Tiêu đề RECALLS 9 - NP3 - SC ✅

RECALLS 9 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 – Nurse Luna is employed in hospital “X” and assigned in the Medical Ward for a year now. The nurse supervisor ordered her to proceed immediately to the Surgical Ward as a reliever to another nurse who went on emergency sick leave. She was not oriented in the Surgical Ward and the unit was very busy. 1. Which of the following is the MOST appropriate action of Nurse Luna A. Request the nurse supervisor to assign a more experienced nurse reliever B. Refuse the order of the nurse supervisor and stay put in the medical ward C. Comply with the order of the nurse supervisor D. Request the nurse supervisor to give her brief orientation before compliance 2. To qualify as an operating room nurse in the Philippines setting, Nurse Luna should possess the minimum requirements of _____________. A. Master’s degree holder with valid and current license B. Worked in the surgical unit for 8 hours C. RN and has worked abroad D. RN with valid and current license and Surgical Ward orientation 3. Nurse Luna is a graduate in the Philippines nursing school. As part her professional and personal development, she should attend which of the following program? EXCEPT___________ A. Programs by the Philippine Nurses Association B. Continuing Professional Development programs by the Professional Regulation Commission C. Symposium and forum offered by the school D. Programs of international nurses associations 4. The PRIORITY objective behind career advancement of Nurse Luna is ____________. A. Increasing revenue of the service providers B. Renew old acquaintances and establish camaraderie C. Increased number of networking activities D. Updating one’s knowledge, skills, conduct and values in professional nursing 5. Nurse Luna has an expired license but promises to renew her license in due time. Which of the following violation can she be charged if she participated in home health care activity? A. Malpractice B. Grave coercion C. Felony D. Negligence Situation– Health Education is an area of nursing practice when the nurse can be creative and independent in the work setting. The following questions apply. 6. A nurse is developing a Teaching plan for Isabel 18 year old with Bronchial Asthma. She has an order for discharge. Which part of the teaching plan should be given PRIORITY? A. Quick relief medicines as ordered B. Avoid contact with fur-bearing pets C. Avoid going to malls D. Wash bed sheets in warm water 7. Mr Gilbert is for postural drainage. The nurse should position the client’s head at ______________. A. No greater than a 25 degree downward angle B. A 30 degree lateral angle for 25 minutes C. 25 degree at lateral angle D. A 30 degree downward angle for 25 minutes 8. Nurse Beth is teaching Michel, an asthmatic, on how to use the Spirometer. She should instruct the client to have the mouthpiece________________. A. Place into the mouth and have regular breathing B. Place into the mouth and have a fast deep breath C. Place into the mouth and inhale slowly D. Place into the mouth and exhale slowly 9. Nurse Beth is teaching a client on how to use metered dose inhaler to prevent asthmatic attack while in the hospital. She should instruct the client to do the following __________________ EXCEPT. A. Keep the head of the bed at 15 degree angle B. Do oral care after use of the inhaler C. Use the inhaler before she take her meals D. Use the inhaler as ordered 10. You are conducting health-teaching sessions to clients with cardiovascular disorders. Client Pedro asks you this question: “Tell me, Nurse, what I should do with my Hypertension?” The best response of a Nurse is____________. A. “comply with your diet, lifestyle and exercise” B. “strictly follow your prescribed daily exercise and smoking cessation” C. “comply with your diet, life style modification and prescribed medicines” D. “include garlic in your meals with regulation of alcohol consumption” 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. 11. 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? 12. When the sympathetic nervous system is stimulated in the case of pheochromocytoma, you expect which of the following signs? 1. Hypertension 2. Headache 3. Hyperhidrosis 4. Hypermetabolism A. 3 and 4 B. 1 only C. 1, 2, 3, and 4 1 | Page
D. 2 and 3 13. Which of the following drugs can induce hypertensive crisis in Pheochromocytoma? A. Tricyclic antidepressant B. Corticosteroid C. Respiratory stimulant D. Radio iodine therapy 14. 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) 15. 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 – 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 – 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. 20. 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 21. Nurse Joan has to undergo literature search for her study. She can avail of this from the following EXCEPT_____________. A. A summary of research articles that are relevant to the study B. A written document published by the investigator herself C. Any retrieval from website that will help her search for the subject on investigation D. A description of the scientific study from an information provided by a faculty member teaching research 22. Weight is taken as a baseline measurement of obese female adolescents as study subjects for a weight reduction program. This is repeated to note any changes. This pre-test is done to___________________. A. Determine whether the instrument is defective B. Assess if research design is appropriate to the problem identified C. Evaluate whether the instrument is defective D. Obtain preliminary data before a treatment is conducted by the researcher 23. A Nurse researcher is using ACCU-CHEK a monitoring kit to test presence of Diabetes Mellitus among her study subject. How do you classify this type of measurement? A. Microbial B. Cytological C. Physiological D. Chemical 24. Nurse Joan, wanted to conduct a study using quasi-experimental design. This design will need a __________. A. Retrospective evaluation B. Field setting for the study C. Comparable group D. Manipulation of the dependent variable Situation – Kian, 16 year old, a foreigner was admitted in the medical ward due to abdominal pain, nausea and vomiting by Nurse Tessie. 25. In initiating care for patient Kian, which of the following would be an APPROPRIATE question to be asked by Nurse Tessie in her assessment? A. Since this is doctor’s order, you have to drink ice water, instead of hot tea. B. Do you have any books I could read about people of your culture? C. Do you need to set aside your cultural practices, and comply with hospital rules and regulations? D. Is there anything I am doing that is not acceptable to your culture? 26. Nurse Tessie respects cultural practices integration in her nursing care plan. Which of the following nursing action is MOST represented of the culturally competent nurse? A. Help patient Kian to learn and understand the language B. Explain and validate health knowledge and beliefs of Patient Kian with that of the hospital C. Help Patient Kian identify ways to relate more to the culture where they now resides D. Ask patient Kian to help Nurse Tessie in knowing more the culture of his origin 27. The family of Patient Kian request utilization of warm compress with banana leaves to Patient Kian. Which of the following is the MOST appropriate response of Nurse Tessie? Alternative therapies_________. A. Cost less than traditional therapies B. Are use when traditional therapies are not effective C. Utilized natural products while traditional therapies do not D. Can be effective as traditional therapies for some conditions 28. Patient Kian’s family requests time for spiritual healing process in the hospital. This is allowed by Nurse Tessie and hospital because it______________________. A. Gives fulfillment and meaning to the patient and 2 | Page