Tiêu đề RECALLS 1 - NP1 - SC ✅

1 | Page RECALLS 1 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 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. 1. 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. 2. 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 3. 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 4. 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: A. Causative agent B. Risk factor C. Intrinsic factor D. Extrinsic factor 5. Nurse Maddy gathered the number of people who are affected by the food poisoning. She wants to present the trend in the number of affected to the time it is recorded. She will use what type of graph? A. Line graph B. Pictograph C. Histogram D. Pie Chart SCENARIO: Nurse Micah joined the health center in analyzing the gathered data for the community diagnosis. The following are the data: Total Population: 6,420 Total Birth: 328 Total Death: 79 Maternal death: 6 Total Infant Death: 13 Total Males: 3,417 Total Males 50 years old and above: 751 Total Females: 3,007 Total Female 15 - 44 years old: 1,023 6. Nurse Micah computed the crude birth rate of the province. The data showed: A. 102 B. 51 C. 320 D. 109 7. The demographic measurement is computed. She identified the sex ratio based from the data is: A. 88 females for every 100 males B. 117 females for every 100 males C. 29 females for every 100 males D. 29 males for every 100 females 8. Nurse Micah wants to know the true fertility rate of the province. She is correct when she get: A. 321 B. 109 C. 159 D. 328 9. The municipal health officer instructed nurse Micah to study the morbidity rate of the province. To study morbidity, she will look for what data? A. Incidence Rate B. Attack Rate C. Case Fatality Rate D. Prevalence Rate 10. As Nurse Micah was browsing the existing data in the barrio. She noted the urban-rural index is 26:74. She interprets this as: A. More people decided to live in a corporate world B. 26% of the population plans to support their family and work abroad C. 74% of the population are living in the mountain areas of the barrio. D. There are less people occupying the urban areas of the barrio. SCENARIO: As part of primary health care and increasing cost of drugs, the use of locally available medicinal plants has been advocated by the DOH. 11. The community is conducting a seminar about the natural sources of vitamins and minerals that can be found in the backyard and field. The nurse was alarmed as the pregnant woman stated to be consuming this herbal medicine which is known to have abortifacient properties. This is: A. Akapulko B. Sambong C. Yerba Buena D. Tsaang gubat 12. The nurse is giving health education pertaining to the use * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page of herbal medicine. He needs further teaching when he states: A. Uses only the advocated parts of the plant B. Use only clay pot in preparation of herbal plants and remove cover while boiling at low heat C. Use only one kind of herbal plant for each type of symptoms or illness D. If signs and symptoms are not relieved after 2 or 3 doses of herbal medication, consult a doctor 13. The parent of a child with diarrhea asked the nurse what herbal medicine is applicable for his son. The Nurse recommends: A. Boil the mature stems and drink its decoction B. Boil chopped leaves in 1 glass of water, strain and drink C. Wash leaves and eat. D. Any part of tsaang gubat is used for diarrhea 14. The nurse is doing a home visit when a resident asks the nurse to describe which among the plants in the backyard is the ulasimang bato. The nurse correctly describes when he states: A. It is a weed with heart-shaped leaves B. It is a plant with rough hairy leaves C. It is a tree with tiny white flowers D. It is a shrub with blue and bell-shaped flowers 15. There was an outbreak of scabies in the barrio where Nurse Jenna is working. There was no more akapulko seen in the barrio as it is consumed by many. What alternative herbal medicine can be used by the barrio? A. Tsaang gubat B. Niyug-niyugan C. Yerba Buena D. Lagundi SCENARIO: Nurse Donna is a clinical instructor in The Medical University. She is to tackle the life-saving interventions that treat the major obstetric and newborn causes of morbidity and mortality and how to prevent them 16. She discussed the emergency obstetric and newborn care. One student was confused and asked what is it in CEmONC that BEmONC cannot provide? Nurse Donna is prepared to answer when she enumerated: 1. Removal of retained products of conception 2. Cesarean Section 3. Parenteral administration of loading dose of anticonvulsants 4. Blood Transfusion A. 1, 3 B. 3, 4 C. 1, 2 D. 2, 4 17. DOH, UNICEF and other organizations developed and reviewed Essential Newborn Care to handle newborn care in the critical immediate period. Among the time-bound interventions done to the newborn, what prevents the newborn from hypoglycemia and sepsis and it helps the body increase colonization with protective bacterial flora? 