COMMUNITY HEALTH NURSING
To obtain a 100% population count of the community, Nurse Sid
Situation 1.Community Health Nursing is a unique blend of nursing
and public health practice woven into a human service that properly
developed and applied has a tremendous impact on human well
being.
1. The primary goal of Community Health Nursing is to:
A. Support and supplement the efforts of the medical
professions in the promotion of health and
prevention of illness
B. Enhance the capacity of individuals, families and
communities to cope with their heath needs
C. Increase the productivity of the people
D. Raise the level of health of the citizenry
Answer: B
Rationale: The primary goal of Community Health Nursing is to
help communities and families to cope with the discontinuities of
health and threats in such a way as to maximize their potential
for high level wellness, as well as to promote reciprocally
supportive relationship between people and their physical and
social environment. (Community Health Nursing Services in the
Philippines)
2. The context of Community Health Nursing is based on the
nurse's evaluation about the:
A. Existing health problems and needs of the people
B. Current health status of the people
C. Department of Heath (DOH) goals
D. Devolution of health
Answer: A
Rationale: The context of Community Health Nursing is based
on the nurse's evaluation about the existing health problems and
needs of the people. One of the principles of CHN states that
Community Health Nursing is based on the recognized needs of
individuals, families, communities and groups. (Community
Health Nursing Services in the Philippines)
3. Community Health Nursing is a specialized field of nursing that
follows the basic principles in Community Development work.
Which of the following statements best described Community
Development as a process of empowering people in the
community?
A. Community development may allow women to
discover and strengthen their innate capabilities to
enjoy and utilize equal opportunities in all aspects
of development work
B. Sustainability aspects of development strategies
can be taken into consideration
C. Community development is solely confined to the
meeting of the day to day survival of the people
D. Community development is a learning process
where both women and men participate to
improve their lives
Answer: D
Rationale: Community Development is defined as an organized
effort of people to improve the conditions of the community life
and the capacity of the people for participation, self-direction and
integrated efforts in community affairs in which development is
accomplished by the people. Everyone has something to
contribute to the life of the community.
It is not solely for women (option A) and not a short term process
(option C). (C.E Jimenez, CO-PAR)
4. If a particular health service fails, the most basic question is:
A. Is this what the people demanded?
B. What went wrong?
C. Is this what the people need?
D. Who is responsible for the failure?
Answer: C
Rationale: If a particular health service fails, it is important to
reassess the felt needs of the people not their demands (option
A). (Community Health Nursing Services in the Philippines)
5. Which of the following statement is correct?
A. If people are not attending to the services offered by the health staff, the
team must reassess the needs of the people
B. In participatory approach, the nurse must devotedly adhere to what the
people want
C. In a peasant community where people are fighting for land ownership,
the nurse must not participate as this is not a health concern
D. Nurses must not join protest actions as nurses should always be neutral
at all times
Answer: A
Rationale: If people are not attending to the services offered by
the health staff, the team must reassess the needs of the people.
This is base on the principle that Community Health Nursing is
based on the recognized needs of individuals, families,
communities and groups. (Community Health Nursing Services
in the Philippines)
Situation 2. Nurse Sid, a public health nurse, prepares a community
health nursing care plan utilizing the nursing process, which is
responsive to the health promotion needs of the community.
6.
should need to do a:
A. Survey C. Census
B. One to one interview D. Sampling of the population
Answer: C
Rationale: The assessment process involves the collection of
relevant data. It employs various methods to collect data. A
census is the procedure of systematically acquiring and
recording information about the members of a given population.
It is a regularly occurring and official count of a particular
population. It obtains a 100% population count of the community.
(Public Health Nursing in the Philippines)
7. Which of the following is a well-stated objective in a community
health nursing care plan?
A. To increase the number of mothers coming for prenatal check-up by
25% in 6 months time
B. To increase the number of home visits by 50%
C. To increase the coverage for immunization in 1 year time
D. To increase the number of children receiving food assistance
Answer: A
Rationale: A well-stated objective should be SMART (Specific,
Measurable, Attainable, Realistic and Time-Bound).
8. Identification of health risks in the community is a step in
formulating a community health diagnosis. Which of the following
methods Nurse Sid should do to best facilitate the identification
of health risks threatening the community?
A. Assess community resources and industries available
B. Familiarize with the prevalent lifestyle of the people within the
community
C. Study health center records and reports
D. Review of vital statistics available
Answer: D
Rationale: To facilitate identification of health risks threatening
the community, the community health nurse reviews available
vital statistics. Statistics refers to a systematic approach of
obtaining, organizing and analyzing numerical facts so that
conclusion may be drawn from them. Specifically, vital statistics
refers to the systematic study of vital events such as births,
illnesses, marriages, divorce, separation and deaths. The
statistics of disease (morbidity) and death (mortality) indicate the
state of health of a community and the success or failure of
health work. (Public Health Nursing in the Philippines)
9. The community health diagnosis is an important input to the
formulation of a community health nursing care plan. In order to
assure a successful implementation of the care plan, the
diagnosis must be carried out in a manner where:
A. An outside consultant determines what data to collect
B. The community is directly involved in data collection and analysis
C. The nurse delegates the collection of data to the barangay health
workers
D. All the members of the rural health unit participates in data collection
Answer: B
Rationale: In community health nursing, implementation
involves various nursing interventions which have been
determined by the goals/objectives that have been previously
set. The public health nurse carry out nursing procedures which
are consistent with the nursing care plan, are adapted to present
situations which promote a safe and therapeutic environment.
Public health nurses involve the patient and his/her family in the
care provided in order to motivate them to assume responsibility
for his or their care and to be able to teach and maintain a
desired level of function. Explaining and answering questions to
clarify doubts, to maximize the patient’s confidence and ability to
care for himself/themselves. Thus, the role of the community
health nurses shift from direct care giver to that of a teacher.
(Public Health Nursing in the Philippines)
10. Which criterion in priority setting of health problems is used only
in community health care?
A. Magnitude of the health problem
B. Preventive potential of the health problem
C. Nature of the problem presented
D. Modifiability of the problem
Answer: A Rationale: Magnitude of the health problem refers to
the percentage of the population affected by a health problem.
(Public Health Nursing in the Philippines)
Situation 3.The application of the nursing process is rational method
of planning and providing nursing care. As basic tool in professional
nursing practice, its utilization ensures competent and safe practice.
It is a scientific tool that is utilized also in Community Health Nursing.
11. Which of the following is Community Health Nursing
Assessment?
A. Auditing Nursing Record C. Prioritizing needs
B. Monitoring health services D. Intensive fact-finding
Answer: D
Rationale: Assessment is the systematic and continuous
collection, organization, validation, and documentation of data
(information). All phases of the nursing process depend on the
accurate and complete collection of data. Data collection
 (intensive fact-finding) is the process of gathering information
about a client's health status. It must be both systematic and
continuous to prevent omission of significant data and reflect a
client's changing health status.
(Community Health Nursing Services in the Philippines)
12. When the nurse invites other members of the nursing team to
develop evaluation parameters, this process is called:
A. Interpreting data C. Planning nursing action
B. Tabulating data D. Putting plan of action
Answer: C
Rationale: In the planning phase, the nurse performs
prioritization, evaluation of parameters, goal setting, plan of
action construction, and development of an operational plan.
(Community Health Nursing Services in the Philippines)
13. When the nurse performs appraisals, this process is called:
A. Assessment C. Evaluation
B. Planning D. Diagnosing
Answer: C
Rationale: In the evaluation phase, the nurse perform auditing and
appraisal. The elements of evaluation includes: structural (inputs), process
(methods), and outcome (outputs).
(Community Health Nursing Services in the Philippines)
14. Once the nurse initiates contact with a client, asking questions to
gather data, this process is called:
A. Implementation C. Planning
B. Evaluation D. Assessment
Answer: D
Rationale: Data collection is done during the Assessment
phase. It is the process of gathering information about a client's
health status. It must be both systematic and continuous to
prevent omission of significant data and reflect a client's
changing health status. There are 4 phases of data gathering:
data collection, collation, presentation or tabulation, and
analysis.
(Community Health Nursing Services in the Philippines)
15. When the RHU nurse provides health teaching to individuals or
families, this process is called:
A. Intervention C. Assessment
B. Planning D. Evaluation
Answer: A
Rationale: During the implementation or intervention phase, the
nurse carries out interventions (such as providing health
teachings) and utilizes resources.
(Community Health Nursing Services in the Philippines)
Situation 4. There are several factors in the ecosystem which affect
the optimum level of functioning (OLOF) of individuals, families and
communities. The nurse must be knowledgeable on this.
16. The modern concept of health refers to:
A. How individuals maintain a maximum level of wellness
B. How individuals can be called disease-free
C. How individuals avoid diseases
D. How individuals can avail of their immune system
Answer: A
Rationale: The modern concept of health refers to the optimum
level of functioning (OLOF) or the maximum level of wellness of
individual, families and communities. (Community Health Nursing
Services in the Philippines)
17. In the Health Care Delivery System, ideally, rehabilitation
services begin:
A. Upon admission of the client in the health care
system
B. Upon discharge of the client from the health care
system
C. After the client's physical condition stabilizes
D. Soon after the client had requested for rehabilitation
services
Answer: A
Rationale: In the Health Care Delivery System, ideally,
rehabilitation services begin upon admission of the client in the
health care system. (Community Health Nursing Services in the
Philippines)
18. The factor in the ecosystem affecting the individuals health that
is involved in the provision of essential health services whether
community-based, accessible, sustainable and affordable is the:
A. Socio-economic influences C. Behavioral
B. Health Care Delivery System D. Political
Answer: B
Rationale: Health Care Delivery System is the factor in the
ecosystem affecting the individual’s health that is involved in the
provision of essential health services whether community-based,
accessible, sustainable and affordable. Although promotive and
preventive health measures are emphasized in community
health, the availability and accessibility of curative and
rehabilitative services also affect people's health. (Community
Health Nursing Services in the Philippines)
19. The factor in the ecosystem affecting the individual's health that
is involved in the menace of pollution, basically man-made, is:
A. Behavioral C. Environmental influences
B. Socio-economic D. Health Care Delivery System
Answer: C
Rationale: Environmental influences are the factor in the
ecosystem that is involved in the menace of pollution, which has
been growing over the years and has greatly affected the health
of the people. The disease today is largely man-made. Examples
of these are communicable diseases due to poor sanitation, poor
garbage collection, smoking, air pollution and utilization of
chemicals such as pesticides. (Community Health Nursing
Services in the Philippines)
20. Which is not an example of behavioral influences in OLOF on
health status?
A. Cigarette smoking and alcohol drinking
B. Exposure to toxic substances in the workplace
C. Sedentary lifestyle of an office worker
D. A grandmother with an adult-onset diabetes
Answer: B
Rationale: Behavioral influences refer to the factor in the ecosystem
affecting the individual’s health through certain habits that a person has.
These may be in the form of smoking, intake of alcoholic drinks, substance
abuse or lack of exercise. The people's lifestyle, health care and child
rearing practices are shaped, to a large extent, by their culture and ethnic
heritage.
(Community Health Nursing Services in the Philippines)
Situation 5. Public health is dedicated to the common attainment of
the highest level of physical, mental and social well-being and
longevity consistent with available knowledge and resources at a
given time and place.
21. According to Dr. C.E. Winslow, which of the following is the goal
of Public Health?
A. For promotion of health and prevention and diseases
B. For people to be organized in their health efforts
C. For people to have access to basic health services
D. For people to attain their birthrights and longevity
Answer: D
Rationale: Dr. C.E. Winslow defines public health as the science and art of
preventing disease, prolonging life, promoting health and efficiency through
organized community effort for the sanitation of the environment, control of
communicable diseases, the education of individuals in personal hygiene,
the organization of medical and nursing services for the early diagnosis
and preventive treatment of disease, and the development of the social
machinery to ensure everyone a standard of living adequate for the
maintenance of health, so organizing these benefits as to enable every
citizen to realize his birthright of health and longevity. (Public Health
Nursing in the Philippines)
22. According to Dr. Margaret Shetland, the philosophy of public
health nursing is based on which of the following?
A. The worth and dignity of man
B. The mandate of the state to protect the birthrights of its citizens
C. Health and longevity as birthrights
D. Public health nursing as a specialized field of nursing
Answer: A
Rationale: According to Dr. Margaret Shetland, the philosophy
of community health nursing is based on the worth and dignity of
man. (Community Health Nursing Services in the Philippines)
23. Which of the following is the most prominent feature of public
health nursing?
A. It involves providing home care to sick people who are not confined in
the hospital
B. Public health nursing focuses on preventive, not curative services
C. The public health nurse functions as part of a team providing a public
health nursing service
D. Services are provided free of charge to people within the catchment
area
Answer: B
Rationale: The public health nurses in this country are using their nursing
skills in the application of public health functions and social assistance
within the context of public health programs designed to promote health
and prevent diseases. Public health nursing focuses on preventive, not
curative services. (Public Health Nursing in the Philippines)
24. The public health nurse is the supervisor of rural health
midwives. Which of the following is a supervisory function of the
pubic health nurse?
A. Referring cases or patients to the midwife
B. Providing technical guidance to the midwife
C. Proving nursing care to cases referred by the midwife
D. Formulating and implementing training programs for midwives
Answer: B
Rationale: Generally, the public health nurse is the supervisor of
the midwives and other auxiliary health workers in the catchment
area. This is in accordance with agency’s policies and in a
manner that improves performance and promotes job
satisfaction. During the visit, the public health nurse identifies
together with the supervisee any issue or problem encountered
and addresses them accordingly. If it is a technical matter like a
breach in the procedure or established protocol, coaching is
 immediately instituted.
Option D is incorrect because if problems or issues identified
needs further capacity enhancement or training for the
supervisee, then the nurse arranges, not formulate or implement,
for the conduct of this training. (Public Health Nursing in the
Philippines)
25. Qualifications to be a public health nurse includes which of the
following:
1. Good physical and mental health
2. BSN graduate
3. Registered nurse
4. Masters degree in Nursing
5. 3 years experience as a Clinical Instructor
A. 1, 2 and 3 C. 1, 4 and 5
B. 1, 3 and 4 D. 2, 3 and 4
Answer: A
Rationale: The Standards of Public Health Nursing in the Philippines
developed by the National League of Philippine Government Nurses in
2005 described the qualification and functions of a Public Health
Nurse.The PHN has the professional, personal and other qualifications that
are appropriate to his/her job responsibilities. They are as follows: is a
graduate of BSN (2) and a Registered Nurse (3); has the following
personal qualities and professional competencies such as good physical
and mental health (1), interest and willingness to work in the community,
with leadership potential, resourcefulness and creativity, honesty and
integrity, active membership to professional nursing organizations. (Public
Health Nursing in the Philippines)
Situation 6. Primary Health Care as an approach to delivery of health
care services
26. Which one is the goal of Primary Health Care in the Philippines?
A. Reorientation and reorganization of the national health care system with
the establishment of functional support mechanism
B. Essential health care made universally accessible, acceptable,
available, and affordable to all
C. Health for all Filipinos and health in the hands of the people by the year
2020
D. To strengthen the health care system, let the people manage their own
health care
Answer: C
Rationale: The goal of Primary Health Care in the Philippines is “Health for
all Filipinos and health in the hands of the people by the year 2020.”
(Public Health Nursing in the Philippines)
27. The mission of Primary Health Care refers to which of the
following?
A. To strengthen the health care system, let the people manage their own
health care
B. Guarantee equitable, sustainable and quality health for all Filipinos,
especially the poor, and shall lead the quest for excellence in health
C. Health for all by the year 2020
D. Health for all Filipinos and health in the hands of the people by the year
2020
Answer: A
Rationale: The mission of Primary Health Care in the Philippines
is “To strengthen the health care system, let the people manage
their own health care.”
28. The law that provided mandate for the implementation of Primary
Health Care in the Philippines is:
A. R.A. 7160 C. R.A. 8423
B. LOI 949 D. R.A. 9255
Answer: B
Rationale: Primary Health Care was declared during the First International
Conference on Primary Health Care held in Alma Ata, USSR on September
6-12, 1978 by WHO. The goal was “Health for All by the year 2000.” This
was adopted in the Philippines through Letter of Instruction (LOI) 949
signed by President Marcos on October 19, 1979 and has an underlying
theme of “Health in the hands of the people by 2020.”
29. Which of the following is not a corner stone of Primary Health
Care?
A. Support mechanisms made available
B. Active community participation
C. Intra and intersectoral solicitation linkages
D. Use of appropriate technology
Answer: C
Rationale: The four corner stones or pillars in PHC are as follows:
active community participation (option B); intra and inter-sectoral
linkages (option C); use of appropriate technology (option D); and
support mechanism made available (option A).
30. Which does not describe Primary Health Care?
A. It emphasizes partnership between health care providers and the people
B. It is a total approach to community development
C. It stresses the importance of linkages
D. It aims to provide free health services to the people
Answer: D
Rationale: Option D is incorrect because PHC aims to provide affordable,
not free, health services to the people. (Public Health Nursing in the
Philippines)
Situation 7.Clinic Visit is done at the health center or health station so
that the community health nurse can provide the necessary health
care services to the people in the community. On the other hand,
home visit is a family-nurse contact which allows the health worker to
assess the home and family situations in order to provide necessary
nursing care.
31. During clinic visit, which among the following activities is done
during pre-consultation conference?
A. One-on-one counseling C. First come, first served queuing
B. Record preparation D. Pre-clinic lecture
Answer: D
Rationale: Pre-clinic lecture is usually done during pre-consultation
conference that is conducted prior to the admission of patients, which is
one way of providing health education. (Public Health Nursing in the
Philippines)
32. Certain DOH programs utilize an acceptable decision to which
the nurse has to follow. What should the public health nurse do
to a program-based case?
A. Manage the case C. Provide first aid treatment
B. Refer to the physician D. Refer the case to the next level of care
Answer: A
Rationale: In triaging, a public health nurse manages a program-based
case. Certain programs of the DOH like the IMCI utilize an acceptable
decision to which the nurse has to follow in the management of a simple
case. All non-program based cases are refer to the physician (option B). All
emergency cases are provided with first aid treatment and refer the case to
the next level of care (option C and D). (Public Health Nursing in the
Philippines)
33. Clinic visit is being executed by a health team. Who acts as a
leader in planning the clinical activities?
A. Barangay Health Worker C. Public Health Nurse
B. Physician-in-Charge D. Rural Health Midwife
Answer: B
Rationale: The Physician-in-Charge is the leader in planning the clinical
activities. (Public Health Nursing in the Philippines)
34. The following best describes a home visit, except:
A. May or may not be recorded
B. Extension of the services of the health center
C. A professional contact made by the nurse
D. Should have an objective
Answer: A
Rationale: Home visit is a professional contact made by the nurse and an
extension of the services of the health center. When preparing for a home
visit, it should have a purpose or objective. Home visit should always be
recorded or documented (making option C incorrect). (Public Health
Nursing in the Philippines)
35. Planning for a home visit is an essential tool in achieving best
results in health care. The following are principles in a home
visit, except:
A. Planning should be flexible and practical
B. Home visit should have a purpose
C. Plans are based in available information including those from other
agencies that may have rendered services to the family
D. Planning of continuing care must be developed by the nurse
Answer: D
Rationale: The following are principles of home visits: A home visit must
have a purpose or objective (option)
Situation 8. The following procedures are very important to the public
health nurse in rendering effective nursing care to clients in varied
settings.
36. The nurse should understand which rationale when performing
the bag technique?
A. It should not overshadow the concerns for the client
B. It should render effective nursing care to clients or other family members
C. It should minimize or prevent the spread of infection
D. It should save time and effort when performing nursing procedures
Answer: B
Rationale: The rationale when performing the bag technique is that it
should render effective nursing care to clients or other family members.
(Community Health Nursing Services in the Philippines)
37. Tourniquet test or Rumpel-Lead's test is used as screening for
dengue. If the nurse counted 10 petechial spots in the imaginary
one square inch just below the BP cuff or in the antecubital
fossa, this should be interpreted as:
A. Positive C. Alarming
B. Negative D. Warning
Answer: B
Rationale: Tourniquet test or Rumpel-Lead's test is used as screening for
dengue. An imaginary one square inch just below the BP cuff or in the
antecubital fossa is made to check for the presence of petechial rashes. If
it manifested 20 or more petechial rashes, it indicates a positive dengue
result. If it is less than 20 it means that the test is negative. (Community
Health Nursing Services in the Philippines)
38. The nurse utilizes three different agents when wiping the
thermometer after use. Arrange them according to sequence:
A. 3x soap, 3x water, 3x alcohol C. 3x soap, 3x water, 1x alcohol
B. 1x soap, 1x water, 1x alcohol D. 1x soap, 1x water, 3x alcohol
Answer: C
Rationale: When wiping the thermometer after use, clean the thermometer
in a downward spiral motion from the stem to the bulb, holding it over the
waste paper bag using the following technique: 1st - 3 cotton balls
moistened with soap. Discard. 2Nd - 3 cotton balls moistened with water. 3Rd
- 1 cotton ball moistened with alcohol, then wrap around the bulb of the
thermometer and lay it inside the kidney basin. (Community Health Nursing
Services in the Philippines)
39. An orange result of a Benedict's test should be interpreted by the
nurse as to which extent of glucosuria?
A. (-) B. + C. ++ D. +++
Answer: D
Rationale: An orange result of a Benedict's test indicates a+++ result.
40. I the result of a Heat and Acetic acid test is clear, the nurse
knows that:
A. Albuminuria is abnormal
B. Protein is traced in the urine
C. This is a positive result of protein leak
D. There is no albumin in the urine
Answer: D
Rationale: If the result of a Heat and Acetic acid test is clear, there is no
albumin in the urine. If it is cloudy, the nurse should repeat the procedure.
If on the second test, the result is still cloudy then it is interpreted as
positive protein leak or positive proteinuria. (Community Health Nursing
Services in the Philippines)
Situation9. COPAR (Community Organizing Participatory Action
Research) recognizes people's participation as a tool for community
development.
41. Arrange the activities of community organizing as a continuous
sustained process for community development.
A. Organization, Education, Mobilization
B. Organization, Mobilization, Education
C. Education, Organization, Mobilization
D. Education, Mobilization, Organization
Answer: C
Rationale: Community organizing as a continuous sustained process for
community development involves the process of Education, Organization
and Mobilization. (Community Health Nursing Services in the Philippines)
42. The following statements pertain to Community Organizing,
except:
A. Its goal is community development
B. A never-ending process once started
C. Can apply for increasing awareness
D. A process for increasing organization and initiating
responsible action
Answer: B
Rationale: Community Organizing is a process by which people, health
services and agencies of the community are brought together to learn
about the common problems, identify these problems as their own, plan
the kind of action needed to solve these problems and act on this basis. Its
goal is community development (option A). It can be applied to increase
the awareness of the community (option C). It is also a process for
increasing organization and initiating responsible action (option D).
Option B is incorrect because it sets up action pattern to solve problems,
not a never-ending process once started. (Community Health Nursing
Services in the Philippines)
43. Which among the following does not pertain to Participatory
Action Research?
A. Problem identification involves the community or group experiencing the
problem
B. Method of data gathering is determined by local culture and
innovativeness
C. Use of research results is within the full control of the people
D. It is done by an outsider utilizing technical quantitative techniques for
publication use
Answer: D
Rationale Option D is incorrect because it is not done by an outsider.
(Community Health Nursing Services in the Philippines)
44. Manageable units of the community to facilitate service delivery
and people's participation is called the:
A. Core group C. Spot map
B. Small group D. Organizing group
Answer: A
Rationale: Core group is the manageable units of the community to
facilitate service delivery and people's participation. (Community Health
Nursing Services in the Philippines)
45. The basic reasons why community organizers need to phase out
from the community is to enable the:
A. People to exercise self-reliance
B. Nurse to open community organization work in other depressed
communities
C. People's organization to expand their coverage
D. People to test their unity and strength
Answer: A
Rationale: The reason why community organizers need to phase out from
the community is to enable the people to exercise self-reliance. People are
given a chance to study their problems, offer solutions and give a chance
to plan an action. (Community Health Nursing Services in the Philippines)
Situation 10. Community Organization is a process wherein people in
the community, health care providers and agencies in the community
are brought together.
46. Which of the following is the primary principle involved in
community organization?
A. Technique in asking questions
B. Assembly of community leaders
C. Defined functions in each group
D. Planning group needs
Answer: D
Rationale: The primary principle involved in community organization is
planning group needs to represent all people concerned and the
discussion must include people with technical knowledge of health
problems. (Community Health Nursing Services in the Philippines)
47. Which one of the following is not an objective of community
organization?
A. Learn about common problems
B. Plan the kind of action needed to solve problems
C. Never to act on issues presented
D. Identify problems as their own
Answer: C
Rationale: Community Organizing is a process by which people, health
services and agencies of the community are brought together to learn
about the common problems (option A), identify these problems as their
own (option D), plan the kind of action needed to solve these problems
(option B) and act on this basis. (Community Health Nursing Services in
the Philippines)
48. Which basic method can determine the extent to which the basic
needs are met for the health workers to bring about the
adjustment between need and resources?
A. Fact finding C. Determination of needs
B. Program formation D. Education and Interpretation
Answer: A
Rationale: Fact finding is the basic method that serves to identify needs,
determine the extent to which the basic needs are met and make known
gaps and overlaps in existing services. This will also help health workers to
bring about the adjustment between need and resources. (Community
Health Nursing Services in the Philippines)
49. As a nurse, you have gained entry in the community. Which
initial step is done?
A. List names of persons to contact
B. Gather information from persons and records
C. Arrange the first meeting
D. Prepare the agenda
Answer: B
Rationale: The initial step when the nurse gained entry in the community is
gathering initial information about the community from other members of
the RHU or from records and reports. (Community Health Nursing
Services in the Philippines)
50. Which of the following should a nurse do if the purpose in
community organizing is to integrate with the people?
a. Live with the people
b. Assign community officers
c. Be punctual in reporting at the Rural Health Unit (RHU)
d. Reside in the home of the Municipal Health Officer
Answer: ARationale: When integrating with the people, it is
crucial for the nurse to reside in his/her area of assignment. This
is the first act of integrating with the people. Living with them will
give the nurse an in depth participation in community health
problems and needs. (Community Health Nursing Services in the
Philippines)
Situation 11. Community Assessment through Vital Statistics and
Epidemiology
51. Major factors affecting population include the following, except:
A. Morbidity C. Migration
B. Mortality D. Births
Answer: A
Rationale: Major factors affecting population include the following:
Mortality or the number of deaths, Birth rates and even Migration or
movement of people from one locality to another.
Option A is incorrect because morbidity doesn't affect population change; it
only determines the number of people acquiring diseases or illnesses.
(Community Health Nursing Services in the Philippines)
52. The town of Bagong Pag-asa has a population of 100,000 as of
July 1, 2008 (midyear) as per calendar year 2008 (January to
December) 2,000 died. Which formula below should be used to
compute the crude death rate?
A. 100,000 / 100,000 x 1,000
B. 2,000 / 100,000 x 100
C. 100,000 / 2,000 x 1,000
D. 2,000 / 100,000 x 1,000
Answer: D
 Rationale: Crude death rate is a measure of one mortality from
all causes which may result in a decease of population. The
formula of CDR is: total number of deaths registered in a given
calendar year (e.g., 2,000 in 2008) divided by the estimated
population as of the same year (e.g., 100,000 in July 1, midyear)
multiplied by 1,000. (Community Health Nursing Services in the
Philippines)
53. Incidence rate means new cases as percent of population and
prevalence rate means cases in a given period of time as
percent of population. Which formula below is a prevalence rate?
A. Number of cases of a specific disease / 1,000
estimated population x 100
B. Total number of cases of a disease (old + new) /
1,000 estimated population at the time x 100
C. Number of cases of a specific disease during a
specific time / Estimated population exposed to
that disease during that time x 100
D. Total number of cases of a disease (old + new) at a
given time / Estimated population at the time x
100
Answer: D
Rationale: Prevalence rate measures the proportion of the
population which exhibits a particular disease at a particular
time. This can only be determined following a survey of the
population concerned. It deals with the total (old and new)
number of cases. The formula of PR is: Total number of cases of
a disease (old + new) at a given time divided by the estimated
population examined at same given time multiplied by 100.
(Community Health Nursing Services in the Philippines)
54. The following are steps in data processing. As a nurse, you
should know its proper sequencing:
1. Data analysis
2. Data collection
3. Data presentation
4. Data collation
A. 2, 4, 3 and 1 C. 2, 4, 1 and 3
B. 2, 3, 4 and 1 D. 2, 3, 1 and 4
Answer: A
Rationale: The proper sequencing of steps in data processing
are as follows: Data collection, data collation, data presentation
or tabulation, and data analysis. (Community Health Nursing
Services in the Philippines)
55. Which of the following patterns is intermittent and confined to a
certain geographical area or locality?
A. Pandemic C. Epidemic
B. Endemic D. Sporadic
Answer: D
Rationale: Sporadic is an epidemiological event that is intermittent in
nature and confined to a certain geographical area or locality. (Community
Health Nursing Services in the Philippines)
Situation 12.The Department of Health implements various health
programs and projects in order to achieve its goals and objectives.
As a Public Health Nurse, you are one of the implementers of these
programs at the municipal level.
56. The mission of the Department of Health is:
A. The leader, staunch advocate and model in promoting Health for All in
the Philippines
B. Health for all Filipinos
C. Guarantee equitable, sustainable and quality health for all Filipinos,
especially the poor and shall lead the quest for excellence in health
D. To strengthen the health care system, let the people manage their own
health care
Answer: C
Rationale: The mission of the Department of Health is “Guarantee
equitable, sustainable and quality health for all Filipinos, especially the
poor and shall lead the quest for excellence in health.”
57. Which among the following is not considered as a specific role of
the DOH based on Executive Order 102?
A. Leader in health
B. Reformist for health development
C. Enabler and capacity builder
D. Administrator of specific services
Answer: B
Rationale: The specific role of the DOH based on Executive Order 102 are
as follows: Leadership in health (option A); Enabler and capacity builder
(option C); and Administrator of specific services (option D). (Public Health
Nursing in the Philippines)
58. The following are included in the 8 Millennium Development
Goals that are based on the fundamental values of freedom,
equality, solidarity, tolerance, health, respect for nature, and
shared responsibility. Which is not health related?
A. Eradicate extreme poverty
B. Improve maternal health
C. Promote gender equality and empower women
D. Ensure environmental sustainability
Answer: C
Rationale: The 8 Millennium Development Goals are based on the
fundamental values of freedom, equality, solidarity, tolerance, health,
respect for nature, and shared responsibility. All four options are part of the
MDGs, however, only option C (Promote gender equality and empower
women) is not health related. (Public Health Nursing in the Philippines)
59. The goal of the DOH is Health Sector Reform Agenda (HSRA),
with the National Objectives for Health (NOH) serving as the
road map for all stakeholders in health. All of the following are
reasons for health sector reform, except:
A. Slowing down in the reduction of both Infant and Maternal Mortality
Rates
B. Rising and high burden from chronic, degenerative diseases and
infectious diseases, respectively
C. Unattended emerging health risks from environmental and work related
factors
D. Burden of disease is heaviest on the affluent
Answer: D
Rationale: The goal of the DOH is Health Sector Reform Agenda (HSRA),
with the National Objectives for Health (NOH) serving as the road map for
all stakeholders in health. The following are the rationale or reasons for
health sector reform: Slowing down in the reduction of both Infant (IMR)
and Maternal (MMR) Mortality
60. The Health Sector Reform Agenda (HSRA) utilizes FOURmula
ONE for Health as its framework having four components such
as health financing, health regulation, health service delivery and
good governance. Which of the following is not included in the
goals of this framework?
A. Better health outcomes
B. More responsive health systems
C. Streamlining health system bureaucracy
D. Equitable health care financing
Answer: C
Rationale: The Health Sector Reform Agenda (HSRA) utilizes FOURmula
ONE for Health as its framework having four components such as health
financing, health regulation, health service delivery and good governance.
The goals of FOURmula ONE for Health are as follows: Better health
outcomes (option A); More responsive health systems (option B); and
Equitable health care financing (option D). (Public Health Nursing in the
Philippines)
Situation 13. There are other fields of nursing where public health
nurses are working. They are in schools and work settings.
61. Nurse Feng is a newly hired school nurse. She wants to know
the objectives of school nursing. The following are specific
objectives of school nursing, except:
A. To promote and maintain the health of the school populace by providing
comprehensive and quality nursing care
B. Provide quality nursing service to the school population
C. Establish/strengthen linkages with government and non-government
organization/agencies for school community health work
D. Conduct and participate in researches related to nursing care
Answer: A
Rationale: To promote and maintain the health of the school populace by
providing comprehensive and quality nursing care is the general objective
of school nursing.
62. The following are duties and responsibilities of Nurse Feng,
except:
A. Community outreach like attending community assemblies and
organizing school community health councils
B. Health and nutrition assessment including other screening procedures
such as vision and hearing
C. Supervision of the health and safety of the school plant
D. Coordinates with other government agencies relative to the
implementation of the implementing rules and regulations
Answer: D
Rationale: Coordinates with other government agencies relative to the
implementation of the implementing rules and regulations is one of the
duties of an occupational health nurse.
63. One of the functions of Nurse Feng is health assessment. Which
of the following is not true regarding the conduct of a health
assessment?
A. Health assessment should include appraisal of the general physical and
mental condition
B. Before the health assessment, the nurse should conduct a classroom
health lecture
C. Every school child should be examined twice a year
D. Three to five children at a time should be in waiting for the assessment
Answer: C
Rationale: Health assessment aims to discover the signs of illness and
physical defects in order to correct them, check on the health habits of
pupils and prevent the progress of those which cannot be corrected. Every
school child should be examined once, not twice, a year and as the need
arises like during epidemics.
64. Nurse Cezar is a newly hired occupational health nurse in an
international company. He knows that the following are functions
of an occupational health nurse, except:
A. Recommends to Local Health Authority the issuance of license/business
permits and suspensions or revocation of the same
B. Height and weight measurement and nutritional status determination
C. Provide control measures to reduce noise, dust, health and other
hazards
D. Informs all affected workers regarding the nature of hazards and the
reasons for the control measures and protective equipment
Answer: B
Rationale: Height and weight measurement is a procedure for evaluating
the tallness or the shortness and the heaviness of a pupil. It offers the most
acceptable parameter and is the simplest way to determine the nutritional
status of school children. It is one of the duties and responsibilities of a
school nurse.
65. Nurse Cezar is oriented on the mission of occupational health
and safety, which is:
A. To conduct and/or assist other health personnel in outbreak investigation
B. To assure so far as possible every working man and woman in the
country is safe and in healthful working conditions
C. To promote and maintain the health and safety of workers through a
systematic process of assessment, planning, intervention and evaluation
D. To provide summary of data on health services delivery and selected
program accomplished indicators at the barangay, municipality/city, district,
provincial, regional and national levels
Answer: B
Rationale: The mission of occupational health and safety is “to assure so
far as possible every working man and woman in the country is safe and in
healthful working conditions.”
Situation 14. The following are programs aimed at preventing non-
communicable diseases.
66. The following are nutrition-related problems that lead to non-
communicable disease, except:
A. Obesity
B. Increased intake of processed/instant foods
C. Increased dietary fiber
D. Increased fat intake
Answer: C
Rationale: Eating a balanced diet is important to health. Studies prove that
following nutrition guidelines can prevent major non-communicable
diseases. The following are nutrition-related problems that lead to non-
communicable disease:
67. One of the roles of the public health nurse in promoting a smoke-
free environment is assisting smokers to quit. The following are
the four “As” used in helping smokers to quit, except:
A. Ask C. Arrange follow up
B. Announce D. Advise to stop smoking
Answer: B
Rationale: Realizing that health workers in most communities do not have
much time nor resources, WHO has a simplified recommendation that any
health worker can apply readily to any client and in any setting. This
involves the four “As” in helping smokers to quit.
A - ASK
Step 1 – Assess smoking status. Identify all tobacco users
at every visit.
A - ADVISE TO STOP SMOKING AND THAT SMOKING CAN
CAUSE DISEASE, EVEN DEATH
Step 2 – Target clients’ motivation to quit.
Step 3 – Encourage complete cessation.
Step 4 – Discuss alternatives and substitutes to smoking.
A - ASSIST
Step 5 – Develop a quit plan with the smoker. Set a QUIT
DATE.
Step 6 – Provide supplementary materials to assist the
smoker.
Step 7 – Develop a plan to prevent relapse.
A – ARRANGE FOLLOW-UP
Step 8 – Set follow-up sessions to monitor progress and
prevent relapses.
(Public Health Nursing in the Philippines)
68. Sedentary lifestyle, a life spent with little or no physical activity,
has grave consequences to one’s health. The following are
health benefits of regular physical activity, except:
A. Promotes psychological well-being and reduces feelings of stress
B. Reduces the risk of developing colon cancer
C. Helps reduce blood pressure in people who already have hypertension
D. Lowers both total blood cholesterol and triglycerides and may increase
low-density lipoproteins
Answer: D
Rationale: Sedentary lifestyle, a life spent with little or no physical activity,
has grave consequences to one’s health. The lack of adequate physical
activity has been associated with increased risk for cardiovascular
diseases, diabetes mellitus, and obesity. It also increases the risks of colon
and breast cancer, high blood pressure, lipid disorder, osteoporosis,
depression and anxiety.
69. Which of the following is the leading cause of visual impairment
and of bilateral or monocular low vision?
A. Errors of refraction C. Optic atrophy
B. Glaucoma D. Cataract
Answer: A
Rationale: Errors of refraction is the leading cause of visual impairment
and of bilateral or monocular low vision.
70. What is the vision of the National Prevention of Blindness
Program?
A. Institutionalize visual acuity screening for all sectors by 2010
B. Strengthen partnership among and with stakeholders to eliminate
avoidable blindness in the Philippines
C. Reduce the prevalence of avoidable blindness in the Philippines through
the provision of quality eye care
D. All Filipinos enjoy the right to sight by year 2020
Answer: D
Rationale: “All Filipinos enjoy the right to sight by year 2020” is the vision
of the National Prevention of Blindness Program.
Situation 15. Tuberculosis ranks sixth among the leading causes of
morbidity and mortality in the Philippines.
71. The goal of the National Tuberculosis Control Program which is
also reflected in the Millennium Development Goal is:
A. A country where TB is no longer a public health problem
B. Ensure that TB DOTS services are available, accessible, and affordable
to communities in collaboration with the LGUs and other partners
C. To reduce prevalence and mortality from TB by half by the year 2015
D. Cure at least 85% of the sputum smear-positive TB patients discovered
Answer: C
Rationale: The goal of the National Tuberculosis Control Program which is
also reflected in the Millennium Development Goal is to reduce prevalence
and mortality from TB by half by the year 2015.
72. Smearing , fixing, and staining of sputum specimens, as well as
recording and reporting results for DSSM shall be performed
only by trained medical technologists or microscopists. However,
in far flung areas, who are allowed to do the DSSM as long as
they have been trained?
A. Rural Health Midwife C. Public Health Nurse
B. Barangay Health Worker D. PTB Community Patient
Answer: B
Rationale: Only trained medical technologists or microscopists shall
perform DSSM or Direct Sputum Smear Microscopy (smearing, fixing, and
staining of sputum specimens, as well as reading, recording, and reporting
of results). However, in far flung area, BHWs (Barangay Health Workers)
may be allowed to do smearing and fixing of specimens, as long as they
have been trained and are supervised by their respective NTP medical
technologists or microscopists. (Public Health Nursing in the Philippines)
73. Camela, is a new known patient of PTB with three consecutive
negative results in DSSM yet PTB positive-extensive as revealed
in CXR. Camela should be classified as Category:
A. 1 B. 2 C. 3 D. 4
Answer: A
Rationale: Category 1 patients include: new smear-positive PTB; new
smear-negative PTB with extensive parenchymal lesions on CXR as
assessed by the TBDC (TB Diagnostic Committee); Extra-pulmonary TB;
and severe concomitant HIV disease.
74. Nurse Bulilit knows that Camela should start the treatment with
which of the following anti-TB drugs?
A. Rifampicin and Isoniazid
B. Rifampicin, Isoniazid, and Ethambutol
C. Rifampicin, Isoniazid, Pyrazinamide, and Ethambutol
D. Rifampicin, Isoniazid, Pyrazinamide, Ethambutol, and Streptomycin
Answer: C
Rationale: The initial treatment regimen for Category 1 (Intensive phase)
is a combination of Rifampicin, Isoniazid, Pyrazinamide, and Ethambutol.
In addition, it is also the Intensive phase treatment for Category 3.
75. The most important among the elements of the DOTS strategy
is:
A. Sustained political strategy
B. Access to quality-assured sputum microscopy
C. Standardized short-course chemotherapy
D. Uninterrupted supply of quality-assured drugs
Answer: A
Rationale: DOTS is the internationally-recommended TB control strategy
and combines five elements. The five elements are the following: sustained
political strategy or commitment (option A); access to quality-assured
sputum microscopy (option B); standardized short-course chemotherapy
(option C) for all cases of TB under proper case management conditions,
including direct observation of treatment; uninterrupted supply of quality-
assured drugs (option D); and recording and reporting system enabling
outcome assessment of all patients and assessment of overall program
performance.
Option A is the best answer because sustained political strategy or
commitment is the most important element. (Public Health Nursing in the
Philippines)
Situation 16. Environmental health is a branch of public health that
deals with the study of preventing illnesses by managing the
environment and changing people's behavior to reduce exposure to
biological and non-biological agents of disease and injury.
76. Which of the following is responsible for the promotion of health
 environmental conditions and prevention of environmental 85. Based on the principle that life is the result of Qi or life energy,
related diseases? what is the alternative medicine practice that maintains health,
A. Rural Health and Sanitary Office treats diseases, and alleviates pain by massaging certain points
B. Environmental Sanitation Code of the Philippines on the body surface?
C. Center for Health and Development A. Tai Chi C. Acupressure
D. Environmental and Occupational Health Office B. Cupping D. Acupuncture
Answer: D Answer: C
Rationale: The Environmental and Occupational Health Office (EOHO) is Rationale: Based on the principle that life is the result of Qi or life energy,
responsible for the promotion of health environmental conditions and Acupressure is the alternative medicine practice that maintains health,
prevention of environmental related diseases. (Public Health Nursing in the treats diseases, and alleviates pain by massaging certain points on the
Philippines) body surface.

77. A protected well or a developed spring with an outlet but without Situation 18. Vaccines are administered to induce immunity thereby
a distribution system is known as: causing the recipient’s immune system to react to the vaccine that
A. Point Source C. Stand Post produces antibodies to fight infection. Vaccinations promote health
B. Communal Faucet D. Waterworks System and protect children from disease-causing agents.
Answer: A 86. What day of the week is designated as immunization day and is
Rationale: Point Source or Level I water supply facilities are protected adopted in all parts of the country?
wells or developed springs with an outlet but without a distribution system. A. Monday C. Wednesday
B. Tuesday D. Thursday
78. Pour flush toilet and aqua privies are classified under which level Answer: C
of approved toilet facilities? Rationale: Every Wednesday is designated as immunization day and is
A. Level I C. Level III adopted in all parts of the country. In a barangay health station,
B. Level II D. Level IV immunization is done monthly while in far flung areas it is done quarterly.
Answer: A However, some areas adopted local practices to provide everyday
Rationale: Level I toilet facilities include pour flush toilet and aqua privies vaccination in their areas to cover all targets. (Public Health Nursing in the
(non-water carriage toilet facility). No water is necessary to wash the waste Philippines)
into the receiving space.
Level II toilet facilities (option B) are on site toilet facilities of the water 87. Which of the following Expanded Program on Immunization (EPI)
carriage type with water-sealed and flush type with septic tank/vault vaccines is stored in the freezer?
disposal facilities. A. Measles vaccines C. Hepatitis B vaccine
Level III toilet facilities (option C) are water carriage type or toilet facilities B. DPT D. Tetanus toxoid
connected to septic tanks and/or sewerage system to treatment plant. Answer: A
There is no Level IV toilet facility. (Public Health Nursing in the Philippines) Rationale: Vaccines are substances very sensitive at various
temperatures. To avoid spoilage and maintain its potency, vaccines need to
79. The four rights in food safety include the following, except: be stored at correct temperature. Measles vaccine and OPV are highly
A. Right source C. Right preparation sensitive to heat, requiring storage in the freezer (-15C to -25C).
B. Right handling D. Right cooking 88. Unused BCG should be discarded how many hours after
Answer: B reconstitution?
Rationale: The four rights in food safety include the following: A. 2 hours C. 6 hours
Right source; Right preparation; Right Cooking; and Right B. 4 hours D. At the end of the day
Storage. (Public Health Nursing in the Philippines) Answer: B
Rationale: While the unused portion of other vaccines in the EPI may be
80. Which among the following is an important requirement for given until the end of the day, only BCG is discarded 4 hours after
registration and renewal of licenses of newly constructed and reconstitution. This is why BCG immunization is scheduled only in the
existing hospitals? morning. (Public Health Nursing in the Philippines)
A. Incineration system of hazardous hospital wastes
B. Municipal refuse disposal system 89. You will not give DPT 2 if the mother says that the infant had:
C. Hospital waste management program A. Abscess formation after DPT 1
D. Disinfection treatment to prevent transmission of diseases B. Local tenderness for 3 days after DPT 1
Answer: C C. Fever for 3 days after DPT 1
Rationale: Hospital waste management program is an important D. Seizures a day after DPT 1
requirement for registration and renewal of licenses of newly constructed Answer: D
and existing hospitals. (Public Health Nursing in the Philippines) Rationale: Seizures within 3 days after administration of DPT is
an indication of hypersensitivity to Pertussis vaccine, a
Situation 17. Alternative medicines include the use of herbal component of DPT. This is considered a specific contraindication
medicines, and the practice of acupressure, acupuncture and to subsequent doses of DPT. (Public Health Nursing in the
aromatherapy. Philippines)
81. Which of the following laws paved way for the creation of the
Philippine Institute of Traditional and Alternative Health Care? 90. A 2-months old infant was brought to the health center for
A. R.A. 7610 C. R.A. 7160 immunization. During assessment, the infant’s temperature
B. R.A. 8423 D. P.D. 965 registered at 38.1°C. Which of the following is the best course of
Answer: B action by the nurse?
Rationale: Republic Act 8423 or the Traditional and Alternative A. Give Paracetamol and wait for his fever to subside
Medicine Act paved way for the creation of the Philippine B. Advise the infant’s mother to bring him back for immunization when he is
Institute of Traditional and Alternative Health Care. well
C. Refer the infant to the physician for further assessment
82. The herbal plant used as an anti-helmintic, which expels round D. Go on with the infant’s immunizations
worms that cause ascariasis, is: Answer: D
A. Tsaang gubat C. Lagundi Rationale: In the Expanded Program on Immunization (EPI), fever up to
B. Niyug-niyogan D. Bayabas 38.5°C is not a contraindication to immunization. Mild acute respiratory
Answer: B tract infection, simple diarrhea, cough, vomiting and malnutrition are not
Rationale: Niyug-niyogan (Quisqualis indica L.) is the herbal plant used as contraindications either. Generally, one should immunize unless the child is
an anti-helmintic. It expels round worms that cause ascariasis. The seeds so sick that he needs to be hospitalized. (Public Health Nursing in the
are taken 2 hours after supper. If no worms are expelled, the dose may be Philippines)
repeated after one week. It should not be given to children below 4 years
old. Situation 19. Children with various health conditions although
considered common diseases are difficult to manage. The DOH
83. The herbal plant used for the treatment of rheumatism and gout adopted the recommended integrated case management process on
as it lowers uric acid level is: childhood illnesses.
