Nội dung text 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