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1 | Page RECALLS 4 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 Kim, a community health nurse, initiates a health education session focusing on safe sex practices targeting adolescents and young adults in the community. 1. After a sex education class, the school nurse overhears an adolescent woman discussing safe sex practices. Which of the following comments by the young woman indicates that teaching about infection control was effective? A. “I don’t have to worry about getting infected if I have oral sex.” B. Teen women are most high risk for sexually transmitted infections (STI).” C. “The best thing to do if I have sex a lot is to use spermicide each and every time.” D. “Boys get human immunodeficiency virus (HIV) easier than girls do.” 2. The nurse Kim is teaching an uncircumcised male to use a condom. Which of the following information should be included in the teaching plan? A. Apply mineral oil to the shaft of the penis after applying the condom. B. Pull back the foreskin before applying the condom. C. Create a reservoir at the tip of the condom after putting it on. D. Wait five minutes after ejaculating before removing the condom. 3. She is teaching young women how to use the female condom. Which of the following should be included in the teaching plan? A. Reuse female condoms no more than five times. B. Refrain from using lubricant because the condom may slip out of the vagina. C. Wear both female and male condoms together to maximize effectiveness. D. Remove the condom by twisting the outer ring and pulling gently 4. An adolescent woman confides to the school nurse that she is sexually active. The young woman asks the nurse to recommend a “very reliable” birth control method, but she refuses to be seen by a gynecologist. Which of the following methods would be best for the nurse to recommend? A. Contraceptive patch. B. Withdrawal method. C. Female condom. D. Contraceptive sponge 5. Nurse Kim also advocates for family planning fit according to the lifestyle and preference of the clients. She advocates the following barrier family planning methods, except: A. Condom B. Intrauterine device C. Cervical cap D. Diaphragms Situation: Nurse Ella, a public health nurse, emphasizes the importance of environmental safety and infection control. The following questions apply. 6. Which of the following is the most effective practice by healthcare workers and family members when caring for a patient with low resistance to infection due to cancer? A. Wear mask in the patient’s room at all times B. Wash hands frequently C. Allow 2 visitors only at a time D. Meticulous housekeeping of the patient’s room 7. Nurse She works in the Medical Unit. The nurse should implement droplet precautions for which of the following diseases. 1. Shigellosis 2. Cellulitis 3. Pertussis 4. Multi-drug Resistance Infection 5. Pneumonia A. 1,3,5 B. 2,4,5 C. 2, 3 D. 3, 5 8. Which of the following infections is not a droplet precaution? A. Shingles B. Scarlet fever C. Pertussis D. Fifth disease 9. Several clients are admitted to an adult medical unit. The nurse would ensure airborne precautions for a client with which of the following medical conditions? A. A diagnosis of AIDS and cytomegalovirus B. A positive PPD with an abnormal chest x-ray C. A tentative diagnosis of viral pneumonia D. Mycoplasma pneumonia 10. Which medical asepsis actions should the nurse implement to reduce and prevent the spread of microorganisms? 1. Practicing hand hygiene 2. Reapplying a sterile dressing 3. Sterilizing contaminated items 4. Routinely cleaning the hospital environment 5. Wearing clean gloves to prevent direct contact with blood A. 1, 4, 5 B. 1, 2, 3 C. 1, 3, 5 D. 3, 4, 5 Situation: Community Health Nurse Kate is providing health teaching to Brgy. Mapayapa regarding the classification of infectious disease. The following questions are discussed. 11. Which of the following best differentiates infectious diseases from contagious diseases? A. Infectious diseases are always deadly, contagious diseases are not B. Contagious diseases are transmitted through blood only C. All infectious diseases are contagious D. Not all infectious diseases are contagious * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *


4 | Page A. Black B. Green C. Pink D. Orange 54. A student nurse asks what types of waste go in the orange container. The best response is: A. "Used PPE from isolation rooms." B. "Needles and sharps waste." C. "Radioactive materials from nuclear procedures." D. "Contaminated cotton balls and gauze." 55. Nurse Shukla is teaching student nurses about hospital waste segregation. Which item belongs to the green bin? A. Half-eaten sandwich B. Face mask C. Blood-stained gauze D. Contaminated PPE Situation: Nurse Batumbs is assigned to different patients in the medical ward. 56. A newly admitted female client was diagnosed with agranulocytosis. The nurse formulates which priority nursing diagnosis? A. Constipation B. Diarrhea C. Risk for infection D. Deficient knowledge 57. A female client was recently admitted. She has fever, weight loss, and watery diarrhea is being admitted to the facility. While assessing the client, Nurse Batumbs inspects the client’s abdomen and notice that it is slightly concave. Additional assessment should proceed in which order: A. Palpation, auscultation, and percussion. B. Percussion, palpation, and auscultation. C. Palpation, percussion, and auscultation. D. Auscultation, percussion, and palpation 58. Nurse Betty is assessing tactile fremitus in a client with pneumonia. For this examination, nurse Betty should use the: A. Fingertips B. Finger pads C. Dorsal surface of the hand D. Ulnar surface of the hand 59. Nurse Linda prepares to perform an otoscopic examination on a female client. For proper visualization, the nurse should position the client's ear by: A. Pulling the lobule down and back B. Pulling the helix up and forward C. Pulling the helix up and back D. Pulling the lobule down and forward Situation: Accurate documentation is the hallmark nursing responsibility and accountability of a nurse. 60. Nurse Amy has documented an entry regarding client care in the client’s medical record. When checking the entry, the nurse realizes that incorrect information was documented. How does the nurse correct this error? A. Erases the error and writes in the correct information. B. Uses correction fluid to cover up the incorrect information and writes in the correct information. C. Draws one line to cross out the incorrect information and then initials the change. D. Covers up the incorrect information completely using a black pen and writes in the correct information 61. Dr. Garcia writes the following order for the client who has been recently admitted “Digoxin .125 mg P.O. once daily.” To prevent a dosage error, how should the nurse document this order onto the medication administration record? A. “Digoxin .1250 mg P.O. once daily” B. “Digoxin 0.1250 mg P.O. once daily” C. “Digoxin 0.125 mg P.O. once daily” D. “Digoxin .125 mg P.O. once daily” 62. The nurse observes that Mr. Adams begins to have increased difficulty breathing. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. The nurse documents this breathing as: A. Tachypnea B. Eupnea C. Orthopnea D. Hyperventilation 63. After making a documentation error, which action should the nurse take? A. Use correcting liquid to cover the mistake and make a new entry. B. Draw a line through it and write error above the entry. C. Draw a line through it and write mistaken entry above it. D. Draw a line through the mistake and write mistaken entry with initials above it. 64. Which charting entry would be the most defensible in court? A. Client fell out of bed B. Client drunk on admission C. Large bruise on left thigh D. Notified Dr. Jones of BP of 90/40 65. You are assigned to Mrs. Amado, age 49, who was admitted for possible surgey. She complained of recurrent pain at the right upper quadrant of the abdomen 1-2 hours after ingestion of fatty food. She also had frequent bouts of dizziness, blood pressure of 170/100, hot flashes. Which of the above symptoms would be an objective cue? A. Blood pressure measurement of 170/100 B. Complaint of hot flashes C. Report of pain after ingestion of fatty food D. Complaint of frequent bouts of dizziness Situation: Malnutrition continues to be the public health concerns in the country. Nurse Chares is assigned to a rural barangay, conducting a nutrition education session for mothers of under-five children to promote proper nutrition practices. 66. Food fortification is mandated by specific Republic Act. Which Republic Act establishes the Food Fortification Program in the Philippines? A. RA 9173 B. RA 11223 C. RA 8172 D. RA 8976 67. Philippine Food Fortification Act of 2000 mandates which of the following staple foods to be fortified? A. Refined sugar, salt, cooking oil, and wheat flour B. Rice, sugar, salt, cooking oil C. Meat, eggs, and vegetables D. Refined sugar, cooking oil, rice, wheat flour 68. Nurse Chares explains that several staple foods are fortified. Which of the following food products is fortified with vitamin A? A. Cooking Oil B. Soy C. Rice D. Vinegar 69. Aling Nene asks, “My family consumes a lot of rice. Is there any fortification done with rice?” Nurse Chares confirms that rice is indeed fortified. Which micronutritient is primarily added to rice? A. Iron B. Iodine C. Vitamin D D. Zinc 70. Nurse Chares mentions that wheat flour is also fortified. Which nutrients are mandated to be added to wheat flour? A. Iron and Iodine B. Vitamin A and Iron C. Vitamin C and Iron D. Vitamin D and Iron Situation: Kent, a 4th-year BSN student, is currently reviewing the Sustainable Developmental Goals in preparation for the PNLE. 71. Which SDG is health centered that aims to ensure healthy lives and promote well-being for all at all ages? A. SDG 5 B. SDG 4 C. SDG 3 D. SDG 2

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