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Saturday, October 07, 2006

Announcement To All Passers

For those who are interested in participating here are the details of the rally.

Date: October 10, 2006
Time: 9:00 AM
Attire: BLACK T-Shirt
Venue: Liwasang Bonifacio/ Lawton

All passers and other support persons are encouraged to attend and make a stand!

Lacson welcomes PGMA decision on nursing exam

Lacson welcomes PGMA decision on nursing exam

Saturday, October 07 2006 @ 10:31 AM BST

Senator Panfilo Lacson on Friday lauded the decision of President Gloria Macapagal-Arroyo to put off, at least for now, the planned executive order for the retake of the June 2006 nursing board examinations.

Lacson said Malacanang should exhaust all means to get into the bottom of the nursing exams leak and identify those who are culpable for it.

The results of the ongoing investigation, he added, might also lead into the legislation of fresh laws that would ensure that a repeat of the incident would not occur.

"It is a rare but welcome sign of good judgment on the part of Malacanang to stay of the side of prudence on this matter," he said.

He noted that it is imperative that the government should plug the hole by means of legislation to stop future leaks.

The senator said the gesture of Malacanang shows that the Executive Office still has some degree of respect for the judiciary, which is a co-equal branch of the government.

He reiterated that it would have been presumptuous of the Palace if it issued an Executive Order ordering for the retake of the nursing board examinations, as petitions on the issue are still pending before the Court of Appeals.

Malacanang announced on Wednesday that it would put off issuing the EO for now, and wait for the National Bureau of Investigation (NBI) to submit its findings on the matter. (PNA)


Retake in two subjects is in order

Retake in two subjects is in order

By Belinda Olivares-Cunanan
Last updated 01:28am (Mla time) 10/07/2006

Published on Page A13 of the October 7, 2006 issue of the Philippine Daily Inquirer

I SENSE a degree of frustration in Labor Secretary Arturo Brion about Malacañang’s “flip-flopping” on the issue of a retake of two subjects in the recent nursing board exams, which have been found to be tainted by a leakage of the questions. He was quoted as opining that if the Palace waits for the Court of Appeals to resolve the case, it could take years since it may go all the way to the Supreme Court.

Brion is pressing for a retake now and I think the Palace ought to trust his instincts as he was once an associate justice of the Court of Appeals, and he knows how slowly the justice system works in this country. The Palace should order the retake of the two subjects.

* * *

A retake of the two subjects is strongly recommended by the Philippine Council for Nursing Reform (PCNR), a prestigious association of nursing leaders in the academic and service sectors. PCNR holds that a retake is absolutely necessary for Luzon examinees inasmuch as the leakage was detected in Baguio City and Manila review centers the day before the exams, but that this may not be needed for Mindanao.

PCNR doubtless has been influenced in stand by the University of Santo Tomas (UST), since its members meet regularly in that school. UST, under Fr. Rolando de la Rosa, former chair of the Commission on Higher Education, was the first to insist on retaking the exams if the integrity of the nursing profession is to be preserved. It’s truly in order.

N. Mindanao nurses seek lawyers' help for case

N. Mindanao nurses seek lawyers' help for case
By Lizanilla J. Amarga

THE Archdiocese of Cagayan de Oro supports the "No-to-Retake" stand taken by the Alliance of New Nurses in Northern Mindanao amid calls for June 2006 successful licensure examinees to retake the exam due to alleged massive cheating through widespread leakage.

Some 700 passers of the June 2006 Nursing Licensure Examination, nursing faculty and staff, and nursing students, representatives from the Archdiocese of Cagayan de Oro and other human rights groups and sympathizers staged a rally Friday.

The Alliance of New Nurses in Northern Mindanao is now asking the help of the Integrated Bar of the Philippines (IBP) Misamis Oriental-Cagayan de Oro led by chapter president Waldo Rebolos for legal help.

This is to make sure that the petition for the nullification of the June 2006 Nursing Licensure Examination lodged at the Court of Appeals by the University of Sto. Tomas will not prosper.

Earlier, the Provincial Board (PB) of Misamis Oriental and the City Council of Cagayan de Oro separately issued resolutions supporting the "No-to-Retake" stand of the Alliance.

Professional Regulatory Commission (PRC) 10 Regional Director Estrella Malik earlier disclosed that there is no evidence that the Nursing Licensure Examination leakage for the June 2006 examination reached the region, considering that only around 42 percent or 700 of the 1,800 exam takers passed the exam given there.

"If there was widespread leakage in our region the passers would have reached at least 50 percent but only 42 percent passed," she had said. "Dito sa atin malinis naman and they really worked hard for it."


Nevertheless, over a hundred successful examinees from all over Northern Mindanao are still barred from taking their oath and from being issued their professional identification cards (IDs).

Also, the over 500 passers who availed of the earlier "emergency" oath taking administered at the PRC 10 have yet to receive their professional IDs from PRC-Manila.

Meanwhile, Archdiocese of Cagayan de Oro public information officer Monsignor Elmer Abacahin Friday dubbed as "unfair" all moves to have the exam passers in Northern Mindanao do a retake of exam.

He was joined by the Archdiocesan Health Apostolate and Community Barangay Health Services with executive director Carol Abrio.

Also, human rights lawyer advocate Atty. Beverly Musni and city councilors Ian Mark Nacaya and Juan Sia all joined the Alliance's call for "No-To-Retake."

The street rally and protest demonstration against calls to have passers of the exam in Northern Mindanao retake another exam Friday was led by exam topnothers from different colleges here.

2006 Nursing Licensure Examination seventh placer Jocybel "Bing" Itorralba, 11th placer Luis Capinpuyan and Ma. Ida Rosario Adecer-Dawang went to the Provincial Board of Misamis Oriental (PB-MisOr) session yesterday to ask for such support.


The demonstration was led by the "Alliance of New Nurses in Northern Mindanao" composed of Northern Mindanao passers from Capitol University, Liceo de Cagayan University and Medina Colleges among others.

The local nursing community with Philippine Nursing Association (PNA) governor Carmencita Lubguban and PNA-Northern Mindanao president Ray Yap also joined the rally.

The passers said they passed the exams through sheer hard work and prayers. They said the leakage did not reach Mindanao and that they should be spared from any order to take the exams.

CU president Casimero Juarez and his wife Dr. Fe Juarez, clinical instructors, and hundreds of nursing students and faculty and staff from the different nursing schools in the region also attended the demonstration.

Nurses gird for another rally

Nurses gird for another rally

Passers of the June nursing board examination from Negros Occidental are girding for a mass protest on Tuesday to join their colleagues from the rest of the country in another attempt to persuade President Gloria Macapagal-Arroyo not to sign the Executive Order for a retake of the examinations.

Jet Ong, leader of the June board passers from Negros Occidental, last night said they had been informed by Alliance of New Nurses president Renato Aquino that President Arroyo is expected to sign the Executive Order on Tuesday afternoon.

The simultaneous rallies will start at 9 a.m. with the passers from Negros Occidental converging at the Provincial Capitol Lagoon. "What we are hoping to do is to show the president the number of people from Luzon, Visayas and Mindanao begging to be heard because, initially, she did," Ong told the DAILY STAR after a mass at the San Sebastian Cathedral, where June examination passers, their parents, Nursing school deans and supporters gathered to pray for the permanent recall of the retake order.

"You are all victims here," Fr. Chris Gonzales told the flock, most of them wearing black, in his homily.

Gonzales said justice should be upheld for examinees who did not commit dishonesty, while those who cheated should be punished. Gonzales later blessed the board passers and their parents. About 400 people attended the mass with representatives of militant groups Kabataan Party, Youth Demanding for Arroyo's Removal and the League of Filipino Students also present.

Although the crowd had thinned after the mass, the board passers went on with their prayer vigil.

Arroyo had earlier declared that she is keen on issuing an order of a retake of tests 3 and 5 of the examination but the release order was suddenly shelved Wednesday, the day that it was supposed to be signed and made public.

"We don't know what to do. We cannot celebrate because everything is uncertain. We want to get on with our lives," Rodrigo Cueto, a parent of a board passer, said.

The retake order is unfair and is an injustice, Ong said, adding that it is like condemning an innocent person for a wrongdoing he did not commit. *CPT

Nursing board passer afraid to go through wringer again

Nursing board passer afraid to go through wringer again

By Norman Bordadora
Last updated 05:41pm (Mla time) 10/07/2006

THE pressure would just be too much.

This is how a teary-eyed Claudine Navalta summed up her sentiments -- and perhaps, those of her fellow board passers -- about once again going through the wringer that the nursing board examinations are.

Navalta, the ninth placer in the June 2006 board examinations and a graduate of World Citi Colleges, said her parents worked hard to put her through nursing school while she did her utmost to not only pass the test but hurdle it with distinction.

"I'm afraid to take the examinations again. I'm afraid not because I cheated but because of the high level of anxiety that goes with having to go through it again," Navalta said at the weekly Kapihan sa Sulo news forum Saturday.

Navalta was answering a question on whether the board passers would rather go through a retake of the tests or carry the stigma of having passed a leakage-tainted examination throughout their professional life as nurses.

"There's tension especially for me because I placed ninth in the exams. Let them not take away from me what I worked hard for, what my parents worked hard for," she said in between sobs.

Told that she'd have the chance to be No. 1 if the exams were retaken, Navalta said, "I'm already satisfied with what I have."

Navalta admitted that she also went through the Gapuz Review Center, one of the refresher schools linked to the leakage scandal that rocked the June 2006 board examinations.

"But I did not receive any leakage. If I had, all of my friends would have passed," she said.

Parents of the June 2006 board passers, who attended the same news forum, threatened civil disobedience by snubbing the tests if President Macapagal-Arroyo goes ahead with issuing an executive order on the retake.

"We'll tell our children not to take the exams if she issues the EO. That is our right," said Dr. Raul Grageda, an orthopedic and trauma doctor at the Veterans Memorial Medical Center.

He has two sons who passed the June 2006 boards -- Philippine Women's University graduates Muriel and Michael. Both also took review classes at one of the Gapuz centers.

"They didn't cheat," said Grajeda of his sons. He is one of the leaders of the Alliance of Parents of 2006 Nursing Board Passers.

The parents' group and the board passers' Alliance of New Nurses (ANN) are of the position that the government should first wait for the decision of the Court of Appeals on the petition against any re-take of the June 2006 boards.

"Some personalities in the local community…believe that (a) stigma has been placed on the board passers and the nursing profession, while in fact they themselves are giving away reckless, unjustifiable information to the public," said ANN in a statement.

As an example, ANN noted that many hospitals and health institutions have denied the report that they were not inclined to hire June 2006 board passers.

"One misleading (piece of) information is about not having the National Council Licensure Examination situated in the Philippines because of this controversy," ANN said.

"(The) spokesperson of the NCLEX disagreed because according to them, what they are after is the political stability of the country and not (the resolution of) the said leakage controversy," the group added.

Nursing exam passers, parents insist: 'No retake'

Nursing exam passers, parents insist: 'No retake'

PASSERS and parents of those who took the June 2006 Nursing Licensure Examination maintained their "no retake" stand despite the changing decision of government officials on the matter.

Earlier, Malacañang ordered the retake of the tests for some 7,300 nursing graduates but recently it changed its decision saying that it will wait for the decision of the Court of Appeals on the issue before finally deciding.

Group spokesperson Bong Baldoza, during a press conference Friday, said the culprits in the leakage should be the ones punished and not their children who have taken the exam and passed it honestly.

Baldoza said those who passed the exam in Visayas and Mindanao, who did not participate in the leakage, should be allowed to practice their profession.

"I have already incurred a huge amount of debt just to let my child finish. Ang sa amin lang sana the government would consider the feelings of the parents," Baldoza said.

Baldoza called the retake incident a "double kill". First kill was the controversy on educational plan and second is the retake, he said.

According to Baldoza, his child who passed the exam is discouraged after being turned down by prospective employers because of the leakage issue.

"The most painful for us parents is to see our child experiencing psychological and mental anguish," he said.

Meanwhile, passer spokesperson Aiza Felyn Bosio said should they undergo a retake, considering the five-month gap after their exam, they will have to undergo another review to refresh them of their lessons, which they took six months after they graduated.

"It's a different exam, different questions and we are only given 60 days to prepare for the exam," Bosio said. "If we retake, it's not a guarantee to pass because of the many factors, especially emotional factors." (BRQ)

Sun Star

Nursing board retake maaaring sa Luzon lamang

Nursing board retake maaaring sa Luzon lamang

May malaking posibilidad na ipautos ni Pangulong Arroyo ang retake ng Test 3 at 5 ng nursing board examinations sa mga estudyante na galing ng Luzon lamang.

Ito ang naging pahayag ng original petitioner sa Court of Appeals na si professor Rene Tadle ng University of Santo Tomas.

Nalaman rin ng Bandila na mayroong mga pulitiko galing Visayas ang nagsusulong na huwag nang idamay ang mga estudyante sa labas ng Luzon sa retake.

"Ang hindi natin made-determine dito kung sino ang nagbenefit sa leakage. Ang pangalawa, may email, may text, maaaring maipasa kaagad yung leakage. At pangatlo, yung involved na review center, yung Gapuz Review Center, may mga branches yan sa different parts of the country," ani Tadle.

Naunang naunsiyame ang nakaplanong pag-utos ng retake ng Test 3 at 5 ng lahat ng kumuha ng eksamen, pumasa man o hindi.Bagay na ikinairita ng kalihim ng Department of Labor and Employment na si Arturo Brion.

Apat sa topnotchers ng board noong June 2006 ay mga nagreview sa Millennium Review Center na pinamamahalaan din ng Gapuz Review Center.

Ang Gapuz ay isa sa mga iniimbestigahan ngayon ng National Bureau of Investigation sa pagkadawit nito sa mga testimonya sa napag-alamang leak ng Test 3 at 5.

Maraming estudyanteng nakapasa sa eksamen ang umano’y walang benepisyo ng leak ang handang lumaban sa pagpilit sa kanilang mag retake. Habang retake pa rin ang isinusulong ng ibang estudyante kasama ang grupo ni Tadle.

Ngunit tila lumalayo na naman ang katapusan ng isyu dahil sa bago na namang mga isiniwalat na impormasyon.May leak din daw ang Test 1 at 2 at handa nang ilabas ang ebidensiya.

"Ito yung fundamentals of nursing practice at maternal and child health nursing. Lumalabas nga dito na almost 50 questions daw ang na-leak sa Test 1 at 50 questions din ang na-leak sa Test 2," ani Tadle.

Ayon kay Tadle ang sworn statement na inihain na sa mga otoridad ay pinirmahan ng limang estudyante mula Nueva Ecija, Tarlac at Baguio.

Idinawit umano ng mga estudyante ang isang review center na nakabase dito sa Manila kung saan ginawa ang pagbigay ng mga tanong at sagot sa Test 1 at 2. Halos pareho, ayon sa mga estudyante, ang paraan na ginawa ng INRESS Review Center kung saan may key words ang mga sagot.

At ayon sa sworn statement na nakita mismo ni Tadle, 50 tanong sa bawat test ang nauna nang lumabas sa leak.

Kaya’t ang tila namumuong bagong hamon ng grupo ni Tadle ay ang pag retake ng lahat ng estudyante sa lahat ng mga test mula 1 hanggang 5.

"What if the evidence would really point na mayroong leakage sa Test 1 and 2? Then we really have no choice but to ask the President to immediately order a retake of the whole examination para ma-restore ang integrity ng licensure exam," dagdag pa niya.


Nursing leak nationwide

Nursing leak nationwide

5 new witnesses come forward

By Juliet Labog-Javellana, Christine Avendaño
Last updated 06:53am (Mla time) 10/07/2006

Published on page A1 of the October 7, 2006 issue of the Philippine Daily Inquirer

IT NOW appears that the cheating in the June nursing licensure examination (NLE) was not confined to Luzon but was nationwide in scope, and involved not just two but four subjects of the five-part exam.

Five nursing graduates from Baguio City who took the board exam have come forward to claim that questions in Tests I and II—covering fundamentals of nursing practice and maternal and child health nursing, respectively—had been leaked to them.

The ongoing investigations are focused on the leak of questions for Tests III and V.

The five nursing graduates have submitted their affidavits to the National Bureau of Investigation.

This information was disclosed to the Inquirer by Rene Luis Tadle, president of the Faculty Association of the College of Nursing of the University of Sto. Tomas.

“We might actually call for a retake of all the tests. The retake should be for all [examinees], not only those from Luzon but also those from the Visayas and Mindanao,” Tadle said in a phone interview.

He later issued a statement saying that the cheating in the June 11-12 nursing exam was widespread and not confined to Luzon.

Entire exam

Tadle called on President Macapagal-Arroyo to order a retake of the entire exam and by all 40,000 examinees.

“On the basis of the above [information], we call on the President to act firmly and without vacillation to order a retake of Tests III and Test V, and, if necessary, on the basis of this new evidence, order a retake of all the five tests,” he said.

Tadle also appealed to Ms Arroyo “not to make this a political issue.”

He said: “The NLE was compromised as a result of the leakage; do not compromise it further by listening to influence peddlers who advance a no-retake or selective retake just to gain political votes. Retake for all is the only and imperative way to restore the integrity and credibility of the [NLE] as well as all professional licensure examinations in this country.

“We also call for the resignation of all the commissioners of the Professional Regulation Commission who are responsible for this mess and who, up to this time, cling like leeches to their position.”

5 witnesses secured

Tadle said one of their professors and an NBI agent traveled to Baguio three days ago after getting wind of the information on the leak of questions in Tests I and II.

He said that the five new witnesses had been “secured,” and that their affidavits were submitted last night to the NBI in Manila.

Tadle quoted the five graduates as saying that they got 50 questions for each of the two tests. He said some leaked questions also appeared in the other tests.

