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PRC voids nurse test parts leaked to examinees

PRC voids nurse test parts leaked to examinees

The Professional Regulation Commission said portions of the June 2006 Nurse Licensure Examination leaked to the examinees were invalidated after their parents stormed the PRC office upon the releases of test results, ANC reported Thursday.

The parents scored PRC for releasing the results while the probe of the National Bureau of Investigation on the test leakage is ongoing.

Leonor Rosero, PRC chairwoman, said that the contested questions were invalidated and taken out from the correction and computation of Tests 3 and 5.

"The investigation is with NBI to pursue. Kawawa na naman ang iba kung maghihintay sila ng isang taon (The investigation is with the NBI to pursue [but we have to release the results] so that the examinees will not have to wait one year [to know the results] )," Rosero said.

The NBI is investigating the leakage confirmed by a PRC fact-finding committee. According to the committee report, the leakage came from the manuscripts of nursing board members Anesia Dionisio and Virginia Madeja. The two are facing administrative charges for neglect of duty.

More than 17,000 of the 42,000 examinees passed the board examinations held from June 11 to 12. The board top notcher came from the University of Pangasinan, with a 83.20 percent score. The second placer was from the University of the Philippines in Manila.

Of the schools with more than 100 examinees, Saint Louis University in Baguio City topped the performance list. It has been reported that the examination leakage took place in Baguio.


FROM : ABS-CBN News

PRC Identifies Leakage Source in Release of Nursing Exam Results

The Professional Regulation Commission identified the two (2) board members who leaked the test questions as Anesia B. Dionisio and Virginia D. Madeja as they released the results of the controversial nurse licensure examination conducted last June 11-12, 2006.

Nursing license depends on NBI Investigation, We Will not think twice to revoke it - PRC

Nursing license depends on NBI Investigation, We Will not think twice to revoke it - PRC


Amidst the celebration of almost 17,000 newly licensed nurses as the Professionals Regulation Commission released the long awaited June 2006 National Licensure Examination for Nurses, There are no reasons to celebrate at all.

According to the recent statement of the Professionals Regulation Commission, Results are not yet FINAL and once an examinee has been proven cheating, They will not think twice to revoke their license and bar the ex-professional from practicing the profession.

NBI has now the case as forwarded by the commission, And depending on the investigation of the NBI, there is a possiblity to null the examination if the investigating body concludes that the leakage is non quantifiable, opening the possibility for a re-examination.

29 out of 70 topnotchers are from R.A Gapuz review center.

" It just fairs in comparison to the previous June 2003 board exams where we got 45 spots " In a statement made by Ray Gapuz.

According to PNA President George Cordero, The review center boast an unbelievably high passing rate.

" If they have such 98% passing rate, then why is the passing rate in the Nursing Licensure exam 42%? Isn't it supposed to be higher? " In a statement made by Mr. George Cordero.

The topnotchers, from 1 to 10 including Gringo De Guzman, the topnotcher, who got 83.20% in the recent board examination was from R.A.Gapuz Review Center that has been recently drag into the leakage issue.

" The commission will not think twice to revoke their licenses if proven that they've cheated " According to the PRC.

Yesterday, the review center "ADMITTED" that they distributed the "LEAKAGE" But they claim that they never knew that it was the exact manuscript that will be asked in the board exams because it was just faxed by a student. The review center admitted that they haven't carefully checked the source and they only asked the reviewees if they are intrested to get a copy.

Nurse Licensure Examination Results Released

Nurse Licensure Examination Results Released
The Philippine Star 07/18/2006

The Professional Regulation Commission (PRC) announces that 17,821 out of 42,006 passed the Nurse Licensure Examination given by the Board of Nursing in the cities of Manila, Baguio, Cagayan de Oro, Cebu, Davao, Iloilo, Legazpi, Lucena, Tacloban, Tuguegarao and Zamboanga last June 2006. The results of examination with respect to eighteen (18) examinees were withheld pending final determination of their liabilities under the rules and regulations governing licensure examinations.

The members of the Board of Nursing are Eufemia F. Octaviano, Chairman; Remedios L. Fernandez, Letty G. Kuan and Estelita T. Galutira, Members. The two (2) other members of the Board namely Anesia B. Dionisio and Virginia D. Madeja were advised to inhibit themselves from participating in the official functions of the Board of Nursing. Due to the increase on the number of examinees and after a thorough scientific statistical treatment to the report of irregularity, the results were released in twenty-seven (27) working days from the last day of examination.

Registration for the issuance of Professional Identification Card (ID) and Certificate of Registration will start on Monday, May 29, 2006 but not later than June 19, 2006. Those who will register are required to bring the following: duly accomplished Oath Form or Panunumpa ng Propesyonal, current Community Tax Certificate (cedula), 2 pieces passport size picture (colored with white background and complete nametag), 1 piece 1" x 1" picture (colored with white background and complete nametag), 2 sets of metered documentary stamps, and 1 short brown envelope with name and profession; and to pay the Initial Registration Fee of P600 and Annual Registration Fee of P450 for 2006-2009. Successful examinees should personally register and sign in the Roster of Registered Professionals. Registration of successful examinees will start on Tuesday, August 15, 2006.

The schedule of registration in alphabetical order will be announced later. The oathtaking ceremony of the successful examinees in the said examination as well as the previous ones who have not taken their Oath of Professional will be held before the Board on Tuesday, August 22, 2006 at 8:00 o'clock in the morning at the Araneta Coliseum, Araneta Center, Cubao, Quezon City; on August 23, 2006 in Cebu; on August 26, 2006 in Zamboanga; on August 29, 2006 in Iloilo; on August 30, 2006 in Tuguegarao; on August 31, 2006 in Legazpi and Davao; on September 3, 2006 in Baguio; on September 6, 2006 in Tacloban; and on September 7, 2006 in Cagayan De Oro. Please contact the Accredited Professional Organization (Philippine Nurses Association) local chapter for further details. All must come in their white gala uniform, nurses cap, white duty shoes, without earrings, hair not touching the collar and without corsage.

No oathtaking will be allowed before the August 22, 2006 schedule in Manila. Oathtaking will be administered by the Board of Nursing as per RA 9173. Tickets will be available starting Tuesday, August 1, 2006 at the Ground Floor of PRC - Main Building, Sampaloc, Manila.

Phil Star
http://www.philstar.com/philstar/dailydose200607190202.htm

Faxed paper holds key

Faxed paper holds key
by Francis Earl A. Cueto, Researcher

The owner of a review center where test questions for the nursing board examinations were allegedly leaked admitted on Tuesday that the center allowed the circulation of an 18-page manuscript to its students a day before the exams in June.

In a press briefing, Prof. Ray Gapuz, founder of the R.A. Gapuz review center, said he approved the dissemination of the manuscript faxed to his office by a student.

Gapuz said that as a policy, the center allows students to volunteer new materials to be included in the review as long as they get his permission first.

He recalled a time when similar material was submitted, but the students only got “sidetracked” because it was not included in the exams.

The Professional Regulation Commission (PRC) admitted last week that test questions had indeed been leaked and announced that two members of the Nursing Board were facing an inquiry.

