Title RECALLS 10 (NP5) - STUDENT COPY ✅

1 | Page RECALLS EXAMINATION 10 NURSING PRACTICE V CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) MAY 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 1-5. Situation. Mrs. Sotto, a 77 year old widow came in with the chief complaints of difficulty hearing high pitched sounds. Ear examination revealed damage to the middle ear. 1. Which of the following ear assessments is a rough estimate of the ability to hear? A. Weber test B. Whisper test C. Audiometry D. Rinne test 2. When there is damage to the middle ear it will result to: A. Conductive loss B. Nerve deafness C. Mixed loss D. Sensorineural loss 3. Which of the following is a predisposing factor for a sensorineural hearing loss? A. Perforation of the eardrum B. Ototoxic agents C. Otosclerosis D. Serous otitis media 4.NWhich of the following statements is TRUE in correcting a sensorineural hearing loss? A. Sensorineural hearing loss is irreversible B. Sensorineural hearing loss can be corrected by stapedectomy C. Sensorineural hearing loss can be corrected by ossicular reconstruction D. Sensorineural hearing loss can be corrected by myringotomy 5.What is a high priority risk for the older adult with age- related changes in the vestibular structure of the ear? A. Infection B. Medication errors C. Falls D. Food intolerance 6-10. Situation. You are a staff nurse in the Ear Unit of the hospital. A common condition you encounter is hearing disorder which often results in communication problems. The following questions refer to these statements. 6. The daughter of an older adult patient reports that her father just “stares off into space” more and more in the last several months. However, once she gets his attention her father eagerly smiles and nods. You should assess the patient further for ______. A. Hearing loss B. Anger C. Dementia D. Depression 7. Which of the following should the nurse do FIRST when approaching a deaf patient? A. Get the patient’s attention B. Knock on the patient’s room loudly C. Talk while walking into the room D. Close and open the vertical blinds rapidly 8. You have a patient who is hearing impaired and reads speech. Which of the following strategies should you incorporate when communicating with him? Select all that apply. 1) Avoiding being silhouetted against strong light 2) Not blocking out the person’s view of the speaker’s mouth 3) Facing the patient when talking 4) Having bright light behind so the individual can see 5) Ensuring the patient is familiar with the subject material before discussing 6) Talking to the patient while doing other nursing procedures A. 1, 2, 3, 5 B. 2, 3, 6 C. 2, 3, 5, 6 D. 1, 4, 6 9. The patient with a hearing aid does not seem to hear you whenever you talk to him. What would be your PRIORITY nursing action? A. Irrigate the ear canal B. Contact the patient’s audiologist C. Check the hearing aids placement D. Cleanse the hearing aid earmold with normal saline 10. You have a 75 year old patient who has been taking furosemide (Lasix) regularly for four months now tells you that he is having trouble hearing. What would be your BEST response to this statement? A. Schedule the patient for audiometric testing and a hearing aid B. Tell the patient that because of his age it is inevitable that his hearing should begin to deteriorate C. Having the patient immediately report the hearing loss to his physician D. Tell the patient the hearing loss is only temporary, when his system adjust to the furosemide his hearing will improve 11-15. Situation. As a new RN, you are for one-month orientation in the orthopedic unit of the hospital. 11. Which of the following methods of documentation uses a chronological, story-telling format? A. Computerized documentation B. Narrative charting C. Focus charting D. PIE charting 12. Which of the following is the key issue in malpractice actions brought against nurses in relation to medical records? A. Failure to document the client’s response B. Failure to document medication and treatment given * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *