Tiêu đề RECALLS 7 - NP5 - SC ✅

RECALLS 7 EXAMINATION NURSING PRACTICE V CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) 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 V” on the box provided Situation: You are responding to neurologic and critical care emergencies, including stroke, airway compromise, cardiac arrest, and post-resuscitation management in the ICU. 1. A patient with suspected stroke suddenly has trouble breathing and low oxygen. What is priority? A. Place patient supine B. Prepare for intubation C. Check blood glucose D. Start IV fluids rapidly 2. Which medication is used in asystole and pulseless electrical activity (PEA) according to ACLS? A. Epinephrine B. Amiodarone C. Adenosine D. Atropine 3. Which assessment finding shows norepinephrine is effective? A. Blood pressure improves to MAP ≥65 mmHg B. Pulse oximetry falls to 85% C. Heart rate decreases to 30 bpm D. Extremities turn pale and cool 4. A patient on mechanical ventilation suddenly has absent breath sounds on one side and hypotension. What should the nurse suspect? A. Atelectasis B. Tension pneumothorax C. Pulmonary edema D. Bronchospasm 5. Which ECG rhythm requires immediate defibrillation? A. Asystole B. Pulseless ventricular tachycardia C. Sinus bradycardia D. First-degree AV block Situation: You are assisting with invasive procedures, managing airway emergencies, and responding to arrhythmias and shock in critical patients. 6. A patient has a sudden drop in blood pressure during central line insertion. What is the first action? A. Apply high-flow oxygen B. Place patient in Trendelenburg and check for air embolism C. Remove the line and apply pressure D. Call respiratory therapy 7. After giving adenosine for supraventricular tachycardia (SVT), what rhythm change is expected initially? A. Immediate return to normal rhythm B. Brief asystole then conversion to sinus rhythm C. Ventricular fibrillation D. Permanent bradycardia 8. A patient with a tracheostomy accidentally removes the tube and is in respiratory distress. What is the first step? A. Call the surgeon B. Use the bag-valve-mask over the stoma or mouth C. Insert a nasogastric tube D. Wait for respiratory therapy 9. Which fluid is used first for hypovolemic shock? A. 0.9% Normal saline B. D5W C. 0.45% Normal saline D. 5% Albumin 10. A patient with cardiac arrest has return of spontaneous circulation (ROSC). Which is the nurse’s priority? A. Discontinue monitoring because the arrest is over B. Maintain oxygenation and check blood pressure C. Give epinephrine again immediately D. Place patient flat and remove IV lines Situation: You are assigned to clients with acute and chronic kidney disease. Your priority is recognizing life-threatening electrolyte imbalances and complications of renal replacement therapies. 11. Which finding is most concerning in a patient with acute kidney injury (AKI)? A. Urine output of 40 mL/hr B. Serum potassium of 6.5 mEq/L C. Mild peripheral edema D. BUN of 30 mg/dL 12. Which diet is appropriate for chronic kidney disease (CKD)? A. High protein, low sodium, high potassium B. Low protein, low sodium, low potassium C. High protein, high sodium, low phosphorus D. No restriction as long as dialysis is done 13. A patient on hemodialysis suddenly complains of dizziness and nausea. What is the nurse’s priority? A. Place patient supine and slow the dialysis rate B. Give antiemetics immediately C. Discontinue dialysis permanently D. Encourage fluids 14. A client misses two hemodialysis sessions and presents with muscle weakness and ECG showing tall peaked T waves. What is expected? A. Hypokalemia B. Hyperkalemia C. Hypercalcemia D. Hypophosphatemia 15. Which is an early sign of peritoneal dialysis infection? A. Cloudy effluent B. Bloody effluent C. Clear, yellow effluent D. Green-tinted effluent Situation: You are monitoring vascular access, managing hemodialysis complications, and reinforcing patient education for home dialysis care. 16. A nurse notes bleeding at the AV fistula site after hemodialysis. What is the priority? 1 | Page