Tiêu đề RECALLS 8 (NP1) - STUDENT COPY ✅

1 | Page RECALLS EXAMINATION 8 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: Barangay Shiganshina is a small rural community facing several health challenges. The community health nurse, Nurse Mikasa, is tasked with assessing the barangay and implementing interventions to address its health needs. 1. During a home visit, a Nurse Mikasa encounters a family in a flood-prone area. She notices stagnant water around the house, which could breed mosquitoes. The nurse decides to conduct health education sessions on eliminating mosquito- breeding sites and distributing insecticide-treated bed nets. Which level of prevention is being addressed by the nurse? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Quaternary prevention 2. A 50-year-old man diagnosed with type 2 diabetes attends a community-organized rehabilitation program focusing on proper diet, regular exercise, and foot care. The nurse facilitates sessions to help him avoid complications like diabetic ulcers and amputations. Which level of prevention is being applied in this case? A. A.Primary prevention B. Secondary prevention C. Tertiary prevention D. Quaternary prevention 3. Nurse Mikasa conducts a medical mission and offers free blood pressure screening to adults in the community. One resident is identified with a blood pressure reading of 160/100 mmHg and is advised to consult a physician for further management. What level of prevention is exemplified? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Health promotion 4. The nurse coordinates with local officials to educate the community on safe water practices. What level of prevention does this activity highlight? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Quaternary prevention 5. A nurse observes that a patient who survived a stroke has difficulty speaking and performing activities of daily living. She develops a care plan that includes speech therapy and occupational therapy sessions to help the patient regain functional independence. What level of prevention is being addressed in this situation? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Rehabilitation prevention Situation: The Nurse is collaborating with a rural community to organize a health advocacy campaign and is learning about Community Organizing Participatory Action Research (COPAR) to empower the residents. 6. In which phase of the Community Organizing Participatory Action Research (COPAR) process does the Preliminary Social Investigation (PSI) occur, where the nurse collects data from various barangays? A. Pre-Entry Phase B. Entry Phase C. Action Phase D. Organizational Phase 7. In which phase of the COPAR process is the election of formal leaders (officers) conducted, and the community health organization structure is built? A. Pre-Entry Phase B. Entry Phase C. Action Phase D. Organizational Phase 8. A community experiences high rates of diseases. Many residents cannot afford nutritious food due to low wages, and local government policies have not prioritized health education or affordable healthcare programs. What type of community problem is this? A. Health Status B. Health Resources C. Health-Related D. All of the Above 9. A community has a high number of maternal and infant deaths due to complications during childbirth. There is a lack of trained midwives and modern delivery facilities in the area. What type of community problem does this scenario represent? A. Health Status B. Health Resources C. Health-Related D. All of the Above 10. A community experiences a significant rise in the number of deaths due to preventable diseases, such as pneumonia and diarrheal diseases, especially among children under five. The morbidity rate is also high for conditions like hypertension and diabetes in adults. What type of community problem is being described? A. Health Status B. Health Resources C. Health-Related D. All of the Above 11. The Department of Health (DOH), under its role as a leader in health, performs which of the following functions? A. Advocate for the adoption of health policies, plans, and programs. * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page B. Manage all local government health facilities directly. C. Focus solely on disease-specific programs for emergent health concerns. D. Operate as a private health care provider for underserved populations. 12. Under its role as an Enabler and Capacity Builder, the Department of Health (DOH) is responsible for which of the following? A. Managing all special hospitals and reference laboratories. B. Innovating new strategies in health and ensuring public participation in decision-making. C. Administering direct services for tuberculosis and HIV- AIDS programs. D. Overseeing only the regional health plans of local government units. 13. Which of the following is a function of the Department of Health (DOH) under its role as Administrator of Specific Services? A. Spearheading national and regional health policy formulation. B. Ensuring the highest standards of health care through innovation. C. Managing national referral hospitals and facilities with advanced technologies. D. Leading public health discussions to inform policy decision-making. 14. This is the overriding goal of the Department of Health (DOH), which ensures improved health outcomes through strong organizational development, policies, systems, capable human resources, and adequate financial resources. Which of the following best describes this goal? A. Health Sector Reform Agenda B. Community Health Development or Social Transformation C. National Objective for Health D. Self-reliance 15. This framework is adopted for the implementation of the Health Sector Reform Agenda, aiming to implement critical interventions as a single, cohesive package, supported by effective management infrastructure and financing arrangements. Which of the following best describes this framework? A. Health Sector Reform Agenda (HSRA) B. National Health Insurance Act C. FOURmula ONE for Health D. National Objective for Health 16. During a routine blood pressure check, Nurse Levi is preparing to apply the BP cuff around the upper arm. How many centimeters above the brachial artery should the cuff be placed for accurate readings? A. 1-2 cm B. 1-2 inches C. 2-3 cm D. 3-4 cm 17. Nurse Hanji is conducting a home visit and preparing to use the bag technique. What should she perform first before starting any procedure? A. Ask for a basin of water or a glass of drinking water to be used for handwashing. B. Open the bag and take out the towel and soap. C. Put out all necessary articles needed for specific care. D. Place the bag on a table lined with plastic, ensuring the clean part is facing out and the folded part touches the table. 18. Nurse Armin is planning a home visit for a family with multiple health concerns. Which is not a principle involved in home visit planning? A. Planning of home visit should make use of all available information about the family and patient through family records. B. Planning of home visit makes use of the inter-referral system and establishes close relationships between the health agencies and the public. C. The home visit plan and delivery of care involves the individual and the family. D. Essential needs of the individual and the family should be prioritized in a home visit. 19. During a home visit, Nurse Eren needs to efficiently carry out nursing procedures with ease and minimal disruption. Which tool helps achieve this? A. Public Health Bag B. FHSIS C. Bag Technique D. Family Assessment Tool 20. Which essential equipment should Nurse Sasha, a public health nurse, carry during a home visit to provide necessary care and treatment? A. Public Health Bag B. Field Health Services Information System (FHSIS) C. Bag Technique D. Family Assessment Tool 21. Nurse Annie is conducting an assessment of her community's Primary Health Care (PHC) needs. After reviewing the different pillars of PHC, she determines which one is most critical in ensuring the success of PHC programs in the long run. Which pillar of PHC is considered the most important for achieving overall community health? A. Use of appropriate technology B. Support mechanism made available C. Active community participation D. Intra and inter-sectoral linkages 22. In Brgy. Wall Maria, a local initiative called "Botika ng Barangay" has been set up to provide affordable and accessible medications to the community. The program is supported by local authorities and helps bridge the gap in healthcare access. Which PHC pillar does this initiative best represent in terms of improving healthcare in the community? A. Use of appropriate technology B. Support mechanism made available C. Active community participation D. Intra and inter-sectoral linkages 23. Nurse Erwin has been tasked with coordinating healthcare services between different sectors, including the local government and non-governmental organizations, to improve the overall health delivery system in her community. Which PHC pillar does her work of facilitating these linkages fall under? A. Use of appropriate technology B. Support mechanism made available C. Active community participation D. Intra and inter-sectoral linkages 24. As part of an initiative to improve the health and welfare of the people in your community, the local government has started providing livelihood programs. These programs aim to address economic factors that influence health. Which PHC pillar does this initiative fall under? A. Use of appropriate technology B. Support mechanism made available C. Active community participation D. Intra and inter-sectoral linkages 25. Nurse Satoru is conducting a survey to assess the accessibility of health services in a remote area. He wants to know the maximum distance at which a health resource would still be considered easily accessible for residents. Based on health standards, how many kilometers is the threshold for accessibility? A. 1-2 km B. 3-4 km C. 5-6 km D. 7-8 km
