Title RECALLS 3 - NP4 - SC ✅

RECALLS 3 EXAMINATION NURSING PRACTICE IV CARE OF THE CLIENT WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART B) NOV 2025 Philippine Nurse Licensure Examination Review GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions 2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set. 5. Write the subject title “NURSING PRACTICE IV” on the box provided Situation: Mr. Bello, Hospital Research Coordinator, is discussing the basics of research with the members of the Research Committee as part of continuing education. Questions and answers were also part of the program. 1. During the open forum, Mr. Bello raised the question as to who among the following provides information in the questionnaires. A. Participants B. key informants C. respondents D. subjects 2. One of the members of the Research Committee wishes to conduct a study involving an interdisciplinary team of colleagues. This study is termed as ____. A. clinical B. exploratory C. collaborative D. applied 3. In conducting qualitative research, a nurse should follow the logical reasoning process termed as, which of the following? A. Deductive B. Intuition. C. Causal D. Inductive. 4. The lecturer reminded the committee members that bias is an influence that distorts study results. In quantitative research, which willeliminate bias? A. Trustworthiness B. Credibility C. Randomness. D. Triangulation 5. One of the committee members raised the question on how to make anabstract. The question was followed by how many words are required in anabstract should (APA) style be followed? What is the CORRECT answer? A. 450-550 B. 250-350 C. 150-250 D. 350-40 Situation: The Clinical Instructor (CI) is conducting a ward class on how to perform the breast self-examination (BSE) 6. The CI is expected to set the atmosphere by welcoming everyone and by _____. A. showing every one the picture of the breast B. discussing the objectives of the ward class C. giving an anecdote about an old man D. going ahead with the first part of the lecture 7. For the students' better understanding about the anatomy of the breast,the CI shares A. various pictures of the breast, external and internal views B. pictures of different types of mastectomies C. the experiences of breastfeeding mothers D. artistic drawings of the breasts 8. The clinical instructor proceeded with the lecture to the students using the ____. A. Question and Answer method B. Entertainment style of presentation C. Students as the resource persons D. Outline of the lecture she just presented 9. When the lecture presentation was finished, the CI proceeded with the ____. A. evaluation of the activity B. Q and A portion on anything the students are interested to tackle C. open forum to solicit questions related to the topic under discussion. D. cracking of humorous anecdotes to keep the class alive. 10. The last and necessary part of the activity is ______. A. informing the students their next day's assignment. B. the joke portion for good vibes C. evaluation so that future but similar activities can be improved D. after care of the venue, an earlier reminder by the HeadNurse Situation: Hypovolemic Shock. The adult patient on his way to the office met a vehicular accident and was continuously bleeding from the head. He was brought to the nearest hospital by the bystanders. 11. What must the Emergency Room Nurse do FIRST? A. Start an intravenous line at once. B. Position with head lower than extremities. C. Request for laboratory examinations. D. Stop the bleeding immediately. 12. Due to continuous bleeding the patient goes into the second stage of shock with BP 80/60. What are the possible effects on the heart in this stage? I.Increased heart rate II. Chest pain III. Increased cardiac troponin IV. Myocardial infarction A. I, II, III, and IV B. I and II C. I, II, and III D. II, III, and V 13. The BEST position for the patient to assume in case of shock is ________. A. modified Trendelenburg B. high Fowler's C. recumbent D. low Fowler's 14. What isotonic electrolyte solutions are COMMONLY used as fluid replacement in hypovolemic shock? I. Dextrose 5 percent in water 1 | Page
II. 0.9 percent sodium chloride III. Lactated Ringer's solution IV. Dextrose 10 percent in water A. II, III, and IV B. I, III, and IV C. II and III D. I and IV 15. In case the patient would go into cardiovascular overload as a result of the intravenous fluid therapy the PRIORITY nursing action should focus on ______. A. respiratory distress B. increase in total urine output C. increase in body temperature D. edema in the lower extremities Situation: Patient Lola, a 55-year-old mother of 7, has been having involuntary urine leaks aggravated whenever she sneezes or coughs. She is diagnosed with urinary incontinence. The next 5questions refer to this case. 16. The type of incontinence Patient Lola manifests, where there is involuntary loss of urine as a result of sneezing, coughing or even changing position is called _____. A. overflow B. reflex C. stress D. functional 17. The nurse is aware that urinary incontinence brings about psychosocial costs, including the following, EXCEPT ______. A. increased expenses . B. social isolation C. embarrassment D. loss of self-esteem 18. The nurse instructs the patient that the BEST time for an incontinentpatient to take his diuretics is ___. A. Any time of the day B. After 4:00 PM C. In the morning D. At bedtime 19. When providing health teaching to the patient with urinary incontinence,the nurse must STRESS that it is __. A. Only surgery can alleviate the condition B. Often reversible and treatable. C. Treatable with drugs all of the time D. Controlled with the aid of alcohol 20. The aim of pelvic muscle exercises for the patient with urinary incontinence is to strengthen the muscles that control the _____. A. vagina and rectum B. perineal area C. bowel and the bladder D. vagina and urethra Situation: Nurses should not only abide by the laws, but be guided by the Code of Ethics for Nurses as well. 21. The Code of Ethics for Nurses have articles relating to the relationship of nurses on ____. (Select all that apply.) I. people II. practice and the profession III. co-workers IV. society and environment A. I, III, and IV B. I, II, III, and IV C. II, III, and IV D. I, II, and III 22. The Code of Ethics adopted all the principles under the A. Code of Good Governance B. Patient's Bill of Rights C. ICN Code of Ethics D. American Nurses Association (ANA) Code of Ethics 23. According to the Code of Ethics, WHO determines the coverage and scope of the examination for the practice of nursing in the Philippines? A. Professional Regulation Commission B. Association of Deans of Philippine Colleges of Nursing C. Professional Regulatory Board of Nursing (PRBON) D. Professional Association of Philippine Regulatory Boards (PAPRB) 24. What are the three important legal principles in nursing professional ethics? I. Autonomy II. Informed consent III.Confidentiality IV. Truthtelling A. I, II, and IV B. II, III, and IV C. I, III, and IV D. I, II, and III 25. The "end- justifies-the-means” ethic is described as ____. A. having no correct or wrong conclusion B. basically without any ethical issue C. conclusively unethical D. unavoidable during these modern times Situation: Ms. Lorna, aged 46, has varying degrees of weakness on the lower extremities, inability to perform voluntary movements and paresthesias. Her physician gives a tentative diagnosis of Guillain-Barre Syndrome (GBS) 26. Which is a common verbalization of the patient with GBS regarding theEARLY ONSET of symptoms? A. Acute hemiplegia B. Ascending motor weakness. C. Weakness of the four lower extremities D. Acute hemiparesis. 27. The nurse is aware that which occurrence in the patient's health history suggests the diagnosis of GBS? A. viral illness few weeks before B. encephalitis C. severe bacterial infection D. meningitis 28. A PRIORITY nursing diagnosis in Guillain Barre Syndrome is ____. A. Ineffective breathing pattern B. Impaired verbal communication C. Imbalanced nutrition D. Impaired physical mobility 29. If the patient is unable to talk, how should the nurse BEST communicate to the patient? A. Enunciating the words slowly and well. B. By using picture cards. C. Just stop as he could no longer understand. D. Talking loudly face-to-face with the patient. 30. The nurse informs the patient and family that rehabilitation prior to discharge is BEST described as ___. A. a period of ups and downs, physically and emotionally B. long and one requiring involvement of significant others C. easy and smooth from discharge onwards. D. a rapid process towards recovery Situation: Jollibee, 69 years of age, is diagnosed with Benign Prostatic Hyperplasia (BPH). 31. The nurse anticipates that the signs and symptoms of BPH do NOT include ______. A. frequency of urination B. pain on urination C. dribbling of urine D. hesitancy in starting urination. 32. Elmo asks the nurse to explain his condition (BPH). Which statements are CORRECT explanations by the nurse? I. It blocks the urethra II. It obstructs the bladder. III. It spreads to other parts of the body IV. It leads to urinary retention A. I and IV B. II, III, and IV C. I, II, and III D. I and III 33. What IMMEDIATE danger should the nurse anticipate post Transurethral Resection of the Prostate (TURP)? A. Infection B. Bleeding C. Thrombosis D. Shock 2 | Page

52. Upon history-taking, the nurse notes that the cough of a patient with lung cancer usually STARTS off to be _____. A. blood-tinged B. productive C. dark yellow sputum D. dry and persistent 53. Which diagnostic procedure is commonly used to establish the diagnosis of lung cancer which provides a detailed description of the tracheobronchial tree and allows for biopsies of suspicious areas? A. Computerized Tomography (CT) scan B. Bronchoscopy C. Sputum cytology D. Positron Emission Tomography (PET) 54. To help the patient with his breathing difficulty, the nurse places him in which position? A. Prone B. Fowler's C. Sim's lateral D. Supine 55. Barack is diagnosed with small cell lung cancer (SCLC), a rapidly growing type of cancer. He and his family were shocked when told by the doctor that the patient will just undergo palliative treatment. Which nursing action is MOST APPROPRIATE? A. Providing relief from symptoms. B. Reducing fatigue C. Providing psychological support D. Advising treatment options Situation: Proper recording is a vital task that the nurse is trained to do properly in nursing school and expected to practice as a professional. 56. Nurses are taught as students that the ideal and PROPER time for recording vital signs and notes on the patient is ______. A. during the next vital signs taking for comparison B. after all the tasks are done, in order to conserve time C. as soon as they obtain the signs or observations on the patient D. to wait for lunch break to do the recording 57. Right after endorsement and during the rounds, the incoming nurse observes that the IV fluid is at 700 cc level and not 500cc, as endorsed. What is the CORRECT information that she will chart? A. Anything goes, nobody reads the charting anyway. B. Record the 500 cc. C. Chart that she received 700 D. Refer to the Head Nurse on what to do. 58. Which is the APPROPRIATE way to correct an error in theNurses Notes? A. Take the whole page out and replace with a fresh one B. Draw a single line across the error and initial it C. Draw a single line across and write “Error” D. Use a rubber eraser to erase an error. 59. If a medicine is unavailable and therefore not given to the patient, how is it charted? A. Leave it blank. B. Sign and make an explanation in the Nurses Notes. C. With an asterisk or mark, as per hospital protocol. D. Write the letter. 60. If the patient is referred to another consultant and the latter has made an order already, what can the nurse CORRECTLY chart? A. The attending physician has not yet read the order. B. Only one order has been left to be carried out. C. She has carried out the orders of the consultant. D. That the consultant has seen the patient with new orders. Situation: Dog Bites are relatively common in the Philippines. The presence of a number of stray dogs predisposes to the occurrence of rabies. 61. Upon entry of the patient to the ER, the nurse must FIRST perform which nursing intervention? A. Inject with rabies immune globulin. B. Cleanse the bite with soap and running water. C. Inject the rabies vaccine immediately. D. Administer the pain reliever, as ordered. 62. The nurse knows that a dog bite has a shorter incubation for rabies if located in the _______. A. leg B. hand C. abdomen D. face 63. The nurse anticipates that which one is prescribed to prevent a common bacterial complication from the dog bite? A. ibuprofen (Motrin) B. ciprofloxacin (Cipro) C. tetanus toxoid (Tetavax) D. meperidine (Demerol) 64. In administering the rabies immune globulin (RIg), the nurse infiltrates the calculated dose around the wound edges and the rest of the dose injected _______. A. Intradermally B. Intramuscularly C. subcutaneously D. Intravenously 65. According to RA 9482 or the Anti- Rabies Act of 2007, which of the following statements regarding rabies post exposure prophylaxisAPPLICABLE? A. Have the dog be regularly vaccinated against rabies B. Do not allow the dog to roam the street. C. Put the dog in a leash when in a public place. D. The owner will assist the bite victim with the medical expenses. Situation: The 3-year-old child has just finished ingesting the kerosene stored in a Lem-o-line bottle. When the mother saw the child, she immediately brought him to the nearest hospital. 66. The assessment of the patient with ingested poison must include ___________. I. determining the poison ingested and the amount. II. the time from ingestion and the signs and symptoms III. weight of the patient IV. patient's Immunization history A. I. II. III, and IV B. I, II, and IV C. I, II, and III D. II, III, and IV 67. In case of poisoning, the nurse is aware that the main goals in poisoning are to _____. I. inactivate the poison II. administer the specific antidote III. induce the patient to vomit IV. support vital organ functions A. I, II, and IV B. I, II, and III C. I, II, and IV D. II, III, and IV 68. To remove the ingested poisonous substance, the physician ordered a gastric lavage. What is the role of the nurse immediately prior to the procedure? A. Get the right size of the nasogastric tube. B. Remind parents to be careful next time C. Obtain informed consent immediately. D. Tell the parent that they are negligent 69. The nurse is aware that the proper management of poisoning includes the following EXCEPT to ________. A. perform hemoperfusion B. remove the toxin through dialysis C. dilute the ingested substance D. induce vomiting after ingestion of the caustic substance or petroleum distillate. 70. Discharge instructions made by the nurse to the parents should include ____. A. close monitoring of the toddler B. disciplining the child every time C. poison-proofing the home D. lecturing the child on safety Situation: Nurse Emma is working in the ER when a strong earthquake shook the city. Fifteen minutes later, a number of patients have been starting to arrive in the ER. 4 | Page