1.

The CH nurse is responsible for monitoring the pattern of the occurrence of the disease in
the community. The following cases are at hand:
COMMUNITY DESCRIPTION OF CASE
A An episode of food poisoning in a birthday party.
B Dengue Cases that spike between June and October
C COVID-19 spike during late 2021 to early 2022
What particular type of epidemic did each community experienced?
A. A = Point-Source, B = Cyclical, C = Propagated
B. A =Continuous, B = Seasonal C = Propagated
C. A = Continuous, B = Propagated C = Seasonal
D. A = Multiple Exposure, B Propagated C=Cyclical
E. None

2. Which of the following best describes a point-source exposure epidemic?

A. An untreated contaminated well that results in an increase incidence of infection among
the residents
B. Food poisoning that occurs during a rally
C. Diarrhea that occurs during the rainy season
D. HIV-AIDS transmission that results from person to person contact

3. Which of the following is not true about propagated epidemic?

1. It is generally of infectious origin and results from person to person transmission of
disease agent
2. Transmission of disease continues until there is no susceptible individuals
3. This type of epidemic may occur in a particular type of season
4. Happens when susceptible individuals gather as in fairs or festivals

A. 1 and 2 D. 1 2 and 3
B. 3 and 4 E. None of the above
C. Except 1 2 4

4. Which of the following is TRUE about common source epidemic?

A. Epidemic that may repeat over a period of time
B. Epidemic that occur in a particular season
C. Sudden increase in the cases of disease not caused by microbes
D. It originates from a single source of infection if a disease producing agent

5. A type of epidemic that came from a single source where in the individual is exposed to the
disease agent at one point of time and only once is called:
A. Multiple exposure D. Continuous exposure epidemic
B. Point-source epidemic E. Cyclical or seasonal epidemics
C. Propagated epidemics
6. Which type of leadership style should the leaders of the community practice?

A. Participative
B. Authoritative
C. Laissez Faire
D. Consultative

7. Setting up an ICE campaign is in what phase of COPAR?

A. Entry
B. Organizational
C. Education and Training
D. Intersectoral Collaboration
E. Phase out

8. Community diagnosis is done to come up with a profile of local health situation that will
serve as basis of health programs and services. This is done in what phase of COPAR?

A. Preparatory
B. Research
C. Pre-entry
D. Intersectoral Collaboration
E. Phase out

9. The people named the community health workers based on the collective decision in
accordance with the set criteria. Before training the workers, the Nurse must first

A. Make a lesson plan

B. Set learning goals and objective
C. Assess their learning needs
D. Review materials needed for training

10. Nurse Jun collaborated with certain agencies to ensure that certain livelihood projects
will continue to churn constant resources for the community’s programs. Which phase of
COPAR did Rick utilized?

A. Preparatory
B. Organizational
C. Sustenance and Strengthening
D. Community Action
E. Phase out

11. Ideally, How many years should the Nurse stay in the community before he can phase
out and be assured of a Self Reliant community?

A. 5 years
B. 10 years
C. 1 year
D. 6 months

12. Major discussion in community organization is facilitated by

A. Organizers
B. The leaders of each committee
C. The barangay captain
D. Collaborating Agencies

13. The nurse should know that Organizational plan best succeeds when

1. People sees its values

2. It neutralizes weaknesses of the community
3. It is incompatible with their personal beliefs
4. It seeks to gain the confidence of major sectors

A. 1 and 3
B. 2 and 4
C. 1 and 2
D. 1 and 4

14. COPAR aim to create a community which exhibits and fosters independence. Which of
the following serves as the mark of the beginning of achieving such feat?
A. Community Organizing
B. Training of the COPAR Staff
C. Program formation
D. Selection of Sustenance means

15. One of the critical steps in COPAR is becoming one with the people and understanding
their culture and lifestyle. Which critical step in COPAR will the Nurse try to immerse
himself in the community?

A. Integration
B. Social Mobilization
C. Ground Work
D. Mobilization

16 The Actual exercise of people power occurs during when?

A. Integration
B. Sustenance
C. Ground Work
D. Mobilization
17. Which steps in COPAR trains indigenous and informal leaders?
A. Ground Work
B. Mobilization
C. Core Group formation
D. Integration

18. As a PHN, One of your role is to organize the community. Nurse Rick knows that the
purposes of community organizing are

1. Move the community to act on their own problems

2. Make people aware of their own problems
3. Enable the nurse to solve the community problems
4. Offer people means of solving their own problems

A. 1,2,3
B. 1,2,3,4
C. 1,2
D. 1,2,4

19. This is considered the first act of integrating with the people. This gives an in depth
participation in community health problems and needs.

A. Residing in the area of assignment

B. Listing down the name of person to contact for courtesy call
C. Gathering initial information about the community
D. Preparing Agenda for the first meeting

SITUATION : Health education is the process whereby knowledge, attitude and practice of
people are changed to improve individual, family and community health.

20. Which of the following is the correct sequence in health education?

1. Information
2. Communication
3. Education

A. 1,2,3
B. 3,2,1
C. 1,3,2
D. 3,1,2

21. The health status of the people is greatly affected and determined by which of the
following?

A. Behavioral factors
B. Socioeconomic factors
 C. Political factors
D. Psychological factors

22. Nurse Rick is conducting a health teaching to Agnesia, 50 year old breast cancer
survivor needing rehabilitative measures. He knows that motivation to learn is shown
when:

A. Agnesia goes to the clinic in time each day.

B. Agnesia’s behavior and outlook in life was changed positively
C. Agnesia inquires about the steps in wound care regarding mastectomy
D. Agnesia takes the medication and follows orders.

23. Which of the following is true about health education?

A. It helps people attain their health mainly through the nurse’s ability
B. It follows a program to focus on specific groups
C. It is a slow process that follows a status quo
D. It is dependent on the internal factors that drive a person to take action

24. Which of the following factors least influence the learning readiness of an adult
learner?

A. Age of the client.

B. Ability to concentrate on information to be learned
C. The individual’s beliefs which could influence receptiveness.
D. The internal impulses that drive the person to take action

[Link] refers to the tool by which the PHN performs procedures during home visit with ease
and deftness:
[Link] technique c. Public health
[Link] health bag [Link] visit

[Link]/Public Health Bag is:

a. tool used by the community health nurse in rendering effective procedures during home visit
[Link] is to minimize the spread of disease or infections.
[Link] basic medications and articles used by the community health nurse
[Link] of vital events and indices of health and illness status of the community.
[Link] essential and indispensable equipment of the community health nurse during home visit

[Link] is the rationale and indication in the use of bag technique during home visit?
[Link] can be performed in variety of ways.
[Link] should minimize or prevent the spread of infection from individuals to families
[Link] saves time and effort of the nurse in the performance of nursing procedures
[Link] helps to render effective and efficient nursing care in the community with ease and deftness.
 [Link] prevents the transmission of infection from one house to another.

28.A public health nurse bag is essential and indispensable when a nurse conducts a home visit.
Which of the following is the vital principle in the use of the bag techniques?
[Link] when used in communicable cases should be thoroughly cleaned and disinfected before
keeping and using.
[Link] minimize if not totally prevent spread of infection from individuals to families and to
the community
[Link] of the contents is convenient to the user
[Link] PHN bag should be well protected from contact with any article.
[Link] contain all necessary articles, supplies and equipment.

[Link] is an important procedure of the nurse during home visits:

[Link] of the PHN bag whenever to visit a house
[Link] of the contents of the PHN bag
[Link] for potential business site.
[Link] hand washing
[Link] the PHN bag from the heat and rain.

[Link] following are services under CEMONC except for:

[Link] delivery
[Link] extraction of the placenta
[Link] transfusion
[Link] of the above

[Link] following are excluded from BEMONC

a. normal delivery
b. manual extraction of the placenta
c. blood transfusion
d. none of the above

32. Following the delivery of her first child, the client expects that the final post-partum visit will be:
*based on MHNCHN strategy of DOH

A. at 2-3 weeks after birth.

B. at 48 hours after delivery.
C. 6 weeks after birth.
D. 8 weeks after birth.
E. None

33. What makes the Sustenance phase of COPAR stand out from other phases?
A. It involves collaboration among staff and people alike to determine the next plan of action.
B. Instead of being the sole decision-maker, the COPAR staff works with the community in terms of
decision making.
C. The phase marks the success of activities that were enforced.
D. All of the above.

34. Mr. Rogado, a COPAR staff is conducting a team building exercise for the organization that will
tackle the issues prevented. Which of the following precedes this phase?

A. Community Diagnosis Phase

B. Social Participation Phase
C. Community Organization Phase
D. Entry Phase.

35. Organized effort of people to improve their conditions and the capacity of the people for
participation, self-direction, and integrated efforts in which results are attained.
a. Community Organizing
b. Development
c. Participatory Action Research
d. Community Development
e. Organizing

36. Part of pre-entry phase except:

1 – Formulation of goals, objectives and program target and training of the COPAR staff
2 – Community profiling and listing of potential communities
3 – Meeting the barangay captain to acclimate oneself to the community before working on it.
4 – Developing Management process and election of officers for the organization
5 – Develop financial management and identification of potential leaders

a. 4 only
b. 2 only
c. 5 only
d. 3 4 and 5 only
e. 4 and 5 only

37 Formation of Core Group is part of the Entry phase and these are the group of indigenous leaders.
The core group should be an active member of the community, responsible, active, and willing to learn
and willing to change. Their roles and function:

1 – Organize and mobilize immediate health needs

2 – Establish linkages, networks and referrals and resource mobilization along with organizer
3 – Set-up Community Health Development
4 – Organize and establish a Research Team
5 – Prepare Community health Development work

a. 1 only
b. 1,2,3,4 only
c. 1, 3, and 4 only
d. 1,2,3,4,5
e. 1,3,4,5 only

38. Process and structure wherein the people become more organized in participation in health care
and development activities
a. Community development
b. Empowerment
c. Participatory action research
d. Community organizing
e. Participatory Action Research

39. In conducting PSI this is the gathering information about different barangay for potential site of
the program and with following criteria:

1- Socio-economically depressed, undeserved and majority belong to the poor sector.

2- Services are inaccessible or inadequate
3- Poor health status
4- Peace and order is maintained
5- Acceptance by the Community
6- Not currently served by similar institution

a. 1to 5 only
b. 1 and 2 only
c. 2,3,4 and 6 only
d. 1 to 4 only
e. All

40. What of the following indicators for the criteria above are exluded?
1- Decline in morbidity rates
2- Lack of income opportunities
3- Realized
4- No First or Secondary hospital within 30 minutes ride from the area
5-High commerce

a. 1 to 4 only
b. 3 and 5 only
c. 1, 5 only
d. 1 3, 5 only
e. All

41 Formation of Core Group is part of the Entry phase and these are the group of indigenous leaders.
The core group should be an active member of the community, responsible, active, willing to learn and
willing to change. Their roles and function:
1 – Organize and mobilize immediate health needs
2 – Research team composition
3 – Takes reign of formal leadership
4- Resolution of conflicts regarding electoral seats
5 – Prepare Community health Development work

a. 1, 3, 4 and 5 only
b. 1,2,3,4 only
c.4 and 5 only
d. 1,2 and 5 only
e. All

42. Part of pre-entry phase:

1 – Formulation of goals, objectives and program target and training of the COPAR staff
2 – Community profiling and listing of potential communities
3 – Meeting the community key leaders to discuss the programs and level-off expectations
4 – Developing Management process and election of officers for the organization
5 – Develop financial management and identification of potential leaders

a. 3and 5 only
b. 2 and 5only
c. 4 and 5 only
d. 1,2,3 only
e. 1 and 5

43. Aims of Community Health Development except:

a. To empower the people and self reliance
b. To develop a healthy household
c. To develop a Community Health Worker
d. To improve national management of resources
e. none of these

44. Which of the following statements is accurate regarding Dengue Fever? SATA
1. It is abrupt in terms of its onset.
2. Treatment is symptomatic.
3. Anti-inflammatory drugs are virtually safe as form of symptomatic relief from fever and
pain.
4. It is considered as an infectious illness.
5. Both Dehydration and fluid overload are inherent problems associated with this disease.

A. 1235
B. 124
C. 1234
 D. 1245
E. 234

45. The following about the different tests for Dengue. All but one of the following statements are
correct except: SATA

1. Tourniquet test is a preliminary test.

2. Hematocrit count is essential for treatment regulation.
3. ELISA is one of the options used to confirm disease presence.
4. Platelet levels are decreased in most clients

A. 123
B. 1234
C. 134
D. 124
E. 34

46. Regarding the management of Dengue, the following are correct, except:
I. Paracetamol is the drug of choice for fever and joint pain
II. Plain LR is the choice of IVF
III. Avoid analgesics during onset of illness
IV. Skin color indicates presence of complications
a. I only c. I and III only
b. I II and 3 only d. I, II, III and IV

47. A child is referred to the doctor’s office because of a positive tourniquet test. Which laboratory
finding would support the suspicion of dengue hemorrhagic fever?
a. elevated eosinophils c. low platelet and thrombocytosis
b. elevated basophils d. Hematocrit changes

48. Reyna, a 13 year old child is being suspected of having Dengue Fever. She is experiencing epistaxis,
high grade fever. Blood tests shows a Platelet count of 80,000units/mm3 and Hct of 43%. Breathing is
normal, as well as the blood pressure. Pulse rate is around 99bpm. Based on these findings, Reyna is
experiencing:

A. Dengue Hemorrhagic Fever.

B. Dengue Shock Syndrome
C. Circulatory Failure
D. Dengue Fever with Hemorrhage
E. None of the above

.
49. What are the early signs of Filariasis?

A. Abdominal enlargement, splenomegaly

B. Abdominal pain and jaundice
C. Diarrhea, bloody and mucoid stool
D. None of the above

50. Filariasis is confirmed by:

A. Blood exam
B. Biopsy
C. Both
D. None

51. The following are methods to prevent Filariasis in endemic community. As a CHN, what a would
you suggest to the members of the community:

A. Use of pesticides.
B. Use of sanitary toilets .
C. Avoid washing, bathing, or doing laundry on underdeveloped water sources.
D. All of the above

52. Filariasis is characterized by enlargement of the involved extremity or trunk due to lymphatic
obstruction. It is commonly transmitted through:

A. where Anopheles and Aedes mosquitos reside.

B. A bite of a mosquito that resides in stagnant water and bites in the morning and afternoon.
C. Aedes poicilius
D. None of the above

53. As a CHN, the following are methods to prevent filariasis except:

A. Cleaning of all possible breeding places of mosquitoes

B. Wearing of protective clothing when working
C. Regular blood examination even without symptoms in endemic areas.
D. None. All are preventive

54. Maculopapular rashes that appear cephalo-caudally & lasts for about 1 week is seen in
a. Small pox c. Rubella
 b. Roseola infantum d. Rubeola

55. The nurse at the ER knows while taking information from the parents that the typical pattern of
measles would be
a. Fever, rashes, koplik’s spot c. Koplik’s spot, fever, rashes
b. Rashers, fever, kopliks spot d. Fever, koplik’s spot, rashes

56. On assessment the nurse noticed redness of the conjuctiva She is aware that this is
a. Stimson’s line c. Virchow’s sign
b. Conjunctivitis d. St. Andrew’s fire

57. Based on the assessment finding on a client with measles on the floor, the appropriate nursing
diagnosis would be:
a. FVD c. FVE
b. Impaired mobility d. Alteration in nutrition

58. Malaria is considered to be endemic in Palawan and knowledge about the causative agent is
necessary. The type of plasmodium that causes benign quartan malaria is?

A. Vivax
B. Malariae
C. Ovale
D. falciparum

59. A quartan malaria has a fever cycle of how many days?

A) 3 days
B) 4 days
C) 2 days

60 The following are safe for pregnant malaria clients EXCEPT:

A. Chloroquine
B. Primaquine
C. Quinine
D. Fansidar