PYRAMID TO SUCCESS IN PASSING THE PNLE and IELTS

1. PYRAMID TO SUCCESS IN PASSING THE PNLE and IELTS

7. Philippine Nurse Licensure Examination: Comprehensive Licensure Examination for Nurses in the Philippines Consist of 5 sets of Tests; each has 100 item questions Length of time: 2 hours each; 3 subjects in the first day; the rests for the second day. Hour break between each exam. Testing Center: According to family name

8. Knowledge alone wont work

9. Develop your test taking strategies Be familiar with the Exam

10. TEST PLAN Professional & Personal Development Ethico-Moral Responsibilities Safe and Quality care Health Educ Legal Responsibilities Mgt/ Envt. & Resources Quality Improvement Records Management Reseach Collaboration Communication, Teamwork NP 1: FUNDAMENTALS OF NURSING NP 2: COMMUNITY HEALTH NURSING/ MATERNAL & CHILD NP 3: MEDICAL-SURGICAL NURSING PART 1 NP 4: MEDICAL-SURGICAL NURSING PART 2 NP 5: PSYCHIATRIC NURSING PHILIPPINE NURSE LICENSURE EXAMINATION

11. JUNE 2007 PNLE • Test 1: • Funda- 70% • Research -10% • LM- 10% • Psyche + Drug Comp.- 10% • Total: 100 • Test 2: • CHN/ MCN -70% • Research -30% • Total: 100 • Test 3: • MS- • 85% (35% is Perioperative Nsg) • Research -5% • LM- 10% • Total: 100 • Test 4: • MS- 80% • Research -5% • LM- 15% • Total: 100 • Test 1: • Psyche- 85% • MS- 10% • Research -5% • Total: 100

12. JUNE 2007 PNLE MS + FUNDA 230 (70 FUNDA) 500 ITEMS PSYCHE- 110 CHN/ MCN - 85 LM - 45 RESEARCH - 30

13. Prepare for the Exam HOW???

14. Develop your Foundation where do you start?

15. Develop a plan for study • Self study • Place? • Group study • Schedule • How many hours?

16. Positive Pampering • Proper Exercise • Movie • DATE • Declare yourself • BEACH • MASSAGE • Diet • SEX • Time to relax

17. Final Preparation • Stay Focused • Believe in yourself • Visit the Site of the Test • Stop Studying 2 days before the Board Exam • AVOID SEX • Good night sleep • Wake up early • Good breakfast • Each chocolate • Don’t drink liquor • Smoke for smokers • PRAY!!! IT REALLY WORKS • BRING SOMETHING RED

18. DURING THE EXAM: DON’T PANIC BRING REQUIREMENTS SMOKE IF YOU WANT COFFEE IF YOU WANT Use TEST TAKING STRATEGI

19. TEST TAKING STRATEGIES • Do everything by the book • Avoid answers that impose • Don’t do that • Stop that

20. ATE, WAG MONG I-DELEGATE!!! • Do not delegate • A- ASSESSMENT • T- TEACHINGS • E- EVALUATION

21. Read every word in the question Avoid asking “what if….?”

22. Look for the keywords early, late, first, initial, immediate, most or least likely, most appropriate best

23. Practice Test: A nurse is caring for a client who just returned from the recovery room after undergoing abdominal surgery. The nurse monitors the client for which early sign of hypovolemic shock? a. Increased pulse rate b. Increased depth of respiration c. Lethargy d. Decreased deep tendon reflex A

24. TEST TAKING STRATEGIES Use elimination TRUE AND FALSE RESPONSE QUESTIONS

25. Practice Test: True Response A client suspected of having meningitis is being scheduled for diagnostic tests. The nurse anticipates that which of the following diagnostic tests will most likely be prescribed to confirm the diagnosis? Serum electrolytes Electromyography White Blood cell count Lumbar puncture D

26. Practice Test: False Response Cortisone is prescribed for a client with adrenal insufficiency, and the nurse provides instructions to the client regarding the medication. Which of the following statements if made by the client would indicate a need for further instruction? “I will eat a good breakfast everyday” “I will avoid people with colds” “I will limit my sodium intake” “I will stop the medication when I feel better” D

27. TEST TAKING STRATEGIES Questions that require Prioritizing Look for the keywords Best Initial Immediate highest priority Primary Next vital, essential

28. USE ABC,s AIRWAY FIRST BREATHING CIRCULATION 2. USE MASLOW’S PHYSIOLOGICAL NEEDS FIRST SAFETY AND SECURITY LOVE AND BELONGINGNESS SELF ESTEEM SELF ACTUALIZATION

29. Practice Question: Prioritizing The client with a diagnosis of cancer is receiving morphine sulfate 10mg subcutaneously every 3 to 4 hours for pain. When preparing the plan of care for the client, the nurse includes which priorityaction? • Monitor stools • Monitor urine output • Encourage client to cough and deep breath • Encourage fluid intake C

30. Practice Question: Prioritizing A nurse is reviewing the plan of care for a pregnant client with the diagnosis of sickle cell anemia. Which nursing diagnosis, if stated on the plan of care, would the nurse select as the highest priority? Anxiety Ineffective coping Disturbed body image Deficient fluid volume C

31. TEST TAKING STRATEGIES Use the NURSING PROCESS ASSESSMENT FIRST!!!!

32. Practice Question: ASSESSMENT A nurse is teaching a client with coronary artery disease about dietary measures to follow. During the session, the client expresses frustration in learning the dietary regimen. The nurse would initially Identify the cause of the frustration Continue with the dietary regimen Notify the physician Tell the client that the diet needs to be followed. A

33. Practice Question: ASSESSMENT A nurse is reviewing the laboratory results of an infant suspected of having hypertrophic pyloric stenosis. Which of the following laboratory findings would the nurse most likely to expect to note in this infant? A blood pH of 7.50 A blood pH of 7.30 A blood bicarbonate of 22 mEq/L A blood bicarbonate of 19 mEq/L A

34. Practice Question: IMPLEMENTATION A nurse is caring for a client with angina pectoris who begins to experience chest pain. The nurse administers a sublingual nitroglycerin tablet sublingually as prescribed, but the pain is unrelieved. The nurse should take which of the following actions next? Contact the physician Call the client’s family Administer another nitroglycerin tablet Reposition the client C

35. TEST TAKING STRATEGIES ELIMINATING SIMILAR OPTIONS When answering the question, use the process of elimination and look for similar options. Often, SIMILAR OPTIONS ARE INCORRECT. USUALLY, ONE OF THE OPPOSITE OPTIONS IS THE CORRECT ANSWER.

36. Practice Question: Eliminate Similar Options A nurse is assigned to care for a group of clients. On review of the client’s medical records, the nurse determines that which client is at risk for excess fluid volume? The client with ileostomy The client taking diuretics The client who requires gastrointestinal suctioning The client with renal failure D

37. TEST TAKING STRATEGIES ELIMINATE OPTIONS THAT CONTAIN ABSOLUTE WORDS ALL, ALWAYS NEVER EVERY MUST SHOULD NONE ONLY.

38. Practice Question: Absolute word A nurse is providing safety instructions to the mother of a child with hemophilia and tells the mother to do which of the following to promote a safe environment for a child? Remove the toys with a sharp edges from the child’s toy box Allow the child to play with toys only if a parent is present. Place a helmet and elbow pads on the child every day. Allow the child to play indoors only. A

39. GENERAL RULE Use Elimination PSYCHIA: FOCUS ON THE FEELINGS! FOCUSED ON THE PATIENT! SAFETY FIRST Absolutes are mostly wrong SAFE AND TRIAGE- AIRWAY FIRST QUALIFIERS are often correct IDENTIFY UMBRELLA EFFECT ANSWERS Use Nursing process DON’T DELGATE “A.T.E” USE MASLOW’s Guess only if needed

40. TEST TAKING STRATEGIES Use pneumonicsRead and Read and Read!!!

41. RESULT BE RELEASED 10-15 DAYS AFTER PRC LOCKDOWN/BON QUARANTINE

42. After the Examination: Surrender everything to God. Congratulate your self. You have done your best.

43. IELTS (International English Language Testing System)

44. COMPONENTS Listening Reading Writing Speaking

45. How the Test is Given? • AM: • LISTENING • READING • WRITING PM: 1. Speaking

46. Rules in IELTS General Rule: As the test Progresses, the difficulty arises Golden Rule: Give to the monkey only that which the monkey wants

47. Required Band Scores