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1 | Page RECALLS 13 EXAMINATION NURSING PRACTICE I COMMUNITY HEALTH NURSING NOV 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 III” on the box provided Situation 1 – The Field Health Services and Information System (FHSIS) is the recording and reporting system in public health care in the Philippines. 1. The following are objectives of the FHSIS, EXCEPT: A. Ensure data reported are useful and accurate and disseminated in a timely, easy and use fashion. B. Complete the picture of acute and chronic disease C. Provide standardized facility-level data base which can be used for more in-depth studies. D. Minimize recording and recording burden allowing more time for patient care and promotive activities. 2. As a nurse, you should know the process on how these information are processed and consolidated. The fundamental block of the FHSIS System is the _____________. A. Reporting forms B. Target/Client list C. Family treatment record D. Output record 3. The monthly field health service activity report is a form used in which of the components of the FHSIS? A. Output report B. Target/Client list C. Tally report D. Individual health record 4. In using the tally sheet, the recommended frequency in tallying activities and services is ___________. A. weekly B. daily C. Monthly D. quarterly 5. To monitor clients registered in long-term regimen such as the Multi Drug Therapy, which component of the reporting system will be most useful? A. Tally report B. Individual health record C. Output report D. Target/Client list Situation 2 – Controlling is a management function in which performance is measured and corrective action is taken to ensure the accomplishment of goals. 6. Which of the following is a PRIMARY task that should be performed to have an effective control system? A. Make an interpretation about strengths and weaknesses B. Identify structure, process, outcome standards & criteria C. Measure actual performances D. Identify the values of the department. 7. Which of the following is NOT included in the controlling process? A. Discipline of personnel B. Performance appraisal C. Quality assurance D. Staff scheduling 8. Controlling is effective when? A. Physicians are contented B. Clients are satisfied C. There is an increase in admission D. Goals, objectives, and plans are accomplished 9. Which of the following distinguishing characteristics of standards is NOT included? A. They are subjective measurements B. They are established by authority C. Accepted by people affected by them. D. They are predetermined 10. Among the following standards, which is considered a structure standard? A. All patients have their visual signs taken and recorded B. Clients verbalized satisfaction of the nursing care received. C. Staff mix and number are determined by the PHN supervisor. D. Health teachings are provided to prenatal mothers. Situation 3 – The core value of caring is essential during the implementation and evaluation phases in family nursing practice. There is caring when the nurse is engage in the lived experience’ of the nurse-client relationship in real context. 11. The nurse can enhance learning towards expert caring by experiencing the process of working with the family that provides possibilities of enriching oneself and others. One such method is through competency-based teaching and learning. Which of the following learning principles is the LEAST consideration? Learning is: A. A process of absorbing new knowledge and skills B. Facilitated when experience has meaning C. An individual matter that is built on family’s capabilities D. Both an intellectual and emotional process. 12. The nurse must recognize that there may be problems of the family’s unwillingness to take actions on its health problems or concerns. Which of the following factors may bring this about? 1) Information may be incomplete or inaccurate 2) Family is not ready to face the reality of the situation 3) There may be adherence to patterned behavior 4) Family is not cooperative with the nurse 5) There is a lack of confidence in the proposed action A. 2, 3, 4, & 5 B. 1, 2, and 3 only C. 1, 2, 3, & 5 D. 2, 4, and 5 only 13. Termination of the family-nurse relationship requires a smooth process. The following are strategies that can help with the termination, EXCEPT: A. Decrease time between the nurse’s visits B. Provide a written summary to the family C. Develop a plan of transition D. Make necessary referrals to other resources * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page 14. Evaluation of the family nursing care plan allows the nurse to engage in critical thinking to determine if the plan is working. Summative evaluation is done A. to determine if the intervention strategies are carried out B. at periodic points during the implementation phase C. at the end of the family-nurse relationship D. during the course of the family-nurse relationship 15. Which two interventions are most commonly used by public health nurses like Nerissa who are caring for families and which can be subject for evaluation? 1) Administering screening tools to all family members 2) Collaborating and coordination referrals as needed. 3) Providing health teaching, anticipatory guidance. 4) Participating in collecting data on clients for clinical research. 