What's new
What's new in September 2026
Everything we shipped to BoardPal in September 2026.
Sep 22 to 30 · 77 fixes
30Sep · Wed
Cast and crutch follow-up fixes
Fixed- Fixed
Crutch-fit card and hip spica cast explanation made more exact. more ▾less ▴
The crutch-fit flashcard now gives the gap under the armpit as two to three finger-widths, with the elbows bent about 20 to 30 degrees, matching the review books and our cram sheet. The hip spica cast question now explains that pillows go under a drying plaster cast only once it no longer feels warm from setting, since a pillow under a hot cast traps the heat. The Musculoskeletal cram sheet (page 9) now says the same, and your notes on it are kept.
Spinal cord injury questions rewritten to board length
Fixed- Fixed
Five questions with a second right answer fixed. more ▾less ▴
Five questions had two defensible answers and were rebuilt so only one choice is right. One ranked a stopped bowel above dangerously low blood pressure in the first hours after injury. The others marked wrong something current guidance supports: a stiffer bladder from a long-term catheter, air-stacking and postural drainage to clear mucus, a gentle head-up tilt when sitting up, and ear pressure under a neck collar.
Casts, traction and walking aids questions rewritten to board length
Fixed- Fixed
Four questions with a second right answer fixed. more ▾less ▴
Four questions had a wrong choice that is actually correct, so they had two right answers. Wrapping a cast in a plastic bag for bathing, tapping the outside of an itchy cast, and fiberglass letting the skin breathe are no longer marked wrong, and the pin-site care question no longer asks you to pick between cleaning methods that experts still disagree on.
Immunology and connective tissue questions rewritten to board length
Fixed- Fixed
Four questions with a second right answer fixed. more ▾less ▴
Four questions had a wrong choice that current guidance actually recommends, so they had two right answers. Small, frequent meals for scleroderma, pacing activities and avoiding midday sun for lupus, warming the hands for Raynaud phenomenon, and lying flat with the legs raised in anaphylaxis are no longer marked wrong. The peanut allergy question now also includes a tight throat, a breathing sign that clearly calls for the auto-injector.
- Fixed
Five high-calcium questions now teach the water pill only for fluid overload. more ▾less ▴
Five questions on very high calcium no longer teach a water pill (furosemide) as a routine step. Current guidance keeps it for fluid overload after IV fluids, so two questions now describe that overload and three explanations were reworded. Every answer is unchanged.
Musculoskeletal trauma questions rewritten to board length
Fixed- Fixed
Four questions updated to current evidence; a second right answer removed. more ▾less ▴
Four questions now follow current evidence. The back strain question no longer teaches ice as the one right home measure, since cold or hot packs are both recommended. Heavy bleeding from thigh fractures no longer teaches a fast IV fluid infusion as the first step. A thigh bone fracture now teaches the traction splint, which the old question had as a second right answer. Buck's traction before hip surgery is now taught as keeping the leg still and in line, since studies found no clear pain benefit.
- Fixed
Flashcards, explanations and three cram sheets updated to match current evidence. more ▾less ▴
Five flashcards, six question explanations and three cram sheets (Musculoskeletal, Neuro A, and Labs, Fluids & Electrolytes) now match current evidence. A new cast is raised above heart level for the first day or two. Buck's traction before hip surgery is taught as keeping the leg still and in line, since studies found no clear pain benefit. IV fluid for bleeding is a short bridge until blood arrives, and a severe head injury gets normal saline rather than Ringer's.
Alzheimer's and dementia questions rewritten to board length
Fixed- Fixed
Questions with a second right answer were rebuilt. more ▾less ▴
Several questions had a second right answer, such as offering a written answer card as the wrong way to handle repeated questions, and calling it wrong that the disease progresses at different rates in different people. These were rebuilt so only the keyed answer is right. Two answers now match the drug labels: donepezil still helps in the severe stage, and rivastigmine is restarted at a low dose after several missed days.
- Fixed
The memantine explanation now matches the drug label. more ▾less ▴
The explanation on how memantine works now adds what its drug label says: it eases symptoms but is not proven to slow the loss of nerve cells. The answer is unchanged.
Breathing problem questions rewritten to board length
Fixed- Fixed
Questions with a second right answer were rebuilt. more ▾less ▴
Seven questions had a second right answer, such as petroleum jelly gauze offered as a wrong dressing for an open chest wound, and turning an ARDS client face-down offered as a wrong choice when her oxygen level already called for it. These were rebuilt so only the keyed answer is right. One answer now teaches that a tracheostomy tube that comes out in its first week is not pushed back in: the nurse gives oxygen over the face while a tube is placed through the mouth.
Site-specific cancer questions rewritten to board length
Fixed- Fixed
Four answers updated to current guidance; questions with a second right answer rebuilt. more ▾less ▴
Four answers now follow current guidance. Arm swelling after breast surgery is no longer taught as caused by lifting or blood draws on that arm. Skin care during breast radiation now teaches gentle washing with mild soap. The PSA question now teaches that recent ejaculation or vigorous cycling can raise the result for a short time. Three questions that had a second right answer were rebuilt so only the keyed answer is right.
- Fixed
29Sep · Tue
Explanations now match the question you answered
Fixed- Fixed
An explanation now always matches the version of the question you answered. more ▾less ▴
When we improve a question while you have it open in a practice set, you now see the explanation written for the version you actually answered. Before, the explanation could describe choices that were no longer on your screen. If only the explanation was improved, you simply get the newer one.
Elimination and GI emergency questions rewritten to board length
Fixed- Fixed
Pancreatitis fluid teaching updated; questions with a second right answer were rebuilt. more ▾less ▴
Pancreatitis questions now teach measured, goal-directed IV fluids instead of aggressive fluids, in line with current guidance. Five questions had a second right answer, including a dialysis question where two findings were equally urgent and a liver question that offered two drugs also used for the same purpose. These were rebuilt so only the keyed answer is right.
Cancer emergency questions rewritten to board length
Fixed- Fixed
Questions with a second right answer were rebuilt. more ▾less ▴
Six questions had a second right answer. One listed two real risk factors for tumor lysis syndrome as wrong choices, and one offered only a fluid limit for a confused client with very low sodium, when a strong salt solution is the current treatment. One question's answer did not match its own scenario. These were rebuilt so only the keyed answer is right.
Seizure questions rewritten to board length
Fixed- Fixed
Questions with a second right answer or an unsupported answer were rebuilt. more ▾less ▴
Some questions had a second right answer or an answer the sources did not support. A head injury is no longer called the most likely cause of a first seizure, since about half of epilepsy has no known cause. A birth control question no longer says every seizure medicine weakens the pill, since only some do. A medical ID question and a gum-care question each had a second correct choice. These were rebuilt so only the keyed answer is right.
Eight student reports resolved, including a disaster-law update
Fixed- Fixed
The disaster cram sheet now names DEPDev, formerly NEDA, as the recovery lead agency. more ▾less ▴
Page 8 of the Environmental Health, Disaster & Records cram sheet named NEDA as the lead agency for disaster rehabilitation and recovery. Under Republic Act 12145, signed in April 2025, NEDA was reorganized as the Department of Economy, Planning, and Development (DEPDev), which now holds that role. The page now names DEPDev, with "formerly NEDA" beside it so older review materials still make sense. Nothing else on the sheet moved, so your highlights and notes stay where you left them.
- Fixed
The dengue vaccine question now names Dengvaxia and explains how Qdenga differs. more ▾less ▴
A question on who may receive the dengue vaccine said blood testing for past dengue is required before "the dengue vaccine". Since May 2024, WHO also recommends a second vaccine, TAK-003 (Qdenga), for children aged 6 to 16 in areas with a lot of dengue, without that test. The question now names CYD-TDV (Dengvaxia), the vaccine the testing rule belongs to, and its explanation sets out the difference.
- Fixed
A pregnancy hormone choice now gives progesterone its correct role. more ▾less ▴
A question on the hormones of pregnancy described progesterone as the hormone that thickens the lining of the uterus. Thickening the lining is estrogen's work; progesterone maintains it and supports implantation, and the choice now says so.
Heart and circulation questions rewritten to board length
Fixed- Fixed
Questions with a second right answer were rebuilt. more ▾less ▴
Some questions had a second right answer. After atropine fails for a slow heart rate, current guidance allows pacing or a drip medicine, so both are now correct choices. Active wheezing is a reason to hold a beta-blocker, so it is now the answer instead of a wrong choice. Two questions taught different first actions for the same heart attack; one now teaches chewing aspirin first and the other moved to a new topic. These questions were rebuilt so only the keyed answer is right.
Shock and sepsis questions rewritten to board length
Fixed- Fixed
Sepsis questions now use the current definition. more ▾less ▴
Several questions taught an older definition of sepsis: an infection plus fever, a fast pulse and fast breathing. Current international guidelines define sepsis as an infection that has started to damage an organ, and no longer use the term "severe sepsis". These questions now use the current definition, and their answer letters are unchanged.
- Fixed
Outdated answers and second right answers were rebuilt. more ▾less ▴
Some answers were outdated or had a second right answer. Drowsiness was taught as an early sign of blood loss, but it is a late one. A norepinephrine drip was taught as having to wait for a central line, but current guidelines allow starting it in an arm vein. Saline was taught as the first fluid in heavy bleeding even with blood on hand. These questions were rebuilt so only the keyed answer is right.
Somatic and behavioral therapy questions rewritten to board length
Fixed- Fixed
Two questions with a second right answer were rebuilt. more ▾less ▴
Two questions had a second right answer among the choices. One marked "some people keep lasting memory changes" after electroconvulsive therapy as wrong, but some people do keep permanent memory gaps. Another marked massage as not a mind-body measure, but massage counts as one. Both were rebuilt so only the keyed answer is right.
- Fixed
A Mock Board #3 explanation on memory after this treatment was made more accurate. more ▾less ▴
In Mock Board #3, the explanation for a case-study question on memory after electroconvulsive therapy said most memory loss clears within weeks. It now says memory usually improves over the days and weeks after treatment, although a few memories from that time may not come back. The question, its choices and its answer are unchanged.
Mock Board #3: a travel-clot explanation corrected
Fixed- Fixed
A Mock Board #3 explanation no longer says coffee thickens the blood. more ▾less ▴
In Mock Board #3, the explanation for a question on preventing clots during long flights said the fluid lost from drinking coffee makes the blood thicker. Current travel guidance finds no link between being low on fluids and travel clots, so the explanation now says coffee is not a way to prevent clots, and that planned walking and calf exercises are what help. The question, its choices and its answer are unchanged.
Pulmonary embolism questions rewritten to board length
Fixed- Fixed
Outdated answers and second right answers were rebuilt. more ▾less ▴
Some answers were outdated or had a second right answer. New ankle swelling was taught as a sign of a sudden large lung clot, but that swelling takes days to appear. Surgery was taught as the next step when a clot-dissolving drug fails, but a catheter procedure is now usually tried first. Compression sleeves were also right in a question that keyed early walking. These questions were rebuilt so only the keyed answer is right.
- Fixed
A travel question no longer teaches water as a way to prevent clots. more ▾less ▴
A question on preventing clots during long trips taught drinking plenty of water as a clot-prevention step. Current travel guidance says water is sensible but has not been shown to prevent travel clots, so that statement now asks about loose-fitting clothing instead. The answer letter is unchanged.
Pediatric skin, bone and joint questions rewritten to board length
Fixed- Fixed
Nine questions with a second right answer or an outdated answer were rebuilt. more ▾less ▴
Five questions had a second right answer among the choices, for example warm soaks for cellulitis and one hip sitting higher than the other in scoliosis. Four more keyed an answer that current guidance does not support, such as a 24-hour wait before a child with impetigo returns to daycare (the child may return once the antibiotic has started) and cow's milk as the thing least likely to worsen eczema. These questions were rebuilt so only the keyed answer is right.
Cancer treatment questions rewritten to board length
Fixed- Fixed
Unsupported answers and second right answers were rebuilt. more ▾less ▴
Some answers taught things current sources do not support: standing at the foot of the bed for a cervical radiation implant, removing all raw produce for a client with low white cells, and treating anticipatory nausea with the usual anti-nausea drug. Several other questions had a second right answer among the choices. These were rebuilt so only the keyed answer is right and every fact has a source.
- Fixed
Cram sheet fix: oral polio drops and household contacts of a patient with weak immunity. more ▾less ▴
The Infectious & Immunologic cram sheet (page 25) said household contacts of a patient with a weak immune system can get any live vaccine. That holds for most, but a family member given oral polio drops passes the vaccine virus in the stool for up to 6 weeks and should stay away from the patient. The page now says so, and your highlights on this sheet stay where you drew them.
Pediatric respiratory questions rewritten to board length
Fixed- Fixed
Seven questions with a second right answer or an unsupported answer were rebuilt. more ▾less ▴
Six questions had a second right answer among the choices, for example a spacer also lowers mouth thrush from a steroid inhaler, and enlarged adenoids also play a part in ear infections. One answer, a cap on a premature baby under an oxygen hood, had no source behind it. These questions were rebuilt so only the keyed answer is right.
Chest tube and pneumothorax questions rewritten to board length
Fixed- Fixed
Out-of-date and double-answer choices corrected. more ▾less ▴
A few choices were out of date or a second right answer. The two main trauma guidelines now disagree on where the emergency needle for a tension pneumothorax goes, so no question asks you to pick a site. A question on how to breathe while a chest tube is pulled had two defensible answers and now asks about pain medicine before removal, and a question on bedside supplies no longer says saline is wrong for a temporary water seal.
- Fixed
28Sep · Mon
Emergency contraception questions now follow DOH practice
Fixed- Fixed
Emergency contraception questions now follow the DOH family planning handbook. more ▾less ▴
Three family planning questions taught the morning-after pill, which is not registered in the Philippines. They now teach what the Department of Health family planning handbook teaches: the copper IUD as the most effective emergency method, and the Yuzpe method, which uses regular combined pills in two doses. Every answer letter is unchanged, and two flashcards students had made from one of these questions were updated to match.
- Fixed
The family planning cram sheet's emergency contraception lines now follow DOH practice. more ▾less ▴
The Postpartum, Newborn and Family Planning cram sheet now teaches the same thing on pages 21 and 23: emergency contraception with the copper IUD or the Yuzpe method within 5 days, in place of the morning-after pill. The pages kept their layout, so any marks you made on them stay where you drew them.
- Fixed
A teen pregnancy explanation now states only what the law settles. more ▾less ▴
The explanation for a question about a pregnant 15-year-old no longer states a consent rule the law does not spell out. It now teaches only what Philippine law settles: pregnancy does not make her an adult, her parents keep authority over her care, and she may still consent to an HIV test on her own.
Ventilator mouth care now taught as toothbrushing
Fixed- Fixed
Chlorhexidine mouth care corrected to toothbrushing in two questions and three flashcards. more ▾less ▴
Two more practice questions and three flashcards on ventilator-associated pneumonia still taught a chlorhexidine mouth rinse as part of the prevention bundle. Current infection-control guidance (SHEA, IDSA and APIC, 2022) recommends daily toothbrushing without chlorhexidine, so they now teach toothbrushing. Two nearby explanation lines were corrected against the same guidance. Every answer letter is unchanged.
- Fixed
The Fundamentals cram sheet now teaches toothbrushing too; your marks stay put. more ▾less ▴
The Fundamentals & Health Assessment cram sheet taught the same chlorhexidine mouth care in two places: the antiseptics table and the oral care box. Both now teach daily toothbrushing without chlorhexidine for a patient on a ventilator, and the 2022 guidance is listed in the sheet's references. Your highlights and notes on the sheet stay exactly where you left them.
- Fixed
The Critical Care cram sheet now shows the classic and the 2022 ventilator bundle; your marks stay put. more ▾less ▴
The Critical Care & Emergency Nursing cram sheet listed ulcer medicine and blood clot medicine as parts of the ventilator pneumonia bundle without saying the guidance had changed. Page 29 now shows both answers: those two are marked as the classic list, oral care is spelled out as daily toothbrushing without chlorhexidine, and a note explains that the 2022 guidance found ulcer medicine does not prevent this pneumonia. Your highlights and notes on the page stay exactly where you left them.
IV fluid questions rewritten to board length
Fixed- Fixed
Two questions with a second right answer were rebuilt. more ▾less ▴
Two questions had a second right answer among the choices: on running three percent saline too fast, a choice about brain cells shrinking is a real danger, and on why D5W is a poor fluid for shock, a choice saying its water goes mostly into the cells is true. Both questions were rebuilt so only the keyed answer is right.
Adolescent health questions rewritten to board length
Fixed- Fixed
Teen consent questions now follow Philippine law. more ▾less ▴
Questions about teens and consent now follow Philippine law. A teen can always get health information, but a minor needs a parent's or guardian's written consent to start a family planning method, and being pregnant does not make her an adult. Questions that taught the foreign rule of confidential birth control for minors were rewritten, and a question on emergency contraception pills, which are not registered in the Philippines, was replaced.
- Fixed
Questions with two defensible answers rebuilt to have one. more ▾less ▴
Some questions had a second answer that could also be defended, such as two signs of repeated vomiting offered as wrong answers, and a screening tool for teens offered as a wrong answer beside another one. They were rebuilt so each question has one best answer.
Pneumonia questions rewritten to board length
Fixed- Fixed
Chlorhexidine mouth care corrected; choices with a second right answer rebuilt. more ▾less ▴
Two questions taught a chlorhexidine mouth rinse as the way to prevent pneumonia in a client on a ventilator. Current infection-control guidance recommends toothbrushing without chlorhexidine, so both were corrected. A few choices that were also correct answers were rebuilt so each question has one best answer.
Full cram pages now say so
Fixed- Fixed
A cram page that is full now says so instead of retrying a save forever. more ▾less ▴
A cram sheet page can hold a lot of writing, but not an unlimited amount. On a very heavily marked page, new pen strokes used to show "Not saved, retrying" and keep retrying without ever saving. The reader now tells you when a page is full and asks you to erase a few marks or notes to keep writing, and everything already saved on the page stays saved. The scratch pad works the same way. Fewer than 20 students have filled a page this far.
Reply emails use your current name
Fixed- Fixed
Support and report reply emails now greet you by your current profile name. more ▾less ▴
The email you receive when a support ticket or a question report is resolved now greets you by the name on your profile today. It used to use the name typed at signup, so a student who had renamed their profile was greeted by the old name.
- Fixed
Payment resubmission emails also use your current profile name. more ▾less ▴
The email that asks you to resubmit a payment now greets you by your current profile name as well.
Cram sheet zoom keeps your place
Fixed- Fixed
Zooming a cram sheet no longer loses the page you were reading. more ▾less ▴
After a pinch or double-tap zoom in the cram sheet reader, the page you were reading is checked a moment later and brought back into view if the browser scrolled it away. A student on iPhone Safari reported being sent to the end of the page after zooming, and the reader now corrects that on its own.
Psychiatric medicine questions rewritten to board length
Fixed- Fixed
Partly true choices rebuilt; one question moved to a drug used in the Philippines. more ▾less ▴
Some choices were partly true, such as a sedative offered as a wrong treatment for neuroleptic malignant syndrome when it is actually part of the care. They were rebuilt so each question has one best answer. One question about a tardive dyskinesia drug that is not registered in the Philippines now asks about a drug you will actually see here.
Cancer basics questions rewritten to board length
Fixed- Fixed
Questions with two defensible answers rebuilt to have one. more ▾less ▴
Some questions had a second answer that could also be defended, such as the brain offered as a wrong answer among the places cancer most often spreads, and a smoker's lasting cough offered as a wrong answer beside the general signs of cancer. They were rebuilt so each question has one best answer.
ARDS questions rewritten to board length
Fixed- Fixed
Questions with two defensible answers rebuilt to have one. more ▾less ▴
Some questions had a second answer that could also be defended, such as checking the airway versus bagging the client first when a ventilator alarms, which client is most at risk of ARDS, and the earliest sign of ARDS. They were rebuilt so each question has one best answer.
Inhaler order now taught with the right reason
Fixed- Fixed
Inhaler order kept; the reason behind it corrected. more ▾less ▴
Questions, flashcards and two cram sheets taught that using the quick-relief inhaler first makes the steroid inhaler reach deeper into the lungs. The US asthma guideline found no convincing evidence of that. The order stays the same (quick-relief first, wait a few minutes, then the steroid), and the reason is now the one the guideline supports: relaxed airways are less likely to cough or tighten when the steroid puff arrives. Five questions, three flashcards and two cram sheet pages were corrected. Every answer letter is unchanged.
- Fixed
27Sep · Sun
Asthma questions rewritten to board length
Fixed- Fixed
Wrong choices that were actually correct replaced; clubbing taught one way. more ▾less ▴
Several wrong choices were actually correct, such as warming up before exercise and using a single combination inhaler for quick relief. They were replaced so each question has one best answer. A question on clubbing no longer uses a client with COPD, and the Respiratory A cram sheet now says clubbing is not a COPD sign.
Nine questions corrected after a spot check
Fixed- Fixed
Brain fluid leak questions now teach the confirming test. more ▾less ▴
Two questions on clear fluid leaking from the nose after head injury or pituitary surgery now teach that a beta-2 transferrin test confirms a brain fluid leak. A glucose strip only raises the suspicion. Both answer letters are unchanged.
- Fixed
Seven questions corrected after a 40-question spot check. more ▾less ▴
We checked 40 questions from the busiest topics (lab values, normal pregnancy, prioritization, and complications of pregnancy) for wrong answers. None of the 40 answers was wrong, but seven questions needed a fix: three had a second choice that could also be defended, one left out the detail that decides the answer, two explanations gave a wrong reason (one called a late sign of heavy bleeding an early one), and one used a pregnancy history that does not fit Philippine law. All seven were corrected and every answer letter is unchanged.
COPD questions rewritten to board length
Fixed- Fixed
Wrong choices that were actually correct replaced. more ▾less ▴
Eleven wrong choices were actually correct or true, such as two real effects of high oxygen offered as wrong reasons, and telling the power company that a client depends on home oxygen. They were replaced so each question has one best answer.
Children's digestive disorder questions rewritten to board length
Fixed- Fixed
Wrong choices that were actually correct replaced; celiac crisis teaching corrected. more ▾less ▴
Several wrong choices were actually correct. One stoma question marked cutting the pouch opening slightly larger than the stoma as wrong, though that is the standard rule. Others offered a spouted cup after palate surgery and lying on the stomach after anal surgery as wrong answers, when some care teams use them. The celiac crisis question now teaches that a crisis is usually the first sign of celiac disease nobody had noticed, not a slip on the diet.
Increased intracranial pressure questions rewritten to board length
Fixed- Fixed
Wrong choices that were actually correct replaced; spinal fluid leak and coma scale teaching updated. more ▾less ▴
Several wrong choices were actually correct. One question offered vision that briefly grays out as a wrong answer, but that is a real sign of rising pressure. The question on confirming a spinal fluid leak from the nose now teaches beta-2 transferrin as the confirming test, with glucose and the halo ring as clues only. The coma scale questions now use the pressure points the official Glasgow guide recommends.
Questions use Philippine units and roles
Fixed- Fixed
Nine questions switched to Philippine units and roles; one American formula question replaced. more ▾less ▴
Nine questions still used American details, such as feet, pounds, ounces, Fahrenheit or the licensed practical nurse role. They now use meters, kilograms, milliliters, Celsius and Philippine nursing roles, with the same answers. One question taught an American ideal body weight formula in pounds and feet; it was replaced by a question on Tannhauser's method in centimeters and kilograms, the method used in Philippine nutrition teaching, and the matching flashcard was updated.
Answer choices on 109 questions now read like the board exam
Fixed- Fixed
Two law explanations corrected to match the law's text. more ▾less ▴
Two explanations on Philippine nursing laws described a law slightly wrong (who hears appeals from the nursing board, and who gets the barangay health worker's tuition benefit). Both now match the law's text.
- Fixed
26Sep · Sat
Guillain-Barré syndrome questions rewritten to board-exam length
Fixed- Fixed
Two two-answer questions and seven true wrong choices fixed, answers unchanged. more ▾less ▴
Two questions had two defensible answers, and seven other wrong choices were in fact true, such as eye-care steps a current intensive-care guide recommends. Each was rebuilt so only one answer is right. Every answer letter is unchanged.
Myasthenia gravis questions rewritten to board-exam length
Fixed- Fixed
Three questions with a second defensible answer fixed. more ▾less ▴
Three questions had a wrong option you could defend as right. The question on what is worsening a client's weakness listed two medicines that worsen myasthenia more than the answer does, and two other questions offered a finding as urgent as the answer. Those options were replaced.
Children's kidney and urinary questions rewritten to board-exam length
Fixed- Fixed
Two questions whose answer did not hold up fixed. more ▾less ▴
Two questions leaned on an answer that did not hold up. In the blood transfusion question for a child with hemolytic uremic syndrome, a second choice was also defensible, so the question now gives a normal potassium and that choice was replaced. A glomerulonephritis question whose answer rested on raising the head of the bed, which no source supports, now tests a different fact.
Psychiatric assessment questions rewritten to board-exam length
Fixed- Fixed
Two questions with a second defensible answer fixed. more ▾less ▴
Two questions had a second answer you could defend. The alcohol withdrawal question now makes clear the insects are something he sees, and a question where denial also fit now tests a different finding.
Cram sheet PDF download: a Save button
Fixed- Fixed
If a cram sheet PDF built but never downloaded, tap Save to get it. more ▾less ▴
Some tablets built the cram sheet PDF all the way to the last page and then never saved it. Once your copy is built, the PDF button now reads Save for a few minutes, and one tap saves the finished file without building it again. The file is also about 15% smaller, with the same sharpness when printed.
Parkinson's disease questions rewritten to board-exam length
Fixed- Fixed
Four questions updated to match current drug labels, answers unchanged. more ▾less ▴
Four questions now match current drug labels. Vitamin B6 is no longer taught as a problem with carbidopa-levodopa (iron supplements are the ones to take apart), selegiline at its usual dose no longer calls for an aged-cheese diet, a set of choices that were all real Parkinson's symptoms was rebuilt, and an anti-nausea drug that also worsens Parkinson's disease was removed as a wrong choice. Every answer letter is unchanged.
