Tiêu đề RECALLS 2 (NP4) SC ✅

RECALLS EXAMINATION 2 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 - A 60 year old male is admitted to the oncology unit. According to the client, he felt a growth during a routine digital prostate examination. He complains of pain on urination and frequent urination. 1. The nurse understands that the function of the prostate gland is primarily to ______; A. Regulate the acidity and alkalinity environment for proper sperm development. B. Produce a secretion that aids the nourishment and passage of sperm. C. Secrete a hormone that stimulates the production and maturation of sperm. D. Store undeveloped sperm before ejaculation. 2. The nurse analyzes the laboratory values and notes that the serum phosphate level is elevated. This finding indicates which of the following: A. It confirms the diagnosis of prostate cancer. B. The progression or regression of prostate cancer. C. The likelihood of metastasis to the bones. D. There are complications associated with cancer. 3. The nurse knows that hormone therapy is the mode of treatment for a client with prostate cancer. The goal of this form of treatment is to ______: A. Limit the amount of circulating androgens. B. Increase prostaglandin level. C. Increase the amount of circulating androgens. D. Increase testosterone level. 4. The nurse writes a nursing diagnosis of Fear and Anxiety secondary to the diagnosis of prostate cancer. Which of the following interventions would be BEST for the nurse? A. Encourage the client to keep his feelings to himself so his family will not be affected. B. Establish a nurse patient therapeutic relationship. C. Advise the client to have a positive outlook relationship. D. Provide spiritual support to the client. Situation – A 65-year old male is admitted for prostate cancer. On assessment, the nurse determines that the patient has experienced incontinence. The nurse knows that incontinence is the first most common symptom of prostate cancer. 5. Based on information gathered, the nurse writes a nursing diagnosis. Which of the following diagnoses is MOST appropriate? A. Deficient knowledge related to self-care and risk prevention. B. Fear secondary to the diagnosis of cancer. C. Risk for urinary infection D. Risk for impaired urinary elimination 6. To help manage incontinence, the nurse instructs the patients to do which of the following: A. Eat foods rich in fiber B. Increase fluid intake. C. Take medications to manage pain. D. Perform perineal muscle exercises 7. The patient asks for treatment option for his condition. The Nurse explains that treatment options are based on which of the following: A. Gender B. ability of the patient to manage physical and emotional implications of incontinence C. Socio-economic status D. grade and stage of the disease 8. The patient asks the nurse what the physician meant about his prostate cancer as Stage C or T3. The nurse explains that the tumor is ______________: A. palpable and has spread to other organs and often to distant sites such as bones and lymph nodes. B. palpable and has spread beyond the prostate but not to other organs. C. confined to the prostate and was not palpable during digital rectal examination. D. confined to the prostate and was not palpable during digital rectal examination. 9. The nurse recalls the staging and classification of prostate cancer. Which of the following statements is TRUE? A. the gleason grading system is usually used for hematological cancers but not prostate cancer. B. The normal prostate specific antigen (PSA) range under 40 years of age is less than 4 to 6 ng/mL. C. at least two separate biopsy specimens are graded based on their differentiation from normal prostate cells. D. A score of D is less invasive than a score of B in the cancer staging system. Situation - A mother with the diagnosis of AIDS states that she has been caring for her baby even though she has not been feeling well. 10. What important information should the nurse determine? A. is she has kissed the baby B. if the baby is breastfeeding C. when the baby last received antibiotics D. how long she has been caring for the baby 11. The nurse is planning to provide discharge teaching to the family of a client with AIDS. Which statement should the nurse include in the teaching plan? A. “Wash the dishes in hot soap as you usually do.” B. “Let the dishes soak in hot water overnight before washing.” C. “You should boil the client’s dishes for 30 minutes after use.” D. “have the client eat from paper plates so they can be discharged.” 12. During an AIDS education class a client states, “Vaseline works great when I use condoms.” Which conclusions about the client’s knowledge of condom use can the nurse draw this statement? A. an understanding of safer sex 1 | Page
B. an ability to assume self-responsibility C. ignorance concerning correct condom use D. ignorance concerning the transmission of HIV 13. The client with AIDS is experiencing nausea and vomiting. The Nurse would make which of the following dietary alterations for this client to enhance nutritional intake? A. Avoid dairy products and red meat B. Plan large nutritious meals C. Add spices to food to enhance flavour D. Serve foods while they are warm 14. The Physician orders a Paracentesis. How should the nurse instruct the client to prepare for the radiograph? A. void before the procedure B. a laxative the evening before the procedure C. nothing by mouth for 8 hours before the procedure D. a low soapsuds enema the morning of the procedure Situation – A 34 year old female client complains of experiencing double vision and frequent headaches. The client claims to be forgetful and has mood swings. A diagnosis of right frontal lobe lesion was made and the client was admitted for craniotomy. 15. The client claims to have a diagnostics work up in the outpatient unit before she was admitted. The admitting nurse prepares the client for which of the procedure that will MOST likely confirm the presence of brain tumor? A. Myelogram B. CT Scan C. Lumbar puncture D. Skull x-ray 16. While the client is being interviewed, she had a seizure. The initial intervention of the nurse must be directed towards: A. Protecting the client B. Controlling the Seizure C. Reducing circulation to the brain D. Restraining the client 17. After surgery, it is important for the nurse to position the head of the client properly to: A. Facilitate venous drainage B. Prevent hemorrhage on the suture line. C. Provide for client comfort D. Maintain patent airway 18. The Nurse is aware that one of the measures listed below is contraindicated in post-operative pulmonary toilet. A. Suctioning B. Deep Breathing C. Turning D. Coughing 19. The surgeon orders glucocorticoid Dexamethasone (Decadron) to be given following craniotomy. The nurse recognizes that this drug: A. Creates a feeling of euphoria, which is beneficial in the early post-operative period. B. Promotes excretion of water which aids in reducing ICP. C. Enhances venous return and thus reduce ICP D. Reduces cerebral edema thus reducing ICP. Situation - Ms. Mika is a director of the critical care unit of hospital x. She utilizes the nursing process to communicate care to the client. 20. She is called to the bedside of a client who is scheduled to have laparoscopic cholecystectomy. The client’s pulse is slightly irregular. Ms. Mika confers with the primary nurse regarding the client’s condition, which step of the nursing process is Ms. Mika applying? A. Implementation B. Evaluation C. Planning D. Assessment 21. Ms. Mika calls for a conference with the staff members who are attending to the client. They decide to obtain a 12-lead ECG for a more definitive picture. They conclude that the client has no serious cardiac or pulmonary problems. Which step of the nursing process is in effect in this situation? A. nursing diagnosis B. assessment C. evaluation D. planning 22. Ms. Mika consults with the attending physician and the anesthesiologist. She advises the primary nurse to proceed with the preparations and to remain alert for any adverse symptoms. Which step of the nursing process is this? A. Assessment B. nursing diagnosis C. planning D. evaluation 23. Ms. Mika confers with the client’s primary nurse the following morning. Together they determine that the client is ready for surgery. This step of the nursing process is: A. evaluation B. Planning C. nursing diagnosis D. assessment 24. Ms. Mika applies the human relations approach in this situation. She is aware that the key to productivity is _________________. A. the degree of independence allowed B. meeting the objectives of the critical care unit C. Firm control of the situation D. the behavior of people under direction Situation – A Nurse in the intensive care unit attends to a 20 – year old female who was involved in a vehicular accident three days prior to admission. The prognosis is very poor. No brain activity was detected after two electro encephalograms (EEGs) were taken. 25. The family decides to wean the patient from the ventilator support. The family talks to the nurse about their decision to get the nurses’ support. Which of the following actions is NOT appropriate? The Nurse ___________. A. Checks the physician’s orders for sedation and analgesia and make sure that the anticipated death is comfortable and dignified. B. Explains to the family what will happen each phase of the weaning and offer support. C. Tells the family that death will occur almost immediately after the patient is removed from the ventilator support. D. Participates in the decision-making process by offering the family information 26. Two hours after the ventilator support was discontinued, the patient dies. The nurse discusses with the family the possibility of donating the deceased person’s organs. The following are guidelines in organ or tissue donation. 1. Religious beliefs in organ donation and transplantation must be respected. 2. Donors must be free of infectious disease and cancer. 3. Consent or written orders by the physician are necessary for referral to an organ procurement organization. 4. The family of the deceased should be offered an opportunity to speak with a knowledge organ procurement coordinator. 5. The person requesting for organ donation does not have to believe in the benefits of organ donation but should support the process with a positive attitude. Which of the guidelines should the nurse observe? A. 1, 2, 3, 4, 5 B. 1, 2, 4 C. 2, 3, 4 D. 1, 3, 5 27. The legal definition of death that facilitate organ donation is the cessation of ________ : A. Function of the entire brain B. Pulse C. Circulatory and respiratory functions D. Respiration 28. The patient is pronounced dead by the physician. Which of the following nursing actions VIOLATES the standards of care for a dead person? A. Removing soiled dressing and tubes. B. Keeping the dead person in a sitting position until the family has arrived and said their goodbyes. 2 | Page