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3 | Page B. File sick leave immediately and have a rapid testing after your shift. C. Get counseling after becoming HIV-positive D. Alert supervisor and initiate occupational exposure reporting system 28. What stage of HIV infection is the interval between the appearance of detectable HIV RNA and the first detection of antibodies? A. Acute HIV infection B. viral set point C. Stage 2 D. Stage 3 29. How many forms of HIV are identified? A. 1 B. 2 C. 3 D. 4 30. The HIV life cycle is complex and consists of multiple stages. What is the first step in the life cycle of HIV? A. Uncoating B. Translation C. Binding D. Fusion CHN: Primary Health Situation: In 1978, representatives from 134 countries who attended the International Conference on Primary Health Care in Alma-Ata, USSR signed the Declaration on Primary Health. A public health nurse takes lessons from this occasion in consideration when planning care for the client. 31. The primary reason for signing the Primary Health Care was the: A. wide disparity in the health of underdeveloped and developed countries and even within countries. B. need for sustainable and people-centered public health care C. recognition of the important role of nurses in the community D. increasing burden of communicable and non- communicable diseases 32. Which is NOT a belief articulated in the Declaration? A. Promotion and protection of the health of the people contributes to the decrease of health care professional burden B. people have the right and duty to participate individually and collectively in the planning and implementation of their health C. PHC is premised on the spirit of social justice D. PHC is an integral part of the overall social and economic development of the community 33. How many essential elements are included in primary health care?  A. 4 B. 8 C. 12 D. 16 34. Which body defined health promotion as "the process of enabling people to increase control over, and to improve, their health”? A. World Health Organization B. Declaration of Primary Health Care C. Ottawa Charter for Health Promotion D. Jakarta Declaration on Health Promotion 35. Which of the following is a PRIORITY action area of the Ottawa Charter for Health Promotion? A. expanding and consolidating partnerships for health B. increasing investments for health development and securing an infrastructure for health promotion. C. increasing community capacity and empowering the individual D. developing personal skills CHN: FHSIS Situation: The Field Health Services Information System (FHSIS) is used in the community to summarize data on health services delivery and program indicators at various levels, from barangay to national. Nurse Camilla is newly assigned to the barangay health center and is undergoing orientation on this information system.  36. The Target/Client Lists constitute the second "building block" of the FHSIS and are intended to serve four purposes except? A. To plan and carry out patient care and service delivery, reducing the need to frequently access individual patient records. B. To provide a clinic-level database for further studies, such as follow-up and prospective studies. C. To report services delivered and avoid the need to go back to individual patient/family records for FHSIS reporting forms. D. To provide summary of data on health services delivery and selected program using indicators at the barangay, municipality/city, district, provincial, regional and national levels. 37. The complete set of Target/Client Lists will be collected periodically every:  A. End of each year of every two years B. End of each quarter or every six months C. Once every five years D. Depending on the program’s completion 38. A mother and her child come into the clinic bringing with them their treatment record enclosed in the brown envelope. As Nurse Camilla reviews the contents, she finds some concerning entries. What should she do next? A. Rely on the patient's home-based maternal record for further monitoring B. Use the treatment record as it was already maintained by the patient C. Cross check with the treatment records available in the facility D. Discard the treatment record and create a new one 39. A mother brings her child to the clinic after 4 days of watery bowel movements, which of the following actions is correctly done by Nurse Camilla which shows that she understands the FHSIS? A. The child's name, address, age, and symptoms were recorded in the treatment record, and a tick was placed in the Tally Sheet/Report Form M1 B. The child's name, address, age, and symptoms were recorded in the target client list C. No action was taken on the Tally Sheet/Report Form M1, as diarrheal disease does not require documentation in this form D. The child's name, address, age, and symptoms were recorded in the target client list and the ORS treatment were recorded in the treatment record 40. The FHSIS/M-2 or Monthly Natality Report should be reported by? A. BHS/BHC/RHU/MHC B. BHS/BHC/RHU/MHC/DH/CH/PH/CHO/RH C. RHU/MHC/DH CH/PH/CHO D. RHU/MHC/BHS/BHC CD: Vaccine-preventable Illnesses Situation: Nurse Sugar is a newly assigned public health nurse in a rural community. As she reviews the target client lists, she notices that some families have children with incomplete immunization.  41. Should Nurse Sugar make a family nursing problem on incomplete immunization, this falls under which typology? A. Wellness condition B. Health Threats C. Health Deficits D. Foreseeable Crisis 42. A mother comes into the clinic and asks Nurse Sugar the difference between german measles and measles. Nurse Sugar should respond by saying: A. "German measles causes Koplik spots on the soft palate, while measles causes Forchheimer’s spots in the mouth."
4 | Page B. "German measles is also known as 7-day measles, and measles is called 3-day measles." C. "German measles causes a pinkish-red rash that spreads from the face, while measles causes starts on the trunk and spreads outward." D. "German measles is caused by the rubella virus, while measles is caused by the paramyxovirus." 43. A 7-year-old child is diagnosed with mumps. The nurse prepares for the following in the care of the child except? A. Ensure that the child receives regular stimulation. B. Provide soft foods that will not require chewing to alleviate parotid gland discomfort. C. Apply hot or cold compresses to the neck to promote comfort. D. Apply warmth and local support with snug-fitting underpants to relieve orchitis. 44. The communicable period of pertussis is greatest during the? A. first 2 days of symptoms B. height of fever C. catarrhal stage D. recovery period 45. Nurse Sugar devised a program to catch up with the children who do not have complete immunization. She is now evaluating its results using different indicators. Which indicator does she use to show what she is doing is making any difference? A. availability B. utilization C. quality D. impact CHN: Epidemiology Situation: In a community nurse leadership training program, Nurse Jimmy is explaining to a group of newly licensed nurses the importance of epidemiology in their daily practice. 46. What main areas are of concern in the study of epidemiology? A. the distribution of disease and the search for determinants and its observed distributions B. the origin of the disease and health promotion, early screening and rehabilitation C. the distribution of disease in relation to lifestyle habits and personal medical history D. the identification of effective pharmacological treatments for diseases 47. All of the following are uses of epidemiology, except? A. Study the history of the health population and the rise and fall of diseases B. Diagnose the health of the community and the condition of people to measure the distribution and dimension of illness. C. Estimate the risk of disease, accident, defects and the chances of avoiding them D. Supervise and study the capability of healthcare professionals 48. A participant asks Nurse Jimmy which type of epidemiology to use to identify possible factors associated with disease occurrence.  A. Demographical B. Analytical C. Descriptive D. Experimental 49. Nurse Jimmy cited MacMahon and Pugh (1970) as an example of this type of epidemiology. They describe the relationship of heavy smoking and incidence of lung cancer among British male physicians from 1951 to 1961. The incidence rate of lung heavy cancer among heavy smokers was 2.27/1000 population. Among the non-smokers, the incidence rate was only 0.07/1,000 population. Which is false regarding the relative risk ratio? A. The RRR is 0.031. B. The risk of lung cancer among heavy smokers is 32 times greater compared to non-smokers. C. A relative risk ratio of 1.0 means that the risk is the same for both exposed and non-exposed populations D. A risk greater than 1.0 indicates excess risk in the exposed group. 50. In viewing the susceptibility of the community as host, the nurse determines the characteristics of the community and its population in terms of the following. Which is NOT correctly matched to its definition? A. Herd immunity - basis for determining the community's reaction against disease invasion B. Epidemic – proportion of the susceptible are high compared to the proportion are high of the immunes C. Exposure Rate - it represents the immunity and susceptibility levels of individuals comprising the population D. Chance - the probability of contact between the source of infection and the susceptible host CD: Vector-borne Situation: The community where Nurse Gina has been deployed has seen cases of vector-borne diseases. As a nurse, she must know what the nature of these illnesses are to provide accurate health education. 51. In conducting a mass health education, a participant asks nurse Gina what vector common in the Philippines also spreads Yellow Fever virus and the parasite causing lymphatic filariasis? A. Aedes Aegypti B. Anopheles mosquito C. Culex mosquito D. Culicoides flies 52. Which is the major mosquito vector causing malaria in the Philippines? A. Female Anopheles minimus flavirostris B. Plasmodium falciparum C. Plasmodium vivax D. Culex mosquito 53. How does the plasmodia parasite undergo multiplication in the mosquito? A. Mitosis B. Sporogony C. Schizogony D. It does not undergo multiplication in the mosquito. 54. A client comes into the clinic and reports diarrhea, bloody stools, enlargement of abdomen of and weakness. He mentioned that he is a farmer and has recently been in Bicol, an endemic area for schistosomiasis. How is this diagnosis confirmed? A. Complete Blood Count B. Acid-Ether Concentration Test (AECT) C. Nocturnal Blood Examination (NBE) D. Immunochromatographic Test (ICT) 55. Nurse Gina suspects that a patient she is attending to has dengue. As a knowledgeable nurse, she knows that the gold standard to characterize and quantify circulating level of anti- DENV neutralizing antibody (NAb) is? A. Nucleic Acid Amplification Test- Loop Mediated Isothermal Amplification Assay (NAAT-LAMP) B. Dengue NS1 RDT C. Plaque Reduction Neutralization Test (PRNT) D. Dengue IgM/IgG CHN: Waste Disposal Situation: A rural community experiences a sudden increase in waste accumulation due to a local festival. The barangay health workers (BHWs) notice improper segregation and open dumping near the water source, raising concerns about potential health hazards.  56. Which law declares the adoption of a systematic, comprehensive, and ecological solid waste management program and mandates waste diversion through composting and recycling? A. R.A. 9003 B. R.A. 8749

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