First off let me say that this is the most absolutley ridiculous exam I've ever taken. I am a Canadian here and our system is much unlike this. (I have been out of school for 7 yrs. plus and have been working on the line (chryslers) for 5 yrs. now. ) I studied for the past 4 months about 3 hrs a day to pass this and I did on the first try. I didn't even look at my old nursing notes. I purchased the Mosby's review but didn't find them as helpful as Saunder's and I will STRESS that to you.The rationales help you think things through and this is what you will need when you are being tested. I can't stress enough to get through also to others who will be writing on how important it is to focus on the client's FEELINGS first what ever that means to you and if you don't know you better find out because the exam asks you what you would say initially to the patient and you better know that it's going to be an open ended question BEFORE you offer them suggestions even though they ARE THE RIGHT SUGGESTIONS! This has nothing to do with this point but....I had an absolutely ridiculous question that goes something like this:
(not related to the thing I was just talking about)
A jewish patient has just died. He is in the room. What should the nurse prepare to do:
a: Have the priest prepare to anoint the patient with oil.
b: Cover him with a white sheet.
c: One of the family members will want to bathe them.
d: prepare to have the body removed within 2 hours.
Jewish people do not have priests. They are rabbi's. They don't even want priest's in the room (something like the spirits from the dead body could enter the priest...I looked up some info on the internet when I got home for this question. They also do not want any non-Jewish people in the room period for the simple fact that they consider the person defenseless therefore it is a good possibility that a family member will want to bathe them once they are dead. They also want the body cremated ASAP or sent to the morgue from this one site I got an answer from.
I graduated with a 4.0, been out of school for 7 yrs. worked as practical nurse for 6 months 3 years ago. Buy the Saunders review book and LISTEN to what it says USE COMMON SENSE, THINK IT THROUGH FOR 5 MINUTES EACH QUESTION IF YOU NEED TO FOR THE FIRST 30-40 QUESTIONS and you will pass.
Hope everyone gets something out of this and good luck to everyone.
OK. This test is designed to make you think critically. I took about 5 minutes to think about each answer for about the first 30 questions because as we all know the test gets harder in order to adapt to your skill level. Do not rush through it. Last forty 55 or so were a breeze. Computer shut off at 85.
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