Tiêu đề RECALLS 2 - NP1 - SC ✅

1 | Page RECALLS 2 EXAMINATION NURSING PRACTICE I COMMUNITY HEALTH NURSING NOV 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 III” on the box provided Situation: The family Nursing Care Plan is designed to provide ways in solving health-related problems of the family as a whole. The nursing process is used to make this type of care plan. 1. In conducting a family assessment, which source of data would be MOST helpful? A. Input from other members of the health team. B. Information from other cooperating health care agencies. C. Review of family members’ charts and medical record data. D. Observation and interaction with the family members. 2. In completing a family assessment, the public health nurse should BEGIN by ___________. A. gathering the health data from all family members B. Testing the family’s ability to cope C. evaluating communication patterns D. Identification of the geographic location of resources for the family. 3. Which of the following would be better understood by the nurse after using a FAMILY MAP? A. Roles and relationship within the family B. Recognition of the leade who speaks for the family. C. Description of the social and economic status of the family. D. Identification of the geographic location of resources for the family. 4. The nurse discusses with the family some actions that needed to be taken and refers to the wife in the family as an outstanding organizer. Which of the following goals is the nurse trying to achieve by making this statement? A. Making then husband proud that he had married his wife. B. Reinforcing for the family some of the strengths of one of their family members. C. Encouraging the wife to volunteer to follow through on all the needed actions. D. Making the wife feel very complimented and proud. 5. In implementing family-centered care, the public health nurse _____________. A. works with clients to help them accept limitations for their actions. B. assists family members to assume dependent roles C. offers information about necessary self-care abilities. D. provides his or her own beliefs on how to solve problems 6. Public Health Nurse Silang is educating a group of residents in Community Marahas 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 7. 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 8. Nurse Silang explains that there are situations which increase the risk of rabies. These are ________. A. stray of dogs B. All of these C. unprovoked bites D. animals display abnormal behavior 9. In another health education session, Nurse Silang 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 10. Nurse Silang stated that a definitive diagnosis of leprosy is obtained through _________. A. blood examinations B. tuberculin testing C. skin smears/ biopsies D. nasal smears 11. Which of the following BEST defines a disaster? A. Any event that results in multiple deaths. B. Devastation that covers a broad geographic area. C. Devastation that cannot be relieved without assistance. D. The event results in multiple injuries, deaths and property damage 12. Nurse Nikito is guided by the ICN framework of disaster nursing competencies. This framework consists of four areas in the continuum of disaster management that corresponds to the four stages of disaster. What consists of the FIRST stage? A. Response B. Preparedness C. Prevention D. Recovery 13. Nurse Nikito has invited several agencies in the community to a meeting to discuss the disaster plan for the community. Which of the following BEST describes the purpose of this meeting? To _______. A. Enhance communication among agencies in the community B. Increase stability in the community C. Manage response to disasters in the community D. Improve overall community functioning 14. Nurse Nikito adapts professional nursing skills in recognizing and meeting the physical and emotional needs resulting from a disaster. For people who are willing to talk * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page ensuing a disaster, which of the following in the MOST appropriate approach? A. “I am with you. It is good you are trying to release your distress by crying. It will make you feel better. “ B. “What you need to do now is to wait for instructions and services to be provided.” C. “Don’t feel bad. Others are in the same situation as yours.” D. “You need not cry. You need to move on and build your life again.” 15. As he passed by a road going to an evacuation center, Nurse Nikito encountered a flash flood. A flash flood _______. A. Occurs suddenly and for a short duration B. Is caused by the blocking of drains C. Is caused by heavy rains D. Occurs in urban areas 16. When performing a family assessment, select what the nurse must first determine. A. How the family expresses and manages emotions B. The communication patterns between the patient and parents C. Names and relationships among family members D. The meaning that the patient’s suicide attempt has for family members 17. Which of the following is the BEST QUESTION for the nurse to ask to assess a family’s ability to cope? A. “Do you think your family copes effectively?” B. “What do you think of the current family problem? C. “What strengths does your family have?” D. “Can you describe how you successfully handled one family problem?” 18. The mother of Albert asks the nurse, “Why do you want to do a family assessment? My teenager is the patient, not the rest of us.” What is the BEST response of the nurse? A. “Family dysfunction might have caused the mental illness.” B. “Every family member ‘s perception of events is different and adds to the total picture.” C. “Family members provide more accurate information than the patient.” D. “Family assessment is a protocol for care of all patients with mental illness.” 19. Which information is the nurse MOST likely to find when assessing the family of a patient with mental illness? A. Power in the family is maintained in the parental dyad and rarely delegated. B. Several family members have serious problems with their psychological health. C. Stress that living with a mentally ill member has challenged the family’s function. D. The family exhibits many characteristics of dysfunctional families. 20. Parents of Albert say, “We have never known anymore who was mentally ill. We have no one to talk to because none of our friends understand the problems we are facing.” Which of the following is the nurse’s MOST helpful intervention? A. Facilitate achievement of normal developmental tasks of the family. B. Build the parent’s self-concept as coping patterns. C. Teach the parents techniques of therapeutic communication. D. Refers the parents to a support group. 21. You want to distinguish between records and reports. As applied to public health, the following are the type of RECORDS, EXCEPT _______. A. Events such as births, illness, deaths B. Analysis of a problem situation C. Clinic consultation D. Written data on home visit 22. REPORTS are prepared usually for administrative purposes. Which of the examples below is NOT a report? A. Summary of services delivered B. Accomplishments and failures of services C. Description of a program and planned services D. Client information and profile 23. There are commonly used record and reports in public health nursing practice. The individual clinical record contains which of the following information? 1. Socio-demographic characteristics 2. Patient’s chief complaint 3. Physical Examination findings 4. Prescription of drugs 5. Frequency of clinic check up 6. Attendance to community settings A. 1, 3, 5, 6 B. 1, 2, 3, 4 C. 1, 2, 4, 5 D. 3, 4, 5, 6 24. The family Service and Progress Record (FSPR) serves as a tool to operationalize the concept of the family as the unit of care. The FSPR consists of four parts, the FIRST being _________. A. Health and nursing problems B. Nursing care plan C. Assessment of the family and the environment D. Service and Progress Notes 25. Which of the following relates to the family’s NURSING PROBLEM? A. Inability to assume health tasks with respect to health problems B. Crisis situation or developmental deficite C. Health threats, risks or hazards D. Strained relationships or disunity Situation: Ms. Mahilom, a public Health Nurse Supervisor, is a preparing a supervisory plan for midwives under her charge. A supervisory plan is a written document on how to organize and systematizes supervisory activities. 26. The need for supervision may arise from the following: 1. Lack of motivation 2. Conflict between personal and organizational goals. 3. Lack of knowledge and skills 4. Desire for promotion or job permanency 5. Achieve health goals for the agency A. 2, 3, 5 B. 1, 3, 4 C. 1, 2, 4 D. 2, 4, 5 27. Ms. Mahilom would require information regarding the supervisory needs of the midwives which can be taken from which of the following? 1. Review of records and reports 2. Interview of the midwives 3. Review of literature 4. Observation of the midwives at work 5. Results of survey among the staff A. 2, 3, 5 B. 1, 3, 4 C. 1, 2, 4 D. 2, 4, 5 28. Ms. Mahilom prioritizes supervisory needs and problems based on the following criteria, EXCEPT ________. A. convenience to both parties to address needs B. degree of importance of the identified need C. availability of resources needed D. activities needed to meet the identified need 29. During the actual supervisory visit, which of the following is NOT expected of Ms. Mahilom? She ________. A. discusses the objective of the visit B. expresses appreciation and support given for the visit C. conveys a formal, strict approach to the midwives D. explains the process and outcomes of the visit 30. After setting the objectives and selecting the activities, Ms. Mahilom would need to identify the indicators for evaluation. Which one is NOT included? A. Needs met B. Performance increased C. Promotion achieved D. Quality of service improved Situation: As a public health nurse, Ms. Sisa intends to focus on a specific population to advocate, educate, collaborate with members from a community to improve health of the people. 31. Nurse Sisa collects data and monitors the health status of
3 | Page the population. Which of the following core public functions is being implemented? A. Assurance B. Policy development C. Assessment D. Prevention 32. Nurse Sisa included in her data collection the number and proportion of persons aged 25 or older with less than a high school education. Which of the following BEST describes this data? A. Health status data B. Health care resource information C. Health risk factors D. Sociodemographic data 33. Working in the community with an aggregate/population, who does Nurse Sisa MOST likely to interact with? A. Students in a local high school B. Patients at the local hospital C. Residents who play basketball D. Christians in the community 34. Nurse Sisa has a clear understanding of population-focused practice. Which of the following characteristics would she MOST likely display? A. Improving the effectiveness of care provided B. Sponsoring a fund-raising project C. Volunteering for a community action D. Providing health interventions for individuals 35. Nurse Sisa is working to improve population-focused care in the community. Which of the following BEST described a key opportunity for nurses like her to accomplish this goal? A. Assuming traditional nursing roles B. Conducting community assessments C. Specializing in community health practice D. Influencing public health policy Situation: Ethical issues on a day-to-day basis often involve patient communication and advocacy. It may also questions about end-of-life care. Nurses are often the one working closet with patients and families while administering care. 36. What is the appropriate approach for the community/public health nurse in balancing individual privacy and community’s needs for safety and security? A. Fulfill agency policies first. B. Implement professional standards of nursing practice. C. Remember the group needs outrank individual needs. D. Seek a balance between individual’s need and the community’s needs. 37. In regard to informed consent, which of the following statements is TRUE? A. Client may not be told about costs and alternatives to treatment. B. Consent must be voluntary. C. Only parents themselves should give consent for minor children. D. Legally incompetent adults can give consent. 38. The client has a living will in which he states he does not want to be kept alive by artificial means even at home. The client’s family wants to disregard the client’s wishes and have him maintained on artificial life support. The most appropriate initial course of action for the nurse would be to: A. Allow the family to ventilate their feelings and concerns, while maintaining the role of client advocate. B. Tell the family that they have no legal rights. C. Report the situation to the hospital’s Ethics Committee. D. Advise the family that they have the right to ignore the living will as the patient cannot speak. 39. During a routine visit, the nurse noted that Perlita, 20-year old wife and mother, has several bruises at various stages of healing. She tells the nurse that she fell down. Failure to report your findings is an example of ____________. A. malpractice B. reasonable prudence C. maleficence D. negligence 40. Which of the following examples would indicate observance of client confidentiality? A. Reading a friend’s chart in another health care facility. B. Describing a difficulty with a client in a health team conference. C. Using a client’s name in a social conversation. D. Talking about the client’s symptoms in front of family members. Situation: Non Communicable Diseases (NCDs) remain to be the major health challenges in the Philippines and globally. The specific population group that are mostly afflicted by these chronic conditions, such as diabetes and cardiovascular diseases, are those aged 60 and above. 41. When caring for a patient with type 2 diabetes who has been discharged, which topic will be MOST important to include in your health teaching? A. Impact of the patient’s family history on likelihood of developing diabetes. B. Symptoms indicating that the patient should contact the health care provider. C. Effect of endogenous insulin on transportation of glucose into cells D. Function of the liver in formation of glycogen and gluconeogenesis 42. To obtain the MOST complete information when doing an assessment for a 75-year-old patient, you will _________. A. ask the patient to write down medical problems and medications B. use a geriatric assessment instrument to evaluate the patient. C. interview both the patient and the primary patient caregiver D. review the patient’s chart for the history of medical problems 43. Which information about a 77-year-old patient who is being assessed by the public health nurse us of UTMOST concern? The patient __________. A. says, “I don’t go on my daily walks since I had pneumonia two months ago.” B. tells the nurse, “I prefer to manage my life without much help from others.” C. uses three different medications for chronic heart and joint problems. D. organizes medications in a marked pillbox “so I don’t forget them.” 44. When caring for an older adult who lives in a rural area, you will ____________. A. ensure transportation to appointments with the health care provider. B. Assess the patient for chronic diseases that are unique to rural areas. C. obtain adequate medications for the patient to last for 4 to 6 months. D. suggest that the patient move to an urban area for better health care 45. Which of these patients assigned to you is MOST LIKELY to need planning for long-term nursing management? A. 71 year-old with appendicitis who has had an emergency appendectomy. B. 60 year-old with bilateral knee osteoarthritis who weighs 350 lbs. (159kg) C. 54 year-old with cholecystitis who has had a laparoscopic cholecystectomy D. 62 year-old with acute sinusitis who will require antibiotic therapy for 5 days Situation : Assessment at the community-level of care is a multidisciplinary undertaking that involves the member of the health team. The public health nurse uses data that have already been collected and are available and or gathers primary data for community diagnosis. 46. Assessment is the first step in the nursing process. In the setting, which of the following objectives of assessment by the public health nurse is NOT included? A. Identify specific risk factors related to health and health problems. B. Define the nature of the health status and health-
4 | Page related problems C. Identify clients who should be given priority for care. D. Determine who should be referred to different health care facilities. 47. Conducting a community assessment leads to a community diagnosis, its products consists of a profile of the community’s state of health. As a process, the public health nurse actively participates in community diagnosis. The MOST common method of data collection that is accurate and provides the biggest bulk of community data is the ________. A. Observation B. Community census C. Interview D. Records review 48. The data on health and disease can be gathered from different sources. Which of the following sources provide a MOST accurate set of data? A. Population health profile from school and factory clinics. B. Births and death from city/municipality registrar. C. Morbidity data from filed personnel. D. Mortality cases from medical death certificates. 49. Data analysis involves qualification, description and classification of data which would reveal community health problems. An analysis of the social, economic, environmental and political factors that influence health is categorized as: A. Health resources problems B. Health status problems C. Health-related problems D. Comprehensive problems Situation: Collaboration is being able to work cooperatively and efficient with co-workers and any other people the nurse may have to interact with. This includes other health professionals, clients, and their families and communities. 50. With the stated problems, the nurse and the community prioritize these using a set of criteria. Which of the following criteria refers to the probability of reducing, controlling or eradicating the problem? A. Modifiability of the problem B. Preventive potential C. Magnitude of the problem D. Nature of the problem Situation : Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent and safe patient care. 51. 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 52. 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. 53. 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 54. 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 55. 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 56. The acronym PDCA stands for _______. A. Plan-Do-Check-Act B. Program-Design-Check-Act C. Plan-Draft-Certify-Act D. Prepare-Do-Check-Achieve 57. Public Health Nurse Rosita will use the PDCA when : 1. Working towards continuous improvement 2. Implementing any change 3. Developing a new design of a process or service 4. Completing a designed project 5. Planning data collection and analysis to prioritize problems A. 1, 2, 4 B. 2, 3, 4 C. 1, 3, 4, 5 D. 1, 2, 3, 5 58. Using the PDCA cycle as a model for defining most of the work processes the following are some areas of its applications, EXCEPT ____________. A. Needs analysis B. Overall strategic planning C. Staff goal setting and evaluation D. Delegation of work to lower levels 59. Public Health Nurse Rosita knows that the purpose of continuous quality improvement (CQI) is to _____________. A. Provide opportunity for staff members to participate in self-governance B. Restructure health care delivery to improve cost savings C. Deliver appropriate nursing care at tertiary level of service D. Monitor processes involved in the provision of safe, effective client care 60. Public Health Nurse Rosita is implementing quality performance standards in a public health department. Which of the following BEST describes the importance of this action? Quality performance standards ___________. A. Can be used as hiring guidelines for nurses B. Are used to guide improvement in the public health system C. Guide administrators to monitor public health at the national level D. Rigidly control public health 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. 61. 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 62. 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