Title RECALLS 6 - NP2 - SC ✅

RECALLS 6 EXAMINATION NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD 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 II” on the box provided Situation: Nurse Maria works in the Family Planning Clinic of the City Community Health Center. She provides contraceptive counseling to adolescents and adults, fitting clients for barrier methods, instructing on correct use and timing, interpreting home pregnancy tests, and explaining the hormonal basis of early pregnancy detection. 1. Which benefit of the cervical cap should the nurse emphasize when instructing a client about its use? A. It remains effective for up to 48 hours without reapplication of spermicide B. It can be purchased without a prescription and discarded after a single use C. It allows spermicide to be applied up to 2 hours before intercourse D. It virtually eliminates the risk of allergic reactions to its material 2. A male client demonstrates understanding of correct condom use by stating: A. “I’ll lubricate the condom with oil to prevent tearing.” B. “I’ll unroll it completely and inspect it for holes before use.” C. “I’ll hold the rim when withdrawing to prevent spillage.” D. “I’ll start intercourse without it and put it on just before ejaculation.” 3. When teaching a client using a diaphragm for contraception, the nurse should instruct her to: A. Remove it within 1 hour after intercourse B. Leave it in place for at least 6 hours afterward C. Keep it in place for up to 12 hours to maximize protection D. Wear it continuously for 28 hours to reduce infection risk 4. After a client reports a positive result on an at-home pregnancy test, the nurse evaluates her understanding when she says: A. “So I must have ovulated within the last 24 hours.” B. “A positive test means I am definitely not pregnant.” C. “It tells me there’s growing trophoblastic tissue, but I might still need confirmation.” D. “It confirms that I am pregnant right now.” 5. The nurse explains that at-home pregnancy tests work by detecting which hormone in the client’s urine? A. Human chorionic gonadotropin (hCG) B. Estrogen C. Follicle-stimulating hormone (FSH) D. Progesterone Situation: Reproductive health (RH) encompasses the responsible exercise of reproductive rights, aiming to prevent illness and injury related to sexuality and reproduction. 6. Which of the following is not one of the stated goals of reproductive health? A. Ensuring every pregnancy is planned B. Promoting healthy maternal and neonatal outcomes C. Mandating artificial contraceptive use for all married couples D. Helping families achieve their desired size 7. Globally, the international reproductive health framework places primary emphasis on: A. Population groups aged over 40 B. Maternal and women’s health across the lifespan C. Displaced persons with RH problems D. Infertile couples 8. Which of the following is emphasized as essential for reducing maternal mortality? A. Legalization of abortion alone B. Improved access to family planning and skilled birth attendance C. Greater investment in hospital infrastructure only D. Promotion of natural methods of fertility regulation 9. What is a key gender-related barrier to reproductive health care? A. Lack of male nurses in clinics B. Strict age limits for service access C. Women needing permission from partners to access services D. Low literacy rates in men 10. Which of the following is identified as a critical component of ensuring reproductive rights for adolescents? A. Comprehensive sexuality education B. Limiting media access C. Abstinence-only education D. Delaying access to contraceptives until age 18 Situation: Nurse Carla is assigned to the community health center and manages maternal and child health (MCH) services. She organizes prenatal checkups, supervises midwives during deliveries, leads breastfeeding promotion campaigns, monitors child growth, and ensures immunizations are delivered according to schedule. 11. Which of the following best reflects Nurse Carla’s role when she ensures all infants are immunized according to schedule? A. Planning B. Controlling C. Directing D. Organizing 12. When Nurse Carla arranges staff assignments so that all pregnant women are seen during clinic hours, which management function is being carried out? A. Organizing B. Planning C. Staffing D. Directing 13. Which of the following actions by Nurse Carla demonstrates planning? A. Reassigning midwives to fill in staff shortages B. Conducting a post-immunization follow-up 1 | Page
C. Setting objectives for next month’s breastfeeding campaign D. Supervising vaccine administration during outreach 14. Which indicator best evaluates the effectiveness of the child growth monitoring program? A. Number of staff attending trainings B. Percentage of children within the normal weight-for-age range C. Amount of supplies purchased D. Frequency of immunization sessions conducted 15. Which principle of organization is observed when Nurse Carla gives midwives clear instructions and maintains accountability for overall results? A. Span of control B. Authority and responsibility C. Unity of command D. Coordination Situation: Nurse Angela is the Public Health Nurse assigned to a coastal barangay. She is in charge of implementing the Environmental Sanitation Program, which includes water safety inspections, waste management education, and coordination with barangay officials for community clean-up drives. She also supervises sanitary inspectors, responds to disease outbreaks, and promotes proper food handling in households and food establishments. 16. When Nurse Angela sets specific goals for reducing cases of diarrhea in her barangay over the next three months, which management function is she performing? A. Directing B. Organizing C. Planning D. Controlling 17. Which action of Nurse Angela demonstrates directing? A. Assigning sanitary inspectors to different sitios B. Preparing a list of households needing safe water containers C. Evaluating waste disposal practices after a clean-up drive D. Supervising sanitary inspectors during water sampling 18. What would be the best process indicator to assess the success of the waste management education program? A. Decrease in reported cases of leptospirosis B. Number of households attending waste segregation sessions C. Percentage of households with proper composting bins D. Reduction in uncollected garbage in public areas 19. When Nurse Angela evaluates the quality of food handling in local eateries to ensure compliance with sanitary standards, which function of management is being exercised? A. Planning B. Controlling C. Staffing D. Directing 20. Which principle of organization is Nurse Angela observing when she makes sure sanitary inspectors report directly to her and not to barangay officials during the program? A. Coordination B. Span of control C. Authority and responsibility D. Unity of command Situation: Nurse Martha is assigned to the Maternal and Child Health (MCH) unit of the Rural Health Unit. She conducts prenatal check-ups, provides nutrition counseling to pregnant mothers, supervises deliveries conducted by midwives, and promotes exclusive breastfeeding. She also facilitates newborn screening and postpartum home visits to ensure maternal and neonatal well-being. 21. During a prenatal outreach session, Nurse Martha supervises community health workers as they educate expectant mothers on recognizing early signs of pregnancy complications. Which management function is she performing? A. Controlling B. Directing C. Organizing D. Planning 22. Which of the following indicators best measures the effectiveness of the post-partum home visit program? A. Percentage of mothers exclusively breastfeeding at 6 weeks post-partum B. Number of home visits conducted by Nurse Martha C. Number of midwives trained in breastfeeding counseling D. Amount of iron supplements distributed 23. Nurse Martha schedules midwives so that at least one staff member is available for 24-hour delivery care at the birthing station. Which management function does this represent? A. Controlling B. Planning C. Organizing D. Staffing 24. When Nurse Martha sets a target to reduce cases of post-partum hemorrhage by 20% in the next six months, which function is she demonstrating? A. Directing B. Planning C. Controlling D. Staffing 25. Nurse Martha notices that a midwife is not following the prescribed infection-control protocol during deliveries. Which action reflects the controlling function? A. Asking the midwife to explain her practice B. Correcting the procedure and reinforcing the proper standard C. Allowing the midwife to continue as she is D. Reassigning the midwife to post-partum care only Situation: Nurse Mariel is assigned to a busy labor and delivery unit. She is caring for several clients in different stages of pregnancy and the postpartum period. During her shift, she must accurately assess maternal conditions, anticipate complications, and provide evidence-based nursing interventions for both mother and baby. 26. When preparing to perform Leopold’s maneuvers on a laboring client, which action should Nurse Mariel take first? A. Position the client in a supine position B. Have the client void C. Wash her hands in warm water D. Apply sterile lubricant to the abdomen 27. One hour after delivery, Mariel notes the mother’s uterus is one fingerbreadth below the umbilicus and shifted to the right. What should be her priority action? A. Assist the mother to void B. Vigorously massage the fundus C. Administer oxytocin D. Give a tocolytic intravenously 28. During the second stage of labor, which clinical finding indicates that the fetus is about to be delivered? A. Engagement B. Crowning C. Placental separation D. Full cervical dilation 29. A client in labor has contractions every 5 minutes for 7 hours. Which finding will confirm that she is in true labor? A. Cervical effacement and dilation B. Increasing contraction intensity C. Rupture of membranes D. The fact that this is her second pregnancy 30. While assessing a laboring client, Mariel observes a loop of the umbilical cord protruding from the vagina. What should she do immediately? A. Call the physician B. Place a moist, sterile towel over the cord C. Turn the client on her side and listen to fetal heart rate D. Apply upward pressure on the presenting part and place the mother in a knee-chest position Situation: Nurse Clarisse is assigned to the newborn nursery and postpartum unit. She is responsible for assessing newly delivered infants, ensuring thermoregulation, teaching mothers proper newborn care, and recognizing early signs of complications in both mother and baby. 2 | Page
31. Clarisse observes that a newborn is jittery and has a weak cry. Which of the following should be her first action? A. Assess the baby’s blood glucose level B. Feed the baby immediately C. Place the baby under a radiant warmer D. Notify the pediatrician 32. A mother asks why the nurse applies antibiotic ointment to the newborn’s eyes after birth. Which explanation is most accurate? A. To prevent irritation from the birth canal B. To prevent gonococcal and chlamydial infections C. To remove meconium-stained secretions D. To improve visual acuity 33. Which assessment finding in a newborn requires immediate intervention? A. Irregular respirations at 40 breaths per minute B. Acrocyanosis of the hands and feet C. Axillary temperature of 35.5°C (95.9°F) D. Flexed posture 34. While teaching a mother about umbilical cord care, which statement by the mother indicates understanding? A. “I’ll keep the cord covered with a clean diaper at all times.” B. “I’ll clean the cord and keep it dry.” C. “I’ll apply powder on the cord to absorb moisture.” D. “I’ll remove the cord clamp myself after it dries.” 35. On the second postpartum day, Clarisse notices a mother’s breasts are firm, warm, and slightly tender. What should she recommend? A. Stop breastfeeding until the discomfort resolves B. Apply cold compresses and bind the breasts C. Continue breastfeeding frequently to relieve engorgement D. Avoid fluid intake until the breasts soften Situation: Nurse Janine is assigned to the high-risk pregnancy unit. She is caring for mothers with conditions such as pre-eclampsia, gestational diabetes, and preterm labor. She must prioritize maternal and fetal safety through careful monitoring and timely interventions. 36. A client at 32 weeks of gestation with pre-eclampsia reports a severe headache and blurred vision. What should Janine do first? A. Check the client’s reflexes B. Place the client on left lateral position and assess blood pressure C. Administer an analgesic D. Prepare for immediate delivery 37. A woman with gestational diabetes asks why her blood glucose must be tightly controlled during pregnancy. Which is the best response? A. “It prevents hypoglycemia during labor.” B. “It ensures your baby will not be overweight at birth.” C. “It will prevent you from developing type 2 diabetes later on.” D. “It helps avoid respiratory distress syndrome in your baby.” 38. Which finding in a 30-week gestation client on magnesium sulfate for preterm labor requires immediate intervention? A. Deep tendon reflexes are 2+ B. Fetal heart rate is 140 bpm C. Urine output is 50 mL/hour D. Respiratory rate is 10 breaths per minute 39. Which statement by a pregnant woman receiving corticosteroids for fetal lung maturity indicates the need for further teaching? A. “This medication will help my baby’s lungs develop faster.” B. “I might need additional doses if I don’t deliver soon.” C. “I should expect the medication to stop my contractions.” D. “It is given to reduce the risk of respiratory problems in my baby.” 40. Janine notes clonus when assessing a client with preeclampsia. This finding suggests which complication is likely to develop? A. Preterm labor B. Respiratory depression C. Eclampsia D. Placenta previa Situation: Nurse Elena is assigned to the community health clinic where she provides prenatal education and follow-up for adolescent mothers. She also organizes immunization drives and teaches family planning methods to promote maternal and child health in the community. 41. During a prenatal class, Elena is asked why iron supplementation is important in pregnancy. Which is the best response? A. “It helps prevent constipation during pregnancy.” B. “It ensures proper fetal lung development.” C. “It prevents maternal anemia and supports fetal growth.” D. “It prevents premature rupture of membranes.” 42. While reviewing the vaccination record of a 6-week-old infant, Elena notes that the child has not received the BCG vaccine. What should she do? A. Refer the child for catch-up immunization B. Wait until the infant is 6 months old C. Administer vitamin A supplementation instead D. Begin the DPT series first before giving BCG 43. A 16-year-old pregnant client asks how often she should visit the clinic for prenatal checkups in the first 28 weeks of pregnancy. What should Elena advise? A. Every week B. Every 2 weeks C. Every month D. Only if she feels contractions 44. A teenage mother asks about the lactational amenorrhea method (LAM) for family planning. Which condition must be met for this method to be effective? A. The infant is less than 6 months old and breastfeeding is exclusive B. She is supplementing with formula every 4 hours C. Her menstrual periods have resumed D. The infant is already taking solid foods 45. During a home visit, Elena notices the umbilical stump of a newborn is red and foul-smelling. What is the nurse’s priority action? A. Apply alcohol to the stump B. Refer the infant immediately for medical evaluation C. Teach the mother proper cord care D. Schedule a follow-up visit in 2 days Situation: Nurse Sofia is working in the neonatal intensive care unit (NICU). She is caring for preterm and low-birth-weight infants who require specialized monitoring, thermoregulation, and nutritional support. She must also teach parents how to care for their fragile newborns. 46. Sofia is caring for a preterm infant who is placed in an incubator. Which assessment finding indicates the infant is maintaining adequate thermoregulation? A. Axillary temperature of 35.5°C (95.9°F) B. Crying continuously C. Mottled skin and increased irritability D. Pink skin and relaxed posture 47. Which intervention should Sofia implement to reduce the risk of necrotizing enterocolitis (NEC) in a preterm infant? A. Administer high-volume formula feedings early B. Delay feedings until the infant gains weight C. Encourage breastfeeding and give small, frequent feeds D. Use hypertonic solutions to stimulate bowel motility 48. A very-low-birth-weight infant suddenly develops abdominal distention, bloody stools, and lethargy. What is Sofia’s priority action? A. Continue feedings to maintain nutrition B. Notify the physician immediately C. Place the infant in a prone position D. Massage the abdomen to relieve gas 49. Which statement by parents of a NICU infant indicates correct understanding of kangaroo (skin-to-skin) care? 3 | Page
A. “We should only do this after our baby is discharged from the NICU.” B. “We’ll place our baby upright on our bare chest for at least 1 hour daily.” C. “We should wrap the baby in multiple blankets first.” D. “We’ll wait until our baby is full-term to begin kangaroo care.” 50. A preterm infant in the NICU is receiving oxygen therapy. Which finding should alert Sofia to possible oxygen toxicity? A. Peripheral cyanosis B. Retinopathy of prematurity (ROP) changes in the eyes C. Slight nasal flaring D. Periodic breathing patterns Situation: Nurse Veronica is working in the postpartum unit. She is caring for mothers at risk of complications such as hemorrhage, infection, and thromboembolic disorders. She must assess mothers closely, intervene promptly, and provide discharge education on danger signs. 51. Veronica notes a postpartum client with a saturated perineal pad in 30 minutes and a boggy uterus. What is her priority action? A. Call the physician immediately B. Start IV fluids C. Perform fundal massage D. Administer analgesics 52. A postpartum woman complains of severe perineal pain and pressure but has minimal visible bleeding. Which complication does Veronica suspect? A. Uterine atony B. Vaginal hematoma C. Endometritis D. Subinvolution 53. Veronica is teaching a mother at discharge about warning signs of postpartum infection. Which statement indicates the teaching was effective? A. “I will call if I have light vaginal bleeding.” B. “A slight fever in the first 24 hours is normal, so I won’t worry.” C. “If I notice foul-smelling lochia, I will contact my healthcare provider.” D. “I don’t need to monitor my temperature at home.” 54. Which postpartum client is at the greatest risk for developing a deep vein thrombosis (DVT)? A. A mother who ambulates 12 hours after delivery B. A mother with a cesarean birth, obesity, and varicose veins C. A multipara who delivered vaginally without lacerations D. A mother who is exclusively breastfeeding 55. A mother reports sudden shortness of breath and chest pain 4 days postpartum. What should Veronica do first? A. Apply oxygen and notify the physician B. Place the client in Trendelenburg position C. Give oral fluids D. Reassure the client that anxiety is common postpartum Situation: Nurse Hannah is assigned to the outpatient lactation clinic. She supports mothers experiencing breastfeeding difficulties such as nipple trauma, engorgement, mastitis, and concerns about milk supply. She also educates parents on the benefits of exclusive breastfeeding and proper latching techniques. 56. A breastfeeding mother reports cracked nipples and pain during feeds. Which instruction from Hannah is most appropriate? A. Stop breastfeeding until the nipples heal B. Apply soap and water after every feeding C. Switch to bottle-feeding permanently D. Ensure proper latch and position the baby correctly 57. Hannah teaches a mother how to prevent breast engorgement. Which statement indicates understanding? A. “I should feed my baby every 2–3 hours on demand.” B. “I should avoid breastfeeding at night to let my breasts rest.” C. “I’ll use tight breast binders after each feeding.” D. “I should only feed from one breast each time.” 58. A mother presents with fever, breast redness, and pain. Which nursing action is most appropriate? A. Discontinue breastfeeding until symptoms resolve B. Continue breastfeeding and start prescribed antibiotics C. Massage the affected breast vigorously D. Apply ice continuously for 24 hours 59. Which practice supports adequate milk supply in a breastfeeding mother? A. Supplementing with formula after every feeding B. Increasing breastfeeding frequency and duration C. Limiting fluid intake to reduce engorgement D. Offering both breasts only every 6 hours 60. A mother asks about storing expressed breast milk. Which teaching is correct? A. “It can be kept at room temperature for up to 24 hours.” B. “I should microwave breast milk before feeding.” C. “I can refreeze milk once thawed.” D. “Refrigerated breast milk is safe for up to 4 days.” Situation: Nurse Rafael is working in a busy medical-surgical ward. He is responsible for medication administration, infection control, patient mobility, and preparing patients for diagnostic procedures. He must prioritize safe and effective nursing interventions while preventing complications. 61. Rafael enters a patient’s room and finds a small fire in the trash can. What should be his first action? A. Get the fire extinguisher and put out the fire B. Activate the fire alarm and call for help C. Rescue any people in the room, starting with the least mobile D. Close all doors and windows 62. Before starting a peripheral IV infusion, which action by Rafael is most important? A. Apply a tourniquet below the chosen vein B. Inspect the IV solution for particles or contamination C. Secure the client’s arm to prevent movement D. Place a cool compress over the vein 63. When admitting a bedridden patient, how can Rafael best prevent external rotation of the patient’s legs? A. Place a pillow under the knees B. Flex the hips and knees with a blanket roll C. Place a pillow under the lower legs D. Use a trochanter roll alongside the thighs 64. Which nursing action is most appropriate after discovering a medication error? A. Complete an incident report B. Notify the physician C. Check the patient’s condition for adverse effects D. Document the error on the medication sheet 65. Rafael is teaching a patient how to self-administer oral medications at home. Which approach ensures the patient’s understanding? A. Give the patient written instructions B. Demonstrate the correct technique C. Ask the patient to verbalize and demonstrate the procedure D. Schedule daily phone reminders Situation: Nurse Allan is assigned to the pediatric ward. He is caring for children of various ages who require safety interventions, growth monitoring, and support during hospital stays. He also provides anticipatory guidance to parents about child development and accident prevention. 66. While conducting discharge teaching for the mother of a 1-month-old infant, which safety instruction is most appropriate? A. Cover electrical outlets at home B. Remove hazardous objects from low areas C. Lock all cabinets containing cleaning supplies D. Avoid shaking or vigorously jiggling the baby’s head 67. Allan admits a child who will be hospitalized for more than a week. Which approach best reduces stress and promotes consistency of care? A. Allowing open peer visitation 4 | Page