Nội dung text RECALLS 11 - NP1 - SC
1 | Page RECALLS 11 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 I” on the box provided EPI (5) SCENARIO: Nurse Ruel is a newly-hired community health nurse in Barangay Mabuhay, the activity in the health center is vaccination. 1. Jane forgot to bring her daughter back for the second dose of OPV, she asked the nurse what to do. The nurse’s response is correct when she states: A. “How irresponsible of you naman, mother” B. “Kakailanganin po natin ulitin ang bakuna, bale magiging first dose po ulit ni baby ito” C. “Wala naman pong problema, ibibigay ko po ngayon ang second dose nya” D. “I-refer ko po kayo kay doc kung paano po ang gagawin, case-to-case basis po kasi eh” 2. Maricar’s 13-week-old son will be having his third dose of Pentavalent next week (April 12, 2023). Her concern is they will stay in their province from April 11 to 15, 2023. She asked the nurse about the schedule she should come back for the vaccine. The nurse does not need to be corrected when she states: A. Pwede April 10 magpabakuna para bago po kayo umuwi ng probinsya, kumpleto na po pentavalent doses ni baby B. Baka pwede sumunod nalang po kayo kasi kailangan po talaga eksaktong 4 weeks ang interval ng dose. Kailangan po April 12 talaga ang sunod nyang bakuna. C. Dahil Made-delay po ang susunod na dose, doblehin nalang po natin yung bakuna sa pagbalik nyo po galing probinsya. D. Sa pagbalik nyo nalang po ako magbibigay ng bakuna. 3. The nurse is preparing to give the BCG vaccine to the infant. According to the Public Health Nursing in the Philippines book, He should clean the skin of the injection site using a cotton ball moistened with? A. Sterillium B. Water C. Alcohol D. Betadine 4. Vaccines are substances that are very sensitive at various temperatures. The recommended storage temperatures of EPI vaccines must be observed to avoid spoilage, and maintain its potency. Nurse Ruel is knowledgeable when he checks the storage temperature every: A. Whenever it is necessary B. Twice daily C. Three times daily D. Twice a week 5. Nurse Ruel checked the storage temperature and opened the storage to check for the vaccines. He noticed that the OPV is at the freezer. What should Nurse Ruel do? A. Just leave the OPV because it is should be in the freezer B. OPV is a live attenuated vaccine and it should be in the refrigerator C. Identify the person who put the OPV in the freezer and inform him privately about his mistake D. Throw the OPV because it is considered spoiled SCENARIO: Barangay Poblacion held a medical caravan. Elderly people lined up at 6 in the morning to get their vital signs taken and to receive the appropriate prescriptions for drugs. As they are waiting, volunteers delivered bread and lugaw (porridge). Hours later, several instances of persons who consumed the food vomited and experienced diarrhea. Individuals were transported to the medical facility, and the medical staff suspected food poisoning was the cause. 6. Epidemiology is the study of occurrences and distribution of diseases as well as the distribution and determinants of health states or events in specified populations. What is the purpose of epidemiology? A. It completes the clinical picture of chronic diseases and describe their natural history B. It diagnoses the health of the individual and his condition for individualized care and management. C. It studies the work of health services with a view of improving them. D. It identifies syndromes by describing the distribution and association of clinical phenomena in the population. 7. Nurse Maddy has to note the disease occurrence that happened in Barangay Poblacion. It is classified as: A. Epidemic B. Pandemic C. Endemic D. Sporadic 8. When the nurse explained the patterns of occurrence and distribution of a disease. The resident is curious to ask an example of a disease that is considered to be endemic. The nurse is wrong when she include: A. Lyssa B. Filariasis C. Malaria D. Schistosomiasis 9. The residents of the barangay were informed that the cause of the cases of vomiting and diarrhea is due to the Lugaw (porridge) and bread. Lugaw and bread is classified as: * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
3 | Page 23. Among the four time-bound interventions done to the newborn, what is done to prevent intraventricular hemorrhage in one of two preterm babies? A. Immediate and thorough drying of the newborn B. Keeping the mother and baby in uninterrupted skin- to-skin contact C. Properly timed cord clamping and cutting until the umbilical cord pulsation stops D. Breastfeeding initiation within the first hour of life 24. There was an increasing rate of maternal mortality in Barrio Toto. The nurse interviewed the residents and learned that the reason was because most of them are experiencing financial constraints. The nurse knows that this problem is under what delay model? A. Delay in seeking care B. Delay in reaching facilities C. Delay in receiving appropriate care D. It is not related to delay model because money is not an issue 25. Nurses noted that another reason for maternal mortality is due to some residents not knowing where the new health center is located. It is under what delay model? A. Delay in seeking care B. Delay in reaching facilities C. Delay in receiving appropriate care D. It is not related to delay model because money is not an issue RESEARCH (5) SCENARIO: Nurse Atom wants to uncover nursing knowledge and build the foundation of clinical practice to prevent disease, manage symptoms of illness and enhance end-of-life care. Thus, he decided to do nursing research. 26. Nurse Atom encounters the word hypothesis. He is not correct in telling that hypothesis is: A. A state where it can be accepted or rejected B. A prediction about what a research will find C. An educated guess that is untested with observation D. A tentative explanation supported by evidence 27. Nurse Atom was inspired from a research study from India and he repeated it with a different setting in his barangay. Surprisingly, it yields a consistent result. It means the research is: A. Valid B. Objective C. Reliable D. Sensitive 28. The research is believed to use an instrument to detect fine differences among the subjects being studied. The criteria is known to be? A. Valid B. Objective C. Reliable D. Sensitive 29. Which of the following terms refer to the meaning that a researcher must test the correctness of data before accepting it? A. Empirical B. Logical C. Critical D. Analytical 30. Which of the following terms refer to the ability to identify and have a careful breakdown of components especially in terms of variables? A. Empirical B. Logical C. Critical D. Analytical HOMEVISIT (5) SCENARIO: In a homevisit, the nurse interviews Amy, wife of Arnel that they are living with her parents, Arcedo and Alma and 2 siblings, Aries and Arturo. The couple has 3 children, namely Arvin, Arriane and Anton 31. When the nurse visited the home, he came to the conclusion that there are two families living in a single house. What supports his thinking? A. The family does not have an ability to maintain a healthy home environment B. Amy and Alma prepare their own family’s meals separately. C. Arcedo is not supportive of Arnel, being the husband of her daughter. D. Alma does not join in the conversation of her daughter and his husband. 32. Arnel asked the nurse the frequency of home visits. The nurse based her answer knowing that the nurse should: A. Visit the family once a week B. Visit the family once a month C. Visit the family everyday D. Visit according to the needs of the family. 33. In planning to do a home visit, there are principles involved which serve as a guide for the nurse. The following are principles except: A. A home visit must have a purpose B. Planning should make use of all available information about the patient and family C. Involve the family in planning and delivery of care D. The plan should be fixed to avoid unnecessary problem 34. The nurse accompanied the student nurse on his first day doing a home visit. When he arrived in the house of the family, he is correct when he initially: A. State the purpose of the visit B. Greet the patient and introduce self C. Observe the patient and determine the health needs D. Put the bag in a convenient place and wash hands 35. Guidelines are necessary to give general recommendations on how a nurse should perform the task or how to proceed in a situation. The following are not considered to be factors, except: A. The physical needs should be considered more than the psychological and educational needs of the family. B. Evaluate how the family avail the nursing services C. Perform nursing care despite the patient's disapproval because the patient needs it. D. The nurse should recognize the needs of the family since the nurse has the professional knowledge and experience. LAWS (5) SCENARIO: Nurse Diane is assigned to the health center in her Barangay . She was told to study the common laws affecting primary health care in the Philippines. 36. A couple applying for a marriage license are required to receive instructions on family planning and responsible parenthood. This is governed by what law? A. RA 3573 B. RA 7277 C. PD 825 D. PD 965 37. There are national policies on Infant and Young Child feedings. The most related administrative order is: A. AO No. 2005-0014 B. AO No. 2006-0012 C. AO No. 2006-0015 D. Nothing is related
4 | Page 38. In the National policies on Infant and Young Child feeding with the administrative order on the previous number. The following are the specific objectives except: A. All newborns are initiated to breastfeeding within six hours after birth B. All infants are exclusively breastfed for 6 months C. All infants are given timely, adequate and safe complementary foods D. D.Breastfeeding is continued up to two years and beyond 39. Which among the following defines the implementing guidelines on hepatitis B immunizations for infants which is meant to improve effectiveness of management in the provision of three doses of routine Hepatitis B vaccine among infants including a birth dose? A. AO No. 2005-0014 B. AO No. 2006-0012 C. AO No. 2006-0015 D. Nothing is related 40. This Administrative order revised implementing rules and regulations of EO 51 known as the “Milk Code”, relevant international agreements, penalizing violations thereof and for other purposes: A. AO No. 2005-0014 B. AO No. 2006-0012 C. AO No. 2006-0015 D. Nothing is related COMMUNICABLE DISEASE (10) SCENARIO: Center for disease control and prevention partners with the government of the Philippines and local organizations to prevent and control communicable and non- communicable diseases, strengthen public health emergency preparedness and response, and expand global health security capacity. The following are communicable diseases. 41. The nurse visited in a barrio located in Region 5 (Bicol). There is a resident presents with symptoms of diarrhea, bloody stools and enlargement of abdomen. Upon further assessment, the patient is diagnosed to have bilhariasis. What is the causative agent of bilhariasis? A. Schistosoma spp. B. Wuchereria bancrofti C. Brugia malayi D. Oncomelania quadrasi 42. There are different species of Schistosoma which can only be found in a particular place during its lifetime. Which among the Schistosoma species is endemic in the Philippines? A. Schistosoma mansoni B. Schistosoma haematobium C. Schistosoma japonicum D. Schistosoma mekongi 43. The barrio knew that one of their neighbor was diagnosed with schistosomiasis. Mass hysteria cause an outbreak of unrealistic thoughts and feelings about the mode of transmission of schistosomiasis. As a nurse, she should educate the residents on how Schistosomiasis is transmitted. She is correct when she states it is transmitted through: A. Drinking contaminated water B. Skin comes in contact with cercaria C. Skin comes in contact with miracidium D. Sexual contact 44. The nurse implemented some preventive measures to control the spread of the disease, the patient and its immediate environment. Which of the following is not included? A. Treat snail-breeding sites with molluscicides B. Improve irrigation and agriculture practices C. Isolate the infected person for 7 days D. Sanitary disposal of feces and urine 45. The doctor prescribed medications to the infected residents. As a knowledgeable nurse who masters pharmacology. The nurse knows which among the following are known to treat schistosomiasis? I. Praziquantel II. Oxamniquine III. Metrifonate IV. Diethylcarbamazine citrate A. i B. i, ii C. i, ii, iii D. i, ii, iii, iv 46. Filariasis is a disease often progresses to become chronic, debilitating and disfiguring, since its symptoms are often unnoticed and unfamiliar to health workers. The nurse is knowledgeable when she says that the disease is transmitted to a person through bites of what species? A. Wuchereria bancrofti B. Brugia malayi C. Aedes poecilius D. Anopheles spp. 47. The life-span of the adult parasites is about 10 years while the microfilariae live for about a year at most. Since its incubation period lasts from 8 to 16 months, the nurse knows that the patient is already at acute stage when the following manifestations are present except: A. Lymphadenitis B. Lymphedema C. Funiculitis D. Lymphangitis 48. In order to detect the presence of filarial worms in the body. The patient should undergo laboratory examinations and the blood is extracted during what time of the day? A. At daytime (after 6AM) B. At noon (10AM-2PM) C. Anytime of the day D. At night (After 8PM) 49. The patient is confirmed with a diagnosis of filariasis. He asked about the possible treatment for microfilaria of the disease. The nurse anticipates what drugs? I. Diethylcarbamazine citrate (DEC) II. Hetrazan III. Ivermectin A. i B. i, ii C. i, iii D. i, ii, iii 50. The nurse educated the residents on how to prevent and control the vector. He included which among the following on the topic? I. Sleep under mosquito net II. Give entire community medicine that kills the microscopic worms annually. III. Use mosquito repellent on exposed skin IV. Wear long sleeves, long pants and socks A. i, ii B. i, iii, iv C. i, ii, iv D. i, ii, iii, iv Situation: Correct administration of right medications with right dose to the right client is the nurse’s responsibility in the management of client’s health needs. Nurse Michelle is preparing various medications for her clients in the ward.