Title RECALLS 3 - NP5 - SC ✅

RECALLS 3 EXAMINATION NURSING PRACTICE V CARE OF THE CLIENT WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) 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 V” on the box provided Situation: Sandro 8 years old, 1st grader child has always been the subject of her mother's prompting and care. He always tests his mom's rule in preparing for school. Although this has been for five months now , Sandro still has to be reminded of getting dressed completely and dilly dally eating his breakfast. He still plays with his toys and interferes with her sister in playing blocks. The mother is so anxious in reminding Sandro that his school bus will be arriving in 10 minutes every day. 1. Attention deficit hyperactivity disorder (ADHD) is characterized by NOTof the following? A. Mental retardation B. Overactivity C. Inattentiveness D. Impulsiveness 2. Which of the following would the nurse expect to see as symptoms in child with ADHD,except: A. Moody, sullen and pouting behavior B. Interrupts others and can’t take turns C. Excessive running, climbing and fidgeting D. Easily distracted and forgetful 3. Sandro is taking pemoline(Cylert) for ADHD. The nurse must be aware which of the following side effects? A. Decreased thyroid stimulating hormones B. Decreased red blood cell count C. Elevated white blood cell count D. Elevated liver function test results 4. An effective nursing intervention for the impulsive and aggressive behaviors that accompany conduct disorder is _______. A. open expression of feelings B. assertiveness training C. negotiation of rules D. consistent limit setting 5. Nursing diagnosis commonly used when working with Sandro is __________. A. ineffective role performance B. impaired social interaction C. compromised family coping D. risk for injury Situation: The nurse is teaching a client taking an MAOI about foods tyramine that he or she should avoid. 6. Which of the following statements indicates that the client needs further teaching? A. "I will have to avoid drinking non- alcoholic beer." B. "I will be able to eat cottage cheese without worrying." C. "I can eat green beans on this diet." D. I'm so glad I can have pizza as long as I don't order pepperoni. 7. Patient's health teaching for Lamotrigine (Lamictal) should include which of the following? A. Take each dose with food to avoid nausea. B. Eat a balanced diet to avoid weight gain. C. Report any rashes to your doctor immediately. D. This drug may cause psychological dependence. 8. Which of the following health teaching concern for the nurse as discharged plan for suicidal patient who had been taking tricyclicantidepressant drugs for 2 weeks and now ready to go home? A. The nurse will need to include teaching regarding signs of neuroleptic malignant syndrome. B. The patient will need regular laboratory work to monitor therapeutic drug levels. C. The nurse will evaluate the risk for suicide by overdose of tricyclic antidepressant. D. The patient may need a prescription for Benadryl to use forside effects. 9. A patient is to take Lithium regularly after being discharged. The MOST important information to impart to the patient and his family is that the patient should _______. A. not eat foods which has high tyramine content like cheese,wine and liver B. limit his fluid intake C. have a limited intake of sodium D. have an adequate intake of sodium 10. The patient with a diagnosis of Schizophrenia who has been taking Clozapine will inform the patient's family that the positive effect of this drug is ______. A. monthly liver Function studies change moderately B. b. psychotic symptoms, such as hearing loss are reduced C. c. patient develops leukopenia. D. patients energy level and involvement in activities goes up. Situation: Patrick, Charge nurse, is aware that the uses of resources are essential for patient care. 11. A safe patient environment includes following factors EXCEPT _______. A. socio-economic needs B. basic needs are met C. sanitation is maintained D. physical hazards are reduced 12. As an individual, which of the following is an INTERNAL variable affecting health status, belief, or practices? A. Genetics B. Socioeconomic status C. Family structure D. Living situation 13. Falls are one of the leading environmental hazards reported in her facilities. One of the MOST common occurrences that precipitate a patient fall is _______. A. experiencing stress, anxiety, and fatigue B. leaving the side rails down C. reaching item at the bedside D. performing activities of daily living 1 | Page


Situation: Effective communication is a core skill for nurses that a professional nurse must apply in their daily routine for patient care, colleagues and family. 51. The nurse asks the patient, "What do you fear MOST about your surgery tomorrow? This is an example of which communication technique? A. Providing general leads B. Summarizing C. Seeking clarification D. Presenting reality 52. The patient made the following statement to the nurse, “My doctor just told me that he cannot save my leg and that I need to have an above-the-knee-amputation." Which response by the nurse is MOST APPROPRIATE? A. "Tell me more." B. “Dr. Benito is an excellent surgeon." C. "If I were you, I will get a second opinion. " D. "Are you in pain?" 53. A nurse is communicating with the attending physician about medical intervention prescribed for a patient-post spine surgery. Which statement is INDICATIVE of a collaborative relationship? A. "Can we talk about Mrs. Santos?" B. "I am worried about Mrs. Santos' blood pressure. It is not decreasing even with the new antihypertensive medication." C. "That new medication you prescribed for Mrs. Santos is ineffective." D. "We do not need to talk about Mrs. Santos' blood pressure." 