- Fixed
Two cram sheets corrected on vitamin B6 with carbidopa-levodopa. more ▾less ▴
Two cram sheets, Neuro B (page 5) and Pharmacology Core (page 10), no longer tell you to avoid vitamin B6 with carbidopa-levodopa. Carbidopa blocks that old interaction; the point to remember is taking iron tablets apart from each dose. Nothing else on either page moved, so your notes stay where you left them.
Three explanations corrected
Fixed- Fixed
Three Non-Communicable Diseases explanations corrected against their sources. more ▾less ▴
Three Non-Communicable Diseases explanations now match their sources. Quitting smoking is taught as lowering overall heart and stroke risk, while cutting salt and brisk walking are the steps that lower blood pressure. PhilPEN's blood fat test is done at the first risk check, not from age 40. One explanation no longer calls an accurate statement wrong.
More ready-made flashcards
Fixed- Fixed
Ready-made cards now only appear once you have seen the answer. more ▾less ▴
A Ready-made card now appears only for a question whose answer has already been shown to you: one you answered, or any item from a diagnostic or mock board section you finished. A question you left blank in a practice set no longer opens its ready-made card, since that card usually gives the answer away. You can still write your own card for it.
Where new promo codes appear first
Fixed- Fixed
Notes about student stories now point to Account, then Student Stories. more ▾less ▴
Older notes here about student stories said they were on "the home page", meaning the front page of our website, not your Home. They now say so, and point to where the stories live in the app: open the Account menu, then Student Stories.
Clearer notices on updated cram sheets
Fixed- Fixed
The previous-edition notice now shows only when you have earlier marks. more ▾less ▴
When a cram sheet has been updated, the notice saying your highlights and notes are on the previous edition now appears only if you actually made marks on that earlier version. Before, it could show to students who had never marked the old version, and its button opened the older sheet at page 1.
- Fixed
Three mental health questions clarified. more ▾less ▴
Three mental health questions, on RA 11036 treatment rights and on the types of stigma, were rewritten so only one answer fits, and their explanations now define each term in plain words.
- Fixed
25Sep · Fri
Spousal consent: reversible methods vs procedures
Fixed- Fixed
Spousal-consent items now separate methods from procedures. more ▾less ▴
The question and two flashcards on a married woman's contraceptive request now add the other half of the 2014 RH Law ruling: a husband still cannot veto the reversible method she requests, but the Court struck down the rule that let a married person undergo a non-emergency reproductive health procedure without the spouse's consent.
Teen consent now follows Philippine law
Fixed- Fixed
Teen consent items now follow Philippine law. more ▾less ▴
The practice question about a teenager asking for STI treatment now follows Philippine law: a parent or guardian consents to a minor's treatment, and from age 15 a minor may consent alone to HIV testing (RA 11166). A related question and two flashcards on teen confidentiality now say the same, including that a modern family planning method needs a parent's written consent.
- Fixed
RH Law referral explanation updated for the 2014 ruling. more ▾less ▴
The explanation on conscientious objectors now reflects the Supreme Court's 2014 RH Law ruling, which removed the penalty for not referring a non-emergency client; referral stays the expected action.
- Fixed
Measles isolation corrected in one explanation. more ▾less ▴
The pertussis question no longer lists measles under airborne plus contact precautions; measles takes airborne precautions, and airborne plus contact is for chickenpox.
- Fixed
Ranitidine replaced with famotidine. more ▾less ▴
Ranitidine, withdrawn in the United States in 2020 and recalled here under its Zantac brand, was replaced with famotidine in one question and one flashcard.
Shorter explanations on every select-all question
Fixed- Fixed
Two select-all questions corrected. more ▾less ▴
Two select-all questions were corrected. A leprosy question wrongly said the disease spares the radial nerve, and a rheumatic fever question used joint aches, which can count as a major sign under the current criteria. Each now has a clearer replacement statement, and the answer letters stay the same.
- Fixed
One rheumatic fever flashcard corrected. more ▾less ▴
A rheumatic fever flashcard now explains that joint aches without swelling are a minor sign in low-risk populations, and can count as major in higher-risk ones.
Six more flashcard decks read whole, twenty-nine cards sharpened
Fixed- Fixed
Three flashcards corrected against their sources. more ▾less ▴
Three cards were corrected against their sources: "Tell me more about that" is a general lead, not a broad opening; both eyes are shielded after a penetrating injury because the eyes move by conjugate gaze, not consensual movement; and active internal bleeding is an absolute contraindication to stroke thrombolysis, no longer called the strongest one.
Ten more flashcard decks read whole, thirty-five cards sharpened
Fixed- Fixed
Four flashcards corrected against their sources. more ▾less ▴
Four cards were corrected against their sources: malpractice is negligence committed while practising nursing, not simply by a licensed person; general anesthesia alone does not make an operation major; the four examination techniques are no longer described as least to most invasive; and the organ donation card now follows the Philippine Organ Donation Act, where the hospital's trained donation staff approach the family.
Ten more flashcard decks read whole, thirty-two cards sharpened
Fixed- Fixed
Three flashcards corrected against their sources. more ▾less ▴
Three cards were corrected against their sources: an ear-surgery card that called a salty taste with frequent swallowing a bleeding sign now teaches the stapedectomy warning signs to report; the rasburicase card now says it is rasburicase, not allopurinol, that needs no urine alkalinization; and the consent card for an adult who cannot decide now says a court-appointed guardian outranks the next of kin.
Multiple sclerosis questions rewritten to board-exam length
Fixed- Fixed
A question using a retired type of multiple sclerosis now uses the current name. more ▾less ▴
One question named progressive-relapsing multiple sclerosis as its answer, a type retired from the current classification. It now uses the current name, primary progressive with disease activity, and its answer letter is unchanged.
One look for every page, and clearer locked features
Fixed- Fixed
Free sample decks no longer say "all caught up" when today's free cards are used. more ▾less ▴
A free sample deck said "You're all caught up" after you had used today's 5 free cards. It now says the free cards are done for today.
Crisis intervention questions rewritten to board-exam length
Fixed- Fixed
A crisis-type question that its own source contradicted now matches it. more ▾less ▴
One question called a fire at a single family's home a situational crisis, while its own source lists fire as an adventitious crisis. It now uses an event the source clearly calls situational, and its answer is unchanged.
- Fixed
A question built on a no-suicide contract now tests the safety plan instead. more ▾less ▴
One question described a client who had agreed to a no-suicide contract, which current guidance replaces with a written safety plan. It now tests the safety plan itself.
Neuro assessment questions rewritten to board-exam length
Fixed- Fixed
A cerebellum question with two defensible answers now has one. more ▾less ▴
One question on what the cerebellum does had two options that could both be defended as correct. It now has one.
Pages that fit small phones and larger text
Fixed- Fixed
Profile, Performance and the home page now fit small phones and larger text. more ▾less ▴
We checked every page at four screen sizes, and with larger text turned on, for words running out of their boxes. On small phones the Profile page no longer slides sideways, the Study Consistency numbers on Performance now fit their boxes, and the number cards on the home page fit when your text size is larger.
Three topics corrected in questions, flashcards and cram sheets
Fixed- Fixed
Gestational diabetes screening, recovery from Guillain-Barré syndrome and glucose-check delegation now match current sources. more ▾less ▴
We checked three topics against Philippine guidelines and review-center material, and corrected what the app teaches about each. Screening for gestational diabetes now leads with the Philippine test: one 75-gram, 2-hour glucose tolerance test at 24 to 28 weeks, where one high value makes the diagnosis. The American two-step test, a 50-gram screen followed by a 3-hour test, is still mentioned, because many review books teach it. Recovery from Guillain-Barré syndrome is now taught as gradual over weeks to months, with the feet usually the last to recover, instead of recovering from the head downward, which neurology sources do not support. And a question on delegating finger-stick glucose checks now says the client is stable and the attendant is trained, because the nurse still reads and acts on every result. The changes cover 11 practice questions, 3 flashcards and 4 cram sheets. No correct answer moved, and your highlights on those cram sheets are still in place.
- Fixed
24Sep · Thu
Missing spaces fixed, and a tidier study plan sample
Fixed- Fixed
Words that were stuck together, like "155topics", now read correctly. more ▾less ▴
Seven places in the app were showing two words stuck together, such as "155topics" on Home and "a few hours(72 hours" on the Upgrade page. Each one now has its space back.
146 more practice questions revised to follow the board exam
Fixed- Fixed
Several questions that taught something out of date, from where IV saline goes to otosclerosis in pregnancy, are now corrected. more ▾less ▴
Checking those questions against current sources turned up several that taught something out of date or had two defensible answers, and each one is now corrected. An IV fluid question said normal saline stays in the blood vessels; it actually spreads into the tissue spaces within about half an hour, and the question now teaches that. A question on a torn heart muscle after a heart attack placed it after the wrong kind of heart attack; it now describes the lower-wall heart attack that usually causes it. A sepsis question called the quick bedside score a screening tool, which the 2021 sepsis guideline advises against, and it now teaches what the score does and does not tell you. An ear question said otosclerosis hearing loss worsens with each pregnancy, which a 2023 expert review found no evidence for. A leadership question said a nurse who reports wrongdoing is protected by law, but the Philippines does not yet have a general whistleblower protection law, so the question no longer claims it. A kidney failure question gave high phosphate as the cause of itching, where current research finds several causes working together. And a Parkinson disease question listed side effects as belonging to other drugs when the amantadine label lists them too, so its wrong options were rebuilt.
Five practice-question explanations corrected
Fixed- Fixed
Five explanations corrected, including the crisis theory question (Aguilera, not Caplan). more ▾less ▴
The crisis question now credits the balancing factors (perception of the event, support and coping) to Aguilera's crisis model, not Caplan's. The low-calcium question after thyroid surgery now names all three risks it prepares for: muscle, airway and brain. The clot-prevention question now says calf massage is dangerous because it can send an existing clot to the lungs. Two more explanations lost a line about how the answer choices were built.
The cram sheet count now reads 44
Fixed- Fixed
The home, plans and upgrade pages and the FAQ now count 44 cram sheets. more ▾less ▴
With the new Nursing Research sheet on the shelf, the home page, the plans and upgrade pages and the FAQ now say "All 44 illustrated cram sheets". They still said 43.
A way past a stuck security check at login
Fixed- Fixed
A Try again button now appears when the login security check gets stuck. more ▾less ▴
If the Cloudflare security check on the login, signup or password-reset page keeps spinning or fails, a Try again button now appears under it, with a short tip on what usually fixes it (turning off a VPN, the 1.1.1.1 app or an ad blocker, or switching between Wi-Fi and mobile data).
- Fixed
23Sep · Wed
Flashcard and question fixes from the five-round review
Fixed- Fixed
Four practice-question explanations corrected. more ▾less ▴
Four practice-question explanations were corrected against their sources: pyridostigmine blocks cholinesterase rather than increasing acetylcholine release; in cast syndrome the superior mesenteric artery compresses the duodenum; a simple face mask runs about 5 to 10 L/min; and the pancreatitis question now describes Chvostek's sign (tapping the cheek) and Trousseau's sign (inflating the blood pressure cuff) correctly.
Ten more flashcard decks read whole, fifty-eight cards sharpened
Fixed- Fixed
Four flashcards corrected against their sources. more ▾less ▴
Four cards were corrected against their sources: dextrose is added in DKA once the glucose is falling while the anion gap is still open; enamel erosion is the most consistent finding in bulimia; a patient with dementia asking for a dead spouse is gently redirected to a comforting activity; and the low-sodium correction limit now gives the slower rate for chronic cases.
Ten more flashcard decks read whole, forty-one cards sharpened
Fixed- Fixed
Three flashcards corrected against their sources. more ▾less ▴
Three cards were corrected against their sources: recovery from Guillain-Barre syndrome is taught as gradual over weeks to months, without the claim that proximal areas recover first; adrenal crisis is no longer called the only endocrine emergency that needs a steroid; and the shock card no longer says vasopressors never start alongside fluids.
Ten more flashcard decks read whole, sixty-one cards sharpened
Fixed- Fixed
Five flashcards corrected against their sources. more ▾less ▴
Five cards were corrected against their sources: a scotoma is the central blank patch, and the wavy lines are a separate finding called metamorphopsia; D5W is isotonic only in the bag; the new-onset bedwetting card now describes a school-age child, not an infant; the glomerulonephritis delay of 1 to 2 weeks is tied to a strep throat; and the PCA card no longer says family pressing the button defeats the lockout.
Ten more flashcard decks read whole, fifty-nine cards sharpened
Fixed- Fixed
Six flashcards corrected against their sources. more ▾less ▴
Six cards were corrected against their sources: the first drop in a hypertensive emergency is no more than about 25 percent in the first hour; RA 9173 names gross incompetence and serious ignorance, but negligence needs no qualifier; the Board of Nursing itself revokes and suspends a certificate; the delegation card now names the nursing attendant; a change in level of consciousness belongs to infants and older children alike; and the DVT activity limit applies to a fresh clot before anticoagulation starts.
Ten more flashcard decks read whole, sixty-six cards sharpened
Fixed- Fixed
Three flashcards corrected against their sources. more ▾less ▴
Three cards were corrected against their sources: the ACTH stimulation test is read by how high cortisol peaks (below 18 mcg/dL suggests adrenal insufficiency), not by how much it rises; a pour-flush toilet is a Level I facility, and Level II is the water-sealed flush into the household's own septic tank; and the lochia card no longer calls odor the single most reliable warning sign, since the amount matters too.
110 more practice questions revised to follow the board exam
Fixed- Fixed
Several questions that taught something wrong, from a furosemide infusion rate to two family planning timings, are now corrected. more ▾less ▴
Checking those questions against current sources turned up several that taught something wrong or had two defensible answers, and each one is now corrected. A question on an 80 mg dose of furosemide into a vein said to give it over twenty minutes; for that dose the drug label says to push it slowly over one to two minutes (the slower rate is for much larger doses given as a drip). Two family planning questions were set on a day or week that made the listed answer wrong under the WHO family planning handbook, and the timing now matches the answer. A question about a late progestin-only pill did not say which pill she was taking, and one kind allows a longer delay than the others, so two answers could be defended; it now names the pill. A sanitation law question had two laws among its options that both require the same thing, and it now asks about the one duty only the correct law covers. A school vaccination question followed the United States schedule, and it now follows the DOH school immunization program. And one dosage calculation explanation had an arithmetic slip in how it explained a wrong option.
- Fixed
22Sep · Tue
The student stories page knows you are signed in
Fixed- Fixed
The stories page no longer asks signed-in students to log in again. more ▾less ▴
Opening the student stories page from inside BoardPal showed a Log in link, and tapping it took you to the login form even though you were already signed in. When you are signed in, that link now reads Home and takes you to your dashboard, and the button at the bottom of the page reads Back to studying. The Log in and Sign up pages also send a signed-in student straight to the dashboard now, wherever the link came from.
Intrapartum labor time limits and 3 reported questions
Fixed- Fixed
An epidural fever question now uses the right timing and presents both explanations for the fever. more ▾less ▴
A student pointed out that the cause of fever after an epidural is still debated, and that was right: a sterile inflammatory response is the leading explanation and reduced heat loss is another. While checking we found a second problem. The question placed the fever one hour after the epidural, when this fever usually appears four to six hours in. The scenario now fits that timing and gives the findings that separate it from infection, and the explanation presents both theories. The correct answer did not move, so your past attempts and topic scores are unaffected.
- Fixed
An arrest of dilation question now includes oxytocin in the six-hour rule. more ▾less ▴
The same student noted that the 2024 ACOG definition of arrest of dilation counts six hours of weak contractions only once oxytocin is running, and that the guideline itself rates the definition as a conditional recommendation. A practice question on it now says both.
- Fixed