Nội dung text PRE-INTENSIVE - NP1 - SC
1 | Page PRE-INTENSIVE 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: Nurse Ally is a newly-graduate nurse who is planning to work in a community. As such, it is important for her to be well-informed about the roles and responsibilities of a community health nurse. 1. Nurse Ally discovers that health is defined differently among institutions and sources. Which among the following is health, as defined by the World Health Organization? A. Health is the condition of being sound in body, mind, or spirit, especially freedom from physical diseases or pain. B. Health is the capacity to lead a satisfying life, fulfill ambitions, and accommodate to change C. Health is the soundness of body or mind; that condition in which its functions are duly and efficiently discharged. D. Health is a state of complete physical, mental, and social wellbeing, and not merely an absence of disease or infirmity 2. What differentiates a public health nurse from a community health nurse? A. A public health nurse is someone who works outside hospital or clinical settings. B. A public health nurse is a practicing nurse in the public sector such as national and local government health departments and public schools. C. A public health nurse is focused on mental health and school health nurse while a community health nurse is focused on family health. D. A public health nurse’s work is based on setting while a community health nurse’s work is based on funding. 3. During a meeting among the healthcare workers on the rural health unit, nurse Ally knows that her primary responsibility as a community health nurse is to: A. Educate the community on proper health practices B. Plan and map out the municipal health plan C. Serve as the medico-legal officer of the community D. Maintain the environmental sanitation of the community 4. Which among the following states that social support network is a determinant of health? A. People from higher income and social status are linked to better health. B. Those that know more about health is healthier as composed to those who do not C. Better health is linked to those who receive greater support from families, friends, and communities D. Access and use of health services that prevent and treat disease influences one’s health status 5. Which among the following are the functions of public health? I. Health situation monitoring and analysis II. Development of policies and planning in public health III. Regulation and enforcement to protect public health IV. Health promotion, social participation, and empowerment V. Research, development, and implementation of innovative solutions A. I, II, III B. II, IV, V C. I, III, V D. All of the above Situation: As a nurse working in the community, you are tasked to take care of patients ranging from individuals, families, population, and the community to promote their overall health. 6. Which among the following are not considered to be the primary clients of a community health nurse in the community? A. Individuals B. Families C. Population aggregates D. A patient’s extended family 7. Which of the following best describes the family as a clientele of the community health nurse? A. They are the goal point of care in the community B. They are people in the community who share common characteristics and developmental needs C. They are the entry point of care to all clients D. They share common geographical boundaries, share common interests, characteristics, values, and/or goals 8. Which of the following is not a characteristic of a health community? A. Community members with a shared sense of being a community based on history and values B. Structures exist within the community to allow only certain subgroups to participate in decision making C. Community resources are used equitably and efficiently D. Conflicts within the community are managed through acceptable means 9. Which among the following specifies the role of a public health nurse as a researcher? A. Collaborates with individuals, families, and groups for health and health services B. Motivates changes in the health behavior of individuals, families, and communities C. Identifies the health needs, priorities, and problems of individuals, families, and communities D. Uses observation, interview, survey questionnaires, physical examinations, and other methods in the assessment of individuals, families, and communities. 10. In taking care of a family who composes of Pedro and Maria as the couple, their 18-year old son who plans to go to Manila in order to study for college, their 10-year old daughter who has a girlfriend, their 6-year old with asthma, and their two-year old who has cerebral palsy. You know that you are taking care of which family in which stage of the family cycle? A. Family with adolescent B. Family with a toddler C. Family with a pre-school aged child * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
3 | Page 29. Which of the following is included in the approved herbal medicines in the Philippines under Republic Act 8423? A. Luya B. Sibuyas C. Bawang D. Malunggay 30. Lagundi or Vitex negundo is a herbal medication known to be able to attend to various health conditions of an individual. The following are included to be uses of lagundi, except? A. For fever B. For headache C. For insect bites D. For fungal infection 31. Which of the following services do CEmONC facilities provide that BemONC facilities do not? A. Administering first dose of antibiotics B. Attending to vaginal and cesarean deliveries C. Assisted deliveries in imminent breech delivery D. Manual removal of placenta and remained products of conception 32. The nurse should intervene when they observe a midwife who practices which of the following during the delivery of an infant? A. Putting the infant immediately to