1. Which is the primary goal of community health nursing? A.

Type of occupation,: agriculture, commercial, industrial

B. Location of the workplace in relation to health facilities
A. To support and supplement the efforts of the medical profession in C. Classification of the business enterprise based on net profit
the promotion of health and prevention of D. Sex and age composition of employees
B. To enhance the capacity of individuals, families and communities to
cope with their health needs 5. A business firm must employ an occupational health nurse
C. To increase the productivity of the people by providing them with when it has at least how many employees.
services that will increase their level of health
D. To contribute to national development through promotion of family A. 21
welfare, focusing particularly on mothers and children B. 101
C. 201
2. CHN is a community-based practice. Which best explains this D. 301
statement?
6. When the occupational health nurse employs ergonomic
A. The service is provided in the natural environment of people principles, she is performing which of her roles?
B. The nurse has to conduct community diagnosis to determine
nursing needs and problems A. Health care provider
C. The service are based on the available resources within the B. Health educator
community C. Health care coordinator
D. Priority setting is based on the magnitude of the health problems D. Environment manager
identified

7. A garment factory does not have an occupational nurse. Who

3. Population- focused nursing practice requires which of the shall provide the occupational health needs of the factory
following processes? workers?

A. Community organizing . A. Occupational health nurse at the Provincial Health Office

B. Nursing, process B. Physician employed by the factory
C. Community diagnosis C. Public Health nurse of the RHU of their municipality
D. Epidemiologic process D. Rural Sanitary inspector of the RHU in their municipality

4. RA 1054 is also known as the Occupational Health Act. Aside 8. “Public health services are given free of charge”. Is this
from the number of employees, what other factor must be statement true or false?
considered in determining the occupational health privileges to
which the workers will be entitled?
A. The statement is true; it is the responsibility of government to
provide haste services
B. The statement is false; people pay indirectly for public health
services A. Health and longevity as birthrights
C. The statement may be true or false; depending on the Specific B. The mandate of the state to protect the birthrights of its citizens
service required C. Public health nursing as a specialized field of nursing
D. The statement may be true or false; depending on policies of the D. The worth and dignity of man
government concerned.
13. Which of the following is the mission of the Department of
9. According to C.E. Winslow, which of the following is the goal Health?
of Public Health?
A. Health for all Filipinos
A. For people to attain their birthrights and longevity B. Ensure the accessibility and quality of health
B. For promotion of health and prevention and diseases C. Improve the general health status of the population
C. For people to have access to basic health services D. Health in the hands of the Filipino people by the year 2020
D. For people to be organized in their health efforts
14. Region IV Hospital is classified as what level of facility?
10. We say that a Filipino has attained longevity when he is
able to reach the average life span of Filipinos. What other A. Primary
statistic may be used to determine attainment of longevity? B. Secondary
C. Intermediate
A. Age-specific mortality rate D. Tertiary
B. Proportionate mortality rate
C. Swaroop’s index 15. What is true of primary facilities?
D. Case fatality rate

A. They are usually government-run

11. Which of the following is the most prominent feature of B. Their services are provided on an out-patient basis
public health nursing? C. They are training facilities for health professionals
D. A community hospital is an example of this level of health facilities
A. It involves providing home care to sick people who are not confined
in the hospital 16. Which is an example of the school nurse’s health care
B. Services are provided free of charge to people within the catchment provider function?
area
C. The public health nurse functions as part of a team providing a
public health nursing service A. Requesting for BCG from the RHU for school entrance immunization
D. Public health nursing focuses on preventive, not curative services B. Conducting random classroom inspection during measles epidemic
C. Taking remedial action on an accident hazard in the school
playground
12. According to Margaret Shetland, the philosophy of public D. Observing places in the school where pupils spend their free times
health nursing is based on which of the following?
17. When the nurse determines whether resources were A. Primary
maximized in implementing Ligtas Tigdas, she is evaluating: B. Secondary
C. Intermediate
A. Effectiveness D. Tertiary
B. Efficiency
C. Adequacy 22. The public health nurse is the supervisor of rural health
D. Appropriateness midwives. Which of the following is a supervisory function of
the pubic health nurse?
18. You are a new B.S.N. graduate. You want to become a
Public Health Nurse. Where will you apply? A. Referring cases or patients to the midwife
B. Providing technical guidance to the midwife
A. Department of Health C. Proving nursing care to cases referred by the midwife
B. Provincial Health Office D. Formulating and implementing training programs for midwives
C. Regional Health Office
D. Rural Health Unit 23. One of the participants in a hilot training class asked you to
whom she should refer a patient in labor who develops a
19. RA 7160 mandates devolution of basic services from the complication. You will answer, to the;
national government to local government units. Which of the
following is the major goal of devolution? A. Public health nurse
B. Rural health midwife
A. To strengthen local government units C. Municipal health officer
B. To allow greater autonomy to local government units. D. Any of these health professionals
C. To empower the people and promote their self-reliance
D. To make basic services more accessible to the people 24. You are the public health nurse in a municipality with a
total population of about 20,000. There are3 health midwives
20. Who is the Chairman of the Municipal Health Board? among the RHU personnel. How many more midwife items will
the RHU need?

A. Mayor
B. Municipal Health Officer A. 1
C. Public Health Nurse B. 2
D. Any qualified physician C. 3
D. 4

21. Which level of health facility is the usual point of entry of a

client into the health care delivery system? 25. If the RHU needs additional midwife items, you will submit
the request for additional midwife items for approval to the:
A. Rural Health Unit 29. The public health nurse is responsible for presenting the
B. District Health Office municipal health statistics using graphs and tables. To compare
C. Provincial Health Office the frequency of the leading causes of mortality in the
D. Municipal Health Board municipality, which graph will you prepare?

26. As an epidemiologist, the nurse is responsible for reporting A. Line

cases or notifiable diseases. What law mandates reporting B. Bar
cases of notifiable diseases? C. Pie
D. Scatter diagram
A. Act 3573
B. RA.3753 30. Which step in community organizing involves training of
C. RA 1054 potential leaders in the community?
D. RA 1082
A. Integration
27. According to Freeman and Heinrich, community health B. Community organization
nursing is a developmental service. Which of the following best C. Community study
illustrates this statement? D. Core group formation

A. The community health nurse continuously develops himself 31. In which step are plans formulated for solving community
personally and professionally problems?
B. Health education and community organizing are necessary in
providing community health services A. Mobilization
C. Community health nursing in intended primarily for health B. Community organization
promotion and prevention and treatment of disease. C. Follow-up/extension
D. The goal of community health nursing is to provide nursing services D. Core group formation
to people in their own place of .residence

32. The public health nurse takes an active role in community

28. Which disease was declared through Presidential participation. What is the primary goal of community
Proclamation No. 4 as a target for, eradication in the organizing?
Philippines?

A. To educate the people regarding community health problems

A. Pioliomyelitis B. To mobilize the people to resolve community health problems
B. Measles C. To maximize the community’s resources in dealing with health
C. Rabies problems
D. Neonatal Tetanus
33. An indicator of success in community organizing is when A. Clinic consultation
people are able to: B. Group conferences
C. Home visit
A. Participate in community activities for the solution of a community D. Written communication
problem
B. Implement activities for the solution of the community problem 38. The typology of family nursing problems is used in the
C. Plan activities for the solution of the community problem statement of nursing diagnosis in the care of families. The
D. Identify the health problem as a common concern youngest child of the delos Reyes family has been diagnosed as
mentally retarded. This is classified as:
34. Tertiary prevention is needed in which stage of the natural
history of disease? A. Health threat
B. Health deficit
A. Pre-pathogenesis C. Foreseeable crisis
B. Pathogenesis D. Stress point
C. Predromal
D. Terminal 39. The delos Reyes couple have 6-year old child entering
school for the first time. The delos Reyes family has a:
35. Isolation of a child with measles belongs to what level of
prevention? A. Health threat
B. Health deficit
A. Primary C. Foreseeable crisis
B. Secondary D. Stress point
C. Intermediate
D. Tertiary 40. Which of the following is an advantage of a home visit?

36. On the other hand, Operation Timbang is_____ prevention? A. It allows the nurse to provide nursing care to a greater number of
people
A. Primary B. It provides an opportunity to do first hand appraisal of the home
B. Secondary situation
C. Intermediate C. It allows sharing of experience among people with similar health
D. Tertiary problems
D. It develops the family’s initiative in providing for health needs of its
members
37. Which type of family-nurse contact will provide you with
the best opportunity to observe family dynamics?
41. Which is CONTRARY to the principles in planning a home
visit?
A. A home visit should have a purpose of objective C. Therapeutic
B. The plan should revolve around the family health .needs D. Evaluation
C. A home visit should be conducted in the manner prescribed by RHU
D. Planning of continuing care should involve a responsible-family 45. Which of the following is a function of epidemiology?
member

A. Identifying the disease condition based on manifestations presented

42. The PHN bag is an important tool in providing nursing care by a client
during a home visit. The most important principle in bag B. Determining factors that contributed to the occurrence
technique states that it; of pneumoniain a 3 year old
C. Determining the efficacy of the antibiotic used in the treatment of
A. Should save time and effort the 3 year old client with pneumonia
B. Should minimize if not totally prevent the spread of infection D. Evaluating the effectiveness of the implementation of the
C. Should not overshadow concern for the patient and his family Integrated Management of Childhood Illness
D. May be done in variety of ways depending on the home situation,
etc. 46. Which of the following is an epidemiologic function of the
nurse during an epidemic?
43. To maintain the cleanliness of the bag and its contents,
which of the following must the nurse do? A Conducting assessment of suspected cases to detect the
communicable diseases
A. Wash his/her hands before and after providing nursing care to the B. Monitoring the condition of the cases affected by the communicable
family members disease
B. In the care of family member’s, as much as possible, use only C. Participating in the investigation to determine the source of
articles taken from the bag epidemic
C. Put on an apron to protect her uniform and fold it with the right side D. Teaching the community on preventive measures against the
out before putting it back into the bag. disease
D. At the end of the visit, fold the lining on which the bag was placed,
ensuring that the contaminated side is on the outside. 47. The primary purpose of conducting an epidemiologic
investigation is to;
44. The public health conducts a study on the factors
contributing to the high morality rate due to heart diseases in A. Delineate the etiology of the epidemic
the municipality where she works. Which branch of B. Encourage cooperation and support of the community
epidemiology does the nurse practice in this situation? C. Identify groups who are at risk of contracting the disease
D. Identify geographical location of cases of the disease in the
A. Descriptive community
B. Analytical
48. Which is a characteristic of person-to-person propagated 52. In the census of the Philippines in 1995, there were about
epidemic? 35,299,000 males and about 34,968,000 females. What is the
sex ratio?
A. There are more cases of the disease than expected
B. The disease must necessarily be transmitted through a vector A. 99.06:100
C. The spread of the disease can be attributed to a common vehicle B. 100.94:100
D. There is gradual build up of cases before we epidemic becomes C. 50.23%
easily noticeable D. 49.76%

49. In the investigation of an epidemic, you compare the 53. Primary health care is a total approach to community
present frequency of the disease with the usual frequency at development. Which of the following is an indicator of success
this time of the year in this community. This is done during in the use of the primary health care approach?
which stage of the investigation?
A. Health services are provided free of charge to individuals and
A. Establishing the epidemic families
B. Testing the hypothesis B. Local officials are empowered as the major decision makers in
C. Formulation of the hypothesis matters of health
D. Appraisal of facts C. Health workers are able too provide care based on identified health
needs of the people
50. The number of cases of Dengue fever usually increases D. Health programs are sustained according to the level of
towards the end of the rainy season. This pattern of occurrence development of the community
of Dengue fever is best described as;
54. Sputum examination is the major screening tool
A. Epidemic occurrence for pulmonary tuberculosis. Clients would sometimes get false
B. Cyclical variation negative results in this exam. This means that the test is not
C. Sporadic occurrence perfect in terms of which characteristic of a diagnostic
D. Secular occurrence examination?

51. In the year 1980, the World Health Organization declared A. Effectiveness
the Philippines, together with some other countries in the B. Efficacy
Western Pacific Region, “free” of which disease? C. Specificity
D. Sensitivity

A. Pneumonic plaque
B. Poliomyelitis 55. Use of appropriate technology requires knowledge of
C. Small pox indigenous technology. Which medical herb is given for fever,
D. Anthrax headache and cough?
A. Sambong 60. The municipality assigned to you has a population of about
B. Tsaang gubat 20/000. Estimate the number of 1-4 year old children who be
C. Akapulko given Retinol capsule 200.000 every 6 months.
D. Lagundi
A. 1,500
56. What law created the Philippine institute of Traditional and B. 1,800
Alternative Health Care? C. 2,000
D. 2,300
A. RA 8483
B. RA4823 61. Estimate the number of pregnant women who will be given
C. RA 2483 tetanus toxoid during an immunization outreach activity in a
D. RA 3482 barangay with a population of about 1,500.

57. In traditional Chinese medicine, the yielding, negative and A. 265

feminine force is termed: B. 300
C. 375
A. Yin D. 400
B. Yang
C. Qi 62. To describe the sex composition of the population, which
D. Chai demographic tool may be used?

58. What is the legal basis of Primary Health Care approach in A. Sex ratio
the Philippines? B. Sex proportion
C. Population pyramid
A. Alma Ata Declaration of PHC D. Any of these maybe used
B. Letter of Instruction No 949
C. Presidential Decree No. 147 63. Which of the following is a natality rate?
D. Presidential Decree 996
A. Crude birth rate
59. Which of the following demonstrates inter-sectoral B. Neonatal mortality rate
linkages? C. Infant mortality rate
D. General fertility rate
A. Two-way referral system
B. Team approach 64. You are computing the crude rate of your municipality, with
C. Endorsement done by a midwife to another midwife a total population o about 18,000 for last year. There were 94
D. Cooperation between PHN and public school teacher deaths. Among those who died, 20 died because of diseases of
the heart and 32 were aged 50 years or older. What is the 68. Which statistic best reflects the nutritional status of a
crude death rate? population?

A. 4.1/1000 A. 1-4 year old age-specific mortality rate

B. 5.2/1000 B. Proportionate mortality rate
C. 6.3/1000 C. Infant mortality rate
D. 7.3/1000 D. Swaroop’s index

65. Knowing that malnutrition is a frequent community health 69. What numerator is used in computing general fertility rate?
problem, you decided to conduct nutritional assessment. What
population is particularly susceptible to protein energy A. Estimated midyear population
malnutrition (PEM)? B. Number of registered live births
C. Number of pregnancies in the year
A. Pregnant women and the elderly D. Number of females of reproductive age
B. Under 5 year old children
C. 1-4 year old children 70. You will gather data for nutritional assessment of a purok.
D. School age children You will gather information only from families with members
who belong to the target population for PEM. What method of
66. Which statistic can give the most accurate reflection of the delta gathering is best for this purpose?
health status of a community?
A. Census
A. 1-4 year old age-specific mortality rate B. Survey
B. Infant mortality rate C. Record Review
C. Swaroop’s index D. Review of civil registry
D. Crude death rate
71. In the conduct of a census, the method of population
67. In the past year, Barangay A had an average population of assignment based on the actual physical location of the people
1655. 46 babies were born in that year, 2 of whom died less is termed;
than 4 weeks after they were born. They were 4 recorded
stillbirths. What is the neonatal mortality rate? A. De jure
B. De locus
A. 27.8/1000 C. De facto
B. 43.5/1000 D. De novo
C. 86.9/1000
D. 130.4/1000 72. The Field Health Services and information System (FHSIS)
is the recording and reporting system in public health) care in
the Philippines. The monthly field health service activity report A. Modifiability of the problem
is a form used in which of the components of the FHSIS? B. Nature of the problem presented
C. Magnitude of the health problem
A. Tally report D. Preventive potential of the health problem
B. Output report
C. Target/client list 77. The Sentrong Sigla Movement has been launched to
D. Individual health record improve health service delivery. Which of the following is/are
true of this movement?
73. To monitor clients registered in long-term regimens, such
as the Multi-Drug Therapy, which component will be most A. This is a project spearheaded by local government units
useful? B. It is a basis for increasing funding from local government units
C. It encourages health centers to focus on disease prevention and
A. Tally report control
B. Output report D. Its main strategy is certification of health centers able to comply
C. Target/client list with standards
D. Individual health record
78. Which of the following women should be considered as
74. Civil registries are important sources of data. Which law special targets for family planning?
requires registration of births within 30 days from the A. Those who have two children or more
occurrence of the birth? B. Those with medical conditions such as anemia
C. Those younger than 20 years and older than 35 years
D. Those who just had a delivery within the past 15 months
A. PD 651
B. Act 3573
C. RA 3753 79. Freedom of choice in one of the policies of the Family
D. RA 3375 Planning Program of the Philippines. Which of the following
illustrates this principle?

75. Which of the following professionals can sign the birth

certificate? A. Information dissemination about the need for family planning
B. Support of research and development in family planning methods
C. Adequate information for couples regarding the different methods
A. Public health nurse D. Encouragement of couples to take family planning as a joint
B. Rural health midwife responsibility
C. Municipal health officer
D. Any of these health professionals
80. A woman, 6 months pregnant, came to the center for
consultation. Which of the following substances is
76. Which criterion in priority setting of health problems is contraindicated?
used only in community health care?
A. Tetanus toxoid C. Instruct her to wash her nipples before and after each breastfeeding
B. Retinol 200,000 IU D. Explain to her that putting the baby to breast will lessen blood loss
C. Ferrous sulfate 200mg after delivery
D. Potassium iodate 200 mg, capsule
85. A primigravida is instructed to offer her breast to the baby
81. During prenatal consultation, a client asked you if she can for the first time within 30 minutes after delivery. What is the
have her delivery at home. After history taking and physical purpose of offering the breast this early?
examination, you advised her against a home delivery. Which
of the following findings disqualifies her for a home delivery? A. To initiate the occurrence of milk letdown
B. To stimulate milk production by the mammary acini
A. Her OB score is G5P3 C. To make sure that the baby is able to get the colustrum
B. She has some palmar pallor D. To allow the woman to practice breastfeeding in the presence of the
C. Her blood pressure is 130/80 health worker
D. Her baby is in cephalic presentation
86. In a mother’s class, you discuss proper breastfeeding
82. Inadequate intake by the pregnant woman of which vitamin technique. Which of these is a sign that the baby has “lactated
may cause neural tube defects? on” the breast property?

A. Niacin A. The baby takes shallow, rapid sucks

B. Riboflavin B. The mother does not feel nipple pain
C. Folic Acid C. The baby’s mouth is only partly open
D. Thiamine D. Only the mother’s nipple is inside the baby’s mouth

83. You are in a client’s home to attend to a delivery. Which of 87. You explain to a breastfeeding mother that breastmilk is
the following will you do first? sufficient for all of the baby’s nutrient needs only up to:

A. Set up a sterile area A. 3 months

B. Put on a clean gown and apron B. 6 months
C. Cleanse the client’s vulva with soap and water C. 1 year
D. Note the interval, duration and intensity of labor and contractions D. 2 years

84. In preparing a primigravida for breastfeeding, which of the 88. What is given to a woman within a month after the delivery
following will you do? of a baby?

A. Tell her that lactation begins within a day after delivery A. Malunggay capsule
B. Teach her nipple stretching exercises if her nipples are everted B. Ferrous sutfate l00mg O.D.
C. Retinol 200.000 IU 1 capsule 93. A 4 week old baby was brought to the health center for his
D. Potassium Iodate 200 mg, 1 capsule first immunization. Which can be given to him?

89. Which biological used in EPI is stored in the freezer? A. DPT1

B. OPV1
A. DPT C. Infant BCG
B. Tetanus toxoid D. Hepatitis B Vaccin
C. Measles vaccine
D. Hepatitis B vaccine 94. You will not give DPT 2 if the mother says that the infant
had?
90. Unused BCG should be discarded how many hours after
reconstitution? A. Seizures a day after DPT1
B. Fever for 3 days after DPT1
A. 2 C. Abscess formation after DPT1
B. 4 D. Local tenderness for 3 days after DPT1
C. 6
D. At the end of the day 95. A 2-month old infant was brought to the health center for
immunization. During assessment, the infant’s temperature
91. In immunity school entrants with BCG, you not obliged to registered at 38.1 C. Which is the best course of action that you
secure parental consent. This is because of which legal will take?
document?
A. Go on with the infants immunization
A. PD 996 B. Give paracetamol and wait for his fever to subside
B. RA 7864 C. Refer the infant to the physician for further assessment
C. Presidential Proclamation No. 6 D. Advise the infant’s mother to bring him back for immunization when
D. Presidential Proclamation No. 46 he is well

