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RECALLS EXAMINATION 6 NURSING PRACTICE I COMMUNITY HEALTH NURSING NOVEMBER 2024 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 Situation: Nurse Rizza, a dedicated community nurse, plays a crucial role in implementing and advancing the Universal Health Care Act (RA 11223) in her community. This Act, enacted in 2019, aims to provide comprehensive, accessible, and affordable health care for all Filipinos by shifting from a focus on treating illness to promoting overall health and preventing disease. 1. Situation: Nurse Rizza is assisting a community member in enrolling in the National Health Insurance Program (NHIP). What is the primary purpose of the NHIP under the Universal Health Care Act? A. To provide free healthcare services to all citizens B. To ensure financial risk protection and access to essential health services C. To increase private sector investment in healthcare D. To eliminate all out-of-pocket expenses for healthcare 2. Nurse Rizza is helping a patient understand their coverage. The patient asks about the coverage for outpatient services. How does the Universal Health Care Act address this? A. Outpatient services are covered only for low-income individuals. B. All outpatient services are covered with no limitations. C. Outpatient services are covered under the NHIP but may have co-payments. D. Outpatient services are not covered by the NHIP. 3. Situation: Nurse Rizza is organizing a community health fair and wants to include health education about preventive services. Which section of the Universal Health Care Act mentioned “Every Filipino shall be granted immediate eligibility and access to preventive, promotive, curative, rehabilitative, and palliative care for medical, dental, mental and emergency health services, delivered as population-based or individual-based health services”? A. Section 1 B. Section 4 C. Section 6 D. Section 9 4. Nurse Rizza is discussing the cost-sharing aspect of the Universal Health Care Act with a patient. What is a key feature of cost-sharing in this context? A. It eliminates all forms of patient co-payments B. co-payment or co-insurance such as when additional services that are not included in the minimum standards of care C. It requires full payment from patients for all services D. It provides a fixed annual fee regardless of service usage 5. Situation: Nurse Rizza encounters a patient who is uncertain about their eligibility for the National Health Insurance Program. Which group is automatically covered by the NHIP according to the Universal Health Care Act? A. Only those with formal employment B. All citizens including informal sector workers C. Only individuals with pre-existing health conditions D. Only senior citizens Situation: Nurse Jaz is reviewing her knowledge regarding The Philippine Nursing Act of 2002. 6. Under Section 13 of Article IV, all of the following are needed in order to be qualified to take to the examination for nurses except: A. He/she is a citizen of the Philippines, or a citizen or subject of a country which permits Filipino nurses to practice within its territorial limits on the same basis as the subject or citizen of such country. B. He/she is of good moral character C. Have at least one (1) year of clinical practice in a field of specialization; D. He/she is a holder of a Bachelor's Degree in Nursing from a college or university that complies with the standards of nursing education duly recognized by the proper government agency. 7. She also reviewed that for the nurses who have not actively practiced the profession for five (5) consecutive years and would be returning to practice, are required to undergo: A. one (1) month of didactic training and four (4) months of practicum. B. one (1) month of didactic training and three (3) months of practicum. C. two (2) months of didactic training and three (3) months of practicum. D. four (4) months of didactic training and two (2) months of practicum. 8. How many years after the revocation of a certificate may the Board of Nursing issue another copy of the certificate of registration/professional license? A. Maximum of two (2) years B. Maximum of three (3) years C. Maximum of four (4) years D. Maximum of five (5) years 9. Nurse Jaz recalled that several qualifications are required to become a Nursing Service Administrator. Which of the following is NOT a qualification for this role according to the Philippine Nursing Act of 1991? A. Be a registered nurse in the Philippines B. Have at least five (5) years experience in general nursing service administration C. Possess a degree of Bachelors of Science in Nursing, with at least nine (9) units in management and administration courses at the graduate level D. Be a member of good standing of the accredited professional organization of nurses 10. According to Section 28 of the Philippine Nursing Act of 1991, all of the following are included in the scope of practice for nurses, EXCEPT: A. provide nursing care through the utilization of the nursing process. B. establish linkages with community resources and coordination with the health team C. Teach, guide and supervise students in nursing education programs including the administration of 1 | Page
nursing services in varied settings such as hospitals and clinics D. provide medical diagnosis to individuals, families and communities Situation: Nurse MJ is actively expanding his expertise on managing care for patients with communicable diseases that frequently emerge during the rainy season. 11. MJ is assessing a patient who recently returned from a tropical area. The patient presents with fever, chills, headache, and muscle aches. What should MJ suspect as a possible diagnosis? A. Dengue Fever B. Leptospirosis C. Malaria D. Typhoid Fever 12. When educating a community about leptospirosis, which of the following is a key preventive measure MJ should emphasize? A. Regular use of insect repellent B. Avoiding contact with rodent urine C. Receiving an annual influenza vaccine D. Consuming only bottled water 13. MJ is reviewing the treatment options for leptospirosis. Which of the following is typically prescribed for patients with mild to moderate leptospirosis? A. Intravenous antibiotics B. Over-the-counter pain relievers C. Oral antibiotics D. Antiviral medications 14. MJ is evaluating a patient who presents with symptoms consistent with leptospirosis and has a history of exposure to a flood-affected area. What diagnostic test should MJ recommend? A. Complete blood count (CBC) B. Serologic testing for leptospirosis C. Chest X-ray D. Urinalysis 15. Nurse MJ notices that a local outbreak of leptospirosis is occurring in a community with poor sanitation. What should be the primary focus of MJ’s public health intervention? A. Increasing the availability of vaccines B. Improving sanitation and hygiene practices C. Promoting the use of insect repellents D. Encouraging routine health check-ups 16. Question: MJ is assessing the risk factors for leptospirosis in a patient. Which of the following factors would be considered a significant risk for this disease? A. Working in an office environment B. Participation in outdoor sports in contaminated areas C. Living in a rural, non-flooded area D. Regular consumption of well-cooked meat 17. MJ is reviewed that the causative agent of Leptospirosis is a/an: A. Virus B. Fungi C. Bacteria D. Amoeba 18. MJ is counseling a patient who recently recovered from leptospirosis. What is an important aspect of follow-up care that MJ should include? A. Monitoring for recurring symptoms B. Continued use of antibiotics for an extended period C. Regular screening for mosquito-borne diseases D. Avoiding all physical activity 19. MJ is reviewing leptospirosis case management protocols. Which of the following is essential in managing patients with leptospirosis? A. Ensuring isolation to prevent spread B. Administering supportive care and monitoring for complications C. Avoiding all types of medication D. Prescribing a high-fat diet 20. MJ is assessing a local outbreak of leptospirosis in a community with poor sanitation. Which strategy should be prioritized to control the outbreak? A. Vaccination of all community members B. Enhancement of community sanitation and waste management C. Regular deworming of pets and livestock D. Implementing mosquito control programs Situation: Nurse Kian is reviewing his knowledge regarding the color coding for healthcare waste and waste management. The following questions apply. 21. Nurse Kian conducted health teaching regarding prohibited acts according to Solid Waste Management which includes: A. open burning of solid waste B. open dumping C. squatting in landfills D. all of the above 22. Nurse Kian knows that biomedical wastes are subdivided or categorized. What do you call the waste that refers to those suspected to contain bacterial, viral, parasitic or fungal pathogens in sufficient concentration so as to cause a disease in susceptible hosts. A. Infectious Wastes B. Pathological Wastes C. Radioactive Wastes D. Sharps 23. Nurse Kian will be disposing scalpel blades and needles. What subcategory of biomedical waste is this? A. Infectious Wastes B. Pathological Wastes C. Radioactive Wastes D. Sharps 24. Nurse Kian reviewed that ________ refers to tissues, organs, human body parts, human fetuses, animal carcasses, and blood and body fluids A. Infectious Wastes B. Pathological Wastes C. Radioactive Wastes D. Sharps 25. Nurse Kian knows that sealed radiation sources typically used in cancer treatment is categorized as: A. Infectious Wastes B. Pathological Wastes C. Radioactive Wastes D. Sharps 26. Nurse Kian reviewed his knowledge regarding the color coding for healthcare waste. He knows that all of these are included, except: A. Black B. Green C. Pink D. Orange 27. Nurse Kian knows that nonhazardous and non-biodegradable waste should be in: A. Black B. Green C. Pink D. Orange 28. Nurse Kian knows that GREEN bins are intended for: A. nonhazardous and non-biodegradable wastes B. hazardous non-biodegradable wastes C. nonhazardous biodegradable wastes D. hazardous biodegradable wastes 29. Yellow bins with biohazard symbol are intended for: A. nonhazardous and non-biodegradable wastes B. pathological/anatomical wastes C. nonhazardous biodegradable wastes D. radioactive wastes. 30. Orange with radioactive symbol is intended for what type of waste? A. nonhazardous and non-biodegradable wastes B. pathological/anatomical wastes C. nonhazardous biodegradable wastes D. radioactive wastes. Situation: Nurse Mae, as a community health nurse, plays a pivotal role in advocating for health promotion and disease prevention in her community. Her efforts are crucial in enhancing the overall health and well-being of the population she serves. Health promotion and disease prevention are fundamental aspects of community health nursing, aiming to improve health outcomes and reduce the incidence of diseases through education and proactive interventions. 2 | Page

A. Providing free asthma medications to all affected children B. Educating parents about home environmental modifications to reduce asthma triggers C. Distributing educational pamphlets about asthma management D. Conducting regular asthma screenings at local schools Situation: Nurse Alex is committed to improving her understanding of the United Nations' 17 Sustainable Development Goals (SDGs). These goals provide a comprehensive framework for addressing global challenges, including poverty, inequality, climate change, environmental degradation, peace, and justice. As a healthcare professional, Nurse Alex recognizes the importance of aligning her practice with these global objectives to contribute to a healthier and more sustainable world. 47. Nurse Alex is working on a project to improve access to clean water in a rural community. Which Sustainable Development Goal (SDG) is primarily addressed by this project? A. SDG 2 B. SDG 6 C. SDG 7 D. SDG 13 48. Nurse Alex is creating a public health campaign to address and prevent non-communicable diseases (NCDs). Which SDG aligns with this goal? A. SDG 1 B. SDG 3 C. SDG 5 D. SDG 14 49. Nurse Alex is involved in a project to enhance community resilience to natural disasters. Which SDG is most relevant to this project? A. SDG 1: No Poverty B. SDG 8: Decent Work and Economic Growth C. SDG 11: Sustainable Cities and Communities D. SDG 14: Life Below Water 50. Nurse Alex is launching an initiative to reduce child malnutrition in a developing region. Which SDG is directly addressed by this initiative? A. SDG 1 B. SDG 2 C. SDG 4 D. SDG 7 51. Nurse Alex is advocating for improved healthcare infrastructure in underserved areas. Which SDG does this advocacy align with? A. SDG 3: Good Health and Well-being B. SDG 6: Clean Water and Sanitation C. SDG 9: Industry, Innovation, and Infrastructure D. SDG 10: Reduced Inequalities 52. Nurse Alex is working on a campaign to reduce the use of single-use plastics. Which SDG is the campaign supporting? A. SDG 6: Clean Water and Sanitation B. SDG 12: Responsible Consumption and Production C. SDG 14: Life Below Water D. SDG 15: Life on Land 53. Nurse Alex is designing a community health program to address the impacts of poverty on health outcomes. Which SDG is this program primarily targeting? A. SDG 1 B. SDG 3 C. SDG 5 D. SDG 16 54. Nurse Alex is working to ensure that all children in a community have access to quality early childhood education. Which SDG is most relevant to this goal? A. SDG 2 B. SDG 4 C. SDG 8 D. SDG 11 55. Nurse Alex is developing a program to enhance maternal health and reduce maternal mortality rates. Which SDG aligns with this goal? A. SDG 3: Good Health and Well-being B. SDG 4: Quality Education C. SDG 5: Gender Equality D. SDG 8: Decent Work and Economic Growth Situation: Nurse Jai is dedicated to deepening her understanding of the three levels of prevention in healthcare: primary, secondary, and tertiary. These levels represent different strategies and interventions aimed at improving health outcomes, reducing disease burden, and enhancing overall well-being. By understanding and applying these concepts, Nurse Jai can more effectively contribute to patient care and community health. 56. Nurse Jai is organizing a health fair to promote healthy eating and exercise in the community. Which level of prevention is this activity? A. Primary Prevention B. Secondary Prevention C. Tertiary Prevention D. Quaternary Prevention 57. Nurse Jai is conducting a screening program for early detection of hypertension in a local clinic. Which level of prevention does this activity represent? A. Primary Prevention B. Secondary Prevention C. Tertiary Prevention D. Quaternary Prevention 58. Nurse Jai is working with patients who have recently been diagnosed with diabetes, providing them with education on managing their condition to prevent complications. What level of prevention is this? A. Primary Prevention B. Secondary Prevention C. Tertiary Prevention D. Quaternary Prevention 59. Nurse Jai is developing a program to vaccinate children against measles, mumps, and rubella. Which level of prevention does this program represent? A. Primary Prevention B. Secondary Prevention C. Tertiary Prevention D. Quaternary Prevention 60. Nurse Jai is implementing a follow-up program for patients who have had a stroke, including rehabilitation services to help them regain function. What level of prevention is this? A. Primary Prevention B. Secondary Prevention C. Tertiary Prevention D. Quaternary Prevention 61. Nurse Jai is providing educational workshops on stress management to reduce the risk of developing heart disease. Which level of prevention does this intervention fall under? A. Primary Prevention B. Secondary Prevention C. Tertiary Prevention D. Quaternary Prevention 62. Nurse Jai is conducting blood pressure screenings at a community health fair to identify individuals with hypertension early. What level of prevention is this? A. Primary Prevention B. Secondary Prevention C. Tertiary Prevention D. Quaternary Prevention 63. Nurse Jai is setting up a program to educate patients on proper nutrition and exercise to prevent obesity. Which level of prevention is this initiative? A. Primary Prevention B. Secondary Prevention C. Tertiary Prevention D. Quaternary Prevention 64. Nurse Jai is providing support groups and therapy for individuals who have survived cancer to help them cope with the ongoing effects of their treatment. Which level of prevention is this? A. Primary Prevention B. Secondary Prevention C. Tertiary Prevention D. Quaternary Prevention 65. Nurse Jai is involved in a project to develop policies and environments that support healthy lifestyles, such as creating more parks and promoting active transportation. What level of prevention is this? 4 | Page

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