
a.​ Poliomyelitis
b.​ Measles
c.​ Rabies
 d.​ Neonatal tetanus

Answer: (B) Measles. Presidential Proclamation No. 4 is on the Ligtas Tigdas

Program.

29.​29. The public health nurse is responsible for presenting the municipal health
statistics using graphs and tables. To compare the frequency of the leading causes
of mortality in the municipality, which graph will you prepare?
a.​ Line
b.​ Bar
c.​ Pie
d.​ Scatter diagram

Answer: (B) Bar. A bar graph is used to present comparison of values, a line
graph for trends over time or age, a pie graph for population composition or
distribution, and a scatter diagram for correlation of two variables.

30.​30. Which step in community organizing involves training of potential leaders in the
community?
a.​ Integration
b.​ Community organization
c.​ Community study
d.​ Core group formation

Answer: (D) Core group formation. In core group formation, the nurse is able
to transfer the technology of community organizing to the potential or informal
community leaders through a training program.

16. n the year 1980, the World Health Organization declared the Philippines and other countries
in the Western Pacific Region "free" of which disease?
a.​ Pneumonic plague
b.​ Poliomyelitis
c.​ Small pox
d.​ Anthrax
17. the census of the Philippines in 1995, there were about 35,299,000 males and about
34,968,000 females. What is the sex ratio?
A. 99.06:100
b. 100.94:100
C. 50.23%
D. 49.76%

18.Primary health care is a total approach to community development. Which of the following is
an indicator of success in the use of the primary health care approach?
A. Health services are provided free of charge to individuals and families.
B. Local officials are empowered as the major decision makers in matters of health.
C. Health workers are able to provide care based on identified health needs of the people.
D. Health programs are sustained according to the level of development of the
community.

19. Sputum examination, used for screening pulmonary tuberculosis, can sometimes produce
false negative results. This indicates that the test is not perfect in terms of which characteristic
of a diagnostic examination?
A. Effectiveness
B. Efficacy
C.Specificity
D. Sensitivity

20. Use of appropriate technology requires knowledge of indigenous technology. Which

medicinal herb is given for fever, headache and cough?
A. Sambong
B. Tsaang gubat
c. Akapulko
d. Lagundi

21. Which law established the Philippine Institute of Traditional and Alternative Health Care?
A./R.A. 8423
B. R.A. 4823
C. R.A. 2483
D. R.A. 3482

22. In traditional Chinese medicine, what term refers to the yielding, negative, and feminine
force?
a.​ Yin-femenim
b.​ Yang-male
c.​ .Qi- force energy
d.​ chai- chinese medicine
23. What serves as the legal foundation for the Primary Health Care approach in the
Philippines?
 A.​ Alma Ata Declaration on PHC - 19178 Agrecent
B.​ Letter of Instruction No. 949
C.​ Presidential Decree No. 147
D.​ Presidential Decree 996

24. Which of the following best illustrates intersectoral linkages?

A. Two-way referral system
B. Team approach
C. Endorsement done by a midwife to another midwife
D. Cooperation between the PHN and public-school teacher

25.For a municipality with a population of approximately 20,000, estimate how many children
aged 1-4 years old will receive a 200,000 I.U. Retinol capsule every 6 months?
A.1,500
B. 1,800
C. 2,000
D. 2,300

26. For a barangay with a population of approximately 1,500, estimate how many pregnant
women will receive tetanus toxoid during an immunization outreach activity?
A.​ 265
B.​ 300
C.​ 375
D. 400

27. Which demographic tool can be used to describe the sex composition of a population?
A. Sex ratio
B. Sex proportion
C. Population pyramid
D. Any of these may be used.

28, Which of the following is a measure of natality?

A. Crude birth rate
B. Neonatal mortality rate
C. Infant mortality rate
D. General fertility rate

29 You are computing the crude death rate of your municipality, with a total population of about
18,000, for last year. There were 94 deaths. Among those who died, 20 died Decause of
diseases of the heart and 32 were aged 50 years or older. What is the crude death rate?
A 4.2/1,000
B.5.2/1,000
C. 6.3/1,000
D. 7.3/1,000
30. Knowing that malnutrition is a frequent community health problem, you decided to conduct
nutritional assessment. What population is particularly susceptible to protein energy malnutrition
(PEM)?
A. Pregnant women and the elderly
B Under-5-year-old children
C. 1-4-year-old children
D. School age children

31. Which statistic provides the most accurate reflection of the health status of a community?
A.1-4-year-old age-specific mortality rate
B. Infant mortality rate
C.Swaroop's index
D. Crude death rate

