RN INTERNATIONAL REVIEW AND TRAINING CENTER A.

Executive Order 102

COMMUNITY HEALTH NURSING B. Republic Act 7164

JAY SANTOS ABASOLO, RN, JD C. Republic Act 7160

1. The classic definition of public health as the D. Executive Order 119

“science and art of preventing disease,
prolonging life, promoting health and 4. This provided for the decentralization of the entire
efficiency through organized community government, hence, the health care delivery system.
effort,” is formulated by:
A. Executive Order 102
A. World Health Organization
B. Republic Act 7164
B. Dr. Margaret Shetland
C. Republic Act 7160
C. Dr. C.E.Winslow
D. Executive Order 119
D. Ruth B. Freeman
5. The three major roles of the Department of Health
2. Public health is a core element of governments’ as a national authority in health are the following,
attempts to improve and to promote the health and except:
welfare of their citizens. WHO defined public health
A. Enabler and Capacity builder
as:
B. Decision-maker of people’s health
A. “Science and art of preventing
disease, prolonging life, promoting C. Administrator of specific services
health and efficiency through
organized community effort.” D. Leadership in health

B. “Art of applying science in the 6. The overriding goal of the Department of Health
context of politics so as to reduce is:
inequalities in health while
A. Health Sector Reform Agenda
ensuring the best health for the
greatest number.” B. Primary Health Care

C. “A set of fundamental activities C. Control of Communicable Diseases

that address the determinants of
health, protect a population’s D. Philippine Health Care Delivery
health and treat disease.” System

D. ‘Practice of nursing in the 7. This refers to the framework for the

local/national health departments implementation of the Health Sector Reform
where nursing skills are applied.” Agenda:

3. What mandated the department of Health in its A. FOURmula One for Health
new role as the national authority on health
providing technical and other resource assistance to B. Primary Health Care
concerned groups?
C. DOH Programs
 D. Philippine Health Care Delivery 12. The four composition of the Inter-Local Health
System Zone are:

8. There are three goals of the FOURmula One for A. LGUs, people, boundaries, health
Health, which one is not included? facilities

A. Health financing B. People, boundaries, health

facilities, funding
B. More responsive health systems
C. People, boundaries, health
C. Better health outcomes facilities, health workers

D. Equitable health care financing D. Primary health care, boundaries,

health facilities, health workers
9. What strategy of the FOURmula One aims to
improve and ensure the accessibility and availability 13. The core strategy of the PHC concept is
of basic end essential health care both in public and characterized by:
private facilities?
A. Mandate of Devolution
A. Health financing
B. Partnership and empowerment of
B. Health regulation the people

C. Health service delivery C. Community-based, accessible and

acceptable services
D. Good governance
D. Essential health care services
10. The Philippine health Insurance Corporation
through the National Health Insurance Program and 14. Which one is not an element of the primary
the DOH will lead this FOURmula ONE component health care?
jointly:
A. Active community participation
A. Health financing
B. Control of CD
B. Health regulation
C. Environmental sanitation
C. Health service delivery
D. Health education
D. Good governance
15. Under the restructed health care delivery
11. This provides the road map for stakeholders in system, a physician, a public health nurse and
health and health-related sectors to intensity and midwives compose the:
harmonizes their efforts to attain the DOH mission
and Vision. A. Intermediate level health workers

A. FOURmula ONE B. Frontliners

B. Primary Health Care C. Grassroot health workers

C. The NOH 2005-2010 D. Barangay Health Workers

D. Local Government Code

16. What category of health problem occurs when A. Health deficit
there is a gap between actual and achievable health
status? B. Health threat

A. Health deficit C. Foreseeable crisis

B. Foreseeable crisis D. Stress point

C. Health threat 21. It includes stressful occurrences such as death or

illness of a family member:
D. Health need
A. Health deficit
17. No regular check-up is an example of:
B. Foreseeable crisis
A. Health deficit
C. Health threat
B. Foreseeable crisis
D. Stress point
C. Health threat
22. It is a declaration of purpose of intent that gives
D. Stress point essential direction to action.

18. Mrs. Tadejo came to the health center and asked A. Goal
about ways on how to conceive a child. She has a
history of repeated miscarriages. This condition falls B. Vision
under:
C. Mission
A. Health deficit
D. Philosophy
B. Foreseeable crisis
23. It describes the phase in the community health
C. Health threat nursing process concerned with choosing from
among the possible courses of action, selecting the
D. Stress point appropriate types of nursing intervention, identifying
resources for care and coming up with operational
19. These are conditions that promote disease or plan:
injury and prevent people from realizing their health
potential. A. Goal setting

A. Health deficit B. Constructing a plan of action

B. Foreseeable crisis C. Developing an operational plan

C. Health threats D. Implementation of plan of action

D. Stress point 24. Specific objectives are stated in behavioral terms,

except:
20. In an epidemiological study conducted in
Barangay C, it was noted that the children eligible for A. Specific
basic immunization are not adequately immunized
against Hepatitis B and Measles. This situation is B. Attainable
considered:
 C. Manageable D. Home visit

D. Time-bounded 29. Which of the following is the main principle

involved in preparing for home visit?
25. There are three classic frameworks from which
nursing care is delivered. This framework or element A. A home visit must have a purpose
includes the physical settings, conditions through
which nursing care is given such as objectives, B. Planning for home visit should
building, budget, staffs make use of all available
information about the client and
A. Structural elements family

B. Process elements C. Consider and give priority to the

essential needs of the individual
C. Outcome elements and family
D. Quality assurance elements D. The plan should be flexible

26. This includes the steps of the nursing process 30. This refers to the tool which enables the nurse
itself. during her visit, to perform a procedure with ease
and deftness, to save time and effort, with the end
A. Structural elements
view of rendering effective nursing care.
B. Process elements
A. Bag technique
C. Outcome elements
B. Home visit
D. Quality assurance elements
C. Public health bag
27. Included in this framework are changes in the
D. Black bag
client’s health status resulting from nursing
interventions. 31. It is an essential and indispensable equipment of
a public health nurse:
A. Structural elements
A. Bag technique
B. Process elements
B. Home visit
C. Outcome elements
C. Public health bag
D. Quality assurance elements
D. Home-based record
28. This is a family-nurse contact which allows the
health worker to assess the home and family 32. Which one is a correct pointer to consider in the
situations in order to provide the necessary nursing use of the public health bag?
care and health related activities.
A. The bag should contain all the
A. Clinic visit necessary articles that will be used
solely for emergency needs
B. Family interview
B. The bag and its contents are not
C. Home survey
considered sterile
 C. The arrangement of the contents 36. Specific protection against disease is an activity
of the bag should be the one most under _____.
convenient to the user
A. Primary prevention
D. The arrangement of the contents
of the bag should be the one most B. Secondary prevention
convenient to the patient.
C. Tertiary prevention
33. The cornerstones of primary health care include
D. None of the above
all of the following, EXCEPT:
37. The following activities are examples of tertiary
A. Active community participation
prevention EXCEPT:
B. Use of latest technology
A. Colostomy support group
C. Intra- and inter-sectoral linkages
B. Proper transferring techniques
D. Support mechanisms made available
C. Passive ROM exercises
34. The elements of primary health care include
D. Crutch walking
which of the following?
38. Catheterization of a client to promote urinary
1. Environmental sanitation
elimination is an example of __________.
2. Control of communicable diseases
A. Primary level disease prevention
3. Adequate food and proper nutrition
B. Secondary level disease
4. Provision of essential drugs
C. Tertiary level disease prevention
5. Emergency treatment
D. Health promotion
6. Treatment of locally endemic diseases
39. If the figures below pertain to scores when
A. All of these priority setting was done by the nurse, which health
problem do you think should the nurse prioritize?
B. 1,2,5 and 6
A. 4 and 2/3
C. 1,2,3, and 4
B. 4
D. None of the above
C. 3 and 2/3
35. The first international conference on Primary
Health Care was held in D. 2 and 2/3

A. Geneva, Switzerland on 1978 40. Which of the following is the HIGHEST possible
score of any health problem?
B. Washington, USA on 1979
A. 7
C. Jolo, Sulu on 1978
B. 6
D. Alma Ata, USSR on 1978
 C. 5 B. Community profiling

D. 4 C. Site selection

41. Which of the following is the LOWEST possible D. Entry into the community
score of any health problem?
45. Before leaving the client’s house after home visit,
A. 0 the last step to be conducted is:

B. 1 A. Make appointment for the next visit

C. 1 OR 3 B. State the purpose of visit

D. 2 OR 3 C. Record all important data, observation and

care rendered to the client.
42. The nurse considers the following factors in
determining the modifiability of health condition, D. Observe the patient and determine the
EXCEPT: health needs.

A. Current knowledge, technology, and 46. The most important factor to consider the
interventions frequency of home visit is:

B. Resources of the family A. Physical needs of the client

C. Resources of the nurse B. Policy of agency

D. Gravity of the health problem C. Acceptance of the family to the services

rendered
43. One of the purpose of integration in COPAR is to
________. D. Ability of the patient to recognize their own
needs
A. Gather data that is necessary in the
identification of community health 47. Acceptance of the client on the services
problems rendered means that the family:

B. Understand deeply the culture and lifestyle A. Is educated enough to understand basic
of the community health literacy

C. Validate the community health needs B. Is interested and willing to cooperate to the
identified earlier public health nurse

D. Identify the community leaders that may be C. Take into account other health agencies and
tapped for organizing purposes. personnel

44. The following activities fall under the pre-entry D. Able to recognize own health problem
or preparatory phase of community organizing
EXCEPT: 48. one of the most significant risk factor known to
cause many lung diseases is smoking. In June, 2003,
A. Social preparation through sensitization of the Philippines issued the “Tobacco Regulation Act”
barangay leaders which was stated per:
 A. RA 9221 D. National Health Insurance Program

B. RA 9211 53. Which among the patterns of occurrence and

distribution of diseases demands immediate
C. RA 9112 effective action which includes epidemiological
investigation-emergency epidemiology as well as
D. RA 9111
control:
49. The decree that requires registration of births
A. Sporadic
within 30 days.
B. Endemic
A. PD 650
C. Epidemic
B. PD 651
D. Pandemic
C. PD 652
54. The following are the three components of
D. PD 653
epidemiologic triage except:
50. Which type of family-Nurse contact will provide
A. Host
you with the best opportunity to observe family
dynamics? B. Environment

A. Clinic consultation C. Agent

B. Group conference D. Disease

C. Home visit 55. Primary health care is a total approach to

community development. Which of the following is
D. Written communication
an indicator of success in the use of the primary
51. All but one are elements of the strategy in health care approach?
fourmula one for health.
A. Health services are provided free of charge
A. Health financing to individuals and families.

B. Equitable health care outcomes B. Local officials are empowered as the major
decision makers in matters of health.
C. Health regulation
C. Health workers are able to provide care
D. Good governance based on identified health needs of the
people.
52. The main level to effect the desired changes and
outcomes in each of the four components of D. Health programs are sustained according to
fourmula one for health. the level of development of the community.

A. GSIS 56. Use of appropriate technology requires

knowledge of indigenous resources. Which medicinal
B. National Statistics Office
herb is given for fever, headache, and cough?
C. HSRA
A. Sambong
 B. Tsaang-gubat C. Swaroop’s index

C. Akapulco D. Crude death rate

D. Lagundi 61. Who is the first secretary of health?

57. As part of the primary health care and because of a. Enrique Ona
increasing cost of drugs, the use of locally available
medicinal plants and herbs in the Philippine b. Dr. Jose Fabella
backyard have been found out to be effective. What
c. Francisco T. Duque III
law created the Philippine Institute of Traditional
and Alternative Health Care? d. Janette Garin

A. RA 8423 62. According to the Department of Health, the four

major non-communicable diseases are the following,
B. RA 4823
except?
C. RA 2483
A. Cardiovascular diseases
D. RA 3482
B. Cancer
58. PHC was declared during the first international
C. COPD
conference in Alma Ata. What is the legal basis for
primary health care approach in the Philippines? D. Diabetes Insipidus

A. Alma Ata Declaration on PHC 63. A comprehensive long-term approach strategy

for control of NCDs must focus on:
B. LOI No. 949
A. Primary Prevention
C. Presidential Decree No. 147
B. Secondary Prevention
D. Presidential Decree 996
C. Tertiary Prevention
59. What was the goal of Primary Health Care that
was declared during the First International D. None of the above
Conference ?
64. To achieve significant reduction in morbidity and
A. Health for all by the year 2020 mortality from major NCDs, the following
approaches should characterized the program,
B. Health in the hands of people by 2000
except?
C. Health for all by the year 2000
A. Comprehensive approach
D. Health in the hands of people by 2020
B. Community-based approach
60. Which statistic can give the most accurate
C. Interpreted approach
reflection of the health status of a community?
D. Integrated approach
A. 1-4 year old age-specific mortality rate

B. Infant mortality rate

65. In the community-based approach as part of suspected with TB. What is the primary diagnostic
preventing NCDs, who is regarded as the center of tool in determining the condition ?
health and development effort ?
A. PPD
A. People
B. X-RAY
B. Nurse
C. DSSM
C. Doctors
D. Lung Biopsy
D. BHW
70. Collection of sputum samples should be
66. When the nurse determines whether resources delivered immediately or how many hours after
were maximized in implementing Ligtas Tigdas, she collection ?
is evaluating:
A. 48 hours
A. Effectiveness
B. 72 hours
B. Efficiency
C. 24 hours
C. Adequacy
D. 1 day
D. Appropriateness
71. A, a patient who presents symptoms of
67. As an epidemiologist, the nurse is responsible for tuberculosis went to the health center for check- up,
reporting cases or notifiable diseases. What law this finding is categorized under which NTP
mandates reporting cases of notifiable diseases? procedure?

A. RA 3573 A. Active

B. RA 3753 B. Passive

C. RA 1054 C. All of the above

D. RA 8423 D. None of the above

68. What is given to a woman within a month after 72. Pia, a PHN went to the community to assess
the delivery of a baby? patients who present symptoms of tuberculosis. This
finding is categorized under which NTP procedure
A. Malunggay capsule according to the DOH?

B. Ferrous sulfate l00mg O.D. A. Active

C. Retinol 200, 000 IU 1 capsule B. Passive

D. Potassium Iodate 200 mg, 1 capsule C. None of the above

D. All of the above

69. Pia, came to the health center with complaints of 73. Food fortification Program is being mandated by
night sweats and cough for 3 weeks and now is which law?
 A. RA 9173 B. Vit. A and Iron

B. RA 8976 C. Vit. A

C. RA 8172 D. Iron

D. RA 8423 78.According to Sangkap Pinoy Seal Program, foods

fortified with Vit. A are labeled to have which color
74. Salt Iodization or the “ASIN Law” is being in the seal ?
mandated by which law ?
A. Green
A. RA 9173
B. Yellow
B. RA 8976
C. Red
C. RA 8172
D. Black
D. RA 8423
79. To prevent xerophthalmia, young children are
75. Food fortification program is one of the many given Retinol capsule every 6 months. What is the
programs of the DOH which mandates fortification dose given to preschoolers?
of which staple foods? select all that apply.
A. 10, 000 IU
1. Rice 4. Oil
B. 20, 000 IU
2. Oats 5. Vinegar
C. 100, 000 IU
3. Flour 6. Sugar
D. 200, 000 IU
A. 1234

B. 1345
80. To prevent xerophthalmia, Infants are also given
C. 1346
Retinol capsule . What is the dose given to infants?
D. 3456
A. 10, 000 IU
76. According to the Food fortification program, rice
B. 20, 000 IU
should be fortified by which nutrient (s) ?
C. 100, 000 IU
A. Iron and Vit. C
D. 200, 000 IU
B. Vit. A and Iron

C. Vit. A
81. To prevent xerophthalmia, pregnant mothers are
D. Iron
also given Retinol capsule . What is the dose given to
77. Likewise, cooking oil should be fortified by which pregnant women every week?
nutrient (s) ?
A. 10, 000 IU
A. Iron and Vit. C
B. 20, 000 IU
 C. 100, 000 IU A. When did you start smoking ?

D. 200, 000 IU B. How frequent do you smoke ?

C. How many packs of cigarettes do you

consume a day ?
82. Who is(are) the intended audience of family
planning program of the DOH ? D. All of the above

A. Women of reproductive age 86. Which of the following component of cigarettes

causes peripheral vasoconstriction?
B. Men and women of reproductive age
A. Tar
C. Men of reproductive age
B. Nicotine
D. None of the above
C. Acetone
83. Nurse Jay is conducting community health
teaching on cataract. Which of the following if D. Formaldehyde
mentioned by the audience indicates clear
87. TB DOTS is the strategy of DOH in combating
understanding of the topic?
Tuberculosis, which is timely and relevant to our
A. “I should not worry about this condition, it country, The Philippines. What does DOTS means?
will disappear soon.”
A. Direct Observe Treatment Shotcourse
B. “I need to consult my physician, I think I
B. Direct Observable treatment Session
have to undergo surgery. This condition is
contagious.” C. Direct Observe Treatment Staycourse
C. “It is a condition that needs immediate D. Direct Observe Treatment Shortcourse
consultation and be removed.”
88. For an effective eradication of malaria using
D. “I need to consult my physician. I need larvae eating fish, how many fishes should be utilized
corrective lenses for this.” for a direct impact ?
84. Which of the following is the correct A. 2-4 fishes per sq. m
arrangement of the strategies in campaigning to quit
smoking? B. 200-400 fishes per hectare

A. ASK, ADVISE, ARRANGE, ASSIST C. 10-20 fishes per sq. m

B. ASK, ARRANGE, ASSIST, ADVISE D. 200-400 fishes per sq. m

C. ASK, ASSIST, ADVISE, ARRANGE 89. Kidney disease is one of the leading causes of
mortality in the Philippines, as a way of combating
D. ASK, ADVISE, ASSIST, ARRANGE this condition, Renal Disease Control Program was
implemented. According to the Department of
85. Nurse Badge is having a community assessment
Health, What is the leading cause of death in the
and was assigned to the identified smokers. Which
Philippines?
of the following should Nurse Badge ask first when
dealing this patient ? A. Renal disease due to DM
 B. Chronic Glomerulonephritis D. “You can do breast self examination a week
after menstruation.”
C. Cardiovascular disease
93. Temperature monitoring of vaccines is done in all
D. Lung cancer levels of health facilities. How often should the
vaccine monitored for its temperature?
90. Family planning program is a health intervention
program and an important tool for the health and A. Once a day
welfare of mothers, children and other members of
the family. What are the basic principles of the said B. Twice a day
program, except ?
C. Once a week
A. Responsible parenthood
D. Twice a week
B. Respect for life
94. Which vaccines should not be stored between
C. Birth spacing temperatures of (+) 2 to (+) 8 degree celcius?

D. Mandatory use of contraceptives A. OPV

91.Giving each family the right and duty to B. Hep B

determine the desired number of children they
might have and when to have them is under on what C. BCG
of the basic principles of family planning ?
D. Tetanus Toxoid
A. Responsible parenthood
95. Which biological used in Expanded program on
B. Respect for life Immunization (EPI) is stored in the freezer?

C. Birth spacing A. DPT

D. Informed choice B. TT

92. Cathrina came to the health center and asked C. Measles vaccine
Nurse Ham when is the best time to do the breast
D. Hepatitis B vaccine
self- examination. Based on her understanding, the
appropriate response by nurse Ham to Cathrina 96. A child is said to be “Fully Immunized Child”
would be ? when a child receives:

A. “The best time to do BSE, is 2 weeks before A. 1 dose of BCG, 3 Doses of OPV, 3 Doses of
menstruation.” DPT, 3 doses of Hep B and 1 dose of
Measles vaccine after the child’s first
B. “ The appropriate time to do breast self
birthday
examination is 1 week before
menstruation.” B. 1 dose of BCG, 3 Doses of OPV, 3 Doses of
DPT, and 1 dose of Measles vaccine before
C. “Breast Self examination can be done to
the child’s first birthday
you by another person by palpating your
breast from outer to inner in circular C. 1 dose of BCG, 2 Doses of OPV, 3 Doses of
motion.” DPT, 3 doses of Hep B and 1 dose of
 Measles vaccine after the child’s first A. Health financing
birthday
B. Health regulation
D. 1 dose of BCG, 3 Doses of OPV, 3 Doses of
DPT, 3 doses of Hep B and 1 dose of C. Health service delivery
Measles vaccine before the child’s first
D. Good governance
birthday

97. Freedom of choice is one of the policies of the

Family Planning Program of the Philippines. Which of
the following illustrates this principle?

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

D. Encouragement of couples to take family

planning as a joint responsibility.

98. Which among the following is NOT an aim of

community health nursing?

A. Relief and rehabilitation measures

B. Health promotion

C. Management and treatment of diseases

D. Disease prevention

99. You know very well as a Registered Nurse that

you should organize activities in the areas of
_______.

A. Health promotion

B. Disease prevention

C. Rehabilitation

D. All of the above.

100. The Philippine health Insurance Corporation

through the National Health Insurance Program and
the DOH will lead this FOURmula ONE component
jointly: