Tiêu đề RECALLS 13 - NP5 - SC ✅

1 | Page RECALLS 13 EXAMINATION NURSING PRACTICE V CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) 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 NP5 1-5. Situation. Mrs. Sotto, a 77 year old widow came in with the chief complaints of difficulty hearing high pitched sounds. Ear examination revealed damage to the middle ear. 1. Which of the following ear assessments is a rough estimate of the ability to hear? A. Weber test B. Whisper test C. Audiometry D. Rinne test 2. When there is damage to the middle ear it will result to: A. Conductive loss B. Nerve deafness C. Mixed loss D. Sensorineural loss 3. Which of the following is a predisposing factor for a sensorineural hearing loss? A. Perforation of the eardrum B. Ototoxic agents C. Otosclerosis D. Serous otitis media 4. Which of the following statements is TRUE in correcting a sensorineural hearing loss? A. Sensorineural hearing loss is irreversible B. Sensorineural hearing loss can be corrected by stapedectomy C. Sensorineural hearing loss can be corrected by ossicular reconstruction D. Sensorineural hearing loss can be corrected by myringotomy 5. What is a high priority risk for the older adult with age- related changes in the vestibular structure of the ear? A. Infection B. Medication errors C. Falls D. Food intolerance 6-10. Situation. You are a staff nurse in the Ear Unit of the hospital. A common condition you encounter is hearing disorder which often results in communication problems. The following questions refer to these statements. 6. The daughter of an older adult patient reports that her father just “stares off into space” more and more in the last several months. However, once she gets his attention her father eagerly smiles and nods. You should assess the patient further for ______. A. Hearing loss B. Anger C. Dementia D. Depression 7. Which of the following should the nurse do FIRST when approaching a deaf patient? A. Get the patient’s attention B. Knock on the patient’s room loudly C. Talk while walking into the room D. Close and open the vertical blinds rapidly 8. You have a patient who is hearing impaired and reads speech. Which of the following strategies should you incorporate when communicating with him? Select all that apply. 1) Avoiding being silhouetted against strong light 2) Not blocking out the person’s view of the speaker’s mouth 3) Facing the patient when talking 4) Having bright light behind so the individual can see 5)Ensuring the patient is familiar with the subject material before discussing 6) Talking to the patient while doing other nursing procedures A. 1, 2, 3, 5 B. 2, 3, 6 C. 2, 3, 5, 6 D. 1, 4, 6 9. The patient with a hearing aid does not seem to hear you whenever you talk to him. What would be your PRIORITY nursing action? A. Irrigate the ear canal B. Contact the patient’s audiologist C. Check the hearing aids placement D. Cleanse the hearing aid earmold with normal saline 10. You have a 75 year old patient who has been taking furosemide (Lasix) regularly for four months now tells you that he is having trouble hearing. What would be your BEST response to this statement? A. Schedule the patient for audiometric testing and a hearing aid B. Tell the patient that because of his age it is inevitable that his hearing should begin to deteriorate C. Having the patient immediately report the hearing loss to his physician D. Tell the patient the hearing loss is only temporary, when his system adjust to the furosemide his hearing will improve 11-15. Situation. As a new RN, you are for one-month orientation in the orthopedic unit of the hospital. 11. Which of the following methods of documentation uses a chronological, story-telling format? A. Computerized documentation B. Narrative charting C. Focus charting D. PIE charting 12. Which of the following is the key issue in malpractice actions brought against nurses in relation to medical records? A. Failure to document the client’s response B. Failure to document medication and treatment given C. Failure to document appropriately * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *

3 | Page D. Diazepam 30. You want to find out the coping skills among young adults with substance abuse disorder. Which research method will you utilize to answer the research question? A. Survey B. Mixed methods C. Quantitative D. Qualitative 31-35. Situation. Inadequate resources in health care and unhealthy conditions in the workplace cause work stress among nurses. The nurse’s work environment plays a vital role in her ability to provide quality patient care. The following questions relate to this situation. 31. Burnout is a phenomenon that is best characterized by ____________. A. Conflict between personal and professional life B. Emotional exhaustion, depersonalization, and reduced personal accomplishment C. Increased absenteeism and fast turn-over of nurses due to toxic work environment D. Growing dissatisfaction due to changing career expectations 32. Lifestyle modification begins with _______. A. Learning how to read food labels and eating the right kinds of food B. Recognizing the impact of unhealthy habits C. Constructive and positive attitudes in life D. Regular daily exercise 33. Elmo is a young adult nurse who smokes 5 to 10 cigarette sticks a day. He is a well-informed nurse on the “smoking cessation program”. As a next step to his lifestyle change, Elmo needs _______. A. Information B. Motivation C. Skills to implement change D. Commitment 34. A common response to an unhealthy work environment is physical tension which can be overcome by progressive muscle relaxation. Basically, this involves: A. Listening to a relaxation audio program for auto- suggestion B. Releasing muscles from tension C. Active physical exercise to unwind like aerobics exercise D. Focusing to an image to relax 35. Nurses and patients are increasingly getting empowered by learning stress management. All of these are bio-behavioral interventions in stress management EXCEPT: A. Progressive muscle relaxation B. Pharmacotherapy C. Mindful meditation D. Guided imagery 36-40. Situation. Mr. Bang, a 75 year old retired politician has been recently diagnosed as legally blind. His driver’s license has been revoked. You have seen him driving alone to the local grocery store several times. 36. Which of the following nursing actions would be your priority during your initial interaction with Mr. Bang? A. Free the environment obstacles B. Offer to read written information C. Ask Mr. Bang, “How can I help you?” D. Identify yourself as you approach Mr. Bang and before you make a physical contact. 37. Which of the following ethical principles are in conflict with this case? A. Autonomy and nonmaleficence B. Respect for person and nonmaleficence C. Distributive justice and respect for person D. Autonomy and beneficence 38. Mr. Bang’s’ driving without license can result in a violation of which ethical principle? A. Respect for person B. Beneficence C. Autonomy D. Nonmaleficence 39. Mr. Bang had a fall needing hospitalization. All his benefits were given to him just like any senior citizen with the same condition. This ethical principle is upheld in this situation: A. Beneficence B. Respect for person C. Autonomy D. Distributive justice 40. Which principle should have pre-eminence as you proceed to work with Mr. Bang A. Autonomy B. Respect for person C. Nonmaleficence D. Beneficence 41-45. Situation. Mrs. Catherine Fernando, a 78 year old widow, was brought to the clinic by her son with the chief complaint of constant confusion, incontinence, and tendency to wander. Mrs. Fernando has a diagnosis of cognitive impairment disorder. 41. The son of Mrs. Fernando informed the nurse that his mother seemed to be inventing stories about certain personal achievements. The nurse identifies this as confabulation and interprets it correctly as ________. A. Indicates a lack of ego-integration B. Results to tendency to lie C. Helps to maintain self-esteem D. Results in poor judgement 42. The nurse asked Mrs. Fernando for her children’s and grandchildren’s names. This is to assess Mrs. Fernando’: A. Remote Memory B. Recent Memory C. Attention Span D. Orientation Status 43. Which of the following outcome criteria would be the MOST APPROPRIATE for Mrs. Fernando? A. Follow an established schedule for activities for daily living. B. Learn new coping mechanisms to handle anxiety. C. Return to an adequate level of functioning. D. Seek out resources in the community for support. 44. The nurse spent time talking to Mrs. Fernando’s son. She gathered that the son is the primary caregiver. To explore and to prevent burn-out in the son, which of the following nursing actions must the nurse do? A. Assess degree of understanding of family systems and coping mechanisms. B. Explore individual dynamics and personal coping. C. Explore the support system available for Mrs. Meneses’s son. D. Identify the spiritual support system of the family. 45. The nursing diagnosis MOST APPROPRIATE for Mrs. Fernando’s son would be _____. A. Sleep pattern disturbance B. Caregiver role strain C. Social isolation D. Risk violence 46-50. Situation. Your patient, Mrs. Doris, who was diagnosed with Alzheimer’s Disease, is soon to be discharged. You scheduled a family conference to discuss some concerns regarding Mrs. Doris’s condition. 46. You explained to the family members that there will be times Mrs. Doris will feel agitated and fatigued. To MINIMIZE if not totally prevent this situation, you would suggest to _______. A. Make mealtime pleasant B. Provide activities for her C. Avoid noisy activities in the house and schedule rest period for her D. Provide a consistent routine for her 47. A family member asked how they can help minimize Mrs. Doris’ disorientation to time. Your answer would be to: