NP5 Recalls7
NP5 Recalls7
NP5 Recalls7
22. You start your assessment on Zoro. Which behavioral 27. As a knowledgeable nurse, you know that body
symptom would you expect to assess in this patient? image is the subjective view an individual has about his
or her physical appearance including body shape, size,
A. The client uses excessive hand washing to relieve weight, and proportions. Which of the following
anxiety. conditions would put a patient at risk for disturbed body
B. The client rates anxiety at 8/10. image?
32. The mother of one of your patients who are newly
A. Urinary tract infection admitted to the mental health unit expresses her concern
B. Hyperlipidemia that his son may be using methamphetamine. Which
C. Rheumatoid arthritis physical examination findings are consistent with
D. High blood pressure methamphetamine abuse by the client?
29. An elderly patient you’re caring for is about to be A. Administer sedatives routinely to prevent seizures.
discharged. Which of the following statements, if made B. Allow the client to sleep and eat as desired.
by the patient, would indicate that they lack a support C. Administer antipsychotic medications to manage
system at home? hallucinations.
D. Encourage involvement in the treatment milieu.
A. “My sister and her husband are taking me home
today.” 34. You are assessing one of the patients in your unit
B. “My church members have been sending cards and who abuses methamphetamine. The patient appears not
letters while I have been in the hospital.” to be willing to give up the usage of the drug, as
C. “I am not sure how I am going to get to the grocery evidenced by their statement, “I do not plan to quit meth.
store after I get home.” I can work for days when I am high.” Which of the
D. “My neighbor is retired. We visit and have our meals following is your best response to the patient’s
together every day.” statement?
39. Robin stated that she has been investigating A. Perform a complete neurological assessment.
alternative therapies to treat her disease. Which of the B. Awaken the client every 30 minutes.
following interventions is most appropriate? Massages , C. Turn the client to the side and allow the client to
relaxation techniques sleep.
D. Interview the client to find out what caused the
A. Encourage the therapy if it is not contraindicated seizure
by the medical regimen.
B. Tell the client only the health-care provider should 44. Which statement by Luffy indicates that he
discuss this with him. understands factors that may precipitate his seizure
C. Ask how his significant other feels about this activity?
deviation from the medical regimen.
D. Suggest the client research an investigational therapy A. “It is all right for me to drink coffee for breakfast.”
instead. Avoid stimulants
B. “My menstrual cycle will not affect my seizure
disorder.” Onset menses enduced sizure
40. You enter Robin’s room after her diagnosis of acute C. “I am going to take a class in stress management.”
exacerbation of MS. You find her crying. Which of the Stress induce seizure
following statements is the most therapeutic response D. “I should wear dark glasses when I am out in the sun.”
you can make as her nurse? avoid bright light
58. What makes children more predisposed to chronic 62. Which of the following do not have the potential of
otitis media? addiction, if consumed frequently and in large amounts?
59. The Psychiatrist orders “Restraints PRN” for a client 63. In the previous situation of the young professional
who has a history of violent behavior. Nurse Poppy intoxicated with caffeine, he suddenly was unable to take
should: any caffeine source for 24 hours already. The nurse
expects to note the following findings, except?
caffeine withdrawal
A. Utilize the restraint order if the client begins to act-out
B. Ask the psychiatrist to clarify the type of restraint a. Headache
order b. Difficulty in stimulating irritability
C. Ensure that the entire staff is aware of the restraint c. Nausea and vomiting
order d. Muscle pain
D. Recognize that PRN orders for restraints are 64. The nurse suspects caffeine intoxication in a young
unacceptable high risk for abuse professional if he notes which finding?
caffeinestimulant
a. Decreased flow of thought and speech
60. Which of the following is a characteristic sign of b. Psychomotor agitation
acute otitis media in children? c. Urinary retention
d. Pale face warm flushed face
a. Jumping in pain
b. Ear tugging
c. Painless inflammation 65. The following are the reasons why many people
d. Difficulty awakening abuse caffeine. Choose the exception.
a. Relieve fatigue
b. Increase mental alertness
c. Both A and B
d. Neither A nor B
Situation
The student nurse is reviewing for his admission exam
for a prestigious hospital in Taguig City. He is answering
questions related to eye disorders.
me before others
a. 10/20
Situation
b. 20/10
Addiction disorders are unnecessarily common in the
c. 2/1
modern lifestyle of Filipinos, especially with the rise of
d. 1/2
establishments selling products with caffeine. Because of
a. paresis of both lower extremities
67. A student was not able to read the letters in the 20/20 b. paralysis of one side of the body
level. How should the nurse proceed with the visual c. paralysis of both lower extremities
assessment? d. paresis of upper and lower extremities
AGN
72. Which clinical indicator does Nurse Jeremy identify Note: Parkland Formula – computation of fluid
when assessing a client with hemiplegia? resuscitation for burns
PF= 4ml x bsa x kg For whole 24 hrs 80. A 75-year-old man with the diagnosis of Dementia
has been cared for by his wife for 5 years. For the past 2
Divide by 2 – For 8 hrs Divide the next 16 hrs – Remaining
Half years he has not spoken and incontinent of urine and
feces. During the last month he has changed from being
placid and easygoing to agitated and aggressive. He is
admitted to a Psychiatric hospital for treatment with
Situation Psychopharmacology. Which is the priority nursing
In the Psychiatric ward nurses are discussing the other care while this client is in the psychiatric facility?
factors that caused Alzheimer's disease (AD). And they
all agree that it is a degenerative disease of the brain a. managing his behavior
caused by gradual death and loss of brain cells resulting b. preventing further deterioration
to progressive and irreversible Dementia. c. focusing on the needs of the wife
d. establishing on the needs of the wife
76. The Nurse develops a nursing diagnosis of self care Situation
deficit for an older client with Dementia. Which of the The ICU nurse assigned to a 60-year old acutely
following is the most appropriate goal for this client? ill client with Parkinson’s disease who was
DEMENTIA-Dec. intellectual functioning
hospitalized frequently. The initial confinement
was due to electrolyte imbalance. The following
a. The client will be admitted to a long care facility to confinement was due to injury sustained from
have activities of daily living needs met fall, he became to have incontinent of stools that
b. The client will function at the highest level of further lead to development of skin irritation
independence possible instill self esteem and breakdown. Currently he was admitted due
c. The client will complete all activities of daily living to respiratory infection.
independently within one (1 ) hour time frame
d. The Nursing staff will attend to all the client’s
activities of daily living needs during the hospitalization 81. The review of literature does not only include
published research studies but also theory. In this case
77. The nurse recognizes that Dementia of the which theory is least related to the study? STRESS
Alzheimer’s type is characterized by: STIMULI
84. While the nurse was able to identify the cases that
were studied, it is important to understand the
phenomenological experience of the client. This
approach includes the following except: (-)
87. When formulating nursing care plans for older adults, PNS
Nurse Ymir should include special measures to
accommodate for age-related sensory losses such as: Situation
Poppy a Psychiatric Nurse responds in a variety setting
A. difficulty in swallowing to different clients with Personality disorders.
B. increased sensitivity to heat
C. diminished sensation of pain
91. The Psychiatrist orders “Restraints PRN” for a client
D. heightened response to stimuli
who has a history of violent behavior. Nurse Poppy
88. After a brain attack a client remains unresponsive to should:
sensory stimulation. Nurse Ymir understands general
sensations such as heat, cold, pain, and touch are A. Utilize the restraint order if the client begins to act-out
registered in the: B. Ask the psychiatrist to clarify the type of restraint
order
A. frontal lobe C. Ensure that the entire staff is aware of the restraint
B. parietal lobe order
C. occipital lobe D. Recognize that PRN orders for restraints are
D. temporal lobe unacceptable high risk for abuse
92. Strict toilet and too early training to a toddler child
will cause problems in personality development because 97. When planning to teach about the stages of growth
at this age a child is learning to: and development, what stage does the nurse indicate as
basically concerned with role identification?
A. Satisfy own needs
B. Identify own needs A. Oral stage
C. Satisfy parents’ needs B. Genital stage
D. Live up to society’s expectations C. Oedipal stage
D. Latency stage
Toddlerhood: autonomy vs shame and doubt
93. The nurse encourages a client to join a self-helping 98. The nurse understands that Freud’s phallic stage of
group after being discharged from a Mental health psychosexual development, which compares with
facility. The purpose of having people work in a group Erikson’s psychosocial phase of initiative versus guilt, is
is to provide: seen best at:
A. Support A. adolescent
B. Confrontation B. 6 to 12 years
C. Psychotherapy C. 3 to 51/2 years
D. Self-awareness D. birth to 1 year
94. As Depression begins to lift, a client is asked to join a 99. A 3 year old boy was brought to a Pediatric clinic for
small discussion group that meets every evening on the indifferent behavior. About a month after their toddler is
unit. The client is reluctant to join because, “I have diagnosed as moderately retarded, the parents discuss the
nothing to talk about.” What is the best response by the toddler’s future, reflecting specifically on plans for their
nurse? child’s independent functioning. The nurse recognizes
that the parents:
A. “Maybe tomorrow you will feel more like talking.”
B. “Could you start off by talking about your family?” A. Are using denial
C. “A person like you has a great deal to offer the B. Accept the child’s diagnoses
group.” C. Are using intellectualization
D. “You feel you will not be accepted unless you have D. Accept their child’s limitation
something to say?” Reflective statement allow client
to validate the nurse
100. The nurse utilizes play when interacting with
95. A client on the Psychiatric unit asks Nurse Poppy children based on the understanding that play for the
about Psychiatric Advance Directives (PAD). The preschool-age child is necessary for the emotional
nurse explains that these advances directives: development of:
Situation
The fundamental assumption of theory of life cycle
theories is that development occurs in successive stages.
The different life cycle theories try to explain personality
development as well as development of Psychiatric
disorders. The following questions refer to this situation.
A. Infancy
B. School age
C. Toddlerhood
D. Preschool age