Gapuz said students get review materials from friends in other centers.
“The thing is, other students enroll in different review centers and they share materials. Here we have a policy that they should first ask permission if the materials can be read or distributed or not,” he said.

Stressing that his center never engaged in any cheating, Gapuz said it was possible the leaked questions could have come from rival review centers.

He said, however, that he merely browsed through the bullet points in the faxed manuscript and did not bother to make a thorough evaluation before approving it.

“I did not go through the nitty-gritty of things, because I was having my class on the tenth of June in Manila when I received a fax coursed through my staff asking me to evaluate the paper if it is worth being read by the students in Baguio,” Gapuz said.

“I browsed through it [manuscript] and asked if the students wanted a copy they could go ahead and read it and use it for reference. So this is a choice of the students who want to have a copy or not,” he said.

Ninety-two examinees first filed a complaint about the leakage with the PRC. A total of 425 members of the Philippine Nurses’ Association have since joined them, asking the PRC to hold the release of the results of the examination until a thorough investigation has been made.

The results of the exams, held on June 11 and 12, have not been released. Last week the complainants said the review center distributed answers to exam questions called “emergency drills” the night before the exams.

Gapuz has 16 review centers nationwide.

Last week the PRC said it was considering annulling the results and holding new exams.
But a ranking officer of the Commission on Higher Education (CHED) said on Tuesday that letting the examinees retake the tests will “not be a logical thing to do.”

CHED Commissioner Dr. Nona Ricaforte said the PRC should simply think of the questionnaires as a “bonus” to the examinees.

“The students and the parents should not be penalized for the leakage. If the test is retaken, you can just imagine the cost and the effort of the students. This will also cost the government a huge sum,’’ said Ricaforte, adding that her statement is not the position of the entire commission.

“I sympathize with the students because some of them have already schedules of going abroad,’’ she added.

Ricaforte said, however, she is not preempting the PRC investigation.

“These are just my personal views. Once they are able to pinpoint the three questionnaires and who the culprit is—they can stop and learn from there rather than jeopardize the parents and the students. This will also help even the schools,’’ she noted.

Gapuz echoed the sentiments of Ricaforte. “It would be burdensome for the parents to spend anew for tuition and allowances and for the graduates for time they will have to redo,” he said.
Jose Dino, president of the Philippine National Association of School Security Organization, said the students should not be blamed for the errors committed by the PRC officials.

“It’s most unfair for the PRC to order nursing students to repeat the exam out of security lapses on their part. Government authorities like the National Bureau of Investigation must conduct and put to jail the PRC employees responsible,’’ Dino said.

He said that while the CHED has nothing to do with the controversy, it must also investigate higher education officials involved in the leakage.

The Philippine Overseas Employment Agency also expressed fear that the issue will affect not just Filipino nurses going abroad but other skilled workers in the country.

From: The Manila Times
http://www.manilatimes.net/national/2006/july/19/yehey/top_stories/20060719top4.html

What does our history says? : Possible things that might happen after PRC confirmed the 'leakage'

*note - these are just possible scenarios... - jt_21

By : Budek

Never that PRC will let this issue pass without punishing those responsible. Basing on different events in history, We can predict the possible outcome after PRC has confirmed that there was a leakage.

POSSIBLE OUTCOMES

1. There will never be any other investigation from the congress or senate.

- The senate and congress respect PRC's jurisdiction over this case. Since the PRC already confirmed there was a leakage, I don't think there will be anymore investigations other than the possible intervention of the supreme court if requested. The next and last investigation will probably from the NBI and it will be the finale : Investigate, Implicate all those responsible and file charges against these people.

2. The 50 item leaked in baguio , the 100 plus item leaked in manila and other items leaked will not be counted

- Basing on the previous leakage issues, specially the 2001 maritime leakage issue wherein PRC decided not to count the LEAKED test questions, there is a possibility that the leak questions will not be counted.

3. Results will be out, but retake is only for those who passed the examination

- This happened already. PRC released the results of the 2001 maritime examination even after a LEAK has been confirmed. But retake for the practical exam was only given for those who PASSED the theoretical exam. But I think this is unlikely to happen because those who failed will pursue for the court's jurisdiction.

4. Results are NULLED, there will be a re-test

- Possible?.... Why not? I think this is the BEST but not the most practical way in dealing with the issue. This is highly unlikely to happen due to huge budget and time factors necessary to accomplish this task.

5. Barred those who got PHENOMENAL SCORES from the practice

- This already happened. The 11 medical graduates of my university, Our lady of fatima university valenzuela who PERFECT the OB and Biochemistry exam during the february 2003 medical board exams was PROHIBITED TO TAKE OATH AND BARRED BY THE SUPREME COURT TO PRACTICE THE PROFESSION. SC said it is immoral and deceit to cheat in the board exams. I think they petition the SC, I do not know what happened next if they are already allowed to practice but all I know is that they are not anymore allowed to be RANKED in the topnotcher's list after the event in case they are allowed a retake.

6. Re-test only to the nursing practice tests affected

- Highly unlikely, But a re-test for the NP tests affected by the leak question can happen. As what happened to the BAR Exams last 2003, SC extended the examination by one day for the retake of the MERCANTILE LAW exam which was the only exam "LEAKED". Not very similar to the nursing board exam leakage of june 2006, where in multiple questions was leaked from different examinations. If the PRC proves that only NP III and V has the leakage, A retest in this 2 areas of nursing practice is a possibility.

7. Investigation of the NBI will drag another 5, 10 or 15 persons for criminal and administrative charge.

- In the maritime leakage issue of 2003, only one person started the "MESS" but apparently, The NBI concluded that there are more people behind it. The PRC Chair who tried to hide the leakage, the board of examiners of the maritime deck, The owners of the review center who gave out the leakage. All in all, 10 people were charged. The president herself told NBI to make sure that they give a strong evidence in pursuit of justices against people responsible for the leakage.

Out of the traced 2 BON members , I can say it will drag one after another in a domino-like pattern. Remember the officer who told Dean Lacanaria not to divulge the leakage issue? How about, the schools and review centers that will be implicated by this issue? In my opinion, names will come out one by one until most, if not all those responsible are brought to justice. This will give them sleepless nights.

8. all, if not most of the BON members will inhibit

- Everytime there is a leakage issue, MOST if not ALL board members inhibits. Due to pressures from the students, parents, colleges, universities and their conscience. Even those who do not have anything to do with the leakage inhibits. This is a proven fact. It is a culture of the filipino people to hide face in front of shame rather than face it.

9. NBI will BUST the copy centers where this leakage was distributed.

- During the time of Director Wycoco, NBI bust a gang who distributed copy of the questions during the 2004 teachers licensure examination. The copy center gives ALL the questions and answers of the teachers licensure examination for a price of 5,000 pesos. The copy center was owned by a certain review center. NBI sought the owner of the review center.

In summary : I think the possible things that will happen are numbers 1,2,7 and 8. Let's see. I am no madam auring but history has served it's purpose : GUIDE US

Budek
http://www.pinoybsn.tk

UK brings bad news to Pinoy nurses

The United Kingdom enforced stricter measures in hiring foreign nurses, including Filipinos, due to budget constraints and deficits incurred by the country's health service, ABS-CBN Europe News Bureau reported Thursday.

According to the report, the UK home office will remove nursing from its "shortage occupation list" starting August 7.

The new rule on hiring foreign nurses was due mainly to the National Health Service's fund shortfall and budget deficits incurred by other hospitals.

The report said the new rule will hit the private sector, particularly those processing work permits and hiring foreign nurses.

The imposition of new rules came following an immigration order in April that extended the residency requirement of foreign nurses from four to five years.

Authorities are also set to implement their new points systems in the next two years. The new migration strategy is to hire only highyly-skilled workers.

Under the new system, new applicants will have to undergo a thorough screening to secure work permits.

Nurses who currently work in hospitals, however, would still find difficulty in renewing or extending their work permits. Some of them are already looking for new prospects in other countries, the report said.

Most Filipino workers in the UK are in the health services sector.

From ABS-CBN News
http://www.abs-cbnnews.com/storypage.aspx?StoryId=44312

PRC confirms leakage in nursing exam

Read news on
http://www.abs-cbnnews.com/storypage.aspx?StoryID=44308re

Nursing test scandal sparks Baguio street protests

By Vincent Cabreza
Inquirer
Last updated 00:59am (Mla time) 07/12/2006

Published on Page A16 of the July 12, 2006 issue of the Philippine Daily Inquirer

BAGUIO CITY—Nursing students and their parents braved heavy rains on Tuesday to march against a perceived cover-up of alleged cheating during last month’s licensing examinations for nurses here.

About 60 marchers stopped downtown traffic, carrying banners that pose the question: “Are we producing incompetent nurses nowadays?”

Among the marchers were representatives of the 91 nursing school graduates, who asked the Professional Regulation Commission to suspend members of the Board of Nursing until the PRC could determine who leaked the answers to the June 11 and 12 licensing examinations here to a nursing review center.

Mary Grace Lacanaria, chapter president of the Association of Deans of Nursing Schools in the Philippines, said the rally coincided with a PRC notice that a fact-finding team had started looking into their complaints.

But the complainants refused to testify before this body, until the PRC referred the matter to an independent fact-finding group, their lawyer, Cheryl Daytec-Yangot, said.

Yangot said they wanted the PRC to hold a transparent investigation.

Pressure from top officials of the Philippine Nurses Association to suppress the complaints and contain the scandal compelled the nursing students to go to the streets to draw public support, said Lacanaria, the dean of the Saint Louis University’s nursing school.

The PNA wants to avoid jeopardizing negotiations with the American National Council of State Boards of Nursing for a Philippine testing center that will offer migrating nurses the United States National Council Licensure Examination (NCLEx), she said.

The demand for nurses is highest in the United States, but the NCLEx requires additional expenses for migrating nurses.

“But the NCLEx can come later. We must focus on our own [industry],” Lacanaria said.

She said the alleged cheating revealed that the Philippines has been exporting incompetent and unreliable professionals.

Cleaning up the licensing examinations today will keep the nursing industry’s reputation of reliability and efficiency intact, Lacanaria said.

Parents who joined the march are organizing themselves into support groups to help restore their children’s faith in the industry, said Elisa Peralta, mother of one of the complainants.

She said her son graduated with honors and had devoted most of his energies to reviewing for the board exams only to have his faith shattered by the reported cheating.


PHILIPPINE DAILY INQUIRER
http://newsinfo.inq7.net/inquirerheadlines/regions/view_article.php?article_id=9305

GAPUZ Reviewee Message

Message from "ako gapuz reviewee"

ako nagreview sa gapuz, eh la nman ako nkuha leakage, gapuz manila ako, ung cnasabi nyong closed door nmin eh live via sattelite kme sa cebu at davao gapuz, may guest kme na former bon at c mam zenaida ng league (chn buk), wla cla naitulong, may maddigest kpb eh hrs frm d exam nlng.

ung iba nman binigay daw ung leakage sa 7 day final coaching, hnd nman ako umabsent kse 7k+ ung fee nun pero la nman ako nkuha leakage.true naghhhntay kme leakage but 2 our demise la nman. maraming cbq na lumabas sa nle na na-take up nmin from his exms, buks, ksama na ung bagong 2 tips na buk, un naka2long tlga un, if leakage un eh bkt pinublish? ska tpos may pina handwritten sya na wla nmang kwenta, may mga filipino theorist pang ewan. u

ng naka2long tlga ung past books esp ung psych. cnsb nla mabilis dw kme sumagot, hnd nman lht, exact 1 hr ko tinake np1, ung np2 madali lng cguro 40min, ung wla pang 1hr kse la na ko masagot, ung np4 hirap dn, ung last madali lng kse dami nmin exm 2ngkol jan. ska 45 min lng binibigay smin evry 90-100 item exam.

sanay na kme. biruin mo 5-7 100 items a day. 2log na nga lng ako pag uwi ko eh. sna nga lng pumasa ako, ultimately kung pwd lng lahat na tyo. wla nman ako npancing kakaiba kse after taking d exams nireview ko lhat ng bullets, may lumabas nga pero thats cbq's.

iv heard may naglabas ng so called leakage sa may sm cinema, nirent daw ng isang rvw ctr. nkta nung frend ko ung papers, sagot nlng daw ang inanouce, ewn ko kung 220. nga pla pinabalik kme sa adriatico ofc after d 1st day, nye la nman d kwenta, funda un eh, madali na un. may tanong nga lng ako, bkit hnd nmin ksabay baguio mag closed door? kelan cla nag closed door? kse kme nung june 10, cla kelan? alanganamang hnd cla nag closed door... bkt kya? hmmm.

Comment (Another Gapuz Reviewee)
1 comment

ako din gapuz manila nagreview together with 2 of my friends and 2 more classmates from other section ng school namin.But yung school namin nakatie up sa baguio.Well, pareho lang tayo hindi nabigyan ng leakage kasi yung classrep lang namin nabigyan ng leakage..nagkataon ung classrep from other section namin lived in a different dormitory here in manila and she got hold of that 16pages emergency materials- so called leakages but did'nt share it with us...nalaman lang namin about it during the first day of the board exam na mismo seatmate pa namin may hawak nung gapuz 16pages materials and take note yung seatmate namin na un eh sa pentagon nagrereview. Kaya shocked kami na buti pa yung taga pentagon ay may hawak na gapuz 16pages materials samantalang kami taga gapuz ay wala grabe ha!!! unfair lang talaga pero wala kami magawa. We just believed in ourselves na makakapasa kami kahit wla leakage and may God give strenght to those who is in pursuit of justice...

