SITUATION 1 – PhilHealth and Universal Health Care
contribute to reducing healthcare
expenses, improving health outcomes, and
addressing disparities in healthcare access and
affordability across the country.
1. The Philippine Health Insurance Corporation
(PhilHealth) includes six membership categories
covering the entire Filipino population. This
includes all of the following, EXCEPT:
A. Members of the formal economy
B. Members of the informal economy
C. Lifetime members
D. Premium members
2. Also known as the Home Development Mutual
Fund (HDMF), this fund was established on June 11,
1978 primarily to address the need for a national savings
program and an affordable
shelter financing for the Filipino worker.
A. SSS C. GSIS
B. PAG-IBIG D. PhilHealth
3. To attain health-related SDG targets, the
Philippine Health Agenda for 2016-2022 set
which of the following goal:
A. All for health towards health for all
B. Financial risk protection, better health
outcomes, and responsiveness
C. Advance quality, health promotion and
primary care
D. Cover all Filipinos against health-related
financial risk
4. The Universal Health Care Act mandates the
institutionalization of health technology
assessment (HTA) as a fair and transparent
priority setting mechanism that shall be
recommendatory to the DOH and PhilHealth for
the development of policies and programs,
regulation, and the determination of a range of
entitlements such as drugs, medicines,
pharmaceutical products, other devices,
procedures and services. It is also known as
republic act no.:
A. 11036 C. 11332
B. 11306 D. 11223
5. Universal Health Care (UHC), also referred to as
Kalusugan Pangkalahatan (KP), is the “provision to
every Filipino of the highest possible quality of health
care that is accessible, efficient, equitably distributed,
adequately funded, fairly financed, and appropriately
used by an informed and empowered public.” The
following are the major thrust of the Universal health
Care, EXCEPT:
A. Financial Risk Protection
B. Improved Access to Quality Hospitals and
Health Care Facilities
C. Health Information
D. Attainment of Health-related MDGs
SITUATION 2 – Knowing about the Philippine
Health Care Delivery System is important in the
nursing profession as it provides nurses with a
comprehensive understanding of the healthcare
landscape, enabling them to deliver culturally sensitive
and patient-centered care. It also allows nurses to
navigate and collaborate effectively within the
healthcare system, advocating for optimal health
outcomes for individuals, families, and communities in
the Philippines.
6. The Philippine Health Care Delivery System is
composed of two sectors: Public and Private. The
Philippine Health Care Delivery System has three levels:
Primary, Secondary, and Tertiary. Nurse Rose is a newly
hired PHN in her community. As a PHN, she should be
aware of the different referral levels in the PHCDS.
Which of the following statements is TRUE with the
characteristics and examples of tertiary level
facilities?
A. First contact between the community
members and HCP
B. Its either privately owned or government like
infirmaries and district hospital
C. Performing minor surgeries and laboratory
exams
D. Care is rendered by specialist
7. In PHCDS, the higher the level of health care and
referral system, the more qualified the health
personnel needed. Knowing the levels of care
and referral system, Nurse Irene is CORRECT to
identify that and an intubated patient with
respiratory complications should be under what level of
health care?
A. Primary Level C. Tertiary Level
B. Secondary Level D. Quaternity Level
8. Health Sector Reform Agenda is done because
the poor performance regarding to health improvement is
still seen among population. Nurse Trisha Echivaria
knows that the framework of HSRA is:
A. FOURmula One for Health
B. FOUR P’s program: Pantawid Pamilyang
Pilipino Program
C. PhilHealth
D. Community Diagnosis
9. HSRA is the goal of DOH. DOH is continuously
developing its strategies based on the pressing needs.
The latest VISION aims for the DOH to achieve which
of the following?
A. A global leader for attaining better health outcomes,
competitive and responsive
health care system, and equitable health
financing.
B. To be a leader, advocate and model of
promoting health for all in the Philippines.
C. Health in the Hands of the People
D. To guarantee equitable, sustainable and
quality health for all Filipinos, especially the
poor, and to lead the quest for excellence in
health.
10. The Department of Health (DOH) holds the overall
technical authority on health as it is a national health
policy-maker and regulatory institution. Nurse Procopio
is CORRECT to identify that the current mission of the
DOH is:
A. A global leader for attaining better health
outcomes, competitive and responsive
health care system, and equitable health
financing.
B. To be a leader, advocate and model of
promoting health for all in the Philippines.
C. Health in the Hands of the People
D. To guarantee equitable, sustainable and
quality health for all Filipinos, especially the
poor, and to lead the quest for excellence in
health.
SITUATION 3 – Studying about the Department
of Health is important in nursing practice as it
provides nurses with a comprehensive
understanding of the national health policies,
regulations, and programs that guide healthcare delivery
in the Philippines. This knowledge
enables nurses to align their practice with the
goals and strategies of the Department of Health,
ultimately contributing to the provision of quality and
evidence-based care to individuals, families, and
communities.
11. This was among the first policies of PhilHealth that
aimed to drastically reduce patients' out-of pocket
expense to ensure financial risk protection for indigent,
sponsored, domestic worker or kasambahay, senior
citizen, and lifetime members. According to UHC Act,
PhilHealth shall implement a cost-sharing scheme to
include no co-payment, co-payment and co-insurance
schemes.
A. Fixed co-payment
B. Free medicine
C. Financial risk protection
D. No balance billing
12. What is the goal of the Department of Health?
A. Health Sector Reform Agenda
B. Financial risk protection, better health
outcomes, and responsiveness of healthy system
C. Health for all Filipinos and in the Hands of the People
by the year 2020
D. Strengthening the PHCDS by increasing
opportunities wherein people will manage
their own health
13. Enhancing health system performance at the
national and local levels includes key players like the
Philippine Health Insurance Corporation and National
Health Insurance Program are the
elements in the:
A. Health financing
B. Health service delivery
C. Health regulation
D. Good governance
14. As the national authority on health providing
technical and other resource assistance to
concerned groups, the DOH has its 3 primary roles and
functions. One of its functions is to
exercise oversight functions and monitoring and
evaluation of national health plans, programs,
and policies, which falls under which role:
A. Leadership in health
B. Enabler and capacity builder
C. Administrator of specific services
D. Health sector reform
15. DOH is continuously developing its strategies based
on the pressing needs. The latest VISION of DOH states
that:
A. Filipinos are among the healthiest people in
Southeast Asia by the year 2040.
B. To be a leader, advocate and model of
promoting health for all in the Philippines.
C. Health in the Hands of the People
D. To guarantee equitable, sustainable and
quality health for all Filipinos, especially the
poor, and to lead the quest for excellence in
health.
SITUATION 4 – FOURmula One and Universal
Health Care in the Philippines are significant in
nursing practice as they provide a framework for
efficient health service delivery and equitable
access to care, benefiting the Filipino population
by promoting better health outcomes and
reducing financial barriers to healthcare.
16. Universal Health Care (UHC), also referred to as
Kalusugan Pangkalahatan (KP), is the “provision to
every Filipino of the highest possible quality of health
care that is accessible, efficient, equitably distributed,
adequately funded, fairly financed, and appropriately
used by an informed and empowered public.” The
following are the major thrust of the Universal health
Care, EXCEPT:
A. Financial Risk Protection
B. Improved Access to Quality Hospitals and
Health Care Facilities
C. Health Information
D. Attainment of Health-related MDGs
17. Among the four elements of the strategy of
FOURmula one which among the following has
the goal of enhancing health system performance
at national and local levels?
A. Health Financing
B. Health Regulation
C. Health Service Delivery
D. Good Governance
18. With a sector-wide approach, the FOURmula
One for Health intends to implement
interventions under effective management,
infrastructure and financing arrangements. Nurse
Darla is correct to identify all of the following are Goals
of FOURmula ONE for Health EXCEPT for one:
A. Equitable health financing
B. Improve the general health status of the
population
C. Better Health Outcomes
D. More responsive health systems
19. The four pillars of Safe Motherhood and Women’s
Health are: F(amily Planning), A(Antenatal Care), Clean
and safe delivery)and E(emergency OB care).Nurse
Kevin is aware that the following activities can be done
in a Basic Emergency Obstetric and Newborn Care or
BEmONC set-up:
i. Administration of initial loading parenteral
anticonvulsants for management of
eclampsia
ii. Administration of initial loading dose of
antibiotics parenterally, as well as the
round the clock doses
iii. Blood banking and transfusion
iv. Removal of placenta manually
v. Administration of corticosteroids in a
patient in preterm labor
vi. Hysterectomy and Other Gynecologic
Procedures
vii. Essential Newborn Care
A. i, ii, iv, v, vii C. i, iii, iv, v, vii
B. i, ii, iii, v, vi D. ii, iii, iv
20. As part of primary health care, the use of locally
available medicinal plants has been advocated by the
DOH. There are 10 advocated herbal plants by the DOH.
Which of the following should the nurse inform the
mother of Wingie Buday, a 2 year old child suffering
from round worm infestation?
A. Niyug-niyugan seeds
B. Decocted niyug-niyugan leaves
C. Pounded niyug-niyugan leaves
D. None of the above
SITUATION 5 – Learning about FHSIS in the
delivery of nursing care in the communities is
important because it provides essential data for
assessing health needs and planning interventions,
enabling evidence-based
decision-making and effective monitoring and
evaluation of nursing programs and initiatives.
21. What is the primary advantage of having a target
client list?
A. It completes the clinical picture of chronic
disease and describe their natural history
B. It provides standardized, facility level data
base which can be accessed for more in
depth studies
C. It saves time and effort because CHNs do not
need to go back to the Family Treatment
Record to monitor the treatment and services
D. It ensures that data reported are useful and
accurate and are disseminated in a timely
and easy to use fashion
22. The only mechanism through which data are
routinely transmitted from one facility to another:
A. Output report
B. Reporting forms
C. Family treatment record
D. Target client list
23. The BHS is considered as the lowest level of
reporting unit, where it is expected to report
health services provided to its defined catchment
area. A BHS can only be considered a reporting
unit if it satisfies the following conditions,
EXCEPT:
A. The catchment area served is not a service
of any RHU
B. It should include satellite BHS which are
visited by the midwife but part of the
catchment of the mother BHS
C. Health services may be provided for any
physical structure designated for the
purposes
D. It renders health services to a defined
catchment area which may be composed of
one or more than one barangay
24. One of the components of FHSIS are output
reports or table. These reports are produced from
the data reported in FHSIS disseminated down to the
RHU/MHC and up through the DOH system to the
RHO. This is produced by:
A. Provincial health office
B. Rural health unit
C. Barangay health station
D. FHSIS Main office
25. The SDGs are a collection of 17 interrelated
global goals set by the UN with own targets to
achieve. What SDG is related to maternal health
and wellbeing?
A. 3: good health and well-being
B. 4: reduce child mortality
C. 5: improve maternal health
D. 6: combat HIV/AIDS, malaria, and other
diseases
SITUATION 6 – Knowing the danger signs
enables nurses to promptly identify and respond
to potential health emergencies, prevent
complications, and ensure timely interventions.
This knowledge allows nurses to provide
appropriate care, educate families about
recognizing danger signs, and collaborate with
healthcare teams to ensure the well-being and
survival of children in the community.
26. Among the following danger signs, the nurse shall
ask for the following, EXCEPT:
A. If not able to drink or breastfed
B. If child vomits everything
C. If the child has convulsion
D. If the child is abnormally sleepy or difficult to
awaken
27. The three general tasks in the IMCI protocol are the
following, EXCEPT:
A. Assess C. Plan
B. Classify D. Identify Treatment
28. IMCI Case Management Process is presented in
sequence of steps with information on how to carry them
out. It helps and guides user. The process involves the
following sequential elements:
A. Classify illness; assess child; identify
treatment; counsel mother; Treat child;
Follow up care
B. Follow up care; classify illness; counsel
mother; identify treatment; assess child; treat child
C. Assess child; classify illness; Identify
Treatment; Treat child; Counsel mother;
follow up care
D. Assess child; counsel mother; classify
illness; identify treatment; treat child; follow
up care
29. Pink color indicates:
A. Urgent pre-referral treatment and referral
B. Specific medical treatment and advice
C. Simple advice on home management
D. No worry
30. In the presence of any danger sign, which of the
following should be done?
A. Apply the nursing process, assess further,
classify and identify treatment
B. Make sure the child is referred after first dose
of an appropriate antibiotic and other urgent
treatment
C. Advise mother when to return immediately
and follow up treatment
D. Send home and follow up in 5 days if child is
not improving
SITUATION 7 – The health and well-being of
children in the community is crucial as it
indicates the overall health status and future
prospects of the community. It reflects the
community's commitment to ensuring a healthy
and thriving population, and it plays a vital role
in shaping the future of society.
31. A 9-month-old infant was brought to the RHU with
fever and cough. The FIRST assessment to be done is:
A. General danger signs
B. Main symptoms: fever, cough, diarrhea, ear
problems
C. Respiratory rate
D. Age
32. Acute measles precipitates vitamin A deficiency by
depleting vitamin A stores and increasing its utilization.
Vitamin A supplementation given to children with
measles has been associated with better outcomes.
Which of the following is a sign of vitamin A
deficiency:
A. Severe muscle aches
B. Corneal clouding
C. Fatigue
D. Halo vision
33. In caring for families in the community, first level
assessment includes determining existing and potential
conditions or problems in the family.
One of the families in the community has a
member with intellectual disability. This is
classified as:
A. Health threat C. Foreseeable crisis
B. Health deficit D. Wellness potential
34. Death of a family member requires unusual
demand for families to adjust to varying roles and
resources. This can be classified as:
A. Health threat C. Foreseeable crisis
B. Health deficit D. Wellness potential
35. Nurse Anna is preparing to administer vaccines at
the RHU during vaccination day. Which of the following
vaccines should she NOT administer via IM?
A. Tetanus toxoid C. DPT
B. Hepatitis B D. Measles
SITUATION 8 – Republic Act 7719, also known as the
National Blood Services Act, is important in the
communities as it establishes a
comprehensive and integrated national blood
services system in the Philippines, ensuring the
availability, safety, and adequacy of blood
supply for transfusion. It promotes voluntary
blood donation and regulates blood banks and
blood transfusion services, contributing to the
provision of quality healthcare and saving lives
through the availability of safe blood products.
36. RA 7719 is known as the Blood services act of 1994.
It promotes voluntary blood donation.
Walking blood donors are community members
on the list with their blood types and “on call”
when the need arises. Nurse Andromeda is
screening volunteer blood donors. Who among
the following will he allow to donate blood?
A. Peperomia Pellucida, who has a BP of 80/60
mmHg
B. Vtex Negundo, whose HGB is 13 g/dL
C. Allium Sativum, who is 67 years old and of
general good health
D. Psidium Guajava, who weighs 44 kgs and 4
ft 11 only
37. The National Voluntary Blood Services Program's
mission is to ensure adequate, safe and accessible blood
supply. Edward is a qualified blood donor. After
donating blood. He must consider the all of the
following interventions EXCEPT for one:
A. He should eat regular meals and increase
fluid intake
B. He should avoid carrying heavy objects with
his donating arm
C. He must be alarmed if there will be bruising
and discoloration of the donating site that will
persist for a few days
D. He should not smoke for the next 2 hours and
avoid alcohol for the next 12 hours
38. Based on AO #6, the DOH institutionalized the
Health Emergency Preparedness and Response program.
Which of the following statements is TRUE with regards
to disaster management?
A. First priority is protection of people at risk and
second priority is protection of critical
resources
B. Disaster management must relies upon an
understanding of hazard risks
C. Hazard is a situation which needs immediate
response.
D. Emergency is a serious disruption of the
functioning of the community.
39. The DOH institutionalized the Health Emergency
Preparedness and Response Program based on the
Administrative Order no. 6 Bs of 1999. This is designed
to a comprehensive, integrated, and responsive
emergency disaster related service and research oriented
program. In the disaster and Health Emergency
Management, what is termed as the level of loss or
damage that can be predicted from a particular hazard
affecting a particular place at a particular time from the
point of view of the community?
A. Disaster C. Hazards
B. Emergency D. Risk
40. Sentrong Sigla is a joint project of the DOH and the
LGU which aims to assure quality health
services at the local level. Which level of Certification
refers to quality standards wherein
the Local health center manages the 5 core
standards for three consecutive years?
A. Basic SS certification
B. Specialty awards
C. Award for excellence
D. Loyalty Award
SITUATION 9 – Immunization of children in
communities is important as it helps prevent the
spread of vaccine-preventable diseases,
reducing morbidity and mortality rates among
children. It also contributes to herd immunity,
protecting vulnerable individuals who cannot
receive vaccines due to medical reasons.
41. BCG is given intradermally at birth or any time after
birth to protect individuals from the following infections,
EXCEPT:
A. Pneumonia C. Meningitis
B. TB D. Leprosy
42. In tetanus toxoid immunization for pregnant and
childbearing women, when is a mother
considered fully immunized:
A. When she received 2 doses of TT to protect
the child from neonatal tetanus
B. When she received 3 booster doses of TT,
which consists a total of five doses
C. TT administration given every pregnancy
D. None of the above
43. Infant and young child feeding stresses the
importance of breastfeeding and proper nutrition
to improve health and nutritional status of infants and
young children. Among the law that protects it is the
milk code which is also known as:
A. EO 51 C. RA 7600
B. EO 50 D. RA 10028
44. The cornerstones or pillars of primary health care
include the following, EXCEPT:
A. Active community participation
B. Intrasectoral linkages
C. Intersectoral linkages
D. Use of latest technology
45. Provincial hospitals belong to which level of
health care and referral system:
A. Primary C. Tertiary
B. Secondary D. Specialized
SITUATION 10 – In the communities, both
communicable and non-communicable diseases
are prevalent. Communicable diseases are
infectious illnesses that can spread from person
to person, such as tuberculosis and dengue
fever, while non-communicable diseases are
chronic conditions that are not directly
transmitted, such as diabetes and cardiovascular
diseases. Both types of diseases pose significant health
challenges and require comprehensive approaches for
prevention, treatment, and control.
46. Nurse Heaven encountered a child in the RHU
whose father has TB, without signs and
symptoms of TB but with positive tuberculin test. What
will be her BEST action?
A. Start the treatment with RIPES.
B. Start chemoprophylaxis of INH for 3 months
C. Refer for Chest X-ray.
D. Follow up in 1 month. The child has no
Primary Complex
47. There are four (4) major non-communicable
diseases in the Philippines. In the Philippines,
there is a rising burden from the degenerative,
non-communicable diseases. This is one of the
rational for HSRA. This growing challenge
threatens economic and social development. The
following belong to the major non-communicable
diseases in the country, EXCEPT:
A. Cancer C. Diabetes Mellitus
B. COPD D. Accidents
48. There are three major risk factors for NCDs:
unhealthy diet, sedentary lifestyle and smoking.
The basis of non-communicable disease prevention is the
identification of these risk
factors and their prevention and control. Risk
factor assessment includes obesity. Nurse Lassie
Pecson is doing community diagnosis and found
out that around 42% of her adult clients have a
BMI of 24. This finding can be interpreted as:
A. 50% of her clients are within normal range.
B. 50% of her clients are overweight or at risk.
C. 50% of her clients are under the category
Obese I
D. 50% of her clients are under the category
Obese II
49. RN HEALS is an acronym for RN Health
Enhancement and Local Services. It aims to
improve access to quality health care services
and increase nurses’ employability through provision of
learning and development opportunities. Which of the
following statements
is ACCURATE with regard to RN HEALS?
A. The nurses and midwives shall undergo
learning and development in clinical and
public health competencies during their 1
year of deployment.
B. Nurses will receive an allowance of P10,000
a month. DOH hospitals will provide P2,000
meal allowance for the nurses.
C. Priority will be given to nurses and midwives
without training or exposure in the hospital.
D. This is the first government initiatives to
address nurse unemployment.
50. The Nurses Deployment Program aims to
improve local health systems and support the
UHC, and is a successor of RN Heals. Which of the
following statements is NOT true with regard to NDP?
A. It is sometimes dubbed as RN Heals 2014 or
Nurses to Barrios Program.
B. Nurses will receive a Salary Grade 11 (P
18,594) monthly, equivalent to an entry-level
nurse.
C. RHUs and BHS are the only assignment
areas during deployment.
D. Examination will be given to all applicants.
SITUATION 11 – The importance of herbal
medicines in communities lies in their potential to
provide accessible and affordable healthcare
options, especially in areas with limited access to
conventional medicine. Herbal medicines can
contribute to the preservation of traditional
knowledge, and cultural practices while addressing
healthcare needs.
51. Herbal medicines are encouraged by the
Department of Health because they are approved
affordable and effective treatments of common
ailments in the community setting. Nurse Maggie is
working as a nurse in an isolated area in the
Mountain Province. Mr. Lagid is a 45 year-old man
living in the community, and is experiencing mouth
sores. Nurse Enobaria is CORRECT in
recommending which treatment for this
manifestation?
A. Bayabas C. Pansit-pansitan
B. Akapulko D. Tsaang-gubat
52. As attested to by the National Science
Development Board and other government and
private agencies, the use of herbal medicines is
considered as use of appropriate materials in the
community. Which among the following herbal
medicines can be a treatment to lower the uric acid?
A. Sambong C. Pansit-Pansitan
B. Ampalaya D. Yerba Buena
53. Nurse Lorna is teaching Manang Adora about
the proper preparation and usage of herbal
medication, she is giving a correct information,
EXCEPT:
A. Use clay pot and remove the cover while
boiling at low heat
B. You can mix two herbal medicine at a time but
not more than three for each type of sign and
symptoms.
C. If signs and symptoms are not relieved after 2 or
3 doses of herbal meds, consult a doctor
D. Stop giving herbal medication in case
untoward reaction.
54. Botika ng Barangay refers to a drug outlet that
was established to promote equity in health by
ensuring the availability and accessibility of
affordable, safe and effective quality essential
drugs. Nurse Mentha Cordifolia and Nurse
Momordica Charantia considered criteria for
establishing Botika ng Barangay, EXCEPT:
A. The community should be a far flung service
area
B. It should be supervised by a licensed
pharmacist
C. Service area is a barangay with a licensed
drugstore
D. There should be at least two accredited
barangay health workers trained as botika ng
barangay aides.
55. Two known prescription antibiotic drugs, as
well as selected medication for chronic diseases are
available over the counter in Botikang Barangay.
Which of the following antibiotic anti-infectives is
INCLUDED in the list of medications for Botikang
Barangay?
A. Acyclovir C. Amoxicillin
B. Penicillin D. Ceftriaxone
SITUATION 2 – Water and sanitation are crucial for
maintaining public health and preventing the spread
of diseases in communities. Access to clean and safe
water ensures proper hygiene practices, while
improved sanitation facilities help in waste
management and reducing the risk of waterborne
illnesses.
56. The population requires appropriate
environmental health and sanitation services to
protect them from repercussion of the increase
urban growth and development. Which statements,
if made by the nurse, would have to be rectified?
A. “RA 8749 : Smoking.”
B. “PD 856 : Sanitation Code.”
C. “RA 6969: Toxic chemicals and hazardous
and nuclear wastes in the Philippines.”
D. “RA 9003: Establish waste water treatment
facilities.
57. Disposal of infectious, pathological and other
wastes from hospital which combine them with the
municipal or domestic wastes pose health hazards to
the people. Nurse Geastyne would dispose
infectious wastes in what color code?
A. Green C. Yellow
B. Orange D. Black
58. 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.” In the Man-Disease Agent- Environment
triad, there are three preventive strategies. Which of
the following statements is NOT included?
A. Change the people's behavior to manipulate
environment and reduce their exposure to biological
and non-biological disease agents
B. Reduce the people’s interaction to the
environment to prevent acquisition of
disease
C. Manipulate the environment to prevent
production or presence of disease agents
D. Increase man’s resistance or immunity to
disease agents
59. There are four rights in food safety that involve
the chain in food processing from the source in the
market until the food reaches the table. Which
among the following portrays “right cooking” in
the food sanitation program?
A. Avoid buying canned foods with dents,
bulges, deformation, broken seals and
improper seams.
B. Ensure that all parts of the food should reach 70
degrees centigrade when cooking food.
C. Sweep kitchen floors to remove food
droppings to prevent the harbor of rats and
insects.
D. All cooked foods should be left at room
temperature for not more than two hours to
prevent multiplication of bacteria.
60. Which of the following statements violates the
“right source” in the food sanitation program?
A. Use water only from clean and safe sources.
B. Always look at the expiry dates of processed
foods and avoid buying the expired ones.
C. Always buy fresh meat, fish, fruits, and
vegetables.
D. When in doubt of the water source, boil water for
at least 1 minute
SITUATION 3 – Research is important in
communities for nursing care delivery as it
provides evidence-based knowledge to inform
interventions and improve health outcomes. It also
contributes to the advancement of nursing practice
and the development of innovative approaches to
address community health issues.
61. In community organizing the nurse should note
the activities and tasks may be repeated in
succeeding stages and that overlapping of stages is
common. Arrange in sequence the steps in
Community Organizing.
I. Community Analysis
II. Dissemination and Reassessment
III. Program Maintenance – Consolidation
IV. Implementation
V. Design and Initiation
A. V, I, IV, III, II C. I, V, IV, III, II
B. III, V, IV, II, I D. I, III, V, IV, II
62. Community analysis is the process of assessing
and defining needs, opportunities and resources
involved in initiating community health action
program. This is the first stage of the Health
Promotion Model in CO. Neil, a nurse assigned in a
Rural Health Unit needs further teaching if he
choose and consider which of the following as part
of the five components under Community analysis:
A. That the studies conducted among
population groups are done and basis of
problem analysis
B. He considers the socio-demographic data of
clients such as age, sex, place of origin,
religion and educational status
C. If he identify, recruit and select organizational
members for the core group
D. When he assesses dietary habits, lifestyle,
long-term unemployment
63. In designing and initiating interventions the
following are done: Establish a core planning group
and select a local organizer, choose an
organizational structure, identify, select and recruit
organizational members, define the mission and
goals, clarify roles and responsibilities and provide
training and
recognition. Which of the following choices denotes
a lead or official agency?
A. It is developed because of certain concerns
B. A group of 5-10 citizens emerge to form a
partnership with a government agency
C. An agency who take primary responsibility of a
liaison for health promotion
D. Linking organizations and groups to work on
community issues
64. Implementation put design plans into action.
Nurse Hizo needs further teaching regarding
activities done under the Implementation, if she
perform which of the following choices:
A. If she generates broad citizen participation
B. If she develops a sequential work plan that has to
be modified and use a
comprehensive, integrate strategies
C. If she establishes a positive organization
culture and integrate intervention activities
into community networks
D. If she would like to integrate community
values into the programs
65. The nurse is aware that in program maintenance
and consolidation, that the organization experienced
some degree of success and has weathered through
implementation problems. Amaya, a nurse knows
that she is in this stage of
community organizing stage if she notes which of
the following?
A. If designs plans were put into actions
B. If there is an active involvement in planning and
management programs
C. If the organization and the program as well are
gaining acceptance in the community
D. If formative evaluation was done that provide a
timely modification of activities
SITUATION 4 - A public health nurse plays a
crucial role in the community by promoting and
protecting the health of individuals, families, and
populations. They provide essential healthcare
services, health education, disease prevention and
control measures, and advocate for health equity
and social justice, contributing to the overall well-
being of the community they serve.
66. To determine and analyze the health problems
on the community, the community health nurse
should:
A. Conduct community diagnosis
B. Organize the community
C. Empower community residents
D. All of the above
67. In conducting a community diagnosis in the
chosen barangay, which should be done FIRST:
A. Do a courtesy call to the barangay captain
B. Prepare data collection instruments
C. Determine the purpose of the community
diagnosis
D. Form the group that will conduct the survey
68. In getting to know the community you are
serving, which of the following are necessary?
1. Listening to what people are saying
2. Listening to what people are not saying
3. Paying a call on community officials
4. Clearly explaining your mission in the
community
A. 1, 2 C. 1, 3, 4
B. 1, 2, 3 D. 1, 2 ,3, 4
69. In preparation for community health education,
the FIRST thing to do is:
A. Identify the subjects for health teaching
B. Assess community needs for health
education
C. Specify goals and objectives
D. Identify who will provide support and the type of
support to be provided
70. Social preparation phase in COPAR is said to be
successful only when:
A. People learn to identify their own health
problems
B. People starts to plan for the solution of their
health problems
C. People are all set and ready to conduct
formal research
D. People are able to evaluate their health
projects
SITUATION 5 - Community organizing plays a
significant role in community development by
empowering community members, fostering social
cohesion, and mobilizing collective action to
address local issues and achieve sustainable
change. It promotes active participation,
ownership, and accountability within the
community, leading to improved social,
economic, and health outcomes.
71. A continuous assessment is part of the
monitoring aspect in the management program, and
before any program reach its final step, evaluation is
done for future direction. The following are
activities done under this stage of CO, APART
FROM:
A. Summarize and disseminate results
B. Chart future directories and modifications
C. Update community analysis
D. Disseminate results
72. The first step in community organizing is the
Preparatory Phase which prepares the nurse in
selecting the target community for community
development. The nurse is aware that all are
activities done in the Preparatory phase of CO,
APART FROM:
A. Choose a community that meets the criteria
B. Review other data that are needed to
formulate plans and programs
C. Assess and study the community in terms of its
history, lifestyle, culture and even
economics
D. Identify who among the people are potential
leaders and form a core group
73. Community diagnosis is also known as
Community Study or Research stage in the
COPAR process. This is the general study of the
entire population and the community during the
COPAR process, it also includes the following:
socio-economic data, family characteristics and
dynamics, and health status of the family. This is
known as:
A. Community study
B. Problem- oriented community diagnosis
C. Community diagnosis
D. Comprehensive community diagnosis
74. The core group is composed of leaders and
community members. The following are members
or composition of the core group and organization
in the community during the COPA process, APART
FROM:
A. the community organizers which include the
nurses
B. the community people that were selected
because of meeting the set criteria
C. the selected barangay health workers during the
presentation and prioritization of problem
D. the existing community leaders such as the
barangay chairman and council
75. Three approaches are done in community
organizing, (1) comprehensive approach (2)
Integrated Approach and (3) Community based
approach. In organization phase of CO the nurse is
CORRECT if she choose which of the following
activities:
I. Community profiling and immersion
through integration
II. Area selection and integration
III. Social preparation and setting up of
community organization
IV. Conduct community diagnosis and
leadership formation activities
A. I and II C. IV only
B. III and IV D. III only
SITUATION 6 – Epidemiology is the study of
patterns, causes, and effects of health-related events
in populations, which plays a crucial role in guiding
nursing care delivery in the community. It helps
identify health risks, plan interventions, and
evaluate outcomes, ultimately promoting evidence-
based practice and improving the health and well-
being of individuals and communities.
76. Epidemiology is the study of occurrences and
distribution of diseases. In outlining the plan for
epidemiological investigation, the FINAL step is:
A. Establish time and space relationship of
diseases
B. Correlation of data obtained
C. Establish facts of presence of epidemic
D. Relation to characteristic of the group of
community
77. It is the phase of epidemiology that answers
questions about the effectiveness of new methods
for controlling diseases or for improving underlying
conditions
A. Descriptive epidemiology
B. Analytical epidemiology
C. Intervention epidemiology
D. Evaluation epidemiology
78. Which of the following refers to the pattern of
disease occurrence and distribution wherein the
cases are few and scattered so that there is no
apparent relationship between them and they occur
on and off?
A. Sporadic C. Endemic
B. Epidemic D. Cyclical variation
79. There are other fields or subspecialties of
nursing where public health nurses are working
aside from the Rural Health Unit. These are:
1. Private duty nursing
2. Clinic nursing
3. School health nursing
4. Occupational health nursing
A. 1 and 2 C. 2, 3, and 4
B. 3 and 4 D. All of the above
80. During the physical assessment of school
children, the school nurse assessed 3 children with
visual acuity’s of 20/50, 20/40, and 20/30. The next
APPROPRIATE action would be:
A. Do nothing because these are normal
findings for school age-children
B. Refer all children for further examination
C. Refer children with visual acuity of 20/40 or
poorer for further examination
D. Tell the teacher to let the students sit on the first
row
SITUATION 7 - Community diagnosis is
important in the community as it helps identify the
health needs, problems, and resources of the
community. It provides a foundation for planning
and implementing effective community health
programs and interventions, ultimately improving
the overall health and well-being of the community.
81. The demand in the organization increases and
the supplies as well as the resources are needed
to be replace, the concern of the nurse and the
organization can be funneled in to what phase of
community organizing?
A. Phase-out
B. Education and Training
C. Organizational
D. Multi-sectoral collaboration
82. In doing community diagnosis, the primary
activity is to state our purpose and objectives. The
following activities such as conduct community
diagnosis, identify and select community health
workers are activities that are visible in what CO
process:
A. Preparatory
B. Organizational
C. Inter-sectoral collaboration
D. Education and Training
83. One of the important activities during
Preparatory is to identify an area for community
organizing. All but one are criteria for site selection
EXCEPT for
one:
A. The community has a poor health condition or
status
B. The health services are inadequate and
accessible that can be reached less than 30
minutes
C. The community’s economic condition is
below the economic poverty threshold and it
is depressed
D. The solution to the condition are based on
the status, resources and health related
conditions
84. A good leader and member of the core-groups
should possess qualities that would help the
organization. Nurse Edna knows that all are criteria
to become a potential leader and coregroup member,
APART FROM:
A. He is able to read, write and comprehend,
able to communicate to other members of the
community
B. He is concern for the social changes in his
community through active participation
C. He works independently, and does not rely on
other people
D. He shows good democratic leadership and
encourages people to work collaboratively
85. Immersion is done in correlation with
integration because in Integration, the nurse is
establishing rapport and trust with the people in the
community. Nurse Aldwin knows that all are
guidelines in doing the integration process, APART
FROM:
A. Conduct home visitation to family members in
the community
B. Participate in the production process of the
community
C. Encourage people to verbalize their needs
and created expectations among them through
community assembly
D. Work with the people in the community to
promote participation and partnership
SITUATION 8 – Knowing vital statistics in the
delivery of nursing care in communities is crucial as
it provides essential information about the health
status, trends, and specific health needs of the
population. This knowledge enables nurses to
identify priority areas, develop targeted
interventions, and evaluate the effectiveness of their
care, ultimately contributing to improved
community health
outcomes.
86. In occupational health nursing, workers in the
hospital that caters to patients with infectious
diseases face which kind of hazard:
A. Biological hazards
B. Chemical hazards
C. Mechanical hazards
D. Physical hazards
87. Which of the following is an example of vital
statistics used in Community Health Nursing?
A. Blood pressure readings
B. Body temperature measurements
C. Maternal mortality rate
D. Weight and height measurements
88. Which of the following vital statistics provides
information about the number of live births in a
population?
A. Crude death rate C. Birth rate
B. Infant mortality rate D. Fertility rate
89. Which vital statistic measures the number of
deaths that occur within a specific population during
a given time period?
A. Mortality rate C. Prevalence rate
B. Life expectancy D. Morbidity rate
90. Crude death rate is calculated as the number of
deaths per:
A. 1,000 population
B. 10,000 population
C. 100,000 population
D. 1,000,000 population
SITUATION 9 – Nurses play a crucial role in the
community by providing essential healthcare
services, promoting health education and
prevention, and advocating for the well-being of
individuals, families, and communities. They
contribute to improving the overall health outcomes
and quality of life of community members through
their expertise, compassion, and holistic approach to
care.
91. Community organizing is believed to lead in
social change among people in the community and
has been used as a social development method.
Arrange in sequence the phases of CO:
I. Phase-out or working-out
II. Education and Training
III. Preparatory
IV. Inter-sectoral collaboration
V. Organizational
A. III, II, V, IV, I C. III, V, II, IV, I
B. III, IV, V, I, II D. III, V, IV, II, I
92. PAR is an investigation on problems and issues
concerning life and environment of the
underprivileged by way of research collaboration.
Nurse Nelia a public health nurse for 10 years is
conducting a COPAR orientation among BSN level
IV students in Barangay Sobrang Layo, she is aware
that the students are correct regarding PAR if they
choose which of the following choice/s:
A. To encourage consciousness of the suffering and
develop competence for changing their own
situation
B. It is a community directed process of
gathering and analyzing information
C. There is an outside researcher, through
immersion and integration on the community
becomes a committed participant and learner in the
community
D. To identify the classes and sectors of society and
determine their interests and attitudes towards their
problem
93. The methodology in PAR is determined by the
local culture and innovativeness of the people.
Nurse Tuli Ro, knows the PAR is characterized by
all, APART FROM:
A. The community people formulates
recommendation and an action plan based
on research outcome
B. Recommendations for the community are
based on the researcher’s findings and
analysis
C. Research seeks social transformation
D. The community group undertakes the
investigation or research process from data
collection to analysis
94. The essential element of PAR is participation,
wherein the beneficiaries of the research are the
main actors in the research process. Nurse Andy
Neil, knows that traditional researches are reflected
by all EXCEPT for one:
A. In traditional research, the community
problems or needs are defined by experts or
the external researchers to the community
group and considered as neutral or nonbiased
B. In traditional research, the research is used for
the purpose of identifying and meeting the
individual needs within the existing social systems
C. In traditional research, the research problem is
studied by the researchers who control the research
process
D. In traditional research, the research
problems are defined by the community
members themselves who are viewed as the
experts of their own reality.
95. PHC identified the objectives of CO, to make
people aware of social realities. Pre-entry activities
include all APART from:
A. Integration with the community
B. Site and area selection
C. Networking with local government units and
NGOs
D. Community consultation and dialogues
SITUATION 10 – Environmental sanitation plays a
crucial role in the delivery of nursing care in
communities as it helps prevent the spread of
diseases, maintain a safe and clean environment for
individuals and families, and promote overall health
and well-being. By addressing sanitation issues such
as access to clean water, proper waste management,
and hygiene practices, nurses can significantly
reduce the incidence of
communicable diseases and improve the overall
health outcomes of the community.
C. Rural sanitary inspector
D. City health engineer
100. Which of the following statements violates the
“right source” in the food sanitation program?
A. Use water only from clean and safe sources
B. Always look at the expiry dates of processed
foods and avoid buying the expired ones
C. Always buy fresh meat, fish, fruits, and
vegetables.
D. When in doubt of the water source, boil water for
at least 30 seconds

96. Which of the following is the second MOST

leading cause of mortality in the Philippines?
A. Diseases of the heart
B. Diseases of the blood vessels
C. Cancer
D. Hypertension

97. Disposal of infectious, pathological and other

wastes from hospital which combine them with the
municipal or domestic wastes pose health hazards to
the people. Nurse Geastyne would dispose
radioactive wastes in what color code?
A. Green C. Yellow
B. Orange D. Black

98. The nurse is conducting a health class regarding

the different types of water supply facilities. Which
among the following statements is a level II
Facility?
A. “This facility normally exemplifies
Waterworks System”
B. “These facilities are also known as the
communal faucet facilities which are located
not more than 25 meters from the farthest
house.”
C. “It is a system with a source, a reservoir, a piped
distributor network and household
taps.”
D. “Developed spring and protected wells are
examples.”

99. Water system and deep well construction require

the approval of:
A. Municipal mayor
B. Secretary of health