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10 TIPS for the NLE 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 the 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” of “NOT” or
“INAPPROPRIATE”
5. Use your questioners as you 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 shade, you will FAIL the boards because
of technicalities.
7. In your NP I, Remember to master these topics: The levels of prevention, 3 way bottle system, Chest Physiotherapy
and Postural drainage, Nursing process, Managerial process, Managerial leadership style, Patterns of Nursing Care,
Knowing your Independent and Dependent variable, The exact arrangement of the research process as well as
research design (qualitative and quantitative), RA 9173, The PRC and BON Power and responsibilities as stipulated
in RA 9173, The nurse’s code of ethics, Nursing ethical principles like your beneficence, non maleficence,
prudence, justice, etc. Delegation and prioritization ( Staff nurse will report to headnurse and then supervisor)
Therapeutic communication, always answer “ You seem afraid or upset” The complications of Immobility like your
atelectasis, pneumonia and deep vein thrombosis and also your crimes related to nursing and the circumstances of
the crimes, Blood transfusion ( Blood is never routinely warmed) and IV Fluids and your IV Therapy, which are
isotonic, hypo, and hypertonic, the complications associated with IV therapy like Phlebities and Infiltration.
8. In Your NP II, Remember the following: Stages of labor, the causes of bleeding during pregnancy in the first,
second and third trimester, Anesthesia during labor and interventions when the client is in PACU, IMCI Pneumonia,
Diarrhea, Malaria and Measles especially the breathing cut off according to age (EG. 60 for under 2 months),
Acute/Chronic cut off (Acute diarrhea and ear infection under 14 days) The interventions for CHILD A, B, and C,
The world health organization programs, Breastfeeding and Attachment, Heat loss of neonates, Characteristics of
toddlers in communicating ( Negativistic, Give option, Asking too many questions). Leukemia and others
hematologic diseases of the child, Newborn screening and the different diagnostic examinations for the female client
and neonate especially you Amoniocentesis, Sonogram and Leopold’s maneuver. Study Pregnancy induced
hypertension.
9. In you III and IV, Master the following topics: Burns, Classification of Burns and Nursing Diagnosis for Burns,
Drug use in Burns (Silver Sulfadiazine) Electrolyte changes in burn (Hyperkalemia, Hyponatremia). The WHO Pain
ladder scale, Pain medications especially Demerol, Morphine, Pancreatitis, Cholecyctitis, Hepatitis, Diabetes
Mellitus, Hyperkalemia, Hypokalemia, Hypo and Hypercalemia ECG Changes in your fluid and electrolyte
imbalances As well as in you Myocardial Infractions, Pharmacologic and Non Pharmacologic pain medications,
HIV/AIDS Psychological management, Pneumonia, Tuberculosis and care of client’s with colostomy. Study
preoperative nursing and the complications following anesthesia, PACU Monitoring, Activities in the operating
room, the asceptics techniques, and the functions of a scrub and circulating nurse. Diabetes Mellitus type 1, insulin
administration and monitoring for hypoglycemia, S/S of hypoglycemia, hypothyroidism, PTU, Lugol’s Tapazole?
Methmazole, Acute and chronic renal failure, Dialysis, AGN, Rheumatoid and Ostearthritis, Bell’s palsy and
Trigeminal neuralgia, Leukemia and Hematologic disorders especially Anemia. Blood transfusion reaction and the
nursing actions during blood transfusion reaction. Anticancer drugs especially Oncovin, Predisone, Adriamysin, and
Cytoxan. 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, Procotosigmoiddoscopy, Biopsy, Pap smear.
10. In your TEST V study the following: Anxiety and anxiety disorders, the level of anxiety and you anoxiolytics,
Schizophrenia: Paranoid type and Catatonic type and your nursing interventions for these clients as well as your
priority nursing diagnosis. 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. Electro convulsive therapy, thought process disturbance manifestation such as Clang
Association, Pressured speech, Thought blocking, Word salad, perseveration etc.. Alteration in perception and
thought like hallucination and delusion (Eg. Religious and persecutory). Activities and diet as well as nursing
diagnosis for client with Mania, depressed and Alzheimer/Dementia patient, Eating disorders and the treatments of
choice (behavior therapy for anorexia, psychotherapy for PDs, Cognitive for depression) always answer “STAY
WITHIN 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.

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 Trigeminal
Neuralgia. Meniere’s disease, Delirium, Dementia, CVA/Stroke pathophysiology and factors.