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RECALLS EXAMINATION 3 NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD 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 II” on the box provided Situation – The giving of medication to a pediatric patient is a serious responsibility of a nurse. The need for accuracy in giving medication is greater than with adult patients. Nurse Yuuh has just been assigned to the Pediatric Wards. 1. Dosage, when giving medicine to pediatric patients, varies according to which of the following? Select all that apply 1. Size 3. Age of child 2. Surface area 4. Height A. 3 only B. 1 and 2 C. 1, 2, 3 D. 1, 2, 3, 4 2. Nurse Yuuh is being reviewed by her Headnurse on administering oral medication on pediatric patients. Which of the following statements below is CORRECT? A. The child should be told to place the tablet in the middle of his tongue and to drink water, fruit juice, milk in order to wash down the tablet. B. A child’s reaction to a dose ordered by a physician is not less predictable than adult’s reaction. C. When giving oral medication, the child as young as two years of age CANNOT be taught to swallow drugs. D. The possibility of error is greater in the giving of medication to children than to adults. 3. In children and infants, which part is often used for intramuscular injection to reduce the risk of vascular and peripheral nerve (sciatic) injuries? A. Deltoid muscle B. Gluteus maximus C. Dorsogluteal D. Vastus lateralis 4. Comprehensive surveys of research reports and case study literature about intramuscular injections revealed that administering medication intramuscularly can produce a variety of serious adverse effects. When asked by the Headnurse what possible complications can arise, Nurse Yuuh should include which of the following? 1. Skin and tissue trauma 2. Muscle fibrosis and contracture 3. Nerve palsies and paralysis 4. Infectious processes such as abscesses or gangrene A. 1, 3, and 4 B. 1, 2, 3, 4 C. 2, 3, 4 D. 1, 2, 3 5. Prior to administering the drugs ordered by the Pediatrician, Nurse Yuuh needs to know if she is giving the ordered medication to the right patient. The FIRST step is __________. A. Check patient’s identification bracelet. B. Compare medication to order to identification bracelet and patient’s stated name and birth date. C. Verify patient’s allergies with chart and with patient. D. Ask patient to state their name and birth date. Situation – Nurse Omar takes care of the Ramos extended family who resides in the house owned by Nilda’s mother, Marta. Nilda tends a variety store is married to Ramon, a government employee. They have four children: Lester, 20 years old; Gina, 18 years old; Alex, 15 years old; and Celine, 12 years old. Lester is a working student of his second year in computer technology course. Gina is a high school graduate; Alex is in third year high school and Celine is in Grade six. There is one year old baby girl who is a daughter of Gina. Gina, however, could not pinpoint the one who sired her child in as much as she had multiple sex partners. This angered Ramon. 6. Though he recognizes the remorse of his daughter, Ramon still feels confused regarding the situation. He said he tried his best to support his family and had always been considerate and kind. He and his wife would always give them reminders and advice calmly and never in a nagging manner. But still they failed as parents. The possible nursing diagnosis of Nurse Omar of his family is_____________. A. Interrupted family process B. Impaired parenting C. Parental role conflict D. Ineffective role performance 7. Nurse Omar ’s conversation with Gina revealed that the young woman still suffers from a syndrome of failure: failure to complete one’s normal growth and development, failure to complete education, failure to establish a vocation and become independent and failure to have a life. The nurse Omar ’s intervention to this problem is_____________. A. Linear approach with regards to the individual in the context of the family, community and culture that will combat shame and guilt B. Lay down the foundation of a future by trusting human association and developing mutual trust initially with the nurse, then the family, and eventually the whole community C. Focus on the factors that will help protect Gina towards proximal stimuli for healthy growth and development to develop her resiliency in confronting current and future problem D. Transform interactions among family members, strengthen specific roles and functions to strengthen family system in order to eventually cope 8. In one home visit, Nurse Omar was approached by the 15 year old Alex. He was asking about condom use. He said he has a girlfriend with whom he is madly in love with but does not want her to get pregnant. Nurse Omar ’s most practical and best advice would be__________. A. Postpone sex and suggest other ways to expressing love B. Explain to him the difference between sex and love C. Teach him by step-to-step correct, continuous and consistent condom use D. Discourage him on having a girlfriend and focus more on his studies 1 | Page


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