FINAL COACHING

COMMUNICABLE DISEASE
Prepared by: Ms. Jaidee Rojas, RN
Nov 2024 Philippine Nurse Licensure Examination Review
NAME: DATE: SCORE: _____

“FIRST TAKER AKO, AT LAST TAKE KO NA ‘TO!

1. The nurse is to explain to a client and his family about C. Leg extended with resistance
transmission based precautions. It was verbalized by D. Hip, knee and ankle flexed
the client that he felt “unclean and disliked” as a result 6. In the nursing care plan prepared by the nurse, “Pain
of the perception that he was highly communicable. The related to meningeal irritation” is a priority nursing
nurse’s MOST appropriate instructions would include: diagnosis. Which of the following should the nurse avoid
1. Protective equipment used by the staff are to to do to prevent pain when positioning the patient?
protect the client. A. Extend leg
2. Precautions are temporary and continuously B. Flex the neck forward
evaluated C. Hyperextend the neck
3. Proper hand hygiene before and after visiting the D. Flex the hip
client is very effective in preventing infection 7. The nurse understands that this leucocytes is related to
4. Patient care items like glasses, pitchers, basin must phagocytosis?
always be in clean condition to prevent spread of A. neutrophils.
infection B. eosinophils.
A. 2, 3, 4 C. basophils.
B. 1, 2, 3 D. monocytes.
C. 1, 3, 4 8. When discarding used needles and syringes after
D. 1, 2, 4 injection to the patient, which of the following is
2. Lace administered as prescribed antivenom and tetanus appropriate nursing action?
toxoid to a client admitted with history of snake bite. If A. Remove needle from syringe and discard them in
you were the newly hired nurse, which of the following separate containers.
will you consider INCORRECT? B. Recap needle, then discard the needle still
A. Tetanus toxoid enhance effect of antivenom. attached to the syringe into a container.
B. Amount of antivenom is dependent on the C. Discard the uncapped needle and syringe into a
severity of reaction than weight of the client. container in the nurse station
C. Complications induced may be prevented by the D. Discard the uncapped needle and syringe into a
tetanus toxoid. container in the patient’s room
D. Antivenom is an antidote for snake bite. 9. The nurse caring for an immunosuppressed patient is
Situation: Worthy, 4 years old is positive for Bacterial diligent about protecting the patient from infection.
Meningitis. When visitors come in, in addition to having them put on
3. From the history obtained from the mother, which of the isolation garb, the nurse would prohibit them bringing:
following could be the possible method by which the A. a battery-operated DVD player.
infection was transmitted to the patient? B. baked broccolli with beans
A. Drinking water in the community was C. potted plants.
contaminated. D. boxed candy.
B. Contact with respiratory secretions of an infected 10. The patient with the diagnosis of Clostridium difficile
person infection asks what has caused the diarrhea. The nurse
C. Hands of caregiver was contaminated with local responds that it is caused by:
discharges A. protozoal infection.
D. Eating utensils of the child were contaminated B. fecal–oral contamination.
4. The physician prescribed lumbar tap. When the nurse C. inflammatory response.
reads the laboratory results, which of the following D. long-term antibiotic therapy.
reflects positive results indicative of Bacterial Meningitis? 11. The nurse would anticipate a caesarean birth for a client
A. Decreased white blood cells, decreased proteins, who has which infection present at the onset of labor?
high glucose A. Herpes-simplex virus type 2
B. Normal white blood cells, increased proteins, high B. Human papilloma virus
glucose C. Herpes simplex type 1
C. Increased white blood cells, increased proteins, D. Toxoplasmosis
low glucose 12. Surgical asepsis is observed when:
D. Increased white blood cells, decreased proteins, A. inserting an intravenous catheter
low glucose B. disposing of syringe and needles in puncture
5. Assessment findings reveal positive Brudzinski sign, proof containers
When the nurse flexed the child’s neck forward, which of C. washing hands before changing wound dressing
the following behavior indicated a positive Brudzinski’s D. placing dirty soiled linen in moisture resistant
sign? bags
A. Hip flexed and knee Extended
B. Knee extended and ankle flexed

1 | Page
 13. A client with viral infection, will most likely manifest nurse tells the patient to return to have the results
which of the following during the illness stage of the (reading) on which of the following days?
infection? A. Saturday C. Friday
A. Client was exposed to the infection 2 days ago B. Tuesday D. Sunday
but without any symptoms 23. What is the rationale that supports multi-drug treatment
B. Oral temperature shows fever for clients with tuberculosis?
C. Acute symptoms are no longer visible A. multiple drugs potentiate the drug actions
D. Client “feels sick” but can do normal activities B. multiple drugs reduce undesirable side-effects
14. Which action by a new nurse signifies an understanding C. multiple drugs allow reduced dosages to be given
about infection control? D. multiple drugs reduce development of resistant
A. The nurse touches the the inside portion of the strains of bacteria
gloves only when wearing gloves. 24. A 24 year old male bar tender comes to the clinic for
B. The nurse washes gloved hands before removing. physical exam and asks to be tested for AIDS. The nurse
C. The nurse uses her bare hands to change the explains that the initial screening for AIDS will be done
dressing via the:
D. The nurse applies standard precaution to all A. western blot test
types of patients. B. polymerase chain reaction
15. Several clients are admitted to an adult medical unit. C. CD4 T cell count
The nurse would ensure airborne precautions for a client D. ELISA/EIA
with which medical condition? 25. When educating a female with gonorrhea, the nurse
A. Autoimmune deficiency syndrome (AIDS) with should emphasize that for women gonorrhea.
cytomegalovirus (CMV) A. is often marked by symptoms of dysuria or
B. A positive purified protein derivative with an vaginal bleeding
abnormal chest x-ray B. does not lead to serious complication
C. A tentative diagnosis of viral pneumonia with C. can be treated but not cured
productive brown sputum D. may not cause symptoms
D. Advanced carcinoma of the lung with hemoptysis 26. Which of the following groups has experienced the
16. The nurse is assigned to a client newly diagnosed with greatest rise in the incidence of STD over the past two
active tuberculosis. Which of these protocols would be a decades:
priority for the nurse to implement? A. teenagers
A. Have the client cough into a tissue and dispose in B. divorced people
a separate bag C. young adults
B. Instruct the client to cover the mouth with a D. older adults
tissue when coughing 27. A female client with gonorrhea informs the nurse that
C. Reinforce for all to wash their hands before and she has had sexual intercourse with her bf and asks the
after entering the room nurse. “ would he have any symptoms?” the nurse
D. Place client in a negative pressure private room responds that in men the symptoms of gonorrhea
and have all who enter the room use masks with include:
shields A. impotence
Situation: Khaki is a regular recipient of isoniazid tablets. His B. scrotal swelling
children are Boknoy, 2 y/o and Lenlen, 4y/o. You followed-up C. urinary distention
Mang Khaki for failing to get his tablets. D. dysuria
17. You explained the importance of early diagnosis/ 28. The following are nursing interventions for patient with
treatment and convinced her to go to the health center chickenpox, except:
for: A. give ASA for fever
A. bronchoscopy B. TSB
B. chest x-ray C. calamine lotion
C. direct sputum smear microscopy D. hypoallergenic diet
D. tuberculin test 29. Annie is diagnosed with chickenpox. Her mother asks
18. Case finding is essential for the control of TB. However, how she might have gotten the disease. What is the
this is useful only when followed by: most appropriate reply?
A. home visits C. drug A. “ Chickenpox is an expected childhood illness that
compliance everyone gets.”
B. regular-check up D. chest B. “ It is transmitted from direct contact, droplet
and x-ray spread.”
19. Primary diagnostic tool in NTP case finding: C. “ It is inherited and transmitted through the
A. direct sputum smear microscopy C. genes.”
sputum culture D. “ It is possibly a side effect of recent
B. chest x-ray D. vaccinations.”
tuberculin testing 30. The virus of the chickenpox is found in the:
20. Which of the following TB patients are eligible for short A. contents of the vesicles and the crust
course chemotherapy? B. discharges of respiratory tract
A. cavitary cases and non-cavitary cases of PTB on C. both
chest x-ray D. neither
B. all newly discovered and reconfirmed sputum 31. Characteristics of rashes of Herpes zoster:
positive cases A. unilateral
C. for advanced cases B. vesiculopustular rashes
D. all of the above C. never cross the midline
21. If the patient is considered as relapse in the treatment. D. AOTA
He will fall on what category of the short course 32. Most common virus that causes diarrhea:
chemotherapy? A. giardia lambiasis C. adenovirus
A. category I C. category II B. rotavirus D. norovirus
B. category IIa D. category IV 33. A serious, often fatal form of gastroenteritis usually
22. In providing follow-up instruction to Mark who received eating canned and processed food:
mantoux test in the physician’s office on Tuesday. The A. botulism C. cholera

2 | Page
 B. salmonellosis D. typhoid fever D. They are able to bring about a cure of the
Situation: Richard, a 22 yrs old male, was referred to the disease condition.
public health nurse by one of the midwives in the community. 42. Post-exposure treatment is given to persons who are
He is sick of typhoid fever. The PHN plans for a home visit. exposed to rabies. It consist of the following:
34. The typical symptoms that the PHN expects to see in A. local wound treatment C. active
Richard is/are the following: immunization ( vaccination )
A. headache, diarrhea and abdominal pain B. passive immunization D. all of the
B. maculopapular rashes and koplik spots above
C. general malaise and difficulty in swallowing 43. The nurse is assessing a patient with typhoid fever. She
D. ladderlike progression of fever with rose spots on has documented an erythematous macules on the
the trunk patient’s trunk. She documents this as:
35. A nurse is knowledgeable when he states that the other A. Bitot’s spot
name for pertussis is: B. Cullen sign
A. La Grippe C. Rose spots
B. Whooping cough D. Forscheimer spot
C. Hansen’s disease 44. A school nurse is working with a 12-year-old female
D. Consumption student who has experienced early onset of puberty
36. A pregnant client at 16 weeks’ gestation has a blood accompanied by increasing interest in sexual attractiveness.
sample for rubella antibody screening drawn. The test The nurse bases her work with this student on the knowledge
results reveal a low titer. When discussing the results that developmentally:
with the client, what is an appropriate nursing action? A. The student is cognitively and socially
A. Arrange for the client to have a unprepared for the risks associated with sexual
measles-mumps-rubella (MMR) immunization. activity
B. Explain to the client that the results are what is B. Transmission of sexually transmitted disorders
expected. (STDs) is physiologically enhanced at the time of
C. Counsel client regarding potential birth defects. puberty
D. Instruct the client to receive the rubella C. Maturation of social skills precedes the physical
immunization immediately after delivery. changes of puberty
37. Malaria is produced by an intraerythrocytic parasite by D. Early adolescents are less impulsive and more
the genus Plasmodium. In humans, malaria is caused by wary of peer pressure than are older teens
four plasmodia. Which among the following choices 45. A sputum specimen was collected from Mr. Ramos for
produces most severe disease and is common in the culture and sensitivity. This study is to ascertain which of
Philippines? the following facts?
A. P. falciparum A. The virulence of microorganism involved
B. P. vivax B. The antibiotics which would be most helpful
C. P. ovale C. The patients probably reaction to the causative
D. P. malariae microorganism
38. One of the most specific sign of filariasis is enlargement D. The patient’s sensitivity to antibiotics
and thickening of the skin of the lower and/or upper 46. You are caring for a client who had a near-drowning
extremeties, scrotum, and breast known as: incident in a lake. Which assessment will you perform to
A. Orchitis monitor for possible complications?
B. Hydrocele A. Check the client’s blood glucose level before
C. Lymphedema meals
D. Elephantiasis B. Assess the client’s bowel sounds three times daily
C. Check the client’s skin for petechiae daily
39. A 32-year old client came for consultation at the health D. Assess the client’s temperature every 8 hours.
center with the chief complaint of fever for a week. 47. The effectiveness of nurse's teaching regarding take
Accompanying symptoms were muscle pains and body home prescribed antibiotic self-administration is
malaise. A week after the start of fever, the client noted indicated in which statement of the client?
yellowish discoloration of his sclera. History showed that A. "I will see to it that the medication schedule is
he waded in flood waters about 2 weeks before the synchronized with my daily routine."
onset of symptoms. Based on his history, which disease B. "I have read the prescription and its specific
condition will you suspect? instructions"
A. Hepatittis A C Tetanus C. "I fully understand the beneficial effects of the
B. Hepatitis B D. Leptospirosis antibiotic"
40. You are the PHN in the city health center. A client D. "I will report side effects immediately."
underwent screening for AIDS using ELISA. His 48. Where should you put Mr.Alejar, with Category II TB?
result was positive. What is the best course of action A. In a room with positive air pressure and at least
that you may take? 3 air exchanges an hour
A. Get a thorough history of the client, focusing on B. In a room with positive air pressure and at least
the practice of high risk behaviors. 6 air exchanges an hour
B. Ask the client to be accompanied by a significant C. In a room with negative air pressure and at least
person before revealing the result. 3 air exchanges an hour
C. Refer the client to the physician since he is the D. In a room with negative air pressure and at least
best person to reveal the result to the client. 6 air exchanges an hour
D. d. Refer the client for a supplementary test, such 49. A new technology adopted by the Philippines for a rapid
as Western blot, since the ELISA result may diagnosis of TB in less than 2 hours?
be false. A. Chest X ray
41. Antiretroviral agents, such as AZT, are used in the B. Sputum Microscopy
management of AIDS. Which of the following is NOT C. Xpert-MTB/RIF
an action expected of these drugs. D. Mantoux Test
A. They prolong the life of the client with AIDS. 50. Which of the following anti TB drugs would least likely
B. They reduce the risk of opportunistic infections allergic reaction?
C. They shorten the period of communicability of A. Rifampicin
the disease. B. INH

3 | Page
 C. Pyrazinamide 59. Taking into consideration the incubation period, which of
D. Streptomycin the ff. data in Rolando’s’ health history will you consider
51. Which of the following anti TB drugs is contraindicated relevant?
to pregnant woman? A. positive for type 2 diabetes mellitus
A. Rifampicin B. Immunization status uncertain, no booster dose
B. INH administered
C. Pyrazinamide C. Wound laceration, sustained a week ago, was
D. Streptomycin treated at home
52. In removing protective devices, which should be the D. Wound pain, unbearable and unrelieved by
exact sequence? analgesic
1. Eye wear or goggles 60. To decrease stimuli that cause muscle spasms and
2. Mask seizures, which of the ff. nursing interventions is LEAST
3. Gloves relevant for you to do?
4. Gown A. Maintain a quiet, well ventilated and darkened
A. 3,4, 1, 2 room
B. 4,3,1,2 B. Administer sedatives as prescribed
C. 1,3,4,2 C. Monitor for hazards of immobility
D. 2,1,4,3 D. Perform physical care during time of maximal
53. Which new admission should the nurse plan to place in a sedation
private room with negative-pressure airflow? 61. During a seizure, which of the ff. are you expected to do
A. Client with rubella FIRST?
B. Client with strep throat A. Monitor vital signs especially the respiratory rate
C. Client with measles B. Place a padded tongue blade in the patient’s
D. Client with TB of the bone mouth
54. A nursing instructor asks a nursing student to describe C. Provide mechanical ventilation
human immunoglobulin. The student correctly states D. Turn patient to his side
that these types of vaccine are: Situation: Patient with Rabies
A. Vaccine that have their virulence diminished so as 62. Nursing care of clients diagnosed with rabies is provision
to not produce a full blown clinical illness of this comfortable environment which is:
B. Vaccine that contains pathogens made inactive A. Adequately supplied with food and water
by either chemicals or heat C. Provided with soft music
C. Bacterial toxins that have been made inactive by B. Quiet and dark
either chemicals or heat D. Accessible to medication
D. Vaccines collected from pooled blood of people 63. Nursing intervention for the patient would include:
and provide antibodies to variety of diseases A. Covering the IV fluid bag with paper
55. While you are preparing to administer a tetanus toxoid C. Bringing extra fan for the patient to avoid
vaccination for Carlo who had a punctured wound, he hyperthermia
tells you that he had tetanus shot just 1 year ago. What B. Opening the windows in the room
will be your BEST response? D. Avoiding dim light
A. ” Antibody production slows down as you age. Situation:Patient with Dengue
You need a booster.” 64. Which of the following treatment should NOT be
B. “You probably do not need another vaccination considered if the child has severe dengue hemorrhagic
now.” fever?
