Tiêu đề RECALLS 1 (NP3) - STUDENT COPY ✅

RECALLS EXAMINATION 1 NURSING PRACTICE III CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART A) MAY 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: Ms. Blessie is a new graduate with a Bachelor of Science degree which she acquired from a university. She is determined to pass the National Licensure Examination (NLE) to be administered by the Board of Nursing. 1. The licensure examination which is administered by the Professional Regulation Commission, Board of Nursing is given to _______. A. apply the theory learned from class room to practice settings B. protect the public from incompetent practitioners C. apply the scope of nursing practice D. demonstrate expected competency standards 2. The PRC-Board of Nursing (PR-BON) has the power to regulate Nursing Practice in the Philippines. The regulatory functions include the following EXCEPT ______. A. enforce and monitor quality standards of nursing practice inthe country B. issue, suspend, revoke or reissue certification ofregistered nurses C. ensure proper conduct of nurses licensure in the country D. issue permit for the opening of nursing programs in the country 3. Ms. Mondejar is a new nursing graduate and in dire need for the hospitalization of her ailing mother. She is being offered to endorse a detergent product on TV Commercial wearing a mini skirt and plunging neckline shirt. In doing this performance Ms. Mondejar is violating the neckline shirt. In doing this performance Ms. Mondejar is violating the ____. A. Oath of professional for new nurses B. Nursing practice act 7164 C. Code of ethics for nurses D. Core competency standards 4. Nurse Jed with the members of the team from a tertiary hospital is going for their annual outreach program “Operation Tuli”. There were 300 patients who came in the morning with only 4 doctors, 3 nurses and 1 pharmacist. Due to the volume of patients, Nurse Jed was asked to participate in performing circumcision with the rest of the doctors. Nurse Jed can be liable for committing ______. A. Assault B. Invasion of privacy C. Tort D. Malpractice 5. Which of the following actions is likely to constitute GROSS Negligence? A. Complied with the request of a bedridden patient not to be turned because of pain. B. A nasogastric feeding is not given on time because the patient is feeling nauseated. C. A patient suffering from bleeding due to post-operative wound and the Nurse failed to report to the attending physician. D. Urine output that has not been measured because of an emergency admission. Situation: A manager of an accounting firm is admitted to the hospital due to an acute abdominal pain and passing out of bloody stools. After several diagnostic and laboratory examinations the physician ordered him from exploratory laparotomy. You are the nurse on duty that day. 6. While performing your assessment you are guided that the organs found in the epigastrium include which of the following? A. A Portion of duodenum & jejunum, left kidney, appendix & ovary B. Duodenum, pancreas, portion of the liver and pyloric end of the stomach. C. Stomach, spleen, tail of pancreas and adrenal gland. D. Gallbladder, duodenum, gallbladder and portion of the rightkidney. 7. When conducting a nursing history on the Health Perception, Health Management pattern of functioning what is the APPROPRIATE question to be asked pre-operatively? A. Do you experience your wounds to heal quickly? B. Do you have shortness of breath when exercising? C. Are you aware of risk factors for your disease? D. Have you experience weight changes in the past? 8. The patient was visited by the anesthesiologist and explained the anesthesia for his surgery. Which of the following types of anesthesia would you expect to be ordered? A. Spinal B. Caudal C. Local D. General 9. There are pre-operative medications given to the patient. Which of the following drugs are given in order to decrease intra-operative anesthetic requirements and pain? A. Celebrex (Celecoxib) B. Ibuprofen (Motrin) C. Acetaminophen (Tylenol) D. Demerol (Meperidine HC1) 10. The goals for patient safety in the operating room is imperative for all members of the surgical team. Which of the following UniversalSafety Protocol are adopted and validated PRIOR to surgery? I. Patient's identity II. Surgical procedure III. Surgical site IV. Surgical equipment A. II & III B. I & II C. I, II & IV D. I, II & III Situation: Documentation is a basic competency expected of a graduate nurse when performing her role in the clinical setting. 11. Mr. Ken had his insulin therapy on the day of his admission. On the second day he developed allergic reactions after 2 hours of the administration. What clinical manifestations do you expect the nurse to write in her documentation as a reaction to this drug? 1 | Page
1. Redness 2. Swelling 3. Tenderness 4. Induration A. 1, 2, & 3 B. 2 & 4 C. 1, 2, 3, & 4 D. 1 & 2 12. Mr. Ken has been anxious regarding his diagnosis as well as the reaction to the insulin therapy. As a nurse, the PRIORITY nursing actions to overcome this anxiety behavior is to _____. A. conduct a family conference for the concern of the patient B. refer to the physician for an order of tranquilizer C. express your empathy and respect for his feelings D. take time to explain his disease process and effects of insulin 13. When a patient is suffering from Ketoacidosis, you expect that the entry of Nurse assessment findings in the chart will include the following clinical manifestations EXCEPT ________. A. kussmaul respiration B. cheyne stokes breathing C. lethargy. D. acetone breath odor 14. Nurse Gina who is on morning shift was making her rounds when observed Mr. Jeff, who is suffering from Congestive heart failure is complaining of heaviness of his legs. She observed the patient with an edema of his lower extremities. If the edema is 3+, what do expect the nurse to write in her assessment findings? A. Deeper pit, rebounds in 30 seconds. B. Barely the pit is not perceptible. C. Deeper pit, rebounds in only few seconds. D. Deep pit, rebounds in 10-20 seconds. 15. When auscultating the breadth sounds of patients with respiratory disorder they are instructed to breath through their mouth. A possible complaint the nurse has to watch and be written in her documentation when performing this procedure is which of the following? A. Palpitation B. Dizziness C. Tachycardia D. Bradycardia Situation: Nurse Mita admits Ben, 67 year-old, due to severe abdominal and back pain and vomiting after attending a party. He had positive alcohol breath and was tentatively diagnosed with pancreatitis. He was scheduled for diagnostic laparotomy to further confirm the diagnosis. 16. Nurse Mita gathers more appropriate data from Patient Ben. Which of the following APPROPRIATE questions should Nurse Mita asks? 1."Can you describe your pain?" 2. "Is your urine yellow?" 3. "Is your stool clay colored?" 4."Do you drink alcohol often?" A. 2 and 4 B. 1 and 4 C. 1, 2 and 4 D. 1, 2 and 3 17. Patient Ben asks Nurse Mita, "Why can't the surgeon just take out my pancreas?". The BEST response of Nurse Mita is ____. A. "your body needs to function well with your pancreas" B. "your attack will soon be overcome when you are at rest" C. "if your pancreas is removed, you can never eat fat andfried foods again" D. "antibiotic will relieve signs of infection" 18. Before Surgery, Patient Ben is on nothing per orem status (NPO). She tells Nurse Mita that he is thirsty and hungry. Which of the following is the BEST response of Nurse Virgo? A. "You can sip only this amount of water to moisten your mouth" B. "An NGT will be insertedto remove gastric secretions alleviate your thirst" C. "I will give you ice chips to relive your thirst" D. "Oral and fluid intake stimulates pancreatic enzymes and pain" 19. Nurse Mita asks Patient Ben how she can help to reduce pain while waiting for his operation. Which is the MOST appropriate question of Nurse Virgo? A. "Are you ready for the operation? The pain will soon be over." B. "After the operation, everything will be alright." C. "Is your present position reducing pain?" D. "Does exercise reduce your pain?" 20. Which of the statements of Patient Ben will convince Nurse Mita that his instructions for the prevention of pancreatitis were understood by the patient? I will _________. A. "increase my intake of high protein products" B. "try to stop drinking alcohol" C. "follow a high fat diet faithfully D. "be careful of exposing myself to infection" Situation: An alert 67 year-old woman with diabetes mellitus is discharged from the hospital. A referral is made to a community nursing agency. You are asked to reinforce the teaching program started in the hospital. The patient is using sulfonylurea compound tolbutamide (Orinase). 21. When the patient turned 69 years old. Orinase was discontinued and NPHinsulin was prescribed for her. After several months, she is determined to be suffering from the Somogyi effect. Which of the following conditions will most likely result when the patient is receiving too much insulin? A. Developing an elevation of the blood glucose level B. Producing even more insulin C. Becoming resistant to insulin D. Conserving excessive amount of fluid 22. A few days later, the patient comes into the emergency department via ambulance stretcher and reveals a work-up of a blood sugar level at 800mg/dl, ketones are absent in the urine, she is dehydrated, and has an altered mental status. Based on the data, the patient is most likely suffering from what specific medical condition? A. Hyperosmolar nonketotic coma (HNKC) B. Diabetic retinopathy C. Acute renal failure D. Diabetic ketoacidosis (DKA) 23. Upon interview, the patient reported that she often felt nauseated,restless, perspired a lot, felt fatigued, and was often hungry when she was younger. What do these signs indicate? A. Diabetic nephropathy B. Hyperglycemia C. Hypoglycemia D. Diabetic retinopathy 24. Upon further assessment, you noticed that she had many scratches on her right ankle, a resulting infection and cellulitis. When you ask her about the scratches the patient states. "Oh, my cat must have been using my leg as a scratching post again and I did not even feel it”. Which diabetic complications suspect the patient to have? A. Neuropathy B. Macroangiopathy C. Retinopathy D. Ephropathy 25. You should check the patient for suspect disturbed thought processes related to depressed metabolism and altered cardiovascular and respiratory status. What is the rationale for orienting the patient to time, place, date, and events? A. Shows improved cognitive functioning B. Provides reality orientation to patient C. Permits evaluation of the effectiveness of treatment D. Lets the patient identify the time, place, date and eventscorrectly Situation: Mr. Reynard is tasked to conduct a study to determine the level of patient satisfaction on the care they received from the hospital. In doing so, he plans to include: all adult patients admitted from May-October, first admission, with an average length of hospital confinement of 4-5 days, and with no complications. 26. Which of the following is an EXTRANEOUS of the study? A. Age of patients. B. Absence of complications. C. Length of stay 4-5 days. 2 | Page
D. Date of admission January-March. 27. Which of the following variables will he likely EXCLUDE in his study? A. Salary of nurses B. Caring attitude of nurses C. Responsiveness of staff D. Competence of nurses 28. He plans to use a Likert scale to determine: A. compliance to expected standards B. degree of agreement and disagreement C. level of satisfaction D. degree of acceptance 29. Which criterion refers to the ability of the instrument to detect fine differences among the subjects being studied? A. Reliability B. Sensitivity C. Objectivity D. Validity 30. This technique refers to the use of multiple referents to draw conclusions about what constitutes the truth. A. Delphi technique B. Meta-analysis C. Triangulation D. Experiment Situation: Nurse Patty is a newly hired Registered Nurse together with 5 licensed graduate nurses coming from different regions. It is their first day of orientation in a big health facility. The continuing nurse educator started the session by projecting the organizational structure of the medical center. 31. Which of the following is the MAJOR PURPOSE of an organizational structure? It is a ______. A. blueprint representing committees for delegation of roles and functions B. flow chart that shows interaction among members of major and minor groups C. framework of relationship of units, departments and channels of communication D. design that identifies roles, collaboration, interdependence between functions of people 32. Line and staff functions are identified in the presented Organizational Chart. What does line authority mean? A. Staff relationship in the organization is advisory in nature B. Staff mix of personnel reporting to the "Boss". C. Decisions are made from bottom to top in an organization. D. A direct responsibility over a subordinate within an organization. 33. Which of the following statements is CORRECT of the nursing service system in health care? A. Informed leaders are more effective than formal leaders in an organization. B. A shared governance tends to be controlling and with less autonomy. C. Institutional policies are a more powerful tool in nursing practice than laws and regulations. D. A situational leadership style provides effective means in achieving patient outcomes. 34. The mode of nursing service delivery system is being revisited in response to the patient's outcome. Which of the following is NOT TRUE of the manager's role in the health care delivery system? A. Provides direct nursing care when needed. B. Manages resource utilization. C. Act as a liaison in litigation cases in court. D. Collaborates with members of the health. 35. Budgeting is an important aspect of financial management. When a unit manager allocates expenses for unit supplies, stocks and medical-surgical supplies. This is considered _________. A. cash budget B. operational budget C. capital budget D. flexible budget. Situation: Ethical and moral issues are becoming a common scenario in practice setting so health care providers have to be equipped with this competency. 36. 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 37. Mr. Chad is 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. RAD his health status & let him decide. 38. Mrs. Dina, 77 y/o is suffering from dementia and demonstrates unruly behavior. When Nurse Gelly describes the patient in her shift report, as "That awful, dirty old woman in Bed 14" is an example of what ethical behavior is being employed by the nurse? A. Stigma B. Ageism C. Gender bias D. Depersonalization 39. Mr. Red, 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. 40. 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: Kelly, 68 -year-old, was admitted to the hospital because of decreased appetite, easy fatigability, dehydration and weight loss of about 15 lbs for the past weeks. She was examined by the physician and advised to be admitted. You are the nurse assigned to take care of her. 41. The physician ordered to start Ms. Kelly on Total Parenteral Nutrition(TPN). What is your INITIAL step to be undertaken PRIOR to this intervention? A. Determine if the family can afford the whole treatment. B. Evaluate the tolerance of the patient to glucose. C. Identify allergies of patient to supplemental nutrition. D. Assess the basic understanding of the patient regarding TPN RATIO: assessment of potential allergies prevents adverse reactions with respect to TPN 42. Choose from the following the primary goals of TPN? I. promote weight gain II. improve nutritional status III. maintain muscle mass IV. establish nitrogen balance V. enhance healing process A. I, II, & III B. I, II, III, & IV C. I& II D. I, II, III, IV & V 43. When a patient is undergoing TPN, you have to monitor closely for the _______. A. serum creatinine B. potassium level C. serum glucose level 3 | Page
D. sodium level 44. While Mrs. Kelly is on TPN she suddenly complains of slight chest pain, dyspnea and appears cyanotic. You suspect that she is experiencing what possible IMMEDIATE complication? A. Sepsis due to IV line B. Air embolism C. Hyperglycemia D. Allergic reaction to TPN Ratio: SX ARE RELATED TO AIR EMBOLISM. CLINICAL SX IS RASHES/Petechiae AT THE CHEST 45. What PRIORITY nursing action should you do with the presenting clinical manifestations of the patient? A. Report to the physician status of the patient at once. B. Take Blood pressure and respiratory rate. C. Stop temporarily the Total Parenteral Nutrition D. Administer Oxygen inhalation. Situation: A housewife, appearing jaundiced, complaining of abdominal pain,nausea and bloated sensation was rushed to the hospital. The patient was examined by the physician and ordered for admission due to a suspected stone in the gall bladder. You are the nurse on duty that day. 46. When performing an interview, which is the BEST initial question you should ask when a patient is in pain? A. How often do you feel the pain? B. How would you describe your pain? C. Did you take any drug to relieve the pain? D. When did you first feel the abdominal pain? 47. Which of the following imaging tests that use a transducer will likely be ordered by the physician to detect gallstones? A. Computed Tomography B. Abdominal X-ray C. Abdominal Ultrasound D. Doppler sonography 48. The test revealed the presence of gallstones and inflamed gall bladder. Thepatient was advised to undergo open cholecystectomy. This operation compared to laparoscopic cholecystectomy are _________. I. invasive II. less pain III. longer recovery IV. shorter hospital stay A. I, II, & IV B. I & II C. I, II & III D. I & III 49. After 2 hours post-operatively, the nurse observed reddish drainage from the operative area of the patient. Which of the following nursing actions should you performed FIRST? A. Check if stitches from the operation have come apart. B. Check where the source of possible bleeding is. C. Cover the operative area with sterile gauze bandage. D. Put your hand as a pressure on the operative area. 50. After several days in the hospital, the physician ordered for the patient to be discharged. Which of the following is PRIORITYrestriction that you should emphasize when he goes home? A. Stool softener to induce bowel elimination. B. Driving while using narcotic drug. C. Take a shower even if it is still with a surgical drain. D. Lifting of objects not more than 10 lbs. Situation: Marichan, a hairstylist is experiencing peri-umbilical pain, feeling feverish and nauseated while at work. She was rushed to the hospital as the pain is becoming intense at the right lower quadrant of the abdomen. She was advised by the ER physician to be admitted for further work-up. 51. Nurse Bela admitted the patient and started to do her assessment. What sign is elicited by the nurse when a deep palpation of the left iliac fossa is done and causes pain on the right iliac fossa of the patient? A. Obturator sign B. Blumberg sign C. Psoas sign D. Rovsing sign 52. After a thorough physical examination, laboratory and diagnostic test the physician ordered an emergency open appendectomy due to a suspected ruptured appendicitis. This is done to prevent which of the following MAJOR complications? A. A Thrombosis B. Sepsis C. Perforation D. Bleeding 53. The nurse prepares the patient for surgery. The overall goals by the surgical team for the patient going for operation include which of the following? I. Relief of pain II. Preventing fluid volume deficit III. Reducing anxiety reaction IV. Eliminating infection A. I, II, III, & IV B. I, II, & III C. II & IV D. I &II 54. As a safety alert, which of the following nursing measures should be AVOIDED by the nurse prior to appendectomy? A. Observe nothing by mouth B. Administration of enema. C. Removal of nail polish D. Instruct to urinate. 55. In wound care management, the nurse is aware NOT to perform which of the following intervention? A. Allow the wound to drain freely. B. Maintenance of an acidic or neutral PH C. Application of cold pack solutions. D. Maintenance for a moist wound environment. Situation: Janah, 18 years old, a teller from a bank is admitted to a tertiary hospital due to hypertension and frequent hematoma of the lower extremities every time she bumps herself in the workplace. The physician who examined her gave an impression of Cushing disease. 56. Which of the following characteristics of Cushing disease is TRUE? I. The disease occurs in women between 20 to 40 years of age. II. The use of corticosteroids for multiple immune conditions is a cause of the disease process. III. The condition is aggravated by excessive production of ACTH. IV. The surgical treatment of choice in Transphenoid hypophysectomy A. II & III B. I, II, & III C. I, II, III, & IV D. I & II 57. When one has a Cushing disease the focal structure affected is the __________. A. hypothalamus B. pituitary gland C. adrenal gland D. para thyroid gland 58. Which of the following clinical manifestations will NOT be a complaint from janah's condition? A. Edema of the extremities B. Poor wound healing C. Decrease libido D. Absence of growth in the pubic area 59. The attending physician ordered a Magnetic Resonance Imaging (MRI) to patient Janah in order to validate the medical impression. This imaging technique is done to detect ________. A. hemorrhagic injury in the brain B. electrical impulse in the brain C. level of oxygen in the brain D. non-hemorrhagic injury in the brain 60. While patient Janah is confined in the hospital, the safety measure tobe observed by the nurses is prevention from fall. This is brought about by the patient being prone to fracture as a result of ____. A. aging process B. change in vision C. osteoporosis D. hematologic condition 4 | Page