Title RECALLS 11 - NP4 - SC ✅

1 | Page RECALLS 11 EXAMINATION NURSING PRACTICE IV CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART B) NOVEMBER 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: Patient France is a 54-year-old woman who is scheduled for laparotomy. Nurse June will be the scrub nurse for the said surgical procedure. 1. In regards to being a scrub nurse, which of the following is false? A. The scrub person can simultaneously function in the role of first or second assistant. B. The scrub person is responsible for establishing and maintaining the integrity and safety of the sterile field throughout the surgical procedure. C. Physical stamina is required as a scrub nurse. D. Two scrub persons may join the surgical team if needed. 2. The OR is notified that Patient France will be brought to the OR as scheduled. Nurse June will expect that the patient will be transported: A. Via a transport stretcher, pushed from the feet end so the patient’s feet go first B. Via a transport stretcher, pushed from the head end so the patient’s head go first C. Via a transport stretcher, pushed from the feet end so the patient’s head go first D. Via a transport stretcher, pushed from the head end so the patient’s feet go first 3. Nurse June knows that as a scrub person, he should drape the unsterile table under the following techniques EXCEPT: A. Unfolding towards the far side first to make sure the whole table will be covered. B. Placing the drape over the unsterile surface nearest himself first and carefully completing the coverage of the far side. C. Unfolding toward self first to protect the gown when working with a folded drape. D. The scrub person stands back from the unsterile table when draping it to avoid leaning over an unsterile area. 4. Before the closure of the incision, the first closing count is performed which consists of three areas. This specific area is done together by the scrub person and the circulating nurse in which they count all items on the Mayo stand and instrument table. The surgeon and assistant may be suturing the wound while this count is in process. A. Field Count B. Table Count C. Floor Count D. Mayo Count 5. Nurse June knows that the ideal position for a client who has had laparotomy is A. Low fowler’s B. Right side lying C. Left side lying D. Flat on bed Situation: Mylene, a 50-year-old dressmaker, was diagnosed with myasthenia gravis. For two years, she has been on remission. She takes an anticholinesterase medication which is Pyridostigmine (Mestinon) 60 mg PO every 4 hours. During the past month, Mylene decreased the dose of her medication without informing her physician because she was feeling so good. An hour ago, Mylene was admitted in the hospital for treatment for exacerbation of myasthenia gravis. Upon admission, she complains of severe weakness with problems in mobility. She is dyspneic, with difficulty to swallow and with ptosis of both eyes. 6. The nurse who admitted the client considers which of the following as a correct description of myasthenia gravis? Myasthenia gravis is_________? A. A degenerative neurologic disease with lower motor neuron involvement B. An autoimmune neuromuscular disorder C. An acute inflammatory demyelinating disorder of the peripheral nervous system D. A viral infection affecting the cranial nerves specifically the oculomotor nerve 7. Which of the following interventions will the nurse not implement for a patient with myasthenia gravis? A. Monitor respiratory status. B. Encourage client to sit up when eating. C. Plan short activities that coincide with times that the patient is awake. D. Administer anticholinesterase medications, as prescribed. 8. Which of the following will the nurse report as a manifestation of cholinergic crisis due to over dosage of Pyridostigmine (Mestinon)? A. Increase heart rate B. Diarrhea C. Decreased sweeting D. Dry mouth 9. Due to impaired swallowing, which of the following interventions will the nurse implemented to promote effectiveness of pyridostigmine (Mestinon)? A. Administer the drug 30 minutes before meals B. Allow patient to take the drug with a glass of fruit juice C. Have patient take the drug after meals D. Dissolve drug in a glass of water 10. Which of the following documentation of the nurse will provide information regarding the effectiveness of pyridostigmine (Mestinon)? A. Vital signs of the client before and after an activity B. Frequency of complaints of pain during movement C. Changes in abilities to comprehend D. Time when fatigue occurs in relation to activities Situation: Frederico, 45 years old was admitted to emergency department because of severe substernal chest pain. The pain radiates to his jaw and left arm. * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *


4 | Page C. Patient C, 44-year-old male, wheelchair-bound for three years after having both legs amputated D. Patient D, a 30-year-old female, who admits to be a PCP user 45. A Nurse Jasmine is aware that the only antituberculosis medication that is bacteriostatic is: A. INH B. Rifampicin C. Pyrazinamide D. Ethambutol Situation: Emerlinda, 65 years old pass total thyroidectomy with modified neck dissection has been scheduled for radioactive iodine therapy a month and a half after her surgery. 46. The physician explained to the client that the radioactive iodine therapy is intended the following reason? A. Lessens activity of the thyroid gland B. Enhances the production of thyroid hormone C. Provides scanning of cancer cells in nonthyroid tissues D. Destroys remaining thyroid tissue 47. Emerlinda ask the nurse to explain again how the radioactive iodine therapy will be administered. Which of the following is the correct response of the nurse? “radioactive iodine will be administered __________. A. Via and external radiation equipment” B. Topically on defected site” C. Intravenously incorporated in a normal saline solution” D. Orally in tablet form” 48. Emerlinda, after receiving radioactive iodine, is informed of the following except: A. Avoid sexual contact B. Avoid sharing utensils and cups C. Avoid sleeping in the same bed with other persons D. Avoid drinking water. 49. Low iodine diet has been prescribed to be started two weeks before the radioactive iodine therapy. Since all dairy products are avoided due to their high iodine content, which of the following will be the nurse considered as a PRIORITY in her teaching plan? A. Provision of a list of allowed and not allowed foods B. Preparation of a well balanced diet C. A sample menu plan for the client to follow D. Nutritional strategies to supplement calcium intake 50. While the nurse was teaching the client on foods which are allowed and not allowed, the client asks if she can eat restaurant foods. Which of the following responses of the nurse will ensure that the client will not take foods containing iodine? A. Maybe once, but not twice, because the restaurant may not have a way not to put iodized salt on your food B. You may, provided that you tell them not to put iodized salt on your food C. It is the best that you do not take restaurant foods because there is no way to determine if iodized salt was used D. Just careful that the food you order are not in the list of disallowed foods Situation: Rebecca is assigned in a unit where most clients are with HIV/AIDS 51. Having fully grasped the pathophysiology of acquired immunodeficiency syndrome Rebecca understands that in the HIV infectious process, the first stage is: A. Reverse transcriptase converts viral RNA to viral DNA which is same as the human DNA B. Enzyme integrase allows viral DNA to be inserted into the host cell DNA C. Virus attaches itself to receptors on the surface of a CD4 cell D. The virus envelope and the CD4 cell membrane fuse. 52. Which of the following statements regarding HIV or AIDS will Rebecca not accept to be the true? A. Without HIV treatment, people with AIDS typically survive about 5 years. B. Everyone who has aids has HIV infection; however, not everyone who has HIV infection has aids C. HIV is a retrovirus with a single stranded genetic material called RNA D. Some people have no symptoms at all. 53. Rebecca, through our review of related literature read and documented evidence which show that parenteral exposure through needlestick injury among healthcare workers possess a 0.3% risk of becoming HIV-positive. Rebecca interprets that from a population of: A. 100 healthcare workers, 3 are at risk of parenteral exposure through needlestick injury B. 1,000 healthcare workers with needle stick injury, three are at risk of becoming HIV positive C. 3000 healthcare workers, ten are at risk of needle stick injury from an infected client D. 1,000 healthcare worker, 30 with history of needlestick injury are at risk of becoming HIV positive 54. Rebecca also read a study where the researcher found out that willingness to care for aids patients by 220 registered nurses in 8 hospitals was positively correlated with spiritually and perceived social support and was negatively correlated with death anxiety. Which of the following is correct interpretation by Rebecca of the study's findings? A. Nurses who were willing to care for aids patients had high scores in spiritually in social support; while nurses whose death anxiety level was high had low level of willingness to care for aids patients B. The willingness to care for each patients by the registered nurses is influenced by a spiritually, social support and their level of death anxiety C. The registered nurses' willingness to care for aids patients is affected by their spiritually ands social support and not affected by their level of anxiety D. The nurses were willing to care for each patient when they are provided with spiritual and social support, and when the patient is dying, their willingness to care is affect. 55. A patient of Rebecca was considered as a participant in a clinical trial of a new mode of treatment for aids patients using the double blind experiment. During the disclosure of the research procedure, the researcher explained that with the experimental design which they have selected: A. The participant and the one who will administer the treatment would not know who is in the experimental or the control group B. The participants will be randomly assigned to the experimental or control group but would not know to which group they were assigned C. The one who administers the treatment has no knowledge of the experiment that administers the treatment to the experimental or control group D. After participants are randomly assigned to the experimental or control group, treatments are administered during a time not known to them Situation: During an in-service staff development training the training coordinator considered analysis of legal situations. Group discussion of legal concerns and experience was conducted among the staff nurses with six years experience. 56. Furosemide which was intended for a patient with congestive heart failure was administered intravenously to other patient. Which of the following elements in this incident is not necessary to make claim of malpractice? A. It is the duty of the nurse to administer the right medication to the right patient B. The nurse failed to administer the drug to the patient who is supposed to receive the drugs as prescribed C. The nurse did not identify correctly the patient who is supposed to receive the correct medication D. The patient who received the wrong medication develop diuresis resulting to dehydration 57. A nurse manager administered Lanoxin parenterally to a 3 years old child contrary to the order of administering Lanoxin and orally. The nurse was named a defendant in a malpractice suit filed by the mother of the child because the child died. if