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Nội dung text RECALLS 9 - NP2 - SC

RECALLS 9 EXAMINATION NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD NOVEMBER 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 II” on the box provided Situation – The family of Roxas is fond of dogs. A vendor who entered the gate without notice is bitten by one of the pet dogs named Bert. PHN Cords Attends to the vendor. 1. Which of the part of body of the vendor will be the MOST affected in terms of rabies? It is the _________. A. Buttocks B. Head C. feet D. hand 2. To protect the vendor from the dangers of rabies, PHN Cords advises him to clean the wound thoroughly with soap and water, consult a physician and receive anti-rabies vaccination. Which among the following vaccines can provide active immunity? 1. Purified vero cell vaccine 2. Human rabies immunoglobulin 3. Equine rabies immunoglobulin 4. Purified duck embryo vaccine A. 1 and 4 B. 2 only C. 3 and 4 D. 1 only 3. The vendor acquired rabies, what will PHN Cords do to protect those who took care of him? He should administer____________. A. Pre-exposure prophylactic treatment only for the family of Bert B. Post-exposure prophylactic treatment only for the family of the vendor C. Pre-exposure prophylactic treatment to Bert and the vendor’s families D. Post-exposure prophylactic treatment to Bert and the vendor’s families 4. PHN Cord’s intervention to protect all residents who own pets, especially dogs, should be done by_______. A. Coordinating with city/ municipal agriculturist for immunization of all pets B. Coordinating with city/municipal officials to make an ordinance on stray dogs C. Massive campaign to families not to own pets at home D. Massive campaign for responsible pet ownership Situation – The Field Health Services and Information System (FHSIS) is recording and reporting system in public health care in the Philippines 5. The following are the objectives of the FHSIS, EXCEPT: A. Complete the picture of acute and chronic disease B. Ensure data recorded are useful and accurate and disseminated in a timely, easy to use fashion C. Minimize recording and reporting burden allowing more time for patient care and promotive activities D. Provides standardized facility-level data base which can be used for more in-depth studies 6. As a nurse, you should know the process of how these information are processed and consolidated. The fundamental block of the FHSIS system is the ______________ A. Family treatment record B. Output record C. reporting forms D. target/client list 7. The monthly field health service activity report is a form used in which of the components of the FHSIS? A. Target/client list B. Output report C. individual health record D. tally report 8. In using the tally sheet, the recommended frequency in tallying activities and services is_______. A. Weekly B. Quarterly C. Monthly D. Daily 9. To monitor clients client registered in long-term regimen such as the Multi drug Therapy, which component of the reporting system will be most useful? A. Output report B. Tally report C. target/client list D. individual health record Situation – Nurse Omar takes care of the Ramos extended family who resides in the house owned by Nilda’s mother, Marta. Nilda tends a variety store is married to Ramon, a government employee. They have four children: Lester, 20 years old; Gina, 18 years old; Alex, 15 years old; and Celine, 12 years old. Lester is a working student of his second year in computer technology course. Gina is a high school graduate; Alex is in third year high school and Celine is in Grade six. There is one year old baby girl who is a daughter of Gina. Gina, however, could not pinpoint the one who sired her child in as much as she had multiple sex partners. This angered Ramon. 10. Though he recognizes the remorse of his daughter, Ramon still feels confused regarding the situation. He said he tried his best to support his family and had always been considerate and kind. He and his wife would always give them reminders and advice calmly and never in a nagging manner. But still they failed as parents. The possible nursing diagnosis of Nurse Omar of his family is_____________. A. Interrupted family process B. Impaired parenting C. Parental role conflict D. Ineffective role performance 11. Nurse Omar ’s conversation with Gina revealed that the young woman still suffers from a syndrome of failure: failure to complete one’s normal growth and development, failure to complete education, failure to establish a vocation and become independent and failure to have a life. The nurse Omar ’s intervention to this problem is_____________. A. Linear approach with regards to the individual in the 1 | Page


B. Pelvic Inflammatory Disease (PID) C. Malposition of the cervix D. Absence of any underlying anatomic abnormality 39. Carla another patient in the clinic just found out that she is pregnant. She asks when would be her delivery date. What is the expected date of confinement (EDC) of a pregnant woman whose menstruation was from April 10 to April 13? A. January 17 B. January 20 C. July 17 D. July 20 40. The nurse noted the Fundic height of Anna is at the level of the umbilicus. In documenting the data using Bartholomew’s rule, the most probable age of gestation (AOG) in week is : A. 12 weeks B. 16 weeks C. 20 weeks D. 32 weeks Situation: A pregnant woman is monitored continuously for a range of signs and symptoms that indicate potential complication. Nurse Carol attends to different discomforts and problems of pregnant women. 41. Alice an O.P.D nurse admitted Mrs. Felia to the antepartum unit with a diagnosis of severe Hyperemesis Gravidarum. When the nurse reviews the laboratory tests, she would expect which of these findings? A. Increased hematocrit B. Decreased blood urea nitrogen C. Increased potassium D. Low urine specific gravity 42. Nurse Alice suspects presence of sexually transmitted infection to Mrs. Felia specifically Syphilis to a pregnant client. Which of the following tests will be recommended to the client to confirm diagnosis? A. Complete blood count B. Urinalysis C. Benedict’s test D. VDRL 43. Mrs. Ilagan a 26 year old Primigravida is being prepared for a nonstress test. This is an assessment test based on what phenomenon? A. Braxton-Hicks contractions cause fetal heart rate alterations. B. Fetal heart rate slows in response to a uterine contraction. C. Fetal movement causes an increase in maternal heart rate. D. Fetal heart sounds increase in connection with fetal movement. 44. After a non-stress test is completed, Nurse Ilagan observes on a monitor of the fetal strip results that the fetal heart rate accelerated 15 BPM with each fetal movement. The acceleration lasted for 20 seconds and occurred 3 times during the 20 minute test. The Nurse is correct in interpreting the test as a: A. Reactive test B. Non- reactive test C. Positive test D. Negative test 45. Another client is also scheduled for Amniocentesis. Nurse Carol explains to the client that one of the risks of amniocentesis is: A. Rupture of membranes B. Premature labor C. Fetal death D. Malformation 46. The nurse is assessing the fetal heart monitor strip of a client having a contraction stress test. Which of the following, if noted by the nurse, would indicate a negative test? A. No late decelerations after any contractions on a strip with three contractions within a 10-minute time frame. B. Late decelerations after at least 2 contractions on a strip with three contractions within a 10-minute time frame. C. Late decelerations after one contraction on a strip with three contractions within a 10-minute time frame. D. An increase in fetal heart rate after three contractions within a 10-minute time frame. 47. The client complains of feeling tired and thirsty. The nurse evaluates that the mother understand the reason for taking only small sips of water and ice chips during labor. Which of the following statement expressed by the mother would reflect she understands the situation? When: A. the body normally has a sufficient store of energy B. the digestive process is normally slower during labor C. the intestinal tract should be completely empty before delivery in order to avoid infecting the baby D. Cesarian section is always a possibility even in normal labor 48. Kim, a 27 year old, multigravida client, has been transferred to the delivery room after spontaneous rupture of membrane and crowning was noted by the nurse in charge. You know that your teaching has been effective when the laboring client's partner shouts, "She's crowning!" as: A. You first start to see a little of the baby's head. B. The baby's head recedes upward between pushing contractions. C. The perineum is thin and stretching around the occiput. D. The mouth and nose are being suctioned. 49. To deliver her infant, a woman is ask to push with contractions to deliver. Ensuring the standards of nursing practice, which of the following is the most effective and safest pushing technique to teach her? A. Lying supine with legs in lithotomy stirrups. B. Squatting while holding her breath. C. Head elevated, grasping knees, breathing out. D. Lying on side, arms grasped on abdomen. 50. The delivery room nurse based on the standards of nursing practice, episiotomy is usually indicated for which of the following purposes? A. To prevents distention of the bladder. B. To relieve pressure on the fetal head. C. To aid in contraction of the uterus following delivery. D. Done primarily for the physician’s benefit. Situation: It is important for an Obstetric Nurse to perform a comprehensive physical assessment after labor and delivery that could predispose the mothers to potential complications such as hemorrhage. 51. The Nurse in the delivery room is attending to Mrs. Cruz on labor to make sure that maternal injury will be prevented during the postpartum period. Which of the following instruction should the nurse consider to prevent postpartum hemorrhage? A. Massage the fundus regularly B. Postpone breastfeeding of the baby- C. Apply warm compress to her abdomen D. Have bed rest and avoid early ambulation 52. When the placenta has been delivered, the first thing the nurse should do in adherence with the standards of nursing practice is to: A. Inspect the placenta for completeness of the cotyledons B. Palpate the uterus to see if it is contracted C. Administer oxytoxic agents as ordered D. Estimate the blood loss to detect any bleeding 53. The delivery room nurse palpates the client’s fundus immediately after delivery of the placenta and assess that it is boggy. The nurse massages the patient’s uterus until it is firm. Considering evidence-based nursing practice, which medication would the nurse anticipate might need to be administered if the uterus becomes boggy again? A. Oxytocin (Pitocin) B. Ibuprofen C. Rho (D) immnune globulin (RhoGAM) D. Magnesium sulfate 54. Mrs. Evita 28 years old gave birth through Cesarian section. The Nurse examines her and identify the presence of lochia serosa and feels the fundus 4 fingerbreadths below the umbilicus. This indicated that the time elapsed is: A. 1 to 3 days postpartum B. 4 to 5 days postpartum C. 6 to 7 days postpartum D. 8 to 9 days postpartum 4 | Page

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