Nội dung text RECALLS 8 - NP2 - SC
RECALLS 8 EXAMINATION NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD 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 II” on the box provided Situation: Nurse Ivy is caring for multiple pregnant clients to gain experience and enhance her knowledge regarding prenatal care. 1. Nurse Ivy is assessing a pregnant woman at 20 weeks' gestation who reports swelling in her legs and frequent headaches. Which assessment finding should Nurse Ivy be most concerned about? A. A blood pressure of 130/85 mmHg B. Edema of the lower extremities C. A sudden increase in weight of 2 kg in one week D. A hemoglobin level of 11.5 g/dL 2. Nurse Ivy is educating a pregnant client about the importance of prenatal vitamins. Which statement by the client indicates a correct understanding of the importance of folic acid? A. “Folic acid helps with my digestion.” B. “Folic acid can prevent neural tube defects in the baby.” C. “Folic acid is primarily for boosting my energy levels.” D. “Folic acid is only necessary in the first trimester.” 3. Nurse Ivy is assessing a pregnant woman at 28 weeks' gestation who presents with severe abdominal pain and decreased fetal movement. What should Nurse Ivy’s priority action be? A. Advise the patient to rest and drink more fluids B. Conduct a thorough fetal assessment and notify the healthcare provider C. Suggest over-the-counter pain relief for the abdominal pain D. Recommend a follow-up appointment in one week 4. Nurse Ivy is assessing a pregnant woman who is 36 weeks' gestation. The patient is experiencing a sudden onset of shortness of breath and a non-productive cough. What is the most appropriate action for Nurse Ivy to take? A. Encourage the patient to lie down and rest B. Perform a thorough respiratory assessment and monitor oxygen saturation C. Increase the patient’s fluid intake D. Refer the patient to a dietitian for a low-sodium diet 5. Situation: Nurse Ivy is discussing the risk factors for developing gestational diabetes with a pregnant woman. Which factor is a significant risk for developing gestational diabetes? A. Being underweight before pregnancy B. Being older than 25 years of age C. Having a family history of diabetes D. Having a history of previous uncomplicated pregnancies 6. Nurse Ivy is preparing a teaching session for a group of pregnant women about labor signs. Which sign should Nurse Ivy emphasize as the most indicative of true labor? A. Lightening B. Braxton Hicks contractions C. Rupture of membranes D. Cervical dilation Situation: Nurse Colet is reviewing her knowledge regarding the signs of pregnancy. The following questions are regarding this. 7. Nurse Colet is assessing a pregnant client who reports frequent urination and nausea. Which of these findings is considered a presumptive sign of pregnancy? A. Positive pregnancy test B. Fetal heartbeat detected via Doppler C. Enlargement of the abdomen D. Nausea and vomiting 8. Nurse Colet is evaluating a client who has recently missed her menstrual period and has noticed a darkening of the areola. Which of these is considered a probable sign of pregnancy? A. Amenorrhea B. Hegar’s sign C. Quickening D. Breast tenderness 9. A pregnant client presents with a positive result on a home pregnancy test. What type of sign of pregnancy does this result represent? A. Presumptive sign B. Probable sign C. Positive sign D. Diagnostic sign 10. Nurse Colet is performing a physical examination and notes a softening of the cervix. Which sign of pregnancy does this finding represent? A. Presumptive sign B. Probable sign C. Positive sign D. Diagnostic sign 11. Nurse Colet is teaching a group of pregnant women about signs of pregnancy. Which statement correctly identifies a positive sign of pregnancy? A. Breast tenderness B. Quickening C. Urinary frequency D. Fetal heartbeat detected by a Doppler device 12. Nurse Colet is assessing a pregnant client who reports feeling fetal movement. What type of sign of pregnancy does this represent? A. Presumptive sign B. Probable sign C. Positive sign D. Diagnostic sign 13. Nurse Colet is discussing the changes in skin pigmentation with a pregnant client. The client reports experiencing a dark line running from the pubic area to the umbilicus. What is this sign called? A. Linea nigra B. Chadwick’s sign C. Ballottement D. Goodell’s sign 1 | Page
28. Nurse Sergio is working with a patient who insists on having an immediate surgery despite being informed of the risks. The patient is acting impulsively without consideration of consequences. This behavior is most indicative of which Freudian concept? A. Id B. Ego C. Superego D. Conscience 29. Nurse Sergio notices that a patient is anxious and indecisive about treatment options due to conflicting thoughts about their health. The patient is trying to balance their desire for immediate relief with the need for a long-term solution. Which Freudian concept is this patient using? A. Id B. Ego C. Superego D. Subconscious 30. Nurse Sergio is evaluating a patient who feels immense guilt about their behavior and is excessively concerned with following hospital rules and ethical standards. This behavior most closely aligns with which Freudian concept? A. Id B. Ego C. Superego D. Subconscious 31. A patient in Nurse Sergio’s care wants to eat a large amount of dessert despite being on a strict diet for health reasons. The patient’s decision is impulsive and driven by immediate pleasure. This scenario best illustrates which part of Freud's model? A. Id B. Ego C. Superego D. Conscience 32. Nurse Sergio is counseling a patient who feels torn between their desire to ignore their treatment plan for instant relief and their understanding of the long-term benefits of following it. The patient is struggling to make a decision that considers both immediate and future outcomes. This is an example of which Freudian concept? A. Id B. Ego C. Superego D. Subconscious 33. During a therapy session, Nurse Sergio observes that a patient feels strong internal pressure to be perfect and is overly critical of themselves for minor mistakes. This behavior is most closely related to which Freudian concept? A. Id B. Ego C. Superego D. Unconscious 34. A patient in Nurse Sergio’s care is having difficulty adhering to their prescribed treatment regimen because they are primarily focused on immediate gratification and avoid long-term goals. This behavior reflects the influence of which Freudian concept? A. Id B. Ego C. Superego D. Conscious Situation: Nurse Eson is likely in a scenario where understanding Erik Erikson’s stages of psychosocial development is pertinent to his practice. Erik Erikson was a developmental psychologist known for his theory on the psychosocial development of human beings. His theory outlines eight key stages that a person goes through from infancy to late adulthood, each characterized by a specific conflict that needs resolution. 35. Nurse Eson is caring for a 6-month-old infant who is learning to trust their caregivers. The infant is showing signs of comfort and security when interacted with. According to Erik Erikson’s stages of development, what stage is this infant in? A. Autonomy vs. Shame and Doubt B. Trust vs. Mistrust C. Initiative vs. Guilt D. Industry vs. Inferiority 36. Nurse Eson is working with a 4-year-old child who is actively exploring their environment and trying new things, but also feels guilty when they make mistakes. This behavior is indicative of which Erikson stage? A. Trust vs. Mistrust B. Autonomy vs. Shame and Doubt C. Initiative vs. Guilt D. Industry vs. Inferiority 37. Nurse Eson is caring for a 12-year-old who is struggling with their sense of competence and comparing themselves to peers. They are feeling either industrious or inferior based on their academic and social achievements. This child is in which Erikson stage? A. Trust vs. Mistrust B. Initiative vs. Guilt C. Industry vs. Inferiority D. Autonomy vs. Shame and Doubt 38. Nurse Eson is assisting an adolescent who is struggling with their identity and exploring different roles. This adolescent is experiencing identity confusion. According to Erikson, what stage is this individual in? A. Autonomy vs. Shame and Doubt B. Industry vs. Inferiority C. Identity vs. Role Confusion D. Intimacy vs. Isolation 39. Nurse Eson is working with a young adult who is focused on forming meaningful relationships and is concerned about their ability to connect deeply with others. This young adult is in which Erikson stage? A. Trust vs. Mistrust B. Autonomy vs. Shame and Doubt C. Intimacy vs. Isolation D. Generativity vs. Stagnation 40. Nurse Eson is helping a middle-aged adult who is evaluating their contributions to society and feeling either a sense of achievement or stagnation. According to Erikson, which stage is this adult experiencing? A. Industry vs. Inferiority B. Intimacy vs. Isolation C. Generativity vs. Stagnation D. Integrity vs. Despair 41. Nurse Eson is working with an elderly patient who reflects on their life with either a sense of fulfillment and wisdom or regret and dissatisfaction. This patient is in which Erikson stage? A. Generativity vs. Stagnation B. Intimacy vs. Isolation C. Integrity vs. Despair D. Identity vs. Role Confusion Situation: Nurse Jean is reviewing her knowledge about play and development. This involves understanding how different types of play and developmental stages interrelate according to key theories in child development. Consider insights from Jean Piaget and Erik Erikson, as well as the practical application of this knowledge in a clinical setting. 42. Nurse Jena is assessing a 2-year-old child who is playing with toy cars in the hospital playroom. The child is pushing the cars around and talking to them as if they were alive. What developmental stage is this child most likely in according to Jean Piaget’s theory? A. Sensorimotor B. Preoperational C. Concrete Operational D. Formal Operational 43. Nurse Jena is working with a 7-year-old child who is focused on organizing their toys in a specific order and following rules during playtime. According to Piaget, what cognitive development stage is the child in? A. Sensorimotor B. Preoperational C. Concrete Operational D. Formal Operational 44. Nurse Jena is observing a 10-year-old child who is feeling very competitive and wants to win in all their hospital-based activities. Which Erikson stage is the child likely navigating? 3 | Page