Name: ___________________________________________ _________

Date: _____________

Score:

Direction: Choose the correct answer. Write your answer in capital letters. Strictly NO ERASURES.
1. The WHO held a meeting in this place where primary health care was discussed. What is this place? a. Alma Ata b. Geneva 2. In the Philippine Health Care Delivery System, the secondary level of health service is provided by the: a. Regional Medical Centers b. District Hospitals 3. Which of the following is the diagnostic test for H-fever? a. Rumpel leads test b. Nocturnal blood exam 4. In doing a tourniquet test, how many petechiae would be considered positive? a. 20 b. 30 5. Tina, 3 year old came to the RHU due to unresponsiveness to antibiotics. She showed her strawberry tongue. Which among the following syndrome is her diagnosis? a. Nagasaki fever b. Kawasaki fever 6. Treatment of leptospirosis is symptomatic but this drug is prescribed at 200 mg orally once a week for prevention. What is the drug of choice? a. Doxycycline b. Chloramphenicol 7. What is the mode of transmission of leptospirosis? a. Open skin contact b. Mosquito bite 8. The public health bag contains which of the following? a. Benedicts solution b. Stethoscope 9. Upon arriving at a clients home, which of the following will the community health nurse do as first step in performing a nursing procedure? a. Open bag, take the linen, spread over work field of area. b. Place the bag on the table or any flat surface lined with paper lining. 10. A traditional plant used to lower the uric acid: a. Pancit pancitan b. Niyog niyogan 11. A traditional plant used to treat diarrhea: a. Bayabas b. Sambong 12. An alternative for mefenamic acid for toothache is: a. Tsaang gubat b. Bawang 13. Used to relieve muscle and joint pain: a. Akapulco b. Yerba Buena 14. Herbal treatment for scabies: a. Ampalaya b. Akapulko 15. What is the immunization that can be given to neonate anytime after birth? a. BCG b. DPT 16. Which of the following tetanus immunization is given to a mother to prevent from a neonatal tetanus and provide 10 years protection for the mother? a. TT3 b. TT4 17. Neonatal screening program can be conducted as part of primary prevention by subjecting all babies born in the nursery to Otoacoustic Emission testing on the: a. 2nd day of life b. 1st week of life 18. In the community after home delivery who files the birth certificates in the civil registry? a. Social worker b. Midwife 19. What is the most important to check during home visit of the baby after delivery? a. Breastfeeding practices b. Umbilical stump 20. Homemade oresol is composed of: a. Water, sugar, and salt b. Water and little sugar 21. What type of immunoglobulin is passed to the baby during breastfeeding? a. IgG b. IgA 22. In prevention of tooth decay what will you instruct to a mother of a 5 years old to use? a. Flouride solution b. Potassium chloride 23. What would you include in your health teaching in iodine deficiency? a. Eat beans b. Eat sea foods, and vegetables 24. The first international conference on Primary Health Care was held in: a. Switzerland b. USSR 25. It is effective for asthma, cough and dysentery: a. Sambong b. Lagundi 26. Its seeds are taken 2 hours after supper to expel round worms, which can cause ascariasis: a. Akapulko b. Niyog niyogan 27. It is effectively used for mild non-insulin dependent diabetes mellitus:

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a. Bawang b. Ampalaya 28. It is an anti-edema, diuretic, and antiurolithiasis: a. Sambong b. Tsaang gubat 29. What is the major cause of maternal deaths? a. Infection b. Hemorrhage 30. The first post partum visit should be done when: a. After 24 hours b. Within 24 hours 31. What is the host of Schistosoma japonicum? a. Mosquitos b. Snails 32. The drug of choice for Schistosomiasis is: a. Hetrazan b. Praziquantel 33. The nutrition month is: a. June b. July 34. The cancer consciousness week is celebrated during the month of: a. January b. February 35. Monthly Breast Self Examination can help in early detection of breast cancer. When do you perform BSE? a. Once a month after menstruation b. Once a month before menstruation 36. Xeropthalmia is characterized by: a. Tunnel vision b. Night blindness 37. Which of the following diseases results from niacin deficiency? a. Pellagra b. Beri-beri 38. Pregnant womean are advised to take multivitamins during pregnancy. Folic acid is most important during the: a. First trimester b. Third trimester 39. World AIDS Day is celebrated every: a. December 1 b. March 8 40. The following two vaccines are easily damaged by heat but not destroyed by freezing: a. DPT and BCG b. Polio and Measles vaccine 41. A family planning method that may be advised for women whose lives may be endangered by another pregnancy is: a. Vasectomy b. Tubal ligation 42. You should see to it that measles vaccine is administered as follows: a. 0.5 ml intramuscularly b. 0.5 ml subcutaneously 43. The habitual occurrence of a disease, which indicates low number of both immunes and susceptible is referred to as: a. Endemic

b. Epidemic 44. When disease occurs occasionally, its occurrence is known as: a. Pandemic b. Sporadic 45. With the use of the diaphragm, the nurse can tell if the client understands the discussion when she states, After intercourse, a diaphragm must be left in place for a. 1 to 2 hours b. 6 to 8 hours 46. The main symptom of gonorrhea in male is: a. Scrotal pain b. Urethral discharge 47. Case finding of schistosomiasis is done through: a. Stool collection and examination b. Nocturnal blood examination 48. What TB drug is not given to children under age 6 who are too young to report visual disturbances? a. Rifampicin b. Ethambutol 49. Case finding of TB by the DOH uses primarily which diagnostic tests: a. Chest x-ray and sputum exam b. Sputum exam and tuberculin test 50. A Chinese remedy that involves massaging and application of pressure on strategic areas of the body to relieves ailments. a. Accupuncture b. Accupressure 51. How many scissors are in the public health bag? a. 2 b. 3 52. In the CHN process, the nurse categorizes the clients problems as health deficit, health threat or foreseeable crisis. Which of the following can be categorized as a health threat? a. Smoking history b. Hypertension 53. Which of the following is the last step in a home visit? a. Record all important data, observations and care rendered b. Make appointment for the next visit 54. The Expanded Program on Immunization was launched by the DOH to promote health and protect infants, newborns and young children who are susceptible to childhood diseases. Immunization is contraindicated in which of the following children? a. JR, 11 weeks old, with diarrhea, due to receive his second OPV vaccine. b. Carla, 1 day old, born to a mother with HIV, scheduled to receive the BCG vaccine. 55. A married couple came to the rural health unit to consult regarding family planning. The couple has decided to

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undergo a vasectomy. Which statement regarding vasectomy is false? a. The man will need to go to the rural health unit annually for a check-up b. The patient will be uncomfortable due to slight pain and swelling 2-3 days after the procedure. 56. The standard routine immunization scheduled for infants adopted to provide maximum immunity against the seven vaccine-preventable diseases before a childs first birthday. During an EPI session at the health center, one child was immunized with a Hepatitis B vaccine for the first time. The childs mother asked when they should return for the second dose. What is the correct response? a. The next dose will be given after 8 weeks. b. The next dose will be given after 6 weeks. 57. All sick children must be assessed for malnutrition and anemia. Because the child may not have specific complaints indicating malnutrition or anemia, the childs family may not notice the problem. A child with edema of both feet, no visible severe wasting and some palmar pallor is classified as: a. Severe Malnutrition b. Very Low Weight 58. The IMCI was established as a means to improve the delivery of comprehensive and essential health package to children. A 1-year old child was brought to the health center looking restless and is eagerly drinking. Which of the following should be done? a. Insert an IV line and administer NSS via IVF. b. Give ORS at health center over a 4hour period. 59. In IMCI, the mothers of all sick children are asked if their child has an ear problem. If the mother says that the child has no ear problem, what should you do next? a. Move on and check for malnutrition and anemia b. Look to see and verify that the child has no ear problem. 60. Smoking is the most common risk factor present in the non-communicable diseases. This harmful ingredient contained in cigarettes and cigarette smoke decreases the oxygen-carrying capacity of the blood: a. Carbon monoxide b. Nicotine 61. The National Tuberculosis Control Program envisions a country where TB is no longer a health problem. One strategy of the program is to enhance the quality of TB diagnosis. What is the primary diagnostic tool in National Tuberculosis Control Program case finding?

a. Direct Sputum Smear Microscopy b. PPD skin test 62. You received a 10-year old patient diagnosed with dengue hemorrhagic fever. When you assessed him, he had a cold clammy skin, a BP of 80/60 and a weak pulse. Based on these assessment findings, you would say that the child is in what grade of severity of the disease? a. Grade II b. Grade III 63. Syphilis is a sexually transmitted infection that affects various systems in the human body. In the governments effort to prevent and control syphilis infection, the nurses most important role is as: a. Researcher b. Educator 64. Rabies is an acute viral encephalomyelitis caused by the rhabdovirus. It is fatal once signs and symptoms appear. Which of the following is the pathognomonic sign of rabies infection? a. Hydrophobia b. Rash resembling a bite mark 65. One negative result of HIV screening may not necessarily mean that the person is not infected. The person may only be in a window period. The confirmatory test for HIV diagnosis is: a. ELISA b. Western blot 66. Hepatitis B is considered to be the most serious classification of Hepatitis due to the possibility of severe complications such as massive liver damage and hepatocarcinoma of the liver. Which of the following is least likely to contract a Hepatitis B infection? a. LJ, a 26-year old call center agent who donates blood at the Philippine National Red Cross every 6 months b. Kate, a 32-year old bedside nurse at a hospital catering to patients with infectious illnesses. 67. What is the APGAR score of newborn who has heart rate of 125, with lusty cry, extremities slightly flexed, grimaces when slapped at the sole of the feel, and with acrocyanosis? a. 7 b. 8 68. Amenorrhea in pregnancy occurs due to the rising levels of: a. Progesterone b. Estrogen 69. Before giving Vitamin K injection to a neonate, you first explained the purpose of the medication to the mother. The mother demonstrates understanding of the teaching when she verbalizes: a. My baby does not have the normal bacteria in his intestines to produce this vitamin.

