It has to go in a custom footer (not html module) to work*. The source, which also has some interesting thoughts on the desirability of disabling right click, is below: *Using in a custom footer:replace all code in xslt box with this: ]]>


Saturday, September 23, 2006

Pinakamalaking nursing review center isasara ng CHED

Pinakamalaking nursing review center isasara ng CHED

Ang Pilipino STAR Ngayon 09/23/2006

Siniguro kahapon ng Commission on Higher Education (CHED) na handa itong ipasara ang pinakamalaking nursing review center sa bansa na R. A. Gapuz Review Center (RAGRC) dahil na rin sa pagtanggi ng huli na sumunod sa alituntunin na kailangan muna ang nursing school bago ito muling maisyuhan ng permit na makapag-operate sa susunod na taon.

Kasunod nito ay nagbanta ang CHED na kahalintulad na aksyon ang kasasapitan ng iba pang private review center kung mabibigo itong sumunod sa requirement na bago makapag-operate ng review center ay dapat mayroong nursing school na katuwang ito.

Ayon kay CHED Chairman Carlito Puno sa susunod na taon ay nakatakda nang ipaimplimenta ng ahensya ang "implementing rules and regulations" (IRR) para sa pagre-regulate ng mga review centers at mangangahulugan ito na ang lahat ng review center ay kailangan na mag-apply ng bagong permit base sa bagong polisiya ng ahensya.

Isa sa nakatakdang ipatupad ng CHED ay ang pagkakaroon muna ng nursing school bago makapag-operate ng nursing review center, sa ganitong paraan ay kung walang makukuhang nursing school ang isang review center ay mapipilitan na ipasara ito.

Isa sa tinukoy ni Puno na review centers na maaaring maipasara ang RAGRC dahil na rin sa wala itong nursing school.

Matatandaan na noong September 8, 2006 ay nilagdaan ni Pangulong Gloria Macapagal Arroyo ang Executive Order No. 566, "Directing the Commission on Higher Education to Regulate the Establishment and Operation of Review Centers and Similar Entities".

Sa ilalim ng E.O. 566 ay binibigyan ng kapangyarihan ang CHED na rebyuhin ang performance ng mga review centers kung saan isusumite ang report sa Office of the President.

Ang nasabing EO ay nabuo matapos na rin matukoy sa imbestigasyon sa kontrobersiyal na leakage sa June 2006 nursing exam na ilang review center ang sangkot sa leakage, dahilan sa walang nagre-regulate sa nasabing mga centers ay inatas ito sa CHED. (Edwin Balasa)

100 Item Exam On Fundamentals Of Nursing : Nursing Process, Physical and Health Assessment and Routine Procedures Answer Key

100 Item Exam On Fundamentals Of Nursing : Nursing Process, Physical and Health Assessment and Routine Procedures Answer Key


By : Budek

Content Outline

1. The nursing process
2. Physical Assessment
3. Health Assessment
3.a Temperature
3.b Pulse
3.c Respiration
3.d Blood pressure
4. Routine Procedures
4.a Urinalysis specimen collection
4.b Sputum specimen collection
4.c Urine examination
4.d Positioning pre-procedure
4.e Stool specimen collection

1. She is the first one to coin the term “NURSING PROCESS” She introduced 3 steps of nursing process which are Observation, Ministration and Validation.

A. Nightingale
B. Johnson
C. Rogers
D. Hall

2. The American Nurses association formulated an innovation of the Nursing process. Today, how many distinct steps are there in the nursing process?

A. APIE – 4
B. ADPIE – 5

3. They are the first one to suggest a 4 step nursing process which are : APIE , or assessment, planning, implementation and evaluation.

1. Yura
2. Walsh
3. Roy
4. Knowles

A. 1,2
B. 1,3
C. 3,4
D. 2,3

4. Which characteristic of nursing process is responsible for proper utilization of human resources, time and cost resources?

A. Organized and Systematic
B. Humanistic
C. Efficient
D. Effective

5. Which characteristic of nursing process addresses the INDIVIDUALIZED care a client must receive?
A. Organized and Systematic
B. Humanistic
C. Efficient
D. Effective

6. A characteristic of the nursing process that is essential to promote client satisfaction and progress. The care should also be relevant with the client’s needs.

A. Organized and Systematic
B. Humanistic
C. Efficient
D. Effective

7. Rhina, who has Menieres disease, said that her environment is moving. Which of the following is a valid assessment?

1. Rhina is giving an objective data
2. Rhina is giving a subjective data
3. The source of the data is primary
4. The source of the data is secondary

A. 1,3
B. 2,3
C. 2.4
D. 1,4

8. Nurse Angela, observe Joel who is very apprehensive over the impending operation. The client is experiencing dyspnea, diaphoresis and asks lots of questions. Angela made a diagnosis of ANXIETY R/T INTRUSIVE PROCEDURE. This is what type of Nursing Diagnosis?

A. Actual
B. Probable
C. Possible
D. Risk

9. Nurse Angela diagnosed Mrs. Delgado, who have undergone a BKA. Her diagnosis is SELF ESTEEM DISTURBANCE R/T CHANGE IN BODY IMAGE. Although the client has not yet seen her lost leg, Angela already anticipated the diagnosis. This is what type of Diagnosis?

A. Actual
B. Probable
C. Possible
D. Risk

10. Nurse Angela is about to make a diagnosis but very unsure because the S/S the client is experiencing is not specific with her diagnosis of POWERLESSNESS R/T DIFFICULTY ACCEPTING LOSS OF LOVED ONE. She then focus on gathering data to refute or prove her diagnosis but her plans and interventions are already ongoing for the diagnosis. Which type of Diagnosis is this?

A. Actual
B. Probable
C. Possible
D. Risk

11. Nurse Angela knew that Stephen Lee Mu Chin, has just undergone an operation with an incision near the diaphragm. She knew that this will contribute to some complications later on. She then should develop what type of Nursing diagnosis?

A. Actual
B. Probable
C. Possible
D. Risk

12. Which of the following Nursing diagnosis is INCORRECT?

A. Fluid volume deficit R/T Diarrhea
B. High risk for injury R/T Absence of side rails
C. Possible ineffective coping R/T Loss of loved one
D. Self esteem disturbance R/T Effects of surgical removal of the leg

13. Among the following statements, which should be given the HIGHEST priority?

A. Client is in extreme pain
B. Client’s blood pressure is 60/40
C. Client’s temperature is 40 deg. Centigrade
D. Client is cyanotic

14. Which of the following need is given a higher priority among others?

A. The client has attempted suicide and safety precaution is needed
B. The client has disturbance in his body image because of the recent operation
C. The client is depressed because her boyfriend left her all alone
D. The client is thirsty and dehydrated

15. Which of the following is TRUE with regards to Client Goals?

A. They are specific, measurable, attainable and time bounded
B. They are general and broadly stated
D. Example is : After discharge planning, Client demonstrated the proper psychomotor skills for insulin injection.

16. Which of the following is a NOT a correct statement of an Outcome criteria?

A. Ambulates 30 feet with a cane before discharge
B. Discusses fears and concerns regarding the surgical procedure
C. Demonstrates proper coughing and breathing technique after a teaching session
D. Reestablishes a normal pattern of elimination

17. Which of the following is a OBJECTIVE data?

A. Dizziness
B. Chest pain
C. Anxiety
D. Blue nails

18. A patient’s chart is what type of data source?

A. Primary
B. Secondary
C. Tertiary
D. Can be A and B

19. All of the following are characteristic of the Nursing process except

A. Dynamic
B. Cyclical
C. Universal
D. Intrapersonal

20. Which of the following is true about the NURSING CARE PLAN?

A. It is nursing centered
B. Rationales are supported by interventions
C. Verbal
D. Atleast 2 goals are needed for every nursing diagnosis

21. A framework for health assessment that evaluates the effects of stressors to the mind, body and environment in relation with the ability of the client to perform ADL.

A. Functional health framework
B. Head to toe framework
C. Body system framework
D. Cephalocaudal framework

22. Client has undergone Upper GI and Lower GI series. Which type of health assessment framework is used in this situation?

A. Functional health framework
B. Head to toe framework
C. Body system framework
D. Cephalocaudal framework

23. Which of the following statement is true regarding temperature?

A. Oral temperature is more accurate than rectal temperature
B. The bulb used in Rectal temperature reading is pear shaped or round
C. The older the person, the higher his BMR
D. When the client is swimming, BMR Decreases

24. A type of heat loss that occurs when the heat is dissipated by air current

A. Convection
B. Conduction
C. Radiation
D. Evaporation

25. Which of the following is TRUE about temperature?

A. The highest temperature usually occurs later in a day, around 8 P.M to 12 M.N
B. The lowest temperature is usually in the Afternoon, Around 12 P.M
C. Thyroxin decreases body temperature
D. Elderly people are risk for hyperthermia due to the absence of fats, Decreased thermoregulatory control and sedentary lifestyle.

26. Hyperpyrexia is a condition in which the temperature is greater than

A. 40 degree Celsius
B. 39 degree Celsius
C. 100 degree Fahrenheit
D. 105.8 degree Fahrenheit

27. Tympanic temperature is taken from John, A client who was brought recently into the ER due to frequent barking cough. The temperature reads 37.9 Degrees Celsius. As a nurse, you conclude that this temperature is

A. High
B. Low
C. At the low end of the normal range
D. At the high end of the normal range

28. John has a fever of 38.5 Deg. Celsius. It surges at around 40 Degrees and go back to 38.5 degrees 6 times today in a typical pattern. What kind of fever is John having?

A. Relapsing
B. Intermittent
C. Remittent
D. Constant

29. John has a fever of 39.5 degrees 2 days ago, But yesterday, he has a normal temperature of 36.5 degrees. Today, his temperature surges to 40 degrees. What type of fever is John having?

A. Relapsing
B. Intermittent
C. Remittent
D. Constant

30. John’s temperature 10 hours ago is a normal 36.5 degrees. 4 hours ago, He has a fever with a temperature of 38.9 Degrees. Right now, his temperature is back to normal. Which of the following best describe the fever john is having?

A. Relapsing
B. Intermittent
C. Remittent
D. Constant

31. The characteristic fever in Dengue Virus is characterized as:

A. Tricyclic
B. Bicyclic
C. Biphasic
D. Triphasic

32. When John has been given paracetamol, his fever was brought down dramatically from 40 degrees Celsius to 36.7 degrees in a matter of 10 minutes. The nurse would assess this event as:

A. The goal of reducing john’s fever has been met with full satisfaction of the outcome criteria
B. The desired goal has been partially met
C. The goal is not completely met
D. The goal has been met but not with the desired outcome criteria

33. What can you expect from Marianne, who is currently at the ONSET stage of fever?

A. Hot, flushed skin
B. Increase thirst
C. Convulsion
D. Pale,cold skin

34. Marianne is now at the Defervescence stage of the fever, which of the following is expected?

A. Delirium
B. Goose flesh
C. Cyanotic nail beds
D. Sweating

35. Considered as the most accessible and convenient method for temperature taking

A. Oral
B. Rectal
C. Tympanic
D. Axillary

36. Considered as Safest and most non invasive method of temperature taking

A. Oral
B. Rectal
C. Tympanic
D. Axillary

37. Which of the following is NOT a contraindication in taking ORAL temperature?

A. Quadriplegic
B. Presence of NGT
C. Dyspnea
D. Nausea and Vomitting

38. Which of the following is a contraindication in taking RECTAL temperature?

A. Unconscious
B. Neutropenic
D. Very young children

39. How long should the Rectal Thermometer be inserted to the clients anus?

A. 1 to 2 inches
B. .5 to 1.5 inches
C. 3 to 5 inches
D. 2 to 3 inches

40. In cleaning the thermometer after use, The direction of the cleaning to follow Medical Asepsis is :
A. From bulb to stem
B. From stem to bulb
C. From stem to stem
D. From bulb to bulb

41. How long should the thermometer stay in the Client’s Axilla?

A. 3 minutes
B. 4 minutes
C. 7 minutes
D. 10 minutes

42. Which of the following statement is TRUE about pulse?

A. Young person have higher pulse than older persons
B. Males have higher pulse rate than females after puberty
C. Digitalis has a positive chronotropic effect
D. In lying position, Pulse rate is higher

43. The following are correct actions when taking radial pulse except:

A. Put the palms downward
B. Use the thumb to palpate the artery
C. Use two or three fingers to palpate the pulse at the inner wrist
D. Assess the pulse rate, rhythm, volume and bilateral quality

44. The difference between the systolic and diastolic pressure is termed as

A. Apical rate
B. Cardiac rate
C. Pulse deficit
D. Pulse pressure

45. Which of the following completely describes PULSUS PARADOXICUS?

A. A greater-than-normal increase in systolic blood pressure with inspiration
B. A greater-than-normal decrease in systolic blood pressure with inspiration
C. Pulse is paradoxically low when client is in standing position and high when supine.
D. Pulse is paradoxically high when client is in standing position and low when supine.

46. Which of the following is TRUE about respiration?

A. I:E 2:1
B. I:E : 4:3
C I:E 1:1
D. I:E 1:2

47. Contains the pneumotaxic and the apneutic centers

A. Medulla oblongata
B. Pons
C. Carotid bodies
D. Aortic bodies

48. Which of the following is responsible for deep and prolonged inspiration

A. Medulla oblongata
B. Pons
C. Carotid bodies
D. Aortic bodies

49. Which of the following is responsible for the rhythm and quality of breathing?

A. Medulla oblongata
B. Pons
C. Carotid bodies
D. Aortic bodies

50. The primary respiratory center

A. Medulla oblongata
B. Pons
C. Carotid bodies
D. Aortic bodies

51. Which of the following is TRUE about the mechanism of action of the Aortic and Carotid bodies?

A. If the BP is elevated, the RR increases
B. If the BP is elevated, the RR decreases
C. Elevated BP leads to Metabolic alkalosis
D. Low BP leads to Metabolic acidosis

52. All of the following factors correctly influence respiration except one. Which of the following is incorrect?

A. Hydrocodone decreases RR
B. Stress increases RR
C. Increase temperature of the environment, Increase RR
D. Increase altitude, Increase RR

53. When does the heart receives blood from the coronary artery?

A. Systole
B. Diastole
C. When the valves opens
D. When the valves closes

54. Which of the following is more life threatening?

A. BP = 180/100
B. BP = 160/120
C. BP = 90/60
D. BP = 80/50

55. Refers to the pressure when the ventricles are at rest

A. Diastole
B. Systole
C. Preload
D. Pulse pressure

56. Which of the following is TRUE about the blood pressure determinants?

A. Hypervolemia lowers BP
B. Hypervolemia increases GFR
C. HCT of 70% might decrease or increase BP
D. Epinephrine decreases BP

57. Which of the following do not correctly correlates the increase BP of Ms. Aida, a 70 year old diabetic?

A. Females, after the age 65 tends to have lower BP than males
B. Disease process like Diabetes increase BP
C. BP is highest in the morning, and lowest during the night
D. Africans, have a greater risk of hypertension than Caucasian and Asians.

58. How many minutes are allowed to pass if the client had engaged in strenuous activities, smoked or ingested caffeine before taking his/her BP?

A. 5
B. 10
C. 15
D. 30

59. Too narrow cuff will cause what change in the Client’s BP?

A. True high reading
B. True low reading
C. False high reading
D. False low reading

60. Which is a preferable arm for BP taking?

A. An arm with the most contraptions
B. The left arm of the client with a CVA affecting the right brain
C. The right arm
D. The left arm

61. Which of the following is INCORRECT in assessing client’s BP?

A. Read the mercury at the upper meniscus, preferably at the eye level to prevent error of parallax
B. Inflate and deflate slowly, 2-3 mmHg at a time
C. The sound heard during taking BP is known as KOROTKOFF sound
D. If the BP is taken on the left leg using the popliteal artery pressure, a BP of 160/80 is normal.

62. Which of the following is the correct interpretation of the ERROR OF PARALLAX

A. If the eye level is higher than the level of the meniscus, it will cause a false high reading
B. If the eye level is higher than the level of the meniscus, it will cause a false low reading
C. If the eye level is lower than the level of the meniscus, it will cause a false low reading
D. If the eye level is equal to that of the level of the upper meniscus, the reading is accurate

63. How many minute/s is/are allowed to pass before making a re-reading after the first one?

A. 1
B. 5
C. 15
D. 30

64. Which of the following is TRUE about the auscultation of blood pressure?

A. Pulse + 4 is considered as FULL
B. The bell of the stethoscope is use in auscultating BP
C. Sound produced by BP is considered as HIGH frequency sound
D. Pulse +1 is considered as NORMAL

65. In assessing the abdomen, Which of the following is the correct sequence of the physical assessment?

A. Inspection, Auscultation, Percussion, Palpation
B. Palpation, Auscultation, Percussion, Inspection
C. Inspection, Palpation, Auscultation, Percussion
D. Inspection, Auscultation, Palpation, Percussion

66. The sequence in examining the quadrants of the abdomen is:


67. In inspecting the abdomen, which of the following is NOT DONE?

A. Ask the client to void first
B. Knees and legs are straighten to relax the abdomen
C. The best position in assessing the abdomen is Dorsal recumbent
D. The knees and legs are externally rotated

68. Dr. Fabian De Las Santas, is about to conduct an ophthalmoscope examination. Which of the following, if done by a nurse, is a Correct preparation before the procedure?

A. Provide the necessary draping to ensure privacy
B. Open the windows, curtains and light to allow better illumination
C. Pour warm water over the ophthalmoscope to ensure comfort
D. Darken the room to provide better illumination

69. If the client is female, and the doctor is a male and the patient is about to undergo a vaginal and cervical examination, why is it necessary to have a female nurse in attendance?

A. To ensure that the doctor performs the procedure safely
B. To assist the doctor
C. To assess the client’s response to examination
D. To ensure that the procedure is done in an ethical manner

70. In palpating the client’s breast, Which of the following position is necessary for the patient to assume before the start of the procedure?

A. Supine
B. Dorsal recumbent
C. Sitting
D. Lithotomy

71. When is the best time to collect urine specimen for routine urinalysis and C/S?

A. Early morning
B. Later afternoon
C. Midnight
D. Before breakfast

72. Which of the following is among an ideal way of collecting a urine specimen for culture and sensitivity?

A. Use a clean container
B. Discard the first flow of urine to ensure that the urine is not contaminated
C. Collect around 30-50 ml of urine
D. Add preservatives, refrigerate the specimen or add ice according to the agency’s protocol

73. In a 24 hour urine specimen started Friday, 9:00 A.M, which of the following if done by a Nurse indicate a NEED for further procedural debriefing?

A. The nurse ask the client to urinate at 9:00 A.M, Friday and she included the urine in the 24 hour urine specimen
B. The nurse discards the Friday 9:00 A M urine of the client
C. The nurse included the Saturday 9:00 A.M urine of the client to the specimen collection
D. The nurse added preservatives as per protocol and refrigerates the specimen

74. This specimen is required to assess glucose levels and for the presence of albumin the the urine

A. Midstream clean catch urine
B. 24 hours urine collection
C. Postprandial urine collection
D. Second voided urine

75. When should the client test his blood sugar levels for greater accuracy?

A. During meals
B. In between meals
C. Before meals
D. 2 Hours after meals

76. In collecting a urine from a catheterized patient, Which of the following statement indicates an accurate performance of the procedure?

A. Clamp above the port for 30 to 60 minutes before drawing the urine from the port
B. Clamp below the port for 30 to 60 minutes before drawing the urine from the port
C. Clamp above the port for 5 to 10 minutes before drawing the urine from the port
D. Clamp below the port for 5 to 10 minutes before drawing the urine from the port

77. A community health nurse should be resourceful and meet the needs of the client. A villager ask him, Can you test my urine for glucose? Which of the following technique allows the nurse to test a client’s urine for glucose without the need for intricate instruments.

A. Acetic Acid test
B. Nitrazine paper test
C. Benedict’s test
D. Litmus paper test

78. A community health nurse is assessing client’s urine using the Acetic Acid solution. Which of the following, if done by a nurse, indicates lack of correct knowledge with the procedure?

A. The nurse added the Urine as the 2/3 part of the solution
B. The nurse heats the test tube after adding 1/3 part acetic acid
C. The nurse heats the test tube after adding 2/3 part of Urine
D. The nurse determines abnormal result if she noticed that the test tube becomes cloudy

79. Which of the following is incorrect with regards to proper urine testing using Benedict’s Solution?

A. Heat around 5ml of Benedict’s solution together with the urine in a test tube
B. Add 8 to 10 drops of urine
C. Heat the Benedict’s solution without the urine to check if the solution is contaminated
D. If the color remains BLUE, the result is POSITIVE

80. +++ Positive result after Benedicts test is depicted by what color?

A. Blue
B. Green
C. Yellow
D. Orange

81. Clinitest is used in testing the urine of a client for glucose. Which of the following, If committed by a nurse indicates error?

A. Specimen is collected after meals
B. The nurse puts 1 clinitest tablet into a test tube
C. She added 5 drops of urine and 10 drops of water
D. If the color becomes orange or red, It is considered postitive

82. Which of the following nursing intervention is important for a client scheduled to have a Guaiac Test?

A. Avoid turnips, radish and horseradish 3 days before procedure
B. Continue iron preparation to prevent further loss of Iron
C. Do not eat read meat 12 hours before procedure
D. Encourage caffeine and dark colored foods to produce accurate results

83. In collecting a routine specimen for fecalysis, Which of the following, if done by a nurse, indicates inadequate knowledge and skills about the procedure?

A. The nurse scoop the specimen specifically at the site with blood and mucus
B. She took around 1 inch of specimen or a teaspoonful
C. Ask the client to call her for the specimen after the client wiped off his anus with a tissue
D. Ask the client to defecate in a bedpan, Secure a sterile container

84. In a routine sputum analysis, Which of the following indicates proper nursing action before sputum collection?

A. Secure a clean container
B. Discard the container if the outside becomes contaminated with the sputum
C. Rinse the client’s mouth with Listerine after collection
D. Tell the client that 4 tablespoon of sputum is needed for each specimen for a routine sputum analysis

85. Who collects Blood specimen?

A. The nurse
B. Medical technologist
C. Physician
D. Physical therapist

86. David, 68 year old male client is scheduled for Serum Lipid analysis. Which of the following health teaching is important to ensure accurate reading?

A. Tell the patient to eat fatty meals 3 days prior to the procedure
B. NPO for 12 hours pre procedure
C. Ask the client to drink 1 glass of water 1 hour prior to the procedure
D. Tell the client that the normal serum lipase level is 50 to 140 U/L

87. The primary factor responsible for body heat production is the

A. Metabolism
B. Release of thyroxin
C. Muscle activity
D. Stress

88. The heat regulating center is found in the

A. Medulla oblongata
B. Thalamus
C. Hypothalamus
D. Pons

89. A process of heat loss which involves the transfer of heat from one surface to another is

A. Radiation
B. Conduction
C. Convection
D. Evaporation

90. Which of the following is a primary factor that affects the BP?

A. Obesity
B. Age
C. Stress
D. Gender

91. The following are social data about the client except

A. Patient’s lifestyle
B. Religious practices
C. Family home situation
D. Usual health status

92. The best position for any procedure that involves vaginal and cervical examination is

A. Dorsal recumbent
B. Side lying
C. Supine
D. Lithotomy

93. Measure the leg circumference of a client with bipedal edema is best done in what position?

A. Dorsal recumbent
B. Sitting
C. Standing
D. Supine

94. In palpating the client’s abdomen, Which of the following is the best position for the client to assume?

A. Dorsal recumbent
B. Side lying
C. Supine
D. Lithotomy

95. Rectal examination is done with a client in what position?

A. Dorsal recumbent
B. Sims position
C. Supine
D. Lithotomy

96. Which of the following is a correct nursing action when collecting urine specimen from a client with an Indwelling catheter?

A. Collect urine specimen from the drainage bag
B. Detach catheter from the connecting tube and draw the specimen from the port
C. Use sterile syringe to aspirate urine specimen from the drainage port
D. Insert the syringe straight to the port to allow self sealing of the port

97. Which of the following is inappropriate in collecting mid stream clean catch urine specimen for urine analysis?

A. Collect early in the morning, First voided specimen
B. Do perineal care before specimen collection
C. Collect 5 to 10 ml for urine
D. Discard the first flow of the urine

98. When palpating the client’s neck for lymphadenopathy, where should the nurse position himself?

A. At the client’s back
B. At the client’s right side
C. At the client’s left side
D. In front of a sitting client

99. Which of the following is the best position for the client to assume if the back is to be examined by the nurse?

A. Standing
B. Sitting
C. Side lying
D. Prone

100. In assessing the client’s chest, which position best show chest expansion as well as its movements?

A. Sitting
B. Prone
C. Sidelying
D. Supine

Nursing board exec arrested for swindling

Nursing board exec arrested for swindling

By Jeannette I. Andrade, Reporter

The Criminal Investigation and Detection Group (CIDG) said on Friday that it has arrested on charges of estafa and illegal recruitment a Board of Nursing examiner accused of leaking test questions in the 2006 Nursing Licensure Examination.

The examiner, Virginia Madeja, was accused of large-scale swindling of registered nurses after she reportedly introduced herself as the Filipino representative of the Florida-based company Total Care Staff Services.

Madeja was the former manager of a recruitment agency in Ermita, Manila. She was taken into custody based on a warrant issued on June 9, 2005, by Judge Guillermo Purganan of Branch 42 of the Manila Regional Trial Court.

Madeja was charged with two others for allegedly duping a number of applicants into signing up for jobs in other countries but failed to send them abroad.

The information filed in court by three complainants said Madeja approached the applicants in 2001 and promised them jobs in the United States the following year.

She showed the applicants a document with the letterhead “Care Well” company in the US to persuade them that the offer was genuine. Madeja then allegedly asked $500 from each applicant.

None of them were able to leave. When the applicants confronted Madeja, she promised they would be deployed soon.

In 2003 the applicants learned from the Philippine Overseas Employment Agency that Total Care Staff Services was neither accredited nor licensed to recruit workers abroad. The discovery prompted the complainants to sue Madeja and two others, Mario Espino Sid and Agnes Rapirap.

Madeja and her supposed accomplices went into hiding, the CIDG said.

When she surfaced at the height of the nursing board exam controversy, the complainants sought the help of the Metro Manila CIDG, headed by Senior Supt. Asher Dolina, in serving the arrest warrant.

On Thursday Dolina sent a CIDG team to Madeja’s house at 6 Mahogany Street, Mahogany Homes in Bagumbayan, Taguig, and arrested her.

After the arrest, Majeda complained of difficulty in breathing and rising blood pressure. She was confined at the PNP General Hospital.

Dolina said that as soon as Madeja’s condition stabilizes, she will be presented before the court which issued the arrest warrant.

At a Senate inquiry on Thursday, Madeja denied she leaked the test questions.

On Friday Sen. Richard Gor­don called for the phaseout of all nursing review centers. Instead of the centers, Gordon said nursing schools should be the ones preparing their graduates for the licensure examination.

He said nursing students spend as much as P50,000 a semester for tuition and other expenses.

“What happens now is that the students are counting more on review centers to pass the exam,” Gordon said. “There’s a stink in this system because it produces more review centers that think only about their business, and to survive some of them seek leakage to produce topnotchers.”

He said about 42,000 examinees took the board exam last June, and review centers, led by R.A. Gapuz Review Center and the Inress Review Center, from which the leak allegedly came, earned as much as P630 million from reviewers.

Gordon said that nursing schools should offer at least a year of review for their graduates. “Like in law school, in my last six months in UP I reviewed practically. Then the UP Law Center also conducted a review.”

--With Ronnie E. Calumpita

Friday, September 22, 2006

Nursing board examiner nabbed for illegal recruitment

Nursing board examiner nabbed for illegal recruitment

By Thea Alberto, GMA7
Last updated 05:03pm (Mla time) 09/22/2006

(UPDATE) ONE of the nursing board examiners linked to the leakage of questions for this year’s licensure tests was arrested by police in her home in Taguig City Thursday night for alleged illegal recruitment.

Virginia Madeja was immediately rushed to the Philippine National Police (PNP) General Hospital after her blood pressure shot up and she complained of shortness of breath.

By Friday afternoon, she was well enough to be transferred to the PNP Custodial Center, GMA Network’s Flash report said.

Senior Superintendent Asher Dolina, chief of the Criminal Investigation and Detection Group (CIDG) in the National Capital Region Chief, confirmed his men served a warrant of arrest issued by the Regional Trial Court in Manila against Madeja for alleged illegal recruitment and estafa (fraud).

The warrant stems from charges filed by two nurses who Madeja, who introduced herself as the manager of Total Care Staffing Service, allegedly duped into paying 500 dollars in 2001 for what turned out to be non-existent job abroad.

Dolina said a check with the Philippine Overseas Employment Administration (POEA) showed Total Care is not registered with the agency.

The police official said the complainants recognized Madeja from TV news footage of her attendance at the Senate investigation into the nursing exam leakage.

On Monday, Dolina said they will turn Madeja over to the court, which will decide where she will be detained.

Professional Regulation Commission chair Leonor Tripon-Rosero was quoted by GMA 7 as saying she regretted the arrest of Madeja but that she had no knowledge of the charges faced by the board examiner.

Budek's Recommendation: Seasonal examiners, longer quarantine and Leave review centers alone.

Requiring the review centers to build their own schools will just herald a batch of new mushrooming under qualified nursing schools. We already have current problems on quality of nursing education, still unsolved, yet CHED is now trying to add another bulk of problems those themselves cannot handle : Regulation of ALL Review centers.

Putting the burden of reviewing the student's in the colleges and universities is not new. It is already done by schools like Fatima University, Trinity College, St. Jude etc. It SHOULD NOT be added in the curriculum because it will inhibit the freedom of students to pursue their freedom of choice for review centers with well known national expert reviewers.

Adding it in the curriculum will force us to settle for a review that we might not want and in the long run, students might lack the will and motivation to attend this review classes because even at first, it’s never their choice.

I am not saying that in house reviews are inferior. Some in house reviews are good like in Fatima and Trinity College, But what about the In house reviews of the under qualified nursing schools? Should we bind these students who are already victims of poor education to attend their poor reviews?

If they will add it as part of the curriculum and the school would want 50,000 pesos fee for the review how could the students evade and say no? This will KILL the competition factor that makes review centers lower down their rates to accommodate and attract more students. This will also KILL the dynamic growth and hunger of review centers and reviewers for pursuit of HIGH QUALITY review due to factors of competition.

In the end, WE WILL SUFFER. QUALITY OF REVIEW will further deteriorate.

I recommend that CHED should just leave it as is and instead concentrate on regulating the nursing schools in the country, They should not pursue another vanity that they might not be able to handle. PRC should increase quarantine period of the Board of examiners from the time they start making the exam up to the time the results are released prohibiting them from going out the complex [wherever it is] or use telecommunication equipments.

Leakage can be both written and oral. The BON members tend to attend seminars and ceremonies wherein, they will release a speech that contains actual information that they used in making board questions, thus giving sharper edge to those who paid and attended these seminars.

Examiners should be examiners, nothing more and less. Neither someone who uses his own books as a source of board questions and peddle it around nor someone who sells himself and makes speeches that will be the reference of the next board examination. In exchange of these sacrifices, they should be compensated well enough. Well enough to be comparable to salaries of deans of prestigious universities.

PRC should hire SEASONAL EXAMINERS. These are people who are expert making examination questions but they should only make sets of question only ONCE every 3 board examination. Meaning, they cannot create questions for 2 consecutive board examinations. The BON should concentrate on the regulation of nursing profession and not making these questions. Questions should be validated by the BON members and chairman and they should be quarantined with the examiners as soon as they see these questions.

This will prevent these persons from being the "MOST IMPORTANT PEOPLE IN THE NURSING PROFESSION" thus; bribery is eradicated because people who will tend to bribe the examiners will have no chance of doing so. This will also PREVENT review centers that are based on tips, leaks and trends from even guessing what’s next forcing them to concentrate on giving PURE KNOWLEDGE and not mnemonically tips and techniques on answering the exam.

Review centers should remain deregulated. We, STUDENTS choose review centers based on students' feedback and not with the questionable standards set by CHED. Why should we believe on the standards they set? Isn't it the same standard that flunked the nursing profession to it's lowest quality ever in the history of this country?

CHED eyes two options on review centers

CHED eyes two options on review centers
By Florante S. Solmerin

Starting next year, review centers will be placed under the supervision of the Commission on Higher Education Chairman Carlito Puno said yesterday.

The commission is also considering two options: Require the review centers to put up their own schools or make the review part of the regular curriculum.

CHED has been coordinating closely with the chairmen of all technical working groups of all disciplines. “In the next few months, CHED will make consultations with the school heads, deans, students or student councils of all courses and with some review centers across the country. We want to hear their side. If they have better ideas, we are open. Hopefully by the middle of November, we should come up with the final draft of the implementing rules and regulations,’’ Puno said.

On Sept. 8, President Gloria Macapagal Arroyo signed Executive Order 566 placing all review centers under the commission’s supervision. The issuance of the EO was prompted by the widespread cheating that marred the nursing licensure examinations last June.

According to Puno, each review center will be required to have its own school that offers the course. A nursing review center, for instance, must have its own nursing school, according to the commission.

There are about a hundred review centers nationwide and most of them are based in Metro Manila. Most of them don’t have their own school.

CHED has come up with two suggestions on how it should regulate review centers: to allow only recognized colleges and universities to operate review centers and to include in the curriculum of nursing education the review of board examination.

Nothing is definite yet as consultations are still being conducted with the various stakeholders.

Puno said schools handling review centers will also be tested based on how they handle the review of their graduates.

Meanwhile, Puno said the commission is keeping an eye on R. A. Gapuz Review Center, a major review center that figured in the June leakage. Gapuz has to comply with the requirement that it has to put up a nursing school before it is given a permit to operate.

Puno said he made two suggestions for the draft of the IRR, which would be a basis for the approval or disapproval of applications for permit. “One is that we allow only recognized colleges and universities to operate review centers.”

Another suggestion is to include the nursing board review in the regular curriculum.

Puno added even with these suggestions, there is nothing definite yet.

“Since all disciplines or courses are covered, including accountancy, engineering, health courses, practically all except law, our thinking is that there should only one policy to cover all these review centers coming from different disciplines,” said Puno.

Thursday, September 21, 2006

Nursing exam questions leaked prior to printing -PRC exec

Nursing exam questions leaked prior to printing -PRC exec

Article posted September 20, 2006, 5:32 pm

Some review centers and examinees got hold of photocopies of handwritten questions that came up in the nursing licensure examinations even before the questionnaires were printed, commissioner Renato Valdecantos of the Professional Regulation Commission (PRC) told lawmakers on Wednesday.

Valdecantos told the Senate civil service committee that the initial investigation showed that 2,800 photocopies of questions crafted by Board of Nursing examiners Anisia Dionisio (Test 5) and Virginia Madeja (Test 3) were distributed to various review centers, particularly in Baguio City.

Valdecantos said the photocopied manuscripts proved that the leak of the test questions took place even before the PRC could officially encode and print out the test questions.

"You see, the photocopies were of the same sequence as the original manuscripts, they also contained notes and names made by the two board examiners. If the questions were 'leaked' after they were printed by the PRC, then they would not have been of the same sequence," he said.

The questionnaires were printed on June 9.

The PRC commissioner testified that "concerned parties" furnished the PRC with the photocopied manuscripts of Dionisio and Madeja.

"Almost all of the questions in the original manuscripts were included in the copies given to us. When we confronted Madeja and Dionisio with the photocopies, they acknowledged that they were indeed copies of what they did," he said.

The PRC commissioner said Dionisio told him that she "mysteriously" lost her manuscript while Madeja surrendered her "original" manuscript to the PRC.

Valdecantos told GMANews.TV after the hearing that out of 500 questions each made by Madeja and Dionisio, only 100 were included in the final examination.

"So you see...the manuscripts included all of the 500 questions. That means that the leakage happened even before Medeja and Dionisio turned over the questions that they prepared to us," he said in an interview.

"It would be difficult to sneak out copies of the printed questions from the PRC and have these distributed to review centers days or weeks before the actual date of examination because the questionnaires are only prepared one or two days before the examinations," he added.

The nursing examinations given last June 11-12 drew controversy after a number of examinees came out to say that questions in two of five sections in the tests were leaked by some review centers. Some 17,000 passed out of more than 40,000 examinees.

Valdecantos, along with PRC chair Leonor Tripon-Rosero, PRC commissioner Avelina dela Rea and National Bureau of Investigation (NBI) anti-fraud division chief Elfren Meneses, avoided being cited in contempt by the committee and ordered arrested when they showed up in the hearing.

The four were told to show cause why they should not be cited in contempt for snubbing earlier hearings despite the issuance of summonses.

Resigned Philippine Nursing Association (PNA) head George Cordero, who was also issued a subpoena, was a no-show.

He furnished the Senate a medical certificate stating that he was medically unfit to testify "due to the recurrence of my previous surgical condition, a fistula which has been profusely bleeding."

Cordero is confined at the St. Luke's Medical Center in Quezon City.

Valdecantos said that the PRC forwarded his group's initial findings to the NBI for further investigation.

The NBI has filed graft charges against Madeja and Dionisio before the Office of the Ombudsman after reportedly securing evidence that they were involved in the leak.

Also during the hearing, Senator Richard Gordon called on PRC officials to "resign" for their failure to protect the integrity of the nursing board licensure examinations.

He likewise called for the closure of all review centers and proposed that reviews for licensure examinations be included in the school curriculum.

Senator Rodolfo Biazon, chairman of the Senate civil service committee, said his panel would come up with mechanisms on how to regulate operations of review centers in the light of Malacanang's Executive Order 566 which placed all review centers under the regulation of the Commission on Higher Education. -GMANews.TV

PRC officials testify, avoid Sabio’s fate

PRC officials testify, avoid Sabio’s fate

By Roy Pelovello

AFTER snubbing three Senate hearings on the alleged leakage in the nursing licensure examinations, officers of the Professional Regulatory Commission finally showed up at the hearing of the Senate committee on civil service and government reorganization yesterday.

PRC Chairman Leonor Tripon-Rosero, Commissioners Avelina dela Rea and Renato Valdecantos took turns in answering senators’ questions on why they decided to swear in examinees who passed the nurses’ licensure test.

By heeding the summons to testify, the PRC officials avoided the fate of PCGG Chairman Camilo Sabio, whom the Senate had detained for ignoring an invitation to clarify issues on state-sequestered telecom companies.

The commissioners said it was only right to induct the examinees because they were not proven to have cheated or even accused of cheating in the test.

Lawyer Elfren Meneses, chief of the National Bureau of Investigation’s antifraud and computer crimes division, also showed up to explain the status of the cases filed against the two examiners who allegedly leaked the test questions to a nursing review center.

At the same time, Senator Richard Gordon, one of the three senators who filed a resolution calling for the inquiry into the leakage, reiterated his proposal for the abolition of review centers, particularly in nursing, saying the schools should be responsible for the performance of their graduates.

Gordon also took the Commission on Higher Education to task for the low quality of the education in the country, noting that many poor-performing schools in the country continue to operate.

CHED executive director Julito Vitriolo, said the commission has already recommended the upgrading of the standard to a 30 percent cutoff but they were prevented from implementing it after some schools sued CHED and managed to secure a restraining order from the courts.

The PRC commissioners said they supported the CHED recommendation to close down review centers that fail to get more than 5 percent of its graduates pass the licensure exams.

At the same time, Senator Rodolfo Biazon, the committee chairman, said they are also looking into the possibility that George Cordero, owner of Philippine College of Health Sciences and INRESS review center that was implicated in the leakage scandal, may have given false testimony during the last hearing of the committee.

Cordero earlier denied charges that the leaked test questions formed part of the “final coaching” that INRESS made for its reviewees at the SM theater in Manila before the examination. But Cordero was not able to attend yesterday’s hearing purportedly because of a medical illness.

After the hearing, Biazon said it was a good thing that the witnesses were able to come to the hearing because had the PRC and NBI officials failed to appear in yesterday’s hearing, the Senate would have likely ordered their arrest.

Biazon said he also understands the situation of the bureaucrats because they are only following orders, noting the Supreme Court decision on Executive Order 464 has yet to become final and that there is also the existing Memorandum Order 108.

EO 464 requires officials from the Executive department to get prior presidential permission before appearing in any legislative hearing, but the Supreme Court has ruled against it.


