COMMITMENT. EXCELLENCE. QUALITY.

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NURSING. MIDWIFERY. PHARMACY. MEDTECH.
3
rd
floor BSBI Bldg. Bicol University Main Campus, Brgy. Sagpon, Legazpi City, Albay
TEL.(052)742-1590; 09175002996




Instructions:
1. Choose the best answer and shade the corresponding letter on the answer sheet.
2. Avoid erasures or any form of alteration.
3. Use pencil in shading your answers.
______________________________________________________________________________________________

Situation: Community Health Nursing is considered as one of the forefronts in development for continuing health services available first in
the barangays and rural areas to attain the mission and vision towards improvement in health.

1. Which is the primary goal of the community health nursing?
a. To support and supplement the efforts of the medical profession in the promotion of health and prevention of illness
b. To enhance the capacity of individuals, families and communities to cope with their health needs
c. To increase the productivity of the people by providing them with services that will increase their level of health
d. To continue to national development through promotion of family welfare, focusing particulary on mothers and children
2. CHN is a community-based practice. Which best explains this statement?
a. The service is provided in the natural environment of people
b. The nurse has to conduct community diagnosis to determine nursing needs and problems
c. The services are based on the available resources within the community
d. Priority setting is based on the magnitude of the health problems identified
3. Population-focused nursing practice requires which of the following processes?
a. Community organizing
b. Nursing process
c. Community diagnosis
d. Epidemiologic process
4. RA 1054 is also known as the Occupational Health Act. Aside from number of employees, what other factor must be considered in
determining the occupational health privileges to which the workers will be entitled?
a. Type of occupation: agricultural, commercial, industrial
b. Location of the workplace in relation to health facilities
c. Classification of the business enterprise based on net profit
d. Sex and age composition of employees
5. A business firm must employ an occupational health nurse when it has at least how many employees?
a. 21
b. 101
c. 201
d. 301
6. When the occupational health nurse employs ergonomic principles, she is performing which of her roles?
a. Health care provider
b. Health educator
c. Health care coordinator
d. Environmental manager
7. A garment factory does not have an occupational nurse. Who shall provide the occupational health needs of the factory worker?
a. Occupational health nurse at the Provincial Health Office
b. Physician employed by the factory
c. Public health nurse of the RHU of their municipality
d. Rural sanitary inspector of the RHU of their municipality
8. Public health services are given free of charge. Is this statement true or false?
a. The statement is true; it is the responsibility of the government to provide basic services
b. The statement is false; people pay indirectly for public health services
c. The statement may be true or false, depending on the specific service required
d. The statement may be true or false, depending on policies of the government concerned
9. According to C.E. Winslow, which of the following is the goal of Public Health?
a. For people to attain their birthrights of health and longevity
b. For promotion of health and prevention of disease
c. For people to have access to basic health services
d. For people to be organized in their health efforts
10. We say that a Filipino has attained longevity when he is able to reach the average lifespan of Filipinos. What other statistic may
be used to determine attainment of longevity?
a. Age-specific mortality rate
b. Proportionate mortality rate
c. Swaroops index
d. Case fatality rate

Situation: If a child with diarrhea registers one sign in the pink row and one in the yellow row in the IMCI Chart.
11. We can classify the patient as:
a. Moderate dehydration
b. No dehydration
c. Severe dehydration
d. Some dehydration
12. The child with no dehydration needs home treatment. Which of the following is not included in the rules for home treatment in
this case?
a. Know when to return to the health center
b. Give the child extra fluids
c. Give oresol every 4 hours
d. Continue feeding the child
13. A child who has had diarrhea for 14 days, but has no sign of dehydration is classified as:
a. Severe dysentery
b. Severe persistent diarrhea
c. Dysentery
d. Persistent diarrhea
14. If the child has sunken eyes, drinking eagerly, thirsty and skin pinch goes back slowly, the classification would be:
a. Moderate dehydration
b. Some dehydration
c. No dehydration
d. Severe dehydration
15. Carlo has had diarrhea for 5 days. There is no blood in the stool, he is irritable. His eyes are sunken. The nurse offers fluid to
Carlo and he drinks eagerly. When the nurse pinched the abdomen, it goes back slowly. How will you classify Carlos illness?
a. No dehydration
b. Moderate dehydration
c. Severe dehydration
d. Some dehydration

Diagnostic Exam - 002
Community Health Nursing, Communicable Diseases, IMCI & COPAR
Compiled and Prepared by: Tomas Cordia Cornelio, RN


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Situation: Nurse Monett is an Independent Nurse Practitioner following-up referred clients in their respective homes. Here she handles a
case of POSTPARTAL MOTHER AND FAMILY focusing on HOME CARE.

16. Nurse Monett needs to schedule a first home visit to OB client, Leah. When is a first home-care visit typically made?
a. Within 1 week of discharge
b. Within 24 hours after discharge
c. Within 1 hour after discharge
d. Within 3-5 days after discharge
17. Leah is developing constipation from being on bed rest. What measures would you suggest she take to help prevent this?
a. Drink eight full glasses of fluid such as water daily
b. Walk for at least half an hour daily to stimulate peristalsis
c. Drink more milk, increased calcium intake prevents constipation
d. Eat more frequent small meals instead of three large one daily
18. If you were Nurse Monett, which of the following actions would alert you that a new mother is entering a postpartal taking-hold
phase?
a. She sleeps as if exhausted from the effort of labor
b. She urges the baby to stay awake so that she can breast feed him or her
c. She says that she has not selected a name for the baby as yet
d. She tells you she was in a lot of pain all during labor
19. At 6-week postpartum visit what should this postpartal mothers fundic height be?
a. Inverted and palpable at the cervix
b. No longer palpable on her abdomen
c. Six fingerbreadths below the umbilicus
d. One centimetre above the symphysis pubis
20. This postpartal mother wants to loose the weight she gained in pregnancy, so she is reluctant to increase her caloric intake for
breastfeeding. By how much should a lactating mother increase her caloric intake during the first 6 months after birth?
a. 500 kcal/day
b. 1000 kcal/day
c. 350 kcal/day
d. 200 kcal/day

Situation: One important tool a community health nurse uses in the conduct of his/her activities is the CHN Bag.
21. The Community/Public Health Bag is:
a. An essential and indispensable equipment of the community health nurse
b. A tool used by the community health nurse in rendering effective nursing procedures during a home visit
c. Contains basic medications and articles used by the community health nurse
d. A requirement for home visits
22. What is the rationale in the use of bag technique during home visits?
a. It should minimize or prevent the spread of infection from individuals to families
b. It saves time and effort of the nurse in the performance of nursing procedures
c. It helps render effective nursing care to clients or other members of the family
d. It should not overshadow concerns for the patient
23. Which among the following is important in the use of the bag technique during home visit?
a. Minimize if not totally prevent the spread of infection
b. Arrangement of the bags contents must be convenient to the nurse
c. Be sure to thoroughly clean your bag especially when exposed to communicable disease cases
d. The bag should contain all necessary supplies and equipment ready for use
24. This is an important procedure of the nurse during home visits:
a. Arrangement of the contents of the CHN bag
b. Cleaning of the CHN bag
c. Proper hand washing
d. Protection of the CHN bag
25. In consideration of the steps in applying the bag technique, which side of the paper lining of the CHN bag is considered clean to
make a non-contaminated work area?
a. The upper tip
b. The outer surface
c. The inside surface
d. The lower tip

Situation: There are other important basic knowledge in the performance of our task as Community Health Nurse in relation to
IMMUNIZATION, these include the following:
26. The correct temperature to store vaccines in a refrigerator is:
a. Between 2 deg C and +8 deg C
b. Between -4 deg C and +8 deg C
c. Between -8 deg C and 0 deg C
d. Between -8 deg C and +4 deg C
27. Which of the following vaccines is not done by intramuscular (IM) injection?
a. Measles vaccine
b. Hepa-B vaccine
c. Tetanus toxoids
d. DPT
28. This vaccine content is derived from RNA recombinants
a. Tetanus toxoids
b. Hepatitis B vaccines
c. DPT
d. Measles
29. This is the vaccine needed before a child reaches one (1) year in order for him/her to qualify as a fully immunized child.
a. Measles
b. DPT
c. Hepatitis B
d. BCG
30. Which of the following dose of tetanus toxoid is given to the mother to protect her infant from neonatal tetanus and likewise
provide 10 years protection for the mother?
a. Tetanus Toxoid 3
b. Tetanus Toxoid 2
c. Tetanus toxoid 1
d. Tetanus Toxoid 4

Situation: You are the nurse in the Out-Patient-Department and during your shift you encountered multiple childrens condition. The
following questions apply.
31. You assessed a child with visible severe wasting, he has:
a. LBM
b. Marasmus
c. Edema
d. Kwashiorkor
32. Which of the following conditions is NOT true about contraindication to immunization?
a. Do not give BCG if the child has known AIDS
b. Do not give BCG if the child has known hepatitis
c. Do not give DPT 2 or DPT 3 to a child who has had convulsions within 3 days of DPT
d. Do not give DPT if a child has recurrent convulsions or active neurologic disease
33. Which of the following statements about immunization is NOT true?
a. A child with diarrhea who is due to OPV should receive the OPV and make extra dose on the next visit
b. A child should be immunized in the health center before referral
c. There is no contraindication to immunization if the child is well enough to go home
d. There is no contraindication to immunization if the child is well enough to go home and a child should be immunized in
the health center before referral are both correct
34. A child with visible severe wasting or severe palmar pallor may be classified as:

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a. Moderate malnutrition/anemia
b. Severe malnutrition/anemia
c. Not verly low weight no anemia
d. Anemia/very low weight
35. A child who has some palmar pallor can be classified as:
a. Not very low weight no anemia
b. Severe malnutrition/anemia
c. Moderate anemia/normal
d. Anemia/very low weight
36. A child who is 3 months has fast breathing if he has:
a. 30 breaths per minute or more
b. 60 breaths per minute
c. 40 breaths per minute or more
d. 50 breaths per minute
37. A nurse may keep unopened vials of OPV for use in the next session if:
a. You have taken out the vaccine at the health center for some other reasons
b. The expiry date has not passed
c. The vaccines has been stored at a temperature between 0 deg C and -8 deg C
d. The vaccines have change its color
38. Fely has diarrhea for 2 days. She has sunken eyes, skin pinch goes back very slowly, and she is drinking poorly and irritable. She
is not able to drink and there is no blood in the stool. How will you classify Felys illness?
a. Persistent diarrhea
b. Some dehydration
c. Severe dehydration
d. No dehydration
39. The critical public health intervention and still the most cost effective strategy in reducing illness and death encompasses the four
goal is:
a. Surveillance
b. Immunization
c. Survey
d. Research
40. A family nurse contact which allows the health worker to assess the home and family situation in order to provide the necessary
nursing care and health related activities:
a. Clinic visit
b. Home visit
c. Nursing care in the home
d. Bag technique
41. When a nurse uses IMCI model, the IMCI chart uses illness classification, e.g. the green row needs:
a. No specific treatments such as antibiotics
b. Urgent referral
c. Appropriate antibiotics
d. No urgent measure
42. Which of the four signs of good attachment is true in this statement?
a. The chin should touch the breast while the mouth is wide open and while the lower lip is turned inward more areola is
visible above than below
b. The chin should touch the breast, the mouth is wide open while the lower lip turned outwards and more areola visible
above than below
c. The chin should touch the breast while the mouth is wide open while the lower lip turned outward and more areola
visible below than above
d. The chin should touch the breast while the mouth is wide open and the lower lip turned inward, more areola is visible
above than below
43. In assessing the patients condition using the IMCI approach strategy, the first thing that a nurse should do is to:
a. Ask what the childs problem
b. Check the patients level of consciousness
c. Check for the four main symptoms
d. Check for the general danger signs
44. A child with diarrhea is observed for the following except:
a. How long the child has diarrhea
b. Skin petechiae
c. Presence of blood in the stool
d. Signs of dehydration
45. Leprosy is a chronic disease of the skin and peripheral nerves. Which of the following signs are present in the late stage?
a. Loss of eyebrows
b. Nosebleeding
c. Loss of sweating
d. Thickening or painful nerve
46. The nurse wants to immunize a 1 year old child for measles. The child has been classified as having pneumonia and no anemia
and not very low weight. The childs mother does not want her child to be immuned and instead they will just return as soon as
the child is better. How will the nurse explain the importance of immunizing the child with measles now?
a. The childs condition is not a hindrance to immunization according to WHO
b. The child has lower resistance and more prone to disease
c. The child will recover faster if the child will be immunized
d. It is the childs schedule to have immunization
47. To implement the case finding aspect of TB control, sputum examination should be done to the following groups
a. A children 0-9 years old with cough for 2 weeks or more
b. All persons of all ages above 1 year with symptoms indicative of tuberculosis
c. Children below 10 years old with fever for 3-5 days
d. All persons ages 10 years and over with progressive loss of weight
48. A term concerning body resistance which refers to protein present in the serum of the blood:
a. Antibodies
b. Antitoxin
c. Antigen
d. Allergen
49. A health care service in which risk factors are identified, occupational safety measures reduce, and a public education program
begun is:
a. Health promotion
b. Illness prevention
c. Treatment facility
d. Rehabilitation
50. A community health nurse visits the Gomez family weekly. Although family income seems adequate, Mrs. Gomez is unable to
budget it over a 4-week period. The nurse asks what may be done to help Mrs. Gomez shrugs her shoulders and says. Tomorrow
may never come. Mrs. Gomezs reaction is described as:
a. Reflecting her culture, values and time orientation
b. One of not caring about her familys needs
c. Her belief that income may not be adequate as perceived by the CHN
d. Indicating that her budget need is a private matter
51. Assessment areas for the nurses is working with the family on health promotion strategies would include:
a. The television shows that they watch
b. The family and all the relatives statuses
c. The perceived health status and illness patterns of the family
d. The mental status of family and friends
52. The following are the duties of the Public Health Nurse EXCEPT:
a. Leave to the BHW the responsibilities of educating the community
b. Provision of nursing care to the sick and well individuals
c. Provision of technical and administrative support to rural health midwives
d. Conduct of pre and post consultation conference to clinic patients
53. An 8 month old has fast breathing if he has:
a. 40 breaths per minute
b. 55 breaths per minute
c. 38 breaths per minute
d. 45 breaths per minute
54. When the child with persistent diarrhea returns for follow-up visit after 5 days, the nurse should ask the mother if the diarrhea
has stopped when:

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a. The child has less than 3 loose bowels per day
b. The child has 4 semi formed stool
c. The child has 5 formed stools
d. The child has 3 loose stools per day
55. In barangay Y, one of the identified problems is unavailability of toilet facility for the residents. The appropriate intervention is:
a. Secure donations in the form of toilet bowls
b. Ask help from local government
c. None of the above
d. Conduct a community assembly and discuss the consequence of this problems
56. A home visit is a professional interaction between the community health nurse and his patient or the family. Where could the
nurse get available information about the patient or the family to be visited?
a. Document file
b. Records and reports
c. Doctors office
d. Family health record
57. In planning a home visit, the nurse considers the individual needs. Which of the following is a priority?
a. Needs of all family members
b. Needs recognized by the family
c. Follow-up of medication and treatment
d. Clinic schedules after home visit
58. Which of the following is the FIRST action of the nurse during home visit?
a. Greet the client of the household members
b. State the purpose or objective of the visit
c. Give necessary health teaching
d. Inquire about welfare and health condition of the client
59. Which factor must be considered by the nurse as vital to determine frequency of the home visit?
a. Available resources
b. Policy of the agency
c. Acceptance of the family
d. Past nursing services
60. Eating habits of the family has changed due to the existing fast food establishment in the area. What health risk should you warn
the family?
a. Food-borne infection
b. Indigestion
c. Increase weight
d. Hand washing

Situation: As Communicalbel Disease Nurse, one of its role and function is to follow-up and educate many individuals who have notifiable
diseases to ensure they are treated and to prevent the spread of further disease. In some cases public health will provide free medication
(eg. tuberculosis medication) or vaccine.

61. A 32 year old female client has Community Acquired Pneumonia (CAP) hence the attending physician ordered airborne
precaution. The following are interventions for a client under airborne precaution except:
a. Wear an N95 respirator when visiting the patient
b. Wear a mask when working within 3 feet away from the client
c. Place the client in a private room or a client infected with the same organism
d. Instruct the family members and caregivers to wear respiratory devices
62. The following are not a type of transmission based precaution except:
a. Borreliosis
b. First disease
c. Idiopathic Thrombocytopenia Purpura
d. Canefield Fever
63. Nurse Sakura Chan just finished rendering care to a patient with Consumption disease in an isolation room. Nurse Sakura begins
to remove her personal protective equipment (PPE). What should she remove first?
a. Mask
b. Goggles
c. Gown
d. Gloves
64. Borrelia can cause Lymes Disease, Leptospira can lead to Leptospirosis and Klebbs Leoffier Bacillus can cause Diphtheria. The
ability of microorganism to produce a disease is termed as?
a. Virulence
b. Pathogenicity
c. Invasiveness
d. Infectivity Dose
65. Droplet infection is transmitted through which of the following?
a. Formites
b. Vectors
c. Inoculation
d. Talking
66. Limitation in the freedom of movement based on the longest incubation period is known as:
a. Isolation
b. Quarantine
c. Disinfection
d. Sterilization
67. A symptom that is indicative of a disease is:
a. Replace
b. Syndrome
c. Pathognomonic
d. Convalescence
68. If a disease is said to be highly communicable like SARS, Meningococcemia or avian Influenza isolation must be implemented by
the Communicable Disease Nurse (CDN), which among the following definition best describe the word isolation?
a. Isolation is the separation of infected individual from those who are uninfected for the maximum communicability period
of a specific disease
b. Isolation is the limitation of freedom of movement of a well individual exposed to a specific disease for the maximum
incubation period
c. Isolation is the limitation of freedom of movement of a well individual exposed to a specific disease for the maximum
communicability period
d. Isolation is the separation of infected individual from those who are uninfected for the maximum incubation period of a
specific disease
69. A person who has close association with an infected person is:
a. Contact
b. Carrier
c. Suspect
d. Chronic
70. The most dangerous among the human reservoir is:
a. Contact
b. Carrier
c. Suspect
d. Chronic
71. Reverse isolation is observed for the following diseases, except:
a. Leukemia
b. Patient taking steroids
c. HIV
d. Transplant
72. The principle behind medical asepsis is:
a. Sterile
b. Cleanliness
c. Free from contamination
d. Absence of disease
73. The type of disinfection when the patient is no longer the source of infection is:
a. Disinfection
b. Concurrent
c. Delousing
d. Terminal
74. Baby Third has bull neck appearance, fever, coryza and cough a Throat swab confirms the diagnosis of Diphtheria. The
pathognomonic symptom of diphtheria is:
a. Rose spot
b. Elephantiasis
c. Stimson
d. Pseudomembrane
75. Nurse Sakura wants to determine if baby Sasuke is susceptibility of the individual to diphtheria is?

