Tiêu đề RECALLS 1 (NP4) - STUDENT COPY ✅

RECALLS EXAMINATION 1 NURSING PRACTICE IV CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART B) MAY 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: Jabi, 69 years of age, is diagnosed with Benign Prostatic Hyperplasia (BPH). 1. The nurse anticipates that the signs and symptoms of BPH do NOT include ______. A. frequency of urination B. pain on urination C. dribbling of urine D. hesitancy in starting urination. 2. Jabi asks the nurse to explain his condition (BPH). Which statements are CORRECT explanations by the nurse? I. It blocks the urethra II. It obstructs the bladder. III. It spreads to other parts of the body IV. It leads to urinary retention A. I and IV B. II, III, and IV C. I, II, and III D. I and III 3. What IMMEDIATE danger should the nurse anticipate post Transurethral Resection of the Prostate (TURP)? A. Infection B. Bleeding C. Thrombosis D. Shock 4. The nurse knows that the normal color of the bladder irrigation drainage right after TURP is ____. A. reddish pink B. bright red C. light pink D. yellowish 5. Sexual dysfunctions like impotence, erectile dysfunction, and lack of libido are likely possibilities in what prostatic surgery? A. Suprapubic prostatectomy B. Transurethral resection of the prostate C. Laparoscopic prostatectomy D. Perineal prostatectomy Situation: Derek, 52 years old has been a cigarette smoker since age 17. Has nagging cough and hoarseness of voice and dyspnea. Based on the physical and laboratory findings, the physician suspected him of having lung cancer. 6. Which of the following is NOT a known predisposing factor to lung cancer? A. House is near a banana plantation. B. Works as a sprayer of vegetables and fruit trees. C. Lives in a suburban area. D. Living with my mother who is a tobacco smoker. 7. Upon history-taking, the nurse notes that the cough of a patient with lung cancer usually STARTS off to be _____. A. blood-tinged B. productive C. dark yellow sputum D. dry and persistent 8. Which diagnostic procedure is commonly used to establish the diagnosis of lung cancer which provides a detailed description of the tracheobronchial tree and allows for biopsies of suspicious areas? A. Computerized Tomography (CT) scan B. Bronchoscopy C. Sputum cytology D. Positron Emission Tomography (PET) 9. To help the patient with his breathing difficulty, the nurse places him in which position? A. Prone B. Fowler's C. Sim's lateral D. Supine 10. Derek is diagnosed with small cell lung cancer (SCLC), a rapidly growing type of cancer. He and his family were shocked when told by the doctor that the patient will just undergo palliative treatment. Which nursing action is MOST APPROPRIATE? A. Providing relief from symptoms. B. Reducing fatigue C. Providing psychological support D. Advising treatment options Situation: Nurses should not only abide by the laws, but be guided by the Code of Ethics for Nurses as well. 11. The Code of Ethics for Nurses have articles relating to the relationship of nurses on ____. (Select all that apply.) I. people II. practice and the profession III. co-workers IV. society and environment A. I, III, and IV B. I, II, III, and IV C. II, III, and IV D. I, II, and III 12. The Code of Ethics adopted all the principles under the A. Code of Good Governance B. Patient's Bill of Rights C. ICN Code of Ethics D. American Nurses Association (ANA) Code of Ethics 13. According to the Code of Ethics, WHO determines the coverage and scope of the examination for the practice of nursing in the Philippines? A. Professional Regulation Commission B. Association of Deans of Philippine Colleges of Nursing C. Professional Regulatory Board of Nursing (PRBON) D. Professional Association of Philippine Regulatory Boards (PAPRB) 14. What are the three important legal principles in nursing professional ethics? I. Autonomy II. Informed consent III.Confidentiality IV. Truthtelling A. I, II, and IV B. II, III, and IV C. I, III, and IV 1 | Page


physician. He and his wife got very worried about his diagnosis. 51. Which procedure has to be done to the patient to establish a definitive diagnosis of lung cancer? A. Chest x-ray followed by a CT scan B. Cytological study of the sputum C. Bronchoscopy D. Magnetic resonance imaging 52. The MOST significant contributory factor to the development of lung cancer is ______. A. being a cigarette smoker B. belonging to the male sex C. Being extremely obese D. age over 40years. 53. The patient while in the hospital is complaining of chest pain. When the nurse is assessing the degree of pain of the patient, the MOST APPROPRIATE basis is ______. A. watcher's description of patient's pain B. patient's own rating of his pain C. Non-verbal cues observed in the patient D. Nurse's own rating of the patient's pain 54. Health teaching on chemotherapy includes informing Tommy on the adverse effect of bleeding related to bone marrow depression. Which verbalization of the patient indicates further teaching? A. I should watch out for discolorations in my skin. B. I am going to take two tablets of Aspirin for my headache C. I may need platelet transfusion in the future D. I should not blow my nose 55. The patient underwent a left pneumonectomy due to lung cancer. During surgery the phrenic nerve is accidentally cut. This incident will result in _____. A. Allow greater expansion of the lungs B. Make the diaphragm descend with ease C. Produce a partially functioning diaphragm D. Make the diaphragm go up with ease Situation: The Clinical Instructor (CI) is conducting a ward class on how to perform the breast self-examination (BSE) 56. The CI is expected to set the atmosphere by welcoming everyone and by _____. A. showing every one the picture of the breast B. discussing the objectives of the ward class C. giving an anecdote about an old man D. going ahead with the first part of the lecture 57. For the students' better understanding about the anatomy of the breast, the CI shares A. various pictures of the breast, external and internal views B. pictures of different types of mastectomies C. the experiences of breastfeeding mothers D. artistic drawings of the breasts 58. The clinical instructor proceeded with the lecture to the students using the ____. A. Question and Answer method B. Entertainment style of presentation C. Students as the resource persons D. Outline of the lecture she just presented 59. When the lecture presentation was finished, the CI proceeded with the ____. A. evaluation of the activity B. Q and A portion on anything the students are interested to tackle C. open forum to solicit questions related to the topic under discussion. D. cracking of humorous anecdotes to keep the class alive. 60. The last and necessary part of the activity is ______. A. informing the students their next day's assignment. B. the joke portion for good vibes C. evaluation so that future but similar activities can be improved D. after care of the venue, an earlier reminder by the HeadNurse Situation: Hypovolemic Shock. The adult patient on his way to the office met a vehicular accident and was continuously bleeding from the head. He was brought to the nearest hospital by the bystanders. 61. What must the Emergency Room Nurse do FIRST? A. Start an intravenous line at once. B. Position with head lower than extremities. C. Request for laboratory examinations. D. Stop the bleeding immediately. 62. Due to continuous bleeding the patient goes into the second stage of shock with BP 80/60. What are the possible effects on the heart in this stage? I.Increased heart rate II. Chest pain III. Increased cardiac troponin IV. Myocardial infarction A. I, II, III, and IV B. I and II C. I, II, and III D. II, III, and V 63. The BEST position for the patient to assume in case of shock is ________. A. modified Trendelenburg B. high Fowler's C. recumbent D. low Fowler's 64. What isotonic electrolyte solutions are COMMONLY used as fluid replacement in hypovolemic shock? I. Dextrose 5 percent in water II. 0.9 percent sodium chloride III. Lactated Ringer's solution IV. Dextrose 10 percent in water A. II, III, and IV B. I, III, and IV C. II and III D. I and IV 65. In case the patient would go into cardiovascular overload as a result of the intravenous fluid therapy the PRIORITY nursing action should focus on ______. A. respiratory distress B. increase in total urine output C. increase in body temperature D. edema in the lower extremities Situation: Nurse Jemma is working in the ER when a strong earthquake shook the city. Fifteen minutes later, a number of patients have been starting to arrive in the ER. 66. As the triage Nurse, which of the following will be Jemma's priority? A. A non-responsive patient with a sunken skull. B. The patient with facial wounds and fracture. C. Patient with sucking chest wound D. A man with over 50 percent second and third degree burns. 67. Patients brought in who are unresponsive with penetrating head wounds are tagged by the triage nurse in which color? A. Black B. Red C. Green D. Yellow 68. Those who suffered stable abdominal wounds without significant bleeding will be tagged __________. A. green B. red C. black D. yellow 69. It is very important that nurses must plan for mass casualties, which include _______. I. warfarin II. terrorism III.natural disasters IV. infectious disease outbreaks A. I, II, and III B. I, III and IV C. I, II, III, and IV D. II, III, and IV 70. Nurse Emma must work with the Disaster Committee for an appropriate disaster response strategy, in order to succeed, must have physical assets which includes which of the following? I. Increased security 4 | Page