Title RECALLS 7 - NP1 - SC ✅

RECALLS 7 EXAMINATION NURSING PRACTICE I COMMUNITY HEALTH NURSING NOVEMBER 2025 Philippine Nurse Licensure Examination Review GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions 2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set. 5. Write the subject title “NURSING PRACTICE I” on the box provided Situation: You are a public health consultant tasked with implementing a comprehensive community development program in a rural area with various social, economic, and environmental challenges. Your goal is to ensure that your strategies align with the 17 Sustainable Development Goals (SDGs) adopted by the United Nations. 1. Your program aims to ensure healthy lives and promote well-being for all, at all ages. Which SDG aligns with this objective? A. SDG 1 B. SDG 2 C. SDG 3 D. SDG 5 2. If your program aims to promote sustained, inclusive, and sustainable economic growth, full and productive employment, and decent work for all, which SDG should it align with? A. SDG 7 B. SDG 8 C. SDG 9 D. SDG 12 3. You want to ensure the community has access to clean water and sanitation. Which SDG should guide your efforts? A. SDG 2 B. SDG 3 C. SDG 6 D. SDG 9 4. Your program includes initiatives to combat climate change. Which SDG aligns with this focus? A. SDG 7 B. SDG 10 C. SDG 13 D. SDG 15 5. By which year are the Sustainable Development Goals (SDGs) set to be achieved globally? A. 2030 B. 2040 C. 2050 D. 2060 Situation: Prevention includes a wide range of activities aimed at reducing risks or threats of health. 6. Nurse Marco is visiting a family with a child who recently became a paraplegic. He suggests some home modifications to accommodate the child’s disability. What level of family-focused intervention the nurse has suggested? A. Quaternary prevention B. Secondary prevention C. Tertiary prevention D. Primary Prevention 7. Which of the following programs is an example of secondary prevention? A. An exercise program for persons who had stroke B. A community-wide nutrition program at fast food establishments C. Immunization of persons exposed to infectious disease with immunoglobulin G within 2 weeks of exposure. D. Health education on safe water supply 8. As a result of an outbreak of influenza in Barangay Maligaya, Nurse Marco encourages the residents of the community to receive the influenza vaccine. Which level of prevention is being used? A. Tertiary prevention B. Multifactorial prevention C. Primary prevention D. Secondary prevention 9. Nurse Marco explains to the mother the general needs of a family for adequate nutrition, rest, and physical activity. Which level of prevention does this describe? A. Quaternary prevention B. Primary prevention C. Tertiary prevention D. Secondary prevention 10. Nurse Marco also encounters a female patient who reported chest discomfort and shortness of breath. He placed the patient on oxygen, electrocardiogram, and had his blood gases drawn. What level of preventive care is this patient receiving? A. Health promotion B. Secondary prevention C. Tertiary prevention D. Primary prevention Situation: The Department of Health has vowed to end Neglected Tropical Diseases (NTDs) by 2030. In the Philippines, the NTDs that are prevalent include leprosy and rabies. One of the strategies to address this goal is through the conduct of HEALTH EDUCATION program. 11. Public Health Nurse Dana is educating a group of residents in Community X about RABIES. A participant asks, “How can you get the virus?” The Nurse explains that the virus can be transmitted by which source? A. Saliva B. Blood C. Urine D. Stool 12. 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 13. Nurse Dana explains that there are situations which increase the risk of rabies. These are ________. A. Stray dogs B. Unprovoked bites C. Animals display unusual behavior D. All of these 1 | Page

32. A hepatitis B screen is performed on a postpartum client, and the results indicate the presence of antigens in the maternal blood. Which intervention would the nurse anticipate to be prescribed to protect the neonate? A. Obtaining serum liver enzymes B. Administering hepatitis vaccine C. Supporting breastfeeding every 5 hours D. Repeating hepatitis B screen in 1 week 33. A nurse is conducting health teaching for a new mother regarding the Hepatitis B immunization schedule for her newborn. Which of the following statements by the mother indicates correct understanding of the vaccination schedule? A. "My baby should receive the first dose at 2 months old." B. "The Hepatitis B vaccine is given in a single dose only." C. "The first dose should be given within 24 hours after birth." D. "My baby will receive the first dose together with the MMR vaccine." 34. Which of the following is the next appropriate schedule for the Hepatitis B vaccine? A. At 3 weeks of age B. At 6 weeks of age C. At 10 weeks of age D. At 14 weeks of age 35. During meals, the pregnant client with Hepatitis B dislodges her IV line and bleeds on the surface of the over-the-bed table. It would be most appropriate for the nurse to instruct a housekeeper to clean the table with: A. Alcohol B. Acetone C. Ammonia D. Bleach Situation: Health Education on HIV-AIDS has been massive in the years prior, yet patients and their relatives still have a number of queries and misconceptions about it. Marie, a young mother of 34, has been recently diagnosed with the disease. 36. Nurse Ana is educating Marie about HIV transmission. Which of the following bodily fluids is considered NOT a significant carrier of HIV due to very low concentrations of the virus? A. Urine B. Cerebrospinal fluid C. Semen D. Menstrual blood 37. Marie is aware that there is mother-to-child transmission of HIV. She becomes concerned and asks the nurse when it specifically happens. The nurse answered that it can occur in the following circumstances, EXCEPT _____. A. During breastfeeding B. During casual contact C. At the time of delivery D. In utero Answer: B 38. Marie asks the nurse, “what kind of transmission occurs between a mother who is HIV-positive and her infant?” Nurse Ana answered: A. Vertical transmission B. Diagonal transmission C. Horizontal transmission D. Airborne transmission 39. Marie has CD4 lymphocyte count below 200 cells/mm3. She then asks what that means. The nurse answered: A. That is within normal limits B. She is in Stage 3 or AIDS C. It is slightly below normal, nothing to worry about D. It is worrisome, but immediate attention is not necessary 40. The nurse counsel Marie that the prevention of HIV infection that is not usually realistic is which one of the following? A. HIV testing B. Behavioral interventions to reduce risk C. Total abstinence D. Linkage to a treatment center Situation: Cassandra is suspected of having poliomyelitis after recent travel to an endemic area. 41. Poliomyelitis is known for its specific modes of transmission. Which of the following is the primary mode of transmission for poliomyelitis? A. Direct contact with respiratory droplets B. Airborne particles C. Fecal-oral route D. Vector-borne transmission 42. What is the causative agent of poliomyelitis? A. Bacteria B. Fungus C. Virus D. Parasite 43. To confirm a diagnosis of poliomyelitis, specific diagnostic tests are used to detect the presence of the virus. What is one of the primary diagnostic methods used to identify poliovirus? A. Blood smear B. Urinalysis C. Stool culture D. Chest x-ray 44. The Oral Polio Vaccine (OPV) is given in a specific dosage to ensure its effectiveness. What is the standard dosage for OPV? A. 0.5 mL B. 1 mL C. 2 drops D. 5 drops 45. The nurse is educating a parent about the poliomyelitis vaccination schedule for their child. Which statements about the Oral Polio Vaccine (OPV) and Inactivated Polio Vaccine (IPV) are correct? 1. OPV is administered as 2 drops orally. 2. IPV should be administered intramuscularly in the deltoid muscle for infants. 3. The first dose of IPV is given at 3 1⁄2 months of age. 4. OPV should be administered at 2 months, 4 months, and 6-18 months. 5. IPV is administered intramuscularly in the anterolateral thigh for infants. A. 1,3,4 B. 1,2,5 C. 2,3,5 D. 1,3,5 Situation: As the rainy season begins, Nurse Jenny and her team are on high alert for a rise in Dengue Fever cases. 46. What is the causative agent of dengue fever? A. Fomite B. Vector C. Bacteria D. Virus 47. Which of the following strategies would be effective in reducing the incidence of dengue infection? A. Healthy nutritious food B. Burning of leaves and garbage C. Destruction of breeding place of vectors D. Adequate rest and sleep 48. Bleeding is the most critical complication of dengue infection. When should the patient be monitored for signs of bleeding? A. 4th to 7 days B. At the onset of symptoms C. 2nd to 3rd day D. 1st day 49. What information about dengue fever should the nurse communicate to the community? A. It is always life threatening. B. It could be deadly but preventable. C. It responds well to antibiotics. D. The incubation period is variable. 50. Which diagnostic test can help confirm the diagnosis of dengue fever? A. Rumpell-Leede B. Mantoux C. Elisa 3 | Page
D. Widal Situation: According to the World Health Organization (WHO), there are major causes of non-communicable disease that pose challenges to the live and health of millions of people and threaten economic and social development of countries. 51. Which of the following are the four chronic diseases referred to by WHO? 1. Cardiovascular Disease 2. Cancer 3. Dementia 4. Arthritis 5. Diabetes Mellitus 6. Chronic Obstructive Lung Disease A. 1,2,3 and 4 B. 1,2,5 and 6 C. 2,3,4 and 5 D. 2,4,5 and 6 52. The WHO reveals that the NUMBER ONE cause of death from chronic diseases worldwide, using the 2015 estimate, is _______. A. Tuberculosis B. Diabetes Mellitus C. Ischemic Heart Disease D. Pneumonia 53. In the Philippines, which is the TOP Killer according to the Department of Health (2009 data)? A. Asthma B. Cancer C. Tuberculosis D. Cardiovascular Diseases 54. When studying chronic diseases, the multifactorial etiology of illness is considered. What does this imply? A. Single organism that causes the disease, such as cholera, must be studied in more detail. B. Focus should be on the factors or combinations and levels of factors contributing to disease. C. The rise in infectious and communicable disease must be the main focus. D. Genetics and molecular structure of disease is paramount. 55. Determinants of health to address the development of cancer in a community include: 1. Proximity of the community to chemical plants that emit poisonous gases. 2. High percentage of tobacco use among the residents. 3. Prevailing diet high in processed food and fat. 4. Availability of the health facilities. 5. Old age. A. 3,4 and 5 B. 1,2 and 3 C. 1,3 and 4 D. 2,4 and 5 Situation: In the community where Nurse Aj works, there are many individuals with obesity who are experiencing various heart conditions. 56. What initiative should Nurse Aj implement to reduce the incidence of risk factors, particularly obesity? A. Wellness and fitness program B. Obesity is natural body response C. Tell them to go the gym D. They have to undergo strict dietary regimen 57. What should the nurse emphasize in her health teachings? A. Jogging a mile a day B. No need to diet C. Vigorous exercise D. Weight reduction 58. Nurse Aj should advise patients on the following, except: A. Cut down on salt intake B. More fruits and vegetable C. Eat regular meals D. Eat more saturated fats 59. To avoid complications from heart disease, the nurse advises the patient to regularly check their blood: A. Cholesterol B. Nitrogen C. Type D. Oxygenation 60. Nurse Aj should incorporate the following in his health teachings, EXCEPT: A. Less saturated fat B. Weight within normal limits C. Exercise regularly D. More fats in the diet. Situation: Nurse Dave is assigned to manage the Non Communicable Disease Prevention and Control. She is alarmed by the increased number of residents who are having Hypertension. 61. Which assessment finding is indicative of the diagnosis of hypertension? A. Family members with high blood pressure B. Elevation of blood cholesterol level C. Stressful work environment D. Consistent elevation of blood pressure 62. Identify the MOST appropriate diagnostic examination that confirms the incidence of hypertension among residents. A. Chest x-ray B. Ultrasound C. Electrocardiogram D. BP monitoring 63. Which medication will be prescribed to control and maintain the blood pressure of patients at normal level? A. Lidocaine B. Amlodipine C. Epinephrine D. Furosemide 64. Nurse Dave had observed that most patients with hypertension stop taking their medications and heard them saying "I feel good already" Which is the APPROPRIATE nursing diagnosis? A. Impaired gas exchange B. Anxiety C. Knowledge deficit D. Ineffective coping 65. During the conduct of his health teachings to the patients, which should the nurse emphasize to maintain blood pressure at normal level? 1. Smoke in moderation 2. Exercise regularly 3. Consume less salt 4. Maintain normal weight 5. Less stress A. 2,3,4,5 B. 1,2,3,4 C. 1.2.4.5 D. 1,3,4, Situation: Nurse Bea reviews all pertinent laws that affect public health nursing. 66. RA 9173 is otherwise known as the Philippine Nursing Act of 2002. Which is the primary aim of this law? A. To enhance the competence of professional nurses B. To regulate practice of professional nursing in the country C. To facilitate mobility of nurses to other countries D. To promote well-being of health workers 67. The nurse closely monitors the work she delegated to the barangay health worker. She is legally guided by this principle A. Respondeat superior B. The good Samaritan C. Res ipsa loquitor D. Jurisprudence 68. This law promotes the wellbeing and living conditions of health workers especially those from the government managed facilities A. Continuing professional development B. Magna Carta for health workers C. Philippine qualifications framework D. Local government code 69. It mandates the compulsory immunization of children below 8 years old 4 | Page