COMMUNITY HEALTH NURSING EXAM 145
QUESTIONS 2026 EDITION CORRECT
ANSWERS AND DETAILED RATIONALES
COMPREHENSIVE COMMUNITY/PUBLIC
HEALTH NURSING STUDY GUIDE
If the child vomits persistently, that is, he vomits everything that he takes
in, he has to be referred urgently to a hospital. Otherwise, vomiting is
managed by letting the child rest for 10 minutes and then continuing with
Oresol administration. Teach the mother to give Oresol more slowly.
103. A 1 1/2 year old child was classified as having 3rd degree of protein
energy malnutrition, kwashjorkor. Which of the following signs will be
most apparent in this child?
A. Voracious appetite
B. Wasting
C. Apathy
D. Edema - CORRECT ANSWER-D. Edema
,Edema, a major sign of kwashiorkor, is caused by decreased colloidal
osmotic pressure of the blood brought about by hypoalbuminemia.
Decreased blood albumin level is due a protein-deficient diet.
104. Assessment of a 2-year old child revealed "baggy pants". Using the
IMCI guidelines, how will you manage this child?
A. Refer the child urgently to a hospital for confinement
B. Coordinate with the social worker to enroll the child in a feeding
program
C. Make a teaching plan for the mother, focusing on the menu planning for
her child
D. Assess and treat the child for health problems like infections and
intestinal parasitism - CORRECT ANSWER-A. Refer the child urgently to a
hospital for confinement
"Baggy pants" is a sign of severe marasmus. The best management is urgent
referral to a hospital.
105. During the physical examination of a young child, what is the earliest
sign of xerophthalmia that may observe?
A. Keratomalacia
B. Corneal opacity
,C. Night blindness
D. Conjunctival xerosis - CORRECT ANSWER-D. Conjunctival xerosis
The earliest sign of Vitamin A deficiency (xerophthalmia) is night
blindness. However, this is a functional change, which is not observable
during physical examination. The earliest visible lesion is conjunctival
xerosis or dullness of the conjunctiva due to inadequate tear production.
106. To prevent xerophthalmia, young children are given Retinol capsule
every 6 months. What is the dose given to preschoolers?
A. 10, 000 IU
B. 20, 000 IU
C. 100, 000 IU
D. 200, 000 IU - CORRECT ANSWER-D. 200, 000 IU
Preschoolers are given Retinol 200,000 IU every 6 months. 100,000 IU is
given once to infants aged 6 to 12 months. The dose for pregnant women is
10,000 IU.
107. The major sign of iron deficiency anemia is pallor. What part is best
examined for pallor?
A. Palms
B. Nailbeds
C. Around the lips
D. Lower conjunctival sac - CORRECT ANSWER-A. Palms
, The anatomic characteristics of the palms allow a reliable and convenient
basis for examination for pallor.
108. Food fortification is one of the strategies to prevent micronutrient
deficiency conditions. RA 8976 mandates fortification of certain food items.
Which of the following is among these food items?
A. Sugar
B. Bread
C. Margarine
D. Filled milk - CORRECT ANSWER-A. Sugar
R.A. 8976 mandates fortification of rice, wheat flour, sugar and cooking oil
with Vitamin A, iron and/or iodine.
109. What is the best course of action when there is a measles epidemic in a
nearby municipality?
A. Give measles vaccine to babies aged 6 to 3 months
B. Give babies aged 6 to 11 months one dose of 100,000 IU of Retinol
C. Instruct mother to keep their babies at home to prevent disease
transmission
QUESTIONS 2026 EDITION CORRECT
ANSWERS AND DETAILED RATIONALES
COMPREHENSIVE COMMUNITY/PUBLIC
HEALTH NURSING STUDY GUIDE
If the child vomits persistently, that is, he vomits everything that he takes
in, he has to be referred urgently to a hospital. Otherwise, vomiting is
managed by letting the child rest for 10 minutes and then continuing with
Oresol administration. Teach the mother to give Oresol more slowly.
103. A 1 1/2 year old child was classified as having 3rd degree of protein
energy malnutrition, kwashjorkor. Which of the following signs will be
most apparent in this child?
A. Voracious appetite
B. Wasting
C. Apathy
D. Edema - CORRECT ANSWER-D. Edema
,Edema, a major sign of kwashiorkor, is caused by decreased colloidal
osmotic pressure of the blood brought about by hypoalbuminemia.
Decreased blood albumin level is due a protein-deficient diet.
104. Assessment of a 2-year old child revealed "baggy pants". Using the
IMCI guidelines, how will you manage this child?
A. Refer the child urgently to a hospital for confinement
B. Coordinate with the social worker to enroll the child in a feeding
program
C. Make a teaching plan for the mother, focusing on the menu planning for
her child
D. Assess and treat the child for health problems like infections and
intestinal parasitism - CORRECT ANSWER-A. Refer the child urgently to a
hospital for confinement
"Baggy pants" is a sign of severe marasmus. The best management is urgent
referral to a hospital.
105. During the physical examination of a young child, what is the earliest
sign of xerophthalmia that may observe?
A. Keratomalacia
B. Corneal opacity
,C. Night blindness
D. Conjunctival xerosis - CORRECT ANSWER-D. Conjunctival xerosis
The earliest sign of Vitamin A deficiency (xerophthalmia) is night
blindness. However, this is a functional change, which is not observable
during physical examination. The earliest visible lesion is conjunctival
xerosis or dullness of the conjunctiva due to inadequate tear production.
106. To prevent xerophthalmia, young children are given Retinol capsule
every 6 months. What is the dose given to preschoolers?
A. 10, 000 IU
B. 20, 000 IU
C. 100, 000 IU
D. 200, 000 IU - CORRECT ANSWER-D. 200, 000 IU
Preschoolers are given Retinol 200,000 IU every 6 months. 100,000 IU is
given once to infants aged 6 to 12 months. The dose for pregnant women is
10,000 IU.
107. The major sign of iron deficiency anemia is pallor. What part is best
examined for pallor?
A. Palms
B. Nailbeds
C. Around the lips
D. Lower conjunctival sac - CORRECT ANSWER-A. Palms
, The anatomic characteristics of the palms allow a reliable and convenient
basis for examination for pallor.
108. Food fortification is one of the strategies to prevent micronutrient
deficiency conditions. RA 8976 mandates fortification of certain food items.
Which of the following is among these food items?
A. Sugar
B. Bread
C. Margarine
D. Filled milk - CORRECT ANSWER-A. Sugar
R.A. 8976 mandates fortification of rice, wheat flour, sugar and cooking oil
with Vitamin A, iron and/or iodine.
109. What is the best course of action when there is a measles epidemic in a
nearby municipality?
A. Give measles vaccine to babies aged 6 to 3 months
B. Give babies aged 6 to 11 months one dose of 100,000 IU of Retinol
C. Instruct mother to keep their babies at home to prevent disease
transmission
