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 *
2 | Page   Situation - You are an oncology nurse who takes care of patients receiving chemotherapeutic agents.  11. The client has received five treatments of combination chemotherapy for a diagnosis of lung cancer. Which data indicates the medications are effective?  A. The client’s hair has begun to grow back again. B. The client only has nausea during the treatments. C. The client reports being able to ambulate around the block. D. The client’s lung sounds are clear. 12. The patient suddenly experiences tinnitus after receiving a chemotherapeutic drug. The nurse is knowledgeable that this is a common side effect of what chemotherapeutic drug? A. 5-Fluorouracil B. Methotrexate C. Doxorubicin D. Cisplatin 13. Nurse Angie is new in the oncology unit and is being asked by her preceptor, “which of the following drugs does not belong to the hormonal agents classification?”. Nurse Angie, as a knowledgeable nurse, is correct by answering: A. Tamoxifen B. Goserelin C. Cyclophosphamide D. Fluvestrat 14. Which statement by the client receiving adjunct chemotherapy for a diagnosis of breast cancer warrants immediate intervention by the nurse?  A. The client reports numbness and tingling in her feet. B. The client reports that she feels unattractive without hair. C. The client says she is unable to eat for 2 days after a treatment. D. The client tells the nurse she has lost 2 pounds since the last treatment. 15. The male client diagnosed with prostate cancer is prescribed hormone suppression therapy. Which statement is the scientific rationale for administering this medication?  A. Hormone suppression therapy will increase the client’s libido and the ability to maintain an erection. B. Hormone suppression therapy shrinks the prostate tissue by destroying tumor cells during replication. C. Hormone suppression therapy will cause the client to experience menopause-like symptoms. D. Hormone suppression therapy changes the internal host environment to decrease cell growth. TOPIC: FUNDAMENTALS OF NURSING - DRUG AND IVF COMPUTATION   Situation - Nurse Carlo is assigned as the medication nurse on Medsurg Ward. He used his knowledge about drug computation and drug administration to fulfill his role for this shift. 16. The client is to receive 1.5 g of medication every morning. The medication comes 1,000 mg per tablet. How many tablets would Nurse Carlo administer?  A. 1 tablet B. 1 ½ tablets C. 2 tablets D. 3 tablets 17. The order is penicillin 2 million units IM. The medication comes in a powder form of 5 million units per vial with directions to reconstitute with 3.5 mL of sterile diluent. How many milliliters will Nurse Carlo administer?  A. 1.4 ml B. 0.4 ml C. 2.5 ml D. 8.75 ml 18. The client is receiving a heparin infusion at 24 mL/hour via an infusion pump. The medication comes in 25,000 units in 500 mL of D5W. How many units of heparin is the client receiving during a 12-hour shift?  A. 50 U B. 14, 400 U C. 288 U D. 50 U 19. Nurse Carlo is adding medication to an IV bag. Which action indicates that he needs more teaching in performing this procedure?  A. The nurse clamps the roller clamp on the tubing attached to the IV solution. B. The nurse inserts the needle into the center of the medication port. C. The nurse avoids rotating the solution after administering the medication. D. The nurse writes the name and dose of the medication on the medication label. 20. The nurse is administering an unpleasant-tasting liquid medication to a 2-year-old child. Which intervention should the nurse implement?  A. Prepare the medication in the child’s favorite food. B. Tell the child the medication will not taste bad. C. Put the medication in 4 ounces of apple juice. D. Use a dropper to place the medication between the gum and cheek. Situation - Nurse Lynelle, a dedicated hemodialysis nurse, begins each shift prepared to face a variety of challenges, from managing complex vascular access issues to troubleshooting machine alarms and pressure irregularities. Each day, she draws on her extensive knowledge of hemodialysis protocols and patient care, ensuring that treatments run smoothly and complications are quickly addressed. Whether identifying signs of infection in a fistula or adjusting machine settings to stabilize a patient's condition, Nurse Lynelle remains calm and focused, always prioritizing patient safety and comfort in the high- stakes environment of the dialysis unit.   TOPIC: RENAL FABS - CARE FOR PATIENT IN DIALYSIS 21. A client has an arteriovenous (AV) fistula in place in the upper extremity for hemodialysis treatments. When planning care for this client, the nurse would implement which measure to promote client safety?  A. Use the right arm for blood pressure measurement. B. Use the fistula for all venipunctures and intravenous infusions. C. Ensure that small clamps are attached to the AV fistula dressing. D. Assess the fistula for the presence of a bruit and thrill every 4 hours. 22. The client diagnosed with chronic kidney disease is scheduled for hemodialysis. When would the nurse plan to administer the client’s daily dose of enalapril to ensure its effectiveness? A. During dialysis B. Just before dialysis C. The day after dialysis D. Upon return from dialysis 23. A client diagnosed with chronic kidney disease is about to begin hemodialysis therapy. The client asks the nurse about the frequency and scheduling of hemodialysis treatments.What information would the nurse provide to the client regarding the typical hemodialysis schedule?  A. It is 2 hours of treatment 6 days per week. B. It is 5 hours of treatment 2 days per week. C. It is 2 to 3 hours of treatment 5 days per week. D. It is 3 to 4 hours of treatment 3 days per week. 24. The nurse is admitting a client with an arteriovenous (AV) fistula in the right arm for hemodialysis. Which strategy would the nurse plan to implement to best prevent injury to the AV fistula site?  A. Applying an allergy bracelet to the right arm B. Placing an alert bracelet per agency procedure on the client's right arm C. Putting a large note about the access site on the front of the medical record D. Telling the client to inform all caregivers who enter the room about the presence of the access site 25. Which of the following is not a principle of hemodialysis? A. Diffusion B. Active transport