Title RECALLS 1 (NP2) - STUDENT COPY ✅

RECALLS EXAMINATION 1 NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD MAY 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 II” on the box provided Situation: Wesley enters the labor and delivery unit in probable preterm labor at 36 weeks' gestation. The patient was informed that the fetus is in breech presentation. She has a catheterized urine specimen ordered. 1. Patient Wesley asks the nurse why such a diagnostic procedure is required. What is the MOST APPROPRIATE answer can the nurse give? A. Urinary tract infections are strongly associated with the occurrence of preterm labor B. Reduced sensation to urinate usually occur during preterm labor C. Preterm labor treatment usually causes women a bladder infection because of restricted fluid intake D. Catheterized urine is usually ordered for any woman admitted to the labor and delivery unit 2. Betamethasone (Celestone) is prescribed to be administered and the patient asks Nurse Kaye about the purpose of this medication? A. Promote fetal lung maturity. B. Prevent the premature closure of the ductus arteriosus. C. Delay delivery for at least 48 hours. D. Stop the premature uterine contractions. 3. Patient Wesley who is ordered for diagnostic pelvic ultrasound asks what preparation she'll take. Appropriate preparations for this procedure include __________. A. explanation of the procedure B. NPO 6 hours before C. informed consent D. voiding 4. Pelvic ultrasound can detect, which of the following? A. Congenital defects in the structure, fetal gender, H-mole B. Fetal DM, multiple pregnancies, fetal age of gestation C. Fetal sex, number and lung maturity D. Fetal congenital defects, placenta previa, fetal lung maturity 5. The labor progressed and the physician performed an amniotomy. Nurse Kaye should FIRST assess for ____. A. bladder distention B. maternal blood pressure C. cervical dilatation D. fetal heart rate (FHR) pattern Situation: Vienna, a patient with severe preeclampsia is admitted to the hospital. She is a student from one of the local universities and insists on continuing her studies while in the hospital, despite being instructed to rest. The patient studies approximately 10 hours a day and has numerous visits from fellow students, family and friends. 6. Which intervention should the nurse use to promote rest? A. Develop a routine with the patient to balance her studies and her rest needs. B. Include a significant other in helping the patient understand the need for rest. C. Instruct the patient that the baby's health is more important than her studies at this time. D. Ask her why she is not complying with the prescription of bed rest. 7. Patient Vienna, who seemed to be irritated with the nurse, said "I don't want to talk with you because you're only a nurse. I will wait for my doctor." Which of the following should the nurse say in response to the patient? A. Your doctor prescribed this for us to do nursing care. B. I understand. I should call your doctor. C. I'm angry with the way you dismiss me. D. So then you would prefer to speak with your doctor? 8. Nurse Lauve is now in an ethical dilemma. This occurs when ______. A. a decision had to be made quickly under stressful situation B. choices are unclear C. there is a conflict between the nurse's decision and that of his/her superior D. there is a conflict of two or more ethical principles 9. Despite the reaction of the patient, which of the ethical principles is the nurse responsible for providing all patients with caring attention and information? A. Beneficence. B. Nonmaleficence. C. Veracity D. Advocacy 10. Nurse Lauve should plan to initiate which action to provide a safe environment? A. Take the patient's vital signs every 4 hours. B. Encourage visits from family and friends for psychosocial support. C. Maintain fluid and sodium restrictions. D. Take off the room lights and draw the window shades. Situation: Nurse Janie is admitting five-year-old Kenny due to cough, respiratory distress, anxiety and signs of dehydration. The working diagnosis is pneumonia. 11. Nurse Janie is aware that history taking and physical exams are critical to the diagnostic process and often provide more information than can be gained by broad testing strategies. History taking includes the following, EXCEPT ____________. A. History of present illness. B. Religious Affiliation C. Social & Family history D. Past medical history 12. The objective of taking the history of present illness is to elicit chronologic description and duration of the chief complaint. Which of the following questions would try to answer what Nurse Janie wishes to elicit? 1. History of immunizations. 2. Aggravating and alleviating factors 3. Duration of disease onset 4. Any treatment and response to treatment A. 1, 2 & 3 1 | Page


realize she's pregnant until a week ago. As a result, she has been on a diet, weightlifting at the health gym. 46. Patient Lena was seen by the physician and was ordered for a medication that is larger than the standard dose. What should the nurse do? A. Give the drug as prescribed. B. Inform the supervisor. C. Give the average dose of the medication. D. Discuss the prescription with the physician. 47. The patient refuses to take the medication because it causes diarrhea. Nurse Sandy explains the action of the drug but the patient vehemently refuses the medication. What should be the INITIAL action of the nurse? A. Discuss with a family member the need for the patient to take the medication. B. Document the patient's refusal to take the medication. C. Notify the physician of the patient's refusal to take the medication. D. Explain again to the patient the consequences of refusing to take the medication. 48. As a strong believer of her faith and the need for spiritual guidance, patient Lena requests that she wants clergy to visit her. How did nurse Parker function when she initiated the visit? A. Dependently B. Collegially C. Interdependently D. Independently 49. Patient Lena sought referral to an abortion clinic from the nurse. She reasons out that her pregnancy is a burden to her work and daily routines. What should be the BEST RESPONSE of the nurse? A. It will cause discrimination from friends and relatives. B. Inform her that abortion is morally and legally wrong by virtue of the law. C. It will cause infection. D. It is against any religion. 50. The incoming nurse on duty reported, the nurse is administering medication, and the patient says, "This pill looks different from the one I had taken before." What is the APPROPRIATE action of the nurse? A. Explain the purpose of the medication. B. Encourage the patient to take the medication. C. Check the original medication prescription. D. Ask what the other pill looked like. Situation: The indication of tracheostomy in children has changed substantially in the last two decades. Nurse Len is taking care of Patient Inna, an eight year old female child, who was admitted to the Pediatric Ward due to pneumonia. The child is hooked to a tracheostomy tube. Nurse Len is quite anxious in taking care of this patient being her first day of duty in the Pediatric Ward. 51. When preparing the patient for suctioning, what is the FIRST step? A. Perform hand hygiene B. Gather equipment C. Assess lung sounds, heart rate and rhythm D. Check physician's order and patient care plan 52. Patient Inna will be placed in which of the following positions? Select all that apply. 1. Fowler 2. Semi-Fowler 3. Supine 4. Sim A. 1, 2 & 3 B. 2 only C. 1 & 2 D. 1 only 53. Usually the common indication (s) for the tracheostomy in Patient Inna's condition is which of the following? (Select all that apply.) 1. Prolonged intubation. 2. Sepsis 3. Hypoventilation associated with neurologic disorders. 4. Severe Sleep Obstructive Apnea Syndrome (SOAS) A. 2 only B. 1 & 2 C. 1, 2, 3 & 4 D. 1 only. 54. The PRIORITY nursing objective when caring for a patient with a tracheostomy is ______. A. To increase tissue oxygenation B. To provide patent airway C. To decrease tissue oxygenation D. To improve ventilation 55. The TOP nursing expected outcome when performing suctioning is ______. A. Lessened amount of secretions leading to decreased frequency of suctioning. B. Secretions removed without complication. C. Tube-fed patient does not aspirate feeding. D. Prevention of occurrence of hypoxemia and bradycardia. Situation: Nurse Jyca is assigned to the Nursery. She is performing newborn assessment on Baby Boy Patt born at 40 weeks gestation. 56. Using APCAR Score, Nurse Jyca should bear in mind that this method of evaluating a newborn's condition is used at how many minutes after birth? A. 1 to 10 B. 1 to 3 C. 1 to 7 D. 1 to 5 57. Nurse Jyca is aware that testing of vision in infants and children has been treated separately from the testing of adults. Which of the statements is NOT true? A. Infants and children often cannot be tested with the same materials and techniques as adults. B. Special techniques often must be used, especially to test infants and preschoolers, that cannot be held to the same standards that apply to tests for adults C. Some infants who appear visually impaired early in life will not show normal visual responses several weeks or months later. D. Course of visual and cognitive development must be taken into account in evaluating infants and children's visual abilities 58. The false statement about physiologic jaundice in the statements below is A. Caused by impairment in the removal of bilirubin deficiency in the production of glucoronide transferase. B. Begins to decrease by the 6th or 7th day. C. Is visible in skin and sclera. D. Begins after 48 hours of life. 59. Neonatal jaundice FIRST becomes visible in which of the following parts? (Select all that apply.) 1. Face 2. Forehead 3. Trunk 4. Extremities A. 3 & 4 B. 1 & 2 C. 1 & 4 D. 2 & 3 60. When caring for patients with hyperbilirubinemia, the nursing care plan should focus on the following, EXCEPT ____. A. informing appropriately the significant others. B. preventing injury C. maintaining physiological homeostasis with bilirubin levels increasing D. preventing complications. Situation: The senior nurse Rem, is planning to revisit and implement a change in the management system for the Obstetric Unit. This would be a pilot unit as planned by the administration. Many problems have occurred, one of which is the present documentation system, and the charge nurse determines that a change is required. 61. What should be the INITIAL STEP in the process of change for the senior nurse. A. Set goals and priorities regarding the change process. B. Plan strategies to implement the change. C. Identify potential solutions and strategies for the change. D. Identify the inefficiency that needs improvement or correction. 4 | Page