Title RECALLS 9 - NP3 - SC ✅

RECALLS 9 EXAMINATION NURSING PRACTICE III CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART A) NOVEMBER 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 Luna is employed in hospital “X” and assigned in the Medical Ward for a year now. The nurse supervisor ordered her to proceed immediately to the Surgical Ward as a reliever to another nurse who went on emergency sick leave. She was not oriented in the Surgical Ward and the unit was very busy. 1. Which of the following is the MOST appropriate action of Nurse Luna A. Request the nurse supervisor to assign a more experienced nurse reliever B. Refuse the order of the nurse supervisor and stay put in the medical ward C. Comply with the order of the nurse supervisor D. Request the nurse supervisor to give her brief orientation before compliance 2. To qualify as an operating room nurse in the Philippines setting, Nurse Luna should possess the minimum requirements of _____________. A. Master’s degree holder with valid and current license B. Worked in the surgical unit for 8 hours C. RN and has worked abroad D. RN with valid and current license and Surgical Ward orientation 3. Nurse Luna is a graduate in the Philippines nursing school. As part her professional and personal development, she should attend which of the following program? EXCEPT___________ A. Programs by the Philippine Nurses Association B. Continuing Professional Development programs by the Professional Regulation Commission C. Symposium and forum offered by the school D. Programs of international nurses associations 4. The PRIORITY objective behind career advancement of Nurse Luna is ____________. A. Increasing revenue of the service providers B. Renew old acquaintances and establish camaraderie C. Increased number of networking activities D. Updating one’s knowledge, skills, conduct and values in professional nursing 5. Nurse Luna has an expired license but promises to renew her license in due time. Which of the following violation can she be charged if she participated in home health care activity? A. Malpractice B. Grave coercion C. Felony D. Negligence Situation– Health Education is an area of nursing practice when the nurse can be creative and independent in the work setting. The following questions apply. 6. A nurse is developing a Teaching plan for Isabel 18 year old with Bronchial Asthma. She has an order for discharge. Which part of the teaching plan should be given PRIORITY? A. Quick relief medicines as ordered B. Avoid contact with fur-bearing pets C. Avoid going to malls D. Wash bed sheets in warm water 7. Mr Gilbert is for postural drainage. The nurse should position the client’s head at ______________. A. No greater than a 25 degree downward angle B. A 30 degree lateral angle for 25 minutes C. 25 degree at lateral angle D. A 30 degree downward angle for 25 minutes 8. Nurse Beth is teaching Michel, an asthmatic, on how to use the Spirometer. She should instruct the client to have the mouthpiece________________. A. Place into the mouth and have regular breathing B. Place into the mouth and have a fast deep breath C. Place into the mouth and inhale slowly D. Place into the mouth and exhale slowly 9. Nurse Beth is teaching a client on how to use metered dose inhaler to prevent asthmatic attack while in the hospital. She should instruct the client to do the following __________________ EXCEPT. A. Keep the head of the bed at 15 degree angle B. Do oral care after use of the inhaler C. Use the inhaler before she take her meals D. Use the inhaler as ordered 10. You are conducting health-teaching sessions to clients with cardiovascular disorders. Client Pedro asks you this question: “Tell me, Nurse, what I should do with my Hypertension?” The best response of a Nurse is____________. A. “comply with your diet, lifestyle and exercise” B. “strictly follow your prescribed daily exercise and smoking cessation” C. “comply with your diet, life style modification and prescribed medicines” D. “include garlic in your meals with regulation of alcohol consumption” 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. 11. 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? 12. When the sympathetic nervous system is stimulated in the case of pheochromocytoma, you expect which of the following signs? 1. Hypertension 2. Headache 3. Hyperhidrosis 4. Hypermetabolism A. 3 and 4 B. 1 only C. 1, 2, 3, and 4 1 | Page

family B. Demonstrate people being responsible for their life patterns C. Is non-denominated community service D. Formalizes a religious dogma 29. Positive Practice Environment (PPE) influences healing process. Which of the following ways can help Nurse Tessie create a healing environment? A. Ensure that relatives and friends visit the patient B. Empower clients to make healthy decisions for themselves C. Place television in each room of the hospital D. Ensure that staff nurses does not experience burnout Situation –Julie, 28 years old, has been diagnosed with Diabetes Mellitus. She was advised by her family physician to be admitted to undergo preservation for insulin therapy. Her blood sugar ranges from 200 to 210 mg/dL. At 6 am, Nurse Cynthia administered her insulin injection. After 2 hours, the patient complained of cold clammy perspiration, chilly sensation and abdominal discomfort. 30. Which of the following PRIORITY nursing actions should the nurse perform? A. Give her biscuit to eat B. Do urine testing for sugar C. Provide her warm blanket D. Take blood pressure and put her on bed rest 31. Patient Julia has been classified to have a type II Diabetes Mellitus. Which of the following is NOT a typical manifestation of individuals with this condition? A. Frequency of urination B. Increased craving for food C. Increased thirst D. Weight loss Situation – Mr Dencio, 58 years old is admitted to the pay ward because of respiratory problem. The nurse initiated oxygen treatment by mask but the client refuses despite the encouragement by the wife. The client is aware of the benefits of the treatment. 32. Which of the following should be given priority? A. Ask the opinion of the wife B. Conduct consensus building C. Let the attending physician decide on the necessity of the treatment D. Respect the decision of the client 33. You are taking care of Mr Dencio who is on the last cycle of radiation therapy for his lung cancer. You should instruct Mr Dencio to A. Brush teeth and gums vigorously after meals B. Wait one hour after treatment before eating C. Use mouthwash containing alcohol every 2 hours D. Avoid drinking hot fluids Situation – Ime is the Nurse on duty in the medical ward and many of her patients are suffering from problems of oxygenation. 34. The following are relevant data to be documented when taking the health history of a client with anemia EXCEPT: A. Alcohol intake B. Fatigue and weakness C. Dietary intake D. Episodes of bleeding 35. A client with congenital heart disease is suffering from thickening of the skin under his fingers due to chronic hemoglobin desaturation. Which of the following specific term should Ime use to accurately describe MOST the client’s condition in the chart? A. Peripheral cyanosis B. Pallor of the finger tips C. Peripheral neuropathy D. Clubbing of the fingers 36. When the Nurse is assessing a client with Congestive Heart failure with pitting edema, the Nurse’s documentation will include which of the following: A. Degree of pitting edema B. Time of indention recovery C. Depth of edema D. All of the options 37. Mr. Gabby is with left sided heart failure. Ime’s documentation of her assessment findings will include the following, EXCEPT______________. A. Dependent edema B. Pulmonary crackles C. Difficulty of breathing D. Cough 38. A client is on a diuretic therapy. Expected entry in patient’s chart should include the following information, EXCEPT: A. Serum electrolytes monitored B. Intake and output recorded C. Lasix administered at 8 o’clock in the evening D. Weight is taken before drug is given Situation 10 – Maya, a 42 year old teacher with cardiac ailment, nervously informs the doctor that her goiter is getting bigger and distracts her while swallowing food. The physician who examined her instructed the nurse to admit Maya and to prepare her for surgery after medical clearance. 39. While interviewing Patient Maya, she claims that she is anxious for the coming surgery. You expect the following signs and symptoms when one is under stress, EXCEPT___________ A. Blood loss and weakness B. Increases respiration rate C. Decreased mobility D. Pain due to tissue damage 40. Based on your knowledge, Patient Maya, who has a history of cardiac illness, should not be given an enema before surgery. Which of the following reasons inhibits the order of enema for Patient Maya? Enema____________ A. Paralyzes the peristalsis movement and increases abdominal pain B. Produces vagal stimulation that is dangerous to cardiac patient C. Causes constipation and fecal impaction after the surgery D. Enema results to increased water absorption in the bowels Situation 11 – Mr. S came to the ER because of sharp troubling pain. After his surgery, he claimed pain is felt even he is asleep. 41. At what stage of pain mechanism do you classify this pain? A. Perception B. Modulation C. Transmission D. Transduction 42. When a client complains of pain less than 6 months, it is called_____________. A. Chronic pain B. Persistent pain C. Acute pain D. Intermittent pain 43. In order for the nurse to recall the location of pain, he has to_______________. A. Asks for onset and duration B. Mark the painful area in a body diagram C. Asks for facial expression D. Asks verbal description using pain intensity scale 44. As example of a drug therapy to relieve moderate pain is_____________. A. Codeine B. Demerol C. Methadone D. Morphine sulphate 45. When a client is on prolonged pain therapy, the nurse should watch for____________. A. Tolerance to drug B. Allergic reaction to drug C. Drug resistance D. Addiction to drug Situation: Donny a 46 year old patient admitted to the coronary care unit (CCU) with an MI and frequent premature ventricular contractions (PVCs) has doctor orders for continuous amiodarone infusion, IV nitroglycerin infusion, and morphine sulfate 2 mg IV every 10 minutes until there is relief of pain. She is taken care by Leona a newly graduate nurse. 3 | Page