Title RECALLS 2 - NP3 - SC ✅

RECALLS 2 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 1 – Mr. GI Joe is 55 year old, married, a car dealer has consulted the ER because of on and fever, indigestion, weight loss, right abdominal pain, body malaise, and itchiness of the skin. Based on the health history the patient has been a chain smoker and drinks alcoholic beverages almost every day especially when he has clients to entertain. His physical examination showed he has suspected liver cirrhosis. He was advised for admission for further work-up and treatment. 1. You are the nurse on duty when Mr. GI Joe was admitted in the pay floor. In your observational data what additional EARLY SIGN of liver cirrhosis do you expect patient to manifest? A. Gonadal atrophy B. Hypotension C. Splenomegaly D. Ankle edema 2. Which of the following statements is TRUE of liver cirrhosis? 1. Nutritional deficiency with decreased protein intake attributes to liver damage. 2. Cirrhosis can happen to people with alcohol intake 3. Women are at greater risk for the development of alcohol-induced liver disease 4. Most patients affected by liver cirrhosis are between 40 to 60 years of age. A. 1, 2, 3, and 4 B. 1 & 2 C. 1, 2 & 3 D. 2 & 3 3. During Mr. GI Joe’s confinement he developed further itchiness of the skin and jaundice. Which of the following nursing actions is NOT recommended as this will induce skin breakdown? A. Add baking soda when bathing the patient. B. Massage the skin with emollients every 2 hours. C. Use of commercial soaps and alcohol-based lotions. D. Rub the itchy skin with knuckles instead of using the nails. 4. At early stage of Mr. GI Joe’s disease process, the physician ordered this SPECIFIC diet for Mr. GI Joe, You emphasized to the dietitian that he should be served foods that is _________. A. High carbohydrate and low sodium B. High calorie and high carbohydrate C. Low protein and high fat D. High protein and high fat 5. Mr. GI Joe started to develop ascites and complained of heaviness of the lower extremities to the physician. An order of Spironolactone (Aldactone) 25 mg. /day. What adverse effect of the drug should you monitor? A. Hyperkalemia B. Palpitation C. Irregular pulse rate D. Hypokalemia Situation 2 – Juliet, a Pediatric Cardiovascular Nurse is assigned to take care of 3 children in her unit. She just admitted a 12- year- old female patient suffering from Rheumatic Fever (RF) 6. When doing an assessment, which ONE of the following conditions is NOT present based on the Jones Criteria? A. Erythema Marginatum B. Subcutaneous nodules C. Chorea D. Bronchopneumonia 7. In Rheumatic fever, the factor contributory to the development of this disease process is brought about by __________. A. Auto-immune reaction to streptococcal infection B. Auto-immune reaction to collagen disease C. Parents had rheumatic heart disease D. Exposure to colds and droplet infection 8. Marimar, 6 years old, is receiving digitals for having Patent Ductus Arteriosus with heart failure with heart failure. Prior to the administration of the medicines, which of the following nursing actions should be done by nurse Rica? A. Take the carotid pulse rate for one full minute. B. Take the heart rate for one full minute C. Take the respiratory rate D. Take the blood pressure 9. While Nurse Juliet was doing her regular rounds, one of the mothers approached her saying that her child who has a Tetralogy of Fallot preferred to squat on bed rather than assuming a supine position. The BEST action of the Nurse is ___________. A. Let the mother continue the position of her child if she feels comfortable with it. B. Divert the child’s attention by letting her join the nurses’ rounds C. Put her on bed and start to administer oxygen inhalation D. Discourage the child and let her lie on bed with 2 pillows instead. 10. Another patient in the Unit is Nikki, 8 years old, waiting to be scheduled for surgery because of a Coarctation of the Aorta. With this disorder, Nikki will manifest which one of the following symptoms? A. Murmur and bruit of the lungs B. Central and peripheral edema C. Hypertension and diminished pulses in the extremities. D. Hepatomegaly and shortness of breath Situation 3 – Mr. Gaudencio Suarez is a surgical nurse in a medical center and he had been practicing for almost five years in this unit. The staffs go on shift rotation. For that shift, he had two patients for operation. One is for Lobectomy and another is for Nephrectomy 11. When is the BEST time for the operative consent is be signed by his patients? A. As soon as the surgical procedure is explained to the patient 1 | Page