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The College of Maasin

Nisi Dominus Frustra


College of Nursing
Maasin City, Southern Leyte

SUPPLEMENTAL REVIEW
Primary Health Care
Review Series 1

Multiple Choice.
General Instructions:
1. This exam contains 100 test questions.
2. Shade only one (1) box for each item on your answer sheets. Two or more boxes shaded will invalidate your answer.
3. Avoid erasures.

SITUATION : Epidemiology and Vital statistics is a very important tool that a 3. Which of the following type of research could show how community expectations can
nurse could use in controlling the spread of disease in the community and at the result in the actual provision of services?
same time, surveying the impact of the disease on the population and prevent A. Basic Research
it’s future occurrence. B. Operational Research
1. It is concerned with the study of factors that influence the occurrence and C. Action Research
distribution of diseases, defects, disability or death which occurs in groups or D. Applied Research
aggregation of individuals.
A. Epidemiology 4. An outbreak of measles has been reported in Community A. As a nurse, which of
B. Demographics the following is your first action for an Epidemiological investigation?
C. Vital Statistics A. Classify if the outbreak of measles is epidemic or just sporadic
D. Health Statistics B. Report the incidence into the RHU
C. Determine the first day when the outbreak occurred
2. Which of the following is the backbone in disease prevention? D. Identify if it is the disease which it is reported to be
A. Epidemiology
B. Demographics 5. After the epidemiological investigation produced final conclusions, which of
C. Vital Statistics the following is your initial step in your operational procedure during disease
D. Health Statistics outbreak?
A. Coordinate personnel from Municipal to the National level
B. Collect pertinent laboratory specimen to confirm disease causation
C. Immunize nearby communities with Measles D. Is it epidemic or endemic?
D. Educate the community in future prevention of similar outbreaks
10. An unknown epidemic has just been reported in Barangay Dekbudekbu. People
6. The main concern of a public health nurse is the prevention of disease, said that affected person demonstrates hemorrhagic type of fever. You are
prolonging of life and promoting physical health and efficiency through which of designated now to plan for epidemiological investigation. Arrange the sequence
the following? of events in accordance with the correct outline plan for epidemiological
A. Use of epidemiological tools and vital health statistics investigation.
B. Determine the spread and occurrence of the disease 1. Report the presence of dengue
C. Political empowerment and Socio Economic Assistance 2. Summarize data and conclude the final picture of epidemic
D. Organized Community Efforts 3. Relate the occurrence to the population group, facilities, food supply and
carriers
7. In order to control a disease effectively, which of the following must first 4. Determine if the disease is factual or real
be known? 5. Determine any unusual prevalence of the disease and its nature; is it
1. The conditions surrounding its occurrence epidemic, sporadic, endemic or pandemic?
2. Factors that do not favor its development 6. Determine onset and the geographical limitation of the disease.
3. The condition that do not surround its occurrence A. 4,1,3,5,2,6
4. Factors that favors its development B. 4,1,5,6,3,2
C. 5,4,6,2,1,3
A. 1 and 3 D. 5,4,6,1,2,3
B. 1 and 4 E. 1,2,3,4,5,6
C. 2 and 3
D. 2 and 4 11. In the occurrence of SARS and other pandemics, which of the following is the
most vital role of a nurse in epidemiology?
8. All of the following are uses of epidemiology except: A. Health promotion
A. To study the history of health population and the rise and fall of disease B. Disease prevention
B. To diagnose the health of the community and the condition of the people C. Surveillance
C. To provide summary data on health service delivery D. Casefinding
D. To identify groups needing special attention
12. Measles outbreak has been reported in Barangay Bahay Toro, After conducting
9. Before reporting the fact of presence of an epidemic, which of the following an epidemiological investigation you have confirmed that the outbreak is
is of most importance to determine? factual. You are tasked to lead a team of medical workers for operational
A. Are the facts complete? procedure in disease outbreak. Arrange the correct sequence of events that you
B. Is the disease real? must do to effectively contain the disease
C. Is the disease tangible? 1. Create a final report and recommendation
2. Perform nasopharyngeal swabbing to infected individuals B PAGCOR
3. Perform mass measles immunization to vulnerable groups C. DOH
4. Perform an environmental sanitation survey on the immediate environment D. NSO
5. Organize your team and Coordinate the personnels
6. Educate the community on disease transmission 17. The following are possible sources of Data except:
A. Experience
A. 1,2,3,4,5,6 B. Census
B. 6,5,4,3,2,1 C. Surveys
C. 5,6,4,2,3,1 D. Research
D. 5,2,3,4,6,1
18. This refers to systematic study of vital events such as births, illnesses,
13. All of the following are function of Nurse Budek in epidemiology except marriages, divorces and deaths
A. Laboratory Diagnosis A. Epidemiology
B. Surveillance of disease occurrence B. Demographics
C. Follow up cases and contacts C. Vital Statistics
D. Refer cases to hospitals if necessary D. Health Statistics
E. Isolate cases of communicable disease
19. In case of clerical errors in your birth certificate, Where should you go to
14. All of the following are performed in team organization except have it corrected?
A. Orientation and demonstration of methodology to be employed A. NSO
B. Area assignments of team members B. Court of Appeals
C. Check team’s equipments and paraphernalia C. Municipal Trial Court
D. Active case finding and Surveillance D. Local Civil Registrar

15. Which of the following is the final output of data reporting in 20. Acasia just gave birth to Lestat, A healthy baby boy. Who are going to
epidemiological operational procedure? report the birth of Baby Lestat?
A. Recommendation A. Nurse
B. Evaluation B. Midwife
C. Final Report C. OB Gyne
D. Preliminary report D. Birth Attendant

16. The office in charge with registering vital facts in the Philippines is none 21. In reporting the birth of Baby Lestat, where will he be registered?
other than the A. At the Local Civil Registrar
A. PCSO B. In the National Statistics Office
C. In the City Health Department C. Crude/General Rates
D. In the Field Health Services and Information System Main Office D. Specific Rate

22. Deejay, The birth attendant noticed that Lestat has low set of ears, 26. These are used to describe the relationship between two numerical quantities
Micrognathia, Microcephaly and a typical cat like cry. What should Deejay do? or measures of events without taking particular considerations to the time or
A. Bring Lestat immediately to the nearest hospital place.
B. Ask his assistant to call the nearby pediatrician A. Rate
C. Bring Lestat to the nearest pediatric clinic B. Ratios
D. Call a Taxi and together with Acasia, Bring Lestat to the nearest hospital C. Crude/General Rate
D. Specific Rate
23. Deejay would suspect which disorder?
A. Trisomy 21 27. This is the most sensitive index in determining the general health condition
B. Turners Syndrome of a community since it reflects the changes in the environment and medical
C. Cri Du Chat conditions of a community
D. Klinefelters Syndrome A. Crude death rate
B. Infant mortality rate
24. Deejay could expect which of the following congenital anomaly that would C. Maternal mortality rate
accompany this disorder? D. Fetal death rate
A. AVSD
B. PDA 28. According to the WHO, which of the following is the most frequent cause of
C. TOF death in children underfive worldwide in the 2003 WHO Survey?
D. TOGV A. Neonatal
B. Pneumonia
26. Which presidential decree orders reporting of births within 30 days after C. Diarrhea
its occurrence? D. HIV/AIDS
A. 651
B. 541 29. In the Philippines, what is the most common cause of death of infants
C. 996 according to the latest survey?
D. 825 A. Pneumonia
B. Diarrhea
25. These rates are referred to the total living population, It must be presumed C. Other perinatal condition
that the total population was exposed to the risk of occurrence of the event. D. Respiratory condition of fetus and newborn
A. Rate
B. Ratio 30. The major cause of mortality from 1999 up to 2002 in the Philippines are
A. Diseases of the heart SITUATION : Barangay PinoyBSN has the following data in year 2006
B. Diseases of the vascular system 1. July 1 population : 254,316
C. Pneumonias 2. Livebirths : 2,289
D. Tuberculosis 3. Deaths from maternal cause : 15
4. Death from CVD : 3,029
31. Alicia, a 9 year old child asked you “ What is the common cause of death in 5. Deaths under 1 year of age : 23
my age group here in the Philippines? “ The nurse is correct if he will answer 6. Fetal deaths : 8
A. Pneumonia is the top leading cause of death in children age 5 to 9 7. Deaths under 28 days : 8
B. Malignant neoplasm if common in your age group 8. Death due to rabies : 45
C. Probability wise, You might die due to accidents 9. Registered cases of rabies : 45
D. Diseases of the respiratory system is the most common cause of death in 10. People with pneumonia : 79
children 11. People exposed with pneumonia : 2,593
12. Total number of deaths from all causes : 10,998
32. In children 1 to 4 years old, which is the most common cause of death?
A. Diarrhea The following questions refer to these data:
B. Accidents
C. Pneumonia 35. What is the crude birth rate of Barangay PinoyBSN?
D. Diseases of the heart A. 90/100,000
B. 9/100
33. Working in the community as a PHN for almost 10 years, Aida knew the C. 90/1000
fluctuation in vital statistics. She knew that the most common cause of D. 9/1000
morbidity among the Filipinos is
A. Diseases of the heart 36. What is the cause specific death rate from cardiovascular diseases?
B. Diarrhea A. 27/100
C. Pneumonia B. 1191/100,000
D. Vascular system diseases C. 27/100,000
D. 1.1/1000
34. Nurse Aida also knew that most maternal deaths are caused by
A. Hemorrhage 37. What is the Maternal Mortality rate of this barangay?
B. Other Complications related to pregnancy occurring in the course of labor, A. 6.55/1000
delivery and puerperium B. 5.89/1000
C. Hypertension complicating pregnancy, childbirth and puerperium C. 1.36/1000
D. Abortion D. 3.67/1000
38. What is the fetal death rate? B. Measles
A. 3.49/1000 C. Hypertension
B. 10.04/1000 D. Tetanus
C. 3.14/1000
D. 3.14/100,000 44. Which Act declared that all communicable disease be reported to the nearest
health station?
39. What is the attack rate of pneumonia? A. 1082
A. 3.04/1000 B. 1891
B. 7.18/1000 C. 3573
C. 32.82/100 D. 6675
D. 3.04/100
45. In the RHU Team, Which professional is directly responsible in caring a sick
40. Determine the Case fatality ratio of rabies in this Barangay person who is homebound?
A. 1/100 A. Midwife
B. 100% B. Nurse
C. 1% C. BHW
D. 100/1000 D. Physician

41. The following are all functions of the nurse in vital statistics, which of 46. During epidemics, which of the following epidemiological function will you
the following is not? have to perform first?
A. Consolidate Data A. Teaching the community on disease prevention
B. Collects Data B. Assessment on suspected cases
C. Analyze Data C. Monitor the condition of people affected
D. Tabulate Data D. Determining the source and nature of the epidemic

42. The following are Notifiable diseases that needs to have a tally sheet in 47. Which of the following is a POINT SOURCE epidemic?
data reporting, Which one is not? A. Dengue H.F
A. Hypertension B. Malaria
B. Bronchiolitis C. Contaminated Water Source
C. Chemical Poisoning D. Tuberculosis
D. Accidents
48. All but one is a characteristic of a point source epidemic, which one is
43. Which of the following requires reporting within 24 hours? not?
A. Neonatal tetanus A. The spread of the disease is caused by a common vehicle
B. The disease is usually caused by contaminated food B. Target Client list
C. There is a gradual increase of cases C. Reporting forms
D. Epidemic is usually sudden D. Output record

49. The only Microorganism monitored in cases of contaminated water is 53. What is the primary advantage of having a target client list?
A. Vibrio Cholera A. Nurses need not to go back to FTR to monitor treatment and services to
B. Escherichia Coli beneficiaries thus saving time and effort
C. Entamoeba Histolytica B. Help monitor service rendered to clients in general
D. Coliform Test C. Facilitate monitoring and supervision of services
D. Facilitates easier reporting
50. Dengue increase in number during June, July and August. This pattern is
called 54. Which of the following is used to monitor particular groups that are
A. Epidemic qualified as eligible to a certain program of the DOH?
B. Endemic A. Family treatment record
C. Cyclical B. Target Client list
D. Secular C. Reporting forms
D. Output record
SITUATION : Field health services and information system provides summary data
on health service delivery and selected program from the barangay level up to 55. In using the tally sheet, what is the recommended frequency in tallying
the national level. As a nurse, you should know the process on how these activities and services?
information became processed and consolidated. A. Daily
51. All of the following are objectives of FHSIS Except B. Weekly
A. To complete the clinical picture of chronic disease and describe their C. Monthly
natural history D. Quarterly
B. To provide standardized, facility level data base which can be accessed for
more in depth studies 56. When is the counting of the tally sheet done?
C. To minimize recording and reporting burden allowing more time for patient A. At the end of the day
care and promotive activities B. At the end of the week
D. To ensure that data reported are useful and accurate and are disseminated in C. At the end of the month
a timely and easy to use fashion D. At the end of the year

52. What is the fundamental block or foundation of the field health service 57. Target client list will be transmitted to the next facility in the form of
information system? A. Family treatment record
A. Family treatment record B. Target Client list
C. Reporting forms C. FHSIS/E-3
D. Output record D. FHSIS/M-1

