Title RECALLS 11- NP3 - SC ✅

1 | Page RECALLS 11 EXAMINATION NURSING PRACTICE III CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART A) NOV 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 I” on the box provided Situation: Documentation is one of the topics for discussion among the nurse - orientees. 1. In the hospital, narrative documentation is used. From the guidelines below the nurse orientees were made to select which are the CORRECT guidelines related to narrative documentation. Select all that apply: 1. Use blue colored ink ball pen all the time 2. Date and time all entries 3. Completely document subjective and judgmental information gathered 4. Sign and affix appropriate title 5. Avoid evaluative statement 6. Do not leave blank spaces on documentation forms A. 3, 4, 5, and 6 B. 1, 2, 4, and 6 C. 2, 3, 4, and 6 D. 2, 4, 5, and 6 2. Nurse Michelle made an error in documenting an assessment finding on her client’s chart. She must CORRECT the error by: A. Over the wrong entry, write ERROR in red, then write the correct data B. Draw one line over the wrong entry, write the correct data, sign and put the date C. Erase neatly the wrong entry and write on the same place the correct data D. Delete the wrong entry and write the correct data 3. Another nurse -orientee administered an inaccurate dose of Ampicillin to her client. Following the assessment, reporting to the doctor and the head nurse, she accomplishes an incident report. The orientee understand that the report: A. Will form part of her 201 file B. Will result to her suspension from the hospital C. Will be reported to the Regulatory Board of Nursing D. Is a method of promoting quality care and risk management 4. The nurse-orientee was charting while waiting for the result of the cross-matching result of her client. When the fax machine activated, the nurse saw a result of the cross – matching of her client’s name but with another hospital – bed – number. The MOST appropriate action of the nurse would be to: A. Return the result of cross - matching and send another request B. Consider the result as that of her client C. Refer the matter to the head nurse D. Call the laboratory to confirm result of cross – matching 5. The nurse-orientee is to present a case in the meeting with the staff nurses. She Xeroxed the chart of her client to study at home. While she was dressing up to go home, a staff nurse saw the folder of Xeroxed copies of the patient’s record. The staff nurse would call the attention of the nurse-orientee that: A. This is a violation of hospital policy B. The owner of the record should be consulted C. Her action is against the client’s right to privacy D. A prior permission from the Medical Record Section should be obtained Situation: Richard, 35 years old was admitted in the surgical unit from the Emergency Department with a chest tube connected to a closed drainage system. Admitting diagnosis of physician is closed pneumothorax related to fractured ribs on the right side of the chest sustained form a blunt injury during a vehicular accident. 6. The admitting nurse understands that in pneumothorax, air accumulates abnormally in the: A. Pulmonary vascular system B. Pleural space C. Lung tissues D. Thoracic cavity 7. The patient is diagnosed with open pneumothorax. The nurse knows that this occurs when? A. The chest wall wound is large enough to allow air to pass freely in and out. B. There is a buildup of positive pressure occurring with each inspiration and the air is trapped. C. There is a rupture of air-filled bleb or blister on the surface of the lung. D. There is a presence of bronchopleural fistula. 8. The nurse identifies with presence of chest tubes. Which of the following nursing interventions will be the nurse consider as APPROPRIATE? 1. Secure a loop of the drainage tubing to the sheet or groin of the client 2. Encourage DBE and coughing as needed 3. Maintain the collection apparatus below the chest 4. When turning client, ensure chest tube and drainage tubing are not occluded under the client. 5. Clamp the chest tube to practice pleural training A. 1, 2, 3, and 5 only B. 3, 4 only C. 2, 3, 4 only D. ALL OF THE ABOVE 9. The physician ordered, “report drainage that is cloudy and in excess of 70 ml per hour. The nurse knows that a cloudy drainage would indicate: A. Infection B. Presence of debris C. Impending hemorrhage D. Occluded tubing * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *