Title RECALLS 11- NP3 - SC ✅

1 | Page RECALLS 11 EXAMINATION NURSING PRACTICE III CARE OF CLIENTS 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 I” on the box provided Situation: Documentation is one of the topics for discussion among the nurse - orientees. 1. In the hospital, narrative documentation is used. From the guidelines below the nurse orientees were made to select which are the CORRECT guidelines related to narrative documentation. Select all that apply: 1. Use blue colored ink ball pen all the time 2. Date and time all entries 3. Completely document subjective and judgmental information gathered 4. Sign and affix appropriate title 5. Avoid evaluative statement 6. Do not leave blank spaces on documentation forms A. 3, 4, 5, and 6 B. 1, 2, 4, and 6 C. 2, 3, 4, and 6 D. 2, 4, 5, and 6 2. Nurse Michelle made an error in documenting an assessment finding on her client’s chart. She must CORRECT the error by: A. Over the wrong entry, write ERROR in red, then write the correct data B. Draw one line over the wrong entry, write the correct data, sign and put the date C. Erase neatly the wrong entry and write on the same place the correct data D. Delete the wrong entry and write the correct data 3. Another nurse -orientee administered an inaccurate dose of Ampicillin to her client. Following the assessment, reporting to the doctor and the head nurse, she accomplishes an incident report. The orientee understand that the report: A. Will form part of her 201 file B. Will result to her suspension from the hospital C. Will be reported to the Regulatory Board of Nursing D. Is a method of promoting quality care and risk management 4. The nurse-orientee was charting while waiting for the result of the cross-matching result of her client. When the fax machine activated, the nurse saw a result of the cross – matching of her client’s name but with another hospital – bed – number. The MOST appropriate action of the nurse would be to: A. Return the result of cross - matching and send another request B. Consider the result as that of her client C. Refer the matter to the head nurse D. Call the laboratory to confirm result of cross – matching 5. The nurse-orientee is to present a case in the meeting with the staff nurses. She Xeroxed the chart of her client to study at home. While she was dressing up to go home, a staff nurse saw the folder of Xeroxed copies of the patient’s record. The staff nurse would call the attention of the nurse-orientee that: A. This is a violation of hospital policy B. The owner of the record should be consulted C. Her action is against the client’s right to privacy D. A prior permission from the Medical Record Section should be obtained Situation: Richard, 35 years old was admitted in the surgical unit from the Emergency Department with a chest tube connected to a closed drainage system. Admitting diagnosis of physician is closed pneumothorax related to fractured ribs on the right side of the chest sustained form a blunt injury during a vehicular accident. 6. The admitting nurse understands that in pneumothorax, air accumulates abnormally in the: A. Pulmonary vascular system B. Pleural space C. Lung tissues D. Thoracic cavity 7. The patient is diagnosed with open pneumothorax. The nurse knows that this occurs when? A. The chest wall wound is large enough to allow air to pass freely in and out. B. There is a buildup of positive pressure occurring with each inspiration and the air is trapped. C. There is a rupture of air-filled bleb or blister on the surface of the lung. D. There is a presence of bronchopleural fistula. 8. The nurse identifies with presence of chest tubes. Which of the following nursing interventions will be the nurse consider as APPROPRIATE? 1. Secure a loop of the drainage tubing to the sheet or groin of the client 2. Encourage DBE and coughing as needed 3. Maintain the collection apparatus below the chest 4. When turning client, ensure chest tube and drainage tubing are not occluded under the client. 5. Clamp the chest tube to practice pleural training A. 1, 2, 3, and 5 only B. 3, 4 only C. 2, 3, 4 only D. ALL OF THE ABOVE 9. The physician ordered, “report drainage that is cloudy and in excess of 70 ml per hour. The nurse knows that a cloudy drainage would indicate: A. Infection B. Presence of debris C. Impending hemorrhage D. Occluded tubing * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *

3 | Page D. Quality of pain Situation: Nurses should demonstrate management skills while on duty to promote safe and quality health care delivery. 26. Nurse Michelle was waiting for her turn to use the Comfort room (CR) of the Nurses Station, when a nursing attendant Lili came out drying her face with sterile gauze dressing. Nurse Michelle immediately called her attention to: A. Bring their own personal toiletries B. Use hospital supplies like dressings, judiciously C. Conserve water as there is not enough for everyone D. Limit the use of the nurse’s station comfort room for the staff on duty 27. A nurse is preparing to start an intravenous infusion of D5% Lactated Ringer’s solution with 40 mEq Kcl on a postoperative client with an infusion pump. When she attempted to plug the pump cord into the wall socket, the pump did not seem to work. Which of the following is MOST appropriate nursing action? A. Initiate the intravenous line without using the pump B. Use an extension cord from the corridor to plug the pump C. Contact the electrical maintenance for assistance D. Plug the pump cord in the available plug above the room sink 28. A nurse is going to change the soiled beddings of the client with ulcerative colitis. When personal protective equipment (PPE) should be worn by the nurse? A. Gown and gloves B. Gloves C. Goggles and gloves D. Gloves and mask 29. Nurse Michelle has four clients. After the endorsement rounds, she plans to do assessment of her four clients. Which client would she attend FIRST? A. Client on oxygen inhalation who bad difficulty of breathing last night B. Client for chest x-ray C. A preoperative client for cardio pulmonary clearance D. The post vagotomy client who is for discharged 30. Nurse Michelle observed that during meal hours, there are no orderlies present in the unit. Which nursing management strategy must be done? A. Plan a schedule of meal so that every staff will have a fix time to take lunch for 30 minutes. B. Any orderly who leaves the unit should ask permission from the head nurse C. When the orderly leaves for lunch, she/he should log in and out D. Allow a mid A.M. break of 15 minutes Situation: 9 – A G4 P5 client who is in labor pains is transferred from the delivery room to the Operating Room for emergency Cesarean section (CS). 31. As you reviewed the client’s chart, you found out that the reason for the emergency CS is “fetal distress”. Which of the following assessment findings would confirm the indication of emergency CS? A. Fetal heart rate of 180 beats per minute B. Multiple pregnancy C. Non-progressing labor D. A 6 to 6.7 lbs baby 32. The circulation nurse prepares the client to which of the following positions? A. Supine with wedge support under the right hip B. Supine with pillows for head support C. Lithotomy with padded stirrups D. Semi -Fowler’s position with one pillow under the knees 33. As soon as the baby is out, the scrub nurse must focus FIRST on which of the following nursing action? A. Slap the newborn to induce crying B. Wipe the mouth, nose and eyes with a sterile operating sponge (OS) C. Attach the name tag D. Suction the mouth and nose of the newborn 34. Prior to the closure of the endometrium, the scrub and circulating nurses should perform which of the MOST critical nursing intervention? A. Change drapes B. Have a large basin to contain the placenta C. Report sponge count status to the surgeon D. Prepare chronic cut gut suture for the endometrium 35. One week after surgery, the mother developed high fever and was found out that the cause of infection was a sponge left inside her body. The health care professional most liable for this case is: A. Anesthesiologist B. Surgeon C. Scrub Nurse D. Circulating Nurse Situation: Communication is one of the best tools in patient -nurse interaction towards safe delivery cure. 36. Mrs. Richards told the nurse that she was concerned about her husband. Which of the following responses of the nurse would encourage Mrs. Richards to open the discussion A. “Would you like to talk about the reason for your visit?” B. “Would it help to discuss your feelings? C. “What brought you to the hospital?” D. “Does it concern you on what happen to your husband?” 37. While Listening to your patient about his near death experience during his last surgery, you crossed your arms on your chest. What message is the nurse conveying to the client? A. Trying to end the conversation with your client B. Conveying that you have ample time to listen to the client C. Pretending to listen to what the client is narrating D. Uninterested to hear what the client has to say 38. Another client told you that he was not looking forward to having this hemorrhoids removed. Which statement of the nurse would MOST likely stir up an expression of fear to the client? A. “are you implying that surgery is frightening?” B. “why don’t you just look forward to your surgery to relieve you of the present discomfort?” C. “don’t you think your surgeon is competent enough?” D. “have you ever bad surgery before?” 39. You are assessing a 60 year old client who lives alone by herself and with permanent colostomy. Which of the following statements of the client indicate that she has fully accepted her-present condition? A. “My children no longer visit me. I’m just waiting for my Creator to take me” B. “My life is slowly deteriorating each day” C. “I was a good O.R. nurse when I was younger. Now I’m just client” D. “I had a good life and I intend to enjoy it” 40. Mrs. Richards, a post hysterectomy client with 7 children, made no comment about the recent death of her 13 year old daughter in a tragic car accident. She shifted topics quickly when asked about how her other children were adjusting to the loss of their sister. Which of the following interpretation of her actuation should receive your PRIORITY nursing intervention for Mrs. Richards? A. Need of support system B. Changing life roles C. Avoiding a painful subject D. Resolved grief