Republic of the Philippines

PROFESSIONAL REGULATION COMMISSION

Manila
BOARD OF NURSING
Nurse Licensure Examination
NURSING PRACTICE I – COMMUNITY HEALTH NURSING
INSTRUCTION: Select the correct answer for each of the following
questions. Mark only one answer for each item by shading the box
corresponding to the letter of your choice on the answer sheet
provided.
STRICTLY NO ERASURES ALLOWED.

Situation: Nurse Kineme knows that ethics is important in

community health nursing practice and that ethical decisions are
conducted in a universal and standard framework.
1. One step in ethical decision- making is to place an ethical
issue or dilemma within a meaningful context. The rationale for
this step is:
a. The nature of ethical issues and dilemmas determines the
specific ethical approach used.
b. People cannot make sound ethical decision if they cannot
identify ethical issues and dilemmas
c. Multiple factors affect the interpretation and justification
of the ethical issues and dilemmas
d. Health professionals cannot avoid choice and action in
applying ethics in their work setting.

2. The historical character in nursing whose work in

environmental health, providing care to destitute people, and
disease prevention establishing the nurse as a leader and
community-oriented was _______.
a. Lilian Wald
b. Virginia Henderson
c. Margaret Sanger
d. Florence Nightingale
3. Ethical decision making is the component of ethics that
focuses on ____.
a. The result of the decision
b. The process of how decision are made
c. The factors impinging on making the decision
d. Who makes the decision

4. The ethical principle that empowers the client (groups or

communities) to make knowledgeable decision is _.
a. Act in accordance to client’s wishes
b. Act in client’s best interest
c. Offer franks and independent advice
d. Keep the client properly informed

5. When nurse Kineme cannot meet a need of the client, it is most

appropriate for her to:
a. Refer the client to an agency that may be able to give
assistance
b. Suggest that the client discuss the need with the physician.
c. Encourage the client to pay someone to meet that need.
d. Inform the client that insurance will not pay for the care.

Situation: It is important that every nurse knows about

PhilHealth is one of the pillars in attaining the universal
health coverage.
6. Which of the following statements is NOT true about
PHILHEALTH?
A. It provides health care, with the arrangement “consult now,
pay later scheme.”
B. It is a means for those who can afford medical care to
subsidize those who cannot.
C. It is a health insurance program for all Filipinos.
D. Beneficiaries have access to a comprehensive package of
services.

7. Under PhilHealth, beneficiaries have access to a comprehensive

package of services. Outpatient treatment is given for which of
the following diseases?
A. Heart disease
B. Tuberculosis
C. Cancer
D. Diabetes

8. Which of the following INPATIENT care are included in

PhilHealth?
1) Room and board
2) Medicines, drugs
3) Laboratory and diagnostics
4) Professional fees
A. 4 and 5
B. 1, 2, 3, and 4
C. 1, 3, and 5
D. 1, 3, and 4

9. The case rate amount depends on the final diagnosis, each

diagnosis having corresponding fixed amount or package. The case
rate amount means that:
A. Patient/Family shall pay the total bill and shall be
reimbursed later by the HCI.
B. The amount that can be paid by the patient on installment
basis
C. Amount shall be deducted by the Health Care Insurance (HCI)
from the member’s total bill. D. Prior to discharge, amount shall
be paid in full except doctors’ fees.
10. Which of the following outpatient benefits is NOT included?
A. Contract operations
B. Cosmetic surgery
C. Animal bite treatment
D. Blood transfusion

Situation: Public health nurses serve a unique and vital role

environmental health. They conduct specific nursing actions that
may promote health reducing environmental risks to health of the
community.
11. Nurse Mariposa proposes fluoridation of municipal drinking
water of the community. In doing so, she is advancing the concept
of ___________.
A. active health promotion
B. wellness education
C. passive health promotion
D. illness prevention

12. Environmental factors that NEGATIVELY influence health

include:
1) Green space in the community
2) Urban stretch and unplanned zoning
3) Disparities in socioeconomic status
4) Gang violence and delinquency
5) Organized recreation programs
A. 3, 4 and 5
B. 1, 2 and 3
C. 1, 4 and 5
D. 2, 3 and 4

13. Nurse Mariposa is concerned about the rise of mosquito-borne

diseases in a rural community. Effective PRIMARY prevention for
community intervention measures would include:
1) Monitoring the incidence of disease caused by mosquitos
2) Promoting ordinance that control insect breeding sites
3) Instituting education program about insect control
4) Promoting accessibility of diagnostic and treatment services
A. 2 and 3
B. 1 and 4
C. 2 and 3
D. 3 and 4

14. The amount of garbage collected in a middle-class community

is huge and excessive. The best approach the nurse can take to
aid in helping decrease the amount of garbage generated is
____________.
A. promoting recycling efforts in the community
B. encouraging use of fewer polluting products
C. discouraging overuse of materials that generate trash
D. educating about overbuying household products

15. A family lives near a creek and the toilet is separated from
their own house. Their excreta fall freely to the creek. What
type of toilet is this?
A. Overhung latrine
B. Bored-hole latrine
C. Antipolo latrine
D. Open pit privy
Situation: In public health, quality improvement (QI) techniques
are used to improve performance and service delivery.
16. PDCA is the basic structure for most quality improvement (QI)
process. In public health, PDCA is focused on activities that are
responsive to community needs and improving population health.
PDCA stands for:
a. Perform-Document-Correct-Act
b. Perform-Do-Check-Analyze
c. Plan-Document-Check-Analyze
d. Plan-Do-Check-Act

17. There are several approaches and tools in (QI). One of these
is the Fishbone diagram, developed by K. Ishikawa. Which BEST
describes the Fishbone diagram? It is ____.
a. A cause-and-effect diagram
b. A wholistic approach in problem identification
c. Used in interview sessions
d. Useful in focusing on problem symptoms

18. As a QI tool, the Gantt chart is useful for planning and

scheduling projects. Which of the following statements is
INCORRECT about the GANTT chart? It ______.
a. Provides a graphical illustration of resources
b. Plans the order in which you’ll complete tasks
c. Tracks specific tasks in a project.
d. Helps assess how long a project should take

19. The steps in conducting quality improvement consist of the

following:
1. Identify and select strategies
2. Evaluate QI outcomes
3. Implement solution in small scale
4. State the problem
5. Expand scope of QI throughout the organization
Which is the correct sequence in the QI process?
a. 1, 2, 3, 5, 2
b. 2, 1, 5, 3, 4
c. 4, 2, 1, 3, 5
d. 1, 4, 5, 3, 2

20. Client satisfaction survey is an important and commonly used

indicator for measuring the quality in health in health care. In
the context of public health, which is NOT a purpose of
satisfaction surveys? To ______.
a. Serve as essential sources of information for identifying gaps
b. Directly address the health problems presented
c. Present the likelihood of continuing client provider-agency
relationships
d. Provide data about health-seeking behaviors

Situation: As a new nurse assigned in a municipality, you want to

be a good player in health care team that you belong to. You plan
to initiate a community health project that will require
interdisciplinary collaboration.
21. The attributes of collaborative teamwork are the following
EXCEPT:
A. professional turfing
B. unity of purpose
C. joint responsibility
D. shared decision-making
22. In any community project, the activities of health team
members are needed for success. Defining the relationship and
responsibilities and tasks of each member are important. Which
stage of collaboration does this statement refer to?
A. Commitment
B. Consensus
C. Trust building
D. Collegiality

23. Health teams have an obligation to work together to improve

patient care. Which of the following messages does NOT support
this statement?
A. Use unique and complementary abilities of team members to
optimize patient care
B. Forge independent relationship from other professions to
advance learning
C. Recognize one’s limitations in knowledge and skills.
D. Communicate with team members to clarify each member’s tasks.

24. A member of health team proposes another community project.

What is the MOST appropriate thing to do when you disagree with
the proposal?
A. Question the proposal indirectly by telling your opinions to
others
B. Blame the proponent and tell him he is unprofessional
C. Be frank while remaining flexible and openminded.
D. Be absent in the next scheduled meeting of the health team.

25. In a conflict situation, health team members have mutually

reached an acceptable resolution to the issue that partially
satisfies parties concerned. This approach is referred to as
____________.
A. competing
B. avoiding
C. compromising
D. accommodating

Situation: As a new public health nurses at a Rural Health Unit,

Ms. Vanie reviews basic concepts related to her position and job.
26. Ms. Vanie know that the PRIMARY goal of community health
nursing is to ________.
a. Enhance the capacity of individuals, families and communities
manage their health needs
b. Contribute to people’s well-being through sustainable
development goals projects
c. Increase the productivity of the people by providing them with
health services
d. Support and supplement the efforts of the medical profession
in illness preventions

27. Community health nursing (CHN) is a field of nursing

practice. Which best explains this statement?
a. The scope of practice depends on the health needs and problems
identified.
b. The services are delivered outside of purely curative
institutions.
c. The service are provided along with community health
volunteers.
d. The practice is conducted in the geographical location of
people.
28. Ms. Vanie is aware that she will be dealing with population
as a client. Which of the following provides the BEST definition
of a population?
a. Cluster of individuals who are at-risk of certain health
conditions.
b. Group of people sharing the same geographic environment.
c. Collection of people who are beneficiaries of health services.
d. Collection of individuals who share common characteristics.

29. An example of a social aggregate that Ms. Vanie should

consider in program planning would consist of ______.
a. Impoverished families
b. Supporters of a celebrity
c. Adolescents in various barangays
d. People at a concert

30. Which Nursing activity is unique to community/public health

nurses like Ms. Vanie?
a. Care for sick and dying
b. Promote livelihood projects assist poor families
c. Home visits to family clients referred by the health center
physician
d. Focus on vulnerable groups in the community

Situation: You are making a home visit to Mr. and Mrs. Uy who are
both in their seventies. Communicating with older persons
requires effective and therapeutic techniques.
31. You noted that Mrs. Uy frequently shifts the conversation to
reminisce. Which of the following communication techniques would
be most effective with Mrs. Bojie?
A. Asking exploring questions
B. Changing the subject
C. Giving information
D. Restarting

32. The assessment of the older adult should focus on:

A. Functional level
B. Social Functioning
C. Relationship needs
D. Chronological age

33. When communicating with the cognitively elderly clients, it

is important to understand the use of touch. Which of the
following is true in relation to using of touch? Which of the
following is true in relation of using touch with the elderly?
A. It is calming.
B. The use of touch must be determined on an individual basis.
C. It increases their agitation and confusion
D. The face should be touched to establish rapport.

34. Mr. and Mrs. Uy are an elderly couple that you are
interviewing at home. Mr. Uy asks to speak you alone. He tells
you that Mrs. Uy has become forgetful lately and yesterday he
received an overdue water bill. He asks, “Should I take over this
responsibility?” What would you say to Mr. Uy?
A. “Old people get forgetful at times”
B. “Could you tell Mrs. Bojie that you will help with the bill
paying?”
C. “Tell Mrs. Joson that you will assume the responsibility now.”
D. “You don’t know what to suggest. This is a family matter.”

33. It is critical to assess hearing loss in the elderly because:

A. Only adults can only hear at 90 words per minute
B. There is an initial inability to hear low frequency consonants
C. Deafness causes hair loss
D. Hearing loss has a direct impact on communication

Situation: Nurse Gloria makes home visits to assigned barangays

and meets families of different types.
36. One such family is a married couple who has two biologic
children living with them as well as a child from the wife’s
first marriage. What type of family is evident?
a. Homogenous
b. Extended
c. Blended
d. Nuclear

37. Nurse Gloria encounters a married couple who is raising three

children. Recently, the wife’s mother moved in. This family
should be assessed as ___.
a. Nuclear
b. Extended
c. Alternative
d. Blended

38. When Nurse Gloria assesses a family, which family task would
she consider having HIGHEST PRIORITY for health family
functioning?
a. Reproduction of new family members
b. Physiologic maintenance and safety
c. Allocation of family resources
d. Maintenance of order and authority
39. Which documentation of family assessment indicates a healthy
and functional family?
a. Member provide loving and mutual support
b. Under stress, members turn inward so as not to be burden
others.
c. Members believe they can depend in each other.
d. Husband holds dominant power over his wife

40. Which of the following scenario BEST demonstrates a

continuing healthy family?
a. A couple renews their marital relationship after their
children become adults
b. A couple requires their adolescent children to attend church
services three times a week
c. One parent takes care of children. The other parent earns
income and maintains the home
d. A family has strict boundaries that require members to address
problems within the family.

Situation: Public health nurses like Ms. Chan should be

knowledgeable on the importance of immunity in the prevention of
communicable diseases by building the capacity of the body to
restrict harmful microorganisms or viruses from entering it.
41. Nurse Chan knows that the type of immunity which is longest
acting is___________
a. Natural immunity
b. Passive immunity
c. Artificial immunity
d. Active immunity

42. She learned that the MOST important function of inflammation

and immunity is__________.
a. Preventing any entry of foreign material
b. Providing protection against invading organisms
c. Regulating the process of self- tolerance
d. Destroying bacteria before damage occurs

43. Nurse Chan administers hepatitis B immunoglobin serum to

Helen, which will provide her with passive immunity. One
advantage of passive immunity is that it______
a. Encourages the body to produce antibodies
b. Has effects that last a long time
c. Is highly effective in the treatment of disease
d. Offers immediate protection

44. Nurse Chan explains to a mother whose ten year child just
received a tetanus- toxoid injection that the toxoid vaccine
confers which of the following immunity?
a. Long lasting active immunity
b. Lifelong natural immunity
c. Intermediate artificial immunity
d. Short-acting passive immunity

45. Nurse Chan knows that one of the following is NOT a vaccine
preventable disease, hence no immunity can be given to a child.
a. Measle
b. Polio
c. Hepatitis B
d. Asthma

Situation: A strong typhoon hits a rural community in the Visayas

where 300 families are left without food and shelter.
46. Which reaction demonstrates the community’s readiness?
A. Community leaders activate the community disaster plan.
B. Community leaders contact the National Disaster and Relief
Center about the disaster.
C. Residents run to DSWD local office to ask for donation of food
and water
D. Typhoon victims are relocated to church patios, school gyms
and municipal playground.

47. Nurse Klebs is working in a temporary shelter of victims

immediately following a natural disaster. Which condition is the
nurse most likely to encounter?
A. Hallucination
B. Stress
C. Communicable disease
D. Chronic illness

48. Which task would a nurse be most likely to perform while

volunteering on a disaster medical assistant team?
A. Assist in triaging disaster victims.
B. Conduct a needs disaster assessment of the community
C. Set up immunization clinics to administer anti tetanus vaccine
D. Provide medical care for disaster victims

49. Which population has a GREATER risk for disruption after

disaster?
1) Single-parent families
2) Children
3) Middle income families
4) Substance abusers
5) Health care workers
A. 1, 2, and 4
B. 2, 3, and 4
C. 1, 3, and 5
D. 2, 4 and 5

50. After the devastating typhoon hits the community, a

grassroots organization is formed to improve conditions post
recovery. Nurse Klebs joins the organization and volunteers to
contact and meet with public officials and key informal leaders
about the community’s concerns. What role does Nurse Klebs
demonstrate?
A. Educator
B. Advocate
C. Citizen
D. Political ally

Situation: Promoting metal is equally important in promoting

physical health. Unfortunately, metal health has been largely
neglected.
51. Public Health Nurse Trich is concerned about the impact of
metal health on the community. She is preparing for a
presentation about mental health in the Philippines. Which of the
following information should be included?
a. Mental illness is an increasing problem among the upper class.
b. The incidence of depression is expected to decrease within the
next 10 months.
c. Almost one per 100 household has a member with mental
disability.
d. Post traumatic stress disorder is the most common of anxiety
disorders.

52. The PRIMARY reason that mental illness often results in

worsening of physical health problems is because of the _______.
a. Loss of cognitive function
b. Feelings of inadequacy
c. Inability or lack of motivation for effective selfcare
d. Side effects of mental health modification

53. Nurse Trich shared the statistics that intentional self-harm

was found to be the 9th leading cause of death among 20-24 years
old Filipino adults. Increasing number of mental health problems
may be related to _______. (Select all that apply)
1. Poverty
2. Age of the parents
3. Family unemployment
4. Changes in family structure Lost of community social support
A. 1, 2, and 5
B. 1, 3, 4, and 5
C. 1, 2, 3 and 4
D. 1, 2 and 3

54. Nurse Trich noted that there were number of poor older women,
living alone, who are suffering from depression. Her FIRST goal
is to ______.
a. Improved quality of life
b. Provide recreation and entertainment
c. Reduce suicide risk
d. Improve level of function

55. In promoting mental health, Nurse Trich is cognizant of her

nursing responsibilities. These include the following, EXCEPT:
a. Teach parents the importance of community of providing
emotional support to their children.
b. Increase general knowledge of the community on knowledge on
mental hygiene.
c. Help the community address factors that promote mental well-
being.
d. Refer at once cases of bizarre behaviors to a psychiatrist.

Situation: The World Health Organization (WHO) stated that

“climate change is the biggest threat to public health this
century.” Climate change is happening, and scientists believe
that global warming results from human activity.
56. As a public health nurse and as a citizen, you are concerned
about the Earth’s warming up fast from the production of
greenhouse gases which are involved in the greenhouse effect. The
most common greenhouses gases are the following, EXCEPT:
A. Oxygen
B. Methane
C. Water Vapor
D. Carbon dioxide

57. Along with the natural greenhouse gases, there are some man-
made ones that keep on increasing in the atmosphere that
contribute to the heating up of the Earth’s surface. These
HARMFUL human activities include the following:
1) use of liquefied petroleum gases
2) burning of fossil fuels
3) use of aerosols and plastics
4) cutting down trees
5) burning waste materials
6) use of recycled paper
A. 1, 2, 5, and 6
B. 2, 4, 5 and 6
C. 2, 3, 4, and 5
D. 1, 3, 4, and 6
58. You are aware of the consequences of the Earth’s climate
getting warm on the weather which eventually affect people. Which
of the following is NOT included?
A. storms and floods
B. cool summer
C. droughts
D. more rains and winters

59. You are concerned about the effects of global warming on the
health of people. In your advocacy, which of the following
statements should NOT be included?
A. Increased aeroallergens result in increase in cardiovascular
disease.
B. There is an increase in mental health problems due to harmful
and unexpected consequences.
C. Increased exposure to ultraviolet rays results in increases in
skin cancers.
D. Changing patterns result in increases in vector, food and
waterborne disease

60. The following messages can be included in your advocacy

helping reduce the generation of greenhouse gases and slow down
global warming, EXCEPT:
A. Recycle used materials
B. Plant more trees
C. Use electricity for cooking
D. Walk or use bicycle

Situation: Some disasters occur relatively frequent in certain

parts of the world. The Philippines is one country that has
experienced both natural disasters and human made disasters. 61.
The public health nurse is aware of the importance of the need to
perform roles in preparing for a disaster. The BEST example of
one of these roles would be to:
a. Assist in the prevention of injury
b. Identify disaster risks
c. Coordinate emergency care
d. Inspect cluster of houses

62. The residents and local leaders in Municipality X is mapping

out potential disaster locations in the community. This period of
planning and preparation is described as:
a. Recovery stage
b. Pre- disaster stage
c. Impact stage
d. Non-disaster stage

63. The nurse provides counselling for victims of flood. This is

an example of _____.
a. Primary Prevention
b. Secondary Prevention
c. Mental health care
d. Tertiary Prevention

64. Should a terrorist attack occur, nurses need to be ready, not

only in providing quality care for the victim but ensuring their
own safety as well. During a mass disaster drill stimulating a
terrorist attack, the nurse must triage numerous severely ill
persons. The client who should receive PRIORITY care is:
a. Cyanotic and not breathing
b. Apneic and has an apical rate of 50
c. Having seizures and urine incontinence
d. Gasping for breathing and are conscious
65. The nurse is considering how best to educate the community
about the potential threats to health from terrorism. What are
the BEST ways to accomplish this?
1. Hold public forum to educate the community about coping with
psychology effects.
2. Raise community awareness about increased immigrants to the
population
3. Teach the community about sealing windows and doors in the
event of a chemical attack.
4. Raise community awareness about the signs and symptoms of
potential biologic agents.
a. 1 and 3
b. 2 and 3
c. 1 and 4
d. 2 and 4

Situation: According to the World Health Organization (WHO),

there are major causes of non communicable disease that pose
challenges to the live and health of millions of people and
threaten economic and social development of countries.
66. Which of the following are the four chronic disease referred
to by WHO?
1. Cardiovascular Disease
2. Cancer
3. Dementia
4. Arthritis
5. Diabetes Mellitus
6. Chronic Obstructive Lung Disease
a. 1,2,3 and 4
b. 1,2,5 and 6
c. 2,3,4 and 5
d. 2,4,5 and 6
67. The WHO reveals that the NUMBER ONE cause of death from
chronic diseases worldwide, using the 2015 estimate, is _______.
a. Tuberculosis
b. Diabetes Mellitus
c. Ischemic Heart Disease
d. Pneumonia

68. In the Philippines, which is the TOP Killer according to the

Department of Health (2009 data)?
a. Asthma
b. Cancer
c. Tuberculosis
d. Cardiovascular Diseases

69. When studying chronic diseases, the multifactorial etiology

of illness is considered. What does this imply?
a. Single organism that causes the disease, such as cholera, must
be studied in more detail.
b. Focus should be on the factors or combinations and levels of
factors contributing to disease.
c. The rise in infectious and communicable disease must be the
main focus.
d. Genetics and molecular structure of disease is paramount.

70. Determinants of health to address the development of cancer

in a community include:
1. Proximity of the community to chemical plants that emit
poisonous gases.
2. High percentage of tobacco use among the residents.
3. Prevailing diet high in processed food and fat.
4. Availability of the health facilities.
5. Men age of women population.
a. 3,4 and 5
b. 1,2 and 3
c. 1,3 and 4
d. 2,4 and 5

Situation: Interdisciplinary teamwork is an important model for

delivering health care to patients. Integrating services among
many health providers leads to better outcomes delivered to
underserved populations and communities with limited access to
health care.
71. Professional group productivity and member satisfaction are
best achieved by which of the following leadership styles?
a. Democratic
b. Authoritarian
c. Laissez-faire
d. Autocratic

72. As a member of a professional work-related group you know

that:
a. Functional goals are assigned by management
b. The leader is responsible for overall functioning
c. The members summarize progress and allocate assignments
d. The cooperation of all members is required.

73. The nurse is making a referral for the client. What should be
the first consideration for the nurse to do?
a. Acceptability of the referral to the client
b. Cost of the referral service
c. Barriers to making a referral
d. Client’s eligibility for the service

74. Group with a laissez faire leader are likely to be ___.

a. More structured in format
b. Less productive
c. More productive
d. More satisfying to members

75. You have volunteered to be part of a work group whose purpose

is to look at ways to prevent medication error. You know that:
a. Teamwork enhances the probability of goal achievement
b. Group process is not important in a task
c. The leader assumes responsibility for the overall group
functioning
d. The goal should be set by management

Situation: Nurse Jograd has just passed the Nursing Licensure

Examination (NLE). He directly needs to refresh himself regarding
the law that governs the practice of nursing the Philippines.
76. By virtue of Section 16 of the Philippine Nursing Law, the
first step Nurse Jograd needs to do after passing the NLE is to:
A. Apply for the Certificate of Registration/Professional
License.
B. Get an official copy of her board rating from the PRC office
C. Apply for a Professional Identification Card.
D. Take oath of profession before the Philippine Regulatory Board
of Nursing

77. Which government body has the power to revoke or suspend

Nurse Jograd’s certificate of registration/professional license
should he commit unprofessional and unethical conduct in the
future?
A. Philippine Nurses Association
B. Professional Regulation Commission
C. Commission on Higher Education
D. Professional Regulatory Board of Nursing

78 What Republic Act provides for a more responsive nursing

profession?
A. RA 9173
B. RA 7164
C. RA 9371
D. RA 7614

79. Nurse Jograd intends to work as a Public Health Nurse. Which

part of the Nursing Law should Nurse Jograd refer to for his safe
practice as a novice nurse?
A. Nursing Research
B. Nursing Personnel System
C. Scope of Nursing Practice
D. Nursing Education

80. When Nurse Jograd eventually gets employed in the Rural

Health Unit, foremost, she is required to utilize which of the
following in rendering care to her clients in the community?
A. Nursing Process
B. Therapeutic use of self
C. Health teachings
D. Traditional and innovative approaches

Situation: Nurse Chie is a part of health team of a Rural Health

Unit that implements the Philippine Package of Essential NCD
Intervention (PHILPEN). He is particularly assigned to conduct
“hypertension screening” among 15 years old and above during home
visits.
81. The MOST accurate and reliable technique for indirect BP
measurement is the _______.
A. auscultatory using a mercury manometer.
B. palpation using mercury manometer
C. auscultatory using an aneroid BP apparatus
D. palpation using an aneroid BP apparatus

82. Nurse Chie remembers that blood pressure taken in the upper
arm versus the forearm varies. Thus, there is a need to document
which site is used. Which of the following values is the correct
variation in mmHg?
A. 10-15
B. 5-10
C. 14-20
D. 1-4

83. Nurse Chie needs to expose the patient’s arm and position it
with palm upward and the arm slightly flexed with the whole arm
supported at which level?
A. Above heart
B. Below heart
C. Heart level
D. Any level

84. Nurse Chie took the blood pressure of a 45 year old family
member and got the reading as 146/92 mmHg. This reading is
classified as:
A. Hypertension, stage 1
B. Hypertension, stage 3
C. Hypertension, stage 2
D. Prehypertension

85. In defining and classifying hypertension, blood pressure

readings must be based on measurements done during ________.
A. at least two visits taken one week apart
B. three consecutive daily visits
C. two readings taken two weeks apart
D. two consecutive monthly visits

86. Which of the following statement is true about membership to

the Philippine Nurses Association (PNA)? It is:
A. Voluntary and is encouraged by the PRC code of ethics
B. Compulsory for new nurses wanting to practice nursing in the
Philippines
C. Mandatory as stipulated in the Philippine Nursing Act if 2002
D. Required for those employed in government health facilities

87. Why would a nurse choose to be an active member of several

professional associations? PRIMARILY to:
A. Participate in the discussion and political action activities
concerning the profession
B. Able to spend time with friends and colleagues
C. Part of the organization’s annual convention/conference.
D. Be able to have professional development opportunities

88. Which of the following is the MOST important step to

developing cultural competence for the nurse?
A. understand and recognize her own cultural background
B. understand the culture of her client
C. identify the goals of cultural-congruent goals
D. gain proficiency in another language and dialect

89. Quality of client care is ensured not only by continuing

education. Professional responsibility along this line requires,
FOREMOST:
A. knowing the standards of practice
B. understand the socioeconomic background of patients
C. getting a master’s degree in nursing
D. a nurse-centered care

90. Quality of client care is ensured not only by continuing

education. Professional responsibility along this line requires,
FOREMOST:
A. Obtaining an advance academic degree in nursing
B. Attending as many as nursing conference's
C. Conforming to institution’s policies and guidelines
D. Monitoring one’s own practice according to standard set by the
profession

Situation: As a nurse, knowledge of the legal aspects in nursing

is essential to safeguard self and clients from legal
complications. Clients are becoming increasingly aware of their
health rights, thus you should recognize your professional
boundaries and consequences of nonconformity.
91. Your co-worker got a thank you card from a patient’s family
with an accompanying photo of her with the family. She asked you
if it would be alright to post the post on facebook. Which would
be your BEST response?
a. “I think that would be okay, but you should ask permission
from our head.”
b. “Yes, as long as you ask the family if that would be okay.”
c. “No, that could lead to a malpractice suit by the patient or
family.”
d. “No, posting pictures of patients and families on social media
is not acceptable.”

