NP3- PRE-INTENSIVE FINAL EXAM AND
ALL ACCURATE ANSWERS 2026/2027
SET.
1. A nurse instructs a client diagnosed with COPD to use purse-lip breathing. The client inquires
the nurse about the advantage of this kind of breathing. The nurse answers that the main
purpose of purse-lip is to:
a. Prevent bronchial collapse
b. Strengthen the intercostals muscle
c. Achieve maximum inhalation
d. Allows air trapping - Answer a. Prevent bronchial collapse
- deep inhale through the nose -> purse lip while exhaling slowly through the mouth
- airflow limitation, not fully reversible
- bronchitis: blue bloaters
- emphysema: Emphysema
C = for incentive spirometry
D = pursed-lip breathing REDUCES air trapping
2. Nurse Albert teaches a patient about the use of respiratory inhaler. Arrange the steps in using
an inhaler chronologically.
1. Press the canister down with your fingers as you breathe in
2. Wait one minute between puffs if more than one puff is prescribed
3. Inhale the mist, hold your breath at least 5 to 10 seconds before exhaling
4. Remove the cap and shake the inhaler
a. 4, 1, 2, 3
b. 4, 1, 3, 2
c. 3, 4, 2, 1
d. 1, 2, 3, 4 - Answer b. 4, 1, 3, 2
3. The physician prescribed monitoring closely of clients oxygen saturation of the blood. Which
of the following will you prepare?
,a. Electrocardiogram machine
b. Spirometer
c. Pulse oximeter
d. Blood Pressure apparatus - Answer c. Pulse oximeter
- for oxygen saturation
4. Patients suffering from COPD are taught to avoid shifts to temperature and humidity. It
should be emphasized that heat increases body temperature and thereby raising the=
a. Risk for infection
b. Anxiety level
c. The oxygen requirements
d. Fluid intake - Answer c. The oxygen requirements
- COPD normal O2 sat: 88-92%
5. COPD patients may be taught the following pulmonary hygiene measures to improve
clearance of airway secretion, except:
a. Postural drainage
b. Complete bed rest
c. Effective coughing
d. Measure fluid intake - Answer b. Complete bed rest
- mobilization is necessary to expel secretions
A = part of CPT
6. CVP monitoring could provide the following information, but one:
a. Vascular tone
b. Blood volume
,c. Ability of the heart to receive and pump blood
d. Glomerular filtration rate - Answer d. Glomerular filtration rate
- GFR measures kidney function
- measures the BP in the vena cava
- subclavian or jugular vein
7. he normal CVP reading is:
a. 8 - 12 cm of H2O
b. 13 - 17 cm of H2O
c. 18 - 25 cm of H2O
d. 4 - 10 cm of H2O - Answer d. 4 - 10 cm of H2O
8. In taking the CVP reading, the nurse knows that the stopcock shall be manipulated in a
manner that:
a. There is a communication between the client and the manometer
b. There is a communication between the manometer and the client and closed to the IV
c. There is a communication between the IV and the client and closed to the manometer
d. There is a communication between the IV and manometer and closed to the client - Answer
b. There is a communication between the manometer and the client and closed to the IV
9. The patient is having volume ventilator. Which of the following does not indicate that the
client is adequately ventilated?
a. Absence of hyper - and hypoventilation
b. Skin is normal in color
c. Blood pressure is normal
d. Presence of neurologic signs - Answer d. Presence of neurologic signs
- all other options are normal
- D indicates hypoxia in the brain
10. Possible means of verifying proper placement of Lanie's catheter (CVP line)?
, a. Palpation
b. Auscultation
c. Chest X-ray
d. Cystoscopy - Answer c. Chest X-ray
SITUATION
Enrolling as nursing students taught you what the nursing profession has in store for you and to
recognize that each one came from different environs, different influences, different past and
present. As you journey through nursing, you saw yourselves transform "from the person you
were" to the "aspiring nurse" you have become. Now that you have graduated and now taking
your Nurse Licensure Examination (NLE) there is only the "YOU, who is the nurse." - Answer
11. As an aspirant, a beginning nurse practitioner after your basic nursing education, the "YOU,
who is a professional nurse" means:
A. I have simply fine tuned myself, my needs, my wants, my idiosyncrasies, to fit in the
profession of nursing.
B. The I in me and the nurse in me are two distinct identities that even my patients have to learn
to respect.
C. I have simply retained my former self but acquired the knowledge, skills, attitudes, and values
expected of a nurse.
D. The person I am and the professional nurse I aspire to be have now developed into one
Filipino Nurse. We are one and the same identity. - Answer D. The person I am and the
professional nurse I aspire to be have now developed into one Filipino Nurse. We are one and
the same identity.
12. As you progress in developing your nursing competencies, you have to thread a career-path
according to the culture and design of Philippine Nursing. This means:
a. Serving in other countries and learning new and modern ways of doing nursing and sharing
these back in the Philippines.
b. Progressing as nurse-generalist in a multitude of choice-practice settings to that of expert
nurse-practitioner also in choice-practice-settings
c. Avoiding personal and professional stagnation by updating and upgrading one's self
d. Constantly upgrading one's self through advanced technological means and strategies -
Answer c. Avoiding personal and professional stagnation by updating and upgrading one's self
13. It is important to remember that while RNs value "job tenure" because the years in service
spell variety of experiences in nursing practice, it is far more valuable to consider that tenure-
years are nothing if these are not parallel with one's personal-professional growth and maturity.
This implies:
ALL ACCURATE ANSWERS 2026/2027
SET.
1. A nurse instructs a client diagnosed with COPD to use purse-lip breathing. The client inquires
the nurse about the advantage of this kind of breathing. The nurse answers that the main
purpose of purse-lip is to:
a. Prevent bronchial collapse
b. Strengthen the intercostals muscle
c. Achieve maximum inhalation
d. Allows air trapping - Answer a. Prevent bronchial collapse
- deep inhale through the nose -> purse lip while exhaling slowly through the mouth
- airflow limitation, not fully reversible
- bronchitis: blue bloaters
- emphysema: Emphysema
C = for incentive spirometry
D = pursed-lip breathing REDUCES air trapping
2. Nurse Albert teaches a patient about the use of respiratory inhaler. Arrange the steps in using
an inhaler chronologically.
1. Press the canister down with your fingers as you breathe in
2. Wait one minute between puffs if more than one puff is prescribed
3. Inhale the mist, hold your breath at least 5 to 10 seconds before exhaling
4. Remove the cap and shake the inhaler
a. 4, 1, 2, 3
b. 4, 1, 3, 2
c. 3, 4, 2, 1
d. 1, 2, 3, 4 - Answer b. 4, 1, 3, 2
3. The physician prescribed monitoring closely of clients oxygen saturation of the blood. Which
of the following will you prepare?
,a. Electrocardiogram machine
b. Spirometer
c. Pulse oximeter
d. Blood Pressure apparatus - Answer c. Pulse oximeter
- for oxygen saturation
4. Patients suffering from COPD are taught to avoid shifts to temperature and humidity. It
should be emphasized that heat increases body temperature and thereby raising the=
a. Risk for infection
b. Anxiety level
c. The oxygen requirements
d. Fluid intake - Answer c. The oxygen requirements
- COPD normal O2 sat: 88-92%
5. COPD patients may be taught the following pulmonary hygiene measures to improve
clearance of airway secretion, except:
a. Postural drainage
b. Complete bed rest
c. Effective coughing
d. Measure fluid intake - Answer b. Complete bed rest
- mobilization is necessary to expel secretions
A = part of CPT
6. CVP monitoring could provide the following information, but one:
a. Vascular tone
b. Blood volume
,c. Ability of the heart to receive and pump blood
d. Glomerular filtration rate - Answer d. Glomerular filtration rate
- GFR measures kidney function
- measures the BP in the vena cava
- subclavian or jugular vein
7. he normal CVP reading is:
a. 8 - 12 cm of H2O
b. 13 - 17 cm of H2O
c. 18 - 25 cm of H2O
d. 4 - 10 cm of H2O - Answer d. 4 - 10 cm of H2O
8. In taking the CVP reading, the nurse knows that the stopcock shall be manipulated in a
manner that:
a. There is a communication between the client and the manometer
b. There is a communication between the manometer and the client and closed to the IV
c. There is a communication between the IV and the client and closed to the manometer
d. There is a communication between the IV and manometer and closed to the client - Answer
b. There is a communication between the manometer and the client and closed to the IV
9. The patient is having volume ventilator. Which of the following does not indicate that the
client is adequately ventilated?
a. Absence of hyper - and hypoventilation
b. Skin is normal in color
c. Blood pressure is normal
d. Presence of neurologic signs - Answer d. Presence of neurologic signs
- all other options are normal
- D indicates hypoxia in the brain
10. Possible means of verifying proper placement of Lanie's catheter (CVP line)?
, a. Palpation
b. Auscultation
c. Chest X-ray
d. Cystoscopy - Answer c. Chest X-ray
SITUATION
Enrolling as nursing students taught you what the nursing profession has in store for you and to
recognize that each one came from different environs, different influences, different past and
present. As you journey through nursing, you saw yourselves transform "from the person you
were" to the "aspiring nurse" you have become. Now that you have graduated and now taking
your Nurse Licensure Examination (NLE) there is only the "YOU, who is the nurse." - Answer
11. As an aspirant, a beginning nurse practitioner after your basic nursing education, the "YOU,
who is a professional nurse" means:
A. I have simply fine tuned myself, my needs, my wants, my idiosyncrasies, to fit in the
profession of nursing.
B. The I in me and the nurse in me are two distinct identities that even my patients have to learn
to respect.
C. I have simply retained my former self but acquired the knowledge, skills, attitudes, and values
expected of a nurse.
D. The person I am and the professional nurse I aspire to be have now developed into one
Filipino Nurse. We are one and the same identity. - Answer D. The person I am and the
professional nurse I aspire to be have now developed into one Filipino Nurse. We are one and
the same identity.
12. As you progress in developing your nursing competencies, you have to thread a career-path
according to the culture and design of Philippine Nursing. This means:
a. Serving in other countries and learning new and modern ways of doing nursing and sharing
these back in the Philippines.
b. Progressing as nurse-generalist in a multitude of choice-practice settings to that of expert
nurse-practitioner also in choice-practice-settings
c. Avoiding personal and professional stagnation by updating and upgrading one's self
d. Constantly upgrading one's self through advanced technological means and strategies -
Answer c. Avoiding personal and professional stagnation by updating and upgrading one's self
13. It is important to remember that while RNs value "job tenure" because the years in service
spell variety of experiences in nursing practice, it is far more valuable to consider that tenure-
years are nothing if these are not parallel with one's personal-professional growth and maturity.
This implies:
