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2 | Page Total Female 15 - 44 years old: 1,023 11. Nurse Annie computed the crude birth rate of the province. The data showed: A. 102 B. 51 C. 320 D. 109 12. The demographic measurement is computed. She identified the sex ratio based from the data is: A. 88 females for every 100 males B. 117 females for every 100 males C. 29 females for every 100 males D. 29 males for every 100 females 13. Nurse Annie wants to know the true fertility rate of the province. She is correct when she get: A. 321 B. 109 C. 159 D. 328 14. The municipal health officer instructed Nurse Annie to study the morbidity rate of the province. To study morbidity, she will look for what data? A. Incidence Rate B. Attack Rate C. Case Fatality Rate D. Prevalence Rate 15. As Nurse Annie was browsing the existing data in the barrio. She noted the urban-rural index is 26:74. She interprets this as: A. More people decided to live in a corporate world B. 26% of the population plans to support their family and work abroad C. 74% of the population are living in the mountain areas of the barrio. D. There are less people occupying the urban areas of the barrio. SCENARIO: Nurse Aurollo wants to uncover nursing knowledge and build the foundation of clinical practice to prevent disease, manage symptoms of illness and enhance end-of-life care. Thus, he decided to do nursing research. 16. Nurse Aurollo encounters the word hypothesis. He is not correct in telling that hypothesis is: A. A state where it can be accepted or rejected B. A prediction about what a research will find C. An educated guess that is untested with observation D. A tentative explanation supported by evidence 17. Nurse Aurollo was inspired by a research study from India and he repeated it with a different setting in his barangay. Surprisingly, it yields a consistent result. It means the research is: A. Valid B. Objective C. Reliable D. Sensitive 18. The research is believed to use an instrument to detect fine differences among the subjects being studied. The criteria is known to be? A. Valid B. Objective C. Reliable D. Sensitive 19. Which of the following terms refer to the meaning that a researcher must test the correctness of data before accepting it? A. Empirical B. Logical C. Critical D. Analytical 20. Which of the following terms refer to the ability to identify and have a careful breakdown of components especially in terms of variables? A. Empirical B. Logical C. Critical D. Analytical Situation: Community Health Nurses are always mindful that there are various phases in Community Organizing (CO) and that CO is a patent strategy for us nurses to apply as well in primary health care (PHC). The following questions apply. 21. One assessment tool familiarly available for use in order to determine priority needs of the community is that which we call: A. Community evaluation B. Preliminary social investigation C. Deepening social investigation D. Community assessment 22. The basic reason why community organizers need to go through a “Phasing out” from the community is to enable people to: A. Test their unity and strength B. Prove that they can provide basic health services to the community by themselves C. Expand their reach to adjacent communities D. Allow the community and its leaders to be self-reliant 23. The following statements pertaining to Primary Health Care (PHC) are correct EXCEPT: A. PHC serves as the foundation for introducing alternatives in health and health care B. PHC allows transfer of health technologies to the hands of the people in the community C. PHC only encourages utilization of sophisticated and high-level technologies available for the people D. PHC involves essential care the ultimate goal of which is obtain self-reliance in health and development 24. Appropriate Technology or Appro-Tech refers to methods and technologies which are: 1. Available and accessible 2. Scientifically sound 3. Socially acceptable 4. Replicable and inexpensive A. 1 and 2 only B. 1,2,3 and 4 C. 1,2 and 3 D. 2 and 3 only 25. The first declaration on primary health care (PHC) was signed in Alma-ata, USSR. The reason of the international conference was: A. There was a wide gap in the health of underdeveloped and developed countries and within countries B. There is a need to support health of women, improving food security, safety and nutrition. C. Sustainable development and equity in creating supportive environments for health D. Promoting social responsibility for health, increasing community capacity and empowering the individual, expanding and consolidating partnerships for health. SCENARIO: In a home visit, the nurse interviews Amy, wife of Arnel that they are living with her parents, Arcedo and Alma and 2 siblings, Aries and Arturo. The couple has 3 children, namely Arvin, Arriane and Anton 26. When the nurse visited the home, he came to the conclusion that there are two families living in a single house. What supports his thinking? A. The family does not have an ability to maintain a healthy home environment B. Amy and Alma prepare their own family’s meals separately. C. Arcedo is not supportive of Arnel, being the husband of her daughter. D. Alma does not join in the conversation of her daughter and his husband. 27. Arnel asked the nurse the frequency of home visits. The nurse based her answer knowing that the nurse should: A. Visit the family once a week B. Visit the family once a month C. Visit the family everyday D. Visit according to the needs of the family.

4 | Page B. AO No. 2006-0012 C. AO No. 2006-0015 D. Nothing is related 43. In the National policies on Infant and Young Child feeding with the administrative order on the previous number. The following are the specific objectives except: A. All newborns are initiated to breastfeeding within six hours after birth B. All infants are exclusively breastfed for 6 months C. All infants are given timely, adequate and safe complementary foods D. Breastfeeding is continued up to two years and beyond 44. Which among the following defines the implementing guidelines on hepatitis B immunizations for infants which is meant to improve effectiveness of management in the provision of three doses of routine Hepatitis B vaccine among infants including a birth dose? A. AO No. 2005-0014 B. AO No. 2006-0012 C. AO No. 2006-0015 D. Nothing is related 45. This Administrative order revised implementing rules and regulations of EO 51 known as the “Milk Code”, relevant international agreements, penalizing violations thereof and for other purposes: A. AO No. 2005-0014 B. AO No. 2006-0012 C. AO No. 2006-0015 D. Nothing is related SITUATION: In 1999, the DOH was transformed from being the sole provider of health services to being provider of specific health services and technical assistance provider for health, as a result of the devolution of basic services to local government units. 46. Executive Order No. 102 which is redirecting the functions and operations of the department of health or DOH was signed by? A. President Ferdinand E. Marcos B. President Corazon C. Aquino C. President Fidel V. Ramos D. President Joseph E. Estrada 47. The Department of Health, in its new role as the national authority on health providing technical and other resource assistance to concerned groups as mandated by EO 102. Which among the following specific roles in the health sector is not included? A. Leadership in Health B. Research and Consulting Services C. Enabler and Capacity Builder D. Administrator of Specific Services 48. The Department of health serves as an advocate in the adoption of health policies, plans and programs to address national and sectoral concerns. Which of the following general functions is this under? A. Leadership in Health B. Research and Consulting Services C. Enabler and Capacity Builder D. Administrator of Specific Services 49. The DOH administers health emergency response services, including referral and networking system for trauma, injuries and catastrophic events in cases of epidemic and other widespread public danger, upon the direction of the president and in consultation with concerned LGU. This function of the DOH is under what specific roles? A. Leadership in Health B. Research and Consulting Services C. Enabler and Capacity Builder D. Administrator of Specific Services 50. Jemma, a newly-hired nurse, was assigned to the community health center. She met Ate Lala, a traditional healer in the barrio. Jemma knows that Lala is considered to be a what type of primary health care worker? A. Barangay Health Workers B. Grass roots C. A & B D. Traditional healers are not considered to be part of a primary health care worker. Situation: Correct administration of right medications with right dose to the right client is the nurse’s responsibility in the management of client’s health needs. Nurse Chenny is preparing various medications for her clients in the ward. 51. Nurse Chenny goes to the room of Mrs. Pratts who is lying in bed. After checking the client's identity, the nurse gives her the medications. Mrs. Pratts tells the nurse that she “has a hard time swallowing tablets and is afraid she might choke”. Which nursing action is MOST APPROPRIATE? A. Ask the client to assume sitting position B. Put the tablet in banana for easy swallowing C. Pound the tablet and mix in client’s soup or juice D. Tell the client the pills are small and should be taken on time. 52. In the next room is Mrs. Araneta, 56 years old, with an order for instillation of otic drops. Nurse Chenny checks the client's identity then asks Mrs. Araneta to lie on her side, opposite the ear to be medicated. When administering the otic drops nurse Chenny straightens the ear canal by pulling the pinna in which CORRECT direction: A. Upward and forward B. Upward and backward C. Downward and backward D. From side to side 53. Mrs. Cruz has to receive SUBCUTANEOUS of epinephrine. For thin clients like Mrs. Cruz, nurse Chenny should ensure that the medication is correctly administered. After checking the client's identity, she prepares the skin then lifts skin fold at the injection site and injects medication at which angle? A. 45 degrees B. 90 degrees C. 50 degrees D. 20 degrees 54. An iron preparation is to be injected intramuscularly to Mrs. Gavino. Nurse Chenny safely administered the drug using the Z-track technique. The following statements about Z-track technique are true EXCEPT: A. The skin is pulled sideways is injected at a 45 degree angle B. The zigzag path seals the needle track trapping the medication in the muscle C. This method allows medication to be injected slowly to disperse evenly in muscle tissue D. This technique is best when medication is irritating to tissue 55. Nurse Chenny will do a skin test for Matta. She uses a tuberculin syringe with gauge 25 needle and performs the intradermal procedure CORRECTLY when she: A. Pinches and moves skin test for sideways and inject medication slowly B. Massages the injection site immediately after withdrawing the needle C. Aspirates after inserting needle to check for bleeding D. Holds skin taut insert needle bevel up at 10 to 15 degree angle Situation: Nurses assist clients in achieving optimum level of health in a manner consistent to responsibility and standards of practice. 56. The nurse assisted an elderly client with his dinner and promised to come back in an hour to assist him in his evening rituals. The nurse kept her promise and proceeded to go on with the evening care. This action of the nurse is an example of: A. Compliance B. Integrity C. Honesty D. Truth telling 57. The nurse is in the process of administering the medication of a client. While handling the medicine the tablet fell on the hospital floor. The MOST appropriate action of the nurse is to: A. Discard the tablet and replace with new one

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