the skin of the mother after delivery B. Cleaning the skin of the infant by completely drying them and washing areas where whitish substances are C. Clamping the umbilical cord at 3 minutes D. Advising the mother to bathe the infant only after six hours 33. Which of the following are not included in the essential intrapartal care protocol of the Department of Health? A. Allowing a companion-of-choice to be with the mother in the labor and delivery room B. Promoting exclusive breastfeeding for the first 6 months C. Administration of IM oxytocin after making sure that all expected fetuses are delivered D. Always performing restrictive episiotomy 34. What is the appropriate response of the nurse when asked by a mother what food should be given to an infant after birth? A. Breastmilk and water only for the first 6 months B. Breastmilk only for the first 12 months C. Breastmilk and multivitamin drops for the first 6 months D. Breastmilk only for the first 6 months 35. Which of the following statements by a community health nurse regarding newborn screening indicate that they do not need further teaching? A. Newborn screening sample should be acquired before the end of the first 24 hours after birth B. Only a licensed physician and the medical technologist can acquire a sample for newborn screening C. Newborn screening is compulsory under Republic Act 9288 D. Regular newborn screening is able to screen for six diseases 36. Which of the following actions by a nurse is correct regarding managing a clinic visit? A. Implementing a first-come, first-serve basis in terms of prioritizing patients B. Preparing a new family record for a patient whose consultation is 1 year ago C. Accompanying a patient who needs a referral to another facility D. Giving the prescription for drugs prescribed by the physician 37. Which should be the initial action of a nurse who is performing home visits? A. Assessing the family members according to their health needs, prioritizing the critical cases first B. Assessing the environment and home sanitation first C. Setting the contract regarding when the home visits will start and end D. Greeting the family and introducing oneself first 38. What is the most important factor that influences a nurse’s ability to perform home visits to families? A. How the family accepts the nurse into their home B. The convenience of the nurse’s schedule C. The nature of the health problems of the family D. The policy of the barangay health center 39. Which is considered to be the initial principle of why a nurse should always observe proper bag technique? A. For infection prevention B. For convenience C. For showcasing effectiveness of care given D. For organization and cosmetic purposes 40. Which of the following actions of a nurse who is performing a home visit is incorrect? A. Placing the bag in a convenient place B. Washing hands before wearing their apron C. Pulling out all equipment inside the bag before assessing the family D. Recording nursing care given and findings before making appointment for next visit Situation: One of the responsibilities of a community health nurse is supervision of barangay health workers and midwives. As such, community health nurse Steven reviews the principles and steps of supervision 41. Which of the following are situations in where a nurse should supervise a healthcare worker? I. A midwife who is having difficulty performing Leopold’s maneuver II. A barangay health worker who consistently makes errors in charting III. A barangay health worker who is always absent IV. A midwife who prioritizes the organization’s goals before their own A. I and II B. II and IV C. I, II, III D. II, III, IV 42. Which of the following can a community health nurse use when acquiring information on the supervisory needs of workers in the barangay health center? I. Reviewing records and reports done II. Observing the barangay health worker when working III. Interviewing the barangay health worker and other employees IV. Interviewing the clients of the barangay health worker A. II and III B. II, III, IV C. I, II, III D. All of the above 43. In prioritizing the different supervisory needs and problems that the community health nurse has identified, they consider the following, except ? A. Urgency of the problems and needs B. Activities that need to be done to address the problem C. Budget to implement the needed interventions D. Personal timeline of the nurse and their other responsibilities 44. Which of the following actions of a nurse during a supervisory visit must be changed? A. Explaining the objectives of the supervisory visit and its expected outcomes, process, and time frame B. Discussing the results and recommendations of the last visit before working on the current concern C. Maintaining a warm, open, and professional attitude during the visit D. Expressing appreciation and support extended during the visit as part of the closure 45. Which of the following is not considered to be an indicator of evaluation in a supervisory plan? A. Whether needs are met or unmet B. If the quality of service has improved C. If the performance has increased D. Whether promotion is considered or not Situation: After visiting the families assigned to her, nurse Jemima is starting to construct her care plans. The following are questions regarding family health nursing
4 | Page care plans that she should be knowledgeable about 46. Which of the following is correct regarding constructing a first-level family health assessment? A. Type II diabetes as a health risk to the family B. Improper disposal of urine and feces as a wellness potential C. Leg amputation of the mother as a health deficit D. Entering school as a stress point 47. Which of the following is an incorrect second-level assessment statement? A. Inability to recognize the presence of the condition or problem B. Inability to make decisions with respect to taking appropriate health action C. Inability to provide a home environment conducive to health and personal development D. Inability to be knowledgeable about community health care resources 48. When prioritizing the family’s health problems, the nurse knows that the modifiability of a problem is defined as: A. Whether the problem is a wellness state, health deficit, health threat, or foreseeable crisis B. Whether the problem can be solved or not C. Whether the problem will reoccur in the future or not D. How the family perceives the problem 49. When the mother mentions that they know that their baby has a wound infection but says that they have other problems that need more attention, the nurse knows that they will give what score to the family’s salience? A. 0 B. 1 C. 2 D. 3 50. Which of the following will a nurse not document in the family service and progress record? A. The date and time of the home visit B. The results of assessment of the family and the environmental conditions C. The nursing care plan D. The physician’s assessment and recommendations Situation: Epidemiology is the science connected with factors and conditions which determine occurrence and distribution of health, disease, disability, and death in a population. One of the responsibilities of a community health nurse is surveillance during a disease outbreak 51. Which of the following is not a responsibility of a nurse during an epidemic? A. Investigating close contacts of the patient B. Active case finding C. Calculating for vital statistics D. Secondary and tertiary prevention interventions 52. If a nurse wants to investigate how much members of the population are infected with a disease and where they are located, they are in what phase of the epidemiological approach? A. Descriptive epidemiology B. Analytical epidemiology C. Experimental epidemiology D. Evaluative epidemiology 53. When the nurse wants to calculate for the infant mortality rate, they will use which of the following formula? A. Amount of deaths from maternal causes divided by live births B. Amounts of deaths inside the uterus divided by live births C. Amount of deaths before 28 days of life divided by live births D. Amount of deaths below 1 year of life divided by live births 54. Also, the nurse knows that infant mortality rate reflects which of the following information regarding the community? A. The indicator of the general safety, cleanliness, and the medical condition of the community B. The indicator of how many pregnancy has not been successful in the community C. The indicator of the quality of care given to postpartum patients in the community D. The indicator of the quality of care given to prenatal care in the community 55. How soon should a nurse register births and deaths of the population upon occurrence? A. Within 7 days since the occurrence B. Within 14 days since the occurrence of the event C. Within 30 days since the occurrence of the event D. Within 40 days since the occurrence of the event Situation: RA 10152 is a republic act which mandates that infant and children should be immunized under the National Immunization Program. Community health nurse Adolf reviews the ins and outs of giving vaccines to children 56. What is the best indicator that a nurse can use in order to determine if a certain vaccine is viable? A. Monitoring the temperature of the vaccine in the RHU twice a day B. Checking the expiration date of the vaccines C. Ensuring that the inner square of the vial is lighter than the outer circle D. Making sure that vaccines that should be freezed are in the freezer 57. Nurse Adolf sets the temperature of the vaccine refrigerator at what amount to ensure that the cold chain system is followed? A. -15 C to -25 C B. -2 C to -8 C C. 2 to 8 C D. 15 to 25 C 58. What vaccine should nurse Adolf make sure to store in the refrigerator? A. Oral vaccine against poliovirus B. Vaccine against measles C. Vaccine against rubella D. Parenteral vaccine against poliovirus 59. Nurse Adolf knows that what vaccine should he give to a patient who is at 14 weeks of age? A. The first dose of hepatitis B vaccine B. The second dose of vaccine against diphtheria C. The first dose of parenteral vaccine against poliovirus D. The first dose of vaccine against measles 60. After reconstituting the BCG vaccine at 8:00 AM, nurse Adolf knows that the vaccine can be given to patients only until what time? A. 12:00 NN of the same day B. 2:00 PM of the same day C. 6:00 PM of the same day D. 8:00 AM of the next day Situation: Community organizing and participatory action research is the process as to which a nurse is able to help a community empower themselves. The following are items regarding a nurse’s responsibility in COPAR. 61. When asked about community organizing, which statement by Nurse Angel indicate that they need to revisit their notes regarding community organizing? A. Making the people aware of social realities towards the development of local initiative B. Addressing community conflicts through exclusive local government unit meetings C. Prioritizing the empowerment of the disadvantaged population D. The role of nurses in problem-solving are facilitators and they are not the ones in-charge of solving the community’s problem 62. Which of the following elements is most important to observe while doing participatory action research? A. The community members are actively involved during the process B. The community diagnosis team is in-charge of the assessment phase as the members’ participation is only important during the intervention phase C. The nurse leads the community during the whole process D. The nurse coordinates with the LGU only throughout the process 63. What is the initial action that the nurse and the team should