Title RECALLS 3 (NP3) - STUDENT COPY ✅

RECALLS EXAMINATION 3 NURSING PRACTICE III CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART A) 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 III” on the box provided Situation – Nurse Liza is assigned on a 3-11 shift in the female medical ward of a Tertiary Hospital. Patient Alma has been complaining of excruciating abdominal pain and was asking for pain medication. She was referred to the physician on duty (POD) for an immediate relief of pain 1. In addition to the identification bracelet worn by the patient, how can the nurse on duty (NOD) verify the identity of her patient when administering the drugs? A. Ask the question, “Are you Ms. Alma?” B. Read the patient’s name at the foot of the bed C. Ask the patient’s name from the watcher. D. Ask the patient’s husband’s name 2. The physician orders a PRN pain medication to patient Alma. When will Nurse Liza administer a PRN drug? A. A standing order is carried out as specified until discontinued for another order. B. When the physician writes the drug as needed in the order sheet. C. A single dose of the drug, carried out by the nurse at a time specified by the physician. D. An order written by the physician that has to be carried out immediately. 3. When a patient is in pain, what PRIORITY consideration should Nurse Liza observe? A. Goal of treatment of the health professionals. B. Perception of pain of the individual. C. Harmful effects of the drugs. D. Cost of the pain medication. 4. Prior to the administration of pain medication, Nurse Liza assesses the degree of the pain of patient before and after the drug administration. Using the numeric scale of 0-10 (0 is the lowest and 10 is the highest) on pain, when the patient has rated her pain as 7 it means it is ____________. A. severe B. tolerated C. Slight D. moderate 5. In educating effectively the patient and family on how to use a pain rating scale, the following are the STEPS to be followed by the nurse __________. 1. discuss pain as a broad concepts 2. set goals for comfort and function 3. explain parts of the rating scale 4. show pain rating scale and purpose 5. verify if patient understands broad concepts of pain. 6. ask patient to practice the pain rating scale A. 1, 2, 3, 4, 6 & 5 B. 4, 3, 1, 5, 6 & 2 C. 2, 4, 3, 1, 6 & 5 D. 3, 1, 2, 5, 4 & 6 Situation - As a staff nurse in a government hospital, you have been exposed to varied cases of clients with endocrine problems. Your nursing responsibility starts from admission to discharge which is a domain of your competencies. 6. Which of the following questions should you ask during an admission interview for a client with a diagnosis of pheochromocytoma? A. Do you always feel like you are suffocating, you want to rest and sleep B. Do you suddenly feel warm and flushed when you get out of bed C. Do you notice an increase in your heart beat? D. Do you have an increase in urination lately? 7. When the sympathetic nervous system is stimulated in the case of pheochromocytoma, you expect which of the following signs? i. Hypertension ii. Headache iii. Hyperhidrosis iv. Hypermetabolism A. 3 and 4 B. 1 only C. 1, 2, 3, and 4 D. 2 and 3 8. Which of the following drugs can induce hypertensive crisis in Pheochromocytoma? A. Tricyclic antidepressant B. Corticosteroid C. Respiratory stimulant D. Radio iodine therapy 9. In the presence of pheochromocytoma, the diagnostic test which is expected to be elevated is ___________. A. Serum thyroid hormone levels B. Albumin globulin test C. Urine cyclic adenosine mono phosphate D. 24 hours urine collection for vanillylmandelic acid (VMA) 10. Palpation, as a modality for physical examination is AVOIDED when diagnosed with pheochromocytoma because this action_______________. A. Will cause sudden release of norepinephrine and severe hypotension B. Will cause a sudden release of cathecolamines and severe hypertension C. Will displace the location of the tumor D. Will cause sudden release of epinephrine and severe palpitation Situation – Communication is a basic component of person to person relationship. In a clinical setting nurses are evaluated by patient to be efficient in carrying out activities of daily living but sometimes limited in employing routine bedside care. 11. Nurse Helen is taking of an older person and has been waiting for almost two hours for her son to arrive. She is ready for discharge. Which of the following statements is an example of a therapeutic communication? A. “I can call your son by cellphone to remind him that you are waiting.” 1 | Page