Title RECALLS 9 (NP1) - STUDENT COPY ✅

RECALLS EXAMINATION 9 NURSING PRACTICE I COMMUNITY HEALTH NURSING NOVEMBER 2024 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: Nurse Hanni recently passed the May 2023 Philippine Nursing Licensure Examination and wants to become a community health nurse (CHN). To become a CHN, she must remember that ethics would play a vital role in her practice as a CHN to promote the welfare of the community. 1. Nurse Hanni admits a patient who was diagnosed with Diabetes Mellitus Type 2 one month ago. The patient wants to discuss with Nurse Hanni his options on possible lifestyle changes to prevent complications. What must Nurse Hanni do to promote self-empowerment of the patient? A. Provide and assert the easiest lifestyle modifications to hasten the rehabilitation process B. Give the patient personal advice and opinions C. Have the patient informed of all possible methods and outcomes D. Hand the patient a pamphlet about DM Type 2 and send the patient home to rest 2. Nurse Hanni did a home visit to a family with a bedridden grandmother. The grandmother wants to discontinue her maintenance drugs and routine laboratory work but her loved ones insist to continue as discontinuing the medications and procedures would be fatal. When Nurse Hanni is conflicted with the family’s wishes, it is most appropriate to: A. Identify the factors that present the dilemmas. B. Avoid conflict to prevent accountability. C. Agree with the family for the health of the elderly. D. Provide a specific approach with an ethically-based rationale. 3. While observing in a local hospital of the community for a supervisory purpose, Nurse Hanni observed Nurse Danielle caring for a patient in the emergency department, laying in a hospital bed. After assessment of the patient, Nurse Danielle promised to the patient that she will come back and assess her once more after 15 minutes. Nurse Danielle left and did not raise both side rails of the bed. What ethical principle did Nurse Danielle violate? A. To do good B. To do no harm C. To not break promises D. To tell the truth 4. Nurse Hanni is about to leave the health center as she glances on a reminder on her desk saying that nurses must adhere to the Nurses’ Code of Ethics. She knows that the Nurses’ Code of Ethics states the following except one: A. Nurses must comply to the ANA’s by-laws to provide evidence-based care B. Nurses must be therapeutic in the holistic caring of patients C. Nurses must work for the best interest of the patient D. Nurses must actively participate in professional organizations 5. While going home, Nurse Hanni is approached by one of the people in the community. He told Nurse Hanni that he is a film director who appreciates her efforts in caring for the community. He also tells her that she is beautiful and looks like a certain Korean popstar. He offers her a chance to advertise a locally-made alcohol beverage. Nurse Hanni’s most appropriate response is: A. “Kinilig naman ako Sir! Sige po, para makapag-absent ako sa trabaho, kailan po ang shoot?” B. “Hindi ko po sigurado Sir pero, magkano po ba ang bayad?” C. “Maraming salamat po Sir at naisip niyo po ako pero, bawal po iyan. Kung yung bayad niyo po sa akin ay ibigay niyo na lang po sa health center as donation, pag-iisipan ko po.” D. “Natuwa po ako Sir na naisip niyo po ako ngunit hindi ko po kayang tanggapin iyan dahil bawal po sa propesyon ko iyan.” SITUATION: Nurse Karina is a staff nurse in the Nabis National Hospital. She is currently in her postgraduate studies as she aims to become the next head nurse of the hospital. She is then observing her ward and superiors as she wants to be accustomed to how to become a head nurse. She heard of rumors that Giselle, a recent board passer, was immediately given the position of Staff Nurse I without even having her nursing license. 6. Upon hearing the rumors of Giselle being immediately handed the Staff Nurse I position, what must Nurse Karina do? A. Go to the website of the PRC to verify Giselle’s employment status B. Approach Giselle nicely and ask about her wrongdoings C. Provide a letter of concern to the PRC to address the issue D. Report the issue to the superior who gave the approval to appoint Giselle 7. After doing what Nurse Karina must do, the head office found out that Giselle scored a 58% in the Nursing Practice IV of her board exam yet still applied for the position with a fake PRC license and ID. The head office may file a legal action against her which is: A. Negligence B. Malpractice C. Misrepresentation. D. Dishonesty 8. Being understaffed which almost resulted in the immediate acceptance of Giselle, Nurse Karina’s ward is experiencing burnout. The chief nurse wants to assign relievers to fill the positions however, due to the typhoon rummaging through the community, relievers are not able to go to work. What principle exempts the relievers from consequences of not being able to work? A. Respondeat superior B. Force majeure C. Res ipsa loquitur D. Primum non nocere 9. Being understaffed, Nurse Karina was tasked by her charge nurse to perform multiple procedures on multiple patients. Nurse Karina accidentally gave the wrong medication to a patient with the reasoning that she had mixed up the syringes 1 | Page
