1.

Clerical or typographical error refers to a mistake committed in the performance of clerical work in
writing, copying, transcribing or typing an entry in the civil register that is harmless and innocuous, such
as misspelled name or misspelled place of birth, mistake in the entry of day and month in the date of
birth or the sex of the person or the like, which is visible to the eyes or obvious to the understanding, and
can be corrected or changed only by reference to other existing record or record. The office in charge
with registering vital facts in the Philippines is none other than the
A. PCSO
B PAGCOR
C. DOH
D. NSO
2.

Baby Dexter surname is misspelled and his first name should be Dexter Ian but the one registered in his
birth certificate is Dexian. In case of clerical errors in your birth certificate, Where should you go to
have it corrected?
A. NSO
B. Court of Appeals
C. Municipal Trial Court
D. Local Civil Registrar

3. Amanda just gave birth to Baby Dexter , A healthy baby boy. Who are going to report the birth of Baby
Dexter?
A. Nurse
B. Nurse
C. OB Gyne
D. Birth Attendant
4.

In reporting the birth of Baby Dexter, where will he be registered?

A. At the Local Civil Registrar
B. In the National Statistics Office
C. In the City Health Department
D. In the Field Health Services and Information System Main Office

5. Which presidential decree orders reporting of births within 30 days after its occurrence?
A. 651
B. 541
C. 996
D. 825

Community health nursing, as defined by Dr. Arceli Maglaya, is the utilization of the nursing process to benefit
the individual, family and the community.
6. In community health nursing, the community is considered as the ________ while the individual is
considered as the _______.

a.
b.
c.
d.

Primary Client; Point of Entry

Primary Client; Unit of Service
Unit of service; Primary Client
Point of Entry: Unit of service

7. The goals, principles and strategies of PHC are not entirely new to nursing. They are parallel and are
basically akin to those of CHN. The provision of PHC is a natural extension of nursing practice,
especially as it applies to community health. Nursing practice in PHC is basically the practice of CHN.
Nurse Irene needs no further teaching when she says that the goal of Primary Health Care (PHC) is?
A. Health for All Filipinos
B. Health for All Filipinos and Health in the Hands of the People by the year 2020
C. To strengthen the health care system by increasing opportunities and supporting conditions wherein
people will manage their own health care
D. Ensure accessibility and quality of health care to improve the quality of life of all Filipinos, especially
the poor.
8. Community Health Nursing is the totality of its philosophy and beliefs, principles and processes. These
are underscored in the roles and functions of community health nurses. Nurse Irene is a community
health nurse at the Rural Health Unit. Which of the following clientele will Nurse Irene consider as the
entry point of his nursing care?
A.
B.
C.
D.

Barangay health workers association

Sonia, a traditional birth attendant
Family Reyes scheduled for a home visit
Barangay San Mateo

9. Public health is a core element of governments attempts to improve and promote the health and welfare
of their citizens. The classic definition of public health comes from C.E. Winslow. Nurse Irene
comprehends that according to C. E. Winslow, the goal of public health is:
a. For promotion of health and prevention of disease
b. For people to have access to basic health services and free services
c. For people to attain their birthrights of health and longevity
d. For people to be organized in their health efforts to prevent disease
10. The core business of public health cannot be achieved without the proper delivery of essential public
health functions which were described as a set of fundamental activities that address the determinants of
health, protect a populations health, and treat a disease. The following are not a pillar or cornerstone of
the community , aside from:
a. Health situation monitoring and analysis
b. appropriate Technology in community
c. Epidemiological surveillance
d. Health promotion, social participation and empowerment
SITUATION : Community organizing is a process by which people, health services and agencies of the
community are brought together to act and solve their own problems.
11. Mang ambo approaches you for counseling. You are an effective counselor if you

A. Give good advice to Mang Ambo

B. Identify Mang Ambos problems
C. Convince Mang Ambo to follow your advice
D. Help Mang Ambo identify his problems
12. As a newly appointed PHN instructed to organize Barangay Baritan, Which of the following is your
initial step in organizing the community for initial action?
A. Study the Barangay Health statistics and records
B. Make a courtesy call to the Barangay Captain
C. Meet with the Barangay Captain to make plans
D. Make a courtesy call to the Municipal Mayor
13. Preparatory phase is the first phase in organizing the community. Which of the following is the initial
step in the preparatory phase?
A. Area selection
B. Community profiling
C. Entry in the community
D. Integration with the people
14. The most important factor in determining the proper area for community organizing is that this area
should
A. Be already adopted by another organization
B. Be able to finance the projects
C. Have problems and needs assistance
D. Have people with expertise to be developed as leaders
15. Which of the following dwelling place should the Nurse choose when integrating with the people?
A. A simple house in the border of Barangay Baritan and San Pablo
B. A simple house with fencing and gate located in the center of Barangay Baritan
C. A modest dwelling place where people will not hesitate to enter
D. A modest dwelling place where people will not hesitate to enter located in the center of the
community
Situation: COPAR is an important tool for community development and people empowerment as this helps the
community workers to generate community participation in development activities.
16. In choosing a leader in the community during the Organizational phase, Which among these people will
you choose?
A. Miguel Zobel, 50 years old, Rich and Famous
B. Rustom, 27 years old, Actor

C. Mang Ambo, 70, Willing to work for the desired change

D. Ricky, 30 years old, Influential and Willing to work for the desired change
17. Which type of leadership style should the leaders of the community practice?
A. Autocratic
B. Democratic
C. Laissez Faire
D. Consultative
18. Setting up Committee on Education and Training is in what phase of COPAR?
A. Preparatory
B. Organizational
C. Education and Training
D. Intersectoral Collaboration
E. Phase out
19. Community diagnosis is done to come up with a profile of local health situation that will serve as basis
of health programs and services. This is done in what phase of COPAR?
A. Preparatory
B. Organizational
C. Education and Training
D. Intersectoral Collaboration
E. Phase out
20. The people named the community health workers based on the collective decision in accordance with
the set criteria. Before they can be trained by the Nurse, The Nurse must first
A. Make a lesson plan
B. Set learning goals and objective
C. Assess their learning needs
D. Review materials needed for training

Situation: Nurse Gerlyn wrote a letter to PCSO asking them for assistance in their feeding programs for the
communitys nutrition and health projects. PCSO then approved the request and gave Gerlyn 50,000 Pesos and
a truckload of rice, fruits and vegetables.
21. Which phase of COPAR did Gerlyn utilized?
A. Preparatory
B. Organizational
C. Education and Training

D. Intersectoral Collaboration
E. Phase out
22. Ideally, How many years should the Nurse stay in the community before he can phase out and be
assured of a Self Reliant community?
A. 5 years
B. 10 years
C. 1 year
D. 6 months
23. Major discussion in community organization are made by
A. The nurse
B. The leaders of each committee
C. The entire group
D. Collaborating Agencies
24. The nurse should know that Organizational plan best succeeds when
1. People sees its values
2. People think its antagonistic professionally
3. It is incompatible with their personal beliefs
4. It is compatible with their personal beliefs
A. 1 and 3
B. 2 and 4
C. 1 and 2
D. 1 and 4
25. Nurse Gerlyn made a proposal that people should turn their backyard into small farming lots to plant
vegetables and fruits. He specified that the objective is to save money in buying vegetables and fruits
that tend to have a fluctuating and cyclical price. Which step in Community organizing process did he
utilized?
A. Fact finding
B. Determination of needs
C. Program formation
D. Education and Interpretation
Situation: One of the critical steps in COPAR is becoming one with the people and understanding their culture
and lifestyle.
26. Which critical step in COPAR will the Nurse try to immerse himself in the community?
A. Integration

B. Social Mobilization
C. Ground Work
D. Mobilization
27. The Actual exercise of people power occurs during when?
A. Integration
B. Social Mobilization
C. Ground Work
D. Mobilization
28. Which steps in COPAR trains indigenous and informal leaders?
A. Ground Work
B. Mobilization
C. Core Group formation
D. Integration
29. As a PHN, One of your role is to organize the community. Nurse Gerlyn knows that the purposes of
community organizing are
1. Move the community to act on their own problems
2. Make people aware of their own problems
3. Enable the nurse to solve the community problems
4. Offer people means of solving their own problems
A. 1,2,3
B. 1,2,3,4
C. 1,2
D. 1,2,4
30. This is considered the first act of integrating with the people. This gives an in depth participation in
community health problems and needs.
A. Residing in the area of assignment
B. Listing down the name of person to contact for courtesy call
C. Gathering initial information about the community
D. Preparing Agenda for the first meeting
The home visit is a family-nurse contact which allows the health worker to assess the home and family
situations in order to provide the necessary nursing care and health related activities.
31. Nurse Jake is a new PHN nurse at baranggay Don dimas. He is about to conduct a home visit to the
baranggay as part of his community diagnosis. He should be aware of the principles and purposes of
home visit, which of the following is a purpose of home visit, aside from?
a. To care to the sick
b. To assess the living conditions of the patient and his family

c. To make careful evaluation of past services given to the family

d. To make use of the inter-referral system and to promote utilization of community service
32. In performing home visits, it is essential to prepare a plan of visit to meet the needs of the client and
achieve the best results of the desired outcomes. Correctly arrange the steps in performing home visits:
1. Perform the bag technique
2. State the purpose of the visit
3. Record all data, observation and care rendered
4. Assess health needs
5. Greet the patient and introduce self
6. Perform nursing care and give health teachings
7. Make appointment for a return visit
a.
b.
c.
d.

5, 2, 4, 6, 1, 3, 7
5, 2, 4, 1, 6, 3, 7
5, 4, 2, 6, 1, 7, 3
5, 2, 4, 1, 6, 7, 3

33. A family nursing care plan is the blueprint of care that the nurse designs to systematically minimize or
eliminate the identified health and family nursing problems through explicitly formulated outcomes of
care. Nurse Jake is about to make a FNCP for the Delgado family. All of the following are correct
qualities of a FNCP, except:
a. Prepared by the nurse with the family to help find solutions to the identified problems
b. I should be a formal, written form as long as it is made with and accepted by the family
c. A good plan is flexible and can include care that is beyond the tangible resources available
d. Should be based on clear, explicit definitions of the problems
34. When planning to go on a home visit, it is necessary to assemble the records of the patients and list the
names to be visited, study the case and have a written nursing care plan. All but one among the patients
Nurse Jake has visited should be given priority, except:
A. Dantes family who wants to learn about herbal medicines who is assigned to Nurse Gino
B. A 3-weeks postpartum mother
C. UnconcernedTB DOTS program drop-outs
D. Vito Cruz, 5 years old, who has a BMI of 22.5
35. Nurses from various types of agencies visit patients in their homes to provide nursing care in the home
health visit. These agencies include home health agencies, hospices, hospitals, public health
departments or clinicsThe step in every home visit is:
a. Setting the objective for the visit
b. assessing the patient
c. socializing with the patient
d. look for danger signs by physical examination
36. . A nurse is planning a home visit program to a new mother who is 2 weeks postpartum and
breastfeeding, the nurse includes in her health teaching about the resumption of fertility, contraception
and sexual activity. Which of the following statement indicates that the mother
has understood the teaching?