92. Identify which action is acceptable as an exception to a

nurse’s obligation regarding confidentiality.
a. Leaving printouts of lab reports on the desk in the
physicians’ lounge
b. Discussing a patient’s care with someone who is not involved
in patient care
c. Discussing a patient’s condition in a public place as long as
his name is not mentioned
d. Reporting certain disease to public health authority

93. The central question in any charge of malpractice is whether

the prevailing standard of care was met. Which of the following
statements are TRUE about standards of nursing care?
1. Basic prudent nursing care is a standard.
2. Any health care provider can determine standards of care.
3. Standards of care are never changing.
4. Standards are based on the ethical principle of non-
maleficence.
5. National standards of nursing practice are standards for all
nurses
a. 1,3,4
b. 2,3,5
c. 1,4,5
d. 2,4,5

94. Select the nursing responsibility which can NEVER be

delegated.
a. Rotation schedule
b. Evaluation
c. Accountability
d. Complex Procedure

95. For safe nursing practice, you should observe some of the
do’s and do not’s in performing your professional duty. Which
ones are NOT acceptable standard of actions by the nurse?
1. Keeping current year license to practice
2. Being a witness to a patient’s will
3. Following policies and procedures
4. Protecting patients from injuring themselves
5. Accepting money or gift from patients
6. Giving practical advice contrary to the doctor’s orders
a. 1,4, 6
b. 1,3,4
c. 2,4,5
d. 5,6

Situation: The Code of Ethics of Registered Nurses in the

Philippines was promulgated by the Professional Regulatory Board
of Nursing (PRBON) in consultation with national nursing
organizations.
96. The Code’s Preamble recognizes that the PRIMARY
responsibility of the nurse is to _______.
A. treat and cure simple disease
B. preserve health at all cost
C. support client in health matters
D. achieve quality of life for clients
97. Article II of the Code outline the ethical principles
governing the Registered Nurses and the People. In relation to
this, the following are guidelines the nurse must observe,
EXCEPT:
A. In the event of conflicts, culture and values take precedence
over welfare and safety.
B. Respect the spiritual beliefs and practices regarding diet and
treatment.
C. consider the individuality and totality of patients when
giving care
D. Uphold the dignity and rights of individuals.

98. As a citizen and a member of society, the nurse must:

1) Be involved in community concerns and projects
2) Be equipped with knowledge of community health resources.
3) Lead their lives in conformity with the principles of right
conduct.
4) Project an image that will uplift the nursing profession at
all times.
5) Be on guard that her/his words and actions are always
agreeable with others
A. 2, 3, and 5 only
B. 2, 3, 4, and 5
C. 1, 2, 3 only
D. 1, 2, 3, and 4

99. As a professional, the nurse must always conduct herself

appropriately. Which of the following behaviours does NOT
correspond to this statement?
A. Avoid any abuse of the privilege relationship which exists
with patients.
B. Accept gift or hospitality from any person in exchange for a
requested favor.
C. Not demand and receive any commission, fee or emolument for
referrals made.
D. Not allowing themselves to be used in advertisement that would
demean the image of profession.

100. In the said Code of Ethics for Nurses, the nurse in relation
to her profession, is expected to do the following, EXCEPT
A. Participate actively in the growth and development of the
nursing profession
B. Strictly adhere to the nursing standard set by the
Professional Regulatory Board of Nursing
C. Strive to secure equitable socio-economic and work conditions
for nurses.
D. Be a member of the accredited professional organization which
is the International Council of Nurses.