Title RECALLS 10 - NP4 - SC ✅

1 | Page RECALLS 10 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 ONCOLOGY: ANTI-NEOPLASTIC MEDICATIONS Situation: You are a newly assigned nurse in the oncology ward, familiarizing yourself with different antineoplastic medications. 1. You are aware that there are cell cycle specific drugs that target the different phases and cell cycle nonspecific drugs. Which of the following is not classified as a cell-cycle specific chemotherapy drug? A. Antimetabolic agents B. Mitotic inhibitors C. Topoisomerase inhibitors D. Alkylating agents 2. Most chemotherapeutic drugs are dosed based on total body surface area (BSA). Which action should the nurse take to ensure the patient receives the optimal dose of chemotherapy? A. Ask the patient about their height and weight and calculate BMI. B. Use the rule of nines to estimate BSA. C. Measure abdominal, arm, and leg circumference. D. Obtain the patient’s height and weight. 3. Patient Porky is receiving Capecitabine and experiences dyspnea, rashes all over the body, and tachycardia. The blood pressure is 80/60 mmHg. The nurse suspects an anaphylactic reaction. Which action should the nurse avoid in this situation? A. Stop the medication. B. Raise the client's feet and legs. C. Remove the IV line. D. Administer epinephrine as prescribed. 4. Patient Filmar is a new patient in the outpatient center waiting room and is about to receive chemotherapeutic drugs. The nurse knows that chemotherapeutic drugs have numerous side effects and plans to monitor the patient for untoward symptoms. Which side effect should the nurse anticipate as the most common for this patient? A. Fatigue B. Hair loss C. Nausea and vomiting D. Headache 5. A patient is scheduled to receive another dose of antineoplastic medication. Which laboratory finding should the nurse report to the healthcare provider (HCP) that may result in withholding the medication? A. Platelet count: 130,000 mm³ B. Segmented neutrophil count: 18% C. Potassium: 3.4 mEq/L D. Mean Corpuscular Volume: 82 6. The nurse is caring for a patient about to begin antineoplastic treatment. Which action by the nurse demonstrates the preservation of the patient’s psychosocial integrity and requires commendation? A. Inform the client that new hair growth will occur during treatment. B. Discuss the potential effect of infertility, which is reversible. C. Instruct the client about abstinence from sex during treatment. D. Discuss the purchase of a wig before treatment begins. 7. The nurse is reviewing Patient Pernilla’s medication list and notes the she is receiving an antitumor antibiotic. Which medication requires close monitoring for heart failure and dysrhythmias? A. Cisplatin B. Bleomycin C. Daunorubicin D. All of the above 8. A patient is receiving high-dose Methotrexate as part of their chemotherapy regimen. Which medication should the nurse prepare to administer to prevent Methotrexate toxicity? A. Leucovorin B. Cytarabine C. Fluorouracil D. Mercaptopurine 9. A patient receiving Oxaliplatin is being assessed by the nurse. Which statement made by the patient requires immediate intervention? A. "I felt too hot that I drank iced water throughout the day." B. "I placed on two pairs of socks because it was cold." C. "I feel nauseous at times." D. "I exercise in my home, and I sweated." ONCOLOGY: COLORECTAL CANCER Situation: Colorectal cancer is becoming increasingly common, with cases rising among younger individuals. Patient Mikay, who loves eating at fine dining restaurants, went to the ER due to abdominal pain and changes in bowel habits. 10. Early detection is key. What is a screening test for colorectal cancer? A. CEA test B. CT scan C. Exploratory laparoscopy D. Colonoscopy 11. The doctor orders a guaiac-based fecal occult blood test (FOBT) for Patient Mikay. Which instruction should NOT be given before the test? A. Warfarin should be discontinued for 24 hours before the exam. B. Vitamin C tablets must be avoided. C. Avoid red meat before the test. D. Raw fruits and vegetables may yield false-positive results. 12. Patient Mikay mentions a family history of colorectal cancer and enjoys eating at fine dining restaurants weekly, with steak as her favorite meal. What dietary instruction can help reduce her risk of colorectal cancer? A. Increase refined carbohydrates. * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *