CRNE June 2012

World Canada CRNE

Published

Anyone started to prepare for CRNE June 2012?

Specializes in NICU, PICU, PCVICU and peds oncology.

no cpr and dnr are not exactly the same thing. there are as many permutations of "do not resuscitate" as there are stars in the sky... or almost. for example, a person might agree to cpr but not to defibrillation. they might agree to no cpr but want cardioactive drugs (epinephrine, vasopressin, adenosine, calcium, bicarb). they might agree to cpr and defibrillation but no drugs. they might be okay with cardioactive drugs by infusion but not as a bolus. or cpr but not intubation. where i work, we see many, many variations. our "dnr" orders are usually written:

1. no chest compressions

2. do not intubate

3. no cardioactive drugs by iv push

4. no defibrillation

may escalate existing cardioactive infusions to a maximum of 1 mcg/kg/min

may give fluid boluses to maximum of 100 ml/kg

No CPR and DNR are not exactly the same thing. There are as many permutations of "do not resuscitate" as there are stars in the sky... or almost. For example, a person might agree to CPR but not to defibrillation. They might agree to no CPR but want cardioactive drugs (epinephrine, vasopressin, adenosine, calcium, bicarb). They might agree to CPR and defibrillation but no drugs. They might be okay with cardioactive drugs by infusion but not as a bolus. Or CPR but not intubation. Where I work, we see many, many variations. Our "DNR" orders are usually written:

1. No chest compressions

2. Do not intubate

3. No cardioactive drugs by IV push

4. No defibrillation

May escalate existing cardioactive infusions to a maximum of 1 mcg/kg/min

May give fluid boluses to maximum of 100 mL/kg

Great! thanks for clarifying that. that really helped a lot. At least it's clear now. Thanks so much janfrn! Appreciate this. :)

The correct answer is 4, elevate his legs. The key words here are "independent nursing action...limit spread ankle edema."

Rationale: 1.The nurse cannot restrict fluids alone..an MD order is needed. 2. Elastic bandages cover wounds and are effective in immobilizing joints/extremeties...they are not compression stockings. Besides, assuming that a pt with heart failure is elderly, would you count on them to apply elastic bandages alone and correctly? 3. Range of motion exercises prevent contractures and promote mobilization. With depended edema, the correct exercise would be ankle pumps. When a patient has right-sided heart failure (i.e. cor pulmonale), you would definitely see manifestations of dependent edema. So to keep them from getting worse (exacerbation), you must remind the patient to sit with legs elevated at all times and to pump those ankles!

The correct answer is 4, elevate his legs. The key words here are "independent nursing action...limit spread ankle edema."

Rationale: 1.The nurse cannot restrict fluids alone..an MD order is needed. 2. Elastic bandages cover wounds and are effective in immobilizing joints/extremeties...they are not compression stockings. Besides, assuming that a pt with heart failure is elderly, would you count on them to apply elastic bandages alone and correctly? 3. Range of motion exercises prevent contractures and promote mobilization. With depended edema, the correct exercise would be ankle pumps. When a patient has right-sided heart failure (i.e. cor pulmonale), you would definitely see manifestations of dependent edema. So to keep them from getting worse (exacerbation), you must remind the patient to sit with legs elevated at all times and to pump those ankles!

I agree! :) Good rationalization nursevitals! :)

Right side heart failure, the client's heart fails to pump and receive enough vol of blood to the lungs and from circulatory system. By elevating the legs, it helps drain the circulatory syst fluid load back to the heart, it is different from systemic heart failure in which both sides of the heart is fully congested and the management will be targeted at lower the fluid load of the heart, so you don't position your clients legs higher than heart in systemic heart failure. I hope this will help with questions read earlier.

When do people typically start getting the resuls mailed?

Its usually 4-6 weeks from the examination date!

Last year June test was held on the 2 June if I am not wrong, the results sent out or relapeased out on 12 july, I think this time it will be around 15 to 18th July.

Specializes in NICU, PICU, PCVICU and peds oncology.
Last year June test was held on the 2 June if I am not wrong, the results sent out or relapeased out on 12 july, I think this time it will be around 15 to 18th July.

Not so. The results were not out until mid-July. https://allnurses.com/canada-crne-cpnre/support-group-crne-541325-page56.html

I received in Singapore by 18th of July after they sent the first letter to Ottawa, i phone them, cno resent the letter to Singapre, the letter from cno was dated on 13th of July 2011, I am still keeping it. Some of the states receive it as early as 9th July. It depends on the individual province, if the province is small and has less participants, they usually get it slightly early. Ontario always get the largest number of writers, it is usually around 2000 writer in June itself, so it takes slightly longer to get the results.
Specializes in Cardiology.

There are probably a few more then 2000 people wrote in June. :) I think AB alone graduates close to 1800 nurses each year. A few more weeks and we will know either way. Hope everyone receives good news!

Hi Everyone, while waiting for the CRNE June 2012 results, I would like to share some study tips with future test writers. Here I will share with you my study materials and methods I used.

1. Choose the correct study materials , which include:*Mosby Comprehensive review for the Canadian RN Exam(blue and orange color,2nd edit), please buy it from a local university or college book store, don't buy online especially amazon websites,in case they ship their old stock like the 1st edition to you. sucks as I chose from their online store. They gave me the 1st edition, a lot of mistakes there.luckily, I could pick it up on time. My friends said if I could pick up the mistakes from a well published book, that means I can pass my exam(I hope so).*CNA RN exam prep guide 5th edition or the 4th edition if you have also can be useful.*Mosby's prep guide for the Canadian RN exam,*Lippincott's CRNE prep guide (I like it personally as it gives you immediate feedback when you do the exam questions, and you can choose the category of the test you want to practice on * CNA Code of Ethics, cno online learning modules and compodium and competencies. Online prep course.

2. Apart from the study materials we should prepare for the CRNE, we need to plan to study 12 weeks ahead at least, especially for those internationally educated nurses, because the more you study and the more you could understand Canadian culture and practice. Don't forget CRNE is testing Canadian entry level nurses standard. No matter how much experiences you have in your own country, you still have to pass the Canadian RN entry level and their style.How do we study ahead? I think different people have different preference.

For me, I usually study 2 hours in the morning then do house work and grocery shopping etc, two hours study in the afternoon , after dinner, I would do some practical questions for about 1 hour daily on weekdays from the beginning of the twelve weeks to 4th last week. I met up with my study buddies weekly for discussion and clarification in person.We also divided the chapters in the books into parts and each of us presented some of the important areas to the group during our meetings. By doing so, we saved a lot of time to read up the chapter individually and we could highlight the most important part and understand it better.We joined for online review courses and share the course fees. I went to library for some simulated test weekly(just bring a test paper with 200 MCQs questions with some pencils and a timer after a good breakfast). In the last 4 weeks before the exam, we hardly had time to meet in person, so we opened our Skype group conference call discussion. It worked very well. Everyone was so amazed as it is so convenient and so accessible. We discussed our mock exam questions and we gave our own opinions / rationales for why we choose correct answers for those questions that we answered wrongly or in doubt in our individual attempts. Throughout the discussions, we also learned from each other for certain difficult topics, like how to maintain confidentiality and disclosure of our clients info , how to remember the fetus heart beat tracing and the clinical indications( it appeared this time , we were so glad that we discussed it). Three of us got advanced experience in the different specialized areas, everyone will share with each other how to remember those tips, it's a great experience and you will never to find this kind of help from any books or online learning.We shared our resources together and we gave each other support during these days. We never allow any negative feeling sustain during our study period.One more thing I would like to share is to understand the questions and contents , never try to memorize them by heart. Only when you understand the contents , the knowledge is yours forever.By the way, our study group finally consists of only three nurses, one from Canada, the other is from UK and I am from Singapore, with our different backgrounds: pediatric and maternal, community health , and critical care nursing experience. It is a great mix group for this Crne preparation. We did about 2000 MCQs altogether. Don't use the nurses2canada study material, theses NClex style, you may use CNA prep guide more than once to get used to what and how CNA wants from nurses. Bear in mind, all those questions you practised ahead are not exactly like the real exam questions. I think Crne committee must have worked very hard on the paper,i have never seen any questions comes out from the study material we used. Believe me the exam is much harder than it practice questions. The questions are more vague and grey. So be prepared for that. I believe CRNE committee has gone through those market prep materials carefully to make sure there is no similar questions there. Best luck for future CRNE writers.

Above is my personal experience for your reference wherever is applicable.

Wish everyone happy while waiting patiently for our great news in July. :)

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