[orange-rn]

Has anyone taken this exam? I have been an ER nurse for 3 years and recently changed jobs. I had to take the BKAT test and did not pass! I felt so stupid, but a lot of the questions were what would you do first.
Example:
16yr. old came in w/GSW. What would you do first:
1.start fluids
2.type & cross
3.call OR staff
4. can't remember but would not do it first
In real life the 3 are done all at once! Any input would be great!

[jsully13]

Hi! I had to take this test as well when I started on an SICU as a new grad! I think the norm was for people to fail. In fact, I think the educator said that only 2 or 3 people that she knew of had passed on their first attempt. And we weren't all new grads. It was a mix of new grads and some nurses with a few years of experience. The main purpose of the test is a knowledge assessment, right? We took the exam and all had to go to new-hire critical care classes regardless of whether we passed or failed. At the end of the classes, the people who failed the first time had to retake the exam. No big deal. Review what you missed so you know what to work on, and pass the exam the next time you take it!

PS- I always have a hard time on "priority" questions because I think of how it happens in real life- all at once. I just always have to remember the hierarchy of needs, and break it down further starting with Airway, Breathing, and Circulation. That usually helps!

[ERRNTraveler]

Real life: secretary calls the OR, fluids are already hanging from EMS, type & screen drawn by either lab or second IV start....

like you said- they all happen at once. I've never heard of this test, but if most people don't pass, it doesn't seem like a very accurate evaluation tool.

[phiposurde]

Originally Posted by orange-rn

Has anyone taken this exam? I have been an ER nurse for 3 years and recently changed jobs. I had to take the BKAT test and did not pass! I felt so stupid, but a lot of the questions were what would you do first.
Example:
16yr. old came in w/GSW. What would you do first:
1.start fluids
2.type & cross
3.call OR staff
4. can't remember but would not do it first
In real life the 3 are done all at once! Any input would be great!

*** Never had to do such a test but it look like may test I did in the past. The trick for those questions is to ask yourself what is the first priority. The ABCD, ect. For example in the choices you gived You start fluids before you can draw blood cause in reality you Can always gived type O blood and you have to evaluate patient before you can call the OR. So most likely your choice was the one you thought it wasn't!8) In those test I always ask myself: 1) what would I do if I was alone with no one else? 2) What would they like me to answer versus what would I do? Good luck next time. Hope it help!