Tiêu đề RECALLS 8 (NP4) - STUDENT COPY ✅

1 | Page RECALLS EXAMINATION 8 NURSING PRACTICE IV CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART B) MAY 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 I” on the box provided Situation: Nurse May was assigned to care for a patient with Cushing’s disease after prolonged use of corticosteroids. 1. The nurse performs a head-to-toe assessment upon arrival in the ward and all of the following findings are indicative of Cushing’s disease, except: A. Body appears rounder with excess fat deposit on the neck B. Purple striae along the abdomen C. Hyperpigmented skin D. Slow healing wounds 2. The nurse prepares a teaching plan for the patient with Cushing’s disease to hasten recovery and prevent complications. Which of the following statements by the patient would show effective teaching? A. “I will avoid going to malls or going near other people with infection.” B. “I will increase my fluid intake up to 3,500 mL per day.” C. “I am allowed to lay down for a long period of time without changing positions to preserve my energy.” D. “I will limit my intake of potassium-rich food.” 3. The nurse knows that if there is overproduction of glucocorticoids, there is also a disease where there would be insufficient steroids in the body known as Addison’s disease. The nurse would be correct if she emphasized that in some situations, the dose of glucocorticoids should be increase if she stated: A. Sudden weight gain B. Going on a trip with friends C. Walking in a park at 7:00 a.m. D. Experiencing flu during final examination 4. The physician decided to discontinue the corticosteroids that the patient was previously taking and was instructed to watch out for signs and symptoms of Addison’s disease. What interventions can be done to prevent an episode of Addisonian crisis? A. Strenuous activity can be done during summer. B. Increasing intake of fluid and salt. C. Consult health care provider after a tonsillectomy. D. Avoid disclosing any information about your disease to family members or friends. 5. The nurse is aware of the dietary changes that a patient with Cushing’s disease must undergo. Aside from restricting fluids and sodium-rich food, what should be encouraged by the nurse? A. Restricting potassium-rich food B. Increasing caloric intake C. Increasing protein intake D. Restricting calcium-rich food Situation: A patient with Graves’ disease was transferred to the surgical ward after a thyroidectomy and developed hypothyroidism. The nurse creates a plan of care to prevent myxedema coma. 6. The patient underwent thyroidectomy and suddenly manifested bronchospasm, along with a tingling feeling in the hands. What is the possible reason for the appearance of these manifestations? A. During the surgery, there could be an accidental removal of the glands responsible for producing parathormone. B. The total removal of the thyroid gland resulted to the hyperproduction of parathyroid hormone. C. This occurs as a result of the partial removal of the thyroid gland which resulted to the overproduction of parathyroid hormone. D. The patient has already an existing respiratory disease prior the surgery which led to the appearance of bronchospasm. 7. The patient’s significant other was notified about the possibility that the patient will develop hypothyroidism. The nurse is correct if she stated the following manifestations of hypothyroidism, except: A. Having difficulty passing stool B. Skin is moist upon palpation C. Unable to complete ADLs and easily complains being fatigued D. Cannot stay for a long period of time in a full-blast air-conditioned room 8. The patient was scheduled for a thyroidectomy and potassium iodide was prescribed as a preoperative medication. What is the main reason for giving this medication? A. It helps in hindering the progression of exophthalmos. B. It helps in decreasing the vascularity of the thyroid gland. C. It allows the body to excrete excess thyroid hormones. D. It helps in increasing the vascularity of the thyroid gland. 9. The nurse is preparing to provide health education to a patient with hypothyroidism. Which statement by the patient shows that teaching was effective? A. “I can have a movie marathon with my friends in our cinema room and enjoy the airconditioned room.” B. “There is no need to change my diet C. “I will no longer need my medication when my symptoms subside.” D. “I will take my medication in the morning on an empty stomach.” * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *