What's new in August 20–31, 2026

One hundred and twenty-five questions had their explanations reworded to drop four habits of ours. We used to call a wrong choice defensible, or a red herring, or the look-alike option, and we used to rank the wrong choices against one another. We checked seventy-four review PDFs from the reviewers our students actually read and did not find any of those words in any of them, so this was our vocabulary rather than the exam's. Each of these explanations now grants what is genuinely right about a wrong choice and then names the fact that rules it out, in the same clinical words the choice itself uses. The rewrite covered one hundred and three regular questions and twenty-two select-all questions across seventy-nine subtopics. Two of them also changed in a way you can see on screen: a community health question now asks which explanation is least likely rather than least defensible, and one nursing research choice now reads justifiable rather than defensible. Three questions keep the word defensible on purpose, because there it describes a patient record that has to hold up in a legal proceeding, which is the term nurses are actually taught. Questions, choices and answer keys are otherwise unchanged, so every result you have already recorded still stands.

While rewriting those explanations we found a fact that was wrong and corrected it. One explanation called candidiasis and trichomoniasis the two most common vaginal infections. Bacterial vaginosis is far more common than trichomoniasis, which is in fact the least common of the three, so that claim is gone and the explanation now stops at the point it was teaching: fluconazole treats the yeast infection and leaves trichomoniasis untreated. A second explanation described a condition as common in one client, which now reads common in the population, because that is what the word means.

If you bought one of the official plans, the gold badge next to your name on the Profile page still said Beta, as if you were on the old founding pass. It now names the plan you actually hold, whether that is the 1-Month Plan, the 2-Month Plan, the 1-Year Plan, or Beta. This was a label mix-up only: your access, plan length and expiry date were always correct, and the Membership section further down the same page already showed the right plan.

Three hundred and fifty of our select-all questions, the ones where the stem lists numbered statements and the choices are combinations like "A. 1, 2 and 3", now carry rewritten explanations. These used to close by telling you which wrong statement was the most tempting, or the hardest to dismiss, or the closest competitor. That commentary described how an answer felt rather than what was true about it, and it is now gone from every one of them. In its place the statement itself carries the concession: the explanation grants what is genuinely right about a wrong statement and then names the fact in the scenario that rules it out. Warm soaks really are a caring measure for a hot, swollen joint, but pus under pressure in a joint space is removed by drainage, and that is the sentence you now read instead of a ranking. Clinical ranking stays, because it is real nursing content: an explanation may still tell you which of four problems is the most urgent, or which of three signs appears earliest. The rewrite covered three hundred and fifty questions across one hundred and thirty-three subtopics. Questions, statements, choices and answer keys are unchanged, so every result you have already recorded still stands.

A practice question you had already answered could come back the next day as though you had never seen it. This happened when the grading of your last answer reached us but its reply never made it back to your phone, for example when the connection dropped or the tab was closed at that exact moment. Your answer was always saved. What fell behind was the session's own progress marker, and because the question was served again, answering it a second time used up one of that day's ten free questions, leaving nine. Progress is now recorded in the same step as the answer itself, so the two can no longer disagree, and any session left in that state is repaired the moment you next open Practice.

Five practice questions were revised after student reports this week. The flooded-barangay tetanus question now states the residents' immunization history, so choosing between a toxoid booster and tetanus immune globulin turns on the guideline rather than on a missing fact, and its explanation now teaches the rule for an incomplete or unknown vaccine history. The oxygen saturation question that lists SvO2 and P50 among its reference values now defines both terms right where they appear, so they no longer read like misprints of SpO2. The serum osmolality question now teaches the normal range, approximately 275 to 295 mOsm/kg, inside its explanation. And the oxytocin question with abrupt fetal heart rate drops was reworded so the infusion is already stopped in the scenario, which makes the next action unambiguous; its explanation now walks through both sequences, and the neighboring question in the same case was aligned to match. Answer keys are unchanged, so every result you have already recorded still stands.

On page 14 of the Anatomy and Physiology cram sheet, the bone mass chart's peak label was printing on top of the grey subtitle, and the menopause label ran off the edge of the chart. The page was rebuilt so every label sits in its own clear space. Nothing else on the sheet moved, so your highlights and notes stay exactly where you drew them.

The Intrapartum sheet's fetal monitoring section now matches the intervention to the deceleration type. The resuscitation steps on page 16 used to list stopping the oxytocin first for every abnormal pattern; they now lead with the position change for variable decelerations, because turning the mother is what relieves the cord compression causing the drops, while stopping the infusion remains the first move for late decelerations and whenever oxytocin is driving the pattern. This follows the 2025 ACOG monitoring guideline and matches the sheet's own pattern table. If you had marked up the previous version, your highlights and notes are safe on that edition, one tap away behind the clock icon in the top bar.

All one hundred and twenty-five of our Integrated Management of Childhood Illness questions now carry rewritten answer explanations, so the whole topic reads the same way from the first question to the last. They cover the general danger signs, cough and difficult breathing, diarrhea and the rehydration plans, fever including malaria, measles and dengue, ear problems, nutrition and anemia, the sick young infant chart, immunization, counselling the mother, and follow-up visits. The clearest change is length: ninety-four of these one hundred and twenty-five explanations contained at least one sentence longer than thirty words, the longest of them running to fifty-eight, and none of them do now. The longest sentence anywhere in the topic is twenty-seven words. Each explanation leads with why the correct answer is correct, states the principle you can carry into similar questions, and works through every choice in plain clinical language instead of commentary about which option looks tempting. Where the current WHO and DOH chart differs from older Philippine review material, the explanation names the difference rather than leaving you to guess which version we mean, and the young infant chart is kept distinct from the chart for children two months and older wherever the two disagree. Questions, choices and answer keys are unchanged, so every result you have already recorded still stands. Every rewrite passed the automated checks and was then read by reviewers who had not written it, and each round of corrections was itself re-read before anything went live.

When you rebuild or reset your study plan, BoardPal never schedules a mock board you have already fully taken; your next new benchmark takes its place, and once every board is done a reset lines up a fresh round of all five. That rule was always there, but nothing on screen said so, and a new plan that opened at Mock Board 2 could read like it had started you in the wrong place. Now the moment a new plan is ready, the confirmation names the boards you have already finished and where your plan continues, and the schedule page keeps a matching line above your calendar for as long as the plan runs. The same goes for a board you had taken halfway: when your new plan includes that board, it schedules only the day you have not taken yet, and both the note above the calendar and the entry itself now say which day is already banked, with a "Day 1 done" check on the remaining half. Finished boards can always be retaken from the Mock Boards page, as many times as you like, and every attempt keeps its own score.

BoardPal teaches the current WHO and DOH IMCI chart: a calm child aged two months up to five years who has chest indrawing but no general danger sign and no stridor is classified as pneumonia and treated with oral amoxicillin at the health facility, with follow-up in three days, rather than referred to hospital automatically. Referral belongs to a general danger sign or stridor, to young infants under two months with severe chest indrawing, and to a child who is no better at follow-up. Many older Philippine review materials still teach the earlier chart, which graded chest indrawing as severe pneumonia needing urgent referral, and our explanations name that older position wherever the difference matters so it cannot surprise you on exam day. During a review we re-checked every place chest indrawing appears across our questions, flashcards, case situations and cram sheets, twenty-three in all, against the WHO chart booklet itself. Twenty-two already followed the current chart; one primary health care question still assumed the older referral pathway in one of its choices, and that wording and its matching explanation line were corrected. Answer keys are unchanged, so every result you have already recorded still stands.

Forty-three more of the most-practiced community health questions now carry rewritten answer explanations. They cover primary health care, the community health nursing and family nursing process, the referral system, health records and reporting, disaster nursing in the community, community mental health, school and occupational health, and epidemiology. Thirty-eight of these forty-three contained at least one sentence longer than thirty words, and none of them do now. The longest sentence anywhere in the batch is twenty-seven words. Each explanation leads with why the correct answer is correct, gives the principle you can carry into similar questions, and works through every choice in plain clinical language instead of commentary about which option looks tempting. Questions, choices and answer keys are unchanged, so every result you have already recorded still stands. This batch went through four separate rounds of review rather than the usual two, because every round of corrections was itself re-read by someone who had not made those corrections, and the later rounds kept finding things worth fixing.

You can now study your cram sheets with recall tape, the way many of you use a bookmark or your hand on paper notes. Open any sheet in Resources, open the annotation tools, and pick the new tape tool next to the highlighter. Drag across a line and an opaque strip covers it; tap the tape to peek underneath, tap it again to cover it back up. Your tapes are saved to your account like your highlights and notes, so a page you set up for self-testing is waiting for you on every device, every visit. A revealed tape shows a small circle you can tap to remove it, undo works as usual, and every tape starts covered again the next time you open the sheet, ready for another round of recall. This was a student suggestion, and a very good one.

A full mock board sits on your study plan as two entries, Day 1 (NP1 to NP3) and Day 2 (NP4 to NP5), and the second entry stays unchecked until you finish its own sections. That could look like your finished Day 1 was not counted, so the pending entry now shows a small "Day 1 done" check when you have already completed the other half, and tapping it spells out which sections are already saved and which ones that entry still covers. Your results were always recorded either way; this just makes it visible at a glance.

A further two hundred of the most-practiced questions now carry rewritten answer explanations, on top of the two hundred rewritten earlier today. They cover community health nursing and family nursing, referrals and health records, nutrition programs, immunization, school and occupational health, maternal and child health, primary health care, health laws and financing, nursing process and prioritization, vital signs, leadership, and a spread of medical, surgical and mental health topics. The clearest change is length: one hundred and fifty one of these two hundred explanations contained at least one sentence longer than thirty words, and none of them do now. Each explanation leads with why the correct answer is correct, states the principle you can carry into similar questions, and works through every choice in plain clinical language rather than commentary about which option looks tempting. Questions, choices and answer keys are unchanged, so every result you have already recorded still stands. Every rewrite passed the automated checks and was read by reviewers who had not written it, and wherever a reviewer changed something, a further reviewer who had not seen that change read the item again before it went live.

Two hundred of the most-practiced questions now carry rewritten answer explanations. They span community health and family nursing, prioritization, health programs and laws, communicable disease and disaster nursing, basic needs and vital signs, growth and development, and mental health. Each explanation now leads with why the correct answer is correct, states the principle you can carry into similar questions, and walks through every choice in plain language instead of test-taking commentary. Questions, choices, and answer keys are unchanged, so every result you have already recorded still stands. Every rewrite passed automated checks and at least two independent review passes before going live on August 30.

Sixty-eight questions across the seven respiratory practice sets were rewritten after one of you told us they were too easy, and the numbers agreed: nine out of ten students were getting each of these right on the first try. They cover collapsed lungs, chest injuries and chest tubes; asthma; COPD; pneumonia; pulmonary embolism and pulmonary hypertension; the upper airway; and ARDS. The wrong choices now look as right as the correct one and are wrong for a reason the explanation names, the way the real board writes them. While rewriting, every fact was re-checked at the source, from drug labels to current treatment guidelines, and nineteen small factual repairs were made along the way. Answer keys are unchanged, so every result you have already recorded still stands. The rewritten questions have been live since August 26.

Twenty-two questions had their explanations corrected or sharpened after every disputed fact behind them was checked against the primary source — the law text, the official guideline, or the published study. Among the fixes: two questions used to teach opposite sides on which jugular vein a turned head pinches (ultrasound studies show it is the vein on the side the face turns toward, and pressure inside the skull rises whichever way the head turns, which is why the midline position is the answer); a missed-pill explanation now says the seven days of backup follow from missing two tablets, not from where in the pack the miss fell; an ECT explanation now matches the guideline wording that improvement usually appears within the first week of treatments; and a refeeding explanation now traces the confusion to the brain being starved of phosphate. Every correct answer and every question is exactly as it was — only explanations changed.

Two of those questions also had an answer choice reworded so it can only be answered for the right reason: the sucking-chest-wound choices now say "occlusive dressing", naming the airtight material that makes the three-sided taping work, and an adolescent-screening choice now reads "routine scanning of all students for low bone density" without a bundled calcium clause that muddied why it was the odd one out. The correct letters are unchanged.

Every select-all question in the bank — the ones that list numbered statements and ask you to pick the right combination — has been reworded to match real PNLE phrasing. They used to end with a sentence about the answer options themselves: "Which option lists all of the correct statements and none of the incorrect ones?" That is not how the board asks, so it is gone. Each question now simply asks the clinical question and names what you are judging the statements against, for example "Which findings point to early hemorrhage and hypovolemic shock?" or "Which instructions on food and water handling prevent spread within the household?" A handful of questions that carried the American NCLEX phrase "select all that apply" were reworded too, since that wording never appears on the Philippine board. The numbered statements, the answer choices, and the correct answers are all completely unchanged — only the question line was rewritten, and every one was read and checked before going live.

A follow-up pass tightened 39 select-all questions that were already in board phrasing but where a second combination could still be argued — usually a too-big combination carrying one extra statement. Each question line now names what the statements are judged against sharply enough that only the keyed combination fits, and every rewrite was independently double-checked against the statements before going live. The numbered statements, the answer choices, and the correct answers are unchanged.

The select-all block of our rationale-clarity rewrite is live: 200 practice questions — 172 in the PNLE combination format and 28 multiple-choice, with more than 43,000 recorded answers between them — now open with the answer in plain clinical terms and teach the principle that decides it. On the combination items, every numbered statement gets its own line, labelled Correct or Wrong, with its own reason, so you can see exactly which statement cost you the point. Two long-standing clinical points were corrected along the way: after an IV drug leaks into tissue, the choice of a warm or cold compress now follows the drug involved, and dysfunctional labor is taught against all five Ps. Every rewrite was checked line-by-line against the original so no dose, statute, or clinical fact was lost, then read end-to-end through five rounds of independent review before going live. In this update only the explanations changed; the numbered statements, answer choices, and answer keys are untouched.

The final block of our rationale-clarity rewrite is live: 180 of the most-answered multiple-choice questions in the bank — about 29,000 recorded answers between them — now open with the answer in plain clinical terms, teach the principle that decides it, and explain every option on its own merits. The old habit of ranking which wrong answer comes closest is gone from all of them. Every rewrite was checked line-by-line against the original so no dose, statute, or clinical fact was lost, then read end-to-end by independent reviewers before going live. No question text, options, or answer keys changed — only the explanations. With this block, every high-traffic multiple-choice question in the bank carries the new-style rationale.

We added 102 brand-new practice questions to 20 topics that had fewer questions than the rest of the bank. The biggest gains went to Oral, Esophageal & Gastric Disorders (26 new), School & Occupational Health Nursing, and Trauma-Related Disorders. Every question was written fresh with a full rationale, and all of them are already live in your practice pool and topic drills.

The flashcards FAQ on the Help page now spells out the two ways to redo cards: the Undo button walks back a mis-tapped rating, and every deck page has a "Start this deck over" button when you want a completely fresh start on that deck.

A new Anatomy and Physiology cram sheet is on the Foundations shelf in Resources: 41 pages, 30 illustrations. It is the sheet for every question that quietly assumes you already know the body. The direction words and body regions a stem uses to point at a part, homeostasis and the feedback loop every control system is built from, the cell and what crosses its membrane, the four tissues, skin and bone and muscle, the nerve impulse and the autonomic split, how a hormone gives an order, blood and the route through the heart, then breathing, digesting, filtering and reproducing. It closes with a 55-row table that takes a finding and names the structure behind it, and a Philippine section on where our own cut-offs differ from the Western ones, starting with the BMI bands the DOH actually uses. It exists because a subscriber asked whether an anaphy sheet would ever be made.

Our Terms of Service and Return & Refund Policy were written back when BoardPal was in beta, and they still described that era's payment flow: a beta pass paid by uploading a GCash receipt and verified by hand. Paying has not worked that way since the current plans launched in July — you pay on a secure PayMongo checkout and your access unlocks automatically within seconds. Both pages now describe the checkout you actually use. Nothing about your plan, your price, or your refund rights has changed.

The Plans & Pricing page used to pin its "Your plan" badge on the founding Beta card for every member, whichever plan you had actually bought — so someone who had just paid for the 1-Year Plan could open the page and see "Beta access · 2 months" presented as theirs. The badge now marks the plan you really own, and the heading names your plan together with the exact date your access runs through. If this page ever made you doubt what you paid for: your subscription itself was always recorded correctly — only this label was wrong.

Your display name still changes only once every 30 days, because it renames you on every leaderboard result you have ever posted. What has changed is what happens when you get it wrong. You now get 15 minutes after a change to correct it. The box stays editable for that whole time and tells you how many minutes are left, so a slip of the finger is something you fix in a moment instead of something you live with until next month. Correcting the name inside those 15 minutes does not restart the 30 day clock, so the correction costs you nothing. This came from a student who was scrolling the Account page with a stylus, scribbled into the name box by accident, and saved it before noticing.

There is a new cram sheet in your Resources library, Psychopathology B, and it covers the half of psychiatric nursing that Psychopathology A did not. Schizophrenia is taken from the premorbid years through the prodrome, the acute phase and the residual phase, with positive and negative symptoms set side by side so you can see which half the medicine actually fixes and which half is the reason somebody cannot hold a job. Brief psychotic disorder, schizophreniform disorder and schizophrenia sit on one clock, because duration is the whole diagnosis for those three. Then the ten personality disorders in their three clusters with the nursing each one needs, splitting and how it splits the staff rather than the patient, the substance use disorders with the alcohol withdrawal clock from the first tremor through to delirium tremens, delirium and the dementias beyond Alzheimer's, autism, ADHD, the impulse control disorders, the sexual disorders, and abuse and violence including the warning signs a nurse is required to notice. It closes with a twenty row table that reads a scenario and names the first action.

There is a second new sheet in the same update, Epidemiology, Biostatistics & Research in CHN, on the NP1 shelf. It is the numbers half of community health nursing, taught so the numbers stop being formulas to memorize. Every vital rate is read the same way, by what sits underneath the line: crude birth and crude death carry the whole midyear population, while infant, neonatal, fetal and maternal all carry live births, so six formulas collapse into one habit. Swaroop's index gets its own card because it is the one figure that is good news when it is high. Incidence and prevalence are split into risk against burden, with the duration rule that links them. From there the sheet walks an outbreak investigation in order, reads the epidemic curve by its three shapes, works screening on a thousand people so sensitivity, specificity and the predictive values all come out of one table, gives health education a genuinely barangay chapter, and finishes with the research half: the study designs, sampling, validity and reliability, choosing the statistical test, and research ethics.

There is a third new sheet in this update, Philippine Health Laws & Legislation, on the NP1 shelf. It is the statute book of the exam: every health law in one place, organized so a question that describes a scene can be answered with the right law in seconds. It opens by teaching you to read the law itself, what an Act, a Republic Act, a Presidential Decree, an Executive Order, a Proclamation and an Administrative Order each are, who issues them, and how the number alone tells you the era, with a century of health legislation drawn on one timeline. Then the laws by shelf: the nursing law and its whole family tree from the first nursing law of 1919 to RA 9173, what a midwife may legally do and where the physician's territory begins, the rural health unit laws, the anti hospital deposit law with its own step by step figure of what an emergency room must do before anyone mentions money, disease reporting from 1929 to RA 11332, the immunization laws, the HIV law's consent rules, Medicare to PhilHealth to universal health care, the generics and cheaper medicines laws, the senior citizen and PWD benefit chains, the mother and child laws, and the environment, workplace and nutrition laws. It closes with every amendment chain on one shelf, a box of look alike numbers built to confuse you, and a twenty two row table that reads a scenario and names the law.

There is a fourth new sheet in this update, Therapeutic Communication & Crisis Intervention, on the NP5 shelf. It is the talking half of psychiatric nursing, which the board tests harder than any drug. Every therapeutic technique is on one shelf with what it is and what it actually sounds like, from broad openings and offering self to presenting reality and voicing doubt, and every blocked response sits beside it with the reason it fails: false reassurance, giving advice, asking why, changing the subject and the rest. The sheet then teaches how these items are keyed. Name the feeling before the facts, prefer the open question, and know the two exceptions, because suicide is asked about directly and a patient in panic needs short concrete words. Personal space is drawn with the distances that go with it, the five kinds of touch each get a rule, and there are rows for the patient who cannot hear, see or speak, for working through an interpreter, and for the Filipino patient: po at opo, pakikiramdam, and the family that answers as one. The relationship itself is walked phase by phase from the first chart review to termination, with boundaries and what a nurse may share about herself. Then the crisis half: what a crisis is and is not, the four stages it climbs, the three balancing factors that decide who breaks and who copes, the nurse who turns active and directive, and the five phase aggression cycle with the response each phase earns. It closes with a thirteen row table that reads a scenario and names the first response.

There is a fifth new sheet in this update, Musculoskeletal, on the NP4 shelf, and it is the largest of the six at twenty nine pages. It starts where the exam starts, with a broken bone: the fracture patterns, the emergency care at the roadside, the neurovascular check written out finger by finger, and compartment syndrome taught as a ladder in time, because the order the signs arrive in is the whole question. Then everything a fracture drags behind it: fat embolism with its neurologic first sign, casts from plaster to fiberglass with the palms-not-fingertips rule, and traction from principles to pin care. Two tables were built specifically for the Philippine exam room: the cast and brace names, Minerva to Denis Browne, and the traction names, Buck's to balanced suspension, because those names are asked by name. From there it walks crutches and the four gaits, hip fracture and the replacement precautions, knee replacement, amputation care hour by hour, and the spine surgery nursing another sheet promised you, then the chronic shelf: osteoporosis with the T-score table, Paget's, rheumatoid arthritis against osteoarthritis, gout with a Filipino purine list, the bone infections, fibromyalgia, scoliosis and low back pain. It closes with a nine row table that reads a scenario and names the first action.

And there is a sixth new sheet, Respiratory B, on the NP3 shelf, finishing what Respiratory A started. It carries the lung diseases that put people in hospital beds: pneumonia sorted by where you caught it, community, hospital, ventilator or aspiration, with the sputum-before-the-first-antibiotic rule and the older patient whose only sign is new confusion; the lung abscess that foul sputum announces; respiratory failure defined by its numbers rather than by impressions; and ARDS, the wet stiff lung that oxygen alone cannot fix, with why the ventilator uses small gentle breaths, what sixteen hours face down does, and how to care for a patient who is paralyzed by medicine but wide awake underneath it. Then the pleural space: every pneumothorax told apart, the tension emergency that is treated on sight and never waits for an x-ray, blood in the chest, rib fractures and why the chest is never strapped, fluid and pus around the lung, the thoracentesis position, and coughed blood read against vomited blood. The clot chapter follows a piece of leg clot from calf to lung, then teaches what proves it, what dissolves it, and what only prevents the next one. Pulmonary hypertension and the failing right heart close the disease list, and a fourteen row table reads a scenario and names the first move.

There is also a new cram sheet called Fundamentals & Health Assessment, the bedside course the whole exam quietly assumes you already know. All five vital signs are taught route by route with the numbers that get tested: which patients must never have an oral or a rectal temperature, the four fever patterns drawn as curves, what to do during the chill and what to do during the flush, and the tepid sponge bath done the way the textbook actually describes it. The nine pulse points sit on one labeled body. Blood pressure gets the full treatment: the five Korotkoff sounds, the palpation step that catches the silent gap, a table of everything that fakes a high or a low reading, and the three position check for dizziness on standing. Then the head to toe itself: the four examination skills in order, why the abdomen is listened to before it is touched, the percussion notes, and the vocabulary of skin lesions from macule to petechiae.

A question about a break in sterile technique in the operating room defended itself with a claim that was wrong. A medical student leans over the open sterile field and a nurse reaches across the drape, and the explanation said the field had not been contaminated. It had. An unsterile person who reaches or leans over an open sterile field contaminates it, which is what our own cram sheet on surgical asepsis already teaches, and laying a fresh drape over the area does not undo it. The explanation now says that plainly. It also gives the real reason clearing both people comes before replacing anything: the choice that replaces the drape covers only what the student leaned over, so fresh drapes and instruments would be laid out while the nurse is still across the field. The question, the choices and the credited answer are unchanged.

Two hundred more of the practice questions you meet most often have had their explanations rewritten, a different two hundred from the batch earlier today. The old ones ranked the wrong choices for you, calling one the hardest to dismiss or the strongest wrong answer, which described how a choice felt instead of what was clinically true. Every sentence like that is gone from these two hundred. Each explanation now opens with the answer in the words a nurse would use at the bedside, then gives the rule that decides it, then takes each other choice on its own terms and quotes that choice word for word so you can see which one is being discussed. Long sentences were split so that no single sentence runs past about twenty-five words. The questions, the choices and the credited answers are all unchanged, so no score was affected. Overall the explanations came out about one per cent longer.

Two tuberculosis questions had two correct answers instead of one. Both ask you to pick the finding that does not point to a possible TB case. Under the current National Tuberculosis Control Program manual, the screen has four signs (a cough, an unexplained fever, unexplained weight loss, and night sweats), any one of them counts on its own, and each has to have lasted two weeks or longer. Coughing up blood and chest pain are not on that list. That left a second choice in each question just as correct as the credited one, so a student who picked it was marked wrong while the manual was on their side. One choice in each question has been replaced so there is a single defensible answer. The credited answer did not move in either question.

Two hundred of the practice questions you meet most often have had their explanations rewritten. The old ones ranked the wrong choices against each other, calling one "the hardest to dismiss" or "the strongest wrong answer", which told you how a choice felt rather than what was clinically true. Every sentence like that is gone. Each explanation now opens with the answer in the words a nurse would use at the bedside, then gives the rule that decides it so you can carry it into the next question, then says why each other choice fails on its own terms, quoting that choice word for word so you can see which one is being discussed. The questions, the choices and the credited answers are all unchanged, so no score was affected. The explanations came out about six per cent longer, because what came out was commentary and what went in was teaching.

The 10-Month Plan is now the 1-Year Plan. Same ₱999, two more months, which works out to about ₱83 a month instead of ₱100. If you already bought the 10-Month Plan you have not missed out: all 57 of you have had the extra 65 days added to your access already, with nothing to claim and nothing to do. Your new end date is on your account page.

If you are preparing for either of the 2027 boards, February or August, the 1-Year Plan drops to 40% off at 7:00 PM on August 25: ₱599 instead of ₱999 with the code FEB40. Until it opens, a countdown on the homepage, on the checkout and on your dashboard shows exactly how long is left, and it turns into the offer itself the moment the clock runs out. The code is printed right on the checkout with a one-tap apply button, so there is nothing to hunt for. A full year of access covers your whole review with room to spare. The offer runs until September 30, or until the first 500 codes are used, whichever comes first.

Two practice questions and one flashcard described Philippine health law incorrectly, and all three are now corrected against the text of the laws themselves. The rabies question said the law obliges the local government to give free post-exposure treatment. Under the Anti-Rabies Act it is the Department of Health that provides post-exposure treatment, and the Act says at the minimum expense rather than free — what the Act gives free is the pre-exposure course, for people like vaccinators and animal handlers and for schoolchildren in high-rabies areas. The flashcard on the same law repeated the free claim and now teaches that split too. A burial question credited the Code on Sanitation with a rule about the burial permit: the Code requires a death certificate before any burial and puts the permit with the local health authority, while it is the civil registry law that bars a burial until the certificate has been recorded. The questions, the choices and the credited answers are all unchanged, so no score was affected — what was wrong was the explanation printed beside the right answer.

The first of the two psychopathology cram sheets is now on your Resources shelf under NP5: Psychopathology A — Anxiety, Trauma, Mood & Eating, fifteen illustrated pages. It opens where the exam opens, with anxiety that has stopped working as a signal and started running the patient's life: generalized anxiety and its worry that never lands, panic disorder drawn as a curve so you can see the surge peak and fade, and every phobia the boards name. Where the old reviewers and the current manual disagree, BOTH answers are printed side by side instead of one being quietly chosen for you, so a stem written either way still has your answer in it — the panic surge that peaks in minutes against the classic fifteen to thirty, obsessive-compulsive disorder filed under anxiety or in its own chapter, post-traumatic stress in either place, and the anorexia criteria that were dropped but still turn up in old keys. The disorders where anxiety hides get a part of their own, the bodily ones and the memory-and-identity ones, with a four-way table for telling apart the cases students swap under time pressure. Trauma is laid on one timeline so acute stress disorder, PTSD and adjustment disorder stop blurring: three days to a month, beyond a month, and the delayed kind that surfaces half a year later. Rape-trauma syndrome is walked through the way the law relies on it — the calm survivor who is not an unharmed survivor, the examination before any washing, written consent before every photograph and specimen, paper bags never plastic, the chain of custody — and the reminder that evidence care never outranks her medical care or her own choices. The mood part runs the full spectrum from major depression through bipolar I and II to cyclothymia, with the depressed patient and the manic patient drawn facing each other, because nursing them is opposite work: one needs the day structured and the danger window about two weeks after an antidepressant starts watched closely, the other needs finger food put in his hand while he paces. The eating disorders close it, anorexia and bulimia side by side on one illustration, from the fine downy lanugo to the knuckle marks of Russell's sign. Philippine reality runs through the whole sheet: RA 8505 and the rape crisis centres it created, what was actually measured in survivors after Typhoon Yolanda, and the family table where food is love and refusing lola's cooking reads as an insult instead of a symptom. The last page is a rapid drill: the stem says this, you are looking at that, and here is the FIRST action.

When a question's explanation mentions a law by number, like RA 11223 or PD 603, the References section under it now spells out the law's full name with a link to the law itself, so you never have to memorize a bare number blind. This covers about 300 questions across the law-related topics, and the reference registry grew by 101 verified Philippine health laws to make it possible. Questions whose references were inherited from their general topic and did not match the laws in their own explanation, 18 of them, now cite the right laws.

The streak display now respects the 4 AM day boundary the same way streak crediting does. Before, if you checked between midnight and 4 AM, the app could show your streak as already lost while the study day was still open and savable.

The mock board countdown can no longer display more time than the section actually has. A rare display glitch after a long pause could briefly show, for example, almost 3 hours remaining on a 2-hour section; the real clock underneath was always correct, and now the display is capped too.

The third and final neuro cram sheet is now on your Resources shelf under NP4: Neuro C — Spinal Cord Injury & Peripheral Nerves, seventeen illustrated pages. It opens with the cord map: a level-by-level chart of what still works after an injury at each level — why C4 decides the ventilator question, why C6 can still grip through the tenodesis trick, and why S2 to S4 run the bladder, bowel and sexual function — beside a dermatome body map with the landmarks the exam actually tests, like the thumb at C6, the nipple line at T4 and the umbilicus at T10. The incomplete-cord syndromes each get a row, with Brown-Séquard drawn on a body so the crossed pain-and-temperature loss finally makes sense. The first hours are walked in order: jaw thrust with the neck held still, the four-person log-roll, keeping the blood pressure up to feed the bruised cord, and spinal shock against neurogenic shock at the bedside. The halo vest is drawn with its taped wrench and the CPR rule that goes with it, and the skull-tong rules are spelled out. Autonomic dysreflexia, the pounding-headache emergency the boards never skip, gets a full part: the flushed-above, pale-below patient drawn sitting bolt upright because sitting up IS the first action, the bladder-bowel-skin trigger hunt in order, and both the classic drug answer and the current one. The rehab years follow — bladder and bowel programs, the skin schedule, spasticity, sexuality answered honestly, and the PWD discounts your patient is entitled to by law. The sheet closes with the peripheral nerves: the stocking-glove pattern drawn on a body, carpal tunnel with its night splint, sciatica with its red flags, and a Philippine road-safety section, because the motorcycle is where most of these injuries begin.

A second batch of 100 select-all-that-apply questions, the next most-answered after the first hundred, got the same clearer treatment: every numbered statement now has its own line saying whether it is correct or wrong and why, and the answer is stated up front instead of at the end. Each rewrite was checked line by line against the original so no clinical detail was lost. Questions, choices, and answers are unchanged.

We revised the explanations of 169 of the most-answered practice questions. Sentences that ranked a wrong option by how tempting it looks were replaced with a plain note on what that option gets right and the clinical reason it still falls short. Questions, choices, and answers are unchanged.

Six practice questions got their explanations rewritten after an earlier update reintroduced an outdated style of wording. Each was rewritten against the current question text, and one sentence that could be read two ways now names who it is talking about. The answers did not change.

We rewrote the explanations on 100 of the most-answered select-all-that-apply questions, the ones where you choose a combination like "1, 2 and 4". Every numbered statement now gets its own line saying whether it is correct or wrong and why, the answer is stated up front instead of at the end, and the wording that ranked the wrong options against each other is gone. The answers themselves did not change.

Corrected explanations that hinted at the answer to other questions in the bank, and rechecked several facts against current sources, including how long the Moro reflex should still be present, how long scabies mites survive away from skin, and why a long-acting inhaler is not the one to reach for during an attack.

Finishing a practice set that came from your Study Plan now shows what's next on today's plan, with a button that takes you straight into that task — no more walking back through the dashboard to find it. If that was the last task of the day, the screen says so instead.

Starting a practice set from a Study Plan task now brings your per-question timer along. Sessions opened from the plan used to skip the practice setup screen, so the timer you chose there never appeared; the app now remembers your last timer choice on this device and applies it to plan sessions too. Turning the timer off on the setup screen turns it off everywhere, and if you have never used the timer nothing changes.

Your remembered per-question timer now also applies to every other practice shortcut that skips the setup screen: topic drills, "Retry your misses", and weakest-topic links. The setup screen stays in charge — whatever you chose there last, timer or no timer, is what these shortcuts use.

Thirteen practice questions that most students answered on sight (four in ALS, three in IMCI, six in Hematologic Disorders) were rebuilt so every choice has to be weighed: the stem keeps only the findings a nurse would actually have, the wrong choices read as plausibly as the right one, and each explanation names the strongest wrong choice and says why it loses. The answers themselves did not change.

That report led us to read every flashcard with a bracketed cue right after the blank (66 cards). Forty-four of them were giving the answer away the same way, with a synonym or description of the answer such as "(breast budding)" or "(on the back)"; the cue now sits on the back of the card beside the answer, so the front tests recall and the teaching point is kept. Cues that only name the kind of answer, an alternative, or a law's title were left in place.

Twenty-nine questions in the Professional Adjustment and Nursing Jurisprudence practice set were rewritten after one of you told us the set was too easy, and the numbers agreed: students were getting these right on the first try about 77 percent of the time, and 30 of the 80 were above 90 percent. The wrong choices now look as right as the correct one and are wrong for a reason the explanation names. Five questions were rebuilt onto ground the set did not test before: the rights a patient has over his own health data, who may consent for a child when the parents are away, the law against holding a recovered patient over an unpaid bill, and two rules from the Nursing Act on registration and prohibited practice. Every explanation was rewritten to lead with the answer and the rule that decides it, and every fact was checked against the statute text itself. Answer keys are unchanged, so every result you have already recorded still stands.

Under every explanation in practice and in your session history there is now a Make a flashcard control. Tap it to add a ready-made flashcard we wrote from that question when one exists, or to write your own card into one of your decks, starting from the answer or from a contrast with one of the wrong choices. Your card is checked against the same house rules our own flashcards follow, so it will not give its answer away on the front or lean on words like only and always, and it goes straight into your own deck for spaced review. One of you asked for this while reviewing a finished session. Making your own flashcards is part of Premium.

After you reveal a flashcard, a Go deeper row now points to the cram sheet that covers that topic and to a practice drill on it, the same row you already see under practice explanations. The card itself stays short on purpose, since a flashcard is for recall, and the full teaching is one tap away on the sheet. Cram sheets that cover a group of topics now count for every topic in the group, so far fewer topics read coming soon under a sheet that already exists.

The "answered of total" line on the Practice page could read higher than the total, for example "1,682 of 1,623 answered" on Community Health, if you had answered questions that we later retired from the bank. Retired questions still count in your history, the Vault and your scores; they just no longer count toward a topic's progress line, so the answered number can never pass the total again. One of you spotted this while finishing every Community Health question, which is how we found it. Nothing about your answers or scores moved.

Two questions in the Primary Health Care practice set were rewritten after one of you told us the set felt confusing. We went through every question in that set against how students actually answer it, and two were hard for the wrong reason: the question on choosing a community diagnosis now asks plainly which study comes first in a barangay that has never been surveyed, and the question on whether diarrhea is still appearing as often as last year now tells you that families have been moving in and out of the sitio, so the figure it wants is no longer a coin toss. Answer keys are unchanged and nothing about your past scores moved. The rest of the set, including the delegation question that was reported, was checked against the review center handouts and stands as written.

Three flashcards on the Labor Complications & OB Emergencies deck now carry full explanations instead of one-liners, after one of you asked for the why behind the answers: the cord prolapse card walks through the overt, occult and funic types and why the bladder is filled with saline, and the shoulder dystocia pair now explains what McRoberts actually does and how suprapubic pressure frees the stuck shoulder.

A jurisprudence question on foreign nurses sitting the local board exam has a rewritten rationale: it now explains, against the Nursing Act itself, why each wrong option fails — including why an oath of allegiance is not what the law asks of an examinee.

The PH Health System cram sheet's ratio panel now names both public health nurse figures you may have met in review — 1 to 20,000 from the rural health unit planning table, and 1 to 10,000 from other references and DOH workforce statements — and tells you which to anchor on when an item is about the RHU team. If you had highlights on the earlier version, they are safe: one tap on the History icon brings them back exactly where you drew them.

Two practice questions that had drifted into near-copies of each other were pulled apart — one was rewritten so each now tests its own point, after one of you spotted the repeat.

The second neuro cram sheet is now on your Resources shelf under NP4: Neuro B — Parkinson's, MS, Myasthenia & GBS, seventeen illustrated pages on the degenerative and autoimmune disorders. It opens with a labeled neuron, because that one drawing organizes the whole topic: multiple sclerosis attacks the myelin in the brain and cord, Guillain-Barré strips the myelin on the peripheral nerves, myasthenia gravis blocks the receptor at the very end, and ALS takes the motor neuron itself. From there each disease gets its nursing: Parkinson's with the TRAP signs drawn on a patient and the levodopa timing rules, myasthenia against Guillain-Barré side by side so the descending and ascending weakness stop blurring together, the myasthenic and cholinergic crises, a plasmapheresis setup drawn piece by piece, multiple sclerosis with its triggers and exacerbation care, and Alzheimer's with the communication and safety nursing. Bell's palsy and trigeminal neuralgia are here in full, as promised on the Neuro A sheet, with the same man's face drawn twice so you can see exactly why a spared forehead points away from stroke. Where the classic exam answer and current practice have drifted apart, the sheet shows both and tells you which one the board expects. The Philippine section covers X-linked dystonia-parkinsonism of Panay, our dementia numbers, and the senior-citizen benefits under RA 9994.

A Diabetes Mellitus & Endocrine Emergencies cram sheet is now on your Resources shelf under NP4, after one of you pointed out that the endocrine sheet's only diabetes was diabetes insipidus — a fair catch, and this fills the gap properly. Fourteen illustrated pages on the disease the boards love most: the types and how they present, the insulin curves with onset, peak and duration, the mixing, storage and injection-site rules with the rotation zones drawn on a body, hypoglycemia against hyperglycemia as two labeled patients you can compare sign by sign, and DKA against HHS laid out as a fork so you can tell the two emergencies apart under pressure. It carries the sick-day rules, the Somogyi and dawn phenomena, foot care with the monofilament check, the long-term complications mapped on a body, and it closes with a summary table of the other endocrine emergencies — thyroid storm, myxedema coma and Addisonian crisis. Where the classic exam answer and newer guidance disagree, the sheet shows both and tells you which one to write on the board exam. There is a Philippine section with our own diabetes numbers, Diabetes Awareness Week, and an honest row on ampalaya.

23 questions that also appear in the mock boards got the same repair as the morning's practice batch: measured against real answer patterns, rewritten so the credited answer is reachable on nursing knowledge rather than wording, and double-reviewed before going live. No answer keys or scores moved. If you review a mock you already took, a repaired question shows its improved wording — your recorded answer and score stay exactly as they were.

We measured every practice question against how students actually answer it, and flagged the ones where a wrong choice was out-drawing the credited answer three-to-one or worse among equally prepared students — the sign of a question testing wording rather than nursing. 53 of them were rewritten overnight: the credited answer now carries its full reasoning in its own words, and the tempting rival stays tempting for the right reasons but is genuinely wrong. Every rewrite went through two independent reviews before going live, and no answer keys moved.

The same sweep confirmed that genuinely difficult questions are pulling their weight: where the data showed stronger students getting an item right, it was left exactly as it was. Hard stayed hard — only unfair got fixed.

Writing on a cram sheet with an Apple Pencil (or a finger) on iPad could come out broken and chunky — some iPads slip stale copies of earlier pen positions into the touch stream, and the ink faithfully recorded every phantom jump. New strokes now filter those out as you write, and strokes you already saved are cleaned up automatically when they draw — nothing you wrote is lost.

You can now build a practice set of up to 100 questions — the presets offer 100 alongside 10, 20, 30 and 50, and the custom box accepts any number up to 100. A timed exam-mode set of 100 gets the full board-pacing budget of two hours, the same as one NP on the real exam. The Vault goes further: because it reviews one question at a time with the rationale after each answer, a single Vault run can now serve up to 200, so a big review pile clears in far fewer sittings. This one came from student requests — keep them coming.

Two more reported questions were repaired this week. A leprosy treatment question was reworded so the warning sign a patient must report is described fairly instead of being easy to gloss over, and a newborn-screening law question now offers four genuinely different laws to weigh — before, every choice named the same law. No answer keys moved on either.

When a cram sheet you have highlighted gets updated to a new edition, the reader now tells you up front that your earlier marks are safe, with a one-tap button that opens the previous edition exactly as you left it. Your highlights and notes always stay attached to the exact version of the pages you drew them on, so a sheet update never erases anything. Three of you asked about this in a single day — thank you for flagging it.

All fifteen question reports from this week's batch were answered, and five led to a change. A leprosy question that read backwards to well-prepared readers now says plainly that a patient who has begun treatment may keep living at home. A crisis-intervention response no longer sounds cold next to its closest rival. A chemotherapy home-care instruction now says to limit outings instead of sounding like an invitation to go out. A rationale about barangay health records was rewritten in plain language, and the blood-sugar average question now teaches the actual conversion formula. No answer keys moved on any of them.