Tiêu đề RECALLS 3 - NP3 - SC ✅

RECALLS 3 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: 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 ethicaldilemmas the BEST practical guide she can use of is__. A. PRC oath for professionals B. Code of Ethics C. theological doctrine D. Florence Nightingale oath 2. Mr. RAD is admitted to the hospital complaining of chest pain due to clogged in his coronary arteries. He is diabetic hypertensive and considered by the physician to be a high risk for cardiovascularsurgery. 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. 3. Mrs. Agnes, 77 y/o is suffering from dementia and demonstrates unruly behavior. When Nurse Gigi describes the patient in her 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. Rey, who is on an end-stage of life has an order of "Do Not Resuscitate" and passed 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 atonce. D. Clean the body and remove all the IV lines, tubes and other appliances. 5. When a nurse is in full support of 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: A manager of an accounting firm is admitted to the hospital dueto an acute abdominal pain and passing out of bloody stools. After several diagnostic and laboratory examinations the physician ordered him form 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 right kidney. 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. Patient was visited by the anesthesiologist and explained the anesthesiafor his surgery. Which of the following type of anesthesia would youexpect 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-operativeanesthetic requirements and pain? A. Celebrex (Celecoxib) B. Ibuprofen (Motrin) C. Acetaminophen (Tylenol) D. Demerol (Meperidine HC1) 10. The goals for patient's safety in the operating room is imperative forall 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: Crisostomo a 40 years old employee has been complaining of difficult painful urination for almost a week now. He said he sawsome fresh blood in his urine but was afraid to see a physician, instead, he went to his neighbor who is a herbalist. After a week his condition worsen and his wife brought him to a community clinic. 11. A community clinic does primary care for patients. Most often the one who manages this is which of the following? 1 | Page

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 28. When a patient is undergoing TPN, you have to monitor closely for the _______. A. serum creatinine B. potassium level C. serum glucose level D. sodium level 29. While Mrs. Mely is on TPN she suddenly complained of slight chest pain, dyspnea and appears cyanotic. You suspect that she is experiencingwhat possible IMMEDIATE complication? A. Sepsis due to IV line B. Air embolism C. Hyperglycemia D. Allergic reaction to TPN 30. What PRIORITY nursing action should you do with the presentingclinical 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: Ms. Monina is a retired Community Health nurse in barangay SanPablo. Due to her commitment to the nursing profession, she has volunteered in their community to conduct health educationclasses. One Saturday morning, several patients who are hypertensive and with pulmonary health problems attended hersession. 31. Mang Luis, is a newly diagnosed patient with Chronic Obstructive LungDisease (COPD). Which of the following PRIORITY teaching instructionsshould he be given in relation to his condition? A. He should assume supine position when resting. B. Know early signs of respiratory infection. C. He has to be taught how to do Bronchial clapping. D. Family should be advised that patient should sleep in a warmroom. 32. Which of the following health interventions should be included in yourteaching plan for Mang Luis? A. Be on prolonged corticosteroid therapy. B. Lung exercises must be done with longer inhalation than exhalation. C. Reduce risk for infection. D. Have a high flow of oxygen administration. 33. Pulmonary Rehabilitation for COPD has a duration of at least 4 to 12weeks. Which of the following should be avoided while patient is having this program? A. Pursed lip breathing B. Smoking cessation C. Aerobic, upper and lower body conditioning D. Peripheral muscle wasting 34. Weight loss and Malnutrition are commonly observed among patients withCOPD. They should be taught to avoid ________. A. have full stomach even when in dyspneic condition B. keeping body mass between 21-25 kg C. a high caloric and high protein diet D. exercise one hour before and after eating 35. Which of the following energy conserving strategies should NOT be done by COPD patients? A. Exhale when pushing or exerting effort when doing daily activities B. Assume tripod position with elbows supported on the tablewhen shaving or combing C. Inhale when resting, sitting and lying down. D. Stand in front of the mirror while shaving or combing hair Situation: A housewife, appearing jaundice, complaining of abdominal pain,nausea and bloated sensation was rushed to the hospital. Thepatient was examined by the physician and ordered for admissiondue to a suspected stone in the gall bladder. You are the nurseon duty that day. 36. When performing an interview, which is the BEST initial question shouldyou ask when a patient is on 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? 37. Which of the following imaging test that uses transducer will be likely be ordered by the physician to detect gallstones? A. Computed Tomography B. Abdominal X-ray C. Abdominal Ultrasound D. Doppler sonography 38. The test revealed presence of gallstones and inflamed gall bladder. Thepatient was advised to undergo open cholecystectomy. This operationcompared 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 39. After 2 hours post-operatively, the nurse observed reddish drainage from the operative area of the patient. Which of the following nursingactions should you performed FIRST? A. Check if stitches from the operation have come apart. B. Check where is the source of possible bleeding. C. Cover the operative area with sterile gauze bandage. D. Put hand as a pressure on the operative area. 40. After several days in the hospital, the physician ordered for thepatient 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 shower even if still with surgical drain. D. Lifting of objects not more than 10 lbs. Situation: Sarah, 18 year 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 Cushingdisease. 41. Which of the following characteristics of Cushing disease is TRUE? I. The disease occurs in women between 20 to 40 year of age. II. The use of corticosteroids for multiple immune conditions is a cause of the disease process. III. Condition is aggravated by excessive production of ACTH. IV. The surgical treatment of choice in Transphenoidalhypophysectomy A. II & III B. I, II, & III C. I, II, III, & IV D. I & II 42. When one has a Cushing disease the focal structure affected is the __________. A. hypothalamus B. pituitary gland C. adrenal gland D. para thyroid gland 43. Which of the following clinical manifestations will NOT be a complaintfrom Sarah's condition? A. Edema of the extremities B. Poor wound healing C. Decrease libido D. Absence of growth in the pubic area 44. The attending physician ordered a Magnetic Resonance Imaging (MRI) topatient Sarah in order to validate the medical impression. This imaging technique is done to detect ________. A. hemorrhagic injury in the brain 3 | Page