Title RECALLS 10 - NP4 - SC ✅

1 | Page RECALLS 10 EXAMINATION NURSING PRACTICE IV CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART B) 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 IV” on the box provided ONCOLOGY: ANTI-NEOPLASTIC MEDICATIONS Situation: You are a newly assigned nurse in the oncology ward, familiarizing yourself with different antineoplastic medications. 1. You are aware that there are cell cycle specific drugs that target the different phases and cell cycle nonspecific drugs. Which of the following is not classified as a cell-cycle specific chemotherapy drug? A. Antimetabolic agents B. Mitotic inhibitors C. Topoisomerase inhibitors D. Alkylating agents 2. Most chemotherapeutic drugs are dosed based on total body surface area (BSA). Which action should the nurse take to ensure the patient receives the optimal dose of chemotherapy? A. Ask the patient about their height and weight and calculate BMI. B. Use the rule of nines to estimate BSA. C. Measure abdominal, arm, and leg circumference. D. Obtain the patient’s height and weight. 3. Patient Porky is receiving Capecitabine and experiences dyspnea, rashes all over the body, and tachycardia. The blood pressure is 80/60 mmHg. The nurse suspects an anaphylactic reaction. Which action should the nurse avoid in this situation? A. Stop the medication. B. Raise the client's feet and legs. C. Remove the IV line. D. Administer epinephrine as prescribed. 4. Patient Filmar is a new patient in the outpatient center waiting room and is about to receive chemotherapeutic drugs. The nurse knows that chemotherapeutic drugs have numerous side effects and plans to monitor the patient for untoward symptoms. Which side effect should the nurse anticipate as the most common for this patient? A. Fatigue B. Hair loss C. Nausea and vomiting D. Headache 5. A patient is scheduled to receive another dose of antineoplastic medication. Which laboratory finding should the nurse report to the healthcare provider (HCP) that may result in withholding the medication? A. Platelet count: 130,000 mm³ B. Segmented neutrophil count: 18% C. Potassium: 3.4 mEq/L D. Mean Corpuscular Volume: 82 6. The nurse is caring for a patient about to begin antineoplastic treatment. Which action by the nurse demonstrates the preservation of the patient’s psychosocial integrity and requires commendation? A. Inform the client that new hair growth will occur during treatment. B. Discuss the potential effect of infertility, which is reversible. C. Instruct the client about abstinence from sex during treatment. D. Discuss the purchase of a wig before treatment begins. 7. The nurse is reviewing Patient Pernilla’s medication list and notes the she is receiving an antitumor antibiotic. Which medication requires close monitoring for heart failure and dysrhythmias? A. Cisplatin B. Bleomycin C. Daunorubicin D. All of the above 8. A patient is receiving high-dose Methotrexate as part of their chemotherapy regimen. Which medication should the nurse prepare to administer to prevent Methotrexate toxicity? A. Leucovorin B. Cytarabine C. Fluorouracil D. Mercaptopurine 9. A patient receiving Oxaliplatin is being assessed by the nurse. Which statement made by the patient requires immediate intervention? A. "I felt too hot that I drank iced water throughout the day." B. "I placed on two pairs of socks because it was cold." C. "I feel nauseous at times." D. "I exercise in my home, and I sweated." ONCOLOGY: COLORECTAL CANCER Situation: Colorectal cancer is becoming increasingly common, with cases rising among younger individuals. Patient Mikay, who loves eating at fine dining restaurants, went to the ER due to abdominal pain and changes in bowel habits. 10. Early detection is key. What is a screening test for colorectal cancer? A. CEA test B. CT scan C. Exploratory laparoscopy D. Colonoscopy 11. The doctor orders a guaiac-based fecal occult blood test (FOBT) for Patient Mikay. Which instruction should NOT be given before the test? A. Warfarin should be discontinued for 24 hours before the exam. B. Vitamin C tablets must be avoided. C. Avoid red meat before the test. D. Raw fruits and vegetables may yield false-positive results. 12. Patient Mikay mentions a family history of colorectal cancer and enjoys eating at fine dining restaurants weekly, with steak as her favorite meal. What dietary instruction can help reduce her risk of colorectal cancer? A. Increase refined carbohydrates. * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *


4 | Page Situation: Tumors of the colon and rectum are relatively common, and the most significant risk factor is older age. 47. Which of the following choices will you not include as a risk factor for colorectal cancer? A. Cigarette smoking B. High consumption of alcohol C. History of radiation to the pelvis D. High-fat, low-protein (with low intake of beef), low- fiber diet 48. The clinical manifestation presents itself differently depending on the location of the tumor in the affected intestinal segment. What is the most likely affected side if the patient presents to the clinic with dull abdominal pain and melena? A. Right-sided tumor B. Left-sided tumor C. Rectal tumor D. Hemorrhoids 49. For surveillance purposes, a 45-year-old client came to the clinic to have which of the following procedures for screening of colorectal cancer? A. Colonoscopy B. CEA level (carcinoembryonic antigen) C. CT Scan of abdomen D. Sigmoidoscopy 50. Surgery is the mainstay of initial treatment for colorectal cancer, which of the following accurately describes the Miles resection treatment? A. Removal of the tumor and portions of the bowel on either side of the growth, but not the blood vessels and lymphatic nodes B. Removal of the tumor and portions of the bowel on either side of the growth, as well as the blood vessels and lymphatic nodes C. Removal of the tumor and a portion of the sigmoid and all of the rectum and anal sphincter D. Temporary colostomy followed by segmental resection 51. If the patient is admitted and is scheduled for surgical treatment of his colorectal cancer, which of the following is incorrect to include in the dietary preoperative care for the patient? A. It is important to build the patient’s stamina in the days preceding surgery. B. Diet high in calories, protein, and carbohydrates and low in residue. C. The goal for the dietary intake several days before the surgery is to provide adequate nutrition and increase excessive peristalsis D. None of the above 52. Which of the following is true about inserting an NG tube for preoperative intervention? A. To drain accumulated fluids B. To prevent abdominal distention C. Both A and B D. Neither A nor B Situation: Hepatic dysfunction results from damage to the liver’s parenchymal cells. You are reviewing about the hepatic disorders as you are currently working on a research project involving patients with this illness. 53. One of the clients asked you why patients with liver disease often appear yellow, you are correct when you explain which of the following? A. Due to increased bile concentration in the blood in the presence of liver disease. B. Due to decreased destruction of red blood cells. C. As the flow of bile is impeded, bilirubin concentration in the blood accumulates. D. As the bilirubin enters the intestines, there is increase in urobilinogen under the skin. 54. Related to one of the most common manifestations of liver diseases, which of the following is not related to ascites? A. Increased abdominal girth and rapid weight gain B. Short of breath C. Striae and constricted veins may be visible over the abdominal wall D. Fluid and electrolyte imbalances 55. In creating the plan of care, which of the following should NOT be incorporated in the dietary treatment of the patient with ascites? A. Goal of treatment is a negative sodium balance to reduce fluid retention B. Diets that are not made to be a low-salt diet should be avoided. C. Salt substitutes such as lemon juice, oregano, and thyme can be used by the patient. D. Commercial salt substitutes can be readily used by the patient. 56. In assessing for abdominal fluid wave, which should NOT be done by the nurse? A. The examiner places the hands along the sides of the patient’s flank B. An assistant’s hand is placed (ulnar side up) along the patient’s midline C. The examiner strikes one flank sharply D. None of the above 57. Once the physician decides to do a percutaneous liver biopsy, which intercostal space would you expect to be inserted into? A. Between 10 to 11 B. Between 6 to 7 C. Between 7 to 8 D. Between 8 to 9 Situation: You are caring for patients who are diagnosed with gastrointestinal cancer. 58. Which of the following dietary practice increases the chances of developing gastric cancer? A. Diet high in smoked, salted, or pickled foods and low in fruits and vegetables B. Diet high in smoked, low in salted, or pickled foods, low on meat C. Diet high in fat and meat, low in fruits and vegetables D. Diet is not a significant risk factor 59. While doing the health history and physical examination with the patient with suspected gastric ulcer, which of the following may be associated with the illness? I. Pain relieved by antacids II. Dyspepsia III. Early satiety IV. Weight gain V. Abdominal pain just below the umbilicus VI. Loss of appetite A. II, V, VI B. I, II, III, IV, VI C. I, II, III, VI D. I, II, IV, VI 60. The patient is scheduled to have Antrectomy Billroth I (gastroduodenostomy), she asked you to clarify what the procedure is about after the meeting with the physician. You are correct when you said which of the following? A. Removal of the lower portion of the antrum of the stomach, as well as a small portion of the duodenum and pylorus B. Longitudinal incision is made into the pylorus and transversely sutured closed to enlarge the outlet and relax the muscle C. Removal of lower portion (antrum) of stomach with anastomosis to jejunum D. Severs the right and left vagus nerves as they enter the stomach at the distal part of the esophagus 61. There are few cancers that originate from the liver, which of the following is NOT associated with developing primary liver tumors? A. Hepatitis B infection B. Hepatitis C infection C. Cirrhosis D. Metastases 62. Which of the following will you not include in the initial diagnostic workup for liver cancer? A. CT scan