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: http://javascript.about.com/library/blnoright.htm *Using in a custom footer:replace all code in xslt box with this: ]]>

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Saturday, October 21, 2006

Nursing grads to sue those who tried to stop oath taking

Nursing grads to sue those who tried to stop oath taking


By Norman Bordadora
Inquirer
Last updated 07:23pm (Mla time) 10/21/2006


NURSING graduates who took the June 2006 nursing board examinations are preparing damage suits against those who tried to stop the oath taking of passers through a court injunction.

Renato Aquino, president of the Alliance of New Nurses, on Saturday said those who had satisfactory scores in the leakage-marred boards have had bouts of depression and sleepless nights as a result of the continued delay in the issuance of their nursing licenses.

"We want them to suffer what we have suffered for the last four months," Aquino said at the weekly Kapihan sa Sulo news forum.

Aquino said their group is already coordinating with pro-bono lawyers to take on their case against Rene Luis Tadle, president of the faculty of the University of Sto. Tomas (UST) College of Nursing; Earl Francis Sumile, president of the League of Concerned Nurses; and Michael Angelo Brant, president of Binuklod na Samahan ng mga Student Nurses.

The three were the ones who filed for an injunction against the oath taking of those who passed the June 2006 nursing board examinations.

"We are coordinating with (the board passers) from different provinces and their parents to file damage suits. Primarily, the respondents are Tadle, Brant, and Sumile," Aquino said.

He said he and fellow passers also considering the inclusion of presidential adviser on overseas employment Dante Ang and Labor Secretary Arturo Brion in the damage suit.

Ang, who headed a presidential task force looking into the leakage scandal, had recommended a re-take of all examinees the nursing board exams held last June; some 17,000 of more than 40, 000 examinees passed.

Ang said that the re-take should apply to all examinees, and that it should cover only Tests 3 and 5, where cheating was confirmed to have occurred.

Brion, on the other hand, ordered that the oath taking for those who passed be postponed pending the Court of Appeals decision on the motion for reconsideration filed by Tadle and company.

The appellate court had earlier decided that a selective re-take be conducted.

FROM: INQ7.net
http://newsinfo.inq7.net/breakingnews/nation/view_article.php?article_id=27967

Posted by marisse at 9:22 PM | | Comments

Philippine Court Orders Some Students to Retake Nursing Test, INRESS, GAPUZ and PENTAGON Students to RETAKE?

Philippine Court Orders Some Students to Retake Nursing Test
By MARTHA ANN OVERLAND


Hoping to end the controversy around an examination scandal that caused some to question the competency of the Philippines' nursing graduates, an appellate court in Manila has ordered a "selective retake" of the national licensing test that was given in June.

The Court of Appeals ruled on Friday that only students who had attended one of three test-review centers where questions and answers were divulged would have to retake the examination. Students who had not attended those centers and had passed the examination should be immediately awarded their nursing licenses, the court said in an opinion written by Associate Justice Vicente Veloso.

http://chronicle.com/daily/2006/10/2006101707n.htm

Budek comment : INRESS, GAPUZ and PENTAGON Students to RETAKE? I do not know how reliable this international news agency is but the message was very clear. I am in DENIAL now, If this is TRUE most of the topnotchers last board exam will have to retake since the bulk of them came from gapuz. There are still no local news that mentioned anything about this. Maybe because the court order just issued this statement yesterday, and Saturday is a very dead day for newsmakers and the Internet OR.... The reporter just committed an error. Whatever it is, We have to wait for further news.

Posted by Budek at 7:13 PM | | Comments

PRC, nursing grads aapela sa desisyong retake

Pinag-aaralan ng Professional Regulation Commission at ng mga kukuha ng retake sa nursing board exam ang pag-apela sa desisyon ng Court of Appeals.

Ayon sa PRC, aapela ito sa desisyon ng CA na "selective retake" sa nursing exam at pagpapawalambisa sa recomputation ng komisyon upang matanggal ang scores sa Tests 3 at 5.

Sinabi ni PRC Commissioner Renato Valdecantos, hindi imbento ang statistical computation na ipinatupad ng komisyon na ginamit umano noon nang magkaroon din ng leak sa board exam ng physical at occupational therapy.

Napag-alaman na aapela din ang komisyon na huwag nang pakuhain pa ng eksaminasyon ang 1,687 examinees na pumasa dahil sa komputasyon ng PRC.

Pinapayagan umano sa batas na madagdagan ng puntos ang mga borderline examinee o ang mga nakakuha ng 73 at 74 na marka para pumasa.

Maging ang mga nursing graduate na naatasan ng CA na kumuha ng retake ay aapela din sa korte upang mapatunayan na wala umanong kinalaman ang mga ito sa pandaraya sa NLE.

Samantala, inaayos na ngayon ng PRC ang resulta ng board exam ng sanitary engineering matapos na magkaroon ng aberya ang ranking ng topnotchers.

Maglalabas ng dalawang listahan ng board topnotchers. Ang isa ay sa kategorya ng sanitary engineer at ang huli ay para sa civil engineers na kumuha ng sanitary engineering exam.

Magugunitang nagreklamo ang mga topnotcher sa sanitary engineering exam nang mabago ang ranking nila nang kwentahing muli ang score ng lisensyadong mga civil engineer.

Posted by Budek at 7:10 PM | | Comments

Nursing exam row worsens as examinees turn on each other

Nursing exam row worsens as examinees turn on each other

Article posted October 21, 2006, 4:13 pm

http://www.gmanews.tv/breakingnews.php?sec=2&id=18424

The row over the June nursing board exam leakage threatened to grow worse Saturday, with nursing graduates splitting into two groups that have turned on each other: One group met with lawyers in Quezon City Saturday to prepare a string of cases against the group that stalled the oath-taking of board passers last August.

"We will file damage suits in several provinces like Zamboanga, Iloilo, and Bacolod, so that they can experience the kind of hardship we went through for the last four months," Renato Aquino, head of the Alliance of New Nurses (ANN), said in an interview on dzRH radio.

Members of the ANN, which is against the retake of the examinations, met with lawyers led by Rene Saguisag at the Sulo Hotel in Quezon City Saturday to map their strategy.

Aquino did not give a full list of those whom they plan to charge, but he mentioned University of Santo Tomas College of Nursing president Rene Tagle as among the likely respondents.

He also said parents of many members of the ANN who are lawyers would help map out their legal strategy.

"We are not after money. We just want them to feel the pain we have felt," he said.

Aquino noted it was Tagle’s group that asked the Court of Appeals to stop the oath-taking and to order a nationwide retake of the exam.

Last Oct. 16, Tagle’s group asked the Court of Appeals to reconsider its decision for a selective retake, which they found "unacceptable."

"We are still for a nationwide retake," Tagle’s group said through their lawyer, Pia Cristina Bersamin, who filed a motion for reconsideration with the appellate court.

Aquino said that in the last four months, the nurses who passed the June exams complained of humiliation, harassment, and inability to find work.

The suit, Aquino said, would most likely not include members of the Board of Nursing, as they already face charges before the Ombudsman.

"They have a case before the Ombudsman. While we agree those behind the leakage should be prosecuted, we cannot stomach students punishing fellow students. We have not been able to take our oaths. We have been pilloried," he said. - GMANews.TV

http://www.gmanews.tv/breakingnews.php?sec=2&id=18424

Posted by Thor at 4:37 PM | | Comments

Punish nursing exam cheats–bishop

Punish nursing exam cheats–bishop

Cebu Daily News

http://specials.inq7.net/nursingcontroversy/index.php?ver=1&index=1&story_id=27942

ILOILO CITY—The president of the Catholic Bishops Conference of the Philippines (CBCP) has called for the punishment of those responsible for the alleged cheatring in the June 2006 nursing board examinations.

"The leakage from its very inception, by whomsoever it was started, is a criminal offense against the country. The principal agents and their cooperators must be punished by the court," CBCP president and Jaro Archbishop Angel Lagdameo said.

Lagdameo made the call in a letter to the Association of New Nurses on Panay (Annopa) and the nurses' parents.

The group is opposing a retake of the licensure examination in all regions.

Lagdameo said that cheating and stealing are immoral and unjust.

"It creates a situation in which even the innocent suffer because they become suspect or are falsely accused and may even be meted out with punishment while the real culprits escape. It is unfair to the honest," said the prelate in his letter dated Oct. 13.

The National Bureau of Investigation (NBI) has filed a criminal complaint against 17 officials of three nursing review centers allegedly involved in the leakage during the June licensure exam.

The respondents, officials of R.A. Gapuz Review Center, Inress Review Center and Pentagon Review Center, are accused of violating Republic Act 8981 or the Act Modernizing the Professional Regulation Commission.

Lagdameo said those responsible for the leakage "carry a great burden in conscience for the scandal and criminal dishonesty they have committed against the institution."

He pointed out that the incident has tarnished the reputation of the country's nurses abroad.

"Pity the country! Already poor economically, yet almost bankrupt morally, the innocent are counted among the cheaters and thieves. Jesus Christ is dying again!" said Lagdameo.

The prelate said, in light of the NBI findings that the leakage was confined to Manila and Baguio City, he supports the decision that the retake of parts of the tests covered by the leakage should be confined to examinees in these two areas, specifically to "those who have cheated or been served by the leakage."

"It is unfair and unjust to subject innocent examinees and to lump them up with those who cheated," said Lagdameo.


FROM: http://specials.inq7.net/nursingcontroversy/index.php?ver=1&index=1&story_id=27942

Posted by Thor at 3:24 PM | | Comments

Credebility and Integrity (sent vial email)

The statement "Only a retake of the said examinations can redeem the credibility and integrity of the nursing profession in our country" is a very "subjective" statement and may or may not be factual.

Others would say that a retake can redeem the credibility and integrity. Others believe that we, the Filipinos ourselves, are creating the stigma for us to fear. Others would say foreign employers don't care. Others say they care...

Point is... Opinion lang lahat ito. Unless, there is a very strong statistical evidence, maybe conducted by a reputable sociologist - both in local and foreign settings, leaning towards the assumption that a retake can redeem us, I think it is not prudent to say that "a retake can redeem us"... let alone make it a statement of fact in a court of law.

My point... If it can't be proven that the said statement is indeed factual, statistically or otherwise, it should not hold much weight in any court of law...

Posted by Thor at 3:03 PM | | Comments

Friday, October 20, 2006

Anonymous article sent via email

Anonymous article sent via email

The nursing leakage scandal has been so blown up that it has been the focus of medias every single day, and it pains me so much, since i have been so unfortunate to be a part of the June 2006 nursing board exam. I'm proud to say, that i am part of the June 2006 batch, because everyone wants to put us down.."wala pa nga kami sa taas, hinahatak na kami pababa"..which is a very typical Filipino attribute, ain't i right?..

Government

i am neither a pro nor an anti administration.frankly, i don't give a damn on how the country is being run, as long as i wasn't affected. i have never been an activist, for i believe that rallying is such a waste of time and effort.but now i understand, they're fighting for their rights...they're fighting for their lives.The president had given us her stand, she said that the guilty would be punished, but the innocent ones should be spared, and we held on to her word.who wouldn't?...its the president's word.but then a sudden turn, she asked for a mandatory retake,only then again to change her stand for a third time. Sad to say, this is OUR LIVES, and yet we have no control over it.i hate it when politicians butt in, its something that they shouldn't involve themselves in, but what the heck, its election soon, and they certainly need all the exposure they could get.Their opinions don't matter to us, we don't need them, and they are certainly of no help to the recent scandal.they are only making it WORSE, but what do they care?...its not their life,its OURS.

Education Institutions

Its of no surprise if i would say that if there would be a hate club for UST, I'll definitely be a member.we have endured far enough, and its way too much to bear nor to tolerate.so much time has been wasted, OUR TIME. and what the heck, just add another 15 days, since 4 months has already been wasted anyway, it definitely wont matter...TO THEM atleast.its not their time.it pains me...uhmm..no..it ANGERS me, that it was published that 4 TOP schools are pushing for a retake..but may i ask, are they supported by their own graduates?...no they're not,.. just their DEANS.the media doesn't have to elaborate on that, mas mabenta yon kasi mas catchy ang heading.i no longer believe in integrity,to hell with integrity if it would bring INJUSTICE to us.

Media

aah, media, a very powerful tool. now, i know what irresponsible journalism is, its all over the Philippines! i have never seen such biased personalities!...a have no background in journalism, but i do know this...A JOURNALIST SHOULD NEVER BE BIASED, the Philippines need a lot of help, and biased journalists should have no place in the media...but they certainly seems to fit in quite perfectly in the Philippines...

Injustice

this is not just about retaking the exam anymore, its about injustice. why cant people understand that?i thought the Philippines is a democratic country? what's the use of the law, if it cant protect the innocent?

my fellow board takers

you all know very well what questions came out during the exam...they were opinionated and certainly not the things we have studied during our 4 year course.and it pisses me off, when i hear fellow board takers saying that, a retake should be done so as to guard the safety of the lives of the patients.Huh?..did we take the same exam?were the questions asked, asked about TB,STROKE,HEART ATTACK,PNEUMONIA,IV THERAPY ETC.?the things that should have been asked since its the basic and what we ought to know for it is the common illness of FILIPINOS?hay, nagpapasikat ka ba?so as to appear that you want to safeguard the health of our people?...in life, nothing is for sure, and I'm sure most of my fellow passers would agree...that we passed because we deserved it..and we had the element of LUCK...those people said..."pumasa kayo dahil JUST GOT LUCKY"...does that mean you don't need lady luck on your side?...hmm,hypocrites!

my country

my country...hopeless?...i don't think so, because hope is lost only when you give up. but i have fear that i might lose hope,...not right now, but soon...not because of my own faith, but because of the selfish people around us.what would become of us?i can only imagine...

LCC

Posted by Budek at 5:44 PM | | Comments

CBCP head wants nursing exam cheats punished

CBCP head wants nursing exam cheats punished

By Nestor P. Burgos Jr.
Inquirer
Last updated 03:43pm (Mla time) 10/20/2006

http://newsinfo.inq7.net/breakingnews/nation/view_article.php?article_id=27801

ILOILO CITY --- The president of the Catholic Bishops’ Conference of the Philippines (CBCP) has called for the punishment of those responsible for the alleged cheating in the June 2006 nursing board examinations.

"The leakage from its very inception, by whomsoever it was started, is a criminal offense against the country. The principal agents and their cooperators must be punished by the court," CBCP president and Jaro Archbishop Angel Lagdameo said.

Lagdameo made the call in a letter to the Association of New Nurses on Panay (Annopa) and the nurses' parents.

The group is opposing a retake of the licensure examination in all regions.

Lagdameo said that cheating and stealing are immoral and unjust.

"It creates a situation in which even the innocent suffer because they become suspect or are falsely accused and may even be meted out punishment while the real culprits escape. It is unfair to the honest," said the prelate in his letter, dated October 13.

The National Bureau of Investigation (NBI) has filed a criminal complaint against 17 officials of three nursing review centers allegedly involved in the leak of questions and answers pertaining to Test III and V of the licensure exams.

The respondents, officials of R.A. Gapuz Review Center, Inress Review Center and Pentagon Review Center, are accused of violating Republic Act 8981 which concerns the regulation of professions and the Professional Regulation Commission.

Lagdameo said those responsible for the leakage "carry a great burden in conscience for the scandal and criminal dishonesty they have committed against the institution."

The incident, he pointed out, has tarnished the reputation of the country's nurses abroad.

"Pity the country! Already poor economically, yet almost bankrupt morally, the innocent are counted among the cheaters and thieves. Jesus Christ is dying again!" said Lagdameo.

The prelate said that in light of the NBI findings that the leakage was confined to Metro Manila and Baguio City, he supports the idea that the retake of parts of the examination should be confined to examinees in these areas, specifically to "those who have cheated or been served by the leakage."

"It is unfair and unjust to subject innocent examinees and to lump them up with those who cheated," said Lagdameo.

The Court of Appeals on October 13 ruled that those who passed the board exam conducted outside Metro Manila and Baguio City and those who did not attend the "final coaching" sessions at the three review centers suspected of leaking test questions could take their oath as nurses.

But the oath-taking and issuing of licenses to the successful examinees was stopped by the Department of Labor and Employment because the court's decision was not yet final.

Nursing groups who believe that the leak occurred nationwide have appealed the ruling of the appellate court. The petitioners have asked the CA to reconsider its ruling and order a retaking of the exams nationwide.

Inquirer Visayas

FROM: http://newsinfo.inq7.net/breakingnews/nation/view_article.php?article_id=27801

Posted by Thor at 4:28 PM | | Comments

Flunkers, not cheaters, are on ‘retake’ list

Flunkers, not cheaters, are on ‘retake’ list

Inquirer

http://specials.inq7.net/nursingcontroversy/index.php?ver=1&index=1&story_id=27644

BAGUIO CITY -- The local nursing community, including the graduates who exposed the cheating in the June board exams, said the examinees who are now compelled to retake the test were not the cheaters but the flunkers.

Some of the whistle-blowers’ names turned up in the list of the 1,678 examinees ordered by the Professional Regulation Commission to retake Tests III and V of the exams.

Ryan Manzano, one of the Baguio examinees, said his score of 77.6 “was not even borderline,” so his inclusion in the “retake” list came as a shock.

“I was surprised to discover my name there, but the PRC would not tell me how they came up with the list, so I complained,” he said.

The situation prompted the local Philippine Nurses Association chapter to demand an explanation from the government. Vincent Cabreza, Inquirer Northern Luzon

FROM: http://specials.inq7.net/nursingcontroversy/index.php?ver=1&index=1&story_id=27644

Posted by Thor at 3:58 PM | | Comments

Thursday, October 19, 2006

Brion hopes retake issue over soon

Brion hopes retake issue over soon


By WILLIAM B. DEPASUPIL, The Manila Times Reporter

http://www.abs-cbnnews.com/storypage.aspx?StoryId=53651

With the nursing exam case still in the Court of Appeals, Labor Secretary Arturo Brion said Wednesday that all he wished for is the speedy resolution of the controversy.

"I hope that there will be a closure for the sake of the examinees, for the sake of the system and for the sake of our national integrity. That’s all I want," Brion told editors and reporters of The Manila Times at a roundtable.

He stressed, though, that everything now hangs in the air until the petitions filed before by the appellate court by groups questioning the court’s order are resolved with finality.

Till then, Brion said, the damage to the integrity of the nursing licensure examination would remain and doubts about the efficiency and capability of the examinees concerned would prevent them from moving on.

He has written the court to express his fear and his hope that the controversy will be settled soon.

News of the leakage has spread in the United States and England, where Filipino nurses are highly regarded for their efficiency, Brion said.

The US is now thinking twice before it pursues its plan of setting up an examination center in the Philippines for nurses aspiring to work in America, he said.

Even the president of the Philippine nurses’ association in the United Kingdom is disturbed by the controversy, Brion said.

"For all you know, [the UK government] might impose additional requirements on new entrants," he said.

He noted that many countries are competing with the Philippines in supplying nurses to Western countries, and if the test-leakage controversy is not dealt with accordingly, Filipino nurses might lose out.

The Court of Appeals has ordered that 1,687 of the June 2006 nursing board examinees who benefited from the recomputation of the grades must take Tests 3 and 5 again.

The court also ordered the Professional Regulation Commission to include in the retake the 1,186 examinees who were removed from the list of board passers after the grades were recomputed.

The court said board passers on the original PRC list can take their oaths and get their nursing licenses.

"The Department of Labor and Employment will wait for the Court of Appeals to decide on the validity of the retake issue, and it will implement the court’s recommendation," Brion said.

The labor department took control of the PRC on September 11 through a presidential directive, Executive Order 565.

The National Bureau of Investigation has recommended charges against two nursing board examiners and 17 officials of three review centers who were involved in the leakage. With Katrice R. Jalbuena, The Manila Times

FROM: http://www.abs-cbnnews.com/storypage.aspx?StoryId=53651

Posted by Thor at 10:37 PM | | Comments

'PRC erred anew in NLE grades recount'

'PRC erred anew in NLE grades recount'

http://www.abs-cbnnews.com/storypage.aspx?StoryId=53668

The Professional Regulation Commission again came under fire after at least 15 nursing graduates alleged that PRC had committed a mistake in recomputing all the test results of the leakage-marred Nursing Licensure Examination (NLE), ABS-CBN's Bandila reported Wednesday.

The report said the results of tests 1, 2 and 4 were included in the recomputation instead of only tests 1 and 3.

Based on the allegedly erroneous recomputation, PRC released a list containing 1,687 examinees who were required to retake the NLE.

A group of examinees from Baguio City said PRC's error in recomputing the grades proved that a manipulation of scores occured.

"Talagang lahat pala ng scores ng mga bata from Tests 1 to 5 were manipulated (Apparently, the scores of all the examinees from Tests 1 to 5 were manipulated)," Cheryl Yangot, a lawyer for the Baguio examinees, said.

She added that PRC's second mistake merely underscored allegations that the commission had erred in computing test results from the start.

An examinee, meanwhile, complained about the list of nursing graduates who were required to retake the NLE.

Mark Jedh Yutuc said that he was among those who passed based on the list that PRC released prior to the discovery of the leakage.

His name, however, was included on the new PRC list.

Labor Secretary Arturo Brion, who has direct authority over PRC, has confirmed receiving the affidavit of 15 nursing examinees about the commission's alleged error. He promised to have the complaint investigated.

More than 17,000 out of 42,000 examinees passed the June 11-12 NLE. However, they failed to take their oaths as new nurses after word of the leakage surfaced.

The Court of Appeals issued a temporary restraining order against the oath-taking of new nurses. It lifted the order last week and ordered selected examinees to take the exam again.

FROM: http://www.abs-cbnnews.com/storypage.aspx?StoryId=53668

Posted by Thor at 10:31 PM | | Comments

PinoyBSN declared TOP 3 Academic Blog Site in the WORLD.

BLOGTOPSITES.COM Now ranks Pinoy BSN As the current top 3 Blogsite this week in the Academic category receiving 9,000 Hits in mere 3 Days. PinoyBSN Is the LEADING Academic Blog Site in the Philippines as of today, Ranking 20th overall in all categories.

We will continue to strive hard to serve the filipino nursing student without anything in exchange with the goal of improving the nursing students and making them globally competitive and at the same time, Building a community of student nurses in the Philippines.

If you are intrested to be part of this NON PROFIT team and you are willing to devote time to share your KNOWLEDGE, SKILLS and ATTITUDE email pinoybsn@yahoo.com with your name and purpose of joining.

Mabuhay!

Posted by Budek at 8:50 PM | | Comments

Gabbly now up, Flood control is now functioning...

Gabbly now up, now with flood control. Rate is set at specific value wherein, if your typing exceeds the rate of a normal conversation word per minute you will lose your ability to send message to the channel PERMANENTLY.

If gabbly does not load, OPEN A NEW WINDOW.... and try and try again.

Posted by Budek at 8:37 PM | | Comments

Selective Retake list pulled out from PRC, Need to wait for 15 days

Selective Retake list pulled out from PRC, Need to wait for 15 days

Selective retake list was pulled out from PRCs office. According to PRC, They need to wait for 15 days before CA's decision to be executory.

Selective retake list distribution is currently onhold and will not be available anywhere.... as of yet. So don't bother going to PRC.

Lucky for those who got the sneak peek from PRC.

Congratulations to Pinoy BSN

Congrats everyone for making the blog in the top 20 of pinoy top blogs and top 3 of world academic blogs.

- RenRen

Posted by Mahinhing Binata at 6:48 PM | | Comments

GABBLY has again troubles, IRC CHAT UP for a while

Gabbly is having errors of not listing the correct number of people in the room, Sending the message twice and not loading at all. IRC Flash chat is up for a while until gabbly is fixed.

Enter the channel by typing your name and clicking OK. If the chat does not load, Please make sure you have the latest FLASH Plug in from macromedia.

Have a nice day everyone!

Posted by Budek at 5:34 PM | | Comments

DoJ panel formed to probe complaint vs review centers

DoJ panel formed to probe complaint vs review centers

By Tetch TorresINQ7.net
Last updated 01:57pm
(Mla time) 10/19/2006

THE DEPARTMENT of Justice (DoJ) has created a panel to conduct a preliminary investigation on the criminal complaint filed by the National Bureau of Investigation (NBI) against 17 officials of three nursing review centers allegedly involved in a leakage during the June licensure exam, Secretary Raul Gonzalez said.

Heading the panel is Senior State Prosecutor Roseann Balauag. Her members include State Prosecutors Lamberto Pabros and Juan Pedro Naverra and Prosecuting Attorneys Rhodora Salazar and Richie Seranilla, Gonzalez said.

Copies of the complaint have been forwarded to the panel, Gonzalez said.

Gonzalez said the panel would set the date for the preliminary investigation where those facing the complaint for violation of Republic Act 8981 or the Act Modernizing the Professional Regulation would be asked to submit their counter affidavits.

Respondents include Ricarte and Evangeline Gapuz, Ma. Elena Alterejos, Elizabeth Iciano and Eleanor Artemia Gapuz from R.A. Gapuz Review Center; George Cordero, Adela and Jerry Cordero, Corazon Sabado, MacJohn Fabian, Lolita Barlahan, and Eugenia Alcantara from Inress Review Center; and Gerald Andamo, Attorney Glenn Luansing, Mike Jimenes, Jerome Balisnomo, and Freddie Valdez from Pentagon Review Center.

NBI Anti-Fraud and Computer Crimes Division chief Elfren Meneses said they have over 20 witnesses, which include students and photocopiers.

Other bases for their complaint include a powerpoint presentation, compact discs containing a soft copy of the alleged leakage and typewritten and handwritten manuscripts of the examine

http://newsinfo.inq7.net/breakingnews/nation/view_article.php?article_id=27559

Posted by Jeddah at 5:11 PM | | Comments

PRC botches Top 10 list of sanitary engineering exam

PRC botches Top 10 list of sanitary engineering exam

By DAVID DIZON

abs-cbnNEWS.com


Fresh from the recent controversy with the leakage-marred nursing licensure examination, the Professional Regulation Commission (PRC) is in another bind after releasing the wrong topnotchers’ list for the sanitary engineering licensure exam last month due to a computation error.

As a result, the top 10 list was adjusted with at least six topnotchers removed from the list altogether. Some of the topnotchers have yet to be informed by the PRC that they have been removed from the list.

The PRC, which is responsible for licensing professional individuals according to knowledge base and practice, issued the top 10 list on September 25, one working day after the sanitary engineering licensure exam were conducted. Thirty-two of 92 examinees passed the exam.

Top on the list was Juan Carlos III Peret Sales, a student from the Mapua Institute of Technology. Sales garnered a total score of 78.30 from the five tests that covered the sanitary engineering board exam.

Aside from Sales, three other Mapua graduates topped the exam, including Melandro Dariagan Magbanua who placed 2nd (75.20%), Jim Scott Vitug who placed 3rd (74.45%) and Hershey Mae Legaspi Papa who placed 9th (73.10%).

Other universities that had students in the top 10 were Partido State University of Camarines Sur, Western Mindanao State University, Technological Institute of the Philippines Quezon City, Batangas State University and University of Baguio (See list below).

Topnotchers of the September 2006 Sanitary Engineer Licensure Examination released September 25 (source: PRC website)

1. Juan Carlos III Peret Sales – Mapua Institute of Technology - 78.30%

2. Melandro Dariagan Magbanua – Mapua Institute of Technology – 75.20%

3. Jim Scott Vitug - Mapua Institute of Technology – 74.45%

4. Anthony Clapis Caracas – Partido State University Camarines Sur – 74.05%

Marlou Baclion Magallanes – Western Mindanao State University – 74.05%

5. Erilyn Espanto Sinfuego - Partido State University Camarines Sur - 73.80%

6. Michael Andrew Gardon Bago – Technological Institute of the Philippines Quezon City – 73.75%

7. Chirpy Layson Rosales – Partido State University Camarines Sur – 73.45%

8. Philip Jay-Ar Manalo Dimailig – Batangas State University (formerly Pablo Borbon MIT) – 73.35%

9. Hershey Mae Legaspi Papa - Mapua Institute of Technology – 73.10%

10. Smith Bayangan Dawaton – University of Baguio – 72.70%

***


Days after the results were published in newspapers, several civil engineering students called up PRC to complain that they garnered higher scores than those on the top 10 list.

As it turned out, the PRC ratings division disqualified civil engineers who also took up the sanitary engineering board exam for the Top 10.

In an interview with abs-cbnNEWS.com, Florencio Cunanan, chairman of the Board of Sanitary Engineering, admitted that the PRC ratings division made a mistake in the rankings of the sanitary engineering board Top 10 list.

"Hindi naman namin sinasadya ito eh (We didn’t mean to do it). It was never intentional. Unluckily it [affected] some people. I can assure you that there was no manipulation," he said.

Cunanan said the sanitary engineering board exam consists of five parts: environmental engineering; plumbing and public health engineering, water supply engineering, wastewater engineering and civil engineering.

He said civil engineers can get a double degree by taking up additional units for sanitary engineering and passing the sanitary engineering licensure exam.

However, Section 13 of Republic Act No. 1364 or an An Act to Regulate the Practice of Sanitary Engineering in the Philippines states that "duly registered civil engineers shall be exempted from taking the examination in the civil engineering subject of the sanitary engineer licensure examination."

As a result of the provision, civil engineers who already took up the civil engineering board exam would be exempted from Test 5 of the sanitary engineering board. The civil engineering test is equivalent to 15 percent of the final grade of the examinee.

"This is what happened. The one who is doing the encoding in the computer, as is customarily done, they place a negative (-) on the civil engineering subjects of civil engineers who take the exam," Cunanan said, adding that the examinee’s previous grade in the civil engineering board would be used for the final computation of his grade for the sanitary engineering board.

In the case of the September 2006 exam, however, the PRC ratings division disqualified civil engineers who took up the exam for the Top 10 because they were considered for removal and not exemption.

Exemption, not removal

Cunanan said a board examinee who obtains a failing grade in any of the tests can retake that particular subject as a removal.

"When you only take one subject or two [in the board exam], you are already considered ineligible for the Top 10. They will have to be bypassed because actually they are being considered for removal," he said.

The law, however, stated that a repeater in the board licensure examination who places in the top ranks shall be eligible for listing as topnotcher examinee provided that the examination is complete and not a removal.

Cunanan said none of the civil engineers who took up the September 2006 sanitary engineering board were taking a removal exam.

The board examiner pointed out that there was no error in the final grades of all the board takers. He said the exam papers are corrected by computer with little to no human intervention.

He also revealed that it was the first time that PRC published a Top 10 list for the sanitary board exam. "Initially, there were no releases for any board examination with less than 50 passing," he said, adding that the final scores of all the board passers were just released to schools.

This changed after PRC passed Resolution 2006-331 in April, which ordered that a Top 10 list be released "regardless of the number of examinees provided that the top 10 ranks can be filled up by the successful examinees."

On September 25, the PRC ratings division submitted the list of sanitary engineering board passers, which was later published in major dailies. The list included the names and schools of the Top 10 board passers and their final grades.

"We got the list at 2 a.m. on Monday, September 25. When we got the list, we did not know which ones were sanitary engineers and which ones were civil engineers because that is what we have been doing all along," Cunanan said.

He would later discover the error on the rankings after several board passers called PRC and questioned why they were not included in the Top 10 when they had a higher grade than some of the topnotchers.

To check the claims, Cunanan said he recomputed the grades of one of the civil engineers who took the licensure exam and discovered that the examinee had a higher grade than the board topnotcher.

Rectifying the error

Some of the board examinees who passed the exam told abs-cbnNEWS.com that they immediately knew there was something wrong with the results of the sanitary engineering board.

Ryan Erwin Lopez, 28, said several friends told him to verify his grades after he aced both the master plumber and civil engineering board exams.

"I had my doubts about the [licensure exam] results but I only got to verify my grade on October 11 because I was busy with work," he told abs-cbnNEWS.com.

He said that when he went to PRC on October 11, he was told that he was disqualified from the Top 10 despite getting the highest score of all the examinees.

"I told them to just show me the provision stating that I am not eligible for the Top 10 but the resolutions they showed me all said that I must be included in the list," he said.

Several examinees also called up PRC to complain about the results of the board exam.

PRC, however, had already decided as early as the last week of September that a new Top 10 list should be released.

Cunanan said the topnotchers’ list was one of the topics discussed during a meeting of PRC board members in Tagaytay on September 28-29.

Commissioner Renato Valdecantos immediately ordered the Board of Sanitary Engineering to rectify the error by releasing a resolution, explaining the inclusion of civil engineers on the Top 10 list.

On October 10, the board released Resolution No. 03, which stated: "The average overall score or rating in the pertinent civil engineering subjects of a registered civil engineer who took the licensure examination for sanitary engineer shall be considered in the ranking of the topnotchers in the sanitary engineer licensure examination, including the September 2006 examination."

This provision, however, only restated what is already included in RA 1364 and failed to explain why civil engineers were not considered for the topnotchers' list in the first place.

The resolution also included a new list of board topnotchers, which now included 16 names. Six new names were included on the list, displacing the bottom six of the Top 10.

Sales, who placed number 1 on the former PRC list, was bumped off to number 3. Melandro Dariagan Magbanua, who placed second, dropped to number 7.

Other names on the old list also got lower ranks (See list).

Topnotchers of the September 2006 Sanitary Engineer Licensure Examination (released October 10)

1. Ryan Erwin Cardos Lopez – Technological Institute of the Philippines – 81.31%

2. Emmanuel Odiamar Bravo - Mapua Institute of Technology - 79.99%

3. Juan Carlos III Peret Sales – Mapua Institute of Technology - 78.30%

4. Maricar Lunario Punzalan – National University – 76.45%

5. Fritzie Marie Gentile Fernandez - National University – 75.27%

6. Elias III Lagare Baguio - National University – 75.21%

7. Melandro Dariagan Magbanua – Mapua Institute of Technology – 75.20

8. Jim Scott Vitug - Mapua Institute of Technology – 74.45

9. Anthony Clapis Caracas – Partido State University Camarines Sur – 74.05

Marlou Baclion Magallanes – Western Mindanao State University – 74.05

10. Kirstin Amparo Toda - Mapua Institute of Technology -73.81%

11. Erilyn Espanto Sinfuego - Partido State University Camarines Sur - 73.80

12. Michael Andrew Gardon Bago – Technological Institute of the Philippines Quezon City – 73.75

13. Chirpy Layson Rosales – Partido State University Camarines Sur – 73.45

14. Philip Jay-Ar Manalo Dimailig – Batangas State University (formerly Pablo Borbon MIT) – 73.35

15. Hershey Mae Legaspi Papa - Mapua Institute of Technology – 73.10

16. Smith Bayangan Dawaton – University of Baguio – 72.70

***

The resolution also notes that the list of successful examinees and topnotchers "shall be published in the newspaper and PRC Web site and posted in conspicuous places in the Commission premises."

It would also be disseminated to all schools, colleges, universities and all other concerned institutions and entities.

Taking their lumps

On October 13, Cunanan and fellow board member Corazon de los Reyes-Romero met with nine of the topnotchers and showed them the resolution with the new list.

Jim Vitug, who placed 8th in the revised list, said the board members failed to explain thoroughly how they made a mistake in the rankings.

"They talked about job openings first. They couldn’t explain to us how they could have made a mistake even though the tests are conducted every year," he told abs-cbnNEWS.com.

Sales said the board resolution does not acknowledge that the PRC released the wrong rankings for the sanitary engineering board topnotchers last month.

He said he felt ashamed after hearing that he was no longer the board topnotcher.

"Kahihiyan ang ginawa nila. (What they did was shameful.) We didn’t ask for honors but that’s what they did. Now they couldn’t even explain to us why it happened," he told abs-cbnNEWS.com.

Sales is especially bitter since he now has to face relatives, classmates and even co-workers who once thought that he topped the board. He said Mapua even published an ad in a major daily to announce his achievement.

"The damage to my morale is really big. We want a public apology. We will accept that. We just want to hear them acknowledge their mistake," he said.

Several topnotchers also scored the board for not informing them that they had revised the list.

Michael Andrew Bago, who placed 6th in the old list and now ranks 12th, said he has yet to see an announcement from PRC about the new rankings, nor was he informed about the new list.

"This is the first time I've heard about it," Bago told abs-cbnNEWS.com.

He added, however, that he does not mind losing his spot on the top 10 "as long as I passed the test."

Marlou Magallanes, who placed 4th on the old list and now ranked 9th, said he received a text message from PRC about a topnotchers' meeting on October 13. He said he told PRC that he could not come "but I was never informed what would be discussed in the meeting."

Even Lopez, who is the new board topnotcher, criticized the board examiners for keeping the resolution away from the media.

He said that before the meeting, he tried to convince the board members to make sure that the new resolution would be published in newspapers.

"They wouldn’t commit to publishing the resolution. For me, it’s OK but my school (TIP Manila) would want to know about the honor because it would boost enrollment," he said.

Cunanan said the board is required to publish the resolution but declined to say when it would be published.

"No newspaper would be interested in having it published. We place it on the e-mail list and it’s up to them if they want to publish," he said.

He added, however, that he is unsure if the e-mail had been sent to media organizations.

He said that while he is saddened by the incident, "it would be even worse if we did not correct it."

He adds: "In my seven years here as a board examiner, this is the first time that this happened. It is an isolated case. I, for one, don’t want this to happen more than he does."

FROM:
http://www.abs-cbnnews.com/storypage.aspx?StoryId=53627

Posted by marisse at 4:57 PM | | Comments

Wednesday, October 18, 2006

75 items MS Random Questions with Answers and Rationale

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

The correct answer is D: Coronary artery aneurysms
Kawasaki Disease involves all the small and medium-sized blood vessels. There is progressive inflammation of the small vessels which progresses to the medium-sized muscular arteries, potentially damaging the walls and leading to 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."

The correct answer is B: "Would you please clarify what you have written so I am sure I am reading it correctly?"
Assertive communication respects the rights and responsibilities of both parties. This statement is an honest expression of concern for safe practice and a request for clarification without self-depreciation. It reflects the right of the professional to give and receive information.

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

The correct answer is C: Use patience and a sense of humor to deal with this behavior
The nurse should help the parents see the negativism as a normal growth of autonomy in the toddler. They can best handle the negative toddler by using patience and humor.

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?"

The correct answer is B: "Do you become short of breath during your normal daily activities?"

These are the symptoms of right-sided heart failure, which causes increased pressure in the systemic venous system. To equalize this pressure, the fluid shifts into the interstitial spaces causing edema. Because of gravity, the lower extremities are first affected in an ambulatory patient. This question would elicit information to confirm the nursing diagnosis of activity intolerance and fluid volume excess both associated with right-sided heart failure.

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

The correct answer is C: Administer analgesic therapy as ordered
The main general objectives in the treatment of a sickle cell crisis is bed rest, hydration, electrolyte replacement, analgesics for pain, blood replacement and antibiotics to treat any existing infection.

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

The correct answer is B: Poor body image
As the adolescent gains weight, there is a lessening sense of self esteem and poor body image.

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

The correct answer is C: Working
During the working phase alternative behaviors and techniques are explored. The nurse and the client discuss the meaning behind the behavior.

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

The correct answer is C: Perform 5 abdominal thrusts
At this age, the most effective way to clear the airway of food is to perform abdominal thrusts.

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."

The correct answer is B: "The seizure may or may not mean your child has epilepsy."
There are many possible causes for a childhood seizure. These include fever, central nervous system conditions, trauma, metabolic alterations and idiopathic (unknown).

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

The correct answer is D: The infant received mechanical ventilation for 2 weeks
Bronchopulmonary dysplasia is an iatrogenic disease caused by therapies such as use of positive-pressure ventilation used to treat lung disease.

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

The correct answer is A: Cereal
The guidelines of the American Academy of Pediatrics recommend that one new food be introduced at a time, beginning with strained cereal.

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

The correct answer is C: Self-blame
Domestic violence victims may be immobilized by a variety of affective responses, one being self-blame. The victim believes that a change in their behavior will cause the abuser to become nonviolent, which is a myth.

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?"

The correct answer is C: "I am going to say the names of three things and I want you to repeat them after me: blue, ball, pen."

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

The correct answer is C: The non-rebreather mask has a one-way valve that prevents exhales air from entering the reservoir bag and one or more valves covering the air holes on the face mask itself to prevent inhalation of room air but to allow exhalation of air. When a tight seal is achieved around the mask up to 100% of oxygen is available.

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

The correct answer is C: Prickling sensation is an indication of compartment syndrome and requires immediate action by the nurse. The other findings are normal for a client in this situation.

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

The correct answer is A: INH can cause hepatocellular injury and hepatitis. This side effect is age-related and can be detected with regular assessment of liver enzymes, which are released into the blood from damaged liver cells.

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

The correct answer is C: Risk factors for pressure ulcers include: immobility, absence of sensation, decreased LOC, poor nutrition and hydration, skin moisture, incontinence, increased age, decreased immune response. This client has the greatest number of risk factors.

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

The correct answer is C: Children who have a depressed immune system related to HIV or chemotherapy should not be given routine immunizations.

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

The correct answer is C: Nephrotoxicity is a common side effect of calcium disodium edetate, in addition to lead poisoning in general.

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

The correct answer is B: When using a warming device the neonate’s temperature should be continuously monitored for undesired elevations. The use of heat lamps is not safe as there is no way to regulate their temperature. Warming medications and fluids is not indicated. While touching with cold hands can startle the infant it does not pose a safety risk.

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."

The correct answer is B: Peripheral neuropathy can lead to lack of sensation in the lower extremities. Clients do not feel pressure and/or pain and are at high risk for skin impairment.

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

The correct answer is D: Nursing care for a child having a seizure includes, maintaining airway patency, ensuring safety, administering medications, and providing emotional support. Since the seizure has already started, nothing should be forced into the child''s mouth and they should not be moved. Of the choices given, first priority would be for safety.

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.”

The correct answer is D: Any activity that involves straining should be avoided in clients with glaucoma. Such activities would increase intraocular pressure.

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

The correct answer is D: An adverse reaction of a fever should be reported immediately. Other reactions that should be reported include crying for > 3 hours, seizure activity, and tender, swollen, reddened areas.

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

The correct answer is B: Clients with contraindications to heparin, recurrent PE or those with complications related to the medical therapy may require vena caval interruption by the placement of a filter device in the inferior vena cava. A filter can be placed transvenously to trap clots before they travel to the pulmonary circulation.

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

The correct answer is D: Heartburn is a burning sensation caused by regurgitation of gastric contents that is best relieved by sleeping position, eating small meals, and not eating before bedtime.

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."

The correct answer is C: Honey has been associated with infant botulism and should be avoided. Older children and adults have digestive enzymes that kill the botulism spores.

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

The correct answer is A: Institute seizure precautions
The severity of the acute phase of AGN is variable and unpredictable; therefore, a child with edema, hypertension, and gross hematuria may be subject to complications and anticipatory preparation such as seizure precautions are needed.

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."

The correct answer is D: "By prolonging breathing out with pursed lips my little areas in my lungs don''t collapse."
Clients with chronic obstructive pulmonary disease have difficulty exhaling fully as a result of the weak alveolar walls from the disease process . Alveolar collapse can be avoided with the use of pursed-lip breathing. This is the major reason to use it. The other options are secondary effects of purse-lip breathing.

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

The correct answer is A: Ask the client if he has noticed any bleeding or dark stools
Normal hemoglobin for males is 13.0 - 18 g/100 ml. Normal hemotocrit for males is 42 - 52%. These values are below normal and indicate mild anemia. The first thing the nurse should do is ask the client if he''s noticed any bleeding or change in stools that could indicate bleeding from the GI tract.

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."

The correct answer is 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?"
This response encourages the client to get in touch with their feelings and utilize problem solving steps to reduce guilt feelings.

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

The correct answer is C: Encourage her to talk about her view of herself
To an adolescent, body image is very important. The nurse must acknowledge this before assessment and teaching.

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

The correct answer is D: Discontinue a new food that was added to the infant''s diet just prior to the rash
The addition of new foods to the infant''s diet may be a cause of diaper dermatitis.

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

The correct answer is D: Feelings of alienation or isolation
The isolation may occur gradually resulting in a loss of all meaningful social contacts. Isolation can be self imposed or can occur as a result of the inability to express feelings. At this stage of development it is important to achieve a sense of identity and peer acceptance.

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

The correct answer is C: Independence
In Erikson’s theory of development, toddlers struggle to assert independence. They often use the word “no” even when they mean yes. This stage is called autonomy versus shame and doubt.

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

The correct answer is A: 60 microdrops/minute
2 gm=2000 mgm
2000 mgm/500 cc = 4 mgm/x cc
2000x = 2000
x= 2000/2000 = 1 cc of IV solution/minute
CC x 60 microdrops = 60 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

The correct answer is B: Oral contraceptives should not be used by smokers
The use of oral contraceptives in a pregnant woman who smokes increases her risk of cardiovascular problems, such as thromboembolic disorders.

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

The correct answer is C: Shallow respirations
A.L.S. is a chronic progressive disease that involves degeneration of the anterior horn of the spinal cord as well as the corticospinal tracts. When the intercostal muscles and diaphragm become involved, the respirations become shallow and coughing is ineffective.

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."

The correct answer is A: "Nursing will help contract the uterus and reduce your risk of bleeding." Stimulation of the breast during nursing releases oxytocin, which contracts the uterus. This contraction is especially important following hemorrhage.

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

The correct answer is A: These side effects are common and should subside in a few days
Nausea, metallic taste and fine hand tremors are common side effects that usually subside within days.

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

The correct answer is C: Encourage range of motion and ambulation
Mobility reduces the risk of deep vein thrombosis in the post-surgical client and the adult at risk.

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

The correct answer is A: Circumcision is delayed so the foreskin can be used for the surgical repair
Even if mild hypospadias is suspected, circumcision is not done in order to save the foreskin for surgical repair, if needed.

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

The correct answer is A: Loss of consciousness
While parents should report any of the observations, they need to call the health care provider immediately if the level of alertness changes. This indicates anoxia, which may lead to death. The structural defects associated with Tetralogy of Fallot include pulmonic stenosis, ventricular septal defect, right ventricular hypertrophy and overriding of the aorta. Surgery is often delayed, or may be performed in stages.

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

The correct answer is A: Double the birth weight
Although growth rates vary, infants normally double their birth weight by 6 months.

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

The correct answer is C: Maintain in a flat position, logrolling as needed
The bed should remain flat for at least the first 24 hours to prevent injury. Logrolling is the best way to turn for the client while on bed rest.

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."

The correct answer is A: "Focus on your sons'' needs during the first days at home."
In an expanded family, it is important for parents to reassure older children that they are loved and as important as 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

The correct answer is A: A cerebral vascular accident
Polycythemia occurs as a physiological reaction to chronic hypoxemia which commonly occurs in clients with Tetralogy of Fallot. Polycythemia and the resultant increased viscosity of the blood increase the risk of thromboembolic events. Cerebrovascular accidents may occur. Signs and symptoms include sudden paralysis, altered speech, extreme irritability or fatigue, and seizures.

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

The correct answer is A: Oculogyric crisis
This refers to involuntary muscles spasm of the eye.

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

The correct answer is B: An occupational therapist from the community center
An occupational therapist can assist a client to improve the fine motor skills needed to prepare an insulin injection.

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

The correct answer is C: Provide interactions to help the client learn to trust staff
This establishes trust, facilitates a therapeutic alliance between staff and client.

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

The correct answer is C: Procedure that compresses plaque against the wall of the diseased coronary artery to improve blood flow
PTCA is performed to improve coronary artery blood flow in a diseased artery. It is performed during a cardiac catheterization. Aorta coronary bypass Graft is the surgical procedure to repair a diseased coronary artery.

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

The correct answer is B: Administration of thyroid hormone will prevent problems
Early identification and continued treatment with hormone replacement corrects this condition.

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

The correct answer is C: Protection from self-harm and harm to others
Involuntary hospitalization may be required for persons considered dangerous to self or others or for individuals who are considered gravely disabled.

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."

The correct answer is A: "I don''t remember anything about what happened to me."
Suppression is willfully putting an unacceptable thought or feeling out of one’s mind. A deliberate exclusion "voluntary forgetting" is generally used to protect one’s own self esteem.

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

The correct answer is D: Risk for infection
Membranes ruptured over 24 hours prior to birth greatly increases the risk of infection to both mother and the newborn.

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

The correct answer is A: Expose the cast to air and turn the child frequently
The child should be turned every 2 hours, with surface exposed to the air.

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

The correct answer is C: Administer a laxative to the client the evening before the examination
Bowel prep is important because it will allow greater visualization of the bladder and ureters.

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

The correct answer is D: It is not "caught" but is a response to a previous B-hemolytic strep infection
AGN is generally accepted as an immune-complex disease in relation to an antecedent streptococcal infection of 4 to 6 weeks prior, and is considered as a noninfectious renal disease.

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

The correct answer is D: No measurable voiding in 4 hours
The concern is possible hyperkalemia, which could occur with continued potassium administration and a decrease in urinary output since potassium is excreted via the kidneys.

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

The correct answer is B: Massage the fundus
The nurse’s first action should be to massage the fundus until it is firm as uterine atony is the primary cause of bleeding in the first hour after delivery.

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

The correct answer is A: Unequal leg length
Shortening of a leg is a sign of developmental dysplasia of the hip.

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

The correct answer is B: Administer stool softeners every day as ordered
Administering stool softeners every day will prevent straining on defecation which causes the Valsalva maneuver. If constipation occurs then laxatives would be necessary to prevent straining. If straining on defecation produced the valsalva maneuver and rhythm disturbances resulted then antidysrhythmics would be appropriate.

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

The correct answer is B: Introduce him/herself and accompany the client to the client’s room
Anxiety is triggered by change that threatens the individual’s sense of security. In response to anxiety in clients, the nurse should remain calm, minimize stimuli, and move the client to a calmer, more secure/safe setting.

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."

The correct answer is C: "I have to turn my head to see my room."
Intraocular pressure becomes elevated which slowly produces a progressive loss of the peripheral visual field in the affected eye along with rainbow halos around lights. Intraocular pressure becomes elevated from the microscopic obstruction of the trabeculae meshwork. If left untreated or undetected blindness results in the affected eye.

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

The correct answer is A: Has increased airway obstruction
The higher pitched a sound is, the more narrow the airway. Therefore, the obstruction has increased or worsened. With no evidence of secretions no support exists to indicate the need for suctioning.

66. Which behavioral characteristic describes the domestic abuser?
A) Alcoholic
B) Over confident
C) High tolerance for frustrations
D) Low self-esteem

The correct answer is D: Low self-esteem
Batterers are usually physically or psychologically abused as children or have had experiences of parental violence. Batterers are also manipulative, have a low self-esteem, and have a great need to exercise control or power-over partner.

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

The correct answer is A: Isometric
The nurse should instruct the client on isometric exercises for the muscles of the casted extremity, i.e., instruct the client to alternately contract and relax muscles without moving the affected part. The client should also be instructed to do active range of motion exercises for every joint that is not immobilized at regular and frequent intervals.

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

The correct answer is A: Counsel the woman to consent to HIV screening
The client''s behavior places her at high risk for HIV. Testing is the first step. If the woman is HIV positive, the earlier treatment begins, the better the outcome.


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

The correct answer is B: Explain that this behavior is expected
During normal development, fear of strangers becomes prominent beginning around age 6-8 months. Such behaviors include clinging to parent, crying, and turning away from the stranger. These fears/behaviors extend into the toddler period and may persist into preschool.

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

The correct answer is B: Separation from parents
Separation anxiety if most evident from 6 months to 30 months of age. It is the greatest stress imposed on a toddler by hospitalization. If separation is avoided, young children have a tremendous capacity to withstand other stress.

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

The correct answer is B: Think logically in organizing facts
The child in the concrete operations stage, according to Piaget, is capable of mature thought when allowed to manipulate and organize objects.

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

The correct answer is D: Safety
Safety is a priority of care for the depressed client. Precautions to prevent suicide must be a part of the plan.

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

The correct answer is A: Sports and games with rules
The purpose of play for the 7 year-old is cooperation. Rules are very important. Logical reasoning and social skills are developed through play.

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

The correct answer is A: High Fowler''s
Sitting in a chair or resting in a bed in high Fowler''s position decreases the cardiac workload and facilitates breathing.

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

The correct answer is A: Urinary output of 30 ml per hour
For a child of this age, this is adequate output, yet does not suggest overload.

Posted by Thor at 8:39 PM | | Comments



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