Posted by Anonymous | 10:10 PM

"Emergency Drill"

“Emergency Drill”

Last week, I attended a press conference in the Philippine Nurses Association Cordillera Administrative Region (PNA-CAR) regarding the controversial “leakage” also called the “emergency drill” allegedly passed around to nursing reviewers of the RA Gapuz review center the night before the board examination day. The leakage was said to have contained two hundred (200) items of questions with the right answers out of five hundred (500) overall questions ensuring the beneficiaries a forty (40) percent probability that they would automatically get the correct answers, assuming they really cheated. It was believed that 2,800 copies were distributed and each copy costs two thousand five hundred pesos (P2, 500). The only evidence as of the time being were the copies held from the RA Gapuz reviewers. It was also noted that out of the forty six thousand (46, 000) examinees, six thousand (6,000) of them took the exam in Baguio but these examinees came from different parts of the region.

The press conference was organized by concerned examinees in coordination with the Philippine Nurses Association to shed light about the matter and urge the public and the media to support their “fight for the integrity of the nursing profession.” The association also reported some developments as four hundred twenty five (425) nurses signed the motion for reconsideration in support for the complaint earlier filed by ninety one (91) concerned nursing examinees.

Association of the Deans of the Philippine Colleges of Nursing (ADPCN) President Grace Lacanaria said that “their involvement in the leakage has something to do with the associations interest in protecting the nursing profession and as a moral responsibility because cheating is something they cannot condone.” Also present in the press conference were Atty. Sheryl Yangot, the legal council representing the nursing examinees, Noreen Dawayen, the President of the PNA, Inc. CAR, Bernon Peralta, the nursing student representative, their colleagues and the press people.

Basing from the press conference and through the investigation of Atty. Yangot, Dean Lacanaria and company, it turns out that the RA Gapuz Review center is just a small fish in the issue and the recipients of the “emergency drill” are just victims of the rampant “culture of cheating” in the Philippines. There was no other way the leakage would have propagated had it not been for the carelessness of the people who prepared the questions themselves. Atty. Yangot and Dean Lacanaria got hold of a copy of the actual questions in the last nursing board exam when supposedly everything was directed to the shredded machine right after the exam. An unknown, concerned person left the former in theHamada building, outside the office of Atty. Yangot, and the latter left to the guard of the Saint Louis University where Dean Lacanaria is teaching. This happened last June 29, 2006, the day before the press conference.

In addition, Atty. Yangot and company also requested the Professional Regulator Commission (PRC) to create an independent fact finding body that will look into the matter, for the PRC to hold the release of the examination’s result, to be strict in implementing the guidelines for the exam and to act with haste about the matter.

I wrote this story because I was reminded that anytime this week it was scheduled by PRC to release the results of last June 2006 nursing board exam. What would happen to the safety of the public assuming there were undeserved students who passed the board exam? How about the tainted reputation of the nursing profession and even the deteriorating integrity of the PRC? And who was to be blamed? Was it the six Board of Nursing (BOR) members purportedly in charge with coping out the guidelines and had it not for their negligence the review material would not have come out? Was it the government to be blamed for the salary standardization program not being able to suffice the needs of the employees that they have to resort to cheating? Were the students corrupted by this culture partly to be blamed?

This is not a mere coincidence. This is not an issue of recklessness and poverty. This is not even about whose to be blamed. This is a long, lost vicious cycle rooted from a bloated bureaucracy and a pre-spanish “culture of corruption through cheating,” After all, was not the President herself guilty of the same misdeed? Nah! I think that’s but another story.

posted by valerieblue at 7:27 PM

Visit her blogsite at :
http://valerieblue-thescribbler.blogspot.com

Arroyo to be asked to order probe vs nursing test leakage

Arroyo to be asked to order probe vs nursing test leakage

CONCERNED nursing graduates and “leakage” complainants are planning to ask President Gloria Macapagal-Arroyo to create an independent fact-finding body to probe allegations of cheating during the June 11 and 12 licensure exams.

In a statement emailed Sun.Star, the complainants also expressed disappointment with the Professional Regulatory Commission “for its failure to act on said complaint expeditiously”, fearing that “the PRC is doing a whitewash.”

“The PRC’s sluggish action and its apparently deceitful and misleading statements give enough reason for the complainants and the intervenors to claim that the PRC’s actions are tainted with intentions to railroad and whitewash,” it stressed.

The statement also claimed that “it appears that the actual number of examination questions leaked is far more than was initially thought and that the damage caused by the leakage to the nursing profession is even more extensive than what was presumed. But it seems easy to determine who among the BON members is/are responsible for the leakage by simply identifying the member/s whose questions came out in the materials evidencing leakage.”

“What is taking the PRC so long to pinpoint the persons liable? If the Board of Nursing (BoN) has already been tarnished with such an appalling anomaly, what is the assurance that previous nursing board examinees have not been victims of the same damage-causing irregularity? And if we have a PRC that is as futile as that which we now deal with, what is the assurance that it can preclude issues of the same nature from possibly tainting the other board examinations,”? the complainants claimed.

“This issue deserves to be considered as a concern of national importance as it affects the interest of the general public,” the statement added, as it called on concerned parties to join the rally set on July 11 from 9 a.m. to 12 p.m.

“Notwithstanding attempts to suppress the complaint, the individuals and groups concerned are determined to continue their quest for truth and justice. The nursing profession (should) remain to be a noble profession; it is not for sale!” it added. (CGCruz)

Sunstar Baguio July 9, 2006 issue

"The Mysterious Message about NLE June '06 leakage"

From : Anonymous, SLY, Untitled

Good day to all of you. I just came across this thread coz i was looking for the updates about the 2006 Nursing Board exam. I took the said exam in baguio but I reviewed from another center. I really couldn't say much about what happened but i can only share to you what I felt when i saw the said "Emergency Review Material". I felt cheated right then and there. I saw it the evening of the first day and I was so disappointed that this ever happened.Let me start by narrating to you what i did the day before the exams. I reviewed even if we were encouraged to rest but I slept early to complete the 8 hours of much needed sleep (after spending 2months of every day 7am to 6pm cramped in a chair listening to lectures).

I woke up around 3am to prepare and was out by 5:30am with my boardmates( who were also my schoolmates) because we were told to be there at around 6am for the orientation but its was during the same time i was told that one of our boardmates just arrived at 1am after being gone the night before because their review center called them in, talk about emergency( this review center is different from the other much publicized one). I was trying to calm my nerves. The first exam started at 8am and was supposed to be finished by 10am, the second was 11am to 1pm then 2 to 4pm although in between was some delay like the test papers werent there yet. Came the said part 3 of the exam, it was hard! i felt like 2 hours aren't enough to finish it but as i was still on number 85 or so, with some still unanswered, someone passed his or her paper. In our room, i was one of the last to pass my answer sheet.

