Tiêu đề RECALLS 7 - NP1 - SC ✅

RECALLS 7 EXAMINATION NURSING PRACTICE I COMMUNITY HEALTH NURSING NOVEMBER 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: You are a public health consultant tasked with implementing a comprehensive community development program in a rural area with various social, economic, and environmental challenges. Your goal is to ensure that your strategies align with the 17 Sustainable Development Goals (SDGs) adopted by the United Nations. 1. Your program aims to ensure healthy lives and promote well-being for all, at all ages. Which SDG aligns with this objective? A. SDG 1 B. SDG 2 C. SDG 3 D. SDG 5 2. If your program aims to promote sustained, inclusive, and sustainable economic growth, full and productive employment, and decent work for all, which SDG should it align with? A. SDG 7 B. SDG 8 C. SDG 9 D. SDG 12 3. You want to ensure the community has access to clean water and sanitation. Which SDG should guide your efforts? A. SDG 2 B. SDG 3 C. SDG 6 D. SDG 9 4. Your program includes initiatives to combat climate change. Which SDG aligns with this focus? A. SDG 7 B. SDG 10 C. SDG 13 D. SDG 15 5. By which year are the Sustainable Development Goals (SDGs) set to be achieved globally? A. 2030 B. 2040 C. 2050 D. 2060 Situation: Prevention includes a wide range of activities aimed at reducing risks or threats of health. 6. Nurse Marco is visiting a family with a child who recently became a paraplegic. He suggests some home modifications to accommodate the child’s disability. What level of family-focused intervention the nurse has suggested? A. Quaternary prevention B. Secondary prevention C. Tertiary prevention D. Primary Prevention 7. Which of the following programs is an example of secondary prevention? A. An exercise program for persons who had stroke B. A community-wide nutrition program at fast food establishments C. Immunization of persons exposed to infectious disease with immunoglobulin G within 2 weeks of exposure. D. Health education on safe water supply 8. As a result of an outbreak of influenza in Barangay Maligaya, Nurse Marco encourages the residents of the community to receive the influenza vaccine. Which level of prevention is being used? A. Tertiary prevention B. Multifactorial prevention C. Primary prevention D. Secondary prevention 9. Nurse Marco explains to the mother the general needs of a family for adequate nutrition, rest, and physical activity. Which level of prevention does this describe? A. Quaternary prevention B. Primary prevention C. Tertiary prevention D. Secondary prevention 10. Nurse Marco also encounters a female patient who reported chest discomfort and shortness of breath. He placed the patient on oxygen, electrocardiogram, and had his blood gases drawn. What level of preventive care is this patient receiving? A. Health promotion B. Secondary prevention C. Tertiary prevention D. Primary prevention Situation: The Department of Health has vowed to end Neglected Tropical Diseases (NTDs) by 2030. In the Philippines, the NTDs that are prevalent include leprosy and rabies. One of the strategies to address this goal is through the conduct of HEALTH EDUCATION program. 11. Public Health Nurse Dana is educating a group of residents in Community X 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 D. Stool 12. 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 13. Nurse Dana explains that there are situations which increase the risk of rabies. These are ________. A. Stray dogs B. Unprovoked bites C. Animals display unusual behavior D. All of these 1 | Page
14. In another health education session, Nurse Dana 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 15. Nurse Dana stated that a definitive diagnosis of leprosy is obtained through _________. A. Blood examinations B. Tuberculin testing C. Skin smears/biopsies D. Nasal smears Situation: Nurse Rei is a staff nurse in the Maternity Ward of Government Hospital. While working as a staff nurse, she also pursues graduate studies for a master’s degree in nursing. She plans to conduct a study in her unit. 16. Nurse Rei understands that the main objective in conducting research in nursing is to __________. A. Develop the nursing profession B. Improve nursing care C. Ensure accountability for nursing practices D. Document the cost effectiveness of nursing care 17. Nurse Rei decides to do a phenomenological study. What is the characteristic of a phenomenological study? A. Was initially developed by anthropologist to study the way a human being react within or experiencing a natural setting. B. Enables the investigator to discover the theory from systematically obtained data. C. Provides an in-depth description of the phenomenon of interest to theninvestigator D. Examines maternal experience as they are lived and understood as reality as human beings 18. Nurse Rei is aware that the phenomenological method of research is ________. A. That is uses primary and secondary sources B. A description of events from the past C. That truth is a lived experience D. That is involves field work 19. To collect data for her study, Nurse Rei interviews six patients who has experienced complications during pregnancy and after delivery. She interviews the patient two or three times until the point of saturation has been reached. To what does the term "saturation" in qualitative research refer to? A. Sample size B. Subject exhaustion C. Data repetition D. Researcher exhaustion 20. Nurse Rei drafts a title for her proposed study. Which of the following would be the appropriate title for her study? A. "Caring Behaviors of Nurses Toward Maternity Patients with Complications" B. "Lived Experiences of Maternity Patients with complications" C. "Quality of life of Maternity Patients with Complications" D. "Competencies of Nurses in the Maternity Unit as Perceived by Patients" Situation: In any setting of nursing practice including community health, records management such as documentation and record keeping, is important. 21. Documentation is a critical component to the delivery of healthcare. It is a tool which serves many purposes. Which of the following is NOT included? A. Create a permanent record for the patient’s future care B. Provide material for discussion C. Plan and evaluate a patient’s treatment D. Ensures continuity of care 22. When recording the home visit, it is important for the public health nurse to _____. A. Document the visit only when there are significant changes B. Follow the agency format for recording and documentation C. Complete the charting every Friday of the week D. Use phrases in outline form 23. The nurse should document intelligently and clearly. There are ways to help protect against an allegation of falsifying a medical record. These are the following: 1. Date, time, and sign every entry. 2. Make entries soon after care is given. 3. Written legibly. 4. Be thorough, accurate, and objective. 5. Use only approved abbreviations. A. 1, 2, 3, 4, and 5 B. 1, 3, and 5 C. 2, 3 and 4 D. 2, 4, and 5 24. Public health nurses must know that all records have a lifecycle and retention scheduling. Clinical records must be retained in the health care facility for: A. Anytime with client’s permission B. Ten years from last date of service C. Two years from date of client’s last visit D. Five years from date of client admission 25. Controlled Substances such as drugs dispensed and administered, order and inventory records must be kept in the health care facility for how many years? A. Six months B. One year C. Five years D. Three years Situation: Nurse Amanda is in charge of record keeping in the health center 26. Which of the following is NOT a step of record keeping? A. Structuring B. Storing C. Securing D. Easy disposal 27. In the community setting which is the essential record about the patient? A. Treatment record B. Tally sheet C. Chart D. Kardex 28. Which of the following is the purpose of record keeping? A. Quantify medication usage B. Historical background C. Archive D. Quality health care 29. Records are IMPORTANT in health care for A. Counting hospital bills B. Evidence of health care C. Quantifying services provided D. For the physician to read 30. What is the ultimate purpose of record keeping? A. Safeguard information B. Archive C. History D. Store information Situation: A pregnant client tests positive for the Hepatitis B virus. 31. The client asks the nurse if she will be able to breastfeed the baby as planned after delivery. Which therapeutic response would the nurse communicate to the client? A. “You will not be able to breastfeed the baby until 6 months after delivery.” B. “Breastfeeding is not advised, and you should seriously consider bottle-feeding the baby.” C. “Breastfeeding is not a problem, and you will be able to breastfeed immediately after birth.” D. “Breastfeeding is allowed if the baby receives prophylaxis treatment at birth and scheduled immunizations.” 2 | Page

D. Widal Situation: According to the World Health Organization (WHO), there are major causes of non-communicable disease that pose challenges to the live and health of millions of people and threaten economic and social development of countries. 51. Which of the following are the four chronic diseases referred to by WHO? 1. Cardiovascular Disease 2. Cancer 3. Dementia 4. Arthritis 5. Diabetes Mellitus 6. Chronic Obstructive Lung Disease A. 1,2,3 and 4 B. 1,2,5 and 6 C. 2,3,4 and 5 D. 2,4,5 and 6 52. The WHO reveals that the NUMBER ONE cause of death from chronic diseases worldwide, using the 2015 estimate, is _______. A. Tuberculosis B. Diabetes Mellitus C. Ischemic Heart Disease D. Pneumonia 53. In the Philippines, which is the TOP Killer according to the Department of Health (2009 data)? A. Asthma B. Cancer C. Tuberculosis D. Cardiovascular Diseases 54. When studying chronic diseases, the multifactorial etiology of illness is considered. What does this imply? A. Single organism that causes the disease, such as cholera, must be studied in more detail. B. Focus should be on the factors or combinations and levels of factors contributing to disease. C. The rise in infectious and communicable disease must be the main focus. D. Genetics and molecular structure of disease is paramount. 55. Determinants of health to address the development of cancer in a community include: 1. Proximity of the community to chemical plants that emit poisonous gases. 2. High percentage of tobacco use among the residents. 3. Prevailing diet high in processed food and fat. 4. Availability of the health facilities. 5. Old age. A. 3,4 and 5 B. 1,2 and 3 C. 1,3 and 4 D. 2,4 and 5 Situation: In the community where Nurse Aj works, there are many individuals with obesity who are experiencing various heart conditions. 56. What initiative should Nurse Aj implement to reduce the incidence of risk factors, particularly obesity? A. Wellness and fitness program B. Obesity is natural body response C. Tell them to go the gym D. They have to undergo strict dietary regimen 57. What should the nurse emphasize in her health teachings? A. Jogging a mile a day B. No need to diet C. Vigorous exercise D. Weight reduction 58. Nurse Aj should advise patients on the following, except: A. Cut down on salt intake B. More fruits and vegetable C. Eat regular meals D. Eat more saturated fats 59. To avoid complications from heart disease, the nurse advises the patient to regularly check their blood: A. Cholesterol B. Nitrogen C. Type D. Oxygenation 60. Nurse Aj should incorporate the following in his health teachings, EXCEPT: A. Less saturated fat B. Weight within normal limits C. Exercise regularly D. More fats in the diet. Situation: Nurse Dave is assigned to manage the Non Communicable Disease Prevention and Control. She is alarmed by the increased number of residents who are having Hypertension. 61. Which assessment finding is indicative of the diagnosis of hypertension? A. Family members with high blood pressure B. Elevation of blood cholesterol level C. Stressful work environment D. Consistent elevation of blood pressure 62. Identify the MOST appropriate diagnostic examination that confirms the incidence of hypertension among residents. A. Chest x-ray B. Ultrasound C. Electrocardiogram D. BP monitoring 63. Which medication will be prescribed to control and maintain the blood pressure of patients at normal level? A. Lidocaine B. Amlodipine C. Epinephrine D. Furosemide 64. Nurse Dave had observed that most patients with hypertension stop taking their medications and heard them saying "I feel good already" Which is the APPROPRIATE nursing diagnosis? A. Impaired gas exchange B. Anxiety C. Knowledge deficit D. Ineffective coping 65. During the conduct of his health teachings to the patients, which should the nurse emphasize to maintain blood pressure at normal level? 1. Smoke in moderation 2. Exercise regularly 3. Consume less salt 4. Maintain normal weight 5. Less stress A. 2,3,4,5 B. 1,2,3,4 C. 1.2.4.5 D. 1,3,4, Situation: Nurse Bea reviews all pertinent laws that affect public health nursing. 66. RA 9173 is otherwise known as the Philippine Nursing Act of 2002. Which is the primary aim of this law? A. To enhance the competence of professional nurses B. To regulate practice of professional nursing in the country C. To facilitate mobility of nurses to other countries D. To promote well-being of health workers 67. The nurse closely monitors the work she delegated to the barangay health worker. She is legally guided by this principle A. Respondeat superior B. The good Samaritan C. Res ipsa loquitor D. Jurisprudence 68. This law promotes the wellbeing and living conditions of health workers especially those from the government managed facilities A. Continuing professional development B. Magna Carta for health workers C. Philippine qualifications framework D. Local government code 69. It mandates the compulsory immunization of children below 8 years old 4 | Page