Tiêu đề RECALLS 1 (NP4) SC ✅

1 | Page RECALLS 1 EXAMINATION NURSING PRACTICE IV CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART B) FEBRUARY 2026 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 1 – Nurse Alex cares for a terminally ill client with cancer. 1. Nurse Yolan assesses the client for depression. Which of the following is a key indicator for clinical depression? A. Anger due to pain experience B. Feeling of excessive guilt C. Anorexia and weight loss D. Inability to care for one’s physical self 2. The client has difficulty sleeping. Which of the following interventions is LEAST helpful for Nurse Yolan to incorporate in her care plan? A. Instruct the client to drink herbal tea. B. Give warm milk at bedtime C. Perform relaxation routine such as massage, imagery or music D. Instruct the client to drink black tea. 3. The care plan for the client includes family support. Which of the following is MOST appropriate for the family to establish a relationship with the health care team? Nurse Yolan should ___________: A. Give permission to the family to take time to maintain friendship with the health care team. B. Discuss the roles of the family members to the health care team. C. Explain the roles of all members of the interdisciplinary team. D. Provide a brief explanation to the family member about the care being delivered to the client. 4. The client appears to be dehydrated. The family members are discussing whether their loved one should be given intravenous fluid. Which of the following concepts about dehydration in terminally ill clients should guide Nurse Yolan? A. Peripheral edema occurs because of fluid overload. B. Thirst is an indication of dehydration. C. Terminally ill clients are hydrated through oral and intravenous routes. D. All interventions for terminally ill client should be directed towards comfort and reduction of symptoms. 5. The client show signs of imminent death. Nurse Yolan recognizes cardiovascular indicators of imminent death which are the following EXCEPT __________: A. Bradycardia B. Irregular heart rate C. Tachycardia D. Lowered blood pressure Situation 2 – A 65-year old male is admitted for prostate cancer. On assessment, the nurse determines that the patient has experienced incontinence. The nurse knows that incontinence is the first most common symptom of prostate cancer. 6. Based on information gathered, the nurse writes a nursing diagnosis. Which of the following diagnoses is MOST appropriate? A. Deficient knowledge related to self-care and risk prevention. B. Fear secondary to the diagnosis of cancer. C. Risk for urinary infection D. Risk for impaired urinary elimination 7. To help manage incontinence, the nurse instructs the patients to do which of the following: A. Eat foods rich in fiber B. Increase fluid intake. C. Take in medications to manage pain. D. Perform perineal muscle exercises 8. The patient asks for treatment option for his condition. The Nurse explains that treatment options are based on which of the following: A. Gender B. Ability of the patient to manage physical and emotional implications of incontinence C. Socio-economic status D. Grade and stage of the disease 9. The patient asks the nurse what the physician meant about his prostate cancer as Stage C or T3. The nurse explains that the tumor is ______________: A. Palpable and has spread to other organs and often to distant sites such as bones and lymph nodes. B. Palpable and has spread beyond the prostate but not to other organs. C. Confined to the prostate and was not palpable during digital rectal examination. D. Confined to the prostate and was not palpable during digital rectal examination. 10. The nurse recalls the staging and classification of prostate cancer. Which of the following statements is TRUE? A. The gleason grading system is usually used for hematological cancers but not prostate cancer. B. The normal prostate specific antigen (psa) range under 40 years of age is less than 4 to 6 ng/ml. C. At least two separate biopsy specimens are graded based on their differentiation from normal prostate cells. D. A score of d is less invasive than a score of b in the cancer staging system. Situation 3 – You are newly promoted charge nurse of a department in a tertiary hospital. You review management concepts to prepare you for the position. The following questions pertain to management of resources. 11. You are oriented on health care economics. The study of economics focuses on how choices are made to overcome a scarcity of resources. Which of the following statements BEST illustrates health care economics __________: * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *


4 | Page C. Lack of knowledge about medication. D. Failure to identify non-therapeutic client responses. 39. The head nurse suggests that to reduce medication errors, several measures will be instituted. Which of the following is MOST appropriate? A. Use point-of-care technology to access drug reference information. B. Use of drug index C. Nurses must help educate patients and their families regarding proper medication administration. D. Patients must become more involved in managing their care. 40. The head nurse is aware that managing and improving quality care in the trauma unit requires which of the following? A. Personalized attention to patient’s needs and their families. B. A blame – free environment. C. All of the choices. D. A clean and orderly trauma unit. Situation 9- Nurse Mirasol is the attending nurse of a 40-year old female admitted in the medical unit with a probable diagnosis of Scleroderma. 41. The patient complains of pain in her fingertips and pallor followed by blanching of the extremities and redness. Nurse Mirasol knows that these symptoms are characteristic of which of the following disorders? A. Swan-neck deformity B. Raynaud’s phenomenon C. Joint swelling and effusion D. Symmetric Polyarthritis 42. Nurse Mirasol assesses the skin of the patient. Which phase of skin changes occur FIRST and are usually painless and symmetrical? A. Indurative B. Primary C. Curative D. Edematous 43. Nurse Mirasol writes a nursing diagnosis for the patient. Which of the following is a PRIORITY nursing diagnosis? A. Social isolation B. Impaired skin integrity C. Disturbed body image D. Low self-esteem 44. Nurse Mirasol assists the patient in coping with the disorder. During the early stages of a chronic disease, patients tend to focus on which of the following behaviors? A. Understanding the disease process B. Impact on lifestyle changes C. Interpretations of symptoms D. Schedule of medications 45. Nurse Mirasol prepares a discharge plan of care for the patient. Which of the following objectives are MOST appropriate? The patient should _______________. 1. Try to prevent breakdown of the skin and ulceration 2. Avoid activities that trigger pain 3. Modify diet to include legumes 4. Avoid exposure to extreme cold temperature A. 1, 2, 3, 4 B. 1, 2, 3 C. 1, 2, 4 D. 2, 3, 4 Situation 10- Nurse Bessie is a nurse manager of trauma unit. She supervises the staff nurses and regularly holds conferences with them and other unit personnel. In one meeting she reorients the staff nurses on their various functions. She cites clinical situations related to a nurses dependent, interdependent, and collaborative functions. 46. An interdependent function of nurse is when the nurse _______: A. Irrigates a feeding tube that appears obstructed. B. Gives ice chips to a client who has an order of NPO. C. Applies a dry sterile dressing to an abdominal incision. D. Helps a client choose foods rich in protein from an ordered diet. 47. A nurse decides to give a partial bath to a client instead of a complete bath. The nurse is working __________: A. Independently B. Interdependently C. Dependently D. Collaboratively 48. A nurse works with a skin care team. The nurse is functioning _________: A. Dependently B. Interdependently C. Collaboratively D. Independently 49. A nurse initiates a visit from member of the clergy for a terminally ill client. The nurse is functioning ___________: A. Interdependently B. Collegially C. Independently D. Dependently 50. When a nurse uses a straight catheter to obtain a urine specimen for laboratory test, the nurse is functioning ________: A. Dependently B. Interdependently C. Independently D. Collegially Situation 11- Marie, an oncology nurse assists in the care of patients with cancer. 51. One of her patients is a 50-year old female named Marcela is in the terminal stage of breast cancer. She tells Nurse Marie. “I have given responses of Nurse Marie is MOST therapeutic? A. “You have given up hope?” B. “You should talk to your physician about your fears of dying.” C. “You should talk about dying with your spiritual adviser.” D. “You should not give up hope. There are research studies being done to cure cancer.” 52. Marcela says to Nurse Marie. “ I don’t like to spend my final days on earth in a hospital.” The BEST response of Nurse Marie would be : A. “Can you please tell me more how you are feeling right now?” B. “I know how you feel. It must be hard to know that you are dying.” C. “If I were in your place, I should have refused being admitted to the hospital knowing that I will die soon. D. “What is it that you don’t like being in the hospital?” 53. Marcela tells Nurse Marie that her younger sister was recently diagnosed with cancer. She is concerned because she is aware that breast cancer “ runs in the family” but she could not recall any family member diagnosed with bone or lung cancer. Nurse Marie’s BEST response would be: A. “ I am sorry to hear about your sister. I think you should meet with all of your family members and share with them their increased risk for developing lung and bone cancer.”