Tiêu đề RECALLS 14 (NP1) - STUDENT COPY ✅

RECALLS EXAMINATION 14 NURSING PRACTICE I COMMUNITY HEALTH NURSING NOVEMBER 2024 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 SCENARIO: Nurse Ruel is a newly-hired community health nurse in Barangay Mabuhay, the activity in the health center is vaccination. 1. Jane forgot to bring her daughter back for the second dose of OPV, she asked the nurse what to do. The nurse’s response is correct when she states: A. “How irresponsible of you naman, mother” B. “Kakailanganin po natin ulitin ang bakuna, bale magiging first dose po ulit ni baby ito” C. “Wala naman pong problema, ibibigay ko po ngayon ang second dose nya” D. “I-refer ko po kayo kay doc kung paano po ang gagawin, case-to-case basis po kasi eh” 2. Maricar’s 13-week-old son will be having his third dose of Pentavalent next week (April 12, 2023). Her concern is they will stay in their province from April 11 to 15, 2023. She asked the nurse about the schedule she should come back for the vaccine. The nurse does not need to be corrected when she states: A. Pwede April 10 magpabakuna para bago po kayo umuwi ng probinsya, kumpleto na po pentavalent doses ni baby B. Baka pwede sumunod nalang po kayo kasi kailangan po talaga eksaktong 4 weeks ang interval ng dose. Kailangan po April 12 talaga ang sunod nyang bakuna. C. Dahil Made-delay po ang susunod na dose, doblehin nalang po natin yung bakuna sa pagbalik nyo po galing probinsya. D. Sa pagbalik nyo nalang po ako magbibigay ng bakuna. 3. The nurse is preparing to give the BCG vaccine to the infant. According to the Public Health Nursing in the Philippines book, He should clean the skin of the injection site using a cotton ball moistened with? A. Sterillium B. Water C. Alcohol D. Betadine 4. Vaccines are substances that are very sensitive at various temperatures. The recommended storage temperatures of EPI vaccines must be observed to avoid spoilage, and maintain its potency. Nurse Ruel is knowledgeable when he checks the storage temperature every: A. Whenever it is necessary B. Twice daily C. Three times daily D. Twice a week 5. Nurse Ruel checked the storage temperature and opened the storage to check for the vaccines. He noticed that the OPV is at the freezer. What should Nurse Ruel do? A. Just leave the OPV because it is should be in the freezer B. OPV is a live attenuated vaccine and it should be in the refrigerator C. Identify the person who put the OPV in the freezer and inform him privately about his mistake D. Throw the OPV because it is considered spoiled SCENARIO: Barangay Poblacion held a medical caravan. Elderly people lined up at 6 in the morning to get their vital signs taken and to receive the appropriate prescriptions for drugs. As they are waiting, volunteers delivered bread and lugaw (porridge). Hours later, several instances of persons who consumed the food vomited and experienced diarrhea. Individuals were transported to the medical facility, and the medical staff suspected food poisoning was the cause. 6. Epidemiology is the study of occurrences and distribution of diseases as well as the distribution and determinants of health states or events in specified populations. What is the purpose of epidemiology? A. It completes the clinical picture of chronic diseases and describe their natural history B. It diagnoses the health of the individual and his condition for individualized care and management. C. It studies the work of health services with a view of improving them. D. It identifies syndromes by describing the distribution and association of clinical phenomena in the population. 7. Nurse Maddy has to note the disease occurrence that happened in Barangay Poblacion. It is classified as: A. Epidemic B. Pandemic C. Endemic D. Sporadic 8. When the nurse explained the patterns of occurrence and distribution of a disease. The resident is curious to ask an example of a disease that is considered to be endemic. The nurse is wrong when she include: A. Lyssa B. Filariasis C. Malaria D. Schistosomiasis 9. The residents of the barangay were informed that the cause of the cases of vomiting and diarrhea is due to the Lugaw (porridge) and bread. Lugaw and bread is classified as: A. Causative agent B. Risk factor C. Intrinsic factor D. Extrinsic factor 10. Nurse Maddy gathered the number of people who are affected by the food poisoning. She wants to present the trend in the number of affected to the time it is recorded. She will use what type of graph? A. Line graph B. Pictograph C. Histogram D. Pie Chart 1 | Page
SCENARIO: Nurse Micah joined the health center in analyzing the gathered data for the community diagnosis. The following are the data: Total Population: 6,420 Total Birth: 328 Total Death: 79 Maternal death: 6 Total Infant Death: 13 Total Males: 3,417 Total Males 50 years old and above: 751 Total Females: 3,007 Total Female 15 - 44 years old: 1,023 11. Nurse Micah computed the crude birth rate of the province. The data showed: A. 102 B. 51 C. 320 D. 109 12. The demographic measurement is computed. She identified the sex ratio based from the data is: A. 88 females for every 100 males B. 117 females for every 100 males C. 29 females for every 100 males D. 29 males for every 100 females 13. Nurse Micah wants to know the true fertility rate of the province. She is correct when she get: A. 321 B. 109 C. 159 D. 328 14. The municipal health officer instructed nurse Micah to study the morbidity rate of the province. To study morbidity, she will look for what data? A. Incidence Rate B. Attack Rate C. Case Fatality Rate D. Prevalence Rate 15. As Nurse Micah was browsing the existing data in the barrio. She noted the urban-rural index is 26:74. She interprets this as: A. More people decided to live in a corporate world B. 26% of the population plans to support their family and work abroad C. 74% of the population are living in the mountain areas of the barrio. D. There are less people occupying the urban areas of the barrio. SCENARIO: As part of primary health care and increasing cost of drugs, the use of locally available medicinal plants has been advocated by the DOH. 16. The community is conducting a seminar about the natural sources of vitamins and minerals that can be found in the backyard and field. The nurse was alarmed as the pregnant woman stated to be consuming this herbal medicine which is known to have abortifacient properties. This is: A. Akapulko B. Sambong C. Yerba Buena D. Tsaang gubat 17. The nurse is giving health education pertaining to the use of herbal medicine. He needs further teaching when he states: A. Uses only the advocated parts of the plant B. Use only clay pot in preparation of herbal plants and remove cover while boiling at low heat C. Use only one kind of herbal plant for each type of symptoms or illness D. If signs and symptoms are not relieved after 2 or 3 doses of herbal medication, consult a doctor 18. The parent of a child with diarrhea asked the nurse what herbal medicine is applicable for his son. The Nurse recommends: A. Boil the mature stems and drink its decoction B. Boil chopped leaves in 1 glass of water, strain and drink C. Wash leaves and eat. D. Any part of tsaang gubat is used for diarrhea 19. The nurse is doing a home visit when a resident asks the nurse to describe which among the plants in the backyard is the ulasimang bato. The nurse correctly describes when he states: A. It is a weed with heart-shaped leaves B. It is a plant with rough hairy leaves C. It is a tree with tiny white flowers D. It is a shrub with blue and bell-shaped flowers 20. There was an outbreak of scabies in the barrio where Nurse Jenna is working. There was no more akapulko seen in the barrio as it is consumed by many. What alternative herbal medicine can be used by the barrio? A. Tsaang gubat B. Niyug-niyugan C. Yerba Buena D. Lagundi SCENARIO: Nurse Donna is a clinical instructor in The Medical University. She is to tackle the life-saving interventions that treat the major obstetric and newborn causes of morbidity and mortality and how to prevent them 21. She discussed the emergency obstetric and newborn care. One student was confused and asked what is it in CEmONC that BEmONC cannot provide? Nurse Donna is prepared to answer when she enumerated: 1. Removal of retained products of conception 2. Cesarean Section 3. Parenteral administration of loading dose of anticonvulsants 4. Blood Transfusion A. 1, 3 B. 3, 4 C. 1, 2 D. 2, 4 22. DOH, UNICEF and other organizations developed and reviewed Essential Newborn Care to handle newborn care in the critical immediate period. Among the time-bound interventions done to the newborn, what prevents the newborn from hypoglycemia and sepsis and it helps the body increase colonization with protective bacterial flora? A. Immediate and thorough drying of the newborn B. Keeping the mother and baby in uninterrupted skin-to-skin contact C. Properly timed cord clamping and cutting until the umbilical cord pulsation stops D. Breastfeeding initiation within the first hour of life 23. Among the four time-bound interventions done to the newborn, what is done to prevent intraventricular hemorrhage in one of two preterm babies? A. Immediate and thorough drying of the newborn B. Keeping the mother and baby in uninterrupted skin-to-skin contact C. Properly timed cord clamping and cutting until the umbilical cord pulsation stops D. Breastfeeding initiation within the first hour of life 24. There was an increasing rate of maternal mortality in Barrio Toto. The nurse interviewed the residents and learned that the reason was because most of them are experiencing financial constraints. The nurse knows that this problem is under what delay model? A. Delay in seeking care B. Delay in reaching facilities C. Delay in receiving appropriate care D. It is not related to delay model because money is not an issue 25. Nurses noted that another reason for maternal mortality is due to some residents not knowing where the new health center is located. It is under what delay model? A. Delay in seeking care B. Delay in reaching facilities C. Delay in receiving appropriate care D. It is not related to delay model because money is not an issue SCENARIO: Nurse Atom wants to uncover nursing knowledge and build the foundation of clinical practice to prevent disease, manage symptoms of illness and enhance end-of-life care. Thus, he decided to do nursing research. 2 | Page
26. Nurse Atom encounters the word hypothesis. He is not correct in telling that hypothesis is: A. A state where it can be accepted or rejected B. A prediction about what a research will find C. An educated guess that is untested with observation D. A tentative explanation supported by evidence 27. Nurse Atom was inspired from a research study from India and he repeated it with a different setting in his barangay. Surprisingly, it yields a consistent result. It means the research is: A. Valid B. Objective C. Reliable D. Sensitive 28. The research is believed to use an instrument to detect fine differences among the subjects being studied. The criteria is known to be? A. Valid B. Objective C. Reliable D. Sensitive 29. Which of the following terms refer to the meaning that a researcher must test the correctness of data before accepting it? A. Empirical B. Logical C. Critical D. Analytical 30. Which of the following terms refer to the ability to identify and have a careful breakdown of components especially in terms of variables? A. Empirical B. Logical C. Critical D. Analytical SCENARIO: In a homevisit, the nurse interviews Amy, wife of Arnel that they are living with her parents, Arcedo and Alma and 2 siblings, Aries and Arturo. The couple has 3 children, namely Arvin, Arriane and Anton 31. When the nurse visited the home, he came to the conclusion that there are two families living in a single house. What supports his thinking? A. The family does not have an ability to maintain a healthy home environment B. Amy and Alma prepare their own family’s meals separately. C. Arcedo is not supportive of Arnel, being the husband of her daughter. D. Alma does not join in the conversation of her daughter and his husband. 32. Arnel asked the nurse the frequency of home visits. The nurse based her answer knowing that the nurse should: A. Visit the family once a week B. Visit the family once a month C. Visit the family everyday D. Visit according to the needs of the family. 33. In planning to do a home visit, there are principles involved which serve as a guide for the nurse. The following are principles except: A. A home visit must have a purpose B. Planning should make use of all available information about the patient and family C. Involve the family in planning and delivery of care D. The plan should be fixed to avoid unnecessary problem 34. The nurse accompanied the student nurse on his first day doing a home visit. When he arrived in the house of the family, he is correct when he initially: A. State the purpose of the visit B. Greet the patient and introduce self C. Observe the patient and determine the health needs D. Put the bag in a convenient place and wash hands 35. Guidelines are necessary to give general recommendations on how a nurse should perform the task or how to proceed in a situation. The following are not considered to be factors, except: A. The physical needs should be considered more than the psychological and educational needs of the family. B. Evaluate how the family avail the nursing services C. Perform nursing care despite the patient's disapproval because the patient needs it. D. The nurse should recognize the needs of the family since the nurse has the professional knowledge and experience. SCENARIO: Nurse Diane is assigned to the health center in her Barangay . She was told to study the common laws affecting primary health care in the Philippines. 