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PRE- INTENSIVE EXAMINATION 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 – Charity, the PHN in the Municipality of Tubog, learned from the residents that children and some elderly had been suffering from respiratory and skin ailments allegedly due to the bad smell curly dark smoke emitting from the factory nearby. She was invited to the community assembly that was initiated by the barangay council. 1. The barangay captain asked, “What can you do to help solve the problem of Nurse Charity?” What would be the right response of Nurse Charity? A. “Well, your problem is easy to solve. I have here some cough syrup, ointments for the skin and some antibiotics. I will distribute this after the meeting.” B. “Who among you here have children who are suffering from respiratory and skin diseases? How about the adults who are here? Are you also having the same problems?” C. “I suppose you gave a lot of thought about the problem and its possible solution. However, treating your children and the elderly is not the first solution. We have to go to the root cause of the problem.” D. “May I ask you what solution have you identified for the community problem?” Situation – Municipality “A” made it to a local newspaper headline because of the occurrence of some unusual events in just 10 days: 2 pregnant woman died giving birth at home; 2 children died of dehydration and 2 elderly died of pneumonia. The mayor of the town called for a meeting of the municipal health office personnel. Public Health Nurse Corazon was assigned to make the action plan to prevent another similar event to happen. 2. Which of the following could have been the TOP contributors to the situation? Select all that apply. 1. Postponement of people in seeking medical care 2. Adherence to cultural practices and beliefs 3. Lack of ambulance and drivers 4. Delay in receiving appropriate and adequate care A. 2 and 3 B. 1 and 2 C. 1 and 4 D. 1 and 3 3. Nurse Corazon and her group prepared objectives for plan of action. The following are the characteristics of a good objective. Choose the BEST answer. A. Futuristic, change-oriented, dynamic and systematic B. Time-bound, accurate, realistic, measurable and specific C. Flexible, accurate, top priority and feasible D. Time-bound, measurable, change-oriented and continuous process 4. Nurse Corazon presented the plan in a community assembly for acceptance and approval. Which of the following is the MOST important criterion for the plan’s acceptance and approval manifested by the people. A. Tasking the community people B. Volunteerism and willingness of the community people C. Presence of the municipal health officer in the assembly D. Huge attendance in the community assembly 5. To combat the delays in attending to childhood illnesses, Nurse Corazon adopts the Integrated Management of Childhood Illness in the municipality. This program aims to __________. A. Improve and ensure the accessibility and availability of basic and essential health care in both public and private facilities and services B. Ensure the quality and affordability of health goods and services C. Develop, implement, monitor and evaluate maternal and newborn care services, ensuring access D. Huge attendance in the community assembly 6. In Municipality A, like any other municipalities, one MAJOR problem that makes any health service program inaccessible is ___________. A. Lack of community awareness B. Limited number of health-oriented programs C. Reliance of government financial support D. Lack of ambulance Situation – Nurse Binwag, a newly promoted senior nurse in Obstetrics ward (OB) is attending a seminar on management and leadership in preparation for her work. 7. Nurse Binwag learns the five principles of goal setting in which the senior nurse must provide enough time for OB nurse to improve performance. This is called__________ A. Challenge B. Commitment C. feedback D. task complexity 8. The nurse also learns that continuous training is a personal as well as an organizational goal. Choose the statements that are true regarding continuous training 1. Training employees is an excellent investment and a cost to an institution 2. Continuous training is more of a personal responsibility than institutional 3. Cross training and job rotation provide on-going part-time learning experience 4. Select the best people when hiring employees and invest their retention through continuous training A. 3 and 4 B. 1 and 2 C. 1 and 4 D. 2 and 3 9. Noting the importance of Nurse-Patient-Relationship, Nurse Binwag reviewed Hildegard Peplau’s Theory which identified three phases, the FIRST of which is when the pregnant woman is________. 1 | Page
A. Feels the need to seek professional assistance B. Demonstrates self-reliance in caring for herself C. Understands the communication of Nurse Lovely regarding the services offered D. Begins to have feeling belonging 10. Nurse Binwag took note that evaluating the OB staff is an on-going function of management. Some of the reasons for conducting evaluation include, EXCEPT to _____________. A. Provide an indication of the costs of poor quality services B. Justify the use of resources C. Dissuade self-evaluation of OB staff D. Ensure that quality of care is provided by the OB staff Situation - You are an OB nurse in an out-patient department of a hospital. You encounter pregnant women with complication 11. A 35-year old woman, on her 2 nd trimester of pregnancy with insulin-dependent diabetes mellitus, comes to you for some advice. What is the PRIORITY message for her at this time? A. Infants of diabetic mothers are big which can result in more difficult delivery B. Breastfeeding is highly recommended and insulin use is not contraindicated C. Achievement of optimal glycemic control is of utmost importance in preventing congenital anomalies D. Her insulin requirements will likely increase beginning 3 rd trimester of pregnancy 12. A 30-year old G6P5 woman at 12 weeks has just begun prenatal care. Her initial laboratory reveals that she has human immunodeficiency virus (HIV) infection. What would be a priority evidence-based nurse information for this patient? A. Breastfeeding is still recommended due to the great benefits to the infant B. Pregnancy is known to accelerate the course of HIV disease in the mother C. Medication for HIV infection is safe and can greatly reduce transmission of HIV to the infant D. Breastfeeding will potentiate the transmission of HIV from the mother to the child Situation – The family is the unit of service in Community Health Nursing (CHN). Public Health Nurse Olive takes care of the Puson family. Emanuel works as janitor in the municipal hall. His wife Lyn tends a small variety store in front of their house. Their children are Lynnel (6 yrs. old), Emalyn (5 yrs. old), Lynette (4 years old) and Manilyn (3 yrs. old). 13. Based on the characteristics of the Puson family, Nurse Olive can easily categorize which of the family’s developmental stage? A. Families with pre-school children B. Family with school age children C. Beginning family D. Early child-bearing 14. In this particular stage, which of the following is a most basic concern? A. Emergence of harmony in marital and in-law relations. B. Child rearing C. The couple shifts to adult social interests. D. Balancing time and energy to meet the demands of work and family. 15. As a young manager, Freda knows that conflict occurs in any organization. Which of the following statements regarding conflict is NOT true? A. It may result to poor performance of the staff. B. It can be destructive, hence, it should not reach the highest level. C. It is not beneficial, hence, it should be prevented at all times. D. It may create a new leader from among the staff. 16. Freda tells one of the staff: “I don’t have time to discuss the matter with you now”, when the latter asks if they can talk about an issue. Which of the conflict resolution strategies did she use? A. Avoidance. B. Smoothing. C. Compromise. D. Restriction. 17. Which of the following is the BEST action that she must take? A. Quit her job and look for another employment. B. Disregard what she feels and continue to work independently. C. Identify the source of conflict and understand the source of friction. D. Seek help from the Director of Nursing. 18. Freda knows that one of her staff is experiencing burnout. Which of the following is the BEST thing for to do? A. Remind her to show loyalty to the institutions. B. Ignore her observations; it will be resolved even without intervention. C. Let her staff ventilate her feelings and ask how she can be of help. D. Advise her staff to go on vacation. 19. She knows that the performance appraisal consists of the following activities, EXCEPT ___________. A. Setting specific standards and activities for individual performance. B. Using agency standards as a guide C. Focusing activity on the correction of identified behavior D. Determine areas of strengths and weaknesses Situation – Nurse Dora, a nursing staff applicant, passed both written and oral examinations. Because she knows the head of office, she promised to submit all her credentials after she has “fix things up.” She was appointed as Nurse I with a temporary status until she submits all her credentials, including her PRC license. Her evaluation performance was satisfactory. After a year though, she had to renew her PRC registration and identification (ID) card. 20. What action must the nursing administration do FIRST? A. Report the matter to the head of office who had the discretion to appoint the nurse B. Verify with the Professional Regulation Commission regarding the status of Nurse Dora C. Confront Nurse Dora and terminate her D. Write a letter to the Civil Service Commission for proper action to Nurse Dora 21. It was found out that Nurse Dora did not pass the Nurse Licensure Examinations (NLE). What legal action should be filled against her? A. Dishonesty B. Conduct unbecoming of professional C. Malpractice D. Misrepresentation 22. In case Dora have medication error during her tour of duty, the head of office can be liable because of the law called ____________. A. Unethical conduct B. Respondeat superior C. Politicking D. Res Ipsa Loquitur 23. All Nurses must understand that after graduation they should pass the NLE. To be registered in the roster, they should take the Professional Oath with a ________, EXCEPT. A. Member of Sangguniang Panlalawigan B. Governor of Philippine Nurse Association C. Member of the Professional Regulatory Board of Nursing D. Provincial Governor 24. A nurse is leading a community meeting at the partial-hospitalization program. One group member talks constantly and interrupts the other patients. The most appropriate action for the nurse to take is to A. Explain to the member, after the meeting, that the group time should be shared. B. Thank the group member for his contribution and ask the other members for their ideas C. Ask the group members if they are satisfied with the way the group is working D. Remain silent and wait for another group member to speak up. 2 | Page
Situation – Arlene, 21 years old, is a law graduate. She wants to review for the Bar but thinks she is pregnant. She said she has regular menses but does not know when ovulation usually occurs. This have something to do her fertility period during her last sexual intercourse with her husband. 25. As a nurse, what would you tell Arlen regarding ovulation? The ovulation usually corresponds to the life of the corpus luteum which occurs approximately _______________. A. 14 days after the first day of the succeeding menstrual B. 7 days after the first day of the succeeding menstrual C. 7 days before the first day of the succeeding menstrual D. 14 days before the first day of the succeeding menstrual 26. Arlen insisted she might have been fertile during the time of sexual intercourse. The nurse explains that absolute period of fertility is the span of time that a woman is likely to be pregnant when she engages in unprotected sex______. A. Several days after ovulation B. During ovulation C. Immediately after ovulation D. Immediately before ovulation 27. The nurse proceeded to take the menstrual history of Arlen to find out if she is likely to be pregnant. Which of the following determines the date of onset of last menstrual period (LPM)? It is the ___________. A. Duration and character of the LMP B. Implantation bleeding C. Spotting after the LMP D. Bleeding before the last menstrual period (LMP) 28. The nurse also asked about Arlene’s secondary amenorrhea that would most likely indicate her pregnancy. Secondary amenorrhea is cessation of menses for more than_______ months, after regular menstrual cycle has been established. A. Five B. Three C. six D. four 29. The nurse also asked for presence of secondary dysmenorrhea. Which of the following conditions is not INCLUDED under secondary dysmenorrhea? A. Intra-uterine device (IUD) B. Pelvic Inflammatory Disease (PID) C. Malposition of the cervix D. Absence of any underlying anatomic abnormality Situation - Jaina is a fourth year nursing student currently having her community immersion in Barangay Sto. tomas. She, together with her professor, are is conducting a home visit with one of her patients, who is diagnosed with an open-angle glaucoma. 30. In the middle of their conversation, the client raised a question to Jaina. She mentioned that she has been prescribed with Latanoprost (Xalatan) by the municipal doctor. She asks Jaina why she has to take this. Jaina responds that this medication: A. Dilates the affected eye B. Moistens the affected eye C. Decreases the angle of glaucoma in her affected eye D. Decreases the intraocular pressure in her affected eye 31. In utilizing the IMCI protocol, the nurse should initially? A. Observe the condition of the child B. Ask the mother if what is the problem of the child C. Look for danger signs D. Identify main symptoms Situation – The local health board established a reproductive health clinic in the main health center. Two nurses, Hubert and Irene, were assigned to handle services to address problems related to sexuality, reproductive health and fertility problems. 32. Nurse Valentin classifies cases according to the major categories of reproductive tract infections. Which of the following is NOT part of such classification? A. Iatrogenic infections as aftermath of invasive procedures like catheterization and intra-uterine device (IUD) insertion B. Urinary tract infections among male and female patients C. Sexually-transmitted infections D. Endogenous infections resulting from poor personal hygiene 33. Irene handles the screening for gonorrhoea every two weeks among female sex workers in the implementation of PD 856. In differential diagnosis of discharge among infected clients, which of the following colors discharge will Irene take note to identify gonorrhoea from other causes? A. Greenish yellow as differentiated from mucoid white of trichomoniasis B. Mucoid white as compared to grayish-white discharge of vaginosis C. Grayish white as differentiated from mucoid white of chlamydia D. Yellowish white as compared to trichomoniasis’ greenish-yellow 34. Nurse Valentin was invited by a women’s group to give a lecture on healthy sexuality. In the expectation check, he noted that there are previous misconceptions expressed by the participants. Which of the following statements are correct? A. It is the obligation of the wife to give in to sex every time he asks for it B. Sexuality is fluid and may change C. Effeminate men are gays D. Homosexuality, being gay or lesbian, is an abnormality 35. One of the clients was positive to Gonorrhea. Nurse Irene explained that gonorrhoea and chlamydia, if left untreated can lead to Pelvic Inflammatory Disease (PID). Such condition may cause infertility due to ______. A. Foul smelling odor discharge which can kill the ovum B. An unknown cause C. Scarring which can lead to tubal occlusion D. Purulent discharge which can kill the sperm 36. Nurse hannah further explained that a test used to determine tubal patency using a radiopaque material is the __________. A. Post-coital infetitlity test B. Sims Huhner test C. Friedman’s test D. hysterosalpingography Situation – Sandy is a newly hired nurse on the 3-11 duty nurse at the Neonatal Intensive Care Unit (NICU). She received an endorsement that Baby Boy A and Baby Girl B are ready for discharge. At 5:15 in the afternoon she gave the babies to their mothers. Two days after, the mother of “Baby Boy A” came back to complain that she got the wrong baby because she got a baby girl instead of a boy. 37. What are the elements that will prove that Nurse Sandy committed gross negligence? Select all that apply. 1. That Nurse Sandy has a duty 2. That Nurse Sandy failed to perform that duty 3. Due to that duty an injury occurred to her patient 4. Causal relationship as regards the failure the nurse to perform her duty and the resulting injury. A. 1, 2, 3 B. 3 and 4 C. 1 and 2 D. 1, 2, 3, 4 38. What could have been done to prevent the occurrence of switching of babies? A. Calling out the name of the mother B. Proper identification of the baby using name tags C. Checking the genitalia D. Identifying the baby by checking their footprints 39. What is the number one element that can prove that Sandy is incompetent? Sandy was not able to perform her job _______________. A. Because she is newly hired nurse B. According to the orientation C. Because she lacks supervision D. According to a set standard 3 | Page
40. Which of the following should Sandy understand as the primary outcome being professional nurse should she be proven guilty of incompetence? A. That she can be delisted as member of the APO B. That she can be terminated from work by her employer C. That she can be charged in the civil court D. That her license to practice nursing can be suspended or revoked for a period of time by the PRC 41. Which among the statements are TRUE about health promotion? It is the process of __________. 1. Enabling individuals and communities to increase their abilities to control and improve their health 2. Enhancing the individuals physical, psychologic and spiritual well-being 3. Engaging in correcting the people’s health behavior 4. Preventing disease from occurring and treating it when it occurs A. 1 only B. 3 and 4 C. 2 only D. 1 and 2 42. A number of factors influence health status of the people in the barangays. One of which is the health care system influences. Which of the following health care system influences is NOT included? A. Community resources and programs that are available. B. The cost of health care. C. Community’s perception of the value of available health care. D. The availability of technology. 43. Which of the following health behavior choices are ESSENTIAL to promoting health and preventing disease? A. Taking prescribed medications at the right time and dosage. B. Eating the right kind of food, adequate sleep, physical exercise and effective handling of stress. C. Refraining from travelling to countries with high prevalence of infectious diseases. D. Smoking cessation and drinking alcohol regularly. 44. There are behaviors that are influenced by cultural expectations. Which is NOT included? A. Taking herbal supplements to boost the immune system. B. Relying for information from community resources/programs. C. Having a body massage at least once a month. D. Talking openly about the details of illness. 45. What are the ESSENTIAL factors in the integrative models of human health? A. Intertwined and interactive, with multiple components such as physical, psychological and social B. Effective only when combined and integrated with alternative therapies C. Generally being attributed to psychological problems in individuals D. Derived solely from physical phenomenon Situation - Nurse Cassie recently passed the Nursing Licensure Examination. He is currently practicing as a CHN nurse in Barangay Lodi wherein keen assessment and practical nursing skills are much needed. The following questions apply. 46. Not having regular check-up is an example of: A. Health problem B. Health need C. Health threat D. Health deficit 47. A condition that promotes disease or injury and prevents people from realizing their health potential is a: A. Health problem B. Health need C. Health threat D. Health deficit 48. A situation in which there is a demonstrated health need combined with actual or potential resources to apply remedial measures and a commitment to act on the part of the provider or the client is a: A. Health problem B. Health need C. Health threat D. Health deficit 49. Lack of medical or social technology is an example of: A. Health problem B. Health need C. Health threat D. Health deficit 50. Stressful occurrences are examples of: A. Stress point B. Health issue C. Foreseeable crisis D. Critical point 51. In the public health bag, how many pair/s of forceps are needed? A. None B. 2 C. 1 D. 3 52. In the bag technique, how should the nurse handle the apron? A. Take out the apron from the bag and put on with the up side out. B. Take out the apron from the bag and put on with the down side out. C. Take out the apron from the bag and put on with the left side out. D. Take out the apron from the bag and put on with the right side out. 53. The following items are not found in the public health bag except: A. Hypodermic needles B. Candle C. Flashlight D. Ruler 54. Which of the following solutions is not found in the public health bag? A. Zephiran solution B. 40% alcohol C. Benedict’s solution D. Spirit of ammonia 55. The following pairs of scissors are not found in the public health bag except: A. None of the choices B. Surgical C. Bandage D. B & C Situation - The family of Roxas is fond of dogs. A vendor who entered the gate without notice is bitten by one of the pet dogs named Bert. PHN Cords Attends to the vendor. 56. Which of the part of body of the vendor will be the MOST affected in terms of rabies? It is the _________. A. Buttocks B. Head C. feet D. hand 57. To protect the vendor from the dangers of rabies, PHN Cords advises him to clean the wound thoroughly with soap and water, consult a physician and receive anti-rabies vaccination. Which among the following vaccines can provide active immunity? 1. Purified vero cell vaccine 2. Human rabies immunoglobulin 3. Equine rabies immunoglobulin 4. Purified duck embryo vaccine A. 1 and 4 B. 2 only C. 3 and 4 D. 1 only 58. The vendor acquired rabies, what will PHN Cords do to protect those who took care of him? He should administer____________. A. Pre-exposure prophylactic treatment only for the 4 | Page