FC- COMMUNICABLE DISEASE B.

Amount of antivenom is dependent on the

NURSING severity of reaction than weight of the client.

Total points108/150 C.Complications induced may be prevented

by the tetanus toxoid.
1. The nurse is to explain to a client and his
family about transmission  based D.Antivenom is an antidote for snake bite.
precautions. It was verbalized by the client
that he felt “unclean and disliked” as a result Situation: Worthy, 4 years old is positive for
of the perception that he was highly Bacterial Meningitis.
communicable. The nurse’s MOST 3. From the history obtained from the
appropriate instructions would include: mother, which of the following could be the
1. Protective equipment used by the staff possible method by which the infection was
are to protect the client. transmitted to the patient?

2. Precautions are temporary and *0/1

continuously evaluated A.Drinking water in the community was
3. Proper hand hygiene before and after contaminated.
visiting the client is very effective in B.Contact with respiratory secretions of an
preventing infection infected person
4. Patient care items like glasses, pitchers, C.Hands of caregiver was contaminated
basin must always be in clean condition to with local discharges
prevent spread of infection 
D.Eating utensils of the child were
*1/1 contaminated
A. 2, 3, 4 4. The physician prescribed lumbar tap. 
B. 1, 2, 3 When the nurse reads the laboratory
results, which of the following reflects
C. 1, 3, 4 positive results indicative of Bacterial
Meningitis?
D. 1, 2, 4
*1/1
2. Lace administered as prescribed
antivenom and tetanus toxoid to a client A.Decreased white blood cells, decreased
admitted with history of snake bite.  If you proteins, high glucose
were the newly hired nurse, which of the
following will you consider INCORRECT? B.Normal white blood cells, increased
proteins, high glucose
*1/1
C.Increased white blood cells, increased
A.Tetanus toxoid enhance effect of proteins, low glucose
antivenom.
D.Increased white blood cells, decreased
proteins, low glucose
5. Assessment findings reveal positive *0/1
Brudzinski sign, When the nurse flexed the
child’s neck forward, which of the following A.Remove needle from syringe and discard
behavior indicated a positive Brudzinski’s them in separate containers.
sign? B.Recap needle, then discard the needle
*1/1 still attached to the syringe into a container.

A.Hip flexed and knee Extended C.Discard the uncapped needle and syringe
into a container in the nurse station
B.Knee extended and ankle flexed
D.Discard the uncapped needle and syring
C.Leg extended with resistance into a container in the patient’s room

D.Hip, knee and ankle flexed 9.The nurse caring for an

immunosuppressed patient is diligent about
 6. In the nursing care plan prepared by the protecting the patient from infection. When
nurse, “Pain related to meningeal irritation” visitors come in, in addition to having them
is a priority nursing diagnosis.  Which of the put on isolation garb, the nurse would
following should the nurse avoid to do to prohibit them bringing:
prevent pain when positioning the patient?
*1/1
*0/1
A.a battery-operated DVD player.
A.Extend leg
B.baked broccolli with beans
B.Flex the neck forward
C.potted plants.
C.Hyperextend the neck
D.boxed candy.
D.Flex the hip
10.The patient with the diagnosis of
7.The nurse understands that this Clostridium difficile infection asks what has
leucocytes is related to phagocytosis? caused the diarrhea. The nurse responds
that it is caused by:
*1/1
*0/1
A.neutrophils.
A.protozoal infection.
B.eosinophils.
B.fecal–oral contamination.
C.basophils.
C.inflammatory response.
D.monocytes.
D.long-term antibiotic therapy.
8. When discarding used needles and
syringes after injection to the patient, which 11. The nurse would anticipate a caesarean
of the following is appropriate nursing birth for a client who has which infection
action? present at the onset of labor?
*1/1 C.The nurse uses her bare hands to change
the dressing
A.Herpes-simplex virus type 2
D.The nurse applies standard precaution to
B.Human papilloma virus all types of patients.
C.Herpes simplex type 1 15.Several clients are admitted to an adult
medical unit. The nurse would ensure
D.Toxoplasmosis
airborne precautions for a client with which
12. Surgical asepsis is observed when: medical condition? 

*1/1 *1/1

a.inserting an intravenous catheter A.Autoimmune deficiency syndrome (AIDS)

with cytomegalovirus (CMV)
b.disposing of syringe and needles in
puncture proof containers B.A positive purified protein derivative with
an abnormal chest x-ray
c.washing hands before changing wound
dressing C.A tentative diagnosis of viral pneumonia
with productive brown sputum
d.placing dirty soiled linen in moisture
resistant bags D.Advanced carcinoma of the lung with
hemoptysis
13.A client with viral infection, will most
likely manifest which of the following during 16.The nurse is assigned to a client newly
the illness stage of the infection? diagnosed with active tuberculosis. Which of
these protocols would be a priority for the
*1/1 nurse to implement? 
a.Client was exposed to the infection 2 days *1/1
ago but without any symptoms
A.Have the client cough into a tissue and
b.Oral temperature shows fever dispose in a separate bag
c.Acute symptoms are no longer visible B.Instruct the client to cover the mouth with
a tissue when coughing
d.Client “feels sick” but can do normal
activities C.Reinforce for all to wash their hands
before and after entering the room
14. Which action by a new nurse signifies
an understanding about infection control? D.Place client in a negative pressure private
room and have all who enter the room use
*1/1
masks with shields
A.The nurse touches the the inside portion
Situation: Khaki is a regular recipient of
of the gloves only when wearing gloves.
isoniazid tablets. His children are Boknoy, 2
B.The nurse washes gloved hands before y/o and Lenlen, 4y/o. You followed-up Mang
removing. Khaki for failing to get his tablets.
17.You explained the importance of early C.for advanced cases
diagnosis/ treatment and convinced her to
go to the health center for: D.all of the above

*1/1 21. If the patient is considered as relapse in

the treatment. He will fall on what category
A.bronchoscopy of the short course chemotherapy?

B.chest x-ray *0/1

C.direct sputum smear microscopy A.category I

D.tuberculin test B.category IIa

18 Case finding is essential for the control C.category II

of TB. However, this is useful only when
followed by: D.category IV

*1/1 22. In providing follow-up instruction to Mark

who received mantoux test in the
A.home visits physician’s office on Tuesday. The nurse
tells the patient to return to have the results
B.regular-check up (reading) on which of the following days?
C.drug compliance *1/1
D.chest and x-ray A.Saturday
19. Primary diagnostic tool in NTP case B.Tuesday
finding:
C.Friday
*1/1
D.Sunday
A.direct sputum smear microscopy
23. What is the rationale that supports multi-
B.chest x-ray drug treatment for clients with tuberculosis?
C.sputum culture *
D.tuberculin testing 1/1
20. Which of the following TB patients are A.multiple drugs potentiate the drug actions
eligible for short course chemotherapy?
B.multiple drugs reduce undesirable side-
*0/1 effects
A.cavitary cases and non-cavitary cases of C.multiple drugs allow reduced dosages to
PTB on chest x-ray be given
B.all newly discovered and reconfirmed D.multiple drugs reduce development of
sputum positive cases resistant strains of bacteria
24. A 24 year old male bar tender comes to responds that in men the symptoms of
the clinic for physical exam and asks to be gonorrhea include:
tested for AIDS. The nurse explains that the
initial screening for AIDS will be done via *1/1
the: A.impotence
*1/1 B.scrotal swelling
A.western blot test C.urinary distention
B.polymerase chain reaction D.dysuria
C.CD4 T cell count 28.The following are nursing interventions
D.ELISA/EIA for patient with chickenpox, except:

25.When educating a female with *1/1

gonorrhea, the nurse should emphasize that A.give ASA for fever
for women gonorrhea.
B.TSB
*0/1
C.calamine lotion
A.is often marked by symptoms of dysuria
or vaginal bleeding D.hypoallergenic diet

B.does not lead to serious complication 29.Annie is diagnosed with chickenpox. Her
mother asks how she might have gotten the
C.can be treated but not cured disease. What is the most appropriate
D.may not cause symptoms reply? 

26.Which of the following groups has *1/1

experienced the greatest rise in the A. “ Chickenpox is an expected childhood
incidence of STD over the past two illness that everyone gets.”
decades:
B. “ It is transmitted from direct contact,
*1/1 droplet spread.”
A.teenagers C. “ It is inherited and transmitted through
B.divorced people the genes.”

C.young adults D. “ It is possibly a side effect of recent

vaccinations.”
D.older adults
30. The virus of the chickenpox is found in
27.A female client with gonorrhea informs the:
the nurse that she has had sexual
intercourse with her bf and asks the nurse. “ *1/1
would he have any symptoms?” the nurse A.contents of the vesicles and the crust
B.discharges of respiratory tract 34. The typical symptoms that the PHN
expects to see in Richard is/are the
C.both following:
D.neither *1/1
31. Characteristics of rashes of Herpes A.headache, diarrhea and abdominal pain
zoster:
B.maculopapular rashes and koplik spots
*0/1
C.general malaise and difficulty in
A.unilateral swallowing
B.vesiculopustular rashes D.ladderlike progression of fever with
rose spots on the trunk
C.never cross the midline
35.A nurse is knowledgeable when he
D.AOTA
states that the other name for pertussis is:
32.Most common virus that causes
*1/1
diarrhea:
A.La Grippe
*1/1
B.Whooping cough
A.giardia lambiasis
C.Hansen’s disease
B.rotavirus
D.Consumption
C.adenovirus
36. A pregnant client at 16 weeks’ gestation
D.norovirus
has a blood sample for rubella antibody
33. A serious, often fatal form of screening drawn. The test results reveal a
gastroenteritis usually eating canned and low titer. When discussing the results with
processed food: the client, what is an appropriate nursing
action?
*1/1
*
A.botulism
1/1
B.salmonellosis
A.Arrange for the client to have a measles-
C.cholera mumps-rubella (MMR) immunization.
D.typhoid fever B.Explain to the client that the results are
what is expected.
Situation: Richard, a 22 yrs old male, was
referred to the public health nurse by one of C.Counsel client regarding potential birth
the midwives in the community. He is sick of defects.
typhoid fever. The PHN plans for a home
visit.
D.Instruct the client to receive the rubella A.Hepatittis A
immunization immediately after delivery.
B.Hepatitis B
37.Malaria is produced by an
intraerythrocytic parasite by the genus C.Tetanus
Plasmodium.  In humans, malaria is caused D.Leptospirosis
by four plasmodia.  Which among the
following choices produces most severe 40.You are the PHN in the city health
disease and is common in the Philippines? center. A client underwent screening for
AIDS using ELISA.    His result was
*0/1 positive. What is the best course of action
A.P. falciparum that you may take? 

B.P. vivax *1/1

C.P. ovale A.Get a thorough history of the client,

focusing on the practice of high risk
D.P. malariae behaviors.

38.One of the most specific sign of filariasis B.Ask the client to be accompanied by a
is enlargement and thickening of the skin of significant person before revealing the
the lower and/or upper extremeties, result.
scrotum, and breast known as:
C.Refer the client to the physician since he
*1/1 is the best person to reveal the result to the
client.
A.Orchitis
D.Refer the client for a supplementary test,
B.Hydrocele such as Western blot, since the ELISA
result may be false.
C.Lymphedema
41. Antiretroviral agents, such as AZT, are
D.Elephantiasis
used in the management of AIDS. Which of
39.A 32-year old client came for the following is NOT an action expected of
consultation at the health center with the these drugs. 
chief complaint of fever for a week.
*0/1
Accompanying symptoms were muscle
pains and body malaise. A week after the A.They prolong the life of the client with
start of fever, the client noted yellowish AIDS.
discoloration of his sclera. History showed
that he waded in flood waters about 2 B.They reduce the risk of opportunistic
weeks before the onset of symptoms. infections
Based on his history, which disease
condition will you suspect?  C.They shorten the period of
communicability of the disease.
*1/1
D.They are able to bring about a cure of the C.Maturation of social skills precedes the
disease condition. physical changes of puberty

42. Post-exposure treatment is given to D.Early adolescents are less impulsive and
persons who are exposed to rabies. It more wary of peer pressure than are older
consist of the following: teens

*1/1 45.A sputum specimen was collected from

Mr. Ramos for culture and sensitivity. This
A.local wound treatment study is to ascertain which of the following
facts?
B.passive immunization
*0/1
C.active immunization ( vaccination )
A.The virulence of microorganism involved
D.all of the above
B.The antibiotics which would be most
43. The nurse is assessing a patient with
helpful
typhoid fever. She has documented an
erythematous macules on the patient’s C.The patients probably reaction to the
trunk. She documents this as:  causative microorganism
*1/1 D.The patient’s sensitivity to antibiotics
A.Bitot’s spot 46.You are caring for a client who had a
near-drowning incident in a lake. Which
B.Cullen sign
assessment will you perform to monitor for
C.Rose spots possible complications?

D.Forscheimer spot * 0/1

44. A school nurse is working with a 12- A.Check the client’s blood glucose level
year-old female student who has before meals
experienced early onset of puberty
B.Assess the client’s bowel sounds three
accompanied by increasing interest in
times daily
sexual attractiveness. The nurse bases her
work with this student on the knowledge that C.Check the client’s skin for petechiae daily
developmentally: 
D.Assess the client’s temperature every 8
*1/1 hours.
A.The student is cognitively and socially 47.The effectiveness of nurse's teaching
unprepared for the risks associated with regarding take home prescribed antibiotic
sexual activity self-administration is indicated in which
statement of the client?
B.Transmission of sexually transmitted
disorders (STDs) is physiologically *0/1
enhanced at the time of puberty
A."I will see to it that the medication B.INH
schedule is synchronized with my daily
routine." C.Pyrazinamide

B."I have read the prescription and its D.Streptomycin

specific instructions" 51. Which of the following anti TB drugs is
C."I fully understand the beneficial effects of contraindicated to pregnant woman?
the antibiotic" *1/1
D."I will report side effects immediately." A.Rifampicin
48.Where should you put Mr.Alejar, with B.INH
Category II TB?
C.Pyrazinamide
*1/1
D.Streptomycin
A.In a room with positive air pressure and at
least 3 air exchanges an hour 52. In removing protective devices, which
should be the exact sequence?
B.In a room with positive air pressure and at
least 6 air exchanges an hour 1.Eye wear or goggles

C.In a room with negative air pressure and 2.Mask

at least 3 air exchanges an hour
3.Gloves
D.In a room with negative air pressure and
at least 6 air exchanges an hour 4.Gown

49.A new technology adopted by the *0/1

Philippines for a rapid diagnosis of TB in
A.3,4, 1, 2
less than 2 hours?
B.4,3,1,2
*1/1
C.1,3,4,2
A.Chest X ray
D.2,1,4,3
B.Sputum Microscopy
53.Which new admission should the nurse
C.Xpert-MTB/RIF
plan to place in a private room with
D.Mantoux Test negative-pressure airflow? 

50. Which of the following anti TB drugs *1/1

would least likely allergic reaction?
A.Client with rubella
*1/1
B.Client with strep throat
A.Rifampicin
C.Client with measles
D.Client with TB of the bone B.IgA

54.A nursing instructor asks a nursing C.IgM

student to describe human immunoglobulin.
The student correctly states that these types D.IgD
of vaccine are: 57.What type of immunity is attained if a
*1/1 patient received Sinovac vaccine?          
*1/1
A.Vaccine that have their virulence
diminished so as to not produce a full blown A.Natural Passive Immunity
clinical illness B.Natural Active Immunity
B.Vaccine that contains pathogens made C.Artificial Passive Immunity
inactive by either chemicals or heat
D.Artificial Active Immunity
C.Bacterial toxins that have been made
inactive by either chemicals or heat SITUATION: - You are caring for Rolando,
58 years old, was admitted because of
D.Vaccines collected from pooled blood of difficulty of swallowing and stiffening of the
people and provide antibodies to variety of neck. He has history of a wound laceration
diseases on his right hand sustained while gardening.
55.While you are preparing to administer a Physician suspects Tetanus infection.
tetanus toxoid vaccination for Carlo who 58. While you were preparing to administer
had a punctured wound, he tells you that he oxygen inhalation, Rolando had seizures
had tetanus shot just 1 year ago. What will and assumed an opisthotonic position.
be your BEST response? Which of the ff. correctly describe the
*1/1 position?

A.“Antibody production slows down as you *1/1

age. You need a booster.” A.Head retracted, back arched and feet
B.“You probably do not need another extended
vaccination now.” B.Neck, hip, knee flexed and feet plantar
C.it won’t hurt to receive an extra dose of flexed
the toxoid.” C.Head flexed forward, jaw clenched, arms
D.“you need this vacation because the pronated and feet plantar flexed
strain of tetanus changes every year. D.Head hyper extended hip flexed and feet
56.What antibodies is transmitted through extended
breastmilk?      59.Taking into consideration the incubation
*1/1 period, which of the ff. data in Rolando’s’
health history will you consider relevant?
A.IgG
*0/1 *1/1

A.positive for type 2 diabetes mellitus A.Adequately supplied with food and water

B.Immunization status uncertain, no booster B.Quiet and dark

dose administered
C.Provided with soft music
C.Wound laceration, sustained a week ago,
was treated at home D.Accessible to medication

D.Wound pain, unbearable and unrelieved 63.Nursing intervention for the patient would
by analgesic include: 

60.To decrease stimuli that cause muscle *1/1

spasms and seizures, which of the ff. A.Covering the IV fluid bag with paper
nursing interventions is LEAST relevant for
you to do?   B.Opening the windows in the room

*0/1 C.Bringing extra fan for the patient to avoid

hyperthermia
A.Maintain a quiet, well ventilated and
darkened room D.Avoiding dim light

B.Administer sedatives as prescribed Situation:Patient with Dengue

C.Monitor for hazards of immobility 64. Which of the following treatment should
NOT be considered if the child has severe
D.Perform physical care during time of dengue hemorrhagic fever?
maximal sedation
*1/1
61.During  a seizure, which of the ff. are you
expected to do FIRST? A.use plan C if there is bleeding from the
nose or gums
*1/1
B.give ORS if there is skin petechiae,
A.Monitor vital signs especially the persistent vomiting and positive tourniquet
respiratory rate test
B.Place a padded tongue blade in the C.give aspirin
patient’s mouth
D.prevent low blood sugar
C.Provide mechanical ventilation
65.An important role of the community
D.Turn patient to his side health nurse in the prevention and control of
Situation: Patient with Rabies Dengue H-fever includes:

62. Nursing care of clients diagnosed with *1/1

rabies is provision of this comfortable A.advising the elimination of vectors by
environment which is: keeping water containers covered
B.conducting strong health education A.Prolonged bleeding time
drivers/campaign directed towards proper
garbage disposal B.Appearance of at least 5 petechiae

C.explaining to the individuals, families, C.Steadily increasing hematocrit count

groups and community the nature of the D.Fall in the platelet count
disease and its causation
69.Which of the following is the most
D.practicing residual spraying with important treatment of patients with Dengue
insecticides H-Fever?
66.Community health nurses should be alert *1/1
in observing a Dengue suspect. The
following is NOT and indicator for A.Give aspirin for fever
hospitalization of H-fever suspects.
B.Replacement of body fluids
*0/1
C.Avoid unnecessary movement of patient
A.Marked anorexia, abdominal pain and
vomiting D.Ice cap over the abdomen in case of
melena
B.Increasing hematocrit count
70.The community health nurses primary
C.Fever for more than 2 days concern in the immediate control of
hemmorrhage among patients with dengue
D.Persistent headache is:
67. The community health nurses primary *1/1
concern in the immediate control of
hemorrhage among patients with dengue is: A.Advising low fiber and non-fat diet

*1/1 B.Providing warmth through light weight

covers
A.advising low fiber and non-fat diet
C.Observing closely the patient for vital
B.providing warmth through light weight signs leading to shock
covers
D.Keeping the patient at rest.
C.observing closely the patient for vital
signs leading to shock 71.Which of these signs may NOT be
REGARDED as a truly positive signs
D.keeping the patient at rest indicative of Dengue H-fever?
68. Which of these signs may NOT be *1/1
REGARDED as a truly positive signs
indicative of Dengue H-Fever? A.Prolonged Bleeding Time

* B.Appearance of at least 20 petechiae

within 1 cm square
1/1
C.Steadily increasing hematocrit count B.1,2,3,4,5,6,7

D.Fall in the platelet count C.1,2,3,4,5,6,7,8

72.Which of the ff. Was MOST likely the D.1,2,3,4,5,7

description  of  Bobby's fever prior to onset
of hematuria that supported the physician's 74.The nurse understands that the cycle of
diagnosis of DENGUE FEVER?  transmission of the Dengue Fever virus
begins during which of the ff.
*1/1
*0/1
A.intermittent fever for 4 days
A.Infected mosquito bites an uninfected
B.onset of fever was abrupt and remained human
elevated for 4 days
B.Virus multiply in the midgut of the
C.abrupt onset of fever and sudden drop on mosquito
the 4th day
C.Mosquito feeds on an infected human
D.gradual increase of body temperature and
sudden drop on the 4th day D.Mosquito's saliva is invaded by the virus
during subsequent biting of infected human
73. With proper medical care and early
recognition, case-fatality rates are below 75. To prevent transmission of the virus to
1%. On the other hand, special attention others. Which of the ff. Is MOST appropriate
needs to be given to these warning signs as isolation measure the nurse should
it could lead to severe dengue: Select all implement in the care of Bobby? 
that apply *1/1
1.         Severe abdominal pain A. screen the environment
2.         Persistent vomiting B. blood and body secretion isolation
3.         Bleeding gums C.use gown, gloves, and mask
4.         Vomiting blood D. use strict universal isolation technique
5.         Rapid breathing 76.The mother is preparing for their
6.         Fatigue/ restlessness discharge. She tells the nurse that she is
relieved that everything is fine and her
7.         Hemoptysis daughter is now immune to dengue. The
nurse replies based on the knowledge that: 
8.         Headache
*1/1
*
A.Immunity against one serotype can lead
0/1 to immunity to other serotypes
A.1,2,3,4,5,6
B.Immunity against one serotype does not D.the client is a carrier, and still able to
make the individual immune to other transmit the disease
serotypes
79.The nurse assesses what clinical
C.Immunity against all dengue viruses is manifestation to be the priority in a child
based on the individual’s immune response with Enterobius (pinworm)?

D.Cross-immunity to other viruses is *1/1

possible only if infected with DEN-4
serotype A.nocturnal anal itching

77.The mother of a child whose chickenpox B.weight loss

rash first appeared 8 days ago asks the C.chronic or relapsing diarrhea
nurse when her child may return to school
without being contagious.   Which of the D.flatulence
following is the nurse’s most appropriate
response? 80.The nurse assesses which of the
following to be a clinical manifestation of
*0/1 human papillomavirus(HPV)?

A.“your child cannot return to school until all *1/1

the lesions disappear.”
A.soft papules in the anogenital area
B.“your child is contagious as long as your
child is itching.” B.nocturnal anal itching

C.“the contagious state of chickenpox is C.erythematous and macular rash on the

generally 2 weeks.” ankles and wrists

D.“your child is not contagious and may D.painful raised vesicles

return to school now.”
81.A client with neutropenia has an absolute
78.When planning the care of a client neutrophil count of 900. What is the client’s
diagnosed with asymptomatic herpes risk of infection?
simplex virus type 2 (Hsv-2), Which of the
*0/1
following should the nurse consider?
A.Normal risk.
*1/1
B.Moderate risk.
A.there is no risk of transmitting the
condition to anyone else C.High risk.

B.after prescribed treatment, herpes D.Extremely high risk.

simplex virus type 2 is cured
82.The nurse is reviewing the lab reports of
C.an antibiotic is used successfully in the a client who is HIV positive.  Which
treatment laboratory report provides information
regarding the effectiveness of the client’s A.Immediately see a social worker
medication regimen?
B.Start prophylactic AZT treatment
*0/1
C.Start prophylactic Pentamide treatment
A.ELISA
D.Seek counseling
B.Western Blot
Situation: The Department of Health has
C.Viral load vowed to end Neglected Tropical diseases
(NTDs) by 2030. In the Philippines, the
D.CD4 count NTDs that are prevalent include leprosy and
rabies.  One of the strategies to address this
83.A client with AIDS related CMV is started
goal is through conduct of Health Education
on cytoven (ganciclovir).  The nurse should
program.
tell the client that the medication will be
needed:  86. Public Health Nurse Gabriela is
educating a group of residents in
*0/1
Community X about rabies.  A partciipant
A.Until the infection clears asks, “How can you get the virus?”  The
nurse explains that the virus can be
B.for 6 months to a year transmitted by which source?
C.Until the cultures are normal *1/1
D.for the remainder of life. A.Saliva
84.The nurse is caring for a client with B.Blood
suspected AIDS dementia complex.  The
first sign of dementia in the client with AIDS C.Urine
is: 
D.Stool
*1/1
87. She emphasized that the bites, which
A.Changes in gait are responsible for nearly 99 percent of
human rabies infections, are those of the
B.Loss of concentration infected ____.
C.Problems with speech *1/1
D.seizures A.monkeys
85.A second year nursing student has just B.Dogs
suffered a needlestick while working with a
patient that is positive for AIDS. Which of C.Bats
the following is the most important action
D.Cats
that nursing student should take?

*1/1
88.Nurse Gabriela explains that there are D.Nasal smears
situations which increase risk of rabies. 
These are _____. Situation: – In recent months, “bird flu” or
avian influenza caused a significant concern
*1/1 among the people especially those in
Central Luzon and Metro Manila. It is both
A.stray dog bites an emerging and re-emerging infection.
B.All of these 91.Which of the following statement is
TRUE about “bird flu”?
C.unprovoked bites
*0/1
D.Animals display abnormal behavior
A.All forms of bird flu can easily cause
89. In another health education session,
illness to humans
Nurse Gabriela explains about LEPROSY. 
Which of the following should be included? B.Domestic poultry flocks are much less
vulnerable to infections
1. Leprosy is curable
C.Infected chickens can also infect
2. not all leprosy patients are infectious
domestic animals like cats and dogs
3. leprosy is hereditary
D.Only birds are normally infected by the
4. Casual contact with a patient causes viruses, less commonly pigs.
leprosy
92.When humans are infected, the following
5. Regular and adequate treatment is signs and symptoms of bird flu may appear,
essential EXCEPT:

*1/1 *1/1

A.1,3,4 A.Fever

B.2,4,5 B.Sore eyes/Sore throat

C.1,2,5 C.Chicken rashes

D.2,3,4 D.Body weakness

90.Nurse Garbriela stated that a definitive 93.Which of the following is NOT included in
diagnosis of Leprosy is obtained through the control measures in infected birds?
_____.
*
*1/1
1/1
A.blood examinations
A.Restrictions on the movement of the live
B.Tuberculin testing poultry.

C.Skin smears/biopsies
B.Rapid destruction of all infected or syndrome (ARDS) and death in patients
exposed birds with COVID-19?

C.Transferring of the live poultry in another *0/1

area or location.
A.Decreased Lactate dehydrogenase levels.
D.Vigorous disinfection of poultry farms
B.Elevated D – dimer tests
94.There are measures that should be
observed by the humans to prevent bird flu C.Neutropenia
infection. Which of the following is NOT D. Lymphocytosis
included?
97.Syphilis is another infection that may
*1/1 impose risk during pregnancy. Since we are
A.Non-poultry workers should avoid contact under the practice of health science, you
with the chickens and ducks as much as know that Syphilis is caused by:
possible. *1/1
B.All poultry farm workers should be given A.Treponema Syphilis
the current season’s flu vaccine.
B.Neisseria gonorrhoeae
C.Avoid eating chicken or any poultry
products until the epidemic has abated C.Chlamydia Trachomatis

D.Advise people on proper cooking of D.Treponema Pallidum

poultry meat and eggs.
98.Under the second level of prevention,
95.For patients with bird flu infection, health you know that one of the focuses of care is
care workers should observe the following, the screening of diseases. What is the
EXCEPT: screening test for syphilis?

* *1/1

0/1 A.VDRL

A.Establish a separate isolation facility B. Western blot

B.Utilize Personal Protective Equipment C. PSA

(PPE)
D. ELISA
C.Avoid going near the patient as much as
possible 99.Which of the following are recommended
infection control measures upon arrival of a
D.Apply the principles of handwashing. patient with suspected COVID-19 infection?

96.Which of the following has been *1/1

recognized as a significant risk factor for the
development of acute respiratory distress A.Rapid triage of symptomatic infection
B.Implement respiratory hygiene and cough sputum for TB treatment monitoring. Which
etiquette. is the CORRECT schedule for sputum
smear analysis?
C.Have a separate, well ventilated space
that allows waiting symptomatic patients to *
be separated by 6 or more feet.
0/1
D.All of the above
A.At the end of the 1st, 3rd and 6th month.
100.Which of the following is the most
effective method for prevention of COVID- B.At the end of the first, 3rd and 5th month.
19 infection in the health care setting? C.At the end of the 2nd, 5th and 6th month.
*1/1 D.At the beginning of the 1st, 3rd and 6th
A.Avoid exposure (Use standard month.
precautions, Contact precautions, and 103. Where should you put Mr.Alejar, with
Airborne Precautions and eye protection Category II TB?
when caring for patients with confirmed or
possible COVID-19 infection) *

B.Vaccination 1/1

C.Handwashing A.In a room with positive air pressure and at

least 3 air exchanges an hour
D.All of the above
B.In a room with positive air pressure and at
101. Nurse Leah cautioned the nursing least 6 air exchanges an hour
student that client can develop multi drug
resistant TB even to the most powerful anti C.In a room with negative air pressure and
TB agents. The MOST powerful at least 3 air exchanges an hour
antiTBagent according to World Health
Organization are: D.In a room with negative air pressure and
at least 6 air exchanges an hour
*
104. A new technology adopted by the
1/1 Philippines for a rapid diagnosis of TB in
less than 2 hours?
A.Isoniazid and Rifampicin
*
B.Isoniazid and Ethambutol
1/1
C.Rifampicin and Ethambutol
A.Chest X ray
D.Rifampicin and Streptomycin
B.Sputum Microscopy
102.Nurse Leah and the nursing student
prepared the client for discharge. They C.Xpert-MTB/RIF
made sure that the client would submit
D.Mantoux Test
105.TBXpert Project will provide C.Category IIa
approximately 1.4 million Xpert MTB/RIF
test cartridges and over 220 GeneXpert D.Category III
instruments for the rapid detection of TB 108.Which of the following anti TB drugs
and rifampicin resistance in 21 recipient would least likely allergic reaction?
countries.  The nurse should collect at least
how many ml of sputum specimen for the *
diagnostic process?
1/1
*
A.Rifampicin
0/1
B.INH
A.1 ml
C.Pyrazinamide
B.5 – 10 ml
D.Streptomycin
C.10 – 15 ml
109.Which of the following anti TB drugs is
D.30 ml contraindicated to pregnant woman?

106.Xpert MTB results interpretation  for *

MTB detected, Rifampicin resistance not
detected is? 1/1

* A.Rifampicin

0/1 B.INH

A.T C.Pyrazinamide

B.RR D.Streptomycin

C.TI Situation: Worthy, 4 years old is positive for

Bacterial Meningitis.
D.N
110.The physician prescribed lumbar tap. 
107.Extra-pulmonary, Previously treated When the nurse reads the laboratory
drug- susceptible TB (whether results, which of the following reflects
bacteriologicallyconfirmed or clinically- positive results indicative of Bacterial
diagnosed - CNS/bones or joints) is Meningitis?
categorized as: 
*
*
1/1
0/1
A.Decreased white blood cells, decreased
A.Category I proteins, high glucose

B.Category II
B.Normal white blood cells, increased B.R.A. 3573
proteins, high glucose
C.PD 996
C.Increased white blood cells, increased
proteins, low glucose D.R.A. 8504

D.Increased white blood cells, decreased 114.Leprosy is a chronic mildly

proteins, low glucose communicable disease that mainly affects
the following, except:
111.Assessment findings reveal positive
Brudzinski sign, When the nurse flexed the *
child’s neck forward, which of the following 1/1
behavior indicated a positive Brudzinski’s
sign? A.Peripheral nerves

* B.Skin

1/1 C.Mucosa of upper respiratory tract

A.Hip flexed and knee Extended D.large Bones

B.Knee extended and ankle flexed 115.The late signs and symptoms of leprosy
are the following, except:
C.Leg extended with resistance
*
D.Hip, knee and ankle flexed
0/1
112.In the nursing care plan prepared by
the nurse, “Pain related to meningeal A.nasal obstruction
irritation” is a priority nursing diagnosis. 
Which of the following should the nurse B.lagopthalmos
avoid to do to prevent pain when positioning
C.madarosis
the patient?
D.gynecomastia
*0/1
116. World Health Organization (WHO)
A.Extend leg
classified leprosy in the basis of modern
B.Flex the neck forward management of Multi-Drug Therapy. In what
classification when a patient treated within
C.Hyperextend the neck 6-9 months with non-infectious type?

D.Flex the hipMRSA *

113.Domiciliary treatment of leprosy is 1/1

embodied in:
A. lepromatous
*0/1
B. borderline
A.R.A. 4073
C. multibacillary B.Explain to the client that the results are
what is expected.
D. Tuberculoid
C.Counsel client regarding potential birth
117. The focus or emphasis of our nursing defects.
management of patients with leprosy is on
prevention of having the disease and D.Instruct the client to receive the rubella
prevention of complication, which includes immunization immediately after delivery.
the following:
119.When preparing a teaching plan for a
1.    Health education on the nature of the client who is to receive a rubella vaccine
disease during the postpartum period, the nurse
should include which of the following?
2.    advocate healthful living through proper
nutrition, adequate rest, sleep and good *
personal hygiene
0/1
3.     BCG vaccination
A.The vaccine prevents a future fetus from
4.     Appropriate footwear developing congenital anomalies.

5.      note change of address of patient B.Pregnancy should be avoided for 3

months after the immunization.
*
C.The client should avoid contact with
1/1 children diagnosed with rubella.
A.1, 3 and 5 only D.The injection will provide immunity
against the 7-day measles.
B.1,2, and 3 only
Situation: Nashsep, 35 years old is HIV
C. 1,2,3 and 4 only
positive.  Aside from fatigue, Nashsep has
D. 1,2,3,4 and 5 no other complaints.  

118.A pregnant client at 16 weeks’ gestation 120.The result of the Ensyme Linked
has a blood sample for rubella antibody Immunosorbent Assay (ELISA) test was
screening drawn. The test results reveal a positive.  The nurse understands that this is
low titer. When discussing the results with a test to determine the presence of: 
the client, what is an appropriate nursing
*
action?
0/1
*
A.HIV antibody
1/1
B.Actively replicating HIV
A.Arrange for the client to have a measles-
mumps-rubella (MMR) immunization. C.HIV-antigen antibody response

D.Increased CD4 cell count

121.Which among the following body fluids A.Amoebiasis
transmits HIV/AIDS causative agent?
B.Toxoplasmosis
1.blood
C.Cryptosporidiosis
2.vaginal secretions
D.Dysentery
3.seminal fluid
124.This is the law that protects AIDS
4.amniotic fluid patient/patients with HIV and health care
workers.
5.breastmilk
*
6.Saliva
1/1
*
A.R.A. 8054
1/1
B.R.A. 11166
A.1,2,3,4,5
C.R.A. 8504
B.1,2,3,5
D.R.A. 8505
C.1,2,3,4,5,6
125.The primary reason that a herpes
D.6 simplex virus (HSV) infection is a serious
concern to a client with HIV Infection is that
122.A positive HIV antibody test like ELISA
it
and Western blot indicates?
*
*
1/1
1/1
A.is an acquired immunodeficiency virus
A.the patient has been infected with the
(AIDS)—defining illness.
virus, and the body has produced antibodies
B.is curable only after 1 year of antiviral
B.HIV is active in the body, and the patient
therapy.
can transmit the virus to others.
C.leads to cervical cancer.
C.Despite HIV infection, the patient does
not necessarily have AIDS. D.causes severe electrolyte imbalances.
D.The patient is immune to HIV 126. A nursing student approaches an
instructor following a needlestick to the
123.Diarrhea in AIDS patient is called:
finger from a needle used for an injection
* with a known HIV positive client.  Which
instructor statement is most accurate?
1/1
*
1/1 C.sudden episode of hypotension, fever,
tachycardia, and muscle aches
A. Post exposure prophylaxis will need to be
started within 1 to 2 hours D.Episodes of nausea and vomiting, with
bradypnea and bradycardia
B. HIV antibody testing will need to be done
in 6 weeks and then again in 3 months. 129.A pregnant woman is in the clinic for
consultation with regards to STD’s. She
C. At the end of the clinical shift, you should inquires about Venereal warts and asks you
make an appointment to see your health about its specific lesion appearance. Which
care provider. of the following is your correct response to
the client?
D. Flush immediately with water for 10
minutes and cover with a bandage and *
glove.
1/1
127.When educating a female client with
gonorrhea, the nurse should emphasize that A.Why are you asking about it? You might
for women gonorrhea be a prostitute woman.

* B.The lesions appear as cauliflower like

lesions.
1/1
C.It appears as pinpoint vesicles
A.is often marked by symptoms of dysuria surrounded by erythema.
or vaginal bleeding.
D.The lesions can possibly obstruct the birth
B.does not lead to serious complications. canal.
C.can be treated but not cured. 130.Zika is only a mild infection yet causes
lifetime effect on infants born with mother
D.may not cause symptoms until serious
infected.  What complication commonly
complications occur.
affects infants?
128.Jarisch-Herxheimer reaction may be
*
experienced by the client with syphilis after
therapy with benzathine penicillin G. The 1/1
characteristic manifestations of Jarisch-
Herxheimer reaction are: A.Hydrocephalus

* B.Microcephaly

1/1 C.Multiple Sclerosis

A.Rashes, itchiness, hives and pruritus D.Guillan barre Sydrome.

B.Confusion, drowsiness and numbness of 131.Nurse Shalom explains to a mother

extremities whose ten-year child just received a tetanus
toxoid injection that the toxoid vaccine Situation: – The department of health
confers which of the following immunity? reported that filariasis is endemic in 45 out
of 78 provinces in the Philippines . You are
* assigned of province in Sarangani ,one of
the endemic areas . You  know that filariasis
0/1
carries a social stigma owing to the
A.Long-lasting active immunity disfiguring appearance brought by the
disease .
B.Lifelong natural immunity
134.  You recall that filariasis is caused by
C.Intermediate artificial immunity parasitic nematode known as 
D.Short-acting passive immunity *
132.Should an outbreak of an 1/1
gastrointestinal illness resulting from an
food-borne pathogen happens, Nurse A.Wuchereria bancrofti
Naomi would likely to think that this is a/an: 
B.Necator americanus
*
C.S. Heamatobium
0/1
D.Plasmodium falciparum
A.Attack rate
135. The disease is transmitted to a person
B.Secular trend though bites of an infected female
mosquitos , known as
C.Point source
*
D.Event related cluster
1/1
133.Which of the following denotes the
resistance of an entire community to an A.Aedes aegypti
infectious agent as a result of the immunity
B.Cules
of a large proportion of individual to the
agent? C.Anopheles
* D.Aedes poecillus
1/1 136.You received a 36 –year-old man who
was brought by his wife to be tested for
A.Active Immunity
filariasis  , The most likely diagnostic test
B.Passive Immunity that he will undergo is 

C.Natural Immunity *

D.Herd Immunity 1/1

A.Immunochromatographic test ( ICT )

B.Rumpel Lead Test cooked crabs.  Patients with paragonimiasis
are usually misdiagnosed to have ____.
C.Urinalysis
*
D.Stool examination
0/1
137. A client in the ACUTE stage of filariasis
will included which of the following clinical A.Malaria
findings?
B.Bacillary dysentery
*
C.typhoid fever
0/1
D.Pulmonary tuberculosis
A.Hydrocele , lymphedema , elephantiasis
140.Prevention of infection from entamoeba
B.lymphadenitis , lymphedema and orchitis histolytica is BEST done through which of
the following practices?
C.Orchitis , hydrocele , elephantiasis *
D.Lympangitis , lymphadenitis , epideymitis 1/1
138. Effective methods that the government A.Eating only organic vegetables
would likely to pursue to eliminate filariasis
in the country are all of the following  , B.Washing food very well
EXCEPT : 
C.Cooking food properly
*
D.Boiling of water from questionable source
1/1
141.Giardiasis is a disease caused by a
A.Vaccination of all susceptible in high risk flagellated protozoan and its prevalence is
areas and high-risk population associated with which of the following
conditions?
B.Pursue annual mass drug administration
using two drugs in all endemic areas for five 1.Poor environmental sanitation
consecutive years .
2.Poor hygiene
C.Intensify health information and advocacy
campaigns in its prevention control and 3.Improper cooking of food
elimination 4.Overcrowding
D.Intensify environmental sanitation such as 5.Malnutrition
proper drainage and cleanliness of
surroundings *

139.Paragonimus westermani or the 1/1

Oriental Lung fluke causes infection in the
human population by eating inadequately A.2,4,5
B.1,3,4 144.Nurse Garbriela stated that a definitive
diagnosis of Leprosy is obtained through
C.1,2,4 _____.
D.2,3,5 *
Situation: The Department of Health has 1/1
vowed to end Neglected Tropical diseases
(NTDs) by 2030. In the Philippines, the A.blood examinations
NTDs that are prevalent include leprosy and
rabies.  One of the strategies to address this B.Tuberculin testing
goal is through conduct of Health Education C.Skin smears/biopsies
program.
D.Nasal smears
142.Public Health Nurse Gabriela is
educating a group of residents in Situation: – In recent months, “bird flu” or
Community X about rabies.  A partciipant avian influenza caused a significant concern
asks, “How can you get the virus?”  The among the people especially those in
nurse explains that the virus can be Central Luzon and Metro Manila. It is both
transmitted by which source? an emerging and re-emerging infection.

* 145.Which of the following statement is

TRUE about “bird flu”?
1/1
*
A.Saliva
0/1
B.Blood
A.All forms of bird flu can easily cause
C.Urine illness to humans
D.Stool B.Domestic poultry flocks are much less
143.She emphasized that the bites, which vulnerable to infections
are responsible for nearly 99 percent of C.Infected chickens can also infect
human rabies infections, are those of the domestic animals like cats and dogs
infected ____.
D.Only birds are normally infected by the
* viruses, less commonly pigs.
1/1 146.When humans are infected, the
A.monkeys following signs and symptoms of bird flu
may appear, EXCEPT:
B.Dogs
*
C.Bats
1/1
D.Cats
A.Fever
B.Sore eyes/Sore throat B.2,3

C.Chicken rashes C.1, 2, 4

D.Body weakness D.1,2,3,4

147.Which of the following is NOT included 149.Which of the following is the drug of
in the control measures in infected birds? choice for typhoid fever? 

* *

1/1 0/1

A.Restrictions on the movement of the live A.Amoxicillin

poultry.
B. Chloramphenicol
B.Rapid destruction of all infected or
exposed birds C. Gentamycin sulfate

C.Transferring of the live poultry in another D. Cyclosporins

area or location. 150.Which of the following has been
D.Vigorous disinfection of poultry farms recognized as a significant risk factor for the
development of acute respiratory distress
148.Monkeypox is a viral zoonotic disease syndrome (ARDS) and death in patients
that occurs primarily in tropical rainforest with COVID-19?
areas of central and west Africa and is
occasionally exported to other regions. *
Monkeypox is usually a self-limited disease 0/1
with the symptoms lasting from 2 to 4
weeks. Severe cases can occur. In recent A.Decreased Lactate dehydrogenase levels.
times, the case fatality ratio has been
around 3–6%. What are the possible B.Elevated D – dimer tests
transmission of the disease?
C.Neutropenia
1.oral sex with a person with monkeypox
D.Lymphocytosis
2.massaging a person with monkeypox
This form was created inside of TopRank
3.prolonged face to face direct contact with Review Academy.
a person with monkeypox

4.contact with respiratory secretions of a  Forms

person with monkeypox
 
*
 
1/1

A.1,4