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1 | Page RECALLS 12 EXAMINATION NURSING PRACTICE IV CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART B) 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 IV” on the box provided Situation: As a nurse researcher in the research and development center of her hospital, Nurse Rianna is assigned to conduct a research study on the levels of competence of the hospital’s staff nurses. She is given 12 months for the study’s duration. 1. Nurse Rianna is composing her proposal, which design will she use if Rianna wants to assess the competence of the staff nurses upon appointment to the job until their respective retirements? A. Retrospective B. Cross-sectional C. Longitudinal D. Descriptive-correlational 2. During the project planning, Rianna realizes that she cannot use randomization for her subjects due to the nature of the work setting. Considering this, what research design should Rianna employ when randomization is not permitted? A. Experimental B. Quasi-experimental C. Prescriptive D. Correlational 3. As part of her research, Nurse Rianna plans to implement a new competency-based training design in which she will later evaluate the competency levels of the nurses who underwent and did not participate in the new program. What research design is applicable for Rianna to employ? A. Cross-sectional B. Experimental C. Retrospective D. Descriptive 4. Rianna formulated the hypothesis of her research, which pertains to a simple hypothesis? A. The level of competence is the same for those with clear perception and those who have unclear role perception B. Role perception increase the level of competence among staff nurses C. Level competence is influenced by role perception D. Role perception is not related with the level of competence among staff 5. When a competency-based training program for the staff nurses is introduced by Nurse Rianna, which element of experimental research would this action refer to? A. Evaluation B. Manipulation C. Control D. Randomization 6. After formulating the hypothesis and choosing her research design, Rianna plans her data gathering tool. Which of the instruments would yield the MOST ACCURATE data about the competency at entry of the staff nurses? A. Performance evaluation forms based on observation by the immediate superior nurses. B. Interview the director of nursing C. Questioners to be filled up by the nurse managers D. Existing data from transcript of records 7. Rianna plans to interview the training director about the staff nurses’ performances. What type of sampling would she use if she includes those who happen to be in the training room where the activity is scheduled to be conducted? A. Quota B. Random C. Purpose D. Convenience 8. Nurse Rianna is certain that several of the staff nurses who specialize in research settings tend to respond psychologically to the condition of the study. This is referred to as: A. Instrumentation error B. Hawthorne effect C. Halo effect D. Selection effect 9. The right of the subject to beneficence is demonstrated by Rianna when she does which of the following? A. Keeps in confidence all information she gathered from the subject B. Assure subjects that their participation will not be used against them C. Secure informed consent of the subjects D. Should not place the subjects at a disadvantage or expose to situations they have not been explicitly prepared Situation: Mr. Jake proposed to conduct research on the utilization of a revised self-care guide for patients diagnosed with rheumatoid arthritis. 10. Mr. Jake believes that he must abide by the ethical conduct in research, which code of ethics requires informed consent in all studies involving human subjects? A. ICN code of ethics B. Belmont report C. Nuremberg code D. Helsinki declaration 11. Which of the following codes of ethics differentiate whether the research study has a therapeutic value, or which essentially yields new knowledge and has no therapeutic value? A. Nuremberg code B. Belmont report C. Helsinki declaration D. ICN code of ethics 12. Some characteristics are considered vulnerable as subjects for clinical research, which is NOT considered as vulnerable? A. Adult woman B. Mentally or emotionally disabled people C. Children D. Institutionalized people 13. During the study, one of the subjects expressed his intention to disengage from the research. Which of the following is the appropriate action to take? A. Motivate him to sustain his participation * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
3 | Page 33. Marie, a primipara mother, who receives instructions about breastfeeding will verbalize a successful breastfeeding experience. This is an example of which hypothesis? A. Complex and non-directional hypothesis B. Complex hypothesis C. Simple and non-directional hypothesis D. Simple and directional hypothesis 34. According to the dependent variable based on the previous item, the most applicable research design is which of the following? A. Qualitative research B. Quantitative research C. Pure research D. Basic research 35. Above all, do no harm. This principle in research is based on which ethical consideration? A. Non-maleficence B. Beneficence C. Privacy D. Human dignity 36. Registered nurse Philip is working on his masteral thesis and conducted a longitudinal growth study after an initial collection. This method involves children from six months of age to adulthood, which method is used? A. Correlational presentation B. Field design C. Developmental presentation D. Historical presentation 37. Another researcher would like to investigate the effects of a specific tranquilizing drug on the learning behavior of teenage boys, using random assignment of who would receive the drug, and involves a presence of a control group. The research follows which research design? A. True experimental research method B. Descriptive research method C. Action research method D. Quasi-experimental method 38. Studies previously finished and articles by experts that provide information and insight into the problem’s area under study are considered which of the following? A. Documental literate B. Social literate C. Research literate D. Conceptual literate Situation: Researcher Colet plans to have an intensive study on the health problems affecting the residents of Brgy. Biniverse, Bini City. She decides to conduct the study on every seventh family corresponding the list of the total population in the said community. 39. The sampling method suited for the study is which of the following: A. Incidental sampling B. Systematic sampling C. Clusters sampling D. Stratified sampling 40. A person’s report who relays a testimony of an actual witness or participant in an event is called a: A. Primary source of information B. Secondary source of information C. Tertiary source of information D. Quadruplex source of information 41. When you observe a change in the nursing students’ behaviors in the administration of medication among patients with CKD that occurs because they know they are under observation and graded by their assigned clinical instructors for further assessment of the nursing skills, this refers to which of the following? A. Johari window effects B. Lurking effect C. Halo assessment D. Hawthorne phenomenon 42. There is no difference between nursing and non-nursing students in the source of satisfaction and stress in their individual areas of experience. This illustrates as: A. Null hypothesis B. Operational hypothesis C. Alternative hypothesis D. Inductive hypothesis 43. Condition or characteristics that the researcher manipulates in his attempts to ascertain their relationship to the observed phenomenon is a: A. Dependent variable B. Independent variable C. Antecedent variable D. Experimental variable Situation: You are studying about the different research designs 44. You are knowing more about qualitative research, which refers to this design? A. The study on the effect of anxiety on the heart rate among elderly clients B. The relationship between pain and pain medications consumption among cancer patients C. A study on the effects of death in the coping mechanism of widowed individuals D. Study on the relationship between anxiety and blood pressure 45. Which is considered to be descriptive research in character? A. Study on the behavior of a child with terminal illness B. Effectiveness of a new drug solution for cancer of the lung C. A study of the diseases that erupted during 18th century. D. Observation of the presence or absence of helplessness among elderly patients after undergoing chemotherapy 46. Which of the following studies is based on qualitative research? A. A study measuring differences in blood pressure before, during, and after a procedure B. A study examining client’s reactions to stress after chemotherapy C. A study examining oxygen levels after endotracheal suctioning D. A study measuring nutrition and weight loss gain in clients with diabetes mellitus Situation: Informed Consent 47. What is the main responsibility of the nurse regarding a patient who will be signing a consent form? A. Explain the procedure and any risk factors to the patient thoroughly B. Complete all blank spaces in front of the patient before witnessing C. Validate that the patient understands the procedure of the treatment D. Ensure that the patient has not received any sedation two to three hours prior to signing the consent form 48. A patient will be undergoing a surgery; the surgeon provides all necessary explanations for the patient to understand the procedure. The patient, however, refuses. Her right to refuse is based on which of the ethical principles? A. Veracity B. Altruism C. Beneficence D. Autonomy 49. A client told the nurse regarding his decision to refuse blood transfusion due to his religious beliefs. Which is the most appropriate initial nursing action? A. Discuss the client's refusal with the family so that the members will decide for the patient B. Conduct a client's conference with the staff to the snare the client's refusal C. Document the client's refusal in the nursing care plan D. Notify the physician of the client's decision 50. The nurse knows that responsibility for obtaining an informed consent for a procedure rest with: A. The person who will perform the procedure. B. The nurse who is caring for the client C. Clerical staff in the facility D. The hospital