Nội dung text RECALLS 11 - NP5 - SC
1 | Page RECALLS 11 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 Situation: Lexie, 52 years of age, was brought to the ED due to numbness on her left face and a confused mental state. The physician’s initial diagnosis is ischemic stroke. 1. The following are true regarding brain attack except: A. It can be caused by thrombosis or embolism B. The use of oral contraceptive increases the risk of having a brain attack C. Cerebral anoxia lasting longer than 20 minutes causes irreversible damage. D. Airway patency is always a priority. 2. Lexie’s father, Thatcher, asks the nurse if his daughter’s initial diagnosis is different from “hemorrhagic stroke” which his late grandfather experienced years ago. The nurse answers correctly if she answers: A. Yes, ischemic stroke patients may experience severe headaches, while hemorrhagic patients may not. B. Yes, ischemic stroke is more common and occurs when a blood vessel is blocked by a clot or thrombosis; while hemorrhagic stroke occurs when a blood vessel bursts and bleeds into the brain causing hemorrhage. C. No, they are generally the same. D. No, because manifestations of different types of stroke are similar. 3. The nurse is aware that the following should be implemented during the acute phase of stroke except: A. Maintaining a quiet environment B. Placing antiembolism stockings C. Administering oxygen D. Inserting a urinary catheter 4. Visual-perceptual disturbances can occur in stroke. The nurse should encourage the client to: A. Provide eye care for visual deficits B. Approach from the affected side C. Approach from the unaffected side D. Turn the head to scan the complete range of vision 5. What is the most ideal position of Lexie when eating? A. Sitting in a chair or up in bed, with the head and neck positioned slightly forward and flexed. B. Sitting in a chair or up in bed, with the head positioned slightly forward and flexed. C. Sitting in a chair or up in bed, with the neck positioned slightly forward and flexed. D. High-fowler Situation: Nurses have an important role in establishing an environment that satisfies the biological, psychosocial, and spiritual needs of clients. They are often challenged with issues and problems in creating therapeutic environment for clients. 6. In structuring a therapeutic environment, it is MOST important for the nurse to: A. Safeguard physical safety and psychological security. B. Keep an effective social order that recognizes authority. C. Keep a restrictive environment to prevent patient assaultiveness. D. Maintain a closed-door policy to instill order and disciple. 7. Environment as referred to in ‘milieu therapy’ refers to the: A. Building and grounds where patients interact. B. People with different personalities who relate with one another. C. Physical environment and relationships of people within. D. Immediate physical surroundings that create an ambience for the patients 8. Attitude therapy safeguards the therapeutic application of attitudes toward patients. Rico, seeks attention from the staff by repeatedly deviating and not participating in structured activities. It is BEST for the nurse to: A. Respond: “it is okay for as long as you don't bother anyone” B. Have a patient watcher monitor him closely. C. Ignore the behavior. D. Respond: “we have agreed on a schedule. I expect you to follow.” 9. The nurse is aware that these patients are likely to be exploited in a group setting. These are the patients who are: A. Suspicious B. Sociable C. Withdrawn D. Hostile 10. A therapeutic community aims to: A. Have team leaders to check physical presence and attendance of patients in ward activities. B. Constantly monitor implementation of ward policies and rules. C. Encourage patient interactions, group problem solving and decision making. D. Encourage patients to police themselves and impose sanctions on ward violations. Situation: A nurse researcher in the Psychiatric unit is undertaking a study on the relationship between depressive symptoms and motivation to lose weight among high school overweight teens in selected schools at the National Capital Region. 11. The study design to be used by the researcher is: A. Experimental B. Predictive correlational C. Non-experimental D. Descriptive correlational 12. Which of the following is true about the study design being used by the researchers? A. There is no researcher intervention. * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *