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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)

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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.;

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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.


2

,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.

3

, 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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