What's new
Updates and improvements
Everything we've shipped to BoardPal, newest first.
Sep 8 to 14 · 54 fixes
14Sep · Mon
Dialysis questions rewritten to board-exam length
Fixed- Fixed
Two dialysis teaching points updated to match current references. more ▾less ▴
One question taught ending the run without returning the blood for a dialyzer reaction, a step we could not confirm in current references; it now teaches the milder type B reaction instead. Exit-site care questions no longer name a specific cleaning product, because international guidance on that changed recently.
Five new flashcards and a corrected bowel-sounds explanation
Fixed- Fixed
Bowel-sounds explanation corrected on one practice question. more ▾less ▴
A practice question on paralytic ileus had the bowel sounds of a mechanical obstruction backwards. Its explanation now says they are high-pitched and hyperactive early and fall silent only late, when strangulation or ischemia sets in. The answer is unchanged.
Acute kidney injury questions rewritten to board-exam length
Fixed- Fixed
Two kidney injury details corrected: the dialysis acidosis cut-off and what granular casts prove. more ▾less ▴
One question listed a blood pH of 7.15 as a reason for emergency dialysis, although the usual cut-off for severe acidosis is below 7.1; its options now describe each reason in words. A few questions also treated granular casts in the urine as proof of tubular necrosis, which they are not on their own; those questions now rest on findings that actually decide the answer.
Ten more flashcard decks read whole, eighty cards sharpened
Fixed- Fixed
Five flashcards corrected against their sources. more ▾less ▴
Five cards were corrected against their sources: shingles pain counts as post-herpetic neuralgia only after three months, not weeks; average-risk colorectal cancer screening starts at 45; the vaccine-freezing card now names the vaccines it compares instead of claiming only two vaccines are freeze-sensitive; PhilHealth's primary care benefit is now YAKAP (formerly Konsulta); and peau d'orange is the pitted skin texture, with skin dimpling a separate sign.
Iron and hemophilia questions corrected and sharpened
Fixed- Fixed
A hemophilia vaccine question corrected: the mistake is now skipping his vaccines. more ▾less ▴
A hemophilia home-care question counted asking for his vaccines in the muscle as the mother's mistake, but a needed vaccine is still given there with a fine needle and firm pressure. The mistake in that question is now skipping his vaccines, and the explanation teaches how they are given safely.
Chronic kidney disease questions rewritten to board-exam length
Fixed- Fixed
Two kidney questions corrected: the breathless-patient first action and the low-potassium snack. more ▾less ▴
One question asked for the first action for a woman with fluid in her lungs who was hard to rouse and gasping, and gave sitting her up with oxygen as the answer. A patient that drowsy needs help breathing first, so the question now describes a woman who is awake and breathless. Another called a few cups of white rice with a salad the safest low-potassium snack; it now teaches that the size of the portion matters more than whether a food is on the low-potassium list.
Children's blood and cancer questions cut to exam length
Fixed- Fixed
Questions with a second defensible answer were rebuilt, including hemophilia vaccines and the sickle cell crisis. more ▾less ▴
Several questions had a second answer that could be defended. A hemophilia vaccine question no longer suggests the muscle route is forbidden, since the vaccine is still given there with a fine needle and firm pressure. The sickle cell pain crisis question now asks which step treats the cause, because pain relief and fluids both start right away. A vincristine question that treated constipation as a wrong answer was rebuilt, since constipation is part of the same nerve side effect.
- Fixed
13Sep · Sun
Sixty-seven flashcards relinked to their practice questions
Fixed- Fixed
Adolescent health program card uses the current program name. more ▾less ▴
The flashcard on the DOH program for ages 10 to 19 now uses its current name, the Adolescent Health and Development Program; the older name, the Adolescent and Youth Health Program, is kept in the note under the answer.
Ten more flashcard decks read whole, sixty-four cards sharpened
Fixed- Fixed
Two flashcards corrected against their sources. more ▾less ▴
Two cards were corrected against their sources: a 12-month-old typically says one to three meaningful words (not two or three), and the air-embolism card no longer names the wrong heart chamber. The transfusion-reaction card now says the saline goes through new tubing, which is the point its practice question tests.
- Fixed
12Sep · Sat
Practice rank box: the lock goes once you are ranked
Fixed- Fixed
The Practice rank box swaps its lock for a trophy once you are ranked. more ▾less ▴
The Practice rank box on your dashboard kept showing a small lock even after you had a rank or a Top percentage. The lock now shows only while you are still working toward a standing, and turns into a trophy once you have one.
Clubbing is not a COPD change
Fixed- Fixed
A COPD explanation corrected on clubbing. more ▾less ▴
A COPD practice question's explanation now says plainly that finger clubbing is not a typical COPD finding: when it appears in a client with COPD it should prompt a search for another cause such as bronchiectasis, interstitial lung disease or a lung cancer.
Ten more flashcard decks read whole, sixty-nine cards sharpened
Fixed- Fixed
Four flashcards corrected against their sources. more ▾less ▴
Four cards were corrected against their sources: the FHSIS monthly tally now runs the right way (the midwife's summary table feeds the rural health unit's monthly consolidation table), the summary table card describes the midwife's own sheet, the immunization law card now says RA 10152 repealed PD 996 rather than complementing it, and the Service Delivery Network card no longer lists an inter-local health zone as part of the network.
Page headers line up with their cards
Fixed- Fixed
Page descriptions now span the same width as the cards below them. more ▾less ▴
The one-line description under a page title (Flashcards, Practice, Performance, Mock Boards, Resources, Vault and the rest) used to stop short of the right edge, so it read as a narrower column than the cards below it. It now spans the same width as the cards on every page.
Bookmark any question, and filter History by diagnostics
Fixed- Fixed
Your question notes now show inside the Vault too. more ▾less ▴
A Vault run now shows the note you wrote on a question in an earlier review. It used to open the question without it.
- Fixed
11Sep · Fri
Six flashcards added where the readers found a gap
Fixed- Fixed
COPD clubbing note corrected against its source. more ▾less ▴
The COPD erythropoietin card no longer says chronic low oxygen causes finger clubbing; clubbing is not a feature of COPD itself, and in a COPD client it prompts a search for lung cancer or bronchiectasis.
Three delirium and paraphilia items checked against their sources
Fixed- Fixed
Delirium recovery taught consistently across a mock item and its practice cousin. more ▾less ▴
A mock-board question about an older man whose confusion came from a treated infection used to promise, without qualification, that his thinking would return to normal. It now says that return is expected because the infection is treated and he had no dementia beforehand, and the option that called a permanent loss of sharpness the usual outcome is now wrong on the fact rather than on tone. Its practice-bank cousin, which teaches that an episode of delirium in hospital is linked to lasting trouble with thinking, now says that delirium is not only a passing state. Both are true; the difference is the setting and the patient.
- Fixed
No question claims an elder-abuse reporting duty the law does not create. more ▾less ▴
We read the Expanded Senior Citizens Act and its neighbouring laws in full: no Philippine law puts a duty on a nurse to report elder abuse, and no other question in the bank claims one. Elder-abuse questions now ask about safety, assessment and the older person's right to decide.
Ten more flashcard decks read whole and sharpened
Fixed- Fixed
Three cards corrected against their sources. more ▾less ▴
The Maglaya health-deficit card no longer says a diagnosis is required, since a developmental lag counts on its own; the vaccine contraindication card no longer calls anaphylaxis the only true contraindication, because live vaccines are also withheld in severe immunodeficiency; and the cirrhosis bleeding card now warns that ibuprofen is not a safe swap for aspirin.
Delirium, dementia and abuse questions cut to exam length
Fixed- Fixed
An elder-abuse question no longer cites a duty the senior-citizens law does not create; delirium's three forms taught. more ▾less ▴
One elder-abuse question used to say the nurse must report under the law protecting senior citizens. We read that law in full and it creates no such duty, so the question now asks what an older adult who can still decide for herself may choose. Another question said delirium has two forms; it has three, and the third, in which a person swings between restless and drowsy within one day, is now taught.
Ten flashcard decks read whole and sharpened
Fixed- Fixed
Three cards corrected against their sources. more ▾less ▴
The mental-health confidentiality card no longer says records may be shared only to protect life, since the Mental Health Act names several situations; the Snellen card no longer prints its own answer inside the 20/40 example; and the tardive dyskinesia card now asks which drug class does not relieve it instead of repeating a card from the Schizophrenia deck.
10 duplicate questions retired, 5 corrected
Fixed- Fixed
Second-year check-up question now respects the DOH monthly weighing. more ▾less ▴
The question on how often a well one-year-old is seen through the second year no longer lists monthly visits as a wrong answer, because the Department of Health does weigh every child under two once a month. The wrong option is now a schedule that is wrong under every guideline, and the explanation names the monthly weighing.
- Fixed
Hospitalized-preschooler question no longer marks sound practice as wrong. more ▾less ▴
A question about a four-year-old admitted for surgery used to list rooming-in and honest just-before explanations as wrong answers even though both are sound practice. Its wrong answers are now genuinely wrong: sneaking away while he is distracted, and explaining the operation in detail days ahead.
- Fixed
Nine-month vaccine questions now allow for the second polio injection. more ▾less ▴
Two mock-board questions on the nine-month immunization visit now ask which vaccine the baby receives for the first time that day, because the second injectable polio dose is also given at nine months under the current schedule.
- Fixed
Kidney-injury and PhilPEN questions tightened. more ▾less ▴
The hypertension question on evidence of kidney injury no longer hands over its answer through the word kidney, and the PhilPEN question now explains that every Filipino is automatically a PhilHealth member under the universal health care law, so a one-year limit on free medicines is not how the program works.
Child health-promotion questions rewritten to board-exam length
Fixed- Fixed
A growth-chart scenario now matches the rule its answer teaches. more ▾less ▴
One growth-chart question described a child whose weight had fallen across exactly two percentile lines while its answer required a fall of more than two. The scenario now matches the rule it teaches.
Vascular and hypertension questions cut to exam length
Fixed- Fixed
Tranexamic acid described correctly in one rationale. more ▾less ▴
One question's explanation used to call tranexamic acid a clot-promoting drug. It is a drug that stops clots from breaking down, and the explanation now says so.
- Fixed
10Sep · Thu
Pregnancy-loss cards ask for the type; a stroke card retired
Fixed- Fixed
Threatened and inevitable abortion cards now ask for the type. more ▾less ▴
The threatened-abortion card used to name the type on the front and ask only whether the cervix is open or closed. It now describes the picture (early bleeding, closed cervix, no tissue passed, pregnancy possibly still viable) and asks for the type, the same way its sibling cards do; the inevitable-abortion card was reshaped the same way.
Stroke deck reviewed; six why-cards now ask for a term
Fixed- Fixed
The sucking chest wound card now asks for the nurse's first independent action, and its note explains why sealing the fourth edge or waiting for needle decompression is the wrong first move.
Alcohol withdrawal and cannabis cards match the texts
Fixed- Fixed
Delirium tremens flashcard now teaches safety first, then the benzodiazepine. more ▾less ▴
The flashcard on the first nursing action in delirium tremens used to answer only 'give the prescribed benzodiazepine'. It now puts the client's safety first (stay with the client, one-to-one supervision, hazards cleared) and then the benzodiazepine with continuous monitoring, which is what the three practice situations on the same scene already teach and what Saunders and StatPearls describe.
- Fixed
Two alcohol withdrawal timing flashcards now carry both readings your review texts and the current sources give: seizures are most likely at 6 to 48 hours, and withdrawal delirium usually begins at 48 to 72 hours but can start later, up to about three to five days. One of them had lumped seizures in with the delirium window.
