Philippines · Professional Regulation Commission, Board of Nursing, Philippines · licensing · secondary source
Written multiple choice across five test papers. 500 questions in total, 100 per paper. Two days.
The licensing examination for nurses in the Philippines, one of the largest sources of internationally mobile nurses in the world. Five papers covering the full nursing curriculum. A general average of 75 per cent with no rating below 60 in any paper is the widely published requirement.
Official source: https://www.prc.gov.ph/nursing
The questions are the end-of-manual checks written with each SUNYRA nursing manual. An examination's practice paper draws on the subjects that examination's published blueprint covers; the questions were written to the subject, not to the examination's own pattern, and none is a past paper.
1. A patient's sacral skin stays red when pressed rather than blanching. What does this indicate?
A. Tissue damage has already begun
Skin that does not blanch and refill has already sustained damage, and it is the sign that precedes a visible break. On darker skin the redness may be invisible entirely, so the earlier signs are a patch that feels warmer, cooler, firmer or more painful than the skin around it — a system relying on seeing redness misses damage in dark-skinned patients systematically.
Nursing Foundations I · End-of-manual check
2. When should the position of a feeding tube be confirmed?
D. Before every feed, medicine and flush
A tube that has moved delivers feed into a lung, which is among the most serious avoidable harms in ward nursing. Being correctly placed yesterday is not evidence about today, and coughing, vomiting or pulling at it are all reasons to check again.
Nursing Foundations II · End-of-manual check
3. A nurse is interrupted while drawing up an intravenous antibiotic. What is the safest action on returning to the task?
D. Restart the check sequence from the prescription
An interruption empties working memory, so the step a nurse believes they reached is not reliably the step they actually reached — which is how doses get repeated or components omitted. Resuming from memory relies on exactly the faculty that was just disrupted. A colleague cannot know the step either. Checking afterwards cannot detect a component already added twice.
Medication Administration and Safety · End-of-manual check
4. Which observation is checked before giving a medicine that slows the heart?
C. The pulse, against the rate specified by the service
Services specify a rate below which the dose is withheld and the prescriber informed, which makes this one of the clearest cases of a nurse's assessment gating an administration. It is also one of the steps most often skipped when a round is running late.
Pharmacology · End-of-manual check
5. A young post-operative patient has a heart rate of 118, cool fingers, and has passed 15 mL of urine in two hours. Blood pressure is 118/76. What does this most likely indicate?
B. Compensated hypovolaemia that has not yet failed
A normal blood pressure here is not reassurance — it is compensation. A young patient maintains blood pressure by increasing heart rate and constricting peripherally until compensation fails, at which point it falls suddenly and steeply. Tachycardia with cool peripheries and falling urine output is the pattern of bleeding, and waiting for the blood pressure to change means waiting until the window for easy correction has closed.
Medical-Surgical Nursing I · End-of-manual check
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