PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5): Community Health Nursing (DOH Programs, COPAR, Herbal Plants RA 8423), Maternal & Child, Med-Surg, Psychiatric & PALMER

Covers all 5 Nursing Practice (NP1–NP5) papers of the PRC PNLE: NP1 Community Health Nursing (DOH Programs, SANTAN-LUBBY herbal medicines under RA 8423, COPAR, EPI vaccines, IMCI), NP2 Maternal & Child Nursing, NP3 & NP4 Medical-Surgical Nursing (Dengue, TB DOTS, Perioperative, Fluids/Electrolytes), and NP5 Psychiatric Nursing & PALMER (RA 9173).

Level
advanced
Languages
en → en
Cards
32
Markdown
PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5): Community Health Nursing (DOH Programs, COPAR, Herbal Plants RA 8423), Maternal & Child, Med-Surg, Psychiatric & PALMER (.md)

Flashcards (32)

#Front (Term / Question)Back (Definition / Answer)ExampleMultiple-Choice Options
1In PNLE NP5, what is the narrow therapeutic serum level of Lithium Carbonate for Bipolar Disorder, and how does sodium intake affect Lithium levels?Therapeutic maintenance level: 0.6–1.2 mEq/L (toxicity occurs > 1.5 mEq/L). Hyponatremia or dehydration decreases renal excretion of Lithium, causing Lithium toxicity—clients must maintain adequate, consistent salt and fluid intake.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Therapeutic maintenance level: 0.6–1.2 mEq/L (toxicity occurs > 1.5 mEq/L). Hyponatremia or dehydration decreases renal excretion of Lithium, causing Lithium toxicity—clients must maintain adequate, consistent salt and fluid intake.
  • Republic Act No. 9173: Natural-born citizen and resident of the Philippines, member of the accredited professional organization (PNA), RN with a Master's degree in Nursing (or allied field for members,…
  • Republic Act No. 11223.
  • McBurney's point is located one-third of the distance from the right anterior superior iliac spine (ASIS) to the umbilicus (RLQ).
2In PNLE NP1 (EPI administration), what are the route, site, and dose of BCG versus Pentavalent (DPT-HepB-Hib) vaccine in infants?BCG: Intradermal (ID) at the right deltoid region, 0.05 mL at birth. Pentavalent: Intramuscular (IM) at the vastus lateralis (anterolateral thigh), 0.5 mL at 6, 10, and 14 weeks.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Subtract 3 calendar months from the LMP month, add 7 days to the LMP day, and add 1 year (if LMP is between April and December; or simply add 9 months and 7 days for January–March).
  • BCG: Intradermal (ID) at the right deltoid region, 0.05 mL at birth. Pentavalent: Intramuscular (IM) at the vastus lateralis (anterolateral thigh), 0.5 mL at 6, 10, and 14 weeks.
  • McBurney's point is located one-third of the distance from the right anterior superior iliac spine (ASIS) to the umbilicus (RLQ).
  • Acute Dystonia: sudden muscle spasms (oculogyric crisis, torticollis—treat with IM Benztropine/Diphenhydramine); Akathisia: intense motor restlessness/unable to sit still; Pseudoparkinsonism: tremor,…
3In PNLE NP5 (Psychiatric Nursing), how do you distinguish between an Illusion, a Hallucination, and a Delusion?Illusion: misinterpretation of an actual external sensory stimulus (e.g., seeing a rope as a snake); Hallucination: false sensory perception without any external stimulus (auditory is most common in schizophrenia); Delusion: fixed false belief not shared by one's culture that cannot be corrected by logic.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • 4 D's: Duty, Dereliction (breach of duty), Direct causation (proximate cause), and Damages (injury).
  • Illusion: misinterpretation of an actual external sensory stimulus (e.g., seeing a rope as a snake); Hallucination: false sensory perception without any external stimulus (auditory is most common in schizophrenia); Delusion: fixed false belief not shared by one's culture that cannot be corrected by logic.
  • Inflate a BP cuff midway between systolic and diastolic pressure for 5 minutes; a count of 20 or more petechiae per 1-inch square (2.5 cm × 2.5 cm) patch on the forearm indicates capillary fragility (positive test).
  • Total 24-hr fluid = 4 mL × Body Weight (kg) × % TBSA burned (second/third-degree burns). Give 50% (half) in the first 8 hours calculated from the time of injury, and the remaining 50% over the next 16 hours.
4In PNLE NP1 (Community Health Nursing), what are the 10 DOH-approved herbal plants under RA 8423 (TAMA of 1997) summarized by the mnemonic 'SANTAN LUBBY' and their primary indications?Sambong (diuretic/urolithiasis), Akapulko (antifungal/ringworm), Niyog-niyogan (anti-helminthic for Ascaris), Tsaang Gubat (antidiarrheal/stomachache), Ampalaya (non-insulin dependent diabetes mellitus), Lagundi (asthma/cough), Ulasimang Bato/Pansit-pansitan (lowers uric acid/gout), Bawang (lowers cholesterol/hypertension), Bayabas (antiseptic wound wash/toothache), Yerba Buena (analgesic for body aches).High-yield exam verification (RA 8423): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Rifampicin (red-orange body secretions, hepatotoxicity), Isoniazid (peripheral neuropathy—prevented with Pyridoxine/Vit B6), Pyrazinamide (hyperuricemia/gout, hepatotoxicity), Ethambutol (optic…
  • Acyanotic (ASD, VSD, PDA, CoA) increases pulmonary blood flow; Cyanotic (Tetralogy of Fallot, Tricuspid Atresia, Transposition of Great Arteries) causes hypoxia.
  • Illusion: misinterpretation of an actual external sensory stimulus (e.g., seeing a rope as a snake); Hallucination: false sensory perception without any external stimulus (auditory is most common in…
  • Sambong (diuretic/urolithiasis), Akapulko (antifungal/ringworm), Niyog-niyogan (anti-helminthic for Ascaris), Tsaang Gubat (antidiarrheal/stomachache), Ampalaya (non-insulin dependent diabetes mellitus), Lagundi (asthma/cough), Ulasimang Bato/Pansit-pansitan (lowers uric acid/gout), Bawang (lowers cholesterol/hypertension), Bayabas (antiseptic wound wash/toothache), Yerba Buena (analgesic for body aches).
5In PNLE NP5 (Nursing Jurisprudence), what are the 4 essential elements (4 D's) required to prove Nursing Malpractice / Negligence, and what does 'Res Ipsa Loquitur' mean?4 D's: Duty, Dereliction (breach of duty), Direct causation (proximate cause), and Damages (injury). 'Res Ipsa Loquitur' ('the thing speaks for itself') applies when harm could not have occurred without negligence and the instrument was under the defendant's control (e.g., retained surgical sponge).High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • 1. Pre-Entry Phase (site selection), 2. Entry Phase (integration/immersion, core group formation), 3. Organization-Building Phase, 4. Sustenance and Strengthening Phase (education/training, project…
  • 1st Maneuver (Fundal Grip): fetal part occupying the fundus (breech vs.
  • Therapeutic range: 0.5–2.0 ng/mL.
  • 4 D's: Duty, Dereliction (breach of duty), Direct causation (proximate cause), and Damages (injury). 'Res Ipsa Loquitur' ('the thing speaks for itself') applies when harm could not have occurred without negligence and the instrument was under the defendant's control (e.g., retained surgical sponge).
6In PNLE NP4 (Cardiovascular Pharmacology), what is the therapeutic serum range of Digoxin, what are the classic signs of Digoxin toxicity, and what electrolyte imbalance predisposes to it?Therapeutic range: 0.5–2.0 ng/mL. Toxicity signs: anorexia, nausea/vomiting, bradycardia (< 60 bpm in adults), and visual disturbances (yellow-green halos). Hypokalemia (< 3.5 mEq/L) strongly precipitates Digoxin toxicity.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Tyramine-rich foods (aged cheeses, cured meats/salami, fermented soy sauce, red wine/draft beer, overripe avocados/bananas) because they trigger a life-threatening Hypertensive Crisis.
  • Therapeutic range: 0.5–2.0 ng/mL. Toxicity signs: anorexia, nausea/vomiting, bradycardia (< 60 bpm in adults), and visual disturbances (yellow-green halos). Hypokalemia (< 3.5 mEq/L) strongly precipitates Digoxin toxicity.
  • Sambong (diuretic/urolithiasis), Akapulko (antifungal/ringworm), Niyog-niyogan (anti-helminthic for Ascaris), Tsaang Gubat (antidiarrheal/stomachache), Ampalaya (non-insulin dependent diabetes mellitus),…
  • Signs of toxicity (BURP): Blood pressure decrease, Urine output < 30 mL/hr, Respiratory rate < 12 breaths/min, Patellar deep tendon reflexes (DTR) absent (earliest sign). Antidote: Calcium Gluconate (10% IV).
7In PNLE NP5 (Extrapyramidal Symptoms - EPS from antipsychotics), what is the difference between Acute Dystonia, Akathisia, Pseudoparkinsonism, and Tardive Dyskinesia?Acute Dystonia: sudden muscle spasms (oculogyric crisis, torticollis—treat with IM Benztropine/Diphenhydramine); Akathisia: intense motor restlessness/unable to sit still; Pseudoparkinsonism: tremor, cogwheel rigidity, shuffling gait; Tardive Dyskinesia: irreversible late-onset involuntary lip-smacking/tongue protrusion.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • A general weighted average of at least 75% across all five Nursing Practice exams, with no rating below 60% in any individual subject (NP1–NP5).
  • EO 51 regulates the marketing of breastmilk substitutes (prohibiting free formula samples/ads in hospitals); RA 10028 mandates lactation stations in workplaces and paid lactation breaks of at least 40…
  • Gentle continuous bubbling in the suction-control chamber is normal; intermittent bubbling (tidaling) in the water-seal chamber is normal, but continuous bubbling in the water-seal chamber indicates an…
  • Acute Dystonia: sudden muscle spasms (oculogyric crisis, torticollis—treat with IM Benztropine/Diphenhydramine); Akathisia: intense motor restlessness/unable to sit still; Pseudoparkinsonism: tremor, cogwheel rigidity, shuffling gait; Tardive Dyskinesia: irreversible late-onset involuntary lip-smacking/tongue protrusion.
8In PNLE NP2 (Maternal Nursing), how is Naegele's Rule used to calculate the Estimated Date of Delivery (EDD) from the first day of the Last Menstrual Period (LMP)?Subtract 3 calendar months from the LMP month, add 7 days to the LMP day, and add 1 year (if LMP is between April and December; or simply add 9 months and 7 days for January–March).High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Subtract 3 calendar months from the LMP month, add 7 days to the LMP day, and add 1 year (if LMP is between April and December; or simply add 9 months and 7 days for January–March).
  • Acyanotic (ASD, VSD, PDA, CoA) increases pulmonary blood flow; Cyanotic (Tetralogy of Fallot, Tricuspid Atresia, Transposition of Great Arteries) causes hypoxia.
  • 1. Widening pulse pressure (severe systolic hypertension), 2. Bradycardia, and 3. Irregular respirations (Cheyne-Stokes)—a late sign of impending brainstem herniation.
  • A general weighted average of at least 75% across all five Nursing Practice exams, with no rating below 60% in any individual subject (NP1–NP5).
9Which Republic Act is the 'Philippine Nursing Act of 2002', and what are the qualifications of the Chairperson and 6 Members of the Board of Nursing (BON)?Republic Act No. 9173: Natural-born citizen and resident of the Philippines, member of the accredited professional organization (PNA), RN with a Master's degree in Nursing (or allied field for members, MAN required for Chair), at least 10 years of continuous practice (last 5 years in the Philippines), and not convicted of moral turpitude.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • BCG: Intradermal (ID) at the right deltoid region, 0.05 mL at birth. Pentavalent: Intramuscular (IM) at the vastus lateralis (anterolateral thigh), 0.5 mL at 6, 10, and 14 weeks.
  • Tone (Uterine Atony—most common cause, ~70%, boggy uterus requiring fundal massage and oxytocin), Trauma (lacerations/hematoma), Tissue (retained placental fragments), and Thrombin (coagulopathy/DIC).
  • 1. Widening pulse pressure (severe systolic hypertension), 2. Bradycardia, and 3. Irregular respirations (Cheyne-Stokes)—a late sign of impending brainstem herniation.
  • Republic Act No. 9173: Natural-born citizen and resident of the Philippines, member of the accredited professional organization (PNA), RN with a Master's degree in Nursing (or allied field for members, MAN required for Chair), at least 10 years of continuous practice (last 5 years in the Philippines), and not convicted of moral turpitude.
10In PNLE NP5 (Bioethics), what are the definitions of Autonomy, Beneficence, Non-maleficence, Justice, Veracity, and Fidelity?Autonomy: self-determination (informed consent/refusal); Beneficence: doing good; Non-maleficence: doing no harm (primum non nocere); Justice: fair allocation of scarce resources (triage); Veracity: truth-telling; Fidelity: keeping promises/professional loyalty.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Sambong (diuretic/urolithiasis), Akapulko (antifungal/ringworm), Niyog-niyogan (anti-helminthic for Ascaris), Tsaang Gubat (antidiarrheal/stomachache), Ampalaya (non-insulin dependent diabetes mellitus),…
  • Autonomy: self-determination (informed consent/refusal); Beneficence: doing good; Non-maleficence: doing no harm (primum non nocere); Justice: fair allocation of scarce resources (triage); Veracity: truth-telling; Fidelity: keeping promises/professional loyalty.
  • Subtract 3 calendar months from the LMP month, add 7 days to the LMP day, and add 1 year (if LMP is between April and December; or simply add 9 months and 7 days for January–March).
  • DI (ADH deficiency): massive polyuria of dilute urine (low specific gravity < 1.005), hypernatremia, severe dehydration—treated with Desmopressin (DDAVP).
11In PNLE NP4 (Neurology), what constitutes Cushing's Triad in increased Intracranial Pressure (ICP)?1. Widening pulse pressure (severe systolic hypertension), 2. Bradycardia, and 3. Irregular respirations (Cheyne-Stokes)—a late sign of impending brainstem herniation.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Acute Dystonia: sudden muscle spasms (oculogyric crisis, torticollis—treat with IM Benztropine/Diphenhydramine); Akathisia: intense motor restlessness/unable to sit still; Pseudoparkinsonism: tremor,…
  • 1. Widening pulse pressure (severe systolic hypertension), 2. Bradycardia, and 3. Irregular respirations (Cheyne-Stokes)—a late sign of impending brainstem herniation.
  • Oral Polio Vaccine (OPV) and Measles (MMR/MR) vaccine are stored in the freezer (-15°C to -25°C); all other EPI vaccines (BCG, Pentavalent/DPT-HepB-Hib, PCV, IPV, Hepatitis B) are stored in the body of…
  • 1. Immediate and thorough drying (first 30 seconds), 2. Early skin-to-skin contact (at least 90 minutes), 3. Properly timed cord clamping and cutting (1–3 minutes after birth or when pulsations stop), 4.…
12In PNLE NP1, what are the chronological phases of COPAR (Community Organizing Participatory Action Research)?1. Pre-Entry Phase (site selection), 2. Entry Phase (integration/immersion, core group formation), 3. Organization-Building Phase, 4. Sustenance and Strengthening Phase (education/training, project implementation), 5. Phase-Out / Turnover.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Republic Act No. 11223.
  • Total 24-hr fluid = 4 mL × Body Weight (kg) × % TBSA burned (second/third-degree burns). Give 50% (half) in the first 8 hours calculated from the time of injury, and the remaining 50% over the next 16 hours.
  • 1. Pre-Entry Phase (site selection), 2. Entry Phase (integration/immersion, core group formation), 3. Organization-Building Phase, 4. Sustenance and Strengthening Phase (education/training, project implementation), 5. Phase-Out / Turnover.
  • Tyramine-rich foods (aged cheeses, cured meats/salami, fermented soy sauce, red wine/draft beer, overripe avocados/bananas) because they trigger a life-threatening Hypertensive Crisis.
13In PNLE NP1 (Expanded Program on Immunization - EPI), which two vaccines are most sensitive to heat and must be stored in the freezer at -15°C to -25°C?Oral Polio Vaccine (OPV) and Measles (MMR/MR) vaccine are stored in the freezer (-15°C to -25°C); all other EPI vaccines (BCG, Pentavalent/DPT-HepB-Hib, PCV, IPV, Hepatitis B) are stored in the body of the refrigerator at +2°C to +8°C.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • EO 51 regulates the marketing of breastmilk substitutes (prohibiting free formula samples/ads in hospitals); RA 10028 mandates lactation stations in workplaces and paid lactation breaks of at least 40…
  • The surgeon/physician performing the procedure is legally responsible for explaining the procedure, risks, and alternatives to obtain informed consent; the nurse acts as a witness to the client's…
  • Therapeutic maintenance level: 0.6–1.2 mEq/L (toxicity occurs > 1.5 mEq/L).
  • Oral Polio Vaccine (OPV) and Measles (MMR/MR) vaccine are stored in the freezer (-15°C to -25°C); all other EPI vaccines (BCG, Pentavalent/DPT-HepB-Hib, PCV, IPV, Hepatitis B) are stored in the body of the refrigerator at +2°C to +8°C.
14In PNLE NP5 (Psychiatric Pharmacology), which foods must be avoided by a client taking Monoamine Oxidase Inhibitors (MAOIs like Phenelzine or Tranylcypromine), and why?Tyramine-rich foods (aged cheeses, cured meats/salami, fermented soy sauce, red wine/draft beer, overripe avocados/bananas) because they trigger a life-threatening Hypertensive Crisis.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • The RN can never delegate what they 'EAT': Evaluation, Assessment (initial and unstable), and Teaching/patient education, nor nursing judgment, care planning, or IV medication administration.
  • Tyramine-rich foods (aged cheeses, cured meats/salami, fermented soy sauce, red wine/draft beer, overripe avocados/bananas) because they trigger a life-threatening Hypertensive Crisis.
  • Rifampicin (red-orange body secretions, hepatotoxicity), Isoniazid (peripheral neuropathy—prevented with Pyridoxine/Vit B6), Pyrazinamide (hyperuricemia/gout, hepatotoxicity), Ethambutol (optic…
  • The surgeon/physician performing the procedure is legally responsible for explaining the procedure, risks, and alternatives to obtain informed consent; the nurse acts as a witness to the client's…
15In PNLE NP3 (Gastrointestinal), where is McBurney's point located in acute appendicitis, and why are heat, enemas, and laxatives strictly contraindicated?McBurney's point is located one-third of the distance from the right anterior superior iliac spine (ASIS) to the umbilicus (RLQ). Heat, enemas, and laxatives are contraindicated because they increase peristalsis and risk appendiceal perforation and peritonitis.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • 1. Widening pulse pressure (severe systolic hypertension), 2. Bradycardia, and 3. Irregular respirations (Cheyne-Stokes)—a late sign of impending brainstem herniation.
  • McBurney's point is located one-third of the distance from the right anterior superior iliac spine (ASIS) to the umbilicus (RLQ). Heat, enemas, and laxatives are contraindicated because they increase peristalsis and risk appendiceal perforation and peritonitis.
  • The RN can never delegate what they 'EAT': Evaluation, Assessment (initial and unstable), and Teaching/patient education, nor nursing judgment, care planning, or IV medication administration.
  • EO 51 regulates the marketing of breastmilk substitutes (prohibiting free formula samples/ads in hospitals); RA 10028 mandates lactation stations in workplaces and paid lactation breaks of at least 40…
16In PNLE NP5 (Leadership & Management), when delegating tasks to Unlicensed Assistive Personnel (UAP/nursing aides), which tasks can NEVER be delegated by the Registered Nurse?The RN can never delegate what they 'EAT': Evaluation, Assessment (initial and unstable), and Teaching/patient education, nor nursing judgment, care planning, or IV medication administration.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Oral Polio Vaccine (OPV) and Measles (MMR/MR) vaccine are stored in the freezer (-15°C to -25°C); all other EPI vaccines (BCG, Pentavalent/DPT-HepB-Hib, PCV, IPV, Hepatitis B) are stored in the body of…
  • Signs of toxicity (BURP): Blood pressure decrease, Urine output < 30 mL/hr, Respiratory rate < 12 breaths/min, Patellar deep tendon reflexes (DTR) absent (earliest sign). Antidote: Calcium Gluconate (10% IV).
  • Eye Opening (1–4), Verbal Response (1–5), and Motor Response (1–6). Maximum score = 15 (fully alert); Minimum score = 3 (deep coma); GCS ≤ 8 indicates coma ('GCS 8, intubate').
  • The RN can never delegate what they 'EAT': Evaluation, Assessment (initial and unstable), and Teaching/patient education, nor nursing judgment, care planning, or IV medication administration.
17In PNLE NP1 (National Tuberculosis Control Program / DOTS), what are the first-line anti-TB drugs (RIPES) and the signature side effect of each?Rifampicin (red-orange body secretions, hepatotoxicity), Isoniazid (peripheral neuropathy—prevented with Pyridoxine/Vit B6), Pyrazinamide (hyperuricemia/gout, hepatotoxicity), Ethambutol (optic neuritis/loss of red-green color vision), Streptomycin (ototoxicity/CN VIII damage & nephrotoxicity).High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Signs of toxicity (BURP): Blood pressure decrease, Urine output < 30 mL/hr, Respiratory rate < 12 breaths/min, Patellar deep tendon reflexes (DTR) absent (earliest sign). Antidote: Calcium Gluconate (10% IV).
  • DI (ADH deficiency): massive polyuria of dilute urine (low specific gravity < 1.005), hypernatremia, severe dehydration—treated with Desmopressin (DDAVP).
  • Rifampicin (red-orange body secretions, hepatotoxicity), Isoniazid (peripheral neuropathy—prevented with Pyridoxine/Vit B6), Pyrazinamide (hyperuricemia/gout, hepatotoxicity), Ethambutol (optic neuritis/loss of red-green color vision), Streptomycin (ototoxicity/CN VIII damage & nephrotoxicity).
  • 4 D's: Duty, Dereliction (breach of duty), Direct causation (proximate cause), and Damages (injury).
18In PNLE NP2 (Pediatrics), how do Acyanotic (Left-to-Right shunt) vs. Cyanotic (Right-to-Left shunt) congenital heart defects differ, and what is the priority nursing action for a 'Tet spell' in Tetralogy of Fallot?Acyanotic (ASD, VSD, PDA, CoA) increases pulmonary blood flow; Cyanotic (Tetralogy of Fallot, Tricuspid Atresia, Transposition of Great Arteries) causes hypoxia. For a hypercyanotic 'Tet spell', immediately place the infant/child in the Knee-Chest (squatting) position and administer 100% oxygen.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Acyanotic (ASD, VSD, PDA, CoA) increases pulmonary blood flow; Cyanotic (Tetralogy of Fallot, Tricuspid Atresia, Transposition of Great Arteries) causes hypoxia. For a hypercyanotic 'Tet spell', immediately place the infant/child in the Knee-Chest (squatting) position and administer 100% oxygen.
  • DI (ADH deficiency): massive polyuria of dilute urine (low specific gravity < 1.005), hypernatremia, severe dehydration—treated with Desmopressin (DDAVP).
  • Acute Dystonia: sudden muscle spasms (oculogyric crisis, torticollis—treat with IM Benztropine/Diphenhydramine); Akathisia: intense motor restlessness/unable to sit still; Pseudoparkinsonism: tremor,…
  • Inflate a BP cuff midway between systolic and diastolic pressure for 5 minutes; a count of 20 or more petechiae per 1-inch square (2.5 cm × 2.5 cm) patch on the forearm indicates capillary fragility (positive test).
19To pass the PRC Philippine Nurse Licensure Examination (PNLE) under RA 9173, what general average and minimum score per Nursing Practice (NP1–NP5) paper are required?A general weighted average of at least 75% across all five Nursing Practice exams, with no rating below 60% in any individual subject (NP1–NP5).High-yield exam verification (RA 9173): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Inflate a BP cuff midway between systolic and diastolic pressure for 5 minutes; a count of 20 or more petechiae per 1-inch square (2.5 cm × 2.5 cm) patch on the forearm indicates capillary fragility (positive test).
  • 1. Immediate and thorough drying (first 30 seconds), 2. Early skin-to-skin contact (at least 90 minutes), 3. Properly timed cord clamping and cutting (1–3 minutes after birth or when pulsations stop), 4.…
  • A general weighted average of at least 75% across all five Nursing Practice exams, with no rating below 60% in any individual subject (NP1–NP5).
  • Time (limit care to max 30 minutes per shift per nurse), Distance (stay at least 6 feet away when not giving direct care), and Shielding (wear lead apron and personal dosimeter badge; keep long-handled…
20In PNLE NP2, what are the signs of Magnesium Sulfate (MgSO4) toxicity in a client with severe preeclampsia, and what is the specific antidote?Signs of toxicity (BURP): Blood pressure decrease, Urine output < 30 mL/hr, Respiratory rate < 12 breaths/min, Patellar deep tendon reflexes (DTR) absent (earliest sign). Antidote: Calcium Gluconate (10% IV).High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • The surgeon/physician performing the procedure is legally responsible for explaining the procedure, risks, and alternatives to obtain informed consent; the nurse acts as a witness to the client's…
  • Illusion: misinterpretation of an actual external sensory stimulus (e.g., seeing a rope as a snake); Hallucination: false sensory perception without any external stimulus (auditory is most common in…
  • 1. Pre-Entry Phase (site selection), 2. Entry Phase (integration/immersion, core group formation), 3. Organization-Building Phase, 4. Sustenance and Strengthening Phase (education/training, project…
  • Signs of toxicity (BURP): Blood pressure decrease, Urine output < 30 mL/hr, Respiratory rate < 12 breaths/min, Patellar deep tendon reflexes (DTR) absent (earliest sign). Antidote: Calcium Gluconate (10% IV).
21In PNLE NP1 (Communicable Diseases), how is the Rumpel-Leede (Tourniquet) Test performed for Dengue Hemorrhagic Fever and what constitutes a positive result?Inflate a BP cuff midway between systolic and diastolic pressure for 5 minutes; a count of 20 or more petechiae per 1-inch square (2.5 cm × 2.5 cm) patch on the forearm indicates capillary fragility (positive test).High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Inflate a BP cuff midway between systolic and diastolic pressure for 5 minutes; a count of 20 or more petechiae per 1-inch square (2.5 cm × 2.5 cm) patch on the forearm indicates capillary fragility (positive test).
  • 1st Maneuver (Fundal Grip): fetal part occupying the fundus (breech vs.
  • Gentle continuous bubbling in the suction-control chamber is normal; intermittent bubbling (tidaling) in the water-seal chamber is normal, but continuous bubbling in the water-seal chamber indicates an…
  • Autonomy: self-determination (informed consent/refusal); Beneficence: doing good; Non-maleficence: doing no harm (primum non nocere); Justice: fair allocation of scarce resources (triage); Veracity:…
22In PNLE NP2, what do the four maneuvers of Leopold's Maneuvers determine during abdominal palpation of a pregnant client?1st Maneuver (Fundal Grip): fetal part occupying the fundus (breech vs. head); 2nd Maneuver (Umbilical Grip): location of fetal back (for FHT auscultation); 3rd Maneuver (Pawlik's Grip): engagement/mobility of presenting part; 4th Maneuver (Pelvic Grip): fetal attitude and degree of flexion/descent.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • 1st Maneuver (Fundal Grip): fetal part occupying the fundus (breech vs. head); 2nd Maneuver (Umbilical Grip): location of fetal back (for FHT auscultation); 3rd Maneuver (Pawlik's Grip): engagement/mobility of presenting part; 4th Maneuver (Pelvic Grip): fetal attitude and degree of flexion/descent.
  • Total 24-hr fluid = 4 mL × Body Weight (kg) × % TBSA burned (second/third-degree burns). Give 50% (half) in the first 8 hours calculated from the time of injury, and the remaining 50% over the next 16 hours.
  • Time (limit care to max 30 minutes per shift per nurse), Distance (stay at least 6 feet away when not giving direct care), and Shielding (wear lead apron and personal dosimeter badge; keep long-handled…
  • Sambong (diuretic/urolithiasis), Akapulko (antifungal/ringworm), Niyog-niyogan (anti-helminthic for Ascaris), Tsaang Gubat (antidiarrheal/stomachache), Ampalaya (non-insulin dependent diabetes mellitus),…
23In PNLE NP4 (Neurology), what are the three components of the Glasgow Coma Scale (GCS), the maximum and minimum scores, and the score threshold indicating coma/intubation?Eye Opening (1–4), Verbal Response (1–5), and Motor Response (1–6). Maximum score = 15 (fully alert); Minimum score = 3 (deep coma); GCS ≤ 8 indicates coma ('GCS 8, intubate').High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Eye Opening (1–4), Verbal Response (1–5), and Motor Response (1–6). Maximum score = 15 (fully alert); Minimum score = 3 (deep coma); GCS ≤ 8 indicates coma ('GCS 8, intubate').
  • Therapeutic maintenance level: 0.6–1.2 mEq/L (toxicity occurs > 1.5 mEq/L).
  • 1. Pre-Entry Phase (site selection), 2. Entry Phase (integration/immersion, core group formation), 3. Organization-Building Phase, 4. Sustenance and Strengthening Phase (education/training, project…
  • Tone (Uterine Atony—most common cause, ~70%, boggy uterus requiring fundal massage and oxytocin), Trauma (lacerations/hematoma), Tissue (retained placental fragments), and Thrombin (coagulopathy/DIC).
24In PNLE NP2 (Newborn Care), what are the 4 core time-bound steps of Essential Intrapartum and Newborn Care (EINC / 'Unang Yakap', AO 2009-0025)?1. Immediate and thorough drying (first 30 seconds), 2. Early skin-to-skin contact (at least 90 minutes), 3. Properly timed cord clamping and cutting (1–3 minutes after birth or when pulsations stop), 4. Non-separation of newborn from mother for early breastfeeding initiation.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Gentle continuous bubbling in the suction-control chamber is normal; intermittent bubbling (tidaling) in the water-seal chamber is normal, but continuous bubbling in the water-seal chamber indicates an…
  • Therapeutic maintenance level: 0.6–1.2 mEq/L (toxicity occurs > 1.5 mEq/L).
  • BCG: Intradermal (ID) at the right deltoid region, 0.05 mL at birth. Pentavalent: Intramuscular (IM) at the vastus lateralis (anterolateral thigh), 0.5 mL at 6, 10, and 14 weeks.
  • 1. Immediate and thorough drying (first 30 seconds), 2. Early skin-to-skin contact (at least 90 minutes), 3. Properly timed cord clamping and cutting (1–3 minutes after birth or when pulsations stop), 4. Non-separation of newborn from mother for early breastfeeding initiation.
25In PNLE NP4 (Endocrine), how do the clinical manifestations and nursing management of Diabetes Insipidus (DI) and SIADH contrast?DI (ADH deficiency): massive polyuria of dilute urine (low specific gravity < 1.005), hypernatremia, severe dehydration—treated with Desmopressin (DDAVP). SIADH (excess ADH): oliguria with concentrated urine, dilutional hyponatremia, fluid overload/cerebral edema—treated with fluid restriction and hypertonic saline if severe.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Illusion: misinterpretation of an actual external sensory stimulus (e.g., seeing a rope as a snake); Hallucination: false sensory perception without any external stimulus (auditory is most common in…
  • DI (ADH deficiency): massive polyuria of dilute urine (low specific gravity < 1.005), hypernatremia, severe dehydration—treated with Desmopressin (DDAVP). SIADH (excess ADH): oliguria with concentrated urine, dilutional hyponatremia, fluid overload/cerebral edema—treated with fluid restriction and hypertonic saline if severe.
  • A general weighted average of at least 75% across all five Nursing Practice exams, with no rating below 60% in any individual subject (NP1–NP5).
  • 1st Maneuver (Fundal Grip): fetal part occupying the fundus (breech vs.
26In PNLE NP3 (Perioperative Nursing), who is responsible for obtaining Informed Consent, and what is the nurse's legal role?The surgeon/physician performing the procedure is legally responsible for explaining the procedure, risks, and alternatives to obtain informed consent; the nurse acts as a witness to the client's voluntary signature and verifies comprehension.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • The surgeon/physician performing the procedure is legally responsible for explaining the procedure, risks, and alternatives to obtain informed consent; the nurse acts as a witness to the client's voluntary signature and verifies comprehension.
  • Eye Opening (1–4), Verbal Response (1–5), and Motor Response (1–6). Maximum score = 15 (fully alert); Minimum score = 3 (deep coma); GCS ≤ 8 indicates coma ('GCS 8, intubate').
  • 4 D's: Duty, Dereliction (breach of duty), Direct causation (proximate cause), and Damages (injury).
  • Republic Act No. 11223.
27In PNLE NP3 (Med-Surg Fluids & Burns), how is the Parkland Formula used to calculate 24-hour IV fluid resuscitation (Lactated Ringer's) for a burn victim?Total 24-hr fluid = 4 mL × Body Weight (kg) × % TBSA burned (second/third-degree burns). Give 50% (half) in the first 8 hours calculated from the time of injury, and the remaining 50% over the next 16 hours.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Therapeutic range: 0.5–2.0 ng/mL.
  • Total 24-hr fluid = 4 mL × Body Weight (kg) × % TBSA burned (second/third-degree burns). Give 50% (half) in the first 8 hours calculated from the time of injury, and the remaining 50% over the next 16 hours.
  • Autonomy: self-determination (informed consent/refusal); Beneficence: doing good; Non-maleficence: doing no harm (primum non nocere); Justice: fair allocation of scarce resources (triage); Veracity:…
  • Rifampicin (red-orange body secretions, hepatotoxicity), Isoniazid (peripheral neuropathy—prevented with Pyridoxine/Vit B6), Pyrazinamide (hyperuricemia/gout, hepatotoxicity), Ethambutol (optic…
28In PNLE NP2, what are the 4 T's of Postpartum Hemorrhage (PPH) and which is the most common cause?Tone (Uterine Atony—most common cause, ~70%, boggy uterus requiring fundal massage and oxytocin), Trauma (lacerations/hematoma), Tissue (retained placental fragments), and Thrombin (coagulopathy/DIC).High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • McBurney's point is located one-third of the distance from the right anterior superior iliac spine (ASIS) to the umbilicus (RLQ).
  • Tyramine-rich foods (aged cheeses, cured meats/salami, fermented soy sauce, red wine/draft beer, overripe avocados/bananas) because they trigger a life-threatening Hypertensive Crisis.
  • Oral Polio Vaccine (OPV) and Measles (MMR/MR) vaccine are stored in the freezer (-15°C to -25°C); all other EPI vaccines (BCG, Pentavalent/DPT-HepB-Hib, PCV, IPV, Hepatitis B) are stored in the body of…
  • Tone (Uterine Atony—most common cause, ~70%, boggy uterus requiring fundal massage and oxytocin), Trauma (lacerations/hematoma), Tissue (retained placental fragments), and Thrombin (coagulopathy/DIC).
29In PNLE NP3 (Respiratory/Chest Tubes), in a 3-chamber chest drainage system, what does continuous bubbling in the water-seal chamber vs. gentle bubbling in the suction-control chamber indicate?Gentle continuous bubbling in the suction-control chamber is normal; intermittent bubbling (tidaling) in the water-seal chamber is normal, but continuous bubbling in the water-seal chamber indicates an air leak in the system.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Time (limit care to max 30 minutes per shift per nurse), Distance (stay at least 6 feet away when not giving direct care), and Shielding (wear lead apron and personal dosimeter badge; keep long-handled…
  • Republic Act No. 9173: Natural-born citizen and resident of the Philippines, member of the accredited professional organization (PNA), RN with a Master's degree in Nursing (or allied field for members,…
  • Gentle continuous bubbling in the suction-control chamber is normal; intermittent bubbling (tidaling) in the water-seal chamber is normal, but continuous bubbling in the water-seal chamber indicates an air leak in the system.
  • Subtract 3 calendar months from the LMP month, add 7 days to the LMP day, and add 1 year (if LMP is between April and December; or simply add 9 months and 7 days for January–March).
30In PNLE NP4 (Oncology/Radiation), what are the three cardinal principles of radiation safety (ALARA) when caring for a client with a sealed internal radiation implant (brachytherapy)?Time (limit care to max 30 minutes per shift per nurse), Distance (stay at least 6 feet away when not giving direct care), and Shielding (wear lead apron and personal dosimeter badge; keep long-handled forceps and lead container in the room).High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Autonomy: self-determination (informed consent/refusal); Beneficence: doing good; Non-maleficence: doing no harm (primum non nocere); Justice: fair allocation of scarce resources (triage); Veracity:…
  • BCG: Intradermal (ID) at the right deltoid region, 0.05 mL at birth. Pentavalent: Intramuscular (IM) at the vastus lateralis (anterolateral thigh), 0.5 mL at 6, 10, and 14 weeks.
  • Acyanotic (ASD, VSD, PDA, CoA) increases pulmonary blood flow; Cyanotic (Tetralogy of Fallot, Tricuspid Atresia, Transposition of Great Arteries) causes hypoxia.
  • Time (limit care to max 30 minutes per shift per nurse), Distance (stay at least 6 feet away when not giving direct care), and Shielding (wear lead apron and personal dosimeter badge; keep long-handled forceps and lead container in the room).
31In PNLE NP1, which Republic Act is the 'Universal Health Care Act' of 2019 that automatically enrolls all Filipino citizens in the National Health Insurance Program (PhilHealth)?Republic Act No. 11223.High-yield exam verification (PRC Philippine Nurse Licensure Examination (PNLE NP1–NP5)): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • Tone (Uterine Atony—most common cause, ~70%, boggy uterus requiring fundal massage and oxytocin), Trauma (lacerations/hematoma), Tissue (retained placental fragments), and Thrombin (coagulopathy/DIC).
  • Republic Act No. 11223.
  • Therapeutic range: 0.5–2.0 ng/mL.
  • The RN can never delegate what they 'EAT': Evaluation, Assessment (initial and unstable), and Teaching/patient education, nor nursing judgment, care planning, or IV medication administration.
32In PNLE NP1, what does Executive Order No. 51 (The Milk Code of the Philippines) prohibit, and what does RA 10028 (Expanded Breastfeeding Promotion Act) mandate?EO 51 regulates the marketing of breastmilk substitutes (prohibiting free formula samples/ads in hospitals); RA 10028 mandates lactation stations in workplaces and paid lactation breaks of at least 40 minutes per 8-hour workday.High-yield exam verification (RA 10028): distinguish the controlling statutory/doctrinal rule, timeframe, and exception from common test distractors.
  • 1. Immediate and thorough drying (first 30 seconds), 2. Early skin-to-skin contact (at least 90 minutes), 3. Properly timed cord clamping and cutting (1–3 minutes after birth or when pulsations stop), 4.…
  • Eye Opening (1–4), Verbal Response (1–5), and Motor Response (1–6). Maximum score = 15 (fully alert); Minimum score = 3 (deep coma); GCS ≤ 8 indicates coma ('GCS 8, intubate').
  • Republic Act No. 9173: Natural-born citizen and resident of the Philippines, member of the accredited professional organization (PNA), RN with a Master's degree in Nursing (or allied field for members,…
  • EO 51 regulates the marketing of breastmilk substitutes (prohibiting free formula samples/ads in hospitals); RA 10028 mandates lactation stations in workplaces and paid lactation breaks of at least 40 minutes per 8-hour workday.