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COMPREHENSIVE PHASE: RECALLS 1 EXAM (NP3) EXAM NEWEST 2025/2026 COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |BRAND NEW VERSION!!

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COMPREHENSIVE PHASE: RECALLS 1 EXAM (NP3) EXAM NEWEST 2025/2026 COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |BRAND NEW VERSION!! Situation Mr. Billy Joe is 55 years old, married, a car dealer has consulted the ER because of on and off fever, indigestion, weight loss, right abdominal pain, body malaise, and itchiness of the skin. Based on the health history the patient has been a chain smoker and drinks alcoholic beverages almost every day especially when he has clients to entertain. His physical examination showed he has suspected liver cirrhosis. He was advised for admission for further work-up and treatment. 1. You were the nurse on duty when Mr. Billy Joe was admitted to the pay floor. In your observational data what additional EARLY SIGN of liver cirrhosis do you expect the patient to manifest? A. Gonadal atrophy B. Hypotension C. Splenomegaly D. Ankle edema - Correct Answer-D. Ankle edema 2. Which of the following statements is TRUE of liver cirrhosis? 2 | Page COMPREHENSIVE PHASE: Recalls 1 Exam (NP3) Exam 1. Nutritional deficiency with decreased protein intake attributes to liver damage. 2. Cirrhosis can happen to people with alcohol intake 3. Women are at greater risk for the development of alcohol-induced liver disease 4. Most patients affected by liver cirrhosis are between 40 to 60 years of age. A. 1, 2, 3, and 4 B. 1 & 2 C. 1, 2 & 3 ~ D. 2 & 3 - Correct Answer-A. 1, 2, 3, and 4 3. During Mr. Billy Joe's confinement he developed further itchiness of the skin and jaundice. Which of the following nursing actions is NOT recommended as this will induce skin breakdown? A. Add baking soda when bathing the patient. B. Massage the skin with emollients every 2 hours. C. Use of commercial soaps and alcohol-based lotions. D. Rub the itchy skin with knuckles instead of using the nails. - Correct Answer-C. Use of commercial soaps and alcohol-based lotions. 4. At early stage of Mr. Billy Joe's disease process, the physician ordered this SPECIFIC diet for Mr. Billy Joe, You emphasized to the dietitian that he should be served foods that are _________. A. High carbohydrate and low sodium 3 | Page COMPREHENSIVE PHASE: Recalls 1 Exam (NP3) Exam B. High calorie and high carbohydrate C. Low protein and high fat D. High protein and high fat - Correct Answer-A. High carbohydrate and low sodium 5. Mr. Billy Joe started to develop ascites and complained of heaviness of the lower extremities to the physician. An order of Spironolactone (Aldactone) 25 mg. /day. What adverse effect of the drug should you monitor? - Correct Answer-A. Hyperkalemia

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COMPREHENSIVE PHASE: Recalls 1 Exam (NP3) Exam

COMPREHENSIVE PHASE: RECALLS 1 EXAM (NP3) EXAM NEWEST
2025/2026 COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |BRAND NEW
VERSION!!
Situation
Mr. Billy Joe is 55 years
old, married, a car dealer has consulted the ER because of on and off fever,
indigestion, weight loss, right abdominal pain, body malaise, and itchiness of
the skin. Based on the health history the patient has been a chain smoker and
drinks alcoholic beverages almost every day especially when he has clients to
entertain. His physical examination showed he has suspected liver cirrhosis. He
was advised for admission for further work-up and treatment.


1. You were the nurse on duty when Mr. Billy Joe was admitted to the pay floor. In
your observational data what additional EARLY SIGN of liver cirrhosis do you
expect the patient to manifest?


A. Gonadal atrophy
B. Hypotension
C. Splenomegaly
D. Ankle edema - Correct Answer-D. Ankle edema


2. Which of the following statements is TRUE of liver cirrhosis?

1|Page

, COMPREHENSIVE PHASE: Recalls 1 Exam (NP3) Exam

1. Nutritional deficiency with decreased protein intake attributes to liver damage.
2. Cirrhosis can happen to people with alcohol intake
3. Women are at greater risk for the development of alcohol-induced liver disease
4. Most patients affected by liver cirrhosis are between 40 to 60 years of age.
A. 1, 2, 3, and 4
B. 1 & 2
C. 1, 2 & 3 ~
D. 2 & 3 - Correct Answer-A. 1, 2, 3, and 4


3. During Mr. Billy Joe's confinement he developed further itchiness of the skin
and jaundice. Which of the following nursing actions is NOT recommended as this
will induce skin breakdown?


A. Add baking soda when bathing the patient.
B. Massage the skin with emollients every 2 hours.
C. Use of commercial soaps and alcohol-based lotions.
D. Rub the itchy skin with knuckles instead of using the nails. - Correct Answer-C.
Use of commercial soaps and alcohol-based lotions.


4. At early stage of Mr. Billy Joe's disease process, the physician ordered this
SPECIFIC diet for Mr. Billy Joe, You emphasized to the dietitian that he should be
served foods that are _________.


A. High carbohydrate and low sodium


2|Page

, COMPREHENSIVE PHASE: Recalls 1 Exam (NP3) Exam

B. High calorie and high carbohydrate
C. Low protein and high fat
D. High protein and high fat - Correct Answer-A. High carbohydrate and low
sodium


5. Mr. Billy Joe started to develop ascites and complained of heaviness of the
lower extremities to the physician. An order of Spironolactone (Aldactone) 25 mg.
/day. What adverse effect of the drug should you monitor? - Correct Answer-A.
Hyperkalemia


Situation
Yen, a 35 year old dressmaker has been
experiencing recurrent episodes of abdominal pain, nausea and vomiting and
feels her stomach is bloated. She has been taking contraceptive pills in the
past. She is married with three children. She consulted the OPD and was advised
by the physician to be admitted for suspected Pancreatitis.


6. Nurse Reyes started her admission care to Ms. Yen. Which of the following
laboratory examinations do you expect the physician to order for the patient?


A. Serum lipase and Amylase
B. Creatinine & Phosphatase
C. Serum Transaminase
D. Urea Nitrogen Substance - Correct Answer-A. Serum lipase and Amylase


3|Page

, COMPREHENSIVE PHASE: Recalls 1 Exam (NP3) Exam



7. As a nurse, which of the following assessment data you will MOST likely NOT
find on patient Yen?


A. Abdominal and back pain with tenderness
B. Cramping pains before intake of heavy meals.
C. Pain unrelieved by intake of antacids
D. Mid-epigastric pain acute in onset after heavy meals. - Correct Answer-B.
Cramping pains before intake of heavy meals.


8. The MOST useful diagnostic test is to validate whether Ms. Yen is suffering from
Pancreatitis is for her to undergo ___________.


A. Endoscopic Retrograde Cholangio Pancreatography
B. Endoscopic Ultrasonography
C. Percutaneous Transhepatic Cholangiography
D. Cholesterol Serum level - Correct Answer-B. Endoscopic Ultrasonography


9. When managing a patient with acute pancreatitis the first priority is to
____________.


A. insert urinary catheter for adequate elimination.
B. encourage oral fluids to improve elimination.
C. insert nasogastric tube to decompress stomach

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