Philippine Nurse Licensure Examination

A barangay health nurse reviews clinic records and finds many infants missed measles-containing vaccine appointments. Which action best reflects the nursing process in community health nursing?

• AValidate the defaulter list, identify reasons for missed visits, and plan follow-up with…
• BWait until the next national campaign before contacting families.
• CRefer every child immediately to the emergency department.
• DRecord the children as noncompliant and close the immunization file.

Which principle is central to primary health care in a Philippine barangay setting?

• ACare should be available only in hospitals with specialist staff.
• BCommunity members should participate in identifying needs and carrying out solutions.
• CHealth services should focus only on treatment after disease develops.
• DPrograms should be designed without local data to keep them uniform nationwide.

Which numerator is used when computing the infant mortality rate for a municipality?

• ADeaths among children under 5 years old during the year
• BDeaths among all live-born infants in the neonatal period only
• CDeaths among infants younger than 1 year during the year
• DStillbirths plus deaths among infants younger than 1 year

A rural health unit receives reports of several learners with fever and rash. Before launching broad control measures, what should the nurse do first?

• AClose all classes for 2 weeks without further assessment.
• BGive antibiotics to all students in the school.
• CAsk parents to manage symptoms at home and stop reporting.
• DVerify the diagnosis and confirm that the number of cases is above what is expected.

Under the routine infant immunization program, which vaccine is normally given as a birth dose to protect against severe childhood tuberculosis?

• ABCG vaccine
• BMMR vaccine
• CRotavirus vaccine
• DJapanese encephalitis vaccine

During a barangay consultation, an adult reports cough for more than 2 weeks, weight loss, and night sweats. What is the best nursing action?

• AAdvise the client to buy cough suppressants and return if symptoms persist for 6 months.
• BRefer the client for tuberculosis evaluation, sputum testing as indicated, and counseling…
• CGive a short course of leftover antibiotics from the clinic supply.
• DTell the client to avoid all vaccines because TB is suspected.

Which teaching point is most appropriate for a client newly diagnosed with hypertension at the rural health unit?

• AStop medication once the blood pressure feels normal.
• BUse herbal products instead of prescribed medicine to avoid side effects.
• CReduce dietary salt, take prescribed medicines consistently, and return for blood pressur…
• DExercise only when systolic blood pressure is above 180 mm Hg.

In disaster triage at an evacuation center, which client should be assessed first?

• AA client with a small abrasion who is asking for antiseptic
• BA client with mild anxiety who is pacing near the entrance
• CA client with an old ankle sprain requesting a bandage
• DA client with noisy breathing, cyanosis, and difficulty speaking

A 17-year-old pregnant client has had no prenatal visits and says she is afraid her parents will find out. Which nursing response is best?

• AAssess safety, explain confidential services within legal limits, and link her to prenata…
• BTell her prenatal care can wait until the third trimester if she feels well.
• CCall her parents immediately before assessing her concerns.
• DAdvise her to avoid the health center to prevent embarrassment.

After a fiesta meal, 15 of 75 people who ate pancit developed vomiting and diarrhea within 8 hours. What is the attack rate among those exposed?

• A15%
• B20%
• C60%
• D75%

A family asks how Universal Health Care changes their first contact with the health system. Which explanation is most accurate?

• AThey should bypass primary care and go directly to tertiary hospitals for all concerns.
• BThey must pay privately before any government facility can assess them.
• CThey should be linked to a primary care provider who coordinates care and referral when n…
• DThey can receive care only during national health campaigns.

Which bag technique practice best prevents cross-contamination during a home visit?

• APlace the nursing bag on the client's bed for easier access.
• BUse the same hand hygiene moment only at the end of the visit.
• CReturn used supplies directly into the bag after the procedure.
• DCreate a clean field, perform hand hygiene at appropriate moments, and keep used items se…

A child is bitten on the leg by an unknown dog. What should the nurse teach as the immediate first aid action before referral?

• AWash the wound thoroughly with soap and running water, then seek urgent rabies post-expos…
• BApply a tight tourniquet above the bite and wait for swelling to stop.
• CCover the wound with soil or coffee to draw out the virus.
• DDelay consultation unless fever develops.

Which finding in a client with suspected dengue should the nurse recognize as a warning sign requiring urgent evaluation?

• AMild body aches on the first day of fever
• BPersistent vomiting with abdominal pain
• CA single low-grade temperature reading
• DImproved appetite after fever starts

A client on TB treatment misses several doses because transport to the health center is expensive. What is the best nursing action?

• ADischarge the client from the TB program for nonadherence.
• BTell the client to double the next dose whenever a dose is missed.
• CAssess barriers and arrange adherence support, such as a feasible treatment partner or co…
• DStop treatment until the client can afford daily travel.

A school nurse sees a learner with fever, cough, conjunctivitis, and a generalized rash. What is the most appropriate action?

• AKeep the child in class because rash illnesses are not reportable.
• BGive aspirin and send the child back to activities.
• CAsk classmates to share masks only if they feel scared.
• DSeparate the child from others, notify the parent or guardian, and report according to lo…