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Home Practice Exams Philippine Nursing Licensure Exam (PNLE)
PNLE: Community Health Nursing Exam 3
PNLE: Community
FOLLOW
Health Nursing Exam US
3
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1. Estimate the number of pregnant women who 0
will be given tetanus toxoid during an
immunization outreach activity in a barangay PNLE:
Fundamentals
with a population of about 1,500. in
Nursing
A. 265 Exam
1
B. 300
0
C. 375
D. 400 PNLE
III
for
2. To describe the sex composition of the Medical
population, which demographic tool may be Surgical
Nursing
used?
0
A. Sex ratio PNLE:
B. Sex proportion Community
Health
C. Population pyramid Nursing
D. Any of these may be used. Exam
1
0
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3. Which of the following is a natality rate?
PNLE
II
A. Crude birth rate for
Community
B. Neonatal mortality rate
Health
C. Infant mortality rate Nursing
D. General fertility rate and …
0
4. You are computing the crude death rate of
your municipality, with a total population of about
18,000, for last year. There were 94 deaths.
Among those who died, 20 died because of
diseases of the heart and 32 were aged 50 years
or older. What is the crude death rate?
A. 4.2/1,000
B. 5.2/1,000
C. 6.3/1,000
D. 7.3/1,000
5. Knowing that malnutrition is a frequent
community health problem, you decided to
conduct nutritional assessment. What population
is particularly susceptible to protein energy
malnutrition (PEM)?
A. Pregnant women and the elderly
B. Under-5 year old children
C. 1-4 year old children
D. School age children
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6. Which statistic can give the most accurate
refection of the health status of a community?
A. 1-4 year old age-specigc mortality rate
B. Infant mortality rate
C. Swaroop’s index
D. Crude death rate
7. In the past year, Barangay A had an average
population of 1655. 46 babies were born in that
year, 2 of whom died less than 4 weeks after they
were born. There were 4 recorded stillbirths.
What is the neonatal mortality rate?
A. 27.8/1,000
B. 43.5/1,000
C. 86.9/1,000
D. 130.4/1,000
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8. Which statistic best refects the nutritional
status of a population?
A. 1-4 year old age-specigc mortality rate
B. Proportionate mortality rate
C. Infant mortality rate
D. Swaroop’s index
9. What numerator is used in computing general
fertility rate?
A. Estimated midyear population
B. Number of registered live births
C. Number of pregnancies in the year
D. Number of females of reproductive age
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10. You will gather data for nutritional
assessment of a purok. You will gather
information only from families with members
who belong to the target population for PEM.
What method of data gathering is best for this
purpose?
A. Census
B. Survey
C. Record review
D. Review of civil registry
11. In the conduct of a census, the method of
population assignment based on the actual
physical location of the people is termed
A. De jure
B. De locus
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C. De facto
D. De novo
12. The Field Health Services and Information
System (FHSIS) is the recording and reporting
system in public health care in the Philippines.
The Monthly Field Health Service Activity Report
is a form used in which of the components of the
FHSIS?
A. Tally report
B. Output report
C. Target/client list
D. Individual health record
13. To monitor clients registered in long-term
regimens, such as the Multi-Drug Therapy, which
component will be most useful?
A. Tally report
B. Output report
C. Target/client list
D. Individual health record
14. Civil registries are important sources of data.
Which law requires registration of births within
30 days from the occurrence of the birth?
A. P.D. 651
B. Act 3573
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C. R.A. 3753
D. R.A. 3375
15. Which of the following professionals can sign
the birth certigcate?
A. Public health nurse
B. Rural health midwife
C. Municipal health ojcer
D. Any of these health professionals
16. Which criterion in priority setting of health
problems is used only in community health care?
A. Modigability of the problem
B. Nature of the problem presented
C. Magnitude of the health problem
D. Preventive potential of the health problem
17. The Sentrong Sigla Movement has been
launched to improve health service delivery.
Which of the following is/are true of this
movement?
A. This is a project spearheaded by local
government units.
B. It is a basis for increasing funding from local
government units.
C. It encourages health centers to focus on
disease prevention and control.
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D. Its main strategy is certigcation of health
centers able to comply with standards.
18. Which of the following women should be
considered as special targets for family
planning?
A. Those who have two children or more
B. Those with medical conditions such as
anemia
C. Those younger than 20 years and older than
35 years
D. Those who just had a delivery within the past
15 months
19. Freedom of choice is one of the policies of
the Family Planning Program of the Philippines.
Which of the following illustrates this principle?
A. Information dissemination about the need
for family planning
B. Support of research and development in
family planning methods
C. Adequate information for couples regarding
the different methods
D. Encouragement of couples to take family
planning as a joint responsibility
20. A woman, 6 months pregnant, came to the
center for consultation. Which of the following
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substances is contraindicated?
A. Tetanus toxoid
B. Retinol 200,000 IU
C. Ferrous sulfate 200 mg
D. Potassium iodate 200 mg. capsule
21. During prenatal consultation, a client asked
you if she can have her delivery at home. After
history taking and physical examination, you
advised her against a home delivery. Which of
the following gndings disqualiges her for a home
delivery?
A. Her OB score is G5P3.
B. She has some palmar pallor.
C. Her blood pressure is 130/80.
D. Her baby is in cephalic presentation.
22. Inadequate intake by the pregnant woman of
which vitamin may cause neural tube defects?
A. Niacin
B. Ribofavin
C. Folic acid
D. Thiamine
23. You are in a client’s home to attend to a
delivery. Which of the following will you do grst?
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A. Set up the sterile area.
B. Put on a clean gown or apron.
C. Cleanse the client’s vulva with soap and
water.
D. Note the interval, duration and intensity of
labor contractions.
24. In preparing a primigravida for breastfeeding,
which of the following will you do?
A. Tell her that lactation begins within a day
after delivery.
B. Teach her nipple stretching exercises if her
nipples are everted.
C. Instruct her to wash her nipples before and
after each breastfeeding.
D. Explain to her that putting the baby to breast
will lessen blood loss after delivery.
25. A primigravida is instructed to offer her
breast to the baby for the grst time within 30
minutes after delivery. What is the purpose of
offering the breast this early?
A. To initiate the occurrence of milk letdown
B. To stimulate milk production by the
mammary acini
C. To make sure that the baby is able to get the
colostrum
D. To allow the woman to practice
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breastfeeding in the presence of the health
worker
26. In a mothers’ class, you discuss proper
breastfeeding technique. Which is of these is a
sign that the baby has “latched on” to the breast
properly?
A. The baby takes shallow, rapid sucks.
B. The mother does not feel nipple pain.
C. The baby’s mouth is only partly open.
D. Only the mother’s nipple is inside the baby’s
mouth.
27. You explain to a breastfeeding mother that
breast milk is sujcient for all of the baby’s
nutrient needs only up to ____.
A. 3 months
B. 6 months
C. 1 year
D. 2 years
28. What is given to a woman within a month
after the delivery of a baby?
A. Malunggay capsule
B. Ferrous sulfate 100 mg. OD
C. Retinol 200,000 I.U., 1 capsule
D. Potassium iodate 200 mg, 1 capsule
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29. Which biological used in Expanded Program
on Immunization (EPI) is stored in the freezer?
A. DPT
B. Tetanus toxoid
C. Measles vaccine
D. Hepatitis B vaccine
30. Unused BCG should be discarded how many
hours after reconstitution?
A. 2
B. 4
C. 6
D. At the end of the day
Answers and Rationales
1. Answer: (A) 265. To estimate the number of
pregnant women, multiply the total
population by 3.5%.
2. Answer: (D) Any of these may be used. Sex
ratio and sex proportion are used to
determine the sex composition of a
population. A population pyramid is used to
present the composition of a population by
age and sex.
3. Answer: (A) Crude birth rate. Natality means
birth. A natality rate is a birth rate.
4. Answer: (B) 5.2/1,000. To compute crude
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death rate divide total number of deaths (94)
by total population (18,000) and multiply by
1,000.
5. Answer: (C) 1-4 year old
children. Preschoolers are the most
susceptible to PEM because they have
generally been weaned. Also, this is the
population who, unable to feed themselves,
are often the victims of poor intrafamilial
food distribution.
o. Answer: (C) Swaroop’s index. Swaroop’s
index is the proportion of deaths aged 50
years and above. The higher the Swaroop’s
index of a population, the greater the
proportion of the deaths who were able to
reach the age of at least 50 years, i.e., more
people grew old before they died.
7. Answer: (B) 43.5/1,000. To compute for
neonatal mortality rate, divide the number of
babies who died before reaching the age of
28 days by the total number of live births,
then multiply by 1,000.
p. Answer: (A) 1-4 year old age-speciUc
mortality rate. Since preschoolers are the
most susceptible to the effects of
malnutrition, a population with poor
nutritional status will most likely have a high
1-4 year old age-specigc mortality rate, also
known as child mortality rate.
9. Answer: (B) Number of registered live
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births. To compute for general or total
fertility rate, divide the number of registered
live births by the number of females of
reproductive age (15-45 years), then multiply
by 1,000.
10. Answer: (B) Survey. A survey, also called
sample survey, is data gathering about a
sample of the population.
11. Answer: (C) De facto. The other method of
population assignment, de jure, is based on
the usual place of residence of the people.
12. Answer: (A) Tally report. A tally report is
prepared monthly or quarterly by the RHU
personnel and transmitted to the Provincial
Health Ojce.
13. Answer: (C) Target/client list. The MDT
Client List is a record of clients enrolled in
MDT and other relevant data, such as dates
when clients collected their monthly supply
of drugs.
14. Answer: (A) P.D. 651. P.D. 651 amended R.A.
3753, requiring the registry of births within
30 days from their occurrence.
15. Answer: (D) Any of these health
professionals. D. R.A. 3753 states that any
birth attendant may sign the certigcate of
live birth.
1o. Answer: (C) Magnitude of the health
problem. Magnitude of the problem refers to
the percentage of the population affected by
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a health problem. The other choices are
criteria considered in both family and
community health care.
17. Answer: (D) Its main strategy is certiUcation
of health centers able to comply with
standards. Sentrong Sigla Movement is a
joint project of the DOH and local
government units. Its main strategy is
certigcation of health centers that are able to
comply with standards set by the DOH.
1p. Answer: (D) Those who just had a delivery
within the past 15 months. The ideal birth
spacing is at least two years. 15 months plus
9 months of pregnancy = 2 years.
19. Answer: (C) Adequate information for
couples regarding the different methods. To
enable the couple to choose freely among
different methods of family planning, they
must be given full information regarding the
different methods that are available to them,
considering the availability of quality
services that can support their choice.
20. Answer: (B) Retinol 200,000 IU. Retinol
200,000 IU is a form of megadose Vitamin A.
This may have a teratogenic effect.
21. Answer: (A) Her OB score is G5P3. Only
women with less than 5 pregnancies are
qualiged for a home delivery. It is also
advisable for a primigravida to have delivery
at a childbirth facility.
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22. Answer: (C) Folic acid. It is estimated that
the incidence of neural tube defects can be
reduced drastically if pregnant women have
an adequate intake of folic acid.
23. Answer: (D) Note the interval, duration and
intensity of labor contractions.. Assessment
of the woman should be done grst to
determine whether she is having true labor
and, if so, what stage of labor she is in.
24. Answer: (D) Explain to her that putting the
baby to breast will lessen blood loss after
delivery. Suckling of the nipple stimulates
the release of oxytocin by the posterior
pituitary gland, which causes uterine
contraction. Lactation begins 1 to 3 days
after delivery. Nipple stretching exercises are
done when the nipples are fat or inverted.
Frequent washing dries up the nipples,
making them prone to the formation of
gssures.
25. Answer: (B) To stimulate milk production by
the mammary acini. Suckling of the nipple
stimulates prolactin refex (the release of
prolactin by the anterior pituitary gland),
which initiates lactation.
2o. Answer: (B) The mother does not feel nipple
pain.. When the baby has properly latched on
to the breast, he takes deep, slow sucks; his
mouth is wide open; and much of the areola
is inside his mouth. And, you’re right! The
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mother does not feel nipple pain.
27. Answer: (B) 6 months. After 6 months, the
baby’s nutrient needs, especially the baby’s
iron requirement, can no longer be provided
by mother’s milk alone.
2p. Answer: (C) Retinol 200,000 I.U., 1
capsule. A capsule of Retinol 200,000 IU is
given within 1 month after delivery.
Potassium iodate is given during pregnancy;
malunggay capsule is not routinely
administered after delivery; and ferrous
sulfate is taken for two months after
delivery.
29. Answer: (C) Measles vaccine. Among the
biologicals used in the Expanded Program
on Immunization, measles vaccine and OPV
are highly sensitive to heat, requiring storage
in the freezer.
30. Answer: (B) 4. While the unused portion of
other biologicals in EPI may be given until
the end of the day, only BCG is discarded 4
hours after reconstitution. This is why BCG
immunization is scheduled only in the
morning.
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