English and NCLEX

English and NCLEX

By James A. Rarick

The National Council of State Boards of Nursing (NCSBN) has made many studies over the past years. Not so long ago they determined that the amount of time between graduation from nursing school and taking the NCLEX is reflected in the final score. The longer the wait, the lower the score. Repeat test takers have less than half the chance of passing the NCLEX as first-time takers.

Overall, that might be true. However, I believe there is a deeper and more significant factor than just the passing of time for Philippine nurses.

U.S. educated nurses have an NCLEX passing rate of just under 84%. Philippine educated nurses have a pass rate of just under 48%. That is a big difference. But, is that difference due to the quality of education? I highly doubt it. I believe that the "other factor" is directly responsible for that disparity.

Philippine nurses have been recruited to the USA for a long time. Any significant educational deficiencies would have been exposed long ago. Nurses would have been summarily sent home in shame. That has not happened, of course. Additionally, Philippine nurses have passed their own licensure exams and the CGFNS by the time they get around to the NCLEX. That means they have demonstrated their knowledge repeatedly long before the NCLEX. Add to that, Philippine nurses have, for the
most part, been intensely qualified by recruiters who are looking for only the best. Then what is the big difference between the two groups?

I believe the difference, the "other factor", is in their basic English language skills.

The ability to effectively use the protocols and nuances of the English language is a huge step up over those that use English infrequently (and incorrectly when they do use it). The subtleties of the English language are generally lost on non-native speakers. To illustrate that point, at every seminar I have presented in the past
ten years, I always ask the attendees "if they mind if I take off my suit/sport coat". Without exception, they always say in unison: "Yes!" Their response actually means that I am denied the luxury of taking off my coat. They are not that unkind. They simply do not understand the question. That is just one example. I have thousands.

If I had a magic wand I would use it to dictate that all recruiters demand that their recruits speak English only, and that they use their nursing school textbooks to stay at a good level of knowledge retention. Next I would give them good English reparation materials and monitor their progress. I would then schedule their English tests after a critical assessment of their progress shows a high probability of
passing. Solid English skills can help with passing the CGFNS or the NCLEX. The reverse is not true.

With the English test passed, I would next schedule them as quickly as possible for the CGFNS or the NCLEX, while their English is still fresh! All too often it is the reverse that happens, and the nurse dabbles along, "practicing" English infrequently, and then for months or years struggles along trying to pass their English test.

sent via email

Gordon urges PRC officials to resign

Gordon urges PRC officials to resign

By RONNIE E. CALUMPITA, The Manila Times Reporter

Sen. Richard Gordon on Wednesday told officials of the Professional Regulation Commission (PRC) pointblank to resign for failing to ensure fairness in the June nursing board examination and tarnishing the integrity of the nursing profession.

"What is involved here is the integrity of the profession and the responsibility of the commission and the board [of nursing]," Gordon told the officials at the hearing of the Senate Committee on Civil Service and Government Reorganization.

The committee is looking into the leak that marred the licensure examination.

"The big deal is that there is no explanation on how we are dealing with the problem, with the whole system. I think all of you should resign," he said.

Gordon also wanted to know why the PRC was trying to cover up the leak by authorizing the oath-taking of successful examinees while the National Bureau of Investigation and the Senate were still looking into the anomaly.

"I don’t understand why you allowed the oath-taking," Gordon told PRC Chairman Leonor Tripon-Rosero.

Rosero insisted she would not resign over the controversy, and that the PRC was only recognizing the rights of board examinees who passed. "We will revoke or suspend their license" if those who took the oath before the issuance of a temporary restraining order by the Court of Appeals are found to have benefited from the leak," she said.

Questions in the exam were reportedly shown during the final coaching conducted by the Inress Review Center and Philippine College of Health Sciences owned by George Cordero, who recently resigned as president of the Philippine Nurses Association.

Cordero, who was also implicated in the leak, did not attend Wednesday’s hearing. He said he was rushed Monday to the Saint Luke’s Medical Center for the "recurrence of my previous surgical condition, a fistula which has been profusely bleeding."

Other officials of the PRC, Commission on Higher Education and NBI attended the hearing, apparently avoiding being served arrest warrants by the Senate, just like what it did to Presidential Commission on Good Government Chairman Camilo Sabio.

"They know the law and the detention of a big fish [Sabio] in the Senate really helped," Gordon said.

"It vindicates the fact that the Senate is a very responsible institution and because of the answers we’re getting we’re going come up with a better law and better nurses. To me it shows that the check-and-balance function [of the Senate] is working. In these investigations we see the qualities of the people we put in the PRC, Board of Nursing and CHED," he added.

Sen. Rodolfo Biazon said that if the PRC commissioners snub the hearing, the Senate will cite them in contempt and serve arrest warrants on them.

"I’m just completing the process; we’ve issued two invitations, then subpoenas, which they also snubbed. We then ordered them to show cause why they should not be cited in contempt but failed to respond. The last ones we issued were subpoenas to appear in today’s hearing, which they did," Biazon said.

Julito Vitriolo, CHED deputy executive director, also attended Wednesday’s hearing although the Senate has not issued a subpoena against him. It was the first time a CHED official appeared in the investigation.


Wednesday, September 20, 2006

Nursing board members show up but say nothing about leakage

Nursing board members show up but say nothing about leakage

By Michael Lim Ubac

Published on page A5 of the September 20, 2006 issue of the Philippine Daily Inquirer

TWO former members of the Board of Nursing (BON), who had been identified by the Professional Regulations Commission (PRC) as being the source of the leaked questions in the June nursing licensure exams, finally showed up at the congressional inquiry into the cheating scandal yesterday.

But Anesia Dionisio and Virginia Madeja would not comment on the cheating controversy that has affected the professional future of 42,006 nursing graduates from all over the country who took the exams on June 11 to 12.

“No comment,” said Madeja, who invoked her constitutional right to due process and objected to being grilled further by members of the joint House committees on civil service and professional regulation, justice and good government.

Explaining why she suddenly disappeared when the scandal broke out in late June, Madeja said she was afraid to come out “because people have prejudged the issue already.”


She also said she didn’t want to incriminate herself as the National Bureau of Investigation (NBI) has filed a case against her with the Office of the Ombudsman.

Dionisio said she would be willing to answer the charges in the proper forum while insisting that she did not do what she was being accused of doing.

But officials of the PRC, the government agency in charge of licensing professionals in the country, pointed an accusing finger at Dionisio and Madeja, saying they had been negligent.

PRC Chair Leonor Tripon Rosero said the agency’s system was secure and that the leak was the fault of the two BON board members.

“Actually, we cannot say that they leaked the questions. What we always say is that they owned the manuscripts,” said Rosero.

PRC Commissioner Renato Valdecantos, who headed the PRC committee that handled the internal investigation into the incident, said it was tantamount to “neglect of duty.”

He said the committee had submitted its report to the NBI in which it recommended the filing of administrative charges against Madeja and Dionisio.

“Based on the evidence we gathered, their test manuscripts were the source of the leakage. That is why the charge is for neglect of duty,” Valdecantos said.

He said Dionisio had admitted to him that she had lost her manuscript of test questions, finding out about it long after the June exams were over.

He explained that the 18 pages of leaked test questions were actually handwritten notes for Tests III (20 questions) and V (90 questions), which “came from the manuscripts of Mrs. Dionisio and Mrs. Madeja.”

Valdecantos said the real test questions were not the ones that were circulated.

He said the leaked notes showed that the questions had been copied almost verbatim, even down to the sequence and the names of the persons mentioned in the examinations papers.

No cover up

Valdecantos decried accusations that the PRC was trying to cover up the controversy, saying “we would not have come up with anything against anybody” if that were the case.

“The PRC was never involved in this leakage. The leakage came from the Board of Nursing,” he said.

Lawyer Cheryl Daytec-Yangot accused both the BON and PRC of conspiracy to hide the truth from the public. She said the PRC was “dictating” the outcome of the NBI’s investigation into the scandal.

He lamented that the PRC could only determine neglect of duty in its investigation.

“There might be co-conspirators or participants but we don’t have hard evidence. That is why we requested the NBI to conduct further investigations,” he said.

Charles Santiago, the PRC legal officer who is alleged to have been the source of the leak in Baguio City, also professed innocence.

He said he had to leave the “confidential room” while the test questions were being printed to get their allowance from the cashier because they had run out of food.

Officemate Edward Tajeda corroborated Santiago’s statement but Rosero said staff members detailed at the confidential room had orders to stay inside.

NBI regional director Elfren Meneses, chief of the anti-fraud and computer crimes division, said the bureau would complete its investigation and file additional charges soon.


PRC has four nominees to fill nursing board

PRC has four nominees to fill nursing board

By Veronica Uy
Last updated 06:06pm (Mla time) 09/20/2006

THE Professional Regulation Commission has four nominees to fill the vacancies in the seven-member Board of Nursing (BON), PRC chief Leonor Tripon-Rosero said Wednesday.

Outside the Senate hearing on the June nursing board exam leakage, Rosero said the names would be submitted to the Office of the President by September 27.

She said her office will request that the processing of the nominees be done as soon as possible so that the new BON members can prepare for the December 2006 nursing board exams.

The BON prepares the questions for the nursing board exam, another of which is scheduled for December.

Rosero said that, of the 29 nurses the PRC has invited to the BON, two have replied. One more has volunteered to join the board while she is talking to yet another.

She said the Presidential Management Staff will conduct a background check on the candidates once their names are submitted.

the PRC head said some 20,000 nursing graduates have already applied to take the December board exams although 60,000 are expected to take the test.

PRC head asked to resign for ‘bungling’ leak scandal

PRC head asked to resign for ‘bungling’ leak scandal

Allowing oath-taking ‘bad judgment,’ says Gordon

By Veronica Uy
Last updated 06:06pm (Mla time) 09/20/2006

(UPDATE) SENATOR Richard Gordon on Wednesday asked Leonor Tripon-Rosero, chairperson of the Professional Regulation Commission (PRC), to resign for bungling the handling of the June 2006 nursing licensure examination leakage scandal.

Rosero, together with PRC commissioners Avelina De la Rea and Renato Valdecantos, and National Bureau of Investigation (NBI) anti-fraud and computer crimes division chief Efren Meneses, showed up at Senate a day after Senator Rodolfo Biazon, acting chair of the Senate civil service and government reorganization committee, threatened to have them arrested if they continued to snub the hearings into the test leakage.

Gordon zeroed in what he said was the apparent haste with which Rosero allowed the mid-August oath-taking of board passers even before the National Bureau of Investigation (NBI) could finish its investigation, which she herself requested, into the anomaly.

Rosero had written the NBI on July 13 asking it to determine the “exact extent of the irregularities and the identities of the culprits” behind the leakage of test questions.

He also noted the apparent rush to allow the oath-taking on August 17, a day before the Court of Appeals issued a temporary restraining order (TRO) against allowing board passers to take their oaths on August 22, as originally scheduled.

News reports then said some 2,000 board passers managed to take their oaths by the time the TRO was issued.

By then, Gordon pointed out to Rosero, the PRC did not yet “know what portion of the test, or if the entire test, was flawed…I think that it’s a failure of judgment on your part.”

There is still an unresolved debate whether to allow the nursing examinees to re-take the whole test or only those portions the answers to which are known to have been leaked in advance.

But Rosero insisted there would be no retake.

Valdecantos also defended the PRC decision, saying the rest of the passers, especially those who did not benefit from the leak, should not be punished.

He acknowledged that the NBI has still to finish investigating the matter but stressed that their decision was “without prejudice to later actions by the PRC.”

However, Gordon said it was “indecent” to have allowed the oath-taking before the investigation into the leakage is done.

“It's bad judgment to close the book and then open it again later. You're playing God. You were negligent,” he told Valdecantos and Rosero.

“I beg to disagree,” Valdecantos retorted.

Gordon also noted that a major cause for the propensity for leaking board exam questions is the poor performance of most nursing schools.

Doctor Carmelita Divinagracia, president of the Association of Deans of Philippine Colleges of Nursing, acknowledged that the 435 colleges of nursing nationwide use only 87 hospitals as base hospitals.

Tuesday, September 19, 2006

Anti Depressants : A Story Towards Mastery

The Psychiatric nursing part of the NLE always tend to ask you to classify drugs if they are antidepressants, major tranquilizer, anxiolytics, antiparkinsons, etc.

It is really hard to memorize these all. Remember the story of Marinol and Penny? How about Tranxene? This is our third story and hopefully, I can come out with the fourth one. I dont know if these things help you, but These are the things I used to memorize drugs that are impossible to memorize using traditional methods.

This is original and not copied from anywhere else. Post away and tell me if this help so I can know If the application of this strategy is universal, or only works with students who appreciate stories.

This is a very nice strategy for instructors who want to divert students' attention, fooling them that you are telling a story but in the real essence, you are teaching drugs and their classifications in a really unexpected way.

Si Nora, Ana at Ela.
By : Budek

Depressed ang magbarkadang si NORA, [ Norpramine ] ELA [ Elavil ] at ANA [ Anafranil ] At nagpunta ang tatlo sa AVENIDA [ Aventyl ] Para makilahok sa welga. Sila ay mga TOFnotchers [ Tofranil ] ng kanilang mga unibersidad at mga ASCENDERA [ Ascendin ] ng kanikanilang mga angkan.

" IMPRISON [ Imprin ] Dionisio and Madeja! Sunugin SINA KUAN! [ Sinequan ] VIVA [ Vivactyl ] Nursing Students! " Ang sinisigaw ng mga magkakabarkada at nakasulat sa kanilang rally banner.

Dumating SI LEX [ Celexa ] Ang pinaka FAVERITE [ Faverine ] na newscaster sa pinas.

Nora, Ana, Ela : " Mga PRO [ Prozac ] Retake kami! Di namin LUV [ Luvox ] ang mga PAXIL [ Paxil ] na Board examiners na yan! Mabuti pang mag ZOLO [ Zoloft ] Nalang kami at pupunta sa PANAMA[ Parnate, Nardil, Marplan ] at doon nalang kami mag nurse! Ang sagot ng mga magkakabarkada.


Parnate, Nardil and Marplan are MAOI

Post away your comments and suggestions.

Biazon warns PRC, NBI execs of arrest

Biazon warns PRC, NBI execs of arrest

By Juliet Labog-Javellana
Last updated 07:28pm (Mla time) 09/19/2006

THE Senate may end up hosting more detainees if four officials of the Professional Regulation Commission (PRC) and National Bureau of Investigation (NBI) snub the fourth hearing of the Senate inquiry into the June 2006 nursing licensure examinations leakage on Wednesday.

“If they do not attend, we will arrest them,'' said Sen. Rodolfo Biazon, acting chair of the Senate civil service and government reorganization committee.

Last September 1, the committee had asked PRC chair Leonor Tripon-Rosero and commissioners Renato Valdecantos and Avelina de la Rea, as well as NBI anti-fraud and computer crimes division chief Elfren Meneses Jr. to explain why they snubbed the first three hearings on the controversy.

The “show cause” order is the last step before a Senate committee issues a contempt citation which in turn will pave the way for the issuance of a warrant of arrest against the Senate no-shows.

After being repeatedly rebuffed by the administration, the Senate last week began to assert its authority to compel attendance at its inquiries.

It ordered the arrest of Presidential Commission on Good Government Chair Camilo Sabio, commissioners Ricardo Abcede, Nicasio Conti, Tereso Javier and Narciso Nario and officials of the Philippine Communications Satellite Corp.

Only Sabio has been arrested.

Lou Zulueta, secretary of the civil service committee, said the three PRC commissioners and Meneses have replied to Biazon's show cause order, invoking Memorandum Circular No. 108, which prescribes guidelines for officials summoned to congressional inquiries.

Zulueta said they also cited their attendance at a separate investigation by the House of Representatives.

She said she was apprehensive about the Senate arresting women.

“I'm a little nervous because these are women. If there is a warrant of arrest, I want to know from our legal (counsel) if we can ask the help of the Philippine National Police in serving the warrants and where we would keep them,” Zulueta said.

Sabio was detained at the Senate clinic because of his fluctuating blood pressure.

On Tuesday he was released to undergo an executive checkup on condition he showed up for hearings. But Sabio has insisted on returning to the Senate to await the Supreme Court decision on his petition for habeas corpus.

Misamis Oriental nurses stand pat on 'no retake' position

Misamis Oriental nurses stand pat on 'no retake' position
By Lizanilla J. Amarga

THE Philippine Nurses Association (PNA) Misamis Oriental is supporting the "No To Retake" stand taken by local successful examinees in the controversial June 2006 Nursing Licensure Examination.

The nurses' group is also joining calls to now allow all Northern Mindanao passers to take their oaths.

Some 50 successful exam passers from Capitol University and Liceo de Cagayan University recently offered a "No to Retake" mass at Nazareno Parish Church.

They also admitted that the image of the Filipino Nursing profession has been tarnished not just in the country but also in the international community because of this recent leakage in their June 2006 licensure exams.

Earlier, there were reports that there was a leakage in the June exams. A Senate inquiry is now being conducted to get to the bottom of the controversy.

The University of Sto. Thomas (UST) has filed for the nullification of the above exam results and was recently granted a temporary restraining order (TRO) by the Court of Appeals.

Because of the TRO, the taking of oaths and the processing of all documents pertaining to the registration as licensed nurses of all successful examinees including those from Northern Mindanao are now being held stayed to await the court's order.

Meanwhile, the successful examinees' group spokesman Kristoffer Abellanosa said PNA-Misamis Oriental President Rey Yap and the "No To Retake" mass officiating priest Fr. Lyndon Zayas, SSJV voiced support for their "No to Retake" stand.

He said Fr. Zayas included in his homily "words of wisdom and on how to be strong in spite the nursing leak controversy in Manila."

"They (Yap and Fr. Zayas) joined us in our prayer for the lifting of the TRO issued by the Court of Appeals so that the rest of the passers who were not able to take their oaths may do so na," he said.

Abellanosa's group has now come out with a "No to Retake" position paper and has recently furnished Sun.Star a copy of the same.

The position paper of the group contains how the "image of the nursing profession has been greatly tarnished."

"More importantly, the Filipino image relative to the nursing profession in the international community has been largely ruined by the inconsiderate actions of some selfish and unscrupulous personalities in the nursing industry," their statement reads.

The group believes that "urgent calls for reforms to restore the pristine reflection of the nursing profession" reverberates still this cannot be done through requiring those who passed here in Northern Mindanao to retake the same exam.

"(It) should not be at the expense of the hundreds and thousands of innocent nursing students/examinees who invested blood, sweat and tears just to achieve their ultimate dream," they said.

For them the position paper "aims to illustrate the recklessness, irresponsibility and injustice of compelling legitimate successful passers of the June 2006 National Licensure Examinations for Nurses in the Northern Mindanao area to retake the same examinations."

The group believes that "if at all a retake is necessary and deemed the only thing that can restore dignity to the nursing profession, then the same must not encompass the whole archipelago."

They said it should only be for those areas proven to be where the alleged leakage took place.

"Surely not everyone can be made to endure the humiliation and indignities caused by the sins of a few, much less allowed to suffer the consequent penalty," their statement reads.

This as the alleged occurrence of a leakage of examination questions in the June 2006 National Licensure Examinations for Nurses did not include the Northern Mindanao Area.

Also, there is the issue on how the Professional Regulation Commission's application of statistical treatment on the examination results of the June 2006 National Licensure Examinations for Nurses.


Monday, September 18, 2006

100 Item Exam On Fundamentals Of Nursing : Oxygenation and Nutrition

100 Item Exam On Fundamentals Of Nursing : Oxygenation and Nutrition

By : Budek

Content Outline

1. Oxygenation
2. Nutrition

1. Which one of the following is NOT a function of the Upper airway?

A. For clearance mechanism such as coughing
B. Transport gases to the lower airways
C. Warming, Filtration and Humidification of inspired air
D. Protect the lower airway from foreign mater

2. It is the hair the lines the vestibule which function as a filtering mechanism for foreign objects

A. Cilia
B. Nares
C. Carina
D. Vibrissae

3. This is the paranasal sinus found between the eyes and the nose that extends backward into the skull

A. Ehtmoid
B. Sphenoid
C. Maxillary
D. Frontal

4. Which paranasal sinus is found over the eyebrow?

A. Ehtmoid
B. Sphenoid
C. Maxillary
D. Frontal

5. Gene De Vonne Katrouchuacheulujiki wants to change her surname to something shorter, The court denied her request which depresses her and find herself binge eating. She accidentally aspirate a large piece of nut and it passes the carina. Probabilty wise, Where will the nut go?

A. Right main stem bronchus
B. Left main stem bronchus
C. Be dislodged in between the carina
D. Be blocked by the closed epiglottis

6. Which cell secretes mucus that help protect the lungs by trapping debris in the respiratory tract?

A. Type I pneumocytes
B. Type II pneumocytes
C. Goblet cells
D. Adipose cells

7. How many lobes are there in the RIGHT LUNG?

A. One
B. Two
C. Three
D. Four

8. The presence of the liver causes which anatomical difference of the Kidneys and the Lungs?

A. Left kidney slightly lower, Left lung slightly shorter
B. Left kidney slightly higher, Left lung slightly shorter
C. Right kidney lower, Right lung shorter
D. Right kidney higher, Right lung shorter

9. Surfactant is produced by what cells in the alveoli?

A. Type I pneumocytes
B. Type II pneumocytes
C. Goblet cells
D. Adipose cells

10. The normal L:S Ratio to consider the newborn baby viable is

A. 1:2
B. 2:1
C. 3:1
D. 1:3

11. Refers to the extra air that can be inhaled beyond the normal tidal volume

A. Inspiratory reserve volume
B. Expiratory reserve volume
C. Functional residual capacity
D. Residual volume

12. This is the amount of air remained in the lungs after a forceful expiration

A. Inspiratory reserve volume
B. Expiratory reserve volume
C. Functional residual capacity
D. Residual volume

13. Casssandra, A 22 year old grade Agnostic, Asked you, how many spikes of bones are there in my ribs? Your best response is which of the following?

A. We have 13 pairs of ribs Cassandra
B. We have 12 pairs of ribs Cassandra
C. Humans have 16 pairs of ribs, and that was noted by Vesalius in 1543
D. Humans have 8 pairs of ribs. 4 of which are floating

14. Which of the following is considered as the main muscle of respiration?

A. Lungs
B. Intercostal Muscles
C. Diaphragm
D. Pectoralis major

15. Cassandra asked you : How many air is there in the oxygen and how many does human requires? Which of the following is the best response :

A. God is good, Man requires 21% of oxygen and we have 21% available in our air
B. Man requires 16% of oxygen and we have 35% available in our air
C. Man requires 10% of oxygen and we have 50% available in our air
D. Human requires 21% of oxygen and we have 21% available in our air

16. Which of the following is TRUE about Expiration?

A. A passive process
B. The length of which is half of the length of Inspiration
C. Stridor is commonly heard during expiration
D. Requires energy to be carried out

17. Which of the following is TRUE in postural drainage?

A. Patient assumes position for 10 to 15 minutes
B. Should last only for 60 minutes
C. Done best P.C
D. An independent nursing action

18. All but one of the following is a purpose of steam inhalation

A. Mucolytic
B. Warm and humidify air
C. Administer medications
D. Promote bronchoconstriction

19. Which of the following is NOT TRUE in steam inhalation?

A. It is a dependent nursing action
B. Spout is put 12-18 inches away from the nose
C. Render steam inhalation for atleast 60 minutes
D. Cover the client’s eye with wash cloth to prevent irritation

20. When should a nurse suction a client?

A. As desired
B. As needed
C. Every 1 hour
D. Every 4 hours

21. Ernest Arnold Hamilton, a 60 year old American client was mobbed by teen gangsters near New york, Cubao. He was rushed to John John Hopio Medical Center and was Unconscious. You are his nurse and you are to suction his secretions. In which position should you place Mr. Hamilton?

A. High fowlers
B. Semi fowlers
C. Prone
D. Side lying

22. You are about to set the suction pressure to be used to Mr. Hamilton. You are using a Wall unit suction machine. How much pressure should you set the valve before suctioning Mr. Hamilton?

A. 50-95 mmHg
B. 200-350 mmHg
C. 100-120 mmHg
D. 10-15 mmHg

23. The wall unit is not functioning; You then try to use the portable suction equipment available. How much pressure of suction equipment is needed to prevent trauma to mucus membrane and air ways in case of portable suction units?

A. 2-5 mmHg
B. 5-10 mmHg
C. 10-15 mmHg
D. 15-25 mmHg

24. There are four catheter sizes available for use, which one of these should you use for Mr. Hamilton?

A. Fr. 18
B. Fr. 12
C. Fr. 10
D. Fr, 5

25. Which of the following, if done by the nurse, indicates incompetence during suctioning an unconscious client?

A. Measure the length of the suction catheter to be inserted by measuring from the tip of the nose, to the earlobe, to the xiphoid process
B. Use KY Jelly if suctioning nasopharyngeal secretion
C. The maximum time of suctioning should not exceed 15 seconds
D. Allow 30 seconds interval between suctioning

26. Which of the following is the initial sign of hypoxemia in an adult client?

1. Tachypnea
2. Tachycardia
3. Cyanosis
4. Pallor
5. Irritability
6. Flaring of Nares

A. 1,2
B. 2,5
C. 2,6
D. 3,4

27. Which method of oxygenation least likely produces anxiety and apprehension?

A. Nasal Cannula
B. Simple Face mask
C. Non Rebreather mask
D. Partial Rebreather mask

28. Which of the following oxygen delivery method can deliver 100% Oxygen at 15 LPM?

A. Nasal Cannula
B. Simple Face mask
C. Non Rebreather mask
D. Partial Rebreather mask

29. Which of the following is not true about OXYGEN?

A. Oxygen is odorless, tasteless and colorless gas.
B. Oxygen can irritate mucus membrane
C. Oxygen supports combustion
D. Excessive oxygen administration results in respiratory acidosis

30. Roberto San Andres, A new nurse in the hospital is about to administer oxygen on patient with Respiratory distress. As his senior nurse, you should intervene if Roberto will:

A. Uses venture mask in oxygen administration
B. Put a non rebreather mask in the patient before opening the oxygen source
C. Use a partial rebreather mask to deliver oxygen
D. Check for the doctor’s order for Oxygen administration

31. Which of the following will alert the nurse as an early sign of hypoxia?

A. Client is tired and dyspneic
B. The client is coughing out blood
C. The client’s heart rate is 50 BPM
D. Client is frequently turning from side to side

32. Miguelito de balboa, An OFW presents at the admission with an A:P Diameter ratio of 2:1, Which of the following associated finding should the nurse expect?

A. Pancytopenia
B. Anemia
C. Fingers are Club-like
D. Hematocrit of client is decreased

33. The best method of oxygen administration for client with COPD uses:

A. Cannula
B. Simple Face mask
C. Non rebreather mask
D. Venturi mask

34. Mang dagul, a 50 year old chronic smoker was brought to the E.R because of difficulty in breathing. Pleural effusion was the diagnosis and CTT was ordered. What does C.T.T Stands for?

A. Chest tube thoracotomy
B. Chest tube thoracostomy
C. Closed tube thoracotomy
D. Closed tube thoracostmy

35. Where will the CTT be inserted if we are to drain fluids accumulated in Mang dagul’s pleura?

A. 2nd ICS
B. 4th ICS
C. 5th ICS
D. 8th ICS

36. There is a continuous bubbling in the water sealed drainage system with suction. And oscillation is observed. As a nurse, what should you do?

A. Consider this as normal findings
B. Notify the physician
C. Check for tube leak
D. Prepare a petrolatum gauze dressing

37. Which of the following is true about nutrition?

A. It is the process in which food are broken down, for the body to use in growth and development
B. It is a process in which digested proteins, fats, minerals, vitamins and carbohydrates are transported into the circulation
C. It is a chemical process that occurs in the cell that allows for energy production, energy use, growth and tissue repair
D. It is the study of nutrients and the process in which they are use by the body

38. The majority of the digestion processes take place in the

A. Mouth
B. Small intestine
C. Large intestine
D. Stomach

39. All of the following is true about digestion that occurs in the Mouth except

A. It is where the digestion process starts
B. Mechanical digestion is brought about by mastication
C. The action of ptyalin or the salivary tyrpsin breaks down starches into maltose
D. Deglutition occurs after food is broken down into small pieces and well mixed with saliva

40. Which of the following foods lowers the cardiac sphincter pressure?

A. Roast beef, Steamed cauliflower and Rice
B. Orange juice, Non fat milk, Dry crackers
C. Decaffeinated coffee, Sky flakes crackers, Suman
D. Coffee with coffee mate, Bacon and Egg

41. Where does the digestion of carbohydrates start?

A. Mouth
B. Esophagus
C. Small intestine
D. Stomach

42. Protein and Fat digestion begins where?

A. Mouth
B. Esophagus
C. Small intestine
D. Stomach

43. All but one is true about digestion that occurs in the Stomach

A. Carbohydrates are the fastest to be digested, in about an hour
B. Fat is the slowest to be digested, in about 5 hours
C. HCl inhibits absorption of Calcium in the gastric mucosa
D. HCl converts pepsinogen to pepsin, which starts the complex process of protein digestion

44. Which of the following is NOT an enzyme secreted by the small intestine?

A. Sucrase
B. Enterokinase
C. Amylase
D. Enterokinase

45. The hormone secreted by the Small intestine that stimulates the production of pancreatic juice which primarily aids in buffering the acidic bolus passed by the Stomach

A. Enterogastrone
B. Cholecystokinin
C. Pancreozymin
D. Enterokinase

46. When the duodenal enzyme sucrase acts on SUCROSE, which 2 monosaccharides are formed?

A. Galactose + Galactose
B. Glucose + Fructose
C. Glucose + Galactose
D. Fructose + Fructose

47. This is the enzyme secreted by the pancrease that completes the protein digestion

A. Trypsin
B. Enterokinase
C. Enterogastrone
D. Amylase

48. The end product of protein digestion or the “Building blocks of Protein” is what we call

A. Nucleotides
B. Fatty acids
C. Glucose
D. Amino Acids

49. Enzyme secreted by the small intestine after it detects a bolus of fatty food. This will contract the gallbladder to secrete bile and relax the sphincter of Oddi to aid in the emulsification of fats and its digestion.

A. Lipase
B. Amylase
C. Cholecystokinin
D. Pancreozymin

50. Which of the following is not true about the Large Intestine?

A. It absorbs around 1 L of water making the feces around 75% water and 25% solid
B. The stool formed in the transverse colon is not yet well formed
C. It is a sterile body cavity
D. It is called large intestine because it is longer than the small intestine

51. This is the amount of heat required to raise the temperature of 1 kg water to 1 degree Celsius

A. Calorie
B. Joules
C. Metabolism
D. Basal metabolic rate

52. Assuming a cup of rice provides 50 grams of carbohydrates. How many calories are there in that cup of rice?

A. 150 calories
B. 200 calories
C. 250 calories
D. 400 calories

53. An average adult filipino requires how many calories in a day?

A. 1,000 calories
B. 1,500 calories
C. 2,000 calories
D. 2,500 calories

54. Which of the following is true about an individual’s caloric needs?

A. All individual have the same caloric needs
B. Females in general have higher BMR and therefore, require more calories
C. During cold weather, people need more calories due to increase BMR
D. Dinner should be the heaviest meal of the day

55. Among the following people, who requires the greatest caloric intake?

A. An individual in a long state of gluconeogenesis
B. An individual in a long state of glycogenolysis
C. A pregnant individual
D. An adolescent with a BMI of 25

56. Which nutrient deficiency is associated with the development of Pellagra, Dermatitis and Diarrhea?

A. Vitamin B1
B. Vitamin B2
C. Vitamin B3
D. Vitamin B6

57. Which Vitamin is not given in conjunction with the intake of LEVODOPA in cases of Parkinson’s Disease due to the fact that levodopa increases its level in the body?

A. Vitamin B1
B. Vitamin B2
C. Vitamin B3
D. Vitamin B6

58. A vitamin taken in conjunction with ISONIAZID to prevent peripheral neuritis

A. Vitamin B1
B. Vitamin B2
C. Vitamin B3
D. Vitamin B6

59. The inflammation of the Lips, Palate and Tongue is associated in the deficiency of this vitamin

A. Vitamin B1
B. Vitamin B2
C. Vitamin B3
D. Vitamin B6

60. Beri beri is caused by the deficiency of which Vitamin?

A. Vitamin B1
B. Vitamin B2
C. Vitamin B3
D. Vitamin C

61. Which of the following is the best source of Vitamin E?

A. Green leafy vegetables
B. Vegetable oil
C. Fortified Milk
D. Fish liver oil

62. Among the following foods, which food should you emphasize giving on an Alcoholic client?

A. Pork liver and organ meats, Pork
B. Red meat, Eggs and Dairy products
C. Green leafy vegetables, Yellow vegetables, Cantaloupe and Dairy products
D. Chicken, Peanuts, Bananas, Wheat germs and yeasts

63. Which food group should you emphasize giving on a pregnant mother in first trimester to prevent neural tube defects?

A. Broccoli, Guava, Citrus fruits, Tomatoes
B. Butter, Sardines, Tuna, Salmon, Egg yolk
C. Wheat germ, Vegetable Oil, soybeans, corn, peanuts
D. Organ meats, Green leafy vegetables, Liver, Eggs

64. A client taking Coumadin is to be educated on his diet. As a nurse, which of the following food should you instruct the client to avoid?

A. Spinach, Green leafy vegetables, Cabbage, Liver
B. Salmon, Sardines, Tuna
C. Butter, Egg yolk, breakfast cereals
D. Banana, Yeast, Wheat germ, Chicken

65. Vitamin E plus this mineral works as one of the best anti oxidant in the body according to the latest research. They are combined with 5 Alpha reductase inhibitor to reduce the risk of acquiring prostate cancer

A. Zinc
B. Iron
C. Selenium
D. Vanadium

66. Incident of prostate cancer is found to have been reduced on a population exposed in tolerable amount of sunlight. Which vitamin is associated with this phenomenon?

A. Vitamin A
B. Vitamin B
C. Vitamin C
D. Vitamin D

67. Micronutrients are those nutrients needed by the body in a very minute amount. Which of the following vitamin is considered as a MICRONUTRIENT

A. Phosphorous
B. Iron
C. Calcium
D. Sodium

68. Deficiency of this mineral results in tetany, osteomalacia, osteoporosis and rickets.

A. Vitamin D
B. Iron
C. Calcium
D. Sodium

69. Among the following foods, which has the highest amount of potassium per area of their meat?

A. Cantaloupe
B. Avocado
C. Raisin
D. Banana

70. A client has HEMOSIDEROSIS. Which of the following drug would you expect to be given to the client?

A. Acetazolamide
B. Deferoxamine
C. Calcium EDTA
D. Activated charcoal

71. Which of the following provides the richest source of Iron per area of their meat?

A. Pork meat
B. Lean read meat
C. Pork liver
D. Green mongo

72. Which of the following is considered the best indicator of nutritional status of an individual?

A. Height
B. Weight
C. Arm muscle circumference

73. Jose Miguel, a 50 year old business man is 6’0 Tall and weights 179 lbs. As a nurse, you know that Jose Miguel is :

A. Overweight
B. Underweight
C. Normal
D. Obese

74. Jose Miguel is a little bit nauseous. Among the following beverages, Which could help relieve JM’s nausea?

A. Coke
B. Sprite
C. Mirinda
D. Orange Juice or Lemon Juice

75. Which of the following is the first sign of dehydration?

A. Tachycardia
B. Restlessness
C. Thirst
D. Poor skin turgor

76. What Specific gravity lab result is compatible with a dehydrated client?

A. 1.007
B. 1.020
C. 1.039
D. 1.029

77. Which hematocrit value is expected in a dehydrated male client?

A. 67%
B. 50%
C. 36%
D. 45%

78. Which of the following statement by a client with prolonged vomiting indicates the initial onset of hypokalemia?

A. My arm feels so weak
B. I felt my heart beat just right now
C. My face muscle is twitching
D. Nurse, help! My legs are cramping

79. Which of the following is not an anti-emetic?

A. Marinol
B. Dramamine
C. Benadryl
D. Alevaire

80. Which is not a clear liquid diet?

A. Hard candy
B. Gelatin
C. Coffee with Coffee mate
D. Bouillon

81. Which of the following is included in a full liquid diet?

A. Popsicles
B. Pureed vegetable meat
C. Pineapple juice with pulps
D. Mashed potato

82. Which food is included in a BLAND DIET?

A. Steamed broccoli
B. Creamed potato
C. Spinach in garlic
D. Sweet potato

83. Which of the following if done by the nurse, is correct during NGT Insertion?

A. Use an oil based lubricant
B. Measure the amount of the tube to be inserted from the Tip of the nose, to the earlobe, to the xiphoid process
C. Soak the NGT in a basin of ice water to facilitate easy insertion
D. Check the placement of the tube by introducing 10 cc of sterile water and auscultating for bubbling sound

84. Which of the following is the BEST method in assessing for the correct placement of the NGT?

A. X-Ray
B. Immerse tip of the tube in water to check for bubbles produced
C. Aspirating gastric content to check if the content is acidic
D. Instilling air in the NGT and listening for a gurgling sound at the epigastric area

85. A terminally ill cancer patient is scheduled for an NGT feeding today. How should you position the patient?

A. Semi fowlers in bed
B. Bring the client into a chair
C. Slightly elevated right side lying position
D. Supine in bed

86. A client is scheduled for NGT Feeding. Checking the residual volume, you determined that he has 40 cc residual from the last feeding. You reinstill the 40 cc of residual volume and added the 250 cc of feeding ordered by the doctor. You then instill 60 cc of water to clear the lumen and the tube. How much will you put in the client’s chart as input?

A. 250 cc
B. 290 cc
C. 350 cc
D. 310 cc

87. Which of the following if done by a nurse indicates deviation from the standards of NGT feeding?

A. Do not give the feeding and notify the doctor of residual of the last feeding is greater than or equal to 50 ml
B. Height of the feeding should be 12 inches about the tube point of insertion to allow slow introduction of feeding
C. Ask the client to position in supine position immediately after feeding to prevent dumping syndrome
D. Clamp the NGT before all of the water is instilled to prevent air entry in the stomach

88. What is the most common problem in TUBE FEEDING?

A. Diarrhea
B. Infection
C. Hyperglycemia
D. Vomiting

89. Which of the following is TRUE in colostomy feeding?

A. Hold the syringe 18 inches above the stoma and administer the feeding slowly
B. Pour 30 ml of water before and after feeding administration
C. Insert the ostomy feeding tube 1 inch towards the stoma
D. A Pink stoma means that circulation towards the stoma is all well

90. A client with TPN suddenly develops tremors, dizziness, weakness and diaphoresis. The client said “I feel weak” You saw that his TPN is already empty and another TPN is scheduled to replace the previous one but its provision is already 3 hours late. Which of the following is the probable complication being experienced by the client?

A. Hyperglycemia
B. Hypoglycemia
C. Infection
D. Fluid overload

91. To assess the adequacy of food intake, which of the following assessment parameters is best used?

A. Food likes and dislikes
B. Regularity of meal times
C. 3 day diet recall
D. Eating style and habits

92. The vomiting center is found in the

A. Medulla Oblongata
B. Pons
C. Hypothalamus
D. Cerebellum

93. The most threatening complication of vomiting in client’s with stroke is

A. Aspiration
B. Dehydration
C. Fluid and electrolyte imbalance
D. Malnutrition

94. Which among this food is the richest source of Iron?

A. Ampalaya
B. Broccoli
C. Mongo
D. Malunggay leaves

95. Which of the following is a good source of Vitamin A?

A. Egg yolk
B. Liver
C. Fish
D. Peanuts

96. The most important nursing action before gastrostomy feeding is

A. Check V/S
B. Assess for patency of the tube
C. Measure residual feeding
D. Check the placement of the tube

97. The primary advantage of gastrostomy feeding is

A. Ensures adequate nutrition
B. It prevents aspiration
C. Maintains Gastro esophageal sphincter integrity
D. Minimizes fluid-electrolyte imbalance

98. What is the BMI Of Budek, weighing 120 lbs and has a height of 5 feet 7 inches.

A. 20
B. 19
C. 15
D. 25

99. Which finding is consistent with PERNICIOUS ANEMIA?

A. Strawberry tongue
B. Currant Jelly stool
C. Beefy red tongue

100. The nurse is browsing the chart of the patient and notes a normal serum lipase level. Which of the following is a normal serum lipase value?

A. 10 U/L
B. 100 U/L
C. 200 U/L
D. 350 U/L


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