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Saturday, June 14, 2008

Memo from our Nursing Coordinator

Ms. Lourdes Decrepito sent out a memo for all of us with a subject "Review Classes and Processing for Nurse's Licensure Examination" dated June 13, 2008. Kindly click the memo below for a clearer view.

Sunday, June 8, 2008

NLE Test-Taking Strategies 2

another techniques from mckhoii.com i want to share! have fun reading heehhe!

Caution: use these crazy techniques if you do not have any string of idea of what the question is all about. Here they are.. enjoy!

1. “always”, “never” or “all” are generalizations… so options with these words are automatically wrong because Nursing is a dynamic concept and it has a lot of EPIKIA (exemptions to the rules) so definite statements are wrong.

2. The longest answer is the correct answer. Well, you can testify to this strategy’s effectiveness. Haha!

3. If it involves values/numbers/rates/amount/weight/etc, just eliminate the highest and the lowest options then choose from the two that is left. Now you have 50% chance of getting to the right answer.

4. All of the above is correct. I don’t have to explain this.

5. Weird options that you’ve never heard are usually the correct answers.

6. The option with that speaks or represents the rest of the options is the correct answer. This is the umbrella phenomenon.

8. 2 similar options are wrong and must be eliminated.

9. Options that has the same word used in the question or has the same idea/phrase i likely the correct answer.

10. If you experience shutdown… choose letter “C”. Amongst the 4 options, it is the only option with the most correct answers as tallied from the previous board examinations. Thus, choosing this option gives you a higher probability of having chosen the right answer.

Risky? Yes… so open a book and study now!

NLE Test-taking Strategies 1

just want to share this techniques from mckhoii.com ...

As I promised, here are the most awaited Test-Taking Techniques. I would like to thank my friends who helped me formulate these techniques. I would also like to thank Sir Mark[my boss] of SLRC and those students who share the same love to nursing. Keep Reviewing guys… I know you’ll make it!

FIrst, I would like to repeat what I have said that knowledge is more important than the strategies but having both knowledge and strategy will give you an edge to pass, or even top (I don’t see why not?), the effin Nursing Licensure Examination.

1. Almost all of the questions of the board examination are new so don’t expect that you will be bumping into one like in your mock/sample examinations. That’s bullshit thinking. But take note that the question still revolves in the same concept - NURSING and NURSING only! THe members of the BON are very creative in the making of the questions so you should also have to know how to think like them in order to get a good score but I am guessing that it is going to be hard to do that. (I wonder why.. Buhahaha)

2. Too much anxiety will destroy you but mild anxiety will help. Just enjoy the examination. Why not think that amongst the thousands who took, you are the only one who actually enjoyed, instead of feared, the exam?

3. Use the technique of ELIMINATION. Identify distractors… It takes practicing tes-questions in order to master this skill.

4. Be Guided by the sequence of looking for answers. When the question asks “What nursing action…?” = ADPIE “Patients needs” = MASLOWS. If all the choices are physiologic then proceed to OFTNE (Oxygenation, Fluid, Temperature, Nutrition) or check out Abdellah’s sequence of needs. “Prioritization” = ABCDP “Nursing Intervention” = begin with independent actions then dependent or interdependent (collaborative) *** Take note that these strategies apply to most of the questions, not all. Be cautious of how the question is stated. There are exemptions to the rules. remember that. ANALYZE ANALYZE!!!

5. Your first answer is frequently the correct answer.

6. Underline the words: except, most, least, best, never, not, inappropriate, etc. These words modify the positive/negative poles of the questions.

Saturday, June 7, 2008

COMMENTS FROM THE EXAMINEE's OF THE JUNE 2008 Nursing Licensure Examination

i just fetch some comments online about the latest nursing board examination...

17 comments:

Jane said...

When is the exact date for the nursing board exam results to be released?

Anonymous said...

Ang hirap talaga sa test 2. waaaaaa! Saan kayo nahirapan mga peeps?

Anonymous said...

Marami sa amin nahirapan sa Test 5.

Marami ring factors kaya di maka-concentrate- isa na yung mainit sa kwarto at masakit sa ulo.

Anonymous said...

yeah. super init talga. ang hirap nga ng test 2...

Anonymous said...

pd ba sabihin mahirap lahat... hehhehe just kidding "Nursing Informatics?" whew kasama pa talga date huh! nung tinignan ko ke kozier page 159 7th ed Black in white pa nun PC dito sa pilipinas "1992 naestablished" my Goodness grabeh si LOLA BON magtanung hehehehe

Anonymous said...

haaay nku!!!! tlaga nman mga alamat!! hehhehe.. puro nga mnagement ang tanong.. indi nga umabsent ung mgt. mula NP1 to NP5.... ang hirap i analyze ang ques. mhirap isipin ang isip ng BON....haaaayy

acel said...

grrrr super frustated ako nagkamali akong shading sa test 2 aND 3..HUHU i could die

Anonymous said...

ano pa mga ibang tanong?? ano mga main focus na concept sa board last june 2008? november pa ako mag take. i've heard marami daw sa OR (periop). tulad ng ano? salamat.

Anonymous said...

Meron colostomy care, liver biopsy and positioning after procedure, yung mga research terms hindi kasing dali kasi kakalkalin mo sa situation na nilagay sa napakahaba na paragraph.

May mga questions na trivia, na ewan ko kung magagamit mo sa practice ng nursing tulad ng anong taon na-establish yung nursing informatics.

May halong madali, tulad ng anong kulay ng oxygen tank tsaka ano pinaka comfortable na pwedeng gamitin for O2 inhalation (Face Mask), meron din mga tanong sa syringe kung ano ang gagamitin mong gauge tsaka needle length.

Minsan may tanong na pag-iisipan mo saglit- yung "Tell me what happened" or "How do you feel".

Hypo/hyperkalemia tsaka significant ECG changes meron, pero unlike sa tinuro sa mga review centers about looking for changes sa U or T wave, they listed answers other than what they taught you.

Closed/Open door policies and stuff.

If you're taking the board this November, I suggest you start reading na kasi sa review, halos hindi ka na makakapagbasa.

Pag nag-exam ka na, eat light meals in between. Don't stuff yourself. Trust me, aantukin ka lalo na sa kalagitnaan ng exam.

Good luck, future RN!

amdae said...

naiyak ako after test 4 kasi naubusan ako ng time...andami ko pa erasures....huhuhuhu...haay naku, anyway, andami ng naturo during reviews pero andami din questions na wala dun sa choices and naituro..hmmmm...let's leave it all in God's hands...let's just rest in His promises...God bless us all na nagtake this june 08

jason said...

hirap ng test 2&4...swerte ng mga classmates q...nareview raw nila lahat un...huhu...after exams sigawan sila lahat...ang dali raw...

karen alcaide said...

ang lamig sa baguio!!! ANG SARAAAAAAAP MAG-EXAM!!! :D

tophigouty said...

JUNE 2007. TINGNAN NIYO!!! PINAKAMAHIRAP NA BOARD EXAM!!!

aiza said...

i thought 2hours was long enough to answer all those questions but 1minute is like a second PAG SUMASABAK KA NA SA EXAM!!!

ingod'sgrace said...

We all know we did our best...and for now..let's leave everything to God...

aiza said...

nagppray nga ako habang nag-eexam..at powerful talaga ang prayer. :)

jane said...

When is the exact date for the nursing board exam results to be released?

Saturday, May 31, 2008

Last minute NLE TIPS!

Hello guyz.. just want to share this article posted by BUDEK at PINOYBSN!

The EVER POPULAR : LAST MINUTE TIPS!!!

This is for everyone : )

In NP1 Please FOCUS on the following :

1. Types of leadership : Autocratic, Laissez faire, Democratic, transformational, transactional etc. etc.

2. Pattern of Nursing care : Primary nursing, case nursing, functional, team etc.

3. Expanded Nursing role : Nurse anesthetist, Nurse practitioner, Nurse researcher etc. etc.

4. Level of prevention by leavell and clark. Remember that crisis is always secondary.

5. 3 way bottle system : simply reconnect the tube, continuous bubble is a sign of leakage, no bubbling is obstruction [ in the waterseal ] and you should palpate the surrounding area for sq emphysema

6. Care of clients with tracheostomy and suctioning a tracheostomy tube [ sterile technique ] know the functions of the cuff, obturator and the tie. care of clients with pooling of secretions. Postural drainage : do this before meals, the positioning depending on the location of secretion, POPEVICO [ arrangement ] that is positioning, percussing, vibrating and coughing etc. study suctioning.

7. The independent and the dependent variable in research

8. Know your PURE and APPLIED as well as EXP and NON EXP also your QUANTI and QUALI designs

9. IV fluid tonicity : D5LR is hypertonic while LR is isotonic

10. Complication of IV and its intervention such as FLUID OVERLOAD , PHLEBITIS, INFILTRATION.

11. Blood transfusion

12. Complication of immbolity : DECUBITUS ULCER, HYPO PNEUMONIA, ATELECTASIS, DEEP VEIN THROMBOSIS

13. The VIRTUE ETHICS and ETHICS : Justice, fortitude, prudence, temperance, character, double effect, paternalism... etc etc and the Patient's bill of right.

15. Teaching and learning steps : Man initially needs information and MOTIVATION is needed for adherence to teaching. First step in teaching is to ASSESS LEARNING NEEDS before planning what to teach.

16. SAFETY : Causes of injuries according to age eg: elderly = falls, infant = suffocation and aspiration, adolescence = suicide and homicide. Intervention in an elderly client who falls frequently = keep the bed at the lowest possible position. etc.

17. Read ALL NP1 exam given by merge during the preboard, diagnostic and comprehensive examination and you will do VERY VERY VERY WELL. Read Budek's notes and you will do EXTREMELY WELL.

18. BON RESULOTION 220 [ CODE OF ETHICS ] RA 9173 AND 7164 [ COMPARE AND CONTRAST ] and the CONTINUING PROFESSIONAL EDUCATION. [ To enhance knowledge with regards to specific field of intrest ]

NP2

1. Stages of labor. The first stage up to the fourth stage and the LATENT ACTIVE AND TRANSITION of the first stage. study the intervention in all stages. Read pilleteri for this.

2. The menstrual cycle, what glands secret what hormones. The MENSTRUAL, PROLIFERATIVE, SECRETORY and ISCHEMIC phase. what hormone is at peak during what stage. etc. etc.

3. Causes of bleeding during pregnancy : Ectopic, abruptio and previa plus their nursing intervention.

4. Endometriosis and Endometritis.

5. IMCI : Pneumonia, Diarrhea and Dengue especially the breathing cut off [ Eg. 60 for under 2 months ], Acute/Chronic cutoff [Acute diarrhea and ear infection under 14 days] The interventions for CHILD A, B and C.

6. COMMUNITY HEALTH NURSING PROCESS : Assessment, Planning, Implementation and Evaluation. refer to the DOH book please read this one.

7. Care of the newborn child, Home visit, Clinic visit and Home labor.

8. Read pilleteri for : Characteristic of a toddler and preschool [ eg : asking too many questions, negativistic for toddler. Preschool = associative, imaginary, see the world on his own point of view, superego development etc. ]

9. POISONING : Lead, aspirin, etc. etc. this is the common cause of accident among toddlers.

10. Leukemia, Anemia and Sickle cell anemia

11. NEWBORN SCREENING

12. Amniocentesis = VOID, Ultrasonography = DRINK, Leopolds Maneuver = VOID, Paracentesis = VOID

13. Changes during pregnancy [ eg: Leukorrhea, braxton hicks, anemia ] and what changes occurs early or late. refer to pilletri

14. Pregnancy and nutrition : Balanced diet + 300 cal for pregnant. +500 cal for breastfeeding

15. PIH and MAGNESIUM SULFATE. [ cns down, rr down, u/o down ] priority : RR

NP3 AND NP4

1. Burns, Classification of Burns and Nursing Diagnosis for Burns, Drug use in burns [Silver Sulfadiazine], Electrolyte changes in burn [Hyperkalemia, Hyponatermia]. The WHO Pain ladder scale, Pain medications especially Demerol, Morphine and Fentanyl. Remember that PAIN is the hardest part for the nurse in caring for a burned victim. Burn wounds heal by secondary intention.

2. Nursing diagnosis after anesthesia : RISK FOR INFECTION or INEFFECTIVE AIR CLEARANCE.

3. PACU MONITORING = Q15 , SURGICAL FLOOR MONITORING = Q30

4. Pancreatitis, Cholecystitis, Hepatitis. Morphine causes spasms in the sphincter of oddi. Hepa B is caused by blood exchange. Hepa A is oro-fecal. both have vaccines either passive or active but if already exposed, Give PASSIVE.

5. Diabetes milletus and r/t footcare. Avoid wearing canvass shoes, check for the sensation, do not go outside without slippers. PERIPHERAL NEUROPATHY.

6. Electrolytes abnormality especially HYPOCALCEMIA and HYPER/HYPOKALEMIA. The ECG changes in potassium alteration, intervention and causes.

7. Myocardial infarction : ECG changes as well as nursing intervention. Causes and risk factors. refer to BRUNNERS.

8. Pharmacologic and None pharmacologic pain relief : Guided imagery, Biofeedback

9. BREAST and CERVICAL cancer. Assessment, Diagnosis and Treatment.

10. Management for a client with COLOSTOMY. The irrigation, diet and body image alteration as well as perioperative management of a client undergoing your ABDOMINAL PERINEAL RESECTION with permanent colostomy. Drugs given before APR such as neomycin and sulfasuzidine, Diet before APR [ low fiber ], normal color of the stoma just after APR [ slightly bleeding, red and protruding ]

11. Insulin administration, types and rotation. Refer to brunner. 1 inch away from each injection site, administer at room temp not cold to prevent lipodystrophy, abdomen has the fastest absorption. etc. etc.

12. Intervention during hypo and hyperglycemia

13. Care of clients with hyper and hypothyroidism, study TAPAZOLE/METHIMAZOLE and LUGOL'S SOLUTION, PTU. Care of clients after thyroidectomy : Monitor for hypocalcemia teach clients HEAD SUPPORT by putting hands at the back of the neck before trying to move the head.

14. Tuberculosis and Leprosy , its early / late sign and symptoms.

15. Acute and Chronic renal failure. Causes [ Post/pre/intra] and hemodialysis.

16. AGN, Rheumathoid and Ostearthritis, Bell's Palsy and Trigeminal neuralgia

17. Study radiation and chemotherapy and their usual side effects [Skin burn, redness, do not wet radiation mark]. Mammography, BSE, TSE, DRE, Prostate and Colon cancer, Changes that occurs during elderly, Bladder, Colon and Cervical cancer Diagnostic examination/CEA,Proctosigmoidoscopy,Biopsy,Pap smear.

18. Laryngeal cancer and tracheostomy care. [ refer to Kozier for tracheostomy care ]

NPV

1. In your Test V study the following : Anxiety and anxiety disorders, The level of anxiety and your anxiolytics, Schizophrenia : Paranoid type and Catatonic type and your nursing interventions for these clients as well as your priority nursing diagnosis.

2. Depression and your antidepressants, Mania, Personality disorders especially your Antisocial, Borderline and Paranoid. The defense mechanism use for different types of disorders and the priority NURSING DIAGNOSIS for each psychiatric disorders, Antipsychotic drugs its side effects and nursing intervention for each side effects.

3. Electroconvulsive therapy, Thought process disturbance manifestation such as Clang Association, Pressured speech, Thought blocking, Word salad, perseveration etc. etc. Alteration in perception and thought like hallucination and delusion. Types of delusions eg. religious and persecutory. Activities and diet as well as nursing diagnosis for a client with Mania, Depressed and Alzhemiers/Dementia patient.

4. Eating disorders and the treatments of choice [ Behavior therapy for Anorexia, Psychotheapy for the PDs, Cognitive for depression ] Always answer "STAY WITH THE CLIENT" especially if the question is about anxiety disorders and panic attacks. Always choose an option that will encourage verbalization of feelings, never answer an option with the word WHY.

5. Study your counter transference and your transference, Glaucoma, Cataract and crutch/cane walking. The principles of body mechanics, cranial nerve functioning and how to assess them as well as their disturbances especially Bells and Trigemnal Neuralgia. Meniere's disease, Delirum, Dementia, CVA/Stroke pathophysiology and Factors.

6. Psychotherapy : Behavior therapy - aversion, operant conditioning [positive reinforcement] systematic desensitization. Cognitive therapy is the PSYCHOTHERAPY of choice for depression. Study therapeutic milieu - general pt management, environmental manipulation, uses democratic leadership to test new patterns of behavior. Community meeting is the heart of milieu therapy.

Pharmacotherapy : Drug classification and side effects of ANTIPSYCHOTIC, ANXIOLYTICS, ANTIMANIC [ Tegretrol, Lithium, Depakene ]

7. Transfer of clients from BED to CHAIR as well as MOVING CLIENT UP IN BED [ READ KOZIER]

8. Supporting the client in : SUPINE [ eg. prevent neck hyperextension by putting pillow ], FOWLERS [ [prevent posterior curvature of the spine], DORSAL RECUMBENT [prevent hyperextension of the knee] AND SIDELYING position [Prevent lateral flexion of the sternocleidomastoid] [ Read Dervid Jungco's notes during critical ]

9. Equipments for immobility : Trochanter roll/sandbags - prevent external rotation of the hips. Pillow to support back, head, arms and shoulders. Footboard to prevent footdrop. Trapeze bar to move the client up in bed. Knee gatch or pillow - to slightly flex the clients knee.

10. INTRODUCE CHANGE GRADUALLY - Study methods of implementing change such as FORCE FIELD ANALYSIS - THE DRIVING AND THE RESTRAINING FORCES, FOCUS - FIND ORGANIZE CLARIFY UNDERSTAND SOLUTION. THE PDSA CYCLE - PLAN DO STUDY ACT.

thats it :)

THE 6 TECHNICAL TIPS FOR THE BOARD EXAMINATION

1. Accept the fact that you can never know everything. Therefore, once you see an unfamiliar question that was never been taught, use your test taking strategies.

2. If you are in Test I, II, III, and IV and you are being asked to prioritize, Use ABC first and then Maslow's Hierarchy of needs.

3. The use of your nursing process is heralded by the word: "The Nurse Would or The nurse's initial action" Remember to Assess first before intervening. If the situation and the question already assessed the patient, then proceed with the next step.

4. Encircle your modifiers. Some people make mistakes because of failure to see the word, "EXCEPT" or "NOT" or "INAPPROPRIATE"

5. Use your questionnaires as your scratch. You can write anything on that paper. If you will skip a number, place an asterisk or encircle the number.

6. DO NOT USE BLUNT PENCIL. Always use a sharp one and shade lightly. A sharpened pencil will give a very dark shade even if you will shade it lightly. Use the sides of the pencil not the tip. Use MONGOL NUMBER 2 ONLY. Some brands especially those made in china pencils are substandard. The machine will check the lead. If you are INCONSISTENT with your shading like an altering dark and light shades, you will FAIL the boards because of technicalities.

BAVEZ ET FORT BULLETIN BOX

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Featured Video of the Week: OVERVIEW OF DISSEMINATED INTRAVASCULAR COAGULATION (DIC)

Time to review! This video is is all about an overview of DIC from 101 Nursing Tips Video. Enjoy while learning!
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