Tiêu đề RECALLS 2 - NP5 - SC ✅

RECALLS 2 EXAMINATION NURSING PRACTICE V CARE OF THE CLIENT WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) 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 V” on the box provided Situation 1- You’re assigned as a staff nurse in the Stroke Unit of the Medical Ward. One of your responsibilities is to provide health teachings to the stroke patients and to the other members of the family. The following questions refer to these statements. 1. You are teaching a patient about taking prophylactic warfarin sodium (Coumadin). Which of these statement indicate that the patient understands how to take the drug. SELECT all that apply: 1) “The drug’s action peak in two hours” 2) “Maximum dosage is not achieved until 3 to 4 days after starting the medication” 3) “Effects of the drug continue for 4 to 5 days after discontinuing the medication 4) “Protamine Sulfate is the antidote for Warfarin” 5) “I should have my blood levels tested periodically” a. 2, 4, 5 b. 2, 3, 5 c. 1, 4, 5 d. 1, 3, 4 2. Maintaining oral hygiene for a stroke patient is important in his care. You are teaching a family member how to give oral care to the stroke patient. Which of the following nursing measure is NOT APPROPRIATE when giving oral care to such patient? a. Cleaning the patient’s mouth and teeth with a soft-bristled toothbrush b. Keeping portable suctioning equipment at the bedside c. Opening the patient’s mouth with a padded tongue depressor d. Placing the patient on his back with a small pillow under the head 3. Your patient has paraplegia. In giving instruction to the watcher when changing the patient’s position in bed, which of the following is NOT APPROPRIATE? a. Lifting the patient when moving him up in bed b. Rolling the patient unto the side c. Using a trapeze to help the patient lift off the bed d. Sliding the patient to move up in bed 4. A patient is experiencing mood swings after stroke. Often times she has episodes of crying that are distressed to the family members. What is the BEST TECHNIQUE that you will advise the family members when the patient is having crying spells? a. Ignore the patient during this time b. Sit quietly with the patient until the crying episode is over c. Tell the patient that the behavior is unacceptable d. Attempt to divert the patient’s attention 5. To prevent joint deformities of the arm and hands of a hemiplegic patients what are the APPROPRIATE position will you include in your health teachings of the family member? SELECT all that apply. 1) Placing a pillow in the axilla so the arm is way from the body 2) Inserting a pillow under the slightly flexed arm so the hand is higher than the elbow 3) Immobilizing the extremity with a sling 4) Placing a hand cone so the finger are barely flexed 5) Keeping the arm at the sides using a pillow a. 2, 3, 4 b. 1, 3, 5 c. 1, 2, 4 d. 2, 4, 5 Situation 2- You are a community health nurse assisting a family in the care of their daughter suffering from the past traumatic stress disorder. 6. While caring for this client, the family notices that loud noises cause a serious anxiety response. Which of the following explanations by you would help the family understand the client’s response? a. After a trauma, the client cannot respond to stimuli in an appropriate manner b. Clients often experience extreme fear about normal environmental stimuli c. Environmental triggers can cause the client to react emotionally d. The response indicates that another emotion problem needs investigation 7.Which of the following instructions should you include about relationships for this client with post-traumatic stress disorder? a. Assess the client’s discomfort when talking about feelings to family member. b. Explain that avoiding emotional attachment protects against anxiety. c. Warn the client that she will have a tendency to be overdependent in relationships d. Encourage the client to resume former roles as soon as possible 8. Which of the following nursing interventions would best help this client and her family handle interpersonal conflict at home? Have the family: a. Discuss how to change dysfunctional family patterns b. Teach the client to identify defensive behavior. c. Agree not to tell the client what to do about problem d. Arrange for the client to participate in social activities. 9. Which of the following nursing actions would be more appropriate when speaking with this client about the trauma she experienced? a. Listen attentively b. Request the client write what is being said c. Ask question to convey an interest in the details d. Obtain validation of what the client says from another party 10. Which of the following nursing actions would you include in the plan of care for this client who keeps saying that the 1 | Page
trauma she experienced was just a case of bad luck? a. Assist the client in defining the experience as a trauma b. Encourage the client to verbalize the experience c. Work with the client to accept positive and negative feelings Situation 3 – One of the competencies expected of you as a beginning professional nurse is to have a positive attitude toward research. 11. You plan to study the effectiveness of films in teaching active exercises to post stroke patients. Which of the following research designs will give you the most confidence to answer the research problem? a. time- series design b. non-equivalent control group design c. one-group pre-test, post-test design d. post-test only, control group design 12. Which of the following sampling techniques is the most appropriate to answer a research question on the effectiveness of active exercise on the mobility of post stroke patients? a. convenience sampling b. purposive sampling c. quota sampling d. random sampling 13. You want to develop a tool for measuring the level of consciousness of stroke patients. This is what type of research? a. Historical study b. Case study c. Comparative study d. Methodological study 14. You want to examine the difference in the eating behaviors between two groups of high school students. Which of the following research designs would you use to answer the research question? a. Case study b. Correlation study c. Comparative design d. Survey study 15. In a study on the relationship between personality make-up and obesity, a Pearson r=.8 would mean: a. a high, negative correlation b. a moderate, positive correlation c. a high, positive correlation d. a low, positive correlation Situation 4- Ella, a 10-year old grade four pupil in a private school has just lost her best friend, Lory, who died of Leukemia. Her mother brought her to the emergency room who reported that Ella has been gloomy and often expresses feeling of joining Lory in heaven. 16. Which of the following is the precipitating factor for Ella’s feeling of wanting to die? a. The death of Lory b. Her age c. Her authoritative mother d. Her fear of death 17. Ella’s feeling of joining Lory in heaven is manifestation of: a. Suicidal intent b. Suicidal threat c. Paranoia d. Suicidal ideation 18. Ella state “I will hang myself”. This is a manifestation of: a. Denial b. Suicidal threat c. Suicidal intent d. Paranoia 19. Which of the following is the best predictor of adolescents attempting suicide? a. Depressed mood b. Joyful mood c. Feeling of euphoria d. feeling of hopelessness 20. Ella state “I wish I were dead. I cannot stand anymore not having Lory around.” Your most appropriate nursing action would be: a. Do nothing because Ella will not do it b. Refer Ella to your supervisor c. Stay with Ella d. Explore Ella’s feeling situation 5- You are a staff nurse in the Out-Patient Department. Mrs. D brought her 9-year old daughter Bianca for consultation. Bianca is complaining of sore throat, muscle tenderness, weakness of the arms and a general feeling of not being well. The attending physician’s impression is Infectious Polyneuritis. 21. Initially, what assessment data would be the BEST IMPORTANT for you to make? a. Exposure to an infectious disease b. Difficulty in swallowing c. Difficulty in urinating d. Diet intake for the last 24 hours 22. Bianca was admitted to the Pediatric ward. What would be your PRIORITY nursing action when caring for her? a. Providing a diversional activity for Bianca b. Evaluating Bianca’s bilateral muscle strength c. Making a game of range-of motion exercise d. Assessing Bianca’s ability to follow simple commands 23. The pediatric ward nurse ask Bianca to cough every now and then. She also assesses Bianca’s speech for decreased volume and clarity, the underlying rationale for these assessments is to determine the ________. a. regression to an earlier developmental phase b. involvement of facial and cranial nerves c. increased intracranial pressure d. inflammation of the larynx and epiglottis 24. Assessment findings revealed that Bianca has weak gag and cough reflexes. During this acute phase of Bianca’s illness, which of the following problems should receive the HIGHEST PRIORITY? a. Impaired swallowing related to neuromuscular impairment. b. Risk for infection due to an altered immune system c. Ineffective breathing pattern to neuromuscular impairment d. Total urinary incontinence related to fluid losses 25. Bianca was placed on a medical ventilator. Which of the following nursing actions should the ward nurse give emphasis to? a. Turning Bianca slowly and gently from side to side to prevent respiratory complication b. Engaging Bianca in vigorous passive range-of-motion c. Maintaining Bianca in a supine position to prevent unnecessary nerve stimulation d. Transferring Bianca to a bedside chair three times a day to prevent postural hypotension Situation 6- Jennylyn Abad, 40-years old woman, has a history of Rheumatoid Arthritis for the last ten years. The following questions refer to this situation. 26. Which of the following is a common sign/symptom of rheumatoid arthritis? a. Presence of crepitus over joints b. Symptoms aggravated by humidity c. Deformity and displacement of proximal joints d. Presence of Heberden’s nodes 27. Which of the following would NOT be a common laboratory finding in rheumatoid arthritis? a. Low hemoglobin b. Positive RA factor c. Positive Lupus Erythematosus (LE) prep d. Increase white blood count 28. Jennylyn has been taking steroids for the last five years to control her arthritis. Which of the following is a common side effects of steroid therapy? a. Hyponatremia b. Hyperkalemia c. Increase blood glucose d. Protein anabolism 29. Which of the following diet is best suited to decrease the side effects of Jennylyn’s steroid therapy? a. Normal carbohydrate, high protein, high potassium b. Low carbohydrate, high protein, high potassium c. Low carbohydrate, high protein, low potassium 2 | Page