COMMUNITY HEALTH NURSING EXAMINATION PART I
The condition that do not surround its occurrence
By : Budek
http://pinoybsn.blogspot.com
Outline :
I. Epidemiology
II. Vital Statistics
III. FHSIS
IV. COPAR
V. Health Education
SITUATION : Epidemiology and Vital statistics is a very
important tool that a nurse could use in controlling the
spread of disease in the community and at the same time,
surveying the impact of the disease on the population and
prevent it’s future occurrence.
1. It is concerned with the study of factors that influence
the occurrence and distribution of diseases, defects,
disability or death which occurs in groups or aggregation of
individuals.
A. Epidemiology
B. Demographics
C. Vital Statistics
D. Health Statistics
2. Which of the following is the backbone in disease
prevention?
A. Epidemiology
B. Demographics
C. Vital Statistics
D. Health Statistics
3. Which of the following type of research could show how
community expectations can result in the actual provision
of services?
A. Basic Research
B. Operational Research
C. Action Research
D. Applied Research
4. An outbreak of measles has been reported in
Community A. As a nurse, which of the following is your
first action for an Epidemiological investigation?
A. Classify if the outbreak of measles is epidemic or just
sporadic
B. Report the incidence into the RHU
C. Determine the first day when the outbreak occurred
D. Identify if it is the disease which it is reported to be
5. After the epidemiological investigation produced final
conclusions, which of the following is your initial step in
your operational procedure during disease outbreak?
A. Coordinate personnel from Municipal to the National
level
B. Collect pertinent laboratory specimen to confirm disease
causation
C. Immunize nearby communities with Measles
D. Educate the community in future prevention of similar
outbreaks
6. The main concern of a public health nurse is the
prevention of disease, prolonging of life and promoting
physical health and efficiency through which of the
following?
A. Use of epidemiological tools and vital health statistics
B. Determine the spread and occurrence of the disease
C. Political empowerment and Socio Economic Assistance
D. Organized Community Efforts
7. In order to control a disease effectively, which of the
following must first be known?
1. The conditions surrounding its occurrence
2. Factors that do not favor its development
3.
4. Factors that favors its development
A. 1 and 3
B. 1 and 4
C. 2 and 3
D. 2 and 4
8. All of the following are uses of epidemiology except:
A. To study the history of health population and the rise
and fall of disease
B. To diagnose the health of the community and the
condition of the people
C. To provide summary data on health service delivery
D. To identify groups needing special attention
9. Before reporting the fact of presence of an epidemic,
which of the following is of most importance to determine?
A. Are the facts complete?
B. Is the disease real?
C. Is the disease tangible?
D. Is it epidemic or endemic?
10. An unknown epidemic has just been reported in
Barangay Dekbudekbu. People said that affected person
demonstrates hemorrhagic type of fever. You are
designated now to plan for epidemiological investigation.
Arrange the sequence of events in accordance with the
correct outline plan for epidemiological investigation.
1. Report the presence of dengue
2. Summarize data and conclude the final picture of
epidemic
3. Relate the occurrence to the population group, facilities,
food supply and carriers
4. Determine if the disease is factual or real
5. Determine any unusual prevalence of the disease and its
nature; is it epidemic, sporadic, endemic or pandemic?
6. Determine onset and the geographical limitation of the
disease.
A. 4,1,3,5,2,6
B. 4,1,5,6,3,2
C. 5,4,6,2,1,3
D. 5,4,6,1,2,3
E. 1,2,3,4,5,6
11. In the occurrence of SARS and other pandemics, which
of the following is the most vital role of a nurse in
epidemiology?
A. Health promotion
B. Disease prevention
C. Surveillance
D. Casefinding
12. Measles outbreak has been reported in Barangay
Bahay Toro, After conducting an epidemiological
investigation you have confirmed that the outbreak is
factual. You are tasked to lead a team of medical workers
for operational procedure in disease outbreak. Arrange the
correct sequence of events that you must do to effectively
contain the disease
1. Create a final report and recommendation
2. Perform nasopharyngeal swabbing to infected
individuals
3. Perform mass measles immunization to vulnerable
groups
4. Perform an environmental sanitation survey on the
immediate environment
5. Organize your team and Coordinate the personnels
6. Educate the community on disease transmission
A. 1,2,3,4,5,6
B. 6,5,4,3,2,1
C. 5,6,4,2,3,1
D. 5,2,3,4,6,1
13. All of the following are function of Nurse Budek in
epidemiology except
23. Deejay would suspect which disorder?
A. Laboratory Diagnosis
B. Surveillance of disease occurrence A. Trisomy 21
C. Follow up cases and contacts B. Turners Syndrome
D. Refer cases to hospitals if necessary C. Cri Du Chat
E. Isolate cases of communicable disease D. Klinefelters Syndrome

14. All of the following are performed in team organization 24. Deejay could expect which of the following congenital
except anomaly that would accompany this disorder?

A. Orientation and demonstration of methodology to be A. AVSD

employed B. PDA
B. Area assignments of team members C. TOF
C. Check team’s equipments and paraphernalia D. TOGV
D. Active case finding and Surveillance
26. Which presidential decree orders reporting of births
15. Which of the following is the final output of data within 30 days after its occurrence?
reporting in epidemiological operational procedure?
A. 651
A. Recommendation B. 541
B. Evaluation C. 996
C. Final Report D. 825
D. Preliminary report
25. These rates are referred to the total living population, It
16. The office in charge with registering vital facts in the must be presumed that the total population was exposed
Philippines is none other than the to the risk of occurrence of the event.

A. PCSO A. Rate
B PAGCOR B. Ratio
C. DOH C. Crude/General Rates
D. NSO D. Specific Rate

17. The following are possible sources of Data except: 26. These are used to describe the relationship between
two numerical quantities or measures of events without
A. Experience taking particular considerations to the time or place.
B. Census
C. Surveys A. Rate
D. Research B. Ratios
C. Crude/General Rate
18. This refers to systematic study of vital events such as D. Specific Rate
births, illnesses, marriages, divorces and deaths
27. This is the most sensitive index in determining the
A. Epidemiology general health condition of a community since it reflects
B. Demographics the changes in the environment and medical conditions of
C. Vital Statistics a community
D. Health Statistics
A. Crude death rate
19. In case of clerical errors in your birth certificate, Where B. Infant mortality rate
should you go to have it corrected? C. Maternal mortality rate
D. Fetal death rate
A. NSO
B. Court of Appeals 28. According to the WHO, which of the following is the
C. Municipal Trial Court most frequent cause of death in children underfive
D. Local Civil Registrar worldwide in the 2003 WHO Survey?

20. Acasia just gave birth to Lestat, A healthy baby boy. A. Neonatal
Who are going to report the birth of Baby Lestat? B. Pneumonia
C. Diarrhea
A. Nurse D. HIV/AIDS
B. Midwife
C. OB Gyne 29. In the Philippines, what is the most common cause of
D. Birth Attendant death of infants according to the latest survey?

21. In reporting the birth of Baby Lestat, where will he be A. Pneumonia

registered? B. Diarrhea
C. Other perinatal condition
A. At the Local Civil Registrar D. Respiratory condition of fetus and newborn
B. In the National Statistics Office
C. In the City Health Department 30. The major cause of mortality from 1999 up to 2002 in
D. In the Field Health Services and Information System the Philippines are
Main Office
A. Diseases of the heart
22. Deejay, The birth attendant noticed that Lestat has low B. Diseases of the vascular system
set of ears, Micrognathia, Microcephaly and a typical cat C. Pneumonias
like cry. What should Deejay do? D. Tuberculosis

A. Bring Lestat immediately to the nearest hospital
B. Ask his assistant to call the nearby pediatrician
C. Bring Lestat to the nearest pediatric clinic
D. Call a Taxi and together with Acasia, Bring Lestat to the
nearest hospital
31. Alicia, a 9 year old child asked you “ What is the
common cause of death in my age group here in the
Philippines? “ The nurse is correct if he will answer
A. Pneumonia is the top leading cause of death in children
age 5 to 9
B. Malignant neoplasm if common in your age group A. 3.04/1000
C. Probability wise, You might die due to accidents B. 7.18/1000
D. Diseases of the respiratory system is the most common C. 32.82/100
cause of death in children D. 3.04/100

32. In children 1 to 4 years old, which is the most common 40. Determine the Case fatality ratio of rabies in this
cause of death? Barangay

A. Diarrhea A. 1/100
B. Accidents B. 100%
C. Pneumonia C. 1%
D. Diseases of the heart D. 100/1000

33. Working in the community as a PHN for almost 10 41. The following are all functions of the nurse in vital
years, Aida knew the fluctuation in vital statistics. She statistics, which of the following is not?
knew that the most common cause of morbidity among the
Filipinos is A. Consolidate Data
B. Collects Data
A. Diseases of the heart C. Analyze Data
B. Diarrhea D. Tabulate Data
C. Pneumonia
D. Vascular system diseases 42. The following are Notifiable diseases that needs to
have a tally sheet in data reporting, Which one is not?
34. Nurse Aida also knew that most maternal deaths are
caused by A. Hypertension
B. Bronchiolitis
A. Hemorrhage C. Chemical Poisoning
B. Other Complications related to pregnancy occurring in D. Accidents
the course of labor, delivery and puerperium
C. Hypertension complicating pregnancy, childbirth and 43. Which of the following requires reporting within 24
puerperium hours?
D. Abortion
A. Neonatal tetanus
SITUATION : Barangay PinoyBSN has the following data in B. Measles
year 2006 C. Hypertension
D. Tetanus
1. July 1 population : 254,316
2. Livebirths : 2,289 44. Which Act declared that all communicable disease be
3. Deaths from maternal cause : 15 reported to the nearest health station?
4. Death from CVD : 3,029
5. Deaths under 1 year of age : 23 A. 1082
6. Fetal deaths : 8 B. 1891
7. Deaths under 28 days : 8 C. 3573
8. Death due to rabies : 45 D. 6675
9. Registered cases of rabies : 45
10. People with pneumonia : 79 45. In the RHU Team, Which professional is directly
11. People exposed with pneumonia : 2,593 responsible in caring a sick person who is homebound?
12. Total number of deaths from all causes : 10,998
A. Midwife
The following questions refer to these data B. Nurse
C. BHW
35. What is the crude birth rate of Barangay PinoyBSN? D. Physician

A. 90/100,000 46. During epidemics, which of the following

B. 9/100 epidemiological function will you have to perform first?
C. 90/1000
D. 9/1000 A. Teaching the community on disease prevention
B. Assessment on suspected cases
36. What is the cause specific death rate from C. Monitor the condition of people affected
cardiovascular diseases? D. Determining the source and nature of the epidemic

A. 27/100 47. Which of the following is a POINT SOURCE epidemic?

B. 1191/100,000
C. 27/100,000 A. Dengue H.F
D. 1.1/1000 B. Malaria
C. Contaminated Water Source
37. What is the Maternal Mortality rate of this barangay? D. Tuberculosis

A. 6.55/1000 48. All but one is a characteristic of a point source

B. 5.89/1000 epidemic, which one is not?
C. 1.36/1000
D. 3.67/1000 A. The spread of the disease is caused by a common
vehicle
38. What is the fetal death rate? B. The disease is usually caused by contaminated food
C. There is a gradual increase of cases
A. 3.49/1000 D. Epidemic is usually sudden
B. 10.04/1000
C. 3.14/1000 49. The only Microorganism monitored in cases of
D. 3.14/100,000 contaminated water is

39. What is the attack rate of pneumonia? A. Vibrio Cholera

B. Escherichia Coli B. TB cases
C. Entamoeba Histolytica C. Prenatal care
D. Coliform Test D. Diarrhea cases

50. Dengue increase in number during June, July and 59. This is the only mechanism through which data are
August. This pattern is called routinely transmitted from once facility to another

A. Epidemic A. Family treatment record

B. Endemic B. Target Client list
C. Cyclical C. Reporting forms
D. Secular D. Output record

SITUATION : Field health services and information system 60. FHSIS/Q-3 Or the report for environmental health
provides summary data on health service delivery and activities is prepared how frequently?
selected program from the barangay level up to the
national level. As a nurse, you should know the process on A. Daily
how these information became processed and B. Weekly
consolidated. C. Quarterly
D. Yearly
51. All of the following are objectives of FHSIS Except
61. Nurse Budek is preparing the reporting form for weekly
A. To complete the clinical picture of chronic disease and notifiable diseases. He knew that he will code the report
describe their natural history form as
B. To provide standardized, facility level data base which
can be accessed for more in depth studies A. FHSIS/E-1
C. To minimize recording and reporting burden allowing B. FHSIS/E-2
more time for patient care and promotive activities C. FHSIS/E-3
D. To ensure that data reported are useful and accurate D. FHSIS/M-1
and are disseminated in a timely and easy to use fashion
62. In preparing the maternal death report, which of the
52. What is the fundamental block or foundation of the following correctly codes this occurrence?
field health service information system?
A. FHSIS/E-1
A. Family treatment record B. FHSIS/E-2
B. Target Client list C. FHSIS/E-3
C. Reporting forms D. FHSIS/M-1
D. Output record
63. Where should Nurse Budek bring the reporting forms if
53. What is the primary advantage of having a target client he is in the BHU Facility?
list?
A. Rural health office
A. Nurses need not to go back to FTR to monitor treatment B. FHSIS Main office
and services to beneficiaries thus saving time and effort C. Provincial health office
B. Help monitor service rendered to clients in general D. Regional health office
C. Facilitate monitoring and supervision of services
D. Facilitates easier reporting 64. After bringing the reporting forms in the right facility
for processing, Nurse Budek knew that the output reports
54. Which of the following is used to monitor particular are solely produced by what office?
groups that are qualified as eligible to a certain program of
the DOH? A. Rural health office
B. FHSIS Main office
A. Family treatment record C. Provincial health office
B. Target Client list D. Regional health office
C. Reporting forms
D. Output record 65. Mang Raul entered the health center complaining of
fatigue and frequent syncope. You assessed Mang Raul and
55. In using the tally sheet, what is the recommended found out that he is severely malnourished and anemic.
frequency in tallying activities and services? What record should you get first to document these
findings?
A. Daily
B. Weekly A. Family treatment record
C. Monthly B. Target Client list
D. Quarterly C. Reporting forms
D. Output record
56. When is the counting of the tally sheet done?
66. The information about Mang Raul’s address, full name,
A. At the end of the day age, symptoms and diagnosis is recorded in
B. At the end of the week
C. At the end of the month A. Family treatment record
D. At the end of the year B. Target Client list
C. Reporting forms
57. Target client list will be transmitted to the next facility D. Output record
in the form of
67. Another entry is to be made for Mang Raul because he
A. Family treatment record is in the target client’s list, In what TCL should Mang Raul’s
B. Target Client list entry be documented?
C. Reporting forms
D. Output record A. TCL Eligible Population
B. TCL Family Planning
58. All but one of the following are eligible target client list C. TCL Nutrition
D. TCL Pre Natal
A. Leprosy cases
68. The nurse uses the FHSIS Record system incorrectly choose?
when she found out that
A. Miguel Zobel, 50 years old, Rich and Famous
A. She go to the individual or FTR for entry confirmation in B. Rustom, 27 years old, Actor
the Tally/Report Summary C. Mang Ambo, 70, Willing to work for the desired change
B. She refer to other sources for completing monthly and D. Ricky, 30 years old, Influential and Willing to work for
quarterly reports the desired change
C. She records diarrhea in the Tally sheet/Report form with
a code FHSIS/M-1 77. Which type of leadership style should the leaders of the
D. She records a Child who have frequent diarrhea in TCL : community practice?
Under Five
A. Autocratic
69. The BHS Is the lowest level of reporting unit in FHSIS. A B. Democratic
BHS can be considered a reporting unit if all of the C. Laissez Faire
following are met except D. Consultative

A. It renders service to 3 barangays 78. Setting up Committee on Education and Training is in

B. There is a midwife the regularly renders service to the what phase of COPAR?
area
C. The BHS Have no mother BHS A. Preparatory
D. It should be a satellite BHS B. Organizational
C. Education and Training
70. Data submitted to the PHO is processed using what D. Intersectoral Collaboration
type of technology? E. Phase out

A. Internet 79. Community diagnosis is done to come up with a profile

B. Microcomputer of local health situation that will serve as basis of health
C. Supercomputer programs and services. This is done in what phase of
D. Server Interlink Connections COPAR?

SITUATION : Community organizing is a process by which A. Preparatory

people, health services and agencies of the community are B. Organizational
brought together to act and solve their own problems. C. Education and Training
D. Intersectoral Collaboration
71. Mang ambo approaches you for counseling. You are an E. Phase out
effective counselor if you
80. The people named the community health workers
A. Give good advice to Mang Ambo based on the collective decision in accordance with the set
B. Identify Mang Ambo’s problems criteria. Before they can be trained by the Nurse, The
C. Convince Mang Ambo to follow your advice Nurse must first
D. Help Mang Ambo identify his problems
A. Make a lesson plan
72. As a newly appointed PHN instructed to organize B. Set learning goals and objective
Barangay Baritan, Which of the following is your initial step C. Assess their learning needs
in organizing the community for initial action? D. Review materials needed for training

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
73. 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
74. the most important factor in determining the proper
area for community organizing is that this area should
81. Nurse Budek wrote a letter to PCSO asking them for
assistance in their feeding programs for the community’s
nutrition and health projects. PCSO then approved the
request and gave Budek 50,000 Pesos and a truckload of
rice, fruits and vegetables. Which phase of COPAR did
Budek utilized?
A. Preparatory
B. Organizational
C. Education and Training
D. Intersectoral Collaboration
E. Phase out
82. 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. Be already adopted by another organization A. 5 years

B. Be able to finance the projects B. 10 years
C. Have problems and needs assistance C. 1 year
D. Have people with expertise to be developed as leaders D. 6 months

75. Which of the following dwelling place should the Nurse 83. Major discussion in community organization are made
choose when integrating with the people? by

A. A simple house in the border of Barangay Baritan and A. The nurse

San Pablo B. The leaders of each committee
B. A simple house with fencing and gate located in the C. The entire group
center of Barangay Baritan D. Collaborating Agencies
C. A modest dwelling place where people will not hesitate
to enter 84. The nurse should know that Organizational plan best
D. A modest dwelling place where people will not hesitate succeeds when
to enter located in the center of the community
1. People sees its values
76. In choosing a leader in the community during the 2. People think its antagonistic professionally
Organizational phase, Which among these people will you 3. It is incompatible with their personal beliefs
4. It is compatible with their personal beliefs C. 1,3,2
D. 3,1,2
A. 1 and 3
B. 2 and 4 92. The health status of the people is greatly affected and
C. 1 and 2 determined by which of the following?
D. 1 and 4
A. Behavioral factors
85. Nurse Budek made a proposal that people should turn B. Socioeconomic factors
their backyard into small farming lots to plant vegetables C. Political factors
and fruits. He specified that the objective is to save money D. Psychological factors
in buying vegetables and fruits that tend to have a
fluctuating and cyclical price. Which step in Community 93. Nurse Budek is conducting a health teaching to
organizing process did he utilized? Agnesia, 50 year old breast cancer survivor needing
rehabilitative measures. He knows that health education is
A. Fact finding effective when
B. Determination of needs
C. Program formation A. Agnesia recites the procedure and instructions perfectly
D. Education and Interpretation B. Agnesia’s behavior and outlook in life was changed
positively
86. One of the critical steps in COPAR is becoming one with C. Agnesia gave feedback to Budek saying that she
the people and understanding their culture and lifestyle. understood the instruction
Which critical step in COPAR will the Nurse try to immerse D. Agnesia requested a written instruction from Budek
himself in the community?
94. Which of the following is true about health education?
A. Integration
B. Social Mobilization A. It helps people attain their health through the nurse’s
C. Ground Work sole efforts
D. Mobilization B. It should not be flexible
C. It is a fast and mushroom like process
87. The Actual exercise of people power occurs during D. It is a slow and continuous process
when?
95. Which of the following factors least influence the
A. Integration learning readiness of an adult learner?
B. Social Mobilization
C. Ground Work A. The individuals stage of development
D. Mobilization B. Ability to concentrate on information to be learned
C. The individual’s psychosocial adaptation to his illness
88. Which steps in COPAR trains indigenous and informal D. The internal impulses that drive the person to take
leaders? action

A. Ground Work 96. Which of the following is the most important condition
B. Mobilization for diabetic patients to learn how to control their diet?
C. Core Group formation
D. Integration A. Use of pamphlets and other materials during
instructions
89. As a PHN, One of your role is to organize the B. Motivation to be symptom free
community. Nurse Budek knows that the purposes of C. Ability of the patient to understand teaching instruction
community organizing are D. Language used by the nurse

1. Move the community to act on their own problems 97. An important skill that a primigravida has to acquire is
2. Make people aware of their own problems the ability to bathe her newborn baby and clean her breast
3. Enable the nurse to solve the community problems if she decides to breastfeed her baby, Which of the
4. Offer people means of solving their own problems following learning domain will you classify the above
goals?
A. 1,2,3
B. 1,2,3,4 A. Psychomotor
C. 1,2 B. Cognitive
D. 1,2,4 C. Affective
D. Attitudinal
90. This is considered the first act of integrating with the
people. This gives an in depth participation in community 98. When you prepare your teaching plan for a group of
health problems and needs. hypertensive patients, you first formulate your learning
objectives. Which of the following steps in the nursing
A. Residing in the area of assignment process corresponds to the writing of the learning
B. Listing down the name of person to contact for courtesy objectives?
call
C. Gathering initial information about the community A. Planning
D. Preparing Agenda for the first meeting B. Implementing
C. Evaluation
SITUATION : Health education is the process whereby C. Assessment
knowledge, attitude and practice of people are changed to
improve individual, family and community health. 99. Rose, 50 years old and newly diagnosed diabetic
patient must learn how to inject insulin. Which of the
91. Which of the following is the correct sequence in health following physical attribute is not in anyway related to her
education? ability to administer insulin?

1. Information A. Strength
2. Communication B. Coordination
3. Education C. Dexterity
D. Muscle Built
A. 1,2,3
B. 3,2,1 100. Appearance and disposition of clients are best
observed initially during which of the following situation?

A. Taking V/S
B. Interview
C. Implementation of the initial care
D. Actual Physical examination

95-100 are taken from actual board questions,

However the answer key given in the compilation
are incorrect.

A. 1 and 3

B. 1 and 4 13. All of the following are function of Nurse Budek in epidemiology
CORRECT ANSWERS
C. 2 and 3 except

SITUATION : Epidemiology and Vital statistics is a very important D. 2 and 4

tool that a nurse could use in controlling the spread of disease in the A. Laboratory Diagnosis

community and at the same time, surveying the impact of the 8. All of the following are uses of epidemiology except: B. Surveillance of disease occurrence

disease on the population and prevent it’s future occurrence. C. Follow up cases and contacts

A. To study the history of health population and the rise and fall of D. Refer cases to hospitals if necessary

1. It is concerned with the study of factors that influence the disease E. Isolate cases of communicable disease

occurrence and distribution of diseases, defects, disability or death B. To diagnose the health of the community and the condition of the

which occurs in groups or aggregation of individuals. people 14. All of the following are performed in team organization except

C. To provide summary data on health service delivery

A. Epidemiology D. To identify groups needing special attention A. Orientation and demonstration of methodology to be employed

B. Demographics B. Area assignments of team members

C. Vital Statistics 9. Before reporting the fact of presence of an epidemic, which of the C. Check team’s equipments and paraphernalia

D. Health Statistics following is of most importance to determine? D. Active case finding and Surveillance

2. Which of the following is the backbone in disease prevention? A. Are the facts complete? 15. Which of the following is the final output of data reporting in

B. Is the disease real? epidemiological operational procedure?

A. Epidemiology C. Is the disease tangible?

B. Demographics D. Is it epidemic or endemic? A. Recommendation

C. Vital Statistics B. Evaluation

D. Health Statistics 10. An unknown epidemic has just been reported in Barangay C. Final Report

Dekbudekbu. People said that affected person demonstrates D. Preliminary report

3. Which of the following type of research could show how hemorrhagic type of fever. You are designated now to plan for

community expectations can result in the actual provision of epidemiological investigation. Arrange the sequence of events in 16. The office in charge with registering vital facts in

services? accordance with the correct outline plan for epidemiological the Philippines is none other than the

investigation.

A. Basic Research A. PCSO

B. Operational Research 1. Report the presence of dengue B PAGCOR

C. Action Research 2. Summarize data and conclude the final picture of epidemic C. DOH

D. Applied Research 3. Relate the occurrence to the population group, facilities, food D. NSO

supply and carriers

4. An outbreak of measles has been reported in Community A. As a 4. Determine if the disease is factual or real 17. The following are possible sources of Data except:

nurse, which of the following is your first action for an 5. Determine any unusual prevalence of the disease and its nature;

Epidemiological investigation? is it epidemic, sporadic, endemic or pandemic? A. Experience

6. Determine onset and the geographical limitation of the disease. B. Census

A. Classify if the outbreak of measles is epidemic or just sporadic C. Surveys

B. Report the incidence into the RHU A. 4,1,3,5,2,6 D. Research

C. Determine the first day when the outbreak occurred B. 4,1,5,6,3,2

D. Identify if it is the disease which it is reported to be C. 5,4,6,2,1,3 18. This refers to systematic study of vital events such as births,

D. 5,4,6,1,2,3 illnesses, marriages, divorces and deaths

5. After the epidemiological investigation produced final E. 1,2,3,4,5,6

conclusions, which of the following is your initial step in your A. Epidemiology

operational procedure during disease outbreak? 11. In the occurrence of SARS and other pandemics, which of the B. Demographics

following is the most vital role of a nurse in epidemiology? C. Vital Statistics

A. Coordinate personnel from Municipal to the National D. Health Statistics

level A. Health promotion

B. Collect pertinent laboratory specimen to confirm disease B. Disease prevention 19. In case of clerical errors in your birth certificate, Where should

causation C. Surveillance you go to have it corrected?

C. Immunize nearby communities with Measles D. Casefinding

D. Educate the community in future prevention of similar outbreaks A. NSO

12. Measles outbreak has been reported in Barangay Bahay Toro, B. Court of Appeals

6. The main concern of a public health nurse is the prevention of After conducting an epidemiological investigation you have C. Municipal Trial Court

disease, prolonging of life and promoting physical health and confirmed that the outbreak is factual. You are tasked to lead a D. Local Civil Registrar

efficiency through which of the following? team of medical workers for operational procedure in disease

outbreak. Arrange the correct sequence of events that you must do 20. Acasia just gave birth to Lestat, A healthy baby boy. Who are

A. Use of epidemiological tools and vital health statistics to effectively contain the disease going to report the birth of Baby Lestat?

B. Determine the spread and occurrence of the disease

C. Political empowerment and Socio Economic Assistance 1. Create a final report and recommendation A. Nurse

D. Organized Community Efforts 2. Perform nasopharyngeal swabbing to infected individuals B. Midwife

3. Perform mass measles immunization to vulnerable groups C. OB Gyne

7. In order to control a disease effectively, which of the following 4. Perform an environmental sanitation survey on the immediate D. Birth Attendant

must first be known? environment

5. Organize your team and Coordinate the personnels 21. In reporting the birth of Baby Lestat, where will he be

1. The conditions surrounding its occurrence 6. Educate the community on disease transmission registered?

2. Factors that do not favor its development

3. The condition that do not surround its occurrence A. 1,2,3,4,5,6 A. At the Local Civil Registrar

4. Factors that favors its development B. 6,5,4,3,2,1 B. In the National Statistics Office

C. 5,6,4,2,3,1 C. In the City Health Department

D. 5,2,3,4,6,1 D. In the Field Health Services and Information System Main Office
 B. Diseases of the vascular system A. 3.49/1000

22. Deejay, The birth attendant noticed that Lestat has low set of C. Pneumonias B. 10.04/1000

ears, Micrognathia, Microcephaly and a typical cat like cry. What D. Tuberculosis C. 3.14/1000

should Deejay do? D. 3.14/100,000

31. Alicia, a 9 year old child asked you “ What is the common cause

A. Bring Lestat immediately to the nearest hospital of death in my age group here in the Philippines? “ The nurse is 39. What is the attack rate of pneumonia?

B. Ask his assistant to call the nearby pediatrician correct if he will answer

C. Bring Lestat to the nearest pediatric clinic A. 3.04/1000

D. Call a Taxi and together with Acasia, Bring Lestat to the A. Pneumonia is the top leading cause of death in children age 5 to B. 7.18/1000

nearest hospital 9 C. 32.82/100

B. Malignant neoplasm if common in your age group D. 3.04/100

23. Deejay would suspect which disorder? C. Probability wise, You might die due to accidents

D. Diseases of the respiratory system is the most common cause of 40. Determine the Case fatality ratio of rabies in this Barangay

A. Trisomy 21 death in children

B. Turners Syndrome A. 1/100

C. Cri Du Chat 32. In children 1 to 4 years old, which is the most common cause of B. 100%

D. Klinefelters Syndrome death? C. 1%

D. 100/1000

24. Deejay could expect which of the following congenital anomaly A. Diarrhea

that would accompany this disorder? B. Accidents 41. The following are all functions of the nurse in vital statistics,

C. Pneumonia which of the following is not?

A. AVSD D. Diseases of the heart

B. PDA A. Consolidate Data

C. TOF 33. Working in the community as a PHN for almost 10 years, Aida B. Collects Data

D. TOGV knew the fluctuation in vital statistics. She knew that the most C. Analyze Data

common cause of morbidity among the Filipinos is D. Tabulate Data

26. Which presidential decree orders reporting of births within 30

days after its occurrence? A. Diseases of the heart 42. The following are Notifiable diseases that needs to have a tally

B. Diarrhea sheet in data reporting, Which one is not?

A. 651 C. Pneumonia

B. 541 D. Vascular system diseases A. Hypertension

C. 996 B. Bronchiolitis

D. 825 34. Nurse Aida also knew that most maternal deaths are caused by C. Chemical Poisoning

D. Accidents

25. These rates are referred to the total living population, It must be A. Hemorrhage

presumed that the total population was exposed to the risk of B. Other Complications related to pregnancy occurring in the 43. Which of the following requires reporting within 24 hours?

occurrence of the event. course of labor, delivery and puerperium

C. Hypertension complicating pregnancy, childbirth and puerperium A. Neonatal tetanus

A. Rate D. Abortion B. Measles

B. Ratio C. Hypertension

C. Crude/General Rates SITUATION : Barangay PinoyBSN has the following data in year D. Tetanus

D. Specific Rate 2006

44. Which Act declared that all communicable disease be reported

26. These are used to describe the relationship between two 1. July 1 population : 254,316 to the nearest health station?

numerical quantities or measures of events without taking particular 2. Livebirths : 2,289

considerations to the time or place. 3. Deaths from maternal cause : 15 A. 1082

4. Death from CVD : 3,029 B. 1891

A. Rate 5. Deaths under 1 year of age : 23 C. 3573

B. Ratios 6. Fetal deaths : 8 D. 6675

C. Crude/General Rate 7. Deaths under 28 days : 8

D. Specific Rate 8. Death due to rabies : 45 45. In the RHU Team, Which professional is directly responsible in

9. Registered cases of rabies : 45 caring a sick person who is homebound?

27. This is the most sensitive index in determining the general 10. People with pneumonia : 79

health condition of a community since it reflects the changes in the 11. People exposed with pneumonia : 2,593 A. Midwife

environment and medical conditions of a community 12. Total number of deaths from all causes : 10,998 B. Nurse

C. BHW

A. Crude death rate The following questions refer to these data D. Physician

B. Infant mortality rate

C. Maternal mortality rate 35. What is the crude birth rate of Barangay PinoyBSN? 46. During epidemics, which of the following epidemiological

D. Fetal death rate function will you have to perform first?

A. 90/100,000

28. According to the WHO, which of the following is the most B. 9/100 A. Teaching the community on disease prevention

frequent cause of death in children underfive worldwide in the 2003 C. 90/1000 B. Assessment on suspected cases

WHO Survey? D. 9/1000 C. Monitor the condition of people affected

D. Determining the source and nature of the epidemic

A. Neonatal 36. What is the cause specific death rate from cardiovascular

B. Pneumonia diseases? 47. Which of the following is a POINT SOURCE epidemic?

C. Diarrhea

D. HIV/AIDS A. 27/100 A. Dengue H.F

B. 1191/100,000 B. Malaria

29. In the Philippines, what is the most common cause of death of C. 27/100,000 C. Contaminated Water Source

infants according to the latest survey? D. 1.1/1000 D. Tuberculosis

A. Pneumonia 37. What is the Maternal Mortality rate of this barangay? 48. All but one is a characteristic of a point source epidemic, which

B. Diarrhea one is not?

C. Other perinatal condition A. 6.55/1000

D. Respiratory condition of fetus and newborn B. 5.89/1000 A. The spread of the disease is caused by a common vehicle

C. 1.36/1000 B. The disease is usually caused by contaminated food

30. The major cause of mortality from 1999 up to 2002 in D. 3.67/1000 C. There is a gradual increase of cases

the Philippines are D. Epidemic is usually sudden

38. What is the fetal death rate?

A. Diseases of the heart 49. The only Microorganism monitored in cases of contaminated
water is B. TB cases

C. Prenatal care A. She go to the individual or FTR for entry confirmation in the

A. Vibrio Cholera D. Diarrhea cases Tally/Report Summary

B. Escherichia Coli B. She refer to other sources for completing monthly and

C. Entamoeba Histolytica 59. This is the only mechanism through which data are routinely quarterly reports

D. Coliform Test transmitted from once facility to another C. She records diarrhea in the Tally sheet/Report form with a code

FHSIS/M-1

50. Dengue increase in number during June, July and August. This A. Family treatment record D. She records a Child who have frequent diarrhea in TCL : Under

pattern is called B. Target Client list Five

C. Reporting forms

A. Epidemic D. Output record 69. The BHS Is the lowest level of reporting unit in FHSIS. A BHS can

B. Endemic be considered a reporting unit if all of the following are met except

C. Cyclical 60. FHSIS/Q-3 Or the report for environmental health activities is

D. Secular prepared how frequently? A. It renders service to 3 barangays

B. There is a midwife the regularly renders service to the area

SITUATION : Field health services and information system provides A. Daily C. The BHS Have no mother BHS

summary data on health service delivery and selected program from B. Weekly D. It should be a satellite BHS

the barangay level up to the national level. As a nurse, you should C. Quarterly

know the process on how these information became processed and D. Yearly 70. Data submitted to the PHO is processed using what type of

consolidated. technology?

61. Nurse Budek is preparing the reporting form for weekly

51. All of the following are objectives of FHSIS Except notifiable diseases. He knew that he will code the report form as A. Internet

B. Microcomputer

A. To complete the clinical picture of chronic disease and A. FHSIS/E-1 C. Supercomputer

describe their natural history B. FHSIS/E-2 D. Server Interlink Connections

B. To provide standardized, facility level data base which can be C. FHSIS/E-3

accessed for more in depth studies D. FHSIS/M-1 SITUATION : Community organizing is a process by which people,

C. To minimize recording and reporting burden allowing more time health services and agencies of the community are brought together

for patient care and promotive activities 62. In preparing the maternal death report, which of the following to act and solve their own problems.

D. To ensure that data reported are useful and accurate and are correctly codes this occurrence?

disseminated in a timely and easy to use fashion 71. Mang ambo approaches you for counseling. You are an effective

A. FHSIS/E-1 counselor if you

52. What is the fundamental block or foundation of the field health B. FHSIS/E-2

service information system? C. FHSIS/E-3 A. Give good advice to Mang Ambo

D. FHSIS/M-1 B. Identify Mang Ambo’s problems

A. Family treatment record C. Convince Mang Ambo to follow your advice

B. Target Client list 63. Where should Nurse Budek bring the reporting forms if he is in D. Help Mang Ambo identify his problems

C. Reporting forms the BHU Facility?

D. Output record 72. As a newly appointed PHN instructed to organize Barangay

A. Rural health office Baritan, Which of the following is your initial step in organizing the

53. What is the primary advantage of having a target client list? B. FHSIS Main office community for initial action?

C. Provincial health office

A. Nurses need not to go back to FTR to monitor treatment D. Regional health office A. Study the Barangay Health statistics and records

and services to beneficiaries thus saving time and effort B. Make a courtesy call to the Barangay Captain

B. Help monitor service rendered to clients in general 64. After bringing the reporting forms in the right facility for C. Meet with the Barangay Captain to make plans

C. Facilitate monitoring and supervision of services processing, Nurse Budek knew that the output reports are solely D. Make a courtesy call to the Municipal Mayor

D. Facilitates easier reporting produced by what office?

73. Preparatory phase is the first phase in organizing the

54. Which of the following is used to monitor particular groups that A. Rural health office community. Which of the following is the initial step in the

are qualified as eligible to a certain program of the DOH? B. FHSIS Main office preparatory phase?

C. Provincial health office

A. Family treatment record D. Regional health office A. Area selection

B. Target Client list B. Community profiling

C. Reporting forms 65. Mang Raul entered the health center complaining of fatigue and C. Entry in the community

D. Output record frequent syncope. You assessed Mang Raul and found out that he is D. Integration with the people

severely malnourished and anemic. What record should you get first

55. In using the tally sheet, what is the recommended frequency in to document these findings? 74. the most important factor in determining the proper area for

tallying activities and services? community organizing is that this area should

A. Family treatment record

A. Daily B. Target Client list A. Be already adopted by another organization

B. Weekly C. Reporting forms B. Be able to finance the projects

C. Monthly D. Output record C. Have problems and needs assistance

D. Quarterly D. Have people with expertise to be developed as leaders

66. The information about Mang Raul’s address, full name, age,

56. When is the counting of the tally sheet done? symptoms and diagnosis is recorded in 75. Which of the following dwelling place should the Nurse choose

when integrating with the people?

A. At the end of the day A. Family treatment record

B. At the end of the week B. Target Client list A. A simple house in the border of Barangay Baritan and San Pablo

C. At the end of the month C. Reporting forms B. A simple house with fencing and gate located in the center of

D. At the end of the year D. Output record Barangay Baritan

C. A modest dwelling place where people will not hesitate to enter

57. Target client list will be transmitted to the next facility in the 67. Another entry is to be made for Mang Raul because he is in the D. A modest dwelling place where people will not hesitate to

form of target client’s list, In what TCL should Mang Raul’s entry be enter located in the center of the community

documented?

A. Family treatment record 76. In choosing a leader in the community during the Organizational

B. Target Client list A. TCL Eligible Population phase, Which among these people will you choose?

C. Reporting forms B. TCL Family Planning

D. Output record C. TCL Nutrition A. Miguel Zobel, 50 years old, Rich and Famous

D. TCL Pre Natal B. Rustom, 27 years old, Actor

58. All but one of the following are eligible target client list C. Mang Ambo, 70, Willing to work for the desired change

68. The nurse uses the FHSIS Record system incorrectly when she D. Ricky, 30 years old, Influential and Willing to work for the

A. Leprosy cases found out that desired change

 step in Community organizing process did he utilized? B. Agnesia’s behavior and outlook in life was changed

77. Which type of leadership style should the leaders of the positively

community practice? A. Fact finding C. Agnesia gave feedback to Budek saying that she understood the

B. Determination of needs instruction

A. Autocratic C. Program formation D. Agnesia requested a written instruction from Budek

B. Democratic D. Education and Interpretation

C. Laissez Faire 94. Which of the following is true about health education?

D. Consultative 86. One of the critical steps in COPAR is becoming one with the

people and understanding their culture and lifestyle. Which critical A. It helps people attain their health through the nurse’s sole efforts

78. Setting up Committee on Education and Training is in what step in COPAR will the Nurse try to immerse himself in the B. It should not be flexible

phase of COPAR? community? C. It is a fast and mushroom like process

D. It is a slow and continuous process

A. Preparatory A. Integration

B. Organizational B. Social Mobilization 95. Which of the following factors least influence the learning

C. Education and Training C. Ground Work readiness of an adult learner?

D. Intersectoral Collaboration D. Mobilization

E. Phase out A. The individuals stage of development

87. The Actual exercise of people power occurs during when? B. Ability to concentrate on information to be learned

79. Community diagnosis is done to come up with a profile of local C. The individual’s psychosocial adaptation to his illness

health situation that will serve as basis of health programs and A. Integration D. The internal impulses that drive the person to take action

services. This is done in what phase of COPAR? B. Social Mobilization

C. Ground Work 96. Which of the following is the most important condition for

A. Preparatory D. Mobilization diabetic patients to learn how to control their diet?

B. Organizational

C. Education and Training 88. Which steps in COPAR trains indigenous and informal leaders? A. Use of pamphlets and other materials during instructions

D. Intersectoral Collaboration B. Motivation to be symptom free

E. Phase out A. Ground Work C. Ability of the patient to understand teaching instruction

B. Mobilization D. Language used by the nurse

80. The people named the community health workers based on the C. Core Group formation

collective decision in accordance with the set criteria. Before they D. Integration 97. An important skill that a primigravida has to acquire is the ability

can be trained by the Nurse, The Nurse must first to bathe her newborn baby and clean her breast if she decides to

89. As a PHN, One of your role is to organize the community. Nurse breastfeed her baby, Which of the following learning domain will you

A. Make a lesson plan Budek knows that the purposes of community organizing are classify the above goals?

B. Set learning goals and objective

C. Assess their learning needs 1. Move the community to act on their own problems A. Psychomotor

D. Review materials needed for training 2. Make people aware of their own problems B. Cognitive

3. Enable the nurse to solve the community problems C. Affective

81. Nurse Budek wrote a letter to PCSO asking them for assistance 4. Offer people means of solving their own problems D. Attitudinal

in their feeding programs for the community’s nutrition and health

projects. PCSO then approved the request and gave Budek 50,000 A. 1,2,3 98. When you prepare your teaching plan for a group of

Pesos and a truckload of rice, fruits and vegetables. Which phase of B. 1,2,3,4 hypertensive patients, you first formulate your learning objectives.

COPAR did Budek utilized? C. 1,2 Which of the following steps in the nursing process corresponds to

D. 1,2,4 the writing of the learning objectives?

A. Preparatory

B. Organizational 90. This is considered the first act of integrating with the people. A. Planning

C. Education and Training This gives an in depth participation in community health problems B. Implementing

D. Intersectoral Collaboration and needs. C. Evaluation

E. Phase out C. Assessment

A. Residing in the area of assignment

82. Ideally, How many years should the Nurse stay in the B. Listing down the name of person to contact for courtesy call 99. Rose, 50 years old and newly diagnosed diabetic patient must

community before he can phase out and be assured of a Self Reliant C. Gathering initial information about the community learn how to inject insulin. Which of the following physical attribute

community? D. Preparing Agenda for the first meeting is not in anyway related to her ability to administer insulin?

A. 5 years SITUATION : Health education is the process whereby knowledge, A. Strength

B. 10 years attitude and practice of people are changed to improve individual, B. Coordination

C. 1 year family and community health. C. Dexterity

D. 6 months D. Muscle Built

91. Which of the following is the correct sequence in health

83. Major discussion in community organization are made by education? 100. Appearance and disposition of clients are best observed

initially during which of the following situation?

A. The nurse 1. Information

B. The leaders of each committee 2. Communication A. Taking V/S

C. The entire group 3. Education B. Interview

D. Collaborating Agencies C. Implementation of the initial care

A. 1,2,3 D. Actual Physical examination

84. The nurse should know that Organizational plan best succeeds B. 3,2,1

when C. 1,3,2

D. 3,1,2

1. People sees its values

2. People think its antagonistic professionally 92. The health status of the people is greatly affected and

3. It is incompatible with their personal beliefs determined by which of the following?

4. It is compatible with their personal beliefs

A. Behavioral factors

A. 1 and 3 B. Socioeconomic factors

B. 2 and 4 C. Political factors

C. 1 and 2 D. Psychological factors

D. 1 and 4

93. Nurse Budek is conducting a health teaching to Agnesia, 50 year

85. Nurse Budek made a proposal that people should turn their old breast cancer survivor needing rehabilitative measures. He

backyard into small farming lots to plant vegetables and fruits. He knows that health education is effective when

specified that the objective is to save money in buying vegetables

and fruits that tend to have a fluctuating and cyclical price. Which A. Agnesia recites the procedure and instructions perfectly