Title: PNLE ALL IN PRACTICE EXAMS: 148 Community Health Nursing Board Exam Questions with Verified Answers & Rationales 2025/2026 – Complete PNLE & NCLEX Study Guide (A+ Guaranteed)
Description:
PNLE ALL IN PRACTICE EXAMS – Community Health Nursing (CHN) Edition
This is the ultimate PNLE (Philippine Nurse Licensure Examination) and NCLEX practice exam reviewer for Community Health Nursing. Containing 148 board-style multiple-choice questions with complete answers, detailed rationales, and test-taking strategies, this document is designed to help nursing students and board exam takers master the most commonly tested concepts in community health nursing.
Whether you are preparing for the PNLE, NCLEX-RN, NCLEX-PN, local board exams, or nursing school finals, this practice exam will help you identify weak areas, strengthen your clinical reasoning, and build the confidence needed to pass on your first attempt.
WHY THIS REVIEWER IS A MUST-HAVE:
148 High-Yield Questions – Modeled after actual PNLE and NCLEX board exam questions.
Complete Answer Keys – Every question includes the correct answer clearly marked.
In-Depth Rationales – Learn the "why" behind every answer. Each rationale explains why the correct option is right AND why the other options are incorrect.
Test-Taking Strategies – Learn how to eliminate distractors, identify keywords, and apply critical thinking.
Comprehensive Topic Coverage – Covers the entire community health nursing scope tested in the boards.
Perfect for Self-Study & Group Review – Use as a standalone reviewer or supplement to your lecture notes.
Ideal for Filipino Nursing Students – Written with PNLE-style phrasing, terminology, and nursing interventions.
Instant Download – Word document format, ready to study immediately.
COMPLETE TOPIC BREAKDOWN (148 Questions):
UNIT 1: FOUNDATIONS OF COMMUNITY HEALTH NURSING (Questions 1–15)
Definition and goals of community health nursing
Community-based vs. population-focused nursing practice
Community diagnosis and nursing process
Roles and functions of the public health nurse
Family health nursing
Levels of health facilities: Primary, Secondary, Tertiary
Regional hospitals and training facilities
Out-patient vs. in-patient services
Catchment areas and service coverage
UNIT 2: OCCUPATIONAL HEALTH NURSING (Questions 4–7)
R.A. 1054 – Occupational Health Act
Occupational health nurse requirements
Ergonomic principles in the workplace
Environmental management role of the occupational health nurse
Health care provider, educator, and coordinator roles
Workplace safety and injury prevention
Occupational health privileges and entitlements
UNIT 3: PUBLIC HEALTH LAWS & LEGISLATION (Questions 8–14, 18–20, 25–26)
R.A. 7160 – Local Government Code
Devolution of health services to LGUs
R.A. 1054 – Occupational Health Act
Act 3573 – Law on Reporting of Communicable Diseases
P.D. 651 – Birth Registration Law
P.D. 996 – Compulsory Immunization Law
R.A. 7846 – Hepatitis B Immunization
R.A. 8423 – Traditional and Alternative Health Care Act
R.A. 8976 – Food Fortification Act
Presidential Proclamation No. 4 – Ligtas Tigdas
C.E. Winslow's definition of public health
Margaret Shetland's philosophy of public health nursing
Department of Health mission and vision
Municipal Health Board and local health governance
UNIT 4: COMMUNITY ORGANIZING & HEALTH EDUCATION (Questions 27–33)
Freeman and Heinrich's definition of CHN
Steps in community organizing: Integration, Community study, Core group formation, Community organization, Mobilization, Follow-up
Training of potential community leaders
Community assemblies and action planning
People empowerment and self-reliance
Indicators of success in community organizing
Health education and community participation
Developmental services in CHN
UNIT 5: EPIDEMIOLOGY & DISEASE SURVEILLANCE (Questions 26, 44–50, 52–54)
Descriptive vs. Analytical epidemiology
Functions of epidemiology in community health
Epidemiologic investigation during epidemics
Person-to-person propagated epidemics
Common vehicle epidemics
Establishing the epidemic
Testing hypotheses and formulating hypotheses
Cyclical variation vs. epidemic occurrence
Sex ratio and population composition
Sensitivity and specificity of diagnostic examinations
Notifiable disease reporting
Outbreak investigation and source identification
UNIT 6: VITAL STATISTICS & HEALTH INDICATORS (Questions 10, 52, 62–69)
Crude birth rate (natality rate)
Crude death rate
Infant mortality rate
Neonatal mortality rate
Maternal mortality rate
General fertility rate
Age-specific mortality rate
Swaroop's index
Proportionate mortality rate
Case fatality rate
Sex ratio and sex proportion
Population pyramid
Life expectancy and longevity
Health status indicators of a community
UNIT 7: PRIMARY HEALTH CARE & HEALTH PROGRAMS (Questions 53, 58–61, 77–80)
Alma Ata Declaration on Primary Health Care
Letter of Instruction No. 949
Primary Health Care approach in the Philippines
Indicators of success in PHC
Intersectoral linkages
Sentrong Sigla Movement
Certification of health centers
Family Planning Program
Freedom of choice in family planning
Birth spacing and ideal family size
Special targets for family planning
Micronutrient supplementation programs
Retinol, ferrous sulfate, potassium iodate
UNIT 8: MATERNAL & CHILD HEALTH NURSING (Questions 60–61, 78–88, 93–96, 109–111)
Prenatal consultation and assessment
Home delivery vs. facility-based delivery
OB score and gravidity/parity
Danger signs in pregnancy
Folic acid and neural tube defects
Tetanus toxoid immunization
Breastfeeding techniques and benefits
Lactation and milk production
Proper latch-on and positioning
Colostrum and breast milk composition
Complementary feeding and weaning
Retinol supplementation for pregnant and postpartum women
Ferrous sulfate and anemia prevention
Potassium iodate and iodine deficiency
Malunggay capsule and lactation
Expanded Program on Immunization (EPI)
BCG, DPT, OPV, Measles, Hepatitis B vaccines
Vaccine storage and handling
Cold chain management
Immunization schedules and contraindications
Catch-up immunization
School entrants immunization
Parental consent and legal basis
UNIT 9: NUTRITION & MICRONUTRIENT DEFICIENCY (Questions 60, 65, 68, 88, 103–108)
Protein Energy Malnutrition (PEM)
Kwashiorkor vs. Marasmus
Baggy pants sign
Voracious appetite vs. apathy
Edema and wasting
Operation Timbang
Nutritional assessment
Food fortification
Vitamin A deficiency (Xerophthalmia)
Night blindness and conjunctival xerosis
Keratomalacia and corneal opacity
Iron deficiency anemia
Pallor assessment
Iodine deficiency disorders
Micronutrient supplementation programs
UNIT 10: COMMUNICABLE DISEASE NURSING (Questions 34–36, 89–95, 109–111, 116–148)
Levels of prevention: Primary, Secondary, Tertiary
Isolation and quarantine
Measles (Rubeola) – Koplik's spots, complications, vaccine
German measles (Rubella) – Congenital rubella syndrome
Chicken pox (Varicella) – Complications in adults
Mumps (Infectious parotitis) – Orchitis and sterility
Diphtheria – Airborne transmission
Pertussis – DPT vaccine
Tetanus – Neonatal tetanus, maternal immunization
Poliomyelitis – OPV, fecal-oral route
Hepatitis A – Fecal-oral transmission
Hepatitis B – Blood and body fluids
Tuberculosis – Sputum examination, DOTS, Category I
Leprosy – Early signs, multibacillary vs. paucibacillary
Schistosomiasis – S. japonicum, liver cirrhosis
Malaria – Anopheles mosquito, zooprophylaxis, stream seeding
Dengue fever – Aedes aegypti, tourniquet test, capillary refill
Dengue shock syndrome – Prevention and management
Cholera – Rice water stools
Amebiasis and Giardiasis
Leptospirosis – Flood water transmission
AIDS/HIV – ELISA, Western blot, antiretroviral agents
Sexually Transmitted Infections – Contact tracing
Staphylococcal food poisoning – Proper handwashing
Meningitis – Hemophilus influenzae
Viral conjunctivitis
UNIT 11: INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (IMCI) (Questions 97–102, 104, 110, 127)
IMCI assessment guidelines
Respiratory rate assessment
Fast breathing vs. normal breathing
Chest indrawing and severe pneumonia
Danger signs: Inability to drink, vomiting everything, convulsions, lethargy
Severe pneumonia – Urgent referral
Some dehydration vs. severe dehydration
Skin pinch and sunken eyes
Oresol administration
Vomiting management during Oresol therapy
Severe malnutrition – Marasmus, Kwashiorkor
Baggy pants sign – Urgent referral
Severe dehydration – IV fluid therapy
Priority management in severe conditions
UNIT 12: ENVIRONMENTAL HEALTH & SANITATION (Questions 123, 139)
Levels of water facilities: Level I, II, III
Artesian wells and communal faucets
Waterworks systems (MWSS)
Safe water supply
Proper excreta disposal
Sanitary toilets
Food safety and hygiene
Vector control and mosquito-borne diseases
UNIT 13: FAMILY HEALTH NURSING (Questions 37–43)
Family-nurse contact: Clinic consultation, Group conference, Home visit, Written communication
Home visit principles and advantages
Planning a home visit
Bag technique and infection control
Family health assessment
Typology of family nursing problems: Health threat, Health deficit, Foreseeable crisis, Stress point
Family dynamics observation
Family coping and adaptation
Family-centered nursing care
UNIT 14: FIELD HEALTH SERVICES & INFORMATION SYSTEM (FHSIS) (Questions 72–73)
FHSIS components: Tally report, Output report, Target/client list, Individual health record
Monthly Field Health Service Activity Report
Recording and reporting in public health
Monitoring long-term regimens
Multi-Drug Therapy monitoring
Data gathering methods: Census, Survey, Record review
Civil registry and birth certificates
De jure vs. De facto population assignment
UNIT 15: TRADITIONAL & ALTERNATIVE HEALTH CARE (Questions 55–57)
Philippine Institute of Traditional and Alternative Health Care
Medicinal herbs: Lagundi, Sambong, Akapulko, Staang gubat
Traditional Chinese Medicine: Yin, Yang, Qi
Herbal medicine in community health
R.A. 8423 – Traditional and Alternative Health Care Act
UNIT 16: HEALTH COMMUNICATION & HEALTH PROMOTION (Throughout)
Communicating with healthcare providers
Measurable goals and tracking habits
Health education strategies
Behavior change communication
Community health advocacy
Health promotion and disease prevention
WHO IS THIS FOR?
PNLE Board Exam Takers – Philippine Nurse Licensure Examination
NCLEX-RN & NCLEX-PN Reviewers – US and international board exams
Nursing Students – Undergraduate community health nursing courses
Review Centers – Use as a supplemental practice test
Foreign Nurse Licensure Exams – Adaptable to various countries
Returning Nurses – Refresher and competency review
Nurse Educators – Question bank for classroom quizzes and exams
Public Health Nurses – Continuing education and skills review
HOW TO USE THIS REVIEWER:
Take the exam – Answer all 148 questions without looking at the answers.
Check your answers – Use the answer key to score yourself.
Read the rationales – Understand why you got questions right or wrong.
Identify weak areas – Focus on topics where you scored low.
Review and repeat – Retake the exam after studying to measure improvement.
Simulate board conditions – Time yourself to build speed and accuracy.;
Content preview
PNLE ALL IN PRACTICE EXAMS
COMMUNITY HEALTH NURSING
1. Which is the primary goal of community health nursing?
A. To support and supplement the efforts of the medical profession in the promotion
of health and prevention of illness
B. To enhance the capacity of individuals, families and communities to cope with their
health needs
C. To increase the productivity of the people by providing them with services that will
increase their level of health
D. To contribute to national development through promotion of family welfare,
focusing particularly on mothers and children.
Answer: (B) To enhance the capacity of individuals, families and
communities to cope with their health needs
Rationale: To contribute to national development through promotion of family
welfare, focusing particularly on mothers and children.
2. CHN is a community-based practice. Which best explains this statement?
A. The service is provided in the natural environment of people.
B. The nurse has to conduct community diagnosis to determine nursing needs and
problems.
C. The services are based on the available resources within the community.
D. Priority setting is based on the magnitude of the health problems identified.
Answer: (B) The nurse has to conduct community diagnosis to determine
nursing needs and problems.
Rationale: Community-based practice means providing care to people in their own
natural environments: the home, school and workplace, for example.
3. Population-focused nursing practice requires which of the following
processes?
A. Community organizing
B. Nursing process
C. Community diagnosis
D. Epidemiologic process
Answer: (C) Community diagnosis
Rationale: Population-focused nursing care means providing care based on the
greater need of the majority of the population. The greater need is identified through
community diagnosis.
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,4. R.A. 1054 is also known as the Occupational Health Act. Aside from
number of employees, what other factor must be considered in determining
the occupational health privileges to which the workers will be entitled?
A. Type of occupation: agricultural, commercial, industrial
B. Location of the workplace in relation to health facilities
C. Classification of the business enterprise based on net profit
D. Sex and age composition of employees
Answer: (B) Location of the workplace in relation to health facilities
Rationale: Based on R.A. 1054, an occupational nurse must be employed when there
are 30 to 100 employees and the workplace is more than 1 km. away from the
nearest health center.
5. A business firm must employ an occupational health nurse when it has at
least how many employees?
A. 21
B. 101
C. 201
D. 301
Answer: (B) 101
Rationale: Again, this is based on R.A. 1054.
6. When the occupational health nurse employs ergonomic principles, she is
performing which of her roles?
A. Health care provider
B. Health educator
C. Health care coordinator
D. Environmental manager
Answer: (D) Environmental manager
Rationale: Ergonomics is improving efficiency of workers by improving the worker's
environment through appropriately designed furniture, for example.
7. A garment factory does not have an occupational nurse. Who shall
provide the occupational health needs of the factory workers?
A. Occupational health nurse at the Provincial Health Office
B. Physician employed by the factory
C. Public health nurse of the RHU of their municipality
D. Rural sanitary inspector of the RHU of their municipality
Answer: (C) Public health nurse of the RHU of their municipality
Rationale: You're right! This question is based on R.A.1054.
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,8. "Public health services are given free of charge." Is this statement true or
false?
A. The statement is true; it is the responsibility of government to provide basic
services.
B. The statement is false; people pay indirectly for public health services.
C. The statement may be true or false, depending on the specific service required.
D. The statement may be true or false, depending on policies of the government
concerned.
Answer: (B) The statement is false; people pay indirectly for public health
services.
Rationale: Community health services, including public health services, are pre-paid
services, though taxation, for example.
9. According to C.E.Winslow, which of the following is the goal of Public
Health?
A. For people to attain their birthrights of health and longevity
B. For promotion of health and prevention of disease
C. For people to have access to basic health services
D. For people to be organized in their health efforts
Answer: (A) For people to attain their birthrights of health and longevity
Rationale: According to Winslow, all public health efforts are for people to realize
their birthrights of health and
10. We say that a Filipino has attained longevity when he is able to reach
the average lifespan of Filipinos. What other statistic may be used to
determine attainment of longevity?
A. Age-specific mortality rate
B. Proportionate mortality rate
C. Swaroop's index
D. Case fatality rate
Answer: (C) Swaroop's index
Rationale: Swaroop's index is the percentage of the deaths aged 50 years or older.
Its inverse represents the percentage of untimely deaths (those who died younger
than 50 years).
11. Which of the following is the most prominent feature of public health
nursing?
A. It involves providing home care to sick people who are not confined in the hospital.
B. Services are provided free of charge to people within the catchment area.
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, C. The public health nurse functions as part of a team providing a public health
nursing services.
D. Public health nursing focuses on preventive, not curative, services.
Answer: (D) Public health nursing focuses on preventive, not curative,
services.
Rationale: The catchment area in PHN consists of a residential community, many of
whom are well individual who have greater need for preventive rather than curative
services.
12. According to Margaret Shetland, the philosophy of public health nursing
is based on which of the following?
A. Health and longevity as birthrights
B. The mandate of the state to protect the birthrights of its citizens
C. Public health nursing as a specialized field of nursing
D. The worth and dignity of man
Answer: (D) The worth and dignity of man
Rationale: This is a direct quote from Dr. Margaret Shetland's statements on Public
Health Nursing.
13. Which of the following is the mission of the Department of Health?
A. Health for all Filipinos
B. Ensure the accessibility and quality of health care
C. Improve the general health status of the population
D. Health in the hands of the Filipino people by the year 2020
Answer: (B) Ensure the accessibility and quality of health care (none)
14. Region IV Hospital is classified as what level of facility?
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
Answer: (D) Tertiary
Rationale: Regional hospitals are tertiary facilities because they serve as training
hospitals for the region.
15. Which is true of primary facilities?
A. They are usually government-run.
B. Their services are provided on an out-patient basis.
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