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 *
2 | Page hyperglycemic syndrome is made. Nurse Rosie would immediately prepare to initiate which anticipated doctor's order? A. Endotracheal intubation B. 100 units of NPH insulin C. Intravenous infusion of normal saline D. Intravenous infusion of sodium bicarbonate 12. An external insulin pump is prescribed for a client with diabetes mellitus. When the client asks the nurse about the functioning of the pump, the nurse bases the response on which information about the pump? A. It is timed to release programmed doses of either short-duration or NPH insulin into the bloodstream at specific intervals. B. It continuously infuses small amounts of NPH insulin into the bloodstream while regularly monitoring blood glucose levels. C. It is surgically attached to the pancreas and infuses regular insulin into the pancreas. This releases insulin into the bloodstream. D. It administers a small continuous dose of short- duration insulin subcutaneously. The client can self- administer an additional bolus dose from the pump before each meal. 13. A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department. All findings support this diagnosis, which is not? A. Comatose state B. Deep, rapid breathing C. Increase in pH D. Elevated blood glucose level 14. The nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose needs to be taken if which symptoms develop? A. Polyuria, Shakiness, Palpitations B. Polydypsia, Blurred Vision, Light-headedness C. Fruity breath odor, Palpitations, Tremors D. Palpitations, Light-Headedness, Shakiness 15. A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the treatment of hyperglycemia. What is the appropriate intervention to decrease the client’s anxiety? A. Administer a sedative. B. Convey empathy, trust, and respect toward the client. C. Ignore the signs and symptoms of anxiety, anticipating that they will soon disappear. D. Make sure that the client is familiar with the correct medical terms to promote understanding of what is happening. 16. The nurse provides instructions to a client newly diagnosed with type 1 diabetes mellitus about measures to take if feeling sick to prevent diabetic ketoacidosis (DKA). The nurse recognizes an accurate understanding of measures to prevent DKA when the client makes which statement? A. “I will stop taking my insulin if I’m too sick to eat.” B. “I will decrease my insulin dose during times of illness.” C. “I will adjust my insulin dose according to the level of glucose in my urine.” D. “I will notify my doctor if my blood glucose level is higher than 250 mg/dL.” 17. A client is admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose level is 950 mg/dL. A continuous intravenous (IV) infusion of short- acting insulin is initiated, along with IV rehydration with normal saline. The serum glucose level is now decreased to 240 mg/dL. The nurse would next prepare to administer which medication? A. An ampule of 50% dextrose B. NPH insulin subcutaneously C. IV fluids containing dextrose D. Phenytoin for the prevention of seizures 18. The nurse is monitoring a client diagnosed with diabetes mellitus for signs of complications. Nurse Noy wants to check if the client is compliant with the therapeutic regimen prescribed for her, so he monitored the: A. Fasting Blood Sugar B. Urine Glucose Level C. Rapid Glucose Test D. Glycosylated Hemoglobin 19. The nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The nurse places priority on which client problem? A. Lack of knowledge B. Inadequate fluid volume C. Compromised family coping D. Inadequate consumption of nutrients 20. The home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client reports a history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24 hours. Which additional statement by the client indicates a need for further teaching? A. “I need to stop my insulin.” B. “I need to increase my fluid intake.” C. “I need to monitor my blood glucose every 3 to 4 hours.” D. “I need to call my doctor because of these symptoms.” 21. A client with diabetes mellitus has a glycosylated hemoglobin A1c level of 8%. On the basis of this test result, the nurse plans to teach the client about the need for which measure? A. Avoiding infection B. Taking in adequate fluids C. Preventing and recognizing hypoglycemia D. Preventing and recognizing hyperglycemia   RESEARCH SITUATION: Nurse Shane plans to pursue a career in nursing research. She uses her knowledge to organize topics that she had in mind.    22. Nurse Shane wants to explore the topic ¨The Use of Pomodoro Technique in Increasing Exam Scores.¨ What is the independent variable for this research title? A. Pomodoro Technique B. Increasing C. Exam Scores D. Use 23. Since she is aware of the independent variable, she also wants to highlight the dependent variable, which is: A. Pomodoro Technique B. Increasing C. Exam Scores D. Use 24. Nurse Shane also remembered the research that she did during her undergrad. What is the independent variable in her research topic ¨The Effects of Health Vlogs on the Health Awareness of the Community¨ A. Health Vlogs B. Health Awareness C. Effects D. Community 25. Nurse Shane wants to identify the dependent variable for her research topic: ¨The Effects of Health Vlogs on the Health Awareness of the Community.¨ Which is the appropriate answer? A. Health Vlogs B. Health Awareness C. Effects D. Community DIABETES INSIPIDUS   SITUATION: Nurse Jeneena is caring for a client with diabetes insipidus. She is very cautious of her actions; thus, she reviewed the case of her client carefully.  26. Nurse Jeneena is assessing her patient with Diabetes Insipidus. Which key assessment finding would the nurse expect? A. Oliguria with high specific gravity B. Polyuria and Polydipsia C. Significant weight gain and edema D. Hyperglycemia 27. What is a priority nursing intervention for a patient experiencing acute symptoms of Diabetes Insipidus?