on her medication tray. With this, the charge nurse is still accountable for the mistake based on which principle? A. Respondeat superior B. Force majeure C. Res ipsa loquitur D. Primum non nocere 10. The wrong medication that Nurse Karina gave to the wrong patient was potassium chloride. She gave the medication intramuscularly and the patient suffered severe burns of the right deltoid. The patient’s family plans to file a malpractice lawsuit just having seen the severe burns. A malpractice lawsuit may be filed based on which principle? A. Respondeat superior B. Force majeure C. Res ipsa loquitur D. Primum non nocere SITUATION: The supervisor of the obstetrics ward calls a conference to discuss on the workload of the staff nurses in the ward. He wants to ensure the quality of service that the ward provides. 11. Nurse Liz is the charge nurse of the ward and observes that the staff nurses work independently of each other. She calls the staff nurses and asks them the task delegations that they have done. Which statement shows that a staff nurse has not properly delegated her task? A. “Naibigay ko po kay Nursing Aide Rei yung pagkuha ng vital signs ng pasyente ko.” B. “Si Nursing Attendant Wony na po nagtuturo sa pasyente ko kung paano magturok ng insulin.” C. “Nasabihan ko na po si Nursing Attendant Jackson na magbed bath sa pasyente.” D. “Pumayag po si Nursing Aide JYP na samahan maglakad sa hallway yung patient.” 12. Nurse Liz asked some more of the staff nurses on their delegated tasks. Which staff nurse has delegated the right task to a unlicensed assistive personnel (UAP)? A. Checking a colostomy for complications B. Performing chest compressions during a code blue C. Assigning which patients to be given care first D. Administering intravenous antibiotics 13. Nurse Yujin asks Nurse Liz which principle is not to be considered with regards to proper delegation? A. Delegated task must have a clear result B. Foster a clear atmosphere when delegating tasks C. Client must not be in a chronic condition nor stable D. Assess and judge the aide’s ability to perform task 14. Nurse Liz told Nursing Attendant Jackson the step-by-step procedure on how to perform a bed bath to his patient. Which right of delegation was observed? A. Right direction and communication B. Right person C. Right circumstances D. Right-sided heart failure 15. Nurse Liz is aware that the following is true of delegation except: A. The person who delegated the task is accountable for the task. B. Delegation serves as a means to offload work to prevent staff burnout. C. Delegation teaches the staff on procedures and tasks. D. Delegation promotes independence of all parties at all times. SITUATION: Nurse Sakura is assigned in a barrio which she wants to improve the health of the people. She plans to do community projects as she was appointed the leader of the health care team. 16. Nurse Sakura discusses that teamwork and collaboration must observe the following except: A. Having a purpose for the project which is uniform for the whole team. B. Members of the team being responsible for the project and one another. C. Insists that the members have a turf with other professionals. D. Promoting a decision-making process which is a shared responsibility of the members. 17. During a project planning conference, Nurse Sakura observes that her members are conflicted with the project’s objectives. She tells the members to set aside the conflict to finish writing down the timeline of the project. This approach is called ___________. A. Silencing. B. Accommodating. C. Avoiding. D. Compromising. 18. While formulating the project’s plan, Nurse Sakura promotes that her members work hand-in-hand with other professionals and people in the barrio. Which of the following shall Nurse Sakura not consider? A. Create an independent relationship with other professionals to promote learning and cultural awareness – Sakura must promote interdependent relationships, not independent, to foster collaboration with other professionals. B. Be aware of the self’s limitations in knowledge and skills – Self-awareness is needed to be able to perform the tasks one is capable of doing. C. Use unique and complementary abilities of team members to provide holistic patient care – Holistic patient care will be observed by using different skills and abilities of the team members. D. Foster communication with team members to delegate tasks – Communication is needed to promote collaboration and teamwork as well as proper delegation. 19. Upon finalizing the project’s plan, Nurse Sakura’s member tells her that her plan is not what he has envisioned it to be and it seems “childish”. How should Nurse Sakura respond to the concern? A. “Ako isip bata eh ikaw nga itong umaangal kung kailan tapos na?” B. “Salamat sa iyong sinabi. Gusto mo ba itong pag-usapan muna bago masimulan?” C. “Pag-usapan natin iyan tapos ipapakita ko sa iyo bakit mas gusto kong hindi baguhin ang plano.” D. “Ha?” 20. Nurse Sakura will begin implementing the first project to improve the sanitation of the barrio. Which of the following assures Nurse Sakura that her members know their relationships and responsibilities between each other? A. Commitment B. Trust building C. Collegiality D. Consensus SITUATION: Research is a fundamental part of the Nursing profession. Yuna is a registered nurse who practices her skills as a university professor in the subject of Nursing Research. Professor Yuna is discussing Nursing Research fundamentals to her class and the following questions apply. 21. A student proposed the research title of “The Effectiveness of Shoulder Massage for the Relaxation of Preoperative Cardiac Patients”. Which is the independent variable? A. Relaxation B. Preoperative C. Shoulder massage D. Cardiac patients 22. With the research title of “The Effectiveness of Shoulder Massage for the Relaxation of Preoperative Cardiac Patients”. Which is the dependent variable? A. Effectiveness of cardiac patients B. Relaxation of preoperative cardiac patients C. Effectiveness of shoulder massage D. Relaxation of shoulder massage 23. Professor Yuna presents the hypothesis “Decreased use of aluminum products reduce the risk for having Alzheimer’s Disease.” This is an example of a __________ hypothesis. A. Simple, directional B. Simple, non-directional C. Complex, directional D. Complex, non-directional 24. Using the same hypothesis “Decreased use of aluminum products reduce the risk for having Alzheimer’s Disease”, which of the following is the independent variable? A. Use of aluminum 2 | Page
B. Risk for having Alzheimer’s Disease C. Reduce the risk of Alzheimer’s Disease D. Use of aluminum products 25. With the same hypothesis of “Decreased use of aluminum products reduce the risk for having Alzheimer’s Disease”, which of the following is the dependent variable? A. Use of aluminum B. Risk for having Alzheimer’s Disease C. Reduce the risk of Alzheimer’s Disease D. Use of aluminum products SITUATION: Knowing the nursing research fundamentals is a must-need for any aspiring nurse researchers. To conduct a research and the ethics behind it is also needed to be known by all nurse researchers. 26. Nurse Sandara is aware of the informed consent needed to be signed by her research samples. Of the following, who is not able to sign an informed consent to participate in research studies? A. Patient in moderate anxiety B. Emancipated minor C. Bedridden 90-year-old woman D. Prisoner in the city jail 27. While conducting her research, Nurse Sandara receives a text message from her participant stating that she wants to withdraw from the study. The appropriate response of Nurse Sandara will be: A. Ask for a reason for leaving before letting the participant withdraw. B. State that the study will be of benefit to society. C. Get mad at the participant and send an aggressive text. D. Let the participant withdraw and take note of the situation. 28. Nurse Yuqi will perform a research study involving a lumbar tap of the participants. One participant asked her if the procedure will hurt. Nurse Yuqi already has a difficulty finding participants however she wants to pursue the groundbreaking study. She must tell the participant that: A. The procedure will not be necessary B. The procedure will involve a painkiller such as a narcotic which will block all the pain. C. The procedure will be quick. D. The procedure will involve an anesthetic but may still cause pain. 29. After the conclusion of the study, Nurse Yuqi is writing the final chapter of her study. It is said that a research is truly finished when it: A. Is published in a book and sent to the public library. B. Is seen by her friends in social media websites. C. Is used by healthcare workers who practice evidence-based practice. D. Is used by healthcare professionals who post the findings on the hallways. 30. Upon publication of her study, Nurse Yuqi presents it to her colleagues in the workplace. A medical intern asked her about the credibility of nursing research. Her response would be: A. To debate him on which profession is more difficult. B. That nursing research is a pre-requisite for having a diploma. C. Nursing research is needed for nursing science development. D. Research findings are needed for evidence-based practice for proper nursing care. SITUATION: Nurse Wendy is assigned to the hospital’s research team. Being new to the research team, she reviews on some of the basics of nursing research. 31. Which of the following statements according to Atty. Kapiling is true about the reasons as to why nursing research is being done? A. To improve the medical profession’s practices B. To promote financial gains C. To validate results of new technological modalities D. To facilitate progress in nursing care 32. Nurse Wendy is planning to do research on ten barangays to gather the cultural data of the place. Which sampling method shall she use to promote representativeness? A. Cluster sampling. B. Purposive sampling. C. Stratified sampling. D. Simple random sampling. 33. Nurse Wendy’s colleague will do research on fourth-year BSN students who are dean’s listers and live in low-lying communities. Which of the following describes the characteristics of the samples that he needs? A. Eligibility standards B. Description criteria C. Eligibility criteria. D. Criteria standards. 34. A study will be conducted about war veterans who have PTSD and to gather participants, referrals will be needed to achieve data saturation. This sampling method is __________. A. Purposive sampling. B. Snowball sampling. C. Random sampling. D. Convenience sampling. 35. Nurse Wendy notes that a study about DM Type 2 is being conducted in her ward. A physician, occupational therapist, and endocrinologist are involved. Which of statements indicates a need for further teaching on patient’s rights? A. “I will not have to pay anything when I withdraw from the study” B. “I can withdraw anytime from the study” C. “I will have my data among the research team only” D. “I will find a new doctor when I withdraw” 36. Which sampling method is best to be used for the study “Effects of listening to classical music on 8-year-old children’s academic performances living in Metro Manila” which needs each element of the population the chance to be included in the study? A. Simple random sampling B. Snowball sampling C. Purposive sampling D. Cluster sampling 37. The height of the students in the study “Relationship between calcium intake and height of children under 7 years old living in Batangas” is an example of what level of measurement? A. Nominal. B. Ordinal. C. Interval. D. Ratio. 38. The population of the study, first year, second year, third year, and fourth year students of the study “Relationship between the BSN undergraduate students level and the care competence in the Medical ward” is what level of measurement? A. Nominal. B. Ordinal. C. Interval. D. Ratio. 39. The handedness of the patients in the study “Relationship between left or right-handedness and coping ability of post cardiac catheterization patients in the medical-surgical ward” is what level of measurement? A. Nominal. B. Ordinal. C. Interval. D. Ratio. 40. Which of the following sampling methods is to be used when the researcher wants to use any participant in his study? A. Purposive sampling B. Snowball sampling C. Quota sampling D. Convenience sampling SITUATION: Nurse Irene and her research team in Red National Hospital are constantly conducting research studies on various topics. With that, the researchers must be familiar with the different research designs. 41. Nurse Irene’s study “The social processes involved in the preservation of tattooing in the Cordillera Administrative Region” is what type of research design? A. Phenomenology B. Grounded theory C. Ethnography D. Case study 3 | Page
42. Nurse Yeri will conduct a study about the experiences of student nurses who have underwent online classes during the pandemic. The research design she will use is _________. A. Phenomenology B. Grounded theory C. Ethnography D. Case study 43. Nurse Joy is paddling through a river aiming to reach a tribe she wants to holistically know the culture of. Which research design will she most likely utilize? A. Phenomenology B. Grounded theory C. Ethnography D. Case study 44. Nurse Wendy wants to know the practices, customs, and norms of her ICU ward and its staff. She will utilize _________. A. Phenomenology B. Grounded theory C. Ethnography D. Case study 45. Nurse Seulgi is conducting a study to determine the essence of the Mayon Volcano eruption on the people of Legazpi, Albay. She is using the research design ________. A. Phenomenology B. Grounded theory C. Ethnography D. Case study 46. Nurse Irene has finished her initial study and was intrigued by a case of Hepatitis B after being tattooed using boiled needles. She wants to know the causative agent, transmission, factors, treatment, signs and symptoms, and cultural implications of it. What design will she use best? A. Phenomenology B. Grounded theory C. Ethnography D. Case study 47. On the other team, Nurse Yeji wants to know the difference of listening to K-pop music and classical music on the wound healing of burn patients using convenience sampling. What research design should she use? A. Experimental B. Quasi-experimental C. Exploratory D. Descriptive 48. Nurse Lia is conducting a study wherein she will introduce guided imagery along with tactile stimulation to determine if it has an effect on reducing the anxiety level of random preoperative heart surgery patients. She is using the research design ________. A. Experimental B. Quasi-experimental C. Exploratory D. Quasi-judicial 49. Fair and non-discriminatory selection of subjects for research is an important aspect of what ethical principle? A. Respect for human dignity B. Beneficence C. Justice D. Confidentiality 50. Once Nurse Haerin has fully described to prospective study participants the nature of study, their rights to refuse participation, and likely risks and benefits that would be incurred, she has done ________. A. Informed consent B. Fair treatment C. Debriefing D. Full disclosure SITUATION: Nurse Ryujin is the leader of the ethics committee of the community hospital. She aims to provide information to the staff about ethics and nursing jurisprudence. 51. A patient was admitted to the hospital with dengue hemorrhagic fever. She has a platelet count of 40,000 mcL and was assessed to have gingival bleeding. The physician has ordered for intravenous blood transfusion after cross-matching and normal saline however the patient insisted to not have the transfusion as her religion prohibits it. Nurse Ryujin was summoned to the case and believes that the ethical principle must be followed is ________. A. Justice B. Non-maleficence C. Beneficence D. Autonomy 52. Nurse Jinni is walking through the sidewalk on her way to walk. She sees vendors selling their fruits and vegetables along the sidewalk. Out of nowhere, a man with a knife runs towards a female vendor and slits her throat open and bleeds. Without hesitation, Nurse Jinni runs towards the injured woman and grabs her coat and places it directly on her wound. Which ethical principle did Nurse Jinni practice? A. Justice B. Non-maleficence C. Beneficence D. Autonomy 53. After applying pressure on the wound, Nurse Jinni notices that the vendor is unconscious and puts her on the left lateral recumbent position. Which ethical principle did Nurse Jinni practice? A. Justice B. Non-maleficence C. Beneficence D. Autonomy 54. While on the left lateral recumbent position, Nurse Jinni assessed for the right carotid pulse which was not affected by the cut on the neck. She determined that the vendor had no pulse and immediately placed her supine on the flat ground surface and started chest compressions, following the proper protocol. The ethical principle that Nurse Jinni observed is __________. A. Justice B. Non-maleficence C. Beneficence D. Autonomy 55. Nurse Jinni did three rounds of chest compressions and an ambulance has arrived. Nurse Jinni presented herself as a registered nurse and was able to accompany the vendor and hold her hand throughout the transport. The ethical principle that Nurse Jinni observed is __________. A. Justice B. Non-maleficence C. Beneficence D. Autonomy SITUATION: After administering a drug to Mr. Fierro, who is admitted for his SLE flare up, in a clinical trial, the physician noticed that Nurse Hwasa injected the wrong dose and gave Mr. Fierro an overdose. An hour later, Mr. Fierro suffered atrial fibrillation and was pronounced dead after three rounds of revival. 56. Mr. Fierro’s family decided to file a criminal case against Nurse Hwasa. Which of the following refers to Nurse Hwasa in the situation? A. Defendant B. Plaintiff C. Witness D. Accomplice 57. The person who filed the complaint is Mrs. Ivana Fierro, the wife of Mr. Fierro. She is the ______. A. Defendant B. Plaintiff C. Witness D. Accomplice 58. Upon filing the complaint, Nurse Hwasa received a letter from the court stating that she needs to attend the court hearing. In the hearing, Dr. Kilimanguru will serve as a witness and explain the drug, its effects, and side effects. Dr. Kilimanguru should have received from the court a _____________. A. Writ of habeas corpus B. Subpoena duces tecum C. Writ of summons D. Subpoena ad testificandum 59. On the other hand, Nurse Hwasa, to attend to court, should have received a _________. A. Writ of habeas corpus B. Subpoena duces tecum C. Writ of summons D. Subpoena ad testificandum 4 | Page