Tiêu đề RECALLS 3 (NP2) - STUDENT COPY ✅

RECALLS EXAMINATION 3 NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD MAY 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 giving of medication to a pediatric patient is a serious responsibility of a nurse. The need for accuracy in giving medication is greater than with adult patients. Nurse Yuuh has just been assigned to the Pediatric Wards. 1. Dosage, when giving medicine to pediatric patients, varies according to which of the following? Select all that apply 1. Size 3. Age of child 2. Surface area 4. Height A. 3 only B. 1 and 2 C. 1, 2, 3 D. 1, 2, 3, 4 2. Nurse Yuuh is being reviewed by her Headnurse on administering oral medication on pediatric patients. Which of the following statements below is CORRECT? A. The child should be told to place the tablet in the middle of his tongue and to drink water, fruit juice, milk in order to wash down the tablet. B. A child’s reaction to a dose ordered by a physician is not less predictable than adult’s reaction. C. When giving oral medication, the child as young as two years of age CANNOT be taught to swallow drugs. D. The possibility of error is greater in the giving of medication to children than to adults. 3. In children and infants, which part is often used for intramuscular injection to reduce the risk of vascular and peripheral nerve (sciatic) injuries? A. Deltoid muscle B. Gluteus maximus C. Dorsogluteal D. Vastus lateralis 4. Comprehensive surveys of research reports and case study literature about intramuscular injections revealed that administering medication intramuscularly can produce a variety of serious adverse effects. When asked by the Headnurse what possible complications can arise, Nurse Yuuh should include which of the following? 1. Skin and tissue trauma 2. Muscle fibrosis and contracture 3. Nerve palsies and paralysis 4. Infectious processes such as abscesses or gangrene A. 1, 3, and 4 B. 1, 2, 3, 4 C. 2, 3, 4 D. 1, 2, 3 5. Prior to administering the drugs ordered by the Pediatrician, Nurse Yuuh needs to know if she is giving the ordered medication to the right patient. The FIRST step is __________. A. Check patient’s identification bracelet. B. Compare medication to order to identification bracelet and patient’s stated name and birth date. C. Verify patient’s allergies with chart and with patient. D. Ask patient to state their name and birth date. 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. 6. 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 7. 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 context of the family, community and culture that will combat shame and guilt B. Lay down the foundation of a future by trusting human association and developing mutual trust initially with the nurse, then the family, and eventually the whole community C. Focus on the factors that will help protect Gina towards proximal stimuli for healthy growth and development to develop her resiliency in confronting current and future problem D. Transform interactions among family members, strengthen specific roles and functions to strengthen family system in order to eventually cope 8. In one home visit, Nurse Omar was approached by the 15 year old Alex. He was asking about condom use. He said he has a girlfriend with whom he is madly in love with but does not want her to get pregnant. Nurse Omar ’s most practical and best advice would be__________. A. Postpone sex and suggest other ways to expressing love B. Explain to him the difference between sex and love C. Teach him by step-to-step correct, continuous and consistent condom use D. Discourage him on having a girlfriend and focus more on his studies 1 | Page

23. In case Dana have medication error during her tour of duty, the head of office can be liable because of the law called ____________. A. Unethical conduct B. Respondeat superior C. Politicking D. Res Ipsa Loquitur 24. All Nurses must understand that after graduation they should pass the NLE. To be registered in the roster, they should take the Professional Oath with a ________, EXCEPT. A. Member of Sangguniang Panlalawigan B. Governor of Philippine Nurse Association C. Member of the Professional Regulatory Board of Nursing D. Provincial Governor Situation – PHN Elfa works in barangay 14 and 15 in the Municipality of Agoho. One day, a neighbor summons her to attend to a 7-year old boy with high grade fever. 25. Upon reaching the house, a local herbolaria, Nanay Isa was already attending to the boy. She said that the boy played near the river and the bad spirits entered his body. The MOST appropriate remark the nurse make is _________________. A. “Go on. Do what you have to do, then I will take over.” B. “Nanay Isa, your intervention is entirely wrong.” C. “It’s good you’re here. You can drive away the spirits that entered the boy’s body.” D. “You have to be sure that all the evil spirits have been driven out of the boy’s body.” 26. After a few minutes, Nanay Isa took a big bowl of soup and gave to the boy. The BEST remark of the Nurse is _____________. A. “I also drink a soup when I get sick. How about you, Nanay Isa, do you do the same?” B. “The soup could have been better if you put lemon grass on it.” C. “Come on, tell me why soup must be given to a child with fever D. “That’s correct. Increasing fluid intake will help lower down temperature.” 27. Finally, Nanay Isa took out from her pocket a dried rose flower and place it on the boy’s forehead. How will Nurse Elsa handle this action? A. Tell her not to use the dried flower again because it does not have any good effect on the sick B. Ask for an extra piece of fried rose flower and promise to use it C. Ask the herboloria the rationale for the intervention D. Leave the intervention as is. Anyway the intervention is neutral: not harmful nor beneficial Situation – The local health board established a reproductive health clinic in the main health center. Two nurses, Hunter and Irene, were assigned to handle services to address problems related to sexuality, reproductive health and fertility problems. 28. Nurse Hunter classifies cases according to the major categories of reproductive tract infections. Which of the following is NOT part of such classification? A. Iatrogenic infections as aftermath of invasive procedures like catheterization and intra-uterine device (IUD) insertion B. Urinary tract infections among male and female patients C. Sexually-transmitted infections D. Endogenous infections resulting from poor personal hygiene 29. Irene handles the screening for gonorrhoea every two weeks among female sex workers in the implementation of PD 856. In differential diagnosis of discharge among infected clients, which of the following colors discharge will Irene take note to identify gonorrhoea from other causes? A. Greenish yellow as differentiated from mucoid white of trichomoniasis B. Mucoid white as compared to grayish-white discharge of vaginosis C. Grayish white as differentiated from mucoid white of chlamydia D. Yellowish white as compared to trichomoniasis’ greenish-yellow 30. Nurse Hunter was invited by a women’s group to give a lecture on healthy sexuality. In the expectation check, he noted that there are previous misconceptions expressed by the participants. Which of the following statements are correct? A. It is the obligation of the wife to give in to sex every time he asks for it B. Sexuality is fluid and may change C. Effeminate men are gays D. Homosexuality, being gay or lesbian, is an abnormality 31. One of the clients was positive to Gonorrhea. Nurse Irene explained that gonorrhoea and chlamydia, if left untreated can lead to Pelvic Inflammatory Disease (PID). Such condition may cause infertility due to ______. A. Foul smelling odor discharge which can kill the ovum B. An unknown cause C. Scarring which can lead to tubal occlusion D. Purulent discharge which can kill the sperm 32. Nurse Irene further explained that a test used to determine tubal patency using a radiopaque material is the __________. A. Post-coital infetitlity test B. Sims Huhner test C. Friedman’s test D. hysterosalpingography Situation – Tiana is the new nurse assigned at Fertility Clinic of an OB Specialty Center. She had to review about the female reproductive cycle, menstrual disorders and appropriate management. 33. Tiana thought that one of her activities would be health teaching and counseling. Which of the following statements by the client regarding premenstrual syndrome would need a further explanation? A. “I will limit my intake of sodas, coffee and tea.” B. “I will make sure that I will eat small frequent balanced meals.” C. “I will stop any physical exercise one week prior to menstruation to conserve my energy.” D. “I will decrease my intake of high sodium containing foods such as canned goods.” 34. The nurse read on how to make a nursing diagnosis for premenstrual syndrome. Which of the following is NOT TRUE about premenstrual syndrome? A. Signs and symptoms of premenstrual period recur in the luteal phase of the menstrual cycle. B. Signs and symptoms of premenstrual period recur in the luteal phase of the menstrual cycle. C. Symptom-free period occurs in the follicular phase and must include 7 symptom-free days. D. Symptoms are severe enough to have an impact on work, lifestyle and relationship. E. NONE OF THE ABOVE 35. Nurse Tiana read about the nursing management of primary dysmenorrhea. Which of these should Tiana render? I. Use of cold compress II. Soft rhythmic rubbing of the abdomen III. Analgesics as ordered IV. Antispasmodics as ordered. A. II, III, IV B. I, II, III C. I, III, IV D. I, II, IV 36. What is the condition wherein menstrual interval is 45-50 days? A. Metrorrhagia B. Menorrhagia C. Dysmenorrhea D. Oligomenorrhea 37. What is the condition whereby during menstruation, the patient feels lower abdominal pain that radiates to her back down to her thighs? A. Hypergonadotrophic amenorrhea B. Secondary dysmenorrhea C. Hypogonadotrophic amenorrhea D. Primary dysmenorrhea 3 | Page
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. 38. 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 39. 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 40. 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. 41. 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 42. 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 Situation: The client in active labor is admitted in the labor room. 43. 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. 44. 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 45. 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. 46. 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. 47. 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- You are an OB nurse in an out-patient department of a hospital. You encounter pregnant women with complication 48. A 35-year old woman, on her 2 nd trimester of pregnancy with insulin-dependent diabetes mellitus, comes to you for some advice. What is the PRIORITY message for her at this time? A. Infants of diabetic mothers are big which can result in more difficult delivery B. Breastfeeding is highly recommended and insulin use is not contraindicated C. Achievement of optimal glycemic control is of utmost importance in preventing congenital anomalies D. Her insulin requirements will likely increase beginning 3 rd trimester of pregnancy 49. A 30-year old G6P5 woman at 12 weeks has just begun prenatal care. Her initial laboratory reveals that she has human immunodeficiency virus (HIV) infection. What would be a priority evidence-based nurse information for this patient? A. Breastfeeding is still recommended due to the great benefits to the infant B. Pregnancy is known to accelerate the course of HIV disease in the mother C. Medication for HIV infection is safe and can greatly reduce transmission of HIV to the infant D. Breastfeeding will potentiate the transmission of HIV from the mother to the child Situation – Rob, 15 years old, has been informed that she is due for discharge. He has an emergency appendectomy. Nurse Yuuh give him some discharge instructions. 50. Rob is noted to be very conversant. To make her discharge instructions clear, Nurse Yuuh should emphasize which of the following? I. Tell Rob that he can clarify or ask questions. II. Tell him that it is alright to interrupt if he had to ask a question to clarify III. Advise him to listen ,well IV. Ask for the presence of his mother A. 4 only B. 1 and 2 C. 1, 2 and 3 D. 1 only 51. Nurse Yuuh’s discharge instruction should contain, which of the following? 1. Take home medication, if any. 2. Date to follow up 3. Activity and exercise 4. Diet A. 2, 3 and 4 B. 1, 2 and 3 C. all the options 4 | Page