Recalls 4 NP5

A 55-year-old patient is admitted with advanced cancer and severe pain. The physician prescribes high-dose opioid analgesics to control pain and improve comfort. After administration, the nurse observes that the patient becomes drowsy, with a decreased respiratory rate, but reports significant relief from pain and appears more at peace. The family expresses concern, saying, “The medication seems to be making him weaker and slowing his breathing.” 

Which ethical principle is MOST directly being applied in the nurse’s decision to continue administering the prescribed medication while closely monitoring the patient?

A. Autonomy

B. Beneficence 

C. Nonmaleficence

D. Justice

A charge nurse is assigned to supervise a group of staff nurses with varying levels of experience. One newly hired nurse requires close supervision, while an experienced nurse confidently manages complex cases independently. The charge nurse adjusts supervision by closely guiding the new nurse while allowing the experienced nurse to work autonomously.

 

Which leadership style is being demonstrated?

A. Autocratic leadership

B. Laissez-faire leadership

C. Democratic leadership

D. Situational leadership

A nurse manager reviews patient care outcomes and ensures that all healthcare team members are working together to meet the established standards of care.

 Which management function is being demonstrated?

A. Planning

B. Organizing

C. Coordinating

D. Directing

A nurse is caring for four patients in a medical-surgical unit. Which task is appropriate to delegate to a UAP?

A. Assisting a post-operative patient who is 24 hours status post appendectomy and afebrile with ambulation to the hallway

B. Monitoring vital signs every 15 minutes for a patient receiving IV antihypertensive titration for unstable blood pressure 

C. Providing discharge instructions on wound care and diet for a patient with new-onset heart failure

D. Assessing a patient’s increasing abdominal pain and guarding after surgery

A charge nurse notices that staffing shortages and frequent policy changes are creating conditions that may lead to disagreement among staff, although no actual disagreement has occurred yet.

 

What type of conflict is being described?

A. Perceived conflict 

B. Felt conflict

C. Manifest conflict

D. Latent conflict

A nurse recognizes a disagreement about patient care guidelines but does not feel emotionally affected and simply views it as an issue that needs to be solved logically.

 

What type of conflict is being described?

A. Latent conflict 

B. Perceived conflict

C. Felt conflict

D. Manifest conflict

Two nurses begin avoiding each other after a disagreement during a patient endorsement. They feel angry and distrustful, even though no direct confrontation has occurred yet.

 

What type of conflict is being described?

A. Latent conflict

B. Perceived conflict

C. Felt conflict

D. Manifest conflict

A charge nurse notices that two staff nurses are openly arguing during shift report about patient assignments in front of other staff members.

 

What type of conflict is being described?

A. Latent conflict

B. Perceived conflict

C. Felt conflict

D. Manifest conflict

Under RA 9173 (Philippine Nursing Act of 2002), how is the Professional Regulatory Board of Nursing composed?

A. Chairperson and four (4) members

B. Chairperson and five (5) members 

C. Chairperson and six (6) members

D. Chairperson and seven (7) members

A nurse is reviewing the qualifications for appointment to the Professional Regulatory Board of Nursing under RA 9173. Which of the following statements is INCORRECT?

A. The candidate must be a natural-born citizen and resident of the Philippines

B. The candidate must be a registered nurse with a master’s degree in nursing or related field

C. The candidate must have at least five (5) years of continuous nursing practice prior to appointment

D. The candidate must have at least ten (10) years of continuous nursing practice prior to appointment

A nurse is reviewing laws related to professional development and licensure renewal. The instructor asks which law is also known as the “Continuing Professional Development Act of 2016.”

 

Which of the following laws is being referred to?

A. Republic Act 8981

B. Republic Act 9173

C. Republic Act 10912

D. Republic Act 7164

Which of the following represents the correct set of allowances received by public health workers?

A. Hazard allowance, subsistence allowance, longevity pay, laundry allowance, and remote assignment allowance

B. Hazard pay, overtime pay, service incentive leave, and night differential only 

C. Performance bonus, productivity pay, retirement pay, and separation pay

D. Basic salary, transport allowance, meal allowance, and uniform allowance

Nurse Poy is teaching a client taking an MAOI about foods with tyramine that he or she should avoid. Which statement indicates that the client needs further teaching?

A. “I’m so glad I can have pizza as long as I don’t order pepperoni.”

B. “I will be able to eat cottage cheese without worrying.”

C. “I will have to avoid drinking nonalcoholic beer.”

D. “I can eat green beans on this diet.”

The signs of lithium toxicity include which?*

A. Sedation, fever, and restlessness

B. Psychomotor agitation, insomnia, and increased thirst

C. Elevated WBC count, sweating, and confusion

D. Severe vomiting, diarrhea, and weakness

A school-age child has been taking stimulant medication for ADHD for the past two years.

Which concern is most appropriate for the nurse to recognize during a follow up visit?

A. Dependence on the drug 

B. Irritability

C. Growth suppression

D. Weight gain

During the assessment of the child taking stimulant medication for ADHD, the nurse notes decreased appetite and slowed growth. The healthcare provider recommends an intervention to help restore normal growth patterns.

 

Which instruction should the nurse reinforce?

A. Increase the daily dose of the stimulant medication

B. Administer the medication only at night

C. Implement “drug holidays” on weekends or school breaks

D. Discontinue the medication immediately

A student is invited by friends to eat samgyupsal instead of attending their online review class. She feels tempted but decides to stay home, study first, and schedule a celebration after the class.

 

Which personality component is shown?

A. Id

B. Ego

C. Superego 

D. Denial

James is answering a practice recall exam when he becomes unsure of an item. He feels tempted to quickly search the correct answer online just to finish faster and avoid difficulty.

 

Which personality component is being demonstrated?

A. Ego 

B. Superego

C. Id

D. Conscience

A nursing student sees her groupmates already finishing their requirements while she is still behind. Instead of focusing, she suddenly starts deep-cleaning her entire room, organizing her pens by color, and watching “study motivation” TikToks for 3 hours.

 

Which ego defense mechanism is being demonstrated? 

A. Sublimation

B. Displacement

C. Regression

D. Suppression

A nursing student posts a rant on Twitter/X after failing a quiz: “Anyway, grades are just a social construct,” then the next day she suddenly turns into the group’s unofficial “quiz master,” flooding the group chat with 200+ flashcards, voice notes, and unasked-for lectures at 2 AM.

 

Which ego defense mechanism is being demonstrated?

A. Rationalization

B. Undoing

C. Sublimation 

D. Substitution

A disaster victim is found running aimlessly in the evacuation area, screaming incoherently and unable to respond to questions. The person appears unaware of surroundings and is at risk for injury.

 

What level of anxiety is being demonstrated?

A. Mild anxiety

B. Moderate anxiety

C. Severe anxiety 

D. Panic anxiety

A client in the emergency room reports chest tightness, sweating, and says, “I think I’m dying,” despite normal ECG results. The nurse notices the client cannot focus on instructions and keeps fixating on his symptoms.

 

What level of anxiety is being demonstrated?

A. Mild anxiety

B. Moderate anxiety

C. Severe anxiety

D. Panic anxiety

A nursing graduate is waiting for the PNLE results to be released online. As the announcement time approaches, she becomes very tense, unable to eat, keeps checking her phone repeatedly, has difficulty concentrating on conversations, reports nausea and severe headache, and keeps saying, “Paano kung 'di ako pumasa?”

 

What level of anxiety is being demonstrated? 

A. Mild anxiety

B. Moderate anxiety

C. Severe anxiety

D. Panic anxiety

The student’s repeated hand washing is best classified as which of the following?

A. Compulsion

B. Obsession

C. Illusion

D. Delusional thought

Which is the underlying obsession?

A. Repeated hand washing

B. Fear of contamination

C. Skin irritation

D. Desire for cleanliness

The same student frequently shops online late at night and buys clothes, gadgets, and skincare items even though she already has similar ones at home. She often feels a “rush” while checking out, but later regrets her purchases because she cannot afford them and rarely uses what she bought.

 

Which condition is being demonstrated?

A. Hoarding disorder 

B. Kleptomania

C. Oniomania

D. Onychophagia

A client receiving antipsychotic medication develops high fever, severe muscle rigidity, altered level of consciousness, and elevated creatine phosphokinase (CPK). The nurse recognizes this condition as a medical emergency related to antipsychotic use.

 

Which condition is being described?

A. Extrapyramidal symptoms (EPS) 

B. Tardive dyskinesia

C. Neuroleptic malignant syndrome (NMS)

D. Parkinsonism

Which nursing intervention is inappropriate when managing a client with delusions?

A. Acknowledge the client’s feelings without validating the delusion

B. Present reality in a calm and non-confrontational manner

C. Ask follow-up questions to explore and elaborate on the delusional belief to allow expression

D. Use distraction techniques to redirect attention

A client is scheduled to undergo electroconvulsive therapy (ECT). Which of the following nursing actions is appropriate in preparing the client before the procedure?

A. Encourage the client to eat a light breakfast before the procedure to prevent hypoglycemia 

B. Allow the client to keep nail polish on to reduce anxiety

C. Instruct the client to remain NPO after midnight

D. Instruct client to remove dentures to prepare for definite intubation

A client is undergoing electroconvulsive therapy (ECT). Which nursing action is the priority during the procedure?

A. Monitoring the client’s electroencephalogram (EEG) activity 

B. Assisting ventilation with oxygen using an Ambu bag

C. Observing for muscle movements during the seizure

D. Documenting the duration of the seizure

A client constantly seeks attention in social gatherings, dresses provocatively even in inappropriate settings, becomes uncomfortable when not the center of attention, and tends to exaggerate emotions dramatically to gain approval from others.

 

Which personality disorder is being demonstrated?

A. Narcissistic personality disorder 

B. Antisocial personality disorder

C. Histrionic personality disorder

D. Avoidant personality disorder

Another client presents with social withdrawal, prefers to be alone, shows limited emotional expression, and appears indifferent to praise or criticism. The client also has odd beliefs and tends to behave in an eccentric, socially detached manner.

 

Which personality disorder is being demonstrated?

A. Schizoid personality disorder 

B. Schizotypal personality disorder

C. Avoidant personality disorder

D. Paranoid personality disorder

A teenager is undergoing assessment for a possible eating disorder. Which of the following findings is most indicative of anorexia nervosa?

A. Guilt and shame about eating patterns 

B. Lack of knowledge about food and nutrition

C. Refusal to talk about food-related topics

D. Unrealistic perception of body size