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nursing-board-exam-reviewer-comprehensive-review-for-nclex-preparation

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This document is a highly structured 147-page Nursing Board Exam Review Cramsheet compiled for the Bachelor of Science in Nursing program at Phinma Upang College Urdaneta. It is organized as an rapid-recall answer sheet matching "Key Questions" directly to "Answer Keys".The material covers five core testing divisions corresponding to the standard Nursing Practice Board Exam layout:Nursing Practice I: Community Health Nursing (CHN) & Foundations of Professional Practice.Nursing Practice II: Care of Healthy/At-Risk Mother and Child (OB-Gyne and Pediatrics).Nursing Practice III & IV: Care of Clients with Physiologic and Psychosocial Alterations (Medical-Surgical & Psychiatric Nursing).Nursing Practice V: Care of Clients with Physiologic and Psychosocial Alterations / Higher-Level Psychiatric Therapeutics.Core Comprehensive Thematic Breakdown1. Community Health Nursing (CHN) & Public Health FoundationsEpidemiologic Dynamics: Focuses on the epidemiologic triad (Host, Agent, Environment). It highlights classic historical outbreaks like the 1800s London Cholera epidemic isolated by John Snow (Father of Epidemiology).Primary Health Care (PHC): Rooted in the Alma Ata Conference (Russia), establishing the pillars of active community participation and appropriate technology. The Philippines is recognized as one of the first Asian nations to implement these principles.Herbal Medicine Standards: Essential protocols for traditional health under local initiatives (e.g., Lagundi for cough/fever, Sambong for antiurolithiasis, Akapulko for fungal infections, and Bawang taken post-meals).Public Health Surveillance: Core mechanics of continuous health data monitoring. It underscores that Ischemic Heart Disease remains the leading cause of chronic mortality in the Philippines.FHSIS & Reporting Systems: Mechanics of the Field Health Services and Information System. It notes that Family Treatment Records form the fundamental building blocks, while Tally Sheets require daily updates.2. Maternal, Newborn, & Pediatric NursingObstetric Milestones & Scoring: Mastery of the GTPAL system. It defines objective diagnostic parameters, noting the fundus sits at the umbilicus at 20 weeks AOG and the placenta finishes development by week 12.Newborn Assessment: Visual baselines for normal variations, including Milia (white sebaceous lines on the face), Vernix Caseosa (protective creamy substance), and Mongolian Spots. It details critical transitional periods, identifying that a 5-second respiratory pause is normal for neonates.Congenital Anomalies & Interventions:Cleft Lip/Palate: Highlights mouth-breathing risks that dry the oropharynx. It emphasizes completing surgical closure prior to speech pattern development and managing feeding via rubber-tipped syringes.Spina Bifida (Myelomeningocele): Pre-operative care mandates covering the exposed sac with a sterile, moist, non-adherent dressing and placing the infant in a prone/semi-prone position.IMCI Protocols & Milestones: Integrated Management of Childhood Illness guidelines. It tracks baseline data like normal respiratory rates (42 cpm for a 4-month-old) and mandates immediate hospital referral if an infant is completely unable to drink fluid.3. Medical-Surgical & Physiologic AlterationsFluid, Electrolyte, & Acid-Base Balance:Acid-Base Imbalances: Differentiates hypoventilation (Respiratory Acidosis) from hyperventilation (Respiratory Alkalosis). It links DKA with Kussmaul’s respirations and fruity ketone breath.Electrolyte Shifts: Maps ECG anomalies, linking tented T-waves to Hyperkalemia and prominent U-waves to Hypokalemia. It highlights that Calcium Gluconate acts to reverse dangerous cardiac conduction effects caused by high potassium.Oncology & Staging Systems: Breakdown of the TNM Classification framework (e.g., Tis, N0, M0 defining Carcinoma in situ without nodal or distant spread). It details specific chemotherapeutic toxicities, listing Vincristine-induced peripheral numbness and Doxorubicin-induced dyspnea.Emergency & Disaster Triage: Emergency Department prioritizing orders (Sucking chest wounds prioritized as emergent highest-level priority over facial lacerations or head injuries). It outlines RACEE fire management safety protocols.Endocrine Pathology: Comprehensive breakdowns of Pheochromocytoma (excess catecholamine secretion requiring Vanillyl-mandelic acid urine testing), Cushing's Syndrome, and Addison's Disease.4. Psychiatric Nursing & Psychosocial AlterationsTherapeutic Relationships: Delineates Peplau's developmental phases. Orientation establishes trust and boundaries; Working explores underlying client anxieties, helplessness, or suicidal ideations; Termination focuses on closing the relationship while monitoring for reappearing separation anxiety.Therapeutic Communication Techniques: Real-world examples of clinical modifications. For example, handling an actively hallucinating client by teaching them to assertively command the voices to "Go away" or "Stop".Personality Disorders: Classifies maladaptive behavioral clusters. It highlights Borderline Personality Disorder (characterized by the defense mechanism of splitting and high risk for self-injury) and Antisocial Personality Disorder (driven by an underdeveloped superego seeking immediate gratification).5. Nursing Research, Ethics, & Professional JurisprudenceResearch Methodologies: Differentiates Deductive Reasoning (Quantitative design) from Inductive Processing (Qualitative design). It defines key terms like Phenomenology (exploring lived experiences within a "life-world"), Saturation (the point of data repetition), and the Hawthorne Effect.Biostatistical Scaling: Classifies structural data levels. It places variables like gender, religion, and blood groupings on a Nominal scale.Legal Theories & Nursing Laws (RA 9173): Identifies specific professional liabilities. It defines Libel as written defamation inside a medical chart and Battery as executing an invasive procedure (such as injecting an antibiotic) completely without informed consent.

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1 astignurse reviewer cramsheet 7-31-22


Bachelor in Science of Nursing (Phinma Upang College
Urdaneta)




Downloaded by Jymoh Ruggz

,Copyright: Jonas Marvin Anaque, RM,
RN NURSING BOARD EXAM ANSWER SHEET

Infectious agent of rabies Virus

Causative agent of UTI Escherichia coli (E. Coli)

Sign of UTI in elderly Confusion or changes in mental status

Causative agent of Rheumatic heart fever Streptococcus bacteria

Penudor is given by what route IM

What is the name of the bacteria that causes Rheumatic heart fever? Group A Streptococcus (GABHS)



Diagnostic test of RHF Echocardiogram (echo).

Treatment of RHF Azithromycin

Causative agent of Typhoid fever Bacteria

Infectious agent of dengue Virus

Infectious agent of TB Bacteria

Not included in epidemiologic triangle Treatment regimen

+3 pitting edema Deep pitting (6mm) , 10 to 20 seconds

Age of under nutrition 2 to 4 years old

DM type 2 Resistance to insulin

Insulin route for Speed absorption Abdomen

CPD units 15

Epidemiologic triad Host, agent, environment

Law that governs nurses competency and responsibilities RA 9173

Take iron with Fruit juice



Situation : patient, suspected with MITRAL VALVE prolapse annual exam in university X

Key question Answer key

Early sign of mitral valve prolapse C. Systolic click of the valve leaflet as a result of
balooning of the LEFT ATRIUM

Signs and symptoms that you would expect for her to manifest Answer D. 1,2,3.4.5
1. Fatigue
Page 1 of 147




Downloaded by Jymoh Ruggz

,Copyright: Jonas Marvin Anaque, RM,
RN
2. Dizziness
3. Palpitation
4. Anxiety
5. Shortness of breath

The BEST approach for assessing early sign of C. Auscultation
Mitral valve
Patient suffering MVP, emphasize her to avoid, EXCEPT D. light exercise




Situation : nurse assigned to patients with Cardiovascular and peripheral disorders

Key question Answer key

Several factors contributory to devt of condition, among which priority A. Cigarette smoking and hyperlipidemia
causative factor, should be emphasized in health teaching

Ms. Jacob, with CHF, Nurse lydiq suspect RIGHT sided heart failure is A. Jugular vein distention

Patient has receiving digoxin, 0.25mg per day, outcome that suggest C. Increased urine elimination
achieving the desired effect

Patient suffering BUERGERS disease, complaining intermittent claudication of C. PLACE affected extremity in a dependent
Lower extremities, BEST nursing action
position

Information NOT true to BUERGERS disease D. A strong relationship exist between diabetes
and buergers disease


Situation :

Key question Answer key

Demographic variables, NOT included b. Morbidity

a. Fertility Fertility, mortality and migration are principal
b. Morbidity determinants of population growth
c. Mortality
d. Migration

PHILIPPINE POPULATION as of 2016 102 million


BOTIKA sa PASO Residents are PARTNERS in health care to
maintain herbal plants in pots for family use

Gender, education, marital status is a. Nominal

a. Nominal

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Downloaded by Jymoh Ruggz

, Copyright: Jonas Marvin Anaque, RM,
RN b. ordinal
c. interval
d. ratio

Diapers, used tissue, used gloves Dispose in Yellow Bag

OfÏce papers dispose in Black bag

Fish entrails, rotten fruits ad vegetables, leftover foods diose in Green

Radioactive waste Orange

Sharps and pressurized wastes Red

Referral to Secondary facility District hospital

25 beds capacity Primary level facility

Angle of insertion for SQ (subcutaneous injection) 45 degree

5%IV 1L Run in 6 hours 56 gtts/min

Left gauze in patient body who is liable Surgeon, nurse, anesthesiologist

Calcium alternative food Orange juice

Subcutaneous burn 3rd degree

Multiple myeloma is a cancer cell of Plasma cell

Drug causes discoloration of urine Phenazopyridine (pyridium)

HPV Vaccine for CERVICAL CA 9 to 12 years old



Situation :

Key question Answer key

HEALTHY SCHOOL Maintains adequate, basic health services to both
pupils, teachers, and other personnel

Healthy market a. Proper garbage disposal

a. garbage disposal

b. waste segregation

c. Recycle

d. Nutritious foods only.

Eligible in blood donation a. high cholesterol

Page 3 of 147



Downloaded by Jymoh Ruggz

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