Tiêu đề RECALLS 8 (NP1) - STUDENT COPY ✅

RECALLS EXAMINATION 8 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: In a coastal community, a local health clinic has launched a series of initiatives to address various Sustainable Development Goals (SDGs). One key initiative is a comprehensive maternal and child health program aimed at reducing infant mortality and improving maternal health. The program includes regular prenatal check-ups, vaccination drives, nutritional education, and community health workshops 1. Which Sustainable Development Goal (SDG) is most directly associated with ensuring healthy lives and promoting well-being for all at all ages, which is a critical focus for nursing practice? A. SDG 2: Zero Hunger B. SDG 3: Good Health and Well-being C. SDG 4: Quality Education D. SDG 5: Gender Equality 2. In the context of nursing practice, Nurse Colet knows that nurses can contribute to SDG 5 by? A. By focusing exclusively on female patients B. By advocating for equal pay and professional development opportunities for all genders in the healthcare sector C. By limiting health education to women D. By ignoring gender issues in their practice 3. Which nursing action best supports the achievement of SDG 6: Clean Water and Sanitation? A. Prescribing medication for waterborne diseases B. Educating communities about hygiene and safe water practices C. Providing bottled water to patients D. Ignoring water quality issues in health education 4. Nurse Maloi knows that Nurse Colet can incorporate SDG 13 into their practice by? A. By solely focusing on patient care B. By implementing energy-saving practices in healthcare settings C. By ignoring environmental concerns D. By discouraging the use of renewable energy sources 5. Which strategy aligns with SDG 4: Quality Education and enhances nursing practice? A. Providing patient care without any educational component B. Offering health education programs to patients and communities C. Limiting professional development opportunities for nurses D. Ignoring advancements in medical education Situation: A hospital’s quality improvement team is planning a research study to evaluate the effectiveness of a new wound care protocol compared to the current standard. The team is seeking input from the nursing staff to ensure that the study design will provide reliable and valid results. As a nurse involved in this project, you are asked to review and provide feedback on the proposed research design. 6. In qualitative study, the research design is often referred to as an/a: A. Urgent design B. Emergent design C. Directive design D. Acute design 7. Since she wanted to capture the essence and emotion of the victim she chose to use qualitative design. In qualitative research, what is the primary focus and strength of this research method? A. It commences study at present but consummates at any future time – Prospective B. It allows estimation of relationship between studied variables - Correlational C. It provides insights, attitudes, belief, motives and behaviors of target population - Qualitative D. It tests results through numerical data – Quantitative design 8. Student nurse Noah is trying her concept of inductive reasoning and deductive reasoning. Which among the following is a true statement regarding inductive and deductive reasoning. A. Inductive reasoning the process of developing generalization from specific observations whereas deductive reasoning is the process of developing specific predictions from general principles B. Inductive reasoning is the process of developing specific predictions from general principles whereas deductive reasoning is the process of developing general principles from specific observations C. Inductive reasoning is used to confirm a hypothesis through a series of experiments, whereas deductive reasoning involves creating new hypotheses based on existing theories. D. Inductive reasoning is focused on testing existing theories with experimental data, whereas deductive reasoning is about developing theories based on new experimental results. 9. Nurse Ann also read an article by Zust in 2000 about a pilot study that explored the feasibility of a future large scale research on the effectiveness of a 20-week cognitive therapy intervention on depressed battered women, If this intervention will be compared with an ongoing intervention utilized for depressed battered women, this study would utilize which among the following design? A. Experimental B. Non-Experimental C. Phenomenological D. Historical 10. Nurse Haru finally decided to make an in depth study of only one subject of domestic violence. What design will be used? A. Descriptive correlational B. Descriptive Comparative C. Methodological D. Case study Situation: You are a registered nurse working in a busy urban hospital emergency department. A 65-year-old male patient 1 | Page
arrives via ambulance with complaints of severe chest pain radiating to his left arm. He appears diaphoretic and anxious. 11. All but one are correct methods in the assessment of blood pressure? A. Take the blood pressure reading on both arms for comparison B. Listen to and identify the phases of Korotkoff’s sound C. Pump the cuff to around 50 mmHg above the point where the pulse is obliterated D. Observe procedures for infection control 12. Nurse Jhoanna attached a pulse oximeter to the client. You know that the purpose is to: A. Determine if the client’s hemoglobin level is low and if he needs a blood transfusion B. Check the level of the client’s tissue perfusion C. Measure the efficacy of the client’s anti-hypertensive medications D. Detect oxygen saturation of arterial blood before symptoms of hypoxemia develop 13. After spending several hours in the Emergency Room, the client is transferred to the ward with instructions for blood pressure to be monitored hourly. The nurse discovers that the cuff is too narrow, which will likely result in: A. Inaccurate B. Lower systolic and higher diastolic readings C. Higher readings than accurate D. Lower readings than accurate 14. When assessing a client's health history, it is noted that the patient smokes and consumes coffee. How long should the nurse wait after the client has smoked or consumed coffee before taking their blood pressure for an accurate reading? A. 15 minutes B. 30 minutes C. 1 hour D. 5 minutes 15. While the client is wearing a pulse oximeter on their fingertip, you observe sunlight shining directly on the sensor area. What should you do in response? A. Activate and set the alarm on the oximeter B. Take no action as there is currently no issue identified C. Cover the fingertip sensor with a towel or bedsheet D. Relocate the sensor to a different site every four hours Situation: During a busy shift in a hospital unit, the charge nurse notices that several patients require frequent monitoring and care due to their critical conditions. The nurse assesses the workload of the team and identifies the need to delegate tasks effectively while ensuring patient safety and quality care. 16. Staku is a head nurse in a pediatric ward. She decided to transfer some selected nursing task to one of the her competent staff. Nurse Maloi knows that this is the process of? A. Accountability B. Supervision C. Leadership D. Delegation 17. As a nurse moves from clinical to leadership roles, what is a critical aspect of professional adaptation in this scenario? A. Keeping a passive stance B. Minimizing interactions with team members C. Embracing continuous learning and flexibility D. Disregarding feedback from colleagues 18. As a superior, Jhoanna knows that she has the capacity to influence her subordinates. What specific managerial function is she practicing? A. Delegation B. Leadership C. Supervision D. Auditing 19. Nurse Colet knows that Nurse Jhoanna would be a great leader if she answers this question correctly. How should you prioritize supervision and support for team members during this demanding shift? A. Provide brief instructions and leave team members to complete tasks independently. B. Offer continuous guidance and monitor progress throughout the shift. C. Delegate all supervision responsibilities to the most experienced team member. D. Limit communication with team members to avoid interruptions. 20. In developing a plan of care for a client with chronic hypertension, which nursing activity would be most important? A. Establish step-by-step goals for lowering blood pressure B. Advise the patient to decrease sodium consumption in their diet C. Involve the patient and their family in goal setting and care plan development D. Evaluate the patient's previous adherence to medication routines Situation: You are a community health nurse assigned to a densely populated urban area where tuberculosis (TB) has been identified as a significant public health concern. Many residents live in close quarters, which increases the risk of TB transmission. You are tasked with educating the community, identifying new cases, and ensuring adherence to treatment protocols for those diagnosed with TB. 21. Nurse Colet was asked by the student nurse which infectious agent of tuberculosis primarily comes from cattle? A. Mycobacterium Tuberculosis B. Mycobacterium Africanum C. Mycobacterium Bovis D. Mycobacterium Pneumoniae 22. Nurse Maloi knew that turnaround time refers to the time from collection of the first sputum sample to initiation of treatment for TB. Nurse Maloi also knew that the desired turnaround time is? A. 3 working days B. 4 working days C. 5 working days D. 7 working days 23. A 35-year-old male patient with no prior history of TB presents with a cough lasting over three weeks, weight loss, and night sweats. Sputum smear microscopy confirms TB. What treatment category does this patient fall under? A. Category I B. Category Ia C. Category II D. Category IIa 24. A patient who has been treated previously for TB presents with a relapse. What is the appropriate treatment regimen for this patient? A. 2HRZE/4HR B. 2HRZE/10HR C. 2HRZES/1HRZE/5HRE D. 2HRZES/1HRZE/10HRE 25. When caring for a client taking isoniazid (INH), the nurse should assess for which of the following? Select all that apply. 1. Elevated Aspartate aminotransferase 2. Clinical manifestation of hypercalcemia 3. Concurrent self administration of aluminum antacids 4. Compliance with ingestion of pyridoxine vitamin b6 supplements 5. Excessive bruising on the skin A. 1,2,3,4 B. 1,3,4,5 C. 1,2,4,5 D. 2 only Situation: Nurse Karen is working in a rural community in the Philippines, implementing the COPAR (Community Organizing Participatory Action Research) approach to address prevalent health issues. The community has been facing a rise in cases of dengue fever, and the local health center aims to engage community members in proactive health promotion and disease prevention activities. 26. Which of the following statements regarding the definition of COPAR is not true? A. COPAR is a social development approach that aims to transform the apathetic, individualistic, and voiceless poor into a politically responsive community. B. COPAR is a continuous and sustained process of educating the people to understand, and develop their critical awareness of their existing condition. C. COPAR is a process by which the community identifies its needs and objectives and develops confidence to take action to solve their own problems. 2 | Page
D. COPAR is a collective, participatory, and fixed process of building community organization. 27. Nurse Aiah knows that the following describes community organizing, EXCEPT: A. It is a continuous and sustained process of educating the people to understand and develop their central awareness on their condition B. It involves motivating the elected leaders to work for the good of the selected members of the community. C. It entails working with the people collectively and efficiently on their immediate and long term problems. D. It includes mobilizing the people for capability-building purposes. 28. Which of the following statements is true with regards to the Principle of COPAR? A. The most oppressed and exploited sectors of the society are open to change. B. COPAR should be based on the interest of the upper class of society. C. The poorest sector of the society resists social change. D. COPAR will only temporarily lead to self reliance because poor people, by nature , needs discipline, and guidance. 29. All but one are correct statement regarding the process involved in COPAR? A. COPAR utilizes a progressive cycle of Action – reflection – action process. B. Consciousness-raising through experimental learning is central to COPAR C. COPAR is leader oriented; thus, it focuses on core group formation. D. COPAR is participatory and mass based. 30. One of the purposes of integration in COPAR is to which of the following? A. Gather data that is necessary in the identification of community health problems B. Understand deeply the culture and lifestyle in the community C. Validate the community health needs identified earlier D. Identify the community leaders that may be tapped for organizing purposes. Situation: Gwen is 14 months old, weighs 8 kgs, not eating well and is unable to breastfeed. She is not vomiting, has no convulsion and not abnormally sleepy. Her temperature is 38.4 C. Utilize the IMCI strategy 31. Based on the IMCI strategy, how should Nurse Sheena classify Gwen's illness? A. Febrile with general danger sign B. Very severe febrile disease C. Severe Pneumonia D. Very Severe Disease 32. Based on the IMCI guidelines, what is the next step Nurse Sheena should take in assessing Gwen's condition? A. Check for signs of severe malnutrition B. Assess for signs of pneumonia C. Assess for dehydration D. Evaluate for malaria 33. Which of the following signs is NOT included in the general danger sign? A. Vomits everything B. Unable to drink or breast fed C. Had Convulsion D. Not eating well 34. If Gwen's mother reports that Gwen has been having trouble breathing, what specific sign should Nurse Sheena assess next? A. Fast breathing and chest indrawing B. Presence of rash C. Ear discharge D. Abdominal distension 35. Nurse Maloi’s favorite color is yellow, but according to the IMCI classification table, what does the color yellow indicate? A. Referral or admission is needed B. Chief complaint that needs urgent attention C. Child does not need specific medical treatment D. Child needs an appropriate antibiotic or other treatment 36. Public health systems are operating within a context of ongoing changes. Which of the following exerts a number of pressures on the public health system? A. Shifts in demographic and epidemiological trends in diseases B. Health reforms C. New technologies D. All of the above. 37. In response to above trends, the global community, represented by UN general assembly, decided to adopt a common vision exemplified by Millennium Development Goal that includes? I. Eradicate extreme poverty and hunger II. Achieve universal primary education III. Promote gender equality IV. Reduce child mortality V. Improve maternal health VI. Climate Action VII. Ensure environmental sustainability VIII. Develop global partnership A. I,II,III,IV,VI,VII B. I,II,III,IV,V,VI,VIII C. I,II,III,IV,V,VII,VIII D. I,II,III,V,VII,VIII 38. Nurse Lisa knows that her function as an occupational health nurse involves all of the following except: A. Suspending or revoking business licenses for any violation B. Working with the occupational health team to lead sanitary and industrial hygiene C. Coordinating with other government agencies for implementing rules and regulations D. Preparing and submitting yearly reports to local and national governments 39. The health of individuals and communities into a large extent is affected by a combination of factors. These factors or things that make people healthy or not is known as: A. Determinants B. Physical environment C. Health services D. Education 40. Which is not true about Nutritional status determination and management in children? A. Appropriate school feeding programs with rice, milk, or fortified noodles are given to children with below normal nutritional status for 120 feeding days B. Deworming is a pre-requisite before feeding program C. Parental consent is not a must before deworming is done D. Height and weight measurement offers the most acceptable parameter to determine the nutritional status of children Situation: If nurses are to continue to be a dynamic part of health care on the future, we must be able to understand the complex and community-focused nature of health promotion, illness prevention, recovery from illness and injury, and health restoration 41. The student nurse is exploring various practice settings and understands that community health nursing: A. Requires a Master's degree to become a Public Health Nurse B. Is the same as public health nursing C. Focuses on the incidence of disease D. Includes direct care and services to subpopulations 42. In community health, the nurse works with clients from various vulnerable populations. Which of the following clients currently appears to be at the greatest risk? A. A physically abused client in a shelter B. An older adult taking medication for hypertension C. A schizophrenic client in outpatient therapy D. A substance abuser who shares drug paraphernalia 43. There are various perspectives on mental health and illness. What is the exact definition of mental health according to WHO? A. A state of mental well-being that enables people to cope with the stresses of life 3 | Page
B. A state of mind characterized by emotional well-being, good behavioral adjustment, and relative freedom from anxiety and disabling symptoms C. A condition of being sound mentally and emotionally that is characterized by the absence of mental illness D. A function of the physiological state 44. The Department of Health in its new role as the national authority on health that provides technical and other resource assistance to concerned groups was mandated through: A. Executive Order 201 B. Executive Order 204 C. Executive Order 102 D. Executive Order 109 45. The Department of Health is the leader, staunch advocate, and model in promoting health. Its mission is to: A. Provide quality health to poor Filipinos B. Be a leader in the formulation of health policies C. Guarantee equitable health for all Filipinos D. Reduce morbidity and mortality of certain diseases Situation: You are a charge nurse in a busy hospital ward that has recently admitted several patients with various infections. Due to the increased risk of cross-contamination and the spread of infections, you are tasked with implementing and reinforcing strict infection control protocols. 46. A natural body defense that plays an active role in preventing infection is: A. Yawning B. Body Hair C. Hiccupping D. Rapid Eye Movements 47. Which of the following nursing interventions is considered the most effective form or universal precautions? A. Cap all used needles before removing them from their syringes B. Discard all used uncapped needles and syringes in an impenetrable protective container C. Wear gloves when administering IM injections D. Follow enteric precautions. 48. Effective hand washing requires the use of: A. Soap or detergent to promote emulsification B. Hot water to destroy bacteria C. A disinfectant to increase surface tension D. All of the above 49. Which of the following procedures always requires surgical asepsis? A. Vaginal instillation of conjugated estrogen B. Urinary catheterization C. Nasogastric tube insertion D. Colostomy irrigation 50. All of the following statements are true about donning sterile gloves except: A. The first glove should be picked up by grasping the inside of the cuff B. The second glove should be picked up by inserting the gloved fingers under the cuff outside the glove C. The gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wrist. D. The inside of the glove is considered sterile. Situation: The healthcare team is divided on how to proceed, and you are the nurse responsible for Mr. Santos's care. The situation is causing significant ethical distress among the staff, and you need to address the conflicting wishes of the family members while adhering to the nursing code of ethics. 51. A nurse is invited to participate in a qualitative research study. What type of data will the nurse likely collect in this study? A. Numerical data B. Quantitative data C. Subjective data D. Objective data 52. A nurse is participating in a quality improvement project. What is a key element of the Plan-Do-Study-Act (PDSA) cycle? A. Ignoring feedback from team members B. Implementing changes without evaluating outcomes C. Continuously assess and adapt the improvement plan based on results D. Limiting communication with other healthcare professionals 53. A nurse is working in a healthcare facility that adheres to the principles of cultural competence. What does cultural competence in nursing primarily involve? A. The ability to speak multiple languages B. Awareness and respect for diverse cultural beliefs and practices C. Knowledge of the latest medical technologies D. Proficiency in performing transcultural nursing assessments 54. A nurse is involved in a quality improvement project to reduce medication errors in a hospital unit. What research methodology is most appropriate for this project? A. Experimental research B. Descriptive research C. Qualitative research D. Case-control research 55. Emotional intelligence consists of several competencies. Some of these are listed below. Which is NOT a characteristic of emotional intelligence? A. Self-esteem B. Self-awareness C. Empathy D. Self-regulation Situation: Kathleen is a nurse researcher at a tertiary hospital, tasked with gathering data on infection rates among admitted patients. 56. Kathleen needs to collect secretions from a patient's surgical site. If the patient refuses and she proceeds anyway, what could she be liable for? A. Slander B. Assault C. Battery D. Invasion of privacy 57. A patient confides to Kathleen that his companion is not his legal wife. What liability does Kathleen face if she shares this information? A. Slander B. Libel C. Breach of confidentiality D. Assault 58. Two janitors argue loudly about who should dispose of infectious waste, with one calling the other derogatory names. If the insulted janitor decides to take legal action, what kind of case would he likely file? A. Libel B. Incompetence C. Slander D. Negligence 59. If the derogatory statements were published in the hospital newsletter, what would this be considered? A. Malpractice B. Assault C. Libel D. Slander 60. Kathleen knows that as a researcher she needs to follow the provisions of R.A. 6713, otherwise known as: A. Generics Act of 1998 B. Sanitation Code C. Code of Conduct and Ethical Standards of Public Officials and Employees D. Salary Standardization of Government Employees Situation: Community Organizing Participatory Action Research (COPAR) is being implemented in a rural village to improve community health outcomes. After initial phases of preparation, entry, and organization, the community and the healthcare team have moved into the strengthening phase. The focus is on empowering the community to take ownership of their health initiatives and build sustainable structures for long-term health improvement. 61. Which of the following is not under the sustenance and strengthening phase of COPAR? A. Development of financial management systems, B. Application for SEC registration C. Conduct of leadership training seminars among core group members 4 | Page