Add to your bookmark Subscribe to Philippine Nurses feed Add to Del.icio.us StumbleUpon Add to Digg Add to Yahoo Bookmark on Google Add to furl Add to Reddit Add to Blinklist Add to Meneame Add to Fark Add to Ma.golia

Join our Nursing Review Community! Subscribe below. Its Free!

Join NurseReview.Org Community!

Get Connected With Other Nurses All Over The World! Its Free!! Enter your email to receive the Nursing Board Exam NLE Quick Result!

Email:

         Nursing Board Exam Result Subscribers PRC December NLE Quick Results Subscription


NurseReview.Org helps nurses all over the world keep in touch with each other. We provide an interactive environment where nurses can share their experience, ask questions regarding issues, provide assistance, etc.

If you want to be informed through email regarding NLE RESULTS, Nursing News, Retrogression Updates, New Nursing Board Exam Question & Answer, Latest Updates Regarding Nclex, please subscribe to us by filling in your email address above.

NOTE: You email address will be kept private and will not be distributed to spammers.

Friday, October 26, 2007

Common Laboratory Procedures:: Medical Surgical Nursing :: Review For Nursing Licensure Examination

If you're new here, you may want to subscribe to our RSS feed. One advantage of subscribing to RSS feeds is that you don't have to constantly re-visit this site to check for updates within specific sections you might be interested in because your browser or Feed reader will do this for you automatically on a regular basis plus you can even get email notification. Thank you so much. Enjoy!




Related Articles for Nursing Licensure Examination Review

Anatomy & Physiology
-Introduction to Anatomy & Physiology
-GIT, REPRO & URO
-Gynecological Anatomy & Physiology
-Lymphatics And Repiratory System


Fundamentals Of Nursing
-Activity And Exercise
-Loss And Grief

-Nursing Rehabilitation
-Pain And Comfort
-Rest And Sleep
-Stress


Medical Surgical Nursing
-Angioplasty vs. Bypass
-Cancer Nursing
-Cardiovascular Hematologic
-Common Laboratory Procedures
-Diabetes Mellitus
-Emergency Nursing And Critical Care
-Gastrointestinal System
-Genito Urinary System
-Integumentary System
-Musculoskeletal System
-Neurology Part 1
-Neurology Part 2



Common Laboratory Procedures:: Medical Surgical Nursing :: Review For Nursing Licensure Examination Slide Transcript
Slide 1: Common Laboratory procedures: Nursing Responsibilities and Implications

Slide 2: 3 Phases of Diagnostic testing Pretest   Client preparation  Intra-test  specimen collection and VS monitoring  Post-test  Monitoring and follow-up nursing care

Slide 3: Related Nursing Diagnoses  Anxiety  Fear  Impaired physical mobility  Deficient knowledge

Slide 5: BLOOD TESTS CBC   Hemoglobin, Hematocrit, WBC, RBC and platelet  Serum Electrolytes  Arterial blood gases  Blood Chemistry  Drug and Hormone Assay

Slide 6: Complete Blood Count Specimen: Venous blood  Pretest: obtain syringe,  tourniquet, vial with appropriate anticoagulant Intratest: Cubital vein  commonly used for venipuncture Post-test: direct pressure and  observe for bleeding, label vial

Slide 7: Normal values for CBC RBC (M) 4.7-6.1/ (F) 4.2-5.4  Hgb (M) 14-18/ (F) 12-16 mg/dL  Hct (M) 42-52/ (F) 33-47 %  WBC 5-10,000 cells/cubic cm  Differential count  Neutrophils- 55- 70%  Lymphocytes- 20-40%  Monocytes- 2-5%  Eosinophils- 1-4% Platelets 150,000-400,000 

Slide 9: Table. 11.2

Slide 11: CBC Normal WBC count 5-10,000 cell/cm3 Increased WBC More than 10, 000 (Leukocytosis) Increased Neutrophils ACUTE bacterial infection Increased Lymphocytes CHRONIC bacterial infection VIRAL infection Increased Eosinophils PARASITIC infection

Slide 12: Serum Electrolytes Specimen: venous blood  Pretest/Intratest/Post-test- same  Commonly ordered: Sodium- 135-145 mEq/L  Potassium- 3.5-5.0 mEq/L  Chloride- 95-105 mEq/L  Magnesium- 1.3 to 2.1 mEq/L  Calcium- 8 to 10 mg/dL 

Slide 13: Serum Electrolytes Problems can be  Hyper if increased  Hypo if decreased

Slide 14: Blood Chemistry Specimen: Venous blood, serum  Pretest/Intratrest/Post-test-same  Examined are enzymes,  hormones, lipid profile BUN , Creatinine, etc… Place patient on NPO for 8 h  *Creatinine is produced relatively  constant by muscles, excreted by the kidneys and is the RELIABLE Reflection of Renal Status

Slide 15: Blood Chemistry Normal values for : Creatinine: 0.7 to 1.4 mg/dL BUN: 10-20 mg/dL Creatinine clearance: 1.67 to 2.5 mL/s Serum uric acid: 2.5 to 8 mg/dL Blood osmolality= 250 to 290 mOsm/L

Slide 16: Blood Chemistry Enzymes/acids Purpose Uric acid Gout detection SGOT/SGPT Liver function test Rheumatoid factor For Rheumatoid arthritis Anti-DNA antibody SLE diagnosis CK-MB, LDH and Identifies Cardiac Troponin damage or muscle damage

Slide 17: Blood Chemistry Coagulation studies Purpose PT Measures the effectiveness of Warfarin 12-16 seconds PTT The BEST single screening test for coagulation disorders 60-70 seconds aPTT Same as PTT, measures effectiveness of HEPARIN 30-40 seconds (more specific than PTT) Bleeding time Measures Platelet function 1-9 minutes

Slide 18: Blood Chemistry Others Purpose ESR (erythrocyte Measures the rate at which sedimentation rate) the RBCs settle out of the anti-coagulated blood 10-20 mm/hour Elevates in inflammation auto immune diseases Blood lipids To detect hyperlipidemia Cholesterol= 150-200 mg/dL Triglycerides= 140-200 mg/dL

Slide 19: Diabetes Mellitus DIAGNOSTIC CRITERIA FBS equal to or greater than 126 mg/dL (7.0mmol/L) (Normal 8 hour FBS- 80-109 mg/dL)

Slide 20: Diabetes Mellitus DIAGNOSTIC CRITERIA OGTT value 1 and 2 hours post- prandial equal to or greater than 200 mg/dL  Normal OGTT 1 and 2 hours post-prandial- is 140 mg/dL

Slide 21: Diabetes Mellitus DIAGNOSTIC CRITERIA RBS of equal to or greater than 200 mg/dL PLUS the 3 P’s

Slide 22: Diabetes Mellitus DIAGNOSTIC CRITERIA Glycosylated hemoglobin (HbA1c) is a monitoring test to assess the adherence to diabetic medication

Slide 23: Arterial Blood Gases Specimen: arterial blood  Pretest: obtain syringe with  heparin, rubber stopper, container with ice Intratest: usual site-radial  artery, perform Allen’s test Post-test: Apply direct  pressure on site for 5-10 minutes, send specimen with occluded needle on ice

Slide 24: Normal ABG values pH 7.35-7.45   pCO2 35-45 mmHg  paO2 80-100 mmHg  HCO3 22-26 mEq/L  Base excess -2 to +2  O2 sat 95-98%

Slide 25: ABG interpretation Value Normal Acidosis Alkalosis pH 7.35-7.45 Below 7.35 Above 7.45 paO2 95-100 mmHg SaO2 95-98% Respiratory Respiratory paCO2 35-45 mmHg >45 <35 Metabolic Metabolic HCO3 22-26 mEq/L <22 >26

Slide 27: Urine Analysis Specimens  Clean-voided urine for routine urinalysis  Clean-catch or midstream urine for urine culture  Suprapubic and catheterized urine for urine culture

Slide 28: Routine Urinalysis Specimen: Clean voided  Pretest: give clean vial and  instruct to void directly into the specimen bottle Intratest: Allow a 10 ml collection  Post-test: prompt delivery to  laboratory *First voided urine in a.m. is highly  concentrated, more uniform concentration and with more acidic pH

Slide 29: Urine Culture: Normal is <100,000 Specimen: clean catch,  midstream or catheterized urine Pretest: Instruct to wash and dry  genitalia/perineum with soap and water. (M)- circular motion, (F)- front to back direction Intratest: Midstream urine, 30-60  ml Post-test: Cap and label, prompt  delivery and documentation

Slide 30: Special Urine Collection Infants   Special urine bag  Or cut a hole of the diaper (front for the boy, middle for the girl) pulling out through the hole the special bag Children   May use potty chair or bedpan  Give another vial to play with, allow parent to assist Elderly   Assistance may be required

Slide 31: Timed-urine collection Collection of ALL urine voided over a  specified time Refrigerated or with preservative  Pretest: Specimen container with  preservative, receptacle for collection, a post sign Intratest: At the start of collection,  have patient void and discard the urine At the end of collection period, instruct to completely void and save the urine Post test: Documentation 

Slide 32: Catheter specimen Sterile urine  Insert needle of the syringe through a drainage port  Only done with the rubber catheter not the plastic, silastic or silicone catheter.  Intratest: Clamp catheter x 30 mins if no urine  Wipe area where needle will be inserted  30-45° angle, 3 ml for culture  Post-test : Unclamp catheter after collection

Slide 34: Stool Analysis Occult Blood GUAIAC test   Steatorrhea  Ova/Parasites  Bacteria  Viruses

Slide 35: General Nursing consideration for stool collection Pretest: Determine purpose/s, obtain  gloves, container and tongue blade Intratest:   Instruct to defecate in clean bed pan  Void before collection  Do not discard tissue in bedpan  Obtain 2.5 (1 inch) formed stool  15-30 ml of liquid stool Post-test: prompt delivery 

Slide 36: Occult Blood: Guaiac Test Detect the presence of enzyme:  Peroxidase (+) blue color positive guaiac  Restrict intake of red meats, some  medications and Vitamin C for 3-7 days FALSE (+): red meat, raw fruits and  vegetables especially radish, turnip, melon and horseradish; meds like aspirin, NSAIDS, iron and anticoagulants FALSE (-): Vitamin C, ingested 250  mg per day from any source

Slide 38: Sputum Analysis For Culture and sensitivity  For sputum cytology  For sputum AFB  For monitoring of the  effectiveness of therapy

Slide 39: Sputum examination Pretest: Morning specimen is  collected Intratest:   Mouthwash with plain water  Deeply inhale x 2 then cough  Wear gloves in collecting specimen  Expectorate needed- 1-2 Tbsp or 15-30 ml Post-test: oral care and prompt  delivery to lab

Slide 41: VISUALIZATION PROCEDURES Invasive procedures are  direct methods and need CONSENT  Non-invasive procedures are indirect methods and may need written consent in some instances

Slide 42: Visualization procedures They can be: Radiographic procedures  “Scopic” procedures 

Slide 44: GIT Visualization Barium Swallow- UGIS   Pretest: written consent, NPO the night  Intratest: administer barium orally, then followed by X-ray  Post-test: Laxative for constipation, increased fluids, assess for intestinal obstruction , warn that stool is light colored!

Slide 47: GIT Visualization Barium Enema- LGIS   Pretest: Informed consent, NPO the night, Enema the morning  Intratest: Position on LEFT side, administer enema, then X-ray follow  Post-test: Cleansing enema , Laxative for constipation, assess for intestinal obstruction

Slide 49: GIT Visualization Esophagogastroscopy  Pretest: Informed consent, NPO for 8 hours, warn that gag reflex is abolished  Intratest: Position on LEFT side during scope insertion  Post-test: NPO until gag returns. Monitor for complications

Slide 51: GIT Visualization Anoscopy, proctoscopy,  proctosigmoidoscopy, colonoscopy Pretest: Consent, NPO, and  enema administration the morning Intratest: Position on the LEFT  side during scope insertion Post-test: Monitor for  complications

Slide 54: Gallbladder Oral cholescystogram  PTC  ERCP  Ultrasound 

Slide 55: IV Cholecystogram X-ray visualization of the  gallbladder after administration of contrast media intravenously Pre-test: Allergy to iodine and sea-  foods Intra-test: ensure patent IV line  Post-test: increase fluid intake to  flush out the dye, Assess for delayed hypersensitivity reaction to the dye like chills and N/V

Slide 57: Oral Cholecystogram X-ray visualization of the  gallbladder after administration of contrast media Done 10 hours after ingestion  of contrast tablets Done to determine the  patency of biliary duct

Slide 60: Endoscopic retrograde cholangiopancreatography Examination where a flexible  endoscope is inserted into the mouth and via the common bile duct and pancreatic duct to visualize the structures Iodinated dye can also be  injected after for the x-ray procedure

Slide 61: Endoscopic retrograde cholangiopancreatography Pre-test: consent, NPO for 12  hours, Allergy to sea-foods, Atropine sulfate Intra-test: Gag reflex is  abolished, Position on LEFT side Post-test: NPO until gag  reflex returns, Position side lying and monitor for perforation and hemorrhage

Slide 65: Percutaneous Transhepatic Cholangiogram Under fluoroscopy, the bile duct  is entered percutaneously and injected with a dye to observe filling of hepatic and biliary ducts

Slide 67: Ultrasound of the liver, gallbladder and pancreas Consent MAY be needed  Place patient on NPO!!!  Laxative may be given to  decrease the bowel gas

Slide 69: Urinary Visualization Non-invasive: KUB, IVP, Ultrasound  Pretest: Elicit allergy to iodine and seafood, NPO after midnight  Intra-test: IV iodinated Dye is administered then X-ray is taken  Post-test: Increase fluids to flush the dye. Documentation, VS monitoring

Slide 72: Urinary Visualization Invasive: retrograde  cystourethrogram Pretest: Elicit allergy to iodine  and seafood Intra-test: catheter is inserted  with dye is administered then X-ray is taken as patient voids Post-test: Increase fluids to  flush the dye. Documentation, VS monitoring

Slide 75: Pulmonary visualization Invasive: Bronchoscopy,  laryngoscopy Non-invasive: CXR and Scan 

Slide 76: Bronchoscopy Purpose: Diagnostic and  therapeutic Pretest: Consent, NPO, client  teaching, anti-anxiety drugs Intratest: gag reflex is abolished,  instruct to remain still during procedure, FOWLER or SUPINE Post-test: NPO until gag reflex  returns, monitor patient for complication like perforation/bleed

Slide 79: Pulmonary function test Test to determine lung volumes  and capacities

Slide 82: LUNG VOLUMES 1. Tidal volume – TV  2. Inspiratory Reserve Volume-  IRV 3. Expiratory Reserve Volume-  ERV 4. Residual volume- RV 

Slide 83: LUNG CAPACITIES Lung volume + another lung volume  1. Inspiratory Capacity- IC  2. Functional Residual Capacity- FRC  3. Vital capacity- VC  4. Total Lung capacity- TLC

Slide 84: Pulmonary \"Volumes” 1. Tidal Volume:  -volume of air inspired or expired with each normal breath, about 500ml 2. Inspiratory Reserve Volume  -extra volume of air than can be inspired over & beyond the normal tidal volume, about 3000ml

Slide 85: Pulmonary \"Volumes” 3. Expiratory Reserve Volume  -amount of air that can still be expired by forceful expiration after the end of a normal tidal expiration  -about 1100ml 4. Residual Volume  -volume of air still remaining in the lungs after the most forceful expiration, averages about 1200ml

Slide 86: Pulmonary \"Capacities:\" 1. Inspiratory Capacity  -equals TV + IRV, about 3500ml  -amount of air that a person can breathe beginning at the normal expiratory level & distending his lungs to maximum amount 2. Functional Residual Capacity  -equals ERV + RV  -about amount of air remaining in the lungs at the end of normal expiration, about 2300ml

Slide 87: Pulmonary \"Capacities:\" 3. Vital Capacity -equals IRV + TV + ERV or 1C + ERV,  about 4600ml  -maximum amount of air that a person can expel from the lungs after filling the lungs to their maximum extent & expiring to the maximum extent 4. Total Lung Capacity  -maximum volume to which the lungs can be expanded with the greatest possible effort  -volume of air in the lungs at this level is equal to FRC (2300ml) in young adult

Slide 89: Cardiac Visualization  Invasive:angiography. Cardiac catheterization  Non-invasive: ECG, Echocardiography, Stress ECG

Slide 90: The Cardiovascular System LABORATORY PROCEDURES ECHOCARDIOGRAM  Non-invasive test that studies the structural and functional changes of the heart with the use of ultrasound  No special preparation is needed

Slide 91: 2 D-echocardiogram

Slide 92: Angiography Pretest: informed consent,  allergy to dyes, seafood and iodine Intratest: Monitor VS  Post-test: maintain pressure  dressing over puncture site Immobilize for 6 hours 

Slide 95: Cardiac Catheterization Introduction of catheter into heart  chambers Pretest: informed consent, allergy  to dyes, seafood and iodine, NPO 8-12 hours Intra-test: Empty bladder, Monitor  VS, explain palpitations Post-test: maintain pressure  dressing over puncture site Immobilize for 6-8 hours with  extremity straight

