Title RECALLS 9 - NP5 - SC ✅

RECALLS 9 EXAMINATION NURSING PRACTICE V CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) 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 V” on the box provided SITUATION: You are a mental health nurse dealing with patients currently experiencing a crisis. You use your knowledge on crisis management to help these patients. The following questions apply. 1. In the rape crisis center, a woman is being seen a few days after she was raped. She reports that she has not had any appetite, she is experiencing anxiety and depression, and that she has been having nightmares. You as the nurse make an assessment on the woman to determine if it is appropriate for her to be admitted to the hospital. Which of the following priority questions should the nurse ask the woman? A. The client’s reaction to the event, including any suicidal thoughts. B. The client’s perceptions of her current skills for coping with the event. C. The availability of the client’s personal support systems. D. The effect of the event on other aspects of the client’s life. 2. An anxious, sobbing 19 year old is brought to the crisis shelter for an interview. She says, “I think I am pregnant but I don’t know what to do!” Which of the following nursing interventions is most appropriate for her situation at this time? A. Ask the client about the type of things that she had thought of doing. B. Give the client some ideas about what to expect to happen next. C. Recommend a pregnancy test after acknowledging the client’s distress. D. Question the client about her feelings and possible parental reactions. 3. You’re the nurse on duty when you saw an anxious 41-year-old client say that she would “rather die than be pregnant.” Which of the following responses by the nurse is most helpful? A. “Try not to worry until after the pregnancy test.” B. “You know, pregnancy is a normal event.” C. “You’re only 40 years old and not too old to have a baby.” D. “I see you’re upset. Take some deep breaths to relax a little.” 4. You were doing some charts when a client comes to the crisis center in a very distressed state. He tells you that he just cannot get over being fired from his job last week. He says that he already asked for help and talked to friends. He says, “I’ve tried everything to get through this, but nothing is working. Please, help me!” Which of the following should you, as the nurse, use as the initial crisis intervention strategy? A. Referral for counseling. B. Support system assessment. C. Emotion management. D. Unemployment assistance. 5. Getting the client’s significant others involved in helping with the immediate crisis as soon as possible is one of the major roles in crisis intervention. You as the nurse determine that the support persons are prepared to help when they verbalize which of the following? A. The name and phone number of the client’s physician. B. Emergency resources and when to use them. C. The coping strategies they are using. D. Long-term solutions they plan to tell the client to use. SITUATION: You are a nurse tasked to work with patients coping with their illnesses. 6. A client was diagnosed with an acute cardiac illness. The nurse should determine that the client lacks understanding of her illness and her ability to make changes in her lifestyle when they verbalize which of the following statements? A. “I already have my airline ticket, so I won’t miss my meeting tomorrow.” B. “These relaxation tapes sound okay; I’ll see if they help me.” C. “No more working 10 hours a day for me unless it’s an emergency.” D. “I talked with my husband yesterday about working on a new budget together.” 7. You just admitted a 19-year-old client who was recently diagnosed with leukemia. What is the most appropriate short term goal for the nurse and the client to establish? A. Accepting his death as imminent. B. Expressing his angry feelings to the nurse. C. Decreasing interaction with peers to conserve energy. D. Gaining an intellectual understanding of the illness. 8. The client hospitalized for diagnosis and treatment of atrial fibrillation states to the nurse, “Please hand me the telephone. I need to check on my stocks and bonds.” Which of the following responses by the nurse is most therapeutic? A. “You will get more upset if you make that call.” B. “You have atrial fi brillations. Let’s talk about what that means.” C. “You really don’t care about the fact that you’re sick, do you?” D. “Do you realize you have a life-threatening condition?” 9. The colostomy club made arrangements to meet with a client who will undergo a bowel surgery. Which of the following is accomplished when a representative of the colostomy club visits the client preoperatively? A. Letting the client know that he has resources in the community to help him. B. Providing support for the physician’s plan of therapy for the client. C. Providing the client with support and realistic information on the colostomy. D. Convincing the client that he will not be disfigured and can lead a full life. 10. One of your patients in the ward directs profanities at you, the nurse, then abruptly hangs his head and pleads to you, “Please forgive me. Something came over me. Ugh, why do I say those things?” As a knowledgeable nurse, you interpret this as which of the following? 1 | Page


39. Robin stated that she has been investigating alternative therapies to treat her disease. Which of the following interventions is most appropriate? A. Encourage the therapy if it is not contraindicated by the medical regimen. B. Tell the client only the health-care provider should discuss this with him. C. Ask how his significant other feels about this deviation from the medical regimen. D. Suggest the client research an investigational therapy instead. 40. You enter Robin’s room after her diagnosis of acute exacerbation of MS. You find her crying. Which of the following statements is the most therapeutic response you can make as her nurse? A. “Why are you crying? The medication will help the disease.” B. “You seem upset. I will sit down and we can talk for awhile.” C. “Multiple sclerosis is a disease that has good times and bad times.” D. “I will have the chaplain come and stay with you for a while.” SITUATION: You are caring for patient Luffy who has seizures. You apply your knowledge on concepts of seizures to better assess, diagnose, plan, and evaluate their condition. 41. Luffy is sitting in the chair when suddenly, his entire body went rigid with his arms and legs contracting and relaxing. He is not aware of what’s going on and is making guttural sounds. Which of the following actions should you implement first? A. Push aside any furniture. B. Place the client on his side. C. Assess the client’s vital signs. D. Ease the client to the floor. 42. Luffy is scheduled for an electroencephalogram (EEG) to help diagnose a seizure disorder. Which of the following preprocedure teaching should you implement? A. Tell the client to take any routine antiseizure medication prior to the EEG. B. Tell the client not to eat anything for eight (8) hours prior to the procedure. C. Instruct the client to stay awake for 24 hours prior to the EEG. D. Explain to the client that there will be some discomfort during the procedure. 43. Luffy just had a 3 minute seizure. He has no apparent injuries, is oriented to name, place, and time but he is very lethargic and just wants to sleep. Which of the following interventions should you implement? A. Perform a complete neurological assessment. B. Awaken the client every 30 minutes. C. Turn the client to the side and allow the client to sleep. D. Interview the client to find out what caused the seizure. 44. Which statement by Luffy indicates that he understands factors that may precipitate his seizure activity? A. “It is all right for me to drink coffee for breakfast.” B. “My menstrual cycle will not affect my seizure disorder.” C. “I am going to take a class in stress management.” D. “I should wear dark glasses when I am out in the sun.” 45. Luffy is prescribed the anticonvulsant phenytoin (Dilantin) for his seizure disorder. Which statement indicates that Luffy understands the discharge teaching regarding this medication? A. “I will brush my teeth after every meal.” B. “I will check my Dilantin level daily.” C. “My urine will turn orange while on Dilantin.” D. “I won’t have any seizures while on this medication.” SITUATION: You are a new nurse assigned in the operating room. You will apply your knowledge on perioperative nursing to effectively and safely handle patients in this area. 46. You are preparing your patient for an upcoming surgery. Which of the following interventions should you implement first? A. Check the permit for the spouse’s signature. B. Take and document intake and output. C. Administer the sedative. D. Complete the preoperative checklist. 47. You are conducting an interview with the surgical patient in the holding area. Which of the following information should you report to the anesthesiologist? Select all that apply. I. The client has loose, decayed teeth. II. The client is experiencing anxiety. III. The client smokes two (2) packs of cigarettes a day. IV. The client has had a chest x-ray which does not show infiltrates. V. The client reports using herbs. A. I, II, III, IV B. II, III C. I, III, V D. III, V 48. The circulating nurse intervenes when she notices which of the following violations of surgical asepsis? A. Surgical supplies were cleaned and sterilized prior to the case. B. The circulating nurse is wearing a long sleeve sterile gown. C. Masks covering the mouth and nose are being worn by the surgical team. D. The scrub nurse setting up the sterile field is wearing artificial nails. 49. The following statements are not an expected outcome for the postoperative client who had a general anesthesia, except? A. The client will be able to sit in the chair for 30 minutes. B. The client will have a pulse oximetry reading of 97% on room air. C. The client will have a urine output of 30 mL per hour. D. The client will be able to distinguish sharp from dull sensations. 50. Which of the following problems should you identify as the priority for a patient who one day postoperative? A. Potential for hemorrhaging. B. Potential for injury. C. Potential for fluid volume excess. D. Potential for infection. 51. Antibiotics have limited use in the actual treatment of Mastoiditis because________. A. Tissue destruction is extensive B. It is a long-term treatment C. Antibiotics do not easily penetrate the infected bony structure of the mastoid D. Culture has to be done to identify which antibiotic is most effective for the treatment of Mastoiditis Situation– You are a staff nurse in a government hospital being transferred to the Psychiatric Unit. You were required to equip yourself by attending the enhancement program on Crisis Intervention. To assess your knowledge and skills on the subject you were given a pre-test. 52. A crisis that is acute but temporary and due to an external source is__________. A. Developmental B. Transitional C. Traumatic D. Dispositional 53. The MAIN objective of crisis intervention is to_____________ A. Make the person realize his/her mistakes B. Ensure patient’s safety C. Return the person to the root of the crisis to identify the cause D. Eliminate the stressor 54. Which of the following is NOT an assumption in the concept of crisis? A. Crisis is acute and resolved within a short period of time B. All individuals experience a crisis C. Crisis is a growth-retarding factor to the emotional development of a person D. Specific identifiable events precipitate a crisis 55. Which of the following nursing interventions is the most appropriate for a client who is in the early state of crisis? 4 | Page