Situation: You were assigned to Mrs. Tagumpay, a difficult patient.

1. When a client consults you for the first time, the best question to start with is:
A. “Why did you come today?”
B. “Are you ill?”
C. “What can I do for you?”
D. “Do you have any health problem?”
2. In establishing a helping relationship with Mrs. Tagumpay, which of the following should
be a prime consideration:
A. Ensure open communication
B. Show an attitude of concern
C. Develop some degree of trust
D. Assure her of your competence

Situation: Recognition of the multiple factors that influence health enables you to specify
objectives of a health promotion plan.

3. Which of the following statements is true:

A. Health behavior cannot be modified
B. The end product of learning is output
C. One’s response is the key to behavior change
D. A person’s behavior is not under conscious control

4. Health function activities will likely be more effective when professional nurses:
A. Use health communication technology
B. Are models of health
C. Conduct health education programs
D. Know public’s views of health

Situation: As a child grows older, he encounters difficulties on adjustment characteristic of an

age group. The following questions pertain to the common problems encountered in the
preschool age.

5. General tips for promoting optimal sleep patterns include the following, except:
A. Provide a quiet, safe and comfortable sleeping quarters
B. Provide a consistent bedtime
C. Assure a frightened child whenever a nightmare occurs
D. Encourage child to sleep with their parents

Situation: The rural health nurse was scheduled to discuss common childhood and adolescent
health concerns with the parents and teachers in this community.

6. A number of parents complain of their teenager’s refusal to eat with food served at family
meals, thus increasing the budget on allowance to go to school. The nurse can help
these parents make a plan to:
A. Suggest to parents to do the grocery shopping
B. Inform adolescents of adverse effects of fast foods
C. Check on adolescent’s food intake
D. Incorporate adolescent’s preferences into meal planning
 7. The school nurse informs parents how they can prepare their children for entering school.
The measure that can best help parents is to:
A. Have parents stay with the child for the first few months
B. Orient their children about school’s physical environment
C. Discuss school with their children if they ask
D. Have older sister/brothers tell them about school

8. Other parents are frustrated in getting their adolescents to observe punctuality in

attending to daily activities. They spend so much time getting dressed up and looking at
the mirror. The nurse explains that this behavior is:
A. An indication of protest to nagging parents
B. A matter of habit of delaying
C. A result of rapid bodily changes and developing self-concept
D. An unusual concern with self

9. Aside from the unusual pharmacologic therapy, the following measures are helpful in the
treatment of TB, except:
A. Hospitalized in all cases of tuberculosis
B. Proper nutrition
C. Improvement on environment and home conditions
D. Treatment of intercurrent infections

10. The child was eventually diagnosed by the rural physician as having a simple upper
respiratory tract infection. The following supportive measures would then be useful,
except:
A. Daily vigorous exercise
B. Increase in fluid intake
C. Steam inhalation
D. Chest clapping

Situation: Malaria is one of the major health problems in the community. Knowledge about this
disease is necessary to be an effective health educator.

11. Which of the following statements is not correct:

A. Pregnant women with malaria can be given primaquine
B. Oral medications for malaria should be given on a full stomach
C. In pregnant women, malaria may cause premature birth or miscarriage
D. Mosquito nets can be treated with insecticides

12. The nurse should refer to the physician her malaria patients with the following condition:
A. Any of these conditions
B. Severe anemia
C. Hypertension
D. Scanty urination

Situation: You are a Public Health Nurse in municipality B where parasitic infection is one of the
leading causes of morbidity. Your priority program is prevention and control of these infections.

13. The preventive and control measures of parasitic infections are based on which of the
following:
A. Understanding of the parasites’ life cycle and their transmission patterns
B. All these factors
C. Participation and cooperation of community members
D. Availability of antihelminthic drugs in the area
Situation: As a supervisor, you are concerned with developing the potentials of the five midwives
you’re working with especially on disease prevention and control.

14. Training needs of midwives serves as basis in planning a staff development program for
them. You can draw out these needs from:
A. All these sources
B. The midwives themselves
C. The Rural Health Physician and Sanitary Inspector
D. Study of the health programs and review of the records and reports in the health
center

15. Given the training needs of the midwives, you now prepare to conduct the staff
development program. Which of these will you do first:
A. Write the objectives of the programs
B. Prepare schedule of activities
C. Contact-lecturers/resource program
D. Arrange the main health center as venus of the program

16. As the program is going on, you would like to know whether the midwives are learning
something. Which of these methods will you use:
A. Observation on their participation
B. Give out a questionnaire
C. Give a test
D. Any of these methods

17. After 3 months, you will evaluate the result of the staff development program you
conducted for the 5 midwives. What is the best method to use:
A. Interview of client’s served
B. All of these methods
C. Actual observations on the midwives performance
D. Review of clinic records and accomplishments reports

Situation: 54 cases of measles were admitted in San Lazaro Hospital last year. Most of these
came from an urban poor congested community where most of the families are not sold to
importance of immunization. Ages of cases ranged from 5 months to 23 years.

18. Prompt use of vaccine is essential during epidemic outbreaks. Who among the following
groups can be immunized during measles epidemic:
A. Malnourished children
B. Unimmunized under five in low immunization coverage areas in the nearby
communities
C. All these groups
D. 6-9 months old infants

Situation: In an orientation program of new nurses, you were requested to update them on
Hepatitis B. the discussions were on the following:

19. On the nature of the disease, the following statements are correct, except:
A. Most people get well completely and develop life-long immunity
B. The reservoir of hepatitis B virus is man
C. The period of communicability is only during the acute clinical course of the
disease
D. Some infants infected with this disease are not able to develop immunity and
they become carriers
 20. The nurse plays a vital role in the implementation of control measures. Which of this is
important:
A. Disinfection of equipment or any article contaminated with blood, saliva and
semen
B. All these are important
C. Immunization of members of family and other contacts
D. High risk pregnant women should be tested for presence on Hepa B antigen

Situation: The following are some situations whereby a nurse can apply knowledge in the care of
individuals and groups, thus preventing disease and/or its complications.

21. In preparing an individual health care plan, the individual’s exposure to risk factors need
to be considered. Which of the following are risk factors:
A. Lack of exercise
B. Toxins, infectious organisms and radiation
C. All these factors
D. Divorce or death of a spouse

22. Nelson, 27 years old, came for consultation with the chief complaint of headache. You
suspect that Nelson is hypertensive. Which of the following signs will you take note of as
you assess Nelson in order to check on your impression:
A. Decreased urinary output
B. Fainting
C. Cold clammy skin
D. Blurred vision and warm pink skin

Situation: In the municipality where you work as Public Health Nurse, almost 80% of the children
are malnourished. Diarrhea, parasitism and measles are common health problems. For the
prevention and control of malnutrition, one of your strategies is to conduct a series of health
education sessions for mothers where you will discuss the following among others.

23. In order to prevent infections, you will emphasize the need for:
A. All these measures
B. Immunizations
C. Good hygiene
D. Environmental sanitation

24. There are mothers who are afraid to give supplementary feeding to their child for fear that
some foods might cause allergy. For this, your advise would be to:
A. Give solid foods later when child is at least one year old
B. Select from the foods the other members of the family are taking
C. Initially give food that is soft like “lugaw”
D. Give new food items one at a time and in small amounts

25. Which of the following health measures need to be taught to the people in order to
reduce the incidence of the disease:
A. Washing all fruits/vegetables which are eaten raw
B. See to it that meat bought have been inspected by the health inspector and is
cooked very well
C. All these measures
D. Practice of personal hygiene
Situation: Two days after appendectomy, Petra was discharged from the hospital.

26. To prevent surgical wound infection, the nurse should observe the following, except:
A. Improve and support host defenses
B. Wash hands for dressing
C. Provide regular aseptic care
D. Allow Petra to change her own dressing

27. Normally, how often is the surgical dressing changed to minimize infection:
A. Every two days only
B. Everyday
C. Once a week only
D. Every other day

Situation: Aling Juana, your 68-year-old patient often wears mismatched clothes and suffers
from falls. You understand that these are some evidences of related changes in the senses of the
elderly.

28. The ability to feel differences in temperature is decrease in the elderly because of:
A. Inefficient heat regulating mechanism
B. Deficient diaphoresis mechanism
C. Decreased ability to discriminate
D. Illness effects

Situation: Mr. Sales, a 70-year-old widower, lives with his son and other children. He lives a
sedentary life.

29. In the physical assessment of Mr. Sales, you do not expect to find which of the following
conditions:
A. Absence of bowel sounds
B. Enlarged prostate
C. Presbyopia
D. Diminished lung expansion

Situation: Baby Mike is delivered at 29 weeks gestation. He weighs 3 pounds and 9 ounces.

30. Mike’s parents would most likely be better able to cope with the birth of an abnormal
infant when informed:
A. As early as possible
B. Right after delivery when mother recovers consciousness
C. After 48 hours when mother has recovered for strength
D. When parents ask if something is wrong with the baby
Situation: A sudden change in the pattern of living awaits a child who is to be hospitalized and
his parents. The nurse must know how to prepare children and their parents for the experience of
the hospitalization.

31. Which of the following are the prime factors in understanding the significance of illness or
hospitalization in children:
A. Religious beliefs and affiliations
B. Age of the child and his stage of development
C. Class standing and educational attainment
D. Family history and ethnic group

32. Which of the following nursing actions can be the nurse best encourage emotional growth
of the hospitalized child:
A. Showing examples of good health habits
B. Accepting the children as they are
C. Adhering strictly to hospital rules
D. Allowing children to freely moved around the hospital

33. When preparing a child for hospitalization (as in surgery), which of the following would
she use as one of the best guide:
A. Demonstrate of surgical procedures
B. Explanation
C. Truthful assurance
D. Allow children to utilize their imagination

Situation: The nurse must be able to apply her knowledge and skills in the care of patients with
various kinds of disease conditions in home/health center/community.

34. If one of your barrio visits, a 60-year-old woman complained of pain on her left shoulder
joint. You advised her to exercise her arm and taught her to apply:
A. Young banana leaves
B. Hot moist pack
C. Cold compress
D. Herba buena

35. The nurse must know that local cold application:

A. Decreased blood flow to injury site
B. Increases tissue oxygen need
C. Increases inflammation
D. Increases blood flow to injury site

36. In the case of patients with decubitus ulcers, the following nursing considerations must be
observed, except:
A. Debride ulcer if necrotic
B. Cover ulcer with dressing, such as gauze or absorbent sponge
C. Cleanse skin area using antiseptic agents
D. Leave ulcer uncovered to facilitate healing
Situation: Rey, a movie producer, informs his nurse that he is suffering from nausea, vomiting
and epigastric pain. Further questioning reveals that he does not smoke but drinks coffee in large
quantities. Tentative diagnosis is peptic ulcer.

37. It is thought that emotional stress contribute to ulcer formation through:

A. Excessive stimulation of the parasympathetic system
B. Increased activity of the sympathetic nervous system
C. Disturbance of cerebral cortex appetite controls
D. Decrease of pituitary function

38. The tissue change most characteristic of peptic ulcer is:

A. A soft mass of necrotic tissue with bleeding
B. An erosion of the mucosa covered with thick exudate
C. A sharp excavation of tissue membrane with a clean base
D. An elevated fibrous tissue with soft margins

39. Knowing the history of Rey, the nurse should be aware that the pain due to peptic ulcer
usually occurs:
A. Two to three hours after meals
B. While eating
C. Immediately after meals
D. Immediately after eating

40. The stool quaiac test was ordered to detect the presence of:
A. Hydrochloric acid
B. Occult blood
C. Inflammatory cells
D. Undigested food

Situation: Mr. Manie, 59 years old male, was admitted to the hospital complaining of nausea,
vomiting, weight loss of 20 lbs. in two months, and periods of constipation and diarrhea. A
diagnosis of carcinoma of the colon was made.

41. A sigmoidoscopy was performed as a diagnostic measure. The nurse shoul place the
patient in _______ position for this examination:
A. Knee-chest
B. Sim’s
C. Fowler’s
D. Trendelenburg

42. As part of the preparation of the patient for sigmoidscopy, the nurse:
A. Explains to Mr. Manie that he will have to swallow a chalk-like substance
B. Administers a cathartic the night before
C. Withholds fluids and foods on the day of examination
D. Administers cleansing enema in the morning of the examination

43. The doctor performed a colostomy. Post operative nursing care includes:
A. Keeping the skin around the opening clean and dry
B. Limiting visitors
C. Withholding fluids
D. Limiting fluid intake
 44. During the irrigation of the colostomy, Mr. Manie complains of abdominal cramps. The
nurse should:
A. Discontinue the irrigation
B. Clamp the catheter for a few minutes
C. Advance catheter about one inch
D. Add cooler water

45. The most comfortable place for Mr. Manie to do colostomy irrigation is:
A. At the bedside
B. While sitting on commode
C. In the bathroom
D. While sitting on the toilet

Situation: Mr. Doy was brought to the ER complaining of pain located in the upper abdomen.
Diagnosis is peptic ulcer.

46. A frequent discomfort experienced by Mr. Doy due to peptic ulcer is:
A. Diarrhea
B. Vomiting
C. Eructation
D. Nausea

47. Which of these diagnostic measures is not indicated for Mr. Doy:
A. X-ray of the abdomen
A. Patient’s history
B. Gastrointestinal series
C. Gastric analysis

48. Diet is an important factor in the treatment of the disease of Mr. Doy. The diet prescribed:
B. Stimulates HCl secretion
C. Contains chicken and fish
D. High in protein
E. Consists of three meals

49. The purpose of dietary treatment of Mr. Doy is to:

F. Neutralize the free HCl in the stomach
G. Delay gastric emptying
H. Prevent constipation
I. Delay surgery

Situation: Sylvia, 56 years old, single, is scheduled for mastectomy of the right breast.

50. Based on the health history and other assessment data, Sylvia’s nursing diagnosis
includes the following, except:
J. Potential sexual dysfunction
K. Pain related to anesthesia
L. Body image disturbance
M. Self-care deficit related to immobility form on the opposite side

Situation : As an RN, you assume to responsibilty for systematically assessing needs of

your clients/patients. You admitted Mr. Ocampo to the ward.
 51. In your intitial contact with Mr. Ocampo, which of the following greetings
will more likely put him to ease:
a. “Good mornig I am Leah, your new nurse.”
b. “How are you today? I am your new nurse.”
c. “Are you Mr. Ocampo, Bed 20?”
d. “I have been assigned to care of you.”

52. In your initial and ongoing assessment, you utilize the:

a. Problem oriented medical records
b. Kardex recording system
c. Problem-solving approach to care
d. Standards of nursing care assessment

53. Which of the following about nursing assessment is true:

a. Assessment ends with a diagnosis
b. Assessment data is recorded in SOAP
c. Nursing audit is part of assessment
d. Assessment is a continuous process