Title RECALLS 5 (NP3) SC ✅

1 | Page RECALLS 5 EXAMINATION NURSING PRACTICE III CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART A) FEBRUARY 2026 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 I” on the box provided Situation: The surgical team is preparing for a series of procedures. The nurse must demonstrate mastery of pre-operative preparation, intra-operative safety and etiquette, and post-operative recovery to ensure safe patient outcomes. 1. During the pre-operative phase, the nurse is responsible for ensuring the surgical consent is properly signed. What is the nurse’s primary role in this process? A. Explaining the risks and benefits of the surgical procedure to the patient. B. Deciding if the patient is mentally competent to undergo the surgery. C. Witnessing the patient's signature and verifying their understanding. D. Describing alternative treatment options if the patient refuses surgery. 2. A patient is being prepared for an elective cholecystectomy. Which pre-operative nursing assessment finding is most critical to report to the surgical team immediately? A. The patient expresses anxiety about the post- operative pain. B. The patient's last meal was 10 hours ago. C. The patient has a small skin tear on the non-surgical arm. D. The patient reports taking aspirin daily for heart health, including this morning. 3. In the Operating Room (OR), the "Surgical Time-Out" is a critical safety component. When should this occur? A. Immediately after the patient is anesthetized. B. Before the patient is brought into the OR suite. C. Immediately before the first surgical incision is made. D. During the pre-operative physical assessment. 4. Which of the following members of the surgical team remains in the "unsterile" field and is responsible for documenting the nursing process and coordinating the room? A. The Surgeon B. The Scrub Nurse C. The Circulating Nurse D. The First Assistant 5. A patient has just arrived in the Post-Anesthesia Care Unit (PACU) following general anesthesia. Which assessment finding should the nurse prioritize based on the ABC (Airway, Breathing, Circulation) framework? A. The patient is complaining of a dry mouth and thirst. B. The patient’s surgical dressing has a small amount of serosanguinous drainage. C. The patient has loud, snoring-like respirations and an SP02 of 88%. D. The patient reports a pain level of 6 out of 10. 6. Nurse Roberts is caring for a post-operative patient who had abdominal surgery 4 hours ago. The nurse notes the patient’s BP has dropped from 120/80 to 90/60, and the heart rate has increased from 75 to 110. What complication does the nurse suspect? A. Malignant Hyperthermia B. Post-operative Hemorrhage/Hypovolemic Shock C. Adverse reaction to anesthesia D. Post-operative Atelectasis 7. What is the primary nursing goal for implementing "Incentive Spirometry" in the post-operative phase? A. To prevent atelectasis and pneumonia by promoting lung expansion. B. To reduce the need for post-operative opioid medications. C. To increase the patient’s blood pressure after anesthesia. D. To prevent Deep Vein Thrombosis (DVT) in the lower extremities. 8. Nurse Rivera is the Scrub Nurse for a vascular surgery. According to standard Operating Room (OR) etiquette, how should Nurse Rivera move when needing to change positions with the surgeon within the sterile field? A. Walk behind the surgeon to avoid the sterile table. B. Pass the surgeon side-to-side while facing the unsterile wall. C. Pass the surgeon back-to-back or front-to-front. D. Duck under the surgical lights to reach the other side. 9. During the pre-operative interview, a patient tells Nurse Kim, "I'm so nervous that I might wake up during the surgery." Which nursing action best demonstrates the "holistic care" competency outlined in the nursing process? A. Tell the patient not to worry because the anesthesiologist is very experienced. B. Give the patient a sedative immediately to help them relax. C. Allow the patient to express their fears and explain the continuous monitoring used by the anesthesia team. D. Document the anxiety and continue with the physical skin preparation. 10. Nurse Kim has just received a report on four patients in the surgical ward. Based on the Nursing Process, which patient should be assessed FIRST? A. A pre-operative patient who needs their surgical site marked by the surgeon. B. A post-operative patient who is complaining of 5/10 pain at the incision site. C. A post-operative patient who has become suddenly restless and is using accessory muscles to breathe. D. A patient who is 2 hours post-op and has 30 mL of drainage in their Hemovac. Situation: Nurse Ramos and Nurse Bong are caring for patients admitted to the medical-surgical unit with respiratory conditions, including COPD and acute respiratory distress. The nurses’ goals are to assess, identify priority problems, implement appropriate interventions, and evaluate patient outcomes to ensure safe and effective care. * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *