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

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 27. 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 28. 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 29. 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. 30. 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? 31. 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 32. 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 33. 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 family B. Demonstrate people being responsible for their life patterns C. Is non-denominated community service D. Formalizes a religious dogma 34. Positive Practice Environment (PPE) influences healing process. Which of the following ways can help Nurse Tessie create a healing environment? A. Ensure that relatives and friends visit the patient B. Empower clients to make healthy decisions for themselves C. Place television in each room of the hospital D. Ensure that staff nurses does not experience burnout Situation – Maya, a 42 year old teacher with cardiac ailment, nervously informs the doctor that her goiter is getting bigger and distracts her while swallowing food. The physician who examined her instructed the nurse to admit Maya and to prepare her for surgery after medical clearance. 35. While interviewing Patient Maya, she claims that she is anxious for the coming surgery. You expect the following signs and symptoms when one is under stress, EXCEPT___________ A. Blood loss and weakness B. Increases respiration rate C. Decreased mobility D. Pain due to tissue damage 36. Based on your knowledge, Patient Maya, who has a history of cardiac illness, should not be given an enema before surgery. Which of the following reasons inhibits the order of enema for Patient Maya? Enema____________ A. Paralyzes the peristalsis movement and increases abdominal pain B. Produces vagal stimulation that is dangerous to cardiac patient C. Causes constipation and fecal impaction after the surgery D. Enema results to increased water absorption in the bowels Situation – Ms. Arce is the Research Coordinator of the Medical Center who is concerned about the increased incidence of nosocomial infection in the hospital and has convinced the management to allot a budget for the conduct of research on the clinical problem. 37. What type of research is appropriate for this study? A. Quasi-experimental B. Experimental C. Historical D. Descriptive-correlational 38. Which of the following is the best tool for data gathering? A. use of laboratory data B. Questionnaire C. interview schedule D. observation 39. During the data collection, Ms. Rita encountered a patient who does not want to talk to him. Which of the following is a limitation of the study? A. Contacts of patients with history of fever and cough. B. Patient’s refusal to fully divulge information. C. Patient’s with the history of fever and cough D. Patients admitted or who seek consultation at the ER and doctor’s offices. 40. In the statement, “Frequent hand washing of health workers decreases the incidence of nosocomial infections among post-surgery patients”, the dependent variable is __________. A. frequent hand washing B. incidence of nosocomial infection C. health workers D. post-surgery patients 41. Her colleague asks about the EXTERNAL validity of the research findings. Which of the following is the APPROPRIATE response of Ms. Rita? A. it is reflected as a result of extraneous variables. B. the findings are free of selection biases. C. the result is shown only from the effect of the independent variable. D. it is generalized to other settings or samples. 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 3 | Page