Title RECALLS 5 - NP5 - SC ✅

1 | Page RECALLS 5 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 TOPIC: NURSING RESEARCH - ELEMENTS OF RESEARCH (PALMER)   Situation: Nurse Emma is a member of the research team in a cardiovascular health facility. One of the research priority problems in her unit is on the “EFFECTS OF PERSONALIZED CARE MANAGEMENT STRATEGIES ON STRESS AFTER AN ACUTE MYOCARDIAL INFARCTION (MI) 1.What type of sampling while Nurse Emma adopts if every third (3rd) patients with MI are selected after a random start?  A. Simple random B. Systematic C. Stratified D. Cluster 2. When the findings of the study can be applied to all patients with MI under stress in the whole Philippines, which of the following criteria in research?  A. Reliability B. Validity C. Generalizability D. Transferability 3. Nurse Emma has completed the study and started to make a report to the research department. A written brief summary is submitted which is known as ._________  A. Narrative B. Abstract C. Critical appraisal D. Monograph 4. Nurse Emma distributed the coded questionnaires to the respondents of the study without their names on it. What ethical safeguard is being employed in this practice? A. Confidentiality B. Truthfulness C. Trustworthiness D. Anonymity 5. Nurse Sandy checks if his instruments meet the criteria for evaluation. Which of the following criteria refers to the consistency or the ability to yield the same response upon its repeated administration?  A. Validity B. Reliability C. Sensitivity D. Objectivity TOPIC: NURSING RESEARCH - ELEMENTS OF RESEARCH (PALMER)   Situation: Research is a vital endeavor nurses must engage into in order to contribute to nursing science 6. When the nurse researcher collects data at more than one point over an extended period, which design is applied? A. Cross-sectional B. Time-related C. Time sequenced D. Longitudinal 7. If a research study involves an intervention and “blinding” which research design is being referred to? A. Non-descriptive B. Phenomenological C. Experimental D. Descriptive 8. A “full understanding” in research should be understood by the nurse researcher as.___ A. Ensuring that participants are not placed at risk B. Explaining the study including risks and benefits C. The right to decide voluntarily D. Not exploiting information shared by participants 9. Qualitative researchers should choose their participants who can best meet the objectives of the study. Who of the following best qualifies? A. Cooperative person in the community. B. Those readily available are thus convenient for the researcher. C. Able to articulate and reflect on the phenomenon that they experienced D. Parsons referred by friend 10. Which of the following statements is least descriptive of a qualitative research design? A. Researchers become involved. B. Gather data from one collection strategy. C. It is flexible and elastic. D. Strives for an understanding of the whole strategy TOPIC: NURSING RESEARCH - SAMPLING METHODS (PALMER)   Situation -  Klarisse reviews the nursing students about different sampling methods. 11. This nonprobability sampling method entails selecting the most conveniently available people as participants.  A. Purposive Sampling B. Convenience Sampling C. Quota Sampling D. Simple Random Sampling 12. Klarisse provides an example, “I need to gather a total of 50 nursing student participants, 25 male, 25 females. I'll pick those who are readily available in the classroom.” Klarisse is describing what type of sampling? A. Purposive Sampling B. Convenience Sampling C. Quota Sampling D. Simple Random Sampling 13. This sampling involves handpicking samples from the population as they are deemed to be knowledgeable about the issue under study.  A. Judgemental Sampling B. Cluster Sampling * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page C. Bias sampling D. Snowball Sampling 14. It is the most basic probability sampling method A. Stratified Random Sampling B. Probability Sampling C. Simple Random Sampling D. Non Probability Sampling 15. Klarisse gave another example: “I will select Laguna as my population, then narrow it down to a specific town, followed by a specific Barangay, then a particular school, and finally a specific college department to gather my research samples.” What type of sampling method is she describing? A. Snowball Sampling B. Systematic Sampling C. Consecutive Sampling D. Cluster Sampling TOPIC: FUNDAMENTALS OF NURSING - DOCUMENTATION Situation -  Proper documentation is the hallmark of nursing accountability. 16. After making a documentation error, which action should the nurse take? A. Use correcting liquid to cover the mistake and make a new entry B. Draw a line through it and write an error above the entry. C. Draw a line through it and write a mistaken entry above it. D. Draw a line through the mistake and write a mistaken entry with initials above it. 17. Which charting entry would be the most defensible in court?  A. Client fell out of bed B. Client drunk on admission C. Large bruise on left thigh D. Notified Dr. Jones of BP of 90/40 18. A 74-year-old female is brought to the emergency department c/o right hip pain. The right leg is shorter than the left and externally rotated. During inspection, the nurse observes what appears to be cigarette burns on the client’s inner thighs. Which of the following is the most appropriate documentation? A. Six round skin lesions partially healed, on the inner thighs bilaterally B. Several burned areas on both of the client’s inner thighs C. Multiple lesions on inner thighs possibly related to elder abuse D. Several lesions on inner thighs similar to cigarette burns 19. Which action by a nurse ensures confidentiality of a client’s computer record? A. The nurse logs on to the client’s file and leaves the computer to answer the client’s call light. B. The nurse shares her computer password. C. The nurse closes a client’s computer file and logs off. D. The nurse leaves client computer worksheets at the computer workstation. 20. During the first day a nurse is caring for a client who has been in the hospital for 2 days, the nurse thinks that the client’s blood pressure (BP) seems high. What is the next step?  A. Ask the client about past blood pressure ranges. B. Review the graphic record on the client’s record. C. Examine the medication record for antihypertensive medications. D. Review the progress notes included in the client’s record. TOPIC: NURSING JURISPRUDENCE – PHILIPPINE NURSING LAW (PALMER)   Situation – Ivan is studying the Philippine Nursing Law in preparation for his upcoming final exam. 21. Ra 9173 is otherwise known as the Philippine Nursing Act of 2002. Which is the primary aim of this law? A. To enhance the competence of professional nurses. B. To regulate practice of professional nursing in the country C. To facilitate mobility of nurses to other countries D. To promote the well – being of health workers. 22. To pass the PNLE, what is the required general average and the minimum percentage for each nursing practice, respectively? A. 70% general average, 60% in each nursing practice B. 75% general average, 60% in each nursing practice C. 75% general average, 75% in each nursing practice D. 70% general average, 75% in each nursing practice 23. A member of the faculty in a college of nursing teaching professional courses must have the following except: A. Be a registered nurse in the Philippines B. Have at least five (5) years of clinical practice in a field or specialization C. Be a holder of master's degree in nursing, education and other allied medical and health sciences D. Be a member of good standing in the accredited professional organization of nurses 24. Who is responsible for appointing a new member for the Board of Nursing in the Philippines? A. Professional Regulation Commission B. Philippine Nurses’ Association C. The President of the Philippines D. The Chairman of the BON 25. Which law was amended by RA 9173? A. RA 7160 B. RA 7614 C. RA 7610 D. RA 7164 TOPIC: PSYCHIATRIC NURSING - NURSE TO CLIENT RELATIONSHIP Situation - Nurse Merlie is reviewing the phases of Nurse-Client Relationship before her assignment to the Psychiatric Unit 26. A nursing student has a special feeling toward a client that is based on acceptance,warmth, and a nonjudgmental attitude. The student is experiencing which characteristic that enhances the achievement of the nurse-client relationship?  A. Rapport. B. Trust C. Respect. D. Professionalism 27. Which is the goal for the orientation phase of the nurse- client relationship?  A. Explore self-perceptions. B. Establish trust. C. Promote change. D. Evaluate goal attainment 28. In an in-patient psychiatric unit, a client states, “I want to learn better ways to handle my anger.” This interaction is most likely to occur in which phase of the nurse-client relationship?  A. Pre-interaction phase. B. Orientation (introductory) phase. C. Working phase. D. Termination phase 29. The nurse explores any misconceptions or prejudices experienced before caring for a client. This action is one of the tasks that occur in a stage of the nurse-client relationship. What is the nurse’s major task in this stage? A. Determining why the client sought help. B. Exploring self. C. Assisting the patient in behavioral change. D. Establishing and preparing the client for the reality of separation. 30. A nursing student is experiencing fears related to the first clinical experience in a psychiatric setting. This is most likely to occur in which stage of the nurse-client relationship?  A. In the pre-interaction stage, because the student is likely to be suspicious of psychiatric clients. B. In the orientation stage, because the psychiatric client may threaten the student's role identity. C. In the working stage, because the student may feel emotionally vulnerable to past experiences.

4 | Page C. Defibrillation is synchronized with the electrical activity of the heart, but cardioversion is not. D. Cardioversion is always attempted before defibrillation because it has fewer risks. TOPIC: SPECIAL SENSES - EYE DISORDERS   Situation - Nurse Maya, a registered nurse working in a general medical-surgical unit, has been assigned a week-long rotation in the ophthalmology outpatient clinic at City General Hospital. In preparation, she decides to review common eye disorders and their nursing management to refresh her knowledge. 46. The client is diagnosed with glaucoma. Which symptom should the nurse expect the client to report? A. Loss of peripheral vision. B. Floating spots in the vision. C. A yellow haze around everything. D. A curtain coming across vision 47. The client is scheduled for right-eye cataract removal surgery in five (5) days. Which preoperative instruction should be discussed with the client?  A. Administer dilating drops to both eyes for 72 hours prior to surgery. B. Prior to surgery do not lift or push any objects heavier than 15 pounds. C. Make arrangements for being in the hospital for at least three (3) days. D. Avoid taking any type of medication which may cause bleeding, such as aspirin. 48. The client diagnosed with glaucoma is prescribed a miotic cholinergic medication.Which data indicate the medication has been effective?  A. No redness or irritation of the eyes. B. A decrease in intraocular pressure. C. The pupil reacts briskly to light. D. The client denies any type of floaters. 49. The nurse who is at a local park sees a young man on the ground who has fallen and has a stick lodged in his eye. Which intervention should the nurse implement at the scene? A. Carefully remove the stick from the eye. B. Stabilize the stick as best as possible. C. Flush the eye with water if available. D. Place the young man in a high-Fowler’s position 50. The client comes to the emergency department after splashing chemicals into the eyes. Which intervention should the nurse implement first?  A. Have the client move the eyes in all directions. B. Administer a broad-spectrum antibiotic. C. Irrigate the eyes with normal saline solution. D. Determine when the client had a tetanus shot TOPIC: SPECIAL SENSES - EAR DISORDERS Situation -  Nurse Carla begins her shift by reviewing the day's patient list. The ENT clinic has a mix of patients scheduled with various ear complaints. She prepares the examination rooms with otoscopes, tuning forks, audiometers, and documentation materials.   51. The nurse is planning the care of a patient with a diagnosis of vertigo. What nursing diagnosis risk should the nurse prioritize in this patient's care? A. Risk for disturbed sensory perception B. Risk for unilateral neglect C. Risk for falls D. Risk for ineffective health maintenance 52. A patient has been diagnosed with hearing loss related to damage of the end organ for hearing or cranial nerve VIII. What term is used to describe this condition? A. Exostoses B. Otalgia C. Sensorineural hearing loss D. Presbycusis 53. A patient has undergone diagnostic testing and has been diagnosed with otosclerosis. What ear structure is primarily affected by this diagnosis? A. Malleus B. Stapes C. Incus D. Tympanic membrane 54. A patient with otosclerosis has significant hearing loss. What should the nurse do to best facilitate communication with the patient? A. Sit or stand in front of the patient when speaking. B. Use exaggerated lip and mouth movements when talking. C. Stand in front of a light or window when speaking. D. Say the patient's name loudly before starting to talk. 55. The nurse is discussing the results of a patient's diagnostic testing with the nurse practitioner. What Weber test result would indicate the presence of a sensorineural loss? A. The sound is heard better in the ear in which hearing is better. B. The sound is heard equally in both ears. C. The sound is heard better in the ear in which hearing is poorer. D. The sound is heard longer in the ear in which hearing is better. TOPIC: PSYCHIATRIC NURSING - SOMATOFORM DISORDERS Situation - As a psychiatric nurse caring for patients with  somatoform disorders, the focus is on providing empathetic, nonjudgmental support while addressing both psychological and physical symptoms. The nurse validates the patient’s experience of distress without reinforcing unnecessary medical interventions, instead promoting a holistic understanding of the mind-body connection. 56. A client diagnosed with hypochondriasis states, “I have so many symptoms, and yet no one can find out what is wrong with me. I can’t do this anymore.” Which nursing diagnosis would take priority?  A. Altered role performance R /T multiple hospitalizations. B. Knowledge deficit R /T the link between anxiety and expressed symptoms. C. Risk for suicide R /T client statement, “I can’t do this anymore.” D. Self-care deficit R /T client statement, “I can’t do this anymore.” 57. The nurse is caring for a client with a conversion disorder. Which finding will the nurse expect during assessment?  A. Extreme distress over the physical symptom B. Indifference about the physical symptom C. Labile mood D. Multiple physical complaints 58. Which statement would indicate that teaching about somatic symptom disorder has been effective?  A. “The doctor believes I am faking my symptoms.” B. “If I try harder to control my symptoms, I will feel better.” C. “I will feel better when I begin handling stress more effectively.” D. “Nothing will help me feel better physically.” 59. A client who developed numbness in the right hand could not play the piano at a scheduled recital. The consequence of the symptom, not having to perform, is best described as? (8) A. emotion-focused coping. B. phobia. C. primary gain. D. secondary gain. 60. Which is true about clients with illness anxiety disorder? A. They may interpret normal body sensations as signs of disease. B. They often exaggerate or fabricate physical symptoms for attention. C. They do not show signs of distress about their physical symptoms. D. All of the above. TOPIC: CARDIOVASCULAR NURSING- RHEUMATIC HEART DISEASE (MEDSURG) Situation – Rheumatic Heart Disease (RHD) continues to be a major public health issue in the Philippines,