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a. Dicks test
b. Schicks test
c. Pandys test
d. Maloneys test
76. You are the assigned nurse to Baby Third with Diphtheria. The following are the nursing care for Baby Third except:
a. Give anti diphtheria serum as ordered
b. Increase fluid intake to liquefy secretions
c. Oral hygiene with emphasized on the removal of pseudomembrane
d. ANST before giving antitoxin
77. Enlargement of the neck of a patient with diphtheria is known as:
a. Bull neck
b. Parotitis
c. Goiter
d. Tumor of the neck
78. Diphtheria antitoxin is given in order to:
a. Destroy the microorganism
b. Liquefy the pseudomembrane
c. Neutralized the toxin
d. To prevent myocarditis
79. Pertussis caused by Bordette Gengou Bacillus is highly communicable during:
a. Prodromal stage
b. Incubation period
c. Catarrhal stage
d. Paroxysmal stage
80. Adult PTB is highly contagious:
a. True
b. False
c. Maybe
d. Both
81. A client has an order to receive Purified Protein derivative (PPD), 0.1 ml, intradermally. A nurse administers the medication by
using a tuberculin syringe with a:
a. 26-gauge, 5/8 inch needle inserted almost parallel to the skin with the bevel side up
b. 26-gauge, 5/8 inch needle inserted at 45 degree angle with the bevel side down
c. 20-gauge 1 inch needle inserted almost parallel to the skin with the bevel side up
d. 20 gauge, 1 inch needle inserted at 30 degree angle with the bevel side down
82. Which among the following is the Mission of DOH against Tuberculosis?
a. TB should no longer be a public health problem
b. Ensure that DOTS is available, accessible and affordable
c. Reduce prevalence and mortality due to TB infection by half by 2015
d. All neonates be immunized immediately after birth
83. Pulmonary tuberculosis is one of the deadliest disease in the Philippines. The DOH lauched that the Gold standard for tuberculosis
is:
a. Chest x-ray
b. AFB Test
c. DSSM
d. Mantoux test
84. The pathognomonic symptom of pneumonia is:
a. Rusty sputum
b. Strawberry tongue
c. Bulls eye rash
d. Hemoptysis
85. One of the epidemic diseases when the flood occur is typhoid fever. The pathogenic organism of typhoid fever is:
a. Vibrio comma
b. Salmonella typhi
c. Entamoeba histolytica
d. Schistosoma
86. Malaria is endemic in Municipality L. the best time to get the specimen for malarial smear is during:
a. Prodromal stage
b. Pyretic stage
c. Defervescence stage
d. Diaphoresis stage
87. Which among the following is appropriate for a client with rubeola?
a. Put in quite environment
b. Put in dim lit room
c. Put in private room vented outside
d. Put in enteric solution
88. The drug of choice for typhoid fever is
a. Penicillin
b. Co-trimoxazole
c. Chloramphenicol
d. Tetracycline
89. A 33 year male client has typhoid fever and the client ask you what the pathognomonic sign for typhoid fever is. Your correct
statement is based on your knowledge that the unique sign in typhoid fever is:
a. Rose spot
b. Koplik spot
c. Forscheimers spot
d. Dicks spot
90. The vector of typhoid fever is
a. Mosquito
b. Fly
c. Tick
d. Snail
91. Shigellosis is also known as:
a. Enteric fever
b. Bilhariasis
c. Paragonimiasis
d. Bacillary Dysentery
92. When there is an epidemic of cholera, the preventive measure is:
a. Immunization
b. Health teaching program
c. Drink safe water
d. Advise about strict isolation
93. Leptospirosis caused by a spirochete can be prevented by:
a. Eradication of wild rats
b. Destruction of the breeding of flies
c. Immunization
d. NOTA
94. Infectious hepatitis is:
a. Hepatitis A
b. Hepatitis B
c. Hepatitis C
d. Hepatitis D
95. The most common complication of Parotitis in males is:
a. Orchitis
b. Otitis media
c. Renal failure
d. Myocarditis
96. The characteristic stool of a patient with amebiasis is:
a. Diarrhea with tenesmus
b. Diarhhea with borborygmi
c. Blood streaked mucoid stool
d. Rice watery stool
97. The drug of choice for schistosomiasis is:
a. Dapsone
b. Lamprene
c. Praziquantel
d. Nalidixic Acid
98. Paragonimiasis is acquired through:
a. Improper cooked feces
b. Eating of uncooked brackish water fish
c. Vector such as flies
d. Eating improperly cooked crabs
99. Tapeworm infestation is known as:
a. Ancylostomiasis
b. Paragoniamiasis
c. Trichimosis
d. Taeniasis
100. The most common feature of enterobiasis is:
a. Voracious appetite
b. Pot belly
c. Nocturnal anal itchiness
d. anemia