Title RECALLS 4 - NP3 - SC ✅

RECALLS 4 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: Nurse Prima is assigned in the Emergency Department. She must be able to recognize early signs of clinical deterioration and initiate rapid response or cardiopulmonary resuscitation when needed. 1. A client who has been given Cardiopulmonary resuscitation is transported by ambulance to the hospital’s emergency department. During CPR, the nurse should deliver compressions at what rate? A. 60 to 80 per minute B. 80 to 100 per minute C. 100 to 120 per minute D. 120 to 140 per minute 2. When performing external chest compression on an adult during cardiopulmonary resuscitation, how deep should the rescuer depress the sternum? A. 0.5 inch (1 cm) B. 1 inch (2.5 cm) C. 1.5 inches (4 cm) D. 2 inches (5 cm) 3. The emergency medical service has transported a client with severe chest pain. Ask the client is being transferred to the emergency stretcher, you note unresponsiveness, cessation of breathing, and unpalpable pulse. Which of the following task is appropriate to delegate to the nursing assistant? A. Assisting with the intubation. B. Placing the defibrillator pads C. Doing chest compressions D. Initiating bag valve mask ventilation 4. In conducting a primary survey on a trauma patient, which of the following is considered one of the priority elements of the primary survey? A. Initiation of pulse oximetry B. Complete set of vital signs C. Client’s allergy history D. Brief neurologic assessment 5. The client will undergo right-sided cardiac catheterization. Which of the following should not be included in patient teaching? A. “You may have to fast for 6-8 hours before the procedure.” B. “You will experience warm or flushing sensation as the contrast medium is injected.” C. “You will be transferred the operating room and you will receive general anesthesia.” D. “You have to tell me if you have allergy to seafoods” Situation: Angina Pectoris and MI 6. A client newly diagnosed with angina pectoris has taken two sublingual nitroglycerin tablets for chest pain. The chest pain is relieved, but the client now reports headache. The nurse interprets that this is most likely represents which response? A. An early sign of medication tolerance B. An allergic reaction to the nitroglycerin C. An expected side effect of the medication D. A warning that the medication should not be used again 7. Clear you need nurse is caring for a client admitted with acute myocardial infarction. The nurse should monitor the client for which most common complication of MI? A. Heart failure B. Cardiogenic shock C. Cardiac dysrhythmias D. Recurrent myocardial infarction 8. Which of the following statements should the nurse correct when giving patient teaching about nitroglycerin sublingual tablets? A. Store the tablets in an amber-colored, airtight container. B. Do not refrigerate the medication. C. A burning sensation under the tongue indicates the medication is working. D. Report any burning or stinging sensation under the tongue to your healthcare provider 9. A 37-year-old male client was admitted to the coronary care unit (CCU) 2 days ago with an acute myocardial infarction. Which of the following actions would breach the client confidentiality? A. The CCU nurse gives a verbal report to the nurse on the telemetry unit before transferring the client to that unit B. The CCU nurse notifies the on-call physician about a change in the client’s condition C. The emergency department nurse calls up the latest electrocardiogram results to check the client’s progress. D. At the client’s request, the CCU nurse updates the client’s wife on his condition 10. Nurse Jamie explains that a Holter monitor will be used for Mr. Santos. Which statement by the client indicates a need for further teaching about the use of the Holter monitor? A. “I will keep a diary of my activities and symptoms while wearing the monitor.” B. “I can shower while wearing the Holter monitor as long as I’m careful.” C. “I should avoid using electric blankets or magnets during the test.”' D. “I should continue with my normal daily activities during the monitoring period.” Situation: BURNS 11. The client comes into the emergency department in severe pain and reports that a pot of boiling hot water accidentally spilled on his lower legs. The assessment reveals blistered, mottled red skin, and both feet are edematous. Which depth of burn should the nurse document? A. Superficial partial thickness. B. Deep partial thickness. C. Full thickness. 1 | Page

C. 1:30 pm to 3:30 pm D. 3:30 pm to 5:30 pm 30. Nurse Kate provides teaching to the client about proper insulin administration. Which of the following client statements indicates a need for further teaching? A. “I can store my unused or unopened insulin in the refrigerator” B. “There’s no need for me to aspirate the needle before injecting the insulin” C. “I should aspirate the needle first before injecting the insulin to ensure proper placement to subcutaneous” D. “I can inject my insulin into my abdomen” Situation: Nurse Clara is assigned to care for clients with thyroid disorders in a medical-surgical unit. 31. Dos is diagnosed with hypothyroidism. Which signs/symptoms should Nurse Clara expect the client to exhibit, except? A. Weight gain B. dry, sparse hair C. slow speech D. diarrhea 32. As the nurse, you should anticipate to administer which of the following medications to Dos who is diagnosed to be suffering from hypothyroidism? A. Levothyroxine B. Lidocaine C. Propylthiouracil D. Methimazole 33. The client is diagnosed with hyperthyroidism. Which signs/symptoms should the nurse expect the client to exhibit? 1. bradycardia 2. moist hair 3. heat intolerance 4. constipation 5. hyperlipidemia 6. hypertension A. 1,3,5 B. 2,3,6 C. 1,2,5 D. 4,5,6 34. Which laboratory finding is most indicative of hyperthyroidism? A. Elevated TSH levels B. Low T3 and T4 levels C. Elevated T3 and T4 levels D. Normal T3 and T4 levels 35. Tapazole (Methimazole) is prescribed to a client with hyperthyroidism to inhibit the synthesis of thyroid hormones. Which of the following health teachings should the nurse include? A. “Report sore throat or fever immediately.” B. “You may stop the medication once symptoms improve.” C. “Administer the medication without meals for better absorption” D. “Weight loss indicates effectiveness of the medication” Situation: Shine is a graduating student nurse who aspires to top the boards. As a preparation, she decided to go over her notes on Fundamentals of Nursing and review the most salient concepts. 36. The nurse uses a stethoscope to auscultate a male patient’s chest. Which stamen about stethoscope with a bell and diaphragm is true? A. The bell detects high pitched sound best B. The diaphragm detects high pitched sounds best C. The bell detects thrills best D. The diaphragm detects low pitched sounds best 37. Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? A. 4,500/mm3 B. 7,000/mm3 C. 10,000/mm3 D. 25,000/mm3 38. After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. These symptoms probably indicate that the patient is experiencing: A. Hypokalemia B. Hyperkalemia C. Anorexia D. Dysphagia 39. Which of the following statements about chest X-ray is false? A. No contradictions exist for this test B. Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist C. A signed consent is not required D. Eating, drinking, and medications are allowed before this test 40. The nurse wants to test the skin temperature of her client. Which part of the hand is best to be use by the nurse? A. Finger pads B. Ulnar part of the hand C. Dorsal part of the hand D. palm of the hand 41. The four main concepts to nursing that appear in each of the current conceptual models are: A. Person, nursing environment, medicine B. Person, health, nursing, support systems C. Person, health, psychology, nursing D. Person, environment, health, nursing 42. An emergency department nurse prepares to plan care for a child diagnosed with acetaminophen overdose. The nurse reviews the primary health care provider’ s prescriptions and prepares to administer which medication? A. Succimer B. Vitamin K C. Acetylcysteine D. Protamine sulfate 43. What action should the nurse take to assess the pharyngeal reflex on a child? A. Ask the client to swallow . B. Pull down on the lower eyelid. C. Shine a light toward the bridge of the nose. D. Stimulate the back of the throat with a tongue depressor. 44. A low dose of ondansetron is prescribed for a client receiving chemotherapy. The nurse anticipates that the primary health care provider will prescribe the medication by which route? A. Oral B. Intranasal C. Intravenous D. Subcutaneous 45. When performing an admission assessment on a newly admitted patient, the nurse percusses resonance. The nurse knows that resonance heard on percussion is most commonly heard over which organ? A. thigh B. liver C. intestine D. lung 46. A nurse is assigned to perform postmortem care. Upon touching the client's body, she notes that it feels cool to the touch. The physician declared the time of death 2 hours ago. Which postmortem change is the nurse observing? A. Rigor mortis B. Livor mortis C. Algor mortis D. Pallor mortis 47. During a forensic case, the nurse observes purplish discoloration on the dependent areas of a deceased client. What is the most likely stage of mortis present? A. Rigor mortis B. Livor mortis C. Algor mortis D. Pallor mortis 48. A client was pronounced dead at 6:00 AM. At 11:00 AM, the nurse notes that the body is stiff and hard to manipulate during postmortem care. Which stage of mortis is most likely being observed? A. Rigor mortis 3 | Page