Tiêu đề RECALLS 13 - NP2 - SC ✅

1 | Page RECALLS 13 EXAMINATION NURSING PRACTICE II CARE OF THE HEALTHY/SICK MOTHER & CHILD 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 III” on the box provided Situation 1- Patient April a gravida 1, para 0. Patient is admitted at the labor room. Her cervix is 100% effaced, and upon IE, her cervix is 3 cm dilated, the fetus is at + 1 station. Staff Nurse Mihka attends to her. 1. Taken from the assessment data above that the fetus is at + station, how will Nurse Regina interpret this? That the head of the fetus is _________. A. Below the ischial spines B. Visible at the vaginal opening C. Not yet engaged D. Entering the pelvic inlet 2. Nurse Mihka monitors the contractions of the patient. She recorded the contractions as follows: started at 10:00 A.M; another began at 10:15 A.M. In MINUTES, what is the frequency of the contractions? A. 10 B. 9 C. 15 D. 14 3. Nurse Mihka assesses the duration of the patient’s contractions by timing them from ________ to ________. A. Beginning of one contraction to the beginning of the next contraction B. End of the contraction to the beginning of the next contraction C. End of the contraction to the end of the next contraction D. Beginning of one contraction to the end of the same contraction 4. After doing Leopold’s maneuvers on the patient I labor, the nurse determines that the fetus is in the ROA position. Where should the nurse place the Doppler to BEST auscultate the fetal heart tones? A. Below the umbilicus near the left groin B. Below the umbilicus on the right side C. Above the umbilicus in the midline D. Above the umbilicus on the left on the left side 5. Patient April was given epidural anesthesia. This indicates late deceleration of the fetus and so the nurse has to do important nursing interventions. ARRANGE the following nursing interventions in ORDER or PRIORITY. 1) Increase intravenous fluids 2) Change position of the patient to the left side lying 3) Reassess fetal heart rate pattern 4) Document intervention and maternal/fetal response A. 3 2 1 4 B. 3 4 1 2 C. 4 2 3 1 D. 2 3 4 1 Situation 2 – Patient Trisha, who is in the third trimester, arrives at the hospital with vaginal bleeding. She states that she snorted cocaine approximately 2 hours ago. 6. Which defined complication is MOST likely causing the client’s vaginal bleeding? A. Premature separation of normally implanted placenta B. Pregnancy outside the uterus C. Termination of pregnancy before the age of viability D. Abnormal lower implantation of the placenta 7. The abdominal pain associated with abruption placentae may be INITIALLY caused by which of the following? A. Disseminated intravascular coagulation B. Blood in the myometrium C. Hemorrhagic shock D. Concealed haemorrhage 8. The bleeding following severe abruption placentae is usually caused by which of the following condition? A. Thrombocytopenia B. Hyperglobulinemia C. polycythemia D. hypofibrinogenemia 9. What should the nurse prepare for the POSSIBLE order of the physician? A. The administration of the oxytocin B. A high- forceps birth C. An immediate caesarean birth D. The insertion of a fetal monitor 10. Abruption Placenta can cause hemorrhagic disorder which can lead to hypovolemic shock. What is the LATE sign of hypovolemic shock that the nurse should watch for? A. Hypertension B. Tachycardia C. hypotension D. tachypnea Situation 3- A nurse is performing an admission assessment on Tonton a 4-year-old, who has been diagnosed with nephrotic syndrome. 11. What sign will BEST support the medical diagnosis of nephrosis? A. Gross hematuria, tea-colored, scanty urine B. History of a streptococcal infection C. Periorbitaledema D. Anasarca 12. Tonton receives prednisone as the major treatment for his nephrosis. Which of the following actions should be observed by the nurse in the administration of prednisone? A. All of the options. B. Administer the drug on a full stomach. C. Monitor Carlo’s temperature. D. Protect Carlo from infection. 13. Which side effect of prednisone will be MOST prominent on Tonton and for which he should be prepared before its administration? A. Hypotension B. Decreased weight C. mooning of face D. vomiting * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *