Situation: 

Nurse Kineme knows that ethics is important in community health nursing practice and that
ethical decisions are conducted in a universal and standard framework.
1. One step in ethical decision- making is to place an ethical issue or dilemma within a
meaningful context. The rationale for this step is:
*
1 point

a. The nature of ethical issues and dilemmas determines the specific ethical approach used.
b. People cannot make sound ethical decision if they cannot identify ethical issues and dilemmas
c. Multiple factors affect the interpretation and justification of the ethical issues and dilemmas
d. Health professionals cannot avoid choice and action in applying ethics in their work setting.
2. The historical character in nursing whose work in environmental health, providing care
to destitute people, and disease prevention establishing the nurse as a leader and
community-oriented was _______.
*
1 point

a. Lilian Wald
b. Virginia Henderson
c. Margaret Sanger
d. Florence Nightingale
3. Ethical decision making is the component of ethics that focuses on ____. 
*
1 point

a. The result of the decision

b. The process of how decision are made
c. The factors impinging on making the decision
d. Who makes the decision
4. The ethical principle that empowers the client (groups or communities) to make
knowledgeable decision is _.
*
1 point

a. Act in accordance to client’s wishes

b. Act in client’s best interest
c. Offer franks and independent advice
d. Keep the client properly informed
5. When nurse Kineme cannot meet a need of the client, it is most appropriate for her to:
*
1 point

a. Refer the client to an agency that may be able to give assistance

b. Suggest that the client discuss the need with the physician.
c. Encourage the client to pay someone to meet that need.
d. Inform the client that insurance will not pay for the care.
Situation:
It is important that every nurse knows about PhilHealth is one of the pillars in attaining the
universal health coverage.

6. Which of the following statements is NOT true about PHILHEALTH?

*
1 point

A. It provides health care, with the arrangement “consult now, pay later scheme.”
B. It is a means for those who can afford medical care to subsidize those who cannot.
C. It is a health insurance program for all Filipinos.
D. Beneficiaries have access to a comprehensive package of services.
7. Under PhilHealth, beneficiaries have access to a comprehensive package of services.
Outpatient treatment is given for which of the following diseases?
*
1 point

A. Heart disease
B. Tuberculosis
C. Cancer
D. Diabetes
8.   Which of the following INPATIENT care are included in PhilHealth?

1)         Room and board

2)         Medicines, drugs

3)         Laboratory and diagnostics

4)         Professional fees

*
1 point

A. 4 and 5
B. 1, 2, 3, and 4
C. 1, 3, and 5
D. 1, 3, and 4
9. The case rate amount depends on the final diagnosis, each diagnosis having
corresponding fixed amount or package. The case rate amount means that:
*
1 point
A. Patient/Family shall pay the total bill and shall be reimbursed later by the HCI.
B. The amount that can be paid by the patient on installment basis
C. Amount shall be deducted by the Health Care Insurance (HCI) from the member’s total bill.
D. Prior to discharge, amount shall be paid in full except doctors’ fees.
10. Which of the following outpatient benefits is NOT included?
*
1 point

A. Contract operations
B. Cosmetic surgery
C. Animal bite treatment
D. Blood transfusion
Situation:
Public health nurses serve a unique and vital role environmental health. They conduct specific
nursing actions that may promote health reducing environmental risks to health of the
community.
11. Nurse Mariposa proposes fluoridation of municipal drinking water of the community.
In doing so, she is advancing the concept of ___________. 
*
1 point

A. active health promotion

B. wellness education
C. passive health promotion
D. illness prevention
12. Environmental factors that NEGATIVELY influence health include:

1)         Green space in the community

2)         Urban stretch and unplanned zoning

3)         Disparities in socioeconomic status

4)         Gang violence and delinquency

5)         Organized recreation programs

*
1 point

A. 3, 4 and 5
B. 1, 2 and 3
C. 1, 4 and 5
D. 2, 3 and 4
13. Nurse Mariposa is concerned about the rise of mosquito-borne diseases in a rural
community. Effective PRIMARY prevention for community intervention measures would
include:

1)         Monitoring the incidence of disease caused by mosquitos

2)         Promoting ordinance that control insect breeding sites

3)         Instituting education program about insect control

4)         Promoting accessibility of diagnostic and treatment services

*
1 point

A. 2 and 3
B. 1 and 4
C. 2 and 3
D. 3 and 4
14. The amount of garbage collected in a middle-class community is huge and excessive.
The best approach the nurse can take to aid in helping decrease the amount of garbage
generated is ____________.
*
1 point

A. promoting recycling efforts in the community

B. encouraging use of fewer polluting products
C. discouraging overuse of materials that generate trash
D. educating about overbuying household products
15. A family lives near a creek and the toilet is separated from their own house. Their
excreta fall freely to the creek. What type of toilet is this?
*
1 point

A. Overhung latrine
B. Bored-hole latrine
C. Antipolo latrine
D. Open pit privy
Situation:
In public health, quality improvement (QI) techniques are used to improve performance and
service delivery.
16. PDCA is the basic structure for most quality improvement (QI) process. In public
health, PDCA is focused on activities that are responsive to community needs and
improving population health. PDCA stands for:
*
1 point

a. Perform-Document-Correct-Act
b. Perform-Do-Check-Analyze
c. Plan-Document-Check-Analyze
d. Plan-Do-Check-Act
17. There are several approaches and tools in (QI). One of these is the Fishbone diagram,
developed by K. Ishikawa. Which BEST describes the Fishbone diagram? It is ____.
*
1 point

a. A cause-and-effect diagram
b. A wholistic approach in problem identification
c. Used in interview sessions
d. Useful in focusing on problem symptoms
18. As a QI tool, the Gantt chart is useful for planning and scheduling projects. Which of
the following statements is INCORRECT about the GANTT chart? It ______.
*
1 point

a. Provides a graphical illustration of resources

b. Plans the order in which you’ll complete tasks
c. Tracks specific tasks in a project.
d. Helps assess how long a project should take
19. The steps in conducting quality improvement consist of the following: 
1. Identify and select strategies 
2. Evaluate QI outcomes 
3. Implement solution in small scale 
4. State the problem 
5. Expand scope of QI throughout the organization
Which is the correct sequence in the QI process?
*
1 point

a. 1, 2, 3, 5, 2
b. 2, 1, 5, 3, 4
c. 4, 2, 1, 3, 5
d. 1, 4, 5, 3, 2
20. Client satisfaction survey is an important and commonly used indicator for measuring
the quality in health in health care. In the context of public health, which is NOT a purpose
of satisfaction surveys? To ______. 
*
1 point

a. Serve as essential sources of information for identifying gaps

b. Directly address the health problems presented
c. Present the likelihood of continuing client-provider-agency relationships
d. Provide data about health-seeking behaviors
Situation:
As a new nurse assigned in a municipality, you want to be a good player in health care team
that you belong to. You plan to initiate a community health project that will require
interdisciplinary collaboration.
21. The attributes of collaborative teamwork are the following EXCEPT:
*
1 point

A. professional turfing
B. unity of purpose
C. joint responsibility
D. shared decision-making
22.   In any community project, the activities of health team members are needed for
success. Defining the relationship and responsibilities and tasks of each member are
important. Which stage of collaboration does this statement refer to?
*
1 point

A. Commitment
B. Consensus .
C. Trust building
D. Collegiality
23.   Health teams have an obligation to work together to improve patient care. Which of
the following messages does NOT support this statement?
*
1 point

A. Use unique and complementary abilities of team members to optimize patient care
B. Forge independent relationship from other professions to advance learning
C. Recognize one’s limitations in knowledge and skills.
D. Communicate with team members to clarify each member’s tasks.
24.   A member of health team proposes another community project. What is the MOST
appropriate thing to do when you disagree with the proposal? 
*
1 point

A. Question the proposal indirectly by telling your opinions to others

B. Blame the proponent and tell him he is unprofessional
C. Be frank while remaining flexible and open-minded.
D. Be absent in the next scheduled meeting of the health team.
25.   In a conflict situation, health team members have mutually reached an acceptable
resolution to the issue that partially satisfies parties concerned. This approach is referred to
as ____________.
*
1 point

A. competing
B. avoiding
C. compromising
D. accommodating
Situation:
As a new public health nurses at a Rural Health Unit, Ms. Vanie reviews basic concepts
related to her position and job. 
26. Ms. Vanie know that the PRIMARY goal of community health nursing is to ________.
*
1 point

a. Enhance the capacity of individuals, families and communities manage their health needs
b. Contribute to people’s well-being through sustainable development goals projects
c. Increase the productivity of the people by providing them with health services
d. Support and supplement the efforts of the medical profession in illness preventions
27.  Community health nursing (CHN) is a field of nursing practice. Which best explains
this statement?
*
1 point

a. The scope of practice depends on the health needs and problems identified.
b. The services are delivered outside of purely curative institutions.
c. The service are provided along with community health volunteers.
d. The practice is conducted in the geographical location of people.
28. Ms. Vanie is aware that she will be dealing with population as a client. Which of the
following provides the BEST definition of a population?
*
1 point

a. Cluster of individuals who are at-risk of certain health conditions.

b. Group of people sharing the same geographic environment.
c. Collection of people who are beneficiaries of health services.
d. Collection of individuals who share common characteristics.
29. An example of a social aggregate that Ms. Vanie should consider in program planning
would consist of ______.
*
1 point
a. Impoverished families
b. Supporters of a celebrity
c. Adolescents in various barangays
d. People at a concert
30. Which Nursing activity is unique to community/public health nurses like Ms. Vanie?
*
1 point

a. Care for sick and dying

b. Promote livelihood projects assist poor families
c. Home visits to family clients referred by the health center physician
d. Focus on vulnerable groups in the community
Situation:
You are making a home visit to Mr. and Mrs. Uy who are both in their seventies.
Communicating with older persons requires effective and therapeutic techniques.
31.  You noted that Mrs. Uy frequently shifts the conversation to reminisce. Which of the
following communication techniques would be most effective with Mrs. Bojie?
*
1 point

A. Asking exploring questions

B. Changing the subject
C. Giving information
D. Restarting
32. The assessment of the older adult should focus on:
*
1 point

A. Functional level
B. Social Functioning
C. Relationship needs
D. Chronological age
33.  When communicating with the cognitively elderly clients, it is important to understand
the use of touch. Which of the following is true in relation to using of touch? Which of the
following is true in relation of using touch with the elderly?
*
1 point

A. It is calming.
B. The use of touch must be determined on an individual basis.
C. It increases their agitation and confusion
D. The face should be touched to establish rapport.
34.   Mr. and Mrs. Uy are an elderly couple that you are interviewing at home. Mr. Uy asks
to speak you alone. He tells you that Mrs. Uy has become forgetful lately and yesterday he
received an overdue water bill. He asks, “Should I take over this responsibility?” What
would you say to Mr. Uy?
*
1 point

A. “Old people get forgetful at times”

B. “Could you tell Mrs. Bojie that you will help with the bill paying?”
C. “Tell Mrs. Joson that you will assume the responsibility now.”
D. “You don’t know what to suggest. This is a family matter.”
33. It is critical to assess hearing loss in the elderly because:
*
1 point

A. Only adults can only hear at 90 words per minute

B. There is an initial inability to hear low frequency consonants
C. Deafness causes hair loss
D. Hearing loss has a direct impact on communication
Situation:
Nurse Gloria makes home visits to assigned barangays and meets families of different types. 
36. One such family is a married couple who has two biologic children living with them as
well as a child from the wife’s first marriage. What type of family is evident?
*
1 point

a. Homogenous
b. Extended
c. Blended
d. Nuclear
37. Nurse Gloria encounters a married couple who is raising three children. Recently, the
wife’s mother moved in. This family should be assessed as ___.
*
1 point

a. Nuclear
b. Extended
c. Alternative
d. Blended
38. When Nurse Gloria assesses a family, which family task would she consider having
HIGHEST PRIORITY for health family functioning?
*
1 point

a. Reproduction of new family members

b. Physiologic maintenance and safety
c. Allocation of family resources
d. Maintenance of order and authority
39. Which documentation of family assessment indicates a healthy and functional family?
*
1 point

a. Member provide loving and mutual support

b. Under stress, members turn inward so as not to be burden others.
c. Members believe they can depend in each other.
d. Husband holds dominant power over his wife
40. Which of the following scenario BEST demonstrates a continuing healthy family?
*
1 point

a. A couple renews their marital relationship after their children become adults
b. A couple requires their adolescent children to attend church services three times a week
c. One parent takes care of children. The other parent earns income and maintains the home
d. A family has strict boundaries that require members to address problems within the family.
Situation:
Public health nurses like Ms. Chan should be knowledgeable on the importance of immunity
in the prevention of communicable diseases by building the capacity of the body to restrict
harmful microorganisms or viruses from entering it.  
41. Nurse Chan knows that the type of immunity which is longest acting is____________
*
1 point

a. Natural immunity
b. Passive immunity
c. Artificial immunity
d. Active immunity
42. She learned that the MOST important function of inflammation and immunity
is___________
*
1 point

a. Preventing any entry of foreign material

b. Providing protection against invading organisms
c. Regulating the process of self- tolerance
d. Destroying bacteria before damage occurs
43.  Nurse Chan administers hepatitis B immunoglobin serum to Helen, which will provide
her with passive immunity. One advantage of passive immunity is that it______
1 point

a. Encourages the body to produce antibodies

b. Has effects that last a long time
c. Is highly effective in the treatment of disease
d. Offers immediate protection
44. Nurse Chan explains to a mother whose ten year child just received a tetanus- toxoid
injection that the toxoid vaccine confers which of the following immunity?
*
1 point

a. Long lasting active immunity

b. Lifelong natural immunity
c. Intermediate artificial immunity
d. Short-acting passive immunity
45. Nurse Chan knows that one of the following is NOT a vaccine preventable disease,
hence no immunity can be given to a child.
*
1 point

a. Measle
b. Polio
c. Hepatitis B
d. Asthma
Situation:
A strong typhoon hits a rural community in the Visayas where 300 families are left without
food and shelter.
46. Which reaction demonstrates the community’s readiness?
*
1 point

A. Community leaders activate the community disaster plan.

B. Community leaders contact the National Disaster and Relief Center about the disaster.
C. Residents run to DSWD local office to ask for donation of food and water
D. Typhoon victims are relocated to church patios, school gyms and municipal playground.
47. Nurse Klebs is working in a temporary shelter of victims immediately following a
natural disaster. Which condition is the nurse most likely to encounter?
*
1 point

A. Hallucination
B. Stress
C. Communicable disease
D. Chronic illness
48.   Which task would a nurse be most likely to perform while volunteering on a disaster
medical assistant team? 
*
1 point

A. Assist in triaging disaster victims.

B. Conduct a needs disaster assessment of the community
C. Set up immunization clinics to administer anti tetanus vaccine
D. Provide medical care for disaster victims
49. Which population  has a GREATER risk for disruption after disaster?

1)         Single-parent families

2)         Children

3)         Middle income families

4)         Substance abusers

5)         Health care workers

*
1 point

A. 1, 2, and 4
B. 2, 3, and 4
C. 1, 3, and 5
D. 2, 4 and 5
50.   After the devastating typhoon hits the community, a grassroots organization is formed
to improve conditions post recovery. Nurse Klebs joins the organization and volunteers to
contact and meet with public officials and key informal leaders about the community’s
concerns. What role does Nurse Klebs demonstrate?
*
1 point

A. Educator
B. Advocate
C. Citizen
D. Political ally
Situation:
Promoting metal is equally important in promoting physical health. Unfortunately, metal
health has been largely neglected.

51. Public Health Nurse Trich is concerned about the impact of metal health on the
community. She is preparing for a presentation about mental health in the Philippines.
Which of the following information should be included?
*
1 point

a. Mental illness is an increasing problem among the upper class.

b. The incidence of depression is expected to decrease within the next 10 months.
c. Almost one per 100 household has a member with mental disability.
d. Post traumatic stress disorder is the most common of anxiety disorders.
52. The PRIMARY reason that mental illness often results in worsening of physical health
problems is because of the _______.
*
1 point

a. Loss of cognitive function

b. Feelings of inadequacy
c. Inability or lack of motivation for effective self-care
d. Side effects of mental health modification
53. Nurse Trich shared the statistics that intentional self-harm was found to be the 9th
leading cause of death among 20-24 years old Filipino adults. Increasing number of mental
health problems may be related to _______. (Select all that apply)
1. Poverty                     
2. Age of the parents 
3. Family unemployment 
4.Changes in family structure Lost of community social support
*
1 point

A. 1, 2, and 5
B. 1, 3, 4, and 5
C. 1, 2, 3 and 4
D. 1, 2 and 3
54. Nurse Trich noted that there were number of poor older women, living alone, who are
suffering from depression. Her FIRST goal is to ______.
*
1 point

a. Improved quality of life

b. Provide recreation and entertainment
c. Reduce suicide risk
d. Improve level of function

55. In promoting mental health, Nurse Trich is cognizant of her nursing responsibilities.
These include the following, EXCEPT: 
*
1 point

a. Teach parents the importance of community of providing emotional support to their children.
b. Increase general knowledge of the community on knowledge on mental hygiene.
c. Help the community address factors that promote mental well-being.
d. Refer at once cases of bizarre behaviors to a psychiatrist.
Situation:
The World Health Organization (WHO) stated that “climate change is the biggest threat to
public health this century.” Climate change is happening, and scientists believe that global
warming results from human activity.
56. As a public health nurse and as a citizen, you are concerned about the Earth’s warming
up fast from the production of greenhouse gases which are involved in the greenhouse
effect. The most common greenhouses gases are the following, EXCEPT:
*
1 point

A. Oxygen
B. Methane
C. Water Vapor
D. Carbon dioxide
57.   Along with the natural greenhouse gases, there are some man-made ones that keep on
increasing in the atmosphere that contribute to the heating up of the Earth’s surface. These
HARMFUL human activities include the following:

1)         use of liquefied petroleum gases

2)         burning of fossil fuels

3)         use of aerosols and plastics

4)         cutting down trees

5)         burning waste materials

6)         use of recycled paper

*
1 point

A. 1, 2, 5, and 6
B. 2, 4, 5 and 6
C. 2, 3, 4, and 5
D. 1, 3, 4, and 6
58. You are aware of the consequences of the Earth’s climate getting warm on the weather
which eventually affect people. Which of the following is NOT included?
*
1 point

A storms and floods

B. cool summer
C. droughts
D. more rains and winters
59.   You are concerned about the effects of global warming on the health of people. In
your advocacy, which of the following statements should NOT be included?
*
1 point

A. Increased aeroallergens result in increase in cardiovascular disease.

B. There is an increase in mental health problems due to harmful and unexpected consequences.
C. Increased exposure to ultraviolet rays results in increases in skin cancers.
D. Changing patterns result in increases in vector, food and waterborne disease
60.   The following messages can be included in your advocacy helping reduce the
generation of greenhouse gases and slow down global warming, EXCEPT:
*
1 point

A. Recycle used materials

B. Plant more trees
C. Use electricity for cooking
D. Walk or use bicycle
Situation: 
Some disasters occur relatively frequent in certain parts of the world. The Philippines is one
country that has experienced both natural disasters and human made disasters. 
61. The public health nurse is aware of the importance of the need to perform roles in
preparing for a disaster. The BEST example of one of these roles would be to:
*
1 point

a. Assist in the prevention of injury

b. Identify disaster risks
c. Coordinate emergency care
d. Inspect cluster of houses
62. The residents and local leaders in Municipality X is mapping out potential disaster
locations in the community. This period of planning and preparation is described as: 
*
1 point

a. Recovery stage
b. Pre- disaster stage
c. Impact stage
d. Non- disaster stage
63. The nurse provides counselling for victims of flood. This is an example of _____. 
*
1 point

a. Primary Prevention
b. Secondary Prevention
c. Mental health care
d. Tertiary Prevention
64. Should a terrorist attack occur, nurses need to be ready, not only in providing quality
care for the victim but ensuring their own safety as well. During a mass disaster drill
stimulating a terrorist attack, the nurse must triage numerous severely ill persons. The client
who should receive PRIORITY care is: 
*
1 point

a. Cyanotic and not breathing

b. Apneic and has an apical rate of 50
c. Having seizures and urine incontinence
d. Gasping for breathing and are conscious
65. The nurse is considering how best to educate the community about the potential threats
to health from terrorism. What are the BEST ways to accomplish this?

1. Hold public forum to educate the community about coping with psychology effects. 

2.  Raise community awareness about increased immigrants to the population 

3.  Teach the community about sealing windows and doors in the event of a chemical
attack. 

4.  Raise community awareness about the signs and symptoms of potential biologic agents.
*
1 point

a. 1 and 3
b. 2 and 3
c. 1 and 4
d. 2 and 4
Situation:
According to the World Health Organization (WHO), there are major causes of non-
communicable disease that pose challenges to the live and health of millions of people and
threaten economic and social development of countries.
66.      Which of the following are the four chronic disease referred to by WHO?

1.      Cardiovascular Disease

2.      Cancer
3.      Dementia

4.      Arthritis

5.      Diabetes Mellitus

6.      Chronic Obstructive Lung Disease

*
1 point

a. 1,2,3 and 4
b. 1,2,5 and 6
c. 2,3,4 and 5
d. 2,4,5 and 6
67. The WHO reveals that the NUMBER ONE cause of death from chronic diseases
worldwide, using the 2015 estimate, is _______. 
*
1 point

a. Tuberculosis
b. Diabetes Mellitus
c. Ischemic Heart Disease
d. Pneumonia
68. In the Philippines, which is the TOP Killer according to the Department of Health
(2009 data)?
*
1 point

a. Asthma
b. Cancer
c. Tuberculosis
d. Cardiovascular Diseases
69. When studying chronic diseases, the multifactorial etiology of illness is considered.
What does this imply?
*
1 point

a. Single organism that causes the disease, such as cholera, must be studied in more detail.
b. Focus should be on the factors or combinations and levels of factors contributing to disease.
c. The rise in infectious and communicable disease must be the main focus.
d. Genetics and molecular structure of disease is paramount.
70. Determinants of health to address the development of cancer in a community include: 
1. Proximity of the community to chemical plants that emit poisonous gases.  
2.  High percentage of tobacco use among the residents. 
3.  Prevailing diet high in processed food and fat. 4. Availability of the health facilities.  
5. Men age of women population.
*
1 point

a. 3,4 and 5
b. 1,2 and 3
c. 1,3 and 4
d. 2,4 and 5
Situation:
Interdisciplinary teamwork is an important model for delivering health care to patients.
Integrating services among many health providers leads to better outcomes delivered to
underserved populations and communities with limited access to health care.
71. Professional group productivity and member satisfaction are best achieved by which of
the following leadership styles?
*
1 point

a. Democratic
b. Authoritarian
c. Laissez-faire
d. Autocratic
72. As a member of a professional work-related group you know that:
*
1 point

a. Functional goals are assigned by management

b. The leader is responsible for overall functioning
c. The members summarize progress and allocate assignments
d. The cooperation of all members is required.
73. The nurse is making a referral for the client. What should be the first consideration for
the nurse to do?
*
1 point

a. Acceptability of the referral to the client

b. Cost of the referral service
c. Barriers to making a referral
d. Client’s eligibility for the service
74.      Group with a laissez faire leader are likely to be ___.
*
1 point

a. More structured in format

b. Less productive
c. More productive
d. More satisfying to members
75. You have volunteered to be part of a work group whose purpose is to look at ways to
prevent medication error. You know that: 
*
1 point

a. Teamwork enhances the probability of goal achievement

b. Group process is not important in a task
c. The leader assumes responsibility for the overall group functioning
d. The goal should be set by management
Situation: 
Nurse Jograd has just passed the Nursing Licensure Examination (NLE). He directly needs to
refresh himself regarding the law that governs the practice of nursing the Philippines.
76.   By virtue of Section 16 of the Philippine Nursing Law, the first step Nurse Jograd
needs to do after passing the NLE is to:
*
1 point

A. Apply for the Certificate of Registration/Professional License.

B. Get an official copy of her board rating from the PRC office
C. Apply for a Professional Identification Card.
D. Take oath of profession before the Philippine Regulatory Board of Nursing
77.   Which government body has the power to revoke or suspend Nurse Jograd’s certificate
of registration/professional license should he commit unprofessional and unethical conduct
in the future?
*
1 point

A. Philippine Nurses Association

B. Professional Regulation Commission
C. Commission on Higher Education
D. Professional Regulatory Board of Nursing
78   What Republic Act provides for a more responsive nursing profession?
*
1 point

A. RA 9173
B. RA 7164
C. RA 9371
D. RA 7614
79.   Nurse Jograd intends to work as a Public Health Nurse. Which part of the Nursing
Law should Nurse Jograd refer to for his safe practice as a novice nurse?
*
1 point

A. Nursing Research
B. Nursing Personnel System
C. Scope of Nursing Practice
D. Nursing Education
80.   When Nurse Jograd eventually gets employed in the Rural Health Unit, foremost, she
is required to utilize which of the following in rendering care to her clients in the
community?
*
1 point

A. Nursing Process
B. Therapeutic use of self
C. Health teachings
D. Traditional and innovative approaches
Situation: 
Nurse Chie is a part of health team of a Rural Health Unit that implements the Philippine
Package of Essential NCD Intervention (PHILPEN). He is particularly assigned to conduct
“hypertension screening” among 15 years old and above during home visits.
81.   The MOST accurate and reliable technique for indirect BP measurement is the
_______.
*
1 point

A. auscultatory using a mercury manometer.

B. palpation using mercury manometer
C. auscultatory using an aneroid BP apparatus
D. palpation using an aneroid BP apparatus
82.   Nurse Chie remembers that blood pressure taken in the upper arm versus the forearm
varies. Thus, there is a need to document which site is used. Which of the following values
is the correct variation in mmHg?
*
1 point

A. 10-15
B. 5-10
C. 14-20
D. 1-4
83.   Nurse Chie needs to expose the patient’s arm and position it with palm upward and the
arm slightly flexed with the whole arm supported at which level?
*
1 point

A. Above heart
B. Below heart
C. Heart level
D. Any level
84.   Nurse Chie took the blood pressure of a 45 year old family member and got the
reading as 146/92 mmHg. This reading is classified as: 
*
1 point

A. Hypertension, stage 1
B. Hypertension, stage 3
C. Hypertension, stage 2
D. Prehypertension
85.   In defining and classifying hypertension, blood pressure readings must be based on
measurements done during ________.
*
1 point

A. at least two visits taken one week apart

B. three consecutive daily visits
C. two readings taken two weeks apart
D. two consecutive monthly visits
86.   Which of the following statement is true about membership to the Philippine Nurses
Association (PNA)? It is:
*
1 point

A. Voluntary and is encouraged by the PRC code of ethics

B. Compulsory for new nurses wanting to practice nursing in the Philippines
C. Mandatory as stipulated in the Philippine Nursing Act if 2002
D. Required for those employed in government health facilities
87.   Why would a nurse choose to be an active member of several professional
associations? PRIMARILY to:
*
1 point

A. Participate in the discussion and political action activities concerning the profession
B. Able to spend time with friends and colleagues
C. Part of the organization’s annual convention/conference.
D. Be able to have professional development opportunities
88.   Which of the following is the MOST important step to developing cultural competence
for the nurse?
*
1 point

A. understand and recognize her own cultural background

B. understand the culture of her client
C. identify the goals of cultural-congruent goals
D. gain proficiency in another language and dialect
89.   Quality of client care is ensured not only by continuing education. Professional
responsibility along this line requires, FOREMOST:
*
1 point

A. knowing the standards of practice

B. understand the socioeconomic background of patients
C. getting a master’s degree in nursing
D. a nurse-centered care
90.   Quality of client care is ensured not only by continuing education. Professional
responsibility along this line requires, FOREMOST:
*
1 point

A. Obtaining an advance academic degree in nursing

B. Attending as many as nursing conference's
C. Conforming to institution’s policies and guidelines
D. Monitoring one’s own practice according to standard set by the profession
Situation:
As a nurse, knowledge of the legal aspects in nursing is essential to safeguard self and clients
from legal complications. Clients are becoming increasingly aware of their health rights, thus
you should recognize your professional boundaries and consequences of nonconformity.
91.      Your co-worker got a thank you card from a patient’s family with an accompanying
photo of her with the family. She asked you if it would be alright to post the post on
facebook. Which would be your BEST response?
*
1 point

a. “ I think that would be okay, but you should ask permission from our head.”
b. “ Yes, as long as you ask the family if that would be okay.”
c. “No, that could lead to a malpratice suit by the patient or family.”
d. “No, posting pictures of patients and families on social media is not acceptable.”
92.      Identify which action is acceptable as an exception to a nurse’s obligation regarding
confidentiality. 
*
1 point
a. Leaving printouts of lab reports on the desk in the physicians’ lounge
b. Discussing a patient’s care with someone who is not involved in patient care
c. Discussing a patient’s condition in a public place as long as his name is not mentioned
d. Reporting certain disease to public health authority
93.      The central question in any charge of malpractice is whether the prevailing standard
of care was met. Which of the following statements are TRUE about standards of nursing
care?

1.      Basic prudent nursing care is a standard.

2.      Any health care provider can determine standards of care.

3.      Standards of care are never changing.

4.      Standards are based on the ethical principle of non- maleficence.

National standards of nursing practice are standards for all nurses
*
1 point

a. 1,3,4
b. 2,3,5
c. 1,4,5
d. 2,4,5
94. Select the nursing responsibility which can NEVER be delegated. 
*
1 point

a. Rotation schedule
b. Evaluation
c. Accountability
d. Complex Procedure
95.      For safe nursing practice, you should observe some of the do’s and do not’s in
performing your professional duty. Which ones are NOT acceptable standard of actions by
the nurse?

1.      Keeping current year license to practice

2.      Being a witness to a patient’s will

3.      Following policies and procedures

4.      Protecting patients from injuring themselves

5.      Accepting money or gift from patients

6.      Giving practical advice contrary to the doctor’s orders
*
1 point

a. 1,4, 6
b. 1,3,4
c. 2,4,5
d. 5,6
Situation: 
The Code of Ethics of Registered Nurses in the Philippines was promulgated by the
Professional Regulatory Board of Nursing (PRBON) in consultation with national nursing
organizations.
96.   The Code’s Preamble recognizes that the PRIMARY responsibility of the nurse is to
_______.
*
1 point

A. treat and cure simple disease

B. preserve health at all cost
C. support client in health matters
D. achieve quality of life for clients
97.   Article II of the Code outline the ethical principles governing the Registered Nurses
and the People. In relation to this, the following are guidelines the nurse must observe,
EXCEPT:
*
1 point

A. In the event of conflicts, culture and values take precedence over welfare and safety.
B. Respect the spiritual beliefs and practices regarding diet and treatment.
C. consider the individuality and totality of patients when giving care
D. Uphold the dignity and rights of individuals.
98.   As a citizen and a member of society, the nurse must:

1)         Be involved in community concerns and projects

2)         Be equipped with knowledge of community health resources.

3)         Lead their lives in conformity with the principles of right conduct.

4)         Project an image that will uplift the nursing profession at all times.

5)         Be on guard that her/his words and actions are always agreeable with others
*
1 point
A. 2, 3, and 5 only
B. 2, 3, 4, and 5
C. 1, 2, 3 only
D. 1, 2, 3, and 4
99.   As a professional, the nurse must always conduct herself appropriately. Which of the
following behaviours does NOT correspond to this statement?
*
1 point

A. Avoid any abuse of the privilege relationship which exists with patients.
B. Accept gift or hospitality from any person in exchange for a requested favor.
C. Not demand and receive any commission, fee or emolument for referrals made.
D. Not allowing themselves to be used in advertisement that would demean the image of profession.

100. In the said Code of Ethics for Nurses, the nurse in relation to her profession, is
expected to do the following, EXCEPT
*
1 point

A. Participate actively in the growth and development of the nursing profession

B. Strictly adhere to the nursing standard set by the Professional Regulatory Board of Nursing
C. Strive to secure equitable socio-economic and work conditions for nurses.
D. Be a member of the accredited professional organization which is the International Council of
Nurses.

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