I came home feeling exhausted. Upon arriving at our boarding house, we were trying to exchange answers but i always hear the phrase " wag na kayo magisip baka masira pa ulo nyo pag hindi pala tugma ang sagot nyo sa mga tamang sagot". so we decided to sleep. Around 7:30 pm a schoolmate of ours called me up and said " Ate meron ka na ba nung review material na galing kay *$%#@?" i answered "huh?meron ba?" "oo, ate meron exact na exact ung binigay na situation dun sa exam kanina dun sa nakahand written. Kaya punta ka na d2 para makita nyo" but instead of going there I sent my male boardmates to go see him. At first i said to them " ang kapal naman nyan" "ate tatlo na copy yan" " I dont think na mababasa ko yan. Mabuti pa na itulog na lang natin" So we did cause it was getting late but around 11pm, my boardmates was banging on my door, shouting "ate gising ka" i was forced to open my door and asked why. Instead to saying more, they showed me the photocopied papers and I felt like someone spilt cold water on me. Same situation with exact words of the supposed answer was written on it.This is not a product of our imagination. I saw it and I am very much disappointed. We really felt cheated. I salute those 92 examinees who filed for they are our representatives.

I was one of the unfortunate ones who couldn't go to baguio on the said date they filed because of several reasons I could not share. PLease try putting yourself in our situation, won't you do the same? This is not some boxing game filipino versus foreigner wherein the foregner won and filipino people are saying "Nadaya kasi" NO! This is the truth. Please do not close your eyes and mind, the leakage is real. We are not trying to pull anybody down, we are just fighting for our right. PLease don't forsake those 92 examinees for they are telling the truth.

---- END OF MESSAGE ----

CHEd blamed For Nursing Mess, Nursing Committee resign en MASSE

CHEd blamed for nursing mess

Committee members resign en masse

By Alcuin Papa
Inquirer
Last updated 03:21am (Mla time) 07/08/2006

THE QUALITY of nursing graduates and of nursing education has dropped because the Commission on Higher Education has surrendered to business and political interests.

This claim was made by the CHEd's Technical Committee on Nursing Education (TCNE), which was formed to give advice to the commission, and whose members resigned en masse on Friday.

In their resignation letter, the committee members said the CHEd "lacks the will to assure quality nursing education."

"We believe that the TCNE and CHEd are divided in their positions on the different nursing education quality issues. We feel that we no longer have the support of the CHEd commissioners and some regional directors in upholding the quality of Philippine nursing education, which is our primordial mission," they said.

Vested interests
They added that instead of acting on their recommendations, CHEd had "buckled down to pressure from vested political and economic interests, sacrificing quality for mediocrity and business interests."
Asked to comment, CHEd chairman Carlito Puno said: "I deny that. We in the commission told them that we must be careful with our decisions. Huwag sugod nang sugod [Let us not rush] because these kinds of decisions are specific to a class and have legal implications."

Later, however, Puno admitted that the issue had "political, economic and legal implications."

Beset by problems
The TCNE is chaired by Marilyn E. Lorenzo, director of the Institute of Health Policy and Development Studies.

Its members are Carmelita C. Divinagracia, dean of the University of the East-Ramon Magsaysay Medical Center College of Nursing; Remedios L. Fernandez of the Board of Nursing; Amelia Rosales, chief of nurses at the Makati Medical Center; Zylma Sanchez, formerly with the Philippine Heart Center; Glenda Vargas, dean of the University of Santo Tomas College of Nursing; and Rita Tamse, deputy director for nursing of the Philippine General Hospital.

"Nursing has become one of the most, if not the most, popular courses. But it is beset by problems. There is a rapid increase in the number of schools but there is a slow deterioration of the quality," Lorenzo told reporters.

As evidence, she said the passing rate in the nursing board exams had hovered below 50 percent for the past few years. She said she expected the result of the last board exam, now mired in a leakage controversy, to be the same.

'Flying deans'
Divinagracia said a survey conducted three years ago revealed a number of unqualified nursing school deans.

She said some were "flying deans," meaning they were serving as deans and or faculty members in more than one school.

"Definitely, this affects the education system of a school," Divinagracia said.

The result is that new graduates fail to gain acceptance in even local hospitals.

There were about 100,000 nursing graduates last year, produced by some 470 nursing schools nationwide.

"There is pressure from school owners for us to bring down standards," Lorenzo said. "You cannot solve a problem with another problem. The solution is to reduce the number of schools, not lower standards."

The TCNE members also said they had recommended, without success, the restoration of the abolished extra year for nursing, making it a five-year course again.

They said this was necessary to make Filipino nurses competitive with their counterparts from India and China.

Puno said it was not only the quality of nursing education that had waned.

"I am the first to admit that the quality of tertiary education has gone down in general, including nursing. This is due to the very poor skills of students in English, science and math," he said.

Puno also said that if there should be blame, part of it should fall on the TCNE members "who had been there for the last four or five years" and were "part of policymaking."

He said resignation was not the way to deal with the problems besetting the system.

"If they want to convince us, they should present hard facts and statistics and argue with us," Puno said.

From Philippine daily inquirer
http://globalnation.inq7.net/news/news/view_article.php?article_id=8754

Kawawa ang mga nag-aaral ng nursing, sobrang napakahina na ng kanilang pinag-aaralan - CHEd Advisers

7 CHED advisers quit over poor nursing education

SEVEN officials of the Commission on Higher Education Technical Committee on Nursing Education resigned yesterday due to alleged disagreement with CHED on upholding the quality of nursing education in the country.

They were Dr. Fely Marilyn Lorenzo, director, Institute of Health Policy and Development Studies; Dr. Carmelita Divinagracia, president, Association of Deans of Philippine Colleges of Nursing; Dr. Remedios Fernandez, Board of Nursing member of the Professional Regulation Commssion; Amelia Rosales, former chief nurse of the Makati Medical Center; Zylma Sanchez, former chairman of BON-PRC and administrator of Philippine Heart Center; Ma. Rita Tamse, assistant director for Patient Care Services of the Philippine General Hospital and Glenda Vargas, dean, University of Santo Tomas College of Nursing.

The seven officials yesterday submitted their resignation letters to Dr. Carlito Puno, chairman of CHED in Pasig City.

“Kawawa ang mga nag-aaral ng nursing, sobrang napakahina na ng kanilang pinag-aaralan,” the group said.

Lorenzo said they feel they no longer have the support of the CHED commissioner and some regional directors in upholding the quality of nursing education in the country.

“Sa totoo lang, kulang na kulang ang pinag-aralan ng mga nurses natin dito kung ihahambing sa ibang bansa,” they said.

Reliable sources said at least 470 nursing schools were affected by the resignation of the officials.

The groups claimed that the CHED, instead of implementing its memos and resolutions, bowed to political pressures and economic interests, sacrificing the quality of nursing education.

They said until now, no poorly peforming nursing schools have been closed while others operate without base hospitals and use secondary hospitals instead.

Peoples Journal
http://www.journal.com.ph/index.php?page=news&id=6390&sid=1&urldate=2006-07-08
7/8/2006 20:02 PM

Position Essay on the RA Gapuz Nursing Review Center Leakage Issue

Position Essay on the RA Gapuz Nursing Review Center Leakage Issue

By NASSER DUGASAN

Accordingly, I'm affected by the issue. It’s not because I was an RA Gapuz reviewee but I felt so alarmed into the situation of other nursing examinees who tried their best to take that rigorous and comprehensive licensure examination for nurses and sad to say they did not have the chance to get a copy of that controversial ‘leakage’ prior to that said test.

In the wake of that phenomenal issue, I’m so disappointed and even so disgusted since its really unfair considering the fact that RA Gapuz had privately/secretly handed that 'controversial leakage’ from the Board of Nursing in respect of the conduct of the June 11th and 12th Nursing Board Exams. What keeps me dragging now is the validity of the fact that the review center called for an emergency review as what its reviewees assert part of their final coaching.

On that same day, they were required to pay at least P 2, 000.00 for that leakage paper containing sixty five (65) items with complete answers covering topics relative to psychiatric mental nursing and surgical-medical nursing.

These factual and circumstancial pieces of evidence as confirmed and presented by ninety-one (91) complainants (Baguio nursing examinees) are deemed valid, authentic/genuine since they are brave enough to expose this issue for they are actually holding pertinent documents that will testify on RA Gapuz’ direct participation in that ‘leakage issue’.
Professionally speaking, I am amenable on the growing public clamor that the outstanding track record of that review center looms as a phenomenal question of integrity and even a perennial subject of public and professional scrutiny of their self-proclaimed credibility and excellence.
The authenticity of the facts and evidence as collected and presented by the complainants manifest to the fact the nurses/nursing professionals they have produced are just thin cans that seemingly contain something or nothing less in totality.

A true registered nurse is not a liar and is never been a cheater. He/she is professionally honest in deeds and actions from the moment he/she is reviewing for the exam, the time he/she is taking the exam and eventually the time he/she is practicing his/her profession.
A true registered nurse is professionally prepared and intellectually competent to face the professional test of their field of endeavor. Professional ethics should always be upheld at all levels, not just securing for license for personal growth and development but living up to the morals/ideals expected to practice by a professional.

Now, more than ever, professionalism and honesty in national board examinations is then imperative to expect a credible, authentic and genuine Nursing Licensure Exams. The Professional Regulation Commission must therefore strictly enforce and implement laws and policies to immediately secure legal actions to any anomaly/issue arising in respect to the conduct of any professional examination.

By NASSER DUGASAN of La Union.

NLE Leaked Questions... (?)

NLE leaked exam questions ?

June 2006 NLE Leakage ???

60. Nurse Budek will do a caloric testing to a client who sustained a blunt injury in the head. He instilled a cold water in the client’s right ear and he noticed that nystagmus occurred towards the left ear. What does this finding indicates? [2]

A. Indicating a Cranial Nerve VIII Dysfunction
B. The test should be repeated again because the result is vague
C. This is Grossly abnormal and should be reported to the neurosurgeon
D. This indicates an intact and working vestibular branch of CN VIII

61. A client with Cataract is about to undergo surgery. Nurse Budek is preparing plan of care. Which of the following nursing diagnosis is most appropriate to address the long term need of this type of patient? [1]

A. Anxiety R/T to the operation and its outcome
B. Sensory perceptual alteration R/T Lens extraction and replacement
C. Knowledge deficit R/T the pre operative and post operative self care
D. Body Image disturbance R/T the eye packing after surgery


62. Nurse Budek is performing a WEBERS TEST. He placed the tuning fork in the patients forehead after tapping it onto his knee. The client states that the fork is louder in the LEFT EAR. Which of the following is a correct conclusion for nurse Budek to make? [4]

A. He might have a sensory hearing loss in the left ear
B. Conductive hearing loss is possible in the right ear
C. He might have a sensory hearing loss in the right hear, and/or a conductive hearing loss in the left ear.
D. He might have a conductive hearing loss in the right ear, and/or a sensory hearing loss in the left ear.

63. Aling myrna has Menieres disease. What typical dietary prescription would nurse Budek expect the doctor to prescribe? [2]

A. A low sodium , high fluid intake
B. A high calorie, high protein dietary intake
C. low fat, low sodium and high calorie intake
D. low sodium and restricted fluid intake

SITUATION : [ From DEC 1991 NLE ] A 45 year old male construction worker was admitted to a tertiary hospital for incessant vomiting. Assessment disclosed: weak rapid pulse, acute weight loss of .5kg, furrows in his tongue, slow flattening of the skin was noted when the nurse released her pinch.

Temperature: 35.8 C , BUN Creatinine ratio : 10 : 1, He also complains for postural hypotension. There was no infection.

64. Which of the following is the appropriate nursing diagnosis? [1]

A. Fluid volume deficit R/T furrow tongue
B. Fluid volume deficit R/T uncontrolled vomiting
C. Dehydration R/T subnormal body temperature
D. Dehydration R/T incessant vomiting

65. Approximately how much fluid is lost in acute weight loss of .5kg? [1]

A. 50 ml
B. 750 ml
C. 500 ml
D. 75 ml

66. Postural Hypotension is [1]

A. A drop in systolic pressure less than 10 mmHg when patient changes position from lying to sitting.
B. A drop in systolic pressure greater than 10 mmHg when patient changes position from lying to sitting
C. A drop in diastolic pressure less than 10 mmHg when patient changes position from lying to sitting
D. A drop in diastolic pressure greater than 10 mmHg when patient changes position from lying to sitting

67. Which of the following measures will not help correct the patient’s condition [1]

A. Offer large amount of oral fluid intake to replace fluid lost
B. Give enteral or parenteral fluid
C. Frequent oral care
D. Give small volumes of fluid at frequent interval

68. After nursing intervention, you will expect the patient to have [1]

1. Maintain body temperature at 36.5 C
2. Exhibit return of BP and Pulse to normal
3. Manifest normal skin turgor of skin and tongue
4. Drinks fluids as prescribed

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

SITUATION: [ From JUN 2005 NLE ] A 65 year old woman was admitted for Parkinson’s Disease. The charge nurse is going to make an initial assessment.

69. Which of the following is a characteristic of a patient with advanced Parkinson’s disease? [1]

A. Disturbed vision
B. Forgetfulness
C. Mask like facial expression
D. Muscle atrophy

70. The onset of Parkinson’s disease is between 50-60 years old. This disorder is caused by [1]

A. Injurious chemical substances
B. Hereditary factors
C. Death of brain cells due to old age
D. Impairment of dopamine producing cells in the brain

71. The patient was prescribed with levodopa. What is the action of this drug? [1]

A. Increase dopamine availability
B. Activates dopaminergic receptors in the basal ganglia
C. Decrease acetylcholine availability
D. Release dopamine and other catecholamine from neurological storage sites

72. You are discussing with the dietician what food to avoid with patients taking levodopa? [3]

A. Vitamin C rich food
B. Vitamin E rich food
C. Thiamine rich food
D. Vitamin B6 rich food

73. One day, the patient complained of difficulty in walking. Your response would be [2]

A. You will need a cane for support
B. Walk erect with eyes on horizon
C. I’ll get you a wheelchair
D. Don’t force yourself to walk

SITUATION: [ From JUN 2005 NLE ] Mr. Dela Isla, a client with early Dementia exhibits thought process disturbances.

74. The nurse will assess a loss of ability in which of the following areas? [2]

A. Balance
B. Judgment
C. Speech
D. Endurance

75. Mr. Dela Isla said he cannot comprehend what the nurse was saying. He suffers from: [1]

A. Insomnia
B. Aphraxia
C. Agnosia
D. Aphasia

76. The nurse is aware that in communicating with an elderly client, the nurse will [1]

A. Lean and shout at the ear of the client
B. Open mouth wide while talking to the client
C. Use a low-pitched voice
D. Use a medium-pitched voice

77. As the nurse talks to the daughter of Mr. Dela Isla, which of the following statement of the daughter will require the nurse to give further teaching? [1]

A. I know the hallucinations are parts of the disease
B. I told her she is wrong and I explained to her what is right
C. I help her do some tasks he cannot do for himself
D. Ill turn off the TV when we go to another room

78. Which of the following is most important discharge teaching for Mr. Dela Isla [2]

A. Emergency Numbers
B. Drug Compliance
C. Relaxation technique
D. Dietary prescription

SITUATION : Knowledge of the drug PROPANTHELINE BROMIDE [Probanthine] Is necessary in treatment of various disorders.

79. What is the action of this drug? [4]

A. Increases glandular secretion for clients affected with cystic fibrosis
B. Dissolve blockage of the urinary tract due to obstruction of cystine stones
C. Reduces secretion of the glandular organ of the body
D. Stimulate peristalsis for treatment of constipation and obstruction

80. What should the nurse caution the client when using this medication [4]

A. Avoid hazardous activities like driving, operating machineries etc.
B. Take the drug on empty stomach
C. Take with a full glass of water in treatment of Ulcerative colitis
D. I must take double dose if I missed the previous dose

81. Which of the following drugs are not compatible when taking Probanthine? [4]

A. Caffeine
B. NSAID
C. Acetaminophen
D. Alcohol

82. What should the nurse tell clients when taking Probanthine? [4]

A. Avoid hot weathers to prevent heat strokes
B. Never swim on a chlorinated pool
C. Make sure you limit your fluid intake to 1L a day
D. Avoid cold weathers to prevent hypothermia

83. Which of the following disease would Probanthine exert the much needed action for control or treatment of the disorder? [4]

A. Urinary retention
B. Peptic Ulcer Disease
C. Ulcerative Colitis
D. Glaucoma

SITUATION : [ From DEC 2000 NLE ] Mr. Franco, 70 years old, suddenly could not lift his spoons nor speak at breakfast. He was rushed to the hospital unconscious. His diagnosis was CVA.

84. Which of the following is the most important assessment during the acute stage of an unconscious patient like Mr. Franco? [1]

A. Level of awareness and response to pain
B. Papillary reflexes and response to sensory stimuli
C. Coherence and sense of hearing
D. Patency of airway and adequacy of respiration

85. Considering Mr. Franco’s conditions, which of the following is most important to include in preparing Franco’s bedside equipment? [1]

A. Hand bell and extra bed linen
B. Sandbag and trochanter rolls
C. Footboard and splint
D. Suction machine and gloves

86. What is the rationale for giving Mr. Franco frequent mouth care? [1]

A. He will be thirsty considering that he is doesn’t drink enough fluids
B. To remove dried blood when tongue is bitten during a seizure
C. The tactile stimulation during mouth care will hasten return to consciousness
D. Mouth breathing is used by comatose patient and it’ll cause oral mucosa dying and cracking.

87. One of the complications of prolonged bed rest is decubitus ulcer. Which of the following can best prevent its occurrence? [1]

A. Massage reddened areas with lotion or oils
B. Turn frequently every 2 hours
C. Use special water mattress
D. Keep skin clean and dry

88. If Mr. Franco’s Right side is weak, What should be the most accurate analysis by the nurse? [4]

A. Expressive aphasia is prominent on clients with right sided weakness
B. The affected lobe in the patient is the Right lobe
C. The client will have problems in judging distance and proprioception
D. Clients orientation to time and space will be much affected

SITUATION : [ From JUN 1988 NLE ] a 20 year old college student was rushed to the ER of PGH after he fainted during their ROTC drill. Complained of severe right iliac pain. Upon palpation of his abdomen, Ernie jerks even on slight pressure. Blood test was ordered. Diagnosis is acute appendicitis.

89. Which result of the lab test will be significant to the diagnosis? [1]

A. RBC : 4.5 TO 5 Million / cu. mm.
B. Hgb : 13 to 14 gm/dl.
C. Platelets : 250,000 to 500,000 cu.mm.
D. WBC : 12,000 to 13,000/cu.mm

90. Stat appendectomy was indicated. Pre op care would include all of the following except? [1]

A. Consent signed by the father
B. Enema STAT
C. Skin prep of the area including the pubis
D. Remove the jewelries

91. Pre-anesthetic med of Demerol and atrophine sulfate were ordered to : [3]

A. Allay anxiety and apprehension
B. Reduce pain
C. Prevent vomiting
D. Relax abdominal muscle

92. Common anesthesia for appendectomy is [3]

A. Spinal
B. General
C. Caudal
D. Hypnosis

93. Post op care for appendectomy include the following except [1]

A. Early ambulation
B. Diet as tolerated after fully conscious
C. Nasogastric tube connect to suction
D. Deep breathing and leg exercise

94. Peritonitis may occur in ruptured appendix and may cause serious problems which are [2]

1. Hypovolemia, electrolyte imbalance
2. Elevated temperature, weakness and diaphoresis
3. Nausea and vomiting, rigidity of the abdominal wall
4. Pallor and eventually shock

A. 1 and 2
B. 2 and 3
C. 1,2,3
D. All of the above

95. If after surgery the patient’s abdomen becomes distended and no bowel sounds appreciated, what would be the most suspected complication? [1]

A. Intussusception
B. Paralytic Ileus
C. Hemorrhage
D. Ruptured colon

96. NGT was connected to suction. In caring for the patient with NGT, the nurse must [2]

A. Irrigate the tube with saline as ordered
B. Use sterile technique in irrigating the tube
C. advance the tube every hour to avoid kinks
D. Offer some ice chips to wet lips

97. When do you think the NGT tube be removed? [1]

A. When patient requests for it
B. Abdomen is soft and patient asks for water
C. Abdomen is soft and flatus has been expelled
D. B and C only

Situation: Amanda is suffering from chronic arteriosclerosis Brain syndrome she fell while getting out of the bed one morning and was brought to the hospital, and she was diagnosed to have cerebrovascular thrombosis thus transferred to a nursing home.

98. What do you call a STROKE that manifests a bizarre behavior? [4]

A. Inorganic Stroke
B. Inorganic Psychoses
C. Organic Stroke
D. Organic Psychoses

99. The main difference between chronic and organic brain syndrome is that the former [2]

A. Occurs suddenly and reversible
B. Is progressive and reversible
C. tends to be progressive and irreversible
D. Occurs suddenly and irreversible

100. Which behavior results from organic psychoses? [4]

A. Memory deficit
B. Disorientation
C. Impaired Judgement
D. Inappropriate affect

Fundamentals of Nursing

The Nursing Process
*lifted fromNCLEX-RN Brunner Suddarth
> answers & rationale to be posted after 2-3 days...
> passing rate 18/26
> Score 17-19 = fair
20-23 = v. good
24-26 = excellent

1. A client is to be discharged from an acute care facility after treatment of right leg thrombophlebitis. The nurse notes that the client's leg is pain free, without redness or edema. The nurse's actions reflect which step in the nursing process?
A. Assessment
B. Analysis
C. Implementation
D. Evaluation

2. The nurse identifies a client's responses to actual or potential health problems during which step of the nursing process?
A. Assessment
B. Analysis
C. Planning
D. Evaluation

3. Which type of evaluation occurs continuously throughout the teaching and learning process?
A. Formative
B. Retrospective
C. Summative
D. Informative

4. The nurse is reviewing a client's arterial blood gas (ABG) report. Which ABG value reflects the acid concentration in the blood?
A. pH
B. Pao2
C. Paco2
D. HCO3_

5. The nurse is providing care for a client who underwent mitral valve replacement. The best example of a measurable client outcome goal is to:
A. change his own dressing.
B. walk in the hallway.
C. walk from his room to the end of the hall and back before discharge.
D. eat a special diet.

6. A client who received general anesthesia returns from surgery. Postoperatively, which nursing diagnosis takes highest priority for this client?
A. Acute pain related to surgery
B. Deficient fluid volume related to blood and fluid loss from surgery
C. Impaired physical mobility related to surgery
D. Risk for aspiration related to anesthesia

7. A blind client is admitted for treatment of gastroenteritis. Which nursing diagnosis takes highest priority for this client?
A. Anxiety
B. Risk for injury
C. Activity intolerance
D. Impaired physical mobility

8. One aspect of implementation related to drug therapy is:
A. developing a content outline.
B. documenting drugs given.
C. establishing outcome criteria.
D. setting realistic client goals.

9. A client has a nursing diagnosis of Risk for injury related to adverse effects of potassium-wasting diuretics. What is the correctly written client outcome for this nursing diagnosis?
A. By discharge, the client correctly identifies three potassium-rich foods.
B. The client knows the importance of consuming potassium-rich foods daily.
C. Before discharge, the client knows which food sources are high in potassium.
D. The client understands all complications of the disease process.

10. Shortly after being admitted to the coronary care unit with an acute myocardial infarction (MI), a client reports midsternal chest pain radiating down the left arm. The nurse notices that the client is restless and slightly diaphoretic, and measures a temperature of 99.6° F (37.6° C), a heart rate of 102 beats/minute; regular, slightly labored respirations at 26 breaths/minute; and a blood pressure of 150/90 mm Hg. Which nursing diagnosis takes highest priority?
A. Risk for imbalanced body temperature
B. Decreased cardiac output
C. Anxiety
D. Acute pain

11. A client with shock brought on by hemorrhage has a temperature of 97.6° F (36.4° C), a heart rate of 140 beats/minute, a respiratory rate of 28 breaths/minute, and a blood pressure of 60/30 mm Hg. For this client the nurse should question which physician order?
A. "Monitor urine output every hour."
B. "Infuse I.V. fluids at 83 ml/hr"
C. "Administer oxygen by nasal cannula at 3 L/minute"
D. "Draw samples for hemoglobin and hematocrit every 6 hours."

12. While caring for a client who is immobile, the nurse documents the following information in the client's chart: "Turn client from side to back every two hours." "Skin intact; no redness noted." "Client up in chair three times today." "Improved skin turgor noted." Which nursing diagnosis accurately reflects this information?
A. Risk for impaired skin integrity related to immobility
B. Impaired skin integrity related to immobility
C. Constipation related to immobility
D. Disturbed body image related to immobility

13. What is the most appropriate nursing diagnosis for the client with acute pancreatitis?
A. Deficient fluid volume
B. Excess fluid volume
C. Decreased cardiac output
D. Ineffective gastrointestinal tissue perfusion

14. After a cerebrovascular accident (CVA) a client develops aphasia. Which assessment finding is most typical in aphasia?
A. Arm and leg weakness
B. Absence of the gag reflex
C. Difficulty swallowing
D. Inability to speak clearly

15. Which intervention is an example of a primary prevention?
A. Administering digoxin (Lanoxicaps) to a client with heart failure
B. Administering a measles, mumps, and rubella immunization to an infant
C. Obtaining a Papanicolaou (Pap) test to screen for cervical cancer
D. Using occupational therapy to help a client cope with arthritis

16. A client is hospitalized with Pneumocystis carinii pneumonia. The nurse notes that the client has had no visitors, is withdrawn, avoids eye contact, and refuses to take part in conversation. In a loud and angry voice the client demands the nurse leave the room. The nurse formulates a nursing diagnosis of Social isolation. Based on this diagnosis what is an appropriate goal for this client?
A. Identifying one way to increase social interaction
B. Reporting increased adaptation to changes in health status
C. Identifying at least one factor contributing to altered sexuality patterns
D. Returning a demonstration of measures that can increase independence

17. Which client characteristic would be an example of noncompliance?
A. Undesired drug action
B. Multiple questions
C. Failure to progress
D. Resolved symptoms

18. The nurse is revising a client's plan of care. During which step of the nursing process does such revision take place?
A. Assessment
B. Planning
C. Implementation
D. Evaluation

19. The nurse is taking the health history of an 85-year-old client. Which information will be most useful to the nurse for planning care?
A. General health for the past 10 years
B. Current health promotion activities
C. Family history of diseases
D. Marital status

20. Which clinical characteristic affects client compliance?
A. Drug knowledge
B. Psychosocial factors
C. Nurse-client relationship
D. Disease duration and severity

21. When monitoring a client's central venous pressure (CVP), the nurse knows that a normal CVP measurement is:
A. 2 cm H20.
B. 1 mm Hg.
C. 10 mm Hg.
D. 5 cm H20.

22. The nurse may use one of the many nursing theories to guide client care. What are the four key concepts of most nursing theories?
A. Man, health, illness, and health care
B. Health, illness, health restoration, and caring
C. Man, environment, health, and nursing
D. Health, environment, disease, and treatment

23. Using Abraham Maslow's hierarchy of human needs, the nurse assigns highest priority to which client need?
A. Security
B. Elimination
C. Safety
D. Belonging

24. The nurse is caring for a client with a history of falls. The first priority when caring for a client at risk for falls is:
A. placing the call light for easy access.
B. keeping the bed at the lowest position possible.
C. instructing the client not to get out of bed without assistance.
D. keeping the bedpan available so that the client doesn't have to get out of bed.

25. A client is admitted with acute chest pain. When obtaining the health history, which question will be most helpful for the nurse to ask?
A. "Do you need anything now?"
B. "Why do you think you had a heart attack?"
C. "What were you doing when the pain started?"
D. "Has anyone in your family been sick lately?"

26. When developing a plan of care for an older adult the nurse should consider which challenges faced by clients in this age group?
A. Selecting vocation, becoming financially independent, and managing a home
B. Developing leisure activities, preparing for retirement, and resolving empty nest crisis
C. Managing a home, developing leisure activities, and preparing for retirement
D. Adjusting to retirement, deaths of family members, and decreased physical strength

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