Title RECALLS 7 - NP3 - SC ✅

RECALLS 7 EXAMINATION NURSING PRACTICE III CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART A) NOVEMBER 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 - Ethical and moral issues are becoming a common scenario in practice setting so health care providers have to be equipped with this competency. 1. In the clinical setting, when nurses are confronted with ethical dilemmas the BEST practical guide she can use is? A. PRC oath for professionals B. Code of ethics C. Theological Doctrine D. Florence Nightingale Oath 2. Mr. JBM was admitted to the hospital complaining of chest pain due to clogging in his coronary arteries. He is diabetic hypertensive and considered by the physician to be a high risk for cardiovascular surgery. What PRIORITY action should the members of the health team do in this situation? A. Consult the family members and let them give their decision. B. Proceed with the planned surgery, as this will save the patient. C. Consult the ethics committee on what to do with the patient. D. Discuss with Mr. JBM his health status and let him decide. 3. Mrs. Constancia, 77 y/o is suffering from dementia and demonstrates unruly behavior. When Nurse Dan describes the patient in his shift report, as “That awful, dirty old woman in Bed 14.” is an example of what ethical behavior being employed by the nurse? A. Stigma B. Ageism C. Gender Bias D. Depersonalization 4. Mr. Mark, who is on an end-stage of life, has an order of “Do Not Resuscitate” and passes away in your shift. He was declared dead by his physician at 8:30 AM. What should be your PRIORITY nursing action in this situation? A. Prepare the death certificate for the physician to sign. B. Allow the family to have private moments with the deceased. C. Request your nurse attendant to call the funeral parlor at once. D. Clean the body and remove all the IV lines, tubes and other appliances 5. When a nurse is in full support of a patient's care, safety and personal rights throughout her hospital stay, she is implementing what ethical principle? A. Responsibility B. Empathy C. Advocacy D. Accountability Situation: Nurse Janina works in the medical unit of a tertiary hospital, where the majority of patients are diagnosed with endocrine disorders. She is currently caring for the following patients: Juliet, a 54-year-old married woman with hyperthyroidism; Vanessa, 66-year-old with a suspected case of Cushing's syndrome; and Miles, a 48-year-old woman suffering from hypothyroidism. 6. During your physical assessment of patient Vanessa, she displays a UNIQUE clinical manifestation that differs from those of patients Juliet and Miles, characterized by ______ A. cyanosis, increasing growth of hands and feet B. anemia, weight loss and presence of acne C. moon face purple striae on trunk and buffalo hump D. moon face easy fatigability and peripheral edema 7. Which of the following diagnostic tests do you expect the physician NOT to order for patient Vanessa, who is suspected of having Cushing's syndrome? A. 24 hour urine cortisol level B. C reactive Protein level C. ACTH serum concentration D. Computerized tomography of the brain, chest and abdomen 8. Which clinical manifestation should Nurse Janina watch for patient Juliet if she is suffering from hyperthyroidism? A. Cold extremities B. Increased weight C. Decreased bowel movement D. Fine motor tremor 9. Patient Miles, who has hypothyroidism, is prescribed which of the following medications? A. Propranolol B. Iodine C. Iron pills D. Levothyroxine 10. Which of the following should Patient Miles AVOID while undergoing treatment for hypothyroidism? A. Use of warm blankets B. Light activities done at home C. Taking foods low in fiber D. Exposure to cold temperature Situation: A patient who suffered head trauma suddenly experienced an increase in urine output, exceeding 250 mL per hour along with a feeling of intense thirst. 11. The nurse is caring for a patient with DI. Which of the following doctor’s order would the nurse question? A. Weigh the patient daily, using the same type of clothes and same weighing scale at the same time of the day. B. Accurately monitor I&O. C. Restrict fluid intake. D. Make sure to keep the patient hydrated 12. The physician ordered Desmopressin to be given to the patient. What is an important nursing consideration when administering this medication? A. Slowly administer via IV since this is a vesicant. B. Watch out for water intoxication. 1 | Page

30. When caring for a client with a chest tube and water-seal drainage system, the nurse should implement which of the following interventions? A. Verify that the air vent on the water-seal drainage system is capped when the suction is off. B. Milk the chest drainage tube at least every four hours if excessive bleeding occurs. C. Ensure that chest tube is clamped when moving the client out of bed. D. Make sure that the drainage apparatus is always below the client's chest level. 31. The nurse reviews the most recent blood gas results of a client diagnosed with asthma. The nurse notes a pH of 7.43, Pco2 of 31 mm Hg, and HCO3 of 21 mEq/L. Based on these results, the nurse determines that which acid-base imbalance is present? A. Compensated metabolic acidosis B. Compensated respiratory alkalosis C. Uncompensated respiratory acidosis D. Uncompensated metabolic alkalosis 32. The nurse is performing a respiratory assessment on a client being treated for an asthma attack. The nurse determines that the client's respiratory status is worsening based upon which finding? A. Loud wheezing B. Wheezing on expiration C. Noticeably diminished breath sounds D. Increased displays of emotional apprehension Situation: Nurse Leah is a compassionate and skilled nurse working in a busy medical ward specializing in gastrointestinal (GI) diseases. Today, she is caring for a 28-year-old patient admitted with severe abdominal pain, chronic diarrhea, and weight loss. After diagnostic tests, the patient is diagnosed with Crohn’s disease. 33. Nurse Leah is assessing a patient with suspected Crohn’s disease. Which finding is most characteristic of Crohn’s disease? A. Continuous inflammation limited to the mucosal layer of the colon. B. Bloody diarrhea with tenesmus. C. Cobblestone appearance of the bowel with skip lesions. D. Pseudopolyps observed during colonoscopy. 34. A patient asks Leah how Crohn’s disease differs from ulcerative colitis. Which response by the nurse is most accurate? A. “Crohn’s disease only affects the colon, while ulcerative colitis affects the entire GI tract.” B. “Crohn’s disease causes continuous inflammation, while ulcerative colitis causes skip lesions.” C. “Crohn’s disease can affect any part of the GI tract, while ulcerative colitis is limited to the colon.” D. “Crohn’s disease is caused by stress, while ulcerative colitis is caused by diet.” 35. Leah is caring for a patient with Crohn’s disease who is refusing to take prescribed oral medications due to severe nausea. The patient states, “I can’t keep anything down, and I don’t want to take those pills.” Despite the patient’s refusal, Leah administers the medication by crushing it and mixing it into the patient’s applesauce without their knowledge. Which legal or ethical principle has Leah most likely violated? A. Negligence B. Malpractice C. Battery D. Breach of confidentiality Situation: Clients suffering from Peptic Ulcer Disease (PUD). 36. Nurse Stephen is assessing a client diagnosed with Peptic Ulcer Disease (PUD). Which physical examination should the nurse implement first? A. Palpate the abdominal area for tenderness B. Auscultate the client's bowel sounds in all four quadrants C. Assess the tender area progressing to nontender D. Percuss the abdominal borders to identify organs 37. Nurse Pamela is assessing a client suspected of having a gastric ulcer. Which of the following assessment findings supports the diagnosis of a gastric ulcer? A. Sharp pain in the upper abdomen after eating a heavy meal B. Complaints of epigastric pain 30 to 60 minutes after ingesting food C. Presence of blood in the client's stool for the past month D. Reports of a burning sensation moving like a wave 38. The nurse is caring for a client who admits to a 15-year history of gastric ulcers. The nurse instructs this client to take which of the following drugs for minor aches and pains? A. Acetaminophen (Tylenol) B. Buffered aspirin C. Plain aspirin D. Ibuprofen (Motrin) 39. One of your patients was diagnosed with PUD, however, she was also found to be pregnant. Which of the following will alarm you if prescribed to the patient? A. Cimetidine B. Misoprostol C. Omeprazole D. None of the above 40. The nurse is caring for a client with a diagnosis of peptic ulcer disease. When monitoring the client for possible gastrointestinal perforation, the nurse identifies the importance of what assessment data? A. Slow, strong pulses B. Increase in bowel sounds C. Positive guaiac stool tests D. Sudden, severe abdominal pain Situation: Incident reports serve as official records of unexpected events. They can be used as legal evidence in case of disputes, complaints, or investigations. 41. The nurse administers digoxin 0.25 mg by mouth rather than the prescribed dose of 0.125 mg to the client. After assessing the client and notifying the primary health care provider (PHCP), which action would the nurse implement first? A. Write an incident report. B. Administer digoxin immune fab. C. Tell the client about the medication error. D. Tell the client about the adverse effects of digoxin. 42. The nurse finds a client lying on the floor. The nurse performs an assessment, assists the client back to bed, and completes an incident report. Which would the nurse document on the incident report? A. The client fell onto the floor. B. The client climbed over the side rails. C. The client was found lying on the floor. D. The nurse was the only responder to the event. 43. After finding a client lying on the floor, the nurse ensures the client's safety, completes an incident report, and notifies the primary health care provider of the incident. Which action would the nurse implement next? A. Staple the incident report in the client's medical record. B. Document the client events and follow-up nursing actions. C. Provide a copy of the incident report to the provider and family. D. Document that a copy of the report was sent to risk management. Situation: Effective teamwork and collaboration in nursing is achieved when individuals work together in harmony, processes and goals are aligned towards achieving safe quality patient care. 44. Which of the following actions is INAPPROPRIATE for a nurse leader to apply in a work Setting? A. Ask staff members for their opinion on the matter. B. Modifies his own behavior favoring the needs of individual staff. C. Gives equal consideration to each staff members. D. Plans and organizes group activities of staff members. 3 | Page