A.Because breastfeeding speeds the healing process after birth, I can have sex right away and not worry
about infection
B.Because I am breastfeeding and my hormones are decreased, I may need to use a vaginal lubricant
when I have sex
C.After birth, you have to have a period before you can get pregnant again
D.Breastfeeding protects me from pregnancy because it keeps my hormones down, so I dont need any
contraception until I stop breastfeeding
37. The Bag Technique is a tool by which the nurse, during her visit will enable her to perform a nursing
procedure with ease and deftness. Nurse Jonas conducted a home visit to the Perez Family. He is now to
perform the bag technique, which of the following actions made by Jonas shows that he has adequate
knowledge regarding the proper use of the PHN Bag?
A. Nurse Jonas placed his PHN bag on top of a stable table.
B. The arrangement of the contents of the PHN Bag is based on Jonas own choice.
C. Nurse Jonas placed his BP cuff inside the PHN Bag.
D. After removing the apron, Nurse Jonas folded it towards him with the soiled side out and the clean
side in, then placed it inside the PHN Bag.
38. The public health bag contains basic medications and articles which are necessary for giving care. Only
necessary articles and equipments should be contained inside the PHN bag. Bearing this in mind, while
Student Nurse Jonas is inspecting the contents of his PHN bag, he would have to remove which of the
following items:
A. BP apparatus
B. Micropore plaster
C. Soap in a soap dish
D. Spirit of ammonia solution
39. A community nurse enters the home of the client for follow-up visit. Which of the following is the most
appropriate area to place the nursing bag of the nurse when conducting a home visit?
A.Cushioned footstool
B.bedside wood table
C.Kitchen countertop
D.Living room sofa
40. Lea, is conducting a pre-conference with a group of pregnant women for pre-natal check-up during her
home visit. She emphasizes the importance of pre-natal check-up, informs them they must visit the
Health Center for:
a. A minimum of 3 visits
b. A minimum of 4 visits
c. A minimum of 5 visits
d. A minimum of 6 visits
41. Carmen conducted home visits in several families and decided to concentrate on the family which
concerns her most. Living in a 30 sq. bungalow house with one room, one door and one window is the
Rosal family. The head of the family, Jerome (76 years old) was recently diagnosed with lepromatous
type of leprosy. The symptoms made him really ill so her wife Andrea, (54 years old) took over all the
responsibilities. She accepts laundry from the neighbors and sells vegetables in the market. Her eldest
son, Roel (22), already has his own family with three children to support, but still lives in the house of
his parents and recently lost his job for the fifth time this month. Arnold (19) accompanies his mother to

the market while Alyssa (13) helps in doing the laundry service. Eight months pregnant Glenda (13),
stays in the house and has no pre-natal check-up yet. Ar-J (10) and Alice (9) takes care for their father
and their younger siblings Adele (5) and Annie (3).None of the children has received immunization. And
none of them even reached the 3rd grade. Which among the following will Nurse April consider as
threats to the health of the family?
1.
2.
3.
4.
5.
6.
7.
8.

Jeromes condition
loss of job
crowded family
Eight months pregnant Glenda
Inadequate living space
Lack of immunization of children
Open garbage canals and dumped garbages
Inappropriate Parenthood

a.
b.
c.
d.

All except i, ii, iv, vii

All except ii, iv, vii
All except i, ii, iii, v, vi, vii
All except iii, v, vi , vii, viii

42. Nurse Carmen conducted a home visit to family Rosal. She plans to interview each family member
individually. Nurse Carmen interviewed Mrs. Rosal first. During the interview, Mrs. Rosal cried and
confessed to Nurse Carmen that she found out that her husband had an affair with other woman and she is
now planning to file an annulment or legal separation. Nurse Carmen is correct when she recognize this
situation as a:
a. Wellness condition
b. Health threat
c. Health deficit
d. Foreseeable crisis
43. Upon arriving at clients home, which of the following will you do as a first step in performing nursing
procedure?
a. Place paper bag outside of work area
b. Open the bag, take the linen, spread over work field of area
c. Place the bag on the table or any flat surface lined with paper lining
d. Put on apron right side out and wrong side with crease touching the baby
44. Which among the following is important in the use of bag technique during home visit?
a. Minimize if not totally prevent the spread of infection
b. Arrangement of the bag must be convenient to the nurse
c. Be sure to thoroughly clean the bag especially when exposed to communicable diseases cases
d. The bag should contain all necessary supplies and equipment ready for use
45. A home visit should be conducted in the manner prescribed by the RHU. The home visit plan should be
flexible and practical, depending on factors, such as the familys needs and the resources available to the
nurse and the family. Which of the following situation is a health deficit ?
a.
b.
c.
d.

History of repeated infection

Travelling by sea often
No regular check up
Death or illness in the family

46. While interviewing a prenatal client who came to the health center for her first check-up, you found out
that since the womans LMP six months ago, she has not had any antenatal check-up yet. You categorize
this lack of prenatal care to the patient as:
a. health threat
c. foreseeable crisis
b. health deficit
d. health need
47. To prevent contamination and spread of infection, the nurse should prioritize her home visit in which of
the following cases?
a. Dengue fever
b. 3 days postpartum mother
c. Influenza
d. TB positive patient
A registered nurse is in charge of the Barangay Health Station. This year, the total population of Barangay Uno
is 1500.
48. Mandatory infants and children health immunization act of 2011?
a. RA 9372
c. PD 996
b. RA 10152
d. RA 8981
49. What is the eligible population of infants of the said barangay?
a. 45
c. 53
b. 173
d. 63
50. To complete the OPV immunization of 1500 total population in a year, you will need vaccines good
for?
a. 135
c. 225
b. 226
d. 252
51. A nurse is to administer the OPV to a child when the child spits the OPV vaccine, the nurse
appropriate action would be:
a. Should ask the mother to return the child after 23 days to give another dose of the OPV vaccine
b. Should give the child another dose immediately
c. Should not give another dose because OPV vaccine is absorbed by the glands in the tongue after
giving it
d. Should ask the child if he swallowed the medication before giving another dose
52. The measles, mumps, and rubella (MMR) vaccine is recommended for all children. It protects against three
potentially serious illnesses. Measles is rarely given as individual vaccine nowadays and is often given in
combination with mumps and rubella. Measles given at 9 months of age can give side effects of:

a. Wheal formation
b. Fever, chills , anemia

c. fever and rashes

d. convulsion

53. A vaccine is a biological preparation that provides active acquired immunity to a particular disease. Which of the
following vaccines are mixed with special diluents before use?

