CHN WORKBOOK
Cover all Filipinos against health-related financial risk
1. A public health nurse is working on his research regarding
hypertension incidence among adult patients in a rural
community. He wants to gather data on the proportion of
persons without the disease who have negative results on the
screening tests. Which of the following does the nurse want to
measure? *
A. The probability of correctly identifying a positive case of a
disease or the True-Positive
B. The probability of correctly identifying non-case or the
True-Negative
C. The probability of correctly identifying non-case or the
True-Negative
D. The probability of correctly identifying non-case or the
True-Positive
2. A public health nurse is working in a TB-DOTS facility. The
nurse noted that the client would sometimes get false negative
results in the sputum examination conducted as a primary
screening for pulmonary tuberculosis. This indicates that the
test is not accurate in terms of which of the following
characteristics of a screening test? *
A. Effectiveness
B. Specificity
C. Efficacy
D. Sensitivity
3. Which of the following is an epidemiologic function of the
nurse during an epidemic? *
A. Conducting assessment of suspected cases to detect the
communicable disease
B. Monitoring of the cases affected by the communicable
disease
C. Conducting health teaching to the community on preventive
measures to prevent the spread of disease
D. Implement public health surveillance to determine the
source of the communicable disease
4. Epidemiological service units have been established to
support the public health system. Which of the following is not
a responsibility of the epidemiological service units? *
A. Surveillance of infectious diseases with outbreak potential
B. Assisting local government units in budget allocation for
control of disease.
C. Developing information package on public health
D. Providing technical assistance related to epidemiology
5. Under the National Epidemiologic Sentinel Surveillance
System, the following are clinically diagnosed diseases except
the following: SELECT ALL THAT APPLY. *
A. I, II, IV
B. I, II, III
C. II, IV
D. II, IV, V
6. A 45-year old patient diagnosed with Category II PTB is on
his 5th month of TB medications.Upon assessment, he reports
that he can talk to the gods and animals and has positive
perceptual disturbances. You refer him immediately to the
physician. As the community health nurse in charge, which of
his anti-TB medications will you expect to be discontinued? *
A. Rifampicin
B. Ethambutol
C. Isoniazid
D. Pyrazinamide
7. A patient visits the local health center with blood-tinged
purulent sputum, chest pain, and dyspnea. He has been on TB
treatment for 6 months, with no improvement. The client
reported that he is fond of eating raw freshwater crabs. As the
community health nurse, which of the following medications
will you expect to be ordered by the physician?
A. Kanamycin
B. Streptomycin
C. Praziquantel
D. Quinolone
8. Which of the following is the phase of epidemiologic
approach wherein attempts would be done to determine the
causes or determinants of the disease through hypothesis
testing? *
A. Descriptive Epidemiology
B. Analytical Epidemiology
C. Interventional/Experimental Epidemiology
D. Evaluation Epidemiology
9. The following are the strategies to attain the health-related
sustainable development goals in the Philippine Health Agenda
2016-2022, EXCEPT: *
A. Advance quality, health promotion and primary care
B.
C. Elicit unilateral support for decision making
D. Enforce standards, accountability, and transparency
10. The public health nurse participates in the disease
surveillance during the epidemic. The nurse performs which of
the following roles of a public health nurse?
A. Nursing care function
B. Collaborating and coordinating function
C. Supervisory function
D. Research function
11. The public health nurse performs the supervisory function
towards healthcare workers. Which of the following is not an
objective of supportive supervision? *
A. Identify the supervisory needs of the worker
B. Determine the ways of meeting the needs of the worker
C. Develop capability of the worker to solve own problems
D. Evaluate performance of the worker as basis for promotion.
12. A public health nurse is working in a TB-DOTS Facility
under the National Tuberculosis Control Program.Which of the
following refers to the number of clients that are being served in
the health program? 
A. Caseload
B. Case management
C. Case database
D. Case registry
13. A public health nurse aims to increase the awareness of the
people on noncommunicable diseases through the
implementation of the health program. Which of the following
public health practice levels should the nurse consider? *
A. Individual population-based practice
B. Family-focused population-based practice
C. Community-focused population-based practice
D. Systems-focused population-based practice
14. Which of the following public health interventions does the
nurse implement when she establishes linkages and
relationships with government agencies and private sector to
address health problems? *
A. Collaboration
B. Coalition-building
C. Community-organizing
D. Networking
15. Which of the following does the public health nurse apply A. Blueprint of the care that the nurse designs to address the 24. Which of the following refers to the phase in Community
when she utilizes the assessment of family’s understanding of identified health and family nursing problems. Organizing wherein continuous appraisal of the community is
lived experience to carry out nursing interventions? * B. Formulated outcomes of care, resources and evaluation done utilizing primary sources? *
A. Expert caring criteria are implied. A. Pre-entry Phase
B. Competent caring C. Based on a comprehensive and realistic analysis of the B. Entry Phase
C. Compassionate caring problem situation. C. Organization Building Phase
D. Empathetic caring. D. Involves the family in determining health needs and D. Sustenance and Strengthening Phase
problems and in establishing priorities.
16. The public health nurse aims to assess relations between 25. Which among the following health indicators is the most
family and community and its available support systems and 20. The public health nurse conducts a census in the community sensitive index of level of health in a community? *
resources. The nurse should utilize which of the following and assigns people to where they are physically present at the A. Infant Mortality Rate
assessment tools in family health nursing? * time of the census, regardless of their usual place or residence. B. Maternal Mortality Rate
A. Genogram Which of the following refers to this method? * C. Specific Mortality Rate
B. Ecomap A. Jus Sanguinis D. Swaroop’s Index
C. Anamnesis B. Jus Soli
D. Pedigree C. De facto 26. This health indicator refers to the ease by which a
D. De Jure communicable disease can be transmitted from one host to
17. In prioritizing the health problems of a family, the health another susceptible host: *
problems may be prioritized in terms of the following, except: * 21. A public health nurse utilizes the family service progress A. Swaroop’s Index
A. Modifiability of the problem record. The following are the purpose in utilizing FSPR, B. Crowding Index
B. Salience except: * C. Rate of Natural Increase
C. Preventive Potential A. Facilitate operationalization of the concept of family- D. Attack Rate
D. Home environment centered nursing care
B. Systematize the approach in delivering family care 27. Which of the following is a tool by which the nurse can use
18. In assessing the health problems of the family in first level C. Comprehensive tool in selecting interventions for family during her visit will enable her to perform a procedure with ease
of assessment, the public health nurse considers the following care and deftness? *
family health tasks: SELECT ALL THAT APPLY. * D. Document the full range of services that the nurse provides A. Public health bag
at family level. B. Bag technique
C. Family health plan
22. The public health nurse is conducting health teaching to the D. None of the above
family about management of hypertension.The following are the
principles of competency-based teaching and learning, except: * 28. The following are contents of a public health bag except? *
A. Learning is an intellectual and emotional process A. Hand towel
B. Learning is facilitated when experiences have meaning to B. Soap in a soap dish
the learner C. BP apparatus
C. Learning should be compassionate D. Apron
D. Learning should an individual matter
29. The arrangement of the contents should be: *
23. Which of the following refers to the phase in Community A. Arranged from most fragile to less fragile
Organizing wherein linkages and networks in various sectors B. Arranged from cleanest to dirtiest
A. I, II, III, V C. Arranged according to importance
B. I, II, III, IV, V are being established? *
A. Pre-entry Phase D. Arranged according to convenience to user
C. I, II, IV, V
D. I, III, IV, V B. Entry Phase
30. Arrange the following steps in bag technique: *
C. Organization Building Phase
19. The following are the characteristics of a family health D. Sustenance and Strengthening Phase
nursing care plan, except: *
 36. Calculate the annual vaccine doses required for Tetanus C. Cloudy liquid vaccine
Toxoid in a population of 2000 mothers. * D. None of the above
A. 234
B. 150 44. The following steps in reconstituting BCG vaccine are
C. 210 correct EXCEPT: *
D. 300

37. The following are causes of vaccine wastage in opened vials

A. IV, I,II,III EXCEPT: *
B. I,II,III,IV A. Poor reconstitution practices
C. II,IV,III,I B. Suspected contamination
D. II,IV,I,III C. Patient reaction requiring more than one dose
D. Expiry A. IV only
B. III only
31. Which of the following solutions are not included in the
38. Vaccines can only be stored in transport box for: * C. IV and III
public health bag? *
A. 5 days D. II only
A. Zephiran solution
B. Hydrogen peroxide B. 6 days
C. 7 days 45. As a community health nurse, you need to be
C. Benedict’s solution knowledgeable on the common parasites that infest the
D. 30% Ethyl alcohol D. 8 days
community. A child was brought to the health center due to
39. BCG has only hours of life after opening. * frequent scratching of his perianal area. Which of the following
32. In a population of 70 000 infants. Determine the eligible
A. 1 parasites could have been causing this? *
population for BCG *
B. 2 A. Ascaris lumbricoides
A. 1 900
C. 3 B. Trichuris trichiura
B. 210
D. 6 C. Enterobius vermicularis
C. 2,450
D. Necator americanus
D. 2 100 40. Diphtheria Pertussis Tetanus vaccine is: *
A. Heat sensitive 46. In order to confirm the diagnosis, which of the following is
33. In a population of 90 000 mothers. Determine the eligible
B. Cold sensitive the best way to diagnose this? *
population for Tetanus Toxoid. *
C. Light sensitive A. Direct fecal smear
A. 3000
D. All B. Kato-katz method
B. 2700
C. Scotch tape method
C. 2800 41. Therefore, you should place DPT vaccines in which D. Formalin ether concentration procedure
D. 3150 temperature? *
A. -15 to -25 C 47. A fisherman has been experiencing TB-like symptoms such
34. Determine the total vaccine required for DPT in infants with
B. +2 to +8 C as chronic cough, hemoptysis, dyspnea, easy fatigability for the
a 70 000 total population. *
C. +2 to +10 C past few months but his direct smear sputum microscopy does
A. 630
D. -15 to -30 C not reveal a positive tuberculosis result. Which of the following
B. 3000
parasites could produce the same sign and symptoms? *
C. 6300 42. Temperature checking of vaccines is done: * A. Taenia saginata
D. 5000 A. Every week B. Taenia solium
35. What is the wastage factor for Tetanus toxoid? * B. Every 2 hours C. Capillaria philippinensis
A. 1.67 C. Twice daily D. Paragonimus westermani
B. 2.5 D. Once daily
48. Which if the following is the infective stage of Entamoeba
C. 1.1 43. BCG is in the form of: * histolytica? *
D. 0.3 A. Liquid vaccine A. Cysts
B. Freeze dried B. Trophozoites
C. Metacysts C. Collaboration
D. None of the above D. Coordination

49. A community health nurse is conducting a health teaching
with the residents of a nearby river. She warns them of which
intermediate host for schistosomiasis? *
A. Snail
B. Human host
C. Crab
D. Bird
50. Which of the following is NOT an objective of the Botika
ng Barangay? *
A. To rationalize the distribution of common drugs and
medicines among intended beneficiaries
B. To provide free and safe medicines for the community in
partnership with the LGU.
C. To serve as mechanism for DOH to establish partnership
with LGUs and CO
D. Optimize involvement of the BHW addressing the health
need of the community
51. Which of the following is NOT a criteria for establishing
Botika ng Barangay? *
A. Community-sourced funds at least 2/3 of the initial capital
requirements
B. Commitment from a licensed pharmacist to supervise Botika
ng Barangay operations
C. Identification and selection of at least 2 accredited BHW or
Community Volunteer Health Workers trained as Botika ng
Barangay Aides
D. Service or coverage area is Barangay that is far flung,
depressed, hard to reach area
54. Another nurse, John, conducts capability-building/training
regarding measurement of vital signs for the barangay health
workers in Barrio Mapalad. With knowledge in the community
health nursing process, he knows that this program is an
example of which strategy activity? *
A. Developmental
B. Service
C. Support
D. Education
55. Carlo goes to the health center every Tuesday and Thursday
at 8 am in the morning to attend to the health needs of the
members of their community. He takes vital signs and health
history. He also performs health education whenever he
assesses a learning need from the clients. Which type of strategy
activity does he perform? *
A. Developmental
B. Service
C. Support
D. Education
56. Mercedes conducts a fundraising activity in their barangay
through an organized fun run. The profits from the activity will
be used for the repair and renovation of their health center. This
is an example of what type of strategy activity? *
A. Support
B. Developmental
C. Enhancement
D. Service

52. Rita performs referrals of patients to other health care

personnel, health facilities, or government agencies. Which
PHN function does she demonstrate? *
A. Management
B. Supervision
C. Coordination
D. Provision of health and nursing care

53. The nurse organizes and implements nursing service and

prepares and implements municipal health plan. Which PHN
function does she demonstrate? *
A. Supervision
B. Management