Title RECALLS 5 - NP2 - SC ✅

1 | Page RECALLS 5 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 MENSTRUATION   SITUATION: Reniel is reviewing for his board exams. He finds the menstrual cycle topic as one of his weakness, so he decided to delve on this topic.  1. Reniel encountered a question about mittelschmerz. He knew that which subjective finding supports the possibility of this condition? A. Experiences pain during intercourse B. Has pain at the onset of menstruation C. Experiences profuse vaginal bleeding D. Has sharp pelvic pain during ovulation 2. Reniel read about a case of a client who is admitted to the hospital with a suspected diagnosis of Graves' disease. On assessment, which manifestation related to the client's menstrual cycle would Reniel expect the client to find? A. Amenorrhea B. Menorrhagia C. Metrorrhagia D. Dysmenorrhea 3. Another topic on the book he was reading was Mennorhagia. Which of the following is the correct description for this type of menstrual period? A. Menstrual periods with abnormally heavy or prolonged bleeding. B. Pain during menstrual periods C. Uterine bleeding at irregular intervals, particularly between the expected menstrual periods. D. Decreased menstrual flow 4. Reniel explored about variations in the length of the menstrual cycle. He understands that the underlying mechanism is due to variations in which of the following phases? A. Menstrual phase B. Proliferative phase C. Secretory phase D. Ischemic phase 5. Ovulation happens in the middle of the woman’s cycle. When teaching a woman about fertility awareness, the nurse should emphasize that the basal body temperature: A. Should be recorded each morning before any activity B. Is the average temperature taken each morning C. Can be done with a mercury thermometer but not a digital one D. Has a lower degree of accuracy in predicting ovulation than the cervical mucus test GESTATIONAL HYPERTENSION SITUATION: Nurse Mitchelle was assigned to the OB Unit. He handles cases of pregnant mothers with hypertension.  6. Nurse MItchell is caring for a client with a suspected diagnosis of gestational hypertension. He assesses the client, expecting to note which set of findings if gestational hypertension is present? A. Edema, ketonuria, and obesity B. Edema, tachycardia, and ketonuria C. Glycosuria, hypertension, and obesity D. Sudden weight gain and proteinuria 7. Nurse MItchell is caring for another client diagnosed with preeclampsia. When the client's condition progresses from preeclampsia to eclampsia, what would the nurse's first action be? A. Prepare to maintain an open airway. B. Prepare to administer oxygen by face mask. C. Assess the maternal blood pressure and fetal heart tones. D. Administer an intravenous infusion of magnesium sulfate. 8. Another nurse in the department admitted a client diagnosed with gestational hypertension who is in labor. The nurse monitors the client closely for which complication of gestational hypertension? A. Seizures B. Hallucinations C. Placenta previa D. Altered respiratory status 9. The nurse is administering magnesium sulfate to a client experiencing severe preeclampsia. What intervention would the nurse implement during the administration of magnesium sulfate for this client? A. Schedule a daily ultrasound to assess fetal movement. B. Schedule a nonstress test every 4 hours to assess fetal well-being. C. Assess the client's temperature every 2 hours because the client is at high risk for infection. D. Assess for signs and symptoms of labor since the client's level of consciousness may be altered. 10. A pregnant client is receiving magnesium sulfate for severe pregnancy induced hypertension (PIH) A. Urinary output 90 cc in 2 hours. B. Absent patellar reflexes. C. Rapid respiratory rate above 40/min. D. Rapid rise in blood pressure. LABORATORY AND DIAGNOSTICS 11. A client diagnosed with gestational diabetes is at 36 weeks of gestation. The client has had weekly reactive nonstress tests for the last 3 weeks. This week, the nonstress test was nonreactive after 40 minutes. Based on these results, the nurse would prepare the client for which intervention? A. A contraction stress test B. Immediate induction of labor C. Hospitalization with continuous fetal monitoring D. A return appointment in 2 days to repeat the nonstress test 12. The nurse, caring for a client in the active stage of labor, is monitoring the fetal status and notes that the monitor strip * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page shows a late deceleration. Based on this observation, which action would the nurse take immediately? A. Document the findings. B. Prepare for immediate birth. C. Increase the rate of an oxytocin infusion. D. Administer oxygen to the client via face mask. 13. A nonstress test is performed on a client who is pregnant, and the results of the test indicate non-reactive findings. The primary health care provider prescribes a contraction stress test, and the results are documented as negative. How would the nurse document this finding? A. A normal test result B. An abnormal test result C. A high risk for fetal demise D. The need for a cesarean section 14. The nurse is providing instructions to a pregnant client who is scheduled for an amniocentesis. What instruction would the nurse provide? A. Strict bed rest is required after the procedure. B. Hospitalization is necessary for 24 hours after the procedure. C. An informed consent needs to be signed before the procedure. D. A fever is expected after the procedure because of the trauma to the abdomen. ANTENATAL SITUATION: Nurse Madeleine is assisting an OB in the clinic. She encountered pregnant mothers with different concerns and health needs. 15. A pregnant client is seen for a regular prenatal visit and tells the nurse about experiencing irregular contractions. The nurse determines that the client is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is appropriate? A. Contact the primary health care provider. B. Instruct the client to maintain bed rest for the remainder of the pregnancy. C. Inform the client that these contractions are common and may occur throughout the pregnancy. D. Call the maternity unit and inform them that the client will be admitted in a preterm labor condition. 16. The clinic nurse prepares to assess a client who is in the second trimester of pregnancy. When measuring the fundal height, what should the nurse expect to note with this measurement regarding gestational age? A. It is less than gestational age. B. It correlates with gestational age. C. It is greater than gestational age. D. It has no correlation with gestational age. 17. Nurse Madeliene is preparing to measure the fundal height of a client whose fetus is 28 weeks of gestation. In what position would the nurse place the client to perform the procedure? A. In a standing position B. In the Trendelenburg position C. Supine with the head of the bed elevated to 45 degrees D. Supine with her head on a pillow and knees slightly flexed 18. Nurse Madeliene is teaching a pregnant client about prenatal nutritional needs. The nurse would include which information in the client's teaching plan? A. All mothers are at high risk for nutritional deficiencies. B. Calcium intake is not necessary until the third trimester. C. Iron supplements are not necessary unless the mother has iron deficiency anemia. D. The nutritional status of the mother significantly influences fetal growth and development. 19. Nurse Madeleine observed that her patient who is 5 weeks pregnant is having a mixed emotions about her pregnancy. How does Nurse Madeleine define this normal psyche of the mother? A. Hallucination B. Panic C. Ambivalence D. Indifference 20. A clinic nurse is assessing a prenatal client who has been diagnosed with heart disease. The nurse carefully assesses the client's vital signs, weight, and fluid and nutritional status to detect complications caused by which pregnancy-related concern? A. Rh incompatibility B. Fetal cardiomegaly C. The increase in circulating blood volume D. Hypertrophy and increased contractility of the heart   CLEFT LIP/ PALATE  21. A preschooler with a history of cleft palate repair comes to the clinic for a routine well-child checkup. To determine whether this child is experiencing a long-term effect of cleft palate, which question would the nurse ask the parent? A. "Does the child play with an imaginary friend?" B. "Was the child recently treated for pneumonia?" C. "Does the child respond when called by name?" D. "Has the child had any difficulty swallowing food?"   22. The nurse is assigned to care for an infant on the first postoperative day after a surgical repair of a cleft lip. Which nursing intervention is appropriate when caring for this child's surgical incision? A. Rinsing the incision with sterile water after feeding B. Cleaning the incision only when serous exudate forms C. Rubbing the incision gently with a sterile cotton- tipped swab D. Replacing the Logan bar carefully after cleaning the incision 23. Baby Tina a 3 month old infant just had a cleft lip and palate repair. What should the nurse do to prevent trauma to operative site? A. Avoid touching the suture line, even when cleaning. B. Place the baby in prone position. C. Give the baby a pacifier. D. Place the infant’s arms in soft elbow restraints. 24. The student nurse is assigned to take the vital signs of the clients in the pediatric ward. The student nurse reports to the staff nurse that the parent of a toddler who is 2 days postoperative after a cleft palate repair has given the toddler a pacifier. What would be the best immediate action of the nurse? A. Notify the pediatrician of this finding B. Reassure the student that this is an acceptable action on the parent’s part C. Discuss this action with the parents D. Ask the student nurse to remove the pacifier from the toddler’s mouth 25. A priority nursing intervention for the infant with cleft lip is which of the following: A. Monitoring for adequate nutritional intake B. Teaching high-risk newborn care C. Assessing for respiratory distress D. Preventing injury RHEUMATIC HEART DISEASE 26. A child diagnosed with rheumatic fever is admitted to the hospital. The nurse prepares to manage which clinical manifestations of this disorder? Select all that apply. 1. Cardiac murmur 2. Cardiac enlargement 3. Cool pale skin over the joints 4. White painful skin lesions on the trunk 5. Small nontender lumps on bony prominences 6. Purposeless jerky movements of the extremities and face A. 1, 2, 3, 4 B. 4, 5, 6 C. 1, 3, 5, 6 D. 1, 2, 5, 6 27. A child is admitted to the hospital with a diagnosis of rheumatic fever. The nurse reviews the blood laboratory findings, knowing that which finding will confirm the likelihood of this disorder? A. Increased leukocyte count B. Decreased hemoglobin count C. Increased antistreptolysin-O (ASO titer) D. Decreased erythrocyte sedimentation rate

4 | Page A. transfer of heat from one object to another by direct contact. B. heat is transferred from an object to the surrounding air. C. occur as moisture from body surfaces is lost to the environment D. transfer of heat between two objects that are not in direct contact with each other. 46. How do you prevent heat loss via evaporation? A. Dry the infant thoroughly B. Put the infant away from cold air drafts C. Do not place the infant in a cold surface D. NOTA 47. To prevent heat loss by conduction in a newborn, which nursing intervention is most appropriate? A. Keeping the infant's bassinet away from air vents. B. Swaddling the infant snugly in a blanket. C. Placing a warmed blanket on the scale before weighing the infant. D. Drying the infant thoroughly. 48. A post-partum mother is sitting in a cool room wearing a thin gown. The majority of their body heat is being lost to the surrounding environment (walls, ceiling, floor) through which mechanism? A. Conduction B. Radiation C. Evaporation D. Convection GROWTH AND DEVELOPMENT 49. A toilet-trained 4-year-old hospitalized for several days with an acute illness has been wetting the bed at night and is having incontinence accidents during the day. The nurse addresses the parents’ concerns with the following statement: A. “Maybe your child should be seen by a specialist, just to make sure there are no physical problems.” B. “It is normal for some children to go through a stage of regression after separation from their family or after an acute illness. Try not to be too discouraged.” C. “You’ll have to be very strict with discipline, so your child knows this behavior is not acceptable.” D. “I’d be upset too. It must be hard to go back to using diapers.” 50. The nurse knows that the study of growth and development is an exploration of which of the following? A. Physical changes of the growing child B. Increasing complexity of function and skill progression of the growing child C. Environmental factors such as family, religion, and culture of the growing child D. Physical development and the increasing level and progression of function and skill of the growing child 51. Four-year-old Angie, whose grandmother recently died, tells the nurse, “My grandma has wings just like angels. She flew to heaven yesterday, and tomorrow she’ll be back.” Which is the nurse’s best response? A. “She’s not coming back, honey.” B. “It is normal for a little one to make-believe.” C. “You must miss your grandma a lot.” D. ‘When people get old, they die 52. During a physical examination, a 24-month-old child clings to the parent and cries every time the nurse attempts to touch her. From knowledge of psychosocial development, the nurse makes which conclusion about the child? A. The child is displaying normal toddler development. B. The child needs further psychologic evaluation. C. The child is manipulative and should be taken from the parent to be examined. D. The child is showing signs of regression. 53. An adolescent comes to the school nurse’s office seeking advice about his friends and feeling pressure to participate in activities he isn’t comfortable with (i.e., drinking parties and sexual explorations). What should the nurse’s response be? A. Tell the adolescent to stay away from “friends like that.” B. Be open to the concerns and provide accurate information about any questions. C. Encourage the adolescent to accept psychosocial counseling. D. Give the adolescent pamphlets on sexually transmitted diseases. 54. Parents ask the nurse how they will know that their daughter has reached puberty. Which is the best response by the nurse? A. “The first noticeable sign of puberty in females is the appearance of the breast bud.” B. “The growth spurt usually begins between ages 10 and 14.” C. “The apocrine glands, found over most of the body, begin to produce sweat.” D. “The adolescent will display significant mood swings.” PHARMACOLOGY - HIGH YIELD DRUGS SITUATION: Monica is reviewing for her upcoming board exam. She decided to focus on high yield drugs for her study session.  55. Which drug is associated with "Red Man Syndrome," a histamine reaction causing flushing and hypotension? A. Tetracycline B. Vancomycin C. Doxycycline D. Amoxicillin 56. A patient on Amiodarone therapy for arrhythmia presents with bluish-gray skin discoloration. This condition is called: A. Red Man Syndrome B. Steven Johnson’s Syndrome C. Gray Baby Syndrome D. Blue Man Syndrome 57. One of these drugs is associated with Gray Baby Syndrome which is characterized by vomiting, cyanosis, and cardiovascular collapse in neonate. Which of the following is being referred to? A. Gentamicin B. Gentian Violet C. Chloramphenicol D. Linezolid 58. A mother who was taking a drug for morning sickness has delivered a newborn with severe limb deformities (phocomelia). Which of these drugs is the probable culprit? A. Tetracycline B. Isotretinoin C. Thalidomide D. Pyrazinamide 59. Which of the following antibiotics may cause permanent discoloration of the teeth in children? A. Doxycycline B. Rifampicin C. Ciprofloxacin D. Co-Trimoxazole FUNDAMENTALS - THEORISTS SITUATION: Nurse Ally is a fresh grad nurse. She recalls the nursing theories in order to apply it in her practice. 60. In the Ladder of Proficiency, what is described as the one who demonstrates marginally acceptable performance. Recognizes the meaningful “aspects” of a real situation. Has experienced enough real situations to make judgments about them. A. Level I B. Level II C. Level III D. Level IV 61. In the Ladder of Proficiency, what is described as the one who uses maxims as guides for what to consider in a situation. Has holistic understanding of the client, which improves decision making. A. Level I B. Level II C. Level III D. Level IV 62. A nurse with 2 to 3 years of experience who has the ability to coordinate multiple complex nursing care demands is at which stage of Benner’s stages of nursing expertise? A. Advanced beginner B. Competent C. Proficient D. Expert