32. Given that Barangay A had an average population of 1,655 last year, with 46 babies born, 2
of whom died less than 4 weeks after birth, and 4 stillbirths recorded, what is the neonatal
mortality rate?
A.​ 27.8/1,000
B.​ 43.5/1,000
C.​ 86.9/1,000
D.​ 130.4/1,000

33. Which statistic best reflects the nutritional status of a population?

A. 1-4-year-old age-specific mortality rate
B. Proportionate mortality rate
C. Infant mortality rate
D. Swaroop's index

34. Which numerator is used to compute the general fertility rate?

A. Estimated midyear population
B. Number of registered live births
C. Number of pregnancies in the year
D. Number of females of reproductive age

35. To gather data for a nutritional assessment of a purok, focusing only on families with
members who belong to the target population for protein energy malnutrition (PEM), which
method of data gathering is most appropriate?
a.​ Census
b.​ Survey
C. Record review
D. Review of civil registry

1. Unused BCG should be discarded how many hours after reconstitution?

A.2
b. 4
c. 6
D. At the end of the day

2. In immunity school entrants with BCG, you not obliged to secure parental consent. This is
because of which legal document?
Đ PD 996
B. RA 7864
C. Presidential Proclamation No. 6
D. Presidential Proclamation No. 46

3. Which immunization produces a permanent scar?

A. DPT
b. BCG
c. Measles vaccination
D. Hepatitis B vaccination

4. A 4 week old baby was brought to the health center for his first immunization. Which can be
given to him?
a.​ DPT1
b.​ OPV1
c.​ Infant BCG
d.​ Hepatitis B Vaccine

5. You will not give DPT 2 if the mother says that the infant had?
A Seizures a day after DPT1
B. Fever for 3 days after DPT1
C. Abscess formation after DPT1
D. Local tenderness for 3 days after DPT1

6. A 2-month old infant was brought to the health center for immunization. During assessment,
the infant's temperature registered at 38.1 C. Which is the best course of action that you will
take?
A. Go on with the infants immunization
B. Give paracetamol and wait for his fever to subside
Refer the infant to the physician for further assessment
D. Advise the infant's mother to bring him back for immunization when he is

7. pregnant woman had just received her 4th dose of tetanus toxoid.
Subsequently, her baby will have protection against tetanus for how long?
A 1 year
B. 3 years babY
C. 10 years -
D.Lifetime

8. A 4-month old infant was brought to the health center of cough. Her respiratory considered;
rate is 42/minute. Using the IMCI guidelines of assessment, her breathing is

b. Normal

9. Which of the following signs will indicate that a young child is suffering from severe
pneumonia?
A. Dyspnea
B. Wheezing
C. Fast breathing
d. Chest indrawing

10. Using IMCI guidelines, you classify a child as having severe pneumonia. What is the best
management for the child?

a.​ Refer him urgently to the hospital

b.​ Instruct the mother to increase fluid intake
c.​ Instruct the mother to continue breastfeeding

11.A 5-month old infant was brought by his mother to the health center because of diarrhea
occurring 4 to 5 times a day. His skin goes back slowly after a skin pinch and his eyes are
sunken. Using the IMCI guidelines, you will classify this infant in which category?
a.​ No signs of dehydration
b.​ Some dehydration /
c.​ Severe dehydration
d.​ The data is insufficient

12. Based on the assessment, you classified a 3-month old infant with the chief complaint of
diarrhea in the category of SOME DEHYDRATION. Based on the IMCI management guidelines,
which of the following will you do?
a.​ Bring the infant to the nearest facility where IV fluids can be given
b.​ Supervise the mother in giving 200 to 400 ml of Oresol in 4 hours
c.​ Give the infant's mother instructions on home management
d.​ Keep the infant in your health center for close observation

13. A mother is using Oresol' in the management of diarrhea of her 3-year old child. She asked
you what to do if her child vomits. You will tell her to:
A. Bring the child to the nearest hospital for further assessment
B. Bring the child to the health center for IV therapy
c. Bring the child to the health center for assessment by the
d.Let the child rest for 10 minutes then continue giving Oresol more slowly.
14.A 1 1/2 year old child was classified as having 3rd degree of protein energy malnutrition,
kwashjorkor. Which of the following signs will be most apparent in this child?
A Voracious appetite
C.Apathy
D.Edema

15. Assessment of a 2-year old child revealed "baggy pants". Using the IMCI guidelines, how
will you manage this child?
A, Refer the child urgently to a hospital for confinement
B. Coordinate with the social worker to enroll the child in a feeding program Make a teaching
plan for the mother, focusing on the menu planning for
D. Assess and treat the child for health problems like infections and intestinal parasitism

16. During the physical examination of a young child, what is the earliest sign of xerophthalmia
that may observe?
A. Keratomalacia
B. Corneal opacity
C. Night blindness
D. Conjunctival xerosis - it earliest sign of xorophthalmin

17. To prevent xerophthalmia, young children are given Retinol capsule every 6 months. What is
the dose given to preschoolers?
A.​ 10, 000 IU
B.​ 20, 000 IU•
C.​ 100, 000 IU
D.​ 200, 000 IU

18. The major sign of iron deficiency anemia is pallor. What part is best examined for pallor?
A.​ Palms
B.​ Nailbeds
C.​ Around the lips
D.​ Lower conjunctival sac

19. Food fortification is one of the strategies to prevent micronutrient deficiency conditions. RA
8976 mandates fortification of certain food items. Which of the following is among these food
items?
A Sugar
B. Bread
C. Margarine
D. Filled milk

20. What is the best course of action when there is a measles epidemic in a nearby
municipality?
A.​ Give measles vaccine to babies aged 6 to 3 months
 B.​ Give babies aged 6 to 11 months one dose of 100,000 IU of Retinol
C.​ Instruct mother to keep their babies at home to prevent disease
D.​ Instruct mothers to feed their babies adequately to enhance their babies resistance

21.A mother brought her daughter, 4 years old, to the RHU because of cough and colds.
Following the IMCI assessment guide, which of the following is a danger sign, that indicates the
need for urgent referral to a hospital?
A, Inability to drink
B. High grade fever
Signs of severe dehydration
D. Cough for more than 30 days

24. The following are strategies implemented by the DOH to prevent mosquito-borne diseases.
Which of these is most effective in the control of Dengue fever?
A.​ Stream seeding with larva-eating fish
B.​ Destroying breeding places of mosquitoes
C.​ Chemoprophylaxis of non-immune persons going to endemic areas
D.​ Teaching people in endemic areas to use chemically treated mosquito nets

36. Which biological used in EPI should not be stored in the freezer?
A.​ DPT
B.​ OPV
C.​ Measles vaccine
D.​ MMR
37. You will conduct outreach immunization in a barangay with a population of about 1500,
Estimate the number of infants in the barangay.
A.​ 45
B.​ 50
C.​ 55
D.​ 60

38. In IMCl, severe conditions generally require urgent referral to a hospital. Which of the
following severe conditions Does not always require urgent referral to hospital?
A.​ Mastoiditis
B.​ Severe dehydration
C.​ Severe pneumonia
D.​ Severe febrile disease.

40. A 3-year old child was brought by his mother to the health center because of fever of 4-day
duration. The child had a positive tourniquet test result. In the absence of other signs, which of
the most appropriate measure that the PHN may carry out to prevent Dengue shock syndrome?
A.​ Insert an NGT and give fluids per NGT
B.​ Instruct the mother to give the child Oresol’
C.​ Start the patient on IV Stat
 D.​ Refer the client to the physician for appropriate management

●​ COPAR stands for Community Organizing Participatory Action

Research

COPA in nursing refers to the Community Organizing Participatory Action Research, a

method aimed at empowering communities to identify and address their needs. The
phases of COPAR include:

1.​ Pre-Entry Phase: Initial assessment of community needs. For example, a nurse
surveys a community to understand health issues.
2.​ Entry Phase: Engaging with the community. For instance, organizing a meeting
to discuss health concerns.
3.​ Organization-Building Phase: Forming groups to address issues. An example is
creating a health committee.
4.​ Sustenance and Strengthening Phase: Ensuring the community can maintain
efforts. For example, providing training for community health workers. COPA in
Nursing
●​ Definition: COPA stands for Community Organizing Participatory Action
Research, a framework used in nursing to empower communities by involving
them in identifying and addressing their health needs.
●​ Purpose: It aims to transform communities from being passive to active
participants in their health and well-being.

Phases of COPAR

1.​ Pre-Entry Phase:

○​ Description: This is the initial phase where community organizers identify
potential communities to serve.
○​ Example: A nurse conducts preliminary surveys to assess the health
needs of different neighborhoods.
2.​ Entry Phase:
 ○​ Description: In this phase, the organizer integrates into the community,
building trust and rapport.
○​ Example: The nurse holds informal gatherings to discuss health issues
and gather input from community members.
3.​ Organization-Building Phase:
○​ Description: This phase focuses on forming structured groups within the
community to tackle identified issues.
○​ Example: Establishing a community health committee that includes local
leaders and residents to plan health initiatives.
4.​ Sustenance and Strengthening Phase:
○​ Description: The final phase ensures that the community can sustain its
efforts independently.
○​ Example: Providing training sessions for community members to take over
health programs and initiatives, ensuring long-term impact