Tiêu đề RECALLS 6 - NP1 - SC ✅

A. Immediate Prevention B. Primary Prevention C. Secondary Prevention D. Tertiary Prevention 12. Considering the cramped and poorly ventilated living conditions, Nurse Stella suspected the possibility of tuberculosis (TB) exposure. She then performed a symptom checklist and referred the children to the Rural Health Unit for a chest X-ray and sputum test. What level of prevention is Nurse Stella implementing? A. Immediate Prevention B. Primary Prevention C. Secondary Prevention D. Tertiary Prevention 13. Upon interview about their immunization history, the family shared that they have not consulted the Rural Health Unit (RHU) for DPT (Diphtheria, Pertussis, Tetanus) vaccination for their younger children. Nurse Stella then reviewed the children's immunization records, identified missed doses, and referred them for catch-up immunization. What level of prevention is demonstrated in this situation? A. Immediate Prevention B. Primary Prevention C. Secondary Prevention D. Tertiary Prevention 14. During a follow-up visit, Nurse Stella checks on Mang Isko, the Cananas family's grandfather, who was recently diagnosed with hypertension and has suffered a mild stroke. The family shares that Mang Isko now has difficulty with walking and speech. Nurse Stella provides health teaching on home-based rehabilitation exercises, proper diet for hypertensive patients, and ensures that Mang Isko takes his maintenance medications regularly. She also refers the family to a community-based rehab center for continued support. What level of prevention is demonstrated in this situation? A. Immediate Prevention B. Primary Prevention C. Secondary Prevention D. Tertiary Prevention 15. Nurse Stella observed that the Cananas family obtains their daily water supply from a communal deep well shared by several other households. The source is about 200 meters from their home, and the family manually collects and stores the water in containers. There is no piped distribution system or household tap available. Which type of water facility is the family using? A. Level I (Point Source) B. Level II (Communal Faucet System) C. Level III (Waterworks/Household Tap) D. Level IV (Private Well System) Situation: Mr. Santos plans to open a small eatery in Barangay San Lorenzo where he will serve rice meals and grilled dishes. As part of the barangay's public health efforts, Community Health Nurse Liza conducts health education sessions for small business owners planning to operate food establishments. During her visit, she reminded Mr. Santos about essential health and sanitation practices that reduce the risk of food- and water-borne diseases. She also emphasized the importance of complying with public health policies before starting operations. 16. What is the most important step Mr. Santos must complete before legally opening his food business, in line with Nurse Liza’s public health reminders? A. Attend a culinary skills seminar organized by the barangay B. Submit a weekly cleaning schedule for review by the RHU C. Secure a sanitary permit and ensure all food handlers have valid health certificates D. Provide his employees with new uniforms and hairnets 17. Which of the following practices best illustrates adherence to the Four Rights of Food Safety? A. Ordering bottled water and frozen goods in bulk from an unfamiliar supplier recommended by a neighboring vendor B. Washing utensils only at the end of the day to conserve water and cleaning materials C. Storing cooked rice in open containers at room temperature overnight D. Ensuring that meat is thoroughly cooked and served immediately after preparation 18. To promote retention and standardization in her health teaching, what strategy should Nurse Liza apply when educating food handlers like Mr. Santos? A. Use printed materials written in English to maintain consistency and reinforce the key messages B. Allow Mr. Santos to determine the lesson content and flow based on his personal experiences C. Focus more on verbal teaching rather than printed materials, regardless of client preference D. Avoid using written materials to ensure information is passed down through demonstration only 19. Which of the following should Nurse Liza emphasize as the most effective way to prevent the spread of infection in a food establishment? A. Washing hands properly before and after food preparation B. Wearing gloves at all times when handling food C. Using antibacterial sprays to clean kitchen counters D. Avoiding direct contact with customers during food service 20. During her visit, Nurse Liza explained that carbohydrates, proteins, and fats are macronutrients. Why is it important for Mr. Santos to include these in his meals? A. They are the main sources of energy and are needed in large amounts to maintain body functions B. They help prevent micronutrient deficiencies like anemia and goiter C. They are only important for children, pregnant women, and older adults D. They are primarily used by the body for immune system function and hormone regulation Situation: In Barangay Maginhawa, the Rural Health Unit (RHU) promotes the use of approved herbal medicines as part of the Department of Health's Traditional and Alternative Medicine Program (TAMA). Nurse Jordan is conducting a community seminar to educate residents on the safe use of herbal remedies for common illnesses. While encouraging the community to recognize the benefits of local medicinal plants, he also emphasizes the importance of proper identification, preparation, and consultation with health professionals before using herbal medicine. 21. A resident asks Nurse Jordan if they can use any herbal plant they find in the backyard for treating common illnesses. What is the most appropriate response of the nurse? A. “Yes, as long as it is a plant your grandparents used traditionally.” B. “No need to ask a health worker as herbal medicines are natural and safe.” C. “You may refer to the list of scientifically validated herbal medicines approved by the Department of Health.” D. “You can experiment with any local plant as long as it looks healthy and green.” 22. During the seminar, Nurse Jordan reminded participants that improper preparation of herbal medicines may cause harm. Which of the following is the safest practice when using herbal remedies at home? A. Boil the plant leaves for any length of time until it smells strong enough. B. Dry herbal leaves under direct sunlight for faster processing. C. Use only the recommended plant part and follow proper preparation techniques as prescribed by DOH. D. Mix different plant parts to make the medicine more effective. 23. A mother approaches Nurse Jordan and asks if she can give Niyug-Niyogan seeds to her 1-year-old son who has not had deworming recently. What is the nurse’s most appropriate response? A. “Only one seed should be given to minimize any risk of side effects.” 2 | Page
B. “No, this remedy is not recommended for children below four years old.” C. “Yes, as long as the seeds are from dried and newly opened fruits.” D. “Yes, but crush the seeds and mix them with milk for easier intake.” 24. Nurse Jordan is teaching a group of mothers how to properly prepare and administer Lagundi decoction for their children’s cough. Which of the following statements requires further teaching? A. “I’ll boil the Lagundi leaves in two glasses of water until only one glass remains.” B. B. “I will strain the decoction before giving it to my child.” C. “I will collect the Lagundi leaves while the plant is in bloom to get the best potency.” D. “I will give the same dose of Lagundi decoction to my 3-year-old and my 10-year-old child.” 25. The Department of Health (DOH) in the Philippines has endorsed certain medicinal plants proven to be safe and effective for common illnesses. Which of the following are among the ten (10) herbal medicines approved by the DOH? 1. Niyug-Niyogan (Quisqualis indica) 2. Sambong (Blumea balsamifera) 3. Aloe Vera (Aloe barbadensis) 4. Lagundi (Vitex negundo) 5. Tsaang Gubat (Carmona retusa) 6. Ginger (Zingiber officinale) A. 1, 2, 4, and 5 B. 1, 3, 4, and 6 C. 2, 3, 5, and 6 D. 1, 2, 3, and 6 Situation: Nurse Carlo has recently been promoted to a supervising nurse position in a district hospital. As part of his new role, he is expected to demonstrate leadership, ensure continuous staff development, and support the delivery of safe, quality nursing care through evidence-based practices. 26. Which of the following actions best reflects Nurse Carlo’s compliance with RA 9173’s mandate for nurses to engage in lifelong learning and continuing professional development? A. Completing only the required CPD units for license renewal and skipping additional training B. Waiting for hospital management to enroll him in development programs before taking any initiative C. Participating in a local seminar on advanced nursing practices and organizing a learning session to share knowledge with staff D. Delegating all training and education matters to the nursing education office while focusing only on operations 27. Which of the following actions by a registered nurse is most aligned with the responsibilities outlined in Section 28 of RA 9173? A. Delegating health teaching responsibilities to midwives to focus on administrative tasks B. Organizing a community outreach program that includes health education, preventive care, and referral coordination C. Administering intravenous chemotherapy drugs under the guidance of a senior physician, without additional specialized training D. Requiring student nurses to perform procedures independently to help them build confidence early in their training 28. Which of the following best describes a practicing professional nurse according to Section 3 of the IRR of RA 9173? A. A nurse engaged in any activity—regularly or occasionally—that requires nursing knowledge and skills, even if employed in a non-hospital setting B. A nurse who works only in hospitals or community clinics and holds an active PRC ID C. A nurse whose main duty is academic instruction and is not included in the definition of nursing practice D. A person employed under the Department of Health but does not engage in direct patient care, and thus not considered a nursing practitioner 29. Nurse Carlo, after years of professional experience and service as a nurse leader, is now being considered for appointment as a member of the Professional Regulatory Board of Nursing. Which of the following qualifications would most likely justify Nurse Carlo’s eligibility for the appointment, in accordance with RA No. 9173? A. Must have completed at least a doctoral degree in nursing B. Must have worked as a nurse abroad for at least five (5) years C. Must be endorsed by the Department of Health or PRC D. Must have at least 10 years of continuous practice, the last 5 of which must be in the Philippines 30. Which of the following duties best illustrates the regulatory function of the Board of Nursing as outlined in RA No. 9173? A. Issuing memoranda and circulars for all private hospitals nationwide B. Granting funding for new nursing education facilities across regions C. Accrediting continuing professional development providers for nurses D. Conducting hearings and investigations on complaints against nurses for unethical conduct Situation: Nurse Gia has been assigned to a rural health unit (RHU) as part of the public health nursing team. In the course of her community work, she encounters multiple cases of malnutrition among preschool-aged children. As a frontline health worker, she is responsible for assessing nutritional status, implementing intervention programs, educating parents, and referring cases as necessary. She collaborates with barangay nutrition scholars, midwives, and other stakeholders to address protein-energy malnutrition and other community health concerns. 31. During a community nutrition survey, Nurse Gia assesses a 3-year-old child who presents with pitting edema, moon face, flag-sign, and skin changes. Which condition should the nurse most likely suspect? A. Marasmus B. Kwashiorkor C. Iron-deficiency anemia D. Vitamin A deficiency 32. A 2-year-old child diagnosed with severe acute malnutrition (SAM) without complications is being managed at the community level. Based on national guidelines, which of the following interventions is MOST appropriate in this case? A. Initiate intravenous fluids to correct dehydration and provide immediate antibiotics. B. Refer the child to the nearest tertiary hospital for admission and continuous monitoring. C. Enroll the child in a community-based therapeutic care program using Ready-to-Use Therapeutic Food (RUTF). D. Begin a high-protein household diet and advise regular weight monitoring at home. 33. During an outpatient consultation, a nurse evaluates a child diagnosed with severe acute malnutrition (SAM) who has been receiving ready-to-use therapeutic food (RUTF) for a week. On follow-up, the child is noted to have developed bilateral pedal edema and refuses to eat. What is the most appropriate next step in management? A. Refer the child to Inpatient Therapeutic Care (ITC) for further assessment and management. B. Continue weekly RUTF provision and monitor again in the next follow-up. C. Advise the caregiver to increase the frequency of feeding at home. D. Replace RUTF with high-protein homemade meals to stimulate appetite. 34. Upon admission to Inpatient Therapeutic Care (ITC) for severe acute malnutrition (SAM), which of the following assessments should be prioritized first in a child presenting with bilateral pitting edema and poor appetite? A. Check for hypoglycemia, hypothermia, and signs of shock B. Perform anthropometric measurements to assess malnutrition severity 3 | Page
C. Provide caregiver orientation and explain the treatment protocol D. Begin the feeding with ready-to-use therapeutic food (RUTF) 35. During nutritional screening at a barangay health station, Nurse Gia measures the mid-upper arm circumference (MUAC) of a 2-year-old child and obtains a reading of 11.3 cm. Based on the Department of Health CMAM guidelines, how should this child’s nutritional status be classified? A. Mild undernutrition B. At risk for growth faltering C. Moderate Acute Malnutrition (MAM) D. Severe Acute Malnutrition (SAM) Situation: Nurse Erika is a newly assigned rural health nurse in Barangay Magsikap, a geographically isolated and disadvantaged area (GIDA). The barangay has limited access to potable water, poor road connectivity, and limited health literacy among residents. As part of her role, she is expected to provide comprehensive community-based services, promote health education, and work closely with local officials and health volunteers to improve health outcomes. 36. In line with the Primary Health Care (PHC) approach, which strategy is best demonstrated when Nurse Erika partners with barangay officials to train local health volunteers on basic hygiene and disease prevention? A. Equitable distribution of health resources B. Intersectoral collaboration C. Use of appropriate technology D. Community participation 37. Nurse Erika observes a spike in diarrhea cases and suspects contamination in the community’s water source. What should be her initial action? A. Send water samples for laboratory analysis B. Refer the cases to the nearest hospital C. Conduct home visits and health teaching on water boiling D. Distribute anti-diarrheal medications 38. To assess and confirm the presence of an outbreak, Nurse Erika should first: A. Implement community-wide disinfection efforts B. Compare current disease data with the usual number of cases (baseline) C. Immediately conduct stool sampling and send for lab analysis D. Wait for DOH central office confirmation before acting 39. In responding to a waterborne outbreak, which sector should Nurse Erika coordinate with to ensure restoration of potable water? A. Department of Social Welfare and Development (DSWD) B. Department of Labor and Employment (DOLE) C. Department of Education (DepEd) D. Local Water Utilities Administration (LWUA) 40. Which of the following best demonstrates Nurse Erika’s role in primary prevention? A. “Operation Timbang” for early malnutrition detection. B. Administering antibiotics to diagnosed cholera patients C. Conducting epidemiological investigation of waterborne cases D. Promoting hand washing and safe water practices in schools Situation: Nurse Khai is conducting a micronutrient screening and education session at the Rural Health Unit, part of the Barangay Nutrition Program. She assesses dietary intake, identifies deficiency risks, and teaches families about key vitamins and minerals essential for growth and health. 41. Which of the following vitamins is classified as water-soluble and must be supplied daily in the diet? A. Vitamin A B. Vitamin C C. Vitamin D D. Vitamin E 42. Deficiency of which vitamin most commonly leads to rickets in children? A. Vitamin C B. Vitamin B3 (Niacin) C. Vitamin B1 (Thiamin) D. Vitamin D 43. Which vitamin’s primary role is to facilitate blood coagulation by aiding synthesis of clotting factors? A. Vitamin K B. Vitamin C C. Vitamin A D. Vitamin E 44. A child presents with pale conjunctiva and fatigue. Lab shows microcytic, hypochromic red blood cells. Which mineral deficiency is most likely? A. Calcium B. Zinc C. Iron D. Iodine 45. A goiter (thyroid enlargement) in school-aged children in an inland province is most often caused by deficiency of which mineral? A. Iodine B. Magnesium C. Phosphorus D. Fluoride Situation: Nurse Lana has been tasked to lead a Community Organizing and Participatory Action Research (COPAR) project in Barangay Luntian. She will engage residents in identifying local health problems, planning interventions, implementing activities, and evaluating outcomes together with community stakeholders. 46. Which of the following best describes the primary goal of COPAR in community health nursing? A. To implement top-down health programs designed by experts B. To train community volunteers in clinical procedures C. To generate academic publications on community health D. To empower communities to identify and solve their own health issues 47. In a COPAR cycle, what comes immediately after the community has identified and prioritized its health concerns? A. Evaluation of implemented actions B. Planning of joint interventions C. Data dissemination through academic forums D. Securing external funding only 48. Which data-collection tool is most appropriate for the initial community assessment phase of COPAR? A. Focus Group Discussions with key informants B. Randomized controlled trials C. Laboratory diagnostic tests D. Standardized patient simulations 49. During the action phase of COPAR, Nurse Lana notices low turnout at community clean-up events. Which strategy best reflects the participatory spirit of COPAR to address this? A. Mandate attendance through barangay ordinance B. Offer financial incentives to participants C. Hold a community meeting to explore barriers and co-create solutions D. Replace clean-ups with expert-led spraying teams 50. Which of the following indicators would best demonstrate sustainable community ownership at the end of a COPAR project? A. Number of research papers published B. Continued community-led health committees without external funding C. Volume of external grants secured D. Frequency of nurse-led workshops Situation: Nurse Ivan is conducting a post-flood home-visit program in Barangay Maligaya. As part of the initiative, he screens infants and young children for fever and dehydration, administers antipyretics, educates caregivers, and monitors fluid intake—all following the steps of the nursing process in a community setting. 4 | Page