Tiêu đề 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
B. Competing C. Avoiding D. Compromising 13. Nurse Katy feels uncomfortable believing that she is the scapegoat of everything that goes wrong in her department. Which of the following is the best action that she must take? A. Identify the source of the conflict and understand the points of friction B. Disregard what she feels and continue to work independently C. Seek help from the Director of Nursing D. Quit her job and look for another employment. 14. Which of the following is a characteristic of decision-making? A. it only involves logical, rational thought B. it is often the result of many incremental steps rather than one large step. C. It must always be done quickly in the health care setting. D. they generally do not assume another person’s point of view. 15. Which of the following is true about effective creative thinkers? A. They seldom generate new ideas and alternatives. B. They often say, “We’ve always done it this way, so let us do it this way again.” C. They tend to analyze the components of a problem. D. They generally do not assume another person’s point of view. Situation – As a public health nurse, Ms. Sisha intends to focus on a specific population to advocate, educate, collaborate with members from a community to improve the health of the people. 16. Nurse Sisha collects data and monitors the health status of the population. Which of the following core public functions is being implemented? A. Assurance B. Policy development C. Assessment D. Prevention 17. Nurse Sisha included in her data collection the number and proportion of persons aged 25 or older with less than a high school education. Which of the following BEST describes this data? A. Health status data B. Health care resource information C. Health risk factors D. Sociodemographic data 18. Working in the community with an aggregate/population, who does Nurse Sisha MOST likely to interact with? A. Students in a local high school B. Patients at the local hospital C. Residents who play basketball D. Christians in the community 19. Nurse Sisha has a clear understanding of population-focused practice. Which of the following characteristics would she MOST likely display? A. Improving the effectiveness of care provided B. Sponsoring a fund-raising project C. Volunteering for a community action D. Providing health interventions for individuals 20. Nurse Sisha is working to improve population-focused care in the community. Which of the following BEST described a key opportunity for nurses like her to accomplish this goal? A. Assuming traditional nursing roles B. Conducting community assessments C. Specializing in community health practice D. Influencing public health policy SITUATION - Applying therapeutic communication skills is vital in the nurse-client relationship. 21. Which of the following is the BEST SEQUENCE of communication techniques to use during an assessment interview? Begin with ____________. A. giving a broad opening and move to asking focused questions B. Giving information and move to asking focused questions C. Asking focused questions and close-ended questions D. providing information and proceed to stating observations 22. You are caring for Maloura, sixteen years old, suffering from acute leukemia. You want to actively listen to her concerns and understand her meanings. You know that active listening is used to _______. A. Treat patient’s medical problems B. Recognize the issue that is most important to the client C. Help the patient become dependent to the nurse in addressing his concerns D. Make conclusions regarding client’s perception 23. You ask your newly admitted patient, “What can we do to help you?” You know that this open-ended question will _____________. A. result in specific information from the patient B. allow patient to elaborate on his response C. allow patient to briefly answer question D. put the patient at ease 24. As you listen to a patient, you need to provide feedback that is __________. A. behavior-focused and evaluative B. well-timed and general C. general and content-focused D. well-timed and content-focused 25. Which of the following statements is TRUE in relation to the use of humor? A. Humor should focus on the client’s humanity B. Humor is used to build rapport C. Constant use of humor can be healing D. Laughter increases neurotransmitters Situation – Non Communicable Diseases (NCDs) remain to be the major health challenges in the Philippines and globally. The specific population group that are mostly afflicted by these chronic conditions, such as diabetes and cardiovascular diseases, are those aged 60 and above. 26. When caring for a patient with type 2 diabetes who has been discharged, which topic will be MOST important to include in your health teaching? A. Impact of the patient’s family history on likelihood of developing diabetes. B. Symptoms indicating that the patient should contact the health care provider. C. Effect of endogenous insulin on transportation of glucose into cells D. Function of the liver in formation of glycogen and gluconeogenesis 27. To obtain the MOST complete information when doing an assessment for a 75-year-old patient, you will _________. A. ask the patient to write down medical problems and medications B. use a geriatric assessment instrument to evaluate the patient. C. interview both the patient and the primary patient caregiver D. review the patient’s chart for the history of medical problems 28. Which information about a 77-year-old patient who is being assessed by the public health nurse is of UTMOST concern? The patient __________. A. says, “I don’t go on my daily walks since I had pneumonia two months ago.” B. tells the nurse, “I prefer to manage my life without much help from others.” C. uses three different medications for chronic heart and joint problems. D. organizes medications in a marked pillbox “so I don’t forget them.” 29. When caring for an older adult who lives in a rural area, you will ____________. A. ensure transportation to appointments with the health care provider. B. Assess the patient for chronic diseases that are unique to rural areas. 2 | Page
C. obtain adequate medications for the patient to last for 4 to 6 months. D. suggest that the patient move to an urban area for better health care 30. Which of these patients assigned to you is MOST LIKELY to need planning for long-term nursing management? A. 71 year-old with appendicitis who has had an emergency appendectomy. B. 60 year-old with bilateral knee osteoarthritis who weighs 350 lbs. (159kg) C. 54 year-old with cholecystitis who has had a laparoscopic cholecystectomy D. 62 year-old with acute sinusitis who will require antibiotic therapy for 5 days Situation - In public health service, a good record system is important in the delivery of quality care to clients. As a public health nurse, you have the responsibility of assisting in the preparation, maintenance of good records and reports. 31. You want to distinguish between records and reports. As applied to public health, the following are the types of RECORDS, EXCEPT _______. A. Events such as births, illness, deaths B. Analysis of a problem situation C. Clinic consultation D. Written data on home visit 32. REPORTS are prepared usually for administrative purposes. Which of the examples below is NOT a report? A. Summary of services delivered B. Accomplishments and failures of services C. Description of a program and planned services D. Client information and profile 33. There are commonly used records and reports in public health nursing practice. The individual clinical record contains which of the following information? 1. Socio-demographic characteristics 2. Patient’s chief complaint 3. Physical Examination findings 4. Prescription of drugs 5. Frequency of clinic check up 6. Attendance to community settings A. 1, 3, 5, 6 B. 1, 2, 3, 4 C. 1, 2, 4, 5 D. 3, 4, 5, 6 34. The Family Service and Progress Record (FSPR) serves as a tool to operationalize the concept of the family as the unit of care. The FSPR consists of four parts, the FIRST being _________. A. Health and nursing problems B. Nursing care plan C. Assessment of the family and the environment D. Service and Progress Notes 35. Which of the following relates to the family’s NURSING PROBLEM? A. Inability to assume health tasks with respect to health problems B. Crisis situation or developmental deficit C. Health threats, risks or hazards D. Strained relationships or disunity Situation - Collaboration is being able to work cooperatively and efficiently with co-workers and any other people the nurse may have to interact with. This includes other health professionals, clients, and their families and communities. 36. With the stated problems, the nurse and the community prioritize these using a set of criteria. Which of the following criteria refers to the probability of reducing, controlling or eradicating the problem? A. Modifiability of the problem B. Preventive potential C. Magnitude of the problem D. Nature of the problem SITUATION - Safety in any health agency is a must. Nurse Mia wants this to be maintained in her unit. 37. The nursing process facilitates an understanding of the scope of challenges inherent in nursing care of clients at risk for ___________ EXCEPT: A. Infection B. Suicide C. Restraint D. Injury 38. The clients at risk require re-assessment of their status on ____________ A. shift basis B. daily basis C. as necessary basis D. injury 39. When a patient is placed in bed rest, the nurse must watch which part of the body most? A. Liver B. Head C. Legs D. skin 40. The Nursing Practice Standards which Nurse Mia must let her staff follow includes, EXCEPT ___________. A. use a multidisciplinary approval to enhance client safety as indicated B. implement emergency measures during fires and disasters C. risk elements should not be modified D. use infection control practices that prevent or control transmission of the pathogens Situation – The family Nursing Care Plan is designed to provide ways in solving health-related problems of the family as a whole. The nursing process is used to make this type of care plan. 41. In conducting a family assessment, which source of data would be MOST helpful? A. Input from other members of the health team. B. Information from other cooperating health care agencies. C. Review of family members’ charts and medical record data. D. Observation and interaction with the family members. 42. In completing a family assessment, the public health nurse should BEGIN by ___________. A. gathering the health data from all family members B. Testing the family’s ability to cope C. evaluating communication patterns D. Identification of the geographic location of resources for the family. 43. Which of the following would be better understood by the nurse after using a FAMILY MAP? A. Roles and relationship within the family B. Recognition of the leader who speaks for the family. C. Description of the social and economic status of the family. D. Identification of the geographic location of resources for the family. 44. The nurse discusses with the family some actions that needed to be taken and refers to the wife in the family as an outstanding organizer. Which of the following goals is the nurse trying to achieve by making this statement? A. Making the husband proud that he had married his wife. B. Reinforcing for the family some of the strengths of one of their family members. C. Encouraging the wife to volunteer to follow through on all the needed actions. D. Making the wife feel very complimented and proud. 45. In implementing family-centered care, the public health nurse _____________. A. works with clients to help them accept limitations for their actions. B. assists family members to assume dependent roles C. offers information about necessary self-care abilities. D. provides his or her own beliefs on how to solve problems 46. Public Health Nurse Shanty is educating a group of residents in Community Marahas about RABIES. A participant asks, “How can you get the virus?” The Nurse explains that the virus can be transmitted by which source? A. Saliva B. Blood C. Urine 3 | 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