Title RECALLS 12 - NP4 - SC ✅

1 | Page RECALLS 12 EXAMINATION NURSING PRACTICE IV CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART B) 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 IV” on the box provided Situation: As a nurse researcher in the research and development center of her hospital, Nurse Rianna is assigned to conduct a research study on the levels of competence of the hospital’s staff nurses. She is given 12 months for the study’s duration.  1. Nurse Rianna is composing her proposal, which design will she use if Rianna wants to assess the competence of the staff nurses upon appointment to the job until their respective retirements? A. Retrospective B. Cross-sectional C. Longitudinal D. Descriptive-correlational 2. During the project planning, Rianna realizes that she cannot use randomization for her subjects due to the nature of the work setting. Considering this, what research design should Rianna employ when randomization is not permitted? A. Experimental B. Quasi-experimental C. Prescriptive D. Correlational 3. As part of her research, Nurse Rianna plans to implement a new competency-based training design in which she will later evaluate the competency levels of the nurses who underwent and did not participate in the new program. What research design is applicable for Rianna to employ? A. Cross-sectional B. Experimental C. Retrospective D. Descriptive 4. Rianna formulated the hypothesis of her research, which pertains to a simple hypothesis? A. The level of competence is the same for those with clear perception and those who have unclear role perception B. Role perception increase the level of competence among staff nurses C. Level competence is influenced by role perception D. Role perception is not related with the level of competence among staff 5. When a competency-based training program for the staff nurses is introduced by Nurse Rianna, which element of experimental research would this action refer to? A. Evaluation B. Manipulation C. Control D. Randomization 6. After formulating the hypothesis and choosing her research design, Rianna plans her data gathering tool. Which of the instruments would yield the MOST ACCURATE data about the competency at entry of the staff nurses? A. Performance evaluation forms based on observation by the immediate superior nurses. B. Interview the director of nursing C. Questioners to be filled up by the nurse managers D. Existing data from transcript of records 7. Rianna plans to interview the training director about the staff nurses’ performances. What type of sampling would she use if she includes those who happen to be in the training room where the activity is scheduled to be conducted? A. Quota B. Random C. Purpose D. Convenience 8. Nurse Rianna is certain that several of the staff nurses who specialize in research settings tend to respond psychologically to the condition of the study. This is referred to as: A. Instrumentation error B. Hawthorne effect C. Halo effect D. Selection effect 9. The right of the subject to beneficence is demonstrated by Rianna when she does which of the following? A. Keeps in confidence all information she gathered from the subject B. Assure subjects that their participation will not be used against them C. Secure informed consent of the subjects D. Should not place the subjects at a disadvantage or expose to situations they have not been explicitly prepared Situation: Mr. Jake proposed to conduct research on the utilization of a revised self-care guide for patients diagnosed with rheumatoid arthritis.  10. Mr. Jake believes that he must abide by the ethical conduct in research, which code of ethics requires informed consent in all studies involving human subjects?  A. ICN code of ethics B. Belmont report C. Nuremberg code D. Helsinki declaration 11. Which of the following codes of ethics differentiate whether the research study has a therapeutic value, or which essentially yields new knowledge and has no therapeutic value? A. Nuremberg code B. Belmont report C. Helsinki declaration D. ICN code of ethics 12. Some characteristics are considered vulnerable as subjects for clinical research, which is NOT considered as vulnerable? A. Adult woman B. Mentally or emotionally disabled people C. Children D. Institutionalized people 13. During the study, one of the subjects expressed his intention to disengage from the research. Which of the following is the appropriate action to take? A. Motivate him to sustain his participation * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *


4 | Page 51. In obtaining the informed consent, the explanation of the surgery, possible risks and complications, as well as alternatives is the responsibility of whom in the healthcare team?  A. Anesthesiologist B. Attending physician C. Surgeon D. Registered nurse Situation: You are reviewing the basic nursing procedures with your buddy student nurse. 52. Through the nursing process, the nurse plans and delivers patient care by: A. Planning nursing interventions and assigning necessary staff B. Assessment, diagnosis, planning, implementation and evaluation C. Collecting data and writing nursing diagnoses D. Developing a rigid, unchangeable care plan 53. Which statement describes what a nursing diagnosis does? A. It provides a systematic, rational method of planning and providing nursing care. B. It facilitates comprehensive nursing care by identifying health problems and validating the contributing factor. C. It Includes assessment, diagnosis, planning, implementation, and evaluation. D. It provides a framework for nurse's accountability and responsibility. 54. Based on a physician's order for oxygen by nasal catheter at 3 liters/ minute, an appropriate nursing order would be: A. Cover the tip of the catheter with a water- soluble lubricant before insertion. B. Measure the length of the catheter from the tip of the patient's nose to the tip of the earlobe before insertion C. Add sterile distilled water to the humidification container, as needed. D. All of the above 55. The evaluation phase of the nursing process: A. Changes continually B. Is a stable, systematic method of developing nursing care plans. C. Is not always necessary. D. Directs the expected outcomes. 56. The four main concepts common to nursing that appear in each of the current conceptual models are: A. Person, nursing, environment, medicine B. Person, health, nursing, support systems C. Person, health psychology, nursing D. Person, environment, health, nursing Situation: Theoretical foundation in nursing 57. When the theory describes a conceptual model based on the belief that all persons strive to achieve self-care, which of the following nursing theorist developed this?  A. Sister Callista Roy B. Ida Jean Orlando C. Dorothea Orem D. Martha Rogers 58. Which of the following nursing theorists is credited with developing a conceptual model specific to nursing, with man as the central focus? A. Martha Rogers B. Dorothea Orem C. Dorothy Johnson D. Sister Callista Roy 59. Based on Maslow’s hierarchy of physiologic needs, the greatest priority for human need is which of the following?  A. Oxygen B. Nutrition C. Elimination D. Love 60. A nurse’s initial priority in creating a therapeutic environment for a patient should be: A. Accepting his individuality B. Promoting his independence C. Providing for his safety D. Explaining all procedures 61. In primary nurse care, one of the advantages is that:  A. The nurse can work and plan a nursing care plan B. It is easily managed by inexperienced nurses C. It increases nurses' accountability and independence D. The nurse does not have to deal with patient's families Situation: Assessment and immediate intervention 62. In the emergency room, a patient came with complaints of (+) nausea, vomiting, diarrhea, and severe abdominal pain. Which of the following tests/actions would immediately alert the nurse that the patient has (+) bleeding from the gastrointestinal tract?  A. Abdominal girth B. Vital signs C. Guaiac test D. Complete blood count 63. A patient is ordered by the physician to adhere to fluid restriction. The best way to measure whether a patient is complying with the order is through which of the following? A. Urine specific gravity B. Urine pH C. Fluid intake and output record D. Weight 64. During assessment, you heard (+) high-pitched gurgles over the RIGHT lower quadrant is. You interpret it as:  A. A sign of abdominal cramping B. Normal bowel sounds C. A sign of decreased bowel motility D. A sign of increased bowel motility 65. The student nurse is correct when he demonstrates the usual sequence of bowel assessment:  A. Rectum, pancreas, stomach, and liver B. Right hypochondriac, left hypochondriac, and umbilical regions C. Right lower lobe, right upper lobe, left upper lobe, left lower lobe D. Right lower quadrant, right upper quadrant, left upper quadrant, left lower quadrant 66. Which of the following statements about bowel sounds is accurate and correct? A. Peristalsis causes bowel sounds. B. Rapid, high-pitched, hyperactive bowel sounds indicate increased peristalsis C. Decreased bowel sounds can be a symptom of paralytic ileus D. All of the above Situation: You are a buddy nurse of a student nurse reviewing about physical assessment. 67. Nurse Aiah is performing initial assessments of different patients in the ER. You know that the initial assessment for abdominal distention due to flatulence is best done through:  A. Observe the patient for passage of gas B. Inspect the abdomen for movement of flatus C. Palpate the abdomen for movement of gas D. Auscultating the abdomen for bowel sounds 68. A post-operative patient was ordered to do coughing and deep breathing exercises daily, the best method to know whether the exercises have been effective is to? A. Auscultate the lung B. Measure the amount of sputum expectoration C. Percuss the lung field D. Measure his temperature 69. During assessment, which of the following will Nurse Aiah report promptly when observed on pediatric patient with croup?  A. Emesis of undigested food B. Substernal retraction C. Restlessness followed by extreme fatigue D. Flaring nostril with each aspiration 70. A 70-year-old male patient, Lolo Marco, has been assigned to your care. The patient is being assessed for urinary continence; Nurse Aiah should do which of the following?  A. Let the patient wear an adult diaper