SCOPE OF 2009 JUNE NLE

Scope of Examination
The scope of the examination for the practice of nursing in the Philippines shall be determined by the Board.
Nursing Practice I
1. Personal and Professional Growth and Development
a. Historical perspectices in nursing
b. Nursing as a profession
c. Theoretical foundation of nursing applied in health care situations
d. Continuing professional education
e. Professional organizations in nursing
f. The nurse in health care
1. Eleven key areas of responsibilities
2. Fields of Nursing
3. Roles and Functions
2. Safe and Quality Care
a. The nursing process
b. Basic nursing skills
1. Admission and discharge
2. Vital signs
3. Physical examination and assessment
4. Administration of medications
5. Asepsis and infection control
6. First aid measures
7. Wound care
8. Peri-operative care
9. Post-mortem care

c. Measures to meet physiologic needs
1. Oxygenation
2. Nutrition
3. Activity, rest and sleep
4. Fluid and electrolyte balance
5. Urinary elimination
6. Bowel elimination
7. Safety, comfort and hygiene
8. Mobility and immobility
3. Health Education
a. Teaching and learning principles in the care of clients
b. Health education in all levels of care
c. Discharge planning
4. Ethico-Moral Responsibility
a. Bioethical principles
1. Beneficence
2. Non-maleficence
3. Justice
4. Autonomy
5. Stewardship
6. Truth telling
7. Confidentiality
8. Privacy
9. Informed consent
b. Patients' Bill of Rights
c. Code of Ethics in Nursing
5. Legal Responsibility
a. Legal aspects in the practice of nursing
b. The Philippine Nursing Law of 2002 (RA 9173)
c. Related laws affecting the practice of nursing
6. Management of Environment and Resources
a. Theories and principles of management
b. Nursing administration and management
c. Theories, principles and styles of leadership
d. Concepts and principles of organization
e. Patient care classification
f. Nursing care systems
g. Delegation and accountability
7. Records Management
a. Anecdotal report
b. Incidence report
c. Memorandum
d. Hospital manual
e. Documentation
f. Endorsement and end-shift report
g. Referral
8. Quality Improvement
a. Standards of nursing practice
b. Nursing audit
c. Accreditation/certification in nursing practice
d. Quality assurance
9. Research
a. Problem identification
b. Ethics and science research
c. The scientific process
d. Research process
e. Research designs and methodology
1. Qualitative
2. Quantitative
10. Communication
a. Dynamics of communication
b. Nurse-client relationship
c. Professional-professional relationship
d. Therapeutic use of self
e. Use of information technology
11. Collaboration and Teamwork
a. Networking
b. Inter-agency partnership
c. Teamwork strategies
d. Nursing and partnership with other professions and agencies
Nursing Practice II
Theories, principles and processes in the care of individuals, families, groups and communities to promote health and prevent illness and alleviate pain and discomfort, utilizing the nursing process as framework. This includes the high risk and at-risk mothers, children and families during the various stages of the life cycle.
Community Health Nursing
I. Safe and quality care, health education and communication, collaboration and teamwork
a. Principles and standards of CHN
b. Levels of care
c. Types of clientele
d. Health care delivery system
e. Primary health care as a strategy
f. Family-based nursing services/community health nursing process
g. Population group-based nursing services
h. Community-based nursing services/community health nursing process
i. Community organizing
j. Public health programs
II. Research and quality improvement
a. Research in the community
b. National health situation
c. Vital statistics
d. Epidemiology
e. Demographics
III. Management of resources and environment and records management
a. Field health services and information system
b. Target setting
c. Environmental sanitation
IV. Ethico-moral-legal responsibility
a. Socio-cultural values, beliefs and practices of individuals, families, groups and communities
b. Code of ethics for government workers
c. World Health Organization, Department of Health, Local Government Units policies on health
d. Local government code
e. Issues
V. Personal and professional development
a. Self-assessment of CHN competencies, importance, methods and tools
b. Strategies and methods of updating one's self-enhancing competence in community health nursing and related areas
c. Environmental sanitation
Maternal and Child Nursing
I. Safe and quality care, health education and communication, collaboration and teamwork
a. Principles and theories of growth and development
b. Nursing care in the different stages of growth and development
1. Nutrition
2. Safety
3. Language development
4. Discipline
5. Play
6. Immunization
7. Anticipatory guidance
8. Values formation
c. Human sexuality and reproduction including family planning
d. Nursing care of women during normal labor, delivery and postpartum
e. Nursing care of the newborn
1. APGAR scoring
2. Newborn screening
3. Maintenance of body processes (oxygenation, temperature, etc.)
f. Nursing care of women with complications of pregnancy, labor, delivery and postpartum period (high-risk conditions)
g. Nursing care of high-risk newborn
1. Prematurity
2. Congenital defects
3. Infections
II. Research and quality improvement
a. Fertility statistics
b. Infant morbidity and mortality
c. Maternal mortality
d. Standards of maternal and child nursing practice
III. Ethico-moral-legal responsibility
a. Socio-cultural values, beliefs and practice of individuals and families related to MCN.
b. World Health Organization, Department of Health, Local Government Units policies on health of women and children
c. Family Code
d. Child and youth welfare code
e. Issues related to MCN
IV. Personal and professional development
a. Self-assessment of MCN competencies, importance, methods and tools.
b. Strategies and methods of updating one's self enhancing competencies in MCN and related areas.
Nursing Practice III, IV and V
Theories, concepts, principles and processes in the care of clients with altered health patterns, utilizing the nursing process and integrating key areas of nursing competencies.
I. Safe and quality care, health education, management of environment and resources in quality management
Test III
a. Client in pain
b. Perioperative pain
c. Alterations in human functioning
1. Disturbances in oxygenation
2. Disturbances in metabolic and endocrine functioning
3. Disturbances in elimination
Test IV
d. Alterations in human functioning
1. Disturbances in fluids and electrolytes
2. Inflammatory and infectious disturbances
3. Disturbances in immunlogic functioning
4. Disturbances in cellular functioning
e. Client in biologic crisis
f. Emergency and disaster nursing
Test V
g. Disturbances in perception and coordination
1. Neurologic disorders
2. Sensory disorders
3. Musculo-skeletal disorders
4. Degenerative disorders
h. Maladaptive patterns of behavior
1. Anxiety response and anxiety-related disorders
2. Psychophysiologic responses, somatoform and sleep disorders
3. Abuse and violence
4. Emotional responses and mood disorders
5. Schizophrenia and other psychotic and mood disorders
6. Social responses and personality disorders
7. Substance-related disorders
8. Eating disorders
9. Sexual disoders
10. Emotional disorders of infant, children and adolescents
i. Nurse-client relationship
j. Continuing education
II. Personal and professional development
a. Team approach
b. Referral
c. Network/linkage
d. Therapeutic communication
III. Communication, collaboration and teamwork
a. Confidentiality
b. Clients' rights
1. Informed consent
2. Refusal to take meds, treatments and admission procedures
c. Nurses' accountability
d. Documentation/charting
e. Culture sensitivity
IV. Ethico-moral-legal responsibility
What to Bring on Examination Day
• Notice of Admission
• Application Stub
• PRC Official Receipt
• Two or more pencils (No. 2)
• Ballpens with black ink only
• One (1) piece of metered-stamp window envelope
• One (1) piece of transparent (non-colored) plastic envelope (to keep above items)
What to Wear on Examination Day
• Males - school uniform/white polo shirt or t-shirt (tucked in)
• Females - school uniform/white blouse or t-shirt
List of Allowed Calculators
Examinees shall be allowed to bring in and use only any of the following calculators that were identified as non-programmable: