Title RECALLS 11 - NP5 - SC ✅

1 | Page RECALLS 11 EXAMINATION NURSING PRACTICE V CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) 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 V” on the box provided Situation: Lexie, 52 years of age, was brought to the ED due to numbness on her left face and a confused mental state. The physician’s initial diagnosis is ischemic stroke. 1. The following are true regarding brain attack except: A. It can be caused by thrombosis or embolism B. The use of oral contraceptive increases the risk of having a brain attack C. Cerebral anoxia lasting longer than 20 minutes causes irreversible damage. D. Airway patency is always a priority. 2. Lexie’s father, Thatcher, asks the nurse if his daughter’s initial diagnosis is different from “hemorrhagic stroke” which his late grandfather experienced years ago. The nurse answers correctly if she answers: A. Yes, ischemic stroke patients may experience severe headaches, while hemorrhagic patients may not. B. Yes, ischemic stroke is more common and occurs when a blood vessel is blocked by a clot or thrombosis; while hemorrhagic stroke occurs when a blood vessel bursts and bleeds into the brain causing hemorrhage. C. No, they are generally the same. D. No, because manifestations of different types of stroke are similar. 3. The nurse is aware that the following should be implemented during the acute phase of stroke except: A. Maintaining a quiet environment B. Placing antiembolism stockings C. Administering oxygen D. Inserting a urinary catheter 4. Visual-perceptual disturbances can occur in stroke. The nurse should encourage the client to: A. Provide eye care for visual deficits B. Approach from the affected side C. Approach from the unaffected side D. Turn the head to scan the complete range of vision 5. What is the most ideal position of Lexie when eating? A. Sitting in a chair or up in bed, with the head and neck positioned slightly forward and flexed. B. Sitting in a chair or up in bed, with the head positioned slightly forward and flexed. C. Sitting in a chair or up in bed, with the neck positioned slightly forward and flexed. D. High-fowler Situation: Nurses have an important role in establishing an environment that satisfies the biological, psychosocial, and spiritual needs of clients. They are often challenged with issues and problems in creating therapeutic environment for clients. 6. In structuring a therapeutic environment, it is MOST important for the nurse to: A. Safeguard physical safety and psychological security. B. Keep an effective social order that recognizes authority. C. Keep a restrictive environment to prevent patient assaultiveness. D. Maintain a closed-door policy to instill order and disciple. 7. Environment as referred to in ‘milieu therapy’ refers to the: A. Building and grounds where patients interact. B. People with different personalities who relate with one another. C. Physical environment and relationships of people within. D. Immediate physical surroundings that create an ambience for the patients 8. Attitude therapy safeguards the therapeutic application of attitudes toward patients. Rico, seeks attention from the staff by repeatedly deviating and not participating in structured activities. It is BEST for the nurse to: A. Respond: “it is okay for as long as you don't bother anyone” B. Have a patient watcher monitor him closely. C. Ignore the behavior. D. Respond: “we have agreed on a schedule. I expect you to follow.” 9. The nurse is aware that these patients are likely to be exploited in a group setting. These are the patients who are: A. Suspicious B. Sociable C. Withdrawn D. Hostile 10. A therapeutic community aims to: A. Have team leaders to check physical presence and attendance of patients in ward activities. B. Constantly monitor implementation of ward policies and rules. C. Encourage patient interactions, group problem solving and decision making. D. Encourage patients to police themselves and impose sanctions on ward violations. Situation: A nurse researcher in the Psychiatric unit is undertaking a study on the relationship between depressive symptoms and motivation to lose weight among high school overweight teens in selected schools at the National Capital Region. 11. The study design to be used by the researcher is: A. Experimental B. Predictive correlational C. Non-experimental D. Descriptive correlational 12. Which of the following is true about the study design being used by the researchers? A. There is no researcher intervention. * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *

3 | Page B. Care for the wounds in a matter-of-fact manner C. Allow the client to express angry feelings D. Problem-solve the situation with the client 29. Which of the following is a necessary initial step in determining interventions for Nina? A. Explore her coping behaviors B. Determine the meaning of her personal crisis C. Assess her developmental level and experience D. Let her identify current stressors 30. The nurses involved in the care of Nina feel caught in a bind because there is a need to rescue in the event that she cuts herself again and a need not to be manipulated by her. It is MOST therapeutic for the nursing team to recognize: A. Being strict regarding imposition of external controls B. Writing a “no cutting on self” contract C. Developing of a trust relationship D. Taking self- responsibility by signing a waiver Situation: Children are unique requiring specialize nursing care. To nurse a child, health care professional need to be aware that children are physically smaller and their bones grow and mature at different rates. 31. A 10-month-old infant has developmental dysplasia of the hip following confirmation of the diagnosis by ultrasonography. She is placed in Pavlik Harness. Which of the following should you expect the infant to be positioned? A. Supine B. Trendelenburg C. Flexed abduction D. Flexed adduction 32. With the application of the harness, the nurse should keep in mind the following EXCEPT? A. Assess skin daily. B. The baby should wear the harness at all times except while bathing C. Harness should be worn above the clothing continually. D. Instructing the parents on the practicalities of daily care and continuous support 33. The infant did not respond to treatment with Pavlik Harness. A surgical program is undertaken. She was admitted into hospital for a 1-week period of gallows traction. The mother asks the nurse what Gallows traction is. The nurse responds correctly if she states: A. It is a skin traction applied to the legs which are flexed at a 90-degree angle at the hips. B. The child’s head provides counter traction. C. Type of traction with the legs in an extended position D. Uses skin traction on the lower leg and a padded sling under the knee 34. The nurse should pay particular attention to which part of the body of the infant in gallows traction? A. Back B. Hips C. Lower extremities D. Skin 35. The tractions is removed after 1 week and the infant is bathed prior to surgery. Which of the following constitute this intervention? A. Bathing is necessary for hygienic measures B. Cleanse the skin and allows for the gentle removal of the adhesive traction C. Allows for adequate physical preparation D. A routine procedure prior to surgery to prevent complications Situation: Nurse Liza functions as a team leader and coordinates a small group of nurses in the psychiatric unit to provide care to a small group of patients. 36. As coordinator of the team her main function is to: A. Allow team members to practice high degree of authority B. Encourage the growth and training of each member C. Know the condition and needs of all the patients assigned to the team D. Assume responsibility of the team for planning, directing and evaluating the patient’s care 37. As team leader, Nurse Liza assumes which of the following duties? A. Assessing patients and planning care B. Directing and assisting team members C. Giving direct patient care D. Coordinating patient activities 38. Nurse Liza’s team is using a team nursing model. Weighing things, this model has advantages and also disadvantages. Of the following choices, which one is the ADVANTAGE: A. Use of each team member special expertise in caring for patients B. Direct patient care provided by a few nurses C. Team leader direct the team for effective care D. Provide total patient care 39. To make team nursing succeed, nurse Liza as coordinator of the team MUST possess which of the following? 1. Good communication skills 2. Delegation ability 3. Strong clinical skills 4. Create a cooperative working environment A. 2,3,and 4 B. 1 and 3 C. all except 4 D. all 40. Nurse Liza brings together the members to work as a group. She has successfully accomplished teamwork by means of: A. Expertise of each member B. Well define goals and objectives of the team C. Clinical skills of team members D. Adequate planning and control Situation: Romina, age 19, was admitted with acute pyelonephritis and has elevated temperature. The nurse on duty reported that she refused acetaminophen and has had only sips of fluid to supplement her IV therapy. The patient appears sad and has remained in bed with the covers over her head most of the day. Her history includes a psychiatric hospitalization two years ago for major depressive disorder. She was started on antidepressant medication. 41. Depressed mood or loss of interest in pleasure and activities in depressive disorder is with duration of at least: A. A month B. Two weeks C. 2-3 days D. one week 42. Romina has been withdrawn and appears sad. Which of the following approaches validate your initial impression? A. “I noticed that you've been withdrawn. Describe your mood for me” B. “what happened that brought your sadness?” C. “in a scale of 1 - 10, 10 being the highest, what level is your feeling sad?” D. “how long have you been feeling sad?” 43. Romina describes feeling like her body is “numb” and feels “helpless to do anything to feel better”. The nursing diagnosis is: A. Anxiety B. Risk for injury C. Acute confusion D. Powerlessness 44. Structuring a therapeutic environment places urgency in providing: A. Cheerful environment to counteract depression B. Access to security personnel C. Adequate fluids and nutrition D. Precautions regarding self-harm 45. Romina is being treated with SSRI; /selective serotonin reuptake inhibitor. The nurse watches for serotonin syndrome characterized by: A. Tremors, seizures, nausea, vomiting, and confusion B. Robot like inflexible movements C. Bizarre behavior like hallucinations and delusions