54. An 80-years-old male, admitted for emergency suturing of the foreheads sustained from accident tall while gardening under local sedation. He was just received in the ward. Which nursing intervention is APPROPRIATE to facilitate effective communication with this patient? A. Talk to the patient when fully awake and inform him and family events which may occur post-surgery. B. Provide the patient with instructional materials about discharge. C. Tell the patient, "You are fine, nothing to worry." D. Ask the patient, "Do you know where you are?" 55. The nurse who uses appropriate therapeutic listening skills will which BESTbehavior? A. Presume an understanding of the patient's needs. B. React quickly to the message. C. Reassure the patient that everything will be fine. D. Absorb both the content, and the feeling which patient is conveying. Situation: Effective teamwork and collaboration in nursing is achieved when individuals work together in harmony, processes and goals arealigned towards achieving safe quality patient care. 56. Which of the following actions is INAPPROPRIATE for a nurse leader to apply in a work setting? A. Ask staff members of their opinion on the matter. B. Modifies his own behavior favoring the needs of individual staff. C. Gives equal consideration to each staff members D. Plans and organizes group activities of staff members. 57. In problem solving, the head nurse must know what is the MAJOR characteristic of negotiation? A. Be positive in your approach since optimism gives further favorable results. B. Harmony is possible even when strategies are not well planned. C. It is not important to get anything in writing since the truth will prevail. D. Resources tend to involve too many individuals in the decision-making process. 58. Applying multidisciplinary approach of patient care, which among the members of the multidisciplinary team that the nurse would MOST likely collaborate with when the patient is at risk of fall due to an impaired gait? A. Podiatrist B. Physical therapist C. Speech therapist D. Nutritionist 59. The nurse manager has implemented a change in the method of the nursing delivery system from functional to team nursing. A nursing is resistant to the change and is not taking an active part in facilitating the process of change. Which is the BEST approach in dealing with the nurse? A. Exert coercion on the nurse B. Provide a positive reward system for the nurse C. Talk and encourage verbalizing feelings of the change. D. Ignore the resistance of the nurse 60. Which among the members of the multidisciplinary team that the nurse would be BEST to collaborate with when the patient can benefit the use of leg prosthesis? A. Occupational therapist B. Physical therapist C. Podiatrist D. Pharmacist Situation: Karen in seventeen years old, grade twelve, active in gymnastics. She is five feet and seven inches tall, weighs eighty five pounds. Her family doctor diagnosed her with anorexia nervosa. 61. Which of the following statements should Nurse Cora consider as TRUEwith anorexia nervosa? A. Thinness is equated with vanity among peers. B. Eating disorders are not major health problems C. Cultures linking beauty to thinness increase risk of the illness. D. Anorexia nervosa is not considered as a mental disorder. 62. Karen is being assessed for eating disorder. Which option is suggestive of anorexia nervosa? A. Lack of knowledge about food and nutrition B. Guilt and shame about eating patterns C. Refusal to talk about food-related topics D. Unrealistic perception of body size 63. Nurse Cora is working with Karen. Even though Karen has been eating all her meals and snacks, her weight has remained unchanged for a week. Which nursing intervention is APPROPRIATE for Karen? A. Supervise Karen closely for 2 years after meals and snacks. B. Supervise Karen closely 2 hours before and after meals. C. Increase the daily caloric intake from 1500 to 2000 calories. D. Increase the daily caloric intake from 1800 to 3000 calories . 64. One morning, as Nurse Cora entered Karen's room, she noticed that the patient was engaging in rigorous push-ups. Which nursing action MOST APPROPRIATE? A. Allow her to complete her exercise program. B. Tell her that she is not allowed to exercise rigorously. C. Interrupt her and offer to take her for a walk. D. Interrupt her and explain that exercise is not needed. 65. Which of the following is the INITIAL goal for treating the severely malnourished patient with anorexia nervosa? A. Nutritional rehabilitation B. Correction of body image disturbance C. Weight restoration D. Correction of electrolyte imbalances Situation: Annie is a 38-year-old-woman with three children. She has a history of otosclerosis. She is admitted for ear surgery. 66. While taking nursing history on Annie, what will be the response of the patient that indicates her present condition? A. She frequent experience vertigo, nausea and nystagmus when sitting. B. She has ear pain and discharge from the left ear when travelling. C. She has had impaired hearing since birth. D. Her hearing loss has become worse with each succeeding pregnancy. 67. Annie states. "I'm afraid to let my children out of my sight now that I can't hear them. What is the nurse's BEST response? 4 | Page