Tiêu đề RECALLS 2 (NP2) SC ✅

RECALLS EXAMINATION 2 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: A newly married couple Liberta and Bartolomeu wants to practice Family Planning to prepare a good future for their family. Nurse Jing, a Family Planning Counselor, is planning a lecture regarding the different methods of family planning. 1. Which of the following family planning methods identifies the fertile and infertile days of the menstrual cycle as determined through a combination of observations made on the cervical mucus, basal body temp recording and other signs of ovulation? A. Basal Body Temperature B. Standard Days Method C. Sympto-thermal Method D. Lactational Amenorrhea Method 2. During a family planning seminar conducted in the Barangay Health Center, Nurse Jing was asked by Liberta, a married woman who wants to try using contraceptives, if it is true that contraceptives will render couples sterile. Nurse Jing’s response should be: A. “Yes, It’s true.” B. “Yes, If you are already using it for more than 3 months.” C. “No, It will not cause sterility if you are also using condoms.” D. “No, Once you stop using the contraceptive method, you can have children again.” 3. Bartolomeu, the husband, further asked Nurse Jing if contraceptive methods will result in loss of sexual desire. Nurse Bing’s most appropriate response would be: A. “No, but it will make you uncomfortable with your sexual relationship.” B. “Yes, it causes lack of sexual desire of the male partner.” C. “Yes, it causes lack of sexual desire of the female partner.’ D. “No, it can actually enhance your sexual relationship.” 4. In a CHN class, a student asked Mr. Fabio, the Clinical Instructor, if family planning methods can cause abortion. As an instructor, Mr. Fabio’s response should be: A. “No, family planning prevents pregnancy, but it does not terminate pregnancy." B. “No, family planning puts a pregnant woman at risk for miscarriage, but not abortion.” C. “Yes, family planning can cause abortion.” D. “Yes, if the couple is using the artificial methods of family planning.” 5. Mandy, a Public Health Nurse (PHN), is assigned to conduct seminars on Family Planning Program in the different Barangays. She is aware that the roles of PHNs on Family Planning Program are the following EXCEPT: A. Provide counseling among the clients to help increase family planning acceptors and avoid defaulters. B. Ensure availability of family planning supplies and logistics for the PHNs and other barangay health workers only. C. Provide packages of health services among reproductive age group in all health facilities. D. Inform the clients about the importance and benefits/advantages/disadvantages of family planning. Situation – Loise, on her 35 weeks of gestation, is admitted because of hypertension, BP of 185/110, severe headache and blurred vision. She was placed on an imposed bedrest without toilet privileges. The physician orders MgSo4. Nikita is the nurse assigned to her. 6. Which of the following would Nurse Missy anticipate in the patient’s maternal history? A. On and off vaginal spotting B. Esophageal discomfort is experienced after a heavy meal. C. Weight gain of 20lbs in the 1 st and 2 nd Trimester D. Fetus moves very frequently 7. When a patient is on an imposed bedrest, which of the following can help the patient cope? These are the following, EXCEPT __________. A. Let the patient lie on her side to allow more blood to the uterus. B. Increase fluid intake to 8 glasses a day to prevent constipation. C. Discourage participation of family in patient care to prevent further anxiety. D. Use relaxation techniques to help cope with stress such as music and books. 8. MgSo4 injections are painful to the patient. Which of the following is the BEST route for injection to prevent such negative experience for patient Loise? A. Intravenous injection at the main IV line. B. Intravenous injection given through “piggy back”. C. Intramuscular on each of the deltoid muscle. D. Deep intramuscular using z-track technique on buttocks. 9. The nurse must be alert to MgSo4 toxicity. Which of the following is NOT included? A. Fetal bradycardia B. Urine output of <30 ml per hour C. Respiration of <12 per min D. Increase in maternal pulse rate 10. Which of the following hospital environments will be MOST conducive to Loise’s condition? A room that is / with ____________. A. Bright and well-ventilated B. 2 or three other patients C. Quiet and non-stimulating D. A call button for watcher’s use. 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. 1 | Page
11. The Nurse in the delivery room is attending to Mrs. Fuentes on labor to make sure that maternal injury will be prevented during the postpartum period. Which of the following instructions 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 12. 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 13. The delivery room nurse palpates the client’s fundus immediately after delivery of the placenta and assesses 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 14. Mrs. Elvira, 28 years old, gave birth through Cesarian section. The Nurse examines her and identifies 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 15. In assessing a new mother’s response to her son’s birth on the first postpartum day, which behavior does the Nurse expect to find present? A. Talkativeness and dependency B. Autonomy and Independence C. Disinterest in her own body function D. Interest in learning to care for the baby Situation: This is the first postoperative day for patient Shiena who delivered by caesarean section (CS). Nurse Remma, a newly hired staff, was assigned to her. 16. Patient Shiena asks the nurse why she has to get up and walk the day after surgery. Which of the following is the BEST response of the nurse? Walking hastens _________. A. Hastens lactation B. Relieves pain C. Heals wounds D. Fast recovery from anesthesia 17. Which laboratory finding should the nurse assess on the patient 24 hours after caesarian section delivery upon doctor’s request? A. Trace 1+ proteinuria B. Hematocrit 35% C. White blood cell count 20,000/cu.mm D. Hemoglobin 7.0 g/dL 18. Patient Shiena complains of “afterpains”. What should be the nurse's IMMEDIATE action? A. Advise her to stop breast-feeding for a day B. Encourage her to drink more water C. Assess vital signs and pain level D. Administer an analgesic STAT 19. Patient Shiena is to be discharged 3 days after CS delivery. Which of the following observations of the nurse would cause the delay of her discharge and would warrant notification to the physician? A. Moderate amount of lochia rubra B. Fundus is firm at umbilicus C. Pulse rate of 61 beats/minute taken in 24 hours D. Five voidings totaling 240 cc in 12 hours 20. On the third postpartum day, Patient Shiena reports that she has voided five times that morning. What should the nurse INITIALLY do? A. Insert a Foley catheter B. Collect the next voiding and measure the urine amount C. Catheterize the client to check for residual urine D. Call the physician Situation: There are varied Pediatric disorders that require comprehensive assessment and nursing interventions. The following scenarios refer to the health problems of children. 21. A 5-week-old infant is brought to the pediatrician’s office with symptoms of irritability, weight loss, and projectile vomiting. On physical examination, the infant appears dehydrated. From these symptoms, you know that the infant probably has: A. Hirschsprung’s disease B. Tracheoesophageal Fistula C. Pyloric stenosis D. Intussusception 22. Pediatric Nurse admitted a post cleft palate repair child and immediately the nurse should position the child: A. Left side lying. B. Prone. C. Dorsal recumbent. D. Semi Fowler's. 23. Another neonate is suspected of having a tracheoesophageal fistula. Priority nursing care until the diagnosis is confirmed includes: A. monitoring the neonate carefully during and after feedings B. elevating the neonate’s head after feedings C. feeding only glucose D. feeding nothing by mouth 24. Upon interviewing the parents of the child with Acute Glomerulonephritis, the nurse understands that which information collected is most often associated with this condition? A. Nausea and vomiting for the last 24 hours B. Streptococcal throat infection 2 weeks prior to diagnosis C. History of urinary tract infection for 5 days D. Pruritus for 1 week prior to diagnosis 25. A newly admitted 5-year old child in the Pediatric ward is diagnosed with Wilm’s Tumor. Upon initial interview, the nurse would be most concerned about which statement by the child’s mother? A. My child has lost 3 pounds in the last month. B. Urinary output seemed to be less over the past 2 days. C. All the pants have become tight around the waist. D. The child prefers some salty foods more than others. Situation: Patient Mina, 19 years old, is in her first trimester of pregnancy. Because it is her first pregnancy, she went for her prenatal check-up with her mother. She asked a lot of questions which she expects the nurse to answer her. 26. The nurse asked for the personal data of the patient which, to some, Patient Mina did not like to answer. And so she asked: “Why do you need to know if I am married?” What should be a good response of the nurse? “I asked your marital status because _________. A. If you do not have a husband, then that can pose a big problem for you.” B. If you are married then your husband will also suffer from discomforts like you.” C. You need your husband to accompany you every prenatal check-up.” D. Your husband is your best support system during your pregnancy.” 27. The patient asked what is the term for signs such as breast changes, urinary frequency, fatigue, morning sickness and amenorrhea? A. Probable signs B. Presumptive signs C. Possible signs D. Positive signs 28. The patient asked what causes newborn babies with total absence of extremities. The nurse answered that the cause for 2 | Page
Amelia is intake of which of the following medications during pregnancy ___________. A. Anti-emetics B. Antibiotics C. analgesics D. anti-bacterials 29. The patient complained that every morning, she becomes nauseated and oftentimes, she would vomit excessively. “What could be the cause of this,” she asked? The nurse’s answer is: “It is due to an increased level of ________.” A. Heart burn B. Estrogen C. heart rate D. Progesterone 30. The nurse advised patient Patient Apple to report to her physician which of the following MOST important sign, if ever she will suffer from it? A. Cough B. Vaginal bleeding C. Headache D. strong fetal movement Situation: Barangay Marilag is situated in a remote area. The Public Health Nurse conducted several health training programs regarding herbal plants that would be useful in the treatment of illness and health problems. The following can be found in the small garden of the Barangay. 31. Tsaang Gubat is used to treat which of the following? A. Diarrhea and Stomachache B. Cough and Fever C. Colds and Pain D. Hypertension Answer: A 32. Niyug-niyogan is an: A. Analgesic B. Anti-helminthic C. Anti-hypertensive D. Anti-gout 33. Ulasimang Bato or Pansit-pansitan is used to: A. lower cholesterol levels B. lower blood sugar levels C. lower ammonia levels D. lower uric acid levels 34. This refers to a drug outlet managed by a legitimate community organization, non-government organization, and the local government unit with a trained operator and a supervising pharmacist, and specifically licensed by the Bureau of Food and Drugs to sell, distribute, offer for sale, and or make available low-priced generic home remedies, Over the Counter (OTC) drugs, antibiotics, and medication for chronic diseases. A. Mercury drugs B. Right Med C. Generic Pharmacy D. Botika ng Barangay 35. One strategy to address the problem in a poor Barangay aside from Herbal Plants is food production. Which of the following is a priority? A. A community managed poultry and piggery B. Planting plenty of Malunggay C. Planting tomatoes and eggplants in containers D. Engaging in a home –based food processing business Situation: Frances is 23 years old. She and her boyfriend, Meljohn, are planning to get married in a couple of months. Thereafter, they plan to have three babies. For this reason they sought reproductive health counseling for their benefit and the proper growth and development of their future children. Nurse Susana was there to help them. 36. Frances asks what she must do in order to be healthy in case she becomes pregnant. Which among the answers of Nurse Susana should NOT be followed by Frances? A. Get support from husband and family. B. May have a massage from a lay midwife. C. To readily accept her pregnancy. D. Early prenatal check-up 37. Meljohn asks what possible contribution he could give for the normal development of the baby. Nurse Susana agreed that his BEST contribution would be the following EXCEPT __________. A. Stroke Frances’s abdomen and talk to baby B. Provide Frances nutritious food and drinks C. Join wife during prenatal check-up D. May smoke once in a while 38. For the normal development of the fetus, Nurse Susana taught the couple that Frances should prevent Folic Acid Deficiency anemia by good diet, correct way of cooking vegetables and taking Folic Acid supplements. Which of the following is NOT included among the outcomes of folic acid deficiency to the baby? A. Cleft lip B. Cleft palate C. Neural tube defect D. Fractures of all types 39. Frances asks the nurse what possible diseases she should avoid that would guarantee health for the baby? These are: 1. Rubella 2. Rheumatic fever 3. Anemia 4. Chronic hypertension A. 1, 2, 3 B. 1, 2, 3, 4 C. 1, 2, 4 D. 2, 3, 4 40. Nurse Susana advised the couple that the BEST way to check the condition of the mother and the baby is to have _________. A. Regular well-selected exercise B. Regular prenatal check-up C. Music therapy D. Good food Situation – Patient Natalia, 15 years old, G0P1, AOG 39 weeks, has been admitted at 6:30 in the morning for lumbo-sacral pains and strong uterine contractions every 10 minutes. Nurse Gracielle was there to admit her. She uses Focus, Data, Action and Response (FDAR) as the form of charting. 41. In any type of charting or documentation, which of the following should the nurse refer to and use to generate and describe the status of patient Natalia? Nursing __________. A. Assessment B. Process C. actions D. diagnosis 42. Which of the following are the purposes of documentation? To ________. I. Ensure the development of organized comprehensive care plan II. Have a clear and accurate record of what was done to the patient. III. Have an evidence of the health care member’s accountability in giving care IV. Detect patients who are clinically deteriorating A. II, III, IV B. I, II, III, IV C. I, II, III D. I, III, IV 43. Which of the following is the CORRECT definition of focus charting? A. It is an electronically form of documentation of nursing care done to a patient by a registered nurse. B. It is a note, written or electronically generated, to provide documentation related to a specific focus. C. It is a nurse-centered way of documentation that describes the patient status and nursing care rendered. D. It is a nurse-centered approach to documentation. 44. In the given situation, which is the FOCUS? A. Patient Natalia as the admitting nurse B. Lumbo-sacral pains and strong uterine contractions C. 15 years old, G0P1, AOG of 36 weeks D. Admission at 6:30 in the morning 45. What is the term used to describe the patient’s data or assessment, the action done based on the assessment and response based on the action made: A. Progress Note B. Flow sheets C. Standard of Care 3 | Page
D. Focus Format Situation: A Maternal-Child staff nurse is attending to the pregnant mothers with varied obstetric disorders. A comprehensive assessment was conducted. One of the clients seeks further questions regarding Placenta Previa. 46. Which of the following would be the physiologic basis for a Placenta Previa? A. A loose placental implantation. B. Low placental implantation. C. A placenta with multiple lobes. D. A uterus with a midseptum. 47. A patient diagnosed with Placenta Previa should be given specific instruction before discharge from the hospital. To ensure standards of nursing practice, which among the following should be considered by the nurse as part of instruction to the client? A. Eat a low calorie diet B. May resume with regular exercise if minimal bleeding has been noted. C. Avoid sexual intercourse. D. Avoid intake of spicy foods 48. Another pregnant mother wants to be clarified on her laboratory studies which reveal blood Type -A and she is Rh negative. Problems related to incompatibility may develop in her infant if the infant is: A. Type O B. Rh positive C. Delivered preterm D. Type B, Rh negative 49. An Obstetric nurse is assessing a 39 year old pregnant woman who is married to an American citizen and Rh negative, is seen by the Physician during the first trimester of pregnancy. A test to detect the presence of antibodies was conducted on her. The nurse’s teaching is effective if the client understands that she will first receive Rho (D) immunoglobulin (RhIg): A. If the result of Indirect Coomb’s test is positive B. If the result of Indirect Coomb’s test is negative C. If the result of Direct Coomb’s test is positive D. If the result of Direct Coomb’s test is negative 50. During the prenatal visit the Nurse explains further to a client who is Rh negative that RhogGAM will be administered: A. Weekly during the ninth month, because this is her third pregnancy B. Within 72 hours after delivery if infant is found to be Rh positive C. During the second trimester , if an Amniocentesis indicates a problem D. To her infant , immediately after delivery if the Coomb’s test is positive Situation: Any pregnancy may pose a risk. A pregnant woman must therefore submit herself for regular pre-natal consultation in any health facility near her place of abode. A nurse can play an important role in making these pregnant women aware of these risks in all stages of pregnancy. 51. What CHIEF ingredient of the prenatal vitamin for pregnancy nutrition that the patient should look for? A. Vitamin B12 B. Potassium C. Vitamin C D. Folic Acid. 52. A woman in labor is at risk for abruptio placenta. Which of the following assessments would MOST convince you and the pregnant woman to believe that this has happened? A. Painless vaginal bleeding and downward trend of BP. B. And increased blood pressure and scanty urination. C. Pain at the lower quadrant and increased pulse rate. D. Sharp fundal pain and discomfort between contractions. 53. A woman 2 1⁄2 months pregnant calls you by telephone because she passed out some “berry-like” blood clots and now has continued dark brown vaginal bleeding. Which of the following is the BEST instruction you should give her? A. “Continue normal activity but take your pulse and respiratory rate every 4 hours.” B. “Come to the health facility if uterine contractions start.” C. “Come to the health facility with any vaginal material passed out.” D. “Maintain bedrest and count the number of perineal pads used every hour.” 54. A woman, 33 weeks pregnant, with preterm rupture of membranes had blood work ordered daily. Which laboratory report would be MOST important to read daily? A. Serum creatinine B. Red blood cell count C. Sodium and potassium levels D. White blood cell count 55. An 18 –year –old delivers to an 8 –pound – baby after 10 hours of labor. In the post-partal period, which of the following would be a PRIORITY concern to assess for by the nurse? A. Endometritis B. Thrombophlebitis C. Bleeding D. Amniotic embolus Situation: A hospitalized adolescent Seote suddenly has a seizure while his family is visiting. Nurse Nikka notes whole body rigidity followed by general jerking movements. Seote vomits immediately after seizure. 56. Which of the following would be the PRIORITY nursing diagnosis for Seote? A. Fluid volume deficit related to vomiting. B. Altered family processes related to chronic illness. C. High risk for infection related to vomiting. D. Risk for aspiration related to loss of consciousness. 57. Which of the following would be the LEAST PRIORITY nursing care for a child with seizure disorder? A. Observation and recording all seizures. B. Ensuring safety and protection from injury. C. Teaching the family about anticonvulsant drug therapy: indication, dosage, route and effects. D. Assessing for signs and symptoms of Increased Intracranial Pressure. 58. Seote will be taking phenytoin (Dilantin) regularly for seizure control. Which of the following will be the MOST important teaching to Seote’s family? A. Administer acetaminophen to promote sleep. B. Serve a diet that is high in iron C. Maintain good oral hygiene and dental care D. Omit medication if the child is seizure free. 59. After teaching the parents about their child’s unique psychological needs related to a seizure disorder and possible stressors, which of the following concerns voiced by them would indicate the need for additional teaching? The child’s ___________. A. Feeling different from peers B. Cognitive delays C. Poor self-image D. Dependency 60. Which of the following is NOT a focus for teaching plan for an adolescent with a seizure disorder? A. Obtaining a driver’s license B. Increase risk for infections C. Peer pressure D. Drug and alcohol use Situation: Head nurse Evalyn supervises Nurse Venice who is assigned to take care of a newborn baby boy named Ed with a cleft palate. 61. The mother asks the head nurse why the pediatrician recommended that closure of the palate should be done before he is 6 months old. She asked Nurse Venice to answer her. Which of the following is Nurse Venice’s APPROPRIATE response? A. “After age 2, surgery is very frightening and should be avoided if possible.” B. “The eruption of the 2-year molars often complicates the surgical procedure.” C. “Surgery should be performed before the child starts to use faulty speech patterns.” D. “As he gets older the palate gets wider and more difficult to repair.” 4 | Page