Tiêu đề RECALLS 6 - NP3 - SC ✅

RECALLS 6 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 Greg is working on a busy surgical floor. He is responsible for caring for patients pre- and post-operatively, maintaining sterile technique, and ensuring early detection of complications such as infections, pressure ulcers, or thromboembolism. 1. Greg notices that a patient scheduled for surgery has a temperature of 102°F (38.9°C) but appears otherwise stable. What is Greg’s first action? A. Notify the surgeon B. Notify the charge nurse C. Validate the temperature reading D. Document the temperature in the chart 2. While performing a sterile dressing change, which action by Greg would break sterile technique? A. Opening the first flap of a sterile package away from himself B. Keeping his hands above his waist C. Turning his back to the sterile field D. Adding sterile items by dropping them onto the field 3. Greg is transferring a post-stroke patient with right-sided weakness from the bed to a wheelchair. Which positioning is best? A. Place the wheelchair parallel and close to the bed B. Position the wheelchair on the patient’s weaker side C. Keep the wheelchair one foot away from the bed D. Lock the bed but not the wheelchair 4. A patient recently transferred to Greg’s unit is unable to ambulate. Which factor places this patient at greatest risk for pressure ulcer development? A. Limited mobility and need for assistance to move from bed to chair B. Eating only half of most meals C. Mild apathy but oriented to time and place D. Good skin turgor and normal capillary refill 5. Greg is opening a sterile package from central supply. Which direction should the first flap be opened? A. Toward himself B. Away from himself C. To the left or right D. It does not matter Situation: Nurse Darryl is caring for patients with cardiovascular conditions in a telemetry unit. He must recognize early warning signs of complications, manage medications, and provide accurate patient education before discharge. 6. A patient with a recent myocardial infarction is admitted with chest pain and diaphoresis. What is Darryl’s first action? A. Order an ECG B. Administer prescribed morphine sulfate C. Start an IV line D. Measure vital signs 7. A patient is discharged after a myocardial infarction and asks why metoprolol (Lopressor) was prescribed. What is Darryl’s best explanation? A. “It increases your heart rate so the heart pumps more effectively.” B. “It dilates your coronary arteries to improve blood flow.” C. “It makes your heart contract stronger to increase blood supply.” D. “It slows your heart rate and decreases the workload so your heart can heal.” 8. A heart failure patient is prescribed digoxin and furosemide. Which meal would Darryl recommend? A. Grilled chicken, baked potato, and cantaloupe B. Eggs and ham C. Grilled cheese sandwich and French fries D. Pepperoni pizza 9. A patient is taught how to take sublingual nitroglycerin for angina. Which statement shows correct understanding? A. “I can swallow the tablet if it burns my tongue.” B. “I will take one tablet every 5 minutes up to 3 doses if chest pain continues.” C. “I will store the tablets in the refrigerator for freshness.” D. “I can take as many tablets as needed until pain is gone.” 10. A patient with heart failure is being discharged. Which teaching by Darryl is most important? A. “You should weigh yourself daily at the same time.” B. “Avoid eating any foods that contain sodium.” C. “You can skip diuretics on days you feel well.” D. “Check your blood pressure only if you feel dizzy.” Situation: Nurse Fiona is caring for patients on a respiratory care unit. She is responsible for managing clients with chronic respiratory conditions, maintaining oxygen therapy safety, and recognizing early complications of airway problems or infections. 11. Fiona is caring for a client with a new tracheostomy tube. After cleaning the reusable inner cannula, what should she do before reinsertion? A. Dry it thoroughly with sterile gauze B. Suction the client’s airway C. Tap the cannula gently against a sterile surface D. Rinse it with sterile saline 12. Fiona is preparing to initiate continuous IV therapy. What is the most important step before venipuncture? A. Apply a tourniquet below the selected vein B. Inspect the IV solution for particles or contamination C. Place a cool compress over the vein D. Secure the client’s arm with a splint 13. A patient on the unit with tuberculosis needs a chest X-ray. Which action by Fiona is most appropriate when preparing for transport? A. Notify radiology so personnel can wear masks 1 | Page