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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 *
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-