Tiêu đề 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

D. "Morning care refused to be given by nursing assistant. 33. A nurse administers the wrong intravenous fluid to a patient. She shouldaccomplish which of the following documents to be submitted to herimmediate supervisor? A. Patient Kardex B. Incident report C. Progress report D. Endorsement record 34. When developing a care plan for a patient with a do-not-resuscitateorder, the nurse should NOT Include which intervention on the care plan? A. Allow access to individuals who can provide spiritual care. B. Administer pain medications as ordered by physician. C. Provide usual routine nursing care as ordered by physician. D. Administer lethal doses of medication as patient request. 35. A patient is to undergo a laminectomy in the morning. The physician asksthe nurse to witness the patient's signing of the consent form. What isthe BEST action the nurse? A. Provide emotional support for the patient while the patient signs the consent. B. Make sure the physician explains the risks of undergoing the procedure. C. Make sure the physician thoroughly describes the procedure. D. Make sure the patient is competent, awake and alert before he/she signs the consent form. Situation: Charge Nurse Tessie works at the surgical ward. She ensures g record management is implemented in her unit at all times. 36. A patient is having elective surgery under general anesthesia. Who is responsible for obtaining the informed consent? A. Surgeon B. Nurse C. Nurse anesthetist D. Anesthesiologist 37. Which statement by the patient indicates that the he understands the explanation of the surgeon? A. "I refuse to sign the consent form; another family member can sign for me." B. “Now I know what alternative treatments and procedure are.” C. "If I refuse to sign the consent form, other treatment will be withdrawn.” D. "I can't refuse the procedure after the consent is signed." 38. The wait secretary who transcribes the physicians order asks them to interpret an order because she cannot read the writing. The nurseBEST action in to _______. A. Clarify the order with the pharmacies B. clarify the order by calling the physician C. interpret the order according to the patient’s previous medication record D. clarify the order with junior staff 39. The physician orders to transfuse 500ml packed RBC blood postoperatively. The nurse must check the name on the label of the blood with the name on the patient’s _____. A. Medication administration record B. Wristband in the presence of another nurse C. Medical Chart D. Wristband 40. The patient's wife is so anxious about the condition of her husband. The MOST appropriate INITIAL intervention for the nurse to make is to _____. A. Describe her husband's medical treatment since admission B. reassure her that the important fact is her presence C. explain the nature of the injury and reassure her that husband's condition is stable D. allow her to verbalize her feelings and concern Situation: Quality and safety are rooted in the daily work of a health care professional. Nurses in the Orthopedic Unit attend monthly quality assurance meetings. The following questions were discussed. 41. Who should be involved in quality improvement measures? A. Everyone B. Management staff C. Professional staff D. Consumers 42. To start a nursing improvement project, what is the FIRST step that nurses most keep in mind? A. Implement plan to correct the problem B. Determine the nursing standards C. Determine findings if warrant correction D. Collect data, determine if standards are set 43. To achieve organized work flow in the unit the staff must be aware of the head nurse's role. What is the PRIMARY purpose of supervision delegation? A. Enhances the delivery of quality nursing care B. Influences organization's approach in personnel evaluations C. Improves staff attendance in seminars D. Assigns any staff to do the tasks or project. 44. To ensure quality nursing care to a patient in skin traction, what is the PRIORITY Intervention that a nurse has to assess frequently? A. Signs of infection around the pin site. B. Signs of skin breakdown C. Urinary incontinence D. Presence of bowel sounds 45. The nursing team plans to do chart audit project on post-op patients who had developed pressure sores at the Orthopedic unit over the past year to present. What type of audit is? A. Retrospective B. Process C. Concurrent D. Outcome. Situation: Incidence of drug abuse has greatly increased over time. Korino has been using drugs for the past three years. 46. You are a Drug Abuse Treatment and Rehabilitation Center Nurse. During the assessment of a newly admitted Person Who Uses Drugs(RWUDS) named Korino, which of the following is the MOST APPROPRIATE question to ask? A. Ask Korino how long he thought that he could take drugs without someone finding it. B. Ask Korino why he started taking illegal drugs. C. Do not ask any questions for fear Korino will deny and may become assaultive. D. Ask Korino about the amount of drug used and its effect and how long he had been using. 47. Upon data collection he had been falling three times in his math class and Korino was known for substance dependence for three years. What is the MOST APPROPRIATE nursing diagnosis for him? A. Alteration in perception. B. Alteration in social interaction. C. Ineffective individual coping. D. Impaired judgement. 48. Korino has been using meperidine and codeine for personal consumption.Which of the following does the nurse understand as the effect of these drugs? A. Increases sexual stimulation. B. Relieves pain by increasing pain threshold. C. Decrease craving for alcoholic intake. D. Heightens concentration and alertness 49. Which assessment by the nurse would cause a concern for Meperidine overdose? A. Respiration rate of 12 bpm. B. Hypercapnia C. Dryness of the skin. D. Pinpoint pupils. 50. What drug should the nurse prepare for administration to reverse all signs of toxicity? A. Digibind (Digoxin) B. Naloxone (Narcan) C. Atropine sulfate D. Diazpam (Valium) 3 | Page