Title RECALLS 5 - NP2 - SC ✅

1 | Page RECALLS 5 EXAMINATION NURSING PRACTICE II CARE OF THE HEALTHY/SICK MOTHER & 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 III” on the box provided MENSTRUATION   SITUATION: Reniel is reviewing for his board exams. He finds the menstrual cycle topic as one of his weakness, so he decided to delve on this topic.  1. Reniel encountered a question about mittelschmerz. He knew that which subjective finding supports the possibility of this condition? A. Experiences pain during intercourse B. Has pain at the onset of menstruation C. Experiences profuse vaginal bleeding D. Has sharp pelvic pain during ovulation 2. Reniel read about a case of a client who is admitted to the hospital with a suspected diagnosis of Graves' disease. On assessment, which manifestation related to the client's menstrual cycle would Reniel expect the client to find? A. Amenorrhea B. Menorrhagia C. Metrorrhagia D. Dysmenorrhea 3. Another topic on the book he was reading was Mennorhagia. Which of the following is the correct description for this type of menstrual period? A. Menstrual periods with abnormally heavy or prolonged bleeding. B. Pain during menstrual periods C. Uterine bleeding at irregular intervals, particularly between the expected menstrual periods. D. Decreased menstrual flow 4. Reniel explored about variations in the length of the menstrual cycle. He understands that the underlying mechanism is due to variations in which of the following phases? A. Menstrual phase B. Proliferative phase C. Secretory phase D. Ischemic phase 5. Ovulation happens in the middle of the woman’s cycle. When teaching a woman about fertility awareness, the nurse should emphasize that the basal body temperature: A. Should be recorded each morning before any activity B. Is the average temperature taken each morning C. Can be done with a mercury thermometer but not a digital one D. Has a lower degree of accuracy in predicting ovulation than the cervical mucus test GESTATIONAL HYPERTENSION SITUATION: Nurse Mitchelle was assigned to the OB Unit. He handles cases of pregnant mothers with hypertension.  6. Nurse MItchell is caring for a client with a suspected diagnosis of gestational hypertension. He assesses the client, expecting to note which set of findings if gestational hypertension is present? A. Edema, ketonuria, and obesity B. Edema, tachycardia, and ketonuria C. Glycosuria, hypertension, and obesity D. Sudden weight gain and proteinuria 7. Nurse MItchell is caring for another client diagnosed with preeclampsia. When the client's condition progresses from preeclampsia to eclampsia, what would the nurse's first action be? A. Prepare to maintain an open airway. B. Prepare to administer oxygen by face mask. C. Assess the maternal blood pressure and fetal heart tones. D. Administer an intravenous infusion of magnesium sulfate. 8. Another nurse in the department admitted a client diagnosed with gestational hypertension who is in labor. The nurse monitors the client closely for which complication of gestational hypertension? A. Seizures B. Hallucinations C. Placenta previa D. Altered respiratory status 9. The nurse is administering magnesium sulfate to a client experiencing severe preeclampsia. What intervention would the nurse implement during the administration of magnesium sulfate for this client? A. Schedule a daily ultrasound to assess fetal movement. B. Schedule a nonstress test every 4 hours to assess fetal well-being. C. Assess the client's temperature every 2 hours because the client is at high risk for infection. D. Assess for signs and symptoms of labor since the client's level of consciousness may be altered. 10. A pregnant client is receiving magnesium sulfate for severe pregnancy induced hypertension (PIH) A. Urinary output 90 cc in 2 hours. B. Absent patellar reflexes. C. Rapid respiratory rate above 40/min. D. Rapid rise in blood pressure. LABORATORY AND DIAGNOSTICS 11. A client diagnosed with gestational diabetes is at 36 weeks of gestation. The client has had weekly reactive nonstress tests for the last 3 weeks. This week, the nonstress test was nonreactive after 40 minutes. Based on these results, the nurse would prepare the client for which intervention? A. A contraction stress test B. Immediate induction of labor C. Hospitalization with continuous fetal monitoring D. A return appointment in 2 days to repeat the nonstress test 12. The nurse, caring for a client in the active stage of labor, is monitoring the fetal status and notes that the monitor strip * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *

3 | Page 28. As part of cardiac assessment, to palpate the apical pulse, the nurse places the fingertips at which location? A. At the left midclavicular line at the fifth intercostal space B. At the left midclavicular line at the third intercostal space C. To the right of the left midclavicular line at the fifth intercostal space D. To the right of the left midclavicular line at the third intercostal space 29.  A 9-year-old boy is admitted to the hospital. The boy is being treated with salicylates for the migratory polyarthritis accompanying the diagnosis of rheumatic fever. Which of the following activities performed by the child would give a best sign that the medication is effective? A. Listening to story of his mother B. Listening to the music in the radio C. Playing mini piano D. Watching movie in the dvd mini player NEWBORN ASSESSMENTS 30. Parents of a newborn ask the nurse why their newborn’s head seems lopsided and not round, as they thought it should be. Which is the nurse’s best response? A. “I don’t think it looks unusual; actually, the head is beautifully shaped.” B. “Your baby’s head had to shape itself to the birth canal. It will look round in a few days.” C. “You’re right. We’ll make sure your doctor checks this out.” D. “Babies’ heads always look funny. Once his hair grows out, you’ll hardly notice it. 31. On assessment of a newborn being admitted to the nursery, the nurse palpates the anterior fontanel and notes that it feels soft. The nurse determines that this finding indicates which condition? A. Dehydration B. A normal finding C. Increased intracranial pressure D. Postterm by at least 2 weeks 32. The nurse is performing an assessment on a postterm infant. Which physical characteristic would the nurse expect to observe in this infant? A. Peeling of the skin B. Smooth soles without creases C. Lanugo covering the entire body D. Vernix that covers the body in a thick layer KOHLBERG’S MORAL DEVELOPMENT 33. The clinic nurse is preparing to explain the concepts of Kohlberg’s theory of moral development with a parent. The nurse would plan to tell the parent that which factor motivates good and bad actions for the child at the preconventional level? A. Peer pressure B. Social pressure C. Parents’ behavior D. Punishment and reward 34. The nurse educator is preparing to conduct a teaching session about school-age children regarding the theories of growth and development and plans to discuss Kohlberg’s theory of moral development. What information would the nurse should not include in the session?  A. Individuals move through all six stages in a sequential fashion. B. Moral development progresses in relationship to cognitive development. C. A person’s ability to make moral judgments develops over a period of time. D. The theory provides a framework for understanding how individuals determine a moral code to guide their behavior. 35. Based on Kohlberg’s theory,  what stage of moral development is experienced by Raphael who is a 6 year old child? A. Punishment-obedience B. “good boy-Nice girl” C. naive instrumental orientation D. social contact ERIK ERIKSON’S THEORY 36. The nurse is preparing to provide instructions to new parents regarding the psychosocial development of the newborn infant. Using Erikson’s psychosocial development theory, the nurse would instruct the parents to take which measure? A. Allow the newborn infant to signal a need. B. Anticipate all needs of the newborn infant. C. Attend to the newborn infant immediately when crying. D. Avoid the newborn infant during the first 10 minutes of crying. 37. The parent of an 8-year-old child tells the clinic nurse of a concern that the child seems to be more attentive to friends than anything else. Using Erikson’s psychosocial development theory, the nurse would plan to make which response? A. “You need to be concerned.” B. “You need to monitor the child’s behavior closely.” C. “At this age, children are developing their own personalities.” D. “You need to provide more praise to the child to stop this behavior.” 38. Which of the following information indicates that Raphael who is 6 years old, is normal for his age? A. Determine own sense self B. Develop sense of whether he can trust the world C. Has the ability to try new things D. Learn basic skills within his culture 39. Baby boy Lacson delivered at 36 weeks gestation weighs 3,400 gm and height of 59 cm. As described by Erikson, the major psychosexual conflict of the Baby Lacson is: A. Autonomy vs. Shame and doubt B. Industry vs. Inferiority C. Trust vs. mistrust D. Initiation vs. guilt 40. Imman who is a 3 year old boy is developing his own autonomy. In order to help the child, Nurse Eric should teach the mother to: A. Encourage the child to remove and put on own clothes. B. Listen attentively to reminiscent stories about their life’s accomplishments. C. Do not allow the child to make his own choices because he is still very young. D. NOTA 41. A 65-year-old man who recently retired from 40 years of work as an independent contractor is scheduled for a physical examination. The nurse should be concerned about which comment? A. “My wife and I are planning to drive to Nebraska in June to visit our grandkids.” B. “Every day, when I wake up, it’s hard to find a reason to get out of bed.” C. “I often take ibuprofen for the pain in my knees.” D. “People still call me for advice on building projects. I may never get to retire!” 42. A nurse decides that a review of which theorist would be helpful before teaching 4- and 5-year-olds in a preschool class how to brush their teeth? A. Fowler B. Erikson C. Gould D. Peck 43. A community health nurse is planning adult health education classes. According to Erikson’s stages of development, which task must the nurse address with this age group? A. Industry versus inferiority B. Identity versus role confusion C. Intimacy versus isolation D. Generativity versus stagnation HEAT LOSS 44. Which of the following exemplifies heat loss through Conduction? A. Placing an infant on a cool xray plate B. Air Drafts in the room C. Oxygen face mask D. Drying of an infant 45. Which of the following statements describes heat loss via Conduction?
4 | Page A. transfer of heat from one object to another by direct contact. B. heat is transferred from an object to the surrounding air. C. occur as moisture from body surfaces is lost to the environment D. transfer of heat between two objects that are not in direct contact with each other. 46. How do you prevent heat loss via evaporation? A. Dry the infant thoroughly B. Put the infant away from cold air drafts C. Do not place the infant in a cold surface D. NOTA 47. To prevent heat loss by conduction in a newborn, which nursing intervention is most appropriate? A. Keeping the infant's bassinet away from air vents. B. Swaddling the infant snugly in a blanket. C. Placing a warmed blanket on the scale before weighing the infant. D. Drying the infant thoroughly. 48. A post-partum mother is sitting in a cool room wearing a thin gown. The majority of their body heat is being lost to the surrounding environment (walls, ceiling, floor) through which mechanism? A. Conduction B. Radiation C. Evaporation D. Convection GROWTH AND DEVELOPMENT 49. A toilet-trained 4-year-old hospitalized for several days with an acute illness has been wetting the bed at night and is having incontinence accidents during the day. The nurse addresses the parents’ concerns with the following statement: A. “Maybe your child should be seen by a specialist, just to make sure there are no physical problems.” B. “It is normal for some children to go through a stage of regression after separation from their family or after an acute illness. Try not to be too discouraged.” C. “You’ll have to be very strict with discipline, so your child knows this behavior is not acceptable.” D. “I’d be upset too. It must be hard to go back to using diapers.” 50. The nurse knows that the study of growth and development is an exploration of which of the following? A. Physical changes of the growing child B. Increasing complexity of function and skill progression of the growing child C. Environmental factors such as family, religion, and culture of the growing child D. Physical development and the increasing level and progression of function and skill of the growing child 51. Four-year-old Angie, whose grandmother recently died, tells the nurse, “My grandma has wings just like angels. She flew to heaven yesterday, and tomorrow she’ll be back.” Which is the nurse’s best response? A. “She’s not coming back, honey.” B. “It is normal for a little one to make-believe.” C. “You must miss your grandma a lot.” D. ‘When people get old, they die 52. During a physical examination, a 24-month-old child clings to the parent and cries every time the nurse attempts to touch her. From knowledge of psychosocial development, the nurse makes which conclusion about the child? A. The child is displaying normal toddler development. B. The child needs further psychologic evaluation. C. The child is manipulative and should be taken from the parent to be examined. D. The child is showing signs of regression. 53. An adolescent comes to the school nurse’s office seeking advice about his friends and feeling pressure to participate in activities he isn’t comfortable with (i.e., drinking parties and sexual explorations). What should the nurse’s response be? A. Tell the adolescent to stay away from “friends like that.” B. Be open to the concerns and provide accurate information about any questions. C. Encourage the adolescent to accept psychosocial counseling. D. Give the adolescent pamphlets on sexually transmitted diseases. 54. Parents ask the nurse how they will know that their daughter has reached puberty. Which is the best response by the nurse? A. “The first noticeable sign of puberty in females is the appearance of the breast bud.” B. “The growth spurt usually begins between ages 10 and 14.” C. “The apocrine glands, found over most of the body, begin to produce sweat.” D. “The adolescent will display significant mood swings.” PHARMACOLOGY - HIGH YIELD DRUGS SITUATION: Monica is reviewing for her upcoming board exam. She decided to focus on high yield drugs for her study session.  55. Which drug is associated with "Red Man Syndrome," a histamine reaction causing flushing and hypotension? A. Tetracycline B. Vancomycin C. Doxycycline D. Amoxicillin 56. A patient on Amiodarone therapy for arrhythmia presents with bluish-gray skin discoloration. This condition is called: A. Red Man Syndrome B. Steven Johnson’s Syndrome C. Gray Baby Syndrome D. Blue Man Syndrome 57. One of these drugs is associated with Gray Baby Syndrome which is characterized by vomiting, cyanosis, and cardiovascular collapse in neonate. Which of the following is being referred to? A. Gentamicin B. Gentian Violet C. Chloramphenicol D. Linezolid 58. A mother who was taking a drug for morning sickness has delivered a newborn with severe limb deformities (phocomelia). Which of these drugs is the probable culprit? A. Tetracycline B. Isotretinoin C. Thalidomide D. Pyrazinamide 59. Which of the following antibiotics may cause permanent discoloration of the teeth in children? A. Doxycycline B. Rifampicin C. Ciprofloxacin D. Co-Trimoxazole FUNDAMENTALS - THEORISTS SITUATION: Nurse Ally is a fresh grad nurse. She recalls the nursing theories in order to apply it in her practice. 60. In the Ladder of Proficiency, what is described as the one who demonstrates marginally acceptable performance. Recognizes the meaningful “aspects” of a real situation. Has experienced enough real situations to make judgments about them. A. Level I B. Level II C. Level III D. Level IV 61. In the Ladder of Proficiency, what is described as the one who uses maxims as guides for what to consider in a situation. Has holistic understanding of the client, which improves decision making. A. Level I B. Level II C. Level III D. Level IV 62. A nurse with 2 to 3 years of experience who has the ability to coordinate multiple complex nursing care demands is at which stage of Benner’s stages of nursing expertise? A. Advanced beginner B. Competent C. Proficient D. Expert