92. Which immunization produces a permanent scar? 96. A pregnant woman had just received her 4th dose of
tetanus toxoid. Subsequently, her baby will have protection
against tetanus for how long?
A. DPT
B. BCG
C. Measles vaccination A. 1 year
D. Hepatitis B vaccination B. 3 years
C. 10 years
D. Lifetime
97. A 4-month old infant was brought to the health center of 101. Based on the assessment, you classified a 3-month old
cough. Her respiratory rate is 42/minute. Using the IMCI infant with the chief complaint of diarrhea in the category of
guidelines of assessment, her breathing is considered; SOME DEHYDRATION. Based on the IMCI management
guidelines, which of the following will you do?
A. Fast
B. Slow A. Bring the infant to the nearest facility where IV fluids can be given
C. Normal B. Supervise the mother in giving 200 to 400 ml of Oresol in 4 hours
D. Insignificant C. Give the infant’s mother instructions on home management
D. Keep the infant in your health center for close observation
98. Which of the following signs will indicate that a young child
is suffering from severe pneumonia? 102. A mother is using Oresol’ in the management of diarrhea
of her 3-year old child. She asked you what to do if her child
A. Dyspnea vomits. You will tell her to:
B. Wheezing
C. Fast breathing A. Bring the child to the nearest hospital for further assessment
D. Chest indrawing B. Bring the child to the health center for IV therapy
C. Bring the child to the health center for assessment by the physician
99. Using IMCI guidelines, you classify a child as having severe D. Let the child rest for 10 minutes then continue giving Oresol more
pneumonia. What is the best management for the child? slowly

A. Prescribe antibiotic 103. A 1 1/2 year old child was classified as having 3rd degree
B. Refer him urgently to the hospital of protein energy malnutrition, kwashjorkor. Which of the
C. Instruct the mother to increase fluid intake following signs will be most apparent in this child?
D. Instruct the mother to continue breastfeeding
A. Voracious appetite
100. A 5-month old infant was brought by his mother to the B. Wasting
health center because of diarrhea occurring 4 to 5 times a day. C. Apathy
His skin goes back slowly after a skin pinch and his eyes are D. Edema
sunken. Using the IMCI guidelines, you will classify this infant
in which category? 104. Assessment of a 2-year old child revealed “baggy pants”.
Using the IMCI guidelines, how will you manage this child?
A. No signs of dehydration A. Refer the child urgently to a hospital for confinement
B. Some dehydration B. Coordinate with the social worker to enroll the child in a feeding
C. Severe dehydration program
D. The data is insufficient C. Make a teaching plan for the mother, focusing on the menu
planning for her child
D. Assess and treat the child for health problems like infections and C. Margarine
intestinal parasitism D. Filled milk

105. During the physical examination of a young child, what is 109. What is the best course of action when there is a measles
the earliest sign of xerophthalmia that may observe? epidemic in a nearby municipality?

A. Keratomalacia A. Give measles vaccine to babies aged 6 to 3 months

B. Corneal opacity B. Give babies aged 6 to 11 months one dose of 100,000 IU of Retinol
C. Night blindness C. Instruct mother to keep their babies at home to prevent disease
D. Conjunctival xerosis transmission
D. Instruct mothers to feed their babies adequately to enhance their
106. To prevent xerophthalmia, young children are given babies resistance
Retinol capsule every 6 months. What is the dose given to
preschoolers? 110. A mother brought her daughter, 4 years old, to the RHU
because of cough and colds. Following the IMCI assessment
A. 10, 000 IU guide, which of the following is a danger sign that indicates the
B. 20, 000 IU need for urgent referral to a hospital?
C. 100, 000 IU
D. 200, 000 IU A. Inability to drink
B. High grade fever
107. The major sign of iron deficiency anemia is pallor. What C. Signs of severe dehydration
part is best examined for pallor? D. Cough for more than 30 days

A. Palms 111. Management of a child with measles includes the

B. Nailbeds administration of which of the following?
C. Around the lips
D. Lower conjunctival sac A. Gentian violet on mouth lesions
B. Antibiotic to prevent pneumonia
108. Food fortification is one of the strategies to prevent C. Tetracycline eye ointment for corneal opacity
micronutrient deficiency conditions. RA 8976 mandates D. Retinol capsule regardless of when the last dose was given
fortification of certain food items. Which of the following is
among these food items? 112. A mother brought her 10 month old infant for consultation
because of fever which started 4 days prior to consultation. To
A. Sugar determine malaria risk, what will you do?
B. Bread
A. Do a tourniquet test C. Cough for 3 weeks
B. Ask where the family resides D. Chest pain for 1 week
C. Get a specimen for blood smear
D. Ask if the fever is present everyday 117. Which clients are considered targets for DOTS category?

113. The following are strategies implemented by the DOH to A. Sputum negative cavitary cases
prevent mosquito-borne diseases. Which of these is most B. Clients returning after default
effective in the control of Dengue fever? C. Relapses and failures of previous PTB treatment regimens
D. Clients diagnosed for the first time through a positive sputum exam
A. Stream seeding with larva-eating fish
B. Destroying breeding places of mosquitoes 118. To improve compliance to treatment, what innovation is
C. Chemoprophylaxis of non-immune persons going to endemic areas being implemented in DOTS?
D. Teaching people in endemic areas to use chemically treated
mosquito nets
A. Having the health worker follow up the client at home
B. Having the health worker or a responsible family member monitor
114. Secondary prevention for malaria includes? drug intake
C. Having the patient come to the health center every month to get his
A. Planting of neem or eucalyptus trees medications
B. Residual spraying of insecticides at night D. Having a target list to check on whether the patient has collected
C. Determining whether a place is endemic or not his monthly supply of drugs
D. Growing larva-eating fish in mosquito breeding places
119. Diagnosis of leprosy is highly dependent on recognition of
115. Scotch tape swab is done to check for which intestinal symptoms. Which of the following is an early sign of leprosy?
parasite?
A. Macular lesions
A. Ascaris B. Inability to close eyelids
B. Pinworm C. Thickened painful nerves
C. Hookworm D. Sinking of the nose bridge
D. Schistosoma
120. Which of the following clients should be classified as a
116. Which of the following signs indicates the need for sputum case of mutibacillary leprosy?
examination for AFB?
A. 3 skin lesions, negative slit skin smear
A. Hematemesis B. 3 skin lesions, positive slit skin smear
B. Fever for 1 week C. 5 skin lesions, negative slit skin smear
D. 5 skin lesions, positive slit skin smear
121. In the Philippines, which condition is the most frequent 125. Which biological used in EPI should not be stored in the
cause of death associated by schistosomiasis? freezer?

A. Liver cancer A. DPT

B. Liver cirrhosis B. OPV
C. Bladder cancer C. Measles vaccine
D. Intestinal perforation D. MMR

122. What is the most effective way of controlling 126. You will conduct outreach immunization in a barangay
schistosomiasis in an endemic area? with a population of about 1500. Estimate the number of
infants in the barangay.
A. Use of molluscicides
B. Building of foot bridges A. 45
C. Proper use of sanitary toilets B. 50
D. Use of protective footwear, such as rubber boots C. 55
D. 60
123. When residents obtain water from an artesian well in the
neighborhood, the level of this approved type of water facility 127. In IMCI, severe conditions generally require urgent
is: referral to a hospital. Which of the following severe conditions
Does not always require urgent referral to hospital?
A. I
B. II A. Mastoiditis
C. III B. Severe dehydration
D. IV C. Severe pneumonia
D. Severe febrile disease.
124. For prevention of Hepatitis A, you decided to conduct
health education activities. Which of the following is 128. A client was diagnosed as having Dengue Fever. You will
Irrelevant? say that there is slow capillary refill when the color of the
nailbed that you pressed does not return within how many
A. Use of sterile syringes and needles seconds?
B. Safe food preparation and food handling by vendors
C. Proper disposal of human excreta and personal hygiene A. 3
D. Immediate reporting of water pipe leaks and illegal water B. 5
connections C. 8
D. 10
129. A 3-year old child was brought by his mother to the health 133. Human beings are the major reservoir of malaria. Which of
center because of fever of 4-day duration. The child had a the following strategies in malaria control is based on this fact?
positive tourniquet test result. In the absence of other signs,
which of the most appropriate measure that the PHN may carry A. Stream seeding
out to prevent Dengue shock syndrome? B. Stream clearing
C. Destruction of breeding places
A. Insert an NGT and give fluids per NGT D. Zooprophylaxis
B. Instruct the mother to give the child Oresol
C. Start the patient on IV Stat 134. The use of larvivorous fish in malaria control is the basis
D. Refer the client to the physician for appropriate management for which strategy of malaria control?

130. The pathognomonic sign of measles is Koplik’s spot. You A. Stream seeding
may see Koplik’s spot by inspecting the: B. Stream clearing
C. Destruction of breeding places
A. Nasal Mucosa D. Zooprophylaxis .
B. Buccal mucosa
C. Skin on the abdomen 135. Mosquito-borne diseases are prevented mostly with the
D. Skin on the antecubital surface use of mosquito control measures. Which of the following is
NOT appropriate for malaria control?
131. Among the following diseases, which is airborne?
A. Use of chemically treated mosquito nets
A. Viral conjunctivitis B. Seeding of breeding places with larva-eating fish
B. Acute poliomyelitis C. Destruction of breeding places of the mosquito vector
C. Diphtheria D. Use of mosquito-repelling soaps, such as those with basil or
D. Measles citronella

132. Among children aged 2 months to 3 years, the most 136. A 4-year old client was brought to the health center with
prevalent form of meningitis is caused by which chief complaint of severe diarrhea and the passage of “rice
microorganism? water”. The client is most probably suffering from which
condition?
A. Hemophilus Influenzae
B. Morbillivirus A. Giardiasis
C. Streptococcus Pneumoniae B. Cholera
D. Neisseria meningitides C. Amebiasis
D. Dysentery
137. In the Philippines, which specie of schistosoma is endemic B. Ask the client to be accompanied by a significant person before
in certain regions? revealing the result.
C. Refer the client to the physician since he is the best person to
A. S. mansoni reveal the result to the client
B. S. japonicum D. Refer the client for a supplementary test, such as Western blot,
C. S. malayensis since the ELISA result maybe false
D. S. haematobium
141. Which is the BEST control measure for AIDS?
138. A 32 year old client came for consultation at the health
center with the chief complaint of fever for a week. A. Being faithful to a single sexual partner
Accompanying symptoms were muscle pains and body malaise. B. Using a condom during each sexual contact
A week after the start of fever, the client noted yellowish C. Avoiding sexual contact with commercial sex workers
discoloration of his sclera. History showed that he waded in D. Making sure that one’s sexual partner does not have signs of AIDS
flood waters about 2 weeks before the onset of symptoms.
Based on this history/ which disease condition will you 142. The most frequent causes of death among clients with
suspect? AIDS are opportunistic diseases. Which of the following
opportunistic infections is characterized by
A. Hepatitis A tonsilllopharyngitis?
B. Hepatitis B
C. Tetanus A. Respiratory candidiasis
D. Leptospirosis B. Infectious mononucleosis
C. Cytomegalovirus disease
139. MWSS provides water to Manila and other cities in Metro D. Pneumocystis carinii pneumonia
Manila. This is an example of which level of water facility?
143. To determine the possible sources of sexually transmitted
A. I infections, which is the BEST method that may be undertaken
B. II by the public health nurse?
C. III
D. IV A. Contact tracing
B. Community survey
140. You are the PHN in the city health center. A client C. Mass screening tests
underwent screening for AIDS using ELISA. His result was D. Interview suspects
positive. What is the best course of action that you may take?
144. Antiretroviral agents, such as AZT are used in the
A. Get a thorough history of the client, focusing on the practice of high management of AIDS. Which of the following is not an action
risk behavior expected of these drugs?
A. They prolong the life of the client with AIDS
B. They reduce the risk of opportunistic infections
C. They shorten the period of communicability of the disease
D. They are able to bring about a cure of the disease condition

145. A barangay had an outbreak of German measles. To

prevent congenital rubella, what is the BEST advice that you
can give to women in the first trimester of pregnancy in the
barangay?

a. Advice them on the sign of German Measles

b. Avoid crowded places, such as markets and moviehouses
c. Consult at the health center where rubella vaccine may be given
d. Consult a physician who may give them rubella immunoglobulin