Title RECALLS 4 - NP5 - SC ✅

RECALLS 4 EXAMINATION NURSING PRACTICE V CARE OF THE CLIENT WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) 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 V” on the box provided Situation: A 28-year-old male client with a history of bipolar disorder and recent suicide attempt is admitted to the psychiatric unit. He is currently exhibiting manic symptoms and is prescribed lithium. 1. Which of the following is the most important nursing intervention when assessing a client taking lithium? A. Monitor for signs of hyperkalemia. B. Assess for gastrointestinal distress. C. Monitor serum lithium levels regularly. D. Observe for extrapyramidal symptoms. 2. The client's lithium level is 1.8 mEq/L. What is the nurse's priority action? A. Administer the next dose of lithium as prescribed. B. Document the finding and continue to monitor the client. C. Notify the physician immediately. D. Encourage increased fluid intake. 3. The signs of lithium toxicity include which? A. Sedation, fever, and restlessness B. Psychomotor agitation, insomnia, and increased thirst C. Elevated WBC count, sweating, and confusion D. Severe vomiting, diarrhea, and weakness 4. Which of the following medications is contraindicated in a client taking an MAOI? A. Lithium B. Sertraline (Zoloft) C. Valproic acid (Depakote) D. Lamotrigine (Lamictal) 5. Which nursing diagnosis is appropriate for this client at this time? A. Risk for injury related to impulsivity B. Ineffective coping related to bipolar disorder C. Disturbed thought processes related to mania D. Imbalanced nutrition: less than body requirements Situation: A nurse is caring for several clients who are exhibiting different coping mechanisms in response to stressful life events. Identify the ego defense mechanism being used in each case. 6. A client who recently lost their job states, "I'm actually better off without that stressful job. I can now focus on my family and hobbies." A. Displacement B. Rationalization C. Projection D. Sublimation 7. A client who experienced a traumatic car accident has no memory of the event. A. Repression B. Dissociation C. Denial D. Regression 8. A client who is angry at their supervisor for a recent reprimand yells at their spouse when they get home. A. Displacement B. Projection C. Reaction Formation D. Compensation 9. A client with a history of substance abuse begins volunteering at a local homeless shelter. A. Undoing B. Sublimation C. Identification D. Compensation 10. A client who has always wanted to be a doctor but failed the medical school entrance exam repeatedly now excels as a medical researcher. A. Reaction Formation B. Compensation C. Intellectualization D. Substitution 11. A client presents with sharpened senses, increased motivation, and reports feeling restless with gastrointestinal "butterflies." They are able to solve problems and learning is effective. A. Panic B. Severe C. Moderate D. Mild 12. A client is unable to complete tasks, solve problems, or learn effectively. They report feeling awe and dread, and have a severe headache. Their behavior is geared toward anxiety relief, but is ineffective. A. Mild B. Moderate C. Severe D. Panic 13. A client's perceptual field is reduced to focus solely on themselves. They cannot process environmental stimuli and exhibit distorted perceptions. They are possibly suicidal and unable to communicate verbally. A. Severe B. Moderate C. Mild D. Panic 14. A client exhibits muscle tension, diaphoresis, and a pounding pulse. They can be redirected from the immediate task, but cannot connect thoughts or events independently. A. Panic B. Severe C. Moderate D. Mild 15. A client reports feeling restless and sleepless. They are irritable and hypersensitive to noise. A. Panic B. Severe C. Moderate D. Mild 1 | Page