Title RECALLS 2 - NP2 - SC ✅

1 | Page RECALLS 2 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 Situation 1 – Patient Natalie, 15 years old, G0P1, AOG 39 weeks, has been admitted at 6:30 in the morning for lumbo-sacral pains and strong uterine contractions every 10 minutes. Nurse Gracie was there to admit her. She uses Focus, Data, Action and Response (FDAR) as the form of charting. 1. In any type of charting  or documentation, which of the following should the nurse refer to and use to generate and describe the status of patient Fe? Nursing __________. A. Assessment B. Process  C. Actions D. Diagnosis 2. Which of the following are the purposes of documentation? To ________. I. Ensure the development of organized comprehensive care plan II. Have a clear and accurate record of what was done to the patient. III. Have an evidence of the health care member’s accountability in giving care IV. Detect patients who are clinically deteriorating A. II, III, IV B. I, II, III, IV C. I, II, III D. I, III, IV 3. Which of the following is the CORRECT definition of focus charting? A. It is an electronically form of documentation of nursing care done to a patient by a registered nurse. B. It is a note, written or electronically generated, to provide documentation related to a specific focus. C. It is a nurse-centered way of documentation that describes the patient status and nursing care rendered. D. It is a nurse-centered approach to documentation. 4. In the given situation, which is the FOCUS? A. Patient Natalie as the admitting nurse B. Lumbo-sacral pains and strong uterine contractions C. 15 years old, G0P1, AOG of 36 weeks D. Admission at 6:30 in the morning 5. What is the term used to describe the patient’s data or assessment, the action done based on the assessment and response based on the action made: A. Progress Note B. Flow sheets C. Standard of Care D. Focus Format Situation: This is the first postoperative day for patient Shiela who delivered by caesarean section (CS). Nurse Gemma a newly hired staff was assigned to her. 6. Patient Shiela asks the nurse why she has to get up and walk the day after surgery. Which of the following is the BEST response of the nurse? Walking hastens _________. A. Hastens lactation B. Relieves pain C. Heals wounds D. Fast recovery from anesthesia 7. Which laboratory finding should the nurse assess on the patient 24 hours after caesarian section delivery upon doctor’s request? A. Trace 1+ proteinuria B. Hematocrit 35% C. White blood cell count 20,000/cu.mm D. Hemoglobin 7.0 g/dL 8. Patient Shiela complains of “afterpains”. What should be the nurse IMMEDIATE action? A. Advise her to stop breast-feeding for a day B. Encourage her to drink more water C. Assess vital signs and pain level D. Administer an analgesic STAT 9. Patient Shiela is to be discharge 3 days after CS delivery. Which of the following observations of the nurse would cause the delay of her discharge and would warrant notification to the physician? A. Moderate amount of lochia rubra B. Fundus is firm at umbilicus C. Pulse rate of 61 beats/minute taken in 24 hours D. Five voidings totaling 240 cc in 12 hours 10. On the third postpartum day, Patient Shiela reports that she has voided five times that morning. What should the nurse INITIALLY do? A. Insert a Foley catheter B. Collect the next voiding and measure the urine amount C. Catheterize the client to check for residual urine D. Call the physician Situation: Patient Apple, 19 years old, is in her first trimester of pregnancy. Because it is her first pregnancy, she went for her prenatal check-up with her mother. She asked a lot of questions which she expects the nurse to answer her. 11. The nurse asked for the personal data of the patient which, to some, Patient Apple did not like to answer. And so she asked: “Why do you need to know if I am married?” what should be a good response of the nurse? “I asked your marital status because _________. A. If you do not have a husband, then that can pose a big problem for you.” B. If you are married then your husband will also suffer from discomforts like you.” C. You need your husband to accompany you every prenatal check-up.” D. Your husband is your best support system during your pregnancy.” 12. The patient asked what is the term for signs such as breast * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page changes, urinary frequency, fatigue, morning sickness and amenorrhea? A. Probable signs B. Presumptive signs C. Possible signs D. Positive signs 13. The patient asked what causes newborn babies with total absence of extremities. The nurse answered that the cause for Amelia is intake of which of the following medications during pregnancy ___________. A. Anti-emetics B. Antibiotics C. analgesics D. anti-bacterials 14. The patient complained that every morning, she becomes nauseated and oftentimes, she would vomit excessively. “What could be the cause of this,” she asked? The nurse’s answer is: “It is due to increase level of ________.”  A. Heart burn B. Estrogen C. heart rate D. Progesterone 15. The nurse advised patient Patient Apple to report to her physician which of the following MOST important sign, if ever she will suffer from it? A. Cough B. Vaginal bleeding C. Headache D. Strong fetal movement 16. What is the FIRST step among the ten steps for successful breastfeeding? A. Have a written breastfeeding policy that is routinely communicated to all staff. B. Inform all pregnant women about the benefits and management of breastfeeding. C. Foster the establishment of breastfeeding support groups. D. Train all health care staff in skills necessary to implement the policy. 17. When practicing rooming-in, how long should the baby stay with the mother? ______ hours. A. 8 B. 24 C. 12 D. 10 18. What is the CORRECT time for which the mother should initiate breastfeeding? It should be _______ hours after birth. A. ½ B. 1 C. 3  D. 2 19. Jubilee learned that newborn infants should ONLY be given, which of the following? A. Fruit juice B. Breastmilk C. water D. cow’s milk 20. Which is the LAST part of the initiative, as recommended by WHO and UNICEF, for the MBFHI external team to do before its final designation as MBFHI Hospital? A. Assess business facilities if they follow the 10 steps for successful breastfeeding. B. Develop a research on the benefits of breastfeeding within the institution. C. Disseminate the benefits of breastfeeding to communities. D. Follow up mothers if they are exclusively breastfeeding. 21. Heather asks what she must do in order to be healthy in case she becomes pregnant. Which among the answers of Nurse Susane should NOT be followed by Heather? A. Get support from husband and family. B. May have a massage from a lay midwife. C. To readily accept her pregnancy. D. Early prenatal check-up 22. Patrick asks what possible contribution he could give for the normal development of the baby. Nurse Susane agreed that his BEST contribution would be the following EXCEPT __________. A. Stroke Heather’s abdomen and talk to baby B. Provide Heather nutritious food and drinks C. Join wife during prenatal check-up D. May smoke once in a while 23. For the normal developmental of the fetus, Nurse Susane taught the couple that Heather should prevent Folic Acid Deficiency anemia by good diet, correct way of cooking vegetables and taking Folic Acid supplements. Which of the following is NOT included among the outcomes of folic acid deficiency to the baby? A. Cleft lip B. Cleft palate C. Neural tube defect D. Fractures of all types 24. Heather asks the nurse what possible diseases should she avoid that would guarantee health for the baby? These are: 1. Rubella 2. Rheumatic fever 3. Anemia 4. Chronic hypertension A. 1, 2, 3 B. 1, 2, 3, 4 C. 1, 2, 4 D. 2, 3, 4 25. Nurse Susane advised the couple that the BEST way to check the condition of the mother and the baby is to have _________. A. Regular well-selected exercise B. Regular prenatal check-up C. Music therapy D. Good food Situation: A hospitalized adolescent Scottie suddenly has a seizure while his family is visiting. Nurse Nisha notes whole body rigidity followed by general jerking movements. Scottie vomits immediately after seizure. 26. Which of the following would be the PRIORITY nursing diagnosis for Scottie? A. Fluid volume deficit related to vomiting. B. Altered family processes related to chronic illness. C. High risk for infection related to vomiting. D. Risk for aspiration related to loss of consciousness. 27. Which of the following would be the LEAST PRIORITY nursing care for a child with seizure disorder? A. Observation and recording all seizures. B. Ensuring safety and protection from injury. C. Teaching the family about anticonvulsant drug therapy: indication, dosage, route and effects. D. Assessing for signs and symptoms of Increased Intracranial Pressure. 28. Scottie will be taking phenytoin (Dilantin) regularly for seizure control. Which of the following will be the MOST important teaching to Scottie’s family? A. Administer acetaminophen to promote sleep. B. Serve a diet that is high in iron C. Maintain good oral hygiene and dental care D. Omit medication if the child is seizure free. 29. After teaching the parents about their child’s unique psychological needs related to a seizures disorder and possible stressors, which of the following concerns voiced by them would indicate the need for additional teaching? The child’s ___________. A. Feeling different from peers B. Cognitive delays C. Poor self-image D. Dependency 30. Which of the following is NOT  a focus for teaching plan for an adolescent with a seizure disorder? A. Obtaining a driver’s license B. Increase risk for infections C. Peer pressure D. Drug and alcohol use Situation: Any pregnancy may pose a risk. A pregnant woman must therefore submit herself for regular pre- natal consultation in any health facility near her place of abode. A nurse can play an important role in making these pregnant women aware of these risks in all stages of pregnancy.