Title RECALLS 1 - NP4 - SC ✅

RECALLS 1 EXAMINATION NURSING PRACTICE IV CARE OF THE CLIENT WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART B) 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 IV” on the box provided Situation: You are going to care for Lyrine, a 19 years old college student, who has an order for high doses of chemotherapy to treat leukemia. 1. As Lyrine’s nurse, you have important responsibilities to maximize safe administration of chemotherapy. Which of the following will you do FIRST? A. Review drugs to be administered including dosage site of an administration and potential side effects B. Monitor central or peripheral IV sites by verifying presence of blood return and observing for infiltrations signs C. Conduct client and family teaching on chemotherapy administration procedures, antiemetic schedule, self-care measures for potential side effects D. Administer chemotherapeutic agents following agency policies and safe handling procedures 2. Lyrine is scheduled for chemotherapy at 8:00 a.m. Which of the following is most appropriate for you to do to ensure that she will not experience nausea and vomiting? A. Maintain an intravenous hydration therapy B. Administer antiemetic an hour prior to chemotherapy C. Do not offer food prior to chemotherapy D. Provide oral care with lukewarm water 3. While you are caring for Lyrine, who is receiving a chemotherapy agent intravenously through a peripheral line, she complains of burning at the iv site what will be your PRIORITY action? A. Check for blood serum B. Decrease the infusion flow rate C. Stop the infusion D. Apply cold compress over the IV site 4. On the third therapy Lyrine's mother informs you that she wants to stop the chemotherapy, because of the oral ulcers and pain that Irene has been experiencing since chemotherapy was started what will be your BEST response? A. Do you want to talk with your doctor B. Stop the camo therapy is not the best decision at this time C. Let me check her oral cavity to determine what is best for her D. Let us talk about your concerns 5. To relieve the oral ulceration in pain you can implement the following interventions EXCEPT: A. Avoid irritants like spicy food, tobacco, alcohol carbonated beverages B. Apply topical anesthetics like vicious lidocaine C. Increase fluids and its soft or moist bland food D. Discourage use of saliva substitutes Situation: Rodrigo, 45 years old was admitted to the emergency department because of severe substernal chest pain. The pain radiates to his jaw and left arm. Rodrigo claims pain was not relieved by rest and sublingual Nitroglycerine. 6. The wife of Rodrigo asks you, “what is expected to be detected from the results of the ECG”? Which of the following is your MOST appropriate response? A. “Electrical activity of the heart will be shown on a series of waveforms” B. “Damage to the internal structures of the heart” C. “Blocked coronary arteries” D. “Irregular heart rhythm due to damage of the heart muscle” 7. You recognize that myocardial infarction id described by the damage area of the heart. If the diagnosis of the patient is Lateral Myocardial Infraction, which of the following coronary artery is occluded? A. Left circumflex artery B. Posterior descending artery C. Right coronary artery D. Left anterior descending coronary artery 8. The wife further asks why her husband is experiencing so much pain. The nurse is correct when she says that the cause is/are: A. Macrophages congregating at the site of infarction B. Increased level of serum calcium and potassium C. Circulatory overload D. Inadequate oxygen supply to the cardiac muscle 9. The physician ordered a 12-lead ECG. What ECG result indicates that Patient Rodrigo may have suffered a Myocardial Infarction (MI)? A. ST-segment elevation B. QT-interval narrowing C. Q-wave inversion D. Flat P wave 10. All of these results of enzyme studies may indicate the presence of MI except: A. Increased myoglobin B. Increased CK-MB C. Elevated SGPT (ALT) D. Elevated SGOT (AST) Situation: Patient Gayle is a 54-year-old woman who is scheduled for laparotomy. Nurse July will be the scrub nurse for the said surgical procedure. 11. In regards to being a scrub nurse, which of the following is false? A. The scrub person can simultaneously function in the role of first or second assistant. B. The scrub person is responsible for establishing and maintaining the integrity and safety of the sterile field throughout the surgical procedure. C. Physical stamina is required as a scrub nurse. D. Two scrub persons may join the surgical team if needed. 12. The OR is notified that Patient Gayle will be brought to the OR as scheduled. Nurse July will expect that the patient will be transported: 1 | Page