Slide 97: Myelography Radiographic examination of the  spinal column and sub- arachnoid space to help diagnose back pain causes Pre-test: Consent, NPO, allergy  to seafoods Intra-test: like LT  Post-test: supine for 12 hours 

Slide 99: Arthroscopy Insertion of fiber optic scope into  the joint to visualize it, perform biopsy Performed under OR condition  After care: Dressing over the  puncture site for 24 hours to prevent bleeding Limit activity for several days (7  usually)

Slide 101: Arthrogram X-ray visualization of the joint  after introduction of contrast medium Pre-test: consent, allergy to  seafoods Post-test: Dressing over  puncture site and limit joint activity

Slide 103: Electromyelography Records the electrical activity in  muscles at rest and during involuntary and electrical stimulation Detects disorders such as MG, MS  and Parkinson’s Explain the use of electrode inserted  into the muscles Mild discomfort may be experienced  About 45 minutes for one muscle 

Slide 106: CT scan  Painless, non-invasive, x- ray procedure  Mechanism: distinguish density of tissues

Slide 108: MRI Painless, non-invasive, no radiation  Creates a magnetic field  Contraindications:   (+) pacemaker  (+) metal prosthesis Client teaching:   Lie still during the procedure for 60-90 minutes  Earplugs to reduce noise discomfort  Claustrophobia  No radiation

Slide 113: ASPIRATION AND BIOSPY Aspiration: withdrawal of  fluid  Biopsy: removal and exam of tissue  Invasive procedure needs INFORMED CONSENT

Slide 114: Lumbar Puncture Withdrawal of CSF from the  arachnoid space Purpose: diagnostic and  therapeutic To obtain specimen, relieve  pressure and inject medication Pretest: consent, empty  bladder

Slide 115: Lumbar Puncture Intra-test: Site used-between  L4/L5  Position- flexion of the trunk Post-test: Flat on bed (8-12  hours)  Offer fluids to 3 Liters  Oral analgesic for headache  Monitor bleeding, swelling and changes in neurologic status

Slide 118: Abdominal Paracentesis Withdrawal of fluid from the  peritoneal space Purpose: diagnostic and  therapeutic Pretest: consent, empty  bladder Position: sitting   Site: midway between the umbilicus and symphysis

Slide 119: Abdominal Paracentesis Intratest: 1,500 ml maximum  amount collected at one time, Monitor VS Post-test: monitor VS,  bleeding complication Measure abdominal girth and  weight

Slide 121: Thoracentesis Removal of fluid from the  pleural space  Purpose: Diagnostic and therapeutic  Pretest: Consent, teach to avoid coughing  Position: sitting with arms above head

Slide 122: Thoracentesis Intra-test: Support and  observation Post-test: Assess VS   Position Post-procedure: lie on the UNAFFECTED SIDE with head elevated 30° x 30 minutes to facilitate expansion of the affected lungs

Slide 125: Bone marrow Biopsy Removal of specimen of bone  marrow Purpose: diagnostic  Pretest: consent, teach that  procedure is painful Site: POSTERIOR SUPERIOR  ILIAC CREST (adult); PROXIMAL TIBIA (pedia)  Position: prone or lateral

Slide 126: Bone marrow Biopsy Intratest: Monitor, maintain  pressure dressing over punctured site X 10 mins Post-test: Asses for  discomfort, administer prescribed pain meds

Slide 127: Liver Biopsy  Liver tissue obtained for diagnostic purpose  Pretest: consent, administer Vitamin K, monitor bleeding parameters, NPO 2 hours before procedure  Position: Supine or semi- fowlers with upper right quadrant of abdomen exposed

Slide 128: Liver Biopsy Intra-test: Monitor VS   Take few deep inhalation and exhalation and hold final breath in exhalation x 10 seconds as needle is injected Post-test: monitor VS,  bleeding  Position post-procedure: RIGHT side-lying with folded towel/pillow under biopsy site for 4-6 hours

Slide 129: Papanicolau Smear Done as screening test for  cervical cancer, for culture Pre-test: no coitus for 2-3  days, no menstrual bleeding Intra-test: Lithotomy,  speculum with water for lubrication, specimen obtained for cervix and vagina Post-test: monitor for  bleeding

Slide 131: The Cardiovascular System LABORATORY PROCEDURES ELECTROCARDIOGRAM (ECG)  A non-invasive procedure that evaluates the electrical activity of the heart  Electrodes and wires are attached to the patient

Slide 135: What the waves represent? P wave= Atrial Depolarization  QRS= Ventricular Depolarization  T wave= Ventricular REPOLARIZATION 

Slide 137: LABORATORY PROCEDURES CVP  The CVP is the pressure within the SVC  Reflects the pressure under which blood is returned to the SVC and right atrium

Slide 138: LABORATORY PROCEDURES CVP  Normal CVP is 0 to 8 mmHg/ 4-10 cm H2O

Slide 139: LABORATORY PROCEDURES Measuring CVP  1. Position the client supine with bed elevated at 45 degrees (CBQ)  2. Position the zero point of the CVP line at the level of the right atrium. Usually this is at the MAL, 4th ICS  3. Instruct the client to be relaxed and avoid coughing and straining.

Slide 142: Tubes Levine  Salem Sump tube  Gastrostomy tube  Jejunostomy tube 

Slide 146: Drainage Penrose Drain  Hemovac  Pleuravac  Jackson-Pratt 

Slide 150: Asked in the local boards  DRE  Snellen’s chart  Weber’s test  Rinnes’ test

Slide 151: DRE Position: Left Lateral or Sim’s  position with upper leg acutely flexed. Females can also be examined in lithotomy Ask client to BEAR DOWN   To accentuate rectal fissure, prolapse ,polyps  To relax the anal sphincter

Slide 152: Snellen’s Chart: test for visual acuity 20 ft or 6 m distance   3 readings: L, R and Both eyes  Report: 20/ xxx  Numerator: denotes the distance from the chart

Slide 154: Snellen’s Chart: test for visual acuity  Denominator denotes the distance from which the normal eye can read the chart  20/60: the person can see at 20 feet, what a normal person can see at 60 feet.

Slide 155: Weber’s test Test for lateralization and  bone conduction Tuning fork is placed on top  of head NORMAL: sound is heard in  BOTH ears, localized at the center of the head: WEBER NEGATIVE

Slide 156: Weber’s test Sound is heard BETTER in the  affected ear: Bone conductive hearing loss Sound is heard only or better  on the NORMAL ear: Sensorineural heating loss ABNORMAL: WEBER  POSITIVE

Slide 157: Rinne’s Test Test for AIR and BONE  conduction Tuning fork is initially placed  on the mastoid process until no vibration is heard Tuning fork is now placed in  front of the ear until sound disappears

Slide 158: Rinne’s Test  Air conduction is LONGER than bone conduction  Normal is POSITIVE Rinne’s

Slide 159: Rinne’s Test CONDUCTIVE HEARING  LOSS:  Bone conduction is GREATER than or equal to the AIR conduction  Abnormal is NEGATIVE RINNEs

Slide 160: Rinne’s Test SENSORINEURAL  HEARING LOSS:  No bone conduction and air conduction vibration can be assessed  NEGATIVE RINNEs

Slide 161: Weber

Slide 162: Rinne’s

Slide 163: Rinne’s

Slide 164: FAILING TO PREPARE IS PREPARING TO FAIL…






Article copyright NurseReview.org - #1 source of information to update nurses all over the world. All rights reserved. No part of an article may be reproduced without the prior permission.




0 comments:


Philippine Nurses in Action

Search for Nursing Jobs Abroad!

Quick Nursing Facts:

NLE Results December 2011 Results

December 2011 Nursing Board Exam Successful Examinees for the December NLE 2011

Nursing Board Exam July 2010 NLE PRC

July 2011 Nursing Board Exam Successful Examinee PRC

List of Successful Examinees for Nursing Licensure Examination July 2011 Conducted by the PRC

We are one of the few websites to post results right after the Philippine Regulatory Board have release the list of successful examinees

Results for July 2011 NLE Board Exam

July 2011 NLE Nursing Licensure Examination Results List Of Passers

Recommended Books

Filipino Nurse del.icio.us Tag Rolls

NursingReview.Org Disclaimer

© 2008-2009 NurseReview.Org This site contains links to other Web sites. The owner of this blog has no control over the content or privacy practices of those sites. The information provided here is for general information purpose only. Comments are moderated. If in any case the owner approves a comment, it should not be taken as an endorsement of that comment. The owner doesn't claim full ownership of all photos or articles posted on this site. If the respective copyright owners wish for their photos or articles to be taken down, feel free to e-mail me and it will be taken down immediately.