A. Sambong C. Akapulko 91. If a 5-year-old child with a fever of 38.8°C is blood smear
B. Yerba Buena D. Ulasimang bato positive with no runny nose, the nurse should do the following as
Answer: D forms of specific treatment, except:
Rationale: Ulasimang bato or Pansit-pansitan (Peperonia A. Treat the child with an oral antimalarial drug
pellucida) is the herbal plant used for the treatment of B. Give first dose of quinine
rheumatism and gout as it lowers uric acid level. C. Give one dose of paracetamol
D. Advise to follow up in 2 days if fever persists
84. Which of the following refers to ear acupuncture? Answer: B
A. Auriculotherapy C. Moxibustion Rationale: A child with a positive blood smear with no runny nose is
B. Homeopathy D. QiGong classified under the yellow row (Malaria). The following are specific
Answer: A treatments to be given: Treat the child with an oral antimalarial drug (option
Rationale: Auriculotherapy is also known as ear acupuncture. A); Give one dose of paracetamol (option C) in health center for high fever
(38.5C or above); Advise to follow up in 2 days if fever persists (option D);
and if fever is present every day for more than 7 days, refer for
assessment.Option B is under the pink row. (Integrated Management of
Childhood Illness Chart)
92. A 4-year-old child who has visible severe wasting and severe
palmar pallor should be classified as:
A. Anemia or Very low weight
B. Moderate malnutrition/anemia
C. Severe malnutrition/anemia
D. Malnutrition with severe anemia
Answer: C
Rationale: A child manifesting visible severe wasting or severe palmar
pallor or edema on both feet should be classified under the pink row
(Severe malnutrition/anemia). Option A is incorrect because a child can be
classified under the yellow row (Anemia or Very low weight) if the patient
has some palmar pallor or very low weight for age.
national public and private sector and overseas employment.
98. Project NARS is built within the frameworks of the “Economic
Resiliency Plan of the Arroyo Administration” and the Department
of Health’s “Formula One for Health.” The following are aims of
the project, except:
A. Aggravate the impact of the Global Financial Crisis
B. To save and create as many jobs as possible
C. Expand social protection
D. Help achieve better health service and care for the people
Answer: A
Rationale: The NARS project aims to mitigate, not aggravate, the impact
of the Global Financial Crisis, to save and create as many jobs as possible
and expand social protection and help achieve better health service and
care for the people, especially those in the poorest municipalities of the
country. (www.nars.dole.gov.ph)

93. While on treatment, Rica, 18 months old weighed 18 kgs and her
temperature registered at 37°C. Her mother says she developed
cough 3 days ago. Rica has no general danger signs. She has
45 breaths/minute, no chest indrawing, no stridor. With Rica's
condition, what should the nurse do?
A. Classify the child's condition as severe pneumonia
B. Classify the child's condition as pneumonia
C. Give amoxicillin BID for 3 days
D. Assess further the condition of the child by giving a trial of rapid-acting
inhaled bronchodilator
Answer: D
Rationale: Before classifying the child as Pneumonia, the child is
assessed further by giving a trial of rapid-acting inhaled bronchodilator.
This is to rule out Asthma, since children with asthma also exhibits fast
breathing. If the symptom still persists then by now the child can be
classified as having pneumonia. The patient in the situation is manifesting
fast breathing because base on her age, which is 18 months, it is
considered fast breathing when her respiratory rate exceeds 40
breaths/minute (1-5 years old). (Integrated Management of Childhood
Illness Chart)
94. Junival, 4 years old, has had diarrhea for 5 days. He weighs 15
kg. There is no blood in the stool, he is irritable. His eyes are
sunken. Nurse Herbert offers fluid to the child and he drinks
eagerly. When the nurse pinched the abdomen, it goes back
slowly. Nurse Herbert should classify the child's condition as:
A. No dehydration C. Severe dehydration
B. Some dehydration D. Severe persistent diarrhea
Answer: B
Rationale: The child is classified under Some dehydration because he
manifested more than 2 symptoms in the yellow row. They are as follows:
irritable, sunken eyes, drinks eagerly and skin pinch goes back slowly.
(Integrated Management of Childhood Illness Chart)
99. The NARS trainees shall be warriors of wellness in their
hometowns to do the following, I’s, except:
A. Initiate B. Implement C.
Inform D. Immunize
Answer: B
Rationale: NARS trainees (option A) initiate primary health, school
nutrition, maternal health programs and first line diagnosis; (option C)
inform the public on community water sanitation practices and perform
health surveillance; and (option D) immunize children and mother.
(www.nars.dole.gov.ph)
100. It is the competencies required of registered nurses in their
secondary and tertiary-level care practice within health
facilities:
A. Public Health skills C. Clinical skills
B. Technical skills D. Millennium Development Goals
Answer: C
Rationale: Clinical skills are competencies required of registered nurses in
their secondary and tertiary-level care practice within health facilities.
Option A is incorrect because public health skills are competencies
required of registered nurses in primary health care level practice for the
prevention of diseases. Option D is incorrect because Millennium
Development Goals is a summary of commitments set by 189 countries at
the Millennium Summit in 2000 to achieve development and poverty
reduction, towards the implementation of the United Nations Millennium
Declaration. (www.nars.dole.gov.ph)

95. If the child does not have ear problem, what should the nurse do
following the protocol of IMCI chart?
A. Check for other problems C. Check for immunization status
B. Check for danger signs D. Check for nutritional status
Answer: D
Rationale: In performing IMCI, the nurse should follow the correct
sequence of assessment. They are as follows: IMCI ARI, IMCI CDD, IMCI
Fever, IMCI Ear problem, Malnutrition, Immunization and other local
bacterial infection. (Integrated Management of Childhood Illness Chart)

Situation 20. Project NARS is a training cum deployment project

designed to mobilize registered nurses in the poorest municipalities
of the Philippines to improve the delivery of health care services.
96. Project NARS is otherwise known as:
A. Nurses Assigned in Regional Station Project
B. Nationwide Assignments of Registered nurse’s Service Project
C. Nurses Assigned in Rural Service Project
D. National Affiliation of Registered nurses Project
Answer: C
Rationale: Project NARS, otherwise known as Nurses Assigned in Rural
Service Project, is a training cum deployment project designed to mobilize
registered nurses in the poorest municipalities of the Philippines to improve
the delivery of health care services. This project will create a pool of
adequately trained, competent and readily available registered nurses for
local and overseas employment. (www.nars.dole.gov.ph)

97. What is the general objective of the NARS project?

A. To provide registered nurses with necessary competencies that
encompasses both community health practice as well as clinical skills
B. To augment the nursing workforce of hospitals and rural health units
from identified poor municipalities of needed clinical and public health
nurses
C. To provide deployment opportunities for nurses in rural areas and
undeserved communities
D. To improve the delivery of health care services and create a pool of
registered nurses with enhanced clinical and preventive health
management competencies for national public and private sector and
overseas employment
Answer: D
Rationale: The general objective of the NARS project is to improve the
delivery of health care services and create a pool of registered nurses with
enhanced clinical and preventive health management competencies for