Title RECALLS 2 (NP1) SC ✅

RECALLS EXAMINATION 2 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 SITUATION - Gemma, 65 years of age, has just been widowed a year ago. Her two children are now all living in the U.S. She used to love cooking but since she is now living alone, she eats meals irregularly. Most of the time, she just watches television. Her chief complaint is constipation. 1. When assessing Gemma, Nurse Alma should ask the following, EXCEPT: A. Dietary and fluid intake B. Cultural beliefs C. Lifestyle D. Bowel pattern 2. When auscultating the bowel sound of Gemma, the nurse should be able to hear ___________. A. loud and gurgling sound B. increased bowel sound C. decreased bowel sound D. absent sound 3. The MOST APPROPRIATE nursing diagnosis for Gemma’s case is _________________. A. risk of constipation related to lifestyle B. perceived constipation related to eating habits C. dysfunctional gastrointestinal motility related to lifestyle D. constipation related to inactivity 4. Which of the following are the most simple and cost effective interventions that the Nurse can advise Gemma to resolve constipation? 1. Encourage increased fiber in diet 2. Encourage physical activity and regular exercise 3. Regular time for elimination 4. Laxative A. 1, 2, & 3 B. 3 and 4 C. 1, 3 & 4 D. 2, 3 & 4 5. Health education should include which of the following? 1. Responding to the urge to defecate and establishing a daily pattern 2. Role of dietary fiber and fluid in maintaining bowel function 3. Role of exercise and activity in maintaining bowel function 4. Safe and correct use of pharmaceutical agents A. 2, 3 and 4 B. 1, 2, 3 and 4 C. 2 and 3 D. 1, 2 and 3 Situation - Alberto is a 15-year-old adolescent who lives with his mother, father, and several siblings. He is hospitalized in a provincial hospital after a suicide attempt. 6. When performing a family assessment, select what the nurse must first determine. A. How the family expresses and manages emotions B. The communication patterns between the patient and parents C. Names and relationships among family members D. The meaning that the patient’s suicide attempt has for family members 7. Which of the following is the BEST QUESTION for the nurse to ask to assess a family’s ability to cope? A. “Do you think your family copes effectively?” B. “What do you think of the current family problem?” C. “What strengths does your family have?” D. “Can you describe how you successfully handled one family problem?” 8. The mother of Alberto asks the nurse, “Why do you want to do a family assessment? My teenager is the patient, not the rest of us.” What is the BEST response of the nurse? A. “Family dysfunction might have caused the mental illness.” B. “Every family member ‘s perception of events is different and adds to the total picture.” C. “Family members provide more accurate information than the patient.” D. “Family assessment is a protocol for care of all patients with mental illness.” 9. Which information is the nurse MOST likely to find when assessing the family of a patient with mental illness? A. Power in the family is maintained in the parental dyad and rarely delegated. B. Several family members have serious problems with their psychological health. C. Stress that living with a mentally ill member has challenged the family’s function. D. The family exhibits many characteristics of dysfunctional families. 10. Parents of Alberto say, “We have never known anyone who was mentally ill. We have no one to talk to because none of our friends understand the problems we are facing.” Which of the following is the nurse’s MOST helpful intervention? A. Facilitate achievement of normal developmental tasks of the family. B. Build the parent’s self-concept as coping patterns. C. Teach the parents techniques of therapeutic communication. D. Refers the parents to a support group. Situation: Nurse Katy is the head nurse of the male medical ward in a tertiary specialized hospital handling multiple cases in her unit. It is imperative that she is equipped with the basic managerial skills. 11. In this conflict resolution method, a person ignores his or her own feelings about an issue in order to agree with the other side. A. Collaborating B. Confronting C. Accommodating D. Withdrawing 12. With this method of conflict resolution, each side gives up something as well as gets something: A. Negotiating 1 | Page


D. Stool 47. She emphasized that the bites, which are responsible for nearly 99 percent of human rabies infections, are those of the infected __________. A. monkeys B. dogs C. bats D. cats 48. Nurse Shanty explains that there are situations which increase the risk of rabies. These are ________. A. stray of dogs B. All of these C. unprovoked bites D. animals display abnormal behavior 49. In another health education session, Nurse Shanty explains about LEPROSY. Which of the following should be included? 1. leprosy is curable 2. not all leprosy patients are infectious 3. leprosy is hereditary 4. casual contact with a patient causes leprosy 5. regular and adequate treatment is essential A. 1, 3, 5 B. 2, 4, 5 C. 1, 2, 5 D. 2, 3, 4 50. Nurse Shanty stated that a definitive diagnosis of leprosy is obtained through _________. A. blood examinations B. tuberculin testing C. skin smears/ biopsies D. nasal smears SITUATION - Mr. Gian is confined in the ICU in a provincial hospital for some complications of his type II diabetes. He is edematous and complained of severe chest pain. His vital signs are: BP160/98, temperature 37.2C; PR- 90 bpm; RR- 30 bpm 51. The order of the physician is for immediate intubation. For the priority equipment, supplies and material to be used for the procedure, the nurse should collaborate with the _________. A. operating room B. central supply unit C. anesthesia department D. emergency department 52. Morning care had to be done by the ________ A. nursing student B. all the options C. staff nurse D. nursing aide 53. As much as you have not been trained in initiating Intravenous infusion, who among the following cannot also do it? A. charge nurse B. staff nurse C. nursing aide D. physician 54. Turning Mr. Gian every two hours would be difficult if you do it alone. In order to keep the patient safe, the most number of nurses who can team up with you will be ____________ A. Four B. One C. Two D. Three 55. If Mr. Gian would be for dialysis and you need to bring him to the dialysis unit, who among the following, could be the best to help you wheel him to the area? A ______________. A. institutional worker B. member of the family C. physician D. nurse aide Situation - Assessment at the community-level of care is a multidisciplinary undertaking that involves the member of the health team. The public health nurse uses data that have already been collected and are available and or gathers primary data for community diagnosis. 56. Assessment is the first step in the nursing process. In the setting, which of the following objectives of assessment by the public health nurse is NOT included? A. Identify specific risk factors related to health and health problems. B. Define the nature of the health status and health-related problems C. Identify clients who should be given priority for care. D. Determine who should be referred to different health care facilities. 57. Conducting a community assessment leads to a community diagnosis, its products consist of a profile of the community’s state of health. As a process, the public health nurse actively participates in community diagnosis. The MOST common method of data collection that is accurate and provides the biggest bulk of community data is the ________. A. Observation B. Community census C. Interview D. Records review 58. The data on health and disease can be gathered from different sources. Which of the following sources provide a MOST accurate set of data? A. Population health profile from school and factory clinics. B. Births and deaths from city/municipality registrar. C. Morbidity data from filed personnel. D. Mortality cases from medical death certificates. 59. Data analysis involves qualification, description and classification of data which would reveal community health problems. An analysis of the social, economic, environmental and political factors that influence health is categorized as: A. Health resources problems B. Health status problems C. Health-related problems D. Comprehensive problems SITUATION - Thealyn, 15 years old, and a high-school student, visited the clinic because she suspects that she is pregnant. Her pregnancy is confirmed by the school physician. Thealyn requested nurse Zendaya not to tell her parents about her being pregnant. She also expressed desire to terminate her pregnancy. 60. Which of the following ethical concepts apply to patient Thealyn’s case? A. Bioethics B. Deontology C. Teleology D. Intuitionism 61. Nurse Zendaya should be guided by the steps in helping Thealyn make an ethical decision. Sequence the steps below. 1. Gather data 2. Make decision 3. Identify and clarify the ethical problem 4. Act and assess the outcomes of decisions 5. Identify options or alternatives A. 3, 1, 5, 2 & 4 B. 1, 5, 2, 4 & 3 C. 1, 3, 5, 2 & 4 D. 2, 4, 1, 3 & 5 62. The INITIAL advice of nurse Zendaya to patient Thealyn is which of the following? A. Thea will inform her teacher about her condition and to request the teacher to tell her parents. B. Thea will request the doctor to inform the parents C. Thea will choose a significant other close to the parents to be the one to relay about her pregnancy D. Advise her that as a minor, her parents should be duly informed about her pregnancy 63. Thea analyzed the advice of Nurse Zendaya and realized the value of life and family. This attitude of realization is termed as _____________ A. Justice B. Ethics C. Autonomy D. Values clarification 64. Patient Thealyn’s decision regarding her pregnancy is termed as _____________ A. Autonomy 4 | Page