Title RECALLS 6 - NP2 - SC ✅

RECALLS 6 EXAMINATION NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD 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 II” on the box provided Situation: Nurse Maria works in the Family Planning Clinic of the City Community Health Center. She provides contraceptive counseling to adolescents and adults, fitting clients for barrier methods, instructing on correct use and timing, interpreting home pregnancy tests, and explaining the hormonal basis of early pregnancy detection. 1. Which benefit of the cervical cap should the nurse emphasize when instructing a client about its use? A. It remains effective for up to 48 hours without reapplication of spermicide B. It can be purchased without a prescription and discarded after a single use C. It allows spermicide to be applied up to 2 hours before intercourse D. It virtually eliminates the risk of allergic reactions to its material 2. A male client demonstrates understanding of correct condom use by stating: A. “I’ll lubricate the condom with oil to prevent tearing.” B. “I’ll unroll it completely and inspect it for holes before use.” C. “I’ll hold the rim when withdrawing to prevent spillage.” D. “I’ll start intercourse without it and put it on just before ejaculation.” 3. When teaching a client using a diaphragm for contraception, the nurse should instruct her to: A. Remove it within 1 hour after intercourse B. Leave it in place for at least 6 hours afterward C. Keep it in place for up to 12 hours to maximize protection D. Wear it continuously for 28 hours to reduce infection risk 4. After a client reports a positive result on an at-home pregnancy test, the nurse evaluates her understanding when she says: A. “So I must have ovulated within the last 24 hours.” B. “A positive test means I am definitely not pregnant.” C. “It tells me there’s growing trophoblastic tissue, but I might still need confirmation.” D. “It confirms that I am pregnant right now.” 5. The nurse explains that at-home pregnancy tests work by detecting which hormone in the client’s urine? A. Human chorionic gonadotropin (hCG) B. Estrogen C. Follicle-stimulating hormone (FSH) D. Progesterone Situation: Reproductive health (RH) encompasses the responsible exercise of reproductive rights, aiming to prevent illness and injury related to sexuality and reproduction. 6. Which of the following is not one of the stated goals of reproductive health? A. Ensuring every pregnancy is planned B. Promoting healthy maternal and neonatal outcomes C. Mandating artificial contraceptive use for all married couples D. Helping families achieve their desired size 7. Globally, the international reproductive health framework places primary emphasis on: A. Population groups aged over 40 B. Maternal and women’s health across the lifespan C. Displaced persons with RH problems D. Infertile couples 8. Which of the following is emphasized as essential for reducing maternal mortality? A. Legalization of abortion alone B. Improved access to family planning and skilled birth attendance C. Greater investment in hospital infrastructure only D. Promotion of natural methods of fertility regulation 9. What is a key gender-related barrier to reproductive health care? A. Lack of male nurses in clinics B. Strict age limits for service access C. Women needing permission from partners to access services D. Low literacy rates in men 10. Which of the following is identified as a critical component of ensuring reproductive rights for adolescents? A. Comprehensive sexuality education B. Limiting media access C. Abstinence-only education D. Delaying access to contraceptives until age 18 Situation: Nurse Carla is assigned to the community health center and manages maternal and child health (MCH) services. She organizes prenatal checkups, supervises midwives during deliveries, leads breastfeeding promotion campaigns, monitors child growth, and ensures immunizations are delivered according to schedule. 11. Which of the following best reflects Nurse Carla’s role when she ensures all infants are immunized according to schedule? A. Planning B. Controlling C. Directing D. Organizing 12. When Nurse Carla arranges staff assignments so that all pregnant women are seen during clinic hours, which management function is being carried out? A. Organizing B. Planning C. Staffing D. Directing 13. Which of the following actions by Nurse Carla demonstrates planning? A. Reassigning midwives to fill in staff shortages B. Conducting a post-immunization follow-up 1 | Page
C. Setting objectives for next month’s breastfeeding campaign D. Supervising vaccine administration during outreach 14. Which indicator best evaluates the effectiveness of the child growth monitoring program? A. Number of staff attending trainings B. Percentage of children within the normal weight-for-age range C. Amount of supplies purchased D. Frequency of immunization sessions conducted 15. Which principle of organization is observed when Nurse Carla gives midwives clear instructions and maintains accountability for overall results? A. Span of control B. Authority and responsibility C. Unity of command D. Coordination Situation: Nurse Angela is the Public Health Nurse assigned to a coastal barangay. She is in charge of implementing the Environmental Sanitation Program, which includes water safety inspections, waste management education, and coordination with barangay officials for community clean-up drives. She also supervises sanitary inspectors, responds to disease outbreaks, and promotes proper food handling in households and food establishments. 16. When Nurse Angela sets specific goals for reducing cases of diarrhea in her barangay over the next three months, which management function is she performing? A. Directing B. Organizing C. Planning D. Controlling 17. Which action of Nurse Angela demonstrates directing? A. Assigning sanitary inspectors to different sitios B. Preparing a list of households needing safe water containers C. Evaluating waste disposal practices after a clean-up drive D. Supervising sanitary inspectors during water sampling 18. What would be the best process indicator to assess the success of the waste management education program? A. Decrease in reported cases of leptospirosis B. Number of households attending waste segregation sessions C. Percentage of households with proper composting bins D. Reduction in uncollected garbage in public areas 19. When Nurse Angela evaluates the quality of food handling in local eateries to ensure compliance with sanitary standards, which function of management is being exercised? A. Planning B. Controlling C. Staffing D. Directing 20. Which principle of organization is Nurse Angela observing when she makes sure sanitary inspectors report directly to her and not to barangay officials during the program? A. Coordination B. Span of control C. Authority and responsibility D. Unity of command Situation: Nurse Martha is assigned to the Maternal and Child Health (MCH) unit of the Rural Health Unit. She conducts prenatal check-ups, provides nutrition counseling to pregnant mothers, supervises deliveries conducted by midwives, and promotes exclusive breastfeeding. She also facilitates newborn screening and postpartum home visits to ensure maternal and neonatal well-being. 21. During a prenatal outreach session, Nurse Martha supervises community health workers as they educate expectant mothers on recognizing early signs of pregnancy complications. Which management function is she performing? A. Controlling B. Directing C. Organizing D. Planning 22. Which of the following indicators best measures the effectiveness of the post-partum home visit program? A. Percentage of mothers exclusively breastfeeding at 6 weeks post-partum B. Number of home visits conducted by Nurse Martha C. Number of midwives trained in breastfeeding counseling D. Amount of iron supplements distributed 23. Nurse Martha schedules midwives so that at least one staff member is available for 24-hour delivery care at the birthing station. Which management function does this represent? A. Controlling B. Planning C. Organizing D. Staffing 24. When Nurse Martha sets a target to reduce cases of post-partum hemorrhage by 20% in the next six months, which function is she demonstrating? A. Directing B. Planning C. Controlling D. Staffing 25. Nurse Martha notices that a midwife is not following the prescribed infection-control protocol during deliveries. Which action reflects the controlling function? A. Asking the midwife to explain her practice B. Correcting the procedure and reinforcing the proper standard C. Allowing the midwife to continue as she is D. Reassigning the midwife to post-partum care only Situation: Nurse Mariel is assigned to a busy labor and delivery unit. She is caring for several clients in different stages of pregnancy and the postpartum period. During her shift, she must accurately assess maternal conditions, anticipate complications, and provide evidence-based nursing interventions for both mother and baby. 26. When preparing to perform Leopold’s maneuvers on a laboring client, which action should Nurse Mariel take first? A. Position the client in a supine position B. Have the client void C. Wash her hands in warm water D. Apply sterile lubricant to the abdomen 27. One hour after delivery, Mariel notes the mother’s uterus is one fingerbreadth below the umbilicus and shifted to the right. What should be her priority action? A. Assist the mother to void B. Vigorously massage the fundus C. Administer oxytocin D. Give a tocolytic intravenously 28. During the second stage of labor, which clinical finding indicates that the fetus is about to be delivered? A. Engagement B. Crowning C. Placental separation D. Full cervical dilation 29. A client in labor has contractions every 5 minutes for 7 hours. Which finding will confirm that she is in true labor? A. Cervical effacement and dilation B. Increasing contraction intensity C. Rupture of membranes D. The fact that this is her second pregnancy 30. While assessing a laboring client, Mariel observes a loop of the umbilical cord protruding from the vagina. What should she do immediately? A. Call the physician B. Place a moist, sterile towel over the cord C. Turn the client on her side and listen to fetal heart rate D. Apply upward pressure on the presenting part and place the mother in a knee-chest position Situation: Nurse Clarisse is assigned to the newborn nursery and postpartum unit. She is responsible for assessing newly delivered infants, ensuring thermoregulation, teaching mothers proper newborn care, and recognizing early signs of complications in both mother and baby. 2 | Page