COMMUNITY HEALTH NURSING

AND
COMMUNICABLE DISEASES
PRE-BOARD TEST

NAME: _____________________________________ BSN ________ SEC. _____________

Instructions: Strictly “No Erasures” or your answer will be void. Each question below contains 4 or more responses.
Select the best response/responses to each question. Each question with a statement “Select all that
implies” entitles you to give several answers that are correct. One incorrect answer considered wrong.

1. A nurse is working in the community assumes different roles. When the nurse acts as a community organizer, she does
which of the following functions? Select all that implies.
a. Motivate and enhance community participation when planning and implementing health programs and
services.
b. Develops family’s capability to take care of a sick member.
c. Identifies needs, priorities and problems of individuals, families and community.
d. Participates in community development activities.
e. Coordinates with government and nongovernmental organization in the implementation of research and
studies.
2. In terms of CHN practice, the nurse in the community is trained as:
a. Nurse-midwife c. Generalist in nursing
b. Practice nursing d. Midwife
3. The following are requirements and qualifications of regional nurse supervisor. Select all that implies:
a. BSN, RN
b. With at least 10 years experience in CHN
c. With MAN major in CHN
d. With 2 years experience in supervisory position
4. The following are mission of the DOH except?
a. Ensure accessibility c. Health of all Filipinos
b. Quality of Health Care d. Quality of life of all Filipinos.
5. The vision of DOH is:
a. Health for all Filipinos
b. Health for all Filipinos in the year 2004
c. Health in the hands of the people
d. Health care that is Globally Competitive
6. The basic principles to achieve improvement in health include all but:
a. Universal access to basic services must be ensured
b. The health and nutrition of vulnerable groups must be prioritized.
c. The epidemiological shift from infection to degenerative disease must be managed.
d. The health personnel need not play a very strong role in health maintenance if people education is enhanced.
7. Which of the following is not a primary strategy to achieve health goals?
a. Support of local health system
b. Development of national standard for health.
c. Assurance of health care for all
d. Funding from non-government organizations.
8. Which of the following is the mission of the DOH
a. Promote healthy lifestyle
b. Ensure accessibility and quality of health care.
c. Reduce morbidity and mortality
d. Improve the general status of the people.
9. Which of the following statements describes the DOH vision?
a. Ensure accessibility c. Improve quality of life
b. Quality of health care d. health for all Filipinos
10. The following are primary strategies to achieve health goals: Select all that implies
a. Assurance of health care
b. Development of national standards and objectives for health.
c. Support for local health system development
d. Health care that is Globally Competitive
e. Increasing investment for Primary Health Care
f. Improve the general status of the people.
11. The diseases today which are largely man-made such as poor sanitation, poor garbage collection, air pollution,
smoking, and utilization of chemicals is refer to as:
a. Political c. Health Care Delivery System
b. Behavior d. Environment
12. One of the several factor in the co-system which affect level of functioning that include people empowerment, increase
of crimes and lack of safety in streets, which are major concern of society is also known as:
a. Socio-economic c. Hereditary
b. Environment d. Political
13. Intersectoral linkages refers to:
a. Coordination among government and nongovernment agencies in providing health services to people.
b. Effective referral system among the different units of DOH
c. Discouraging outside help to encourage self reliance among the community members.
d. Linking the people to the services provided by the government.
14. Which defines maternal mortality rate correctly? Select all that implies.
a. Death of women from causes related to pregnancy.
b. Main indicator of women’s health status.
c. Death from pregnancy related causes within 42 days after termination of pregnancy.
d. Most common causes is infection: The most common cause is Hemorrhage
 15. The DOH National objective for health does not include:
a. Increasing fertility rate.
b. Reducing infant and mortality rate.
c. Increasing life expectancy.
d. Reducing maternal mortality rate.
16. The DOH provides health care services to the people in line which of the following levels of prevention?
a. Tertiary level c. Secondary level
b. All 3 levels of prevention d. Primary level
17. Which are not considered as primary level of prevention? Select all that implies.
a. Case finding, cataract screening, and sputum microscopy.
b. EPI, and one year Vitamin A supplementation
c. Stream clearing and stream seeding
d. TB FDC therapy and Diarrhea ORT
18. In the Phil. Health Care Delivery System, the secondary level of health services is provided by the:
a. Regional Medical Centers c. Provincial Hospital
b. Rural Health Units d. Puericulture Centers
19. One of your objectives in formulating your community health plan based on the problem of malnourished children in
the community, the appropriate activities to achieve goals should answer the questions of which of the following?
a. Who among the staff will be responsible?
b. What resources will be needed to solve this problem?
c. What proportion of the children is undernourished?
d. Why are many children undernourished?
20. In order to gain support of the community, the nurse underscores the importance of community participation which are
the following, EXCEPT:
a. It encourages dependence on the health workers and representative of other government agencies.
b. It gives the feeling of ownership in the community.
c. It provides the community the opportunity to assume responsibility and leadership.
d. It creates awareness and interests.
21. A step in organizing the community that nurse will do in order to have an overview of the demographic characteristics
of the community health related services is through:
a. Form core group c. Integrate with the people
b. Community profiling d. Area selection
22. DOTS is a comprehensive strategy to detect and cure TB patients. The primary elements of DOTS is?
a. Treatment partner counsel & observe patients swallow each anti-TB drugs and monitor progress until cures.
b. Regular drug supply.
c. Political will in terms of manpower and funding.
d. Regular Sputum follow-up microscopy.
23. In TB control program, DOH has specific objectives in the prevention of the said disease focusing on the under-five
children. This program include:
a. Sputum collection and examination c. EPI for BCG vaccination
b. Tuberculin skin testing d. Maternal and Child Care
24. The source of infection in PTB is through which of the following?
a. Contamination of used utensils of patients. b. Direct contact with infected person.
c. Crowded living patterns d. Sexual intercourse
25. Regimen I of the TB treatment includes the following patients EXCEPT:
a. New sputum (+) TB patients
b. Smear (-) sputum with extensive parenchyma involvement
c. Serious ill extra pulmonary TB patients
d. Previously treated patients classified as Failure and Relapse
26. Which of the following statement is the Primary preventive measure for TB?
a. Provide outreach services c. Make available medical Laboratory
b. BCG vaccination to the under-five d. Educate public in TB prevention and control.
27. Level 1 approved type of water facility is:
a. Communal faucet c. Water work system or individual house connection
b. Point source d. Electric operated deep well
28. Which of the following is level 1 approved type of sanitary toilet facility? Select all that implies:
a. Water sealed
b. Pit latrines, with water and soap
c. Flushed type, with ventilation, lavatory, water and soap
d. Water carriage type, with ventilation, water and soap
29. One best instrument the nurse can use in data gathering about the behavior, home environment
conditions and communication pattern of the family is through:
a. Use of questionnaires c. Interview
b. Observation d. Review of records
30. When rendering prenatal care, the nurse uses this as a guide in the identification of the factors and
danger signs during pregnancy of the patient and records the findings during the visit. This tool is
known as:
a. Individual treatment record c. Target Client List
b. HBMR d. Growth Monitoring Chart
31. Which PD provided for compulsory basic immunization for infants and children below 8-years-old?
a. PD NO. 46 c. PD NO. 996
b. PD NO. 6 D. PD NO. 4
32. Which Proclamation implemented a united nation goal on universal child immunization?
a. PD NO. 46 c. PD NO. 996
b. PD NO. 6 d. PD NO. 4
33. Which proclamation declared “Ligtas Digtas Month” and launching Phil. Measles Elimination
Campaign?
a. PD NO. 46 c. PD NO. 996
 b. PD NO. 6 d. PD NO. 4
34. Which PD reaffirming the commitment to the universal child and mother immunization goal?
a. PD NO. 46 b. PD NO. 996 c. PD NO. 6 d. PD NO. 4
35. Hepatitis Vaccine is injected intramuscularly in a dose of 0.5 ml, at what age it is injected using the new
guidelines of DOH? Select all that implies.
a. At birth thru 7 days old, then at 6 weeks of age, and at 14 weeks.
b. At birth, then at 6 weeks, and at 12 weeks.
c. At 6 weeks, then at 10 weeks, and at 14 weeks.
d. At 6 weeks, then 12 weeks, and after 6 months.
36. Measles Vaccine is injected subcutaneously in a dose of 0.5 ml, at what age this vaccine should be injected?
a. One-year c. 1 ½ -years
b. Nine-months d. Six-months
37. What immunization should be injected to the child before reaching one-year?
a. Measles Vaccine c. OPV
b. DPT Vaccine d. BCG Vaccine
38. What immunization can be injected to neonate anytime at birth? Select all that implies.
a. OPV c. Hepa B Vaccine
b. BCG d. Vitamin K
39. Tetanus Vaccine is a:
a. Bacterial weakened toxin c. Plasma derived
b. Live attenuated Tetanus Bacilli d. Killed Bacteria
40. Which of the following Tetanus Toxoid immunization when given to a mother provide 10-years immunity?
a. TT 2 b. TT 3 c. TT 4 d. TT 5
41. It is utilized in the extensive case management of diarrhea to reduce mortality rate in children?
a. Oral Rehydration Solution c. Home Base Fluid
b. Oral Rehydration Therapy d. All of the above
42. What is the primary prevention for CDD advocates by DOH that is effective and affordable?
a. Fluid replacement c. Breastfeeding
b. Measles Immunization d. Vitamin A supplementation
43. The nurse is assigned in a barrio where there is no Botika. What will you give to a dehydrated infant who
is having diarrhea to prevent further dehydration?
a. Give “am” every hour c. Pounded guava leaves every hour
b. Give cola to drink d. Give milk as usual and dilute formula if bottle feeding.
44. A pregnant woman came to the health center for consultation. Unfortunately the Physician was attending
seminar. She tells you that she is 12 weeks pregnant and has bleeding. What would be your best nursing intervention?
a. Check vital signs c. Accompany her to the nearest Hospital
b. Advice to go to the nearest Lying-in clinic d. Give medication to control bleeding.
45. Maternal Mortality Rate is the number of the maternal deaths per 1,000 live births in a specific year.
Which of the following is the correct formula for MMR?
a. No. of deaths due to maternal causes X1000
No. of fetal deaths of same year
b. Total no. of deaths from maternal cause registered for a given year X 1000
Total no. of live births registered of same years.
c. Total no. of deaths under one year of age_________ X 1000
Total no. of registered births of same calendar year
d. Total no. of deaths from maternal causes_______ X 1000
Total no. of live births registered of same years
46. Which of the following tools is provided to newborns where vital information related to child growth
and development is recorded?
a. Early Childhood Chart Development
b. Home-based Mothers Records
c. Metro Manila Development screening
d. Growth Monitoring Card
47. Irish is 20 year 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 pre natal check up
c. Do you have any obstetrician?
d. Are you going to practice family planning?
48. Which programs broadens content on women’s health and safe motherhood?
a. Reproductive health
b. Family planning program of the Philippines
c. Material and child health nursing
d. Maternity programs
49. A child with pneumonia is classified as having very severe disease and should be referred
Urgently to the hospital, if the child manifest which of the following?
a. Not able to drink b. Fast breathing
c. Severe chest in-drawing d. Stridor or wheezing
50. Manny is assigned as the new community health nurse. Upon entrance to the society, Manny should:
a. Courtesy call to the Barangay captain b. Conduct community assembly
c. Identify the presence of the community d. Encourage community participation
51. A 5 month-old pregnant mother should visit the health center for prenatal check up every;
a. Once a week b. Twice a month
c. Once a month d. Every 2 months
52. What would you include in your health teaching in iodine deficiency?
a. Eat sea foods and vegetables b. Eat beans
c. Eat meat and vegetables d. Eat sweet potatoes
53. Which of the following program address the nutrition needs of children?
a. Operation Timbang b. Tubig kobeta oresol
 c. Araw ng sangkap pinoy (ASAP) d. Growth monitoring and promotion

54. Epidemiology can be defined as the study of:

a. The etiology of disease in human
b. The frequency of causes of death in human
c.The determinants of frequency of disease in human.
d. The distribution and determination of frequency of disease in humans
55. The occurrence of a group of illnesses of similar nature at a rate above the expected number is called:
a. Hyper endemic b. Epidemic c. Endemic d. Pandemic
56. The time interval between entry of an infectious agent into a host and the onset of symptoms is called:
a. the communicable period c. the pre infectious period
b. the incubation period d. the non contagious period
57. Chickenpox is associated with:
a. a high fatality rate c. Congenital malformation in 10% offspring infected mothers
b. a high re-infection rate d. Reye syndrome
58. Which of the following bacteria is the most causes of Bacterial Meningitis in children 3months-6 years of age?
a. Streptococcus pneumoniae c. Haemophilus Influenzae type B
b. Excherichia coli K1 d. Neisseria Meningitidis
59. The bacteria that are involved in nosocomial infections are transmitted most often by:
a. direct contact via hand c. Fomites
b. airborne matter d. Exposure to a common cause
60. Which is the most common site of nosocomial infection?
a. Surgical wound c. Gastrointestinal tract
b. Respiratory tract d. Urinary tract
61. Which of the following is the major cause of skin cancer due to occupational exposure?
a. Arsenic c. Coal tar
b. Ultraviolet light d. Radium and roentgen rays
62. Prevention and control of infection in a hospital setting include all the following except:
a. Retrospective surveillance of nosocomial infection of patients.
b. Isolation of patients with communicable diseases
c. Employment of practitioners of Infection Control
d. Investigation of epidemic and endemic infections
63. Passive immunization is the major means of prevention of which of the following diseases?
a. Influenza b. German Measles c. Mumps d. Viral Hepatitis type A
64. Tetanus toxoid is to be given to pregnant mothers. Which immunization gives a 10 years
protection for the mother and 99% protection against neonatal tetanus to infants born from them?
a. TT2 b. TT3 c. TT4 d. TT5
65. In the immunization schedule, when is the BCG vaccine given?
a. At birth or anytime after birth b. Anytime when mother requests
c. At nine month together with measles d. At 6 weeks together with DPT
66. The Polio vaccine is given orally, by drops, for which reason?
a. It is a project of Rotary international b. It is only a one dose vaccine
c. It is prepared in liquid form d. Infant is just six weeks old
67. The following statement refers to the objective of EPI?
a. Reduce the morbidity among infants and children b. To reduce morbidity among children
c. To reduce mortality among children d. To reduce maternal mortality
68. All are elements of reproductive health except;
a. violence against men b. Prevention and treatment of infection and sexual disorders
c. Family planning d. Prevention and treatment of STD
69. Which of the following is given to the pregnant women?
a. Chloroquine b. Iodized salt
c. Iron d. All of the above
70. What is the major cause of maternal death?
a. Infection b. Prolonged labor
c. Hemorrhage d. Retained placenta
71. How much Vitamin A should be given to 6-11 months old infants who are experiencing vitamin A deficiency?
a. 200,000 IU b. 100,000 IU c. 400.000 IU d. 50,000 IU
72. The name for a comprehensive strategy which primary health services around the world is using to detect and cure TB
Patients:
a. National TB Program b. Direct Observe Treatment Short Course (DOTS)
c. Center for Communicable Diseases d. International TB Control Organization
73. Infant mortality rate measures the risk of dying during the first year of life. What is the formula of IMR?
a. Total no. fetal deaths registered in a given calendar year X 1000
Total no. of livebirths registered of same year
b. Total no. of deaths under 1 year of age registered in a given calendar year X 1,000
Total no. of registered livebirths of same calendar year
c. Total no. of livebirths registered in a given calendar year X 1000
Estimated population as July 1 of same year
d. No. of deaths under 28 days of age registered in a given calendar year X 1000
No. of livebirths registered of same year
74. It is concerned with the study of factors that influence the occurrence and distribution of diseases, defects disability or
deaths, This is:
a. Epidemiology b. Statistics
c. Public Health d. Community Health Nursing
75. Teacher Cruz is explaining about the rate which shows the relationship between a vital event and those persons exposed
to the occurrence of said event, within s given area and during a specified unit of time. What measures the frequency
of occurrence of the phenomenon during given period of time?
a. Incidence Rate b. Prevalence rate c. Attack rate d. Attack rate
76. According to a survey, there is an increase incidence of leprosy and prevalence of Schistosomiasis in Palawan
Province. Incidence rate means?
a. New cases b. Old and new cases c. Old cases d. Outbreak
77. To formulate community health diagnosis, you will assess not only relevant data on community characteristics but also
environmental characteristics, which of the following pertains to environmental characteristics? Select all that implies.
1. Language, religion, political orientation
2. Occupation, unemployment status, poverty level
3. Air, water or noise pollution
4. Vegetation, sanitation
78. The following two vaccines are easily damaged by heat but not destroyed by freezing;
a. DPT and BCG b. BCG and Hepatitis B
c. Tetanus toxoid and BCG d. Polio and measles vaccine
79. All of the following immunizing agents come in liquid form;
a. BCG, Measles, OPV, TT b. DPT, OPV, Measles, TT
c. Hepa B, TT, Polio, OPV d. BCG, Hepa B, TT, Polio
80. You should see to it that measles vaccine is administered as follows:
a. 0.1 ml intradermally b. 0.5 ml intramuscularly
c. 0.5 ml subcutaneously d. two drops orall
81. The estimate of the past and present occurrence of disease in a given locality is referred to as:
a. Prevalence rate b. Incidence rate
c. Case fatality rate d. Swaroop`s index
82. It helps the nurse to explain the cause of health conditions that occur in the community:
a. Vital statistics b. Demography
c. Epidemiology d. Multiple causation theory
83. When the nurse is studying a disease occurring in the community according to the number of
People affected and how often it attacks, she utilizes the principles of:
a. Descriptive epidemiology b. Analytical epidemiology
c. Experimental epidemiology d. Evaluation epidemiology
84. The habitual occurrence of a disease which indicates low number of both immunes & susceptible is referred to as:
a. Endemic b. Herd immunity c. Epidemic d. Sporadic
85. When disease occurs occasionally, its occurrence is known as;
a. Endemic b. Pandemic c. Epidemic d. Sporadic
86. The most significant cause of blindness is;
a. Cataract b. Glaucoma c. Congenital rubella d. Vitamin A deficiency
87. If you are asked about the advantage of intrauterine device (IUD), you will explain that these are The following except;
a. Does not interfere with intercourse
b. Is very effective and inexpensive
c. Does not interfere with the flow of milk and mother can continue breastfeeding
d. None of these
88. A planning method that may be advised for women whose lives may be endangered by another pregnancy is;
a. Vasectomy b. Intrauterine device c. Pills d. Tubal ligation
89. A couple with 14 children asked you about vasectomy, Which of the following will you not include in your discussion
about this method?
a. Sterility is immediate b. Does not affect spontaneity of sexual intercourse
c. The man still ejaculate seminal fluid d. It is a permanent method
90. Edna is 40 years old, Gr. V. Para IV. She is 5 feet and 2 inches tall, 98 lbs and is a heavy smoker. She has normal
menstrual period. You tell her that the use of pills cannot be recommended because; Select all that implies:
a. She is 40 years old c. She weighs only 98 lbs
b. She is a heavy smoker d. Her menstrual periods are heavy
91. What TB drugs is not given to a patient who has been pregnant at the time of treatment.
a. Rifampicin c. Ethambutol
b. Pyrazinamdide d. Streptomycin
92. The four management functions of PHN are:
a. Planning, organizing, directing, controlling. c. Supervising, teaching, evaluating, planning.
b. Manager, role model, advocate, teacher. d. Supervisor, change agent, technical, therapeutic
93. The standard procedure in identifying patients who are PTB symptomatic is to:
a. Examine for sputum smear microscopy b. Request for chest X-ray
c. Request for sputum culture d. Request for Tubercullin testing
94. Guideline no.2 in the nutritional Guidelines for Filipinos is intended to promote exclusives Breastfeeding:
a. From birth to 4-6 months b. From birth to 2 year or longer
c. From birth up to one year only d. From birth to 5 years
95. Vitamin A supplementation is needed to prevent Xeropthalmia; What is the usual dose of vitamin A in children in
international units?
a. 400,000 b. 100,000 c. 200,000 d. 500,000
96. The following are goals of RH except;
a. Every pregnancy should be intended b. Every birth should be healthy
c. All married couple should used artificial contraceptive d. Achieved a desired family size
97. In the international framework of RH, the focus is on;
a. Past 40 years age group b. Women’s health
c. Displaced people with RH problems d. Barren couple
98. Which of the following is not an element of RH?
a. Prevention and management of diseases b. Violence against women
c. Self-employed d. Men’s reproductive health
99. In the Philippines, the focus of RH is on:
a. Men and women b. Men only c. Women only d. Women and children
100. At what age of the child should the 7 EPI immunizable diseases be scheduled to provide immunity to the child?
a. At 2 years old b. At 8 months
c. Before child’s first birthday d. After the child’s first birthday