(Nursing Licensure Examination Reviewer)

RA 9173 Philippine Nursing Law of Oct. 21, 2002

RA 2808 First Nursing Act of March 01, 1919

RA 7164 Philippine Nursing Act of 1919

RA 877 A Philippine Nursing Act of 1953

RA 5921 Pharmacy Act.

RA 6675 Generic Drug Act of 1988 (under Pres. Aquino)

New Drugs Act or the comprehensive dangerous
RA 9165
act of 2002
RA 953 Narcotics Drug Act
Dangerous drug Act (1972)
Provision of S2 code of selected doctors who can
RA 6425
prescribe narcotic drugs
Doctor: S2 license with a yellow prescription.
Magna Carta of Public Health Workers: Has
RA 7305 provision on the benefits, rights and
responsibilities of public health workers
RA 442 : Labor Code Give rights to private employees
RA 7160 : Local
Decentralization of power to LGU’s
Government Code
RA 3573 : Prevention and suppression of Communicable Disease’s
And Confidentiality amongst patients with STI/HIV
PD 626 Health Insurance RA 8282  SSS for private employees
Act RA8292 GSIS for public employees
RA 7600 Breastfeeding
EO 51 Milk Code
Act
 PD 856 Code of RA 9300 Code of Sanitation (new)
Sanitation (old) PD 825 Garbage Disposal Act
RA 6713: Code of Conduct and Ethical Standards for Public Officers
Employee
RA 8344  Hospitals should not refuse to accommodate patients of any disease.

RA 9165 Comprehensive Dangerous act of 2002

RA 6425 Dangerous Drug Act of 1972

PD 807 Civil Service Law
Provides for recruitment and selection of employees in government
service.
RA 7877 : Anti Sexual RA 9262 : Anti Violence against Women &
Harassment Act Children
PD 603 Child and Youth Welfare Code
Registration of Births within 30 days from
PD 651
delivery (Birth Certificate)
LOI Primary Health
Nursing code of ethics BR# 220 series of 2004
Care
A decree for proper immunization of children
PD 996
below 8 years of age.
Felonies
-Any act of a professional nurse that is punishable by the law
a. Deceit (aka dolo) Intentional Crime
b. Fault (aka culpa) Unintentional Crimes
Slander (something na sinabi) and
Quasi Tort: 2 types  Libel (something na sinulat)
Slander and Libel are both negative
Negligence (ex: Pasyenteng nalaglag sa kama
dahil napabayaan ng nurse, medications that
Unintentional Tort: 2
was not given as ordered na ikinamatay ng
types 
pasyente, bedsores of a comatose patient) and
Malpractice (ex: Nurse na nag start ng IV
 without a doctors order and or an IVT training
accredited by ANSAP, Nurse who started an
episioraphy without proper training, A nurse
who practices circumcision without proper
training, Nurses who prescribe medications, and
Nurses who medically diagnose a patient.
Intentional Tort: 2 types Assault (ex: More on threatening a patient.
 Nurse na tinakot yung pasyente about a certain
procedure para makipag cooperate ito, A nurse
told the client that she will inject sedatives if he
does not cooperate) and
Battery (Gumawa ng procedure sa isang
pasyente without the clients consent. Ex: A
nurse forcibly opened the mouth of a pedia
patient and gave his medication)
 1. Citizen of the Philippines
2. Good Moral Character
3. Holder of BSN Degree (Complies with standard nursing education).

a. General average of at least 75% with a rating of not below 60% in any subject
b. If above 75% but with subject below 60%, must repeat that subject with a rating above 75%.
*** With 5 sets of exam, 100 items each set, with a time of 2 hours each: Test 1 (Funda,
NLM, and Research), Test 2 (CHN, Pedia, and OB), Test Tes t 3 (MS-Normal and Abnormal), Test
4 (MS more on Abnormal), and Test 5 (Psychiatric Nursing).
***NOTE: Ang NLM at Research! Lumalabas Test 1-Test 5. Bad trip! haha

Philippine Nursing Act: RA 9173

BON- Board of Nursing
Composed of a chairperson and 6 members
*** The board member of any professional organizations should always be composed of a group of an
add number: BON: 7, BOMedicine: 3, BOMidwifery 5: So there is someone who will always be a tie
breaker of any rules, regulations, and project that they are planning to implement.
Appointment: Nominating Body (PNA) = 21, Recommending
Recomme nding Body (PRC) = 15, and Appointing
Body (The President) = hanggang sa maging 7 nalang.
Term of office: 3 years but can be appointed again twice (equals 6 years)
Requirements: (A) immediately resign from any teaching
teac hing position in any institution offering BSN
and/or review program. (B) Immediately resign from any government or private employement (C) Not
having any pecuniary (“money matter”)
ma tter”) interest in, or administrative supervision in an y institution
offering BSN or review classes, ex: hindi pwedeng mag BON si Carl Balita at Gapus kasi may review
center sila at kung sino man na may ari ng isang nursing school, ay wow baka mag ka leakage bungga!.
Qualification: (A) Natural born citizen nd resident of the Philippines. (B) Member ng PNA. (C) RN
and a holder of a master’s degree in nursing, education and other allied sciences. (D) With 10 years
experience, and yung 5 years dapat sa Pinas (E) No conviction of any offense involving moral
turpitude BUT pwede pading tumakbo for BON ang isang tao na ACCUSE for ex: rape, murder and
etc. kasi accuse palang hindi pa naman napapatunayan pag convicted na sa isang crime yun ang bawal.
Kakaiba diba?! Pero need parin for investigation.
Duties (A) Conduct NLE (B) Issue of registration for the practice of nursing (C) ensure quality
education (D) promulgate code of ethics (E) issue regulations.
Ground for removal: Incompetence, Irregularities in the licensure (ex: yung nang yaring leakage dati
na nasibak yung BON that time), Immoral conduct and being unprofessional.

Qualifications of a Dean/Chief Nurse/Nurse Director: 5 years experience in teaching, MAN is

enough, BSN  RN, Qualifications of a Nurse Faculty
Qualifications of a Nursing faculty: Holder of Masters degree (same like on the BON), at least 1 year
experience, RN, Member of PNA.
 Compone
Components
nts:: N ormal Val ues
ues:

RBC (MALE) 4.5 – 6.2 million/mm3

Hct (MALE) 42 – 52%
Hgb (MALE) 14-16 g/dl
RBC (FEMALE) 4 – 5.5 million/mm3
Hct (FEMALE) 35 – 47%
Hgb (FEMALE) 12 -15 g/dl
WBC 5,000 – 10,000/mm3
PLATELET 150,000 – 450,000/mm3
PR Interval (sa PQRST ito ha) 0.12 - 0.20 seconds
Stroke Volume (q0.003 sec) 70 ml/seconds or 4-8,000/mins
S1 Lub
S2 Dub
S3 Lub Lub Dub (Ventri. Tachy.)
S4 Lub Dub Dub (Atrial Tachy. and cases of HPN)
Golden Period of Myocardial 2 – 6 hours
Infarction
International Normalized Ratio 1.5 – 2
(Prothrombin Time x given)
Loop Diuretics (ex: Furosemide) K+ Wasters
Thiazides For Renal Failure ( K+wasters)
K+ Sparer’s Aldactone, Spironolactonesrs
Osmotic Diuretic Mannitol
Troponin I – most sensitive Rises in 3-6hrs – last for 14-21 days
Troponin T Rises in 3-6hrs – last for 5-7 days
Myoglobulin – earliest to increase Rises in 30mins – last for 2 hrs
CK-MB Rises in 3-6hrs – last for 3-5 days
Angina Nitroglycerine agad! Dilates coronary
arteries, for good myocardial perfusion.
Sublingual kasi faster ang action: q5 mins
for 3 consecutive order kung may pain
rd
parin after 15 (taking the 3 dose) baka MI
na walang kwenta ang Nitroglycerin sa
MI.
Wag painumin ng tubig for a moment!
MI Morphine agad: Antidote
Narcan/Naloxoine
 ABG: Arterial Blood Gas
Done by a doctor and/or trained Medtech
Before blood extraction ALLEN’s TEST should be done.
In allen’s test, the ulnar aretery is being check for its patency hindi ang radial
artery!
pH 7.35 – 7.45
pCO2 35 - 45
HCO3 22 - 26
pO2/PaO2 80 – 100 mmHg
O2 Saturation 95 – 100%
1 normal Uncompensated
Uncompensated
Abnormal lahat Partially compensated
pH normal – 2 abnormal Fully compensated
Remember R.O.M.E. = Respiratory Opposite and Respiratory Equal sa pH.

DM Diet
CHO 50% / 4 kcal/g
CHON 20% / 4 kcal/g
HCHO 30% / 9 kcal/g
Simple sugar: example candies, Complex CHO:
chocolates, orange juice increases blood Ex: loaf of bread, potato, and rice
glucose immediately but blood sugar increases blood sugar slowly but blood
may decrease below normal that fast. sugar remains normal for a long period
Need for a patient
patient whose experiencing
experiencing of time. (Foods na commonly walang
hypoglycemia added sugar or lasa)
***DM type/classification
a. Somogyi Dec. Blood Glucose @ 2- Increase BG @ 6-8am Management: Need
4am evening snack
Need regular insulin
b.Dawn NO decrease on BG @ 2- Increase BG at 6-8am Need regular insulin
phenomenon 4am
c. Wanning 8pm-8am blood glucose  Slowly increases Need regular insulin
Fasting Blood Sugar (Fasting for 8 70 – 110 mg/dl (NORMAL)
hours)
DM na! >140 mg/dl for 2 readings
DM – RDA 2,000 – 2,200 kcal
Test FBS, 2 Post Pradial BS, and OGTT
ᵒ
 st nd
Clear 1 – Cloudy 2 (Insulin!) Para 1.5 inches (Spaces) kasi diba rotation ang
hindi ma-contaminate insulin administration sa DM patients to
prevent fat wasting.
wasting.
* * * I N S U L I N – Rapid Acting Onset: 30mins-1 , Peak: 2-4 , Duration: 6-8
ᵒ ᵒ ᵒ

Intermediate Acting O: 1-2 , P: 6-8 , D: 18-24

ᵒ ᵒ ᵒ

Long Acting O: 3-4 , P: 16-20 , D: 30-36

ᵒ ᵒ ᵒ

AST (SG T) more on the heart 10 – 40 units

ALT (SGPT) more on liver 5 – 35 units
LDH (Lactic Dehydrogenase) 100 – 200 units
Serum Albumin 3.5 – 5.5 meq/L
Ammonia Level 150 - 250 mg/dl
Serum Bilirubin (DIRECT) 0.1 – 0.2 mg/dl
Serum Bilirubin (INDIRECT) 0.2 – 0.8 mg/dl
Total serum bilirubin 0.3 – 1.0 mg/dl
Prothrombin Time 12 – 16 sec.

Creatinine clearance is definite than BUN in checking kidney function.

fun ction. Because
Blood Urea Nitrogen can be affected by increase level of ammonia in the body
secondary to protein metabolism!
Creatinine (MALE) Urine 98 – 138 ml
Creatinine (FEMALE) Urine 88 – 128 ml
Urine Specific Gravity 1.010 – 1.025
Intra Ocular Pressure 10 – 20 mmHg
Crystalloid (Shock) NSS, PLR (for acidosis), Hypertonic
Colloid (Shock) Albumin, Synthetic (Dextran, Hetastrach:
Dec. platelet)
Blood Trans. (Shock) Fresh whole blood
P -wave Atrial Deporalization 0.04 – 0.11 secs.
PR Interval Atrial Deporalization (0.12-0.20 secs.)
QRS Ventricular Deporalization (0.08-0.12
secs.)
T-wave Ventricular Reporalization
Q-T Interval 0.30 – 0.40 secs.
Heart Rates: 1500 method Divide 1500 by the no. of small squares between
two consecutive QRS complexes
 R-R method (Heavy dark line) 300, 150, 100, 75, 60, 50, 40
6-second method Count the no. of QRS complexes in 6 secs. Strip
and multiply by 10
Epinephrine 1 mg IVP q3-5 mins
Nitro 3x q5mins
Atrophine 1 or 3mg IVP q3-5 mins

LOC – Alert Responds fully and appropriately to stimuli

Lethargic Drowsy, responds to questions then fall asleep
Obtunted Open eyes, responds slowly , confused
Stuporous Arouses from sleep only after painful stimuli
Semi-Comatose
Semi-Comatose Intact reflexes
Comatose Unarguable with eyes closed

Electrolytes
Na (-) 135 – 145 mEq/L
K(+) 3.5 – 4.5 mEq/L
Chloride 95 – 105 mEq/L
Ca 8.5 – 10.5 mg/dl
Mg 1.5 – 2.5 mEq/L
Phosporus. 1.8 – 2.6 mEq/L
Bicarbonate 280 – 300 mEq/L
Serum Osmolality 280 – 300 mOm/kg Water

Vaccination for pregnancy

TT Vaccine – TT1 Anytime during Pregnancy
st
TT2 4 weeks after 1 dose
TT3 After 6 mos.
TT4 After 1 yr
TT5 After 1 yr
***Note: Ang buntis dapat naka dalawang TT na bago manganak (I mean yung TT
shots, Hahaha!) Yung TT3, 4 and 5 serves as boaster shots. So, dapat to be assert na
fully TT immunized ka na dapat may 5 TT shots ka, at 3 dun ang boaster shots.

n
Vit. A (Pregnancy) 10,000 IU/ 2 Tri – twice a month
GCS 15 Ok
 Mild 13 – 14
Moderate 9
Severe < 8 (<7 Comatose)
CSF (CHON) Normal: 15 to 60 (>60 Damage)
CK-MM 5-70 U/L

Heart Beat - SA node 60-100 bpm

AV node 40-59 bpm
Bundle of His 25-39 bpm
Purkinje Fiber 15-24 bpm
ANGINA and MI (affected by 4 E’s) Eating, Envi., Emotional stress, Exercise
Pain 1-4 (mild), 5-7 (mod.), 8-10 (sev.)
Ang Pain scale na 3 requires nursing action na yan!
Angina < 15 mins ang PAIN. Relieve MI > 15 mins (PAIN)
by nitroglycerine and/or Rest Hindi na re-relieve ng O2, Nitroglycerine,
and Rest
Neurovascular Damage
Damage (7 P’s) Pain, Pallor, Pulse, Poikilothermia (cold to
touch, ah yun
yun pala yun!),
yun!), Paresthesia, Paralysis,
Poor Capillary Refill

Needle sizes and route

ID 3/8 , 5/8 Gauge 26-27 10-15 ᵒ

SQ 5/8 , ½ G 24-25 45-90 ᵒ

IM ½ , 1 1/2 Child G22 G23 90 - Z

ᵒ

Adult G20 G21

GI System!
GI pH <4
Enema 3-4 inches (Introduce) / 12-18 inches (height)
TPN: Cycling up (Decreases) 24, 20, 16, 12 (hour)
TPN: Cycling Down (Increases) aka 12, 16, 20, 24 (hour)
Weaning
Du odenal
odenal Ul cer
cer Gastr
Gastr ic Ul cer
cer
Males, 30-60, 80% PUD >50 y.o., M=F, 15-20% PUD
2-3 hrs after meal, AM pain, ok food ½-1 hr after meal, Bad with food
Uncommon vomiting, Melena>Hema.
Melena>Hema. Vomiting common, Hema.>Melena
Weight Gain Weight Loss
 ANTACIDS – Mg (OH) p.c.  Mg (MAG TATAE) Side effect Diarrhea
Al (OH) p.c.  Al (ALA TAE) Side effect Constipation
a.c. 30-60 mins Cytoprotective agents / coat ulcers
Ex: Sucralfate (Carafate), Misoprotol (Cytotec), Bismuth (Pepto bismol)
bis mol)
a.c. 30-60 mins Proton pump inhibitor (-prazole)
With meals (NO OTHER DRUGS!)
*H2 Receptor Antagonist (-tidine)
KIDNEYS - Serum Creatinine 0.5 – 1.5 mg/dl (24 collection)
ᵒ

Alkaline stones: Acid Ash Diet Meat/Poultry, Crun. Juice, Pruns, Plums
Acid Stone: Alkaline Ash Diet Fruits/Veg., Pineapple, apple juice, milk
EYE - Drops 3% absorption
Ointment 7-10% absorption
Silver Nitrate 1%
Lacrimal duct pressure while on an 1-3 mins. (45-60 secs.)
eye drop
Manifestations: Halo-rainbow,
Halo-rainbow, cardio dse, med.
emer., sudden eye pain
GLUCOMA – Closed-Acute Glaucoma
Management: Irridectomy (Iris remove),
Irritotomy.
Manifestations: 90% loss of peripheral vision
(like hemi anopsia), painless.
GLUCOMA – Open-Chronic Glaucoma Management: Trabeculoplasty
Trabeculoplasty (Trabecula- from
which ocular fluid is absorbed),
Trabeculolectomy.