CHN COMPRE EXM 1 responsibility of the nurse must be executed for

which further purpose?

SITUATION 1. An ounce of prevention is a pound of A. Schedule of assignments
cure. The dictum should make preventive services an C. Research and Legal
attractive alternative approach in health care particularly B. National archives
that more and more people are under the poverty line and D. Financial evaluation
also because of high cost of hospitalization and medical
expenditures. 8. The chief nurse in City and Regional Health office is
concerned with administration, supervision and
1. Prevention is an important responsibility of the control of nursing practice to attain highest quality,
nurse in: among her functions and responsibilities, which one
A. Hospital and infirmaries C. below encompasses leadership skills?
Health Center and Industrial clinics A. Utilization of management process
B. All health care setting D. B. Staff development
Community and school setting C. Implementation of nursing process
D. Utilization of resources
2. The promotion and protection of health is a major 9. The community health nurse functions as manager
responsibility of the DOH which can be most and provider of nursing care services in the
successful when there is active partnership with community. In planning and organizing nursing
and /or involvement of: services, one vital functions at the beginning of the
A. Department of Education and Local services is:
Government A. Establishing of good working
B. Professional health association relationship
C. The people and every citizenry B. Conducting an assembly for
D. Non-government organization instruction
C. Listing of families in each purok
3. Based on the Health Belief Model, a person is more D. Courtesy call with the town mayor
likely to take preventive health action if he: 10. Provision of nursing care to clients include home
A. Understand the nature of the visits and clinic consultation according to priority.
disease Which one below should the CHN utilize to reach
B. Has access to health care facilities more people in the community for health?
C. Believes he is susceptible to the A. Home visit for TB control
disease B. Community assemblies like mother
D. Believes in the competence of the class
nurse C. Referrals of cases to appropriate
agencies
4. The motivation of the individual to participate in D. Reach out clinics for distribution of
health promotion activities and take a specific health medicine
action is most effective in which of the following
strategies: Situation 3. A National Health Plan program which
A. Enactment of a law established prevalence rate nationwide has been
C. Experiential activities implanted.
B. Use of social pressure D.
Health Education 11. Which program is active to identify increase risk of
AIDS?
5. Which of the following is a health concern in the A. AIDS prevention. C.
primary level of prevention? AIDS national council
A. Development of health habits and B. AIDS surveillance D.
practices Sentinal site nationwide
B. Poverty alleviation 12. Which program advocates right to protection and
C. Early and prompt treatment human dignity?
D. Case finding. A. HIV/AIDS patients C.
AIDS prevention
Situation 2: Community Health Nursing is define by B. Sentinel site D.
WHO as a special field of Nursing which combine the AIDS national council
field of Nursing, Public Health, and some phases of social 13. Which program broadens context on womens
assistance for the promotion of health and rehabilitation health and safe motherhood?
of illness. A. Family planning organization of the
Philippines
6. The philosophy of the CHN practice is based on the B. DOH family planning services
belief that the family is the smallest unit in a C. Family planning program of the
democratic society. Which age group should be the Philippines
priority of the nurses in the community? D. UNICEP program on reproductive
A. Older person and terminally ill health
C. Infants and Children 14. Which innovation scheme provides health
B. Adolescents and adults. manpower in doctor- less, nurse-less municipalities?
D. All ages regardless of status A. Health human resource program
7. One important principle of CHN is accurate B. Human resource for health
recording and reporting of data as basis for manpower
evaluation of health program. This vital C. Health manpower resource program
 D. Resource manpower of DOH
15. Which of the following programs promotes
backyard propagation and mass production?
A. Herbal collection of scientific
benefits
B. Anthropology and Trad. Med
C. Herbal and Philippine Trad Med.
D. Resources manpower of DOH
Situation 4. An example of self- finance project that is
supervised by a nurse is Botika sa Baryo.
16. How is Botika Sa Baryo Put up?
A. Pharmacy sa Barangay
B. RHY drug store
C. Common medicine for Botika ng
Barangay
D. Common medicine para Botika sa
Baryo
17. Other programs with less cost is substitute of cotton
swab to clean ears. What is the indigenous material
used as swab?
A. Alcoholized banana stick
C. Sharpened stick wrapped in
kapok
B. Tingting wrapped in cotton
D. Toothpick wrapped in cotton
18. Who is the trained health personnel accepted by
Barrio folds to deliver babies?
A. Community organization officer C.
Traditional healer
B. Community health nurse
D. Community health workers
19. In case of complication due to improper use of
technology to whom should cases
referred to:
A. District hospital C.
City health officer
B. Midwife
D. rural physician
20. Who held the meeting in this place where PHC was
discussed? Where is this place?
A. Geneva
C. Russia
B. Vienna
D. Alma Ata
SITUATION 5: Maternal and Child Health Services is
one vital program in the Department of Health ,
Maternal mortality is high due to hemorrhage, infection
and hypertensive complication.
21. Mrs. Delgado came to the RHU to consult with the
MHO but he was attending a
seminar. You were available as the RHY nurse.
What would you do now if she tells
that she is bleeding?
A. Accompany her to the provincial
hospital
B. Tell her to go the city
C. Give transfusion at once
D. Check the vital signs
22. Lucy is 20-years-old, 3 months pregnant and asked
you about pre-natal services.
What would you tell her?
A. Why did you come only today?
B. Let me tell you the importance of prenatal
check-up
C. Do you have an obstetrician?
D. Are you going to practice family
planning?
23. The home delivery for normal pregnancy is being
encouraged by primary care
providers. If there is no licensed health professional
in the RHU, who will attend to
the delivery?
A. Licensed midwife
C. New R.N.
B. Trained hilot
D. Comadrona
24. Postpartum must be avoided through appropriate
prenatal counseling.
After home delivery, when will you do the first visit
to check bleeding and
Infection
A. 40 hrs.
C. Two weeks
B.One week
D. 24 hrs
25. To promote appropriate health practice of
pregnant women, you, as public health
nurse must focus on:
A. Prompt referral system
C. Accurate record and report
B. Linkages with PNA, IMAP and POGS
D. Public education program
SITUATION 6: The DOH has drawn from the National
Health plan the scenario by 2020. One is reduction of
infant and maternal mortality rate.
26. Infants mortality rate means death under one
year of age per 1,000 live births
Which formula below is correct?
A. Deaths under one year
C. Live births of the same year
-----------------------------x100
----------------------------x100
Live births of the same year
Deaths under one year
B. Deaths under one year
D. Live births of the same year
----------------------------x1000
---------------------------x1000
Live births of the same year
deaths under one year
27. Maternal mortality rate is the number of
maternal deaths per 1,000 live births in
a specific year. Which formula below is correct?
A. Neonatal deaths and fetal death C.
Live Births of the same year
--------------------------x100
--------------------------x100
Live birth and fetal death
Deaths under one year
B. Deaths under one year D.
Live births of the same year
-------------------------x1000
--------------------------x10000
Live births of the same year
Deaths under one age
28. The statistical work in the community vital
statistics is mostly done by the
Sanitarian but which programs data is done
greatly by the nurse
A. CD cases
C. Maternal child health
B. Primary health care
D. Vital Statistics
 29. Town A has a population of 50,000 as of July 1 A. Take medication as ordered.
1998(midyear) as per calendar B. Shower anytime, but keep the incision
year 1998 (January to December) 600 died. site dry for 7 days.
Which formula below should be C. Resume sexual relation with
uased to compute crude death? husband
A.50,000 D. Lift her youngest child
C.50,000 33. Which among of the following is not true
----------x1000 about BTL?
-----------x10000 A. Allows immediate sterility
B. 600 B. Does not interrupt sexual
600 activities
----------x100 C. Irreversible
600 D. Very effective and safe
50,000 34. Mrs Martha ask will it be possible for be
to get pregnant after the procedure? The best
D. ----------x1000 response of the nurse will be:
A. The doctor here are all
specialists, I wouldnt worry if I were you.
50,000 B. Absolutely not, this is a
30. Incidence rate means new cases as percent of permanent sterility
population and prevalence rate C. There are some reports of women
means cases in a given period of time as getting pregnant, but this is
population. Which formula below is comparatively rare.
prevalence rate. D. What made you ask
A. Number of cases of a specific
disease 35. Other methods of contraception are
explored Mr. Duque expresses his nnon-
-------------------------------------------------x1000 preference for vasectomy. Which of the
following is the main reason why this method is
Estimated population not a popular choice among men?
B. Total number of cases of a A. Very costly
disease(old + new) at a given time B. Restoration of fertility does not
always succeed
-------------------------------------------------------------------------- C. Sterility is not immediate
x1000 D. Diminished macho image.
Estimated population at that time
Situation 8. Water quality and monitoring for
C. Number of cases of a specific surveillance is the responsibility of each municipality
disease during a specific time through the RHU. Planning must be assisted by the
Environmental Health Service.
-------------------------------------------------------------------------- 36. The nurse should know that the
x100 examination of drinking water by the
Estimated population exposed to government or non government laboratories
that disease during that time must be accredited. Who does accreditation of
D. Total number of cases of a disease laboratories?
(old + new) at a given time A. Sanitary Engineer
B. Municipality
-------------------------------------------------------------------------- C. DOH
---x100 D. City Health
Estimated population at that time 37. Disinfection of water supply is required in
SITUATION 7: Mrs. Martha Duque, 35 years-old, G4P4 newly constructed well, repaired water pipes
expressed her desire to undergo bilateral tubal litigation contaminated container and what else?
(BTL). Her younger child is one year old. A. Unimproved spring
B. Open well
31. In counseling Mrs. Martha and her husband C. Surface water
about BLT, which of the following should be the main D. River Dam
focus of the nurse? 38. Approved type of toilet facilities may need
A. Review family and personal water or not depending on receiving space.
circumstances that could affect their What type of toilet is without need for water?
decision. A. Pit latrines
B. Motivate the couple to accept the B. Water shield
technology. C. Flush toilet
C. Assist the couple to make a sound, well D. Aqua privies
informed decision to 39. Hospital waste management program is a
Undergo the procedure. requirements before construction of the
D. If the couple has any doubt, offer facility. The hospital personnel are required to
another contraceptive method. train in waste management to prevent which of
the following?
32. After sterilization, which of the following A. Communicable disease
should be avoided by Mrs. Duque? B. Nosocomial disease
 C. Cross infection
D. Transmission of infection
40. Nursing responsibilities and activities to
ward off environmental pollution is beyond
measure. The nurse is in best position to
conduct health education through
A. Development of design or
program
B. Use of communication media
C. Development and distribution of
IEC materials
D. Role modeling approach.
Situation 9. The Expanded Program of
Immunization (EPI) was started in July 1976
by virtue of PD 996, a compulsory
immunization of children below 8 years of age.
41. This EPI is based on 3 principles. Which
one is pro people:
A. Case findings and treatment on
site
B. A basic health service
C. Based on epidemiological
situation
D. Mass approach rather than
individual
42. Which one is primary element of EPI?
A. Logistic management
B. Target setting
C. Information campaign
D. Surveillance and research
43. The general objective of EPI is to reduce
morbidity and mortality among children BCG
is given at birth followed by 2 doses. When are
the 2nd and the 3rd dose given?
A. Pre-school
B. One and one a half months after
one month after
C. Two months after the 1st dose
D. every months after 2 months
44. Measles is given subcutaneously an a dose
of 0.5ml. At what age is this done?
A. Nine months
B. Six months
C. One and one half year
D. One year
45. Which of the following agency in the world
helps erase Polio in Children?
A. Canadian International agency
B. WHO
C. Rotary international
D. UNICEF
Situation 10. Mang Tomas is known to be
malnourished, living in the crowded area in the
squatter area of a big city. He came to the city
health due to lost of weight, easy fatigability,
chronic dry cough and low grade fever.
46. The main sources of infection in pulmonary
tuberculosis of mang Tomas is through which
of the following?
A. Crowed living quarters
B. Unavailability of living quarter
C. Direct contact with infected
persons
D. Unsanitary surrounding
47. A physician orders an X ray examination
for Mamg Tomas and you refer him to nearby
government agency with x ray facilities. What
is the purpose of this laboratory aid to
diagnosis?
A. To check if patients has relatives
with TB
B. To see the evidence of having the
disease
C. Determine the severity of lesion in
the disease.
D. To aid in doctors prescription
48. In TB control Program DOH has specific
objectives, one on family prevention is a
program, which is focused on children. Which
one below is this program?
A. Differential prophylaxis
B. Sputum collection and
examination
C. EPI for BCG
D. Tuberculin testing
49. On health education, which one is the
responsibility of the Community Health Nurse?
A. Intensive and responsive IEC
campaign
B. Intersectoral coordination
C. Supervision and monitoring
D. Periodic reporting and recording.
50. If assigned to conduct a research related to
TB control, which would provide
epidemiological and sociological information,
choose one method of data collection.
A. Identify operation problem
B. Prevalence survey
C. Read related literature
D. Include TB cases as population
Situation 11. Mrs. Cruz has breast cancer. Your
aim is to relieve physical and mental distress.
51. Which of the following is your role in
cancer?
A. Arrange for spiritual consultation
B. Allow patient to get angry
C. Maintain dignity of patient
D. Control pain
52. Which level of care is preventive before
treatment?
A. Treatment
B. Primary
C. Supportive
D. Secondary
53. The rural doctor orders Mrs. Cruz to see a
facility with radiation. What is the level of care
in this facility?
A. Specialty
B. Secondary
C. Tertiary
D. Primary
54. When Mrs. Cruz came home, she had some
medication. Which one is anti- metabolite?
A. Five F-C
B. Cytoxan
C. Ampicillin
55. Information materials related to cancer is
available. Which agency distribute these?
A. Philippine Cancer Control
B. Philippine Cancer Society
C. Cancer prevention and Control
D. Cancer and You ( Pamphlet)
Situation 12. The regional Training Nurse must be
qualified before assuming the position.
56. Which of the basic qualification of a Public
Health Nurse at the Regional Office?
A. Three years abroad
B. BSN, RN with Masteral degree
C. Experience as Clinical Instructor
D. Relative of the Governor
57. What is the qualification of the Public
Nurse Instructor?
A. Recommended by the Mayor
B. BSN, RN, with Masteral Degree
C. Experience as Clinical Instructor
D. Experience as a public health
Nursing
58. Functions and responsibility of a public
health nurse begin with the use of the nursing
process. Which process does she needs to
design a training program for nurses and mid
wives ?
A. Assessment
B. Intervention
C. Evaluation
D. Planning
59. Even if the Nurse is in the highest position,
There is a need to keep abreast. Which area of
CHN should a nurse train or re train?
A. Community Organizing
B. Matrix of Hospital administration
C. Model of Health Care.
D. Use of high tech machine
60. Which one should a PHN retain as nursing
value in her community health practice.
A. Spiritual
B. Goodwill
C. Human relations
D. Academic
Situation 13. PHC utilizes linkages all over the
world.
61. Who receives referral from intermediate
level of care?
A. Chief Nurse
B. First line hospital
personnel
C. Cardiologist
D. Medical Director.
62. When first line hospital workers are done
with severe dehydration, patient goes home to
your level of care . In what way you could
provide support?
A. Linkages works .
B. Bring patients for check up
C. Refer Clients with same problem
D. Give IVs in case of repeat
dehydration.
63. The dual role of PHC workers as a
community health Care developer and
Community development. How could you link
and provide care at the same time.
A. Health direction for better
tomorrow
B/. Health care available even at
high cost
C. Health care procedure with
supply
D. Health care accessibility with low
cost.
64. PHC is a system, which emphasizes well
being of all segments. What is the result of this
effort?
A. Progress well being
B. Progressive well being
C. Health care procedure with
supply
D. Economic progress and self-
reliance
65. PHC activities are fully integrated with
other sector, Which sector is always involved?
A. Industries
B. Politician
C. Congress
D. Public works.
Situation 14. As a professional nurse practitioner, is
expected that you are aware of the issues and concerns
affecting the health care delivery system in the country.
66. Traditionally, the most common used
services of the health care delivery system
include:
A. Prevention of diseases and
promotion of health.
B. Hospice and care of the
terminally ill.
C. Diagnosis and treatment of
disease
D. Rehabilitation and gerontological
care.
67. Ideally, rehabilitation service begins:
A. Upon admission of the client in
the health care delivery system.
B. Upon discharge from of clients
from health care system.
C. After the client physical condition
stabilizes
D. Soon after the Clients request fro
rehabilitation services
68. Philippines, most, if not all day care
centers can be manage and/ or organized by
nurses because they provide:
A. ambulatory care to all clients of
all ages and are usually situated in
malls
B. emergency psychiatric care and
counseling to clients experiencing
extreme stress
C. Care and supervision of older
clients usually those with emotional
disturbance
D. Care and supervision of pre-
school children located in the barangay.
69. The Department of Health is currently
faced with health issues and concerns that
needs immediate attention for the greater
benefits of the general population. Which of
the following issues involving health services
can be directly addressed by nurses either
individually or collectively?
A. Increasing cost of hospitalization
B. Unemployment and
underemployment.
C. Access to health care facility.
D. Quality health care services
70. The legal permission obtained from the
client before an invasive procedure
 involvement in research or administration of
experimental medication intervention is:
A. affidavit
B. Contract
C. Informed consent
D. power of attorney.
Situation 14 The Rural health unit personnel implements
health program relevant of the needs of the country.
71. In order to gain the cooperation and
support of the community in control of
diarrheal diseases, which of the following need
to be done first.
A. Create public awareness of the
diarrheal disease problem
B. Solicit the health of the minucipal
health committee
C. Confer with barangay captain
D. form a working groups
72. The people must be informed that the
preventive and control measure/s against
diarrheal diseases is /are
A. Cleanliness and proper food
handling
B. Practice of handwashing before
eating
C. Taking of Oresol solution and
other fluids by patients with diarrhea
D. All these measures
73. For the prevention and control of dengue
fever, the Most importanrt health measure that
should be implemented is:
A. Personal hygiene
B. Health education on the use of
repellants
C. Immunization of contacts
D. environmental Sanitation
74. The mosquito that transmit Dengue fever
may bite anytime during the day, but its peak
hours of biting is:
A. Early morning and late afternoon
B. night time
C. early morning
D. late afternoon
75. The incidence of sanitation-related diseases
is high in areas characterized by which of the
following.
A. Contaminated wells and
unsanitary handling of water
B. improper use of latrines by most
people
C. Poor hygiene habits
D. Presence of any or all of these.
Situation 15 The Department of Health presents a
situation where maternal and child health is inadequate
in our country. To obtain quality health care, there are
programs and services in all levels of care.
76. The Under Five Care Program is a child
related service, which will ensure wellness and
survival of children. Which age-range is this:
A. below 3 years old.
B. perinatal age.
C. 0 59 months.
D. 0 36 months.
77. Iron deficiency anemia in pregnant
women, lactating mothers, infants and pre-
schoolers increased as per findings of the
National Nutrition Survey. What is the highest
cause of anemia.
A. Poor absorption
B. Increased demand.
C. Low-dietary intake.
D. Blood loss.
78. Childrens dental care starts at the proper
age of weaning. Preventive dentistry is
emphasized to children under five. At what age
should proper tooth brushing begin?
A. When child starts school.
B. After 2 years old.
C. Before 2 years old.
D. Upon weaning.
79. Dental caries of temporary teeth need to be
given attention. Consulting a dentist for this
problem is for what purpose?
A. Temporary filling of temporary
tooth.
B. Installation of braces.
C. Replace temporary with false
teeth.
D. Pulling out temporary teeth.
80. Isolation technique in the home is difficult
to do but fundamental principles must be
followed. Soiled articles with discharges should
be boiled in water before laundry. How long
should these articles be boiled?
A. One hour.
B. Two hours.
C. One-half day.
D. Thirty minutes.
Situation 16 CHN is a synthesis of nursing practice.
81. What is the aim of CHN?
A. To serve all ages of population.
B. Promoting and preserving health.
C. Development of human being.
D. Limitation to a certain age only.
82. Which one is the primary focus of CHN?
A. Health food.
B. Health continuum.
C. Health habits.
D. Health promotion.
83. Where is CHN extended to?
A. Individuals, families and
communities.
B. Female population only.
C. Mature and elderly.
D. Adolescent, adult and aged.
84. What is the criteria to become a public
health nurse?
A. BSN graduate with license.
B. Specialist on CHN.
C. Specialist on Any field.
D. Cum laude in graduation.
85. The dynamic care of this nursing tools
provides measurements of progress. What is
the scientific systematic process for quality
care?
A. Nursing policies.
B. Nursing standards.
C. Nursing procedures.
D. Nursing process.
Situation 17 Change within the health care system has
accelerated during the past decade. This is brought about
by changes in technology and the nations economy and
the increasing number of population, to name a few.
86. One of the most recent development that
was enacted to help subsidize the cost of health
services both for the employed and the
unemployed:
A. Medicare Act.
 B. National Amelioration Pay.
C. National Health Insurance.
D. Workmens Compensation Act.
87. Lately, health promotion and disease
prevention services have been getting increased
attention in the Department of Health. One of
the implications of these changes as far as the
scope of nursing practice is concerned with is
emphasis in the application of which of the
following competencies:
A. therapeutic use of self.
B. health education.
C. execution of nursing procedures
and techniques.
D. administration of treatment and
medication.
88. The latest census has shown increase in the
life span among Filipinos resulting to an
increase in the number of elderly population.
In addition to these data, it is observed that the
cost of hospitalization is getting more expensive
and unaffordable to majority of the people.
These facts can bring about an increase in the
demand of which of the following nursing
services:
A. Managed Care Services
B. Clinical Specialization.
C. Hospice and Home Care
Services.
D. Acute Care Services.
89. The latest trend that has developed to
deliver care based on prepaid fees with
emphasis on health promotion and illness
prevention is covered under.
A. Government Insurance Plan
|B. Preferred Provider Organization.
C. Private Insurance Plan.
D. Health Maintenance
Organization.
90. Hospital nowadays are encouraged, if not
required, to offer comprehensive health
services to include illness prevention and
health promotion. To implement this program,
hospitals, especially government hospitals have
already added in the regular services of which
the following.
A. Rehabilitation Centers
B. Newborn Screening
C. Wellness Centers.
D. Intensive Care Units.
Situation 19. After passing the Board exam,
Miss de Castro decided to apply in the local
government unit. She was admitted and was
assigned in her hometown. In addressing some
problem of the community, she remember she
can be guided by the different models of health.
91. An active healthy promotion strategy that
Ms. De Castro could initiate in the community
is:
A. Advertisement for the use of a
specific mineral water.
B. Adoption of the policy for smoke
free work place among factories,
schools and hospitals.
C. Organization of morning joggers
club or other groups that encourage
sports and regular exercises.
D. Fortification of milk and other
food products with Vitamin A and D.
92. As a community health nurse, Miss de
Castro must have a good understanding of the
interrelationship between external and internal
variables that can affect health and illness.
Examples of internal variables that influence
health beliefs and practices include.
A. Spiritual factors and individuals
development stage
B. Socio-economic and political
factors
C. Cultural and ethnical
background
D. Family practices and traditions.
93. External variables influencing a persons
health belief and practices include:
A. Emotional and spiritual factor
B. Family practices and traditions.
C. Cultural and perceptual
functioning.
D. Socio-economic and intellectual
background.
94. Levels of prevention is an important
concept in community health nursing. Which
one among the following nursing activities can
be considered a primary level of prevention?
A. Conducting Adolescent
Reproductive Health (ARH) counseling.
B. Injecting a DMPA to family
planning acceptors
C. Administering medication to TB
patients who came top the clinic.
D. Teaching a stroke victim how to
perform active and passive exercise.
95. The health model that describes level of
health or illness of an individual of group based
on the dynamic relationship among three
variables: the client, the environment and
factors leading to illness. This model of health
and illness is:
A. Agent-Host-Environment Model
B. High level illness
C. Health promotion
D. Health Belief
Situation 20. Many changes in the department
of health happened since 1901. In 1975, The
DOH national Health Plan reviewed the health
system.
96. What was implemented after the
restructuring of the DOH?
A. Philippine Heart Center of Asia.
B. Alma Ata Restructuring of WHO.
C. Tertiary Hospitals
D. Restructured Health Care
delivery system
97. What was there devolution?
A. To bring services near people
B. To empower local politician
C. To become self reliant
D. To stop funding from national
funds
98. Dr. Winslow defines public health as science
and art of preventing diseases. What is the art
in public health?
A. Leadership skills of the Nurse
B. Organizing people to participate.
C. Creativity in making health
programs.
D. Team building in group work
99. Harlon stresses that public health is
dedicated to common attainment of highest
level of physical health, mental and social well-
being. What is the concise definition?
A. Emotional quotient
B. Total well-being
C. Focus on physical fitness
D. Fragmented Health
100. In community health, assessment of the
client requires multi-disciplinary approach.
Who is the team leader of the group?
A. Nursing students
B. Doctor
C. Trained hilot
D. Nurse