Tiêu đề RECALLS 2 - NP5 - SC ✅

RECALLS 2 EXAMINATION NURSING PRACTICE V CARE OF THE CLIENT WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) NOV 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 1- You’re assigned as a staff nurse in the Stroke Unit of the Medical Ward. One of your responsibilities is to provide health teachings to the stroke patients and to the other members of the family. The following questions refer to these statements. 1. You are teaching a patient about taking prophylactic warfarin sodium (Coumadin). Which of these statement indicate that the patient understands how to take the drug. SELECT all that apply: 1) “The drug’s action peak in two hours” 2) “Maximum dosage is not achieved until 3 to 4 days after starting the medication” 3) “Effects of the drug continue for 4 to 5 days after discontinuing the medication 4) “Protamine Sulfate is the antidote for Warfarin” 5) “I should have my blood levels tested periodically” a. 2, 4, 5 b. 2, 3, 5 c. 1, 4, 5 d. 1, 3, 4 2. Maintaining oral hygiene for a stroke patient is important in his care. You are teaching a family member how to give oral care to the stroke patient. Which of the following nursing measure is NOT APPROPRIATE when giving oral care to such patient? a. Cleaning the patient’s mouth and teeth with a soft-bristled toothbrush b. Keeping portable suctioning equipment at the bedside c. Opening the patient’s mouth with a padded tongue depressor d. Placing the patient on his back with a small pillow under the head 3. Your patient has paraplegia. In giving instruction to the watcher when changing the patient’s position in bed, which of the following is NOT APPROPRIATE? a. Lifting the patient when moving him up in bed b. Rolling the patient unto the side c. Using a trapeze to help the patient lift off the bed d. Sliding the patient to move up in bed 4. A patient is experiencing mood swings after stroke. Often times she has episodes of crying that are distressed to the family members. What is the BEST TECHNIQUE that you will advise the family members when the patient is having crying spells? a. Ignore the patient during this time b. Sit quietly with the patient until the crying episode is over c. Tell the patient that the behavior is unacceptable d. Attempt to divert the patient’s attention 5. To prevent joint deformities of the arm and hands of a hemiplegic patients what are the APPROPRIATE position will you include in your health teachings of the family member? SELECT all that apply. 1) Placing a pillow in the axilla so the arm is way from the body 2) Inserting a pillow under the slightly flexed arm so the hand is higher than the elbow 3) Immobilizing the extremity with a sling 4) Placing a hand cone so the finger are barely flexed 5) Keeping the arm at the sides using a pillow a. 2, 3, 4 b. 1, 3, 5 c. 1, 2, 4 d. 2, 4, 5 Situation 2- You are a community health nurse assisting a family in the care of their daughter suffering from the past traumatic stress disorder. 6. While caring for this client, the family notices that loud noises cause a serious anxiety response. Which of the following explanations by you would help the family understand the client’s response? a. After a trauma, the client cannot respond to stimuli in an appropriate manner b. Clients often experience extreme fear about normal environmental stimuli c. Environmental triggers can cause the client to react emotionally d. The response indicates that another emotion problem needs investigation 7.Which of the following instructions should you include about relationships for this client with post-traumatic stress disorder? a. Assess the client’s discomfort when talking about feelings to family member. b. Explain that avoiding emotional attachment protects against anxiety. c. Warn the client that she will have a tendency to be overdependent in relationships d. Encourage the client to resume former roles as soon as possible 8. Which of the following nursing interventions would best help this client and her family handle interpersonal conflict at home? Have the family: a. Discuss how to change dysfunctional family patterns b. Teach the client to identify defensive behavior. c. Agree not to tell the client what to do about problem d. Arrange for the client to participate in social activities. 9. Which of the following nursing actions would be more appropriate when speaking with this client about the trauma she experienced? a. Listen attentively b. Request the client write what is being said c. Ask question to convey an interest in the details d. Obtain validation of what the client says from another party 10. Which of the following nursing actions would you include in the plan of care for this client who keeps saying that the 1 | Page