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


B. electrical impulse in the brain C. level of oxygen in the brain D. non-hemorrhagic injury in the brain 45.While patient Sarah is confined in the hospital, the safety measure tobe observed by the nurses is prevention from fall. This is brought about by the patient being prone to fracture as a result of ____. A. aging process B. change in vision C. osteoporosis D. hematologic condition Situation: Mr. Alda, 50 year old company driver is admitted in the Emergency Room (ER) because of pain of the left chest and difficulty of breathing. History revealed that the patient smokes one half to 1 pack of cigarette per day especially when he goes on overtime. Vital signs: BP is 150/90, PR-110/min. RR 38/ beats. Has clammy perspiration and quite restless. The physician ordered chest X-ray and revealed patient has Pneumothorax. You are the nurse in-charge of the patient. 46. As a nurse you are guided that pain is usually described BEST as aphenomenon which is a ______. A. Neurologic activation of norciceptors B. Subjective unpleasant experience C. Adaptive mechanism to a stimulus D. Creation of one's imagination 47. When a patient has a pneumothorax, the nurse's assessment findings will likely reveal_______. I. absent breath sounds on the affected side II. decreased chest expansion unilaterally III. sharp chest pain IV. burning chest pain A. I, II,III B. III &IV C. I, II, IV D. I & II 48. Which of the following statements is NOT true of Pneumothorax? A. Atmospheric air within the pleural space can result to a rise in intra thoracic pressure and reduce vital capacity inthe lungs. B. The loss of positive intra-pleural pressure can producepneumothorax C. The loss of negative intra pleural pressure can result tocollapse of the lungs. D. A spontaneous pneumothorax can occur with the rupture ofpulmonary bleb. 49. The physician inserted a chest tube drainage to Mr. Alda in order tohelp re-expand the lungs. Which of the following should you prepareFIRST as a nurse in case of emergency when the tube is accidentally disconnected? A. sterile clamps. B. Another chest tube. C. Sterile dressing. D. A bottle of sterile water. 50. In order to relieve Mr. Alda of pain, the physician prescribed morphine. So4 2mg/IV PRN for untolerable pain. The overall goal of the Health Care Professional is to provide adequate control so the patient can breathe easily. Which of the following would indicate successful attainment ofthis goal? A. Anxiety level of patient will be reduced. B. Respiratory rate will be decreased to 20 breadths /min. C. Oxygen saturation is at 76% level. D. Pain scale will show 1to 2,in a rating scale of 10(highest, 0-lowest) Situation: Nurse Rachel is assigned in the medical unit of a tertiaryhospital where most of the patients admitted are suffering from Endocrine disorders. She is currently assigned to Patients: Claire, 54 year old, married with hyperthyroidism. Aster, 66 yr. old has an impression of Cushing syndrome while Sonia, 48 year old is suffering from hypothyroidism. 51. While you are doing your physical assessment to patient Aster, she hasbeen exhibiting a UNIQUE clinical manifestation different from patients. Claire and Sonia which is 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. 52. Which one of the following diagnostic tests do you expect NOT to be ordered by Dr. Lim to patient Aster who is suspected to have Cushing Syndrome? A. 24 hour urine cortisol lever B. C reactive Protein level C. ACTH serum concentration D. Computerized tomography of the brain, chest and abdomen 53. Which clinical manifestation should Nurse Rachel watch for patient Claire if she is suffering from hyperthyroidism? A. Cold extremities B. Increased weight C. Decreased bowel movement D. Fine motor tremor 54. Patient Sonia, who has hypothyroidism is given which one of the following drug therapy? A. Propranolol B. Iodine C. Tron pills D. Levothyroxine 55. Which of the following should be AVOIDED by patient Sonia while she isbeing treated 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: Nurse Eileen has just passed the Board Examination for Nurses and set her goals for her Nursing Career for the next 5 years. She is aspiring to become a Diabetes Nurse Educator after completing her2 years as a bedside nurse. 56. Which of the following can Nurse Eileen adopt to visualize her future? A. Flow chart B. Decision tree C. Gantt chart D. Decision grid 57. She started to create her personal and professional portfolioas apreparation for her application to a university medical center in MetroManila. Which of the following is NOT a major purpose of keeping aportfolio? A. Keep on ongoing records of skills development. B. Create a system for documenting accomplishments. C. Set career and educational goals. D. Set system for a possible shift to another job. 58. One area of the professional portfolio is to indicate one's philosophyof life. Which of the following work place values should Nurse Eileenconsider as NOT favorable to be written in her portfolio? A. Customer service based on acceptance, empathy and selflessduty. B. Time and compensation limiting her pursuit of excellence inher job. C. Commitment to continual life long and self-directed learning. D. Challenges which can lead to growth, responsibility andaccountability. 59. In order for Nurse Eileen to be active as a bedside nurse, she has tocomply with the renewal of PRC ID by undertaking continuing professional development (CPD) as mandated by the CPD law. The purposes of which are ________. I. promote and upgrade the practice of the profession II. improve the competence of the professional III. international alignment of competence IV. develop quality assurance for accreditation A. II & III B. I, II, & III C. I, II, III, & IV D. I& II 60. Nurse Eileen is aware that in her personal and professional portfoliohas to include and keep up to date the following EXCEPT _________. A. certificate of CPD attended B. letters of reference 4 | Page