Tiêu đề RECALLS 13 - NP2 - SC ✅

1 | Page RECALLS 13 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 April a gravida 1, para 0. Patient is admitted at the labor room. Her cervix is 100% effaced, and upon IE, her cervix is 3 cm dilated, the fetus is at + 1 station. Staff Nurse Mihka attends to her. 1. Taken from the assessment data above that the fetus is at + station, how will Nurse Regina interpret this? That the head of the fetus is _________. A. Below the ischial spines B. Visible at the vaginal opening C. Not yet engaged D. Entering the pelvic inlet 2. Nurse Mihka monitors the contractions of the patient. She recorded the contractions as follows: started at 10:00 A.M; another began at 10:15 A.M. In MINUTES, what is the frequency of the contractions? A. 10 B. 9 C. 15 D. 14 3. Nurse Mihka assesses the duration of the patient’s contractions by timing them from ________ to ________. A. Beginning of one contraction to the beginning of the next contraction B. End of the contraction to the beginning of the next contraction C. End of the contraction to the end of the next contraction D. Beginning of one contraction to the end of the same contraction 4. After doing Leopold’s maneuvers on the patient I labor, the nurse determines that the fetus is in the ROA position. Where should the nurse place the Doppler to BEST auscultate the fetal heart tones? A. Below the umbilicus near the left groin B. Below the umbilicus on the right side C. Above the umbilicus in the midline D. Above the umbilicus on the left on the left side 5. Patient April was given epidural anesthesia. This indicates late deceleration of the fetus and so the nurse has to do important nursing interventions. ARRANGE the following nursing interventions in ORDER or PRIORITY. 1) Increase intravenous fluids 2) Change position of the patient to the left side lying 3) Reassess fetal heart rate pattern 4) Document intervention and maternal/fetal response A. 3 2 1 4 B. 3 4 1 2 C. 4 2 3 1 D. 2 3 4 1 Situation 2 – Patient Trisha, who is in the third trimester, arrives at the hospital with vaginal bleeding. She states that she snorted cocaine approximately 2 hours ago. 6. Which defined complication is MOST likely causing the client’s vaginal bleeding? A. Premature separation of normally implanted placenta B. Pregnancy outside the uterus C. Termination of pregnancy before the age of viability D. Abnormal lower implantation of the placenta 7. The abdominal pain associated with abruption placentae may be INITIALLY caused by which of the following? A. Disseminated intravascular coagulation B. Blood in the myometrium C. Hemorrhagic shock D. Concealed haemorrhage 8. The bleeding following severe abruption placentae is usually caused by which of the following condition? A. Thrombocytopenia B. Hyperglobulinemia C. polycythemia D. hypofibrinogenemia 9. What should the nurse prepare for the POSSIBLE order of the physician? A. The administration of the oxytocin B. A high- forceps birth C. An immediate caesarean birth D. The insertion of a fetal monitor 10. Abruption Placenta can cause hemorrhagic disorder which can lead to hypovolemic shock. What is the LATE sign of hypovolemic shock that the nurse should watch for? A. Hypertension B. Tachycardia C. hypotension D. tachypnea Situation 3- A nurse is performing an admission assessment on Tonton a 4-year-old, who has been diagnosed with nephrotic syndrome. 11. What sign will BEST support the medical diagnosis of nephrosis? A. Gross hematuria, tea-colored, scanty urine B. History of a streptococcal infection C. Periorbitaledema D. Anasarca 12. Tonton receives prednisone as the major treatment for his nephrosis. Which of the following actions should be observed by the nurse in the administration of prednisone? A. All of the options. B. Administer the drug on a full stomach. C. Monitor Carlo’s temperature. D. Protect Carlo from infection. 13. Which side effect of prednisone will be MOST prominent on Tonton and for which he should be prepared before its administration? A. Hypotension B. Decreased weight C. mooning of face D. vomiting * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *

3 | Page 31. What is the GTPAL for Mrs. Jaclyn? A. G = 1, T = 1 , P = 1, A = 0, L = 1 B. G = 2, T = 0 , P = 0, A = 0, L = 1 C. G = 3, T = 2 , P = 0, A = 0, L = 1 D. G = 2, T = 1 , P = 0, A = 0, L = 1 32. What is the expected change in the hemotologic system that occurs during the END of the first trimester of pregnancy that Nurse Jubel should recognize? A. An increase in hematocrit B. A decrease in WBC’s C. An increase in blood volume D. A decrease in sedimentation rate 33. Mrs. Jaclyn asks about the functions of placenta. Which of the following items should Nurse Jubel include in the teaching plan? 1) The placenta filters the fetal urine. 2) Fetal and maternal blood mix in the placenta to exchange nutrients. 3) The placenta filters the alcohol from the mother’s blood. 4) Substances are exchanged by the placenta without mixing the maternal and fetal blood. 5) Fetal respiration, nutrition and excretion are carried out by the placenta. A. 1, 2, 3 B. 4, 5 C. 3, 4, 5 D. 1, 2 34. Mrs. Jaclyn asks “When will be my expected date of delivery (EDD)?” Based on her knowledge of Naegeles’ Rule, which should be the CORRECT answer of Nurse Margie? A. November 14, 2017 B. October 14, 2017 C. October 19, 2017 D. November 19, 2017 35. Nurse Jubel Explained the chronological order of the growth and development of the fetus as it occurs in pregnancy which is the following __________. A. Ovum, zygote, morula, embryo, fetus, infant B. Morula, zygote, ovum, fetus, embryo, infant C. Morula, ovum, embryo, zygote, fetus, infant D. Zygote, ovum, morula, embryo, fetus, infant Situation 8- Nurse Korinna attends to Patient Cha Hin who is three months pregnant when a pelvic sonogram was conducted on her revealing the fetus’ weak cardiac pulsation. Nurse Korinna advised the patient to have a follow up visit to their clinic after a week but it was only after two weeks that the patient returned when she started to suffer from severe abdominal pains. Upon examination, the doctor found out that there was a dead fetus in her womb. The patient underwent hysterectomy and as a result, she had no more chance to bear a child. 36. Cha Hin filed legal charges against all people concerned regarding the outcome of the procedure done to redress the damages caused by the procedure. Who among the following will be accountable to the patient? A. None, all members of the health care team performed their professional duties on the patient. B. Only Dr. A but not the nurse because the latter was just following orders from the physician. C. Dr. A and the nurse because of their failure to perform their perspective duties with diligence and care. D. Dr. A and the hospital administrator because of command responsibilities on the treatment and care to the patient. 37. Under the situation, if the physician and the nurse are liable over the consequence of the treatment and care of the patient, what applicable legal doctrine will this be? A. Respondeat Superior B. Captain of Ship Doctrine C. Patient’s Proximate Negligence D. Res Ipsa Loquitor 38. If the nurse is called to testify on the alleged surgical procedure performed to the patient to determine whether there was lack of necessary care and diligence, the nurse should testify only on matters which are ________. A. Within her personal knowledge B. Documented in the chart C. Advised by her lawyer D. Being asked by the court 39. Medical records have legal implications. In as much as the nurse failed to chart the discharge instructions, what principle in records management was violated? A. “If it was not documented, it was not done.” B. “Completion of chart should be within 48 hours.” C. “No document, no discharge.” D. “Not all documented data are true.” 40. Hospital A practices clinical pharmacy. Physician writes the order of medications, pharmacist prepares it and the nurse administers it. Who then will be liable for any drug overdose administered intravenously by the nurse? A. Pharmacist B. Nurse and Physician C. Nurse D. nurse and pharmacist Situation 9- Joseph, 3 years old, who underwent ventricular septal defect repair, is placed on a maintenance dosage of digoxin (Lanoxin) elixir. Nurse Hannah, complete with the knowledge of the disease, is assigned to him. 41. The dosage is 0.07 mg/kg/day, and the client’s weight is 7.2 kg. The physician orders the Digoxin to be given twice daily. How much Digoxin should Nurse Hannah prepare to administer at each dose? A. 2.5 mg B. 0.5 mg C. 0.37 mg D. 0.25 mg 42. Nurse Rita provides home care instructions to the parents of Joseph regarding the procedure for the administration of digoxin (Lanoxin). Which statement, if made by the parent, indicated the need for further instructions? A. “If the child vomits after medication administration, I will repeat the dose.” B. “If more than one dose is missed, I will call the physician.” C. “I will take the child’s pulse before administering the medication.” D. “I will not mix the medication with any food and drinks.” 43. Which of the following instructions about ORAL pediatric medications is TRUE as these interfere with milk and milk products or food eaten by young children? Oral medication should be given_____________. A. With meals always B. On an empty stomach C. ½ hour after meals D. With the night time formula 44. Joseph has a blood pressure of 92/78; resting pulse of 60; respirations 28 and a potassium level of 4.8 mEg/L. He is irritable and has vomited twice since the morning dose of digoxin. Which finding is most indicative of digoxin toxicity? A. Vomiting B. Lethargy C. Bradycardia D. Irritability 45. Considering Joseph’s age, which of the following is the BEST approach by the nurse when administering medication? A. “You will feel better if you take your medication.” B. “Would you like to take your medicine from a spoon or a cup?” C. “Do you want to take this pretty red medicine?” D. This is your medicine and you must take it all right now.” Situation 10- Hani, a 5- year- old child, is admitted to the hospital for abdominal pain. The mother reports that the child has been pale, tires easily and has hematomas in the arms and legs. On physical examination, lymphadenopathy and hepatosplenomegaly are noted. Diagnostic studies are being performed on the child because acute lymphocytic leukemia is suspected. 46. Which of the following procedures will confirm this diagnosis?