Title RECALLS 13 - NP3 - SC ✅

RECALLS 13 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 - Dr. Cynthia, a Ph.D graduate in Nursing, has been appointed as a consultant in a tertiary hospital to help administration of coming up to strategies that will further enhance culture of team work and quality improvement (QI) among health personnel in the workplace. One day, Dr. Cynthia while conducting her rounds observed a charge nurse (CN) facilitating a team on reducing post-operative complications in her unit of assignment. The nurse was emphasizing the four (4) essential steps of the QI process. 1. The FIRST phase of this activity is __________. A. Review cause/s of the problems B. List of problems & prioritize C. Conduct root cause analysis D. Analyze the problems carefully 2. While undergoing the QI process, three (3) members of the team were having conflict in what management to do. Which of the following can be an EFFECTIVE strategy to resolve this conflict? A. Reprimand the three members of the team of their behavior B. Assign the three members of the team in the different shifts C. Assign an Administration to solve the conflict D. Have the three members confront with each other 3. Dr. Cynthia was initiating some innovative activities in the medical center for a continuous quality improvement (CQI) in patient care services. A policy has been adopted for nursing staff every shift to conduct hourly rounds for patients with PRIORITY health problems and attached policy was being complied with by the nurses however, she found out in the succeeding dates, it was no longer followed. What is the PRIORITY action of Dr. Cynthia in this situation? A. Assign one Nurse per shift to conduct the hourly rounds B. Conduct a general meeting with the staff and determine why such policy is NOT complied with C. Conduct a general meeting with the staff and explain the benefits of the hourly rounds D. Call to the office nurses who fail to comply the hourly rounds 4. The CQI team have observed that the incidence of FALL among older persons have increased by 50%. This data has reached Dr. Cynthia and she instructed the team to conduct which one of the following PRIORITY measures? A. Provide a cash incentive for units with 0 incidence of Fall. B. Intensify the in-service program for the unit with the highest incidence of Fall. C. Identification of the root cause of Fall. D. Decrease the benefits of those personnel who are involved in the Fall incidence. 5. A part of the CQI that Dr. Cynthia wanted to implement is the partnership safe and quality patient model, the collaboration process as a strategy is an example of _________. A. Feedback mechanism B. Through – put C. output D. Input Situation 2 - Abby is a BSN graduate and have to take the nurses licensure examination to be able to Practice her chosen profession. In order to qualify for the licensure examination, she has to comply with the basic requirements from the PRC-Board of Nursing. 6. Which one of the following is NOT considered an admission criterion for BSN graduates seeking admission to the Licensure examination? A. 20 years old upon registration B. Citizen of the Philippines C. Completed related learning experiences D. Good moral character 7. Taking an Oath of profession is a requirement for you to practice nursing in the Philippines. Which of the following is the legally designated officer to conduct the oathtaking? A. Professional Regulatory Board of Nursing B. President, Association of Nursing Service Administrators C. President, Phil. Nurses Association D. President, Association of Dens, Philippine College of Nursing 8. In RA 9173, which of the following is NOT among the provisions? A. Functions of the Board of Nursing B. Scholarship C. Nurse to patient ratio D. Salary and benefits 9. In health facilities, like tertiary hospitals, nurses are able to enhance their competence by rotating in different shifts. When a nurse is assigned to do wound dressings to all patients for the entire shift, this is an example of what type of nursing service delivery? A. Case management B. Team nursing C. Functional nursing D. Primary nursing 10. A framework that is adopted recently is the use SBAR for nurse-Health Care provider communication. SBAR is an acronym for Situation, Background, Information, Assessment while R is recommendation. Which of the following statements fall under the category of assessment? A. “Sally is 21 years old, single and college graduate.” B. “She had a relief of abdominal distention after an intake of antacid.” C. “Can you give pain medications for her abdominal pain.” 1 | Page


39. Nurse Tala provides bio-behavioral interventions to minimize pain and anxiety of Patient Dolores. Which one of the following is NOT appropriate to be done? A. Music therapy B. Guided imagery C. Distraction D. Stretching 40. A simple relaxation therapy was applied to Patient Dolores. The following steps of relaxation therapy done by Nurse Tala is _________. 1. evaluate and document Ms. Dolores’s response to therapy 2. create a quiet, non-disruptive environment with dim lights and comfortable temperature 3. demonstrate and practice the relaxation intervention 4. consider Dolores’s willingness to participate, past experiences and contraindications 5. individualize the content of the relaxation interventions A. 4, 1, 5, 3, 2 B. 2, 1, 4, 3, 5 C. 3, 2, 4, 1, 5 D. 4, 2, 5, 3, 1 Situation 8 Mia Thermopolis, 4-week-old infant is admitted to the hospital with a history of vomiting. The mother explains that her daughter has an initial problem with the regurgitation which progressed to a projectile vomiting which becomes more forceful. 41. Upon admission, the FIRST nursing action you should perform is ________. A. Switch the child feedings to electrolyte solution B. Call the pediatric ward doctor for the admission C. Assess and weigh the infant D. Begin an IV fluid as ordered 42. Which of the following serum electrolyte imbalances occur in an infant with persistent vomiting? A. Potassium B. Sodium C. Chloride D. Calcium 43. What is the MOST APPROPRIATE nursing diagnosis for this patient? A. Altered Bowel Elimination B. Altered Nutrition C. Fluid volume deficit D. Alteration in Comfort 44. Due to excessive vomiting in Pyloric Stenosis, you should assess the child for which of the following imbalances? A. Respiratory Acidosis B. Metabolic Acidosis C. Metabolic Alkalosis D. Respiratory Alkalosis 45. Before scheduling the infant for surgery, the doctor ordered the administration of parenteral fluid and electrolytes. Which of the following incorporated solutions should be administered through IV? A. Potassium Chloride B. Magnesium Chloride C. Bicarbonate Chloride D. Calcium Chloride Situation 9- Chacha, a 6 month old baby is admitted in the Pediatric unit for acute diarrhea and dehydration. 46. You are in charge of this patient. In your assessment you expect to find which of the following? A. Moderately lethargic B. Bulging fontanelle C. loosening of the skin D. High grade fever 47. Further clinical findings of the child that you have observed include which ONE of the following? A. Metabolic alkalosis B. Metabolic acidosis C. Respiratory acidosis D. respiratory alkalosis 48. The child was ordered Oresol (ORS). As a nurse, how would you prepare Oresol treatment for this child? A. Mix 2 sachet of ORS in 1 liter of water B. Mix 1 sachet of ORS in 2 liters of water C. Mix 2 sachet of ORS in 2 liters of water D. Mix 1 sachet of ORS in 1 liter of water 49. The BEST practice for the nursing staff to prevent spread of infection when patient has infectious diarrhea is _________. A. Autoclave linens B. Strict handwashing C. isolate the patient D. wear latex gloves 50. After the Oresol Treatment which of the following is an indication that Oresol is effective? A. Patient is well hydrated B. Refuse to play with other children C. Socialization with other children D. Temperature is 36.8°C 51-55. Situation. Nurse Charm admits Mr. De Guzman, 31 year-old, who was brought to the Emergency room by his co-worker because of severe abdominal pain. He was observed to be very anxious; holding his abdomen with his right hand while bending towards his right side. The Emergency Room doctor made his initial assessment and referred the patient to the Surgical doctor on duty for further assessment. 51. To describe a sensation of severe pain felt for ruptured appendicitis, Nurse Charm applies deep pressure of her finger into the abdomen at a point away from the pain and then releases. This maneuver is termed as __________. A. Perforation B. McBurney’s Point C. Rovsing’s sign D. Rebound tenderness 52. Mr. De Guzman was diagnosed with ruptured appendicitis. When the appendix is suspected ruptured, a generalized abdominal pain is felt and becomes ____________. A. Merely a discomfort and steady rather that intermittent B. Intense and the patient guards the area by living room C. Rigid, stiff and board like feeling D. Tender and focused on the umbilical cord region 53. Immediate surgery was done on Mr. De Guzman. Which of the following measures for pain control is NOT advisable to be done by Nurse Charm while patient De Guzman is having post-op pain? A. Coughing exercises B. Deep breathing C. High-fowler’s position D. Semi-fowler’s position 54. After operation, a nasogastric tube (NGT) was inserted to Patient De Guzman. The rationale for this surgical measure is to _________. A. Prevent use of antibiotics B. Decrease hospitalization to two days C. Decrease pain after the operation D. Avoid the use of analgesics 55. Nurse Charm assesses the pain intensity of Mr. De Guzman. The pain assessment tool APPROPRIATE to be used for Mr. De Guzman is _____________. A. Faces Pain Rating scale B. Visual Rating Scale C. World Rating Scale D. Numeric Rating Scale 56-60. Situation. You are the nurse on night duty in the medical ward. You were assigned by Ms. Felipe, the Charge Nurse of the unit to monitor the status of a 9 year old boy with bronchial asthma. 56. Which of the following manifestations of the child would cause you to be alarmed? A. Excessive sweating B. Choking sensation C. Cough with phlegm D. Generalized chest tightness 57. You would like the child to be comfortable in bed. Which position should you put the child to ease his discomfort? A. Lying on his side B. Prone position C. High Fowler’s Position 4 | Page