“Equally important is the fact that the source of the leaked questions was two review centers that so far have not figured prominently in this NLE leakage controversy, but nevertheless have branches or conducted in-house reviews in the Visayas and Mindanao,” he said.

He declined to name the review centers concerned.

Tadle said the leak was not confined to Luzon because the “well-known review center” involved in it had branches nationwide.

“The well-known review center involved in the controversy has different branches or subsidiaries in different parts of the country,” he said.

He said that based on an advertisement that appeared in the Inquirer on July 22, the Gapuz Review Center had produced 33 of the 70 examinees who landed in the Top 10.

Tadle also said that Gapuz provided in-house review to the Riverside College of Nursing in Bacolod City, which, he noted landed four of its students in the Top 10.

He said Eufemia Octaviano, the chair of the Board of Nursing that prepared the questions, used to be the dean of Riverside, which got a 48-percent passing rate in the NLE.

Final decision

Tadle said the leak could be nationwide because Gapuz and other review centers had centers all over the country.

Based on the ads, Gapuz has 16 centers, its subsidiary Millennium has 15, Pentagon has two, and St. Louis has 10, he said.

Malacañang, which has been criticized for its flip-flop stance on the controversy, has ordered the NBI to immediately wrap up its inquiry preparatory to a final decision by the President on the issue of the retake.

Executive Secretary Eduardo Ermita yesterday said Ms Arroyo and her Cabinet would make the final decision after a special meeting on Tuesday.

He said he expected an announcement to be made on Tuesday or Wednesday regarding the fate of a draft executive order by Labor Secretary Arturo Brion that recommended a retake.

“There is a Cabinet meeting just on this issue on Tuesday, so we told the Department of Justice to tell the NBI to finish its report by Monday. The NBI will be asked to give a report on the result of its investigation on the leakage [on Tuesday],” Ermita told reporters.

The NBI was scheduled to submit its report on or before Oct. 15.

On Thursday, Ms Arroyo met with Ermita, Brion, Justice Secretary Raul Gonzalez and PRC Chair Leonor-Tripon Rosero.

“We took a look at the problem again so we can come up with a final solution,” Ermita said of the meeting at the Palace.

Asked about Brion’s statement on Thursday saying Ms Arroyo had sufficient powers to order a retake without waiting for the ruling of the Court of Appeals on a pending petition, Ermita quoted the labor secretary as saying that his remarks “may have been taken out of context.”

“I told him to give a clarificatory statement. That’s what I advised him,” Ermita said.

But Ermita’s disclosure that Malacañang intended to announce by next week its final decision on the controversy appeared to indicate that officials were not anymore waiting for the CA ruling.

The appellate court had earlier imposed a temporary restraining order on the mass oath-taking of the exam passers.

Gonzalez told the Inquirer by phone that the Palace was hoping the CA would issue its ruling by next week as well.

He said he did not know whether a consensus was reached on whether to wait for the court ruling or not because he had left the meeting.

But he said he had argued that the Palace should await the ruling before coming out with an executive order.

Give our licenses now, passers ask

Give our licenses now, passers ask

Cebu Daily News
Last updated 06:15am (Mla time) 10/07/2006

BACOLOD CITY — The Negrense nursing board passers plan to continue with activities to urge President Macapagal-Arroyo to recall permanently her retake order.

The board passers said they were staging a prayer rally Friday night for the President to permanently recall her retake order and allow them to get their nursing licenses.

The president had earlier announced that she would order a retake of tests 3 and 5 of the examination. On Wednesday, however, Malacañang withheld the release of an expected executive order on the matter.

Jet Ong said he and his fellow nursing board passers, their parents, deans of nursing colleges and those who support their lobby against a retake at the prayer rally were praying for the enlightenment and guidance of those tasked with deciding on the retake.

Rodrigo Tinsay, a parent, said their call is for the President to permanently abandon the order for a retake and allow the board passers to get licenses as nurses so they can get on with their lives.

The move seeking permanent recall of the retake order also gained the support of the Negros Occidental provincial board and Bacolod City Sanggunian.

Both have passed resolutions asking the president not to order a retake of all the June nursing board passers.

Bacolod Bishop Vicente Navarra, Negros Occidental Gov. Joseph Marañon and Bacolod Mayor Evelio Leonardia have also aired their opposition to the retake, especially for the passers from Bacolod and Negros Occidental.

On Thursday, Bacolod Rep. Monico Puentevella said the President listened to the position of those opposed to a retake of the nursing board examination, including those of Negrense passers and officials, at a luncheon meeting in Malacañang.

Puentevella and Board of Nursing chairperson Eufemia Octaviano, who were at the meeting, called on the those opposing the retake to make their voices heard by sending position papers to the President, Executive Secretary Eduardo Ermita and Labor Secretary Arturo Bion, who has been tasked with making a recommendation on the controversy.

The Bacolod solon said he would gather the signatures of all the solons opposed to the move to present to the president.

June ’06 nursing board exam and May ’04 election

June ’06 nursing board exam and May ’04 election

Last updated 01:29am (Mla time) 10/07/2006

Published on Page A14 of the October 7, 2006 issue of the Philippine Daily Inquirer

ASKING the passers to retake the nursing board exam is absurd. If we’re talking about integrity of the exam -- or, perhaps, the integrity of those students who have benefited from the leakage and want a retake -- then by all means, they should take the exam by themselves.

For those who passed the exam through honest means, we say: We waited four years for this exam, worked hard during the review and then took it honestly. I think our integrity, credibility and our competence as nurses are still intact. I really don’t see the word “retake” as the only means to save this thing called “integrity.”

The investigators already know the exact places where the leakage happened. I guess the best way to resolve this case is to have the “retake” only in those places where the leakage occurred.

Many of us need to support our families. Because of this, some of us have already applied for a job as call center agents. This kind of work isn’t even our field. Also, most of the hospitals in Cebu and in Mindanao don’t accept this year’s board passers. Why? Is it because of the leakage?

Nursing directors are fast becoming paranoid. They know for a fact that the leakage took place in just a few places, not in all exam sites. So why is the Professional Regulation Commission giving us a hard time applying for work in hospitals? I do think the retake is unfair to those who passed without cheating.

Finally, by ordering the retake, President Gloria Macapagal-Arroyo has shown that she doesn’t tolerate cheating. I just hope she has the same mind-set about the 2004 election. If we must take the exam again, then a snap election or a recount of the votes will just be fair -- to clear and erase all doubts about the legitimacy of the country’s highest public official.

LOUWEL YEE (via e-mail)

Friday, October 06, 2006

We Are the Real Victims - What is Dante Ang's ulterior motive?

We Are the Real Victims - What is Dante Ang's ulterior motive?

Dear co-nurses and concerned friends,

I am one among the thousands of nursing students who are the real victims of the Philippine licensure exam leakage. Like the overwhelming majority of those who passed, I did not cheat. I made it through sheer hard work and diligent studying. I honestly and rightfully deserve to take my oath and practice my profession.
Unfortunately, due to the slow resolution of the case, my family and I have suffered so much financially and emotionally.

We are being made to suffer because some politicians close to President Arroyo have vested interests at stake and a few noisy and influential faculty members and students from overly proud and hypocritical schools want to erase from history their poor exam performance.

Dante Ang, one of the most influential persons in the Arroyo administration, is spearheading the retake stand. He calls the exam leakage the reason why the National Council of State Boards of Nursing (NCSBN) rejected the Philippines' bid to become an international testing site for the National Council Licensure Examination (NCLEX) this year. However, the truth of the matter is that the said decision had been made before the leakage controversy even erupted. The Philippines had been denied twice as an NCLEX testing center for the last seven years because of security reasons
and red tape in the government as perceived by the NCLEX officials.

Dawn M. Kappel, NCSBN Director of Marketing and Communications, said "At this time, the Philippines was not chosen, but that's not to say that we won't consider the country in the future." Kappel belied reports that the country was not favored as a testing site because of the alleged leakage in the 2006 nursing board
exams. "There's a lot of speculation going on and that's all it is – speculation, " Kappel added. ( storypage. aspx?StoryId= 49106)

According to a Philippine Center for Investigative Journalism report, Dante Ang owns one of the biggest properties in BF Resort subdivision in Las Pinas, a farm in Batangas where he breeds horses, a seaside property in Bicol, a house in the United States where all of his children studied, a fleet of 15 cars, among them a Porsche
and Mercedes Benz. He also maintains a handful of publishing houses in the Philippines and Hong Kong, including The Manila Times and a large public relations firm. (http://www.pcij. org/imag/ PublicEye/ ang3.html). I cannot believe his
motives to be altruistic. Why is he pushing so hard? What does he stand to gain?

