NLE NP5: Foundations, Community Health, Leadership Review

NLE NP5: Foundations, Community Health, Leadership Review

NP5 is the "professional nursing" subtest — Foundations of Nursing Practice, Community Health Nursing, and Nursing Leadership and Management combined into a single 100-item paper. It's the most theoretical of the five Nursing Practices, with content that overlaps your BSN nursing-theory and public-health courses.

For most candidates, NP5 sits in the middle of difficulty rankings — easier than NP4 (mental health) but harder than NP1 (med-surg) because the content is broader and less clinically concrete.

This post is the topic-level plan that the NLE 2026 pillar guide hands off to.

What PRC actually asks

Approximate item distribution across the 100 NP5 items:

Foundations of nursing

Drill list:

Nursing process (5 phases):

• Assessment: data collection, validation
• Diagnosis: nursing diagnoses (NANDA), three-part PES format
• Planning: outcomes, prioritisation (Maslow's, ABCs)
• Implementation: independent vs collaborative interventions
• Evaluation: outcome measurement, reassessment

Items frequently present a clinical scenario and ask which step of the process is being demonstrated.

Nursing theories:

• Florence Nightingale: environmental theory
• Virginia Henderson: 14 basic needs, "the unique function of the nurse"
• Hildegard Peplau: interpersonal relations, anxiety levels
• Dorothea Orem: self-care deficit theory
• Sister Callista Roy: adaptation model
• Madeleine Leininger: transcultural nursing, cultural care diversity
• Jean Watson: human caring theory, 10 carative factors
• Patricia Benner: novice to expert
• Faye Glenn Abdellah: 21 nursing problems
• Imogene King: theory of goal attainment

For each theorist: know the central concept and one application example.

Ethical principles:

• Autonomy
• Beneficence
• Nonmaleficence
• Justice
• Veracity
• Fidelity
• Confidentiality

Legal concepts:

• Negligence vs malpractice
• Standards of care
• Informed consent (who can give, who cannot)
• Mandatory reporting (child abuse, elder abuse, communicable diseases)
• Patient rights
• Documentation principles
• Advance directives, living wills
• DNR orders

Vital signs and assessment:

• Normal ranges across age groups
• Pain assessment scales by age
• Wong-Baker FACES
• Numeric pain scale
• Cultural considerations in pain assessment

Medication administration:

• 5 (and now 10) Rights of medication
• High-alert medications
• Look-alike sound-alike drugs
• Calculations (dosage, IV drip rates, conversions)
• Common abbreviations and dangerous abbreviations

Community health nursing

Drill list:

Levels of prevention:

• Primary: health promotion, disease prevention (immunisation, education, lifestyle)
• Secondary: early detection (screening, early diagnosis)
• Tertiary: rehabilitation, complication management

Items often ask which level of prevention an intervention represents.

Family nursing:

• Family structure types
• Family stages (Duvall's)
• Family assessment tools: ecomap, genogram
• Family health tasks (Friedman)
• Crisis intervention in families

Epidemiology:

• Incidence vs prevalence
• Morbidity vs mortality
• Endemic, epidemic, pandemic, sporadic
• Modes of transmission
• Chain of infection
• Herd immunity
• Common epidemiological measures

Philippine DOH programmes:

• Expanded Programme on Immunisation (EPI) — schedule
• Maternal Health Programme: prenatal, delivery, postpartum
• Newborn Screening
• Family Planning Programme
• Adolescent Health Programme
• Mental Health Programme
• National Tuberculosis Control Programme (DOTS)
• Dengue prevention
• Rabies control
• HIV/AIDS prevention and care
• Reproductive Health Law (RA 10354)
• Universal Health Care Law (RA 11223)

Community assessment:

• Windshield survey
• Community diagnosis
• Population-focused interventions
• Health teaching to community groups

Nursing leadership and management

Drill list:

Management functions (POSDCORB or Fayol):

• Planning
• Organising
• Staffing
• Directing
• Controlling
• Coordinating

Leadership styles:

• Autocratic
• Democratic / participative
• Laissez-faire
• Transformational
• Transactional
• Servant leadership

Match style to scenario — emergencies often call for autocratic; staff development for transformational.

Delegation:

• 5 Rights of Delegation: Right Task, Right Circumstance, Right Person, Right Direction, Right Supervision
• What can/cannot be delegated to UAP, LPN, RN
• Items often present a list of tasks and ask which to delegate

Conflict management:

• Thomas-Kilmann conflict modes: competing, avoiding, accommodating, compromising, collaborating
• Conflict resolution steps

Patient assignments:

• Functional nursing
• Team nursing
• Primary nursing
• Modular nursing
• Total patient care

Quality improvement:

• Plan-Do-Check-Act cycle
• Six Sigma basics
• Root cause analysis
• Sentinel events
• Just culture

Staff management:

• Performance appraisal
• Disciplinary process
• Staff development and continuing education
• Mentoring vs preceptoring

Communicable diseases (Philippine context)

Drill list:

• Tuberculosis: DOTS programme, drug regimens, infection control
• Dengue: prevention, danger signs, plasma leakage
• Leptospirosis: presentation, prevention, treatment
• Malaria: areas, prevention, treatment
• Schistosomiasis: snail vector, endemic regions
• Filariasis: vector, mass drug administration
• Rabies: post-exposure prophylaxis, animal bite categories
• Hepatitis A, B, C
• HIV/AIDS
• COVID-19 protocols
• Standard precautions vs transmission-based isolation

Disaster nursing

• Triage colours: red, yellow, green, black
• START triage system
• Mass casualty incident management
• Disaster preparedness phases: mitigation, preparedness, response, recovery
• Common natural disasters in Philippines: typhoons, earthquakes, volcanic eruptions
• Personal protective equipment levels

Health policy

• Philippine health system structure
• DOH organisation
• Local Government Code (RA 7160) — health devolution
• PhilHealth coverage and benefits
• Universal Health Care Law (RA 11223)
• Magna Carta of Public Health Workers (RA 7305)
• Nursing Act of 2002 (RA 9173)
• Continuing Professional Development Act (RA 10912)

Research and evidence-based practice

• Research process steps
• Quantitative vs qualitative research
• Levels of evidence (I-VII)
• Common research designs
• Sampling methods
• Reliability vs validity
• Ethical considerations in research

A 4-week NP5 drilling plan

Realistic NP5 scores

Where Super Tutor fits

Super Tutor's NLE NP5 track covers foundations, community health, and leadership/management. Free tier opens nursing process and ethics; the Focused plan (₱49/week, ₱249/month, ₱1,999/year) opens the rest plus the mock cycle.

What to read next

The NLE 2026 pillar guide anchors the full review. Other subtest plans: NP1, NP2, NP3, NP4. The 60% floor trap guide covers the dual-rule pass criterion.