Tiêu đề RECALLS 2 (NP2) - STUDENT COPY ✅

RECALLS EXAMINATION 2 NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD NOVEMBER 2024 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: Shanley, 28 years old, is 10 weeks pregnant (G2P1) went to the clinic for her prenatal visit. Nurse Ivy assist her during the visit. The following questions apply. 1. Shanley complains that she has been nauseated ever since she became pregnant. What dietary instruction can Nurse Ivy provide her to prevent or relieve nausea and vomiting? (Select all that applies) 1) Eat a few dry crackers or toast before getting out of bed in the morning 2) Eat small but frequent meals 3) Include greasy and highly seasoned food 4) Sip a carbonated beverage A. 1 and 2 B. 1, 2 and 3 C. 1, 2 and 4 D. All of the above 2. Shanley was curious about the benefits of Kegel exercises. Nurse Ivy understands that such measures are indicated for which of the following purpose? A. To strengthen and relax perineal muscles for birth and postpartum B. To achieve stress incontinence C. To loosen vaginal muscles D. To decrease sexual enjoyment 3. Shanley has also been experiencing a burning sensation on her chest. Nurse Ivy knows that this may be a pregnancy-associated discomfort due to which of the following reasons? (Select all that applies) 1. Increase in progesterone levels 2. Increased gastric motility 3. Pressure from the expanding uterus 4. Esophageal reflux A. 1, 2 and 4 B. 1, 3 and 4 C. 1, 2 and 3 D. All of the above 4. During a follow-up visit, Shanley is becoming increasingly conscious of her body image and how she has gained weight and transformed throughout her pregnancy. Nurse Ivy assures her that the bodily changes that occur are part of the process. Which of the following refers to the forward curvature of the lumbar spine seen in pregnant women? A. Kyphosis B. Scoliosis C. Lordosis D. Ketosis 5. The doctor prescribed Shanley with folic acid supplements. Nurse Ivy knows that folate is essential in early pregnancy to prevent which of the following anomalies? A. Cretinism B. Neural tube defects C. Developmental hip dysplasia D. Cryptorchidism Situation: Casey, 38 weeks pregnant, presents to the ED with a ruptured membrane. As Nurse Elaine prepares for her imminent delivery. She is reminded of the importance of amniotic fluid during pregnancy. 6. Nurse Elaine is aware that the approximate amount of amniotic fluid by the end of pregnancy is _____________. A. 500 to 800 mL B. 800 to 1,200 mL C. 1200 to 2000 mL D. More than 2000 mL 7. A major characteristic of amniotic fluid in terms of pH is described by which of the following statements? A. It is slightly acidic with a pH of 5.0 B. It is slightly alkaline with a pH of 3.5 C. It is slightly alkaline with a pH of 7.2 D. It is neutral with a pH of 7.0 8. The following statements are correct when it comes to the characteristics of amniotic fluid EXCEPT? A. It shields the fetus against excessive pressure B. It protects the fetus from changes in temperature C. It promotes umbilical cord prolapse D. It aids in muscular development 9. When assessing vaginal secretions, Nurse Elaine will suspect rupture of membranes when nitrazine paper strip will turn into ______? A. Yellow B. Blue C. Clear D. Green 10. To determine amniotic fluid leakage during a fern test, Nurse Elaine will put Casey in which position during the procedure? A. Dorsal lithotomy B. Sim’s C. Passive leg raise D. Knee-chest Situation: Malou, 18 weeks AOG, is set to undergo amniocentesis. As a delivery room nurse, Reana will be assisting during the procedure. 11. Nurse Reana is aware that amniocentesis done between 15 to 18 weeks of gestation is indicated to diagnose and confirm the following, except? A. genetic abnormalities B. chromosomal disorders C. fetal lung maturity D. metabolic disorders 12. After amniocentesis, Nurse Reana instructs the patient to report the following, except? A. Chills and fever of 38 C B. Bleeding, clot or tissue passage C. Increased fetal movement D. Uterine contractions 13. Ideally, in which position must Nurse Reana put the patient after amniocentesis? A. Supine B. Prone 1 | Page


A. After 6 months B. After 1 year C. After 3 years D. The reflex persists for a lifetime Situation: Mrs. Janet brought her 3-year old toddler to the ED due to hard stools and constipation. The child is lethargic, pale and has traces of blood in the urine and a temperature of 38.2 C. Upon assessment, the physician suspects the child to have Wilm’s tumor. 51. All of the following are necessary interventions to perform for the child, except? A. Monitor blood pressure at regular intervals B. Palpate the abdomen for any presence of mass C. Measure abdominal girth at least once daily D. Assess for signs of hemorrhage 52. Nurse Vee received orders to reserve 2 units of packed RBC for standby blood transfusion for the child. She knows that the only IV fluid compatible with blood products is ________. A. Plain Lactated Ringers B. 5% Dextrose in Water C. 0.9% Sodium Chloride D. 3% NaCl 53. Surgery was advised by the physician. Mrs. Janet was told that the procedure will be a life-saving measure to eradicate the tumor before metastasis occur. The procedure done for children with Wilm’s tumor is called? A. Adrenalectomy B. Partial nephrectomy C. ESWL D. Whipple’s procedure 54. Chemotherapy was initiated post-surgery. Nurse Vee is aware that which of following chemotherapeutic regimen may cause hemorrhagic cystitis? A. Bleomycin B. Vincristine C. Doxorubicin D. Cyclophosphamide 55. During chemotherapy, Nurse Vee will watch out for bone marrow suppression. The period at which bone marrow suppression is greatest is called as _________. A. Induction B. Remission C. Consolidation D. Nadir Situation: Sheldon is a 2-year-old boy with poor growth recently diagnosed with celiac disease. Her mother reports that he is having a temper tantrum because he wants to eat birthday cake like the other children. His mother gives in and says, “Well, I guess it won’t hurt him to eat a piece this one time.” Nurse Fray is given the task of giving health education to the mother. 56. Nurse Fray is aware that an important nursing consideration in the care of a child with celiac disease is to: A. Refer to a nutritionist for detailed dietary instructions and education. B. Help the child and family understand that diet restrictions are usually only temporary. C. Teach proper hand washing and Standard Precautions to prevent disease transmission. D. Suggest ways to cope more effectively with stress to minimize symptoms. 57. What food choice by the mother of Sheldon indicates a need for further teaching? A. Steamed rice B. Mais con yelo C. Fish fillet D. Oatmeal 58. Children with undiagnosed celiac disease often develop which of the stool characteristics? Ribbon-like stool Tenesmus Steatorrhea Melena 59. Nurse Fray would implement the most appropriate measure to manage Celiac disease by? A. Breastfeeding B. Adherence to a gluten-free diet C. Administration of steroids and immunosuppressants D. Giving water-soluble vitamins, iron and folic acid supplements 60. The classic manifestation of a child with celiac disease often presents with a body that is _________ A. Overweight B. Thin with a distended abdomen C. Thin with a protruding abdomen D. Thick with a sausage-shaped mass in the abdomen Situation: Colin, 5 years of age, was brought by her father to the ED due to sudden onset of cough and DOB with hoarseness of voice. He is drooling with a fever of 39.2 C. Upon inspection, his throat appears inflamed and cherry-red. Nurse Myka suspects epiglottitis as she responds quickly to this situation. 61. Which breath sound should Nurse Myka expect in a child with epiglottitis? A. Friction rub B. Crackles C. Wheezing D. Stridor 62. The following interventions are inappropriate to perform for a child suspected with epiglottitis, except? A. Obtain a throat culture B. Elicit gag reflex with a tongue blade during inspection C. Take oral temperature D. Maintain NPO status 63. Nurse Myka notices the child leaning forward, with an open mouth and chin thrusted forward while supporting the body with the hands. She will interpret this as? A. The child is aggravated B. The child attempts to widen the airway C. The child is struggling to breathe D. The child is not in respiratory distress 64. Epiglottitis is most commonly caused by which causative agent? A. Respiratory syncytial virus (RSV) B. Mycoplasma pneumoniae C. Haemophilus influenza D. Epstein-Barr virus 65. Nurse Myka places the child in nasal cannula at 2 LPM. She knows that the rationale behnd the placement of a humidified oxygen includes all of the following, except? A. Prevents trauma to the airway B. Cools the airway C. Decreases swelling D. To conserve oxygen Situation: Mrs. Welsh brought her child to pediatric ER for consult. She reports that her child has had a sore throat for the past 3 weeks already and began to have fever and muscle pain for the past few days. Nurse Quin notes the presence macular rashes in the child’s chest and back which prompted him to suspect Rheumatic Fever. 66. Nurse Quin would list the following as major signs included in the Jones criteria for the diagnosis of rheumatic fever. (Select all that applies). 1. Carditis 2. Erythema marginatum 3. Polyarthritis 4. Sydenham chorea 5. Subcutaneous nodules 6. Arthalgia 7. Fever A. 1, 2, 3, 5, 7 B. 2, 3, 4, 6, 7 C. 1, 2, 3, 4, 5 D. 3, 4, 5, 6, 7 67. Which laboratory finding is indicative that the child has recently been exposed to a streptococcal infection? A. ESR B. CRP 4 | Page