36. A couple applying for a marriage license are required to receive instructions on family planning and responsible parenthood. This is governed by what law? A. RA 3573 B. RA 7277 C. PD 825 D. PD 965 37. There are national policies on Infant and Young Child feedings. The most related administrative order is: A. AO No. 2005-0014 B. AO No. 2006-0012 C. AO No. 2006-0015 D. Nothing is related 38. In the National policies on Infant and Young Child feeding with the administrative order on the previous number. The following are the specific objectives except: A. All newborns are initiated to breastfeeding within six hours after birth B. All infants are exclusively breastfed for 6 months C. All infants are given timely, adequate and safe complementary foods D. Breastfeeding is continued up to two years and beyond 39. Which among the following defines the implementing guidelines on hepatitis B immunizations for infants which is meant to improve effectiveness of management in the provision of three doses of routine Hepatitis B vaccine among infants including a birth dose? A. AO No. 2005-0014 B. AO No. 2006-0012 C. AO No. 2006-0015 D. Nothing is related 40. This Administrative order revised implementing rules and regulations of EO 51 known as the “Milk Code”, relevant international agreements, penalizing violations thereof and for other purposes: A. AO No. 2005-0014 B. AO No. 2006-0012 C. AO No. 2006-0015 D. Nothing is related SCENARIO: Center for disease control and prevention partners with the government of the Philippines and local organizations to prevent and control communicable and non- communicable diseases, strengthen public health emergency preparedness and response, and expand global health security capacity. The following are communicable diseases. 41. The nurse visited in a barrio located in Region 5 (Bicol). There is a resident presents with symptoms of diarrhea, bloody stools and enlargement of abdomen. Upon further assessment, the patient is diagnosed to have bilhariasis. What is the causative agent of bilhariasis? A. Schistosoma spp. B. Wuchereria bancrofti C. Brugia malayi D. Oncomelania quadrasi 42. There are different species of Schistosoma which can only be found in a particular place during its lifetime. Which among the Schistosoma species is endemic in the Philippines? A. Schistosoma mansoni B. Schistosoma haematobium C. Schistosoma japonicum D. Schistosoma mekongi 3 | Page
43. The barrio knew that one of their neighbor was diagnosed with schistosomiasis. Mass hysteria cause an outbreak of unrealistic thoughts and feelings about the mode of transmission of schistosomiasis. As a nurse, she should educate the residents on how Schistosomiasis is transmitted. She is correct when she states it is transmitted through: A. Drinking contaminated water B. Skin comes in contact with cercaria C. Skin comes in contact with miracidium D. Sexual contact 44. The nurse implemented some preventive measures to control the spread of the disease, the patient and its immediate environment. Which of the following is not included? A. Treat snail-breeding sites with molluscicides B. Improve irrigation and agriculture practices C. Isolate the infected person for 7 days D. Sanitary disposal of feces and urine 45. The doctor prescribed medications to the infected residents. As a knowledgeable nurse who masters pharmacology. The nurse knows which among the following are known to treat schistosomiasis? i. Praziquantel ii. Oxamniquine iii. Metrifonate iv. Diethylcarbamazine citrate A. i B. i, ii C. i, ii, iii D. i, ii, iii, iv 46. Filariasis is a disease often progresses to become chronic, debilitating and disfiguring, since its symptoms are often unnoticed and unfamiliar to health workers. The nurse is knowledgeable when she says that the disease is transmitted to a person through bites of what species? A. Wuchereria bancrofti B. Brugia malayi C. Aedes poecilius D. Anopheles spp. 47. The life-span of the adult parasites is about 10 years while the microfilariae live for about a year at most. Since its incubation period lasts from 8 to 16 months, the nurse knows that the patient is already at acute stage when the following manifestations are present except: A. Lymphadenitis B. Lymphedema C. Funiculitis D. Lymphangitis 48. In order to detect the presence of filarial worms in the body. The patient should undergo laboratory examinations and the blood is extracted during what time of the day? A. At daytime (after 6AM) B. At noon (10AM-2PM) C. Anytime of the day D. At night (After 8PM) 49. The patient is confirmed with a diagnosis of filariasis. He asked about the possible treatment for microfilaria of the disease. The nurse anticipates what drugs? i. Diethylcarbamazine citrate (DEC) ii. Hetrazan iii. Ivermectin A. i B. i, ii C. i, iii D. i, ii, iii 50. The nurse educated the residents on how to prevent and control the vector. He included which among the following on the topic? 1. Sleep under mosquito net 2. Give entire community medicine that kills the microscopic worms annually. 3. Use mosquito repellent on exposed skin 4. Wear long sleeves, long pants and socks A. i, ii B. i, iii, iv C. i, ii, iv D. i, ii, iii, iv Situation: Correct administration of right medications with right dose to the right client is the nurse’s responsibility in the management of client’s health needs. Nurse Michelle is preparing various medications for her clients in the ward. 51. Nurse Michelle goes to the room of Mrs. Richards who is lying in bed. After checking client’s identity, the nurse gives her the medications. Mrs. Richards tells the nurse that she “has a hard time swallowing tablets and is afraid she might choke”. Which nursing action is MOST APPROPRIATE? A. Ask the client to assume sitting position B. Put the tablet in banana for easy swallowing C. Pound the tablet and mix in client’s soup or juice D. Tell the client the pills are small and should be taken on time. 52. In the next room is Mrs. Richards, 56 years old, with an order for instillation of otic drops. Nurse Michelle checks client’s identity than asks Mrs. Richards to lie on her side, opposite the ear to be medicated. When administering the otic drops nurse Michelle straightens the ear canal by pulling the pinna in which CORRECT direction: A. Upward and forward B. Upward and backward C. Downward and backward D. From side to side 53. Mrs. Richards has to receive SUBCUTANEOUS of epinephrine. For thin client like Mrs. Richards, nurse Michelle should ensure that the medication is correctly administered. After checking client’s identity, she prepares the skin then lifts skin fold at the injection site and injects medication at which angle? A. 45 degrees B. 90 degrees C. 50 degrees D. 20 degrees 54. An iron preparation is to be injected intramuscularly to Mrs. Richards. Nurse Michelle safely administer the drug using the Z-track technique. The following statements about Z-track technique are true EXCEPT: A. The skin is pulled sideways is injected at a 45 degree angle B. The zigzag path seals the needle track trapping the medication in the muscle C. This method allows medication to be injected slowly to disperse evenly in muscle tissue D. This technique is best when medication is irritating to tissue 55. Nurse Michelle will do a skin test for Matti. She uses a tuberculin syringe with gauge 25 needle and performs the intradermal procedure CORRECTLY when she: A. Pinches and moves skin test for sideways and inject medication slowly B. Massages the injection site immediately after withdrawing the needle C. Aspirates after inserting needle to check for bleeding D. Holds skin taut insert needle bevel up at 10 to 15 degree angle Situation: Among cases often encountered in the community as common health concerns are ear problems of children where in such instances applying IMCI should be automatic for any nurse. The following situations and questions apply. 56. Nicole, a 4 year old child and resident of barangay Manggahan whom you met during your home visit. You found her with ear problem. Nicole should be assessed for the following EXCEPT A. Is there any fever? B. Ear discharge C. if discharge is, present and for how long? D. ear pain 57. But assuming Nicole do not have any ear problem, what should you do? A. Check for ear discharge B. Check for tender swelling behind the ear C. Assess the next potential problem: check for malnutrition D. Check for ear pain 58. In the case of Nicole, her ear discharge was noted for the past 14 days therefore she can already be classified as: A. Acute ear infection 4 | Page