5) Resolving conflict among family members. A. 2 & 3 B. 2, 4, & 5 C. 1, 3, & 5 D. 1 & 4 Situation 4 – Public Health Nurse Jia is working on some groups of women to promote their health and well-being and help address their current health issues and problems. 16. Nurse Jia is teaching member of women’s club how to perform breast self-examination. She emphasizes the need to have check-up at the health center if they found out that ___________. A. both breasts have nodules in the upper outer quadrants B. the breast on the right side is slightly larger than the left breast C. there is an irregularly shaped, nontender lump palpable in the left breast D. there is a bilateral breast tenderness with palpation 17. Which statement of Nurse Jia correctly describes some health promotion needs of the perimenopausal years? A. Women should be encouraged to limit alcohol intake because it increases calcium excretion B. Dietary vitamin D supplementation is discouraged among this population. C. Calcium supplementation does not affect risk of fractures and bone injury D. Smoking decreases calcium excretion that causes osteoporosis. 18. Nurse Jia observes that there are women who are experiencing abuse by their spouses. What is the goal that the intervention BEST relates to? A. Maintaining a physically healthy body B. Developing and maintaining a healthy sense of self C. Developing and maintaining friendly relationships. D. Maintaining balance and priorities in the family. 19. In an interview with a group of young women, Nurse Jia found out that a client self-induces vomiting after every meal. The nurse recognizes that this symptom BEST describes _________. A. Anorexia nervosa B. A binge eating disorder C. Bulimia D. Post traumatic stress disorder 20. In the same group of young women, a client revealed to her that she is a lesbian. What statement by the client indicates that she needs more information? A. “I need to have routine pap smears.” B. “I have an increased risk of heart disease.” C. “I have less risk factors of breast cancer than a heterosexual” D. “I’m at a lower risk for sexually-transmitted disease.” Situation 5 – Nurse Juday is preparing a smoking cessation class and believes that her class will convert many smokers to nonsmokers once they get all the information. 21. Which of the following health care models guides her thinking? A. Health Promotion Model B. Basic Human Needs Model C. Holistic Health Model D. Health Belief Model 22. Many variables influence a client’s health beliefs and practices. Internal and external variables influence how a client thinks and acts. An example of an internal variable would be __________. A. family practices B. socioeconomic factors C. perception of functioning D. cultural background 23. The health care model that utilizes Maslow’s hierarchy as its basis is the ________. A. Holistic Health B. Health Belief C. Health Promotion D. Basic human needs 24. Nurse Juday’s health education programs for smoking cessation is considered at what level of prevention? A. Fourth B. Tertiary C. Secondary D. Primary 25. Nurse Juday must realize that the MOST effective way to get people to stop smoking to prevent relapse is by ____________. A. continuous reinforcement and informational support B. provide free medical consultation and advice C. tell family members to keep smoker member away from source of tobacco D. give monetary incentive to cessation efforts Situation 6 – In recent months, “bird flu” or avian influenza caused a significant concern among the people especially those in Central Luzon and Metro Manila. It is both an emerging and re-emerging infection. 26. Which of the following statement is TRUE about “bird flu”? A. All forms of bird flu can easily cause illness to humans B. Domestic poultry flocks are much less vulnerable to infections C. Infected chickens can also infect domestic animals like cats and dogs D. Only birds are normally infected by the viruses, less commonly pigs. 27. When humans are infected, the following signs and symptoms of bird flu may appear, EXCEPT: A. Fever B. Sore eyes/Sore throat C. Chicken rashes D. Body weakness 28. Which of the following is NOT included in the control measures in infected birds? A. Restrictions on the movement of the live poultry. B. Rapid destruction of all infected or exposed birds C. Transferring of the live poultry in another area or location. D. Vigorous disinfection of poultry farms 29. There are measures that should be observed by the humans to prevent bird flu infection. Which of the following is NOT included? A. Non-poultry workers should avoid contact with the chickens and ducks as much as possible. B. All poultry farm workers should be given the current season’s flu vaccine. C. Avoid eating chicken or any poultry products until the epidemic has abated D. Advise people on proper cooking of poultry meat and eggs. 30. For patients with bird flu infection, health care workers should observe the following, EXCEPT: A. Establish a separate isolation facility B. Utilize Personal Protective Equipment (PPE) C. Avoid going near the patient as much as possible D. Apply the principles of handwashing. Situation 7 – Program evaluation is a systematic process determining whether program inputs, strategies and activities were successful in achieving program goals and objectives.

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