Tiêu đề RECALLS 8 - NP4 - SC ✅

RECALLS 8 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: Renal disease affects millions worldwide and often leads to serious health complications. It commonly results from diabetes, hypertension, infections, or autoimmune disorders. Nurses must understand its causes, recognize early signs, and provide proper care to manage the disease and prevent complications. 1. In caring for patient with renal calculi, which is the priority nursing intervention? A. Record vital sign B. Strain the urine C. Limit fluids D. Administer analgesics as prescribed 2. In a patient with renal failure, the diet should be: A. Low protein, low sodium, high potassium B. Low protein, high potassium C. High carbohydrate, low protein D. Low protein, low sodium, low potassium 3. Which of the following cannot be corrected by dialysis? A. Hypernatremia B. Decreased hemoglobin C. Hyperkalemia D. Elevated Creatinine 4. A patient was admitted to the hospital with a diagnosis of acute glomerulonephritis. History reveals a 5-pound weight gain in one week and peritoneal edema. For the most accurate information on the status of the patient’s edema, nursing intervention should include? A. Measuring the patient’s intake and output B. Obtaining the patient’s daily weight C. Doing a visual inspection on the patient D. Monitoring the patient’s electrolyte values 5. The nurse is caring for a patient suspected of having renal dysfunction. When reviewing laboratory results, the nurse interprets the presence of which substances in the urine as most suggestive of pathology? A. Potassium and sodium B. Bicarbonate and urea C. Glucose and protein D. Creatinine and chloride 6. A patient with acute kidney injury is being assessed to determine where physiologically the cause is. If the cause is found to be prerenal, which condition mostly caused it? A. Glomerulonephritis B. Heart failure C. Ureterolithiasis D. Aminoglycoside toxicity 7. The client receiving dialysis is complaining of being dizzy and light-headed. Which action should the nurse implement first? A. Place the client in the Trendelenburg position. B. Turn off the dialysis machine immediately. C. Bolus the client with 500 mL of normal saline. D. Notify the health-care provider as soon as possible. 8. What is the normal characteristic of peritoneal dialysis effluent? A. Bloody fluid with clots B. Milky and odorless C. Cloudy and pale yellow D. Clear and pale yellow 9. The nurse is caring for a patient receiving hemodialysis three times weekly. The patient has had surgery to form an arteriovenous fistula. What is most important for the nurse to be aware of when providing care for this patient? A. Using a stethoscope for auscultating the fistula is contraindicated B. The patient feels tired immediately after the dialysis treatment C. Taking a BP on the affected arm can damage the fistula D. The patient should not feel pain during initiation of dialysis. 10. A patient was admitted with a diagnosis of post-infectious glomerular disease. The nurse recognizes that this form of kidney disease may have been precipitated by what event? A. Hypersensitivity to immunization B. Menarche C. Sore throat D. Tuberculosis Situation: Endocrine disorders result from hormone imbalances that affect various body functions. Nurses play a key role in early detection, monitoring, and managing these disorders to prevent complications and support patient health. 11. A patient with hyperthyroidism is receiving radioactive iodine therapy. Which of the following should the nurse include in the discharge? A. “You should avoid close contact with pregnant women for a few days.” B. “You may return to work immediately after your treatment.” C. “You should increase your iodine intake in your diet.” D. “You need to take thyroid hormone replacement immediately for life.” 12. The patient underwent total thyroidectomy. You are caring for the patient eight hours postoperative. Which of the following assessment findings indicate that the patient is developing a complication? A. Moderate amount of dry sanguineous drainage on the dressing B. Oral temperature of 99.2°F (37.3°C) C. RR of 23 and apical pulse of 97 D. Patient reports sore throat when speaking 13. The nurse identifies the client problem “risk for imbalanced body temperature” for the client diagnosed with hypothyroidism. Which intervention should be included in the plan of care? A. Discourage the use of an electric blanket. B. Assess the client’s temperature every two hours. C. Keep the room temperature cool. D. Space activities to promote rest. 1 | Page