Tiêu đề RECALLS 6 - NP3 - SC ✅

RECALLS 6 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: Nurse Greg is working on a busy surgical floor. He is responsible for caring for patients pre- and post-operatively, maintaining sterile technique, and ensuring early detection of complications such as infections, pressure ulcers, or thromboembolism. 1. Greg notices that a patient scheduled for surgery has a temperature of 102°F (38.9°C) but appears otherwise stable. What is Greg’s first action? A. Notify the surgeon B. Notify the charge nurse C. Validate the temperature reading D. Document the temperature in the chart 2. While performing a sterile dressing change, which action by Greg would break sterile technique? A. Opening the first flap of a sterile package away from himself B. Keeping his hands above his waist C. Turning his back to the sterile field D. Adding sterile items by dropping them onto the field 3. Greg is transferring a post-stroke patient with right-sided weakness from the bed to a wheelchair. Which positioning is best? A. Place the wheelchair parallel and close to the bed B. Position the wheelchair on the patient’s weaker side C. Keep the wheelchair one foot away from the bed D. Lock the bed but not the wheelchair 4. A patient recently transferred to Greg’s unit is unable to ambulate. Which factor places this patient at greatest risk for pressure ulcer development? A. Limited mobility and need for assistance to move from bed to chair B. Eating only half of most meals C. Mild apathy but oriented to time and place D. Good skin turgor and normal capillary refill 5. Greg is opening a sterile package from central supply. Which direction should the first flap be opened? A. Toward himself B. Away from himself C. To the left or right D. It does not matter Situation: Nurse Darryl is caring for patients with cardiovascular conditions in a telemetry unit. He must recognize early warning signs of complications, manage medications, and provide accurate patient education before discharge. 6. A patient with a recent myocardial infarction is admitted with chest pain and diaphoresis. What is Darryl’s first action? A. Order an ECG B. Administer prescribed morphine sulfate C. Start an IV line D. Measure vital signs 7. A patient is discharged after a myocardial infarction and asks why metoprolol (Lopressor) was prescribed. What is Darryl’s best explanation? A. “It increases your heart rate so the heart pumps more effectively.” B. “It dilates your coronary arteries to improve blood flow.” C. “It makes your heart contract stronger to increase blood supply.” D. “It slows your heart rate and decreases the workload so your heart can heal.” 8. A heart failure patient is prescribed digoxin and furosemide. Which meal would Darryl recommend? A. Grilled chicken, baked potato, and cantaloupe B. Eggs and ham C. Grilled cheese sandwich and French fries D. Pepperoni pizza 9. A patient is taught how to take sublingual nitroglycerin for angina. Which statement shows correct understanding? A. “I can swallow the tablet if it burns my tongue.” B. “I will take one tablet every 5 minutes up to 3 doses if chest pain continues.” C. “I will store the tablets in the refrigerator for freshness.” D. “I can take as many tablets as needed until pain is gone.” 10. A patient with heart failure is being discharged. Which teaching by Darryl is most important? A. “You should weigh yourself daily at the same time.” B. “Avoid eating any foods that contain sodium.” C. “You can skip diuretics on days you feel well.” D. “Check your blood pressure only if you feel dizzy.” Situation: Nurse Fiona is caring for patients on a respiratory care unit. She is responsible for managing clients with chronic respiratory conditions, maintaining oxygen therapy safety, and recognizing early complications of airway problems or infections. 11. Fiona is caring for a client with a new tracheostomy tube. After cleaning the reusable inner cannula, what should she do before reinsertion? A. Dry it thoroughly with sterile gauze B. Suction the client’s airway C. Tap the cannula gently against a sterile surface D. Rinse it with sterile saline 12. Fiona is preparing to initiate continuous IV therapy. What is the most important step before venipuncture? A. Apply a tourniquet below the selected vein B. Inspect the IV solution for particles or contamination C. Place a cool compress over the vein D. Secure the client’s arm with a splint 13. A patient on the unit with tuberculosis needs a chest X-ray. Which action by Fiona is most appropriate when preparing for transport? A. Notify radiology so personnel can wear masks 1 | Page

30. Andrea is teaching dietary management to a client with Addison’s disease. Which advice is appropriate? A. Eat a high-protein, high-calcium, low-calorie diet B. Avoid salt in all meals C. Increase carbohydrate intake and limit potassium-rich foods D. Consume foods rich in sodium and moderate carbohydrates Situation: Nurse Maricel is assigned to the neurology unit. She cares for clients recovering from head injuries, strokes, and spinal cord injuries. She must monitor for complications, ensure proper positioning, and teach families how to assist with daily care. 31. Maricel is transferring a client with a possible spinal injury from a stretcher to a bed. Which technique is best? A. Move the client segmentally in small parts B. Logroll the client with assistance C. Use a draw sheet and lift from behind the shoulders D. Sit the client up and transfer slowly 32. A stroke patient with right-sided hemiparesis needs to transfer from bed to wheelchair. Which is the safest approach? A. Place the wheelchair parallel to the bed on the weaker side B. Position the wheelchair 45° to the bed on the stronger side C. Ask the patient to wrap arms around the nurse’s neck D. Place the wheelchair far from the bed 33. A client with a spinal cord injury needs to be repositioned in bed. Which action will Maricel take? A. One nurse lifts the patient by the arms B. Two nurses use a draw sheet to lift the client C. One nurse rolls the patient toward the stronger side D. Ask the client to scoot up the bed 34. While caring for a patient with a head injury, which sign should Maricel report immediately? A. Complaints of mild headache B. Low-grade fever C. Mild photophobia D. Increasing drowsiness and difficulty arousing 35. A patient recovering from a stroke has mild dysphagia. Which nursing intervention is most appropriate? A. Place the patient in an upright position when eating B. Offer a clear liquid diet C. Tilt the patient’s head back while swallowing D. Provide dry finger foods like crackers Situation: Nurse Isabel is assigned to the oncology unit. She cares for patients receiving chemotherapy, radiation therapy, and palliative care. Her responsibilities include monitoring for complications, ensuring adherence to treatment protocols, and providing emotional and ethical support to patients and families. 36. A patient undergoing chemotherapy develops painful mouth ulcers. What is Isabel’s most appropriate intervention? A. Encourage frequent use of alcohol-based mouthwash B. Provide soft, bland foods and perform saline rinses C. Advise the patient to brush vigorously with a firm-bristled toothbrush D. Recommend citrus juices to promote healing 37. A cancer patient tells Isabel that a lawyer will be coming to prepare a living will and asks if she can be a witness. How should Isabel respond? A. Agree to serve as a witness to help the patient B. Refuse and avoid discussing the matter further C. Explain that nurses caring for the patient cannot serve as witnesses D. Call the attending physician to resolve the issue 38. Which of the following should Isabel include in discharge teaching for a patient who has undergone external radiation therapy? A. Apply lotion daily to the radiation site B. Avoid exposing the treated skin to direct sunlight C. Use heating pads on the treated area for comfort D. Scrub the area daily with strong soap 39. A patient with terminal cancer expresses a desire to stop aggressive treatment. Which ethical principle supports Isabel’s decision to honor the patient’s request? A. Justice B. Autonomy C. Beneficence D. Nonmaleficence 40. Isabel observes that a patient receiving chemotherapy has a temperature of 38.5°C (101.3°F). What should she do first? A. Administer acetaminophen as ordered B. Notify the physician immediately C. Encourage the patient to increase oral fluids D. Recheck the temperature in one hour Situation: Nurse Leo is assigned to a post-operative surgical ward. He is responsible for closely monitoring patients' vital signs, ensuring medications are administered correctly, and maintaining safe care practices. He must also be aware of legal and ethical implications of negligence or malpractice in nursing practice. 41. A nurse overhears a physician tell a patient derogatory remarks about the nursing staff. Which legal violation applies to the physician’s actions? A. Libel B. Slander C. Assault D. Negligence 42. Leo notices a patient’s condition deteriorates over several hours, but he does not act on the changes. The patient later requires emergency surgery. This inaction is considered: A. Tort B. Misdemeanor C. Common law D. Statutory law 43. A post-operative patient complains of severe pain despite receiving narcotics. Leo suspects the assigned LPN may be diverting narcotics. What should he do first? A. Avoid assigning the LPN to patients receiving narcotics B. Review the medication records and report the situation to the nurse supervisor C. Ask the physician to increase the narcotic dosage D. Confront the LPN directly 44. A patient is scheduled for surgery but the consent form is unsigned. What is the best action for Leo to take? A. Obtain the patient’s signature immediately B. Inform the physician that the consent is missing C. Allow the surgery because it is implied consent D. Have a family member sign the consent form 45. During the night shift, Leo discovers that a patient wants to leave the hospital against medical advice (AMA). Which statement about the AMA form is correct? A. It confirms the patient’s control over care B. It is used during readmission C. It releases the physician and hospital from liability for the patient’s health status D. It documents the patient’s refusal to pay Situation: Nurse Rafael is working in a cardiovascular step-down unit. He is caring for clients who have undergone vascular surgeries and those with chronic cardiovascular conditions. His responsibilities include assessing for complications, preventing thromboembolic events, and providing patient education about lifestyle modifications and medications. 46. Rafael is administering a fluid challenge to a client in hypovolemic shock. Which assessment finding shows the client is responding favorably? A. Urine output increases from 25 mL/hr to 40 mL/hr B. Systolic BP increases from 80 mmHg to 90 mmHg C. Central venous pressure (CVP) increases from 5 cm H2O to 7 cm H2O D. PaO2 increases to 90% saturation 47. Four hours after an aortic-femoral bypass graft, Rafael cannot palpate pulses in the operative leg, and the patient reports pain. What should he do first? A. Massage the leg and apply warm towels 3 | Page