C. it won’t hurt to receive an extra dose of the A. use plan C if there is bleeding from the nose or
toxoid.” gums
D. “you need this vacation because the strain of B. give ORS if there is skin petechiae, persistent
tetanus changes every year. vomiting and positive tourniquet test
56. What antibodies is transmitted through breastmilk? C. give aspirin
A. IgG D. prevent low blood sugar
B. IgA 65. An important role of the community health nurse in the
C. IgM prevention and control of Dengue H-fever includes:
D. IgD A. advising the elimination of vectors by keeping
57. What type of immunity is attained if a patient received water containers covered
Sinovac vaccine? B. conducting strong health education
A. Natural Passive Immunity drivers/campaign directed towards proper
B. Natural Active Immunity garbage disposal
C. Artificial Passive Immunity C. explaining to the individuals, families, groups and
D. Artificial Active Immunity community the nature of the disease and its
SIUTUATION: - You are caring for Rolando, 58 years old, was causation
admitted because of difficulty of swallowing and stiffening of D. practicing residual spraying with insecticides
the neck. He has history of a wound laceration on his right
hand sustained whiel gardening. Physician suspects Tetanus 66. Community health nurses should be alert in observing a
infection. Dengue suspect. The following is NOT and indicator for
58. While you were preparing to administer oxygen hospitalization of H-fever suspects.
inhalation, Rolando had seizures and assumed an A. Marked anorexia, abdominal pain and vomiting
opisthotonic position. Which of the ff. correctly describe B. Increasing hematocrit count
the position? C. Fever for more than 2 days
A. Head retracted, back arched and feet extended D. Persistent headache
B. Neck, hip, knee flexed and feet plantar flexed 67. The community health nurses primary concern in the
C. Head flexed forward, jaw clenched, arms immediate control of hemorrhage among patients with
pronated and feet plantar flexed dengue is:
D. Head hyper extended hip flexed and feet A. advising low fiber and non-fat diet
extended B. providing warmth through light weight covers
C. observing closely the patient for vital signs
leading to shock

4 | Page
 D. keeping the patient at rest B. Immunity against one serotype does not make
68. Which of these signs may NOT be REGARDED as a truly the individual immune to other serotypes
positive signs indicative of Dengue H-Fever? C. Immunity against all dengue viruses is based on
A. Prolonged bleeding time C. Steadily the individual’s immune response
increasing hematocrit count D. Cross-immunity to other viruses is possible only if
B. Appearance of at least 5 petechiae D Fall in infected with DEN-4 serotype
the platelet count 77. The mother of a child whose chickenpox rash first
69. Which of the following is the most important treatment appeared 8 days ago asks the nurse when her child may
of patients with Dengue H-Fever? return to school without being contagious. Which of the
A. Give aspirin for fever following is the nurse’s most appropriate response?
B. Replacement of body fluids A. “your child cannot return to school until all the
C. Avoid unnecessary movement of patient lesions disappear.”
D. Ice cap over the abdomen in case of melena B. “your child is contagious as long as your child is
70. The community health nurses primary concern in the itching.”
immediate control of hemmorrhage among patients with C. “the contagious state of chickenpox is generally 2
dengue is: weeks.”
A. Advising low fiber and non-fat diet D. “your child is not contagious and may return to
B. Providing warmth through light weight covers school now.”
C. Observing closely the patient for vital signs
leading to shock 78. When planning the care of a client diagnosed with
D. Keeping the patient at rest. asymptomatic herpes simplex virus type 2 (Hsv-2),
71. Which of these signs may NOT be REGARDED as a truly Which of the following should the nurse consider?
positive signs indicative of Dengue H-fever? A. there is no risk of transmitting the condition to
A. Prolonged Bleeding Time anyone else
B. Appearance of at least 20 petechiae within 1 cm B. after prescribed treatment, herpes simplex virus
square type 2 is cured
C. Steadily increasing hematocrit count C. an antibiotic is used successfully in the treatment
D. Fall in the platelet count D. the client is a carrier, and still able to transmit the
72. Which of the ff. Was MOST likely the description of disease
Bobby's fever prior to onset of hematuria that supported 79. The nurse assesses what clinical manifestation to be the
the physician's diagnosis of DENGUE FEVER? priority in a child with Enterobius (pinworm)?
A. intermittent fever for 4 days A. nocturnal anal itching
B. onset of fever was abrupt and remained elevated B. weight loss
for 4 days C. chronic or relapsing diarrhea
C. abrupt onset of fever and sudden drop on the 4th D. flatulence
day 80. The nurse assesses which of the following to be a clinical
D. gradual increase of body temperature and manifestation of human papillomavirus(HPV)?
sudden drop on the 4th day A. soft papules in the anogenital area
73. With proper medical care and early recognition, B. nocturnal anal itching
case-fatality rates are below 1%. On the other hand, C. erythematous and macular rash on the ankles
special attention needs to be given to these warning and wrists
signs as it could lead to severe dengue: Select all that D. painful raised vesicles
apply 81. A client with neutropenia has an absolute neutrophil
1. Severe abdominal pain count of 900. What is the client’s risk of infection?
2. Persistent vomiting A. Normal risk.
3. Bleeding gums B. Moderate risk.
4. Vomiting blood C. High risk.
5. Rapid breathing D. Extremely high risk.
6. Fatigue/ restlessness 82. The nurse is reviewing the lab reports of a client who is
7. Hemoptysis HIV positive. Which laboratory report provides
8. Headache information regarding the effectiveness of the client’s
A. 1,2,3,4,5,6 medication regimen?
B. 1,2,3,4,5,6,7 A. ELISA
C. 1,2,3,4,5,6,7,8 B. Western Blot
D. 1,2,3,4,5,7 C. Viral load
74. The nurse understands that the cycle of transmission of D. CD4 count
the Dengue Fever virus begins during which of the ff. 83. A client with AIDS related CMV is started on cytoven
A. Infected mosquito bites an uninfected human (ganciclovir). The nurse should tell the client that the
B. Virus multiply in the midgut of the mosquito medication will be needed:
C. Mosquito feeds on an infected human A. Until the infection clears
D. Mosquito's saliva is invaded by the virus during B. for 6 months to a year
subsequent biting of infected human C. Until the cultures are normal
75. To prevent transmission of the virus to others. Which of D. for the remainder of life.
the ff. Is MOST appropriate isolation measure the nurse 84. The nurse is caring for a client with suspected AIDS
should implement in the care of Bobby? dementia complex. The first sign of dementia in the
A. screen the environment client with AIDS is:
B. blood and body secretion isolation A. Changes in gait
C. use gown, gloves, and mask B. Loss of concentration
D. use strict universal isolation technique C. Problems with speech
76. The mother is preparing for their discharge. She tells the D. seizures
nurse that she is relieved that everything is fine and her 85. A second year nursing student has just suffered a
daughter is now immune to dengue. The nurse replies needlestick while working with a patient that is
based on the knowledge that: positive for AIDS. Which of the following is the most important
A. Immunity against one serotype can lead to action that nursing student should take?
immunity to other serotypes A. Immediately see a social worker

5 | Page
 B. Start prophylactic AZT treatment 94. There are measures that should be observed by the
C. Start prophylactic Pentamide treatment humans to prevent bird flu infection. Which of the
D. Seek counseling following is NOT included?
Situation: The Department of Health has vowed to end A. Non-poultry workers should avoid contact with
Neglected Tropical diseases (NTDs) by 2030. In the Philippines, the chickens and ducks as much as possible.
the NTDs that are prevalent include leprosy and rabies. One of B. All poultry farm workers should be given the
the strategies to address this goal is through conduct of Health current season’s flu vaccine.
Education program. C. Avoid eating chicken or any poultry products until
86. Public Health Nurse Gabriela is educating a group of the epidemic has abated
residents in Community X about rabies. A partciipant D. Advise people on proper cooking of poultry meat
asks, “How can you get the virus?” The nurse explains and eggs.
that the virus can be transmitted by which source? 95. For patients with bird flu infection, health care workers
A. Saliva should observe the following, EXCEPT:
B. Blood A. Establish a separate isolation facility
C. Urine B. Utilize Personal Protective Equipment (PPE)
D. Stool C. Avoid going near the patient as much as possible
87. She emphasized that the bites, which are responsible for D. Apply the principles of handwashing.
nearly 99 percent of human rabies infections, are those 96. Which of the following has been recognized as a
of the infected ____. significant risk factor for the development of acute
A. monkeys respiratory distress syndrome (ARDS) and death in
B. Dogs patients with COVID-19?
C. Bats A. Decreased Lactate dehydrogenase levels.
D. Cats B. Elevated D – dimer tests
88. Nurse Gabriela explains that there are situations which C. Neutropenia
increase risk of rabies. These are _____. D. Lymphocytosis
A. stray dog bites 97. Syphilis is another infection that may impose risk during
B. All of these pregnancy. Since we are under the practice of health
C. unprovoked bites science, you know that Syphilis is caused by:
D. Animals display abnormal behavior A. Treponema Syphilis C. Chlamydia
89. In another health education session, Nurse Gabriela Trachomatis
explains about LEPROSY. Which of the following should B. Neisseria gonorrhoeae D. Treponema
be included? Pallidum
1. Leprosy is curable 98. Under the second level of prevention, you know that one
2. not all leprosy patients are infectious of the focuses of care is the screening of diseases. What
3. leprosy is hereditary is the screening test for syphilis?
4. Casual contact with a patient causes leprosy A. VDRL
5. Regular and adequate treatment is essential B. Western blot
A. 1,3,4 C. PSA
B. 2,4,5 D. ELISA
C. 1,2,5 99. Which of the following are recommended infection
D. 2,3,4 control measures upon arrival of a patient with
90. Nurse Garbriela stated that a definitive diagnosis of suspected COVID-19 infection?
Leprosy is obtained through _____. A. Rapid triage of symptomatic infection
A. blood examinations B. Implement respiratory hygiene and cough
B. Tuberculin testing etiquette.
C. Skin smears/biopsies C. Have a separate, well ventilated space that
D. Nasal smears allows waiting symptomatic patients to be
Situation: – In recent months, “bird flu” or avian influenza separated by 6 or more feet.
caused a significant concern among the people especially D. All of the above
those in Central Luzon and Metro Manila. It is both an 100.Which of the following is the most effective method for
emerging and re-emerging infection. prevention of COVID-19 infection in the health care
91. Which of the following statement is TRUE about “bird setting?
flu”? A. Avoid exposure (Use standard precautions,
A. All forms of bird flu can easily cause illness to Contact precautions, and Airborne Precautions
humans and eye protection when caring for patients with
B. Domestic poultry flocks are much less vulnerable confirmed or possible COVID-19 infection)
to infections B. Vaccination
C. Infected chickens can also infect domestic C. Handwashing
animals like cats and dogs D. All of the above
D. Only birds are normally infected by the viruses, 101.Nurse Leah cautioned the nursing student that client can
less commonly pigs. develop multi drug resistant TB even to the most
92. When humans are infected, the following signs and powerful anti TB agents. The MOST powerful
symptoms of bird flu may appear, EXCEPT: antiTBagent according to World Health Organization are:
A. Fever C. A. Isoniazid and Rifampicin
Chicken rashes B. Isoniazid and Ethambutol
B. Sore eyes/Sore throat D. Body C. Rifampicin and Ethambutol
weakness D. Rifampicin and Streptomycin
93. Which of the following is NOT included in the control 102.Nurse Leah and the nursing student prepared the client
measures in infected birds? for discharge. They made sure that the client would
A. Restrictions on the movement of the live poultry. submit sputum for TB treatment monitoring. Which is
B. Rapid destruction of all infected or exposed birds the CORRECT schedule for sputum smear analysis?
C. Transferring of the live poultry in another area or A. At the end of the 1st, 3rd and 6th month.
location. B. At the end of the first, 3rd and 5th month.
D. Vigorous disinfection of poultry farms C. At the end of the 2nd, 5th and 6th month.
D. At the beginning of the 1st, 3rd and 6th month.

6 | Page
 103.Where should you put Mr.Alejar, with Category II TB? diagnosis. Which of the following should the nurse avoid
A. In a room with positive air pressure and at least to do to prevent pain when positioning the patient?
3 air exchanges an hour A. Extend leg
B. In a room with positive air pressure and at least B. Flex the neck forward
6 air exchanges an hour C. Hyperextend the neck
C. In a room with negative air pressure and at least D. Flex the hipMRSA
3 air exchanges an hour 113.Domiciliary treatment of leprosy is embodied in:
D. In a room with negative air pressure and at least A. R.A. 4073
6 air exchanges an hour B. R.A. 3573
104.A new technology adopted by the Philippines for a rapid C. PD 996
diagnosis of TB in less than 2 hours? D. R.A. 8504
A. Chest X ray 114.Leprosy is a chronic mildly communicable disease that
B. Sputum Microscopy mainly affects the following, except:
C. Xpert-MTB/RIF A. Peripheral nerves
D. Mantoux Test B. b Skin
105.TBXpert Project will provide approximately 1.4 million C. Mucosa of upper respiratory tract
Xpert MTB/RIF test cartridges and over 220 GeneXpert D. large Bones
instruments for the rapid detection of TB and rifampicin 115.The late signs and symptoms of leprosy are the
resistance in 21 recipient countries. The nurse should following, except:
collect at least how many ml of sputum specimen for the A. nasal obstruction
diagnostic process? B. lagopthalmos
A. 1 ml C. madarosis
B. 5 – 10 ml D. gynecomastia
C. 10 – 15 ml 116.World Health Organization (WHO) classified leprosy in
D. 30 ml the basis of modern management of Multi-Drug Therapy.
106.Xpert MTB results interpretation for MTB detected, In what classification when a patient treated within 6-9
Rifampicin resistance not detected is? months with non-infectious type?
A. T A. lepromatous
B. RR B. borderline
C. TI C. multibacillary
D. N D. Tuberculoid
107. Extra-pulmonary, Previously treated drug- susceptible TB 117. The focus or emphasis of our nursing management of
(whether bacteriologicallyconfirmed or patients with leprosy is on prevention of having the
clinically-diagnosed - CNS/bones or joints) is categorized disease and prevention of complication, which includes
as: the following:
A. Category I 1. Health education on the nature of the disease
B. Category II 2. advocate healthful living through proper nutrition,
C. Category IIa adequate rest, sleep and good personal hygiene
D. Category III 3. BCG vaccination
108.Which of the following anti TB drugs would least likely 4. Appropriate footwear
allergic reaction? 5. note change of address of patient
A. Rifampicin A. 1, 3 and 5 only
B. INH B. 1,2, and 3 only
C. Pyrazinamide C. 1,2,3 and 4 only
D. Streptomycin D. 1,2,3,4 and 5
109.Which of the following anti TB drugs is contraindicated 118.A pregnant client at 16 weeks’ gestation has a blood
to pregnant woman? sample for rubella antibody screening drawn. The test
A. Rifampicin results reveal a low titer. When discussing the results
B. INH with the client, what is an appropriate nursing action?
C. Pyrazinamide A. Arrange for the client to have a
D. Streptomycin measles-mumps-rubella (MMR) immunization.
Situation: Worthy, 4 years old is positive for Bacterial B. Explain to the client that the results are what is
Meningitis. expected.
110.The physician prescribed lumbar tap. When the nurse C. Counsel client regarding potential birth defects.
reads the laboratory results, which of the following D. Instruct the client to receive the rubella
reflects positive results indicative of Bacterial Meningitis? immunization immediately after delivery.
A. Decreased white blood cells, decreased proteins, 119.When preparing a teaching plan for a client who is to
high glucose receive a rubella vaccine during the postpartum period,
B. Normal white blood cells, increased proteins, high the nurse should include which of the following?
glucose A. The vaccine prevents a future fetus from
C. Increased white blood cells, increased proteins, developing congenital anomalies.
low glucose B. Pregnancy should be avoided for 3 months after
D. Increased white blood cells, decreased proteins, the immunization.
low glucose C. The client should avoid contact with children
111.Assessment findings reveal positive Brudzinski sign, diagnosed with rubella.
When the nurse flexed the child’s neck forward, which of D. The injection will provide immunity against the
the following behavior indicated a positive Brudzinski’s 7-day measles.
sign? Situation: Nashsep, 35 years old is HIV positive. Aside from
A. Hip flexed and knee Extended fatigue, Nashsep has no other complaints.
B. Knee extended and ankle flexed 120.The result of the Ensyme Linked Immunosorbent Assay
C. Leg extended with resistance (ELISA) test was positive. The nurse understands that
D. Hip, knee and ankle flexed this is a test to determine the presence of:
112.In the nursing care plan prepared by the nurse, “Pain A. HIV antibody
related to meningeal irritation” is a priority nursing B. Actively replicating HIV
C. HIV-antigen antibody response

7 | Page
 D. Increased CD4 cell count asks you about its specific lesion appearance. Which of
121.Which among the following body fluids transmits the following is your correct response to the client?
HIV/AIDS causative agent? A. Why are you asking about it? You might be a
1. blood prostitute woman.
2. vaginal secretions B. The lesions appear as cauliflower like lesions.
3. seminal fluid C. It appears as pinpoint vesicles surrounded by
4. amniotic fluid erythema.
5. breastmilk D. The lesions can possibly obstruct the birth canal.
6. Saliva 130.Zika is only a mild infection yet causes lifetime effect on
A. 1,2,3,4,5 infants born with mother infected. What complication
B. 1,2,3,5 commonly affects infants?
C. 1,2,3,4,5,6 A. Hydrocephalus
D. 6 B. Microcephaly
122.A positive HIV antibody test like ELISA and Western blot C. Multiple Sclerosis
indicates? D. Guillan barre Sydrome.
A. the patient has been infected with the virus, and 131.Nurse Shalom explains to a mother whose ten-year child
the body has produced antibodies just received a tetanus toxoid injection that the toxoid
B. HIV is active in the body, and the patient can vaccine confers which of the following immunity?
transmit the virus to others. A. Long-lasting active immunity
C. Despite HIV infection, the patient does not B. Lifelong natural immunity
necessarily have AIDS. C. Intermediate artificial immunity
D. The patient is immune to HIV D. Short-acting passive immunity
123.Diarrhea in AIDS patient is called: 132.Should an outbreak of an gastrointestinal illness
A. Amoebiasis resulting from an food-borne pathogen happens, Nurse
B. Toxoplasmosis Naomi would likely to think that this is a/an:
C. Cryptosporidiosis A. Attack rate
D. Dysentery B. Secular trend
124.This is the law that protects AIDS patient/patients with C. Point source
HIV and health care workers. D. Event related cluster
A. R.A. 8054 133.Which of the following denotes the resistance of an
B. R.A. 11166 entire community to an infectious agent as a result of
C. R.A. 8504 the immunity of a large proportion of individual to the
D. R.A. 8505 agent?
125.The primary reason that a herpes simplex virus (HSV) A. Active Immunity
infection is a serious concern to a client with HIV B. Passive Immunity
Infection is that it C. Natural Immunity
A. is an acquired immunodeficiency virus D. Herd Immunity
(AIDS)—defining illness. Situation: – The department of health reported that filariasis is
B. is curable only after 1 year of antiviral therapy. endemic in 45 out of 78 provinces in the Philippines . You are
C. leads to cervical cancer. assigned of province in Sarangani ,one of the endemic areas .
D. causes severe electrolyte imbalances. You know that filariasis carries a social stigma owing to the
126.A nursing student approaches an instructor following a disfiguring appearance brought by the disease .
needlestick to the finger from a needle used for an 134.You recall that filariasis is caused by parasitic nematode
injection with a known HIV positive client. Which known as
instructor statement is most accurate? A. Wuchereria bancrofti C. S.
A. Post exposure prophylaxis will need to be started Heamatobium
within 1 to 2 hours B. Necator americanus D.
B. HIV antibody Plasmodium falciparum
C. testing will need to be done in 6 weeks and then 135.The disease is transmitted to a person though bites of
again in 3 months. an infected female mosquitos , known as
D. At the end of the clinical shift, you should make A. Aedes aegypti C.
an appointment to see your health care provider. Anopheles
E. Flush immediately with water for 10 minutes and B. Cules D. Aedes
cover with a bandage and glove. poecillus
127. When educating a female client with gonorrhea, the 136.You received a 36 –year-old man who was brought by
nurse should emphasize that for women gonorrhea his wife to be tested for filariasis , The most likely
A. is often marked by symptoms of dysuria or diagnostic test that he will undergo is
vaginal bleeding. A. Immunochromatographic test ( ICT )
B. does not lead to serious complications. B. B.Rumpel Lead Test
C. can be treated but not cured. C. Urinalysis
D. may not cause symptoms until serious D. Stool examination
complications occur. 137. A client in the ACUTE stage of filariasis will included
128.Jarisch-Herxheimer reaction may be experienced by the which of the following clinical findings?
client with syphilis after therapy with benzathine A. Hydrocele , lymphedema , elephantiasis
penicillin G. The characteristic manifestations of B. lymphadenitis , lymphedema and orchitis
Jarisch-Herxheimer reaction are: C. Orchitis , hydrocele , elephantiasis
A. Rashes, itchiness, hives and pruritus D. Lympangitis , lymphadenitis , epideymitis
B. Confusion, drowsiness and numbness of 138.Effective methods that the government would likely to
extremities pursue to eliminate filariasis in the country are all of the
C. sudden episode of hypotension, fever, following , EXCEPT :
tachycardia, and muscle aches A. Vaccination of all susceptible in high risk areas
D. Episodes of nausea and vomiting, with bradypnea and high-risk population
and bradycardia B. Pursue annual mass drug administration using
129.A pregnant woman is in the clinic for consultation with two drugs in all endemic areas for five
regards to STD’s. She inquires about Venereal warts and consecutive years .

8 | Page
 C. Intensify health information and advocacy 146.When humans are infected, the following signs and
campaigns in its prevention control and symptoms of bird flu may appear, EXCEPT:
elimination A. Fever C.
D. Intensify environmental sanitation such as proper Chicken rashes
drainage and cleanliness of surroundings B. Sore eyes/Sore throat D. Body
139.Paragonimus westermani or the Oriental Lung fluke weakness
causes infection in the human population by eating 147. Which of the following is NOT included in the control
inadequately cooked crabs. Patients with paragonimiasis measures in infected birds?
are usually misdiagnosed to have ____. A. Restrictions on the movement of the live poultry.
A. Malaria B. Rapid destruction of all infected or exposed birds
B. Bacillary dysentery C. Transferring of the live poultry in another area or
C. typhoid fever location.
D. Pulmonary tuberculosis D. Vigorous disinfection of poultry farms
140.Prevention of infection from entamoeba histolytica is 148.Monkeypox is a viral zoonotic disease that occurs
BEST done through which of the following practices? primarily in tropical rainforest areas of central and west
A. Eating only organic vegetables Africa and is occasionally exported to other regions.
B. Washing food very well Monkeypox is usually a self-limited disease with the
C. Cooking food properly symptoms lasting from 2 to 4 weeks. Severe cases can
D. Boiling of water from questionable source occur. In recent times, the case fatality ratio has been
141.Giardiasis is a disease caused by a flagellated protozoan around 3–6%. What are the possible transmission of the
and its prevalence is associated with which of the disease?
following conditions? 1. oral sex with a person with monkeypox
1. Poor environmental sanitation 2. massaging a person with monkeypox
2. Poor hygiene 3. prolonged face to face direct contact with a person
3. Improper cooking of food with monkeypox
4. Overcrowding 4. contact with respiratory secretions of a person with
5. Malnutrition monkeypox
A. 1,4
A. 2,4,5 B. 2,3
B. 1,3,4 C. 1, 2, 4
C. 1,2,4 D. 1,2,3,4
D. 2,3,5 149.Which of the following is the drug of choice for typhoid
Situation: The Department of Health has vowed to end fever?
Neglected Tropical diseases (NTDs) by 2030. In the Philippines, A. Amoxicillin
the NTDs that are prevalent include leprosy and rabies. One of B. Chloramphenicol
the strategies to address this goal is through conduct of Health C. Gentamycin sulfate
Education program. D. Cyclosporins
142.Public Health Nurse Gabriela is educating a group of 150.Which of the following has been recognized as a
residents in Community X about rabies. A partciipant significant risk factor for the development of acute
asks, “How can you get the virus?” The nurse explains respiratory distress syndrome (ARDS) and death in
that the virus can be transmitted by which source? patients with COVID-19?
A. Saliva A. Decreased Lactate dehydrogenase levels.
B. Blood B. Elevated D – dimer tests
C. Urine C. Neutropenia
D. Stool D. Lymphocytosis
143.She emphasized that the bites, which are responsible for
nearly 99 percent of human rabies infections, are those
of the infected ____.
A. monkeys
B. Dogs
C. Bats
D. Cats
144.Nurse Garbriela stated that a definitive diagnosis of
Leprosy is obtained through _____.
A. blood examinations
B. Tuberculin testing
C. Skin smears/biopsies
D. Nasal smears
Situation: – In recent months, “bird flu” or avian influenza
caused a significant concern among the people especially
those in Central Luzon and Metro Manila. It is both an
emerging and re-emerging infection.
145.Which of the following statement is TRUE about “bird
flu”?
A. All forms of bird flu can easily cause illness to
humans
B. Domestic poultry flocks are much less vulnerable
to infections
C. Infected chickens can also infect domestic
animals like cats and dogs
D. Only birds are normally infected by the viruses,
less commonly pigs.

9 | Page
10 | Page