Tiêu đề RECALLS 5 - NP4 - SC ✅

1 | Page RECALLS 5 EXAMINATION NURSING PRACTICE IV CARE OF THE CLIENT WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART B) 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 IV” on the box provided TOPIC: IMMUNOLOGICAL DISORDERS - HIV (AIDS) (MEDSURG)   Situation -  The nursing care of patients with HIV infection is complicated by many emotional, social, and ethical issues. The plan of care that Nurse Bea is preparing for her patients with AIDS is individualized to meet their needs.  1.The client diagnosed with AIDS is complaining of a sore mouth and tongue. When the nurse assesses the buccal mucosa, the nurse notes white, patchy lesions covering the hard and soft palates and the right inner cheek. Which interventions should the nurse implement?  A. Teach the client to brush the teeth and patchy area with a soft-bristle toothbrush. B. Notify the HCP for an order for an antifungal swish- and-swallow medication. C. Have the client gargle with an antiseptic based mouthwash several times a day. D. Determine what types of food the client has been eating for the last 24 hours. 2. Which type of isolation technique is designed to decrease the risk of transmission of recognized and unrecognized sources of infections?  A. Contact Precautions. B. Airborne Precautions C. Droplet Precautions. D. Standard Precautions. 3. The nurse is describing the HIV virus infection to a client who has been told he is HIV positive.Which information regarding the virus is important to teach?  A. The HIV virus is a retrovirus, which means it never dies as long as it has a host to live in. B. The HIV virus can be eradicated from the host body with the correct medical regimen. C. It is difficult for the HIV virus to replicate in humans because it is a monkey virus. D. The HIV virus uses the client’s own red blood cells to reproduce the virus in the body. 4. A nurse is working with a patient who was diagnosed with HIV several months earlier. The nurse should recognize that a patient with HIV is considered to have AIDS at the point when the CD4+ T-lymphocyte cell count drops below what threshold? A. 75 cells/mm3 of blood B. 200 cells/mm3 of blood C. 325 cells/mm3 of blood D. 450 cells/mm3 of blood 5. A patient was tested for HIV using enzyme immunoassay (EIA) and results were positive. The nurse should expect the primary care provider to order what test to confirm the EIA test results?  A. Another EIA test B. RT-PCR C. Western blot test D. CD4/CD8 ratio TOPIC: ONCOLOGY NURSING - BREAST CANCER (MEDSURG)   Situation - You work in an oncology unit and are caring for a 37-year-old woman from Saudi who reported a growing lump on her right breast after it became painful to touch. She is positive for breast cancer and is admitted for unilateral right mastectomy.  6. Which recommendation is the American Cancer Society’s (ACS) guideline for the early detection of breast cancer?  A. Beginning at age 18, have a biannual clinical breast examination by an HCP. B. Beginning at age 30, perform monthly breast self- exams. C. At age 45 through 54, receive a yearly mammogram. D. Beginning at age 50, have a breast sonogram every five (5) years. 7. If the patient and her physician opt for prophylactic treatment, the nurse should prepare the woman for what intervention? A. More aggressive chemotherapy B. Left mastectomy C. Radiation therapy D. Bilateral mastectomy 8. The nurse caring for this patient knows that she is anxious and fearful about the upcoming procedure and the newly diagnosed malignancy. How can the nurse most likely alleviate this patient's fears?  A. Provide written material on the procedure that has been scheduled for the patient. B. Provide the patient with relevant information about expected recovery. C. Give the patient current information on breast cancer survival rates. D. Offer the patient alternative treatment options.  9. The patient just had a mastectomy and axillary node dissection. When providing patient education regarding rehabilitation, what should the nurse recommend?  A. Avoid exercise of the arm for next 2 months. B. Keep cuticles clipped neatly. C. Avoid lifting objects heavier than 10 pounds. D. Use a sling until healing is complete. 10. When planning discharge teaching with a patient who has undergone a total mastectomy with axillary dissection, the nurse knows to instruct the patient that she should report what sign or symptom to the physician immediately? A. Fatigue B. Temperature greater than 37.5 C. Sudden cessation of output from the drainage device D. Gradual decline in output from the drain TOPIC: ONCOLOGY NURSING - CHEMOTHERAPEUTIC DRUGS (MEDSURG) * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *


4 | Page A. Insert a urinary catheter into the client. B. Complete a neurological assessment. C. Put the client in the Trendelenburg position. D. Palpate the client’s bladder. 40. The nurse is caring for clients in a Neurological Intensive Care unit. Which client should be assessed first?  A. The client with increased intracranial pressure whose Glasgow Coma Scale went from 11 to 14. B. The client was diagnosed with a C-6 SCI who has bradycardia, hypotension, and hyperreflexia. C. The client with a brain stem herniation whose big toe moves toward the top surface of the foot and the other toes fan out after the sole of the foot has been firmly stroked. 4. D. The client was diagnosed with West Nile virus who has a temperature of 101.2°F and generalized body aches. TOPIC: EMERGENCY NURSING - HEAT STROKE, CHOKING, and OTHER COMMON EMERGENCY SITUATIONS   Situation: Emergency Nursing 41. The nursing educator is reviewing the signs and symptoms of heat stroke with a group of nurses. The educator should describe what sign or symptom?  A. Hypertension with a wide pulse pressure B. Anhidrosis C. Copious diuresis D. Cheyne Stokes Respiration 42. A triage nurse is talking to a patient when the patient begins choking on his lunch. The patient is coughing forcefully. What should the nurse do?  A. Stand him up and perform the abdominal thrust maneuver from behind. B. Lay him down, straddle him, and perform the abdominal thrust maneuver. C. Leave him to get assistance. D. Stay with him and encourage him, but not intervene at this time. 43. A male patient with multiple injuries is brought to the ED by ambulance. He has had his airway stabilized and is breathing on his own. The ED nurse does not see any active bleeding, but should suspect internal hemorrhage based on what finding?  A. Absence of bruising at contusion sites B. Rapid pulse and decreased capillary refill C. Increased BP with narrowed pulse pressure D. Sudden diaphoresis 44. A patient is brought to the ER in an unconscious state. The physician notes that the patient is in need of emergency surgery. No family members are present, and the patient does not have identification. What action by the nurse is most important regarding consent for treatment? A. Ask the social worker to come and sign the consent. B. Contact the police to obtain the patient's identity. C. Obtain a court order to treat the patient. D. Clearly document LOC and health status on the patient's chart. 45. A patient is brought by friends to the ED after being involved in a motor vehicle accident. The patient sustained blunt trauma to the abdomen. What nursing action would be most appropriate for this patient? A. Ambulate the patient to expel flatus. B. Place the patient in a high Fowler's position. C. Immobilize the patient on a backboard. D. Place the patient in a left lateral position. TOPIC: EMERGENCY NURSING - DIFFERENT TYPES OF SHOCK Situation: Shock  46. The nurse is caring for a client diagnosed with septic shock. Which assessment data warrant immediate intervention by the nurse?  A. Vital signs T 38*C, P 104, R 26, and BP 102/60. B. A white blood cell count of 18,000/mm. C. A urinary output of 90 mL in the last four (4) hours. D. The client complains of being thirsty. 47. The client is diagnosed with neurogenic shock. Which signs/symptoms should the nurse assess in this client?  A. Cool, moist skin. B. Bradycardia. C. Wheezing. D. Decreased bowel sounds. 48. The client has recently experienced a myocardial infarction. Which action by the nurse helps prevent cardiogenic shock?  A. Monitor the client’s telemetry. B. Turn the client every two (2) hours. C. Administer oxygen via nasal cannula. D. Place the client in the Trendelenburg position 49. The elderly female client with vertebral fractures who has been self-medicating with ibuprofen, a nonsteroidal anti- inflammatory drug (NSAID), presents to the ED complaining of abdominal pain, is pale and clammy, and has a P of 110 and a BP of 92/60. Which type of shock should the nurse suspect?  A. Cardiogenic shock. B. Hypovolemic shock. C. Neurogenic shock. D. Septic shock. 50. The client is admitted into the emergency department with diaphoresis, pale clammy skin, and BP of 90/70. Which intervention should the nurse implement first?  A. Start an IV with an 18-gauge catheter. B. Administer dopamine intravenous infusion. C. Obtain arterial blood gases (ABGs). D. Insert an indwelling urinary catheter TOPIC: PHARMACOLOGY NURSING - MEDS FOR ANGINA/M.I Situation: Medication for a patient with angina/myocardial infarction   51. The nurse is teaching the client diagnosed with angina about sublingual nitroglycerin (NTG). Which statement indicates the client needs more medication teaching?  A. “I will always carry my nitroglycerin in a dark-colored bottle.” B. “If I have chest pain, I will put a tablet underneath my tongue.” C. “If my pain is not relieved with one tablet, I will get medical help.” D. “I should expect to get a headache after taking my nitroglycerin. 52. The nurse is preparing to administer an nitroglycerin (NTG) transdermal patch to the client diagnosed with a myocardial infarction (MI). Which intervention should the nurse implement?  A. Question applying the patch if the client’s blood pressure is less than 110/70. B. Use non sterile gloves when applying the transdermal patch. C. Date and time the transdermal patch prior to applying to the client's skin. D. Place the transdermal patch on the site where the old patch was removed 53. The client diagnosed with angina who is prescribed nitroglycerin (NTG) tells the nurse, “I don’t understand why I can’t take my sildenafil. I need to take it so that I can make love to my wife.” Which statement is the nurse’s best response?  A. “If you take the medications together, they may cause you to have very low blood pressure.” B. “You are worried your wife will be concerned if you cannot make love.” C. “If you wait at least 8 hours after taking your nitroglycerin, you can take your sildenafil.” D. “You should get clarification with your HCP about taking sildenafil.” 54. The client being discharged after sustaining an acute MI is prescribed lisinopril. Which instruction should the nurse include when teaching about this medication?  A. Instruct the client to monitor the blood pressure weekly.