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RECALLS 3 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: Nurse Trining has been assigned to the Pediatric Situation: Presley enters the labor and delivery unit in probable
Ward for two years. She wants to join the team of nurses who preterm labor at 36 weeks' gestation. The patient was
will be conducting a study on sleep. The Team Leader wants to informed that the fetus is in breech presentation. She has a
be assured that Nurse Trining is equipped with the basic catheterized urine specimen ordered.
knowledge of nursing research.
6. Patient Presley asks the nurse why such a diagnostic
1. The team leader decided to ask Nurse Trining the meaning procedure is required. What is the MOST APPROPRIATE
of informed consent. After being able to define what the term answer can the nurse give?
means, she was further asked the reasons for its use. Nurse A. Urinary tract infections are strongly associated with
Trining's answer should be, which the occurrence of preterm labor
of the following? B. Reduced sensation to urinate usually occur during
1. To fully understand what the research is all about and what preterm labor
will happen should the participants opt to involve themselves C. Preterm labor treatment usually causes women a
in the research study bladder infection because of restricted fluid intake
2. To get assurance that participants have the right to D. Catheterized urine is usually ordered for any woman
withdraw from participating in the research at any given time. admitted to the labor and delivery unit
3. To get a complete and full information as to the objective of 7. Betamethasone (Celestone) is prescribed to be administered
the study, procedures to be implemented, data collection, and the patient asks nurse Hope about the purpose of this
benefits and harm and options in the method of treatment. medication?
4. To get assurance how anonymity and confidentiality will be A. Promote fetal lung maturity.
maintained. B. Prevent the premature closure of the ductus
A. 1, 2 & 3 arteriosus.
B. 2 only C. Delay delivery for at least 48 hours.
C. 1, 2, 3 & 4 D. Stop the premature uterine contractions.
D. 3 only 8. Patient Presley who is ordered for diagnostic pelvic
2. As to the observance of respecting privacy, Nurse Trining ultrasound asks what preparation she'll take. Appropriate
explained about preparations for this procedure include __________.
A. breach of contract. A. explanation of the procedure
B. anonymity B. NPO 6 hours before
C. ethical dilemma C. informed consent
D. confidentiality D. voiding
3. In nursing, Nurse Trining explained that the MAIN goal of 9. Pelvic ultrasound can detect, which of the following?
conducting a research is to _______. A. Congenital defects in the structure, fetal gender, H-
A. justify the role of nurses as health care provider mole
B. establish a credible body of evidence to support and B. Fetal DM, multiple pregnancies, fetal age of gestation
improve the delivery of care. C. Fetal sex, number and lung maturity
C. identify research priorities that will justify the D. Fetal congenital defects, placenta previa, fetal lung
oversupply of nurses. maturity
D. develop a body of knowledge to address non-nursing 10. The labor progress and the physician performed
problems amniotomy. Nurse Hope should FIRST assess for ____.
4. In conducting a study on sleep, Nurse Trining was asked A. bladder distention
which of the types of research will be used should it involve B. maternal blood pressure
collecting numerical data which is most often under C. cervical dilatation
considerable control. Her answer should be ___. D. fetal heart rate (FHR) pattern
A. Ethnographic
B. Phenomenological Situation: Sienna, a patient with severe preeclampsia is
C. Qualitative admitted to the hospital. She is a student from one of the local
D. Quantitative universities and insists on continuing her studies while in the
5. Should a 24-hour period clinical observations and activities hospital, despite being instructed to rest. The patient studies
be considered in conducting the research on sleep, the type of approximately 10 hours a day and has numerous visits from
study that Trining will be conducting is ______. fellow students, family and friends.
A. Quantitative
B. Descriptive 11. Which intervention should the nurse use to promote rest?
C. Ethnological A. Develop a routine with the patient to balance her
D. Exploratory studies and her rest needs.

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 B. Include a significant other in helping the patient not to lose their cooperation. This means the LAST thing do
understand the need for rest. child which of the following, EXCEPT _________.
C. Instruct the patient that the baby's health is more A. Inspection of the throat with a throat stick.
important than her studies at this time. B. Inspection of the ears with an otoscope
D. Ask her why she is not complying with the C. Auscultation of the heart
prescription of bed rest. D. Undressing the child
12. Patient Sienna who seems to be irritated with the nurse
said "I don't want to talk with you because you're only a nurse. Situation: Ximena a Christian 29-year-old pregnant woman was
I will wait for my doctor." Which of the following should the admitted to the hospital with a complaint of moderate
nurse say in response to the patient? hypogastric pain. She intends to visit the clinic for her first
A. Your doctor prescribed this for us to do nursing care. prenatal check-up and informs nurse Parker that she did not
B. I understand. I should call your doctor. realize she's pregnant until a week ago. As a result, she has
C. I'm angry with the way you dismiss me. been on a diet, weightlifting at the health gym.
D. So then you would prefer to speak with your doctor?
13. Nurse Mauve is now on ethical dilemma. This occurs when 21. Patient Ximena was seen by the physician and was ordered
______. for a medication that is larger than the standard dose. What
A. a decision had to be made quickly under stressful should the nurse do?
situation A. Give the drug as prescribed.
B. choices are unclear B. Inform the supervisor.
C. there is a conflict between the nurse's decision and C. Give the average dose of the medication.
that of his/her superior D. Discuss the prescription with the physician.
D. there is a conflict of two or more ethical principles 22. The patient refuses to take the medication because it
14. Despite the reaction of the patient, which of the ethical' causes diarrhea. Nurse Parker explains the action of the drug
principles that the nurse is responsible of providing all patients but the patient vehemently refuses the medication. What
with caring attention and information? should be the INITIAL action of the nurse?
A. Beneficence. A. Discuss with a family member the need for the
B. Nonmaleficence. patient to take the medication.
C. Veracity B. Document the patient's refusal to take the
D. Advocacy medication.
15. Nurse Mauve should plan to initiate which action to provide C. Notify the physician of the patient's refusal to take
a safe environment? the medication.
A. Take the patient's vital signs every 4 hours. D. Explain again to the patient the consequences of
B. Encourage visits from family and friends for refusing to take the medication.
psychosocial support. 23. As a strong believer of her faith and the need for spiritual
C. Maintain fluid and sodium restrictions. guidance, patient Ximena requests that she wants that clergy
D. Take off the room lights and draw the window will visit her. How did nurse Parker function when she initiated
shades. the visit?
A. Dependently
Situation: Nurse Nanie is admitting five-year-old Krini due to B. Collegially
cough, respiratory distress, anxiety and signs of dehydration. C. Interdependently
The working diagnosis is pneumonia. D. Independently
24. Patient Ximena sought referral to an abortion clinic from
16. Nurse Nanie is aware that history taking and physical exam the nurse. She reasons out that her pregnancy a burden to her
are critical to the diagnostic process and often provide more work and daily routines. What should be the BEST RESPONSE
information than can gained by broad testing strategies. of the nurse?
History taking includes the following, EXCEPT ____________. A. It will cause discrimination from friends and relatives.
A. History of present illness. B. Inform her that abortion is morally and legally wrong
B. Religious Affiliation by virtue of the law.
C. Social & Family history C. It will cause infection.
D. Past medical history D. It is against any religion.
17. The objective of taking the history of present illness is to 25. The incoming nurse on duty reported, the nurse is
illicit chronologic description and duration of the chief administering a medication, the patient says, "This pill looks
complaint. Which of the following questions would try to different from the one I had taken before." What is the
answer what Nurse Nanie wishes to illicit? APPROPRIATE action of the nurse?
1. History of immunizations. A. Explain the purpose of the medication.
2. Aggravating and alleviating factors B. Encourage the patient to take the medication.
3. Duration of disease onset C. Check the original medication prescription.
4. Any treatment and response to treatment D. Ask what the other pill looked like.
A. 1, 2 & 3
B. 2,3 & 4 Situation: A newly hired nurse is assigned in the OB ward. She
C. 1, 2, 3 & 4 was supervised by a senior nurse.
D. 1, 2 & 3
18. Past medical history section of Krini contains the following, 26. She was asked by the nurse supervisor about her concern
but NOT ___________. and what are the considered ideal fetal positions for a healthy
A. Prenatal history. delivery?
B. Child hood illness A. Right occipitoposterior with no flexion.
C. Current history B. Right occipitoposterior with full flexion.
D. Birth history C. Left transverse anterior in moderate flexion
19. Which of the following statements is TRUE? D. Left sacroanterior with full flexion
A. History taking must be long regardless if the child 27. The physician ordered sonography. The nurse informs the
appears to be well. ultrasound unit in charge and prepares the patient for the
B. No proper history can be obtained without procedure. The patient asks the importance of the procedure,
observation of child and the mother. the nurse's CORRECT response is
C. Nurse Nanie should refrain from asking about the A. to determine diameters of the fetal skull
illness of other members of the family. B. increase sensitivity for common bile duct of the fetus
D. An example of what can be elicited from a social C. useful to a visualized cystic duct of the fetus
history is how the disease started. D. to assess fetus’ well-being
20. In order not to frighten small children, it is best to examine 28. The newly hired nurse asks for advice from the supervisor.
things that are uncomfortable or frightening to them last so as The supervisor notices that the newly hired nurse felt uneasy

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upon learning that the fetus is on breech presentation. Which C. "I can use analgesics to assist in alleviating some of
of the following is the BEST RESPONSE by the supervisor? these discomforts."
A. "I understand how you feel. Tell me more." D. "I have to wear a supportive bra to relieve the
B. "Is this your first time to witness a breech discomfort."
presentation"
C. "Are you afraid to assist the case" Situation: Nurse Lyca is assigned in the Nursery. She is
D. "Don't worry. There's always a first time" performing newborn assessment on Baby Boy Pratts born at 40
29. After the successful vaginal delivery, medication was weeks gestation.
ordered to be given immediately. The supervisor reassured the
newly hired nurse that everything will be fine because the 36. Using APCAR Score, Nurse Lyca should bear in mind that
medication will ______. this method of evaluating a newborn's condition is used at how
A. promote vasoconstriction of uterine muscles many minutes after birth?
B. hasten uterine contractility and control bleeding A. 1 to 10
C. facilitate the return of pregnancy vital signs B. 1 to 3
D. promote vasodilation of uterine muscles C. 1 to 7
30. The newly-hired nurse oriented the caregiver hired by the D. 1 to 5
couple. Which of the following should the nurse encourage the 37. Nurse Lyca is aware that testing of vision in infants and
parents to do? children has been treated separately from the testing of adult.
A. Relate to each twin individually to enhance the Which of the statement is NOT true?
attachment process. A. Infants and children often cannot be tested with the
B. Avoid assistance from other family members and same materials and techniques as adults.
support groups. B. Special techniques often must be used, especially to
C. Bottle-feed the twins to prevent maternal exhaustion. test infants and preschoolers, that cannot be held to
D. Plan for each parent to spend equal amounts of time the same standards that apply to tests for adults
with each twin. C. Some infants who appear visually impaired early in
life will not show normal visual responses several
Situation: Lillian, 2-week postpartum mother is seen in the weeks or months later.
health center. On further assessment, Nurse Addison noted a D. Course of visual and cognitive development must be
localized area of redness on the left breast, and the mother is taken into account in evaluating infants and children's
diagnosed with mastitis. visual abilities
38. The false statement about physiologic jaundice in the
31. Which additional finding confirms the diagnosis that the statements below is
patient has mastitis? A. Caused by impairment in the removal of bilirubin
A. Enlarged glands in the axilla deficiency in the production of glucoronide
B. Normal temperature transferase.
C. Engorged both breasts B. Begins to decrease by the 6th or 7th day.
D. Hard mass and reddened area C. Is visible in skin and sclera.
32. Lillian asks the nurse the cause of this ailment. Which of D. Begins after 48 hours of life.
the following would the nurse explain as predisposing factors 39. Neonatal jaundice FIRST becomes visible in which of the
of mastitis? (Select a that apply) following parts? (Select all that apply.)
I. Milk stasis 1. Face
II. Nipple trauma 2. Forehead
III. Using alcohol in cleaning nipples 3. Trunk
IV. Baby's sitting position 4. Extremities
A. II and IV A. 3 & 4
B. I and IV B. 1 & 2
C. I and II C. 1 & 4
D. II and III D. 2 & 3
33. Lillian complains of unbearable pain. Which of the following 40. When caring for patients with hyperbilirubinemia, the
characteristics are EMPHASIZED in a culturally sensitive nursing care plan should focus on the following, EXCEPT ____.
nursing care? (Select all that apply) A. informing appropriately the significant others.
I. The expression of pain is affected by learned B. preventing injury
behavior. C. maintaining physiological homeostasis with bilirubin
II. Physiologically, all individuals experience pain in a levels increasing
similar manner. D. preventing complications.
III. Some Asian people has high response to pain
medications. Situation: Lily, 23-year-old pregnant woman, 37th week's
IV. Patients should be assessed for pain regardless of gestation, is admitted in the intensive care unit due to
overt symptomatology. paroxysmal ventricular tachycardia. The patient is conscious;
A. III and IV cervix is open so they decided to induce labor.
B. I and II
C. I and III 41. When the patient was informed about induction, she asks
D. II and III Nurse Aurora what it is all about. Which of the following
34. Nurse Addison provides instructions about measures to statement by the nurse is correct? Induction is a _______.
prevent postpartum mastitis who is breast feeding her A. local anesthesia used for blocking pain during
newborn. Which of the following would indicate that the episiotomy
mother needs further instruction? "I should____.” B. deliberate initiation of uterine contractions that
A. wash my hands well before breastfeeding stimulates labor
B. breastfeed every 2 3 hours C. medication injected into the subarachnoid space and
C. change the breast pads frequently has a rapid onset of action
D. wash my nipples with soap and water prior to feeding D. procedure performed by artificial rupture of the
35. Considering her level of knowledge and the anxiety of her membranes
condition, Patient Lillian raised questions on possible ways of 42. Which of the following statement is NOT an indication for
relieving her breast discomfort. Which of the statements any uterine stimulants (Oxytocin)?
NEEDS further instructions? A. Preinducting cervical ripening
A. "I have to stop breastfeeding until this condition B. Controlling postpartum bleeding
resolves." C. Inducing or augmenting labor
B. "I can take antibiotics, and should begin to feel better D. Manages an incomplete abortion
in 24 to 48 hours."

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43. Oxytocin drip was started to induce labor. Which Situation: Sonny, 11 years old, is admitted due to bronchitis.
assessment findings should cause the nurse to IMMEDIATELY Upon admission, he manifested the following signs and
discontinue the oxytocin infusion? (Select all that apply) symptoms: cough, production of mucus (sputum), yellowish in
I. Fatigue and drowsiness color, fatigue, shortness of breath, slight fever and chills and
II. Early decelerations of the fetal heart rate. chest discomfort. The physician orders 4L/min oxygenation.
III. Uterine hyperstimulation
IV. Late decelerations of the fetal heart rate 51. The first standard step in oxygen therapy that the nurse
A. III and IV should do is _______.
B. II and III A. assess client's condition
C. I and III B. gather all the equipment and supplies
D. I and II C. prepare the client for the oxygen treatment
44. Simultaneous with the oxytocin drip (left arm) is the D. check the chart for ordered flow rate and oxygen
prescribed intravenous (IV) lidocaine (Xylocaine). Nurse Aurora delivery method
should dilute the concentrated solution of lidocaine (right arm) 52. In planning for Sonny's oxygen therapy, the nurse should
with which solution? consider which of the following, EXCEPT _____.
A. 5 percent Dextrose in water A. need for a humidifier.
B. Normal saline 0.99 percent B. length of tubing
C. Normal saline 0.45 percent. C. determine the age of Excel.
D. Lactated Ringer's D. manner of administering oxygen, continuous or
45. Take home medications given to Patient Lily includes intermittent.
digitalis therapy which was given to patient since she was 53. Which of the following is the PRIORITY action of the nurse
pregnant. Which of the following would the nurse anticipate for Sonny who in on oxygen therapy?
with patient's drug therapy? A. Check the flow.
A. Switching to a more potent drug. B. Connect the flow meter to the pipe in oxygen outlet.
B. Continuation of the same dosage. C. Turn on the oxygen.
C. Need for change in medication. D. Attach the humidifier and connecting tubing to the
D. Addition of diuretic to the regimen. oxygen delivery device.
54. What PRIORITY precautionary measure should be done by
Situation: The indication of tracheostomy in children has the nurse during the oxygen therapy?
changed substantially in the last two decades. Nurse Robert is A. Humidifier's water should be checked regularly.
taking care of Patient Irma, an eight year old female child, who B. No Smoking sign.
was admitted to the Pediatric Ward due to pneumonia. The C. Oxygen tank should have belt.
child is hooked to a tracheostomy tube. Nurse Robert is quite D. Limit visitors.
anxious in taking care of this patient being her first day of duty 55. One evening, Sonny complained of dyspnea despite
in the Pediatric Ward. continuous oxygen therapy. What should be the FIRST action
of the nurse?
46. When preparing the patient for suctioning, what is the A. Reassess the client.
FIRST step? B. Give PRN medication.
A. Perform hand hygiene C. Assess the patency of the tubing.
B. Gather equipment D. Refer client to the physician.
C. Assess lung sounds, heart rate and rhythm
D. Check physician's order and patient care plan Situation: The senior nurse Reese, is planning to revisit and
47. Patient Irma will be placed in which of the following implement a change in the management system for the
position? Select all that apply. Obstetric Unit. This would be a pilot unit as planned by the
1. Fowler administration. Many problems have occurred one of which is
2. Semi-Fowler the present documentation system, and the charge nurse
3. Supine determines that a change is required.
4. Sim
A. 1, 2 & 3 56. What should be the INITIAL STEP in the process of change
B. 2 only for the senior nurse.
C. 1 & 2 A. set goals and priorities regarding the change process.
D. 1 only B. Plan strategies to implement the change.
C. Identify potential solutions and strategies for the
48. Usually the common indication (s) for the tracheostomy in change.
Patient Irma's condition is which of the following? (Select all D. Identify the inefficiency that needs improvement or
that apply.) correction.
1. Prolonged intubation. 57. Nurse Reese is preparing the patient assignment for the
2. Sepsis day and needs to assign patients to a midwife and nursing
3. Hypoventilation associated with neurologic disorders. assistant. Which patient should the nurse assign to the midwife
4. Severe Sleep Obstructive Apnea Syndrome (SOAS) because of patient needs that cannot be met by the nursing
A. 2 only assistant? A patient requiring _______.
B. 1 & 2 A. dressing change of post caesarian surgery
C. 1, 2, 3 & 4 B. collecting of urine specimen for urinalysis testing.
D. 1 only. C. performing range-of-motion exercises twice a day
49. The PRIORITY nursing objective when caring a patient D. taking of vital signs measurement every hours
with a tracheostomy is ______. 58. Because of the scarcity of nurses in the hospital settings,
A. To increase tissue oxygenation different service delivery models were proposed. Which
B. To provide patent airway situation represents the primary nursing care delivery model?
C. To decrease tissue oxygenation A. The nursing aide is assigned to make beds and other
D. To improve ventilation errands while the nurse is to give medications
50. The TOP nursing expected outcome when performing B. The nurse develops a plan of care for patients and
suctioning is ______. collaborates with other team members.
A. Lessened amount of secretions leading to decreased C. The nurse performs all tasks needed by the individual
frequency of suctioning. patient to optimize health.
B. Secretions removed without complication. D. The nurse provides care to 4 patients while the
C. Tube-fed patient does not aspirate feeding. nursing aide is to care for 2 patients.
D. Prevention of occurrence of hypoxemia and 59. One of the post-caesarian patients has a private duty nurse
bradycardia. and is responsible for providing holistic care to her patient

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during the shift. What modality of nursing care is 3. Education background
implemented? 4. Social status
A. Primary A. 1, 2 & 3
B. Team B. 1 & 2
C. Total care C. 1 only
D. Functional D. 1, 2, 3 & 4
60. At which stage of Lewin's planned change indicates the 69. Which of the following environmental factors affect
nurse identifying, planning and implementing appropriate learning? (Select all that apply.)
strategies ensuring that driving forces exceed restraining 1. Client comfort.
forces? 2. Lighting
A. Refreezing 3. Noise level
B. unfreezing 4. Room temperature
C. movement A. 2 & 4
D. in activism B. 3 & 4
C. 1 only
Situation: Olivia, a 15-year-old, high school student visited the D. 1,2, 3 & 4
health center for her prenatal check-up. Per nurse's initial 70. Which of the following are good sources for teaching?
assessment, the patient drinks alcohol and smokes cigarettes (Select all that apply.)
about 5 sticks a day for 2 years now. Her last menstrual period 1. Nursing specialists
(LMP) was October 10, 2020. 2. Videotapes
3. Demonstration equipment
61. Based on the nurse's computation utilizing Nagele's rule, 4. Books
the patient's expected date of birth (EDB) will be on ________. A. 2, 3 & 4
A. September 17, 2021 B. 2 & 3
B. June 17, 2021 C. 1, 2, 3 & 4
C. July 17, 2021 D. 1, 2 & 3
D. August 17, 2021
62. Which of the following is the MOST common emotional Situation: Ramon, 6 years old, has been recently diagnosed to
response among women during the first trimester of have Acute Lymphocytic Leukemia. The child has undergone
pregnancy? chemotherapy. However, the father is witnessing before his
A. Ambivalence very eyes his first child dying. The father is very much
B. Depression depressed.
C. Acceptance
D. Jealousy 71. In what way will the nurse handle the situation?
63. Olivia mentioned that she can experience uterine A. Tell her to trust on God's love and mercy.
squeezing. Which of the following signs of normal pregnancy B. Tell her that death is a reality.
should the nurse consider? C. Encourage her to keep calm because the health care
A. Braxton-Hicks contractions team is doing their best to help Ramon recover.
B. Hegar's sign D. Encourage the mother to express more about her
C. Ballottement thoughts and feelings.
D. Goodell's sign. 72. The APPROPRIATE nursing diagnosis to protect the patient
64. Nurse Emma advised the patient to quit smoking because from further injury is, which of the following?
nicotine will contribute to ________. A. Altered mucous membrane related to chemotherapy.
A. low birth weight infant. B. Interrupted family processes related to life
B. ectopic tubal pregnancy threatening illness of a family member.
C. congenital anomalies C. Fatigue related to disease process.
D. large for gestation age infants. D. Risk for injury related to thrombocytopenia.
65. Emotional lability is common to pregnant women. Identify 73. Mouth sores have developed in the child's mouth. The
which following reactions is accepted as part of a normal father aske nurse the reasons for this. The MOST
pregnancy? APPROPRIATE response of the is ______.
A. Feelings are easily hurt by remarks A. "The child's oral hygiene needs to be improved."
B. Mood swings B. "There is no need to worry as all kids receiving
C. Amusing or even charming situation chemotherapy tend to have them."
D. Narcissism C. "He is allergic to the drug so I will report this to the
doctor and suggest a change of drug."
Situation: Nurse Lingling is in the process of evaluating the D. "Mouth sores result because the cells of the mouth
effectiveness of her teaching which is the critical part of the are sensitive to chemotherapy."
process. 74. Ramon died at 10:00 PM. His father cried much and
refused to move Ramon's body. What is the APPROPRIATE
66. Which of the following would BEST help Nurse Lingling in approach of the nurse?
conducting evaluation? A. Talk about the reality of death.
A. Written examination B. Leave the mother and the child for the last time.
B. Change in behavior C. Silence to allow the mother to grieve.
C. Return demonstration D. Cry with the mother as you remember your own
D. Obtain feedback from the client experience death in family.
67. Which of the following aspects should nurses continually 75. The nurse's MAIN responsibility in preparing Ramon's
teach patients to do? (Select all that apply.) discharge is, which of the following?
1.Disease or disorder A. Assist the mother to pay the hospital bill.
2.Diet medication B. Prepare Ramon's cadaver.
3.Treatments C. Prepare the death certificate.
4.Self care D. Extend condolences to the bereaved family.
A. 1 only
B. 1,2 & 3 Situation: Asst Chief for Education & Training, Nurse Mendoza,
C. 1, 2, 3 & 4 is to conduct an in-service training program on intravenous
D. 2 & 3 therapy for the staff nurses.
68. The first step in teaching is assessing which of the
following?. (Select all that apply). 76. To be able to justify the conduct of any in-service training
1. Learning needs program in a hospital, which of the following should be the
2. Knowledge deficit bases for the implementation of the program?

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1. Needs assessment 85. Which nursing diagnosis is NOT RELEVANT to sexual
2. Needs analysis health?
3. Per recommendation by the Chief Nurse A. Anxiety-related inability to conceive after six months.
4. Incident Reports B. Health-seeking behaviors related to reproductive
A. 1, 2 & 4 functioning
B. 1, 2 & 4 C. Sexual dysfunction related to an unknown cause.
C. 1 only D. Risk for infection related to high-risk sexual behaviors.
D. 1, 2, 3 & 4
77. The BEST rationale for the conduct of the program is which Situation: Ruby, a pregnant patient 37 weeks gestation is
of the following? admitted due to fever, painful swelling of hands, feet, joints,
A. Ensure safe practice in the hospital and in labor pain who has a diagnosis of sickle cell anemia.
B. Improve nursing practice in general
C. Provide knowledge and skills to all nursing staff in IV 86. Nurse Sophie administers oxygen to patient Ruby and
Therapy implements additional measures to prevent a sickling crisis
D. Deliver safe and quality nursing care to patients on from occurring?
intravenous therapy A. Maintain strict asepsis.
78. One of the lecturers discussed the complications that B. Maintains adequate hydration.
patients while on IV therapy. Which of the following is the C. Monitors the temperature.
most common complication that IV patients. may contract D. Reassures the patient.
while on IV therapy? 87. Nurse Sophie hooks a 1000 mL intravenous (IV) solution of
A. Embolism D5Water as ordered by the physician at 9 am to infuse 80
B. Cardiac overload ml/hr via macro drop infusion set (20 gtts = 1 ml). On the
C. Phlebitis assessment of the infusion at what would be the level of the
D. Aneurysm remaining amount in the IV bag at 2 pm?
79. The participants may avail of Continuing Professional A. 500
Development (CPD) units if Nurse Mendoza had filed the B. 200
program to be CPD accredited to which of the following? C. 400
A. Professional Regulatory Board of Nursing. D. 300
B. Professional Regulation Commission E. None of the above
C. Continuing Professional Development Council for 88. The patient began receiving an intravenous (IV) infusion of
Nursing packed red blood cells 30 minutes ago. The patient complains
D. Commission on Higher Education of difficulty of breathing, itching and a tight sensation in the
80. The participants should know the way by which they may chest. Which is the IMMEDIATE action of the nurse?
obtain CPD units aside from attending in-service training A. Recheck the unit of blood for compatibility.
programs, which are, EXCEPT _________. B. Call the physician.
A. professional seminars and conferences C. Check the patient's temperature.
B. graduate studies D. Stop the infusion.
C. short course training for specialization 89. Nurse Sophie checks the gauge of the patient's intravenous
D. joining nursing service committees catheter. Which is the smallest gauge catheter that the nurse
can use to administer blood?
Situation: The concept of Reproductive Health is introduced as A. 22-Gauge
early primary and secondary levels with different degrees of B. 18-Gauge
concentration. Students, interested to continue health courses C. 20-Gauge
were asking questions on human sexuality. D. 12-Gauge
90. The nurse reviews the patient's plan of care. Which of the
81. Nurse Hailey discusses the 2020 National Health Goals. following nursing diagnoses will be the PRIORITY?
Which of the following statements is an EXCEPTION in A. Fluid volume, deficit
planning sexual health programs. B. Risk for pain, acute
A. Make sexual education programs voluntary. C. Coping, ineffective.
B. Increase the proportion of adolescents who have D. Body image, disturbed
never engaged in sexual intercourse.
C. Reduce deaths from cancer resulting from uterine Situation: Nurse Nilda is a beginning nurse assigned in the
myomas. Pediatrics Unit in a government hospital. The Unit has pediatric
D. Reduce deaths from cancer of the uterine cervix. patients of different ages. Since she will be dealing with
82. Maternal and child Nursing is a concept under the National patients of varied ages, she thought it best to review her notes
Goals. Which objective should Nurse Bailey emphasize to on human growth and development, specifically Erikson's
support the program? psychosocial theory.
A. Avoid having misdirected children and become street 91. The BEST reason why Nurse Nilda opted to review
children. Erikson's psychosocial theory is, which of the following
B. Promote the well-being of the mother's family life and statements?
family planning. A. Completion of task results in a sense of competence
C. Consider that every child has love, security, and a and a healthy personality.
better future. B. Failure to master these tasks leads to feelings of
D. Avoid complications of pregnancy and promote inadequacy.
vaginal deliveries. C. Helps children grow into successful, contributing
83. Which of the following topics should the patient feel MORE members of society.
comfortable when reproductive anatomy and physiology is D. We are motivated by the need to achieve competence
discussed with the nurse? in certain areas of our lives.
A. Sexual health education. 92. Nurse Nilda immediately responds to any cry from her
B. Gender reassignment pediatric patients because it is, which of the following reasons?
C. Varied sexual positions A. to attend to her patients who cannot communicate
D. Gender identity verbally
84. When can the patient tell all information to the nurse? B. to check if the child is hungry or wet
A. All diagnostic laboratory tests performed had been C. to lessen the noise overload in the Unit
completed D. a powerful influence over that individual's interactions
B. Once the feeling of security is established in the with others for the remainder of his/her life
nurse-patient relationship 93. Nurse Nilda is attending to a two-year-old Neneng who
C. A change in physical appearance occurs was admitted due to chronic bronchitis. Neneng sports a long
D. The nurse knows the genogram of the patient hair that extends up to her shoulder. As part of the morning

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care, Nurse Nilda decided to style Neneng's hair into a pony
tail. However, Neneng vehemently resisted her hair being tied
by a rubber band. The BEST thing that Nurse Nilda should do
is, which of the following?
A. Assert her authority.
B. Deny Neneng's preference.
C. Explain that a pony tail would make Neneng's more
beautiful.
D. Allow Neneng's preference.
94. Joji 17 years old, is admitted in a private room due to
influenza. In one of Nurse Nilda's conversation is with Joji, the
patient expressed is unhappiness with the program he is taking
up in college. This is not his choice but rather the choice of his
parents. In which of Erikson's stage of development does this
case fall?
A. Autonomy versus shame/doubt
B. Integrity versus despair
C. Identity versus role confusion
D. Trust versus distrust
95. When a 3-year-old patient of Nurse Nilda asserts to choose
the pants and shirt to wear to include food preference. Based
on Erikson's developmental tasks, the child's such behavior is
attributed to their which of the following?
1. struggling to acquire a sense of autonomy
2. discovering they have a will of their own
3. awareness that they cannot control others
4. learning which behavior gains approval
A. 1, 2 & 3
B. 2, 3 & 4
C. 1,2, 3 & 4
D. 1,2 & 4

Situation: Gwen a unit manager is assigned to evaluate

applicants for the position in the OB unit. During the interview,
the applicant was asked 5 questions.

96. When a patient is admitted to the OB ward with complains

of dizziness and body weakness, this is an example of
________.
A. secondary source
B. primary source
C. objective data
D. subjective data
97. What are the possible cases that need informed consent?
A. Administering skin testing
B. Subjecting the patient to an invasive procedure
C. Hair shampooing of patient
D. Performing a laboratory procedure
98. The applicant was further asked about an incident report.
Which of the following is a PRIORITY case for an incident
report to be accomplished
A. Patient fell from the bed.
B. Refusal to go to the physical therapy session.
C. A visitor encourages a patient on bed rest to
ambulate.
D. Nurse left before his duty ends.
99. On which occasion would a nurse can be charged with
negligence?
A. Giving the patient the wrong medication.
B. Giving competent care.
C. Following standards of care.
D. Communicating with another health team.
100. What tasks can be delegated to his nursing assistant
during his tour of duty.
A. Changing wound dressings.
B. Administering analgesic drug.
C. Performing a physical assessment.
D. Taking vital signs.

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