Content text DIAGNOSTIC EXAM - NP1 (SC)
TOP RANK REVIEW ACADEMY, INC. Page 1 | REFRESHER PHASE DIAGNOSTIC EXAMINATION NURSING PRACTICE I FEB 2026 Philippine Nurse Licensure Examination Review Situation - In Community Health Nursing the realities of “cause-effect” relationship almost always exist and the CH Nurse is in a very strategic position to decipher these occurrences. The following questions apply. 1. In a political rally, spaghetti and fried chicken were distributed among the 1,500 people who attended. Around 2-3 hours after lunch, people started experiencing gastrointestinal symptoms such as stomach pains, nausea and vomiting, diarrhea, fever and dehydration. Health authorities confirmed that the outbreak of illness was mainly due to staphylococcal enterotoxins. This condition is an illustration of a statistical association which is: A. Non-causal B. Direct causal C. Multifactorial D. Indirect causal 2. The above illness outbreak describes which type of epidemic? A. Cyclic variation B. Point-source epidemic C. Secular variation D. Propagated epidemic 3. This type of epidemic is characterized by the following, EXCEPT: A. Epidemic terminates when supply of susceptible persons is exhausted B. Simultaneous exposure of the susceptible persons C. Cause originated from single event D. Low number of susceptible persons, high number of immune persons 4. Hera, the nurse would want to determine the magnitude of the problem therefore she will compute for: A. Prevalence rate B. Incidence rate C. Disease rate D. Attack rate 5. In cases like epidemics it is necessary for the nurse to be able to call to action and mobilize the community towards: A. Community response B. Individual response C. Leader’s response D. Public officials response Situation 4- One of the major responsibilities of the professional nurse is the provision of HEALTH EDUCATION for pregnant women at risk. The following scenarios apply. 6. A pregnant client with her first child is attending a Mother’s Class. During her pregnancy she was diagnosed with gestational diabetes. She asks, “What are my chances of becoming a real diabetic later in life”? The best reply by the nurse would be: A. Women who demonstrate signs of diabetes during pregnancy always develop a mild form of the disease later in life.” B. “Normal physical changes of pregnancy have caused this to develop. It will disappear after delivery.” C. “Women diagnosed with gestational diabetes have an increased risk of developing diabetes later in life.” D. This condition lasts for the duration of the pregnancy. You will not develop diabetes later in life.” 7. A 17 weeks’ gestation, a type 1 diabetic undergoes an ultrasound examination. What information about the fetus at this time in pregnancy will the results of this examination provide? A. Gestational age B. Fetal lung maturity C. Placental maturity D. Estimated fetal weight 8. Another client who already has gestational diabetes asks the nurse, “Why does diabetes show up in pregnancy?” The nurse explains that pregnancy is a diabetogenic condition because: A. The glomerular filtration rate of glucose is increased B. Hormones produced by the placenta enhance the action of insulin C. Placental hormones increase insulin requirements D. Glucose is the primary energy source for the fetus 9. What will occur more frequently in a pregnancy complicated by type 1 diabetes? A. Low-birth weight infants B. Premature rupture of the membranes C. Birth defects D. Premature labor 10. In developing a teaching plan for a type 1 diabetic in pregnancy, the nurse will include which of the following? A. Insulin requirements increase as pregnancy progresses B. Glucosuria levels are good indicators of metabolic regulation C. Exercise will increase insulin requirements during pregnancy D. Complex carbohydrates need to be restricted Situation: The Expanded Program for Immunization involves the improvement in the immunological capacity of children to prevent the occurrence of immunizable diseases. Its implementation is one of the tasks of the public health nurse, usually done once a week. You are preparing a request on the vaccine supply for your municipality with a mid-year population of 50,000. 11. You are assigned to arrange the storage for a new delivery of vaccines in the health center. All of the following vaccines may be stored at the body of * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH