Title RECALLS 12 - NP4 - SC ✅

1 | Page RECALLS 12 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 Situation: As a nurse researcher in the research and development center of her hospital, Nurse Rianna is assigned to conduct a research study on the levels of competence of the hospital’s staff nurses. She is given 12 months for the study’s duration.  1. Nurse Rianna is composing her proposal, which design will she use if Rianna wants to assess the competence of the staff nurses upon appointment to the job until their respective retirements? A. Retrospective B. Cross-sectional C. Longitudinal D. Descriptive-correlational 2. During the project planning, Rianna realizes that she cannot use randomization for her subjects due to the nature of the work setting. Considering this, what research design should Rianna employ when randomization is not permitted? A. Experimental B. Quasi-experimental C. Prescriptive D. Correlational 3. As part of her research, Nurse Rianna plans to implement a new competency-based training design in which she will later evaluate the competency levels of the nurses who underwent and did not participate in the new program. What research design is applicable for Rianna to employ? A. Cross-sectional B. Experimental C. Retrospective D. Descriptive 4. Rianna formulated the hypothesis of her research, which pertains to a simple hypothesis? A. The level of competence is the same for those with clear perception and those who have unclear role perception B. Role perception increase the level of competence among staff nurses C. Level competence is influenced by role perception D. Role perception is not related with the level of competence among staff 5. When a competency-based training program for the staff nurses is introduced by Nurse Rianna, which element of experimental research would this action refer to? A. Evaluation B. Manipulation C. Control D. Randomization 6. After formulating the hypothesis and choosing her research design, Rianna plans her data gathering tool. Which of the instruments would yield the MOST ACCURATE data about the competency at entry of the staff nurses? A. Performance evaluation forms based on observation by the immediate superior nurses. B. Interview the director of nursing C. Questioners to be filled up by the nurse managers D. Existing data from transcript of records 7. Rianna plans to interview the training director about the staff nurses’ performances. What type of sampling would she use if she includes those who happen to be in the training room where the activity is scheduled to be conducted? A. Quota B. Random C. Purpose D. Convenience 8. Nurse Rianna is certain that several of the staff nurses who specialize in research settings tend to respond psychologically to the condition of the study. This is referred to as: A. Instrumentation error B. Hawthorne effect C. Halo effect D. Selection effect 9. The right of the subject to beneficence is demonstrated by Rianna when she does which of the following? A. Keeps in confidence all information she gathered from the subject B. Assure subjects that their participation will not be used against them C. Secure informed consent of the subjects D. Should not place the subjects at a disadvantage or expose to situations they have not been explicitly prepared Situation: Mr. Jake proposed to conduct research on the utilization of a revised self-care guide for patients diagnosed with rheumatoid arthritis.  10. Mr. Jake believes that he must abide by the ethical conduct in research, which code of ethics requires informed consent in all studies involving human subjects?  A. ICN code of ethics B. Belmont report C. Nuremberg code D. Helsinki declaration 11. Which of the following codes of ethics differentiate whether the research study has a therapeutic value, or which essentially yields new knowledge and has no therapeutic value? A. Nuremberg code B. Belmont report C. Helsinki declaration D. ICN code of ethics 12. Some characteristics are considered vulnerable as subjects for clinical research, which is NOT considered as vulnerable? A. Adult woman B. Mentally or emotionally disabled people C. Children D. Institutionalized people 13. During the study, one of the subjects expressed his intention to disengage from the research. Which of the following is the appropriate action to take? A. Motivate him to sustain his participation * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page B. Entice him by giving him stipends C. Explain to him that such would affect the validity of the study D. Allow the subjects to withdraw anytime 14. To prevent manipulation of vulnerable groups, which of the following is the best measure?  A. Ensure confidentiality of data described to prospective subjects the nature B. Protect privacy of patients C. Payment of stipends for the subjects D. Secure informed consent 15. To ensure the study and the subject’s rights, Mr. Jake adheres to which of the following procedures? A. Covert data B. Informed consent C. Full disclosure D. Debriefing 16. The study is considered to be accomplished when Mr. Jake has achieved which of the following activities? A. Submitted the research report to the CEO B. The result of the study is used by the nurses in the hospital C. Presented the study in research forum D. Published the results in a nursing journal 17. Which of the following is the best tool for data gathering? A. Observation B. Questionnaire C. Use of laboratory data D. Interview schedule 18. Considering the nature of the study, which of the following ethical issues should she consider in conducting her study? 1. confidentiality of information given to him by the subjects 2. self-determination which includes the right to withdraw from the study group 3. privacy or the right not to exposed publicity 4. full disclosure about the study to be conducted A. 1, 2, and 3 B. 1, 3, and 4 C. 2, 3, and 4 D. 1, 2, 3, and 4 19. The dependent variable in the statement: “frequent hand washing of the surgical team decreases the incidence of hospital-acquired infections among post-surgery patients” is? A. Post surgery patients B. Frequent hand washing C. Decreases D. Incidence of hospital-acquired infections 20. Rosa is aware that she must protect the rights of human research subjects, which of the following ensures anonymity?  A. Release findings only to the participants of the study B. Provide equal treatment C. Obtain informed consent D. Keep the identities of the subject secret 21. Rosa develops tools and methods for data gathering. Having to yield the same result after its repeated administration refers to which of the following criteria? A. Reliability B. Sensitivity C. Accuracy D. Validity 22. Rosa knows the importance of controlling threats to internal validity for experimental research. What pertains to the condition where a patient dies in a hospital, hence the number of subjects is decreased? A. Design B. Mortality C. Maturation D. History Situation: Yulo conducts a study on the changes in the quality of life of staff nurses who are employed to be in the graveyard shift permanently.  23. He is constructing the title of the study, which is the most appropriate? A. Night shifts changes on the quality of life among nurses B. Effects on the quality of life among nurses on night shifts C. Changes in the quality of life among nurses assigned permanently on night shift D. Quality of life among permanent night duty nurses in selected hospital 24. For the study, Yulo plans to determine the relationship between the time shift and the quality of life among the participants. Which type of research will he probably employ? A. Prospective B. Exploratory C. Descriptive D. Experimental 25. He applies a new administrative intervention that includes a self-governance guide with the goal of enhancing the quality of life of the participants. What type of research would be best to use? A. Methodological B. Descriptive C. Experimental D. Exploratory 26. Yulo formulated the hypothesis of the study, which is the description of a hypothesis? A. Building blocks of theories B. Shows the interrelationship of concepts C. Explains the phenomena D. Predicts the relationship 27. Yulo would like to determine the effectiveness of the proposed new system of scheduling and staffing in a tertiary government hospital to prevent unexpected shortage in the ratio of ICU nurses to patients. The type of research method refers to: A. Descriptive B. Manipulative C. Experimental D. Quasi-experimental 28. If Yulo implemented a revised structured counseling program with a group of participants and a routine counseling program with another group of participants, the researcher used which design? A. Field study B. Manipulative C. Experimental D. Quasi-experimental 29. Referring to the answer above, the use of the research design is characterized by the following except: A. Theorize B. Manipulation C. Control D. Randomization 30. There are two research projects under your study. The first is entitled "Effects of Public Health Nurses Diet Counseling on Hypertension Control" and the second is entitled "Effects of Hypertension Control on the Incidence of Kidney Injury”. Which of the following choices is true regarding these two studies? A. The dependent variable in the first research problem is used as independent variable in the second one B. The independent variable in the first research problem is used as dependent variable on the second study C. Both research problems have the same independent variable D. Both research problems have the same dependent variable 31. In the research proposal entitled, “Effects of timing of the first bath on the body temperature of the newborn”, which of the following is not untrue? A. The presumed cause is the timing if initial bath B. The presumed effect of the study is the timing of initial bath C. The variable to be measured is the timing of initial bath D. The variable to be manipulated is the temperature 32. It states the expected relationship between the Independent and Dependent variable? A. Based concept B. Hypothesis C. Research design D. Research purpose

4 | Page 51. In obtaining the informed consent, the explanation of the surgery, possible risks and complications, as well as alternatives is the responsibility of whom in the healthcare team?  A. Anesthesiologist B. Attending physician C. Surgeon D. Registered nurse Situation: You are reviewing the basic nursing procedures with your buddy student nurse. 52. Through the nursing process, the nurse plans and delivers patient care by: A. Planning nursing interventions and assigning necessary staff B. Assessment, diagnosis, planning, implementation and evaluation C. Collecting data and writing nursing diagnoses D. Developing a rigid, unchangeable care plan 53. Which statement describes what a nursing diagnosis does? A. It provides a systematic, rational method of planning and providing nursing care. B. It facilitates comprehensive nursing care by identifying health problems and validating the contributing factor. C. It Includes assessment, diagnosis, planning, implementation, and evaluation. D. It provides a framework for nurse's accountability and responsibility. 54. Based on a physician's order for oxygen by nasal catheter at 3 liters/ minute, an appropriate nursing order would be: A. Cover the tip of the catheter with a water- soluble lubricant before insertion. B. Measure the length of the catheter from the tip of the patient's nose to the tip of the earlobe before insertion C. Add sterile distilled water to the humidification container, as needed. D. All of the above 55. The evaluation phase of the nursing process: A. Changes continually B. Is a stable, systematic method of developing nursing care plans. C. Is not always necessary. D. Directs the expected outcomes. 56. The four main concepts common to nursing that appear in each of the current conceptual models are: A. Person, nursing, environment, medicine B. Person, health, nursing, support systems C. Person, health psychology, nursing D. Person, environment, health, nursing Situation: Theoretical foundation in nursing 57. When the theory describes a conceptual model based on the belief that all persons strive to achieve self-care, which of the following nursing theorist developed this?  A. Sister Callista Roy B. Ida Jean Orlando C. Dorothea Orem D. Martha Rogers 58. Which of the following nursing theorists is credited with developing a conceptual model specific to nursing, with man as the central focus? A. Martha Rogers B. Dorothea Orem C. Dorothy Johnson D. Sister Callista Roy 59. Based on Maslow’s hierarchy of physiologic needs, the greatest priority for human need is which of the following?  A. Oxygen B. Nutrition C. Elimination D. Love 60. A nurse’s initial priority in creating a therapeutic environment for a patient should be: A. Accepting his individuality B. Promoting his independence C. Providing for his safety D. Explaining all procedures 61. In primary nurse care, one of the advantages is that:  A. The nurse can work and plan a nursing care plan B. It is easily managed by inexperienced nurses C. It increases nurses' accountability and independence D. The nurse does not have to deal with patient's families Situation: Assessment and immediate intervention 62. In the emergency room, a patient came with complaints of (+) nausea, vomiting, diarrhea, and severe abdominal pain. Which of the following tests/actions would immediately alert the nurse that the patient has (+) bleeding from the gastrointestinal tract?  A. Abdominal girth B. Vital signs C. Guaiac test D. Complete blood count 63. A patient is ordered by the physician to adhere to fluid restriction. The best way to measure whether a patient is complying with the order is through which of the following? A. Urine specific gravity B. Urine pH C. Fluid intake and output record D. Weight 64. During assessment, you heard (+) high-pitched gurgles over the RIGHT lower quadrant is. You interpret it as:  A. A sign of abdominal cramping B. Normal bowel sounds C. A sign of decreased bowel motility D. A sign of increased bowel motility 65. The student nurse is correct when he demonstrates the usual sequence of bowel assessment:  A. Rectum, pancreas, stomach, and liver B. Right hypochondriac, left hypochondriac, and umbilical regions C. Right lower lobe, right upper lobe, left upper lobe, left lower lobe D. Right lower quadrant, right upper quadrant, left upper quadrant, left lower quadrant 66. Which of the following statements about bowel sounds is accurate and correct? A. Peristalsis causes bowel sounds. B. Rapid, high-pitched, hyperactive bowel sounds indicate increased peristalsis C. Decreased bowel sounds can be a symptom of paralytic ileus D. All of the above Situation: You are a buddy nurse of a student nurse reviewing about physical assessment. 67. Nurse Aiah is performing initial assessments of different patients in the ER. You know that the initial assessment for abdominal distention due to flatulence is best done through:  A. Observe the patient for passage of gas B. Inspect the abdomen for movement of flatus C. Palpate the abdomen for movement of gas D. Auscultating the abdomen for bowel sounds 68. A post-operative patient was ordered to do coughing and deep breathing exercises daily, the best method to know whether the exercises have been effective is to? A. Auscultate the lung B. Measure the amount of sputum expectoration C. Percuss the lung field D. Measure his temperature 69. During assessment, which of the following will Nurse Aiah report promptly when observed on pediatric patient with croup?  A. Emesis of undigested food B. Substernal retraction C. Restlessness followed by extreme fatigue D. Flaring nostril with each aspiration 70. A 70-year-old male patient, Lolo Marco, has been assigned to your care. The patient is being assessed for urinary continence; Nurse Aiah should do which of the following?  A. Let the patient wear an adult diaper