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Nội dung text RECALLS 9 - NP2 - SC

RECALLS 9 EXAMINATION NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD 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 II” on the box provided Situation – The family of Roxas is fond of dogs. A vendor who entered the gate without notice is bitten by one of the pet dogs named Bert. PHN Cords Attends to the vendor. 1. Which of the part of body of the vendor will be the MOST affected in terms of rabies? It is the _________. A. Buttocks B. Head C. feet D. hand 2. To protect the vendor from the dangers of rabies, PHN Cords advises him to clean the wound thoroughly with soap and water, consult a physician and receive anti-rabies vaccination. Which among the following vaccines can provide active immunity? 1. Purified vero cell vaccine 2. Human rabies immunoglobulin 3. Equine rabies immunoglobulin 4. Purified duck embryo vaccine A. 1 and 4 B. 2 only C. 3 and 4 D. 1 only 3. The vendor acquired rabies, what will PHN Cords do to protect those who took care of him? He should administer____________. A. Pre-exposure prophylactic treatment only for the family of Bert B. Post-exposure prophylactic treatment only for the family of the vendor C. Pre-exposure prophylactic treatment to Bert and the vendor’s families D. Post-exposure prophylactic treatment to Bert and the vendor’s families 4. PHN Cord’s intervention to protect all residents who own pets, especially dogs, should be done by_______. A. Coordinating with city/ municipal agriculturist for immunization of all pets B. Coordinating with city/municipal officials to make an ordinance on stray dogs C. Massive campaign to families not to own pets at home D. Massive campaign for responsible pet ownership Situation – The Field Health Services and Information System (FHSIS) is recording and reporting system in public health care in the Philippines 5. The following are the objectives of the FHSIS, EXCEPT: A. Complete the picture of acute and chronic disease B. Ensure data recorded are useful and accurate and disseminated in a timely, easy to use fashion C. Minimize recording and reporting burden allowing more time for patient care and promotive activities D. Provides standardized facility-level data base which can be used for more in-depth studies 6. As a nurse, you should know the process of how these information are processed and consolidated. The fundamental block of the FHSIS system is the ______________ A. Family treatment record B. Output record C. reporting forms D. target/client list 7. The monthly field health service activity report is a form used in which of the components of the FHSIS? A. Target/client list B. Output report C. individual health record D. tally report 8. In using the tally sheet, the recommended frequency in tallying activities and services is_______. A. Weekly B. Quarterly C. Monthly D. Daily 9. To monitor clients client registered in long-term regimen such as the Multi drug Therapy, which component of the reporting system will be most useful? A. Output report B. Tally report C. target/client list D. individual health record Situation – Nurse Omar takes care of the Ramos extended family who resides in the house owned by Nilda’s mother, Marta. Nilda tends a variety store is married to Ramon, a government employee. They have four children: Lester, 20 years old; Gina, 18 years old; Alex, 15 years old; and Celine, 12 years old. Lester is a working student of his second year in computer technology course. Gina is a high school graduate; Alex is in third year high school and Celine is in Grade six. There is one year old baby girl who is a daughter of Gina. Gina, however, could not pinpoint the one who sired her child in as much as she had multiple sex partners. This angered Ramon. 10. Though he recognizes the remorse of his daughter, Ramon still feels confused regarding the situation. He said he tried his best to support his family and had always been considerate and kind. He and his wife would always give them reminders and advice calmly and never in a nagging manner. But still they failed as parents. The possible nursing diagnosis of Nurse Omar of his family is_____________. A. Interrupted family process B. Impaired parenting C. Parental role conflict D. Ineffective role performance 11. Nurse Omar ’s conversation with Gina revealed that the young woman still suffers from a syndrome of failure: failure to complete one’s normal growth and development, failure to complete education, failure to establish a vocation and become independent and failure to have a life. The nurse Omar ’s intervention to this problem is_____________. A. Linear approach with regards to the individual in the 1 | Page
context of the family, community and culture that will combat shame and guilt B. Lay down the foundation of a future by trusting human association and developing mutual trust initially with the nurse, then the family, and eventually the whole community C. Focus on the factors that will help protect Gina towards proximal stimuli for healthy growth and development to develop her resiliency in confronting current and future problem D. Transform interactions among family members, strengthen specific roles and functions to strengthen family system in order to eventually cope 12. In one home visit, Nurse Omar was approached by the 15 year old Alex. He was asking about condom use. He said he has a girlfriend with whom he is madly in love with but does not want her to get pregnant. Nurse Omar ’s most practical and best advice would be__________. A. Postpone sex and suggest other ways to expressing love B. Explain to him the difference between sex and love C. Teach him by step-to-step correct, continuous and consistent condom use D. Discourage him on having a girlfriend and focus more on his studies 13. Ramon complains to Nurse Omar some weird behaviour of Nilda. These past few months, she has decreased sex drive, night’s sweats and mood swings. He also received weird text message from her such as: “Do you really love me?”, “What role do I play in your life?” “Do you still find me attractive?” The best advice of Nurse Omar to Ramon should be________. A. Give her some money for make-over to increase her self-esteem and make her look attractive to him B. Accompany her to a psychiatric C. Ignore his wife or tell her she is too old to act like a teen-ager D. Give reassurance that she is the best person who came to his life 14. Apparently, the nurse interventions have improved family relationships. The members are now communicating with one another and are excited in preparing for a family affair, which is the baptism of Beatrice. Nurse Omar was asked to be the godfather of the child. His best response is_________. A. Accept and proudly say that Beatrice will be his 49th godchild B. Refuse and make an alibi that he belongs to another religion C. Accept and express gratitude for the trust accorded him by the family D. Politely decline and explain that his relationship with the family must not go beyond professional Situation – Belinda, the PHN in the Municipality of La Trinidad, learned from the residents that children and some elderly had been suffering from respiratory and skin ailments allegedly due to the bad smell curly dark smoke emitting from the factory nearby. She was invited to the community assembly that was initiated by the barangay council. 15. The barangay captain asked, “What can you do to help solve the problem of Nurse Belinda?” What would be the right response of Nurse Belinda? A. “Well, your problem is easy to solve. I have here some cough syrup, ointments for the skin and some antibiotics. I will distribute this after the meeting.” B. “Who among you here have children who are suffering from respiratory and skin diseases? How about the adults who are here? Are you also having the same problems?” C. “I suppose you gave a lot of thought about the problem and its possible solution. However, treating your children and the elderly is not the first solution. We have to go to the root cause of the problem.” D. “May I ask you what solution have you identified for the community problem?” Situation – Nurse Lovely, a newly promoted senior nurse in Obstetrics ward (OB) is attending a seminar on management and leadership in preparation for her work. 16. Nurse Lovely learns the five principles of goal setting in which the senior nurse must provide enough time for OB nurse to improve performance. This is called__________ A. Challenge B. Commitment C. feedback D. task complexity 17. The nurse also learns that continuous training is a personal as well as an organizational goal. Choose the statements that are true regarding continuous training 1. Training employees is an excellent investment and a cost to an institution 2. Continuous training is more of a personal responsibility than institutional 3. Cross training and job rotation provide on-going part-time learning experience 4. Select the best people when hiring employees and invest their retention through continuous training A. 3 and 4 B. 1 and 2 C. 1 and 4 D. 2 and 3 18. Noting the importance of Nurse-Patient-Relationship, Nurse Lovely reviewed Hildegard Peplau’s Theory which identified three phases, the FIRST of which is when the pregnant woman is________. A. Feels the need to seek professional assistance B. Demonstrates self-reliance in caring for herself C. Understands the communication of Nurse Lovely regarding the services offered D. Begins to have feeling belonging 19. Nurse Lovely took note that evaluating the OB staff is an on-going function of management. Some of the reasons for conducting evaluation include, EXCEPT to _____________. A. Provide an indication of the costs of poor quality services B. Justify the use of resources C. Dissuade self-evaluation of OB staff D. Ensure that quality of care is provided by the OB staff Situation- You are an OB nurse in an out-patient department of a hospital. You encounter pregnant women with complication 20. A 35-year old woman, on her 2 nd trimester of pregnancy with insulin-dependent diabetes mellitus, comes to you for some advice. What is the PRIORITY message for her at this time? A. Infants of diabetic mothers are big which can result in more difficult delivery B. Breastfeeding is highly recommended and insulin use is not contraindicated C. Achievement of optimal glycemic control is of utmost importance in preventing congenital anomalies D. Her insulin requirements will likely increase beginning 3 rd trimester of pregnancy 21. A 30-year old G6P5 woman at 12 weeks has just begun prenatal care. Her initial laboratory reveals that she has human immunodeficiency virus (HIV) infection. What would be a priority evidence-based nurse information for this patient? A. Breastfeeding is still recommended due to the great benefits to the infant B. Pregnancy is known to accelerate the course of HIV disease in the mother C. Medication for HIV infection is safe and can greatly reduce transmission of HIV to the infant D. Breastfeeding will potentiate the transmission of HIV from the mother to the child Situation– Nurse Dana, a nursing staff applicant, passed both written and oral examinations. Because she knows the head of office, she promised to submit all her credentials after she has “fix things up.” She was appointed as Nurse I with a temporary status until she submits all her credentials, including her PRC license. Her evaluation performance was satisfactory. After a year though, she had to renew her PRC registration and identification (ID) card. 22. What action must the nursing administration do FIRST? A. Report the matter to the head of office who had the discretion to appoint the nurse B. Verify with the Professional Regulation Commission regarding the status of Nurse Dana 2 | Page

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