58. All but one of the following are eligible target client list 63. Where should Nurse Budek bring the reporting forms if he is in the BHU
A. Leprosy cases Facility?
B. TB cases A. Rural health office
C. Prenatal care B. FHSIS Main office
D. Diarrhea cases C. Provincial health office
D. Regional health office
59. This is the only mechanism through which data are routinely transmitted from
once facility to another 64. After bringing the reporting forms in the right facility for processing,
A. Family treatment record Nurse Budek knew that the output reports are solely produced by what office?
B. Target Client list A. Rural health office
C. Reporting forms B. FHSIS Main office
D. Output record C. Provincial health office
D. Regional health office
60. FHSIS/Q-3 Or the report for environmental health activities is prepared how
frequently? 65. Mang Raul entered the health center complaining of fatigue and frequent
A. Daily syncope. You assessed Mang Raul and found out that he is severely malnourished
B. Weekly and anemic. What record should you get first to document these findings?
C. Quarterly A. Family treatment record
D. Yearly B. Target Client list
C. Reporting forms
61. Nurse Budek is preparing the reporting form for weekly notifiable diseases. D. Output record
He knew that he will code the report form as
A. FHSIS/E-1 66. The information about Mang Raul’s address, full name, age, symptoms and
B. FHSIS/E-2 diagnosis is recorded in
C. FHSIS/E-3 A. Family treatment record
D. FHSIS/M-1 B. Target Client list
C. Reporting forms
62. In preparing the maternal death report, which of the following correctly D. Output record
codes this occurrence?
A. FHSIS/E-1 67. Another entry is to be made for Mang Raul because he is in the target
B. FHSIS/E-2 client’s list, In what TCL should Mang Raul’s entry be documented?
A. TCL Eligible Population
B. TCL Family Planning 72. As a newly appointed PHN instructed to organize Barangay Baritan, Which of
C. TCL Nutrition the following is your initial step in organizing the community for initial
D. TCL Pre Natal action?
A. Study the Barangay Health statistics and records
68. The nurse uses the FHSIS Record system incorrectly when she found out that B. Make a courtesy call to the Barangay Captain
A. She go to the individual or FTR for entry confirmation in the Tally/Report C. Meet with the Barangay Captain to make plans
Summary D. Make a courtesy call to the Municipal Mayor
B. She refer to other sources for completing monthly and quarterly reports
C. She records diarrhea in the Tally sheet/Report form with a code FHSIS/M-1 73. Preparatory phase is the first phase in organizing the community. Which of
D. She records a Child who have frequent diarrhea in TCL : Under Five the following is the initial step in the preparatory phase?
A. Area selection
69. The BHS Is the lowest level of reporting unit in FHSIS. A BHS can be B. Community profiling
considered a reporting unit if all of the following are met except C. Entry in the community
A. It renders service to 3 barangays D. Integration with the people
B. There is a midwife the regularly renders service to the area
C. The BHS Have no mother BHS 74. the most important factor in determining the proper area for community
D. It should be a satellite BHS organizing is that this area should
A. Be already adopted by another organization
70. Data submitted to the PHO is processed using what type of technology? B. Be able to finance the projects
A. Internet C. Have problems and needs assistance
B. Microcomputer D. Have people with expertise to be developed as leaders
C. Supercomputer
D. Server Interlink Connections 75. Which of the following dwelling place should the Nurse choose when
integrating with the people?
SITUATION : Community organizing is a process by which people, health services A. A simple house in the border of Barangay Baritan and San Pablo
and agencies of the community are brought together to act and solve their own B. A simple house with fencing and gate located in the center of Barangay
problems. Baritan
71. Mang ambo approaches you for counseling. You are an effective counselor if C. A modest dwelling place where people will not hesitate to enter
you D. A modest dwelling place where people will not hesitate to enter located in
A. Give good advice to Mang Ambo the center of the community
B. Identify Mang Ambo’s problems
C. Convince Mang Ambo to follow your advice 76. In choosing a leader in the community during the Organizational phase, Which
D. Help Mang Ambo identify his problems among these people will you choose?
A. Miguel Zobel, 50 years old, Rich and Famous
B. Rustom, 27 years old, Actor 81. Nurse Budek wrote a letter to PCSO asking them for assistance in their
C. Mang Ambo, 70, Willing to work for the desired change feeding programs for the community’s nutrition and health projects. PCSO then
D. Ricky, 30 years old, Influential and Willing to work for the desired change approved the request and gave Budek 50,000 Pesos and a truckload of rice, fruits
and vegetables. Which phase of COPAR did Budek utilized?
77. Which type of leadership style should the leaders of the community practice? A. Preparatory
A. Autocratic B. Organizational
B. Democratic C. Education and Training
C. Laissez Faire D. Intersectoral Collaboration
D. Consultative E. Phase out

78. Setting up Committee on Education and Training is in what phase of COPAR? 82. Ideally, How many years should the Nurse stay in the community before he can
A. Preparatory phase out and be assured of a Self Reliant community?
B. Organizational A. 5 years
C. Education and Training B. 10 years
D. Intersectoral Collaboration C. 1 year
E. Phase out D. 6 months

79. Community diagnosis is done to come up with a profile of local health 83. Major discussion in community organization are made by
situation that will serve as basis of health programs and services. This is done A. The nurse
in what phase of COPAR? B. The leaders of each committee
A. Preparatory C. The entire group
B. Organizational D. Collaborating Agencies
C. Education and Training
D. Intersectoral Collaboration 84. The nurse should know that Organizational plan best succeeds when
E. Phase out 1. People sees its values
2. People think its antagonistic professionally
80. The people named the community health workers based on the collective 3. It is incompatible with their personal beliefs
decision in accordance with the set criteria. Before they can be trained by the 4. It is compatible with their personal beliefs
Nurse, The Nurse must first
A. Make a lesson plan A. 1 and 3
B. Set learning goals and objective B. 2 and 4
C. Assess their learning needs C. 1 and 2
D. Review materials needed for training D. 1 and 4
2. Make people aware of their own problems
85. Nurse Budek made a proposal that people should turn their backyard into 3. Enable the nurse to solve the community problems
small farming lots to plant vegetables and fruits. He specified that the 4. Offer people means of solving their own problems
objective is to save money in buying vegetables and fruits that tend to have a
fluctuating and cyclical price. Which step in Community organizing process did A. 1,2,3
he utilized? B. 1,2,3,4
A. Fact finding C. 1,2
B. Determination of needs D. 1,2,4
C. Program formation
D. Education and Interpretation 90. This is considered the first act of integrating with the people. This gives
an in depth participation in community health problems and needs.
86. One of the critical steps in COPAR is becoming one with the people and A. Residing in the area of assignment
understanding their culture and lifestyle. Which critical step in COPAR will the B. Listing down the name of person to contact for courtesy call
Nurse try to immerse himself in the community? C. Gathering initial information about the community
A. Integration D. Preparing Agenda for the first meeting
B. Social Mobilization
C. Ground Work SITUATION : Health education is the process whereby knowledge, attitude and
D. Mobilization practice of people are changed to improve individual, family and community
health.
87. The Actual exercise of people power occurs during when? 91. Which of the following is the correct sequence in health education?
A. Integration 1. Information
B. Social Mobilization 2. Communication
C. Ground Work 3. Education
D. Mobilization
A. 1,2,3
88. Which steps in COPAR trains indigenous and informal leaders? B. 3,2,1
A. Ground Work C. 1,3,2
B. Mobilization D. 3,1,2
C. Core Group formation
D. Integration 92. The health status of the people is greatly affected and determined by which
of the following?
89. As a PHN, One of your role is to organize the community. Nurse Budek knows A. Behavioral factors
that the purposes of community organizing are B. Socioeconomic factors
1. Move the community to act on their own problems C. Political factors
D. Psychological factors B. Cognitive
C. Affective
93. Nurse Budek is conducting a health teaching to Agnesia, 50 year old breast D. Attitudinal
cancer survivor needing rehabilitative measures. He knows that health education
is effective when 98. When you prepare your teaching plan for a group of hypertensive patients,
A. Agnesia recites the procedure and instructions perfectly you first formulate your learning objectives. Which of the following steps in
B. Agnesia’s behavior and outlook in life was changed positively the nursing process corresponds to the writing of the learning objectives?
C. Agnesia gave feedback to Budek saying that she understood the instruction A. Planning
D. Agnesia requested a written instruction from Budek B. Implementing
C. Evaluation
94. Which of the following is true about health education? C. Assessment
A. It helps people attain their health through the nurse’s sole efforts
B. It should not be flexible 99. Rose, 50 years old and newly diagnosed diabetic patient must learn how to
C. It is a fast and mushroom like process inject insulin. Which of the following physical attribute is not in anyway
D. It is a slow and continuous process related to her ability to administer insulin?
A. Strength
95. Which of the following factors least influence the learning readiness of an B. Coordination
adult learner? C. Dexterity
A. The individuals stage of development D. Muscle Built
B. Ability to concentrate on information to be learned
C. The individual’s psychosocial adaptation to his illness 100. Appearance and disposition of clients are best observed initially during
D. The internal impulses that drive the person to take action which of the following situation?
A. Taking V/S
96. Which of the following is the most important condition for diabetic patients B. Interview
to learn how to control their diet? C. Implementation of the initial care
A. Use of pamphlets and other materials during instructions D. Actual Physical examination
B. Motivation to be symptom free
C. Ability of the patient to understand teaching instruction Passing 60/100
D. Language used by the nurse

97. An important skill that a primigravida has to acquire is the ability to


bathe her newborn baby and clean her breast if she decides to breastfeed her
baby, Which of the following learning domain will you classify the above goals?
A. Psychomotor