NURSING PRACTICE III - CARE OF
CLIENTS|ACTUAL EXAM QUESTIONS AND 100%
CORRECT ANSWERS|LATEST
2025/2026|GUARANTEED A+
Situation 1- B
Rica, a Pediatric Cardiovascular Nurse is assigned to take care of 3 children in her unit. She just
B B B B B B B B B B B B B B B B B B
admitted a 12-year-old female patient suffering from Rheumatic Fever (RF)
B B B B B B B B B B B
1. When doing as assestment, which ONE of the following condition is NOT present based on t
B B B B B B B B B B B B B B B B
he Jones Criteria?
B B B
A. Erythema Marginatum
B B B
B. Subcutaneous nodules
B B B
c. Chorea
B B
D. Bronchopneumonia - ANSWER-
B B B D. Bronchopneumonia
B
2. In Rheumatic Fever, the factor contributory to the
B B B B B B B B B
development of this disease process is brought about by _____
B B B B B B B B B B
A. Auto-immune reaction to streptococcal infection
B B B B B B
B. Auto-immune reaction to collagen diseases
B B B B B B
C. Parents had rheumatic heart disease
B B B B B B
D. Exposure to colds and droplet infection - ANSWER-
B B B B B B B B A. Auto-
B
immune reaction to streptococcal infection
B B B B
3. Leny, 6 years old, is receiving digitalis for having patentductus arteriosus with heart failure.
B B B B B B B B B B B B B B B
Prior to the administrationof the medicines, which of the following nursing action should be d
B B B B B B B B B B B B B B
one by nurse Rica?
B B B
A. Take the carotid pulse rate for one full minute
B B B B B B B B B
B. Take the heart rate for one full minute.
B B B B B B B B
,C. Take the respiratory rate.
B B B B
D. Take the blood pressure. - ANSWER-
B B B B B B B. Take the heart rate for one full minute.
B B B B B B B B
4. While nurse Rica was doing her regular rounds, one of the mother approached her saying th
B B B B B B B B B B B B B B B B
at her child who a Tetralogy of Fallot. Prepared to squat on bed rather than assuming a supine
B B B B B B B B B B B B B B B B B B
position. THE BEST action of the nurse is ______.
B B B B B B B B B
A. let the mother continue the position of her child is she feels comfortable with it.
B B B B B B B B B B B B B B B
B. divert the child's attention by letting her join the nurses' rounds
B B B B B B B B B B B B
C. put her on bed and start to administer oxygeb inhalation
B B B B B B B B B B B
D. discourage the child and let her lie o - ANSWER-
B B B B B B B B B B
A. let the mother continue the position of her child is she feels comfortable with it.
B B B B B B B B B B B B B B B
5. Another patient in the unit is Letty, 8 years old, waiting to be scheduled for surgery because
B B B B B B B B B B B B B B B B B B
of a Coartation of the Aorta. With this disorder, Letty will manifest which one of the
B B B B B B B B B B B B B B B B
following symptoms? B B
A. murmur and bruit of the lungs.
B B B B B B B
B. Central and peripheral edema.
B B B B B
C. Hypertension and diminished pulses in the extremities.
B B B B B B B B
D. hepatomegaly and shortnedd of breathing - ANSWER-
B B B B B B B
C. Hypertension and diminished pulses in the extremities.
B B B B B B B
Situation 2 - B B
Mr. Joeis 55 year old, ,married , a car dealer has consulted the ER because of on and fever, indi
B B B B B B B B B B B B B B B B B B B B
gestion, weight loss, right abdominal pain, body malaise, and itchiness of the skin. Based on th
B B B B B B B B B B B B B B B
e health history of the patient has been a chain smoker and drinks alcoholic beverages almost
B B B B B B B B B B B B B B B B
every day especially when he has client to entertain. His physical examination showed he has
B B B B B B B B B B B B B B B
a suspected liver cirrhosis. He was advised for admission for further work-up and treatment.
B B B B B B B B B B B B B B
6. You are - ANSWER-
B B B B A. Gonadal atropy
B B
, 7. Which of the following statements is TRUE of liver cirrhosis?
B B B B B B B B B B B
1. Nutritional deficiency with decreased protein intake
B B B B B B B
contributes to liver damage B B B B
2. Cirrhosis can happen to people with alcohol intake
B B B B B B B B B
3. Women are the greater risk for development of
B B B B B B B B B
alcohol-induced liver disease. B B B
4. Most patients affected by liver cirrhosis are between 40 to
B B B B B B B B B B B
60 years of age.
B B B B
A. 1, 2, 3 & 4
B B B B B B
B. 1 & 2
B B B B
C. 1, 2 & 3
B B B B B
D. 2 & 3 - ANSWER-
B B B B B C. 1, 2 & 3 B B B B
8. During Mr. Joe's confinement he developed further itchiness of the skin and jaundice. Whic
B B B B B B B B B B B B B B
h of the following nursing actions is NOT recommended as this will induce skin breakdown?
B B B B B B B B B B B B B B B
A. Add baking soda when bathing the patient.
B B B B B B B B
B. Massage the skin with emollients every 2 hours.
B B B B B B B B B
C. Use of commercial soaps and alchohol-based lotions.
B B B B B B B B
D. Rub the itchy skin with knuckles instead of using the nails - ANSWER-
B B B B B B B B B B B B B
C. Use of commercial soaps and alchohol-based lotions
B B B B B B B
9. At early stage of Mr. Joe's disease process, the physician
B B B B B B B B B B
ordered this SPECIFIC diet for Mr. Joe. You emphasized to the
B B B B B B B B B B
dietitian that he should be served foods that is ______
B B B B B B B B B
CLIENTS|ACTUAL EXAM QUESTIONS AND 100%
CORRECT ANSWERS|LATEST
2025/2026|GUARANTEED A+
Situation 1- B
Rica, a Pediatric Cardiovascular Nurse is assigned to take care of 3 children in her unit. She just
B B B B B B B B B B B B B B B B B B
admitted a 12-year-old female patient suffering from Rheumatic Fever (RF)
B B B B B B B B B B B
1. When doing as assestment, which ONE of the following condition is NOT present based on t
B B B B B B B B B B B B B B B B
he Jones Criteria?
B B B
A. Erythema Marginatum
B B B
B. Subcutaneous nodules
B B B
c. Chorea
B B
D. Bronchopneumonia - ANSWER-
B B B D. Bronchopneumonia
B
2. In Rheumatic Fever, the factor contributory to the
B B B B B B B B B
development of this disease process is brought about by _____
B B B B B B B B B B
A. Auto-immune reaction to streptococcal infection
B B B B B B
B. Auto-immune reaction to collagen diseases
B B B B B B
C. Parents had rheumatic heart disease
B B B B B B
D. Exposure to colds and droplet infection - ANSWER-
B B B B B B B B A. Auto-
B
immune reaction to streptococcal infection
B B B B
3. Leny, 6 years old, is receiving digitalis for having patentductus arteriosus with heart failure.
B B B B B B B B B B B B B B B
Prior to the administrationof the medicines, which of the following nursing action should be d
B B B B B B B B B B B B B B
one by nurse Rica?
B B B
A. Take the carotid pulse rate for one full minute
B B B B B B B B B
B. Take the heart rate for one full minute.
B B B B B B B B
,C. Take the respiratory rate.
B B B B
D. Take the blood pressure. - ANSWER-
B B B B B B B. Take the heart rate for one full minute.
B B B B B B B B
4. While nurse Rica was doing her regular rounds, one of the mother approached her saying th
B B B B B B B B B B B B B B B B
at her child who a Tetralogy of Fallot. Prepared to squat on bed rather than assuming a supine
B B B B B B B B B B B B B B B B B B
position. THE BEST action of the nurse is ______.
B B B B B B B B B
A. let the mother continue the position of her child is she feels comfortable with it.
B B B B B B B B B B B B B B B
B. divert the child's attention by letting her join the nurses' rounds
B B B B B B B B B B B B
C. put her on bed and start to administer oxygeb inhalation
B B B B B B B B B B B
D. discourage the child and let her lie o - ANSWER-
B B B B B B B B B B
A. let the mother continue the position of her child is she feels comfortable with it.
B B B B B B B B B B B B B B B
5. Another patient in the unit is Letty, 8 years old, waiting to be scheduled for surgery because
B B B B B B B B B B B B B B B B B B
of a Coartation of the Aorta. With this disorder, Letty will manifest which one of the
B B B B B B B B B B B B B B B B
following symptoms? B B
A. murmur and bruit of the lungs.
B B B B B B B
B. Central and peripheral edema.
B B B B B
C. Hypertension and diminished pulses in the extremities.
B B B B B B B B
D. hepatomegaly and shortnedd of breathing - ANSWER-
B B B B B B B
C. Hypertension and diminished pulses in the extremities.
B B B B B B B
Situation 2 - B B
Mr. Joeis 55 year old, ,married , a car dealer has consulted the ER because of on and fever, indi
B B B B B B B B B B B B B B B B B B B B
gestion, weight loss, right abdominal pain, body malaise, and itchiness of the skin. Based on th
B B B B B B B B B B B B B B B
e health history of the patient has been a chain smoker and drinks alcoholic beverages almost
B B B B B B B B B B B B B B B B
every day especially when he has client to entertain. His physical examination showed he has
B B B B B B B B B B B B B B B
a suspected liver cirrhosis. He was advised for admission for further work-up and treatment.
B B B B B B B B B B B B B B
6. You are - ANSWER-
B B B B A. Gonadal atropy
B B
, 7. Which of the following statements is TRUE of liver cirrhosis?
B B B B B B B B B B B
1. Nutritional deficiency with decreased protein intake
B B B B B B B
contributes to liver damage B B B B
2. Cirrhosis can happen to people with alcohol intake
B B B B B B B B B
3. Women are the greater risk for development of
B B B B B B B B B
alcohol-induced liver disease. B B B
4. Most patients affected by liver cirrhosis are between 40 to
B B B B B B B B B B B
60 years of age.
B B B B
A. 1, 2, 3 & 4
B B B B B B
B. 1 & 2
B B B B
C. 1, 2 & 3
B B B B B
D. 2 & 3 - ANSWER-
B B B B B C. 1, 2 & 3 B B B B
8. During Mr. Joe's confinement he developed further itchiness of the skin and jaundice. Whic
B B B B B B B B B B B B B B
h of the following nursing actions is NOT recommended as this will induce skin breakdown?
B B B B B B B B B B B B B B B
A. Add baking soda when bathing the patient.
B B B B B B B B
B. Massage the skin with emollients every 2 hours.
B B B B B B B B B
C. Use of commercial soaps and alchohol-based lotions.
B B B B B B B B
D. Rub the itchy skin with knuckles instead of using the nails - ANSWER-
B B B B B B B B B B B B B
C. Use of commercial soaps and alchohol-based lotions
B B B B B B B
9. At early stage of Mr. Joe's disease process, the physician
B B B B B B B B B B
ordered this SPECIFIC diet for Mr. Joe. You emphasized to the
B B B B B B B B B B
dietitian that he should be served foods that is ______
B B B B B B B B B