On the other hand, we are just starting on our career as nurses. The Philippine nursing board exam is not the only way to measure the competence of an entry level nurse. Let's face it, most of the nursing graduates aspire to work abroad and, therefore, still need to go through a myriad of more stringent exams and work experience before they are finally accepted and allowed to practice. For example, in the United States an aspirant must first pass the CGFNS and NCLEX which have more emphasis on medical-surgical and psychiatric nursing. In Canada, an internationally educated nurse must first pursue further studies and retraining as well as pass the
Canadian RN Exam which has a "fill-in-the- blank" section. These requirements plus proof of English proficiency exams like TOEFL/TSE and IELTS make these foreign licensure exams more difficult than the Philippine board exam. I can hazard a guess that other developed countries have similar requirements before they allow a Philippine RN to safely practice in their shores. Eventually only those who are
really fit to handle the job will prevail.

The endless politicking and delay has blown the issue out of proportion. Please let us move on with our lives and we will prove to everyone that we truly deserve to be called Registered Nurses.

Yours truly,
Nurse Victim 2006

Honesty versus Competency

I was just wondering... will a retake of the board exams REALLY help restore the integrity of the nursing profession and licensing in the Philippines? Or, are we just comforting ourselves in believing that it can?

I believe that leakage during board exams (here in the Phils.) is rampant, not only in the NLE, but in other licensure examinations as well. Hindi lang na sensationalize yung iba... And hindi lang natin maaccept na common occurence na yata ito...

But why dapat na i-order ang retake? The answer is simple... It may be because we want to "restore" the integrity of the nursing profession (kuno)... But I guess, the real reason is that it is the EASY WAY OUT of these mess. It's just like treating the board passers as DISPENSIBLE casualties of war...

Yes, it is said that it's very difficult to determine if a board passer really benefited from the leakage. But who said it is impossible to pinpoint who benefited from the leakage, even just a fraction of them?

Di bah all these started in BAGUIO? Complainants said that there was a leakage. Some of them, I heard on TV, SAW the leakage itself before the exams! So, the best thing to do, is to give the licenses to these June 2006 board passers. Then trace (from the Baguio complainants) who really benefited from the leakage. This then could produce a network of students who benefited from the leakage. Of course, because they
would be giving vital information to the NBI, they should be immuned from criminal charges. But in return, they should provide vital and HONEST information to the NBI. Those proven to have benefited from the leakage, with the help of some students (with immunity, of course) in Baguio, should have their licenses revoked and be barred from the nursing profession.

WHY you ask??? Because the issue of "honesty" OUTWEIGHS "competency"! It was PROVEN that a leakage was out and some students "knowingly" benefited from it. Why do I say KNOWINGLY? Based on TV interviews of Baguio students, they implied that some students acknowledged the fact that what was handed out to them was a "leakage" even before the examination. If I am not mistaken, some Baguio complainants themselves
reviewed or saw the leaked questions nga eh, expecting it to be a leakage, before the exams. So they will be VITAL resource persons for the NBI.

If you are not that competent at work, one can undergo trainings and seminars, or even mentorship, right? But if you are not an honest person... Di bah mas mahirap maging honest? Because it's already your nature eh... If may medication error ka, for example, and you are not an honest nurse... eh di huwag i-chart! Di bah? Why chart the incident? Baka mapagalitan lang ako...

If may re-take, and those who cheated (June) PASSED the re-take (December?), we may be giving licenses to nurses who are not honest in performing their work. They may be "competent" but they are not "honest". And I'm afraid they'll never be honest...

I'm sorry if I have offended anybody with this post. I have this suppressed sentiment kasi with the re-take...



Palace may issue EO on nursing retake Wednesday -- Ermita

Palace may issue EO on nursing retake Wednesday -- Ermita

Despite pending CA case

By Lira Dalangin-Fernandez
Last updated 07:25pm (Mla time) 10/06/2006

(UPDATE) MALACAÑANG has again changed its position on the controversy over whether nursing graduates who passed the leak-tainted June 2006 licensure examinations should retake the board exam, retake just part of it or not retake it at all.

On Friday, Executive Secretary Eduardo Ermita said that President Gloria Macapagal-Arroyo has ordered the National Bureau of Investigation (NBI) to submit its report on its investigation into the leak scandal on Monday.

If the deadline is met, he said, Arroyo could finally issue an executive order on the retake by Wednesday without waiting for the Court of Appeals to rule on pending petitions to nullify the oath taking of board passers, stop the issuance of licenses to those who have taken their oath, and order a retake of tests 3 and 5 of the exam.

Early this week, the Palace received flak from critics accusing it of "flip-flopping" after saying it was taking "no position" on the retake issue until the NBI wrapped up its probe and the appellate court ruled on the pending petitions just days after Arroyo said she favored a partial retake.

Even before this, Arroyo had already changed opinions on the issue a number of times, beginning with her original opposition to a retake.

Ermita also said he has asked Labor Secretary Arturo Brion to clarify statements he made in a radio interview Thursday, saying his words "may have been taken out of context."

Several newspapers reported that Brion criticized Malacañang for backtracking on its position that a retake is in order.

Several reports also quoted Brion as saying the Palace can issue the executive order even before the Court of Appeals decides.

Ermita also said that the President met with officials of the Professional Regulation Commission (PRC) to discuss the issue.

Asked if the President was dissatisfied with the PRC’s handling of the nursing board issue, he said: "We know that there's a problem, so it happened under their turf. So the PRC should try to do something first to look into the problem and second, to prevent it from happening in the future."


75 items MS Random questions

1. The nursing care plan for a toddler diagnosed with Kawasaki Disease (mucocutaneous lymph node syndrome) should be based on the high risk for development of which problem?

A) Chronic vessel plaque formation
B) Pulmonary embolism
C) Occlusions at the vessel bifurcations
D) Coronary artery aneurysms

2. A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you would be more careful."
D) "Please print in the future so I do not have to spend extra time attempting to read your writing."

3. The nurse is discussing negativism with the parents of a 30 month-old child. How should the nurse tell the parents to best respond to this behavior?

A) Reprimand the child and give a 15 minute "time out"
B) Maintain a permissive attitude for this behavior
C) Use patience and a sense of humor to deal with this behavior
D) Assert authority over the child through limit setting

4. An ambulatory client reports edema during the day in his feet and an ankle that disappears while sleeping at night. What is the most appropriate follow-up question for the nurse to ask?
A) "Have you had a recent heart attack?"
B) "Do you become short of breath during your normal daily activities?"
C) "How many pillows do you use at night to sleep comfortably?"
D) "Do you smoke?"

5. The nurse is planning care for a client during the acute phase of a sickle cell vaso-occlusive crisis. Which of the following actions would be most appropriate?
A) Fluid restriction 1000cc per day
B) Ambulate in hallway 4 times a day
C) Administer analgesic therapy as ordered
D) Encourage increased caloric intake

6. While working with an obese adolescent, it is important for the nurse to recognize that obesity in adolescents is most often associated with what other behavior?
A) Sexual promiscuity
B) Poor body image
C) Dropping out of school
D) Drug experimentation

7. A nurse and client are talking about the client’s progress toward understanding his behavior under stress. This is typical of which phase in the therapeutic relationship?
A) Pre-interaction
B) Orientation
C) Working
D) Termination

8. A nurse is eating in the hospital cafeteria when a toddler at a nearby table chokes on a piece of food and appears slightly blue. The appropriate initial action should be to
A) Begin mouth to mouth resuscitation
B) Give the child water to help in swallowing
C) Perform 5 abdominal thrusts
D) Call for the emergency response team

9. The emergency room nurse admits a child who experienced a seizure at school. The father comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures."

10. A nurse admits a 3 week-old infant to the special care nursery with a diagnosis of bronchopulmonary dysplasia. As the nurse reviews the birth history, which data would be most consistent with this diagnosis?
A) Gestational age assessment suggested growth retardation
B) Meconium was cleared from the airway at delivery
C) Phototherapy was used to treat Rh incompatibility
D) The infant received mechanical ventilation for 2 weeks

11. Parents of a 6 month-old breast fed baby ask the nurse about increasing the baby's diet. Which of the following should be added first?
A) Cereal
B) Eggs
C) Meat
D) Juice

12. A victim of domestic violence states, "If I were better, I would not have been beat." Which feeling best describes what the victim may be experiencing?
A) Fear
B) Helplessness
C) Self-blame
D) Rejection

13. The nurse is assessing the mental status of a client admitted with possible organic brain disorder. Which of these questions will best assess the function of the client's recent memory?
A) "Name the year." "What season is this?" (pause for answer after each question)
B) "Subtract 7 from 100 and then subtract 7 from that." (pause for answer) "Now continue to subtract 7 from the new number."
C) "I am going to say the names of three things and I want you to repeat them after me: blue, ball, pen."
D) "What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of it?"

14. Which oxygen delivery system would the nurse apply that would provide the highest concentrations of oxygen to the client?
A) Venturi mask
B) Partial rebreather mask
C) Non-rebreather mask
D) Simple face mask

15. A nurse is caring for a client who had a closed reduction of a fractured right wrist followed by the application of a fiberglass cast 12 hours ago. Which finding requires the nurse’s immediate attention?
A) Capillary refill of fingers on right hand is 3 seconds
B) Skin warm to touch and normally colored
C) Client reports prickling sensation in the right hand
D) Slight swelling of fingers of right hand

16. Included in teaching the client with tuberculosis taking INH about follow-up home care, the nurse should emphasize that a laboratory appointment for which of the following lab tests is critical?
A) Liver function
B) Kidney function
C) Blood sugar
D) Cardiac enzymes

17. Which client is at highest risk for developing a pressure ulcer?
A) 23 year-old in traction for fractured femur
B) 72 year-old with peripheral vascular disease, who is unable to walk without assistance
C) 75 year-old with left sided paresthesia and is incontinent of urine and stool
D) 30 year-old who is comatose following a ruptured aneurysm

18. Which contraindication should the nurse assess for prior to giving a child immunization?
A) Mild cold symptoms
B) Chronic asthma
C) Depressed immune system
D) Allergy to eggs

19. The nurse is caring for a 2 year-old who is being treated with chelation therapy, calcium disodium edetate, for lead poisoning. The nurse should be alert for which of the following side effects?
A) Neurotoxicity
B) Hepatomegaly
C) Nephrotoxicity
D) Ototoxicity

20. A newborn is having difficulty maintaining a temperature above 98 degrees Fahrenheit and has been placed in a warming isolette. Which action is a nursing priority?
A) Protect the eyes of the neonate from the heat lamp
B) Monitor the neonate’s temperature
C) Warm all medications and liquids before giving
D) Avoid touching the neonate with cold hands

21. At a senior citizens meeting a nurse talks with a client who has diabetes mellitus Type 1. Which statement by the client during the conversation is most predictive of a potential for impaired skin integrity?
A) "I give my insulin to myself in my thighs."
B) "Sometimes when I put my shoes on I don't know where my toes are."
C) "Here are my up and down glucose readings that I wrote on my calendar."
D) "If I bathe more than once a week my skin feels too dry."

22. A 4 year-old hospitalized child begins to have a seizure while playing with hard plastic toys in the hallway. Of the following nursing actions, which one should the nurse do first?

A) Place the child in the nearest bed
B) Administer IV medication to slow down the seizure
C) Place a padded tongue blade in the child's mouth
D) Remove the child's toys from the immediate area

23. The nurse is at the community center speaking with retired people. To which comment by one of the retirees during a discussion about glaucoma would the nurse give a supportive comment to reinforce correct information?

A) "I usually avoid driving at night since lights sometimes seem to make things blur."
B) "I take half of the usual dose for my sinuses to maintain my blood pressure."
C) "I have to sit at the side of the pool with the grandchildren since I can't swim with this eye problem."
D) "I take extra fiber and drink lots of water to avoid getting constipated.”

24. The nurse is teaching a parent about side effects of routine immunizations. Which of the following must be reported immediately?
A) Irritability
B) Slight edema at site
C) Local tenderness
D) Temperature of 102.5 F

25. A client is admitted with the diagnosis of pulmonary embolism. While taking a history, the client tells the nurse he was admitted for the same thing twice before, the last time just 3 months ago. The nurse would anticipate the health care provider ordering
A) Pulmonary embolectomy
B) Vena caval interruption
C) Increasing the coumadin therapy to an INR of 3-4
D) Thrombolytic therapy

26. A woman in her third trimester complains of severe heartburn. What is appropriate teaching by the nurse to help the woman alleviate these symptoms?
A) Drink small amounts of liquids frequently
B) Eat the evening meal just before retiring
C) Take sodium bicarbonate after each meal
D) Sleep with head propped on several pillows

27. The nurse is teaching the mother of a 5 month-old about nutrition for her baby. Which statement by the mother indicates the need for further teaching?

A) "I'm going to try feeding my baby some rice cereal."
B) "When he wakes at night for a bottle, I feed him."
C) "I dip his pacifier in honey so he'll take it."
D) "I keep formula in the refrigerator for 24 hours."

28. For a 6 year-old child hospitalized with moderate edema and mild hypertension associated with acute glomerulonephritis (AGN), which one of the following nursing interventions would be appropriate?
A) Institute seizure precautions
B) Weigh the child twice per shift
C) Encourage the child to eat protein-rich foods
D) Relieve boredom through physical activity

29. Which statement by the client with chronic obstructive lung disease indicates an understanding of the major reason for the use of occasional pursed-lip breathing?
A) "This action of my lips helps to keep my airway open."
B) "I can expel more when I pucker up my lips to breathe out."
C) "My mouth doesn't get as dry when I breathe with pursed lips."
D) "By prolonging breathing out with pursed lips the little areas in my lungs don't collapse."

30. A 57 year-old male client has hemoglobin of 10 mg/dl and a hematocrit of 32%. What would be the most appropriate follow-up by the home care nurse?
A) Ask the client if he has noticed any bleeding or dark stools
B) Tell the client to call 911 and go to the emergency department immediately
C) Schedule a repeat Hemoglobin and Hematocrit in 1 month
D) Tell the client to schedule an appointment with a hematologist

31. Which response by the nurse would best assist the chemically impaired client to deal with issues of guilt?
A) "Addiction usually causes people to feel guilty. Don’t worry, it is a typical response due to your drinking behavior."
B) "What have you done that you feel most guilty about and what steps can you begin to take to help you lessen this guilt?"
C) "Don’t focus on your guilty feelings. These feelings will only lead you to drinking and taking drugs."
D) "You’ve caused a great deal of pain to your family and close friends, so it will take time to undo all the things you’ve done."

32. An adolescent client comes to the clinic 3 weeks after the birth of her first baby. She tells the nurse she is concerned because she has not returned to her pre-pregnant weight. Which action should the nurse perform first?
A) Review the client's weight pattern over the year
B) Ask the mother to record her diet for the last 24 hours
C) Encourage her to talk about her view of herself
D) Give her several pamphlets on postpartum nutrition

33. Which of the following measures would be appropriate for the nurse to teach the parent of a nine month-old infant about diaper dermatitis?
A) Use only cloth diapers that are rinsed in bleach
B) Do not use occlusive ointments on the rash
C) Use commercial baby wipes with each diaper change
D) Discontinue a new food that was added to the infant's diet just prior to the rash

34. A 16 year-old client is admitted to a psychiatric unit with a diagnosis of attempted suicide. The nurse is aware that the most frequent cause for suicide in adolescents is
A) Progressive failure to adapt
B) Feelings of anger or hostility
C) Reunion wish or fantasy
D) Feelings of alienation or isolation

35. A mother brings her 26 month-old to the well-child clinic. She expresses frustration and anger due to her child's constantly saying "no" and his refusal to follow her directions. The nurse explains this is normal for his age, as negativism is attempting to meet which developmental need?
A) Trust
B) Initiative
C) Independence
D) Self-esteem

36. Following mitral valve replacement surgery a client develops PVC’s. The health care provider orders a bolus of Lidocaine followed by a continuous Lidocaine infusion at a rate of 2 mgm/minute. The IV solution contains 2 grams of Lidocaine in 500 cc’s of D5W. The infusion pump delivers 60 microdrops/cc. What rate would deliver 4 mgm of Lidocaine/minute?
A) 60 microdrops/minute
B) 20 microdrops/minute
C) 30 microdrops/minute
D) 40 microdrops/minute

37. A couple asks the nurse about risks of several birth control methods. What is the most appropriate response by the nurse?
A) Norplant is safe and may be removed easily
B) Oral contraceptives should not be used by smokers
C) Depo-Provera is convenient with few side effects
D) The IUD gives protection from pregnancy and infection

38. The nurse is caring for a client in the late stages of Amyotrophic Lateral Sclerosis (A.L.S.). Which finding would the nurse expect?
A) Confusion
B) Loss of half of visual field
C) Shallow respirations
D) Tonic-clonic seizures

39. A client experiences post partum hemorrhage eight hours after the birth of twins. Following administration of IV fluids and 500 ml of whole blood, her hemoglobin and hematocrit are within normal limits. She asks the nurse whether she should continue to breast feed the infants. Which of the following is based on sound rationale?
A) "Nursing will help contract the uterus and reduce your risk of bleeding."
B) "Breastfeeding twins will take too much energy after the hemorrhage."
C) "The blood transfusion may increase the risks to you and the babies."
D) "Lactation should be delayed until the "real milk" is secreted."

40. A client complained of nausea, a metallic taste in her mouth, and fine hand tremors 2 hours after her first dose of lithium carbonate (Lithane). What is the nurse’s best explanation of these findings?
A) These side effects are common and should subside in a few days
B) The client is probably having an allergic reaction and should discontinue the drug
C) Taking the lithium on an empty stomach should decrease these symptoms
D) Decreasing dietary intake of sodium and fluids should minimize the side effects

41. The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which intervention is an effective preventive measure?
A) Place pillows under the knees
B) Use elastic stockings continuously
C) Encourage range of motion and ambulation
D) Massage the legs twice daily

42. The parents of a newborn male with hypospadias want their child circumcised. The best response by the nurse is to inform them that
A) Circumcision is delayed so the foreskin can be used for the surgical repair
B) This procedure is contraindicated because of the permanent defect
C) There is no medical indication for performing a circumcision on any child
D) The procedure should be performed as soon as the infant is stable

43. The nurse is teaching parents about the treatment plan for a 2 weeks-old infant with Tetralogy of Fallot. While awaiting future surgery, the nurse instructs the parents to immediately report
A) Loss of consciousness
B) Feeding problems
C) Poor weight gain
D) Fatigue with crying

44. An infant weighed 7 pounds 8 ounces at birth. If growth occurs at a normal rate, what would be the expected weight at 6 months of age?
A) Double the birth weight
B) Triple the birth weight
C) Gain 6 ounces each week
D) Add 2 pounds each month

45. The nurse is caring for a 13 year-old following spinal fusion for scoliosis. Which of the following interventions is appropriate in the immediate post-operative period?
A) Raise the head of the bed at least 30 degrees
B) Encourage ambulation within 24 hours
C) Maintain in a flat position, logrolling as needed
D) Encourage leg contraction and relaxation after 48 hours

46. A client asks the nurse about including her 2 and 12 year-old sons in the care of their newborn sister. Which of the following is an appropriate initial statement by the nurse?
A) "Focus on your sons' needs during the first days at home."
B) "Tell each child what he can do to help with the baby."
C) "Suggest that your husband spend more time with the boys."
D) "Ask the children what they would like to do for the newborn."

47. A nurse is caring for a 2 year-old child after corrective surgery for Tetralogy of Fallot. The mother reports that the child has suddenly begun seizing. The nurse recognizes this problem is probably due to
A) A cerebral vascular accident
B) Postoperative meningitis
C) Medication reaction
D) Metabolic alkalosis

48. A client with schizophrenia is receiving Haloperidol (Haldol) 5 mg t.i.d.. The client’s family is alarmed and calls the clinic when "his eyes rolled upward." The nurse recognizes this as what type of side effect?
A) Oculogyric crisis
B) Tardive dyskinesia
C) Nystagmus
D) Dysphagia

49. A home health nurse is at the home of a client with diabetes and arthritis. The client has difficulty drawing up insulin. It would be most appropriate for the nurse to refer the client to
A) A social worker from the local hospital
B) An occupational therapist from the community center
C) A physical therapist from the rehabilitation agency
D) Another client with diabetes mellitus and takes insulin

50. A client was admitted to the psychiatric unit after complaining to her friends and family that neighbors have bugged her home in order to hear all of her business. She remains aloof from other clients, paces the floor and believes that the hospital is a house of torture. Nursing interventions for the client should appropriately focus on efforts to
A) Convince the client that the hospital staff is trying to help
B) Help the client to enter into group recreational activities
C) Provide interactions to help the client learn to trust staff
D) Arrange the environment to limit the client’s contact with other clients

51. A client is scheduled for a percutaneous transluminal coronary angioplasty (PTCA). The nurse knows that a PTCA is the
A) Surgical repair of a diseased coronary artery
B) Placement of an automatic internal cardiac defibrillator
C) Procedure that compresses plaque against the wall of the diseased coronary artery to improve blood flow
D) Non-invasive radiographic examination of the heart

52. A newborn has been diagnosed with hypothyroidism. In discussing the condition and treatment with the family, the nurse should emphasize
A) They can expect the child will be mentally retarded
B) Administration of thyroid hormone will prevent problems
C) This rare problem is always hereditary
D) Physical growth/development will be delayed

53. A priority goal of involuntary hospitalization of the severely mentally ill client is
A) Re-orientation to reality
B) Elimination of symptoms
C) Protection from harm to self or others
D) Return to independent functioning

54. A 19 year-old client is paralyzed in a car accident. Which statement used by the client would indicate to the nurse that the client was using the mechanism of "suppression"?
A) "I don't remember anything about what happened to me."
B) "I'd rather not talk about it right now."
C) "It's the other entire guy's fault! He was going too fast."
D) "My mother is heartbroken about this."

55. The nurse is caring for a woman 2 hours after a vaginal delivery. Documentation indicates that the membranes were ruptured for 36 hours prior to delivery. What are the priority nursing diagnoses at this time?
A) Altered tissue perfusion
B) Risk for fluid volume deficit
C) High risk for hemorrhage
D) Risk for infection

56. A 3 year-old had a hip spica cast applied 2 hours ago. In order to facilitate drying, the nurse should
A) Expose the cast to air and turn the child frequently
B) Use a heat lamp to reduce the drying time
C) Handle the cast with the abductor bar
D) Turn the child as little as possible

57. A client is scheduled for an Intravenous Pyelogram (IVP). In order to prepare the client for this test, the nurse would:
A) Instruct the client to maintain a regular diet the day prior to the examination
B) Restrict the client's fluid intake 4 hours prior to the examination
C) Administer a laxative to the client the evening before the examination
D) Inform the client that only 1 x-ray of his abdomen is necessary

58. Following a diagnosis of acute glomerulonephritis (AGN) in their 6 year-old child, the parent’s remark: “We just don’t know how he caught the disease!” The nurse's response is based on an understanding that
A) AGN is a streptococcal infection that involves the kidney tubules
B) The disease is easily transmissible in schools and camps
C) The illness is usually associated with chronic respiratory infections
D) It is not "caught" but is a response to a previous B-hemolytic strep infection

59. The nurse is caring for a 20 lbs (9 kg) 6 month-old with a 3 day history of diarrhea, occasional vomiting and fever. Peripheral intravenous therapy has been initiated, with 5% dextrose in 0.33% normal saline with 20 mEq of potassium per liter infusing at 35 ml/hr. Which finding should be reported to the health care provider immediately?
A) 3 episodes of vomiting in 1 hour
B) Periodic crying and irritability
C) Vigorous sucking on a pacifier
D) No measurable voiding in 4 hours

60. While caring for the client during the first hour after delivery, the nurse determines that the uterus is boggy and there is vaginal bleeding. What should be the nurse's first action?
A) Check vital signs
B) Massage the fundus
C) Offer a bedpan
D) Check for perineal lacerations

61. The nurse is assessing an infant with developmental dysplasia of the hip. Which finding would the nurse anticipate?
A) Unequal leg length
B) Limited adduction
C) Diminished femoral pulses
D) Symmetrical gluteal folds

62. To prevent a valsalva maneuver in a client recovering from an acute myocardial infarction, the nurse would
A) Assist the client to use the bedside commode
B) Administer stool softeners every day as ordered
C) Administer antidysrhythmics prn as ordered
D) Maintain the client on strict bed rest

63. On admission to the psychiatric unit, the client is trembling and appears fearful. The nurse’s initial response should be to
A) Give the client orientation materials and review the unit rules and regulations
B) Introduce him/her and accompany the client to the client’s room
C) Take the client to the day room and introduce her to the other clients
D) Ask the nursing assistant to get the client’s vital signs and complete the admission search

64. During the admission assessment on a client with chronic bilateral glaucoma, which statement by the client would the nurse anticipate since it is associated with this problem?
A) "I have constant blurred vision."
B) "I can't see on my left side."
C) "I have to turn my head to see my room."
D) "I have specks floating in my eyes."

65. A client with asthma has low pitched wheezes present on the final half of exhalation. One hour later the client has high pitched wheezes extending throughout exhalation. This change in assessment indicates to the nurse that the client
A) Has increased airway obstruction
B) Has improved airway obstruction
C) Needs to be suctioned
D) Exhibits hyperventilation

66. Which behavioral characteristic describes the domestic abuser?
A) Alcoholic
B) Over confident
C) High tolerance for frustrations
D) Low self-esteem
67. The nurse is caring for a client with a long leg cast. During discharge teaching about appropriate exercises for the affected extremity, the nurse should recommend
A) Isometric
B) Range of motion
C) Aerobic
D) Isotonic

68. A client is in her third month of her first pregnancy. During the interview, she tells the nurse that she has several sex partners and is unsure of the identity of the baby's father. Which of the following nursing interventions is a priority?
A) Counsel the woman to consent to HIV screening
B) Perform tests for sexually transmitted diseases
C) Discuss her high risk for cervical cancer
D) Refer the client to a family planning clinic

69. A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this child enters the hospital room for the first time, the toddler runs to the mother, clings to her and begins to cry. What would be the initial action by the nurse?
A) Arrange to change client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out"
D) Explain that the child needs extra attention

70. While planning care for a 2 year-old hospitalized child, which situation would the nurse expect to most likely affect the behavior?
A) Strange bed and surroundings
B) Separation from parents
C) Presence of other toddlers
D) Unfamiliar toys and games

71. While explaining an illness to a 10 year-old, what should the nurse keep in mind about the cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective
D) Conclusions are based on previous experiences

72. The nurse is has just admitted a client with severe depression. From which focus should the nurse identify a prioriy nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety

73. Which playroom activities should the nurse organize for a small group of 7 year-old hospitalized children?
A) Sports and games with rules
B) Finger paints and water play
C) "Dress-up" clothes and props
D) Chess and television programs

74. A client is discharged following hospitalization for congestive heart failure. The nurse teaching the family suggests they encourage the client to rest frequently in which of the following positions?
A) High Fowler's
B) Supine
C) Left lateral
D) Low Fowler's

75. The nurse is caring for a 10 year-old on admission to the burn unit. One assessment parameter that will indicate that the child has adequate fluid replacement is
A) Urinary output of 30 ml per hour
B) No complaints of thirst
C) Increased hematocrit
D) Good skin turgor around burn


Arroyo urged: Order retake now, not wait for CA

Arroyo urged: Order retake now, not wait for CA

By Jerome Aning, Juliet Labog-Javellana, Christine Avendaño

Published on Page A1 of the October 6, 2006 issue of the Philippine Daily Inquirer

MALACAÑANG should go ahead and issue the executive order for the retake of the tainted nursing licensure examination and not wait for the Court of Appeals to rule on the petition of a group opposed to a retake, Labor Secretary Arturo Brion said yesterday.

“We know litigation takes a long time,” Brion told reporters. “The CA decision will likely pave the way for motions for reconsideration that will go to the Supreme Court. And that kind of litigation will take years.”

President Gloria Macapagal-Arroyo had assigned Brion, a former associate justice of the appellate court, to draft the executive order. He submitted the draft on Tuesday, but Executive Secretary Eduardo Ermita said on Wednesday that it had been sent back to him for “review and restudy.”

Brion expressed surprise that Malacañang had made an announcement about waiting for the appellate court to decide on the petition when Ms Arroyo herself had sufficient powers to “shortcut” the process and order a retake.

“I cannot understand why some officials would say they’re deferring the matter to the CA. This is agonizing for those who rely on the integrity of the professional licensure exams. I hope this ends soon,” he said.

Brion also said shortening the process would ease the suffering of the board passers who had yet to take their professional oath, and other stakeholders such as doctors, hospitals, review centers and nursing schools.

It was Ermita who announced that the issuance of the executive order on the retake would be deferred until the appellate court had ruled on the pending petition and the National Bureau of Investigation had submitted its report on the leak of test questions that marred the June exam.

By way of explaining the deferment, Ermita said the President was “not insensitive” to the public reaction to her decision ordering a retake.

But Senator Richard Gordon yesterday said “poor legal advice” from her officials was causing Ms Arroyo’s flip-flop on the controversy.

“It’s cha-cha, atras-abante (on again, off again). It doesn’t give the administration high ratings in terms of judgment,” the senator said of Malacañang’s position on the matter, which has been changing almost by the day.

Gordon, who had sought the Senate investigation on the leak, reiterated his call for the resignation of Professional Regulation Commission Chair Leonor Tripon-Rosero.

“I don’t see why the President can’t fire Rosero. But if I were Rosero, I would resign because she has already done so much damage,” he said.

Gordon also said Rosero compounded the problem when she preempted the NBI inquiry into the leak by authorizing the oath-taking of the exam passers and announced that there would be no retake.

No flip-flopping

Michael Defensor, Ms Arroyo’s chief of staff, said there was no flip-flop in Malacañang’s position.

He said the pending appellate court’s decision only gave the Palace “a chance to direct the NBI to give a more thorough and detailed report.”

“If people see this as flip-flopping, then it’s flip-flopping for the good of all those concerned,” Defensor said in a phone interview.

He said the input of the NBI and other agencies would assist the Palace in coming up with a decision “fair to everyone.”

In an initial report to Malacañang, the NBI said it had identified two review centers that discussed with and leaked test questions to examinees.

Three other review centers are being investigated for the same offense, according to the NBI, which is now “reconstructing” the list of those who had registered with these review centers and matching it with the PRC list of exam passers.

‘Complex’ case

Press Secretary Ignacio Bunye promised that the final decision on the controversy would be fair and just for all concerned.

“We assure all stakeholders that justice will be served and the honor of the nursing profession upheld,” he said in a statement.

He also said the President would “not falter in her resolve to settle this issue once and for all and to redeem the integrity and good reputation of the nursing licensure system.”

Bunye said the “complexity” of the case had prompted the Palace to make a thorough review of the draft executive order and “to take into consideration the prevailing circumstances to ensure that those who are guilty will bear the brunt of retribution while those who are innocent will be treated fairly.”

He said “concerned government agencies” were now “firming up their recommendations.”

Political perspective

According to Senator Rodolfo Biazon, nobody should be surprised at Malacañang’s stance.

“This issue is being considered from a political point of view, and not from a thorough study of the issues,” said Biazon, chair of the Senate civil service committee investigating the leak.

Gordon and Biazon said the prudent thing for Malacañang to do is to wait for the appellate court’s ruling and abide by it.

“Otherwise, if the decision of the court runs counter to the decision of the executive, what would happen? We will have another situation like the Ombudsman against the Supreme Court,” Biazon said, referring to the Ombudsman’s recent decision clearing officials of the Commission on Elections of liability in the P1.3-billion poll automation deal that the high court had nullified.

Biazon also called on the appellate court to expedite its decision on the petition pending before it.

Chronic problem

At the House of Representatives, Deputy Minority Leader Gilbert Remulla said Malacañang’s stance on the tainted board exam was doing more harm than good to the examinees.

“The chronic flip-flopping is reflective of the decision-making process of those in power,” the Cavite lawmaker said in a phone interview.

Remulla, who had earlier pushed for a retake of tainted Tests III and V, said Malacañang was ignoring the plight of those who had passed the board exam but were prevented by the court from being sworn in as nurses.

“Hindi na naawa ang Malacañang. The triple flip-flop has exacerbated the tension and aggravation of the examinees who only want a final resolution to their problem,” he said. With a report from Michael Lim Ubac


Arroyo indecision on nursing test issue hit

Arroyo indecision on nursing test issue hit

Labor Secretary Arturo D. Brion yesterday criticized Malacañang for reversing its position on the retake of the June nursing licensure exams, saying that doing so would only leave the profession prone to controversies.

In an interview with dzXL radio yesterday morning, Mr. Brion remained adamant that students should retake the test to finally put a stop to the issue.

The other day, Executive Secretary Eduardo R. Ermita said the Labor department, to which the Professional Regulations Commission (PRC) was recently attached, was reviewing new inputs from stakeholders upon the instruction of President Gloria Macapagal-Arroyo.

"The President’s instruction is to restudy, review [the] proposed EO [Executive Order] and rationalize it with the inputs you got from your dialogue with the stakeholders and others," he said.

He also said Mr. Brion was studying the relevance of the case pending before the Court of Appeals and the investigation being conducted by the National Bureau of Investigation (NBI) to the executive order.

But during yesterday’s radio interview, Mr. Brion said that court litigations take up a long time. Given Filipinos’ penchant to submit motions for reconsideration, the case can even go all the way up to the Supreme Court.

"Litigation may even take years," he added.

The former appeals court justice said that Mrs. Arroyo already has sufficient powers to call for a retake of the exams. He said that Malacañang should be firm in order to appease the stakeholders of the industry.

The long wait, he said, is agonizing "for those who [anchor their jobs] on the integrity of the professional licensure exams."

"What will happen to our national pride then," he asked.

Some of the stakeholders, nursing student included, earlier asked the government not to order another retake. Industry participants including the Philippine Nurses Association however said that undergoing another exam will bring back the integrity of the nurses.

Since PRC’s transfer to the Labor department from Malacañang, Mr. Brion has been voicing out his concerns on the controversy.

He said that "integrity is not divisive."

The June examinees, he said, should take again tests 3 and 5 where the leakage allegedly came from.

The NBI is trying to trace the review centers that were reported to have been the source of the leakage of the two tests. A petition has also been filed before the appellate court to invalidate the oath taking administered by the PRC to board passers.

Mr. Ermita had said the NBI should finish its report by Oct. 15. The bureau has initially identified two review centers, while three others are still being investigated. All of these are located in Luzon.

The investigation, noted Mr. Ermita, may have a bearing on who would be asked to retake the exam, as the NBI may be able to identify which examinees attended reviews in centers proven to have caused the leakage.

Mr. Ermita also dismissed talk that the Palace’s pronouncement of a retake last week was made prematurely, saying that he was merely answering questions of what went on during the cabinet meeting.

He also repeated that the government would shoulder the cost of conducting the retake, which he initially estimated at P52 million.

Meanwhile, opposition lawmakers in the House of Representatives yesterday described Malacañang’s move as a "chronic" policy reversal "reflective of its decision-making process."

Representative Gilbert C. Remulla of Cavite said the Palace announcement would push more nurses to seek jobs overseas after the Arroyo administration failed to keep its word.

He said Mrs. Arroyo’s "triple flip-flop" has "exacerbated the tension and aggravation of the examinees" who only want final resolution to problems.

Bayan Muna Representative Teodoro A. Casiño said that the biggest problem is not the alleged "cheating" in the nursing examinations but the "indecisiveness of the Arroyo government." -- Ira P. Pedrasa and M.S.M. Reyes


Commentary: Malacañang on nursing exam retake

Commentary: Malacañang on nursing exam retake

Bacolod City (6 October) -- The decision of Malacañang to withhold its earlier statement ordering a re-take on the controversial nursing test appears to be a good sign that everyone's voice will be given the chance to be heard before it finally gives a verdict.

