Tiêu đề RECALLS 13 - NP2 - SC ✅

1 | Page RECALLS 13 EXAMINATION NURSING PRACTICE II CARE OF THE HEALTHY/SICK MOTHER & CHILD 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 III” on the box provided Situation 1- Patient April a gravida 1, para 0. Patient is admitted at the labor room. Her cervix is 100% effaced, and upon IE, her cervix is 3 cm dilated, the fetus is at + 1 station. Staff Nurse Mihka attends to her. 1. Taken from the assessment data above that the fetus is at + station, how will Nurse Regina interpret this? That the head of the fetus is _________. A. Below the ischial spines B. Visible at the vaginal opening C. Not yet engaged D. Entering the pelvic inlet 2. Nurse Mihka monitors the contractions of the patient. She recorded the contractions as follows: started at 10:00 A.M; another began at 10:15 A.M. In MINUTES, what is the frequency of the contractions? A. 10 B. 9 C. 15 D. 14 3. Nurse Mihka assesses the duration of the patient’s contractions by timing them from ________ to ________. A. Beginning of one contraction to the beginning of the next contraction B. End of the contraction to the beginning of the next contraction C. End of the contraction to the end of the next contraction D. Beginning of one contraction to the end of the same contraction 4. After doing Leopold’s maneuvers on the patient I labor, the nurse determines that the fetus is in the ROA position. Where should the nurse place the Doppler to BEST auscultate the fetal heart tones? A. Below the umbilicus near the left groin B. Below the umbilicus on the right side C. Above the umbilicus in the midline D. Above the umbilicus on the left on the left side 5. Patient April was given epidural anesthesia. This indicates late deceleration of the fetus and so the nurse has to do important nursing interventions. ARRANGE the following nursing interventions in ORDER or PRIORITY. 1) Increase intravenous fluids 2) Change position of the patient to the left side lying 3) Reassess fetal heart rate pattern 4) Document intervention and maternal/fetal response A. 3 2 1 4 B. 3 4 1 2 C. 4 2 3 1 D. 2 3 4 1 Situation 2 – Patient Trisha, who is in the third trimester, arrives at the hospital with vaginal bleeding. She states that she snorted cocaine approximately 2 hours ago. 6. Which defined complication is MOST likely causing the client’s vaginal bleeding? A. Premature separation of normally implanted placenta B. Pregnancy outside the uterus C. Termination of pregnancy before the age of viability D. Abnormal lower implantation of the placenta 7. The abdominal pain associated with abruption placentae may be INITIALLY caused by which of the following? A. Disseminated intravascular coagulation B. Blood in the myometrium C. Hemorrhagic shock D. Concealed haemorrhage 8. The bleeding following severe abruption placentae is usually caused by which of the following condition? A. Thrombocytopenia B. Hyperglobulinemia C. polycythemia D. hypofibrinogenemia 9. What should the nurse prepare for the POSSIBLE order of the physician? A. The administration of the oxytocin B. A high- forceps birth C. An immediate caesarean birth D. The insertion of a fetal monitor 10. Abruption Placenta can cause hemorrhagic disorder which can lead to hypovolemic shock. What is the LATE sign of hypovolemic shock that the nurse should watch for? A. Hypertension B. Tachycardia C. hypotension D. tachypnea Situation 3- A nurse is performing an admission assessment on Tonton a 4-year-old, who has been diagnosed with nephrotic syndrome. 11. What sign will BEST support the medical diagnosis of nephrosis? A. Gross hematuria, tea-colored, scanty urine B. History of a streptococcal infection C. Periorbitaledema D. Anasarca 12. Tonton receives prednisone as the major treatment for his nephrosis. Which of the following actions should be observed by the nurse in the administration of prednisone? A. All of the options. B. Administer the drug on a full stomach. C. Monitor Carlo’s temperature. D. Protect Carlo from infection. 13. Which side effect of prednisone will be MOST prominent on Tonton and for which he should be prepared before its administration? A. Hypotension B. Decreased weight C. mooning of face D. vomiting * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page 14. What is the nursing diagnosis for a child with severe edema caused from nephrotic syndrome? It is risk for_________. A. Impaired skin integrity B. Constipation C. Ineffective thermoregulation D. Imbalanced nutrition more than body requirements 15. What will be the APPROPRIATE recommend diet for Tonton? A. High iron, no protein B. High calorie, high protein C. High sodium, high protein D. Low sodium, moderate protein Situation 4- Nurse Shir works in the research unit of the Prinsesa Urduja Women’s Clinic. In the close monitoring of their patients using oral contraceptives (OC), she noted several cases of myocardial infarction (MI). 16. To establish the relationship between MI and OC, Nurse Shir should make a research proposal for which of the following STUDY design? A. Retrospective B. Prospective cohort C. incidence D. cross- sectional 17. Since OCs are categorized into 1 st , 2 nd and 3 rd generations, Nurse Shir decided to study not only the relationship of MI and OC but also which of the three generations of OCs will have the highest risk for MI. Hence, which of the following groups will she include in her study? A. Those who do not take OC, and those who take OC from 1 st , 2 nd , ad 3 rd OCs. B. All those who take OC and those who do not. C. Those who take 1 st OC 2 nd OC and 3 rd OC. D. Those with MI and those with no MI. 18. Statistical analyses revealed the odds ratio for MI among women who used any type of OC, as compared with non- users, was .99. What does this mean? A. Accept the null hypothesis; there is no significant relationship between MI and OC. B. The study focused on the three groups: 1 st OC users with MI, 2 nd OC users with MI and 3 rd OC users with MI. C. There is a relationship between MI and OC and the risk of MI among users of any type of oral contraceptive is twice that of non users. D. The odds of getting MI among OC users and those who are not users is 1:2 19. Which of the following is the independent variable of the study? A. Highest risk B. Three generation of OC C. OC D. MI 20. Identify the groups in the study that will validate the occurrence of the MI among OC users. A. Old cases of MI B. Prevalence of MI C. old and new cases of MI D. incidence of MI Situation 5- Sugar, G2 P3, is a Type I diabetes mellitus (DM) since she was 10 years old. She is in her first trimester of pregnancy. Insu Ling is her nurse. 21. What could be the MOST possible effect of DM to Sugar? She can have ______. A. Ketoacidosis B. Hyperinsulinism C. Hyperglycemia D. Hypoglycemia 22. Which of the following would require an increased dose of medication once Sugar is in the second half of pregnancy? A. Insulin B. Pancreatic enzymes C. estrogenic hormone D. antihypertensives 23. What is the route of administration for insulin during pregnancy? A. Intravenous B. Subcutaneous C. oral D. shot with flex pen 24. Considering Sugar’s condition, Nurse Insu Ling will anticipate what effect to the fetus? The condition will be_______. A. Large for gestational age B. Macrosomia C. Intrauterine growth retardation (IUGR) D. Meningomyelocele 25. On the first postpartum day, which of the following requirements for insulin will be anticipated by the nurse to be ordered by the physician? A. Remain unchanged B. Decrease sharply and suddenly C. Increase rapidly D. Decrease slowly and steady Situation 6- Mrs. Pugita, gravida 3 para 3003, is admitted to the postpartal unit after an uncomplicated labor and vaginal delivery. She opted to breastfeed her baby. Nurse Jasmin is around to take care of her. 26. The first day after delivery, Mr. Pugita tells the nurse that his wife has been talking constantly about her recent delivery experience. He asks if this is a sign of postpartal blues. What should be the BEST response of the nurse? A. “Do you feel uncomfortable about her talking on her delivery experience?” B. “Yes, it’s clear sign of post-partum blues. She may need a psychiatric evalution.” C. “This is a normal reaction. It allows her to accept the reality of the birth of your baby.” D. “No, you should divert her attention away from her delivery.” 27. Later that day, Mrs. Pugita tells Nurse Jasmin that she has urinated four times within the last hour but only in small amounts. What should be the INITIAL ACTION of the nurse? A. Explain that this is normal during the first 24 hours after delivery. B. Palpate Mrs.Alim’s fundus to assess uterine consistency and location. C. Catheterize Mrs.Alim immediately to expel any retained urine. D. Begin measuring and recording and recording Mrs.Alim’s intake and output. 28. Which assessment finding is MOST indicative that Mrs. Pugita is developing puerperal infection? A. Increased pulse rate B. Foul- smelling lochia C. Elevated body temperature D. A white blood cell count of 25,000/mcg 29. Mrs. Pugita asks Nurse Jasmin when her menstrual period will return. The nurse answers that a breastfeeding patient typically resumes menstruating in about____________. A. 8 to 12 weeks B. 3 to 6 months C. 4 to 6 months D. 4 to 6 weeks 30. Mrs. Pugita complains of pain due to breast engorgement. What will the nurse do to encourage her to continue breastfeeding? A. Let her continue breastfeeding on schedule. B. Put hot compress over the breast for 15 minutes before breastfeeding. C. Put cold compress over the breast for 15 minutes before breastfeeding. D. Let her continue breastfeeding on demand. Situation 7- Nurse Jubel is collecting data from a newly admitted patient, Mrs. Jaclyn, who is pregnant with twins. She has a healthy 3-year-old child who was delivered at 38 weeks. She also revealed that she does not have a history of abortion nor fetal demise. Her last menstrual period began February 7, 2017 and ended February 12, 2017.