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Nội dung text RECALLS 3 - NP5 - SC

RECALLS 3 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 Situation: Sandro 8 years old, 1st grader child has always been the subject of her mother's prompting and care. He always tests his mom's rule in preparing for school. Although this has been for five months now , Sandro still has to be reminded of getting dressed completely and dilly dally eating his breakfast. He still plays with his toys and interferes with her sister in playing blocks. The mother is so anxious in reminding Sandro that his school bus will be arriving in 10 minutes every day. 1. Attention deficit hyperactivity disorder (ADHD) is characterized by NOTof the following? A. Mental retardation B. Overactivity C. Inattentiveness D. Impulsiveness 2. Which of the following would the nurse expect to see as symptoms in child with ADHD,except: A. Moody, sullen and pouting behavior B. Interrupts others and can’t take turns C. Excessive running, climbing and fidgeting D. Easily distracted and forgetful 3. Sandro is taking pemoline(Cylert) for ADHD. The nurse must be aware which of the following side effects? A. Decreased thyroid stimulating hormones B. Decreased red blood cell count C. Elevated white blood cell count D. Elevated liver function test results 4. An effective nursing intervention for the impulsive and aggressive behaviors that accompany conduct disorder is _______. A. open expression of feelings B. assertiveness training C. negotiation of rules D. consistent limit setting 5. Nursing diagnosis commonly used when working with Sandro is __________. A. ineffective role performance B. impaired social interaction C. compromised family coping D. risk for injury Situation: The nurse is teaching a client taking an MAOI about foods tyramine that he or she should avoid. 6. Which of the following statements indicates that the client needs further teaching? A. "I will have to avoid drinking non- alcoholic beer." B. "I will be able to eat cottage cheese without worrying." C. "I can eat green beans on this diet." D. I'm so glad I can have pizza as long as I don't order pepperoni. 7. Patient's health teaching for Lamotrigine (Lamictal) should include which of the following? A. Take each dose with food to avoid nausea. B. Eat a balanced diet to avoid weight gain. C. Report any rashes to your doctor immediately. D. This drug may cause psychological dependence. 8. Which of the following health teaching concern for the nurse as discharged plan for suicidal patient who had been taking tricyclicantidepressant drugs for 2 weeks and now ready to go home? A. The nurse will need to include teaching regarding signs of neuroleptic malignant syndrome. B. The patient will need regular laboratory work to monitor therapeutic drug levels. C. The nurse will evaluate the risk for suicide by overdose of tricyclic antidepressant. D. The patient may need a prescription for Benadryl to use forside effects. 9. A patient is to take Lithium regularly after being discharged. The MOST important information to impart to the patient and his family is that the patient should _______. A. not eat foods which has high tyramine content like cheese,wine and liver B. limit his fluid intake C. have a limited intake of sodium D. have an adequate intake of sodium 10. The patient with a diagnosis of Schizophrenia who has been taking Clozapine will inform the patient's family that the positive effect of this drug is ______. A. monthly liver Function studies change moderately B. b. psychotic symptoms, such as hearing loss are reduced C. c. patient develops leukopenia. D. patients energy level and involvement in activities goes up. Situation: Patrick, Charge nurse, is aware that the uses of resources are essential for patient care. 11. A safe patient environment includes following factors EXCEPT _______. A. socio-economic needs B. basic needs are met C. sanitation is maintained D. physical hazards are reduced 12. As an individual, which of the following is an INTERNAL variable affecting health status, belief, or practices? A. Genetics B. Socioeconomic status C. Family structure D. Living situation 13. Falls are one of the leading environmental hazards reported in her facilities. One of the MOST common occurrences that precipitate a patient fall is _______. A. experiencing stress, anxiety, and fatigue B. leaving the side rails down C. reaching item at the bedside D. performing activities of daily living 1 | Page


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