Title RECALLS 6 - NP1 - SC ✅

RECALLS 6 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: In the Philippine Health Care Delivery System, the Department of Health remains to be the national government’s biggest health care provider. 1. One of the laws passed to implement a more responsive and accountable health delivery system is the Local Government Code. Which among the following is the Local Government Code of 1991? A. Republic Act 7601 B. Republic Act 7106 C. Republic Act 7610 D. Republic Act 7160 2. As the national authority of health in the Philippines, the Department of Health is mandated to perform different functions. All of which are roles / functions of DOH, except _____ . A. Administrator of General Services B. Administrator of Specific Services C. Enabler and Capacity Builder D. Leadership in Health 3. The Vision of the Department of Health is ______ A. Filipinos are among the healthiest people in Asia by 2040 B. Filipinos are among the healthiest people in Asia by 2030 C. To steward the development of an Effective, Resilient, Equitable, and People-Centered health system for Universal Health Care D. To develop, implement, enable, and coordinate Social Welfare Development policies and programs for and with the poor, vulnerable, and disadvantaged 4. The National Objectives for Heath serves as blueprint of the DOH to accomplish the goal of universal health care. All of which are determinants of Health, except for ______ . A. Gender B. Health Services C. Social Support Networks D. Disease 5. The 17 Sustainable Developmental Goals were adopted at the UN Sustainable Development Summit in New York in September 2015. Which among the following represents SDG 3? A. Quality Education B. Good Health and Well-Being C. No Poverty D. Zero Hunger Situation: Nurse Raul conducted a home visit in Barangay Batabate. As part of his standard responsibilities, he assessed the Victoria Family. The household has 5 members. The father works as a jeepney driver while the mom cares for their three son. During the visit, Nurse Raul noticed that there is open drainage that seems to be stagnant. Containers, tires, and basins that were discarded are left uncovered. 6. Nurse Raul educated the family regarding the 4S against Dengue. He emphasized on cleaning open drainage from clogging and cover containers even if discarded. This would eliminate mosquito habitats reducing chances for the family to get infected with vector-borne diseases. Given the situation, what level of prevention was shown? A. Immediate Prevention B. Primary Prevention C. Secondary Prevention D. Tertiary Prevention 7. One of the vectors for Dengue is the Aedes aegypti which commonly bites during the day. Which among the following is another vector for Dengue? A. Female Anopheles minimus flavirostris B. Female Culex C. Aedes Albopictus D. Aedes Poecillus 8. Three days later, Mr. and Mrs. Victoria’s son, Eric, is observed to have sudden high fever and mild rashes. Nurse Raul conducted a Tourniquet Test and counted a total of 22 petechial spots. Given the situation, what level of prevention was shown? A. Immediate Prevention B. Primary Prevention C. Secondary Prevention D. Tertiary Prevention 9. One of the most common vector of Malaria is the Anopheles minimus flavirostris. Which among the following is most common cause of Malaria in the Philippines? A. Plasmodium vivax B. Plasmodium falciparum C. Plasmodium malariae D. Plasmodium ovale 10. Mansonia mosquitoes are responsible for transmitting Brugia malayi, one of the causative agent of Lymphatic Filariasis. Which among the following is the vector of Lymphatic Filariasis? A. Wuchereria bancrofti B. Aedes aegypti C. Aedes poecillus D. Plasmodium falciparum Situation: Community Health Nurse Stella visited the Cananas family in Silang, Cavite. Their household has five children and they live with the grandparents. The family live in a small residence with two small windows, one front door, and one bedroom. Their 3x5 square meter unit has poor ventilation, limited natural light, and is shared by nine family members. During her assessment, Nurse Stella observed that the home environment is damp, with signs of mold on the walls. One of the children, 6-year-old Ana, has been diagnosed with Asthma and frequently experiences nighttime coughing and wheezing. 11. To help manage Ana’s asthma, Nurse Stella educated the family about minimizing exposure to dust and mold, demonstrated how to properly use a nebulizer, and referred Ana for regular asthma check-ups at the nearest health center. What level of prevention was demonstrated? 1 | Page
A. Immediate Prevention B. Primary Prevention C. Secondary Prevention D. Tertiary Prevention 12. Considering the cramped and poorly ventilated living conditions, Nurse Stella suspected the possibility of tuberculosis (TB) exposure. She then performed a symptom checklist and referred the children to the Rural Health Unit for a chest X-ray and sputum test. What level of prevention is Nurse Stella implementing? A. Immediate Prevention B. Primary Prevention C. Secondary Prevention D. Tertiary Prevention 13. Upon interview about their immunization history, the family shared that they have not consulted the Rural Health Unit (RHU) for DPT (Diphtheria, Pertussis, Tetanus) vaccination for their younger children. Nurse Stella then reviewed the children's immunization records, identified missed doses, and referred them for catch-up immunization. What level of prevention is demonstrated in this situation? A. Immediate Prevention B. Primary Prevention C. Secondary Prevention D. Tertiary Prevention 14. During a follow-up visit, Nurse Stella checks on Mang Isko, the Cananas family's grandfather, who was recently diagnosed with hypertension and has suffered a mild stroke. The family shares that Mang Isko now has difficulty with walking and speech. Nurse Stella provides health teaching on home-based rehabilitation exercises, proper diet for hypertensive patients, and ensures that Mang Isko takes his maintenance medications regularly. She also refers the family to a community-based rehab center for continued support. What level of prevention is demonstrated in this situation? A. Immediate Prevention B. Primary Prevention C. Secondary Prevention D. Tertiary Prevention 15. Nurse Stella observed that the Cananas family obtains their daily water supply from a communal deep well shared by several other households. The source is about 200 meters from their home, and the family manually collects and stores the water in containers. There is no piped distribution system or household tap available. Which type of water facility is the family using? A. Level I (Point Source) B. Level II (Communal Faucet System) C. Level III (Waterworks/Household Tap) D. Level IV (Private Well System) Situation: Mr. Santos plans to open a small eatery in Barangay San Lorenzo where he will serve rice meals and grilled dishes. As part of the barangay's public health efforts, Community Health Nurse Liza conducts health education sessions for small business owners planning to operate food establishments. During her visit, she reminded Mr. Santos about essential health and sanitation practices that reduce the risk of food- and water-borne diseases. She also emphasized the importance of complying with public health policies before starting operations. 16. What is the most important step Mr. Santos must complete before legally opening his food business, in line with Nurse Liza’s public health reminders? A. Attend a culinary skills seminar organized by the barangay B. Submit a weekly cleaning schedule for review by the RHU C. Secure a sanitary permit and ensure all food handlers have valid health certificates D. Provide his employees with new uniforms and hairnets 17. Which of the following practices best illustrates adherence to the Four Rights of Food Safety? A. Ordering bottled water and frozen goods in bulk from an unfamiliar supplier recommended by a neighboring vendor B. Washing utensils only at the end of the day to conserve water and cleaning materials C. Storing cooked rice in open containers at room temperature overnight D. Ensuring that meat is thoroughly cooked and served immediately after preparation 18. To promote retention and standardization in her health teaching, what strategy should Nurse Liza apply when educating food handlers like Mr. Santos? A. Use printed materials written in English to maintain consistency and reinforce the key messages B. Allow Mr. Santos to determine the lesson content and flow based on his personal experiences C. Focus more on verbal teaching rather than printed materials, regardless of client preference D. Avoid using written materials to ensure information is passed down through demonstration only 19. Which of the following should Nurse Liza emphasize as the most effective way to prevent the spread of infection in a food establishment? A. Washing hands properly before and after food preparation B. Wearing gloves at all times when handling food C. Using antibacterial sprays to clean kitchen counters D. Avoiding direct contact with customers during food service 20. During her visit, Nurse Liza explained that carbohydrates, proteins, and fats are macronutrients. Why is it important for Mr. Santos to include these in his meals? A. They are the main sources of energy and are needed in large amounts to maintain body functions B. They help prevent micronutrient deficiencies like anemia and goiter C. They are only important for children, pregnant women, and older adults D. They are primarily used by the body for immune system function and hormone regulation Situation: In Barangay Maginhawa, the Rural Health Unit (RHU) promotes the use of approved herbal medicines as part of the Department of Health's Traditional and Alternative Medicine Program (TAMA). Nurse Jordan is conducting a community seminar to educate residents on the safe use of herbal remedies for common illnesses. While encouraging the community to recognize the benefits of local medicinal plants, he also emphasizes the importance of proper identification, preparation, and consultation with health professionals before using herbal medicine. 21. A resident asks Nurse Jordan if they can use any herbal plant they find in the backyard for treating common illnesses. What is the most appropriate response of the nurse? A. “Yes, as long as it is a plant your grandparents used traditionally.” B. “No need to ask a health worker as herbal medicines are natural and safe.” C. “You may refer to the list of scientifically validated herbal medicines approved by the Department of Health.” D. “You can experiment with any local plant as long as it looks healthy and green.” 22. During the seminar, Nurse Jordan reminded participants that improper preparation of herbal medicines may cause harm. Which of the following is the safest practice when using herbal remedies at home? A. Boil the plant leaves for any length of time until it smells strong enough. B. Dry herbal leaves under direct sunlight for faster processing. C. Use only the recommended plant part and follow proper preparation techniques as prescribed by DOH. D. Mix different plant parts to make the medicine more effective. 23. A mother approaches Nurse Jordan and asks if she can give Niyug-Niyogan seeds to her 1-year-old son who has not had deworming recently. What is the nurse’s most appropriate response? A. “Only one seed should be given to minimize any risk of side effects.” 2 | Page

C. Provide caregiver orientation and explain the treatment protocol D. Begin the feeding with ready-to-use therapeutic food (RUTF) 35. During nutritional screening at a barangay health station, Nurse Gia measures the mid-upper arm circumference (MUAC) of a 2-year-old child and obtains a reading of 11.3 cm. Based on the Department of Health CMAM guidelines, how should this child’s nutritional status be classified? A. Mild undernutrition B. At risk for growth faltering C. Moderate Acute Malnutrition (MAM) D. Severe Acute Malnutrition (SAM) Situation: Nurse Erika is a newly assigned rural health nurse in Barangay Magsikap, a geographically isolated and disadvantaged area (GIDA). The barangay has limited access to potable water, poor road connectivity, and limited health literacy among residents. As part of her role, she is expected to provide comprehensive community-based services, promote health education, and work closely with local officials and health volunteers to improve health outcomes. 36. In line with the Primary Health Care (PHC) approach, which strategy is best demonstrated when Nurse Erika partners with barangay officials to train local health volunteers on basic hygiene and disease prevention? A. Equitable distribution of health resources B. Intersectoral collaboration C. Use of appropriate technology D. Community participation 37. Nurse Erika observes a spike in diarrhea cases and suspects contamination in the community’s water source. What should be her initial action? A. Send water samples for laboratory analysis B. Refer the cases to the nearest hospital C. Conduct home visits and health teaching on water boiling D. Distribute anti-diarrheal medications 38. To assess and confirm the presence of an outbreak, Nurse Erika should first: A. Implement community-wide disinfection efforts B. Compare current disease data with the usual number of cases (baseline) C. Immediately conduct stool sampling and send for lab analysis D. Wait for DOH central office confirmation before acting 39. In responding to a waterborne outbreak, which sector should Nurse Erika coordinate with to ensure restoration of potable water? A. Department of Social Welfare and Development (DSWD) B. Department of Labor and Employment (DOLE) C. Department of Education (DepEd) D. Local Water Utilities Administration (LWUA) 40. Which of the following best demonstrates Nurse Erika’s role in primary prevention? A. “Operation Timbang” for early malnutrition detection. B. Administering antibiotics to diagnosed cholera patients C. Conducting epidemiological investigation of waterborne cases D. Promoting hand washing and safe water practices in schools Situation: Nurse Khai is conducting a micronutrient screening and education session at the Rural Health Unit, part of the Barangay Nutrition Program. She assesses dietary intake, identifies deficiency risks, and teaches families about key vitamins and minerals essential for growth and health. 41. Which of the following vitamins is classified as water-soluble and must be supplied daily in the diet? A. Vitamin A B. Vitamin C C. Vitamin D D. Vitamin E 42. Deficiency of which vitamin most commonly leads to rickets in children? A. Vitamin C B. Vitamin B3 (Niacin) C. Vitamin B1 (Thiamin) D. Vitamin D 43. Which vitamin’s primary role is to facilitate blood coagulation by aiding synthesis of clotting factors? A. Vitamin K B. Vitamin C C. Vitamin A D. Vitamin E 44. A child presents with pale conjunctiva and fatigue. Lab shows microcytic, hypochromic red blood cells. Which mineral deficiency is most likely? A. Calcium B. Zinc C. Iron D. Iodine 45. A goiter (thyroid enlargement) in school-aged children in an inland province is most often caused by deficiency of which mineral? A. Iodine B. Magnesium C. Phosphorus D. Fluoride Situation: Nurse Lana has been tasked to lead a Community Organizing and Participatory Action Research (COPAR) project in Barangay Luntian. She will engage residents in identifying local health problems, planning interventions, implementing activities, and evaluating outcomes together with community stakeholders. 46. Which of the following best describes the primary goal of COPAR in community health nursing? A. To implement top-down health programs designed by experts B. To train community volunteers in clinical procedures C. To generate academic publications on community health D. To empower communities to identify and solve their own health issues 47. In a COPAR cycle, what comes immediately after the community has identified and prioritized its health concerns? A. Evaluation of implemented actions B. Planning of joint interventions C. Data dissemination through academic forums D. Securing external funding only 48. Which data-collection tool is most appropriate for the initial community assessment phase of COPAR? A. Focus Group Discussions with key informants B. Randomized controlled trials C. Laboratory diagnostic tests D. Standardized patient simulations 49. During the action phase of COPAR, Nurse Lana notices low turnout at community clean-up events. Which strategy best reflects the participatory spirit of COPAR to address this? A. Mandate attendance through barangay ordinance B. Offer financial incentives to participants C. Hold a community meeting to explore barriers and co-create solutions D. Replace clean-ups with expert-led spraying teams 50. Which of the following indicators would best demonstrate sustainable community ownership at the end of a COPAR project? A. Number of research papers published B. Continued community-led health committees without external funding C. Volume of external grants secured D. Frequency of nurse-led workshops Situation: Nurse Ivan is conducting a post-flood home-visit program in Barangay Maligaya. As part of the initiative, he screens infants and young children for fever and dehydration, administers antipyretics, educates caregivers, and monitors fluid intake—all following the steps of the nursing process in a community setting. 4 | Page