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RECALLS EXAMINATION 5 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 Situation: Juliana, a registered nurse in the Philippines with 10 years of experience, has been promoted to a supervisory role in a large hospital. To excel in her new position, she reviews Republic Act 9173, the Philippine Nursing Act of 2002, focusing on qualifications, prohibitions, penalties, and procedures in nursing. 1. According to Republic Act 9173, after how many years can the Board re-issue a revoked certificate of registration/professional license, provided that the cause for revocation has been resolved? A. 1 year B. 2 years C. 3 years D. 4 years 2. According to Republic Act 9173, what penalty may be imposed upon individuals found guilty of violating prohibitions in the practice of nursing? A. Fine of not less than P20,000.00 and imprisonment of not less than 6 months B. Fine of not less than P50,000.00 and imprisonment of not less than 1 year C. Fine of not less than P100,000.00 and imprisonment of not less than 2 years D. Fine of not less than P200,000.00 and imprisonment of not less than 3 years 3. According to Republic Act 9173, what is the passing grade for the licensure examination for nurses in the Philippines? A. 70% B. 75% C. 80% D. 85% 4. What is the minimum required number of units in management and administration courses at the graduate level for a nurse to qualify for a supervisory position as per RA 9173? A. 6 units B. 9 units C. 12 units D. 15 units 5. According to RA 9173, what is the minimum number of years of experience required in general nursing service administration for a nurse to qualify for a supervisory or managerial position? A. 1 year B. 2 years C. 3 years D. 4 years 6. During his assessment, Nurse Kang Tae-moo notes a sudden increase in the number of dengue cases in Barangay Malinis. This type of disease occurrence is best described as: A. Endemic B. Epidemic C. Sporadic D. Pandemic 7. Nurse Kang Tae-moo also identifies that dengue cases peak during the rainy season. This type of pattern of occurrence over time is known as: A. Point source B. Continuous source C. Seasonal trend D. Cyclical trend 8. With regards to the steps in outbreak investigation, which should be followed after preparing for field work? A. Establish the existence of an outbreak B. Define and Identify cases C. Verify Diagnosis D. Developing Hypotheses 9. Which of the following correctly defines the term "sporadic" as it relates to the occurrence of rabies? A. A simultaneous occurrence of epidemic of the same disease in several countries. B. An intermittent occurrence of a few isolated and unrelated cases in a given locality. C. An intermittent occurence of a few isolated and unrelated cases in a given locality. D. A continuous occurrence throughout a period of time of the usual number of cases in a given locality. 10. What is the role of an epidemiology nurse during an outbreak? Select all that apply. 1. Monitor local health personnel conducting disease surveillance 2. Implement public health surveillance 3. Assist in the conduct of training course in epidemiology 4. Responsible for inventory and maintenance of epidemiology and surveillance unit (ESU) equipment A. 1, 3, 4 B. 2, 3, 4 C. 1, 2, 3 D. All of the above Situation: Fatmah is a community health nurse working in a rural health unit. She is responsible for implementing various health programs and educating the community on how to prevent health problems. During her daily activities, she encounters different situations that require applying the levels of prevention. 11. Which of the following activities is an example of primary prevention in Nurse Fatmah’s work? A. Rehabilitation for stroke patients B. Blood pressure screenings C. Immunization programs D. Physical therapy sessions 12. Nurse Fatmah is informed that a child in the community has been diagnosed with measles. To prevent the spread of the infection to other children, Nurse Fatmah arranges for the child to be isolated at home until they are no longer contagious. Isolation of a child with measles belongs to what level of prevention? A. Primary B. Secondary 1 | Page
C. Intermediate D. Tertiary 13. At a local health clinic, Fatmah provides screening services for sexually transmitted infections (STIs) to sexually active adults. Which activity is an example of secondary prevention? A. Providing dietary counseling to all community members B. Conducting annual mammograms C. Teaching stress management techniques D. Screening services for STIs 14. In a rural community, Fatmah, together with her colleagues, conducts Operation Timbang, a program aimed at assessing the nutritional status of children under five years old through regular weighing and monitoring. Operation Timbang is _____ prevention. A. Primary B. Secondary C. Intermediate D. Tertiary 15. Nurse Fatmah is providing care for a patient who has recently undergone surgery for advanced-stage lung cancer. She is focused on pain management, symptom control, and improving the patient's quality of life. Tertiary prevention is needed at which stage of the natural history of disease? A. Prodromal B. Pre-pathogenesis C. Terminal D. Pathogenesis 16. Lalane, a public health nurse, organizes a support group for residents diagnosed with chronic conditions like diabetes and hypertension to promote self-management and enhance their quality of life. What constitutes tertiary prevention in Lalane’s community health initiatives? A. Health education on lifestyle changes B. Routine screenings for chronic diseases C. Support groups for chronic illness patients D. Immunization drives for children 17. In a rural community, Nurse Lalane conducts a community workshop on promoting heart health to residents of all ages. Which of the following represents a primary prevention strategy aimed at reducing the incidence of cardiovascular diseases? A. Angioplasty B. Blood pressure monitoring C. Health education on diet and exercise D. Cardiac rehabilitation 18. At a community health fair, Nurse Lalane offers diabetes screenings to residents to identify those at risk of developing the disease. This activity is an example of: A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Quaternary prevention 19. Nurse Lalane provides a rehabilitation program for stroke survivors to help them regain their physical and cognitive abilities. Offering rehabilitation programs for stroke survivors is an example of which level of prevention? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Quaternary prevention 20. In a barangay health center, nurses conduct a health promotion campaign to encourage regular handwashing with soap and water among children to prevent the spread of gastrointestinal infections in the community. Promoting regular handwashing with soap and water among children is an example of which level of prevention in community health nursing in the Philippines? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Quaternary prevention Situation: Nurse Jaehyun is studying for his licensure exam and needs to review the health laws in the Philippines that impact nursing practice. He focuses on understanding the key legislation to ensure he provides care within legal guidelines. 21. Which law in the Philippines focuses on integrating traditional and alternative medicine into the primary health care system? A. RA 7875 B. RA 8423 C. RA 9211 D. RA 11332 22. Which law in the Philippines governs the regulation and control of tobacco use? A. RA 9211 B. RA 7394 C. RA 8749 D. RA 9165 23. Which law in the Philippines mandates the creation of a comprehensive mental health program and aims to improve mental health services nationwide? A. RA 11036 B. RA 9275 C. RA 11223 D. RA 10173 24. Which legislation in the Philippines provides for the expansion of health care coverage and the integration of health services to ensure access to quality care for all Filipinos? A. RA 11036 B. RA 7836 C. RA 11223 D. RA 8551 25. Which law in the Philippines is responsible for transferring the control and responsibility of delivering basic health services to local government units? A. RA 7875 B. RA 7160 C. RA 8423 D. RA 7164 Situation: Nurse Taeyeon is working in a community health clinic where the staff is facing a challenging ethical dilemma. The clinic has a limited budget for various essential resources and services. Taeyeon is involved in the discussion on how to make these decisions ethically, ensuring that all patients' needs are considered fairly and compassionately. 26. Nurse Taeyeon is faced with a situation where a patient, Mr. Kim, who has a terminal illness, wishes to discontinue all treatments despite his family’s desire to continue treatment. What principle should guide Taeyeon in respecting Mr. Kim’s decision? A. Autonomy B. Beneficence C. Justice D. Nonmaleficence 27. Nurse Taeyeon discovers that a mistake was made in the administration of medication, which did not affect patient outcomes. The mistake was not reported, and Taeyeon is considering whether to disclose it to maintain transparency and trust. Which principle should guide her decision? A. Veracity B. Beneficence C. Justice D. Autonomy 28. If Nurse Taeyeon needs to decide whether to allocate the medication to a patient who has recently arrived but is in critical condition, which principle should guide her decision? A. Beneficence B. Autonomy C. Justice D. Nonmaleficence 29. If Nurse Taeyeon faces a situation where adhering to the ethical principles might lead to conflicts with the community’s expectations, which principle should guide her decision? A. Beneficence B. Autonomy C. Justice D. Nonmaleficence 30. During a resource allocation meeting, Nurse Taeyeon is concerned that a proposed budget cut might lead to reduced staffing levels, potentially increasing patient wait times and compromising care quality. Which ethical principle should Taeyeon emphasize when arguing against the budget cut? A. Beneficence 2 | Page
B. Nonmaleficence C. Veracity D. Justice Situation: A community health nurse, Nurse Nayeon, is preparing for a local health campaign aimed at addressing a recent outbreak of measles in an urban barangay. The campaign involves educating the community about the signs and symptoms of measles, how it is transmitted, the benefits of vaccination, and specific advice for vulnerable groups such as pregnant women. In addition, Nurse Nayeon is tasked with conducting contact tracing to prevent further spread of the disease. 31. Nurse Nayeon is preparing educational materials about the signs and symptoms of measles for a local health campaign. What are the common signs and symptoms of measles? A. High fever, rash, cough, runny nose, red eyes B. Muscle aches, joint pain, diarrhea, sore throat C. Headache, vomiting, abdominal pain, fatigue D. Chest pain, shortness of breath, palpitations, dizziness 32. Nurse Nayeon is preparing educational materials about measles transmission for a local school health program. How is measles transmitted from person to person? A. Through respiratory droplets when an infected person coughs or sneezes B. Through contaminated food or water C. Through contact with infected animals D. Through sexual contact with an infected person 33. Which virus is the causative agent of measles? A. Rubella virus B. Varicella-zoster virus C. Paramyxovirus D. Epstein-Barr virus 34. A pregnant woman visits a health center, concerned about her potential exposure to measles. What advice should Nurse Nayeon provide to the pregnant woman regarding measles? A. Measles infection during pregnancy can lead to complications such as premature birth or low birth weight. B. The measles vaccine is safe and recommended during pregnancy to protect both the mother and the baby. C. If symptoms of measles develop, she should seek medical attention immediately. D. All of the above 35. Nurse Nayeon is conducting contact tracing for a confirmed measles case in a community. What actions should the nurse take in conducting contact tracing for measles? A. Identify and notify individuals who may have been exposed to measles. B. Provide information about measles symptoms and vaccination to contacts. C. Recommend isolation or quarantine for unvaccinated contacts. D. All of the above Situation: Nurse Joy is a senior nurse at a busy metropolitan hospital. She often encounters complex ethical dilemmas involving patient care, staff management, and resource allocation. She must apply her knowledge of ethical principles to navigate these challenges effectively. 36. Nurse Joy is faced with a situation where a patient refuses a recommended treatment due to personal beliefs, but the treatment is critical for their recovery. Which ethical principle should Nurse Joy consider when respecting the patient's decision? A. Beneficence B. Autonomy C. Non-maleficence D. Justice 37. Nurse Joy is considering whether to report discrepancies in a research study funded by the hospital, which could affect patient care outcomes. Which ethical principle should guide her decision? A. Veracity B. Beneficence C. Non-maleficence D. Justice 38. Nurse Joy is asked to participate in a research study that involves administering an experimental drug to patients without their explicit consent, as the study sponsor claims it is harmless. Which ethical principle should Nurse Joy prioritize? A. Autonomy B. Justice C. Beneficence D. Non-maleficence 39. A terminally ill patient in severe pain requests that Nurse Joy administer a higher dose of pain medication than prescribed, knowing it could potentially hasten their death. Which ethical principle should Nurse Joy consider in making her decision? A. Beneficence B. Autonomy C. Non-maleficence D. Justice 40. During a hospital staffing meeting, Nurse Joy is faced with a decision about how to fairly distribute shifts among staff members to cover a sudden influx of patients. Some staff members have requested time off, while others are willing to take on extra shifts. Which ethical principle should guide Nurse Joy in making the staffing decisions? A. Beneficence B. Autonomy C. Non-maleficence D. Justice Situation: Nurse IU is responsible for implementing proper waste segregation practices in a hospital to ensure safety and compliance with environmental regulations. 41. Nurse IU encounters used needles, syringes, and scalpel blades in the hospital ward. Which color-coded bin should she use for disposing of these items? A. Black B. Green C. Yellow D. Red 42. Nurse IU collects used gloves, used foley catheters, and used test strips from patient care activities. Which color-coded bin should she designate for disposing of these items? A. Black B. Green C. Yellow D. Yellow with black band 43. Nurse IU identifies empty bottles of laboratory reagents and expired medicines. Which color-coded bin should she use for disposing of these items? A. Pink B. Green C. Yellow D. Yellow with black band 44. Nurse IU collects used paper products and packaging materials from administrative areas. Which color-coded bin should she designate for disposing of these items? A. Black B. Green C. Pink D. Orange 45. Nurse IU identifies radioactive materials used in diagnostic procedures, such as used x-ray films and test tubes containing radioactive substances. Which color-coded bin should she use for disposing of these items? A. Black B. Green C. Orange D. Red Situation: Nurse Hoshi is tasked with educating a community about the Expanded Program on Immunization (EPI) of the Department of Health of the Philippines. 46. Which of the following diseases is included in the Expanded Program on Immunization (EPI) schedule in the Philippines for infants? A. Tuberculosis B. Dengue C. Malaria D. HIV/AIDS 47. At what age is the first dose of the Hepatitis B vaccine administered under the Expanded Program on Immunization (EPI) schedule in the Philippines? 3 | Page
A. Birth B. 6 weeks C. 10 weeks D. 14 weeks 48. Which of the following is a normal progression of the skin reaction after receiving the BCG vaccine? A. Immediate swelling followed by an ulcer B. A small bump that becomes a larger ulcer before healing C. Rapid disappearance of redness and swelling D. Formation of a large, hard lump with significant pain 49. Which vaccine is NOT included in the routine childhood immunization schedule of the Expanded Program on Immunization (EPI) in the Philippines? A. Hepatitis B vaccine B. MMR vaccine C. Rotavirus vaccine D. Yellow fever vaccine 50. Which disease is targeted for elimination through vaccination efforts under the Expanded Program on Immunization (EPI) in the Philippines? A. Tuberculosis B. Poliomyelitis C. Malaria D. HIV/AIDS Situation: Nurse Wonwoo is leading a community health workshop focused on the use of traditional medicinal plants endorsed by the DOH. To evaluate the attendees' understanding of the uses and preparations of these plants, he presents the following question. 51. Nurse Wonwoo is advising a patient with a persistent cough and fever. Which of the following traditional medicinal plants should he recommend? A. Lagundi B. Yerba Buena C. Sambong D. Guava 52. Nurse Wonwoo is advising a patient with severe insect bites. Which plant should he recommend for topical application? A. Lagundi B. Yerba Buena C. Guava D. Akapulko 53. Nurse Wonwoo is helping a patient who has been suffering from constipation and digestive issues. Which plant should he recommend for its anti-diarrheal properties? A. Blumea balsamifera B. Carmona retusa C. Quisqualis indica L. D. Mamordica Charantia 54. Nurse Wonwoo needs to recommend a plant for a patient with a high uric acid level. Which plant should he choose for this condition? A. Lagundi B. Sambong C. Ulasimang Bato D. Bawang 55. Nurse Wonwoo is preparing to advise a patient on a remedy for cough and cold. Which plant's preparation should he recommend? A. Ampalaya B. Yerba Buena C. Akapulko D. Niyog-Niyogan Situation: Nurse Baekhyun is working in a busy hospital ward and needs to ensure the safe administration of medications to patients. 56. Nurse Baekhyun is preparing to insert an intravenous (IV) catheter. What is the correct angle for inserting the catheter into the vein to ensure proper placement? A. 10-15 degrees B. 25-30 degrees C. 45-60 degrees D. 75-90 degrees 57. What is the correct method for verifying a patient’s identity before administering medication? A. Checking the patient’s chart B. Asking the patient’s roommate C. Using at least two patient identifiers D. Looking at the patient’s bed number 58. Which of the following is the primary reason for using aseptic technique during a procedure? A. To enhance the healing process B. To prevent the spread of infection C. To improve patient comfort D. To reduce the cost of healthcare 59. Nurse Baekhyun needs to check a patient's blood pressure. Which of the following steps should be performed first? A. Apply the blood pressure cuff to the patient's arm B. Ensure the patient has not smoked or exercised within the last 30 minutes C. Inflate the cuff to the appropriate level D. Position the patient’s arm at heart level 60. Nurse Baekhyun has just finished administering a series of injections. What is the correct procedure for disposing of used needles and syringes? A. Place them in a sharps container B. Submerge them in a bleach solution and discard C. Dispose of them in a regular trash bin D. Rinse them and put them in a recycling bin Situation: Nurse Hong Hae-in is working on developing a comprehensive care plan for a newly admitted patient, Mr. Baek Hyun-woo, who is a 65-year-old male with a history of diabetes mellitus and hypertension. Mr. Baek Hyun-woo was admitted to the hospital with complaints of chest pain and shortness of breath. Upon admission, Nurse Hong needs to gather detailed health information, identify the patient's problems, set measurable goals, implement appropriate interventions, and evaluate the outcomes of the care provided. 61. What is the first step in the nursing process that Nurse Hong Hae-in should perform when developing a care plan for Mr. Baek Hyun-woo? A. Diagnosis B. Planning C. Assessment D. Implementation 62. During the assessment phase, Nurse Hong Hae-in identifies that Mr. Baek Hyun-woo has elevated blood pressure and glucose levels. Which of the following activities is part of the diagnosis step in the nursing process? A. Setting goals for patient care B. Analyzing patient data to identify health problems C. Implementing nursing interventions D. Collecting patient health history 63. After identifying Mr. Baek Hyun-woo's health problems, Nurse Hong Hae-in sets measurable and achievable goals for his care. Which step of the nursing process is being performed? A. Assessment B. Diagnosis C. Planning D. Implementation 64. Nurse Hong Hae-in begins to administer medications and educate Mr. Baek Hyun-woo on lifestyle changes to manage his conditions. Which of the following describes the implementation step of the nursing process? A. Evaluating the effectiveness of the nursing interventions B. Carrying out the planned nursing interventions C. Developing a comprehensive care plan D. Diagnosing patient health problems 65. In the evaluation step of the nursing process, what is Nurse Hong Hae-in primarily focused on for Mr. Baek Hyun-woo? A. Creating a nursing diagnosis B. Collecting patient health data C. Determining if patient goals have been met D. Performing nursing interventions Situation: Nurse Park Shin Hye is working in the perioperative unit of a large urban hospital. She is responsible for preparing patients for surgery, monitoring them during procedures, and providing postoperative care. Today, her patients include a 45-year-old female for a laparoscopic cholecystectomy, a 4 | Page