Community Health Nursing NCLEX Questions

10/7/21, 9:26 AM Community Health Nursing NCLEX Questions Flashcards | Quizlet
Science / Medicine / Public Health
Community Health Nursing NCLEX Questions

Terms in this set (51)
Which is the primary goal of Answer: (B)

community health nursing?
A. To support and supplement the

efforts of the medical profession in
the promotion of health and
prevention of
B. To enhance the capacity of

individuals, families and communities
to cope with their health needs
C. To increase the productivity of the

people by providing them with
services that will increase their level of
health
D. To contribute to national
development through promotion of
family welfare, focusing particularly on
mothers and children
CHN (Community Health Nursing) is a Answer: (B)
community-based practice. Which
best explains this statement?

Community-based practice means providing care to people in
their own natural environments: the home, school and
A. The service is provided in the workplace, for example.
natural environment of people
B. The nurse has to conduct

community diagnosis to determine
nursing needs and problems
C. The service are based on the

available resources within the
community
D. Priority setting is based on the

magnitude of the health problems
identified
https://quizlet.com/274501777/community-health-nursing-nclex-questions-flash-cards/ 1/18
Population- focused nursing practice Answer: (C)
requires which of the following
processes?
Population-focused nursing care means providing care based
on the greater need of the majority of the population. The
A. Community organizing .
greater need is identified through community diagnosis.
B. Nursing, process
C. Community diagnosis
D. Epidemiologic process
RA 1054 is also known as the Answer: (B)
Occupational Health Act. Aside from Based on R.A. 1054, an occupational nurse must be employed
the number of employees, what other when there are 30 to 100 employees and the workplace is
factor must be considered in more than 1 km. away from the nearest health center.
determining the occupational health
privileges to which the workers will be
entitled?
A. Type of occupation,: agriculture,

commercial, industrial
B. Location of the workplace in

relation to health facilities
C. Classification of the business

enterprise based on net profit
D. Sex and age composition of

employees
A business firm must employ an Answer: (B)
occupational health nurse when it has Based on R.A. 1054, an occupational nurse must be employed
at least how many employees.
when there are 30 to 100 employees and the workplace is
more than 1 km. away from the nearest health center.
A. 21
B. 101
C. 201
D. 301
"Public health services are given free Answer: (B)
of charge". Is this statement true or Community health services, including public health services,
false?
are prepaid paid services, through taxation, for example.
A. The statement is true; it is the

responsibility of government to
provide haste services
B. The statement is false; people pay

indirectly for public health services
C. The statement may be true or false;

depending on the Specific service
required
D. The statement may be true or false;

depending on policies of the
government concerned.
According to C.E. Winslow, which of Answer: (A)
the following is the goal of Public According to Winslow, all public health efforts are for people
Health?
to realize their birthrights of health and longevity.
A. For people to attain their birthrights

of health and longevity
B. For promotion of health and

prevention and diseases
C. For people to have access to basic

health services
D. For people to be organized in their

health efforts
Which of the following is the most Answer: (D)
prominent feature of public health The catchment area in PHN consists of a residential
nursing? community, many of whom are well individuals who have
greater need for preventive rather than curative services.
A. It involves providing home care to
sick people who are not confined in
the hospital
B. Services are provided free of

charge to people within the
catchment area
C. The public health nurse functions as

part of a team providing a public
health nursing service
D. Public health nursing focuses on

preventive, not curative services
Which of the following is the mission Answer: (B)

of the Department of Health?
A. Health for all Filipinos
B. Ensure the accessibility and quality

of health
C. Improve the general health status

of the population
D. Health in the hands of the Filipino

people by the year 2020
D. Appropriateness
You are a new B.S.N. graduate. You Answer: (D)
want to become a Public Health R.A. 7160 devolved basic health services to local government
Nurse. Where will you apply?
units (LGU's). The public health nurse is an employee of the
LGU.
A. Department of Health
B. Provincial Health Office
C. Regional Health Office
D. Rural Health Unit
One of the participants in a hilot Answer: (C)
training class asked you to whom she
should refer a patient in labor who A public health nurse and rural health midwife can provide
develops a complication. You will care during normal childbirth. A physician should attend to a
answer, to the;
woman with a complication during labor.
A. Public health nurse
B. Rural health midwife
C. Municipal health officer (Physician)
D. Any of these health professionals
As an epidemiologist, the nurse is Answer: (A)
responsible for reporting cases or
notifiable diseases. What law Act 3573, the Law on Reporting of Communicable Diseases,
mandates reporting cases of enacted in 1929, mandated the reporting of diseases listed in
notifiable diseases?
the law to the nearest health station.
A. Act 3573
B. RA.3753
C. RA 1054
D. RA 1082
According to Freeman and Heinrich, Answer: (B)
community health nursing is a
developmental service. Which of the The community health nurse develops the health capability of
following best illustrates this people through health education and community organizing
statement?
activities.
A. The community health nurse

continuously develops himself
personally and professionally
B. Health education and community

organizing are necessary in providing
community health services
C. Community health nursing in

intended primarily for health
promotion and prevention and
treatment of disease.
D. The goal of community health

nursing is to provide nursing services
to people in their own place of
Community
.residence Health Nursing NCLEX Questions
The public health nurse takes an active Answer: (D)
role in community participation. What Community organizing is a developmental service, with the
is the primary goal of community goal of developing the people's self-reliance in dealing with
organizing?
community health problems. A, B and C are objectives of
contributory objectives to this goal.
A. To educate the people regarding
community health problems
B. To mobilize the people to resolve

community health problems
C. To maximize the community's

resources in dealing with health
problems
An indicator of success in community Answer: (A)
organizing is when people are able to:

Participation in community activities in resolving a community
problem may be in any of the processes mentioned in the
A. Participate in community activities other choices.
for the solution of a community
problem
B. Implement activities for the solution

of the community problem
C. Plan activities for the solution of the

community problem
D. Identify the health problem as a
common concern
Tertiary prevention is needed in which Answer: (D)
stage of the natural history of disease? Tertiary prevention involves rehabilitation, prevention of
permanent disability and disability limitation appropriate for
A. Pre-pathogenesis
convalescents, the disabled, complicated cases and the
B. Pathogenesis
terminally ill (those in the terminal stage of a disease)
C. Predromal
D. Terminal
Isolation of a child with measles Answer: (A)
belongs to what level of prevention?

The purpose of isolating a client with a communicable disease
is to protect those who are not sick (specific disease
A. Primary
prevention).
B. Secondary
C. Intermediate
D. Tertiary
Which type of family-nurse contact Answer: (C)
will provide you with the best Dynamics of family relationships can best be observed in the
opportunity to observe family family's natural environment, which is the home.
dynamics?
A. Clinic consultation
B. Group conferences
C. Home visit
D. Written communication
Which of the following is an Answer: (B)
advantage of a home visit?

Choice A is not correct since a home visit requires that the

A. It allows the nurse to provide nurse spend so much time with the family. Choice C is an
nursing care to a greater number of advantage of a group conference, while choice D is true of a
people
clinic consultation.
B. It provides an opportunity to do
first hand appraisal of the home
situation
C. It allows sharing of experience

among people with similar health
problems
D. It develops the family's initiative in

providing for health needs of its
members
Which is CONTRARY to the principles Answer: (C)
in planning a home visit?

The home visit plan should be flexible and practical,
depending on factors, such as the family's needs and the
A. A home visit should have a purpose resources available to the nurse and the family.
of objective
B. The plan should revolve around the

family health .needs
C. A home visit should be conducted

in the manner prescribed by RHU
D. Planning of continuing care should

involve a responsible-family member
Which of the following is a function of Answer: (D)
epidemiology?
Epidemiology is used in the assessment of a community or
evaluation of interventions in community health practice.
A. Identifying the disease condition
based on manifestations presented by
a client
B. Determining factors that

contributed to the occurrence of
pneumonia in a 3 year old
C. Determining the efficacy of the

antibiotic used in the treatment of the
3 year old client with pneumonia
D. Evaluating the effectiveness of the

implementation of the Integrated
Management of Childhood Illness
Which of the following is an Answer: (C)
epidemiologic function of the nurse
during an epidemic?
Epidemiology is the study of patterns of occurrence and
distribution of disease in the community, as well as the factors
A Conducting assessment of that affect disease patterns. The purpose of an epidemiologic
suspected cases to detect the investigation is to identify the source of an epidemic, i.e., what
communicable diseases
brought about the epidemic.
B. Monitoring the condition of the
cases affected by the communicable
disease
C. Participating in the investigation to

determine the source of epidemic
D. Teaching the community on

preventive measures against the
disease
In the year 1980, the World Health Answer: (C)
Organization declared the Philippines,
together with some other countries in The last documented case of Smallpox was in 1977 at Somalia.
the Western Pacific Region, "free" of
which disease?
A. Pneumonic plaque
B. Poliomyelitis
C. Small pox
Community
D. Anthrax Health Nursing NCLEX Questions
Primary health care is a total approach Answer: (D)
to community development. Which of Primary health care is essential health care that can be
the following is an indicator of success sustained in all stages of development of the community.
in the use of the primary health care
approach?
A. Health services are provided free

of charge to individuals and families
B. Local officials are empowered as

the major decision makers in matters
of health
C. Health workers are able too

provide care based on identified
health needs of the people
D. Health programs are sustained

according to the level of development
of the community
Sputum examination is the major Answer: (D)
screening tool for pulmonary Sensitivity is the capacity of a diagnostic examination to detect
tuberculosis. Clients would sometimes cases of the disease. If a test is 100% sensitive, all the cases
get false negative results in this exam. tested will have a positive result, i.e., there will be no false
This means that the test is not perfect negative results
in terms of which characteristic of a
diagnostic examination?
A. Effectiveness
B. Efficacy
C. Specificity
D. Sensitivity
In traditional Chinese medicine, the Answer: (A)
yielding, negative and feminine force Yang is the male dominating, positive and masculine force.
is termed:
A. Yin
B. Yang
C. Qi
D. Chai
Which of the following women should Answer: (D)
be considered as special targets for The ideal birth spacing is at least two years. 15 months plus 9
family planning?
months of pregnancy = 2 years.
A. Those who have two children or
more
B. Those with medical conditions such

as anemia
C. Those younger than 20 years and

older than 35 years
D. Those who just had a delivery within

the past 15 months
Which immunization produces a Answer: (B)
permanent scar?
BCG (Bacillus Calmette-Guérin) causes the formation of a
superficial abscess, which begins 2 weeks after immunization.
A. DPT (Diphtheria, Pertussis, Tetanus)
The abscess heals without treatment, with the formation of a
B. BCG (Bacillus Calmette-Guérin)
permanent scar. BCG Immunity or protection against
C. Measles vaccination
tuberculosis (TB). The vaccine may be given to persons at high
D. Hepatitis B vaccination risk of developing TB
What is the best course of action Answer: (A)
when there is a measles epidemic in a
nearby municipality?
Ordinarily, measles vaccine is given at 9 months of age. During
an impending epidemic, however, one dose may be given to
A. Give measles vaccine to babies babies aged 6 to 8 months. The mother is instructed that the
aged 6 to 3 months
baby needs another dose when the baby is 9 months old.
B. Give babies aged 6 to 11 months
one dose of 100,000 IU of Retinol
C. Instruct mother to keep their babies

at home to prevent disease
transmission
D. Instruct mothers to feed their

babies adequately to enhance their
babies resistance
A mother brought her 10 month old Answer: (B)
infant for consultation because of
fever which started 4 days prior to Because malaria is endemic, the first question to determine
consultation. To determine malaria malaria risk is where the client's family resides. If the area of
risk, what will you do?
residence is not a known endemic area, ask if the child had
traveled within the past 6 months, where he/she was brought
A. Do a tourniquet test
and whether he/she stayed overnight in that area.
B. Ask where the family resides
C. Get a specimen for blood smear
D. Ask if the fever is present everyday
The following are strategies Answer: (B)
implemented by the DOH to prevent
mosquito-borne diseases. Which of Aedes aegypti, the vector of Dengue fever, breeds in stagnant,
these is most effective in the control clear water. Its feeding time is usually during the daytime. It has
of Dengue fever?
a cyclical pattern of occurrence, unlike malaria which is
endemic in certain parts of the country.
A. Stream seeding with larva-eating
fish
B. Destroying breeding places of

mosquitoes
C. Chemoprophylaxis of non-immune
persons going to endemic areas
D. Teaching people in endemic areas

to use chemically treated mosquito
nets
Secondary prevention for malaria Answer: (C)
includes?
This is diagnostic and therefore secondary level prevention.
The other choices are for primary prevention.
A. Planting of neem or eucalyptus
trees
B. Residual spraying of insecticides at

night
C. Determining whether a place is

endemic or not
D. Growing larva-eating fish in

mosquito breeding places
Which of the following signs indicates Answer: (C)
the need for sputum examination for A client is considered a PTB (Pulmonary Tuberculosis) suspect
AFB (Acid Fast Bacillus)?
when he has cough for 2 weeks or more, plus one or more of
the following signs: fever for 1 month or more; chest pain
A. Hematemesis
lasting for 2 weeks or more not attributed to other conditions;
B. Fever for 1 week
progressive, unexplained weight loss; night sweats; and
C. Cough for 3 weeks
hemoptysis
D. Chest pain for 1 week
Which clients are considered targets Answer: (D)
for DOTS (Directly Observed
Treatment Short-course) category?

Category I is for new clients diagnosed by sputum examination
and clients diagnosed to have a serious form of
A. Sputum negative cavitary cases
extrapulmonary tuberculosis, such as TB osteomyelitis.
B. Clients returning after default
C. Relapses and failures of previous

PTB treatment regimens
D. Clients diagnosed for the first time

through a positive sputum exam
To improve compliance to treatment, Answer: (B)
what innovation is being implemented
in DOTS (Directly Observed Treatment Directly Observed Treatment Short Course is so-called
Short-Course)?
because a treatment partner, preferably a health worker
accessible to the client, monitors the client's compliance to the
A. Having the health worker follow up treatment.
the client at home
B. Having the health worker or a

responsible family member monitor
drug intake
C. Having the patient come to the
health center every month to get his
medications
D. Having a target list to check on

whether the patient has collected his
monthly supply of drugs
For prevention of Hepatitis A, you Answer: (A)
decided to conduct health education
activities. Which of the following is Hepatitis A is transmitted through the fecal oral route. Hepatitis
Irrelevant?
B is transmitted through infected body secretions like blood
and semen.
A. Use of sterile syringes and needles
B. Safe food preparation and food

handling by vendors
C. Proper disposal of human excreta

and personal hygiene
D. Immediate reporting of water pipe

leaks and illegal water connections
Among the following diseases, which Answer: (D)
is airborne?
Viral conjunctivitis is transmitted by direct or indirect contact
with discharges from infected eyes. Acute poliomyelitis is
A. Viral conjunctivitis
spread through the fecal-oral route and contact with throat
B. Acute poliomyelitis
secretions, whereas diphtheria is through direct and indirect
C. Diphtheria
contact with respiratory secretions.
D. Measles
Among children aged 2 months to 3 Answer: (A)
years, the most prevalent form of
meningitis is caused by which Hemophilus meningitis is unusual over the age of 5 years. In
microorganism?
developing countries, the peak incidence is in children less
than 6 months of age. Morbillivirus is the etiology of measles.
A. Hemophilus Influenzae
Streptococcus pneumoniae and Neisseria meningitidis may
B. Morbillivirus
cause meningitis, but age distribution is not specific in young
C. Streptococcus Pneumoniae
children.
D. Neisseria meningitides
Mosquito-borne diseases are Answer: (C)
prevented mostly with the use of
mosquito control measures. Which of Anopheles mosquitoes breed in slow-moving, clear water,
the following is NOT appropriate for such as mountain streams.
malaria control?
A. Use of chemically treated mosquito

nets
B. Seeding of breeding places with

larva-eating fish
C. Destruction of breeding places of

the mosquito vector
D. Use of mosquito-repelling soaps,

such as those with basil or citronella
A 32 year old client came for Answer: (D)
consultation at the health center with
the chief complaint of fever for a A bacterial disease spread through the urine of infected
week. Accompanying symptoms were animals. Leptospirosis is transmitted through contact with the
muscle pains and body malaise. A skin or mucous membrane with water or moist soil
week after the start of fever, the client contaminated with urine of infected animals, like rats.
noted yellowish discoloration of his
sclera. History showed that he waded
in flood waters about 2 weeks before
the onset of symptoms. Based on this
history/ which disease condition will
you suspect?
A. Hepatitis A
B. Hepatitis B
C. Tetanus
D. Leptospirosis
You are the PHN in the city health Answer: (D)
center. A client underwent screening
for AIDS using ELISA. His result was A client having a reactive ELISA result must undergo a more
positive. What is the best course of specific test, such as Western blot. A negative supplementary
action that you may take?
test result means that the ELISA result was false and that, most
probably, the client is not infected.
A. Get a thorough history of the client,
focusing on the practice of high risk
behavior
B. Ask the client to be accompanied

by a significant person before
revealing the result.
C. Refer the client to the physician

since he is the best person to reveal
the result to the client
D. Refer the client for a supplementary

test, such as Western blot, since the
ELISA result maybe false
Which is the BEST control measure for Answer: (A)
AIDS?

Sexual fidelity rules out the possibility of getting the disease

A. Being faithful to a single sexual by sexual contact with another infected person. Transmission
partner
occurs mostly through sexual intercourse and exposure to
B. Using a condom during each sexual blood or tissues.
contact
C. Avoiding sexual contact with

commercial sex workers
D. Making sure that one's sexual

partner does not have signs of AIDS
The most frequent causes of death Answer: (B)
among clients with AIDS are
opportunistic diseases. Which of the Cytomegalovirus disease is an acute viral disease

following opportunistic infections is characterized by fever, sore throat and lymphadenopathy.
characterized by tonsilllopharyngitis?
A. Respiratory candidiasis
B. Infectious mononucleosis
C. Cytomegalovirus disease
D. Pneumocystis carinii pneumonia

To determine the possible sources of Answer: (A)
sexually transmitted infections, which
is the BEST method that may be Contact tracing is the most practical and reliable method of
undertaken by the public health finding possible sources of person-to-person transmitted
nurse?
infections, such as sexually transmitted diseases.
A. Contact tracing
B. Community survey
C. Mass screening tests
D. Interview suspects
Antiretroviral agents, such as AZT are Answer: (D)
used in the management of AIDS.
Which of the following is not an action There is no known treatment for AIDS. Antiretroviral agents
expected of these drugs?
reduce the risk of opportunistic infections and prolong life, but
does not cure the underlying immunodeficiency.
A. They prolong the life of the client
with AIDS
B. They reduce the risk of

opportunistic infections
C. They shorten the period of

communicability of the disease
D. They are able to bring about a cure

of the disease condition
A barangay had an outbreak of Answer: (D)
German measles. To prevent
congenital rubella, what is the BEST Rubella vaccine is made up of attenuated German measles
advice that you can give to women in viruses. This is contraindicated in pregnancy. Immune globulin,
the first trimester of pregnancy in the a specific prophylactic against German measles, may be given
barangay?
to pregnant women.
a. Advice them on the sign of German

Measles
b. Avoid crowded places, such as

markets and moviehouses
c. Consult at the health center where

rubella vaccine may be given
d. Consult a physician who may give

them rubella immunoglobulin
A 43 yo female 12 weeks pregnant Answer: C
presents to her OB-GYN for HIV Taking treatment properly can reduce the risk of your baby
testing following recent knowledge of being born with HIV to less than 1%. If you found out that you
her husband's infidelity. She tests are HIV-positive before you got pregnant, you may be taking
positive and becomes increasingly treatment already. If you are not, talk to a healthcare
emotional stating "There is no point in professional about starting treatment straight away. If you
me continuing this pregnancy since found out that you are HIV-positive during your pregnancy, it
my baby will be born HIV positive." is recommended that you start treatment immediately and
Given the client's statement what is the continue taking it every day for life. Your baby will also be
best response by the nurse?
given treatment for four to six weeks after they are born to
help prevent an HIV infection developing.
A. If that is how you feel we can
discuss different options for abortion.
B. While it is true your baby will be

born HIV positive, this doesn't mean
him or her can't live a happy life.
C. If we start you on a series of

medications called antiretrovirals and
you stick to your prescribed treatment
there is a very small chance your baby
will be born HIV positive.
D. There is no reason to worry, your

baby can only become HIV positive if
he or she is breastfed once born.
A nurse in a health care clinic is Answer: D
preparing to conduct a nutritional In order to determine each client's nutritional status and needs,
session with a group of culturally the first priority of the nurse is to identify each client's food
diverse pregnant women. At the first preferences. Cultural background and knowledge about
session the nurse will be meeting with nutrition are important factors influencing food choices and
each client individually. The nurse nutritional status. Although options 1,2 and 3 may be a
prepares a list of items to be included component of the sessions, option 4 is the first priority.
in the session and lists which item as
the first priority?
A. Review the MyPyramid food guide.
B. Weigh each client and ask the client

to document the weight on a progress
chart.
C. Discuss the costs of food items.
D. Identify the food preferences and

methods of food preparation for each
client.
An ambulatory care nurse is Answer: A
discussing preoperative procedures
with a Japanese-American client who Nodding or smiling by a Japanese-American client may reflect
is scheduled for surgery the following only the cultural value of interpersonal harmony. This
week. During the discussion, the client nonverbal behavior may not be an indication of agreement
continually smiles and nods the head. with the speaker, an acceptance of the treatment, or an
The nurse interprets this nonverbal understanding of the procedure.
behavior as:
A. Reflecting a cultural value
B. An acceptance of the treatment
C. The client is agreeable to the

required procedures
D. The client understands the

preoperative procedures
In correcting misconception and Answer: A

myths about certain diseases and their
management, the health worker
should first:
A. Identify the myths and

misconceptions prevailing in the
community
B. Identify the source of these myths

and misconceptions
C. Explain how and why these myths

came about
D. Select appropriate strategies to

correct them.
These vaccines are given 3 doses at Answer: C

one month intervals:
A. DPT (Diphtheria, Pertussis, Tetanus),

BCG (Bacillus Calmette-Guérin), TT
(Tetanus Toxoid)
B. DPT (Diphtheria, Pertussis, Tetanus),

TT (Tetanus Toxoid), OPV (oral polio
vaccine)
C. OPV (oral polio vaccine), Hep. B,

DPT (Diphtheria, Pertussis, Tetanus)
D. Measles, OPV (oral polio vaccine),

DPT (Diphtheria, Pertussis, Tetanus)

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10/7/21, 9:26 AM Community Health Nursing NCLEX Questions Flashcards | Quizlet

Science / Medicine / Public Health

Which is the primary goal of Answer: (B)

A. To support and supplement the

B. To enhance the capacity of

C. To increase the productivity of the

CHN (Community Health Nursing) is a Answer: (B)

community-based practice. Which

best explains this statement?

B. The nurse has to conduct

C. The service are based on the

D. Priority setting is based on the

Population- focused nursing practice Answer: (C)

requires which of the following

RA 1054 is also known as the Answer: (B)

A. Type of occupation,: agriculture,

B. Location of the workplace in

C. Classification of the business

D. Sex and age composition of

A business firm must employ an Answer: (B)