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REFRESHER PHASE
EVALUATIVE EXAMINATION
COMMUNITY HEALTH NURSING
NOVEMBER 2025 Philippine Nurse Licensure Examination Review
1. The lowest level of reporting unit of Department of Health, B. Identify the source of these myths and
where it isexpected to report health servicesprovided to its misconceptions
defined catchment area: C. Explain how and why these myths came about
A. Rural Health Unit D. Select the appropriate IEC strategies to correct
B. Main Health Center them.
C. Barangay Health Stations 9. How many percent of measles are prevented by
D. Regional Hospital immunization at 9 months age?
2. Ron, a school nurse, has informed their barangay chairman A. 85%
about the stores that are sellingcigarettes near her school. She B. 90%
understands that according to Tobacco Regulations Act in C. 99 %
2003, there should be no selling of cigarettes within how many D. 95 %
meters inschool? Situation 2: – In community health work, you arm
A. 25 meters yourself with Community Health Nursing Concepts and
B. 35 meters Principles. This serves as basis for safe and quality care
C. 50 meters for individual, families, population/vulnerable groups
D. 100 meters and communities. Consider these situations.
3. Which of the following DOH programs was previously known 10. As a community health nurse covering a cluster of
as Quality Assurance Program (QAP) with the goalof making Barangays, your population coverageinclude the following:
DOH and Local Government Units (LGUs) active partners in 1. Families in their homes
providing quality services? 3. workers in factories
A. "Sobrang Gana" 2. School population
B. "Sentrong Sigla" 4. patients in hospital
C. FOURmula ONE for health A. 1, 2, and 3
D. Garatisadong Pambata B. All except 3
4. Nurse Hannah is facilitating the construction of approved C. 1, 2, 3, 4
type of water facility in the community in accordance with the D. All except 2
comprehensive Sanitation Code of the Philippines. This is 11. The emphasis of community health nursing is on:
known as: 1. The assessment and identification of health situations and
A. PD 586 problems affecting individuals, families, population groups and
B. RA 6969 communities
C. PD 856 2. Promotion of health and prevention of occurrences of
D. RA 8749 potential and further health problems and situations which
5. Delivery of essential basic health services tothe community would affect people
may be done through: 3. Treatment of actual and potential community health
A. Referral to primary hospital problems
B. Physical assessment in the clinic 4. Empowerment of the communities through health education
C. Conducting leadership training seminar A. 1 and 2 are correct
D. BP taking during house to house visitations B. 1, 2 and 3 are all correct
6. In educating a patient about food storage, the nurse should C. only 4 is correct
instruct the client to: D. 2 and 3 are correct
A. Store foods in cold condition with a temperature of 12. Which of the following is NOT a characteristic of the
less than 20 deg C PHCDS?
B. Store foods in a hot condition with A. Linkages with all societal sectors should be
atemperature of more than 60 deg C initiated, maintained and enhanced.
C. Avoid leaving foods in room temperature formore B. PHCDS envisions serving the entire Filipino
than 6 hours populace
D. All of the above C. PHCDS is a public health service that will benefit all
7. When a patient comes to the health center,Nruse Aliya Filipinos
should inform the students toperform which action first? D. Local governments are in full control of
A. Greeting the client health programs they want to implement
B. Hand hygiene 13. Collecting data and monitoring the healthstatus of the
C. Asking for the client’s record population defines which of thecore public health functions?
D. Assessing the chief complaint A. Assessment
Situation 1: Health education and Health Promotion is B. Prevention
an important part of nursing responsibility in the C. Assurance (availability of services)
community. Immunization is a form of health D. Policy development
promotion that aims at preventing the common 14. This type of evaluation includes cost-benefit-ration,
childhood illnesses. qualifications and number of members of the health care team:
A. Evaluation based on professional practice
8. In correcting misconception and myths about certain B. Evaluation of structure
diseases and their management, the health worker should C. Evaluation based on information gathered
first: D. Quality assurance evaluation
A. Identify the myths and misconceptions
prevailing in the community

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15. A client is admitted to a hospital for secondary health care C. Nurse who makes home visits to provide tertiary
services. An example of secondary health care services would care
be the client who: D. Director of nursing at a rehabilitation center
A. goes to the public health clinic for family planning 23. Mona should not include which data?
services. A. Health threat
B. requires physical therapy to regain function after B. Decision’s made about the problem
experiencing a stroke. C. Actions taken and results
C. undergoes an appendectomy for a ruptured D. Family’s perception of the problem
appendix. Situation 4: – For safety and quality purposes, it is
D. attends a support group for smoking cessation. equally important to be mindful of the roles and
16. In reviewing the guiding principles in health promotion, the functions and the instituted systems and procedures in
community health nurse should look into the: relation to the practices of Community Heath Nursing
A. World Health Organization (CHN). The following questions apply:
B. Ottawa charter 24. The basic unit of care in CHN is:
C. Charter Change A. Community
D. Department of Health B. Groups
17. This is the result of good group processbased on trust, C. Family
respect, and openness: D. Individual client
A. Community feedback 25. The most important role of a community health nurse is in
B. Positive organizational culture the area of:
C. Established recruitment plan A. Change agent
D. Integrated intervention B. Health education
Situation 3– You are active participant of Project C. Advocacy
Entrepre Nurse whose higher goals is to build D. Care provider
Philippine Nursing’s economic milieu, however this 26. A public health nurse provides a clinic for HIV-positive
comes with realities embedded in the present citizens in the community. This Isan example of:
Philippine Health Care Delivery System (PHCDS). A. Primary prevention
18. Which of the following is TRUE of the Philippine Health B. Secondary prevention
Care System (PHCDS)? C. Tertiary prevention
A. Health insurance companies dictate the current D. Policy making
referral system in the country. 27. In the Health Belief Model, the nurserecognizes that the
B. Health care delivery system in the country was focus is placed on the:
specifically designed for the poor congruent with the A. Basic human needs for survival
Primary health Care concept. B. Functioning of the individual in all dimensions
C. The PHCDS is composed of a 3-tierreferral C. Relation of perceptions and compliance with
system therapy
D. The Department of Interior and Local Government D. Multidimensional nature of clients and
is the country’s foremost health coordinating agency theirinteraction with the environment
because of the implementation of devolution 28. Nurse Miriam is an advocate of the reproductive health.
19. The current frontline health care providers in the PHCDS She develops a program for her community based on the four
are the: priority elements of reproductive health program. Which is not
A. Traditional healers/helots included?
B. Doctors A. Prevention and treatment of Infertility
C. Barangay health workers B. Family planning
D. Rural health nurses C. Maternal and Child Health and Nutrition
20. When beginning a relationship with a familyon home visit, D. Prevention and management of Reproductive Tract
the community health nurse: Infections
A. is accepting and listens carefully toproblem Situation 5– A Parish in Catbalogan took the initiative
of all family members of shaping a 5-Year Community Health and
B. allows the discussion to be open and Development Plan. A community diagnosis serves as a
non-directional vital tool for the Parish to prepare this plan. Important
C. focuses on the problem of one of the family collaboration begins by inviting volunteer nurses and
members affiliating nursing colleges to draw support for this
D. encourages others to speak for the main client to project.
get an unbiased view 29. You volunteered and were taken in as project lead.
21. Ana has been caring for a child in the home. She has a Working closely with other RN volunteers and affiliates you will
tracheostomy tube and is oxygen dependent. Ana prefers to do assess not only relevant data on community characteristics but
the care early in the morning due to a heavy caseload. The also environmental characteristics. Which of the following
family requests that care be done when thechild is awake by pertains to environmental
10am. The BEST response by Ana would be: characteristics?
1. Language, religion, political orientation
A. “I will see if I can find another nurse who can
2. Occupation, unemployment status, poverty level
meet your preferred schedule.” 3. Water and noise pollution
B. “If I give the care at 10am, other 4. Vegetation and sanitation
children needing my care may not be A. 1 and 2
attended to.” B. 1 and 4
C. 3 and 4
C. “I’m sorry, I wish I could, but I cannot do so D. 2 and 3
due to heavy workload.” 30. There is a process in the development Community Health
D. “Let’s look at what time is in the child’s best Plan. Which steps actually identify specific health problems,
interest and then we can workout a better health treats and health deficits prevailing and how the
community is able to cope?
schedule.” A. Plan Formulation
22. Community health nurses practice in the community B. Evaluation
whether or not they have had preparation in public health C. Plan implementation
nursing. All of the following are examples of a community D. Assessment
health nurse except: 31. As community health nurse engaged in the process
A. School nurse community empowerment, it is essential that you:
B. Nurse in a clinic A. Gather data from the community

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 B. Make decisions for people in the community B. Preventive potential
C. Form partnerships with people in the C. Magnitude of the problem
community D. Nature of the problem
D. Accepts responsibility for people’s action 40. One of the cornerstones of PHC is the use of appropriate
32. You understand that one characteristics of a community technology. In Selecting appropriate technology, the following
that is described as having community competencies is that criteria could be used. Which is not included?
which has the ability to: A. It should be free
A. Identify their needs, achieve consensus, and B. It should produce no harm
plan and implement goals C. It should serve a variety of purposes
B. Delegate any community processes to an outside D. It should be compatible with local conditions
expert such as the community health nurse 41. The agency in charge with registering vitalrecords in the
C. Perform their own cross-sectional epidemiological Philippines is/are:
studies A. PSA
D. Predict morbidity and mortality rates in the B. National Statistics Office (NSO)
population or geographic area C. Barangay Health Centers
D. Local civil registry
33. Hannah, a school nurse, has informed their barangay
42. In a remote area of the province, a mother had given birth
chairman about the stores that are selling cigarettes near her to a healthy neonate. Who has the responsibility of reporting
school. She understands that according to Tobacco Regulations the birth of the infant?
Act in 2003, there should be no selling of cigarettes within how A. The OB-Gyne
many meters in school? B. The birth attendant
A. 25 meters C. The midwife
B. 35 meters D. The PHN
C. 100 meters Situation 7– Nowadays, traditional medicine is being
D. 70 meters recognized by medical practitioners as an alternative
34. The agency in charge with registering vital records in the treatment to illness conditions affecting individuals
Philippines is/are: and families. While complimentary health care is
A. Local civil registry universally accepted it is still professionally sound to
B. National Statistics Office (NSO) be SAFE and LEGALLY cautious. The following
C. PSA questions apply:
D. Barangay Health Centers 43. A traditional plant used to lower uric-acid is used by
Situation 6: Assessment at the community level of care Rosario, a 55 old client with rheumatism. This herbal plat
is a multidisciplinary undertaking that involves the called
members of the health team. The public health nurse “ulasimangbato”. How is it commonly known?
uses data that have already been collected and are A. Lagundi
available and or gathers primary data for community B. Pancitpacitan
diagnosis. C. Bayabas
35. Assessment is the first step in the nursing process. In the D. Sambong
community setting, which of the following objectives of 44. Nurse Roger has invited several agencies in the community
assessment by the public health nurse is NOT included? to a meeting to discuss the disaster plan for the community.
A. Identify specific risk factors related to health and Which of the following BEST describes the purpose of this
health problems. meeting? To ____.
B. Define the nature of the health status and health A. Enhance communication among agencies in the
related problems. community
C. Identify clients who should be given priority B. Increase stability in the community
for care. C. Manage response to disasters in the
D. Determine who should be referred to different health community
care facilities. D. Improve overall community functioning
36. Conducting a community assessment leads to a community 45. Nurse Roger adapts professional nursing skills in
diagnosis, its product consists of a profile of the community’s recognizing and meeting the physical and emotional needs
state of health. Asa process, the public health nurse actively resulting from a disaster. For people who are willing to talk
participates in community diagnosis. The MOST COMMON ensuing a disaster, which of the following is the MOST
method of data collection that is accurate and provides the appropriate approach?
biggest bulk of community data is the _______. A. “I am with you. It is good you are trying to
A. Observation release your distress by [Link] will make you
B. Community census feel better.”
C. Interview B. “What you need to do now is to wait for
D. Records Review instructions and services to be provided.”
37. The data on health and disease can be gathered from C. “Don’t feel bad. Others are in the same situation as
different sources/ Which of the following sources provide a yours.”
MOST accurate setoff data? D. “You need not cry. You need to move on and build
A. Population health profile from school and factory your life again.”
clinics. 46. As he passed by a road going to an evacuation center,
B. Births and deaths from city/municipality registrar Nurse Roger encountered a flash flood. A flash flood
C. Morbidity data from field personnel ___________.
D. Mortality cases from medical death certificates. A. Occurs suddenly and for a short duration.
38. Data analysis involves quantification, description and B. Is caused by the blocking of drains
classification of data which would reveal community health C. Is caused by heavy rains
problems. An analysis of the social, economic, and political D. Occurs in urban areas.
factors that influence health is categorized as: Situation 8: Primary Health Care (PHC) is defined by
A. Health resource problems the WHO as essential health care made universally
B. Health status problems accessible to individuals, families and communities.
C. Health related problems 47. The WHO held a meeting in this place wherePrimary health
D. Comprehensive problems Care was discussed. What is this province?
39. With the stated problems, the nurse and the community A. Alma Ata
prioritize these using a set of criteria. Which of the following B. Russia
criteria refers to the probability of reducing, controlling, or C. Vienna
eradicating the problem? D. Geneva
A. Modifiability of the problem

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48. major lesson of the Alma-Ata and the different charters of
health promotion is that
A. health workers must be effective in advocacy and
mediation to enable to people to gain control over
their lives
B. Community participation is a fundamental
requirement to achieve health and sustainable
development
C. creation of supportive environment is crucial to
achieving health and sustainable development
D. meaningful improvements in the socioeconomic
determinants of health are required to have
significant improvements in people’s health
49. The focus of activities in specific protection is a level of
prevention classified is:
A. Secondary intervention
B. Intervention prevention
C. Tertiary prevention
D. Primary prevention
50. According to the World Health Organization (WHO), one of
the leading causes of mortality in the Philippines is which of
the following?
A. Leukemia
B. Heart Disease
C. Malignant Neoplasm
D. Lower respiratory tract infections

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