Tiêu đề RECALLS 10 - NP5 - SC ✅

1 | Page RECALLS 10 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 V” on the box provided Situation: Nurse Nikki is caring for patients with cognitive disorders. The following questions apply.  1. Kimpamparu has been admitted to the psychiatric ward and tends to isolate herself, avoiding social interaction. She frequently expresses, “I am the goddess of all goddesses”. The patient is exhibiting manifestations of what? A. Schizoid Personality B. Schizotypal Personality C. Histrionic Personality D. Paranoid Personality 2. Sarah exhibits Bleuer’s 4A’s of schizophrenia. You know that the following behavior corresponds to the 4A’s of schizophrenia except: A. Repeatedly checks her reflection in the window, adjusting her clothes and hair, and speaks only about her own thoughts and feelings without acknowledging others in the room during a group therapy session B. During a conversation, Sarah starts talking about buying groceries, then suddenly switches to a dream and quickly shifts to her childhood pet. C. Sarah smiles and giggles while discussing a tragic event. D. Sarah stays in bed all day, refusing to eat or interact with anyone 3. Charles is admitted to Grey Sloan Psychiatric Hospital due to his bizarre behavior. During the history taking, you have known that Charles went missing for 1 week and suddenly returned home afterwards. His mother was worried as he continuously said that he does not remember leaving home and cannot recall what happened to him. Additionally, Charles’ mother informed you that this already happened eight times in a month. You are aware that the client may be exhibiting manifestations of what condition? A. Multiple Personality B. Dissociative Identity Disorder C. Dissociative Amnesia D. Dissociative Fugue 4. After being involved in a car accident, Tom is surprisingly calm and nonchalant, stating, "It’s fine, no big deal," despite having visible injuries. What condition or behavior is Tom displaying? A. Lou Gehrig B. La Belle C. Munchausen D. Somatization 5. A client who has been avoiding social situations due to a fear of embarrassment is in therapy. During the session, the therapist asks, “What is the worst thing that could happen if you attend a party, and someone doesn’t talk to you?”. What therapy is being used in the scenario? A. Assertiveness training B. Decatastrophizing C. Positive Reframing D. Negative Reframing 6. You care for a patient diagnosed with dementia and is aware that your client has an altered thought process. Which of the following interventions would be prioritized? A. Use identification bracelets and electronic surveillance B. Place a calendar and clock in a visible place C. Use pantomime gestures if the client is unable to understand spoken words D. Provide close supervision PSYCHIATRIC NURSING – ANXIETY DISORDERS, TRAUMA DISORDERS Situation: Nurse Grace has been assigned to work in the psychiatric ward, where her primary responsibility is to care for patients suffering from anxiety disorders and trauma-related conditions. Throughout her shift, Nurse Grace provides compassionate care, offering emotional support and helping the patient navigate their symptoms while fostering a sense of trust and safety in the psychiatric setting. The following questions apply.  7. Sarah, a young woman in her mid-twenties, has been struggling with an overwhelming fear of being perceived as unattractive. She avoids social situations, refuses to look in mirrors, and spends excessive amounts of time worrying about her appearance. Despite reassurances from friends and family, Sarah's fear continues to intensify, leading her to seek therapy. After a thorough assessment, her therapist diagnosed her with a condition related to an intense fear of ugliness, which significantly impacts her daily functioning and emotional well- being. A. Cacophobia B. Mysophobia C. Nyctophobia D. Xenophobia 8. Ralph, a sergeant returning from deployment, has been experiencing flashbacks, nightmares, and heightened anxiety. These symptoms are significantly affecting his ability to function both on and off the base. In response, the military has recommended a short-term, intensive therapy program specifically designed for service members with PTSD. What is a specialized CBT approach developed by the military to offer an intense, specific, short-term therapy for active-duty military personnel with PTSD? A. Exposure therapy B. Adaptive disclosure C. Cognitive processing D. Combination therapy 9. The client diagnosed with anxiety is currently diaphoretic, with muscle tension, increased use of automatisms, and has a faster rate of speech. What level of anxiety does the client exhibit? A. +4 B. +3 C. +2 * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *


4 | Page C. 1, 3 D. 1,4 42. When caring for a client with increased intracranial pressure resulting from a head injury, which changes in vital signs would indicate a rise in intracranial pressure? A. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure B. Increasing temperature, increasing pulse, increasing respirations, decreasing blood pressure C. Decreasing temperature, decreasing pulse, increasing respirations, decreasing blood pressure D. Decreasing temperature, increasing pulse, decreasing respiration, increasing blood pressure 43. You are educating a client with myasthenia gravis on preventing myasthenic and cholinergic crises. The following actions indicate the client may need additional instruction, except: A. Consuming large, well-balanced meals B. Completing all tasks early in the day when energy levels are higher C. Taking medications as prescribed and on time D. Engaging in muscle-strengthening exercises 44. A client recently admitted in the ward manifested facial tics and spasms. Upon history taking, client stated "Parang sinasaksak itong kalahati ng mukha ko". The pain is triggered by light touch and the client also complained of difficulty eating because of it. What condition could the client possibly have?  A. Tic doulureux B. Bell's Palsy C. Posthepertic neuralgia D. Reflex sympathetic dystrophy 45. What is condition diagnosed as the presence of continuing pain, allodynia, or hyperalgegsia after a nerve injury, not necessarily limited to the distribution of the injured nerve with evidence at some time of edema, changes in skin blood flow, or abnormal sensorimotor activity in the region of pain? A. CRPS I B. CRPS II C. CRPS III D. CRPS IV 46. A client diagnosed with Lou Gehrig is slowly accepting her condition. She asked the nurse some information about the disease. The nurse in duty needs further teaching if she said: A. It is primarily a disorder of middle to late adulthood B. Men develops the disease nearly twice as often as women C. It has an annual incidence of 1 to 2 per 100 000 population D. It has a mean survival period of 10 to 15 years from the onset of symptoms 47. What condition results from damage to a hemisection of the anterior an posterior cord which causes loss of voluntary motor function from the corticospinal tract and proprioception loss from the ipsilateral side of the body? A. Central Cord Syndrome B. Anterior Cord Syndrome C. Brown-Sequard Syndrome D. Conus Medullaris Syndrome 48. A client had an injury in the C1 level due to a multiple vehicle collision. The following segmental sensorimotor function can be seen with this type of client, except? A. Little or no sensation of head and neck B. No diaphragm control C. Requires continuous ventilation D. Control of head and neck NEURO NURSING - NEUROPHARMACOLOGY Situation: The following questions require knowledge regarding neuropharmacology.  49. A nurse is ordered to administer an edrophonium to the newly admitted client. Which of the following medication should be on hand or available at the bedside? A. Atropine sulfate B. Neostigmine bromide C. Pyridostigmine D. Flumazenil 50. Which of the following medications for multiple sclerosis are considered as immunosuppressant? A. Teriflunomide B. Mitoxantrone C. Natalizumab D. Methylprednisolone 51. A client with Parkinson's disease is prescribed Benztropine mesylate. The following are side effects of the medication, except: A. Dryness of the mouth B. Decreased pulse rate C. Constipation D. Photophobia 52.  A client having a seizure was prescribed by the physician with Phenobarbital. As a nurse, you are monitoring the client's liver and renal function tests and  medication blood serum levels. Laboratory results came back recently and you noted that the blood serum levels is 32 mcg/mL. What should be your priority action? A. Notify the physician B. Assess the client for symptoms of toxicity C. Document the findings on the chart D. Decrease the dose of medication 53. A client currently taking phenytoin raised her concern because she is also currently on her birth control pills. Which of the following should be advised by the nurse? A. "You should avoild pregnancy while taking phenytoin" B. "You may stop your medication after a week" C. "There is a potential of decreased effectiveness of birth control pills while taking your medication" D. "Birth control pills decreases effect of phenytoin" SPECIAL SENSES – DISORDERS OF SPECIAL SENSORY FUNCTION Situation: You are caring for clients with disorders of special sensory function. The following questions apply. 54. A client with a refractive error will undergo a procedure wherein the superficial layers of the cornea will be lifted as a flap, a laser reshapes the deeper corneal layers, and then the corneal flap is replaced. This procedure is also known as: A. Laser – assisted in-situ keratomileusis B. Photorefractive keratotomy C. Radial keratotomy D. Corneal ring 55. Upon ambulating a client diagnosed as legally blind, you instruct the client to: A. remain a step beside the nurse when ambulating B. remain near the nurse when ambulating C. remain one step behind the nurse when ambulating D. remain one foot slightly in front of the nurse when ambulating 56. What differentiates a cane for the blind to other canes? A. straight shape and white color with red tip B. curved shape with a reflective surface C. foldable design for portability D. longer length to accommodate 57.  The following manifestations can be seen by a client with retinal detachment except: A. Black spots B. Floaters C. White spots D. Light flashes 58. The following are the essential care to the deceased client as a potential eye donor. Arrange it properly. 1. The option of eye donation is discussed with the family 2. Place the head of the bed flat 3. Raise the head of the bed 30 degrees 4. Instill anti-drying eye drops as prescribed 5. Instill antibiotic eye drops as prescribed 6. Close the eyes and apply a small ice pack as prescribed to the closed eyes 7. Close the eyes and apply a small warm pack as prescribed to the closed eyes A. 1, 2, 4, 6 B. 1, 3, 5, 6 C. 1, 2, 4, 7 D. 1, 3, 4, 7 59. What syndrome is characterized by tinnitus, unilateral sensorineural hearing loss, and vertigo?