Title RECALLS 5 - NP3 - SC ✅

1 | Page RECALLS 5 EXAMINATION NURSING PRACTICE III CARE OF THE CLIENT 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 III” on the box provided Hypothyroidism SITUATION: Nurse Lezlie is caring for a client with Hypothyroidism. Using her knowledge, she answered every question that the patient asked.  1. Nurse Lezlie reviewed the signs and symptoms of hypothyroidism. Which of the following is an exception? A. Moist Skin B. Weight gain C. Low energy D. Cold intolerance 2. As a knowledgeable nurse, she knows that she should instruct her patient about the adverse effects of thyroid- replacing hormone. Which of the following should be reported if felt by the patient? A. Tachycardia B. Cold intolerance C. Low energy D. Dry hair 3. Which lab results would confirm the diagnosis? A. High TSH and High FT4 B. Low TSH and High FT4 C. High TSH and Low FT4 D. Low TSH and Normal FT4 4. The nurse provides instructions to a client who is taking levothyroxine. The nurse would tell the client to take the medication in which way? A. With food B. At lunchtime C. On an empty stomach D. At bedtime with a snack 5. Nurse Lezlie assessed that the patient is currently having low RR, low LOC, and low temperature. The following symptoms might indicate which life-threatening condition? A. DKA B. Myxedema Coma C. Thyroid Storm D. Addisonian Crisis Hyperthyroidism SITUATION: Stephen is a nursing student who is currently preparing for the upcoming PNLE. One of his study buddies complained about her constant palpitations and hand tremors despite being calm. Stephen also noticed that his friend's eyes are unusually bigger than before. Stephen recommended that his friend seek consultation. 6. The patient is diagnosed with hyperthyroidism. Before initiating thyroid medications, what laboratory test should be done first? A. CBC B. BUN and Creatinine Clearance C. Urinalysis D. Pregnancy Test 7. This condition is an adverse effect of anti-thyroid medication. It is characterized by vomiting, abdominal pain, metallic or brassy taste in the mouth, rash, and sore gums and salivary glands A. Iodism B. Grave’s Disease C. Hashimoto’s Disease D. Iodization 8. A client has just been admitted to the nursing unit following thyroidectomy. Which assessment is the priority for this client? A. Hoarseness B. Hypocalcemia C. Audible stridor D. Edema at the surgical site 9. A client has been diagnosed with hyperthyroidism. The nurse monitors for which signs and symptoms of this disorder? Select all that apply.                          I.          Irritable                         II.          Pale                        III.          Heat intolerance                       IV.          Tremors                        V.          Bradycardia A. I, II, III B. I, III, IV C. IV, V D. I, III, V 10. A client with hyperthyroidism has been given methimazole. Which nursing considerations are associated with this medication? Select all that apply. 1. Administer methimazole with food. 2. Place the client on a low-calorie, low-protein diet. 3. Assess the client for unexplained bruising or bleeding. 4. Instruct the client to report side and adverse effects such as sore throat, fever, or headaches. 5. Use special radioactive precautions when handling the client’s urine for the first 24 hours following the initial administration. A. 1,2,3 B. 1,3,4 C. 1,4,5 D. 3,4,5 DIABETES   SITUATION: Nurse Rosie is aware that there are 2 types of diabetes. She knows that DM type 1 is autoimmune-related, while DM Type 2 can be traced through lifestyle factors. The following questions relate to diabetes and its complications.  11. A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperosmolar * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *