Tiêu đề RECALLS 2 - NP2 - SC ✅

1 | Page RECALLS 2 EXAMINATION NURSING PRACTICE II CARE OF THE HEALTHY/SICK MOTHER & CHILD 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 III” on the box provided Situation 1 – Patient Natalie, 15 years old, G0P1, AOG 39 weeks, has been admitted at 6:30 in the morning for lumbo-sacral pains and strong uterine contractions every 10 minutes. Nurse Gracie was there to admit her. She uses Focus, Data, Action and Response (FDAR) as the form of charting. 1. In any type of charting  or documentation, which of the following should the nurse refer to and use to generate and describe the status of patient Fe? Nursing __________. A. Assessment B. Process  C. Actions D. Diagnosis 2. Which of the following are the purposes of documentation? To ________. I. Ensure the development of organized comprehensive care plan II. Have a clear and accurate record of what was done to the patient. III. Have an evidence of the health care member’s accountability in giving care IV. Detect patients who are clinically deteriorating A. II, III, IV B. I, II, III, IV C. I, II, III D. I, III, IV 3. Which of the following is the CORRECT definition of focus charting? A. It is an electronically form of documentation of nursing care done to a patient by a registered nurse. B. It is a note, written or electronically generated, to provide documentation related to a specific focus. C. It is a nurse-centered way of documentation that describes the patient status and nursing care rendered. D. It is a nurse-centered approach to documentation. 4. In the given situation, which is the FOCUS? A. Patient Natalie as the admitting nurse B. Lumbo-sacral pains and strong uterine contractions C. 15 years old, G0P1, AOG of 36 weeks D. Admission at 6:30 in the morning 5. What is the term used to describe the patient’s data or assessment, the action done based on the assessment and response based on the action made: A. Progress Note B. Flow sheets C. Standard of Care D. Focus Format Situation: This is the first postoperative day for patient Shiela who delivered by caesarean section (CS). Nurse Gemma a newly hired staff was assigned to her. 6. Patient Shiela asks the nurse why she has to get up and walk the day after surgery. Which of the following is the BEST response of the nurse? Walking hastens _________. A. Hastens lactation B. Relieves pain C. Heals wounds D. Fast recovery from anesthesia 7. Which laboratory finding should the nurse assess on the patient 24 hours after caesarian section delivery upon doctor’s request? A. Trace 1+ proteinuria B. Hematocrit 35% C. White blood cell count 20,000/cu.mm D. Hemoglobin 7.0 g/dL 8. Patient Shiela complains of “afterpains”. What should be the nurse IMMEDIATE action? A. Advise her to stop breast-feeding for a day B. Encourage her to drink more water C. Assess vital signs and pain level D. Administer an analgesic STAT 9. Patient Shiela is to be discharge 3 days after CS delivery. Which of the following observations of the nurse would cause the delay of her discharge and would warrant notification to the physician? A. Moderate amount of lochia rubra B. Fundus is firm at umbilicus C. Pulse rate of 61 beats/minute taken in 24 hours D. Five voidings totaling 240 cc in 12 hours 10. On the third postpartum day, Patient Shiela reports that she has voided five times that morning. What should the nurse INITIALLY do? A. Insert a Foley catheter B. Collect the next voiding and measure the urine amount C. Catheterize the client to check for residual urine D. Call the physician Situation: Patient Apple, 19 years old, is in her first trimester of pregnancy. Because it is her first pregnancy, she went for her prenatal check-up with her mother. She asked a lot of questions which she expects the nurse to answer her. 11. The nurse asked for the personal data of the patient which, to some, Patient Apple did not like to answer. And so she asked: “Why do you need to know if I am married?” what should be a good response of the nurse? “I asked your marital status because _________. A. If you do not have a husband, then that can pose a big problem for you.” B. If you are married then your husband will also suffer from discomforts like you.” C. You need your husband to accompany you every prenatal check-up.” D. Your husband is your best support system during your pregnancy.” 12. The patient asked what is the term for signs such as breast * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *