Tiêu đề RECALLS 7 - NP3 - SC ✅

RECALLS 7 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 - 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 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 2. Mr. JBM was 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. JBM his health status and let him decide. 3. Mrs. Constancia, 77 y/o is suffering from dementia and demonstrates unruly behavior. When Nurse Dan describes the patient in his 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. Mark, 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 5. 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: Nurse Janina works in the medical unit of a tertiary hospital, where the majority of patients are diagnosed with endocrine disorders. She is currently caring for the following patients: Juliet, a 54-year-old married woman with hyperthyroidism; Vanessa, 66-year-old with a suspected case of Cushing's syndrome; and Miles, a 48-year-old woman suffering from hypothyroidism. 6. During your physical assessment of patient Vanessa, she displays a UNIQUE clinical manifestation that differs from those of patients Juliet and Miles, characterized by ______ A. cyanosis, increasing growth of hands and feet B. anemia, weight loss and presence of acne C. moon face purple striae on trunk and buffalo hump D. moon face easy fatigability and peripheral edema 7. Which of the following diagnostic tests do you expect the physician NOT to order for patient Vanessa, who is suspected of having Cushing's syndrome? A. 24 hour urine cortisol level B. C reactive Protein level C. ACTH serum concentration D. Computerized tomography of the brain, chest and abdomen 8. Which clinical manifestation should Nurse Janina watch for patient Juliet if she is suffering from hyperthyroidism? A. Cold extremities B. Increased weight C. Decreased bowel movement D. Fine motor tremor 9. Patient Miles, who has hypothyroidism, is prescribed which of the following medications? A. Propranolol B. Iodine C. Iron pills D. Levothyroxine 10. Which of the following should Patient Miles AVOID while undergoing treatment for hypothyroidism? A. Use of warm blankets B. Light activities done at home C. Taking foods low in fiber D. Exposure to cold temperature Situation: A patient who suffered head trauma suddenly experienced an increase in urine output, exceeding 250 mL per hour along with a feeling of intense thirst. 11. The nurse is caring for a patient with DI. Which of the following doctor’s order would the nurse question? A. Weigh the patient daily, using the same type of clothes and same weighing scale at the same time of the day. B. Accurately monitor I&O. C. Restrict fluid intake. D. Make sure to keep the patient hydrated 12. The physician ordered Desmopressin to be given to the patient. What is an important nursing consideration when administering this medication? A. Slowly administer via IV since this is a vesicant. B. Watch out for water intoxication. 1 | Page