Title RECALLS 10 - NP5 - SC ✅

1 | Page RECALLS 10 EXAMINATION NURSING PRACTICE V CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) 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 V” on the box provided Situation: Nurse Nikki is caring for patients with cognitive disorders. The following questions apply.  1. Kimpamparu has been admitted to the psychiatric ward and tends to isolate herself, avoiding social interaction. She frequently expresses, “I am the goddess of all goddesses”. The patient is exhibiting manifestations of what? A. Schizoid Personality B. Schizotypal Personality C. Histrionic Personality D. Paranoid Personality 2. Sarah exhibits Bleuer’s 4A’s of schizophrenia. You know that the following behavior corresponds to the 4A’s of schizophrenia except: A. Repeatedly checks her reflection in the window, adjusting her clothes and hair, and speaks only about her own thoughts and feelings without acknowledging others in the room during a group therapy session B. During a conversation, Sarah starts talking about buying groceries, then suddenly switches to a dream and quickly shifts to her childhood pet. C. Sarah smiles and giggles while discussing a tragic event. D. Sarah stays in bed all day, refusing to eat or interact with anyone 3. Charles is admitted to Grey Sloan Psychiatric Hospital due to his bizarre behavior. During the history taking, you have known that Charles went missing for 1 week and suddenly returned home afterwards. His mother was worried as he continuously said that he does not remember leaving home and cannot recall what happened to him. Additionally, Charles’ mother informed you that this already happened eight times in a month. You are aware that the client may be exhibiting manifestations of what condition? A. Multiple Personality B. Dissociative Identity Disorder C. Dissociative Amnesia D. Dissociative Fugue 4. After being involved in a car accident, Tom is surprisingly calm and nonchalant, stating, "It’s fine, no big deal," despite having visible injuries. What condition or behavior is Tom displaying? A. Lou Gehrig B. La Belle C. Munchausen D. Somatization 5. A client who has been avoiding social situations due to a fear of embarrassment is in therapy. During the session, the therapist asks, “What is the worst thing that could happen if you attend a party, and someone doesn’t talk to you?”. What therapy is being used in the scenario? A. Assertiveness training B. Decatastrophizing C. Positive Reframing D. Negative Reframing 6. You care for a patient diagnosed with dementia and is aware that your client has an altered thought process. Which of the following interventions would be prioritized? A. Use identification bracelets and electronic surveillance B. Place a calendar and clock in a visible place C. Use pantomime gestures if the client is unable to understand spoken words D. Provide close supervision PSYCHIATRIC NURSING – ANXIETY DISORDERS, TRAUMA DISORDERS Situation: Nurse Grace has been assigned to work in the psychiatric ward, where her primary responsibility is to care for patients suffering from anxiety disorders and trauma-related conditions. Throughout her shift, Nurse Grace provides compassionate care, offering emotional support and helping the patient navigate their symptoms while fostering a sense of trust and safety in the psychiatric setting. The following questions apply.  7. Sarah, a young woman in her mid-twenties, has been struggling with an overwhelming fear of being perceived as unattractive. She avoids social situations, refuses to look in mirrors, and spends excessive amounts of time worrying about her appearance. Despite reassurances from friends and family, Sarah's fear continues to intensify, leading her to seek therapy. After a thorough assessment, her therapist diagnosed her with a condition related to an intense fear of ugliness, which significantly impacts her daily functioning and emotional well- being. A. Cacophobia B. Mysophobia C. Nyctophobia D. Xenophobia 8. Ralph, a sergeant returning from deployment, has been experiencing flashbacks, nightmares, and heightened anxiety. These symptoms are significantly affecting his ability to function both on and off the base. In response, the military has recommended a short-term, intensive therapy program specifically designed for service members with PTSD. What is a specialized CBT approach developed by the military to offer an intense, specific, short-term therapy for active-duty military personnel with PTSD? A. Exposure therapy B. Adaptive disclosure C. Cognitive processing D. Combination therapy 9. The client diagnosed with anxiety is currently diaphoretic, with muscle tension, increased use of automatisms, and has a faster rate of speech. What level of anxiety does the client exhibit? A. +4 B. +3 C. +2 * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page D. +1 PSYCHIATRIC NURSING – PERSONALITY DISORDERS Situation: Nurse Teng has been assigned to work in the psychiatric ward, where he is responsible for the care of patients with various personality disorders. Nurse Teng uses his training in managing challenging behaviors and applies a calm and empathetic approach when working with his patients. He provides consistent, supportive care, helping him develop coping strategies to manage their emotional reactions. The following questions apply.  10. A client who has just been admitted to the psychiatric ward is observed wearing revealing clothes, while loudly expressing distress by shouting, "They gave me yucky clothes! I don't want to wear it! Eww! It is so yucky, help me!" Given this behavior, which cluster of personality disorder is most likely associated with the client? A. Cluster A B. Cluster B C. Cluster C D. Cluster D 11. A client in her psychotherapy session said "I am scared because they might think that I am just good for nothing" when the therapist asked the reason for her avoiding group interactions. What cluster of personality disorder does the client belong? A. Cluster A B. Cluster B C. Cluster C D. Cluster D 12. A client started screaming and attacking two staff nurses while they were talking. He kept saying "You two! I know you are plotting something against me! You want me dead; I know!". What cluster of personality disorder does the client belong? A. Cluster A B. Cluster B C. Cluster C D. Cluster D 13. Fountain house/Clubhouse model is an “intentional community” aiming for clients to achieve normal life goals when given opportunity, time, support, and fellowship. The essence of membership in the clubhouse is based on the following four guaranteed rights of members, except: A. A place to come to B. Meaningful work C. Meaningful relationships D. A place to learn PSYCHIATRIC NURSING- EATING DISORDERS AND SUBSTANCE ABUSE Situation: Nurse Aiah has been assigned to work in the psychiatric ward, where she provides care for patients struggling with eating and substance abuse disorders. She educates her clients on the importance of addressing both disorders and works closely with the treatment team to develop a comprehensive recovery plan. The following questions apply. 14. Upon history taking, it was known that Aiah’s client often consumes 5 bags of chocolates to relieve her tension for her upcoming exams. What eating disorder does the client's behavior manifests? A. Anorexia nervosa B. Bulimia nervosa C. Compulsive overeating D. Stress eating 15. Which interventions are most appropriate for caring for a client with eating disorders? Select all that apply. 1. Supervise during mealtimes and for a specified period after meals 2. Encourage the client to take time on each meal 3. Avoid discussions about the client's body 4. Weigh daily at the same time 5. Establish a plan concerning the nutritional plan for the day A. 1, 2, 3, 4, 5 B. 1, 3, 4, 5 C. 1, 4, 5 D. 1, 2, 5 16. You are assessing a substance use disorder in a new client admitted to your unit. Using the CAGE screening questionnaire, which of the following should you not ask? A. Have you ever felt the need to cut down on your drinking/drug use? B. Have you ever been annoyed at criticism of your drinking/drug use? C. Have you ever felt guilty about something that you have done when you have been drinking or A. taking drugs? D. Have you ever used drugs or alcohol alone? 17. During an interview with the wife of a client diagnosed with substance use disorder, she stated, "I admit that it is tiring. I don't have the choice but to work for our family". What issue lies within the client's significant other's statement? A. Codependency B. Caregiver burnout C. Role strain D. Martyr 18. A chronic alcohol drinker stopped drinking and is presented to the emergency department with hypertension, tachycardia, nausea, vomiting, sweating, and tremors. How many hours does it take for these signs to peak once there is an abrupt cessation of chronic alcohol? A. 12 - 24 hours B. 24 - 48 hours C. 48 - 72 hours D. 72 - 96 hours 19. A client who became aggressive and physically harmful was placed in restraints. When should the psychiatrist make a face-to-face assessment and evaluation of client? A. Within 30 minutes of initiation B. Within 1 hour of initiation C. After 30 minutes of initiation D. After 1 hour of initiation PSYCHIATRIC NURSING- VIOLENCE AND GRIEVING Situation: Nurse Venus has been assigned to the psychiatric ward, where she provides care for patients dealing with abuse, grief, and autism. The following questions apply.  20. In a teaching session, you asked a nursing student about the difference between mourning and grief, and she is correct when she stated that: A. Mourning is the outward and social expression of loss. Grief is a natural emotional response to loss. B. Grief is the outward and social expression of loss. Mourning is a natural emotional response to loss C. Mourning and grief are interchangeable terms that mean the same thing D. Grief is a process that ends after the funeral, while mourning lasts a lifetime 21. These are children who do not have adult supervision before or after school hours and they are left to care for themselves during these times.  A. Bacckey children B. Latchkey children C. Key children D. Locket children 22. During a health discussion, a parent with a child diagnosed with autism asked, "Which gender is more commonly affected by this condition?”. The student nurse would need further teaching if she said, except:  A. It is almost five times more prevalent in boys than in girls B. It is almost five times more prevalent in girls than in boys C. It affects boys and girls equally D. It is equally prevalent in boys and girls, but girls show more severe symptoms PSYCHIATRIC NURSING - PSYCHOPHARMACOLOGY Situation: The following questions involve the knowledge of psychopharmacology.  23. John, a patient in the psychiatric ward, has been diagnosed with depression and is struggling with persistent low mood and lack of motivation. After a thorough assessment, the medical team prescribes an SSRI to help manage his symptoms by
3 | Page balancing neurotransmitters in his brain. Which of the following medications is under the classification of SSRI? A. Paroxetine B. Prazepam C. Chlordiazepoxide D. Chlorazepate 24. Sarah, a patient admitted to the psychiatric ward, is struggling with severe anxiety that affects her daily life. The medical team prescribes antianxiety agents to help manage her symptoms. Nurse Jamie is assigned to her care, ensuring she receives her medication as prescribed. Nurse Jamie monitors for any side effects and provides support, encouraging Sarah to also attend therapy. Over time, with the combined treatment, Sarah begins to feel more in control of her anxiety and can participate in daily activities again. The following are the side effects to antianxiety agents, except: A. dry mouth B. blurred vision C. urinary incontinence D. hypotension 25. A client experiencing extrapyramidal symptoms (EPS) is prescribed with Cogentin. Upon reviewing the chart, you realized that you need to withhold the drug due to the information you saw in the chart. What could be this information? A. The client is hypertensive B. The client has glaucoma C. The client is taking an antipsychotic drug. D. The client is having tremors 26. The client is taking Marplan (Isocarboxazid). Which of the following food is allowed for the client to consume? A. raisins B. yogurt C. sausage D. unleavened bread 27.  Which of the following medications is under the classification of TCA’s? A. Imipramine HCL B. Phenelzine Sulfate C. Citalopram D. Fluoxetine HCL 28. Nurse Sarah is responsible for administering Anna’s medication and regularly checks her lithium levels to ensure they remain within the therapeutic range. In a client prescribed with Eskalith, when should serum lithium level be monitored? A. Every 2 to 3 days while the therapeutic dosage is being determined; then should be monitored weekly B. Every 2 to 3 days while the therapeutic dosage is being determined; then should be monitored monthly C. Every 5 days while the therapeutic dosage is being determined; then should be monitored weekly D. Every 5 days while the therapeutic dosage is being determined; then should be monitored monthly 29. Which among the following anxiolytics is a very slow onset antianxiety drug? A. Chlordiazepoxide (Librium) B. Alprazolam (Xanax) C. Clonazepam (Klonopin) D. Buspirone (BuSpar) 30. Kiko is prescribed with Methylphenidate (Ritalin). As a nurse, what should you include in the discharge teaching to watch out for the most common long-term problem of the drug? A. Regular monitoring of the child’s height and weight B. Avoidance of caffeine, sugar, and chocolate C. Keeping the medication out of the child’s reach D. Provision of fresh fruit and vegetables in the child’s diet 31. Which of the following are signs of lithium toxicity? A. constipation, vomiting, weakness B. severe diarrhea, vomiting, drowsiness C. facial and body flushing, sweating, weakness D. nausea, dizziness, weakness 32. The following are the different forms in which Lithium is available, except: A. Tablet B. Liquid C. Sustained release D. Parenteral 33. Clients taking Zyprexa Relprevv must be directly observed by a healthcare professional for 3 hours after the injection and must be alert, oriented, and symptom- free before the client can be released because the medication has the potential to cause what? A. Delirium / Sedation Syndrome B. Delayed-onset akathisia and dystonia C. Severe hypotension and respiratory depression D. Hyperglycemia and increased appetite 34. Valbenazine (Ingrezza) and Deutetrabenazine (Austedo, Teva) are the first drugs to treat tardive dyskinesia. These drugs are classified as: A. Vesicular monoamine transporter 1 (VMAT1) inhibitors B. Vesicular monoamine transporter 2 (VMAT2) inhibitors C. Vesicular monoamine transporter 3 (VMAT3) inhibitors D. Vesicular monoamine transporter 4 (VMAT4) inhibitors 35. Which of the following substances can cause a client to exhibit signs of intoxication such as insomnia and cardiac dysrhythmias? A. Cocaine B. Heroin C. LSD D. Barbiturates 36. Which of the following substances can cause a client to exhibit signs of intoxication such as bloodshot eyes and heightened sensation?  A. Cocaine B. Cannabis C. Phencyclidine A. D . Heroin 37. A client diagnosed with schizophrenia is exhibiting hallucinations and delusions. Which of the following medications will be more effective for the client? A. Chlorpromazine (Thorazine) B. Risperidone (Risperdal) C. Quetiapine (Seroquel) D. Asenapine (Saphris) 38. Which of the following medications is an NMDA receptor antagonist indicated to treat moderate to severe dementia of Alzheimer’s disease and should not be used in combination with other NMDA receptor antagonists A. Donepezil B. Galantamine C. Memantine D. Rivastigmine NEURO NURSING – NEUROLOGIC SYSTEM DISORDERS Situation: You care for clients with neurologic system disorders. The following questions apply. 39.  As a knowledgeable nurse, you are aware that multiple sclerosis is a disease characterized by:  A. destruction of myelin sheaths of the neurons B. defect in the transmission of nerve impulses at myoneural junction C. depletion of dopamine interfering with the inhibition of excitatory impulses D. progressive, rare, incurable degenerative disease involving the motor system 40. The family of a client diagnosed with homonymous hemianopsia received guidance on strategies to help the client manage their condition. The following statements indicate potential confusion about the recommended measures for care, except: A. "We should approach from the side of the impaired field of vision." B. "We should encourage the client to turn their head to scan the lost visual field." C. "We should discourage the use of eyeglasses." D. "We should place objects in the impaired field of vision." 41. When a client begins having a seizure while lying in bed, what actions should the nurse perform? 1. Loosening restrictive clothing 2. Restraining the client’s whole body 3. Removing the pillow and lowering padded side rails 4. Positioning the client to the side, if possible, with the head flexed forward A. 1,2,3 B. 1, 2
4 | Page C. 1, 3 D. 1,4 42. When caring for a client with increased intracranial pressure resulting from a head injury, which changes in vital signs would indicate a rise in intracranial pressure? A. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure B. Increasing temperature, increasing pulse, increasing respirations, decreasing blood pressure C. Decreasing temperature, decreasing pulse, increasing respirations, decreasing blood pressure D. Decreasing temperature, increasing pulse, decreasing respiration, increasing blood pressure 43. You are educating a client with myasthenia gravis on preventing myasthenic and cholinergic crises. The following actions indicate the client may need additional instruction, except: A. Consuming large, well-balanced meals B. Completing all tasks early in the day when energy levels are higher C. Taking medications as prescribed and on time D. Engaging in muscle-strengthening exercises 44. A client recently admitted in the ward manifested facial tics and spasms. Upon history taking, client stated "Parang sinasaksak itong kalahati ng mukha ko". The pain is triggered by light touch and the client also complained of difficulty eating because of it. What condition could the client possibly have?  A. Tic doulureux B. Bell's Palsy C. Posthepertic neuralgia D. Reflex sympathetic dystrophy 45. What is condition diagnosed as the presence of continuing pain, allodynia, or hyperalgegsia after a nerve injury, not necessarily limited to the distribution of the injured nerve with evidence at some time of edema, changes in skin blood flow, or abnormal sensorimotor activity in the region of pain? A. CRPS I B. CRPS II C. CRPS III D. CRPS IV 46. A client diagnosed with Lou Gehrig is slowly accepting her condition. She asked the nurse some information about the disease. The nurse in duty needs further teaching if she said: A. It is primarily a disorder of middle to late adulthood B. Men develops the disease nearly twice as often as women C. It has an annual incidence of 1 to 2 per 100 000 population D. It has a mean survival period of 10 to 15 years from the onset of symptoms 47. What condition results from damage to a hemisection of the anterior an posterior cord which causes loss of voluntary motor function from the corticospinal tract and proprioception loss from the ipsilateral side of the body? A. Central Cord Syndrome B. Anterior Cord Syndrome C. Brown-Sequard Syndrome D. Conus Medullaris Syndrome 48. A client had an injury in the C1 level due to a multiple vehicle collision. The following segmental sensorimotor function can be seen with this type of client, except? A. Little or no sensation of head and neck B. No diaphragm control C. Requires continuous ventilation D. Control of head and neck NEURO NURSING - NEUROPHARMACOLOGY Situation: The following questions require knowledge regarding neuropharmacology.  49. A nurse is ordered to administer an edrophonium to the newly admitted client. Which of the following medication should be on hand or available at the bedside? A. Atropine sulfate B. Neostigmine bromide C. Pyridostigmine D. Flumazenil 50. Which of the following medications for multiple sclerosis are considered as immunosuppressant? A. Teriflunomide B. Mitoxantrone C. Natalizumab D. Methylprednisolone 51. A client with Parkinson's disease is prescribed Benztropine mesylate. The following are side effects of the medication, except: A. Dryness of the mouth B. Decreased pulse rate C. Constipation D. Photophobia 52.  A client having a seizure was prescribed by the physician with Phenobarbital. As a nurse, you are monitoring the client's liver and renal function tests and  medication blood serum levels. Laboratory results came back recently and you noted that the blood serum levels is 32 mcg/mL. What should be your priority action? A. Notify the physician B. Assess the client for symptoms of toxicity C. Document the findings on the chart D. Decrease the dose of medication 53. A client currently taking phenytoin raised her concern because she is also currently on her birth control pills. Which of the following should be advised by the nurse? A. "You should avoild pregnancy while taking phenytoin" B. "You may stop your medication after a week" C. "There is a potential of decreased effectiveness of birth control pills while taking your medication" D. "Birth control pills decreases effect of phenytoin" SPECIAL SENSES – DISORDERS OF SPECIAL SENSORY FUNCTION Situation: You are caring for clients with disorders of special sensory function. The following questions apply. 54. A client with a refractive error will undergo a procedure wherein the superficial layers of the cornea will be lifted as a flap, a laser reshapes the deeper corneal layers, and then the corneal flap is replaced. This procedure is also known as: A. Laser – assisted in-situ keratomileusis B. Photorefractive keratotomy C. Radial keratotomy D. Corneal ring 55. Upon ambulating a client diagnosed as legally blind, you instruct the client to: A. remain a step beside the nurse when ambulating B. remain near the nurse when ambulating C. remain one step behind the nurse when ambulating D. remain one foot slightly in front of the nurse when ambulating 56. What differentiates a cane for the blind to other canes? A. straight shape and white color with red tip B. curved shape with a reflective surface C. foldable design for portability D. longer length to accommodate 57.  The following manifestations can be seen by a client with retinal detachment except: A. Black spots B. Floaters C. White spots D. Light flashes 58. The following are the essential care to the deceased client as a potential eye donor. Arrange it properly. 1. The option of eye donation is discussed with the family 2. Place the head of the bed flat 3. Raise the head of the bed 30 degrees 4. Instill anti-drying eye drops as prescribed 5. Instill antibiotic eye drops as prescribed 6. Close the eyes and apply a small ice pack as prescribed to the closed eyes 7. Close the eyes and apply a small warm pack as prescribed to the closed eyes A. 1, 2, 4, 6 B. 1, 3, 5, 6 C. 1, 2, 4, 7 D. 1, 3, 4, 7 59. What syndrome is characterized by tinnitus, unilateral sensorineural hearing loss, and vertigo?