Title RECALLS 5 (NP3) SC ✅

1 | Page RECALLS 5 EXAMINATION NURSING PRACTICE III CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART A) FEBRUARY 2026 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 I” on the box provided Situation: The surgical team is preparing for a series of procedures. The nurse must demonstrate mastery of pre-operative preparation, intra-operative safety and etiquette, and post-operative recovery to ensure safe patient outcomes. 1. During the pre-operative phase, the nurse is responsible for ensuring the surgical consent is properly signed. What is the nurse’s primary role in this process? A. Explaining the risks and benefits of the surgical procedure to the patient. B. Deciding if the patient is mentally competent to undergo the surgery. C. Witnessing the patient's signature and verifying their understanding. D. Describing alternative treatment options if the patient refuses surgery. 2. A patient is being prepared for an elective cholecystectomy. Which pre-operative nursing assessment finding is most critical to report to the surgical team immediately? A. The patient expresses anxiety about the post- operative pain. B. The patient's last meal was 10 hours ago. C. The patient has a small skin tear on the non-surgical arm. D. The patient reports taking aspirin daily for heart health, including this morning. 3. In the Operating Room (OR), the "Surgical Time-Out" is a critical safety component. When should this occur? A. Immediately after the patient is anesthetized. B. Before the patient is brought into the OR suite. C. Immediately before the first surgical incision is made. D. During the pre-operative physical assessment. 4. Which of the following members of the surgical team remains in the "unsterile" field and is responsible for documenting the nursing process and coordinating the room? A. The Surgeon B. The Scrub Nurse C. The Circulating Nurse D. The First Assistant 5. A patient has just arrived in the Post-Anesthesia Care Unit (PACU) following general anesthesia. Which assessment finding should the nurse prioritize based on the ABC (Airway, Breathing, Circulation) framework? A. The patient is complaining of a dry mouth and thirst. B. The patient’s surgical dressing has a small amount of serosanguinous drainage. C. The patient has loud, snoring-like respirations and an SP02 of 88%. D. The patient reports a pain level of 6 out of 10. 6. Nurse Roberts is caring for a post-operative patient who had abdominal surgery 4 hours ago. The nurse notes the patient’s BP has dropped from 120/80 to 90/60, and the heart rate has increased from 75 to 110. What complication does the nurse suspect? A. Malignant Hyperthermia B. Post-operative Hemorrhage/Hypovolemic Shock C. Adverse reaction to anesthesia D. Post-operative Atelectasis 7. What is the primary nursing goal for implementing "Incentive Spirometry" in the post-operative phase? A. To prevent atelectasis and pneumonia by promoting lung expansion. B. To reduce the need for post-operative opioid medications. C. To increase the patient’s blood pressure after anesthesia. D. To prevent Deep Vein Thrombosis (DVT) in the lower extremities. 8. Nurse Rivera is the Scrub Nurse for a vascular surgery. According to standard Operating Room (OR) etiquette, how should Nurse Rivera move when needing to change positions with the surgeon within the sterile field? A. Walk behind the surgeon to avoid the sterile table. B. Pass the surgeon side-to-side while facing the unsterile wall. C. Pass the surgeon back-to-back or front-to-front. D. Duck under the surgical lights to reach the other side. 9. During the pre-operative interview, a patient tells Nurse Kim, "I'm so nervous that I might wake up during the surgery." Which nursing action best demonstrates the "holistic care" competency outlined in the nursing process? A. Tell the patient not to worry because the anesthesiologist is very experienced. B. Give the patient a sedative immediately to help them relax. C. Allow the patient to express their fears and explain the continuous monitoring used by the anesthesia team. D. Document the anxiety and continue with the physical skin preparation. 10. Nurse Kim has just received a report on four patients in the surgical ward. Based on the Nursing Process, which patient should be assessed FIRST? A. A pre-operative patient who needs their surgical site marked by the surgeon. B. A post-operative patient who is complaining of 5/10 pain at the incision site. C. A post-operative patient who has become suddenly restless and is using accessory muscles to breathe. D. A patient who is 2 hours post-op and has 30 mL of drainage in their Hemovac. Situation: Nurse Ramos and Nurse Bong are caring for patients admitted to the medical-surgical unit with respiratory conditions, including COPD and acute respiratory distress. The nurses’ goals are to assess, identify priority problems, implement appropriate interventions, and evaluate patient outcomes to ensure safe and effective care. * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *


4 | Page D. 100 Ml/hour 45.A patient reports burning pain during urination and increased urinary frequency. Which urinary elimination imbalance does the nurse suspect? A. Hematuria B. Dysuria C. Polyuria D. Nocturia 46. An elderly patient tells the nurse, “I wake up three to five times every night to urinate.” Which urinary elimination pattern is being described? A. Oliguria B. Nocturia C. Anuria D. Urinary retention 47. A patient is scheduled for a “clean-catch” urine specimen. What is the primary purpose of instructing the patient to void a small amount into the toilet before collecting the sample in the cup? A. To ensure the bladder is completely empty. B. To flush out any resident bacteria present at the urethral meatus. C. To test the strength of the patient’s urinary stream. D. To decrease the volume of urine sent to the laboratory. 48. Nurse Roberts is assessing Mr. Miller, a 72-year-old male who reports difficulty initiating urination, a weak urine stream, and the persistent feeling that his bladder is not completely empty after voiding. He also mentions having to strain occasionally and experiencing frequent nighttime urination. Based on these symptoms, what is the most likely cause? A. Acute Glomerulonephritis B. Benign Prostatic Hyperplasia (BPH) C. Nephrotic Syndrome D. Stress Incontinence 49. Following a surgery, a patient has not voided for 8 hours. Nurse Kim performs a bladder scan and finds 500 Ml of urine present. What is the priority nursing assessment before considering catheterization? A. Checking the patient’s latest serum creatinine level. B. Assessing for the presence of “fruity” breath odor. C. Palpating the suprapubic area for distention and tenderness. D. Measuring the patient’s skin turgor and mucous membranes. 50. Nurse Roberts is caring for a patient with a newly inserted indwelling urinary catheter. Which action is the MOST effective for preventing a Catheter-Associated Urinary Tract Infection (CAUTI)? A. Maintaining a closed drainage system and keeping the bag below the level of the bladder. B. Cleaning the urinary meatus with povidone-iodine solution every 4 hours. C. Encouraging the patient to limit fluid intake to reduce urine flow through the catheter. D. Disconnecting the catheter from the drainage bag to collect a sterile specimen. Situation: Patient Ashlee is a 29-year-old female diagnosed with Multiple Sclerosis three years ago. She is admitted to the hospital due to sudden onset of blurred vision, muscle weakness in both lower extremities, and severe fatigue. She reports that symptoms worsened over the past 48 hours following a recent viral infection. 51. Which treatment is most commonly used to manage acute attacks of multiple sclerosis in Patient Ashlee? A. Interferon Alpha B. Interferon Beta C. Plasmapheresis D. High-dose corticosteroids 52. Which statement by Patient Ashlee indicates effective health education regarding MS management? A. “I should stop medications once symptoms improve.” B. “Stress and infections can trigger MS relapses.” C. “Exercise should be avoided completely.” D. “MS only affects muscle strength.” 53. Which phenomenon is described by the transient worsening of neurological symptoms in MS patients after heat exposure? A. Uhthoff’s phenomenon B. Wolff–Chaikoff effect C. Raynaud’s phenomenon D. Somogyi effect 54. Which nursing intervention should be prioritized during Patient X’s hospitalization? A. Encourage strenuous physical activity B. Maintain a cool environment C. Restrict fluid intake D. Provide a high-protein diet only Situation: Patient Tin is a 55-year-old female with long-standing RA. She presents with painful, stiff, and swollen joints in both hands. On assessment, the nurse notes deformities in the fingers. 55. Which part of the body is affected by Boutonnière deformity? A. Fingers B. Wrists C. Toes D. Ankles 56. In Swan-neck deformity, which joint is hyperextended and which joint is flexed? A. PIP hyperextended, DIP flexed B. PIP flexed, DIP hyperextended C. PIP hyperextended, DIP hyperextended D. PIP flexed, DIP flexed 57. In Boutonnière deformity, which joint is flexed and which joint is hyperextended? A. PIP hyperextended, DIP flexed B. PIP flexed, DIP hyperextended C. PIP hyperextended, DIP hyperextended D. PIP flexed, DIP flexed 58. During the head-to-toe assessment, the nurse observes pallor, extreme fatigue, and reports of shortness of breath with minimal activity. Which laboratory finding would best support a common complication associated with rheumatoid arthritis? A. Potassium level of 3.2 mEq/L B. Hemoglobin level of 7 g/dL C. Sodium level of 135 mEq/L D. White blood cell count of 6,500/mm³ 59. The nurse reviews the diagnostic test results of Patient Tin diagnosed with rheumatoid arthritis. Which finding would NOT support the diagnosis? A. Elevated erythrocyte sedimentation rate (ESR) B. X-ray findings of osteophyte formation C. Positive C-reactive protein (CRP) D. Positive rheumatoid factor (RF) 60. The patient tells the nurse, “I know exercise is important to keep my joints moving, but my joints are so stiff and painful that exercising is very difficult.” Which response by the nurse is most appropriate? A. “You should decrease your exercise routine to every other day.” B. “You may need a higher dose of pain medication; inform your doctor.” C. “Pain and stiffness are expected, so try to focus on activities you enjoy.” D. “Try taking a warm bath or shower before exercising to reduce stiffness.” Situation: Patient Elliot is a 10-year-old child admitted with facial puffiness, cola-colored urine, decreased urine output, and elevated blood pressure. The mother reports that Elliot had an untreated sore throat two weeks prior. Laboratory findings show proteinuria, hematuria, elevated serum creatinine, and decreased urine output. 61. Which organism is most commonly associated with acute glomerulonephritis? A. Staphylococcus aureus B. Escherichia coli C. Group A beta-hemolytic Streptococcus D. Mycobacterium tuberculosis