Title PRE-INTENSIVE - NP3 - SC ✅

PRE-INTENSIVE 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 Jade is in charge of a client who was admitted for management of acute episodes of cholecystitis. 1. Nurse Jade did her admission assessment. She understands that the pain is characterized as: A. Tenderness that is generalized in the upper epigastric area B. Tenderness and rigidity at the left epigastric area radiating to the back C. Tenderness and rigidity of the upper right abdomen radiating to the midsternal area D. Pain of the left upper quadrant radiating to the left shoulder 2. To confirm the diagnosis of cholecystitis, the attending physician ordered the procedure that can detect gallstones as small as 1 to 2 cm and inflammation. Nurse Jade would prepare the client for which specific diagnostic procedure? A. cholangiography B. gall bladder series C. oral cholecystogram D. ultrasonography 3. The diagnosis was confirmed as cholecystitis with gallstones. The doctor prepared the client for the removal of his gallbladder. The client asks the nurse: “How will this procedure affect my digestion?” The nurse’s most correct response would be: A. “Your body system will adjust in due time.” B. “The removal of the gallbladder usually interferes with digestion but can be remedied by dietary modifications.” C. “The removal of the gallbladder would significantly interfere only with the digestion of fatty food.” D. “The removal of gallbladder does not usually interfere with digestion.” 4. While reviewing the laboratory findings of the client, Nurse Jade found out that which findings are elevated? 1. white blood cell count 2. total serum bilirubin 3. alkaline phosphate 4. red blood cell count 5. cholesterol 6. serum amylase A. 3,5,6 B. 1,2,6 C. 1,2,3 D. 2,3,4 5. A T-tube was inserted and the doctor ordered: “Monitor the amount, color, consistency and odor of drainage.” Which of the following procedures can the nurse perform without the doctor’s order? A. clamping B. emptying C. aspirating D. irrigating Situation: Alfonsus sought hospital confinement for pleuritic pain, fever, and cough. The attending physician had a chest x-ray taken STAT. Result revealed presence of lung infiltrates. The client was assigned to Kianne the staff nurse. 6. When Kikay performed chest auscultation, she observed short discreet bubbling sounds over the lower region of the right lung. Which of the following abnormal findings will Kikay consider? A. Friction rub B. Murmur C. Wheezes D. Crackles 7. Kikay put her priority nursing diagnosis as “Ineffective airway clearance related to increased secretions and ineffective coughing.” Which nursing intervention would be considered to facilitate coughing with the LEAST discomfort? A. Splinting chest wall with pillow when coughing B. Putting the client in semi-Fowler’s position all the time C. Taking cough med q4 hours round the clock D. Utilizing the purse-lip technique of breathing 8. The physician prescribes oral penicillin 500 mg every six hours for seven days. On the fifth day, before Kikay administers the first dose for the day, she computed for the total amount in the milligrams of the oral penicillin that has been received by the client. Which of the following is the correct amount? A. 2,500 mg B. 15,000 mg C. 10,000 mg D. 8,000 mg 9. Standard precaution dictates that the nurse observes which of the following when caring for a client with streptococcal pneumonia? A. Use of face mask B. Use of sterile gloves C. Observe two-feet distance when giving care D. Use clean gloves 10. Sputum cultures are to be obtained to establish the client’s specific antibiotic treatment. Kikay would BEST collect the specimen: A. Early in the morning B. Early morning after an antiseptic gargle C. After brushing the client’s teeth D. Anytime of the day after a warm salt solution gargle Situation: Different communicable diseases spike up in today’s trends. It is important for the nurse to understand the background of different emerging diseases, its presentation, diagnosis and interventions associated to the diseases. The following questions apply to emerging communicable diseases. 11. Ebola virus was discovered in 1978 in Congo and re-appeared last 2014 in Guinea with case fatality rate of 50%. It has several different causative agents and is transmitted through direct or indirect contact to affected primates such as 1 | Page