Title RECALLS 12 - NP5 - SC ✅

1 | Page RECALLS 12 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 1. Nurse Helen was about to administer an oral medication to Vanya diagnosed with a borderline personality disorder. However, Vanya responds to this by saying "Just leave it on the table. I will take it when I finish combing my hair." The best response from Nurse Helen would be to _____________. A. Reinforce this assertive action by Mariel. Leave the medication on the table as requested. B. Respond to Manel, "I'm worried that you might not take it. I will come back later." C. Say to Mariel, “I must watch you take the medication. Please take it now.” D. Ask Mariel, "Why don’t you want to take your medication now?" 2. Along with her long-standing history of self-mutilation and suicide attempts, Vanya reveals feelings of depression and anger with life. Treatment was initiated by the psychiatrist with the use of a medication. Which type of medication should Nurse Helen expect to be prescribed? A. Escitalopram (Lexapro) B. Phenelzine (Nardil) C. Alprazolam (Xanax) D. Haloperidol (Haldol) 3. During the weekend, Vanya’s boyfriend, Xylo, visited her beyond visiting hours. When the security guard prohibited him from entering the hospital, he threatened the staff, ripped art off the walls, and thrown objects. With protocols in place, the security guard used force to stop Xylo. Soon, he was detained in the police community precinct. The most appropriate nursing diagnosis for Xylo would be ______________. A. Disturbed sensory perception-auditory B. Risk for other-directed violence C. Ineffective denial D. Ineffective coping 4. Vanya used manipulation to get her needs met. The staff decides to apply limit-setting interventions. What is the correct rationale for this action? A. It provides an outlet for feelings of anger and frustration. B. It respects the patient's wishes so assertiveness will develop. C. External controls are necessary while internal controls are developed. D. Anxiety is reduced when staff members assume responsibility for the patient's behavior. 5. Given the behavior of Vanya or Xylo, limit setting be most essential if either of them ___________________________. A. Clings to the nurse and asks for advice about inconsequential matters. B. Flirts with and is provocative with staff members of the opposite sex. C. Displays hypervigilant behavior and refuses to attend unit activities. D. Urges a suspicious patient to hit anyone who stares. Situation: Greta, 54-years old and a known hypertensive (controlled), was seen in her ophthalmologist's office for a routine eye examination. Her last examination was five (5) years ago. Reports of significant visual field loss was determined to be caused by wide-angle glaucoma. Nurse Jenny was tasked to assist the patient in her care. 6. Laser trabeculoplasty as a form of treatment was suggested to Greta. Which of the following nursing measures should receive priority in the client's plan of care after eye surgery? A. Prevent increase in intraocular pressure (IOP) and signs of infection B. Instruct on the importance of follow-up C. Instruct on how to perform the Valsalva maneuver D. Management of pain through patient-controlled analgesia (PCA) 7. Nurse Jenny will administer Betaxolol HCl (Betoptic) to the client. As a precaution, which of the following would she interpret as a serious adverse reaction? A. Photophobia B. Blurred vision C. Drop in blood pressure D. Exacerbation of asthma 8. Which assessment finding is essential for Nurse Jenny to report for a client who works in the evening and takes Pilocarpine (Pilocar)? A. Hypotension B. Urinary retention C. Constipation D. Decreased dark adaptation Situation: Data collection is imperative to gather information relevant to the research purpose, thereby, making this as one of the most time-consuming phase during research. Nurse Rico studies a variety of techniques to explore the study variables. 9. Nurse Rico intends to apply a set of structured interview questions during data collection. He knows that one major disadvantage of using a structured-interview method is __________________. A. The same questions may not be asked of all interviewees B. The answers are not recorded in the interviewee's own words C. The questions are all asked in the same order D. The interviews are often too long 10. When selecting a research design, Nurse Rico understands that by utilizing ethnography, he will have __________________________. A. An interview with cultural minority B. An interview with a foreign-born but English-speaking person C. A type of descriptive qualitative study or someone's experiences D. A type of quantitative study * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *

3 | Page D. "Forget the voices. Ask some other patients to sit and talk with you. 25. Kendrick has taken fluphenazine (Prolixin) 5 mg orally twice daily for 3 weeks. Suddenly, Nurse Maya observes a shuffling, propulsive gait, mask-like face, and drooling. This is collectively termed as _____________.  A. Neuroleptic malignant syndrome B. Hepatocellular effects C. Pseudo-Parkinsonism D. Akathisia 26. Kendrick began showing violent tendencies. He received several doses of haloperidol (Haldol). Two hours later the nurse notices the patient's head rotated to one side in a stiffly fixed position while the lower jaw is thrust forward, and the patient is drooling. Which intervention by the nurse is indicated? A. Administer diphenhydramine (Benadryl) 50 mg IM from the PRN medication administration record. B. Reassure the patient that the symptoms will subside. Practice relaxation exercises with the patient. C. Give trihexyphenidyl (Artane) 5 mg orally at the next regularly scheduled medication administration time. D. Administer atropine sulfate 2 mg subcutaneously from the PRN medication administration record. 27. Kendrick is receiving an antipsychotic, risperidone (Risperdal). He reports severe muscle stiffness at 10:30 AM. By noon, he is diaphoretic, drooling, and has difficulty swallowing. By 4:00 PM, vital signs are body temperature, 39°C; pulse, 110 beats per minute; respirations, 26 breaths per minute; and blood pressure, 150/90 mm Hg. Nurse Maya can best interpret this as ____________________ and will take action by _____________________. A. Agranulocytosis. Institute reverse isolation. B. Tardive dyskinesia. Withhold the next dose of medication. C. Cholestatic jaundice. Begin a high-protein, low fat diet. D. Neuroleptic malignant syndrome. Immediately notify the health care provider. Situation: Juliet, 42 years old, began developing weakness of the facial muscles and extremities as well as drooping of eyelids. Diagnostics were done and it confirmed the presence of Myasthenia Gravis.  28. Nurse Paula chooses which nursing diagnosis considered as the highest priority when caring for a client with Myasthenia Gravis? A. Pain related to neuromuscular dysfunction B. High risk for injury related to muscle weakness C. Ineffective coping related to illness D. Ineffective airway clearance related to muscle weakness 29. Pyridostigmine bromide (Mestinon) therapy is started for Juliet. The Mestinon dosage is frequently changed during the first week. While the dosage is being adjusted, the nurse’s intervention is to: A. Administer the medication exactly on time. B. Administer the medication with food. C. Evaluate the clients muscle strength an hour after medication. D. Evaluate the clients emotional side effect between doses. Situation: Leo and Sean are best friends. Their friendship dates back to elementary school days. While Sean was bullied, Leo is always ready to defend him. Even in periodic tests, Leo will make a cheat sheet for both of them to help Sean get a passing rate. When the parents of Sean separated, Leo was there to support him. But things changed when Leo had a romantic affair with Ysavelle. Sean felt his best friend left him. He felt alone but not for long, for he found what he considered to be his new best friend - a friend that will never leave him, a friend through thick and thin, who will stick with him for better or worse.  30. After all this, Sean engaged in habits such as consuming “shabu”. He also drank alcohol. Nurse Jess receives him at 02AM in the morning. She would expect alcohol withdrawal symptoms to begin at what time? A. Between 0800 and 1000 today (6 to 8 hours after drinking stopped) B. Between 0200 tomorrow and hospital day 2 (24 to 48 hours after drinking stopped) C. About 0200 on hospital day 3 (72 hours after drinking stopped) D. About 0200 on hospital day 4 (96 hours after drinking stopped) 31. When working with Sean who is beginning treatment for alcohol abuse, the most therapeutic approach by Nurse Jess would be? A. Empathetic, supportive B. Strong, confrontational C. Skeptical, guarded D. Cool; distant 32. Nurse Jess will prioritize which nursing intervention when giving care to Sean who is withdrawing from a central nervous system (CNS) stimulant such as amphetamine (shabu)? A. Make physical contact by frequently touching Sean B. Offer intellectual activities requiring concentration C. Avoid manipulation by denying the Sean’s requests D. Observe for depression and suicidal ideation 33. Leo has impregnated Ysavelle. During her pregnancy, she drinks 8 to 12 ounces of alcohol daily. Nurse Jess will plan for the delivery of an infant who is likely to be ________________. A. Jaundiced B. Dependent on alcohol C. Healthy but underweight D. Microcephalic and cognitively impaired 34. Leo has been having marital problems. He began to abuse heroin. Which assessment findings will the nurse expect in an individual who has just injected heroin? A. Anxiety, restlessness, paranoid delusions B. Heightened sexuality, insomnia, euphoria C. Muscle aching, dilated pupils, tachycardia D. Drowsiness, constricted pupils, slurred speech Situation: Clara, a 30-year-old female social worker has had a variety of vague complaints for the past 6 months. The physician suspects multiple sclerosis and plans to complete neurologic assessment. Nurse Willy assists the physician throughout the process. 35. When testing the trigeminal nerve, Nurse Willy should expect the physician to evaluate which assessment finding? A. Ocular muscle movement B. Shrugging of the shoulders C. Smiling and frowning D. Corneal sensation 36. Clara is suspected of having multiple sclerosis. Nurse Willy anticipates her to complain about the common initial symptom associated with multiple sclerosis. Which of the following is considered as the earliest sign of MS? A. Diarrhea B. Headaches C. Skin infection D. Visual disturbances 37. Nora has been admitted with relapsing-remitting multiple sclerosis (MS). Which of the following should be the focus of the nursing assessment and history? A. Level of consciousness B. Evoked potentials of the optic pathways C. Bladder function D. Rate of ascending paralysis 38. Which intervention or rationale should Nurse Willy suggest to help the client with MS to avoid episodes of urinary incontinence? A. Limit fluid intake to 1,000 mL/day B. Administer prophylactic antibiotics as ordered C. Provides the precursor of dopamine D. Inhibit the activity of acetylcholine Situation: Rose, 54-years old, has had menopause 8 years ago. Lately, she has been prone to injuries and fractures which led her to consult the doctor. 
4 | Page 39. Nurse Terrence knows that the prevalent observable changes that occurs with osteoporosis is seen in which of the following bones? A. Facial bones B. Long bones C. Vertebral column D. Joints of the hands and feet 40. The correct rationale behind the administration of levodopa (L-dopa) to Elnix is that this drug will ___________________________. A. Activates enzymes to degrade dopamine B. Blocks the release of dopamine C. Provides the precursor of dopamine D. Inhibits the synthesis of dopamine 41. A client is being switched from levodopa to carbidopa- levodopa (Sinemet). The nurse should monitor for which of the following possible complications during medication changes and dosage adjustment? A. Confusion B. Symptoms of diabetes C. Vital sign fluctuation D. Jaundice 42. A client with Parkinson’s disease complains of “choking” when he swallows. Which intervention will approve the client’s ability to swallow. A. Withholding liquids until after meals B. Providing semi-liquid foods when possible C. Providing a fully liquid diet D. Offering small, more frequent meals 43. Nora has been admitted with relapsing-remitting multiple sclerosis (MS). Which of the following should be the focus of the nursing assessment and history? A. Level of consciousness B. Evoked potentials of the optic pathways C. Bladder function D. Rate of ascending paralysis 44. What would Nurse Lilian suggest as an appropriate intervention for Nora in order to avoid episodes of urinary incontinence? A. Limit fluid intake to 1000 mL/day B. Administer prophylactic antibiotics as ordered C. Insert an indwelling urinary catheter D. Establish a regular voiding schedule 45. A client with Alzheimer’s disease. What color should you repaint the hallway to provide safety? A. Black and white B. Cream and White C. Blue and Green D. Red and Yellow Situation: Darlene, a psychiatric nurse, deals with different cases of psychiatric disorders in the psychiatric ward.  46.  Marilyn, a 40-year-old client, comes to the clinic with superficial cuts on the left wrist. The patient paces around the room sobbing but cringes when approached and responds to questions with only shrugs or monosyllables. What is Darlene’s best initial statement? A. “Everything is going to be alright. You are here at the clinic, and the staff will keep you safe.” B. “I see you are feeling upset. I am going to stay and talk with you to help you feel better”. C. “You need to try to stop crying so we can talk about your problems”. D. “Let’s set some guideline and goals for you visit here”. 47. Marilyn suddenly exclaimed, "I'm in a terrible situation. I don't know what to do." Nurse Darlene can initially assume that the patient is: A. suicidal. B. anxious and fearful. C. misperceiving reality. D. potentially homicidal. 48. While Marilyn was anxious, Nurse Darlene held her hand for one minute. Which type of touch is this? A. Love/ Intimacy B. Friendship/Warmth C. Social/Polite D. Functional/Professional 49. When Marilyn recovered, she realized that Nurse Darlene was the daughter of her enemy a few years ago. This prompted Marilyn to tell Nurse Darlene to back off, and to stop invading her personal space. In terms of proxemics, all are correct statements, EXCEPT? A. Public space is 12 ft and beyond B. Social space is 4 to 12ft C. Personal space is 6 to 8ft D. Intimate space is 1.5 ft and less 50. Upon discharge, Marilyn began to take a CNS depressant to cope with problems. All of the following are considered as CNS depressants, EXCEPT? A. Heroin B. Codeine C. Barbiturates D. LSD Situation: Tricia, a 34-year-old female client, assisted by her boyfriend Gerry is admitted in the emergency room. She was hyperventilating, her palms placed over her chest while experiencing hand tremors. Furthermore, she is having diaphoresis. When asked what happened to her, she was unable to explain herself clearly. 51. Nurse Chesca wishes to teach Nina alternative coping strategies. Nurse Chesca will initially perform which action? A. Verify the patient's learning style. B. Create outcomes and a teaching plan. C. Lower the patient’s current, anxiety level. D. Assess how the patient uses defense mechanisms. 52. As Tricia’s anxiety went down, she verbalized, "I feel undone." An appropriate response for the nurse would be: A. "Why do you suppose you are feeling anxious?" B. "What would you like me to do to help you?" C. "I'm not sure I understand. Give me an example." D. "You must get your feelings under control before we can continue." 53. The next day, Nurse Chesca saw Tricia with a high level of motor activity. She runs from chair to chair and cries, "They’re coming! "They’re coming!”. Tricia does not follow instructions or respond to verbal interventions from start. The initial nursing intervention of highest priority for Nurse Chesca would be to __________________.  A. provide for patient safety. B. increase environmental stimuli. C. respect the patient's personal space. D. encourage the clarification of feelings. 54. Tricia experiences episode of severe anxiety. Which of the following is most appropriate to administer as a PRN anxiolytic medication? A. Buspirone (BuSpar) B. Lorazepam (Ativan) C. Amitriptyline (Elavil) D. Desipramine (Norpramin) 55. When Tricia was discharged, she has been unable to leave her home that week because of severe anxiety, and she says, "I know it does not make sense, but I just can't bring myself to leave my apartment alone." Which nursing intervention is appropriate for Nurse Chesca to initiate? A. Teach the person to use positive self-talk. B. Assist the person to apply for disability benefits. C. Ask the person to explain why the fear is so disabling. D. Advise the person to accept the situation and use a companion. Situation: A finance director, Mr. Enrile, 55 was brought to the hospital for diagnostic workup after he had experienced seizure in his office. Nurse Henry was assigned to him. 56. Just as Nurse Henry was entering the room, the patient who was sitting on his chair begins to have seizure. Which of the following must the nurse do FIRST? A. Ease the patient to the floor B. Lift the patient and put him on the bed C. Insert a padded tongue depressor between his jaws.