Tiêu đề RECALLS 13 - NP3 - SC ✅

RECALLS 13 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 1 - Dr. Cynthia, a Ph.D graduate in Nursing, has been appointed as a consultant in a tertiary hospital to help administration of coming up to strategies that will further enhance culture of team work and quality improvement (QI) among health personnel in the workplace. One day, Dr. Cynthia while conducting her rounds observed a charge nurse (CN) facilitating a team on reducing post-operative complications in her unit of assignment. The nurse was emphasizing the four (4) essential steps of the QI process. 1. The FIRST phase of this activity is __________. A. Review cause/s of the problems B. List of problems & prioritize C. Conduct root cause analysis D. Analyze the problems carefully 2. While undergoing the QI process, three (3) members of the team were having conflict in what management to do. Which of the following can be an EFFECTIVE strategy to resolve this conflict? A. Reprimand the three members of the team of their behavior B. Assign the three members of the team in the different shifts C. Assign an Administration to solve the conflict D. Have the three members confront with each other 3. Dr. Cynthia was initiating some innovative activities in the medical center for a continuous quality improvement (CQI) in patient care services. A policy has been adopted for nursing staff every shift to conduct hourly rounds for patients with PRIORITY health problems and attached policy was being complied with by the nurses however, she found out in the succeeding dates, it was no longer followed. What is the PRIORITY action of Dr. Cynthia in this situation? A. Assign one Nurse per shift to conduct the hourly rounds B. Conduct a general meeting with the staff and determine why such policy is NOT complied with C. Conduct a general meeting with the staff and explain the benefits of the hourly rounds D. Call to the office nurses who fail to comply the hourly rounds 4. The CQI team have observed that the incidence of FALL among older persons have increased by 50%. This data has reached Dr. Cynthia and she instructed the team to conduct which one of the following PRIORITY measures? A. Provide a cash incentive for units with 0 incidence of Fall. B. Intensify the in-service program for the unit with the highest incidence of Fall. C. Identification of the root cause of Fall. D. Decrease the benefits of those personnel who are involved in the Fall incidence. 5. A part of the CQI that Dr. Cynthia wanted to implement is the partnership safe and quality patient model, the collaboration process as a strategy is an example of _________. A. Feedback mechanism B. Through – put C. output D. Input Situation 2 - Abby is a BSN graduate and have to take the nurses licensure examination to be able to Practice her chosen profession. In order to qualify for the licensure examination, she has to comply with the basic requirements from the PRC-Board of Nursing. 6. Which one of the following is NOT considered an admission criterion for BSN graduates seeking admission to the Licensure examination? A. 20 years old upon registration B. Citizen of the Philippines C. Completed related learning experiences D. Good moral character 7. Taking an Oath of profession is a requirement for you to practice nursing in the Philippines. Which of the following is the legally designated officer to conduct the oathtaking? A. Professional Regulatory Board of Nursing B. President, Association of Nursing Service Administrators C. President, Phil. Nurses Association D. President, Association of Dens, Philippine College of Nursing 8. In RA 9173, which of the following is NOT among the provisions? A. Functions of the Board of Nursing B. Scholarship C. Nurse to patient ratio D. Salary and benefits 9. In health facilities, like tertiary hospitals, nurses are able to enhance their competence by rotating in different shifts. When a nurse is assigned to do wound dressings to all patients for the entire shift, this is an example of what type of nursing service delivery? A. Case management B. Team nursing C. Functional nursing D. Primary nursing 10. A framework that is adopted recently is the use SBAR for nurse-Health Care provider communication. SBAR is an acronym for Situation, Background, Information, Assessment while R is recommendation. Which of the following statements fall under the category of assessment? A. “Sally is 21 years old, single and college graduate.” B. “She had a relief of abdominal distention after an intake of antacid.” C. “Can you give pain medications for her abdominal pain.” 1 | Page

A. Refer the case to the minister so he can convince the patient B. Proceed with giving of blood transfusion as this is highly needed C. Refuse the suggestion of the wife for the husband might be awake D. Talk with the wife that she is violating the husband’s request 25. A waitress in a nearby bar was admitted because she was suspected to be suffering from HIV. The waitress is single, but with a boyfriend working in the Middle East. During the shift report of the nurses, the outgoing morning shift was discussing the case in a very loud voice and being heard by some patients in the ward. The Nurse, can be charged for_________. A. Breach of confidentiality B. Oral defamation C. Injustice D. Non-maleficence Situation 5 - Nurse Joy is assigned in the Female Medical ward, caring for patients with varying health conditions. She believes that documentation is an essential aspect of the nursing process and vital for the role as a Nurse especially on record keeping and reporting. 