Tiêu đề RECALLS 5 (NP2) - STUDENT COPY ✅

RECALLS EXAMINATION 5 NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD NOVEMBER 2024 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: Nurse Chae Song-hwa is conducting research on the effectiveness of a new wound care protocol in a hospital setting. She needs to collect various types of data to analyze the results effectively. 1. Nurse Chae Song-hwa is collecting data on the different categories of wounds (e.g., surgical, traumatic, pressure ulcers). What type of data is this? A. Interval B. Ratio C. Nominal D. Ordinal 2. Nurse Chae Song-hwa records the pain levels of patients on a scale from 1 to 10. What type of data is this? A. Nominal B. Ordinal C. Interval D. Ratio 3. Nurse Chae Song-hwa measures the weight of patients before and after implementing the new wound care protocol. What type of data is ‘weight’? A. Nominal B. Ordinal C. Interval D. Ratio 4. Nurse Chae Song-hwa collects data on patients' ages to determine the average age of those participating in the study. What type of data is age? A. Nominal B. Ordinal C. Interval D. Ratio 5. Nurse Chae Song-hwa uses a thermometer to measure patients' body temperatures. What type of data is body temperature in Celsius? A. Nominal B. Ordinal C. Interval D. Ratio Situation: Nurse Song Hye-kyo has recently been promoted to a nurse manager position at her hospital. She is responsible for overseeing a team of nurses and ensuring efficient and effective patient care. 6. Nurse Song Hye-kyo is setting specific goals for her nursing team and developing strategies to achieve them. Which function of management is she performing? A. Controlling B. Planning C. Directing D. Organizing 7. Nurse Song Hye-kyo is allocating tasks and coordinating the activities of her team to ensure that patient care is delivered efficiently. Which function of management is she performing? A. Planning B. Controlling C. Organizing D. Directing 8. Nurse Song Hye-kyo is inspiring her team to adhere to the new wound care protocol and providing support to ensure they are motivated. Which function of management is she performing? A. Planning B. Controlling C. Organizing D. Directing 9. Nurse Song Hye-kyo is reviewing patient care reports and evaluating the performance of her nursing team to identify areas for improvement. Which function of management is she performing? A. Planning B. Organizing C. Staffing D. Controlling 10. Nurse Song Hye-kyo is recruiting new nurses to join her team, ensuring they are properly trained and competent in their roles. Which function of management is she performing? A. Planning B. Organizing C. Staffing D. Controlling Situation: Nurse Son Ye-jin has recently been promoted to the position of head nurse in a busy emergency department. She faces the challenge of managing a diverse team of nurses, each with different levels of experience and expertise. Nurse Son Ye-jin values open communication and seeks to create an environment where every team member feels empowered to contribute to decision-making processes. 11. Which type of leadership is Nurse Son Ye-jin demonstrating by involving her team in decision-making? A. Democratic leadership B. Autocratic leadership C. Transactional leadership D. Laissez-faire leadership 12. What leadership style is Nurse Son Ye-jin likely employing during critical situations when she motivates her team to perform at their best? A. Transactional leadership B. Transformational leadership C. Servant leadership D. Charismatic leadership 13. Which type of leadership is characterized by Nurse Son Ye-jin's emphasis on creating an environment where collaboration and trust thrive? A. Laissez-faire leadership B. Transactional leadership C. Transformational leadership D. Servant leadership 14. In what leadership style does Nurse Son Ye-jin empower her team by providing support and opportunities for growth? A. Transactional leadership B. Transformational leadership 1 | Page
C. Servant leadership D. Charismatic leadership 15. Which leadership style might Nurse Son Ye-jin adopt during routine operations when she allows her team members to make decisions independently within established guidelines? A. Laissez-faire leadership B. Autocratic leadership C. Democratic leadership D. Transformational leadership Situation: Nurse Nam Ha-nuel is caring for Mrs. Do Bong-soon, who is 32 weeks pregnant and has been diagnosed with gestational hypertension. Mrs. Do Bong-soon has come to the clinic for her routine prenatal visit, and Nurse Nam Ha-nuel is assessing her blood pressure and educating her on the condition and its potential complications. 16. Nurse Nam Ha-nuel is explaining the diagnostic criteria for gestational hypertension to Mrs. Do Bong-soon. Which blood pressure reading meets the criteria for gestational hypertension according to AHA guidelines? A. 120/80 mm Hg B. 130/85 mm Hg C. 140/90 mm Hg D. 150/95 mm Hg 17. Nurse Nam Ha-nuel educates Mrs. Do Bong-soon on the potential progression of gestational hypertension. Which of the following is a key characteristic of preeclampsia? A. Blood pressure less than 120/80 mm Hg B. Absence of proteinuria C. Presence of seizures D. Blood pressure greater than or equal to 140/90 mm Hg with proteinuria 18. During the prenatal visit, Mrs. Do Bong-soon asks about the risks associated with gestational hypertension. Nurse Nam Ha-nuel explains that untreated gestational hypertension can lead to which of the following complications? A. Anemia B. Placental abruption C. Gestational diabetes D. Low birth weight 19. Nurse Nam Ha-nuel assesses Mrs. Do Bong-soon’s understanding of her condition. Which statement by Mrs. Do Bong-soon indicates a need for further teaching? A. "I need to monitor my blood pressure regularly at home." B. "I can continue with my usual salt intake without any changes." C. "I should rest frequently, especially in the lateral position." D. "I need to watch for any signs of severe headache or visual changes." 20. Mrs. Do Bong-soon is curious about the follow-up and management of gestational hypertension. What intervention does Nurse Nam Ha-nuel emphasize as crucial in managing gestational hypertension? A. Weekly visits for fetal heart rate monitoring B. Increased physical activity to lower blood pressure C. Routine use of diuretics to reduce blood pressure D. Regular monitoring of blood pressure and weight Situation: Nurse Moon Gang-tae is providing education to Ms. Ko Moon-young, a pregnant woman diagnosed with gestational diabetes mellitus (GDM) and requiring insulin therapy to manage her blood glucose levels during pregnancy. 21. Nurse Moon Gang-tae explains to Ms. Ko Moon-young the importance of managing gestational diabetes. Why is it critical for Ms. Ko Moon-young to maintain tight glycemic control during pregnancy? A. To prevent fetal macrosomia B. To monitor the effectiveness of insulin therapy C. To prevent premature labor D. To adjust dietary intake during pregnancy 22. Nurse Moon Gang-tae discusses insulin therapy options with Ms. Ko Moon-young for managing her gestational diabetes. Which type of insulin is typically used for managing mealtime blood glucose spikes in pregnant women with GDM? A. Lispro (Humalog) B. Regular (Novolin R) C. Glargine (Lantus) D. NPH (Humulin N) 23. Nurse Moon Gang-tae reviews with Ms. Ko Moon-young the signs of hypoglycemia and their implications during pregnancy. Which symptom is a common indicator of hypoglycemia and requires immediate intervention? A. Bradycardia B. Visual disturbances C. Increased urination D. Muscle cramps 24. Nurse Moon Gang-tae educates Ms. Ko Moon-young on the importance of insulin storage during pregnancy. How long can Ms. Ko Moon-young safely store her insulin, and where should she keep it to maintain its effectiveness? A. Up to 1 month in the refrigerator door B. Up to 2 weeks in direct sunlight C. Up to 3 months in a cool, dark place D. Up to 6 months in the bathroom cabinet 25. Nurse Moon Gang-tae reviews proper insulin injection techniques with Ms. Ko Moon-young to ensure optimal absorption. What precaution should Ms. Ko Moon-young take to minimize discomfort during insulin injections? A. Inject quickly to minimize pain B. Rotate injection sites within the same area C. Inject into muscle for faster action D. Use the same needle for multiple injections Situation: Nurse Cha Eun-woo is educating Ms. Moon Ga-young, a 25-year-old woman, about her menstrual cycle. Ms. Moon is concerned about the regularity, duration, and flow of her periods. She wants to understand what is considered normal and when she should seek medical advice. 26. Nurse Cha Eun-woo is educating Ms. Moon Ga-young on the normal duration of a menstrual cycle. What is the average length of a menstrual cycle in most women? A. 21 days B. 28 days C. 35 days D. 40 days 27. Nurse Cha Eun-woo explains to Ms. Moon Ga-young that the duration of menstrual bleeding can vary. What is the average range for the number of days a woman may experience menstrual bleeding? A. 1-3 days B. 4-6 days C. 7-10 days D. 11-14 days 28. Nurse Cha Eun-woo reviews the typical amount of menstrual flow with Ms. Moon Ga-young. What is the average amount of menstrual flow during a period? A. 10-30 mL B. 30-80 mL C. 80-100 mL D. 100-150 mL 29. Nurse Cha Eun-woo discusses with Ms. Moon Ga-young the normal characteristics of menstrual odor. What should Ms. Moon Ga-young understand if her menstrual blood has an odor similar to marigold? A. Presence of bacterial infection B. Normal hormonal changes C. Excessive menstrual flow D. Recent dietary changes 30. Nurse Cha Eun-woo educates Ms. Moon Ga-young about normal characteristics of menstrual blood. Which of the following statements about the color of menstrual blood is accurate? A. Menstrual blood is typically bright red in color. B. Menstrual blood is usually dark red or brown in color. C. Menstrual blood is yellowish in color. D. Menstrual blood color varies from white to pink. Situation: In a university psychology seminar, Dr. Park leads a discussion on Freud's psychoanalytic theory. Students from various disciplines attend, eager to learn about the ID, Ego, and Superego. Dr. Park uses scenarios to illustrate how these components influence human behavior and decision-making, encouraging active participation and application of Freudian concepts in real-life situations. 2 | Page
31. As they went along, they talked about the components of personality according to Freudian theory. Which of the following best describes the ID? A. Begins its development during the fourth or fifth month of life. B. Functions include reality testing and problem solving. C. Acts immediately in an impulsive, irrational way without considering consequences. D. Consists of the conscience and the ego ideal. 32. Dr. Park is explaining the role of the Ego in personality development. Which statement accurately describes the Ego? A. Necessary part of socialization that develops during the phallic stage at 3 to 6 years of age. B. Emerges out of the ID and acts as an intermediary between the ID and the external world. C. Consists of internalized values, ideals, and moral standards learned during childhood. D. Refers to the capacity for self-evaluation and criticism. 33. Nurse Park is discussing the development of the Superego. What statement accurately describes the Superego? A. Functions include reality testing and problem solving. B. Emerges out of the ID and acts as an intermediary between the ID and the external world. C. Includes internalization of the values, ideals, and moral standards of parents and society. D. Consists of the primary process psychological activity. 34. Alex was aware that she could steal materials from her workplace without anybody noticing. Even though she would most likely never be caught, she chose not to steal as she knew it was wrong to do so. Which of the following actions fits the psychoanalytic theory of Freud? A. The ID B. The Ego C. The Libido D. The Superego 35. Christine was thirsty. She stretched across the table and, much to Mr. Castro's surprise, drank from his water glass instead of waiting for the service to refill hers. According to Freud's psychoanalytic theory, which of the following behaviors is it? A. The ID B. The Ego C. The Libido D. The Superego Situation: Jhoanna, a primigravida at 39 weeks gestation, arrives at the hospital in active labor. She is experiencing regular contractions every 3-4 minutes, lasting 60 seconds each. Her cervix is dilated to 5 cm upon admission. 36. Nurse Mikha explains the stages of labor to Jhoanna and her partner. Which of the following best describes the first stage of labor? A. Begins with full cervical dilation to 10 cm and ends with the birth of the baby. B. Involves the descent of the presenting part through the birth canal. C. Begins with the onset of true labor contractions and ends with full cervical dilation. D. Is characterized by the delivery of the placenta after the birth of the baby. 37. During Jhoanna's labor, Nurse Mikha observes her experiencing contractions approximately every 3-5 minutes, lasting 40-60 seconds. What stage of labor is Jhoanna likely in? A. First stage, transition phase B. First stage, active phase C. Second stage D. Third stage 38. Nurse Mikha is discussing the sequence of cardinal movements of labor with Jhoanna. Which of the following represents the correct chronological order of these movements? A. Engagement, flexion, descent, internal rotation, extension, external rotation, expulsion. B. Engagement, descent, flexion, internal rotation, extension, external rotation, expulsion. C. Descent, engagement, flexion, internal rotation, extension, external rotation, expulsion. D. Descent, engagement, internal rotation, flexion, extension, external rotation, expulsion. 39. Jhoanna is now in the second stage of labor, actively pushing with each contraction. What is the primary goal of this stage? A. Cervical dilation from 0 to 10 cm B. Descent of the presenting part through the birth canal C. Birth of the baby D. Delivery of the placenta 40. Nurse Mikha is assessing Jhoanna during the third stage of labor. What is the typical duration of the third stage of labor, which begins with the birth of the baby and ends with the delivery of the placenta? A. 5-10 minutes B. 15-30 minutes C. 45-60 minutes D. 90-120 minutes Situation: Nurse Jake is preparing a group of nursing students for their upcoming exam on Erik Erikson's theories of growth and development. He uses complex real-life scenarios to explain each stage and its corresponding psychosocial crisis, emphasizing the nuances and common misconceptions that students might encounter. 41. Nurse Jake presents a case study of a 5-year-old child who is eager to take on new challenges at home and in preschool. Which of Erikson's stages is the child most likely navigating, and what is the psychosocial crisis involved? A. Initiative vs. Guilt B. Autonomy vs. Shame and Doubt C. Industry vs. Inferiority D. Trust vs. Mistrust 42. During a seminar, Nurse Jake asks the students to identify the primary challenge for adolescents according to Erikson's stages. Which of the following best describes this challenge? A. Developing a sense of trust in caregivers B. Establishing intimate relationships C. Forming a stable identity D. Achieving a sense of autonomy 43. Nurse Jake describes a scenario where a middle-aged adult is focused on contributing to society through career and community involvement. Which of Erikson's stages is this individual likely experiencing? A. Integrity vs. Despair B. Intimacy vs. Isolation C. Generativity vs. Stagnation D. Industry vs. Inferiority 44. A nursing student asks Nurse Jake about the potential outcomes of failing to achieve the psychosocial task of gaining some basic control over self and environment. Which of the following best represents a consequence of this failure? A. Developing a sense of inferiority B. Experiencing feelings of shame and doubt C. Struggling with identity confusion D. Facing isolation and loneliness 45. Nurse Jake is teaching about the psychosocial crisis of "Integrity vs. Despair." Which age group is most likely to face this crisis, and what is a key characteristic of successfully navigating it? A. Adolescents, developing a sense of identity B. Young adults, forming intimate relationships C. Middle-aged adults, contributing to society D. Older adults, reflecting on life with a sense of fulfillment Situation: Nurse Sunghoon is conducting a training session for new nurses on interventions that can assist clients in achieving Erikson’s stages of development. He emphasizes practical examples and real-life applications to help the nurses understand how to support patients at different stages of their lives. 46. Nurse Sunghoon is caring for an infant in the pediatric ward. Which intervention is most appropriate to help the infant achieve Erikson's stage of development for infancy? A. Allow the infant to make choices, ensuring safety. B. Hold and touch the infant frequently. C. Encourage self-feeding opportunities. D. Offer medical equipment for play. 47. During a developmental assessment, Nurse Sunghoon encourages a 3-year-old child to remove and put on their own 3 | Page
clothes. Which of Erikson’s stages is Nurse Sunghoon addressing with this intervention? A. Initiative vs. Guilt B. Industry vs. Inferiority C. Autonomy vs. Shame and Doubt D. Trust vs. Mistrust 48. Nurse Sunghoon is working with a school-aged child who is hospitalized. To support the child's development, which of the following interventions is most appropriate? A. Allow self-feeding opportunities. B. Encourage the child to continue schoolwork while hospitalized. C. Respect the child's choices and expressions of feelings. D. Take the health history and perform examinations without the parents present. 49. Nurse Sunghoon is performing a health assessment on an adolescent. Which intervention is most suitable for this stage of Erikson's development? A. Encourage volunteer activities. B. Include support from the client’s partner or significant other. C. Take the health history and perform examinations without the parents present. D. Assist with making changes to living arrangements. 50. Nurse Sunghoon is planning discharge for a middle-aged client. Which of the following interventions aligns with Erikson's stage of "Generativity vs. Stagnation"? A. Assist with making changes to living arrangements. B. Listen attentively to reminiscent stories about their life’s accomplishments. C. Encourage volunteer activities. D. Take the health history and perform examinations without the parents present. Situation: Nurse Jungwon is leading a seminar on Kohlberg's stages of moral development. He presents complex cases to help nursing students understand how to apply these theories in their practice. The session focuses on recognizing moral reasoning in different age groups and understanding appropriate interventions. 51. Nurse Jungwon is observing a toddler in a pediatric unit. According to Kohlberg's stages of moral development, which of the following behaviors is most likely demonstrated by a child at the Punishment-Obedience Orientation stage? A. The child follows rules to obtain rewards. B. The child obeys rules to avoid punishment. C. The child makes judgments based on social order. D. The child follows self-chosen ethical principles. 52. During a session, Nurse Jungwon describes a preschooler's behavior of sharing toys to receive praise from teachers. Which Kohlberg's stage of moral development does this behavior exemplify? A. Stage 1: Punishment-Obedience Orientation B. Stage 2: Instrumental Relativist Orientation C. Stage 3: Good Boy or Nice Girl Orientation D. Stage 4: Law and Order Orientation 53. Nurse Jungwon explains that a 10-year-old child feels guilty when behaving in a way that displeases their parents. Which stage of moral development does this illustrate? A. Stage 1: Punishment-Obedience Orientation B. Stage 2: Instrumental Relativist Orientation C. Stage 3: Good Boy or Nice Girl Orientation D. Stage 4: Law and Order Orientation 54. A school-age child insists on following classroom rules even when no one is watching. According to Nurse Jungwon, which stage of Kohlberg's moral development is the child likely in? A. Stage 1: Punishment-Obedience Orientation B. Stage 2: Instrumental Relativist Orientation C. Stage 3: Good Boy or Nice Girl Orientation D. Stage 4: Law and Order Orientation 55. An adolescent challenges a school policy they believe is unfair. Nurse Jungwon identifies this behavior as indicative of which stage of Kohlberg's moral development? A. Stage 2: Instrumental Relativist Orientation B. Stage 3: Good Boy or Nice Girl Orientation C. Stage 4: Law and Order Orientation D. Stage 5: Social Contract and Legalistic Orientation 56. Nurse Jay is observing an infant who constantly seeks comfort by sucking on a pacifier, even when not hungry. While this might suggest the oral stage, which additional behavior would most strongly confirm this stage according to Freud's psychosexual theory? A. Demonstrating control over toilet training. B. Seeking physical comfort and security from a caregiver. C. Exhibiting curiosity about their genital organs. D. Engaging in intellectual activities and forming social bonds. 57. During rounds, Nurse Jay notices a toddler showing resistance to toilet training and experiencing frustration. How might this resistance reflect a possible conflict in Freud's psychosexual stages, and what long-term personality trait could develop if this stage is not successfully resolved? A. Oral fixation leading to issues with dependency and trust. B. Anal-retentive traits such as obsessiveness and stinginess. C. Phallic fixation resulting in confusion about gender roles. D. Latency stage struggles causing social withdrawal and intellectual inhibition. 58. A preschool-aged child in the hospital expresses intense jealousy when their same-sex parent spends time with their opposite-sex parent. While this could indicate the phallic stage, what additional behavior would most confirm this diagnosis? A. Seeking immediate gratification of oral needs. B. Displaying curiosity and exploration of their genitalia. C. Preferring to play alone and avoiding social interactions. D. Showing a keen interest in academic pursuits. 59. Nurse Jay is interacting with a 9-year-old child who prioritizes schoolwork and expresses a strong desire to please their teachers and parents. While these behaviors fit the latency stage, which conflicting behavior would challenge this assumption and suggest a different stage? A. Showing dependency and seeking constant reassurance from caregivers. B. Demonstrating intense sibling rivalry and aggressive behavior towards peers. C. Developing a keen interest in forming romantic relationships. D. Exhibiting regression to earlier stages, like bed-wetting. 60. Nurse Jay is evaluating a 15-year-old patient who is exploring their sexuality and forming a distinct personal identity. Although this aligns with the genital stage, what behavior might indicate unresolved conflicts from an earlier stage? A. Excessive neatness and stubbornness. B. Frequent nail-biting and thumb-sucking. C. Avoidance of social interactions and activities. D. Showing extreme jealousy of the same-sex parent. Situation: Nurse Julie is working in the maternity ward of a hospital and is conducting an antenatal check-up for Natty, a 28-year-old woman who is 24 weeks pregnant with her first child. Natty expresses concerns about the changes she is experiencing, including shortness of breath, occasional swelling in her ankles, and constipation. She also mentions feeling more tired than usual and experiencing some dizziness when standing up quickly. Natty is eager to understand these changes and what she can do to manage them effectively. 61. Nurse Julie is assessing Natty, a 24-week pregnant woman, who complains of shortness of breath. What is the most likely cause of this symptom? A. Decreased red blood cell volume B. Increased oxygen consumption and elevated diaphragm C. Increased levels of human chorionic gonadotropin (hCG) D. Elevated blood pressure 62. Natty expresses concerns about occasional dizziness when standing up quickly. Nurse Julie explains that this is due to physiological changes during pregnancy. What change is most likely causing this symptom? A. Increased blood volume 4 | Page