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 *