26. When Nurse Joy indicates basic care information, skills and referral services that the patients may need before being released from the health facility is an entry of what documentation in the chart? A. Multidisciplinary notes B. Physician orders C. Discharge Plan D. Nurses notes 27. In coming up with her formulated nursing diagnosis for her patient Ms. Dina, who is suffering from hemolytic anemia, you will expect Nurse Joy to write in the Nursing care plan which one of the following PRIORITIES? A. Ineffective airway clearance R/T poor gas exchange. B. Activity Intolerance R/T to fatigue. C. Poor tolerance to heat R/T increased metabolism. D. Imbalanced Nutrition: less body weight. 28. The physician on duty (POD) ordered a specific diet for patient Dina. Which of the following diet prescriptions will Nurse Joy transmit to dietary department? A. High protein, high caloric diet. B. High fiber, less fat, high protein diet. C. High fats, high protein diet. D. High carbohydrate, less fiber, low protein diet. 29. Marimar, 55 yr old is another patient of Nurse Joy who is having an asthmatic attack, with extreme dyspnea and presence of sternal retraction. The physician who was making his rounds examined the patient and ordered the drug of choice that will relieve patient’s problems. Which of the following will be likely be written by the physician, carried out and recorded by the Nurse in the Medication chart? A. Nor-epinephrine B. Epinephrine C. Prednisone D. Albuterol 30. Nurse Joy is preparing for her shift report with the members of her team in the ward, when she was approached by her junior nurse who raised this concern regarding a physician order. Which of the following orders should I question if this has been written by a doctor? A. twenty four hour ambulatory EKG for a hypertensive patient B. stress test monitoring for an obese adult C. a high dose of insulin for a diabetic adolescent D. blood transfusion for an anemic elderly Situation 6 - Nicolo, 32 years old, single, who is an electrical engineer is scheduled to undergo left leg amputation because of an abscess from a non-healing wound. He is a Juvenile Diabetic. 31. On admission the nurse started to gather his health history, but the client appears uneasy and uncomfortable to share information about his condition. What is the BEST approach of the nurse in this situation? A. Assure him that the information he is going to share will be treated confidentially. B. Tell him, you have encouraged similar problems in the past C. Continue getting his data in a professional manner D. Ask him if he wants to be interviewed at a later time 32. The parents of Nicolo came to visit him. They feel very anxious about their son’s condition. You were asked by the parents what they can do to help their son. Your BEST response is __________. A. “Don’t show him that you are anxious, it will just aggravate his condition.” B. “I am sure anything you will do for him will be appreciated.” C. “Allow him to do activities that interest him for the meantime.” D. “Don’t worry, he will be able to adapt to his condition in due time.” 33. After surgery, Nicolo was transferred to the Post Anesthesia unit (PACU). His vital signs were stable and he was responsive. After two hours, he was transferred to his room. The Ward Nurse received the patient. The BEST nursing approach to do REALITY orientation to Mr. Timmy is _______. A. “Good afternoon, Mr. Nicolo. Do you know where you are?” B. “Mr. Nicolo, you just had your surgery, and you are back to your room.” C. “Thanks God, you had a successful operation. Your parents are here.” D. “Good afternoon, Mr. Nicolo, did you have a good sleep during the operation.” 34. On the 3 rd day, after the operation, you observed that Mr. Nicolo was very quiet, and when approached, he said to the nurse. “I am really concerned with my future!” The nurse’s BEST response is __________. A. “You’re upset, what are you thinking about your future?” B. “We have our hospital chaplain, do you want to see him?” C. “Do you want to discuss your concerns to your parents?” D. “Tell me more about your concerns about your future.” 35. As the nurse of Mr. Nicolo, what is your PRIORITY goal for him? A. Plan for early rehabilitation. B. Arrange for his counselor to spend time with him. C. Create options for his future. D. Self-acceptance of his leg amputation. Situation 7 – Patient Dolores, a 60 year-old was brought to the Emergency Room due to severe pain caused by burns on her arms and legs after her house caught fire. She was crying and moaning. She was diagnosed by the doctor to have 3 rd degree burns. Nurse Tala started to conduct her health assessment and patient was subsequently admitted. 36. Nurse Tala formulated and documented in the chart her nursing diagnosis on Patient Dolores. A PRIORITY nursing diagnosis she wrote is, PAIN R/T _________. A. Exposed nerve endings B. Burn injury C. anxiety D. inflammation 37. Nurse Tala gives pain reliever to Patient Dolores before a procedure is done. Which of the following route should be avoided? A. Intramuscular injections B. Inhalations C. Topical medications D. Oral medications 38. Nurse Tala evaluates Patient Dolores a day after incurring the burn. Which of the following nursing interventions is APPROPRIATE at this time? A. Apply topical anesthesia on the site of burn B. Administer oxygen via nasal mask C. Evaluate the intensity of pain D. Administer pain reliever through injection 3 | Page