Tiêu đề RECALLS 3 (NP1) - STUDENT COPY ✅

RECALLS EXAMINATION 3 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 – You are a newly-assigned Rural Health Nurse and you have the based on the latest health information of the municipality, food- and water- transmitted parasitic infections are prevalent. 1. The factors that contribute to the occurrence of food-transmitted diseases are the following, EXCEPT ___________. A. consumption of improperly cooked food B. eating habits of the population such as eating raw food C. lack of fuel for cooking food D. overconsumption of locally available food 2. Paragonimus westermani or the oriental lung fluke causes in the human population by eating inadequately cooked crabs. Patients with paragonimiasis are usually misdiagnosed to have ___________. A. malaria B. Bacillary dysentery C. typhoid fever D. pulmonary tuberculosis 3. The eggs of Taenia solium or taenia saginata may be ingested by the pigs or cattle who serve as intermediate hosts. Which of the following measures will PREVENT access of animals from ingesting Taenia eggs? A. quarantine or isolate the animals Foods B. Feeding the pigs and cattle with clean foods. C. Proper disposal of human faces D. Protect the animals by giving them vitamins. 4. Prevention of Infection from Entamoeba histolytica is BEST done through which of the following practices? A. Eating only organic vegetables B. Washing food very well C. Cooking food properly D. Boiling of water from questionable source. 5. Giardiasis is a disease caused by a flagellated protozoan and its prevalence is associated with which of the following conditions? 1. Poor environmental sanitation 2. Poor hygiene 3. Improper cooking of food 4. Overcrowding 5. Malnutrition A. 2, 4, 5 B. 1, 3, 4 C. 1, 2, 4 D. 2, 3, 5 Situation – Public health Nurse Tess wants to increase her knowledge a familiarity with the elements of a research publication. 6. Public health Nurse Tess is analyzing a research article. What section in the article can she expect to find the research question and study purpose? A. Discussion B. Results C. Methods D. Introduction 7. Public health Nurse Tess is looking for a description of the type of measurement used in the study. She will find this which section of the article? A. Conclusion B. Introduction C. Results D. Methods 8. A brief explanation of data collection and analysis procedure is found in which section of the article? A. Abstract B. Conclusion C. Discussion D. Introduction 9. Public health Nurse Tess wants to go over the list of references used in the study which can be found ____________. A. at the end of the article B. in the results section C. as part of the literature review D. in the introduction 10. Public health Nurse Tess believes that research is significant to the nursing profession, hence, the study results should be disseminated. This is because research allows _________. A. a specialized body of knowledge to be generated for use in health care delivery. B. the scope of nursing practice to be expanded into areas formerly reserved for other disciplines. C. nursing responsibility to be more specifically defined D. liability within the practice of nursing to be decreased Situation - Nurse Leah has just passed the Nursing Licensure Examination. She needs to refresh herself regarding the law that governs the practice of nursing in the Philippines. 11. By virtue of section 16 of the Philippine Nursing Law, the first step she needs to do after passing the Nursing Licensure Examination is to . A. Take the oath of the profession before the Professional Regulatory Board of Nursing B. Apply for the Certificate of Registration/Professional License C. Get an official copy of her board rating from the PRC office D. Apply for a Professional Identification Card 12. Which government body has the power to revoke or suspend Leah’s certificate of registration/professional license, should she commit unprofessional and unethical conduct in the future? A. Professional Regulatory Board of Nursing B. Philippine Nurses Association C. Professional Regulation Commission D. Commission on Higher Education 13. What Nursing Republic Act should Nurse Leah refer too? 1 | Page
A. RA 9371 B. RA7164 C. RA 7664 D. RA 9173 14. Since she needs to work in a hospital to get hospital experience, which part of the Nursing Law should Leah focus for her safe practice as a novice nurse? A. Scope of Nursing Practice B. Nursing Research C. Nursing Education D. Nursing Personal System 15. When Leah eventually gets employed in the hospital, she will initially be required to utilize which of the following in rendering care to her clients? A. Traditional and innovative approaches B. Therapeutic use of self C. Health teachings D. Nursing process Situation - The World Health Organization stated that occupational health services, provided at the workplace to address the health care needs of working populations, have been identified as an important component of the public health strategy. 16. Occupational health services can make a significant contribution to government initiative. These include the following, reducing: 1. Health insurance 2. Health inequalities 3. Social exclusion 4. Sickness absence 5. Overall burden of ill health A. 2, 3, 4, and 5 B. 1, 3, and 4 C. 2, 4, and 5 D. 1, 2, 3, and 4 17. The nurse is a key figure involved in delivering quality occupational health services. She/He works independently or as part of a larger interprofessional health team. She performs, along with others a job safety analysis. In doing such, the following methods may be employed, EXCEPT: A. Review of records, interviews, surveys B. Walk-through, process and output reviews C. Observation, focused group discussion D. Racial background check 18. The head of the health team creates a workplace safety report for a new clinic. He makes a strict recommendation to ensure that sharps are properly disposed in a puncture-proof container to decrease the risk of needle-prick injuries. This upholds safety under which of the following categories? A. Physical B. Chemical C. Biological infections D. Psychosocial 19. The occupational nurse has advocated the use of ramps and assistive equipment for physically challenged workers. This is good example of which of the following levels of prevention? A. Health promotion B. Secondary C. Tertiary D. Primary 20. Every employee has right to privacy and should be protected from unauthorized and inappropriate disclosure of personal information. Which situation does NOT provide exception to employee’s right to privacy? A. Authorization by the employee to release information B. Life-threating emergencies C. Compliance with government laws and regulations D. Request from community leaders Situation- Ben, 15 years old, has been complaining of sleep disturbance for the past 3 weeks. He related that he feels weak and has no vigor in doing his school work. He is brought to hospital for specialization. 21. As his attending nurse, what will be the best question to ask in order to find out Ben’s cause of sleep disturbance? A. “Could you tell me what you feel about school work?” B. “Is there something or anyone who is bothering you in school?” C. “Could you share with me any major problems that you have encountered in school?” D. “What is bothering you in school?” 22. The nursing diagnosis appropriate for Ben is __. A. Insomnia B. Sleep deprivation related to problems in school C. Disturbed sleep pattern related to school problem D. Readiness for enhanced sleep 23. In order to help Ben go to sleep, what simple and inexpensive nursing intervention can the nurse provide considering the type of room Ben is confined in? A. Room should be well ventilated B. Light should be dimmed at specific time C. Putting on the air conditioning unit D. Putting on dark-colored curtains 24. If Ben cannot sleep immediately, which of the following can be provided by the nurse? A. A glass of warm milk B. A bedside story C. a sleeping pill D. a warm bed bath 25. In terms of nursing care, the BEST help that the nurse can do is to . A. Avoid giving round the clock medications B. Refrain from clutter at the nurse’s station C. Omit vital sign tasking during the sleeping time of Alex D. Tone down nurse’s voice 26. Cool sponge bath is an independent intervention of nurse Celine aimed at . A. Alleviating discomforts of client Simon B. Generalizing full sponge bath care to client Jimmy get hospital admission policy C. Diverting the temperature of client Simon D. Normalizing the vital signs of client Simon 27. The independent nursing intervention to reduce temperature of client Simon include which of the following? Select all that apply. 1. Monitor temperature regularly 2. Offer only cold drinking water frequently 3. Provide tepid sponge bath 4. Administer Paracetamol every 4 hours 5. Encourage wearing loose cotton clothing 6. Cover with thick blankets to stimulate sweating A. 1, 3, 5 B. 1, 5, 6 C. 2, 4, 6 D. 2, 3, 4 28. Client Simon wishes to know his present temperature in Farenheit. Nurse Celine’s answer is which of the following? A. 102.2F B. 101.3F C. 100.4F D. 99.5F 29. Client Simon complains of severe chilly sensation. What regulatory function of the hypothalamus describes his reaction? A. heat production B. heat promotion C. heat adaptation D. heat conversation 30. After client Simon’s body temperature stabilized to normal, he began to complain of feeling hot and finds difficulty of adjusting to the climate two days after. What is the APPROPRIATE answer to Nurse Celine? A. “Foreigners cannot adjust to hot temperatures” B. “People from cold regions have less brown adipocytes” C. “Those who lived in cold places have lower metabolic rate than those who live in tropical region” D. “People from cold regions have more brown adipocytes” 31. Nurse Celine develops patient safety goals. What nursing goal is APPROPRIATE for safety environment? Select all that apply. 1. Reduce the risk for patient harm resulting from falls 2. Create a clean, orderly environment of patient 3. Prevent high concentration drug errors 4. Develop clean and simple signage for directions 2 | Page
A. 1, 2 & 3 B. 1, 2 & 4 C. 2, 3 & 4 D. 3 & 4 32. Nurse Celine should prevent or reduce infectious agents PRIMARILY through the following practices. Select all that apply. 1. Clean the room with antiseptic solutions 2. Proper garbage disposal 3. Mandatory hand washing upon entry to hospital 4. Improve safety administration of medicines A. 1, 2 & 3 B. 2, 3 & 4 C. 1 & 3 D. 1 & 4 33. Nurse Celine must comply with the policies of health care facilities regarding isolation precautions. The BASIC precaution in the hospital is _______________________. A. posting of signs of silence B. limited visitors who are within the patient’s age C. private room placement D. strict utilization of personal things 34. Nurse Celine includes air-borne precautions in addition to Standard Precautions to be observed at all times. These include, EXCEPT _______. A. positioning and draping of patients B. hand washing techniques C. wearing of masks and gloves D. limited patient transport 35. To protect spreading infection from one patient to another, Nurse Celine must not forget to wash her hands _________. A. before and after making rounds and endorsement of all clients B. before and after performing procedures and in between patient care C. twice before and after all the procedures are done to all the clients D. apply alcohol before and after performing procedures to all patients Situation- One of the thrusts of management is to encourage more nurses to do research in order to contribute to the improvement of the nursing practice in their work setting. A group of nurses decided to conduct a study entitled, “Effects of Zumba as a form of exercise in promoting wellness among the health providers in the hospital setting.” 36. Which of the following is the independent variable in this study? A. Exercise B. health care providers C. zumba D. wellness 37. Which is the dependent variable? A. health provider B. wellness C. Exercise D. effects 38. The research design of the study is ____________ A. quasi-experimental B. experimental C. qualitative D. descriptive 39. In the cause-and-effect relationship, which is the independent variable? A. Population B. Effect C. Relationship D. Cause 40. Which of the following is the appropriate operational definition of wellness? Wellness is the state of well-being of the participants in Zumba on their ____________ A. social stability B. spiritual growth C. physical health D. mental balance Situation – After passing the Nurses Licensure Examination, Nurse Tawi-Tawi takes her first job in a Rural Health Unit in Municipality Z. She reviews concepts and principles in Primary Health Care (PHC). 41. The key global agency that initiated the Alma Ata conference on Primary Health Care is the __________. A. World Bank B. World Health Organization (WHO) C. CARE International D. United Nations Children’s Fund (UNICEF) 42. Which Asian country is considered among the FIRST to adopt the principle of PHC? A. Malaysia B. Indonesia C. Thailand D. Philippines 43. Nurse Tawi-Tawi is aware that she has to use “tools and methods that are suitable and acceptable to the families and communities” that she serve. This PHC principle is referred to as __________. A. Cultural application B. Appropriate application C. essential methodology D. community participation 44. Nurse Tawi-Tawi recognizes that health services offered are to in accordance to the prevailing beliefs and practices of the intended clients of care. This PHC principle is known as _________. A. Availability B. Acceptability C. Affordability D. Accessibility 45. Collaboration and cooperation is crucial to the achievement of PHC goals. The referral system among the RHU, non-government organization, and local social welfare and development office is classified as what type of relationship? A. Intra-sectoral collaboration B. Coalition building C. Inter-sectoral collaboration D. Network linkage 46. Which of the following is NOT recognized as part of the nurse’s role as member of the health team? A. Care manager and supervisor B. Provider of care and education C. Patient advocate and supporter D. Performing physician’s functions with supervision 47. The health team has brainstormed for ideas on creating a more collaborative environment in a health care facility. Which idea or action would be the BEST to develop further? A. Develop a plan for the different team members to follow and show impact of their work. B. Emphasize that no one profession has all the necessary competence to provide all care. C. Hold education sessions regarding collaboration for each unit. D. Institute collaborative strategies that are traditionally practiced. 48. Which patient scenario describes the BEST example of professional collaboration? A. The nurse, physician, and physical therapist have all visited separately with the patient. B. The nurse mentions to the physical therapist that the patient may benefit from muscle strengthening evaluation C. The nurse and physician discuss the patient’s muscle weakness and initiate a referral for physical therapy. D. The nurse, physical therapist, and physician have all developed separate care plans for the patient. 49. Which activities are appropriate for the nurse to collaborate with a patient? 1. Prescribing a new medication dose 2. Health Promotion activities 3. End-of-life comfort decisions 4. Interpreting laboratory results 5. Lifestyle changes to improve health A. 2, 3, 5 B. 2, 4, 5 C. 1, 4, 5 D. 1,3, 4 3 | Page
50. The Rural Health Nurse and the Rural Health Physician are explaining the home care that will be needed by a patient with Tuberculosis. The patient’s spouse states angrily that it will not be possible to provide the care recommended. What is the BEST response by the nurse? A. “I would like to listen to your concerns about the prescribed care.” B. “It is important that you do. What the physician has prescribed.” C. I can come back after you talk with your spouse about the care.” D. “Let me review what is needed again, then I’ll talk to you later.” SITUATION -Some teachers in an elementary school reported that a high proportion of children’s packed lunches contain hotdog or ‘tocino’, sweetened drinks and potato chips. School Nurse Victoria plans to conduct health education classes among parents on “How to make healthy lunches and why it is important” 51. For this activity, Nurse Victoria considers using the behavior change approach to encourage parents to adopt healthy behaviors that will lead to improve health. This approach is popular because of the following reasons. Select all that apply. 1. Views health as property of individuals 2. Sees people as having the capacity to change their lifestyle 3. Assumes that if people do not act on their health, they suffer the consequences 4. Does not consider the social and environmental factors in which people live A. 1, 2, 3 B. 2, 3, 4 C. 3 and 4 D. 1 and 2 52. Nurse Victoria finally plans to conduct parent’s classes using the educational approach. This approach is intended to _____. Select all that apply. 1. Provide information 2. Develop the necessary skills 3. Provide change to a particular direction 4. Help people make an impulsive choice A. 1 and 2 B. 1, 2, and 3 C. 2, 3, and 4 D. 2 and 3 53. To start the health education class and to get the parent’s active participation, which of the following is the BEST question to ask? A. “Did you cook your child’s lunch today?” B. “Who among you have kids who are underweight?” C. “Can you explain the “Plate Method”?” D. “What food do you usually prepare to your kids lunch?” 54. The educational approach to health education states that learning involves three aspects. Which of the following is NOT included? A. Cognitive B. Affective C. Psychomotor D. Behavioral 55. Since your participants are adult parents, which of the following are appropriate strategies? Select all that apply. 1. Role playing 2. Group sharing 3. Demonstration 4. Return demonstration A. 2 and 3 B. 2 and 4 C. 1, 2, 4 D. 1, 2, 3 Situation – Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent and safe patient care. 56. Identify the element that is the BEST indicator of increasing accountability in the profession of Nursing: A. Increasing salary scale for nurses. B. Improved public image of nurses in social media C. Increasing number of nurses with doctoral degree D. Demonstrate competency and high- quality care 57. Which of the following is the MOST important element in nursing’s attempt to gain full autonomy of practices? A. Maintaining the education system for nurses as it is now B. Economic well-being and welfare of nurses C. Restricting the latitude of decisions made by nurses D. Gaining and maintaining control of nursing practice by nurses. 58. What is the BEST method for nurses to prepare for future professional practice? A. Train other health care workers to whom delegation of tasks can be given. B. Understand and explore the issues involved in professional practice C. Establish a coalition with professional health organizations D. Take additional courses in the use of computers and telemetry 59. What allows a nurse to exert legitimate power over a client when providing nursing care? A. The ability to perform procedures to alleviate patient’s discomfort B. The ability to provide the client and family incentives and for self care C. The power given to the nurse by reason of licensure examination and registration D. The establishment of a professional and personal relationship with the client 60. A nurse is employed by a health care agency that provides an informal training session on how to properly use a new vital sign monitor. Which type of education did the nurse receive? A. Career counseling B. Continuing education C. Pre-employment education D. In-service education Situation- Quality documentation and reporting are necessary to enhance efficient, individualization patient care. Nurse Tara is assigned to Darren who is diagnosed with diabetes mellitus for 10 years and has not be compliant to his medications and diet. 61. Nurse Tara is aware that a record should contain descriptive, objective observations about what the nurse sees, hears, feels and smells. The following describes what a record ought to be: A. Darren is uncooperative as manifested by his refusal to take a bath B. Darren appears depressed. C. Darren is anxious as manifested by his tossing in bed and disarrayed beddings D. Patient states, “I wish to end my life” 62. When documenting the intake-output of Darren, Nurse Tara should remember that she must use precise measurements to ensure accuracy. Which of the following reflects accuracy? 1. Darren drank an adequate amount of fluid during the shift. 2. Darren’s intake during the shift is 360 ml. 3. Darren’s wound is 3 cm in length. 4. Darren’s wound is large and gaping. A. 1 and 3 B. 2 and 3 C. 3 and 4 D. 1 and 4 63. Another guideline for good documentation and reporting that Nurse Tara recalls is about completion. When Nurse Tara administers medications, the following should be included, EXCEPT: A. Any preliminary observations B. Preliminary observations C. Patient’s response D. Nursing measure taken for negative response 64. Nurse Tara is making a discharge plan. The items she needs to document and report should include, EXCEPT: A. Needs for referrals 4 | Page