Tiêu đề RECALLS 10 (NP3) - STUDENT COPY ✅

1 | Page RECALLS EXAMINATION 10 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. Mae, 65 year-old cook, restless and obese was brought to the Emergency Room due to right abdominal pain, nausea and vomiting for a week. She frequently changes her position to a more comfortable one due to intense pain. You are the nurse in charge who admitted the patient after the attending doctor diagnosed her with Acute Cholelithiasis. 1. Patient Mae’s vomiting can be treated with a nasogastric tube insertion with a suction attachment. This measure will remove the gastric juice stimulating painful contractions of the gallbladder which is __________. A. Cholecystokinin B. Ecchymosis C. Lithotripsy D. Acalculus 2. Patient Mae, was ordered by the physician to undergo several diagnostic tests. You expect that patient will have an elevation of ________. A. Bromsulphalein excretion B. Lactate dehydrogenase C. Serum gamma glutamyltranspeptidase D. Alkaline phosphatase 3. Nurse Mags provides important instructions to Ms. Mae on the prevention of Cholelithiasis. Select all that apply. 1. Maintain ideal weight 2. Adapt low fat diet 3. Regular exercise 4. Prevent pregnancy A. 2, 3 ,4 B. 1, 3, 4 C. 1, 2, 3 D. 1, 2, 4 4. Ms. Mae is prepared for surgery. Nurse Mags provides comfort measures to relieve pain with the following nursing intervention, EXCEPT _______. A. Quiet environment B. Positioning C. Administering analgesic D. Back rub 5. Immediate postoperative care of Nurse Mags includes providing careful instructions to Ms. Mae. Which of the following interventions should be delegated to the caregiver? A. Administration of intravenous therapy B. Reinforce information on exercise C. T-tube care and changing D. Instructions for the reduction of pain 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.” D. She is having discomforts and crying because of abdominal distention” Situation. Juvy, a retired Barangay Health Worker, came to the OPD for her check-up for her diabetes mellitus. She had been diabetic since she was 37 years old. She has been taking her maintenance medications which she sometimes does not comply with. 11. There are metabolic abnormalities in the development of type 2 Diabetes. Which of the following is NOT included in these abnormalities? A. Inappropriate production of the liver B. Increased ability of the pancreas to produce insulin C. Insulin resistance D. Altered production of hormones by adipose tissues 12. Ms. Juvy was admitted to the hospital for further check-up. Which of the following diagnostic tests do you expect to be ordered by the diabetologist as an indicator that the patient is compliant to her prescribed diet? A. Oral glucose tolerance test B. Glycosylated hemoglobin level (hgb, Alc) C. Finger glucose findings for one day * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *

3 | Page 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 – 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 3rd degree burns. Nurse Tala started to conduct her health assessment and patient was subsequently admitted. 31. 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 32. 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 33. 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 34. Nurse Tala provides bio-behavioral interventions to minimize pain and anxiety of Patient Dolores. Which one of the following is NOT appropriate to be done? A. Music therapy B. Guided imagery C. Distraction D. Stretching 35. A simple relaxation therapy was applied to Patient Dolores. The following steps of relaxation therapy done by Nurse Tala is _________. 1) evaluate and document Ms. Dolores’s response to therapy 2) create a quiet, non-disruptive environment with dim lights and comfortable temperature 3) demonstrate and practice the relaxation intervention 4) consider Dolores’s willingness to participate, past experiences and contraindications 5) individualize the content of the relaxation interventions A. 4, 1, 5, 3, 2 B. 2, 1, 4, 3, 5 C. 3, 2, 4, 1, 5 D. 4, 2, 5, 3, 1 Situation - Mia Thermopolis, 4-week-old infant is admitted to the hospital with a history of vomiting. The mother explains that her daughter has an initial problem with the regurgitation which progressed to a projectile vomiting which becomes more forceful. 36. Upon admission, the FIRST nursing action you should perform is ________. A. Switch the child feedings to electrolyte solution B. Call the pediatric ward doctor for the admission C. Assess and weigh the infant D. Begin an IV fluid as ordered 37. Which of the following serum electrolyte imbalances occur in an infant with persistent vomiting? A. Potassium B. Sodium C. Chloride D. Calcium 38. What is the MOST APPROPRIATE nursing diagnosis for this patient? A. Altered Bowel Elimination B. Altered Nutrition C. Fluid volume deficit D. Alteration in Comfort 39. Due to excessive vomiting in Pyloric Stenosis, you should assess the child for which of the following imbalances? A. Respiratory Acidosis B. Metabolic Acidosis C. Metabolic Alkalosis D. Respiratory Alkalosis 40. Before scheduling the infant for surgery, the doctor ordered the administration of parenteral fluid and electrolytes. Which of the following incorporated solutions should be administered through IV? A. Potassium Chloride B. Magnesium Chloride C. Bicarbonate Chloride D. Calcium Chloride Situation - Chacha, a 6 month old baby is admitted in the Pediatric unit for acute diarrhea and dehydration. 41. You are in charge of this patient. In your assessment you expect to find which of the following? A. Moderately lethargic B. Bulging fontanelle C. loosening of the skin D. High grade fever 42. Further clinical findings of the child that you have observed include which ONE of the following? A. Metabolic alkalosis B. Metabolic acidosis C. Respiratory acidosis D. respiratory alkalosis 43. The child was ordered Oresol (ORS). As a nurse, how would you prepare Oresol treatment for this child? A. Mix 2 sachet of ORS in 1 liter of water B. Mix 1 sachet of ORS in 2 liters of water C. Mix 2 sachet of ORS in 2 liters of water D. Mix 1 sachet of ORS in 1 liter of water 44. The BEST practice for the nursing staff to prevent spread of infection when patient has infectious diarrhea is _________. A. Autoclave linens B. Strict handwashing C. isolate the patient D. wear latex gloves 45. After the Oresol Treatment which of the following is an indication that Oresol is effective? A. Patient is well hydrated B. Refuse to play with other children C. Socialization with other children D. Temperature is 36.8°C Situation. Dave, 40 years old, came to the hospital for a diagnostic work-up for a cholelithiasis prior to surgery. 46. Which of the following clinical manifestations would you MOST likely to observe when a patient is suffering from Cholelithiasis?