Title RECALLS 11 - NP2 - SC ✅

1 | Page RECALLS 11 EXAMINATION NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD NOV 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 I” on the box provided Reproductive organ Anatomy (5) SCENARIO: Arlian, a nursing student, is reviewing for her finals examination next week. She wants to master the Reproductive organ. The following questions are pertaining to its anatomy. 1. During coitus, there are glands that release secretions to lubricate the external genitalia. What do you call the glands located on each side of the vaginal opening? A. Bartholin gland B. Cowper’s gland C. Skene gland D. Prostate gland 2. The nurse knows that the structure that conveys the ovum from the ovaries to the uterus is the fallopian tube. Which of the following is true about the isthmus part of the fallopian tube? A. It is the most proximal part of the tube that lies within the uterine wall B. This part is cut during childbirth to enlarge the vaginal opening C. It is where fertilization of an ovum usually occurs D. It is extremely narrow where tubal sterilization is done 3. The spermatic cord, protected by a thick fibrous coating that serves as the pathway for sperm is comprised of: A. Ductus deferens, arteries and veins B. Prostate gland, cowper’s gland and vas deferens C. Seminal vesicle, epididymis and vas deferens D. Vas deferens, cowper’s gland and seminal vesicle 4. Spermatogenesis is the production of sperm to maintain a fixed number of chromosomes of every human being. Spermatozoa is produced in the testes. Which among the following is true about its complex sequence of events? A. FSH is responsible for the release of testosterone from the testes B. LH is responsible for the release of androgen-binding protein (ABP) C. LH and FSH are only released in females for their menstruation D. ABP and testosterone promotes sperm formation 5. Patient XYZ went for a laboratory test to check for his sperm count. Analysis revealed that the number of his sperm in one ejaculation is approximately 15 million. The nurse knows that is: A. Aspermia B. Oligospermia C. Normal D. Hyperspermia Germ layers (5) SCENARIO: As the fetus grows, body organ systems develop from specific tissue layers. Knowing these is helpful to know because coexisting congenital disorders found in newborns usually arise from the same germ layer. 6. Which among the Germ layers that forms the brain and spinal cord? A. Ectoderm B. Mesoderm C. Endoderm D. Epidermis 7. Heart is the muscle at the center of the circulatory system that pumps blood around the body as it beats. The nurse is aware that it is from which germ layer? A. Ectoderm B. Mesoderm C. Endoderm D. Epidermis 8. The trachea and esophagus arise from the same germ layer which makes it common for a birth anomaly such as fistula to occur between them. Which germ layer it arises from? A. Ectoderm B. Mesoderm C. Endoderm D. Epidermis 9. Krizzia, a pregnant client, is currently working in a company. She tells the nurse that she has to work because her husband’s income is not enough to sustain their everyday needs. She asks the nurse how she can prevent fetal teratogens. A. Avoid any room where smoker gathers B. Refrain from drinking alcohol C. Ask employer for a statement on hazardous substances at work site D. AOTA CONTRACEPTIVES (6) SCENARIO: There is a 1.47% increase of population in the Philippines in 2022. Family Planning Health program was held in a hospital where topics about contraceptives is discussed. Nurse Totimar is on duty and she encountered the following questions: 10. Jana went to the clinic and confirmed with the nurse about the use of diaphragm. She should be instructed to leave it in place after coitus for at least how many hours? A. 1 hour B. 6 hours C. 12 hours * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page D. 24 hours 11. A 38 year old female, with 4 children, came to the clinic and inquired about her options for contraception methods. She also stated that she smokes a pack of cigarettes a day. The nurse advised her to avoid: A. Oral contraceptives B. IUD C. Cervical cap D. Diaphragm 12. Carla, a 19-year-old working student, was trembling. She told the nurse she forgot to take her prescribed active contraceptive pills for two consecutive days. She started crying and asked the nurse what to do. The nurse should instruct: A. Ignore it, take one now and use other contraceptive such as spermicide for a month B. Take two pills now then continue tomorrow with your usual schedule C. Throw out the rest of the pack and start a new pack of pills D. Let’s inform the physician. 13. Carol consults the nurse because her 16-year-old daughter asks her how she can avoid the pressure of unwanted sex? The nurse should not suggests: A. Tell the daughter to discuss it with her partner which sexual activities will permit or not B. Be certain that her partner understands that when she say “NO”, she means it C. Avoid being in a high-pressure situations such as a party with known drug use D. Tell her daughter that accepting drugs is fine if she is with her close friends 14. The nurse is teaching the client about a natural family planning method which is the basal body temperature method. The woman does not need any further teaching when she states that: A. “Sa araw ng ovulation ko ay tataas ng 1°C ang temperature ko” B. “Iche-check ko ang temperature ko sa umaga pagkatapos ko mag exercise” C. “Kapag bumaba po ang temperature ko tapos kinabukasan biglang tumaas, dapat hindi ako makipagtalik hanggang dalawang araw pagkatapos ito tumaas” D. “Kapag paiba-iba ang oras ng gising ko, makakaapekto ito sa BBT method” 15. The mucus of the uterine cervix changes in structure and consistency each month during a menstrual cycle. Which assessment of cervical mucus suggests that the woman is about to ovulate? I. Scant cervical mucus II. (+) Spinnbarkeit III. Highly viscous cervical mucus IV. (+) Ferning A. i, ii, iii, iv B. ii, iii, iv C. i, ii, iv D. ii, iv Laboratory Tests (7) SCENARIO: Nurse Lilian is working in Guimaras Primary Health Care where routine laboratory tests is done for pregnant client. She knows that Routine laboratory tests are performed to identify conditions that may increase the probability of complications during pregnancy. The following questions apply: 16. Maryrose, a 22-week pregnant client, is scheduled for an amniocentesis. Which of the following nursing instructions should be given to the client? A. Position the patient in a sitting position to better access the fluid B. Void immediately before the procedure C. Drink 2-3 full glasses of water prior to the amniocentesis and void after the procedure D. X-ray will be used to guide the procedure 17. Judy, a 23-year old primigravida is scheduled for an alpha- fetoprotein test. She asks the nurse for the indication of the test and what the medical professional is trying to detect. The nurse correctly answers: A. Kidney defects B. Respiratory Defects C. Cardiac Defects D. Chromosomal Defects 18. Judy, still being anxious, feels sorry and says it is her first time. She is curious on how AFP is being obtained? A. Cervical secretions B. Chorionic villi blood sample C. Maternal blood sample D. Abdominal ultrasound 19. Angela is in her first trimester. She is too excited to know the gender of her baby and asks when is the earliest month that her baby’s gender will be determined. The nurse responds: A. 2 months by an ultrasound B. 4 months by an ultrasound C. 7 months by an ultrasound D. It is impossible. The gender is known after birth 20. Biophysical profile scoring combines five parameters in checking the overall well-being of the fetus. Among the parameters, which is not assessed using a sonogram? A. Fetal breathing B. Fetal Tone C. Fetal Heart reactivity D. Amniotic fluid volume 21. Pretchelle, a 36 weeks in gestation is scheduled for a routine ultrasound prior to an amniocentesis. After teaching Pretchelle about the purpose for the ultrasound, when you were validating her understanding which of the following statements would indicate that Pretchelle needs further instruction? A. “the test will determine where to insert the needle" B. "the ultrasound locates a pool of amniotic fluid" C. "the ultrasound will help to locate the placenta" D. "the ultrasound identifies blood flow through the umbilical cord" 22. The mother received the results of her ultrasound and it indicates that there is a less than the usual amount of amniotic fluid present. The nurse knows that oligohydramnios is not related to: A. It suggests extreme prematurity B. It may result to umbilical cord compression C. It is related to poor flexion in fetal attitude D. The pockets of amniotic fluid is around 20-24 NORMAL NEWBORN (6) SCENARIO: Infancy is designated as the period of time from 1 month to 1 year of age. The nurse works in an OB-Gyne & delivery room knows that infants undergo such rapid development. 23. Baby Juju, a 1-year-old infant weighs 22.5lbs. If the infant gains weight normally, the nurse knows that Juju’s weight when she was 6 months is: A. 11.25lbs B. 15 lbs C. 7.5 lbs D. 16.5 lbs 24. When the nurse is assigned to admitting neonates in the nursery. She makes it into a point to wear her gloves carefully. This action is based on what scientific knowledge?

4 | Page III. It usually subsides after the first 3 trimester IV. Eating a snack before bedtime may help in preventing nausea V. Notify physician if vomits more than once daily A. i, ii, v B. i only C. i, ii, iii, iv, v D. i, ii, iv, v NUTRITION 41. Marga’s pre-pregnancy weight is 68 kilograms and she is 5 ’4’’ in height. She is advised to gain how much additional weight in her pregnancy? A. 25 - 35 lbs B. 15 - 25 lbs C. 28 - 40 lbs D. 25 - 42 lbs 42. Genesis went together with her BFF, Cassy, who is also pregnant with a pre-pregnancy weight of 121 lbs with 5’7 in height. In Cassy’s case, she is to gain weight how much additional weight, as advised, in her pregnancy? A. 25 - 35 lbs B. 15 - 25 lbs C. 28 - 40 lbs D. 25 - 42 lbs 43. Marga asks if she is taking enough vitamins for the growth and health of her baby and raised a concern about folic acid. The Recommended amounts of folic acid daily to be taken during pregnancy is? A. 0.4 mg daily B. 40 µg daily C. 400 mg daily D. 4 g daily 44. Marga is concerned about her weight and how she will be able to achieve the recommended gain in her entire pregnancy. She asks the nurse about nutrition advice. The nurse should include: A. Obtain simple carbohydrates because it is easily digestible B. Consume sugar substitutes to maintain glucose levels C. Consume less than 1,500 calories per day to help regulate the weight gain D. Advise to consume protein-rich foods 45. Lisa is communicating about the nutrition of the pregnant woman. She wants to gather information that will give the most accurate nutrition history about the patient. She will ask: A. How do you feel after you eat in each meal? B. What foods should you include in an ideal food plate? C. Can you tell me what you ate yesterday? D. In your opinion, are you eating nutritious food? How do you say so? 46. The patient is taking prescribed oral iron supplements religiously. She was informed that it contributes to her constipation. The nurse advised the pregnant client to: A. Use mineral oil to relieve constipation B. Enemas can be done because it is natural. It only uses water C. Docusate sodium may be taken if dietary measures fail D. Dulcolax may be taken if regular bowel evacuation fail 47. Nutrition must always form part of the health education for all pregnant mothers. When counseling a pregnant woman about nutrition, nurse Nicole makes sure to: A. Recommend that she weighs herself once a week B. Tell her to eat double the amount of food that she takes before her pregnancy C. Inform her that only very anemic women need iron/folate supplements D. Ask per participating mothers what they eat in a day to determine if her diet is adequate HIGH RISK NEWBORN 48. Four babies are in the newborn nursery. The nurse that is at highest risk for developing cold stress syndrome is? A. Infant with Rh incompatibility B. Infant with neural tube defect C. Infant born with diabetic mother D. Infant born after 41st week of pregnancy 49. As the nurse is assessing the newborn with a high risk. What of the following assessment would lead the nurse to suspect cold stress syndrome? A. Erythema toxicum B. Acyocyanosis C. Blood glucose of 50mg/dL D. Tachypnea 50. Another neonate, Lucy, born at 28 weeks of gestation, develops respiratory distress syndrome. The doctor prescribed surfactant immediately after birth. The nurse knows it is administered: A. Intravenous B. Intramuscular C. Endotracheally D. Orally 51. Oxygen administration is necessary for Lucy to maintain the correct PO2 and pH levels following surfactant administration. However, a possible complication of oxygen therapy in neonate like Lucy, since she is a preterm baby is: A. Bronchopulmonary dysplasia B. Cystic Fibrosis C. Laryngomalacia D. Croup PROTECTING THE RIGHTS OF A CHILD IN THE PHILIPPINES 52. The nurse heard about the news of increasing hazing in brotherhood, fraternity or sorority. The law that prohibits this is: A. RA 7610 B. RA 10630 C. RA 11053 D. RA 10354 Situation: Care of the newborn also places a lot of professional nursing practice challenges. 53. A newborn baby girl was born at 9:15 A.M. which of the following findings are normal? A. Yellow skin tones at 12 hours of age B. Passage of meconium within the first 24 hours C. Respiratory rate of 70/minute at rest D. Bleeding from umbilicus 54. As you were carrying this newborn infant to her mother's room, her mother remarked, "I think my baby is afraid of me. Every time I make a loud noise, he jumps". You should: A. Reassure her that this is a normal reflex reaction for her baby B. Wrap the baby more tightly in warm blankets C. Take the baby back to the nursery for a neurologic evaluation D. Encourage her not to be so nervous with her baby 55. You are assessing another 3-hour old, full-term newborn baby boy. Which of the following findings would you record as abnormal when assessing his head? A. Asymmetry of the head with overriding bones. B. Head circumference 32 cm, chest 34 cm C. A sharply outlined, spongy area of edema D. Two" soft spots" between the cranial bones 56. You collect the following data while assessing the skin of a 6 hour old newborn: color pink with bluish hands and feet, some pale yellow papules with red base over trunk, small white spots on the nose, and a red area at the nape of the neck. Your next action would be to: