Philippine Nurse Licensure Exam Review PDF

PRE-INTENSIVE EXAMINATION NURSING PRACTICE I CARE OF THE NOVEMBER 2024 Philippine Nurse Licensure Examination Review Situation – Charity, the PHN in the Municipality 3. Lack of ambulance a...

PRE-INTENSIVE EXAMINATION NURSING PRACTICE I CARE OF THE NOVEMBER 2024 Philippine Nurse Licensure Examination Review Situation – Charity, the PHN in the Municipality 3. Lack of ambulance and drivers of Tibog, learned from the residents that 4.Delay in receiving appropriate and adequate care children and some elderly had been suffering from respiratory and skin ailments allegedly A. 2 and 3 due to the bad smell curly dark smoke emitting B. 1 and 2 from the factory nearby. She was invited to the C. 1 and 4 community assembly that was initiated by the D. 1 and 3 barangay council. RATIONALE: All events are preventable and 1. The barangay captain asked, "What can you do manageable if given timely management. Most to help solve the problem of Nurse Charity?" What community members tend to postpone or work is would be the right response of Nurse Charity? more important to them. A. "Well, your problem is easy to solve. I have here 3. Nurse Corazon and her group prepared some cough syrup, ointments for the skin and some objectives for plan of action. The following are the antibiotics. I will distribute this after the meeting." characteristics of a good objective. Choose the B."Who among you here have children who are BEST answer. suffering from respiratory and skin diseases? How about the adults who are here? Are you also having A. Futuristic, change-oriented, dynamic and the same problems?" systematic C."I suppose you gave a lot of thought about В.Time-bound, accurate, realistic, measurable the problem and its possible solution. However, and specific treating your children and the elderly is not the C.Flexible, accurate, top priority and feasible first solution.We have to go to the root cause of D. Time-bound, measurable, change-oriented and the problem." continuous process. D."May I ask you what solution have you identified for the community problem?" RATIONALE: SMART method RATIONALE: CHN= facilitate the decision-making 4. Nurse Corazon presented the plan in a process. Role is to guide the community leaders community assembly for acceptance and approval. and this is by going to the root cause of the Which of the following is the MOST important problem. CHN’s concern is only the health aspect criterion for the plan's acceptance and approval of the community manifested by the people. A.Tasking the community people Situation - Municipality "A" made it to a local B.Volunteerism and willingness of the newspaper headline because of the occurrence community people of some unusual events in just 10 days: 2 C.Presence of the municipal health officer in the pregnant woman died giving birth at home; 2 assembly children died of dehydration and 2 elderly died D. Huge attendance in the community assembly. of pneumonia. The mayor of the town called for a meeting of the municipal health office RATIONALE: There is cooperation from the personnel. Public Health Nurse Corazon was community people. There is also proactiveness on assigned to make the action plan to prevent what they are doing, on the presented plan. another similar event to happen. 5. To combat the delays in attending to childhood 2. Which of the following could have been the illnesses, Nurse Corazon adopts the Integrated TOP contributors to the situation? Select all that Management of Childhood Illness in the apply. municipality. This program aims to: 1. Postponement of people in seeking medical care 2. Adherence to cultural practices and beliefs lack of ambulance and drivers A.Improve and ensure the accessibility and 8. The nurse also learns that continuous training is availability of basic and essential health care in a personal as well as an organizational goal. both public and private facilities and services. Choose the statements that are true regarding B. Ensure the quality and affordability of health continuous training goods and services 1. Training employees is an excellent investment C. Develop, implement, monitor and evaluate and a cost to an institution maternal and newborn care services, ensuring 2. Continuous training is more of a personal access responsibility than institutional D.Huge attendance in the community assembly 3. Cross training and job rotation provide on-going part-time learning experience RATIONALE: IMCI is a guide or a pathway in 4.. Select the best people when hiring employees addressing childhood illness. Only to 2 mos to 6 months 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 RATIONALE: Situation - The local health board established a Primary- caused by menstrual period reproductive health clinic in the main health Secondary- caused by pathological, abnormality center. Two nurses, Hubert and Irene, were assigned to Situation - Jaina is a fourth year nursing handle services to address problems related to student currently having her community sexuality, reproductive health and fertility immersion in Barangay Sto. tomas. She, problems. together with her professor, are conducting a home visit with one of her patients, who is 32. Nurse Valentin classifies cases according to the diagnosed with an open-angle glaucoma. major categories of reproductive tract infections. Which of the following is NOT part of such 30. In the middle of their conversation, the client classification? raised a question to Jaina. She mentioned that she A. Iatrogenic infections as aftermath of invasive has been prescribed Latanoprost (Xalatan) by the procedures like catheterization and intra-uterine municipal doctor. She asks Jaina why she has to device (IUD) insertion take this. Jaina responds that this medication: B.Urinary tract infections among male and A. Dilates the affected eye female patients B. Moistens the affected eye C.Sexually-transmitted infections C. Decreases the angle of glaucoma in her affected D.Endogenous infections resulting from poor eye personal hygiene D. Decreases the intracular pressure in her RATIONALE: UTI is part of urinary system affected eye 33. Irene handles the screening for gonorrhoea RATIONALE: Increased IOP may cause blindness. every two weeks among female sex workers in the Lantanoprost decreases eye pressure.. implementation of PD 856, In differential diagnosis of discharge among infected clients, which of the 31. In utilizing the IMCI protocol, the nurse should following colors discharge will Irene take note to initially? identify gonorrhoea from other causes? A. Observe the condition of the child A. Greenish yellow as differentiated from mucoid B. Ask the mother if what is the problem of the white of trichomoniasis child C. Look for danger signs Mucoid white as compared to grayish-white Situation - Sandy is a newly hired nurse on the discharge of vaginesis 3-11 duty nurse at the Neonatal Intensive Care C. Grayish white as differentiated from mucoid Unit (NICU). white of chlamydia She received an endorsement that Baby Boy A D. Yellowish white as compared to and Baby Girl B are ready for discharge. At 5:15 trichomoniasis' greenish-yellow in the afternoon she gave the babies to their mothers. Two days after, the mother of "Baby RATIONALE: 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 34. Nurse Valentin was invited by a women's group all that apply. to give a lecture on healthy sexuality. In the 1. That Nurse Sandy has a duty expectation check, he noted that there are previous 2. That Nurse Sandy failed to perform that duty misconceptions expressed by the participants. 3. Due to that duty an injury occurred to her patient Which of the following statements are correct? Causal relationship as regards the failure of the nurse to perform her duty and the resulting injury. A. It is the obligation of the wife to give in to sex every time he asks for it A. 1, 2,3 B. Sexuality is fluid and may change B. 3 and 4 C. Erfeminate men are gays C. 1 and 2 D. Homosexuality, being gay or lesbian, is an D. 1, 2, 3, 4 abnormality RATIONALE: RATIONALE: Sexuality can change. 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. Purutent discharge which can kill the sperm RATIONALE: PID is susceptible to infertility because of scarring which can lead to tubal occlusion as the organ can wear and tear. 36. Nurse hannah further explained that a test used to determine tubal patency using a radiopaque material is the 38. What could have been done to prevent the A. Post-coital infetitlity test occurrence of switching of babies? B. Sims Huhner test A. Calling out the name of the mother C. Friedman's test B. Proper identification of the baby using name D. hysterosalpingography tags C. Checking the genitalia RATIONALE: graphy= visualization test. Induce a D. Identifying the baby by checking their footprints radiopaqe mater. RATIONALE: Using name tags, Coloring of tags D. The availability of technology. depending of the gender.. Naming system= Last RATIONALE: Perception is not included because it name + Gender + Firstname of mom is not yet converted into actions since it is just their “thoughts” or “nasa isip lang” 39. What is the number one element that can prove that Sandy is incompetent? Sandy was not able to 43. Which of the following health behavior choices perform her job are ESSENTIAL to promoting health and A. Because she is newly hired nurse preventing disease? B. According to the orientation A. Taking prescribed medications at the right time C. Because she lacks supervision and dosage. D. According to a set standard → BON, B. Eating the right kind of food, adequate sleep, company/management physical exercise and effective handling of stress. RATIONALE: C.Refraining from travelling to countries with high 40. Which of the following should Sandy prevalence of infectious diseases. understand as the primary outcome being D. Smoking cessation and drinking alcohol professional nurse should she be proven guilty of regularly. incompetence? RATIONALE: A. That she can be delisted as member of the APO 44. There are behaviors that are influenced by B. That she can be terminated from work by her cultural expectations. Which is NOT included? employer C. That she can be charged in the civil court A. Taking herbal supplements to boost the immune D. That her license to practice nursing can be system. suspended or revoked for a period of time by B. Relying for information from community the PRC resources/programs. RATIONALE: C. Having a body massage at least once a month. 41. Which among the statements are TRUE about D. Talking openly about the details of illness. health promotion? It is the process of 1. Enabling individuals and communities to RATIONALE: HIV- discreet, because of the stigma. increase their abilities to control and improve their health 45. What are the ESSENTIAL factors in the 2. Enhancing the individuals physical, psychologic integrative models of human health? and spiritual well-being А. Intertwined and interactive, with multiple 3. Engaging in correcting the people's health components such as physical, psychological behavior and social 4. Preventing disease from occurring and treating it B. Effective only when combined and integrated when it occurs with alternative therapies A. 1 only C. Generally being attributed to psychological B. 3 and 4 problems in individuals C. 2 only D. Derived solely from physical phenomenon D. 1 and 2 RATIONALE: Holistic aspect of health RATIONALE: giving them information and Situation - Nurse Cassie recently passed the opportunity to improve their own health. Nursing Licensure Examination. He is currently practicing as a CHN nurse in Barangay Lodi 42. A number of factors influence health status of wherein keen assessment and practical nursing the people in the barangays. One of which is the skills are much needed. The following health care system influences. questions apply. Which of the following health care system 46. Not having regular check-up is an example of: influences is NOT included? A. Health problem A. Community resources and programs that are B. Health need available. C.Health threat B. The cost of health care.. D. Health deficit C.Community's perception of the value of available health care.  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 47. A condition that promotes disease or injury and health bag except. prevents people from realizing their health potential A. Hypodermic needles is a: B. Candle A. Health problem C. Flashlight B. Health need D. Ruler C. Health threat D. Health deficit RATIONALE: For medication administration. 48. A situation in which there is a demonstrated health need combined with actual or potential resources to apply remedial 54. Which of the following solutions is not found in measures and a commitment to act on the part of the public health bag? the provider or the client is a: A. Zephiran solution A. Health problem B. 40% alcohol B. Health need C. Benedict's solution C. Health threat D. Spirit of ammonia D. Health deficit RATIONALE: 49. Lack of medical or social technology is an example of: A. Health problem B. Health need C. Health threat D. Health deficit 55. The following pairs of scissors are not found in the public health bag except: 50. Stressful occurrences are examples of: A.None of the choices A. Stress point В. Surgical- for sterile procedures B. Health issue C. Bandage- for clear (wound dressing) C. Foreseeable crisis D. B & C 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. Situation - The family of Roxas is fond of dogs. B. Coordinating with city/municipal officials to make A vendor who entered the gate without notice is an ordinance on stray dogs. bitten by one of the pet dogs named Bert. PHN C. Massive campaign to families not to own pets at Cords Attends to the vendor: home 56. Which of the part of body of the vendor will be D. Massive campaign for responsible pet the MOST affected in terms of rabies? It is the ownership A. Buttocks. B. Head. C. Feet. D. Hand RATIONALE: Rabies is neuro invasive disease, Situation - The Field Health Services and attacks neurons in the CNS (head). Information System (FHSIS) is recording and reporting system in public health care in the 57. To protect the vendor from the dangers of Philippines rabies, PHN Cords advises him to clean the wound 60. The following are the objectives of the FHSIS, thoroughly with soap and water, consult a physician EXCEPT: and receive anti-rabies vaccination. Which among the following vaccines can provide active immunity? A. Complete the picture of acute and chronic 1. Purified vero cell vaccine disease 2. Human rabies immunoglobulin B. Ensure data recorded are useful and accurate 3. Equine rabies immunoglobulin and disseminated in a timely, easy to use fashion 4. Purified duck embryo vaccine C. Minimize recording and reporting burden A. 1 and 4 allowing more time for patient care and promotive B. 2 only activities C. 3 and 4 D. Provides standardized facility-level data base Đ. 1 only which can be used for more in-depth studies RATIONALE: Goal: to standardized reporting system. 61. As a nurse, you should know the process of how these information are processed and consolidated. The fundamental. block of the FHSIS system is the A. Family treatment record 58. The vendor acquired rabies, what will PHN B. Output record Cords do to protect those who took care of him? He С. reporting forms should administer________. D. target/client list A. Pre-exposure prophylactic treatment only for RATIONALE: Where you can record all the thefamily of Bert B. Post-exposure prophylactic treatment only for the family of the vendor C. pre-exposure prophylactic treatment to Bert and the vendor's families D. Post-exposure prophylactic treatment to Bert and the vendor's families 62. The monthly field health service activity report RATIONALE: The dog is not included, only the one is a form used in which of the components of the who took care (the family.) FHSIS? A. Target/client list 59. PHN Cord's intervention to protect all residents B. Output report who own pets, especially dogs, should be done by. C. individual health record A. Coordinating with city/ municipal agriculturist for D. tally report immunization of all pets RATIONALE: 63. In using the tally sheet, the recommended frequency in tallying activities and services is A. Weekly 67. What should be the PRIMARY goal of Nurse B. Quarterly Grace for these street children? To C. Monthly A. Change the behavior of the children-Planning D. Daily B. Analyze the information gathered-Diagnosis C. Locate the family of the children- Implement D. Elicit important data about the family -Ass RATIONALE: A- goal creation (planning) 68. What is the BEST approach to discuss prevention of health threats to the children? A.Focus group discussion B.According to gender 64. To monitor clients registered in long-term C.One-on-one interaction regimen such as the Multi drug Therapy, which D.According to age component of the reporting system will be most useful? RATIONALE: Attention span depends on the age A. Output report group. B. Tally report C. target/client list 69. As facilitator/leader of the discussion on staying D. individual health record away from conflicts with each other and other street children, which of the following tasks should be induced by Nurse Grace? 1. Listening attentively to what each one is saying Situation - Met, Kid, Emma, Gliz, and Trix are Doing away with blaming and ridiculing close friends because they are almost of the 3. Forcing all the street children to participate in the same age (8-9 years old, orphans, and discussion out-of-schoor youths. Nurse Grace from the 4.Being sensitive in identifying children who are Department of Social Welfare and Development eager to talk (DSWD) is tasked to attend to them. 65. The nurse responsibility is to check on the A.1 and 4 children's status/pattern. Which of the following B.1, 2 and 4 should be the nurse' PRIORITY? C.1, 2 and 3 A. Interaction patterns D. 2, 3 and 4 B. Health status C. Adaptation status RATIONALE: Forcing will make things worse, will D. Developmental patterns not get the full attention of the children. Situation: As a CHN nurse, Nurse Jake Zyrus is 66. What could be the number ONE health threat responsible for home visits in Barangay Werpa. for these children? Thus, he needs to have a strong foundation in A. Infection blood pressure monitoring and knowledge B. Depression regarding communicable diseases such as HIV. C. Malnutrition The following questions apply. D. Injury 70. In the preparatory phase of blood pressure measurement, how many minutes should the client have been relaxed and how many minutes should A.If the first 2 readings differ by 15 mm Hg the client have not smoked or ingested caffeine? B.If the first 2 readings differ by 10mm Hg A. 10 minutes; 15 minutes C.If the first 2 readings differ by 5 mm Hg B.5 minutes; 30 minutes D.If the first 2 readings do not have any difference C.5 minutes; 15 minutes D. 10 minutes; 30 minutes 75. In handling soiled linens and clothes of a RATIONALE: Avoid false high measurements person with HIV, how should Nurse Jake proceed? A. Fold wet portion towards dry portion. B. Fold dry portion towards wet portion. C. Fold corners towards the middle. D.Fold in a circular manner towards the middle. 71. In applying the BP cuff and stethoscope, how many centimeters above the brachial artery should RATIONALE: Iwasan ang contaminated portation the nurse apply the cuff? A.2-3 cm. B.3-4 cm. 76. A family member of a deceased HIV client asks C.4-5 cm. Nurse Jake if it is possible to have the body Đ: 5-6 cm. available for public viewing. As a knowledgeable RATIONALE: nurse, Nurse Jake answers: too loose- false low bp. A."No, the body must be disposed immediately!" Too tight- false high bp В."Yes, the embalmed cadaver is safe for public viewing." 72. For obese persons, which part of the C."Please ask the physician regarding this matter." stethoscope is preferably used to auscultate the D."No, only family members should be allowed to pulse in obtaining the blood pressure reading? view the body." A.The part of the stethoscope used in obtaining the RATIONALE BP is irrelevant. B.Bell C.Diaphragm D. Both parts are preferably used for obese people. RATIONALE 73. As a knowledgeable nurse, Nurse Jake knows that he should take the mean of 2 readings of blood pressure in order to have an accurate reading. How 77. Which of the following procedures done to an many minutes should be the interval between the 2 HIV-positive client is an example of a low risk readings? procedure? A.Oral surgery A. 5 minutes B.Venipuncture B. 4 minutes C.Collection and transport of laboratory specimen C. 3 minutes D.Injections D. 2 minutes RATIONALE: low risk= less exposure to bodily fluids. We don’t collect blood using injections. Papasok not palabas. 74: Which situation would require Nurse Jake to 78. Oral prophylaxis in an example of a: obtain a third reading? A.Minimum risk procedure B.Low risk procedure C.Moderate risk procedure 82. The following are leading causes of fatal work D. High risk procedure injuries except: RATIONALE A.Falls B.Homicides C.Highway accidents D.None of the above 79. The following procedures are not examples of moderate risk procedures for a client with HIV except: A.All of the choices B.Lumbar puncture C. Grafting D. Phlebotomy RATIONALE: withdrawing specimen samples, it can expose the examiner. 80. As an occupational health nurse, Nurse Marlou knows that which of the following workers are most at risk? A.Men, self-employed, older workers B.Women, self-employed, older workers C.Women, workers in larger organizations, older workers D.Women,workers in smaller organizations, older Workers. RATIONALE: Men- doing heavy and risky tasks. Older workers- low immunity 83. Any injury that results from a single incident in the work environment is a: A.Occupational illness 81. Injury rates tend to be higher in which kind of B.Occupational injury organization? C.Both terms (A & B) may be used interchangeably: A. There is no relationship between injury rates and D.Occupational crisis size of organization. B.Smaller (249)- employ someone to oversee the health of all employees 84. Any abnormal condition or disorder caused by exposure to environmental factors associated with employment is a: A.Occupational crisis В.Occupational injury C. Both terms (B & D) may be used interchangeably. D. Occupational illness  88. Which benefit of breastfeeding is not directly for RATIONALE: If exposure is repeated on env. the mother? Factors, it is an occupational illness. A.Reduces risk of excessive blood loss after birth B.Provides a nutritional complete food 85. Which of the following statements is not false C. Provides natural methods of delaying regarding male sterilization? The pregnancies A.It is very effective 1 month after the procedure. D. Reduces the risk of ovarian and breast cancers B.Reversibility is impossible. and osteoporosis. C.The man can have better sex since he does not fear that his partner will get pregnant. 89. The household and the community may benefit D. There are long term health risks associated with from breastfeeding by: the procedure. A. Conservation of funds that otherwise would be RATIONALE: The man doesn’t fear impregnating a spent on breast milk substitute, supplies and fuet to woman. prepare them B. Saving of medical cost to families and government by preventing illnesses and by providing immediate postpartum and contraception C.None of the above D. Both of the choices (A.& B) RATIONALE: Situation - As a nurse, adequate knowledge of research is integral for the development of nursing science. The following questions apply. 86. On the other hand, which of the following 90. This refers to the integration of research statements regarding female sterilization is true? findings where the practical application is related to the original research. It utilizes the PICO technique A.Mini laparotomy can be performed after a in answering the clinical question. woman gives birth. Research utilization B.The procedure may result to decreased sexual B.Research dissemination enjoyment. С.Evidence based practice C.There are some long term side effects after the D.Cochrane Collaboration procedure. D.The procedure may decrease quantity and quality of breast milk. 91. You are a nurse and you wanted to study the RATIONALE: 1. Due to practicality 2. Due to relationship between quality of life of seafarers and motivational factor the use of social media while on board, what is the independent variable? A.Use of social media B. Quality of life of seafarers 87. Which statement is not a benefit of C. On board. breastfeeding for the infant? D. Seafarers A.Increases IQ points B.Reduces the infant's exposure to infections 92. Based on the question above, which is the C.Safely dehydrates and provides essential outcome variable? nutrients to a sick child, especially to those A.Use of social media suffering from diarrheal diseases. B. Quality of life of seafarers D.Strengthens the infant's immune system, C. On board preventing many infections. D. Seafarers  Currently,20 are being treated at the health center since the last year. What is the incidence considering a population at risk of 95, 000? 93. A nurse is preparing a research proposal A 22 per 100, 000 for the year 2017 wherein she will compute the sample size from a B.11 per 100, 000 for January to June 2018 population of 2, 340 with a margin of error of 5%. C. 16per 100, 000 for January to June 2018 What is the computed sample size using Slovin's D. 9 per 100, 000 for July to December 2017 formula? A.1, 134 B.1, 563 C.342 D. 565 96. In a research proposal, a nurse mentioned that snowball sampling will be used as a sampling method. The nurse understands that they will select samples by: A. Asking early sample members to refer other people who meet the eligibility criteria. 94. A nurse research conducts case control study B.Dividing the population into subsets from which on the association of physical activity and elements are selected at random. development of acute coronary syndrome(ACS)and C. Using the researcher's knowledge about the found out an odds ratio of 0.83. population to hand pick sample members. D. Establishing a sampling frame where the sample The nurse correctly infers that: members are chosen at random. A. People with ACS were 0.83 times more likely to be physically active than those who do not have ACS. B. Risk of ACS among those who are physically active is 0.83 times less compared to those who are not physically active. 97. A nurse is studying the defense mechanisms of C.83 cases of ACS are attributable to physical young adults towards the problems they encounter activity. during their first jobs. Which type of research D.83% of patient who have ACS have history of design is best to use? adequate physical activity. A. Quantitative B. Retrospective C. Qualitative D. Experimental 98. In their research, nurses found out that children living in Manila urban poor areas are vulnerable of contracting pulmonary tuberculosis due to housing congestion. What kind of research design is utilized? A. Qualitative B. Quantitative C. Survey D. Mixed methods 95. A public health nurse recorded 15 new cases of dengue fever for the months January to June 2018. 99. A head nurse of a medical ward is planning to convince her staff nurses to start conducting nursing research to improve nursing practice. Which of the following is the easiest way to do this? A.Ask them to join in data gathering. B.Encourage them to read related literature regarding the study. C.Let them analyze the data. D.Instruct to run statistical tests on the data gathered. 100. Using the Pearson product moment correlation, the statistical test yielded a (-). 0.75 Pearson's r value. How does the nurse interpret this? A.High positive correlation B.High negative correlation C.Moderate positive correlation D.No significant association