C'mon, let's play!! Real-World NCLEX Practice Questions

  1. We all know there's a difference between Ivory Tower nursing and Real World nursing, don't we?

    Let's help the new grads adjust by presenting these differences in the form of NCLEX questions.

    Here's mine:

    1). You have four patients. Of the four, one has an O2 sat of 70%, one is a brittle diabetic whose glucose check is due, the third is a postop who needs help using the bedpan, and the fourth appears to be sleeping. The tech tells you that the fourth patient has a Systolic BP of 85. How do you prioritize and delegate these nursing tasks?

    a). Call RT, send the tech to do the glucose check, get a manual BP on the patient whose BP is 85, and instruct the tech to get the bedpan for the postop patient.

    b). Tend to the man at the nursing station who is waving the business card of the CEO, threatening to sue, and insisting that his wife has been here for half an hour without food or drink.

    The answer is B. Your priority as a nurse is to keep those customers happy. The patients who are de-satting, going into diabetic coma, and are unresponsive due to a low BP will not survive long enough to tell Administration that you gave them "good" care. The postop and the CEO's buddy will, however.
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  2. 9 Comments

  3. by   lvnandmomx3
    Sad to say but all so true!!!!!!!!!!!!
  4. by   ebear
    AngiOPlasty,

    HaHaHa!!!!!!!! I was all set to answer and fell out of my chair laughing!!
    What a sense of humor you have!!! I love it!! (also, probably true!)
    ebear
  5. by   BORI-BSNRN
    :roll:chuckle:smilecoffeecup:
  6. by   loricatus
    Sad to say, but ohhhh so true :roll:roll:roll

    Ooops, didn't realize that another poster had my exact same thoughts-how telling is that
    Last edit by loricatus on Oct 5, '07 : Reason: saw something after I posted
  7. by   BabyRN2Be
    Goodness, I needed a good laugh. :roll

    Thanks Angie O'Plasty!
  8. by   NewRN2008
    OMG that was great!!! needed that laugh after these last couple weeks of school! lol..
  9. by   time4meRN
    Quote from angie o'plasty, rn
    we all know there's a difference between ivory tower nursing and real world nursing, don't we?

    let's help the new grads adjust by presenting these differences in the form of nclex questions.

    here's mine:

    1). you have four patients. of the four, one has an o2 sat of 70%, one is a brittle diabetic whose glucose check is due, the third is a postop who needs help using the bedpan, and the fourth appears to be sleeping. the tech tells you that the fourth patient has a systolic bp of 85. how do you prioritize and delegate these nursing tasks?

    a). call rt, send the tech to do the glucose check, get a manual bp on the patient whose bp is 85, and instruct the tech to get the bedpan for the postop patient.

    b). tend to the man at the nursing station who is waving the business card of the ceo, threatening to sue, and insisting that his wife has been here for half an hour without food or drink.

    the answer is b. your priority as a nurse is to keep those customers happy. the patients who are de-satting, going into diabetic coma, and are unresponsive due to a low bp will not survive long enough to tell administration that you gave them "good" care. the postop and the ceo's buddy will, however.
    the answer is "none of the above" always ,,,,,,always......always do abc. assess, buisness, credintials ! after all , we have pres-gainy to worry about. if the pt stops breathing, they won't be doing a discharge survey anyway. and we all know that's how we get funding and become magnet hospitals. not, by pt's becoming critical, that sort of nonsense just waists our time. how else are all those "smart" people upstairs supposed to feel important if pt's can't their priorites straight.
  10. by   Nurse Smiley
    Hey Angie O' Plasty,

    That was really a funny one! I was ready to contribute on the "serious side" too! Thanks so much for the hearty laugh! :roll

    Power to All Nurses,
    Nurse Smiley :spin:
  11. by   chuckc
    I never would have understood this thread 8 months ago when I started, I sure do understand it now!

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