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 18. 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 19. 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 20. 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 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. 21. 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 22. 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 23. 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 24. 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 25. 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 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 26. 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. 27. 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. 28. 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

4 | Page 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 SCENARIO: Nurse Ruel is a newly-hired community health nurse in Barangay Mabuhay, the activity in the health center is vaccination. 46. 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” 47. 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. 48. 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 49. 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 50. 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 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. 51. Nurse Michelle goes to the room of Mrs. Richards who is lying in bed. After checking client’s identity, the nurse gives her the medications. Mrs. Richards tells the nurse that she “has a hard time swallowing tablets and is afraid she might choke”. Which nursing action is MOST APPROPRIATE? A. Ask the client to assume sitting position B. Put the tablet in banana for easy swallowing C. Pound the tablet and mix in client’s soup or juice D. Tell the client the pills are small and should be taken on time. 52. In the next room is Mrs. Richards, 56 years old, with an order for instillation of otic drops. Nurse Michelle checks client’s identity than asks Mrs. Richards to lie on her side, opposite the ear to be medicated. When administering the otic drops nurse Michelle straightens the ear canal by pulling the pinna in which CORRECT direction: A. Upward and forward B. Upward and backward C. Downward and backward D. From side to side 53. Mrs. Richards has to receive SUBCUTANEOUS of epinephrine. For thin client like Mrs. Richards, nurse Michelle should ensure that the medication is correctly administered. After checking client’s identity, she prepares the skin then lifts skin fold at the injection site and injects medication at which angle? A. 45 degrees B. 90 degrees C. 50 degrees D. 20 degrees 54. An iron preparation is to be injected intramuscularly to Mrs. Richards. Nurse Michelle safely administer the drug using the Z-track technique. The following statements about Z-track technique are true EXCEPT: A. The skin is pulled sideways is injected at a 45 degree angle B. The zigzag path seals the needle track trapping the medication in the muscle C. This method allows medication to be injected slowly to disperse evenly in muscle tissue D. This technique is best when medication is irritating to tissue 55. Nurse Michelle will do a skin test for Matti. She uses a tuberculin syringe with gauge 25 needle and performs the intradermal procedure CORRECTLY when she: A. Pinches and moves skin test for sideways and inject medication slowly B. Massages the injection site immediately after withdrawing the needle C. Aspirates after inserting needle to check for bleeding D. Holds skin taut insert needle bevel up at 10 to 15 degree angle Situation: The community health nurse is often faced with common decision-making situations such as these: 56. On the day Nicole was advised to bring Richard to the health center for IMMUNIZATION, Richard has fever at 38.5"C, watery nasal discharge, red and 2 bouts of loose watery stools within the 2 hour interval. Richard is drinking and is irritable. You will use IMCI (Integrated Management of Childhood illness) wherever/whenever applicable, so you would: A. Reduce the amount of vaccine B. Re-schedule the immunization C. continue immunization D. refer the patient 57. Upon reaching the age of nine (9) months, Richard will come back for measles vaccine. How is this administered? A. Subcutaneously B. Intradermally C. Intramuscularly D. Orally 58. Richard's mother says that her child has difficult breathing. You would recognize" chest in- drawing" on Richard if his lower chest wall goes: A. Out when Richard breaths out B. Out when Richard breaths in C. in when Richard breaths in D. in when Richard breaths out 59. Another child, Sam, eight (8) months old was brought to you. She weighs 6.5 kgs. Her temperature Is 38*5C, has