Title RECALLS 11 - NP5 - SC ✅

1 | Page RECALLS 11 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: Lexie, 52 years of age, was brought to the ED due to numbness on her left face and a confused mental state. The physician’s initial diagnosis is ischemic stroke. 1. The following are true regarding brain attack except: A. It can be caused by thrombosis or embolism B. The use of oral contraceptive increases the risk of having a brain attack C. Cerebral anoxia lasting longer than 20 minutes causes irreversible damage. D. Airway patency is always a priority. 2. Lexie’s father, Thatcher, asks the nurse if his daughter’s initial diagnosis is different from “hemorrhagic stroke” which his late grandfather experienced years ago. The nurse answers correctly if she answers: A. Yes, ischemic stroke patients may experience severe headaches, while hemorrhagic patients may not. B. Yes, ischemic stroke is more common and occurs when a blood vessel is blocked by a clot or thrombosis; while hemorrhagic stroke occurs when a blood vessel bursts and bleeds into the brain causing hemorrhage. C. No, they are generally the same. D. No, because manifestations of different types of stroke are similar. 3. The nurse is aware that the following should be implemented during the acute phase of stroke except: A. Maintaining a quiet environment B. Placing antiembolism stockings C. Administering oxygen D. Inserting a urinary catheter 4. Visual-perceptual disturbances can occur in stroke. The nurse should encourage the client to: A. Provide eye care for visual deficits B. Approach from the affected side C. Approach from the unaffected side D. Turn the head to scan the complete range of vision 5. What is the most ideal position of Lexie when eating? A. Sitting in a chair or up in bed, with the head and neck positioned slightly forward and flexed. B. Sitting in a chair or up in bed, with the head positioned slightly forward and flexed. C. Sitting in a chair or up in bed, with the neck positioned slightly forward and flexed. D. High-fowler Situation: Nurses have an important role in establishing an environment that satisfies the biological, psychosocial, and spiritual needs of clients. They are often challenged with issues and problems in creating therapeutic environment for clients. 6. In structuring a therapeutic environment, it is MOST important for the nurse to: A. Safeguard physical safety and psychological security. B. Keep an effective social order that recognizes authority. C. Keep a restrictive environment to prevent patient assaultiveness. D. Maintain a closed-door policy to instill order and disciple. 7. Environment as referred to in ‘milieu therapy’ refers to the: A. Building and grounds where patients interact. B. People with different personalities who relate with one another. C. Physical environment and relationships of people within. D. Immediate physical surroundings that create an ambience for the patients 8. Attitude therapy safeguards the therapeutic application of attitudes toward patients. Rico, seeks attention from the staff by repeatedly deviating and not participating in structured activities. It is BEST for the nurse to: A. Respond: “it is okay for as long as you don't bother anyone” B. Have a patient watcher monitor him closely. C. Ignore the behavior. D. Respond: “we have agreed on a schedule. I expect you to follow.” 9. The nurse is aware that these patients are likely to be exploited in a group setting. These are the patients who are: A. Suspicious B. Sociable C. Withdrawn D. Hostile 10. A therapeutic community aims to: A. Have team leaders to check physical presence and attendance of patients in ward activities. B. Constantly monitor implementation of ward policies and rules. C. Encourage patient interactions, group problem solving and decision making. D. Encourage patients to police themselves and impose sanctions on ward violations. Situation: A nurse researcher in the Psychiatric unit is undertaking a study on the relationship between depressive symptoms and motivation to lose weight among high school overweight teens in selected schools at the National Capital Region. 11. The study design to be used by the researcher is: A. Experimental B. Predictive correlational C. Non-experimental D. Descriptive correlational 12. Which of the following is true about the study design being used by the researchers? A. There is no researcher intervention. * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *


4 | Page D. Agranulocytosis, jaundice, signs of infection Situation: It is important for a psychiatric nurse to be knowledgeable about the different psychiatric medications administered to patients. The following questions will test you about psychopharmacology: 46. Patient Santino is being treated for his bipolar disorder. He is prescribed with Eskalith. As a nurse, which of the following should you exclude from your health teachings? A. Medication can be administered with food. B. He is allowed to drink coffee every morning. C. Notify the physician if fever occurs. D. He can take the missed dose within 2 hours of the scheduled time. 47. While reviewing about Eskalith, you know that severe lithium toxicity is manifested by: A. Anuria B. Severe diarrhea C. Apathy D. Muscle twitching 48. Patient Cleo’s chart states that dystonia is noted on her while taking antipsychotic medications. Which manifestations do you expect to see? A. Dysphagia, facial grimacing B. Oculogyric crisis, increased heart rate, drooling C. Twisting of the torso D. Drowsiness, restlessness 49. Fluoxetine is prescribed to Patient Mark Lee. How should it be administered? A. On full stomach B. On an empty stomach C. At the same time each morning D. At the same time each evening 50. A mother of a child with ADHD asked you the most effective medication in controlling the disorder. Your answer would be: A. CNS stimulants B. CNS depressants C. Donepezil D. Rivastigmine Situation: A client is brought to the Emergency Department complaining of generalized weakness of all extremities and facial muscles and drooping of the eyelids since a week ago His condition fluctuates from day to day. The examining physician tested the client with an acetylcholinesterase inhibitor test to diagnose myasthenia gravis. 51. Nurse Liza is assigned to care for the client. Which of the following medications prescribed by the physician should nurse Liza prepare to diagnose myasthenia gravis? A. Atropjne sulfate B. Tensilon C. Mestinon D. lsuprel 52. Thirty minutes after injection, nurse Liza noted an immediate Improvement in the muscle strength. This can be interpreted as a: A. Autoimmune disorder B. Positive test confirming the diagnosis C. Negative failure D. Negative for myasthenia gravis 53. The client asked if he will take Tensilon for MG treatment. Nurse Liza answered “NO” because: A. It is toxic to the body B. It is only short-acting C. It causes adverse effects D. It crosses the blood-brain barrier 54. Nurse Liza noticed the client suddenly developed cramps and sweating. In a situation like this, which of the following drugs must be made available to control the side effects of he tested drug? A. Prednisone B. Mestinon C. Atropine sulfate D. Potassium supplement 55. Nurse Liza is administering pyridostigmine (Mestinon) orally to the client. Which of the following nursing intervention indicates safety measure before administering the medication? A. Instructing the client to be in bed when taking the medication B. Determining client’s ability to swallow C. Positioning the client to lie down on his left side D. Requiring the client to lei still in bed Situation: Abbey is a 40-year-old wife who was brought by neighbors to the emergency room confused and crying with body bruises and swollen eyes. She claimed that she was physically abused by her husband who was intoxicated with alcohol. She is admitted for brief hospitalization for further observation and crisis intervention. 56. The admitting nurse is aware that the following should be carefully documented EXCEPT: A. Quote of Abbey’s account of the incident that led to the injuries B. Specific and factual assessment of physical injuries incurred by Abbey C. Photographs of Abbey’s physical injuries D. Neighbors claim regarding estranged relationship of Abbey and husband 57. The nurse did a process recording of an interaction with Abbey. The following descriptions about process recording are true EXCEPT: A. Recording of the verbatim account of the entire interaction, including verbal and non-verbal B. Tool to improve interpersonal communication techniques C. A form of documentation for professional development D. Helps the nurse in analyzing content of interaction 58. Which of the following information about Abbey is LEAST ESSENTIAL FOR CRISIS ITNERVENTION? A. Abbey perception of the event B. Longitudinal life history C. How Abbey is coping with the present situation D. Availability of friends or family for support 59. Abbey asked the nurse if she may have a photocopy of her records. The nurse is aware that client records belong to the: A. Health facility B. Health team members C. Family of the client D. Client 60. Potential benefits of the use of computers in documentation have been recognized, however clients are MOST concerned about: A. Validity B. Accuracy C. Reliability D. Confidentiality Situation: A 67 year old female client is diagnosed with Senile Nuclear Cataract OU (both eyes) H25.1; Dry Eye Syndrome. 61. The nurse is conducting nursing assessment and preparing a nursing history. Which of the following clinical manifestations of the client gathered by the nurse is characteristic of cataracts? A. Narrow anterior chamber B. Optic nerve damage C. Painless blurry vision D. Age factor 62. Based from the information gathered the nursing diagnosis is: A. Self-care deficit related to impaired vision B. Disturbed sensory perception related to visual impairment C. Acute pain related to eye dysfunction D. Anxiety related to possible vision loss 63. The physician scheduled the client for Phacoemulsification with intraocular lens implantation surgery. The physician informed the client of the nature of the procedure and what to