Tiêu đề PRE-INTENSIVE - NP5 - SC ✅

PRE- INTENSIVE 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 1. The client diagnosed with borderline personalitydisorder is admitted to the unit after havingattempted to cut her wrists with a pair of scissors.The client has several scars on both arms from self-mutilationand suicide gestures. A staff member states to the nurse, “It’s just attention that she wants,she’s not going to kill herself.” The nurse should respond to the staff member by saying: A. “She’s here now and we have to do our best.” B. “She needs to be here until she can control her behavior.” C. “I’m ashamed of you; you know better than tosay that.” D. “Any attempt at self-harm is serious, andsafety is a priority.” 2. The nurse assesses a client to be at risk for self-mutilation and implements a safety contract with the client. Which of the following client behaviors indicate that the contract is working? A. The client withdraws to his room when feeling overwhelmed. B. The client notifies staff when anxiety is increasing. C. The client suppresses his feelings when angry. D. The client displaces his feelings onto the physician. 3. The client with histrionic personality disorder is melodramatic and responds to others and situations in an exaggerated manner. The nurse should recommend which of the following activities for this client? A. Party planning. B. Music group. C. Cooking class. D. Role-playing. 4. When assessing a hospitalized client diagnosed with Major Depression and BorderlinePersonality Disorder, the nurse should ask the client about which of the following first? A. Access to pills and weapons. B. Suicidal plans. C. Suicidal thoughts. D. Seriousness of the client’s intent to die. 5. A 4-month-old child is brought to the clinic for the next set of immunizations. Which of the following would contraindicate receiving immunizations at this time? A. Delayed development. B. Weight loss. C. Anorexia. D. Active infection. 6. The client is given the hepatitis B immune globulin serum, which will provide passive immunity. What is an advantage of passive immunity? A. It has effects that last a long time. B. It is highly effective in treatment of disease. C. It offers immediate protection. D. It encourages the body to produce antibodies. 7. What common adverse effects will the nurse tell the client may be experienced after being given hepatitis B immune globulin? A. Tachycardia and chest tightness. B. Heartburn and diarrhea. C. Dyspnea and upper respiratory infection. D. Pain and tenderness at the injection site. 8. College freshman are participating in a study abroad program. When teaching them about hepatitisB, the nurse should instruct the students on: A. Water sanitation. B. Single dormitory rooms. C. Vaccination for hepatitis D. D. Safe sexual practices. 9. Which of the following is normal for a client during the icteric phase of viral hepatitis? A. Tarry stools. B. Yellowed sclera. C. Shortness of breath. D. Light, frothy urine. 10. The nurse is planning a home visit for a client with hepatitis. In order to prevent transmission the nurse should focus teaching on: A. Proper food handling. B. Insulin syringe disposal. C. Alpha-interferon. D. Use of condoms. 11. The nurse develops a teaching plan for the client about how to prevent the transmission of hepatitis A. Which of the following discharge instructions is appropriate for the client? A. Spray the house to eliminate infected insects. B. Tell family members to try to stay away from the client. C. Tell family members to wash their hands frequently. D. Disinfect all clothing and eating utensils. 12. The nurse is preparing a community education program about preventing hepatitis B infection. Which of the following would be appropriate to incorporate into the teaching plan? A. Hepatitis B is relatively uncommon among college students. B. Frequent ingestion of alcohol can predispose an individual to development of hepatitis B. C. Good personal hygiene habits are most effective at preventing the spread of hepatitis B. D. The use of a condom is advised for sexual intercourse. 13. What is most important for the nurse to teach a client newly diagnosed with genital herpes? A. Use condoms at all times during sexual intercourse. B. A urologist should be seen only when lesionsoccur. C. Oral sex is permissible without a barrier. D. Determine if your partner has received a vaccine against herpes. 14. A nurse is planning care for a 25-year-old female client who has just been diagnosed with human immunodeficiency virus (HIV) infection. The client asks the nurse, “How could this have happened?” The nurse responds to the question based on the most frequent mode of HIV transmission, which is: 1 | Page