Tiêu đề RECALLS 3 (NP3) - STUDENT COPY ✅

RECALLS EXAMINATION 3 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 – Nurse Liza is assigned on a 3-11 shift in the female medical ward of a Tertiary Hospital. Patient Alma has been complaining of excruciating abdominal pain and was asking for pain medication. She was referred to the physician on duty (POD) for an immediate relief of pain 1. In addition to the identification bracelet worn by the patient, how can the nurse on duty (NOD) verify the identity of her patient when administering the drugs? A. Ask the question, “Are you Ms. Alma?” B. Read the patient’s name at the foot of the bed C. Ask the patient’s name from the watcher. D. Ask the patient’s husband’s name 2. The physician orders a PRN pain medication to patient Alma. When will Nurse Liza administer a PRN drug? A. A standing order is carried out as specified until discontinued for another order. B. When the physician writes the drug as needed in the order sheet. C. A single dose of the drug, carried out by the nurse at a time specified by the physician. D. An order written by the physician that has to be carried out immediately. 3. When a patient is in pain, what PRIORITY consideration should Nurse Liza observe? A. Goal of treatment of the health professionals. B. Perception of pain of the individual. C. Harmful effects of the drugs. D. Cost of the pain medication. 4. Prior to the administration of pain medication, Nurse Liza assesses the degree of the pain of patient before and after the drug administration. Using the numeric scale of 0-10 (0 is the lowest and 10 is the highest) on pain, when the patient has rated her pain as 7 it means it is ____________. A. severe B. tolerated C. Slight D. moderate 5. In educating effectively the patient and family on how to use a pain rating scale, the following are the STEPS to be followed by the nurse __________. 1. discuss pain as a broad concepts 2. set goals for comfort and function 3. explain parts of the rating scale 4. show pain rating scale and purpose 5. verify if patient understands broad concepts of pain. 6. ask patient to practice the pain rating scale A. 1, 2, 3, 4, 6 & 5 B. 4, 3, 1, 5, 6 & 2 C. 2, 4, 3, 1, 6 & 5 D. 3, 1, 2, 5, 4 & 6 Situation - As a staff nurse in a government hospital, you have been exposed to varied cases of clients with endocrine problems. Your nursing responsibility starts from admission to discharge which is a domain of your competencies. 6. Which of the following questions should you ask during an admission interview for a client with a diagnosis of pheochromocytoma? A. Do you always feel like you are suffocating, you want to rest and sleep B. Do you suddenly feel warm and flushed when you get out of bed C. Do you notice an increase in your heart beat? D. Do you have an increase in urination lately? 7. When the sympathetic nervous system is stimulated in the case of pheochromocytoma, you expect which of the following signs? i. Hypertension ii. Headache iii. Hyperhidrosis iv. Hypermetabolism A. 3 and 4 B. 1 only C. 1, 2, 3, and 4 D. 2 and 3 8. Which of the following drugs can induce hypertensive crisis in Pheochromocytoma? A. Tricyclic antidepressant B. Corticosteroid C. Respiratory stimulant D. Radio iodine therapy 9. In the presence of pheochromocytoma, the diagnostic test which is expected to be elevated is ___________. A. Serum thyroid hormone levels B. Albumin globulin test C. Urine cyclic adenosine mono phosphate D. 24 hours urine collection for vanillylmandelic acid (VMA) 10. Palpation, as a modality for physical examination is AVOIDED when diagnosed with pheochromocytoma because this action_______________. A. Will cause sudden release of norepinephrine and severe hypotension B. Will cause a sudden release of cathecolamines and severe hypertension C. Will displace the location of the tumor D. Will cause sudden release of epinephrine and severe palpitation Situation – Communication is a basic component of person to person relationship. In a clinical setting nurses are evaluated by patient to be efficient in carrying out activities of daily living but sometimes limited in employing routine bedside care. 11. Nurse Helen is taking of an older person and has been waiting for almost two hours for her son to arrive. She is ready for discharge. Which of the following statements is an example of a therapeutic communication? A. “I can call your son by cellphone to remind him that you are waiting.” 1 | Page
B. “Your son must be in a traffic jam right now.” C. “I’ll stay with you until your son arrives.” D. “Would you want to watch the television while waiting?” 12. You are teaching a 66 year old male diabetic client about the effects of insulin. He is ready for discharge the next week. Which of the following is a statement of a helping relationship with the patient? A. “In a few days I’ll review what you have learned about actions and effects of your insulin.” B. “You keep on forgetting what I said but will try to repeat some of them.” C. “I already mentioned those actions and effects of insulin, I think you forgot some of them. D. “Would you like me to discuss the information to your wife? She can assist you?” 13. A patient is scheduled for cholecystectomy. She verbalizes to the nurse in an anxious manner “Will my surgery be too long?” The BEST response of the nurse is __________. A. “I have undergone the same surgery, its a very quick operation.” B. “Your doctor is an expert, don’t worry about how long.” C. “Your surgery is at 9AM tomorrow. And you’ll stay in the recovery room for an hour. You will be back in the room before 12 noon.” D. “The operation will not last long. By the time you are awake you will be already in your room.” 14. When the nurse explores thoughts and feelings about the patient’s surgery, this phase in the helping-relationship is in _______________. A. introductory phase B. termination phase C. resolution phase D. working phase 15. Which of the following major types of learning strategies can you offer for a Geriartric patient who has difficulty in hearing? A. Practice B. demonstration C. printed learning materials D. role playing Situation – Mr. Con is being prepared for a major surgery. Legal preparation for surgery consists of checking all the required forms for the operation. Equally important is to make sure that the patient is physically, psychologically, and emotionally ready for the procedure. 16. Informed consent is a process that gives the patient opportunity involved in his or her care. As patient advocate, the nurse ensures the following three conditions are present to make consent valid, EXCEPT: A. Adequate disclosure of the diagnosis by the physician B. Comprehension of information by the patient before the operation C. Patient voluntarily giving consent D. Forms signed by any close relative or watcher 17. The patient asks you, “What do you think of my surgeon?” You answered “hmmmmm... he is not really the best one and he seems not to care for patient...” As a result, the patient switches to another surgeon. The latter may have grounds to sue you for _____________. A. Slander B. Invasion of privacy C. Malpractice D. Libel 18. One of your patient’s visitors whisper to you, “I hope you will not try to revive my dear friend if her heart stops as she has already suffered a lot.” The correct response is ___________. A. “That decision is up to the physician” B. “We are all trained in cardiopulmonary resuscitation” C. “There is a ‘ Do not resuscitate’ order in her chart” D. “ I understand your concern, but I can’t discuss this matter with you” 19. According to the Joint Commission, the most frequently cited factor in sentinel (unanticipated) events that leads to a patient’s serious physical or psychological injury is ______________________. A. Confusion within the health team B. Miscommunication among health team members C. Incompetence by a team member D. Policy changes are not followed by adequate and consistent staff education Situation – Nurse Zanjoe is assigned in the Medical Ward for 7 years. He is well appreciated by his colleagues and patients because he intercedes with patient’s need, he has good decision making ability, and respect the patients’ rights and cultural practices. He helps colleagues beyond call of duty. 20. A patient who has craniotomy was referred by Nurse Greg to Department of Social Welfare (DSWD) because he has problem on paying his unsettled hospital bill amounting to 80 thousand pesos. The relatives are afraid the patient will not be discharged soon. Which of the following function BEST describe the action of Nurse Greg? A. Advocate B. Caregiver C. Educator D. Clinician 21. Nurse Zanjoe notice a colleague taking frequent breaks, working over-time, inaccurate drug accounts and displaying inappropriate behavior during meetings and conferences. Nurse Zanjoe suspects her colleague is ___________. A. a victim of domestic violence B. with personality disorder C. on substance abuse D. not mindful of mindful work output 22. Nurse Zanjoeis assigned on night shift and noted a co-worker with a tourniquet wrapped around the upper arm. The co-worker is about to insert needle attached to a syringe containing a clear liquid into the antecubital area. Zanjoe’s initial action is to call the ______________. A. nurse supervisor B. physician C. security guard D. watcher 23. Nurse Zanjoe made a conference with a preoperative patient on important data related to her illness. To practice confidentiality of information, Nurse Zanjoe MUST consider which of the following? A. Documents the process of conservation to serve as proof for future reference. B. Apply technology for easier and faster communication and documentation. C. Conducts the conference in a private place where conversation is not heard. D. Invites others to interpret the discussion if patient is deaf to unfamiliar with the language. 24. A patient refuses to undergo surgery after a conference with her doctor. Which of the following ethical principle applies when Nurse Zanjoe and doctor respect the decision of the patient in the spite encouragement and pieces of advise given? A. Autonomy B. Beneficence C. Veracity D. Self-Determination Situation – Conducting Research is one of the major roles of the nurses both in hospital and community settings. To be able to develop such competencies, the nurse has to undergo an actual conduct of the research process. 25. Which of the following statements BEST described a researchable problem? A. Responses of parents toward having children with congenital heart diseases. B. The relationship between relaxation technique and relief of pain of post CABG patients in the surgical coronary care unit. C. Incidence of medication errors and reporting practices of Health Care Professional in a teaching hospital D. To what extent do pre-operative teaching affect the length of hospitalization of patients going for surgery 26. Nurse Joan has to undergo literature search for her study. She can avail of this from the following EXCEPT_____________. 2 | Page