Tiêu đề RECALLS 6 - NP4 - SC ✅

1 | Page RECALLS 6 EXAMINATION NURSING PRACTICE IV CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART B) 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 IV” on the box provided Situation: The charge nurse in the medical unit updates her knowledge on nursing diagnosis. She reviews the terms used to describe clinical adjustment. 1. A nursing diagnosis formulated when there is insufficient evidence to support the presence of the problem but the nurse believes the problem is highly probable and wants to collect more data is a/an _________: A. Risk nursing diagnosis B. Possible nursing diagnosis C. Actual nursing diagnosis D. Wellness nursing diagnosis 2. Which of the following statements is a POSSIBLE nursing diagnosis? A. Constipation related to decreased activity and fluid intake B. Potential for Enhanced Spiritual Well Being C. Possible Self Care Deficit – grooming related to fatigue and muscular weakness D. Risk for Activity Intolerance related to prolonged bed rest 3. Which of the following is a RISK nursing diagnosis? A. Potential for Enhanced Spiritual Well Being B. Possible Self-Care Deficit; grooming related to fatigue and muscular weakness C. Risk for activity intolerance related to prolonged bed rest D. Constipation related to decreased activity and fluid intake Situation: The nurse provides health education to a group of adolescents about pelvic inflammatory disease (PID). – severe inflammation of reproductive tract 4. The nurse explains that prevention of PID in adolescents is important due to which of the following reasons. PID ________: A. can have devastating effects on the reproductive tract of affected adolescents. B. is easily prevented by compliance to any form of contraception C. can cause life-threating defects in infants born to affected adolescents. – wala naman binanggit sa situation, wag mag overthing huwag gumawa ng story sa utak mo. Focus on what is being asked. D. Is easily prevented by proper personal hygiene – too vague 5. The nurse explains to the group of adolescents that the most common cause of PID is _______: A. Tuberculosis bacilli B. Gonorrhea C. Staphylococcus D. Streptococcus 6. The nurse further explains that PID presents the following signs and symptoms, which the adolescent should be aware of:10. A. A hard painless, red and defined lesion on the genital area. B. Small vesicles on the genital area with itching. C. lower abdominal pain and urinary tract infection D. Cervical discharge with redness and edema. 7. Which of the following statements is true when teaching adolescents about gonorrhea? A. Gonorrhea may be contracted through contact with a contaminated toilet seat. B. The infectious agent for gonorrhea is Neisseria gonorrhea C. Gonorrhea is most often treated by multidose of administration of penicillin. D. Treatment of sexual partners is the priority of treatment. 8. The nurse further explains to the adolescents that gonorrhea is highly infectious and it ____: A. Is limited to the external genitalia. B. Can lead to sterility C. Is easily treated. D. Occurs rarely among adolescents 9. Which of the following signs and symptoms should the nurse correlate with a diagnosis of osteoarthritis? A. Erythema and edema over the affected joints B. Joint stiffness that decreases with activity C. Anorexia and weight loss D. Fever and malaise 10. Which of the following factors would most likely increase the joints symptoms of osteoarthritis? A. Emotional stress B. Obesity C. History of Smoking D. Alcohol Abuse Situation: Ysha is an authistic child who loves to bang her head, one day while head banging she unintentionally hit the wall and briefly loses consciousness 11. Ysha is brought into the emergency department of LA Medical Center after suffering a head injury, The first action by the nurse is to determine the Ysha’s A. Level of consciousness B. Pulse and blood pressure C. Respiratory rate and depth D. Ability to move extremities 12. The Nurse anticipates detecting the occurrence of what common complication of head injury. A. Intracranial hemorrhage B. Diabetes insipidus C. Diabetes mellitus D. Basilar Skull Fracture 13. The nurse is aware that she should monitor Ysha’s A. Pulse rate B. Temperature C. Urine output * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page D. Oxygen saturation 14. Ysha is ordered to receive desmopressin (DDAVP) for management of her condition. The nurse should check which of the following measurement to determine the effectivemess of this medication? A. Daily Weight B. Temperature C. Apical heart rate D. Pupillary response 15. The nurse knows that which of the following conditions may alter the effectiveness of DDAVP? A. Increased oral secretion B. Arterial Obstruction C. Nasal Congestion D. Obesity 16. Matilda, with hyperthyroidism is to receive Lugol’s iodine solution before a subtotal thyroidectomy is performed. The nurse is aware that this medication is given to: A. Decrease the total basal metabolic rate. B. Maintain the function of the parathyroid glands. C. Block the formation of thyroxine by the thyroid gland. D. Decrease the size and vascularity of the thyroid gland. Situation: A 30 year old client named Kiana is admitted to the Philippine Lung Center due to sudden onset of chest pain and dyspnea. He has no history of respiratory diseawse but had a complete femur fracture. 3 days ago the following questions apply 17. He is diagnosed with pulmonary embolism (fat embolism) the nurse immediately implements which expected prescription for this client? A. HIGH FOWLER’S, OXYGEN, MORPHINE B. Supine position, oxygen, and meperidine hydrochloride (Demerol) [IM] C. High Fowler’s position, oxygen, and meperidine hydrochloride (Demerol) [IV] D. High Fowler’s position, oxygen, and two tablets of acetaminophen with codeine (Tylenol #3) 18. The doctor ordered ABG analysis for Chandler Bing. The nurse is now sending the ABG specimen to the laboratory for analysis. Which of the following pieces of information should the nurse write on the laboratory requisition? 1 Ventilator settings – fraction of inspired oxygen (FiO2) 2 A list of client allergies 3 The client’s temperature 4 The date and time the specimen was drawn 5 Any supplemental oxygen the client is receiving 6 Extremity from which the specimen was obtained A. 1,3,5,6 B. 1,2,4,5 C. 1,2,3,4 D. 1,3,4,5 19. The nurse is now inserting an oropharyngeal airway to Kianna The nurse plans to use which correct insertion procedure? A. Flex the client’s neck B. Leave any dentures in place C. Suction the client’s mouth once per shift D. Insert the airway with tip pointed upward 20. Chandler Bing is now intubated and receiving mechanical ventilation. The physician has added 7 cm of positive end expiratory pressure (PEEP) to the ventilator settings of the client. The nurse assesses for which of the following expected but adverse effects of PEEP? A. Decreased peak pressure on the ventilator B. Increased temperature from 98OF to 100OF rectally C. Decreased heart rate from 78 to 64 beats per minute D. Systolic blood pressure decrease from 122 – 98 mmhg SITUATION: Janice is a 50-year-old obese patient. She admits that her self-esteem has been progressively becoming low as her body size increases. She also claimed that her performance in her work has already been impaired. She electively subjects herself to a bariatric surgery. 21. Rapid emptying of gastric contents into the small intestine may occur postoperatively due to gastric resection. Dina is at risk for developing dumping syndrome. The nurse monitors her for: A. Dizziness B. Bradycardia C. Constipation D. Extreme thirst 21. The nurse places Janice in which best position to prevent occurrence of dumping syndrome? A. Supine B. Trendelenburg C. Fowler’s D. Prone 23. Janice now ready to resume diet since she now has normal bowel sounds. To minimize complications from eating, the nurse teaches her to do which of the following? 1. Lying down after eating 2. Eating a diet high in protein 3. Eating a diet low in protein 4. Eating six small meals per day 5. Eating concentrated sweet between meals A. 1,3,5 B. 1,2,5 C. 1,2,4 D. 1,3,4 24. In preventing dumping syndrome which additional instruction should be provided to Janice A. Ambulate following a meal B. Eat high carbohydrate foods C. Limit the fluids taken with meals D. Sit in a high fowler position during meals Situation: Patients with varying diseases always receive medications for them to recuperate. As part of the dependent functions of a nurse, knowledge in pharmacology is one of the most essential competensies that should possess to be aware when to verify a doctor’s medication order and to know the side effect, adverse effect therapeutic level and nursing consideration for each drug 25. A. nurse in the new ward is reviewing the result of a client Richard’s Phenytoin Dilantin level that was drawn that morning the nurse determines that he had a therapeutic drug level if the result was Phenytoin (Dilantin) Anticonvulsant normal – 10 – 20 mcg A. 3 mcg/mL B. 8 mcg / ml C. 15 mcg / ml D. 24 mcg/ ml 26. Client Mark has begun medication therapy with Betaxolol (Kerlone) The nurse determines he is experiencing the intended effect of therapy which of the following is noted? A. Edema present at B. Weight loss of 5 pounds C. Pulse rate increased from 58 to 74 beats/ min D. Blood pressure decreased from 142/94 to 128/82 mmHg 27. The nurse has taught another client named Darl with asthma, who is taking a xanthine bronchodilator about beverages to avoid. The nurse determines that the client understands the information if the client chooses which of the following beverages from the dietary menu? A. Cola B. Coffee C. Chocolate milk D. Cranberry juice 28. Client Argie is ordered to start on Glipizide once daily. The nurse observes for which of the following intended effect of this medication? A. Weight loss B. Resolution of infection C. Decreased blood glucose D. Decreased blood pressure

4 | Page B. Health care personnel do not understand their own feelings about death and dying therefore they avoid caring for terminally clients. C. Terminally ill clients have the right to die with dignity D. Terminally ill client’s experiences pain most of the time. 48. The dying clients wishes to donate her eyes after she dies. Which of the following statements is NOT TRUE about organ donation? A. Any individual, at least 15 years old of age and of a sound mind may donate a part of his body to take the effect after transplantation needed by the recipient B. Sharing of human organs or tissues shall be made only throygh an exchange program duly approved by the Department of Helath C. The choice to donate an organ must be a written document D. Laws that do not require the consent of a family members to retrieve organs if the donor has expressed his last wish to donayte SITUATION: A nurse working in the hema ward of Bloody hospital for 3 years is assigned to care for pediatric patients with hereditary condition. One of her patients is named Ryan, diagnosed with B-Thalassemia. 49. The nurse is presenting a clinical conference and discusses the cause of B- Thalassemia. The nurse informs her audience that the child at greatest risk of developing this disorder is: A. A child of Mexican descent B. A child of Mediterranean descent C. A child of Asian descent D. A child of American descent 50. The nurse added that in B-Thalassemia, which family history may be present in the development of the condition? A. Autosomal dominant disorder B. Autosomal recessive disorder C. Y-linked genetic disorder D. X-linked genetic disorder 51. The nurse presented assessment data she gathered from her patient. She emphasized that her patient has greenish- yellow skin tone and severe anemia requiring transfusion support to sustain life. She identifies this type of B- Thalassemia as: A. Thalassemia major B. Thalassemia intermedia C. Thalassemia trait D. Thalassemia minor 52. Based from the patient’s manifestations, severe anemia in B-Thalassemia is also known as: A. Kleihauer-Betke’s anemia B. Charcot’s anemia C. Coumb’s anemia D. Cooley’s anemia 53. The patient is receiving long-term blood transfusion therapy for the treatment of his disorder. Chelation therapy (removal of toxic substances) is prescribed to prevent organ damage from the presence of too much iron in the body as a result of the transfusions. The nurse correctly anticipates the medication used for chelation therapy for the patient which is: A. Naloxone B. Calcium Disodium Edetate C. Deferoxamine D. Protamine sulfate 54. The nurse is caring for another patient with a hereditary bleeding disorder. The nurse noted that the patient has increased tendency to bleed from mucous membranes. Most probably, the physician’s medical diagnosis for thi s patient would be: A. Christmas disease B. Classic hemophilia C. Von Willebrand disease D. B-Thalassemia Situation: Mrs. Tina, a 47-year-old married woman with four children, went to the hospital because of joint pain. Upon reviewing her medical history, the nurse discovers that she was diagnosed with osteoarthritis. 55. Nurse Madie was assigned to care for this patient. She is aware that osteoarthritis is not associated with the following signs and symptoms: a. Edema over the affected joints – RHEUMATOID ARTHRITIS b. Stiffness is decreased with movement. c. Pain d. Limitations in range-of-motion 56. A comprehensive physical assessment and health history was taken by Nurse Madie. She was able to take note of various risk factors present from the patient's lifestyle. Nurse Madie knows that among the following, the factor that most likely aggravates Mrs. Lima's symptoms is: A. Recent leg fracture B. Working as a corporate president for 10 years C. Weight of 75kg and height of 165cm – OBESE 1 D. Dehydration 57. Nurse Sugar is assessing a client with Cushing’s syndrome. Which observation should the nurse report to the physician immediately? A. Pitting edema of the legs B. An irregular apical pulse C. Dry mucous membranes D. Frequent urination 58. Nurse Madie is aware that osteoarthritis is a "wear-and- tear" disease. She expects that the joints most likely affected in this condition are the: A. Hips and knees B. Tibia and fibula C. Humerus and radius D. Thoracic spine 59. As part of health teaching, Nurse Madie instructs Mrs. Tina that to effectively decrease joint pain and stiffness before starting her daily activities, she should not do the following excluding: A. Decrease carbohydrates and protein, and increase more fat in diet. B. Perform range of motion exercisaes and apply liniment to the affected joints C. Administer codeine when pain is exceedingly high. D. Apply cold compress to affected joints. 60. Being the patient's primary nurse, Nurse Madie collaborates with the healthcare team, especially with the physical therapist. The physical therapist recommended that Mrs. Lima undergo a regimen of rest, exercise and physical therapy. Nurse Madie explains to the patient that this regimen will: A. Help patient cure the disease B. To reduce the inflammation due to the disease process. C. To restore her abilities she had when she was younger D. Prevent the crippling effect of osteoarthritis Situation: EJ has been wearing eyeglasses since he was 5 years old. When he turned 18, he wanted to dispose of the eyeglasses and started wearing long-wearing contact lenses. Before his 24th birthday, he was rushed into the emergency department because of severe eye pain. After assessment, he was diagnosed to have corneal ulcer. 61. Which of the following affects the ability of the eye to clearly focus? A change in the_______. A. Stroma B. Sensory cells of the retina C. curvature of the cornea D. epithelium 62. Which of the following is the predisposing factor for EJ’s condition? A. Bacterial infection B. Prolonged misuse of contact lenses C. Malnutrition D. Viral infection 63. Corneal ulcers are considered medical emergencies. Which of the following nursing actions will be your PRIORITY? A. Remove the contact lens B. Prompt referral to the ophthalmologist for treatment C. Administer eyedrops D. Pressure dressing applied to both eyes for comfort