It was learned that the leakage case being taken by the National Bureau of Investigation will be given a crucial bearing in the next decision the palace will make.

"The policy of a retake of the nursing exam remains, but the administration is studying the case meticulously as it awaits the second phase of the NBI investigation which is zeroing in on the participation of the review centers on the exam leakage," a statement from the palace said.

Officials also said a thorough appreciation of all circumstances surrounding the leakage scam will be considered to give due punishment to those who are guilty while those who are innocent would be fairly treated.

In Bacolod City, Mayor Evelio Leonardia has openly expressed his opposition to a retake for those who had no participation in the mess and even offered to give legal assistance to nurses who wished to push their cause in the courts.

Bacolod Lone District Representative aired similar sentiments favoring a retake only to those are found guilty as Presidential Assistant for Western Visayas Rafael Coscolluela has readied papers for President Gloria M. Arroyo expressing disapproval of nurses and their parents of another examination. (PIA-LOL)

Philippine Information Agency

No to retake prayer rally set as final GMA ruling awaited

No to retake prayer rally set as final GMA ruling awaited


President Gloria Macapagal Arroyo listened to the position of those opposed to a retake of the nursing board examination, including those of Negrense passers and officials, at a luncheon meeting in Malacañang yesterday.

Bacolod Rep. Monico Puentevella and Board of Nursing chairperson Eufemia Octaviano, who were at the meeting, said the president was under the impression that there was not much opposition to the retake because the voices she had been hearing so far were those pushing for the retake due to an alleged leak of the test questions.

Puentevella and Octaviano called on the those who are against a retake to make their voices heard by sending position papers to the President, Executive Secretary Eduardo Ermita and Labor Secretary Arturo Bion, who has been tasked with making a recommendation on the controversy. The Bacolod solon, who aired the Negrenses' opposition to the retake, said he will also gather the signatures of all the solons opposed to the move to present to the president.

The Negros Occidental and Bacolod Sanggunains have passed resolutions asking the president not to order a retake of all the June nursing board passers.

Bacolod Bishop Vicente Navarra, Negros Occidental Gov. Joseph Maranon and Bacolod Mayor Evelio Leonardia have also aired their opposition to the retake, especially for the passers from Bacolod and Negros Occidental.

Octaviano said the BON and PRC officials at the meeting yesterday informed the president that they were opposed to a retake because they had safeguarded the integrity of the examination.

They also said that claims that allegations of a leak would affect the chances of nurses seeking jobs in the United States were not true, she said.

The basis for Filipino nurses seeking jobs in the United States to be accepted is not the board examination given by the Philippine government, but the United States state boards that they have to pass, she said.


Board passers of the June nursing board examination from Negros Occiental are staging a prayer rally tonight in front of the San Sebastian Cathedral in Bacolod City for the President to permanently recall her retake order and allow them to get their nursing licenses.

The president had earlier announced that she would order a retake of tests 3 and 5 of the examination. On Wednesday, however, Malacañang withheld the release of an expected executive order on the matter.

"The complexity of the case compels us to subject it to a more thorough review and to take into consideration the prevailing circumstances to ensure that those who are guilty will bear the brunt of retribution while those who are innocent will be treated fairly," Presidential Spokesman Ignacio Bunye said in a statement.

The President will not falter on her resolve to settle this issue once and for all and redeem the integrity and good reputation of the nursing licensure system, he said, pointing out that concerned government agencies are now firming up their recommendations.

"We assure all stakeholders that justice will be served and the honor of the nursing profession upheld," Bunye said.

After the luncheon meeting yesterday, Puentevella said the president instructed Brion to asses the situation well and to coordinate with the National Bureau of Investigation to hasten its report on the alleged leak before she comes out with her final decision.


Jet Ong said he and his fellow nursing board passers, their parents, deans of nursing colleges and those who support their lobby against a retake will attend a mass at the San Sebastian Cathedral at 6:30 tonight to be followed by a prayer rally.

We will pray for the enlightenment and guidance of those tasked with deciding on the retake, he said.

Rodrigo Tinsay, a parent, said their call is for the President to permanently abandon the order for a retake and allow the board passers to get licenses as nurses so they can get on with their lives.*

The Visayan Daily Star

You think June 2006 NLE Passers are Lucky?....

You think June 2006 NLE Passers are Lucky?....

I'm glad PRC released the results... Because the moment they did that they gave me the right to fight for the effort I put into taking the exam.

I am a single parent.I still live with my parents. Although my kid has a yaya he'd prefer I do stuff for him... or else all hell would break loose... Added stress...

Anyway...Imagine waking up at 1am in the morning to study and steal a lil sleep if I get sleepy...But I must have my bath around 5am... Around 6am I wake up my kid and help him prepare for preschool... When his carpool picks him up around 7am I get dressed for the review and leave around 7:15am so I can make the 8am review...

When I get home in the afternoon around 1pm I take a nap with my kid but I try to wake earlier than him so I can study. If the review sked takes till 5pm I am bummed...I help my son with his homework... When that's done... I clean up a little and do my mama duties (bath my son, fix his dinner..etc)... I get him to bed around 7:30... I study with my stomach to the bed and an emergency lamp that serves as my study lamp and my son's night light till 10pm... I did that for 3 months...

Then summer came so that was better coz there was no homework for my kid and he had to sacrifice summer activites coz I won't be able to get him there and take him home...The exam is quite expensive too.

But then the exams came a week after my son's classes started but I had to make do with that... his homework and my review...

If anything I wasn't lucky during the exams. My uniform was tight to say the least...Chocolates have always been my brain food since grade school... I had to sacrifice having a new one made to pay for my son's downpayment in school. I sat near the door of our testing room.

Proctors and NBI agents passed right in front of me knocking off my water bottle at times... So I had to get up and chase it... My proctor even borrowed my extra pen and pencil in the middle of the exam.

That's about it... Now tell me I'm a lucky nurse. Tell me I'm a cheat. Tell me I need to retake the exams...

And tell me what to tell my 5 year old kid every time he sees me bent over the same books again and asks..... " Mama when you telled me you pass the nursing board exams? Were you joking?" (wrong grammar kasi preschool pero sa kakapray na memorize ang *nursing board exams*)....



Bacolod SP backs nursing passers stand

Bacolod SP backs
nursing passers stand

The Bacolod Sangguniang Panlungsod yesterday approved an omnibus resolution supporting the call of successful nursing graduates and passers of the 2006 nursing board examinations and their parents not to have a retake of the exams or any portion of it.

The resolution also called on the President to recall the order to retake, or at least, to exempt the nursing graduates and passers Visayas and Mindanao, who did not study in the indicated review schools, from having to take the exams.

It also incorporated into the resolution one authored by Councilor Marx Louie de la Rosa which appealed to the President to allow the release of the Nursing Board Licenses to nursing students, who had taken and passed the exams, and to vigorously continue the investigation on the alleged leakage during the June 2006 Nursing Licensure Exams.

The resolution said the nursing students of Negros Occidental are hoping that the Court of Appeals will lift the temporary restraining order that prevents them from availing of their duly deserved licenses and so that they can go on with their plans for the future.

It also said the nursing students believe it would be unfair for them to suffer the rigors of preparing for another board exams when they have passed already it, adding that they are unjustly punished for something they did not do.

De la Rosa, a nursing student of the University of St. La Salle, said many members of the Sangguniang Kabataan and the Kabataan Katipunan are among those who have passed the exams.

The SP session yesterday was attended by the 2006 United Alliance of Concerned Parents led by Rodrigo Tinsay and the 2006 Alliance of New Nurses led by Menard Ryan Ong.

One of them, Grace Marie Salinas of Bacolod City, a 9th placer in the 2006 Nursing Licensure Exams, yesterday said it would be difficult on their part to take the exams again, although she is not really concerned about being among the topnotchers. However, she said they will be taking the exams again in a different state of mind and state of well being, with all the anxiety and the pressures the situation will bring upon them, considering that they are not guilty of the alleged leakage.

Ellen Lindaya, vice president of the UACP, yesterday appealed to the President that the retake be only applied in areas where there were leakages. She said they are also against an optional retake and requesting the PRC to release their licenses since they have already taken their oath.

Lindaya said their children deserve their licenses because they had worked hard for it and that she believes what is happening right now is an injustice to them. She said she believes this is high time that they fight for their right.

"We have requested Councilor Dindo Ramos to be our lawyer although a class suit would be a last and desperate recourse on our part," Lindaya said.

Ramos suggested that a copy of the resolution be immediately relayed to the President in order that the stand of the SP will be made known to her.

The resolution also said it is the sentiment of the SP that an order to retake the exams, even just a part or parts of it, to include those who did not take part in the cheating and who did not benefit from it, and who did not review in the indicated schools, is a fundamental injustice against the successful exam takers and their families.*CGS

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