3 | Page 26. The global primary health care movement gained momentum during the 1978 conference held to emphasize the need for universal health coverage. In which country did the International Conference on Primary Health Care take place, which focused on improving health systems globally, including the Philippines? A. United States B. Philippines C. Russia D. Kazakhstan 27. In the Philippines, Primary Health Care (PHC) was legally recognized as a national priority by President Ferdinand Marcos Sr.. Which piece of legislation served as the legal basis for the implementation of PHC programs across the country? A. Presidential Decree No. 856 B. Letter of Instruction No. 949 C. Republic Act No. 7160 D. Executive Order No. 102 28. Which of the following is one of the primary goals of the FOURmula ONE for Health program, aimed at improving the health system in the Philippines? A. To enhance the efficiency of hospital management in public health institutions B. To improve the accessibility and availability of basic and essential healthcare in both public and private facilities C. To focus solely on the training of healthcare professionals for specialized services D. To prioritize advanced medical technologies in rural areas 29. In a recent community health workers' training session, a discussion arose regarding the different levels of healthcare providers. Which of the following health professionals is not considered an intermediate level health worker who plays a crucial role in community health delivery in the Philippines? A. Public Health Nurse B. Barangay Health Worker (BHW) C. Midwife D. Rural Sanitary Inspector 30. A new law was passed in the Philippines to promote the use of safe, alternative healthcare practices, such as herbal medicines, to supplement conventional medical treatments. Which law supports these practices, ensuring their proper use and regulation for public health benefit? A. Republic Act No. 7610 B. Republic Act No. 8423 C. Republic Act No. 9211 D. Republic Act No. 9165 31. Nurse Karina is assigned to monitor and deliver services to specific groups of patients identified as "targets" or "eligibles" for a health program. She needs a tool that will help her plan and implement patient care, monitor service delivery, and supervise activities while ensuring accurate reporting of the services provided. Which tool should she use? A. Treatment Record B. Monthly Record C. Target Client List D. Program Record 32. During a nationwide health program evaluation, various reports and tables summarizing the data collected from local health offices need to be compiled and analyzed. Where are these Output Reports or tables commonly produced? A. Provincial Health Office B. Regional Health Office C. Division Health Office D. Municipal Health Office 33. Nurse Giselle is tasked with documenting individual patient consultations and services provided during a community health visit. What fundamental block of the Field Health Services Information System (FHSIS) is used for this purpose? A. Summary Table B. Treatment Record C. Reporting Form/ Tally Record D. Target Client List 34. Nurse Winter needs to maintain a list to monitor and ensure that priority groups, such as pregnant women or malnourished children, receive the necessary health services. Which building block of FHSIS is used for this purpose? A. Treatment Record B. Target Client List C. Summary Table D. Reporting Form/Tally Report 35. A rural health unit transmits its health data to the Provincial Health Office on a regular basis. What is the only mechanism in FHSIS through which data is routinely transmitted from one facility to another? A. Treatment Record B. Reporting Forms/Tally Report C. Target Client List D. Summary Table 36. Nurse Ningning is supervising a Tuberculosis immunization campaign in a remote barangay. After checking the temperature log, she finds that the vaccines were stored at 10°C for several hours. What is the immediate action Nurse Ningning should take to ensure the vaccines' effectiveness under the Expanded Program on Immunization (EPI)? A. Administer the vaccines immediately, as they may still be effective. B. Discard the vaccines and report the incident to the proper authorities for further action. C. Store the vaccines at the correct temperature and continue with the immunization. D. Keep the vaccines at room temperature for 24 hours before administering them. 37. Nurse Isagi is reviewing the immunization records of a 9- month-old child. According to the Expanded Program on Immunization (EPI), which vaccine should be administered to the child at this age? A. Bacillus Calmette–Guérin (BCG) B. Measles C. Diphtheria, Tetanus, and Pertussis (DTP) D. Hepatitis B 38. Nurse Sunjae is reviewing the immunization records of a child who missed his scheduled vaccinations due to travel. The child is now 2 years old. What is the appropriate next step under the Expanded Program on Immunization (EPI)? A. Administer all missed vaccines in one session, starting with the Measles vaccine. B. Schedule a follow-up appointment for the child to receive the remaining vaccines at a later date. C. Begin the immunization schedule from the start, as the child is now 2 years old. D. Only administer vaccines that are due for children aged 2 years or older. 39. During an immunization outreach program in a rural area, Nurse Sol notices a child with swelling at the injection site after receiving the DTP vaccine. What is the appropriate nursing intervention? A. Immediately refer the child to the hospital for emergency care. B. Advise the mother to give the child medication to reduce swelling. C. Observe the child for other symptoms and reassure the mother that mild swelling is common. D. Administer the second dose of the vaccine to the child. 40. The Expanded Program on Immunization (EPI) in the Philippines involves the administration of multiple vaccines to prevent various infectious diseases. Which of the following vaccines is not included in the standard EPI schedule? a. Bacillus Calmette-Guérin (BCG) b. Oral Polio Vaccine (OPV) c. Pneumococcal Conjugate Vaccine (PCV) d. Human Papillomavirus Vaccine (HPV)