Tiêu đề 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 *


4 | Page SITUATION: Peptic Ulcer Disease prevalence in urban- based hospitals is 15-30%. The following questions are related to PUD. 41. Kiara presents to the hospital stating she his having gastric ulcer. Which of the following assessment data supports the diagnosis? A. The client is experiencing blood in his stool for the past month B. After eating a heavy fatty meal, the patient experiences upper abdominal pain. C. The patient reports wave-like burning sensation D. After ingesting food, the patient complains epigastric pain 30 to 60 minutes. 42. The nurses performs physical examination to the client. The nurse is knowledgeable when she implements which among the following first? A. Examine the abdominal area for tenderness using fingertips B. Listening to each of the quadrants using a stethoscope C. Use plexor and pleximeter in assessing the abdominal borders to identify organs D. Assess the tender area from progressing to nontender 43. Kiara was referred to a gastrointestinal doctor and was informed that she should undergo diagnostic test. What tests confirms the diagnosis? A. MRI B. CTSCAN C. FOBT D. EGD 44. Which physiological complications is expected for the nurse to consider in creating plan of care for patient diagnosed with PUD? A. Knowledge deficit in the causes of ulcers B. Inability to cope in bowel elimination C. Potential for alteration in gastric emptying D. Alteration in bowel elimination patterns. 45. Kiara was discharged and was given home instructions. Which among the following statements means that Kiara learned the expected outcome? A. She should not present any signs and symptoms of hemoptysis B. She should take antacids with each meal to prevent excessive gastric acid. C. She controls her pain by taking NSAIDs D. She maintains modifications in her lifestyle SITUATION: Anemia in the Philippines is prevalent and needs an intervention. There are different types of anemia and the following questions are about it. 46. The nurse is admitting Roy, a 26-year-old male. In gathering his past medical history, he stated that he undergone a gastric bypass surgery for his obesity 3 years ago. The following assessment findings includes height 5’7’’, weight 81kg, P112, R26, BP110/70, pale mucous membranes and dyspnea on exertion. Upon assessment, the nurse suspects that the client is having what type of anemia? A. Folic Acid Deficiency B. Vitamin B12 Deficiency C. Sickle cell anemia D. Iron deficiency Anemia 47. The client with a diagnosis of IDA is prescribe FeSO4 orally. The patient should be educated about: A. Taking laxative for diarrhea B. Exercise being limited until tolerance to the supplement is achieved C. Red meats and organ meats are the only foods that should be consumed to increase the level of iron in the body D. The stools may appear dark green-black which may mask blood 48. The anemia of the patient diagnosed with CHF became so severe that requires the HCP to order two units of PRBCs to transfuse. The unit has 250 mL of RBC plus 45mL of additive. The nurse set the IV pump at what rate to infuse each unit of PRBC? A. 74ml/hr B. 62-63ml/hr C. 147ml/hr D. 125ml/hr 49. You are the charge nurse assigned in the ward. Patients with different types of anemia was admitted. As a charge nurse, you assigned which among the patient to the most experienced nurse? A. client with IDA taking supplements B. client with Vitamin B12 deficiency requiring intramuscular administration C. client with Renal problem with deficiency of erythropoietin D. client with aplastic anemia which developed pancytopenia. 50. The client diagnosed with anemia was discharged. Which among the health education given by the nurse is correct? A. Take the prescribed iron until it is consumed B. Checking the vital signs specially pulse and BP at botika weekly C. Performing exercises at least three times a week D. Have a regular blood workup for CBC at HCP’s office. Situation: A woman who underwent hysterectomy 2 days ago is under your care. 51. Which nursing observations would MOST likely predispose the client to develop venous thrombosis in the lower extremity? A. Drinking coffee at least 3 to 5 cups in a day B. Refusing to get out of bed C. Taking soft diet only D. Requesting for analgesics frequently 52. The following are true regarding antiemboli stockings except: A. Too small stockings may cause skin breakdown. B. Apply stockings in the morning. C. The patient who has been ambulating should wait for 1 hour before applying the stockings. D. Antiemboli stockings can prevent edema of the legs and feet. 53. The nurse assesses the client for Homan’s sign. Which of the following is the CORRECT instruction of the nurse? A. Have the client push each foot hard against the mattress B. Tell the client to sit on bed and point to her toes C. Ask the client to contract her tight muscles D. Instruct the client to extent her legs and flex each foot toward the head 54. Which client’s response suggest a positive Homan’s sign? A. Inability of the client to bend her knees B. Sudden numbness while extending the foot C. Tingling sensation throughout the affected leg D. Sharp, immediate calf pain in the legs 55. Based on the findings, the client has been diagnosed with deep vein thrombophlebitis. Which of the following nursing action must be AVOIDED? A. Elevating the client’s leg B. Massaging the affected leg C. Applying warm compress to the affected leg D. Crossing the legs when seated Situation: After a head injury, Samantha, 36 years old begun to manifest signs and symptoms of Diabetes Insipidus. 56. The nurse in charge understands that Diabetes Insipidus (DI) is caused by an ADH deficiency resulting to which problem in metabolism?.