a. Measles and BCG

b. DPT and TT

c. measles and poli

d. TT and BCG

54.A vaccine vial monitor (VVM) is a label containing a heat- sensitive material which is
placed on a vaccine vial to register cumulative heat exposure over time. A heatsensitive indicator on the outside of a vaccine bottle that changes color when the vaccine
has been exposed to excessively high temperatures, making it unsafe for patientuse.The
vaccines most sensitive to heat are:

a. DPT, HEPA B

c. BCG and TT

b. OPV and Measles

d. BCG and measles

55. Vaccine refrigerators are designed to store vaccines and other medical products at a stable temperature to ensure
they do not degrade. You should place the refrigerators/freezer at what distance away from the wall to
allow good circulation and avoid continuous running of motor:
a. 12 inches
c. 10 inches
b. 8 inches
d. 6 inches
56. Vaccine antigens may also be produced by genetic engineering technology. These products are sometimes
referred to as recombinant vaccines. The vaccine that is derived from RNA recombinants?
a. Measles vaccine
c. Hepatitis B vaccine
b. DPT
d. Measles Vaccine
57. All vaccines are sensitive to heat; however, some are more sensitive than others. The World Health
Organization (WHO) Expanded Program on Immunization (EPI)2 recommends the safe temperature
range between +2 C to +8 C, for storing most EPI vaccines. OPV is the most heat-sensitive vaccine
and must be kept between -15 C and -25 C. Which biological vaccine in should be stored in the
freezer?
a. Pentavalent vaccine c. Oral polio vaccine
b. Hepatitis B vaccine d. BCG
58. There are two basic types of vaccines: live attenuated and inactivated. The characteristics of live and
inactivated vaccines are different, and these characteristics determine how the vaccine is used. Live
attenuated vaccines are produced by modifying a disease-producing (wild) virus or bacteria in a
laboratory. The resulting vaccine organism retains the ability to replicate (grow) and produce immunity,
but usually does not cause illness. Live attenuated vaccines include live viruses and live bacteria. Which
of the following are live attenuated vaccines
a. TT, OPV, BCG, DPT
b. DPT, OPV, TT
c. Diphtheria. Rotavirus vaccine, pentavalent
d. BCG, ROTAVIRUS, OPV, MMR, AMV

59. The recommended temperature of vaccines should be maintained at all levels of the cold chain. However,
vaccines are most vulnerable when they are opened and reconstituted. Clearly, the last step of the cold chain is
vital. Nurses and other health care professionals should carefully manage the cold chain by checking and
recording conditions of vaccine when consignments arrive at health facility, when vaccines are stored and when
they are administered. Which of the ff. vaccines can be destroyed by both heat and freezing?

a. Tetanus Toxoid
b. polio vaccine

c. BCG
d. measles vaccine

60. To ensure universal, adequate, and regular supply of potent vaccines for implanting units the DOH has
institutionalized a vaccine independence initiative with the assistance of which international agency?
a. WHO
c. UNICEF
b. World Bank
d. RITM
61. In order for a child to be classified as fully immunized child (FIC), he should have received the
following immunizations before he reaches the age of one:
a. 3 doses of DPT, single dose measles, 5 doses TT, single dose BCG, 3 doses OPV, 3 doses Hepa B
b. single dose BCG, 3 doses each of DPT, OPV, measles vaccine and Hepa B
c. single dose BCG, 3 doses OPV, one dose of measles vaccine, 3 doses Hepa B, 3 doses DPT
d. 3 doses OPV, one dose of BCG, 3 doses measles vaccine, 3 doses DPT, single dose Hepa B
62. The system for ensuring the potency of vaccine from the time of manufacture to the time it is
administered to the child of pregnant woman is called the:
a. potency chain
c. speed chain

b. cold chain

d. freeze chain

63. Mrs. Flores asked the RHM about the immunization schedule. The correct response of the RHM is:
a. conducted once a month in the BHS usually at Wednesdays
b. conducted everyday in the BHS
c. conducted only when there are more than 100 children to be immunized
d. all immunization is to be conducted at the health center and hospital OPD starting 2008
64. Mrs. Agbayani, a very thin 41-year old pregnant woman (G4 P3) is about to receive TT4 vaccine . During
the interview and assessment before the vaccine is given, which of the following statements made by the
patient would indicate additional health education regarding the said vaccine is needed, but one?
A. This shot will provide me protection until I reach the age of 51
B. I will be safe for 10 years and y fourth child would be safe from tetanus lifetime.
C. I presently have 90% of protection against tetanus if I received the shot.
D. This tetanus toxoid will be administered 90 degree angle perpendicular to the site of injection deep into
muscles.
65. Anaphylaxis or a severe hypersensitivity reaction is an absolute contraindication to subsequent doses of
a vaccine. You will defer giving DPT 2 if the mother says that the infant had:
a. seizures a day after DPT 1
b. fever for three days after DPT 1
c. abscess formation after DPT 1
d. local tenderness for three days after DPT 1
66. Which of the following immunization usually produce a scar?
a. DPT
b. Polio vaccine
c. Measles
d. BCG
67. Which of the following is not part of the six EPI diseases?
a. rabies
b. TB and diphtheria
c. pertussis & tetanus
d. measles
68. Live vaccines can be given on the same day. If they are not given on the same day, they should be separated by a
minimum 4-week interval, because the immune response to one of the vaccines might be impaired. The minimum
interval between doses of DPT is:

a. three weeks
c. none, since DPT is single dose

b. one week
d. four weeks

69. The initial and normal skin reaction after giving BCG vaccination is called a:
a. lymphadenopathy
b. wheal
c. ulceration
d. keloid
70. All these are covered by EPI except:
a. Din with pseudomembrane
b. Tina with fever and maculopapular rash
c. Dave with lockjaw
d. Lisa with vesicular rashes
71. Contraindications can be permanent, such as known allergies to a vaccine component, or temporary, such as an
acute febrile illness. to vaccination is a rare condition in a recipient that increases the risk for a serious adverse
reaction. Ignoring contraindications can lead to avoidable vaccine reactions. Most contraindications are
temporary, and the vaccination can be administered later. Contraindication of immunization includes

a. Fever less than 38.5

b. Obesity, overweight

c. Malnutrition
d. none of the above

COMMUNICABLE DISEASES (5)

72. Agape, visits her physician with flu-like symptoms that have persisted for nearly a month. She
complains of headaches, malaise, anorexia and fever. Ms. Agape is a private duty nurse for five years
she usually fun eating of fishballs and betamax. Based on the associated risk factors and mode of
transmission, the nurse recognizes that Ms. Agape is most likely experiencing?
1. Hepatitis A
2. Hepatitis B
3. Hepatitis C
4. Hepatitis D
5. Hepatitis E
a.
b.
c.
d.

All expect 2 and 3

All expect 1 and 4
All except 1 and 2
All except 2, 3 and 4

73. Mass casualty is admitted to the hospital due to Paralytic shellfish poisoning. A man ask the nurse on
duty what are the management or control measures he can do to avoid contacting this disease right after
the ingestion. Nurse Marco is prudent if he stated which of the following statements, except:
1. Drinking pure coconut milk and sodium bicarbonate during the late stage of poisoning.
2. Calamansi and citrus juices will destroy the toxin, use it for cooking
3. 85 degreess of centigrade will be used in cooking to fully kill the toxin
4. Never induce vomiting for it may cause esophageal irritation
a. 1 and 4
b. 1, 2 and 4
c. 3 only
d. All of the above
74. . Agata presents enlargement of spleen, Rose spots on trunk and diarrhea Nurse Sarah is educating
family members of a patient with of appropriate home care considerations to the client condition. She is
correct to state:
a. a negative air pressure and N95 mask must be wear inside the same room with the patient.
b. withhold Patient meals but provide water until diarrhea subsides.
c. Keep the lids of trash cans close, cover unattended food and make use of door and window screens
to prevent attracting flies into the household.
d. Monitor that patient completes full-course of praziquantel (Biltricide) even after signs and
symptoms of typhoid fever subsides.
75. Marco experiences itchiness on his anal area especially during night time. He is about to perform scotch
tape test to check for the presence of pinworm eggs. He is competent enough if he does
1. Ideally done the morning before bathing, because pinworms lay their eggs at night.
2. Firmly press the sticky side of a 1-inch strip of cellophane tape over the anal area for a few seconds.
3. The tape is then transferred to a glass slide, sticky side down. Health care providers needs examine the
slide to confirm that there are eggs.
4. The tape test is done on three separate days to improve the chances of detecting the eggs.
a.
b.
c.
d.

1,2 and 3
3 & 4 only
1,2,3 & 4 only
1, 3 and 4

76. Severe acute respiratory syndrome (SARS) is a serious form of pneumonia. It is caused by a virus that was first
identified in 2003. Infection with the SARS virus causes acute respiratory distress (severe breathing difficulty)
and sometimes death. The 2003 outbreak had an estimated 8,000 cases and 750 deaths. Deaths occurred
mainly in older patients. The following holds true about SARS, except?

A. The following SARS informations are all true

B. SARS virus is spread by close person to person contact, either by air or touching materials contaminated
with SARS virus.
C. SARS may be suspected in a patient who has a history recent travel to the Western countries such as China,
through Hong Kong, to Hanoi, Vietnam or close contact with ill persons with a history of recent travel to such
areas.

D. The incubation period of SARS is 2 to 7 days.

77. Infectious Mononucleosis is an acute infection of the respiratory tract that is caused by Epstein- Barr Virus
(EBR), a member of the herpes virus which is worldwide in distribution. It is also known as the Kissing
Disease because its mode of transmission is of intimate contact with an infected person. A home health
nurse visits a child with infectious mononucleosis and provides home care instructions to the parents about
the care of the child. The nurse tells the parents to:
A. Maintain the child on bed rest for 2 weeks.
B. Notify the physician if the child develops abdominal pain or left shoulder pain.
C. Maintain respiratory precautions for 1 week.
D. Notify the physician if the child develops a fever.
78. Rolando was rushed to the Health Unit and reported that a stray dog bit him on his left leg. The nurse
inspected the bite mark and found that the client has a punctured wound and other small scratches.
Before deciding on what vaccine should be given, the nurse should properly categorize the bite as:
A. Category I
B. Category II
C. Category III
D. Category IV
79. After being bitten by a dog, the wound must be immediately and thoroughly washed with soap and
water. All of the following must also be part of the management and activities after experiencing a dog
bite, except:
a. If the dog was killed right after the incident, submit the victim for immunization.
b. If the dog shows signs that suggest rabies, the dog must be immediately killed, and submit the
head to the lab.
c. If the dog looks healthy, observe the dog for 14 days. If it did not die and appears
fine, consult a physician immediately.

d. Provide post-exposure treatment, wound management, active immunization, and administration

of rabies immunoglobulin.
80. Nurse Rosalie is concerned that she would catch common colds from a friend. The following could
directly transmit the colds to her, except:
a. Sneezing
b. Talking in a personal space
c. Coughing
d. Singing
81. Paolo was brought in the Emergency Room by her mother due to fever and frequent vomiting. Upon
assessment, the nurse noted that the client is very restless and has a stiff neck. The nurse suspects
Meningitis. The nurse can elicit which of the following physical examination to strengthen her suspicion?

A.
B.
C.
D.

When the clients neck is flexed, the hips and legs flex
When the client is lying with the thigh flexed on the abdomen, the neck hyperextends
The client feels pain in the right lower quadrant when the left lower quadrant is palpated
The client feels pain in the RLQ when the leg is flexed against a resistance

82. Tuberculosis, or TB, is an infectious bacterial disease caused by Mycobacterium tuberculosis, which most
commonly affects the lungs. It is transmitted from person to person via droplets from the throat and lungs of
people with the active respiratory disease. Who among the following patients belongs to Category 3?
A.
B.
C.
D.

A severe concomitant HIV patient

Jacob who had Treatment failure
New smear (-) Pulmonary Tuberculosis patient with minimal parenchymal lesions on chest x-ray
New smear (-) Pulmonary Tuberculosis patient with extensive parenchymal lesions on chest x-ray

83. In healthy people, infection with Mycobacterium tuberculosis often causes no symptoms, since the person's
immune system acts to wall off the bacteria. Direct Observed Treatment Short Course (DOTS) has been
advocated internationally to help control the spread of TB. The following are the element of DOTS except:
i. sustained political commitment
ii. access to quality-assured sputum microscopy
iii. standardized short-course chemotherapy for all cases of TB
iv. uninterrupted supply of quality assures drugs
v. recording and reporting system
A.
B.
C.
D.

i
ii
iii
None of the above

84. A patient presents cough for more than 6 weeks, fever, and complains of night sweats. He cough up a blood
tinged sputum. Which of the following should be done?
A. Confirm PTB by CXR
B. Sputum smear immediately.
C. PPD can diagnose TB.
D. None of the above.
85. Which of the following basic preventive actions is done to eradicate PTB?
a. health teachings
c. distribution of medicines
b. improvement of external environmental condition
d. referral to health centers
86. When an older person is affected with PTB, which of the following measures will you advise to
effectively prevent the spread of the disease to the older members of the family?
a. cover the mouth and nose when coughing or sneezing
b. x-ray members of the family
c. isolate the person who have the disease
d. continue taking meds
87. Mantoux test is interpreted after:
a. 24 hours
b. 36 hours
c. 72 hours
d. 102 hours

88. Multiple-drug therapy to treat TB means taking several different antibiotics at the same time . INH is given with
pyridoxine to:

a. prevent side effects

b. prevent development of resistance to INH
c. have a better absorption of the drug
d. prevent peripheral neuropathy
89. The following are interventions to prevent PTB. But one:
a. encourage the rest of the clients
b. regular intake of drugs is emphasized
c. instruct client proper disposal of secretions
d. when there is hemoptysis, chest physiotherapy must be done
90. TB is a primary disease caused by Tubercle Bacilli. Which mode of transmission is extremely
contagious?
a. ingestion of food
c. animal handling
b. airborne
d. skin contact
91. The nurse is administering the purified protein derivative (PPD) test to a homeless client. Which of the
following statement concerning PPD testing is true?
A. A positive reaction indicates that the client has active TB.
B. A positive reaction indicates that the client has been exposed to the disease.
C. A negative reaction always excludes the diagnosis of TB.
D. The PPD can be read within 24 hours after the injection.
92. Paolo failed to comply to the prescribed treatment regimen and stopped taking anti-TB drugs for two
months now. If Paolo plans to return continue his treatment program, Nurse Kristine will prepare to
administer which additional anti-TB drug?
A. Isoniazid
B. Pyrazinamide
C. Ethambutol
D. Streptomycin
93. Igie and Miko always do M2M sexual things, Iie has long been your institutions patient due to his HIV
infected status for a year and a half now. His current CD4 level count is 350 cells/mm3. He has been
experiencing bouts of diarrhea for over a week now. You recognize that Igie is in what stage of his HIV
disease?
A. HIV Symptomatic (CDC Category B)
B. Primary Infection
C. HIV Asymptomatic (CDC Category A)
D. AIDS (CDC Category C)
94. The nurse is caring for a Miko a client with gonorrhea He acquire the disease by anal sex and a man to
man sex with Iggie. He asks you how he can reduce his risk of contracting another sexually transmitted
disease (STD). Nurse Alvin should instruct the client to:
a. Ask all potential partners if they have a sexually transmitted disease.
b. Wear a condom every time he has intercourse.

c. Consider intercourse safe if his partner has no visible discharge, lesions, or rashes.
d. Expect to limit the number of sexual partners to less than five over his lifetime.
95. You were invited to be the resource person in a training class for food handlers. Which of the following
would you emphasize regarding prevention of staphylococcal food poisoning?
A. All cooking and eating utensils must be thoroughly washed.
B. Food must be cooked properly to destroy staphylococcal microorganisms.
C. Food handlers and food servers must have a negative stool examination result.
D. Proper handwashing during food preparation is the best way of preventing the condition.
96. You interviewed Roy, a victim of dog bite, and his mother at the emergency room to take the history
before seeing a doctor. You told Roys mother not to kill the dog because the dog will be:
a. injected with a vaccine
b. observed for 10 days
c. confined at a veterinary clinic
d. treated with antibiotics against rabies
97. It is the goal of the DOH to declare the country rabies free by:
a. 2010
b. 2015
c. 2020
d. 2025
98. Which of the following statements are true of measles?
1.
It is an acute paramyxo virus infection
2.
It is highly contagious
3.
The pathognomonic sign is pseudomembrane
4.
The rash usually begins behind the ears and neck
5.
The cause of death is usually from complication
6.
It is also known as Rubella
a. 1,2,3,,6
c. 1,2,4,5
b. 1,3,5,6
d. 2,4,5,6
99. The comprehensive strategy which primary health services around the world is using to detect and
cure TB patients is:
a. Multiple Drug therapy
b. Directly Observed Treatment Short Course
c. International TB control organization
d. Short Course Chemotherapy
100.
As a nurse, you are aware that the duration of treatment for patient classified under Category 2
is:
a. Intensive Phase: 2 months (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol, Streptomycin), 1
month (Isoniazid, Rifampicin, Pyrazinamide),Continuation Phase: 5 months (Isoniazid,
Rifampicin, Ethambutol)
b. Intensive Phase: 2 months (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol),Continuation
Phase: 4 months (Isoniazid, Rifampicin)
c. Intensive Phase: 4 months (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol),Continuation
Phase: 2 months (Isoniazid, Rifampicin)

d. Intensive Phase: 3 months (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol, Streptomycin), 1

month (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol, Streptomycin),Continuation Phase: 4
months (Isoniazid, Rifampicin, Streptomycin)
101.
Bailey is a 12 years old Fil-am who is spending summer vacation in Bicol with his filipino
relatives. A week before returning to the Canada, he developed fever, diarrhea and rose spots on his
abdomen. Based on perths clinical findings, you will suspect Bailey to have contacted which
infection?
a. Dysentery
c. cholera
b. Amoebiasis
d. typhoid
102.

Which of the following is not sexually transmitted?

a. Chlamydia
c. Hepatitis B
b. Hansens Disease
d. Gonorrhea

103.
The mother has a second degree perineal laceration, for faster healing of the wound, which
should be recommended?
a. apply crashed bayabas on the top of the wound
b. warm bayabas decoction for flushing
c. take lagundi decoction to relieve pain
d. d. take sampaloc decoction 3x a day
104.
A 4-year old client was brought to the health center with the chief complaint of severe diarrhea and
the passage of rice watery stools. The client is most probably suffering from which condition?
a. Giardiasis
c. Cholera
b. Amoebiasis
d.Dysentery
105.

Which is not considered as a primary level of prevention?

1.
Case finding, cataract screening, sputum microscopy
2.
EPI, once a year vitamin A supplementation of 100 000 IU to infant
3.
Stream clearing and stream seeding
4.
TB Multi Drug Therapy and ORT
a.1,3,4 b. 1,4 c.2,3 d.4

106. A label put on vials containing vaccines which gives a visual indication of whether the vaccine has been
kept at a temperature which preserves its potency is:
a. Vial Vaccine System
c. cold chain system
b. Vaccine Vial Monitor
d. Monitor Stamps
107.
Category 3 of the Medical Eligibility Criteria for Use of Contraceptive Devices, Medications,
and Techniques is?
a. A condition which represents an unacceptable health risk if the contraceptive method is used
b. A condition for which there is no restriction for the use of the contraceptive method
c. A condition where the theoretical or proven risks usually outweigh the advantages of using the
method
d. A condition where the advantages of using the method generally outweigh the theoretical or
proven risks
108.

Test is used to determine the type of leprosy a patient has contracted?

a. Schicks test
c. Tine Test
b. Slit Skit Smear
d. Lepromin Test

109.
a.
b.
c.
d.
110.

This disease is characterized by a cycle of high temperature, chills and diaphoresis:

Filariasis
Dengue Fever
Malaria
Tetanus
The disfiguring and disseminated form of leprosy is:
a. neither tuberculoid nor lepromatous leprosy
b. both lepromatous and tuberculoid leprosy
c. lepromatous leprosy
d. tuberculoid leprosy

111.
The leprosy organism is usually spread from secretions from:
a. genital organs
b. nose
c. mouth
d. skin wound discharge
112.

The malarial vector can be eradicated through:

a. fumigation of abaca, banana, and gabi plants
b. fumigation at night
c. fumigation during daytime
d. application of molluscides

113.
Which of the following groups are endemic diseases in the Philippines?
a. dengue, gonorrhea, goiter
b. malaria, elephantiasis, schistosomiasis
c. filariasis, dengue, schistosomiasis
d. schistosomiasis, ascariasis, dengue
114.

What important measure should be implemented to prevent diarrheal diseases in a community?

a. conduct intensive health teaching on use of safe water and strict handwashing
b. anti-cholera immunization of the population aged one year and above
c. massive treatment with anti-diarrheal drugs
d. cholera typhoid vaccination to all people

115.
Which of the following disease is NOT transmitted by a mosquito?
a. bulbonic plague
b. malaria
c. dengue fever
d. elephantiasis
116.
Allan diagnosed with dengue is having high fever, abdominal pain, and headache. What stage of
infection is this?
a. toxic stage
b. hemorrhagic stage
c. convalescent stage
d. febrile stage
117.
Important preventive measures for dengue fever include:
a. prophylactic drug treatment with antivirals
b. mass vaccination during rainy season

c. elimination of small collections of water such as flower vases

d. fogging or daily spraying of insecticides
118.
Dengue cases is usually lowest during:
a. July to November
b. December to February
c. February to April
d. May to July
119.
a. 10

In doing a tourniquet test, how would petechiae be considered positive?

b. 20
c. 30
d. 5

120.
In a patient with dengue fever, which of the following will you give to a patient is the best?
a. water and salt solution
c. saline solution
b. oresol
d. IV fluids
121.
As prevention for malaria, you educate people living in malaria endemic areas to do which of the
following:
a. avoid going out between 12 noon to 3 am
b. take chloroquine tablets once a day
c. appy insect repellant on house walls
d. use long sleeved shirts when going out at night
e. plant neem tree in their backyards
f. clear hanging branches near rivers
a. ABCDEF
c. CDEF
b. BCDEF
d. BCDE
122.
The specific treatment of schistosomiasis is:
a. Penicillin, tetracycline, erythromycin
b. Diethylcarbamazine citrate (DEC)
c. Cotrimoxazole
d. Praziquantel
123.
In active immunity:
a. the antibodies are manufactured by the tissues of the body itself
b. the antibodies are given by a natural process, as in breastfeeding
c. resistance presents in a distinct person that may not be found in others
d. the antibodies are already formed and introduced in the body
124.

How much vitamin A should be given on 15 months old infant who have Vitamin A deficiency?
a. 100 000 IU
c. 200 000 IU
b. 10 000 IU
d. 400 000 IU

125.
To prevent Schistosomiasis, it is important to provide the following instructions to people living
in the endemic areas:
1.
Remove the vegetation and use molluscicides on breeding places
2.
Immunize high risk group especially farmers
3.
Dispose feces and urine properly away from bodies of water
4.
To minimize cercariae penetration on skin, apply petroleum jelly or any oil based
liniments thickly on skin before wading on suspected contaminated waters
5.
Let water stand for 2-3 days before using it
a. 1, 2, 3, 4, 5
c. 1, 3, 5

b. 1,2,3,4

d. 2,3,4

126.
After identifying elementary pupils affected by this parasite, the school nurse conducts
deworming by giving Albendazole 400 mg. Who among the following identified school children will she
give Albendazole to?
a.
b.
c.
d.

Henry, 5 y/o who is underweight and having diarrhea

Harold , 6 y/o who is experiencing abdominal pain but no diarrhea
Heidi, 12 y/o who is suffering from diarrhea but received anti diarrheal drug this morning
Flor, 10 y/o who had measles two months ago

127. A client was admitted to the Emergency Room due to High-grade fever, rashes, and body malaise. Upon
assessment, the nurse noted that the client had a trip to China two days ago. The nurse suspects that the
client is suffering from Meninggococcemia. Which of the following characteristic can describe the rashes
found on clients with Meninggococcemia?
A. Violaceous or purpuric rashes that usually first noted on the extremities that spreads to the entire
body.
B. Tiny, bluish gray specks surrounded by a red halo that appear on the oral mucosa usually on the
molar area.
C. A maculopapular, oval, red rose rashes, about the size of a pin head and begins on the face and
spreads downward to the trunk and extremities.
D. Maculopapulovesicular rashes hat first appear as minute red spots on the tongue and palate and small
macules on the face and spreads centrifugally.
128. An outbreak of meningococcemia has been reported in the country so a group of nurses went out to
communities to conduct surveillance and health teaching to prevent further spread of disease. All but one of
the following are incorrect statements about Meningococcemia:
a. Patients affected with Meningococcemia may experience high grade fever for the first 24 hours.
b. Respiratory isolation of patients for the first 48-72 hours upon admission to prevent exposure of
hospital staff.
c. Transmission through inanimate objects is significant.
d. The patient must be given chemoprophylaxis after discharge to assure the elimination of
meningococcus in the nasopharynx.
129.
During the initial interview, the client reports that she has a lesion on the perineum. Further
investigation reveals a cauliflower like cells on the vulva that is painless to touch. The nurse is aware
that which of the following is most likely the source of the lesion:
a. Syphilis
b. Herpes
c. Gonorrhea
d. Condylomata

130. Your patient Ms. Rina is diagnosed as having Bacterial Vaginosis. You would possibly question the
original diagnosis when you assessed which of the following findings except for one?
A. Frothy yellow white or yellow green vaginal discharge
B. Presence of a cheesy white substance in the vaginal os
C. Presence of clue cells under microscope
D. Presence of a strawberry cervix

131. After a lonely break up of Mariel. She acquired sexually transmitted infection presenting strawberry
marked cevix upon examination.What is the most probable STI that the patient has?
A. Candidiasis infection
B. Gonorrhea
C. Trichomoniasis
D. Acuminata
COMMUNICABLE DISEASES 5
132.
A public health nurse is interested in teaching the students about the elements of the ecologic
triad. He inappropriately informs them by saying which of the following, except:
a. Lysa is caused by the agent stray dog.
b. The host of filiariasis is the snail oncomelania quadrasi.
c. The vector of dengue is the day-biting Aedes Egypti.
d. reservoir of dengue mosquito is a flowing water.
133.
Communicable disease transmission is a complicated but well-studied process that is best
understood through a conceptual model known as the chain of infection. Jhong is studying the chain of
infection. She will not be corrected if she identifies the following as a reservoir, except:
a. Garden Soil
b. Neiserria Meningitides
c. Iggie with HIV infection
d. Camels in Middle east
134.
. During the nursing history, the nurse assesses the degree to which a client is at risk of
developing an infection and any client complaints suggesting the presence of an infection. Which is the
most effective nursing action for controlling the spread of infection?
a. hand washing
b. Wearing gloves and masks when providing direct client care
c. Implementing appropriate isolation precautions
d. Administering broad-spectrum prophylactic antibiotic

.
135.
Handwashing is a strategy to break the chain of infection during which of the following stage?
a. Portal of entry
b. Portal of Exit
c. Transmission
d. Host
136.

You are the public health nurse in a municipality with a total population of about 40,000. There

are 3 rural health midwives among the RHU personnel. How many more nurse items will the RHU
need?
A. 8
B. 2

C. 5
D.4.
137.
After a typhoon in September 2009, an outbreak of leptospirosis occurred in Metro Manila, the
Philippines; 471 patients were hospitalized and 51 (10.8%) died. Which of the following holds true
about the disease:

1. While not wading in potentially contaminated flood waters is the best protection against
leptospirosis
2. wearing protective clothing or footwear may also help from getting scraped or wounded, which
are the usual points of infection.
3. Even without a wound, leptospirosis can penetrate the body through the mucous membranes of
the eyes, nose and mouth.
4. Walking in muddy areas, farmlands and garbage-infested places is also risky.
5. Human-to-human transmission is rare.
a.
b.
c.
d.
138.

1, 2, 4, &5
1 & 2 only
1, 2, 3, 4, 5
1, 2 & 4 only

Mers corona virus is originated and transmitted by a

a. Bat
b. Camels
c. Monkey
d. Deers

139.
a.
b.
c.
d.

The incubation period of Mers cov is

2-7 days
5-15 days
4 weeks
24 -48 hours