A community health nurse must be aware
of the his/her scope of practice in order to
function efficiently in the community setting.
1. What is the primary goal of community
health nursing?
b) To prevent and control disease
2. Which of the following is a key principle
in primary health care?
a) Health Promotion
3. What is the role of community health
nursing in disaster responses?
d) To provide basic health care services
and supplies
4. A special field of nursing that combines
the skills of nursing, public health and some
phases of social assistance and functions
as part of the total public health program.
c) Community health nursing
5. As a public health nurse of a municipality
with 20,000 in total population How many
more midwives do you need if you already
have 3 Rural health midwives?
a) 1
6. It is this level of prevention aims to
decrease the persons vulnerability to
disease and promote health.
a) Primary Prevention
7. Statistics of Illnesses is termed as:
c) Morbidity
8. Which is the primary goal of community
health nursing?
b) To enhance the capability of individuals,
families and communities to cope with their
health needs.
9. It is a type of nursing practice that
promotes and protects the health of
populations using knowledge from nursing,
social and public health science?
d) Public Health Nursing
10. Population-Focused nursing practice
requires which of the following process?
c) Nursing Process
You are a public health nurse in a small
barangay to teach about the herbal plants
approved by the Department of Health.
Such plants will help the community when
pharmaceutical medications are not
available for different ailments and
disorders as a temporary replacement until
the medication arrives.
11. This herbal plant is for the indication of
hypertension:
b) Bawang
12. Diabetes Mellitus of non-insulin
dependence can be managed by this
herbal plant:
c) Amplaya
13. This medicinal plant can be used as a
deworming and its seeds are taken 2 after
supper.
d) Niyug niyogan
14. This plant is a diuretic and it helps pass
renal stones
b) Sambong
15. This plant is for asthma and cough
a) Lagundi
After passing the board exam, you have
decided to become a community health
nurse. The right information in CHN is vital
to the job interview as well as where and
when to apply. The following questions are
about the DOH and other heath agencies
that you will encounter once you become a
public health nurse.
16. Where will you apply if you want to
become a public health nurse?
d) Rural Health Unit
17. Which step of community organizing
involves the training of potential leaders in
the community?
b) Core group formation
18. What is the legal basis for the Primary
Health Care approach in the Philippines?
b) Letter of instruction No.949
19. As a PHN, you present the municipal
health statistics by using what type of
graph, chart or diagram that compares the
frequency of leading cases of mortality in
the municipality?
d) Bar graph
20. Which of the following is the mission of
the Department of Health?
b) Ensure the accessibility and quality of
health

Patient De Jesus 29-year-old pregnant with
twins is due for a check-up at the clinic.
Data is being collected for assessment.
She has a healthy 5- year-old child who
was delivered at 38 weeks and tells the
nurse that she does not have any history of
abortion or fetal demise. You also have
other pregnant women lined up in the clinic
so other questions about pregnancy will
also be entertained.
21. Document the GTPAL for Patient De
Jesus from the data above as:
b) G2, T1, P0, A0, L1
22. What should be the first nursing action
in planning for the diet of Patient De Jesus?
a) Review her current dietary intake.
23. Patient De Jesus asks about what
symptoms would she experience during the
first trimester. You reply.
d) Burning during urination
24. You are asked to do a fundal height
measurement, where do you measure it
from?
c) The top of the pubic bone to the top of
the uterus
25. Patient De Jesus asks that; "What
symptom would I consider danger signs
and needs to be reported immediately
when I experience them? You answer:
a) Blurred vision
26. Client Leah arrived at the clinic for a
pre- natal assessment. She says that her
first day of LMP was October 28,2012,
when is her Expected Date of Delivery
using the Naegle's rule?
a) July 30,2013
27. Client Leah also asked if how much is
the average weight pregnancy?
c) 25 to 35lbs
28. Client Leah is at 38weeks in her
pregnancy, she disclosed that she hac
vaginal bleeding during coitus. As a nurse
you tell her that:
c) It must be restricted because it may
further stimulate uterine activity
29. A first-time pregnant woman asked the
nurse; "How long into my pregnancy will my
uterus already has risen out of the pelvis
and is expanding further into the abdominal
area?"
d) 18 week
30. A woman who would like to get
pregnant wants to know that in the
preconception phase which infectious
diseases are risk factors that can result to
maternal complications, these are: (Select
all that apply) BONUS
You are a nurse at a pediatric unit, A 2-
year-old child is being assessed as a new
patient for check-up. A physical
examination is vital in assessing a child's
growth, development, and health status. In
this way, the nurse can provide
interventions for any health issues the child
is experiencing or is it at risk.
31. What is the recommended age of the
child to receive the first dose of Hepatitis B
vaccine?
a) At birth
32. What is the recommended age for
children to receive the first dose of MMR
Vaccine?
d) 12-15 months
33. Which vaccines are administered at
birth?
a) Vitk, BCG, Hepa B
34. What is the most appropriate method
for performing a physical examination on a
2-year-old child?
b) Least to the most intrusive
35. In assessing a child with croup, what
situation would further precipitate if the
nurse used a tongue depressor?
b) Complete Obstruction
36. What is the recommended age for
children to the second dose of the MMR
Vaccine?
d) 4-6 years
37. What is the normal range of respiratory
rate of a 1 year old?
c) 20-40
38. What are the signs & symptoms of
epiglottitis (SATA)
a) Muffled Voice
b) Tongue Protude
d) Nasal Flaring
39. Which assessment findings should lead
the nurse to suspect that a toddler is
experiencing respiratory distress? (SATA)
a) Coughing
b) Respiratory Rate of 35 BPM
c) Restlessness
d) Diaphoresis
40. Healthy Full-Term infants are usually
first screened for iron deficiency anemia at
what age?
d) 12 months
You are a nurse in a medical ward assigned
for drug administration, accurate and the
right drug orders must be carried out in
order for it to be therapeutic for every
patient. You also need to be familiar with
the emergency drugs and antidotes if
toxicity occurs. The following questions are
related to drug calculations and drug
identification. Think critically as a nurse.
41. A patient is started on Calcium
Carbonate at 1500 mg/daily. The stock on
hand is 500mg/tab. How many tablets per
day would he take?
b) 3
42. A patient has gout and was ordered of
colchicine at 18mg per day. He needs to
take it at breakfast, lunch and dinner. The
stock dose is 3mgs per tablet. How many
tablets does he need per meal?
c) 2 tablets
43. Patient Patricia is having fever she
needs to take a 5ml /250mg of paracetamol
every 4 hours. The stock is 500 ml bottle.
How many milligrams in total did she take
per day?
d) 1500mg
44. How many mg is in a 500ml bottle of
paracetamol above?
d) 25000mg
45. An IV line is started with 1Lof PNSS is
ordered to run in 8hours, how many ml per
hour should the infusion be set if the drop
factor is 10?
c) 125Ml/hr
46. An IV line is started with 1L of PNSS is
ordered to run in 12hours, how many g per
min should the infusion be set if the drop
factor is 10?
b) 14gtt/min
47. An IV line is started with 1Lof PNSS
with a5oom of vitamin c is added for
immunity is ordered to run in 8hours, how
many ml/hr should the infusion be set if the
drop factor is 15?
d) 187.50ml
48. A child needs a dose of 1.5mg/kg of
multivitamin syrup. The available stock is
200ml of 3mg/ml. The child is 22lbs. How
many ml's does the child need in one
dose? b) 5ml
49. A man got stung by a bee, the order is
to give 05mg/kg of epinephrine IM dose.
The stock is 5m/5mg vial. The patient is
220lbs. How many vials does the man
need?
a) 1
50. A girl was diagnosed with an upper
respiratory tract infection, the doctor's order
is as follows
"Take 3 tablets per meal to run for 7 days"
The medication is penicillin 75mg per tablet
What is the total milligrams of her penicillin
per day?
b) 225mg
You are a nurse in a hospital assigned for
assessments of patients. A nurse must be
observant in doing assessments in order to
perform it accurately and the results are
reliable for the physician to understand the
causes of the patients' problems. You are
also handling the receiving of various
laboratory results for the patients. Normal
values and ABG interpretations must be
done quickly and accurately.
51. A Dion 56-year-old male suddenly had a
BP of 162/102, the patient never had a
previous reading as high as that, it has
been known that he just ate okra and
bagoong at lunch. Based on what he ate,
what is the cause of his hypertension?
b) Increased sodium intake
52. What should be the normal value of
sodium in the body?
a) 136 to 144mmol
53. Which medications are most likely to be
prescribed to Dion? SATA
a) Losartan
b) Metoprolol
c) Enalapril
54. Which type of diet should Dion follow?
c) DASH Diet
55. Dion has edema, what would the doctor
order?
a) Diuretic
56. Dion asks: "What is that equipment you
are using to check my blood pressure?"
You reply.
b) Sphygmomanometer & stethoscope
57. An ABG result just came in for a patient.
the results are: pH 7.30, CO2 16, HCO3 8.
The interpretation would be
c) Partially Compensated Metabolic
Acidosis
58. An ABG result just came in for a patient,
the results are: pH 7.54, CO2 35, HCO3 29.
The interpretation would be:
b) Uncompensated Metabolic Alkalosis
59. An ABG result just came in for a patient,
the results are: pH 7.38, CO2 16, HCO3 9.
The interpretation would be:
a) Fully compensated Metabolic Acidosis
60. Which of the ABG values are Correct
(SATA)
a) pH 7.35 to 7.45
b) CO2 35-45 mmHg
c) HCO3 22-26 mEq/L
The nursing fundamental knowledge is key
to solving more advanced problems and
nursing actions because this knowledge
though basic is the foundation of patient
care and the protection of the nurse. The
following questions will be related to the
Skills Concept Demonstrations classes you
have taken and other concepts such as
Anatomy and Physiology as a foundation in
the disease process.
61. A patient is received with constipation,
heart palpitations, fatigue with muscle
spasms and tingling sensations. The doctor
would diagnose it as:
c) Hypokalemia
62. What should be the normal value of
potassium?
c) 3.7 to 5.1 mmol/L
63. What is usually given to the patients
with hypokalemia?
b) Potassium chloride
64. What test can show the palpitations of
the D heart?
d) ECG
65. Which food is rich in potassium?
(SATA) a) Dried fruits
b) Bananas
c) Potatoes
d) Avocado
66. A patient who has hypokalemia will
have a priority nursing diagnosis of
a) Electrolyte imbalance related to changes
in the intake of potassium.
67. Fall precautions are displayed on the
patient, what will be the appropriate action
of the nurse?
b) Keep the siderails up on the patient's
bed
68. Which personal protective equipment
does the nurse need in a Contact
Precaution situation? (SATA)
a) Gloves
b) Gown
69. Which personal protective equipment
does the nurse initially need in a Droplet
Precaution situation?
a) Surgical Mask
70. If the patient is suspected to have TB
which precaution should the nurse employ?
c) Airbome
A nurse is assessing patients for admission,
different areas of the body is being
inspected, auscultated, palpated and such.
As an efficient nurse, proper actions are
necessary to perform a good health
assessment to collect proper and accurate
data of the patient.
71. What part of the nursing process is
constantly being done during the whole
process?
a) Assessment
72. When assessing the sigmoid colon, the
nurse is referring to which area of the
abdomen?
b) LLQ
73. Which is the correct sequence for
assessing the abdomen?
c) IAPePa
74. If the patient is suspected to have
cholecystitis, which Quadrant is
concerned?
c) RUQ
75. If the patient is suspected to have
appendicitis, which Quadrant is concerned?
d) RLQ
76. The pulses of the upper body are not
palpable, it was suggested to use the
popliteal artery, where is it located?
b) Knee
77. What type of thermometer is the least
invasive?
c) Infrared Thermometer
78. When assessing for bowel movements
in the abdomen, which part of the
stethoscope is used for lower pitched
sounds?
b) Bell
79. In diagnostic procedure of a 24-hour
urine collection, when is the urine
discarded?
b) The first urine specimen
80. What purpose does the 24-hour urine
collection diagnose?
c) Kidney Function
An ED nurse knows how to classify patients
based on their timely needs. Prioritization
and delegation greatly helps the efficiency
of the Department and also is vital to saving
lives that need time-critical decision
making. The employment of critical thinking
is evident in every decision of the nurse
and one mistake in prioritization may mean
a life or may affect all the patients in the
hospital if not properly done.
81. After a change of shift, you are
assigned to care for the following patients.
Which patient should you assess first?
d) A 50-year-old with asthma who
complains of shortness of breath after using
a bronchodilator.
82. A patient with sleep apnea has a
nursing diagnosis of Sleep Deprivation
related to disrupted sleep cycle. Which
action should you delegate to the nursing
assistant or the UAP?
c) Remind the patient to sleep on his side
instead of his back.
83. The nurse is caring for a patient with
chronic obstructive pulmonary disease
(COPD). Which intervention for airway
management should you delegate to a
nursing assistant?
a) Assisting the patient to sit up on the side
of the bed.
84. A patient with a pulmonary embolism is
receiving anticoagulation with IV heparin.
What instructions would you give the
nursing assistant who will help the patient
with activities of daily living?
a) Use a lift sheet when moving and
positioning the patient in bed.
b) Use an electric razor when shaving the
patient each day.
c) Use a soft-bristled toothbrush or tooth
sponge for oral care.
85. Nurse Remie is reviewing the diet of a
28- year-old female who reports several
months of intermittent abdominal pain,
abdominal bloating, and flatulence. The
nurse should tell the client to avoid:
b) Broccoli
86. You received a patient that came from
radiologic accident, what is your priority?
b) Decontaminate the open wound on the
client's thigh.
87. The nurse plans to care for a client in
the post-anesthesia care unit. Which of the
following should the nurse assess first?
a) Respiratory status
88. A client arrives at the ER with upper
gastrointestinal bleeding and moderate
distress, what is the priority nursing action?
a) Obtain vital signs
89. An hour after admission to the nursery.
the nurse observes a newbom baby having
spontaneous jerky movements of the limbs.
The infant's mother had gestational
diabetes mellitus (GDM) during pregnancy.
Which of the following actions should the
nurse take FIRST?
c) Determine the blood glucose level
90. A child undergoes a tonsillectomy for
treatment of chronic tonsillitis unresponsive
to antibiotic therapy. After surgery, the child
is brought to the recovery room. Which of
the following actions should the nurse
include in the child's plan of care?
a) Institute measures to minimize crying
A nurse always must be aware of every
medication given to the patient. Every drug
interaction or contraindication must be
noted as well as considerations on what
circumstance the patient is in and if the
patient will have more benefit or long term
harm must be carefully studied. These
questions deal with the identification of
certain drugs and its actions and
classifications.

91. Drugs that end in "statin" are:

c) Antihyperlipidemic

92. What vitamin plays a role in lowering

cholesterol concentration?
c) Vit B3

93. The nurse teaches a patient how to

take Simvastatin, when is it best to be
taken?
d) In the evening

94. A patient is prescribed atorvastatin

while he is taking erythromycin for his
infection of the nurse Joe is aware that this
combinon should be avoided becaus
c) can result to breakdown of muscles

95. Which medical conditions will render

antihyperlipidemic ineffective? a) Biliary
obstruction

96. When dealing with children, which

potassium sparing diuretic is highly
recommended?
c) Spironolactone

97. A type of diuretic that has a therapeutic

effect by pulling water into the renal tubule
without the loss of sodium?
b) Osmotic Diuretics

98. A patient comes into the emergency

department needing an opioid antagonist
for a suspected drug overdose. Which is
the most appropriate drug to administer?
c) Naloxone

99. Which of these are antihypertensive

medications?
a) Ace inhibitors
b) Calcium Channel Blockers
d) Angiotensin Receptor blockers