Multiple Item Test

INSTRUCTIONS: Select the correct best answer for each of the following questions. Mark only
one answer for each item by clicking the hollow circle corresponding to the letter of your choice
on the answer sheet/ form provided.

1. It is defined as an organized plan of health services.

A. Health System
B. Health Care Delivery
C.Health Care Delivery Sytem
D. Health Care System

2. The following are the barriers to the access of health care services, EXCEPT.
A. high cost
B. Physical and socio-cultural barriers
C. Global innovation
D. health workforce crisis .

3. Which of the following is the lead agency of Philippine Health Care System?
A. Department of Health
B. World Health Organization
C. Center of Disease Control and Prevention
D. Philippine Health Insurance Corporation

4. Which DOES NOT describe primary health care?

A. Forms an integral part of the health system and the over-all social and economic
development of the community.
B. hub of the health system.
C. Its acceptance in the health sector necessitates the restructuring of the health system to
broaden health coverage and make health service available to all.
D. It aims to provide free health services to the individual

5. The following are the functions of Health Sector, EXCEPT

A. Development and provision of manpower, drugs andmedical supplies; financing support
B. It implies the integration of health plans with the plan for the total community
development.
C. Research and development
D. Coordinating, controlling and directing organizations and activities associated with other
functions
6. What is the vision of the Department of Health?
A. Filipinos are among the healthiest people in Southeast Asia by 2024, and Asia by 2030.
B. Filipinos are among the healthiest people in Southeast Asia by 2022, and Asia by
2040.
C. To lead the country in the development of a productive, resilient equitable and people-
centered health system.
D. To lead the country in the development of a productive, vulnerable , equitable and
individual-centered health system.

7. The SDG are set of goals to end poverty, protect the planet, and ensure prosperity for all as
part of a new sustainable development agenda. The ___________ should do their part for the
goals to be reached.
A. Government Sector
B. Private Sector
C. Civil Society
D. All of the above

8. Which of the following is not part of the DOH attached agencies

A. Philippine National AIDS Council
B. Philippines Lung Center
C. Philippine Health Insurance Corporation
D. Dangerous Drugs Board

9. It is the act by which the national government confers power and authority upon the various
local government unit to perform specific function and reponsibility for the delivery and
provision of health care services?
A. Inter-Referal System
B. Devolution
C. Inter Local Health Zone
D. Health Care Innovation

10. Which of the following DOES NOT describe the Inter Local Health Zone?
A. A Unit of health system for local health service management and delivery
B. Provides quality, equitable and accesible health care
C. Includes only the government sector in the delivery of health services
D. Has defined population within a defined geographical area

11. A health facility that provides long term care, including basic services like food and
shelter and patients with chronic conditions.
A. Custodial Care Facility
 B. Specialized Outpatient Facility
C. Primary Care Facility
D. Diagnostic/Therapeutic Facility

12. The main point of referral for hospital services from the community, private medical
practitioner and public health services at BHS and RHUs.
A. Core Referral Hospital
B. District Hospital
C. Primary Care Facility
D. Two-Way Referral System

13. Involves the devolution of powers, functions and responsibilities to the localgovernment
both rural & urban.
A. Republic Act 6713
B. Republic Act 7305
C. Letter of Instruction 949
D. Republic Act 7160

14. In R A 7 3 0 5 known as the Magna Carta for Public Health Workers, which of the
following are not part of the additional compensations?
A. Hazard Allowance
B. subsistence allowance
C. Right to organize or join organization
D. None of the above

15. You are aware that you have to report notifiable diseases to the proper authorities. This is
mandated by which law?
A. RA 3573
B. PD 3573
C. RA 3753
D. RA 3753

16. Refers to occurs of more cases of disease than normally expected within a specific place
or group of people over a given period of time.
A. Pandemic
B. Endemic
C. Epidemic
D. Notifiable Diseases
17. Republic Act 10069 tackles about the Health Workers Day which is celebrated anually
every _______ .

A. 1st of May
B. 30th of December
C. 25th of September
D. 12th of June

18. Which law mandates devolution of health services to LGU’s?

A. R.A. 7610
B. R.A. 7160
C. R.A. 6170
D. R.A. 6710
19. Which cases have to be reported within 24 hours from the time of diagnosis?
A. Measles
B. Acute polio
C. Both of A & B
D. Pneumonia

20. It protects the people from sale, use and advertisements of hazardous tobacco products.
A. RA 9165
B. RA 10175
C. RA 8423
D. RA 9211

21. The fundamental building block of the field health services information system.
A. Treatment Record
B. Target Client List
C. Tally Forms
D. Output Tables

22. The following are the purpose of the target client list EXCEPT.
A. To report services delivered.
B. Provide a clinic-level data base that can be accessed for further studies.
C. A document, form or piece of paper upon which is recorded the date, name.
D. Facilitate the monitoring and supervision for services.
23. Defined as any DOH health care facility that renders/delivers public care-related services
to targeted beneficiaries.
A. Barangay Health Station
B. Reporting Unit
C. Provincial Health Office
D. District Hospitals

24. The following are part of the six TCLs to be used and maintained/ updated.
A. Target Client List for Pregnant Women
B. Target Client List for Post-Partum Women and the Newborns
C. Target Client List for Sick Children
D. Target Client List for Sick Senior Citizens

25. A tool used by the supervising nurse at the Municipal/City Health Office to record all
data from all the barangays.
A. Monthly Consolidation Table
B. Summary Table
C. Target Client List
D. Annual Report

26. The public health nurse must be aware that erasures in the client’s record must be
avoided because_____.
A. Record will look messy
B. Writing would be blurred and difficult to read.
C. Record is a statistical document
D. Record is a legal document.

27. The records used to those clients who have been screened, found positive with the
disease, and therefore must undergo proper management and treatment.
A. Registries Records
B. Target Client List
C. Summary Table
D. Monthly Consolidation Table

28. The following are part of the four clusters of Health Programs/Services, EXCEPT.
A. Family Health Services
B. Infectious/Communicable Disease Prevention and Control Services
C. Socio-cultural Practices
 D. Environmental Health and Sanitation

29. What is the overall goal of maternal health program?

A. Improve the survival, health and well-being of mothers and unborn through a
package of services for the pre pregnancy, pre natal, natal and post natal stages .
B. Improve the condition of mothers and unborn through a package of services for the pre
pregnancy, pre natal, natal and post natal stages.
C. To provide fair access to health care services in order to lessen the postpartum and
neonatal morbidity and mortality rate.
D. Reduce mortality from preventable causes among adolescents and
young people.

30. The following are identified underlying cause of maternal deaths, EXCEPT.
A. Delay in taking critical actions
B. Closely spaced births & frequent pregnancies
C. Poor access to health facilities
D. All of the above

31. The pregnant women should receive at least ____ prenatal visit.
A. 5
B. 6
C. 3
D. 4

32. How many doses of tetanus toxoid should the mother received to ensure that she will
have a lifetime protection?
A.2
B.6
C.4
D.5

33. Administration of Vitamin A in pregnant women should be given after 4th month of
pregnancy . What is the rationale behind this?
A. To avoid congenital problems in the baby
B.To prevent iron deficiency anemia
C.To prevent neural tube defects
D.To avoid pre-term delivery
34. Which of the following are MNCHN Core Package of Services interventions delivered/
rendered during newborn care?
A. Interventions within the first 90 minutes
B. Essential newborn care after 90 minutes to 6 hours
C. Newborn care prior to discharge
D. All of the above

35. Which of the following statements are related to Comprehensive Emergency Obstetrics
and Newborn Care (CEmONC) Provider?
A. a tertiary level regional hospital or medical center, provincial hospital or an appropriately
upgraded district hospital.
B. Provides surgical delivery (caesarean section) and blood bank transfusion services
C. A capable operated medical center.
D. All of the above

36. Which of the following statements are not related to Basic Emergency Obstetrics and
Newborn (BEmONC) Provider
A. a capable of performing oxygen support and management of low birth weight or preterm
newborn
B. capable of performing caesarean delivery services
C. capable of performing newborn resuscitation and treatment of neonatal sepsis/infection;
D. is a capable private health facility or an appropriately upgraded public health facility that
is either a Rural Health Unit (RHU) and/or its satellite Barangay Health Station (BHS) or
Hospital

37. An abnormal condition of the body resulting from the lack or excess of one or more
nutrients like protein, carbohydrates, fats, vitamins and minerals.
A. Malnutrition
B. Wasting
C. Stunting
D. None of the above

38. Which of the following are not part of the common nutritional deficiency?
A. Kwashiorkor
B. Vitamin A Deficiency
C. Iron Deficiency Anemia
D. Iodine Deficiency
39. This program focus on the addition of one or more essential nutrients to food, whether or
not it is normally contained in the food, for the purpose of preventing or correcting a
demonstrated deficiency of one or more nutrients in the population or specific population
groups.
A. Food Fortification Program
B. Micronutrient Supplementation
C. Expanded Garantisadong Pambata
D. Pinggang Pinoy

40. How many IU of Vitamin A is given to a 38 month old child every six months?
A. 10,000 IU
B. 200,000 IU
C. 100,000 IU
D. 20,000 IU

41. True or False: 200,000 IU should be given to a pregnant women

A. True
B. False
C. Maybe

42. Right after the delivery, exclusive breastfeeding should last up to how many months?
A. 1-5 months
B. 1-10 months
C. 1-6 months
D. 1-3 months

43. A simple procedure to find out if newborns have a congenital metabolic disorder that may
lead to mental retardation and even death if left untreated.
A. Observation
B. Postpartum check up
C. Cephalocaudal Assessment
D. Newborn Screening

44. TRUE or FALSE : Heel Prick Method is the method used during the newborn screening
where few drops of blood form baby’s knee are taken and blotted on a special absorbent filter
card.
A. TRUE
B. FALSE
C. MAYBE
45. The following are the disorders tested during newborn screening which can be managed
and complications can be prevented if screened, EXCEPT.
A. Congenital Adrenal Hyperplasia
B. Maple Syrup Urine Disease
C. Phenylketonuria
D. None of the above

46. Administration of rabies vaccine belongs to what kind of Immunity ?

A. Natural Active Immunity
B Natural. Passive Immunity
C. Artificial Active Immunity
D. Artificial Passive Immunity

47. Which of the following vaccines results to acute inflammatory reaction within 2 to 4
days of vaccination also known as Kock’s Phenomenon?
A. Oral Polio Vaccine
B Hepatitis B Vaccine
C. Tetanus Toxoid
D. Bacille Calmette-Guerin Vaccine

48. What content of the DPT vaccine causes convulsion after administration ?
A. Diphtheria
B Pertussis
C. Tetanus
D. All of the above

49. Which of the following vaccines are given to provide prolio protection in the blood?
A. OPV
B MMR
C. IPV
D. Rota Vaccine

50. TRUE or FALSE: If the vaccine vial monitor shows darker inner square than the outer
square then vaccine can still be use.
A. True
B.Maybe
C.False

51. Situation: From March to September, there were two outbreaks of typhoid fever in Oton,
Iloilo. Epidemiologic investigation was undertaken by the Rural Health Unit team.
 As a public health nurse, you know that typhoid fever is caused by:
A.Poor personal hygiene practices
B. Intake of unsafe food and/or water
C. Inhalation of contaminated air
D.Fomites

52. Is the nationwide healthy lifestyle movement spearheaded by the Department of Health
(DOH) and its partners.
A. Pilipinas Go4Health
B. Healthy People 2022
C. 10 Kumainments
D. Healthy People 2020

53. The most common recommended diagnostic test for Tuberculosis among adults and
children who can expectorate is through a :
A. TB Culture and Drug Susceptibility Test
B. Chest X Ray
C. Direct Sputum Smear Microscopy
D. Tuberculin Skin test

Situation: Wenonah, a 7-year old child, was brought by her mother to the health center
because of reported dog bite.

55. Your assessment revealed that the bitten area results to puncture wounds with
spontaneous bleeding. As a public health nurse, what category of rabies exposure does the case
of Wenonah belong?

A. CATEGORY I
B. CATEGORY II
C. CATEGORY III

56. Based on your diagnosis, which of the following is the best intervention that you can do for
Wenonah?

A. Start vaccine and RIG immediately

B. Wash wound with soap and water and advise the patient to come back next day for
vaccination
C. Observe the bitting animal first if it has signs and symptoms of rabies for 14 days

57. Malaria can be controlled by observing the following?

 A. Insecticide Treated Mosquito Net
B. House Spraying
C. On Stream Seeding
D. All of These

58. Which of the following statements is related to positive Tourniquet Test?

A. A test is positive (+) when 20 or more petechiae per 2.5 cm square or 1 inch square
are observed
B. A test is positive (+) when 15 petechiae per 3.5 cm square or 1 inch square are observed
C. A test is positive (+) when 15 or more petechiae per 2.5 cm square or 1 inch square are
observed
D. A test is positive (+) when 10 - 15 petechiae per 2.5 cm square or 1 inch square are
observed

59. Which of the following does not belong to the causative agent of Malaria?
A. Plasmodium falciparum
B. Plasmodium vivax
C. Plasmodium malariae
D. Plasmodium Aegypti

60. What is the vision of National Leprosy Control Program?

A. Empowered primary stakeholders in leprosy and eliminated leprosy as a public

health problem by 2020.
B. To ensure the provision of a comprehensive, integrated quality leprosy services at all
levels of health care.
C. To maintain and sustain the elimination statu
D. To ensure the provision of a comprehensive, integrated quality leprosy services at all
levels of health care

61. A patient who has never had treatment for TB* or who has taken anti-TB drugs for less than
one (<1) month belongs to what TB Disease Registration Groups?
A. Previous Treatment Outcome Unknown
B. Retreatment ( Relapse)
C. New
D. Retreatment ( Treatment After Failure)

62. In what type of case finding of tuberculosis does this situation belongs : A health worker’s
purposive effort to find TB cases in the community or among those who do not consult with
personnel in a DOTS facility.
 A. Passive Case finding
B. Active Case Finding
C. Intensified Case Finding
D. Pro-Active Case Finding

63. A basic screening tool for TB infection among children using purified protein derivative
(PPD) tuberculin solution to trigger a delayed hypersensitivity reaction among those previously
infected.
A. Tuberculin Skin Test ( Mantoux Test)
B. Rapid Molecular Diagnostic Test
C. TB Culture
D. Chest X Ray

64. Which of the following is not part of the major non-communicable diseases?
A. Obesity
B. Cancer
C. Chronic Obstructive Pulmonary Disease
D. Cardiovascular Diseases

65 Which vaccines should not be stored in the freezer?

A. DPT
B. Tetanus toxoid vaccine
C. All of these
D. Hepatitis B

66. The following vaccines are administered through intramuscular route, EXCEPT
A. OPV
B. Pentavalent
C. Hep B
D. TT

67. TRUE or FALSE: Vaccines with the soonest expiration date should be used first.
A. TRUE
B. FALSE
C. MAYBE

68. TRUE or FALSE: If the interval between doses of vaccinations exceeded the recommended
interval by months or years, the vaccination should be restarted from the beginning.
A. TRUE
 B. FALSE
C. MAYBE

69. TRUE or FALSE: It is safe and immunologically effective to administer all EPI vaccines on
same day at different sites.
A. TRUE
B. FALSE
C. MAYBE

70. TRUE or FALSE: Diarrhea and low grade fever are contraindications to vaccination.
A. TRUE
B. FALSE
C. MAYBE