Title RECALLS 4 (NP1) - STUDENT COPY ✅

1 | Page Prepared by: GARCIA, RHYAN P. ROMAN, HANNAH GISELLA RECALLS EXAMINATION 4 NURSING PRACTICE I Community Health Nursing MAY 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 1. As a competent nurse knowledgeable with laws related to public health care. Which Philippine law mandates the reporting of notifiable diseases by healthcare professionals like epidemiologists and nurses? A. A.R.A. 10121 B. R.A. 7160 C. R.A. 11223 D. R.A. 11332 2. Which of the following childhood illnesses is not preventable by vaccination, thereby precluding the possibility of inducing immunity in a child? A. Polio B. Measles C. Asthma D. Hepatitis B 3. According to the CDC and WHO recommendations for effective handwashing, what is the minimum amount of time you should spend lathering your hands with soap and water? A. For CDC at least 10 seconds; For WHO 30-60 seconds B. For CDC at least 20 seconds; For WHO 10-30 seconds C. For CDC at least 10 seconds; For WHO 30-40 seconds D. For CDC at least 20 seconds; For WHO 40-60 seconds 4. You are a knowledgeable nurse who studies and prepares for the upcoming PNLE. Which Republic Act (RA) provides for stronger deterrence and special protection against child abuse, exploitation, and discrimination, and for other purposes? A. R.A. 8353 B. R.A. 7610 C. R.A. 7160 D. R.A. 8535 5. Which criterion in priority setting of health problems is used only in community health care? A. Nature of the problem presented B. Magnitude of the health problem C. Preventive potential of the health problem D. Modifiability of the problem Scenario: Soafer Galing, a registered nurse, is working in a busy Rural Health Clinic. She encounters several patients throughout her shift. 6. Mrs. Queenie Durwoah, a pregnant woman in her first trimester. Mrs. Durwoah is diagnosed with German measles (rubella). What is the most critical concern related to the causative agent of this disease for her unborn child? A. The virus can cause mild respiratory illness in the baby. B. The virus can lead to congenital rubella syndrome, causing severe birth defects. C. The virus can be transmitted through breastfeeding after birth. D. The virus can be effectively treated with antibiotics during pregnancy. 7. Ms. Sesible Savavae Vah, a young adult presenting with fever, severe headache, and joint pain. Ms. Vah is suspected of having dengue fever. Which of the following best describes the causative agent of this illness? A. A bacterium transmitted by contaminated food and water. B. A parasitic protozoan spread through mosquito bites. C. A virus transmitted by the Aedes aegypti mosquito. D. A fungal infection acquired through contact with infected soil. 8. Ms. Kikikiki Yanah, a young woman complaining of vaginal discharge and itching. Ms. Yanah is diagnosed with trichomoniasis. Which characteristic of the causative agent is most important to consider when planning her treatment? A. It is a virus that requires antiviral medication for eradication. B. It is a bacterium that is resistant to most common antibiotics. C. It is a protozoan that is sexually transmitted. D. It is a fungus that thrives in warm, moist environments. 9. Mr. JanLeigh Richo, returning from a trip abroad, presenting with cyclical fevers and chills. Mr. Richo is diagnosed with malaria. Understanding the life cycle of the causative agent is essential for effective treatment. Which statement best describes the transmission of this disease? A. It is caused by a parasitic protozoan transmitted by the Male Anopheles mosquito. B. It is caused by a parasitic protozoan transmitted by the Female Anopheles mosquito. C. It is caused by a parasitic protozoan transmitted by the Female Aedes mosquito. D. It is caused by a parasitic protozoan transmitted by the Male Aedes mosquito. 10. Mr. Ansah Kit, an elderly gentleman presenting with fever, cough, and muscle aches. Mr. Kit is diagnosed with influenza. Which of the following best explains why annual vaccination is recommended for this disease? A. The causative agent is a virus that rapidly develops antibiotic resistance. B. The causative agent is a virus that undergoes frequent mutations. C. The causative agent is a virus that requires prolonged treatment. D. The causative agent is a virus that has a complex life cycle. Scenario: Nurse Rhyan is working in a pediatric clinic. Several families have brought their young children in with concerns about possible HFMD. 11. Three-year-old Yanyan presents with a fever, sore throat, and small, painful blisters on his hands and feet. His mother is concerned about the severity of the illness. What is the most important information Nurse Lily should provide to Ethan's mother regarding the typical course of HFMD? * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page Prepared by: GARCIA, RHYAN P. ROMAN, HANNAH GISELLA A. HFMD often leads to serious complications requiring hospitalization. B. HFMD usually resolves on its own within 7-10 days with symptomatic management. C. Antibiotics are typically prescribed to treat the viral infection to avoid secondary infection causing HFMD. D. A specific antiviral medication is available to shorten the duration of HFMD. 12. Nurse Rhyan is educating a group of parents about preventing the spread of HFMD in their community. Which of the following strategies is most effective in minimizing transmission? A. Administering prophylactic antiviral medications to all children in the community. B. Ensuring children with HFMD are isolated from others for at least two weeks. C. Promoting frequent handwashing with soap and water, especially after diaper changes and using the toilet. D. Discouraging children from attending daycare or school during HFMD outbreaks. 13. Baby Toni, 18 months old, has been diagnosed with HFMD. Her parents ask Nurse Rhyan how the disease is spread. Which of the following explanations is most accurate? A. HFMD is primarily spread through contaminated food and water. B. HFMD is transmitted through contact with respiratory droplets, contaminated surfaces, and blister fluid. C. HFMD is an airborne illness that can be spread through coughing and sneezing alone. D. HFMD is spread through contact with infected animals. 14. On his 5th day in the clinic, the nurse is caring for a child with HFMD who is experiencing discomfort from mouth sores. Which intervention is most appropriate to recommend to the parents for managing this symptom? A. Administering aspirin to reduce pain and inflammation. B. Offering cold liquids and soft foods to minimize irritation. C. Applying topical corticosteroids to the mouth sores. D. Using an over-the-counter oral anesthetic containing benzocaine to numb the painful blisters. 15. A mother asks Nurse Rhy about returning her child to daycare after a diagnosis of HFMD. What is the most appropriate guidance Nurse Rhy should provide? A. The child can return to daycare immediately, as long as they are fever-free. B. The child should remain home until all blisters have completely healed and scabbed over. C. The child can return to daycare when they are fever- free, feel well enough to participate, and have no uncontrolled drooling. D. The child must have a negative test for HFMD before returning to daycare. Scenario: Nurse Perturina is working in a community health clinic. A recent outbreak of whooping cough has been reported in the area. She is educating families about the disease and caring for affected individuals. 16. A mother brings her 6-month-old infant, who has a persistent cough, to the clinic. The infant has not completed their primary vaccination series. Nurse Perturina suspects a whooping cough. What is the most critical concern for this infant given their age and potential diagnosis? A. The infant may experience mild, self-limiting respiratory symptoms. B. The infant is at high risk for severe complications, including pneumonia and seizures. C. The infant is unlikely to spread the infection to other family members. D. The infant's symptoms will resolve quickly with adequate antibiotic treatment. 17. Nurse Perturina is teaching a community group about whooping cough prevention. Which of the following strategies is most effective in preventing the spread of pertussis? A. Isolating individuals with a cough for at least three weeks. B. Administering prophylactic antibiotics to the entire community. C. Promoting vaccination according to the recommended schedule. D. Encouraging the use of herbal remedies to boost immunity. 18. Nurse Pertuina is caring for a child diagnosed with whooping cough. The child's parents ask about treatment options. Which of the following interventions is most effective in treating whooping cough? A. Administering cough suppressants to relieve coughing fits. B. Providing supportive care, including antibiotics and managing symptoms. C. Using DOH approved herbal remedies to soothe the irritated airways. D. Isolating the child from the family to prevent further spread of the disease to other members of the family. 19. A patient asks Nurse Perturina why whooping cough vaccination is recommended even if they had the illness as a child. What is the most accurate response? A. “Having had whooping cough provides lifelong immunity, but you just need it, trust me” B. “Immunity from whooping cough wanes over time, making re-infection possible” C. “The vaccine is only effective in preventing severe complications, not the illness itself” D. “Vaccination is only necessary for individuals with underlying health conditions”. 20. Another nurse from the clinic, Nurse Ubwoah, is educating a parent about pertussis (whooping cough). Which of the following most accurately describes the nature of the causative agent of this disease? A. A virus that attacks the respiratory system, specifically the upper lobes. B. A parasite that infects the lung parenchyma causing airway inflammation. C. A bacterium that releases toxins damaging the respiratory tract. D. A fungus that thrives in the upper airways causing thick white mucus secretion resulting in the characteristic cough. Scenario: Nurse Wue Kong is working in a community health clinic. They are seeing several patients with suspected or confirmed cases of mpox. They are also involved in community outreach and education about the disease 21. Nurse Kong is educating a community group about mpox transmission. Which of the following statements is most accurate regarding how mpox spreads? A. Mpox is primarily transmitted through respiratory droplets from coughing or sneezing. B. Mpox is primarily spread through close contact, including skin-to-skin contact, with someone who has mpox, or with contaminated materials. C. Mpox is primarily transmitted through contaminated food or water. D. Mpox is primarily an airborne illness, requiring strict airborne precautions. 22. A patient diagnosed with mpox is being discharged from the clinic. Which of the following self-care instructions is correct for Nurse Kong to emphasize to the patient to promote healing? A. Applying antibiotic ointment to the lesions twice daily. B. Keeping the lesions covered always with bandages to prevent spread of infection. C. Avoiding scratching the sores and keeping the skin clean and moist. D. Using saltwater rinses for sores in the mouth 23. A patient asks Nurse Kong about the risk of mpox transmission through sexual contact. Which response by the nurse is most appropriate?
3 | Page Prepared by: GARCIA, RHYAN P. ROMAN, HANNAH GISELLA A. "Mpox is not transmitted through sexual contact, unless you are a monkey." B. "Mpox is primarily transmitted through sexual contact, especially among men who have sex with men." C. "Mpox can be transmitted through close contact, including sexual contact, with someone who has mpox." D. "Using condoms will completely eliminate the risk of mpox transmission during sex." 24. The patient is experiencing significant pain from their mpox lesions. Which of the following interventions would be the most appropriate initial approach for Nurse Kong to implement for pain management? A. Administering over the counter pain reliever, specifically, nalbuphine as the first-line treatment, and collaborating with the healthcare team for frequent reassessment and course of action. B. Applying directly the powder inside the capsule of antibiotic, such as amoxicillin, to the lesions. C. Recommending over-the-counter pain relievers like ibuprofen D. Ignoring the pain, as it is an expected part of the illness to avoid dependence to opioids. 25. A patient with confirmed mpox is preparing to return home. Nurse Lita is providing discharge instructions. Which of the following statements by the patient indicates a need for further teaching regarding infection control and preventing the spread of mpox to household members? A. "I will be sure to wash my hands thoroughly with soap and water after changing my bandages or using the bathroom." B. "I understand I should keep my lesions covered with clean, dry dressings when I'm in common areas of the house, but it's okay to leave them open to air in my own room." C. "I'll make sure to disinfect frequently touched surfaces in my home, like doorknobs and light switches, with a household cleaner." D. “It's okay for my children to help me change my bandages as long as they wear gloves.” Scenario: Nurse Beshie is a public health nurse working in a rural community with limited access to healthcare. She is focusing on incorporating all three levels of prevention: primary, secondary, and tertiary. 26. Nurse Beshie is planning primary prevention strategies to reduce the incidence of hypertension in the community. Which of the following interventions would be most effective in achieving this goal? A. Organizing blood pressure screening clinics at the local market. B. Developing a community-wide campaign promoting healthy lifestyle choices, including diet, exercise, and stress management. C. Establishing a support group for individuals newly diagnosed with hypertension. D. Providing maintenance medication management and education to patients with diagnosed hypertension 27. Nurse Beshie is implementing secondary prevention strategies for hypertension. Which of the following actions aligns best with this level of prevention? A. Educating the community about the long-term complications of uncontrolled hypertension. B. Providing rehabilitation services to individuals who have experienced a stroke due to hypertension. C. Conducting regular blood pressure checks at community health fairs and following up with individuals who have elevated readings. D. Advocating for policies that improve access to healthy foods in the community. 28. Nurse Beshie on the other day is discussing the role of Operation Timbang in community health with a group of residents. She explains that Operation Timbang, a program focused on weighing children to identify malnutrition, is an example of which level of prevention? A. Primary B. Secondary C. Intermediate D. Tertiary 29. Nurse Beshie is teaching a group of nursing students about the natural history of disease and the role of tertiary prevention. She asks them: Tertiary prevention interventions are most critical during which stage of the natural history of a disease? A. Pre-pathogenesis B. Pathogenesis C. Prodromal D. Terminal 30. A local grocery store has offered to partner with Nurse Beshie to improve community health. They are willing to implement one of the following initiatives. Which initiative would have the greatest impact on primary prevention of hypertension in the community? A. Offering free blood pressure checks to all shoppers. B. Providing discounts on fresh fruits and vegetables. C. Hosting a monthly support group for individuals with diagnosed hypertension. D. Sponsoring a series of cooking classes focused on preparing heart-healthy meals for individuals with existing hypertension Scenario: Maria, a 68-year-old woman with metastatic breast cancer, is admitted to the oncology unit. She reports moderate to severe bone pain that has been increasing in intensity over the past few weeks. Nurse Rafaela is developing a pain management plan in accordance with the WHO analgesic ladder 31. Maria describes her pain as a constant, aching sensation that is now interfering with her sleep and daily activities. She rates her pain as a 6 on a scale of 0 to 10. According to the WHO analgesic ladder, which of the following would be the most appropriate initial intervention? A. Administering a potent opioid, such as morphine. B. Starting with a non-opioid analgesic, such as acetaminophen C. Initiating a weak opioid, such as tramadol D. Immediately consulting with the pain management specialist for alternative therapies. 32. Maria has been taking tramadol for several days, but her pain has worsened. She now rates her pain as an 8/10. Following the WHO analgesic ladder, what would be the next appropriate step in her pain management? A. Increasing the dose of tramadol. B. Switching to a potent opioid, such as morphine. C. Adding an adjuvant medication, such as a corticosteroid. D. Discontinuing the tramadol and starting a non-opioid analgesic. 33. Maria is now receiving morphine for her pain. Which of the following nursing interventions is most important to implement when administering this medication? A. Encouraging increased fluid intake only. B. Monitoring for respiratory depression and other side effects. C. Administering the medication only when the patient’s family requests it. D. Withholding the medication if the patient is drowsy. 34. A patient describes their pain as a "7" on a scale of 0 to 10. Which of the following best describes this level of pain? A. Mild B. Moderate C. Severe D. None of the above 35. Another patient, Mr. Jones, recovering from surgery, is asked by Nurse Rafaela to rate his pain on a scale of 0 to 10, where 0 is no pain and 10 is the worst pain imaginable. He replies, "It's a dull ache, not too bad, maybe a 4." Based on Mr. Jones's self-reported pain level, how would Nurse Sarah categorize his pain? A. Mild B. Moderate C. Severe D. Intolerable