Title 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

TOP RANK REVIEW ACADEMY, INC. Page 3 | C. 6 injections of 1mL: each at 6-month intervals D. 3 injections of 0.5mL each at 6-month intervals. 23. Young women in your community are afraid that they could be infected with Zika virus, and they approached you in request of conducting a small gathering wherein you could share with them information about it. The following are vital points to be discussed about Zika virus, except: A. Developing the infection can only be confirmed by laboratory testing of blood and other bodily fluids. B. Being affected by Zika virus may cause neurological and autoimmune complications in the newborn. C. Mothers of children with microcephaly have been exposed to Zika virus. D. A means to control the spread of Zika virus is by vector side reduction/eradication. 24. As an occupational nurse, you’ve been assigned to a response team from your company in controlling the spread of EBOLA infection in one of the affected areas. One of your tasks is to conduct health teaching on preventive measures against the spread of the disease. You must include the following concepts, except: A. Wear personal protective equipment when caring for a client with EBOLA B. Clients who had EBOLA but were treated should abstain from sexual intercourse for the rest of his life. C. A person with EBOLA becomes infectious upon the onset of signs and symptoms. D. A person with EBOLA remains infectious as long as the virus is present in his blood. 25. You are approached by Paul and Phoebe, a couple, during your medical mission to ask about EBOLA virus because Paul was infected several months ago. Fortunately, he survived. Now, they are planning to start a family. When they ask you about resuming their sexual practices, which statement is appropriate for you to say? A. Ebola virus can still be transmitted through blood for few years. B. Ebola can still be transmitted through sex for months C. Survivors can safely resume normal sexual practices without fear of Ebola virus transmission after two negative results in laboratory testing. D. Survivors can safely resume sexual practices provided that condom is used. Situation: Part of our role as law-abiding and ethical health care professionals come our knowledge of regulatory policies in the Philippines that affect our practice. 26. MDT – multiple drug therapy is proven effective in the cure for Leprosy and renders client non-infectious 7 days after the start of treatment. Domicilliary advocates; A. RA 4073 B. PD 996 C. Proclamation #46 D. D. RA 7486 27. What law regulates the use and disposal of toxic waste products in the Philippines? A. RA 9003 B. PD 856 C. RA 9696 D. RA 6969 28. This Republic Act legalizes the use of human organs for surgical, medical and scientific purposes. A. RA 1056 B. RA 349 C. RA 6111 D. RA 6425 29. The 16 th congress of the Republic of the Philippines reported this senate bill as ‘An Act Instituting Reforms To Further Protect and Develop the Nursing Profession, Amending for the Purpose of RA 9173, otherwise known as the Philippine Nursing Act of 2002’ in place of the six senate bills submitted to the house. A. Senate Bill 1009 B. Senate Bill 2583 C. Senate Bill 2720 D. Senate Bill 1264 30. The Magna Carta of Public Health Workers was instituted in 1992. Which Republic Act legalized this: A. RA 7277 B. RA 7305 C. RA 7164 D. RA 7192 SITUATION: Ethnographies are a blend of a process and a product, fieldwork and a written text. Castro and De Guzman (2016) used a focused ethnographic approach to study the illness experiences of clinic and street-based homeless boys aged 15-23 years living in Morayta. 31. Nurse Marian, a community health nurse wants to conduct her own ethnographic study focusing on the T’uali tribe in Ifugao. She wants to seek the broad types of information sought by ethnographers. She has an inaccurate understanding of the areas of interest in an ethnographic study if she has included: A. Cultural behavior B. Cultural artifacts C. Cultural attitude D. Cultural speech 32. To help her understand and interpret the events and activities by the T’uali tribe, Nurse Marian sought for the help of the T’uali tribe chieftain as her key informant. In-depth interviews were conducted and she realized that the chieftain’s view about their own culture reflects: A. Emic perspective B. Etic perspective C. Etit perspective D. Tacit perspective 33. Nurse Marian was not satisfied about what she discovered about the T’uali tribe from the chieftain. She realized that she needs to establish her own view about the tribe’s practices as a means of data triangulation. To suit her curiosity, Nurse Marian is doing well with ethnographic research process if she employs which data collection strategy used by most ethnographers? A. Use of close-ended questions and structured interview with the members of T’uali tribe B. Immersion with the T’uali tribe and participant observation C. Grouping the members of the T’uali tribe into control and experimental group D. Float a comprehensive survey questionnaire to all members of T’uali tribe 34. Nurse Marian is now ready to analyze the data she gathered. To aid her in ethnographic data analysis, she has chosen to utilize Spradley’s method. She has an accurate chronological
TOP RANK REVIEW ACADEMY, INC. Page 4 | understanding of its use if she will be: 1. Making domain analysis 2. Asking descriptive questions 3. Locating the informant 4. Interviewing an informant 5. Making an ethnographic record 6. Analyzing ethnographic interviews A. 1,4,5,6,3,2 B. 3,4,5,2,6,1 C. 1,4,6,5,3,2 D. 3,4,2,5,6,1 35. Ethnographic research is typically a labor- intensive endeavor. Nurse Marian understands that for ethnographers to fully assimilate the culture under study, their main goal should be directed towards acquisition or revelation of: A. Emic and etic perspective B. Emic and etit perspective C. Emic perspective and tacit knowledge D. Emic perspective and key informant’s knowledge Situation: Buffers both intracellular and extracellular maintain the fluid and electrolyte homeostasis of our body. Effective circulation is affected by different physiologic factors such as blood volume, cardiac contractility, and vessel patency. Minute deviations from the normal can already cause drastic effects in cellular metabolism. 36. In which acid-base disturbance is an anion gap present? A. Respiratory acidosis B. Metabolic acidosis C. Respiratory alkalosis D. Metabolic alkalosis 37. The maximum infusion time of packed RBCs is: A. 45 minutes B. 2 hours C. 4 hours D. 6 hours 38. In inserting an IV catheter, how far should the tourniquet be applied from the proposed site of insertion? A. 5 inches distal to the insertion site B. 10 to 15 cm above the insertion site C. 1-5 cm distal to the insertion site D. 10 inches above the insertion site 39. How often should the nurse check on a patient with continuous intravenous infusion? A. Every 4 hours B. Every 8 hours C. Every 2 hours D. Every 30 minutes 40. A grade 3 infiltration of an intravenous site is characterized by the following, except: A. Blanched, translucent skin B. Numbness and mild pain C. Cool to touch D. Deep pitting edema Situation: Nurses play an active role in the prevention, management and containment of communicable diseases. 41. A client with human immunodeficiency virus positive had a mantoux skin test. The nurse notes a 7 mm area of induration at the site of the skin test. The nurse interprets the result as; A. Positive B. Uncertain C. Negative D. Borderline Situation: Leprosy is a chronic mildly communicable disease that mainly affects the skin, the peripheral nerves and the mucosa of the upper respiratory tract. The Multi-Drug Therapy (MDT) is proven effective cure for leprosy and renders patients non-infectious a week after starting the treatment. 42. In a health education class conducted by the PHN, she informed them about the early signs and symptoms of Leprosy. Which of the following choices is inappropriate description of the disease? A. Lagopthalmus B. Muscle weakness C. Painful nerves D. Nasal bleeding 43. The PHN gave emphasis on signs and symptoms indicating the infection had advanced to a later stage. Which of the following information should be excluded A. Madorosis B. Hand contractures C. Loss of sensation on skin lesion D. Chronic ulcer Situation: German Measles is a viral exanthem infection, caused by a Paramyxo virus primarily affecting older children and young adults occurring sporadically in the Philippines due to mildness of the infection. The incubation period ranges from 10-21 days with clinical features simulating Measles, also a viral exanthem infection 44. Prior to the exposure of the nursing affiliates to the Pediatric-Isolation unit Mrs. Garcia, their C.I conducted pre-conference. She asks her students to describe the hallmark of Rubella infection which is lymphadenopathy. The C.I would not have to correct Elsa, one of the nursing affiliates if she states A. It involves mucocutaneous lymph node syndrome B. The superficial cubital noles are enlarged C. This involves enlargement of axillary node D. The post cervical nodes and post auricular nodes are enlarged 45. Clarisse, a student nurse is currently performing assessment on Faith, a 9 year old child diagnosed with Rubella. Clarisse documented the typical exanthem known as Forscheimer. Which of the following assessment would support her findings? A. Pinkish to reddish lesions on soft palate/uvula B. Erythematous lesions over the neck C. Vesicles all over the trunk D. Petechial lesions over the face 46. Paramyxo virus is spread through direct contact with nasopharyngeal secretions of infected individual. The S.N is conducting health teachings to the mother. The health teachings to the mother. The health teachings were effective of the mother states. A. It is essential to isolate my other siblings who had Rubella infection last year B. I should not allow my child to play with neighbors who recently recovered from German measles C. Playmates who live next door with uncertain immunization are highly risk D. It is appropriate to inform my cousin who recently got married for us to communicate over the phone and reset an outside