NURSING PRACTICE 1

NOVEMBER 2021
SITUATION 1 - Nurse Nona is a newly
hired community health nurse. At the
start of her duty she takes into
consideration that she should assume
numerous roles and functions that
are primarily focused on promoting a
healthy community. (Questions 1-5)
1. In order for nurse Nona to become
effective in her caregiver role to the
different types of clientele in the
community, she should be equipped with
the BASIC knowledge about _____
A. Statistics
B. Research
C. Nursing process
D. Nursing theories
2. As planner and programmer in the
community setting, Nurse Nona should
understand that the PRIMARY objective
of community health nursing is focused
on the importance of ____
A. Curative aspect of care
B. Restoration of full function
C. Rehabilitative part of care
D. Optimum health and wellness.
3. The BEST community health nursing
principle that will guide Nurse Nona in
the effective performance of her various
roles and function is focused on the
community that_______
A. Has different health needs and
problems
B. Is considered as a primary client.
C. Has various structures and resources
D. Is composed of individuals and families
4. As health monitor, which of the
following should be considered by the
nurse as health threats in the
community?
1. Ineffective breastfeeding
2. Fire hazards
3. Inadequate immunization
4. Polluted water supply
A. 3, 4 B. 2, 3, 4
C. 1,2,3,4 D. 1,2
5. Which is the INITIAL task of nurse Nona
as a community organizer?
A. Formulates individuals, family groups
and community care plans.
B. Motivates and enhances community
participation.
C. Prepares and submits required reports
on time.
D. Coordinates with individuals, families,
groups for health services
SITUATION 2- Nurse Bella takes
charge of handling the mental
health promotion program in
the midst of the ongoing health
crisis due to the COVID-19
PANDEMIC. (Questions 6-10)
6. Teaching the families on promoting
mental health at home in this
pandemic time should focus on the
following EXCEPT ______
[Link] community support
B. Observing open communication
C. Engaging in social media the whole
day
[Link] out to friends
7. During this pandemic time, which
of the following roles of Nurse Bella
should she significantly intensify to
prevent more cases of mental
problems in the community?
[Link] finder
B. Case manager
C. Researcher
[Link]
8. There are individuals who are suffering
from mental health challenges due to the
pandemic. The BEST nursing action
is_____
A. Refer for admission at the mental
health unit
B. Help in setting up debriefing stations
C. Recommend hiking of a community
psychiatrist
D. Set up a mental health program
9. Which of the following information
about severity of mental illness would
be important to the mental health
program in the community setting?
[Link] - ill patient are always
dangerous.
B. Mental illness is hereditary
C. Mental illness is not curable
[Link] illness is a global concern
10. After a webinar on the mental
health act Nurse Bella realized that
the community has to change which
of the following perceptions?
[Link] illness is not hereditary
B. Community resilience is important
C. Mental illness is incurable
[Link] services should be
available
SITUATION 3 – (QUESTIONS 11-15)
11. Her priority in managing community
health needs is through knowing in
depth the PREVALENCE of diseases
because it indicates the ______
A. Risks to health problem
B. Presence of health problems
C. Priority needs of the people
D. Magnitude of health problems
12. Nurse Rona and her team has been
utilizing the,” EPIDEMIOLOGIC TRIAD
“model of identifying Causative factors
of diseases which of the following are
not relevant to this model?
A. External agent
B. Susceptible host
C. Treatment regimen
D. Environment
13. There is an outbreak of measles in
some areas of the community where
Nurse Rona is assigned. Which of the
following steps of an outbreak
investigation should nurse rona and her
team begins?
A. Identify and count cases
B. Verify diagnosis
C. Define and identify cases
D. Prepare for field work
14. Nurse Rona is able to know patterns
of occurrence and distribution of diseases
in the community. Per record she found
out there had been cases of rabies at
irregular intervals scattered in particular
places. This occurrence refers to _____
A. Endemic
B. Epidemic
C. Pandemic
D. Sporadic
15. As an epidemiology nurse, Nurse
Rona’s PRIMARY function and
responsibility is to .
A. Assist the epidemiologist in making
reports
B. Implement public health
surveillance
C. Render nursing care to sick residents
D. Follow up cases and contacts
SITUATION 4 - Nurse Danica is
assigned to the health
education initiative of the
health center.
(QUESTIONS 16-20)
16. Nurse Danica would like to put
more emphasis on healthy lifestyle in
her health education classes. Which
step of the teaching - learning process
should she FIRST start?
[Link] health needs
B. Evaluation of learning takes place
C. Preparing learning takes place
[Link] health education plan
17. In planning for the health
education program about healthy
lifestyle Nurse Danica targets to work
with parents in the community.
Nothing different ethnics backgrounds
among them, which important
consideration should be part of the
plan?
A. Economic B. Social
C. Culture D. Educational
18. Base on the theory of adult learning
by Knowles, which of the following
principles will guide the nurse to be an
effective educator ?
A. Educational attainment
B. School where the participants
graduated
C. Age and gender of learners
D. Environment and learner’s
participation
19. Nurse Danica plans to have the residents of
the community conduct brainstorming about
their community problems . Which of the
following is the rationale of this teaching format?
A. Encourages problem solving and critical
thinking skills
B. Links audience participation to the presenter’s
speaking style and content
C. Allows the participants to generate ideas and
discuss them in group setting
D. Offers shared experiences in a familiar setting
20. Successful teaching and learning
activities in any health care setting
is PRIMARY fosters through.
[Link] motivating factors
[Link] clear and concise language
C. Establishing trust and rapport
[Link] realistic goal and
objectives
SITUATION 5- Nurse Keena is
alarmed with the rising number
of re-emerging cases of
pulmonary tuberculosis (PTB) in
the Philippines.
(QUESTIONS 21-25)
21. Case finding for PTB in the
community requires that the nurse
should identifying persons having
__ sputum characterized as_____.
[Link], frothy
[Link]
C. Blood stained
[Link]
22. In the care of patients with
communicable diseases, Nurse Keena
should know that feces, urine, blood
and other body fluids are considered
as _____
[Link] of entry
B. Vehicles of transmission
C. Reservoir of agent
[Link] of exit
23. With the onset of the rainy season,
the nurse are closely monitoring the
increase of dengue cases. The should
focus their health teachings on ways to
prevent dengue by______
A. Destroying breeding places of the
vector
B. Using repellent lotion
C. Burning of dried leaver
D. Wearing of protective clothing
24. Outbreak of cases of typhoid fever
occurs in the community. Nurse
Keena should inform the residents
that the transmission of the disease is
through_______
A.A vector
B. Food and water
C. Blood and body fluids
[Link]
25. There are several cases of rabies in
the community. Which of the following
preventive measure should Nurse
Keena teach the families?
A. Impound all dogs
B. Impose “ No pets allowed “ rule
C. Have the dogs vaccinated
D. Report to the authorities
households with dogs
SITUATION 6- As community
health nurse it is expected that
she is competent in performing
core competency standards on
record management.
(QUESTIONS 26-30)
26. Nurse Anna is aware that the domain
of record management entails which of
the following except.
A. Write in the kardex what has to be
endorsed
B. Keep human resources update at all
times
C. Report to MD orally wrong use of drug
D. Ensure entities in patient record is
signed
27. Improvement of nursing service as
well as patient satisfaction is also a
concern of the nurse manager. Which
of the following strategies can be
adopted to achieve this goal?
[Link] regular meeting with staff
B. Make chart audit
C. Plan suggestion box
[Link] regular rounds of patient
28. A physician in the health facility has
forgotten to change antibiotics of the patient
and make phone call order to nurse ANA. What
should be the APPROPRIATE action of the nurse
in this situation?
A. Ensure that the order will be signed by the
physician as soon as he is back to the facility
B. Have any physician in the facility sign the
order
C. Carry all phone orders and bring chart to the
doctor for signing
D. Call back MD to give feedback
29. If the CHN written in the treatment
record: BP 160/96, Ace inhibitor with
thiazide administered, BP decreased at
140/88 and urine output 1200 cc for the
whole shift. What type of charting is
this?
A. PIE
B. AIRA
C. SOAP
D. DAR
30. Which of the following is the
PRIMARY purpose of accurate, updated
and reliable documents?
A. Use from the shift report of nurse
and doctor
B. Protect nurse from doctors’
reprimand
C. Serve as evidence of legal matters
D. Audit frequency of medication
utilization
SITUATION 7 - Nurse Roy
assumes various roles and
functions as a community
health nurse . He considered
collaboration and teamwork as
essential in public health.
(QUESTIONS 31-35)
31. Which of the following is
the rationale why team is
ESSENTIAL in health care?
[Link] one another
[Link] work lighter
[Link] safety
[Link] camaraderie
32. What are the MAIN
components of collaboration?
A. Shared vision
B. Achievement of goal
C. Working together
D. Partnership
33. Nurse Roy, as a member of the health
team, describes himself as a “good team
player”. Which of the following is the
BEST characteristic of a good team player?
1. Sense of humor
2. Good listener
3. Inspires other
4. Proactive thinking
A. 1,2,3,4 B. 1,2
C. 1,2,3 D. 3,4
34. Which of the following is an
ESSENTIAL element of effective
collaboration?
A. Communication
B. Belongs to one team
C. Networking
D. Delegation
35. Nurse Roy in his dealing with his
co-workers instilled collaborative
partnership in doing their task. Which
is the aim of this type of partnership?
A. Make work faster and easier
B. Shared goals
C. Change and influence group
behavior
D. Staffs satisfaction
SITUATION 8- Nurse Nancy is in
charge of the geriatric care
program of the barangay.
(QUESTIONS 36-40)
36. To plan out for the activities
intended for the elderly population
the nurse should begin to _____
[Link] survey of the numbers of the
elderly population
B. Get informed consent
C. Ask permission from barangay
officials
[Link] the help of experts
37. In assessing the health condition
of the older persons, which is the
BEST measure in determining their
functional status?
A. Financial capability of the family
B. Age of the patient
C. Activities of daily living
D. Educational attainment
38. Which information should the nurse
provide to the elderly and their families
regarding drug regimen prescribed to
patients?
A. Liquid medication is more convenient
and safer
B. Allow them to refuse to take medicines
C. Give independence to take medicines
D. They are more vulnerable to adverse
drug reactions
39. Caregiving to older persons can be
burdensome to others. Members of
family who are the caregivers during
home visit to the family, the nurse
should look for symptoms of ____
A. Agitation
B. Burnout
C. Withdrawal
D. Suicidal tendency
40. For an effective program for the
elderly population, which should
be the appropriate approach?
A. Assign to the family
B. Supervised by physicians
C. Multidisciplinary
D. Under the care of barangay
health workers
SITUATION 9 - Nurse Zoe as a
public health nurse together
with other members of the
health team ensure there is
quality in health and nursing
care in their workplace.
(QUESTIONS 41-45)
41. Which of the following is an
important tool of assessing
quality in the delivery of health
services?
[Link]
[Link]
[Link] process
[Link]
42. Choose the key word that
BEST describes quality
improvement in public health.
A. Status duo
B. Improvement process
C. Very conventional
D. Perfect health facility
43. Choose the description that
quality exists at the health
center
A. Patient satisfaction
B. Selected delivery of services
C. Controlled by local officials
D. Rapid turnover
44. Nurse Elisa would like to
enhance the process standard at
the health center. Which should
be her PRIORITY nursing initiative?
A. Revise manual for operation
B. Hire more new graduate
C. Upgrade the health equipment
D. Reduce operational expenses
45. Identify to whom Nurse Elisa
would seek help to improve health
resources like medicines in in order
to provide quality nursing care at the
health center.
A. Head of the church
B. Secretary of health
C. Mayor
D. Governor
SITUATION 10- Nurse Elisa has
been promoted as nurse
manager in the health unit. Her
functions include management
of resources and environment
and budgeting.
(QUESTIONS 46-50)
46. As nurse manager, which should she
consider IMPORTANT when preparing the
budget needed for the operation of the unit.
A. All things and equipment need to be new
year
B. Budget is implemented with or without
money at hand
C. Cost effectiveness and efficiency are
important
D. Budget is not essential for quality
assurance
47. In the process of planning, which
of the following, Nurse Elisa should
use the plan would review the
strengths and weaknesses of the
organization.
A. Operational
B. Nursing care
C. Strategic
D. Program
48. For cost effectiveness measure,
which of the following is the BEST
nursing action?
A. All things should be kept at the
supervisors office
B. Identify resources needed to
accomplish task
C. Assign the utility worker to keep
track
D. Allow everyone to take responsibility
49. Nurse Elisa advocates for a safe
staffing pattern at the health center,
which BEST practice she should instill
from the staff?
A. Delegates task
B. Give all freedom to be honest in their
attendance
C. Staffing pattern not important in
community setting
D. Requires staff to report on time.
50. Which of the following is a
measure of a safe work environment?
1. Complies with standards
2. Observe protocols
3. Adheres to policies
4. Observe quality
A. 2,3,4 B. 1,2
C. 3,4 D. 1,2,3,4
SITUATION 11- When
prioritizing problems in the
community, the problems are
categorized as health status,
health resource or health
related. (QUESTIONS 51-55)
51. Is Nurse Maris correct in identifying
which of them is a health resource
problem?
A. Feud-between the midwife and head
of the barangay sanitation committee
B. High maternal mortality rate
C. Absence of midwife in the community
to render health service
D. Increase in number of death from
pneumonia
52. There are five criteria in prioritizing
community health problems. If Nurse
Maris is estimating the proportion of the
population affected by the problem, she
is using what criterion in prioritization?
A. Magnitude of the problem
B. Social concern
C. Nature of the problem
D. Modifiability of the problem
53. Select a barrier to goal
setting between the nurse and
the family.
A. Educational attainment
B. Socio economic status
C. Nature of employment
D. Failure of family to perceive
existence of problem
54. Which is the MOST appropriate
intervention should the nurse do to help
family perform the health tasks?
A. Refer family to barangay officials for
guidance
B. Help family recognized the problem
C. Allow family to decide to use health
resources
D. Leave the family what action take on
their problem
55. Choose the steps of the
nursing process that identifies
the family health seeking
behavior.
A. Implementation
B. Evaluation
C. Assessment
D. Planning
SITUATION 12- Nurse Oscar is in
charge of the OSTEOPOROSIS
CONTROL PROGRAM OF THE
HEALTH CENTER.
(QUESTIONS 56-60)
56. Nurse Oscar informs the other
member of the team about osteoporosis.
Which of the following is TRUE of the
disease in the Philippines?
A. There are only few cases in the country
B. The disease is not alarming
C. Filipino are aware of the incidence of
osteoporosis
D. Filipino have low awareness about the
disease
57. Which is the MOST
important risk factor to
osteoporosis?
A. Menopause
B. Being male
C. With history of previous
future
D. Short in height
58. Which of the following is
preventive measure to
osteoporosis development?
A. Iron rich food
B. Calcium rich food and
supplement
C. Daily jogging
D. Vigorous exercise
59. Which of the following is
TRUE about osteoporosis?
A. It is a silent disease
B. It is more common in men
C. It is not that alarming
D. It is only discovered after a
fracture
60. The diagnostic
examination for osteoporosis
is geared towards measuring
A. Bone density
B. Blood volume
C. Weight
D. Height
SITUATION 13- Nurse Telly is
planning to conduct qualitative
research about the life
experiences of teenage mothers
in the community.
(QUESTIONS 61-65)
61. Which “APPROPRIATE”
research design Nurse Telly
should use in her planned study?
[Link] theory
[Link]
[Link] study
[Link]
62. After she had decided to
conduct the study, which of the
following nursing action she
should do next?
A. Create conceptual framework
B. Make a research proposal
C. Decide for the data analysis
D. Plan for data collection
63. Which is the APPROPRIATE
means to present qualitative
data?
A. Themes
B. BAR graph
C. Pie graph
D. Linear graph
64. Which of the following nursing
actions Nurse Telly must do in
doing data saturation of
qualitative data?
A. Do resurvey
B. Use case study
C. Do interview more than once
D. Seek advice of expert
65. One of the study questions in the
proposed study is about needs of
teenage mothers. In choosing framework
to make topic more stable, which theory
Nurse Telly should adopt in her study?
A. Roy
B. Maslow’s
C. Orem
D. Kings
SITUATION 14- Nurse Rina had
been working as public health
nurse. In working with families
she values the importance of
family care plan, and other
concept about community
health nursing.
(QUESTIONS 66-70)
66. Nurse Rica is in charge of the
animal bite program of the health
center. Which of the following is
the causative agent of rabies.
[Link]
[Link]
C. Bacteria
[Link]
67. Which is the BEST strategy
to control incidence of rabies
in the community?
A. Impound dogs
B. Kill strays dogs
C. Responsible pet owner
D. Find the owners
68. Which BEST advice the nurse
should give in case of dog bite
A. Wash wound with garlic
B. Do not feed the dog
C. Bleed the bitten area
D. Wash thoroughly with
running water
69. What advice should be
given to the owner of the dog
incase of dog bite.
A. Give away the animal
B. Impound the dog
C. Kill the dog
D. Feed well and observe
70. Which IMPORTANT
information the nurse should
inform the public about rabies.
A. It could be prevented
B. It is an ordinary disease
C. Rabies is not deadly
D. It kills
SITUATION 15- Nurse Erica is
fully aware that being a
public health nurse her work
is guided by ethico- moral
principles.
(QUESTIONS 71-75)
71. Which is the MAIN goal of ethical
practice of the nursing profession
including the community setting?
A. To protect the nurse and co workers
B. To prevent reprimand from
physicians
C. For the patients family satisfaction
D. Centered on the welfare of clients
and protect their rights.
72. As public health Nurse Erica
makes sure all the supplies and
medicines needed for the care of
community are available. This is an
example of the principle of ______
A. Justice
B. Respect
C. Fair treatment
D. Beneficence
73. Select nurses action in keeping
with principles of confidentiality
A. Hides identity of patient
B. Shares information from patient
chart in public
C. Keeps all matters about the
patient as a secret
D. Discusses the case of the patient
with others
74. Nurse Erica is always guided by the
principle of beneficence in all that she does
to all her patients. Which of the following
nursing actions is aligned with the principle
of beneficence?
A. Equal and fair allocation of resources to
all
B. Getting informed consent
C. Keep records of patients from public
viewing
D. Promoting patient safety at all times
75. Nurse Erica tapped all the newly
hired nurses to be members of her
new project. She is observing the
ethical principle of _____
A. Justice
B. Autonomy
C. Nonmaleficence
D. Respect
SITUATION 16- Nurse Henie
uses the family coping index in
assessing family health needs
to problems particularly of
families who are vulnerable to
illness. (QUESTIONS 76-80)
76. Which of the following is an evidence of
the poor family coping index related to
healthcare attitudes?
A. A parent who washes a wound of the child
with running water.
B. The family who observes the habit of
cleaning surroundings
C. A young mother who introduced solid food
to her three-months old baby
D. A mother who brings her child to be
vaccinated for measles.
77. Which of the following is the BEST
evidence of a family whose family coping
index on therapeutic competence is rated as
coping well?
A. Shows positive interpersonal relationship
B. Participates in the weekly clean and
green program of the community
C. Maintain clean and organized household
ambience
D. Visits the clinic frequently well or sick.
78. Which of the following tools used
by nurse in the community setting for
assessing health needs and problems
of families that is similar to family
coping index
A. Nursing theories
B. Vital statistics
C. Case study
D. Nursing diagnosis
79. In utilizing family coping index
nurses should be knowledgeable that
the focus of this tool is identifying the
family.
A. Strategies to deal with stressful
situations
B. Manner of interaction
C. Ways of managing health needs and
challenges
D. Patterns of health habits
80. Nurse Myrna is taking care of a family whose
three young children are sick with malnutrition
particularly protein deficiency. Which of the
following behaviors is indicative of the family’s
positive coping index?
A. Observing erratic mealtime due to the work
schedule of parents.
B. Bringing children to health center for consult only
when needed
C. Serving foods that children like but high in
carbohydrates
D. Cooking food in a variety that include meat, dairy
products and beans.
SITUATION 17 - Ms. Sandra is a
newly assigned school nurse in
the elementary school of the
barangay. She planned to do a
physical examination of every
school child.
(QUESTIONS 81-85)
81. In assessing the health condition
of school children, which of the
following would be the findings
common to his age group?
[Link] and other blood disorder
[Link] and other blood disorders
C. Lice and parasites
[Link] and injuries
82. In the performance of her roles and
functions as a school nurse, which guiding
principle should she be considered very
IMPORTANT?
A. Health is an integral part of the education
process
B. The nurse is in full authority over the children
C. The local health authority supervises the
school health.
D. School nursing is more focused on
socialization
83. Choose how many times at
least the nurse conducts
physical assessment to school
children.
A. Thrice a year
B. Every semester
C. Every quarter
D. Once a year
84. Who should Nurse Sandra consider as
a priority for home visitation?
A. Pedro 9 years old whose parents are
both working
B. Melissa is 10 years old with stunted
growth for her age.
C. Cindy 7 years old who has been absent
due to skin lesions
D. Mike 8 years old who often sleeps
during class hour
85. Which of the indicators BEST describes
an effective outcome of school nursing
programs and initiatives?
A. Zero absenteeism and tardiness of pupils
B. Teachers are observers of school of
health initiatives.
C. Limited information in school of health
program
D. Constant visits and phone calls of
parents.
SITUATION 18- Nurse Cris is
about to start her community
organizing activities. Together
with her core group, their goal is
to be successful in community
organization through effective
communication.
(QUESTIONS 86-90)
86. Nurse Cris would like to
communicate to the people the health
problems they had identified. In
reaching out every household in the
community, which is the Best strategy
the nurse should employ:
A. Call for general assembly
B. Use social media
C. Send memorandum
D. Write a letter to residents
87. Which communication
technique should Nurse Cris
employ in order to successfully
capture the details of the meeting?
A. Summarizing
B. Restarting
C. Reassuring
D. Validating
88. Nurse Cris received information
from some community resident who
suspect that a neighbor is abusing his
young child. Which should be the
PRIORITY nursing action?
A. Repost to police authorities.
B. Notify the social worker
C. Ignore the information
D. Validate the information
89. In organizing the community in the midst
of a major health crisis, which STRATEGY
should the Nurse Cris employ to effective
communication the importance of health and
safety protocol?
A. Send letter compelling everyone to follow
B. Use social media to spread the
information
C. Request an elder residents to inform every
one
D. Place posters and flyers in dialect in
90. In order for Nurse Cris to facilitate the
recognition of the community of the
existence of their health problems , which
nursing action would yield BETTER result
A. Ask the barangay head to make the report
B. Set the ground rule that presence of
problem is valid
C. Allows people’s participation to confirm
the health problems.
D. Acts as an expert to communicate to
residents
SITUATION 19 - Nurse Bea
engage in both formal and
informal learning activities to
enhance her knowledge about
nursing theories and other
concepts in nursing.
(QUESTIONS 91-95)
91. Nurse Bea recall the
theory of nursing as caring
by________
[Link]
[Link]
[Link]
[Link]
92. Which of the following is
the nursing theme of Sr. Calista
Roys’ theory?
A. Self-care deficit
B. Adaptation
C. Nursing as caring
D. Transcultural
93. This theory categorizes
professionals as novice to
Expert is by _____
A. Benner
B. Abdellah
C. Pender
D. Kings
94. Nurse Bea reviewed the elements
of nursing as a profession. Which of
the following is an IMPORTANT
element that characterizes nursing as
a profession?
A. Has members
B. Possess body of knowledge
C. Service oriented
D. A calling
95. Nurse Bea wants to pursue higher
education in nursing for her career
advancement. Aside from enrolling in
graduate school, which of the following
could enhance her career?
A. Participates in professional
organization
B. Attends seminars
C. Conduct research
D. Attends symposium
SITUATION 20 - Nurse levy
reviews all pertinent laws that
affect public health nursing.
(QUESTIONS 96-100)
96. RA 9173 is otherwise known as the
Philippine Nursing Act of 2002, which is the
primary aim of these laws?
A. To enhance the competence of
professional nurses
B. To regulate practice of professional
nursing in the country
C. To facilitate mobiling of nurses to other
country
D. To promote well-being of health workers
97. The nurse closely monitors
the work she delegated to the
barangay health workers. She is
legally guided by this principle
A. Respondeat superior
B. The good samaritan
C. Res ipsa loquitur
D. Jurisprudence
98. This law promotes the well being
and living conditions of health workers
especially those from the government
managed facilities_____
A. Continuing professional
development
B. Magna carta for health workers
C. Philippine qualifications framework
D. Local government code
99. It mandates the compulsory
immunization of children below
8 years
A. PD 996
B. RA 11223
C. RA 9173
D. RA 10912
100. This law allows every
Filipino to avail of affordable
medicines.
A. Local government code
B. Primary health care
C. Universal health care
D. Generic drug act