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RECALLS EXAMINATION 5 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: Nurse Karina is a newly graduate nurse who is undergoing her orientation at Naevis Hospital. She is currently reviewing the importance of bioethical principles in the hospital setting. 1. Patient Winter refuses a blood transfusion due to her religious belief. Which moral principle is Nurse Karina upholding when respecting the client’s decision? A. Beneficence B. Nonmaleficence C. Autonomy D. Justice 2. Nurse Karina is working with Patient Giselle who is in severe pain, but she is also aware that administering pain medication may have some negative side effects. She is using which ethical principle? A. Justice B. Autonomy C. Beneficence D. Nonmaleficence 3. Nurse Karina is caring for Patient Ningning who refused a surgery. However, the client’s family and the surgeon insist on it. As a client advocate, Nurse Karina believes that respecting the client’s autonomy is important, but she also feels pressured by the family and the surgeon to proceed with surgery. This conflict is referred to as: A. Ethical dilemma B. Moral distress C. Values conflict D. Professional disagreement 4. When caring for a dying client who has chosen to withdraw from life-sustaining measures, it is most important that Nurse Karina: A. Focus on providing physical care only. B. Acknowledge that treatment is being withdrawn but care is ongoing. C. Encourage the client to change their decision. D. Ensure that the family agrees with the withdrawal of treatment. 5. Nurse Karina is asked by Patient Ningning "What would you do in my situation?" The best response from her is: A. To provide an answer based on their own personal view. B. To redirect the question back to the client to encourage them to explore their own values and options. C. To consult with a colleague before answering the client. D. To avoid answering the question, as it is outside the nurse's role. Situation: A registered nurse with 6 years of experience is applying for a supervisory position at a hospital. 6. The nurse has a bachelor’s degree and 6 years of experience. What else is needed to qualify for a supervisory position according to the Act? A. Have at least three (3) years experience in general nursing service administration. B. At least nine (9) units in management and administration courses at the graduate level C. A master's degree major in nursing D. Not have been convicted of any offense involving moral turpitude 7. The hospital wants to hire foreign nurses for a medical mission, what does the hospital need to do to comply with the Act? A. Hire them directly as long as they have a valid license. B. Ensure that the foreign nurses are issued a special/temporary permit by the Board of Nursing. C. Coordinate with their local embassy. D. Require them to undergo a local licensure exam. 8. The hospital is offering a continuing education program for its nurses. What is needed to ensure that the program is valid according to the Act? A. It should be designed by the hospital's training department. B. The program must be submitted to and approved by the Board of Nursing. C. It should be accredited by the Department of Health. D. It only needs to be approved by the hospital's board of directors. 9. The hospital’s chief nurse is retiring. Candidate A has a Master’s degree in Nursing, 5 years of experience as a supervisor, and is a member of the accredited professional organization of nurses, while Candidate B has a Master's degree in Public Health, 7 years of experience as a supervisor, and is also a member of the accredited professional organization of nurses. Based on the Act, who is more qualified? A. Candidate B because of the years of experience. B. Candidate A because of the master's degree in Nursing. C. Both are equally qualified as they have met the minimum qualifications D. Neither is qualified, because they need to have 10 years of experience. 10. A nurse was found guilty of malpractice. What is the maximum period for the suspension of the nurse’s license, according to the Act? A. 1 year B. 2 years C. 4 years D. 5 years Situation: Nurse Julie, a community health nurse, is conducting a health education session in a rural area that relies heavily on traditional medicine. 1 | Page Prepared by: ENCARNACION, JESIKAH DE JESUS, JERICHO

B. 9 months C. 12 months D. 18 months 30. What is the mode of transmission of leprosy? A. Airborne B. Droplet transmission C. Direct skin contact D. Contaminated food Situation: Nurse Yijin, a registered nurse, is reviewing the Expanded Program on Immunization (EPI) before his duty at the Barangay Health Center. He knows that it is important to have extensive knowledge on immunization among infants. 31. Which of the following vaccines are stored at the freezer? A. DPT B. Hepatitis B C. BCG D. Measles 32. Which of the following principles should Nurse Yijin follow in vaccinating children? A. Giving doses of a vaccine at less than the recommended 4 weeks interval may increase the antibody response. B. Measles vaccine provides 95% protection when given at 9 months. C. A child with moderate fever should not be immunized. D. It is safe to immunologically administer all EPI vaccines on the same day at different sites of the body. 33. Which of the following is not a part of the vaccine preventable diseases, except? A. Malaria B. Tuberculosis C. Dengue Fever D. Zika Virus 34. While reviewing the route of administration, Nurse Yijin knows that all but one of the following vaccines are administered intramuscularly, except. A. BCG B. OPV C. Measles D. DPT 35. Nurse Yijin is discussing the importance of vaccinations with the child’s mother who is hesitant about receiving one. Which of the following statements best reflects the ethical principle of autonomy in relation to this situation? A. The nurse should strongly encourage the child to get vaccinated, emphasizing its benefits for public health. B. The nurse should explain the risks and benefits of vaccination and respect the mother’s decision, whether they allow the child to be vaccinated or not. C. The nurse should inform the mother that the child is required to get vaccinated to protect others. D. The nurse should share their personal experience and encourage vaccination based on that. Situation: Nurse Heedo is educating a group of new parents about pertussis. 36. A parent asks how the disease is typically spread. Nurse Heedo’s best response would be: A. Through contaminated food and water B. By direct contact with infected skin lesions C. Through respiratory droplets D. Through blood transfusions 37. A 6-month-old infant presents with a severe cough characterized by a “whooping” sound. The parents report that the symptoms began about 8 days ago with mild fever and runny nose. Based on this information, which stage of pertussis is the infant likely experiencing? A. Incubation stage B. Catarrhal stage C. Paroxysmal stage D. Convalescent stage 38. A child has been diagnosed with pertussis. The child’s parent asks how long their child will be contagious. What is the most accurate response by Nurse Heedo? A. The child is contagious only during the first week of symptoms. B. The child is contagious for as long as the cough is present. C. The child is most contagious up to about 3 weeks after the cough begins. D. The child is no longer contagious once antibiotics are started. 39. A nurse is discussing strategies to prevent pertussis in infants. Which of the following is the most effective method? A. Isolation of infected individuals B. Strict handwashing practices C. Immunization with the DTP vaccine D. Avoidance of public places 40. Nurse Heedo identifies the incubation period of Pertussis to be ________. A. 7-10 days B. 3-21 days C. 14-21 days D. 1-7 days Situation: You are assigned in Brgy. Francisco as a nurse at their barangay health center. You are currently monitoring an outbreak of communicable diseases in the area. 41. A child presents with a high fever, cough, runny nose, and small white spots inside the mouth. The nurse recognizes these symptoms as indicative of which disease? A. Rubella B. Chickenpox C. Measles D. Mumps 42. During a measles outbreak, a nurse is asked to prioritize care and vaccination efforts. Applying the principle of justice, how should the nurse proceed? A. Provide care and vaccination only to those who can afford it B. Prioritize care to those who have been vaccinated previously C. Ensure equitable access to care and vaccination for all members of the community, especially the most vulnerable D. Only provide care for those who adhere to all preventative health measures. 43. A nurse discovers that a colleague has not reported a case of measles in their assigned community because they fear it will reflect badly on their performance. Which ethical principle is most directly violated by the nurse’s actions? A. Autonomy B. Veracity C. Nonmaleficence D. Beneficence 44. A nurse is caring for a child with measles and is aware of the highly contagious nature of the disease. The nurse's responsibility to prevent harm to others reflects the principle of: A. Autonomy B. Beneficence C. Justice D. Nonmaleficence 45. A nurse is asked by a physician to administer a measles vaccine to a child despite the parents' objection, stating it is "for the greater good." The nurse, while understanding the benefits of vaccination, respects the parent's right to choose. Which approach aligns best with ethical nursing practice? A. The nurse should administer the vaccine to adhere to the physician's orders B. The nurse should prioritize the needs of the community over individual autonomy C. The nurse should refuse to administer the vaccine and risk being reprimanded by the physician D. The nurse should advocate for the parents by discussing their concerns with the physician and ensuring informed consent is obtained. Situation: Nurse Sol, a newly passed registered nurse, attended a seminar on the World Health Organization’s latest updates on hypertension. 3 | Page Prepared by: ENCARNACION, JESIKAH DE JESUS, JERICHO

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