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 *

3 | Page 31. What CHIEF ingredient of the prenatal vitamin for pregnancy nutrition that the patient should look for? A. Vitamin B12 B. Potassium C. Vitamin C D. Folic Acid 32. A woman in labor is at risk for abruptio placenta. Which of the following assessments would MOST convince you and the pregnant woman to believe that this has happened? A. Painless vaginal bleeding and downward trend of BP. B. And increased blood pressure and scanty urination. C. Pain at the lower quadrant and increased pulse rate. D. Sharp fundal pain and discomfort between contractions. 33. A woman 2 ½ months pregnant calls you by telephone because she passed out some “berry-like” blood clots and now has continued dark brown vaginal bleeding. Which of the following is the BEST instruction you should give her? A. “Continue normal activity but take your pulse and respiratory rate every 4 hours.” B. “Come to the health facility if uterine contractions start.” C. “Come to the health facility with any vaginal material passed out.” D. “Maintain bedrest and count the number of perineal pads used every hour.” 34. A woman, 33 weeks pregnant, with preterm rupture of membranes had blood work ordered daily. Which laboratory report would be MOST important to read daily? A. Serum creatinine B. Red blood cell count C. Sodium and potassium levels D. White blood cell count 35. An 18 –year –old delivers to an 8 –pound – baby after 10 hours of labor. In the post-partal period, which of the following would be a PRIORITY concern to assess for by the nurse? A. Endometritis B. Thrombophlebitis C. Bleeding D. Amniotic embolus Situation: Head nurse Eva supervises Nurse Hannah who is assigned to take care of a newborn baby boy named Edwin with a cleft palate. 36. The mother asks the head nurse why the pediatrician recommended that closure of the palate should be done before he is 6 months old. She asked Nurse Hannah to answer her. Which of the following is Nurse Hannah’s APPROPRIATE response? A. “After age 2, surgery is very frightening and should be avoided if possible.” B. “The eruption of the 2-year molars often complicates the surgical procedure.” C. “Surgery should be performed before the child starts to use faulty speech patterns.” D. “As he gets older the palate gets wider and more difficult to repair.” 37. The head nurse continued to ask Nurse Hannah, “A cleft lip predispose an infant to infections PRIMARILY because of which of the following reasons?” A. Waste products that accumulate along the defect. B. Inadequate circulation in the defective area. C. Deficient nutrition from ineffective feeding. D. Mouth breathing that dries the oropharyngeal mucous membranes. 38. Which SIGNIFICANT statement of the mother predisposes her son to cleft lip or palate? A. “On my 6 months of pregnancy, I saw a rabbit with the same case of my son.” B. “I am asthmatic and I usually take steroids.” C. “My mother- in- law doesn’t like me, that’s why she cursed me.” D. “I believe my enemy did some forms of witchcraft on me.” 39. For an infant born with a unilateral cleft lip and palate, which of the following type of feeding will be BEST to use? A. Rubber-tipped syringe or medicine dropper. B. Full breast feeding. C. IV fluids on limited number of ounces. D. Cross-cut rubber nipple. 40. Which of the following is the number ONE consideration in the care of an infant after the surgical repair of a cleft lip? A. Preventing the infant from crying B. Feeding the infant with a spoon for 2 days after surgery C. Placing the infant in a semi-sitting position D. Keeping the infant NPO for 1 say after surgery. Situation 10 – Joyce, on her 35 weeks of gestation, is admitted because of hypertension, BP of 185/110, severe headache and blurred vision. She was placed on imposed bedrest without toilet privileges. The physician orders MgSo4. Nikita is the nurse assigned to her. 41. Which of the following would Nurse Nikita anticipate in then patient’s maternal history? A. On and off vaginal spotting B. Esophageal discomfort is experienced after a heavy meal. C. Weight gain of 20lbs in the 1 st and 2 nd Trimester D. Fetus moves very frequently 42. When a patient is on an imposed bedrest, which of the following can help the patient cope? These are the following, EXCEPT __________. A. Let the patient lie on her side to allow more blood to the uterus. B. Increase fluid intake to 8 glasses a day to prevent constipation. C. Discourage participation of family in patient care to prevent further anxiety. D. Use relaxation techniques to help cope with stress such as music and books. 43. MgSo4 injections are painful to the patient. Which of the following is the BEST route for injection to prevent such negative experience for patient Joyce? A. Intravenous injection at the main IV line. B. Intravenous injection given through “piggy back”. C. Intramuscular on each of the deltoid muscle. D. Deep intramuscular using z-track technique on buttocks. 44. The nurse must be alert to MgSo4 toxicity. Which of the following in NOT included? A. Fetal bradycardia B. Urine output of <30 ml per hour C. Respiration of <12 per min D. Increase in maternal pulse rate 45. Which of the following hospital environment will be MOST conducive to Joyce’s condition? A room that is / with ____________. A. Bright and well-ventilated B. 2 or three other patients C. Quiet and non-stimulating D. A call button for watcher’s use. Situation 11 – Mrs. Paula, 20 years old, visited the prenatal clinic with her husband Christian. Nurse Cynthia noted that the fundus is at the level of the umbilicus. Being her first pregnancy, the patient asks the clinic nurse about pregnancy and childbearing. 46. Based from the assessment of the nurse, what would be the estimated age of gestation, in WEEKS,  if then fundus is at the level of the umbilicus? A. 8 B. 10 C. 20 D. 12 47. When is the placenta, which is the source of estrogen and progesterone, fully developed? It is on the __________ weeks of pregnancy? A. 8 B. 20 C. 16 D. 28