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b. My babys liver is not yet producing enough of this vitamin immediately after birth. 70. Which of these describes stridor? a. A shrill high sound heard during inspiration b. Fine, short, high-pitched crackling sounds heard on inspiration 71. Which of the following is NOT expected in a patient suspected to have dengue? a. Rose-colored spots on the trunk. b. Decreased platelets. 72. Mrs. Lazaro has been admitted after suffering a motorcycle accident. The nurse is assessing her pulse pressure. His blood pressure reading is 140/102. Her radial pulse is 80 while her apical pulse is 88. Which of the following is the correct pulse pressure? a. 38 b. 8 73. The bodys thermostat which responds to changes in body temperature and regulates it accordingly is/are the: a. Thalamus b. Hypothalamus 74. As part of your health teachings, you advised the mother of a child with Epidemic Parotitis regarding his diet, which food should be served? a. Soft diet b. Full diet 75. The student nurse is assisting in administering immunization at a health center. She understands that an immunization will provide: a. Naturally Acquired Active Immunity b. Artificially Acquired Active Immunity 76. A PHN is conducting an educational session with community members regarding TB. The nurse tells the group that one of the first symptoms associated with TB is: a. A bloody productive cough b. A cough with expectoration of mucoid sputum 77. A client who is Human immunodeficiency virus positive has had a mantoux skin test. The nurse notes 7 mm area of indurations at the site of skin test. The nurse interprets the result as: a. Positive b Negative 78. The causative agent oh Hansens Disease is a mycobacterium leprae, an acid fast rod shaped bacillus, which can be detected by: a. Slit skin smear b. Skin biopsy 79. Re-heat store food before eating. The recommended re-heating temperature for leftover food should be: a. At least 50 degrees b. At least 70 degrees 80. Which of the following is not considered part of the four major non-communicable diseases: a. Chronic Obstructive Pulmonary Disease b. Glaucoma

81. The prevention of tetanus neonatorum can be achieved through: a. Immunizing the newborn b. Increasing tetanus immunization coverage of women in child bearing age 82. Which of the following is false about Dengue Hemorrhagic Fever? a. Increased incidence is related to poor environmental sanitation b. Transmitted through the bite of a night biting Aedis Aegypti 83. Aiza suddenly had an episode of epistaxis. Which of the following is a correct management of epistaxis? a. Applying a nasal pack moistened with epinephrine on the site b. Tilting the head backward to control bleeding 84. A 7 year old public school student was brought to the emergency room complaining of 7 days stepladder fever accompanied by abdominal diarrhea. With the presented signs and symptoms of the patient, what will be your most likely diagnosis? a. Dengue Fever b. Typhoid Fever 85. A 24 year old student was jogging in J.P Sision Street when a stray dog suddenly bit him on his left ankle. What will be your initial nursing intervention on this case? a. Wash the dogbite area with soap and rinse with free flowing water b. Perform the skin tests of both antitetanus and anti-rabies 86. Which of the following body fluids most easily transmits human immunodeficiency virus? a. Blood and semen b. Breast milk and tears 87. KERNIGS SIGN Is described as an: a. Involuntary flexion of the knees when head is flexed while patient is supine b. Involuntary flexion of the kneed when leg is extended while patient is supine 88. A form of drama in which learners spontaneously act out roles in an interaction involving problems or challenges in human relations. a. Simulation b. Role Playing 89. The nurse had been instructing a client regarding identifying and elleviating the risk factors associated with colon cancer. The nurse recognizes that the client has a good understanding of the means to reduce the chances of colon cancer when he states, a. I will have an annual chest x-ray. b. I will include more fresh fruits and vegetables in my diet. 90. This is an important procedure of the nurse during home visits. a. Protection of the PH bag b. Handwashing

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91. German Measles is also known as: a. Rubeola b. Rubella 92. Vitamin B1 is also known as: a. Biotin b. Thiamine 93. Vitamin B2 is also known as: a. Riboflavin b. Calciferol 94. Vitamin B3 is also known as: a. Niacin b. Tocopherol 95. Vitamin B6 is also known as: a. Pyridoxine b. Retinol 96. Vitamin known to prevent scurvy is: a. Vitamin A b. Vitamin C 97. The vitamin that is necessary for the proper clotting of the blood is: a. Vitamin d b. Vitamin K 98. Who is the City Health Officer of San Fernando City? _________________________________ 99. Who is the Midwife of this barangay? ______________________________________ 100. Who is the secretary of health? ______________________________________

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