Parathyroid disorder questions rewritten to board-exam length
Fixed- Fixed
One question used to tell a client with an overactive parathyroid gland to cut back on dairy. Current guidance keeps dietary calcium in the normal range and stops only the calcium tablets and calcium antacids the client buys on her own, because restricting food calcium pushes the hormone higher. The question now teaches that.
Two decks reviewed card by card, plus 11 hard cards
Fixed- Fixed
Two pituitary cards corrected against their sources. more ▾less ▴
Two pituitary cards taught something their own source contradicts: the acromegaly card now asks which body system carries the worst outlook instead of naming a single leading cause of death, and the CSF-leak card now says a glucose strip only raises suspicion while the beta-2 transferrin test confirms it.
- Fixed
Ten flashcards now link to a practice question that actually states their fact, so 'Show me the question' opens the right one.
Substance use disorder questions rewritten to board-exam length
Fixed- Fixed
Two questions on the timing of alcohol withdrawal had drifted apart: one placed the seizure risk in the first two days, the other read as if the danger ended there. They now say separately that seizures come early and that withdrawal delirium can still begin days later. One explanation had a mechanism backwards (it said alcohol suppresses the system benzodiazepines act on); it now says the drug calms the brain the way alcohol did.
Two flashcards retired, two set cards added from the cram sheets
Fixed- Fixed
Two flashcards that needed no recall were retired: one whose answer was the verb the sentence forced ('the nurse FIRST ______ the pain') and one whose only fact, the teach-back method, is already taught by the Health Education deck.
40 flashcards now make you recall the answer
Fixed- Fixed
Seven flashcards now link to a practice question that actually states their fact, so 'Show me the question' opens the right one.
Fifty-four pediatric heart questions now read like the board exam
Fixed- Fixed
Two questions that gave the infant digoxin hold rate as 90 to 100 beats per minute now say 90 to 110, the figure the review texts and the Sick Child A cram sheet use, so the bank no longer disagrees with itself. The questions that ask you to hold and report the dose now leave the exact number to the prescriber's order, as the exam does.
- Fixed
One question about antibiotics before dental work had a wrong choice that was actually correct under the American Heart Association list. It now asks which history makes the antibiotic necessary.
One sentence corrected on the Sick Child A cram sheet
Fixed- Fixed
The endocarditis box on page 9 now says which heart conditions are on the American Heart Association list for antibiotics before dental work, and that rheumatic valve damage is not on that list but is still covered by the guidelines rheumatic countries such as the Philippines follow. If you had marks on the sheet, they are kept on the previous edition behind the clock icon in the viewer.
Forty-three eating disorder questions now read like the board exam
Fixed- Fixed
One dental-care question said stomach acid erodes the enamel especially on the tongue side of the teeth, which its own source does not support; it now teaches the instruction that matters after vomiting (rinse with water or a fluoride rinse and wait about half an hour before brushing). Another question treated compulsive exercise as not a reason for admission at all, when the source lists it as one factor that is not enough on its own; the question now asks which finding on its own calls for admission.
Two corrections on the Psychopathology B cram sheet
Fixed- Fixed
On the borderline personality disorder page, the suicide figure now matches current sources (about 6 in 100 die by suicide, with the older "up to 10 percent" noted), and the care line no longer recommends a signed no-self-harm agreement, which has no protective value of its own; it now names a collaborative safety plan, the same instrument the practice questions and the psychopharmacology sheet already teach. Your highlights and notes stay on the page you made them.
Forty-nine personality disorder questions now read like the board exam
Fixed- Fixed
Three explanations were corrected against their sources: the antisocial age criterion now reads as the diagnostic manual states it (the pattern runs since age 15, with conduct disorder before 15), the suicide figure for borderline personality disorder is now the one current sources give (about 6 in 100, against about 1 in 100 for the other personality disorders), and dialectical behavior therapy is taught as one of several structured therapies rather than the only one.
44 fertility and genetics questions read like the exam
Fixed- Fixed
One question about a quad screen result had two choices that were both correct, and another let the phenylketonuria question's answer appear as a wrong choice in a neighbouring question. Both are fixed.
- Fixed
9Sep · Wed
200 flagged flashcards reviewed, 40 improved
Fixed- Fixed
Eleven cards now link to a practice question that actually states their fact, so 'Show me the question' opens the right one.
- Fixed
The newborn-screening timing card now states the window exactly as RA 9288 does (after 24 hours of life, not later than 3 days, with the intensive-care exemption to 7 days), and a second card that asked the same window word for word has been retired.
- Fixed
NPH insulin's peak now reads 4 to 12 hours everywhere: one flashcard and two practice-question explanations that said six to twelve hours were aligned with the rest of the bank.
Forty-nine pituitary gland questions now read like the board exam
Fixed- Fixed
Four explanations were corrected against their sources: the drug for prolactinoma is no longer said to commonly lower blood pressure (the label's own figure is four percent), heart disease is no longer called the single leading cause of death in acromegaly, a growth hormone question now teaches when treatment stops instead of an unsourced claim about growth plates, and the bedside glucose strip for a nasal drip is now taught as a suspicion cue rather than proof, with beta-2 transferrin named as the confirming test.
7 repeated flashcards retired
Fixed- Fixed
Two cards now link to a practice question that actually states their fact: the PTSD one-month threshold card and the card on estrogen driving the first half of the menstrual cycle.
Twenty flashcards that repeated another card now teach something new
Fixed- Fixed
The nitrates card that asked for a vague blank now asks directly which drug class must not be combined with them, with one short answer to remember.
48 trauma and stress questions read like the exam
Fixed- Fixed
One PTSD question had lost its startle symptom in the trimming; it is restored. A rationale that said a woman sent to the barangay council would lose days waiting for a session was corrected, since the Anti-VAWC law lets a barangay official act at once.
Two more hard decks reviewed card by card
Fixed- Fixed
Ten flashcards that an earlier pass had turned into phrase answers are back to blanking the term being studied (the cumulative health record, saddle nose, Gowers sign, flu-like interferon reaction, low starting levothyroxine dose, glomerular filtration pressure), and two school-health cards became one card that asks for the four components of the school health program.
- Fixed
Eight flashcards corrected after a source check, including the STEMI oxygen rule and the PhilPEN risk chart inputs. more ▾less ▴
Eight flashcards were corrected after a source check: the STEMI first-action card now says oxygen is for a low saturation (below 90%), not for every chest pain; the PhilPEN risk card names diabetes status as the fifth chart input and notes the cholesterol version; the maternal mortality card carries WHO's exact national ceiling; the spinal cord injury card says abdominal, not gastric, distension; the variceal bleed card now teaches what is specific to varices (an IV vasopressin analog) instead of repeating the general upper-GI first step; and two communication cards, two bleeding cards, and two traction and triage cards now point at the practice questions that actually test them.
- Fixed
Two flashcards that asked nothing you could memorize (why a "Why...?" reply is non-therapeutic, and the general stance toward a delusion) were removed; the ideas stay in the practice questions that teach them.
Forty-nine reproductive system questions now read like the board exam
Fixed- Fixed
The menorrhagia and metrorrhagia question keeps the terms the board exam still uses, and its explanation now also gives the current FIGO names, heavy menstrual bleeding and intermenstrual bleeding, so either vocabulary is covered. The testicular self-examination question keeps the technique the review texts teach, checked against the American Cancer Society's own description.
35 questions corrected in a consistency review
Fixed- Fixed
Thirty-three questions corrected for consistency across the bank. No answer key changed. more ▾less ▴
Thirty-three practice questions across labor and delivery, pediatrics, community health, pharmacology and health laws were corrected so that no two questions teach opposite facts: the sodium correction ceiling is now given as the range the sources give, the Philippine malaria vector is named correctly, the two rabies signs (hydrophobia and aerophobia) are kept apart, the measles schedule no longer uses a retired vaccine name, and a burial question now turns on registration rather than the signature. No answer key changed.
- Fixed
Two questions students reported this week were rewritten: the palatoplasty explanation now says plainly which statement is the misconception, and the placental-bleeding explanation now says why the uterine muscle, not clotting, is the first mechanism that stops the bleeding.
- Fixed
The missed combined-pill question now asks about three missed tablets, the case every authority handles the same way, because the 2025 WHO recommendations no longer require backup after two missed tablets of a 30 to 35 microgram pill. The rationale names both the WHO and the CDC rule. The rabies law question now lists statute numbers only, so it can no longer be answered by spotting the word rabies.
- Fixed
One house flashcard on the Food Fortification Act no longer bundles the voluntary Sangkap Pinoy seal with the mandatory fortification of the four staples. A note for students who built their own law decks: Act No. 3753 (civil registry) and Act No. 3573 (notifiable diseases) are Acts of the Philippine Legislature, not Republic Acts.
58 growth and development questions read like the exam
Fixed- Fixed
One Kohlberg question had treated an eleven-year-old's reason that returning a wallet keeps society working as the highest level of moral reasoning. The source places that reasoning at the conventional level, and the question now asks which statement about the two children requires correction. The answer key did not change.
- Fixed
8Sep · Tue
79 mouth, esophagus and stomach questions reworked
Fixed- Fixed
A GI bleeding question no longer marks correct actions wrong. more ▾less ▴
An upper gastrointestinal bleeding question had scored three correct actions as wrong. It now asks for the one inappropriate action, so only one answer fits. Answer letters did not change, so past attempts keep their score.
Four hard decks: the confusing cards rebuilt
Fixed- Fixed
Four flashcards that contradicted their own source question now match it. more ▾less ▴
Four cards said something their own source question did not: the Health Belief Model card that described a cost barrier but asked for self-efficacy, the low-literacy teaching-material card that made the flip chart the only right answer, the PhilHealth card that put every informal worker in the subsidized group, and the asystole and PEA note that said PEA has no electrical activity. Each now matches its source.
Second-stage limits labelled; rebreathing remedy retired
Fixed- Fixed
The Intrapartum sheet now labels the classic second-stage limits and names the current ones beside them. more ▾less ▴
The Intrapartum sheet gave the second stage of labor a flat upper limit of 2 hours for a first birth and 1 hour after that (an hour more with an epidural) while a practice question on the same topic used the current ACOG and SMFM figures of 3 and 2 hours. Page 10 and page 28 now label the 2 and 1 as the classic teaching, which is what the board keys, and name the 2014 figures beside them, so a student who meets either version knows which is which. Nothing else on the sheet moved, and your marks stay where you drew them.
- Fixed
Two questions no longer present cupped-hands or paper-bag rebreathing as the remedy. more ▾less ▴
One labor question still told you the remedy for a mother's hyperventilation was to re-breathe into cupped hands, and one acid-base question described paper-bag rebreathing as a treatment for respiratory alkalosis. Both now say what the rest of the bank and the corrected cram sheets say: coach her to slow her breathing, and the cupped hands or paper bag is the older teaching that is no longer advised. Answer letters did not change.
78 labor and delivery questions read like the exam
Fixed- Fixed
A fetal head diameter question no longer offers two choices with the same measurement. more ▾less ▴
One question on the fetal head's diameters offered the submentobregmatic diameter as a wrong answer, but it measures the same 9.5 centimeters as the correct suboccipitobregmatic one. That choice is now the suboccipitofrontal diameter (10 centimeters), so only one answer fits. Answer letters did not change, so past attempts keep their score.
Flashcards that ask for the whole list
Fixed- Fixed
Twenty-two list flashcards now ask for the whole list instead of its last word. more ▾less ▴
Twenty-two flashcards used to print a list and blank only its last item (for example "duty, breach of duty, causation, and ______"), so you could answer without knowing the list. They now ask for the whole set and reveal every item together: the 5 P's and 6 P's, the Aldrete score, Virchow's triad, the Jones criteria, tetralogy of Fallot, tumor lysis electrolytes, fat embolism, phenytoin toxicity, the Belmont principles, the elements of malpractice and informed consent, and more.
Flashcards that test the facts, not the rhyme
Fixed- Fixed
Toxidrome and mnemonic cards now test the findings, with the rhyme as a note underneath. more ▾less ▴
A student pointed out that the anticholinergic toxidrome card printed every finding and asked you only for the last word of the rhyme. It now opens as a heading with the five findings blanked by body system (skin, pupils, temperature, bladder and bowel, mental status), all revealed together, with the rhyme kept underneath as the memory aid. The hyperparathyroidism stones-bones-groans-moans card was rebuilt the same way, and the multiple myeloma and Parkinson cards now ask for the four findings instead of the mnemonic's name.
Two maternity cram sheets corrected on hyperventilation
Fixed- Fixed
Intrapartum and Antepartum sheets no longer teach the paper-bag remedy as a DO. more ▾less ▴
The Intrapartum sheet (page 18) and the Antepartum sheet (page 8) both told you to have a hyperventilating mother breathe into cupped hands or a paper bag, while six practice questions marked that same remedy as no longer advised. Both pages now teach the current answer, slow her breathing, and name the paper bag as the older teaching that is no longer advised because it lowers her oxygen and can hide another cause. The mechanism (respiratory alkalosis with tingling fingers and lips) is unchanged. Your marks on the previous edition stay where you drew them, behind the History toggle.
Fifty-eight normal-postpartum questions now read like the board exam
Fixed- Fixed
Three postpartum facts corrected: comfort expression, when the womb lining is back, and the timing of the first follow-up. more ▾less ▴
Three facts were corrected on the way. The question on drying up the milk no longer treats expressing a little for comfort as wrong, since guidelines allow it; its wrong answer is now expressing on a regular schedule, which keeps the milk coming. The question on the womb lining no longer says the whole lining is back by the sixteenth day; the spot where the placenta sat takes about six weeks. And the follow-up question now sends a mother going home on her second day for a check the next day or so, matching the WHO contact at two to three days, instead of three days later. Answer letters did not change, so past attempts keep their score.
Three student reports and one ticket, four questions repaired
Fixed- Fixed
The child-abuse reporting question now has one wrong statement and teaches the 48-hour reporting duty. more ▾less ▴
A child-abuse reporting question asked which statement needed correcting first while two of its statements were wrong, and its own explanation admitted it; fewer than one in five picked the intended answer. The stem no longer ranks them, the second wrong statement now reads as the true rule that a nurse who reports in good faith is protected under the Child and Youth Welfare Code and the child-abuse reporting rules, and the explanation teaches the 48-hour reporting duty. Answer letters did not change, so past attempts keep their score.
- Fixed
The primary-survey question now tells its scenario in survey order and states the coma score. more ▾less ▴
An emergency-room question about the primary survey gave the coma findings first and only then said the airway was open and breathing supported, so most students read that as an airway already rechecked and moved on; fewer than one in four picked the intended answer. The scenario now runs in the order the survey runs, airway, breathing and circulation first and then the disability findings with the Glasgow Coma Scale total stated, and the explanation says why a score of 8 or less sends the nurse back to the airway even when it is open at that moment.
- Fixed
The mannitol monitoring question no longer describes a wrong choice in its own wording. more ▾less ▴
A mannitol question asked the nurse to plan the bedside monitoring, and that word described one of the wrong choices; a third of students followed it. The scenario now says the provider ordered the dose held when one laboratory value crosses a ceiling and asks which monitoring set tracks the drug's specific risks, and the explanation adds that drawing the samples, tracking the results and holding the dose are the nurse's job even though the laboratory runs the test.
- Fixed