Tiêu đề RECALLS 1 (NP4) - STUDENT COPY ✅

RECALLS EXAMINATION 1 NURSING PRACTICE IV CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART B) MAY 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 IV” on the box provided Situation: Jabi, 69 years of age, is diagnosed with Benign Prostatic Hyperplasia (BPH). 1. The nurse anticipates that the signs and symptoms of BPH do NOT include ______. A. frequency of urination B. pain on urination C. dribbling of urine D. hesitancy in starting urination. 2. Jabi asks the nurse to explain his condition (BPH). Which statements are CORRECT explanations by the nurse? I. It blocks the urethra II. It obstructs the bladder. III. It spreads to other parts of the body IV. It leads to urinary retention A. I and IV B. II, III, and IV C. I, II, and III D. I and III 3. What IMMEDIATE danger should the nurse anticipate post Transurethral Resection of the Prostate (TURP)? A. Infection B. Bleeding C. Thrombosis D. Shock 4. The nurse knows that the normal color of the bladder irrigation drainage right after TURP is ____. A. reddish pink B. bright red C. light pink D. yellowish 5. Sexual dysfunctions like impotence, erectile dysfunction, and lack of libido are likely possibilities in what prostatic surgery? A. Suprapubic prostatectomy B. Transurethral resection of the prostate C. Laparoscopic prostatectomy D. Perineal prostatectomy Situation: Derek, 52 years old has been a cigarette smoker since age 17. Has nagging cough and hoarseness of voice and dyspnea. Based on the physical and laboratory findings, the physician suspected him of having lung cancer. 6. Which of the following is NOT a known predisposing factor to lung cancer? A. House is near a banana plantation. B. Works as a sprayer of vegetables and fruit trees. C. Lives in a suburban area. D. Living with my mother who is a tobacco smoker. 7. Upon history-taking, the nurse notes that the cough of a patient with lung cancer usually STARTS off to be _____. A. blood-tinged B. productive C. dark yellow sputum D. dry and persistent 8. Which diagnostic procedure is commonly used to establish the diagnosis of lung cancer which provides a detailed description of the tracheobronchial tree and allows for biopsies of suspicious areas? A. Computerized Tomography (CT) scan B. Bronchoscopy C. Sputum cytology D. Positron Emission Tomography (PET) 9. To help the patient with his breathing difficulty, the nurse places him in which position? A. Prone B. Fowler's C. Sim's lateral D. Supine 10. Derek is diagnosed with small cell lung cancer (SCLC), a rapidly growing type of cancer. He and his family were shocked when told by the doctor that the patient will just undergo palliative treatment. Which nursing action is MOST APPROPRIATE? A. Providing relief from symptoms. B. Reducing fatigue C. Providing psychological support D. Advising treatment options Situation: Nurses should not only abide by the laws, but be guided by the Code of Ethics for Nurses as well. 11. The Code of Ethics for Nurses have articles relating to the relationship of nurses on ____. (Select all that apply.) I. people II. practice and the profession III. co-workers IV. society and environment A. I, III, and IV B. I, II, III, and IV C. II, III, and IV D. I, II, and III 12. The Code of Ethics adopted all the principles under the A. Code of Good Governance B. Patient's Bill of Rights C. ICN Code of Ethics D. American Nurses Association (ANA) Code of Ethics 13. According to the Code of Ethics, WHO determines the coverage and scope of the examination for the practice of nursing in the Philippines? A. Professional Regulation Commission B. Association of Deans of Philippine Colleges of Nursing C. Professional Regulatory Board of Nursing (PRBON) D. Professional Association of Philippine Regulatory Boards (PAPRB) 14. What are the three important legal principles in nursing professional ethics? I. Autonomy II. Informed consent III.Confidentiality IV. Truthtelling A. I, II, and IV B. II, III, and IV C. I, III, and IV 1 | Page
D. I, II, and III 15. The "end- justifies-the-means” ethic is described as ____. A. having no correct or wrong conclusion B. basically without any ethical issue C. conclusively unethical D. unavoidable during these modern times Situation: Proper recording is a vital task that the nurse is trained to do properly in nursing school and expected to practice as a professional. 16. Nurses are taught as students that the ideal and PROPER time for recording vital signs and notes on the patient is ______. A. during the next vital signs taking for comparison B. after all the tasks are done, in order to conserve time C. as soon as they obtain the signs or observations on the patient D. to wait for lunch break to do the recording 17. Right after endorsement and during the rounds, the incoming nurse observes that the IV fluid is at 700 cc level and not 500cc, as endorsed. What is the CORRECT information that she will chart? A. Anything goes, nobody reads the charting anyway. B. Record the 500 cc. C. Chart that she received 700 D. Refer to the Head Nurse on what to do. 18. Which is the APPROPRIATE way to correct an error in the Nurses Notes? A. Take the whole page out and replace with a fresh one B. Draw a single line across the error and initial it C. Draw a single line across and write “Error” D. Use a rubber eraser to erase an error. 19. If a medicine is unavailable and therefore not given to the patient, how is it charted? A. Leave it blank. B. Sign and make an explanation in the Nurses Notes. C. With an asterisk or mark, as per hospital protocol. D. Write the letter. 20. If the patient is referred to another consultant and the latter has made an order already, what can the nurse CORRECTLY chart? A. The attending physician has not yet read the order. B. Only one order has been left to be carried out. C. She has carried out the orders of the consultant. D. That the consultant has seen the patient with new orders. Situation: The 3-year-old child has just finished ingesting the kerosene stored in a Lem-o-line bottle. When the mother saw the child, she immediately brought him to the nearest hospital. 21. The assessment of the patient with ingested poison must include ___________. I. determining the poison ingested and the amount. II. the time from ingestion and the signs and symptoms III. weight of the patient IV. patient's Immunization history A. I. II. III, and IV B. I, II, and IV C. I, II, and III D. II, III, and IV 22. In case of poisoning, the nurse is aware that the main goals in poisoning are to _____. I. inactivate the poison II. administer the specific antidote III. induce the patient to vomit IV. support vital organ functions A. I, II, and IV B. I, II, and III C. I, II, and IV D. II, III, and IV 23. To remove the ingested poisonous substance, the physician ordered a gastric lavage. What is the role of the nurse immediately prior to the procedure? A. Get the right size of the nasogastric tube. B. Remind parents to be careful next time C. Obtain informed consent immediately. D. Tell the parent that they are negligent 24. The nurse is aware that the proper management of poisoning includes the following EXCEPT to ________. A. perform hemoperfusion B. remove the toxin through dialysis C. dilute the ingested substance D. induce vomiting after ingestion of the caustic substance orpetroleum distillate. 25. Discharge instructions made by the nurse to the parents should include ____. A. close monitoring of the toddler B. disciplining the child every time C. poison-proofing the home D. lecturing the child on safety Situation: General concepts of immunology must be learned by the nurse to appreciate the management of her patients. 26. Immunity that the baby gets from the immune mother through breastfeeding is: A. Passive natural B. Active artificial C. Active natural D. Passive artificial 27. Cell-mediated immunity is NOT usually associated with what condition A. Rejection of tissue graft B. Production of antibodies. C. Skin hypersensitivity reaction. D. Surveying for malignant cells 28. When a person vaccinated with a Covid-19 vaccine produces antibodies the disease, the immunity is termed: A. Active artificial B. Passive natural C. Active natural D. Passive artificial 29. The blood protein involved in the immune system is: A. Thrombin B. Globulin C. Albumin D. Hemoglobin 30. The immunity conferred by tetanus toxoid is best described as: A. Lifelong passive B. Long-lasting active C. Temporary passive D. Lifelong active Situation: Nurses must continually grow as a person and as a professional. 31. As a newly licensed nurse employed in a tertiary hospital, you are required to attend Continuing Professional Development (CPD) program.When the training program is for the enrichment of nurses in the hospital, it is called _______. A. informal training program B. formal education program C. self-directed D. In-service training program 32. The professional development ways, such as of a nurse can be achieved through various ways, such as _____. A. Participating in political rallies B. Attendance in socio-civic activities C. Attending demonstration of baking D. Engaging in CPD programs 33. When nurses are projected in a television advertisement as sex symbols, what APPROPRIATE action is expected from a concerned nurse? A. Keep your silence, it is the television station's prerogative. B. Go to the street to manifest displeasure of the nurses' portrayal. C. Make a position paper to denounce the advertisement D. Condemn the issue in the radio program. 34. To grow as a person, the student nurse can attend lecture-demonstration on which of the following procedures? A. Bathing the newborn B. Proper bandaging C. Doing first aid D. Doing makeup 35. Nurse SHerry's application to Canada has finally been approved and she was advised to depart in three months. But, she is also enrolled in the graduate school and ambivalent about going because of this engagement plus the fact that her 2 | Page
mother has just been discharged from the hospital. Which of the following actions is BEST? A. Tell family that the money spent in graduate school can be easily earned in Canada. B. Inform the agency that she could go anytime as they wish C. Tell the recruiter to give her more time to settle her personal affairs. D. Share to friends this is her escape from her sad life with her family. Situation: Karla, a kasambahay, is admitted for leukemia in exacerbation. She appears shy and seldom talks to hospital staff, except with the watcher who is her sister. 36. Nurse Rina wants to draw the patient out of her shell so she would be better able to elicit the patient's cooperation. Which of the following actions is MOST helpful? A. Just ask Karla straight out the questions that need to be asked. B. Smile at the patient and allow her to express her concerns. C. Talk to the sister instead to get more information. D. Be a professional in every way in dealing with her. 37. Friendly but professional overtures have finally made Karla open up her circumstances to the nurse, including their financial difficulty. What has been established at this time? A. Beginning of a friendship B. Trusting relationship with the nurse C. A lifelong commitment D. A dire need for financial help 38. One morning during rounds, Nurse Rina noticed that Karla was unduly sad. The nurse's BEST way of communicating her concern is ________. A. whatever it is, you lift it up to God B. saying you are sad again, that is bad for your health C. telling Karla to stop worrying, everything will be okay D. placing her hand over Karla's shoulder and asking why the sad face 39. The day of discharge came and Karla's face became all the more sad.When asked why, she answered she has no money to pay the bill. The BEST way of communicating her piece of advice is stating which of the following? A. You can go to the cashier to find out what she can advise you. B. The government has agencies for those who need financial assistance. I will give you the list. C. You can always pay in staggered amounts to be given every15 days. D. Ask help from generous relatives so you can have additional down payment. 40. Leukemia is a chronic illness and it is expected that the patient will be in and out of the hospital. To maintain communication, the nurse will ______. A. ask the patient to call the hospital number listed in the yellow pages B. ask for the phone number where the patient can be easily contacted C. read the information sheet of the patient in the chart D. tell patient to write the number in a piece of paper and give it to the ward clerk. Situation: You are the Quality Improvement office of the Hospital K. To achieve safe and quality outcomes, necessary protocols must be in place and every error or adverse event investigated to find the root cause and thereafter apply the necessary improvement. 41. A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury to a patient. As the QI officer, what is your INITIAL STEP following a sentinel event? A. Reporting to the Department of Health B. Immediate investigation C. Corrective action on the personnel. D. Reporting to the Chief Executive Officer 42. In one of the Board meetings, the QI Officer will report the results of Quality Improvement efforts in the hospital. The report will be presented much BETTER by using which of the following? (Select all that apply) I. diagrams II. charts III.graphs IV. flow charts A. I, II, III, and IV B. 1, III, and IV C. II, III, and IV D. I, II, and III 43. The WHO Surgical Safety Checklist aims to increase the safety of patients undergoing surgery. This is being adopted by the Hospital's Quality Department. Based on the Checklist, you are aware that surgeon, nurse, and anesthetist should be present during the recapitulation and reassurance of correct patient identity, correct site, and correct procedure, which occur right before skin incision. In what phase should the above take place? A. Debriefing B. Sign Out C. Sign in. D. Time Out 44. As the QI officer, you have strongly recommended to the Surgery Department the adoption of the WHO Surgical Safety Checklist to preventa "wrong site" surgery? A. Debriefing B. Briefing C. Time out D. Surgical site marking 45. The QI officer conducts her random visit to the Operating Room. She asks one of the OR nurses in what phase in the WHO Surgical Safety Checklist will the nurse account for the sponges and needles used in the surgery? A. Sign out B. Time out C. Sign in D. Debriefing Situation: Mr. Viejo, Hospital Research Coordinator, is discussing the basics of research with the members of the Research Committee as part of continuing education. Questions and answers were also part of the program. 46. During the open forum, the Mr. Viejo raised the question as to who among the following provides information in the questionnaires. A. Participants B. key informants C. respondents D. subjects 47. One of the members of the Research Committee wishes to conduct a study involving an interdisciplinary team of colleagues. This study is termed as ____. A. clinical B. exploratory C. collaborative D. applied 48. In conducting qualitative research, a nurse should follow the logical reasoning process termed as, which of the following? A. Deductive B. Intuition. C. Causal D. Inductive. 49. The lecturer reminded the committee members that bias is an influence that distorts study results. In quantitative research, which will eliminate bias? A. Trustworthiness B. Credibility C. Randomness. D. Triangulation 50. One of the committee members raised the question on how to make an abstract. The question was followed by how many words are required in an abstract should (APA) style be followed? What is the CORRECT answer? A. 450-550 B. 250-350 C. 150-250 D. 350-40 Situation: Vaundy, a 50-year-old chain smoker, is suspected to have lung cancer after he was seen and examined by his 3 | Page
physician. He and his wife got very worried about his diagnosis. 51. Which procedure has to be done to the patient to establish a definitive diagnosis of lung cancer? A. Chest x-ray followed by a CT scan B. Cytological study of the sputum C. Bronchoscopy D. Magnetic resonance imaging 52. The MOST significant contributory factor to the development of lung cancer is ______. A. being a cigarette smoker B. belonging to the male sex C. Being extremely obese D. age over 40years. 53. The patient while in the hospital is complaining of chest pain. When the nurse is assessing the degree of pain of the patient, the MOST APPROPRIATE basis is ______. A. watcher's description of patient's pain B. patient's own rating of his pain C. Non-verbal cues observed in the patient D. Nurse's own rating of the patient's pain 54. Health teaching on chemotherapy includes informing Tommy on the adverse effect of bleeding related to bone marrow depression. Which verbalization of the patient indicates further teaching? A. I should watch out for discolorations in my skin. B. I am going to take two tablets of Aspirin for my headache C. I may need platelet transfusion in the future D. I should not blow my nose 55. The patient underwent a left pneumonectomy due to lung cancer. During surgery the phrenic nerve is accidentally cut. This incident will result in _____. A. Allow greater expansion of the lungs B. Make the diaphragm descend with ease C. Produce a partially functioning diaphragm D. Make the diaphragm go up with ease Situation: The Clinical Instructor (CI) is conducting a ward class on how to perform the breast self-examination (BSE) 56. The CI is expected to set the atmosphere by welcoming everyone and by _____. A. showing every one the picture of the breast B. discussing the objectives of the ward class C. giving an anecdote about an old man D. going ahead with the first part of the lecture 57. For the students' better understanding about the anatomy of the breast, the CI shares A. various pictures of the breast, external and internal views B. pictures of different types of mastectomies C. the experiences of breastfeeding mothers D. artistic drawings of the breasts 58. The clinical instructor proceeded with the lecture to the students using the ____. A. Question and Answer method B. Entertainment style of presentation C. Students as the resource persons D. Outline of the lecture she just presented 59. When the lecture presentation was finished, the CI proceeded with the ____. A. evaluation of the activity B. Q and A portion on anything the students are interested to tackle C. open forum to solicit questions related to the topic under discussion. D. cracking of humorous anecdotes to keep the class alive. 60. The last and necessary part of the activity is ______. A. informing the students their next day's assignment. B. the joke portion for good vibes C. evaluation so that future but similar activities can be improved D. after care of the venue, an earlier reminder by the HeadNurse Situation: Hypovolemic Shock. The adult patient on his way to the office met a vehicular accident and was continuously bleeding from the head. He was brought to the nearest hospital by the bystanders. 61. What must the Emergency Room Nurse do FIRST? A. Start an intravenous line at once. B. Position with head lower than extremities. C. Request for laboratory examinations. D. Stop the bleeding immediately. 62. Due to continuous bleeding the patient goes into the second stage of shock with BP 80/60. What are the possible effects on the heart in this stage? I.Increased heart rate II. Chest pain III. Increased cardiac troponin IV. Myocardial infarction A. I, II, III, and IV B. I and II C. I, II, and III D. II, III, and V 63. The BEST position for the patient to assume in case of shock is ________. A. modified Trendelenburg B. high Fowler's C. recumbent D. low Fowler's 64. What isotonic electrolyte solutions are COMMONLY used as fluid replacement in hypovolemic shock? I. Dextrose 5 percent in water II. 0.9 percent sodium chloride III. Lactated Ringer's solution IV. Dextrose 10 percent in water A. II, III, and IV B. I, III, and IV C. II and III D. I and IV 65. In case the patient would go into cardiovascular overload as a result of the intravenous fluid therapy the PRIORITY nursing action should focus on ______. A. respiratory distress B. increase in total urine output C. increase in body temperature D. edema in the lower extremities Situation: Nurse Jemma is working in the ER when a strong earthquake shook the city. Fifteen minutes later, a number of patients have been starting to arrive in the ER. 66. As the triage Nurse, which of the following will be Jemma's priority? A. A non-responsive patient with a sunken skull. B. The patient with facial wounds and fracture. C. Patient with sucking chest wound D. A man with over 50 percent second and third degree burns. 67. Patients brought in who are unresponsive with penetrating head wounds are tagged by the triage nurse in which color? A. Black B. Red C. Green D. Yellow 68. Those who suffered stable abdominal wounds without significant bleeding will be tagged __________. A. green B. red C. black D. yellow 69. It is very important that nurses must plan for mass casualties, which include _______. I. warfarin II. terrorism III.natural disasters IV. infectious disease outbreaks A. I, II, and III B. I, III and IV C. I, II, III, and IV D. II, III, and IV 70. Nurse Emma must work with the Disaster Committee for an appropriate disaster response strategy, in order to succeed, must have physical assets which includes which of the following? I. Increased security 4 | Page