Title RECALLS 1 - NP3 - SC ✅

RECALLS 1 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 Situation: Chad, 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. 1. 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 2. 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. 3. 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 4. 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 5. When the nurse checked the water sealed drainage, she observed that the water level does not fluctuate simultaneously with the client’s breathing. The nurse interprets this observation as: A. An abnormal occurrence suggestion problem with the system’s patency B. Normal but may require water to be added to the suction control chamber C. Emergent requiring immediate reporting to the physician D. Expected with the client’s current condition Situation: A woman who underwent hysterectomy 2 days ago is under your care. 6. Which nursing observations would MOST likely predispose the client to develop venous thrombosis in the lower extremity? A. Drinking coffee at least 3 to 5 cups in a day B. Refusing to get out of bed C. Taking soft diet only D. Requesting for analgesics frequently 7. The patient was prescribed to have antiembolism stockings. The nurse assess the patient knows its purpose when she states 1. It promotes venous return 2. It strengthen muscle tone 3. It prevents pooling of blood in the extremities A. 1 & 2 B. 1 & 3 C. 2 & 3 D. 1, 2 & 3 8. The nurse assesses the client for Homan’s sign. Which of the following is the CORRECT instruction of the nurse? A. Have the client push each foot hard against the mattress B. Tell the client to sit on bed and point to her toes C. Ask the client to contract her tight musclesma D. Instruct the client to extent her legs and flex each foot toward the head 9. Which client’s response suggest a positive Homan’s sign? A. Inability of the client to bend her knees B. Sudden numbness while extending the foot C. Tingling sensation throughout the affected leg D. Sharp, immediate calf pain in the legs 10. Based on the findings, the client has been diagnosed with thrombophlebitis. Which of the following nursing action must be AVOIDED? A. Elevating the client’s leg B. Massaging the affected leg C. Applying ice compress to the affected leg D. Ambulating at least twice each shift Situation: After a head injury, Mara, 36 years old begun to manifest signs and symptoms of Diabetes Insipidus. 11. The nurse in charge understands that Diabetes Insipidus (DI) is caused by an ADH deficiency resulting to which problem in metabolism? A. Protein B. Water C. Carbohydrates D. Fat 12. The nurse caring for Mara would expect to find which characteristic assessment findings? 1. Excessive thirst 2. Polyuria 1 | Page