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rninme, MSN 7,533 Views

Joined Jun 12, '06 - from 'somewhere in Downeast Maine'. Posts: 1,706 (8% Liked) Likes: 224

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  • May 25

    Just wanted to say that I just took the Fitzgerald FNP live review course, and I thought it was really good. It was very thorough; a lot of content was covered, and she highlighted the important points to consider when reading test questions. I'm glad that I took the course. I'm planning to take ANCC in about a month, so I'll let you know how it goes!

  • May 24

    I am taking the FNP with AANP in 7 weeks. I did APEA quizzes, Review with Hollier, reading Leik and Fitzgerald. I think Fitzgerald is on point. Leik is good for quick review. I am still unsure if 7 weeks are good enough for prep'

  • May 24

    If you look at this form the primary care perspective, it's already happening. Primary care is increasingly falling into the hands of NPs and PAs (and FWIW they do a pretty good job at it, look at the numerous studies). There is currently a shortage and the projection for the next decade is is a deficit of 50-100,000 PCPs depending on the source. At the same time fewer physicians are entering primary care. If the populaiton projections are correct it also leaves a deficit in specialist physicians, so there may be a reasonable argument to move more physicians towards specialty to fill that void and increase the number on non-physician primaries to fill that void.

    Physicians will never be replaced, at least in our lifetime in the United States. We need more of all types of providers, physicians included, for both primary and specialty care.

    I do disagree with a previous poster than states NPs are valid only in a "supporting" role. The truth is, any provider should practice in a collaborative manner, regardless of education model or degree.

  • May 24

    Quote from AAC.271
    Should US Medical schools and physicians be phased out in favor of an NP driven and lead healthcare system?
    I will assume this query is serious, although the original poster's intentions seem mendaciously questionable at best.

    Medical schools and physicians should NOT be phased out. In fact, getting rid of physicians and medical schools would be a disastrous idea. Moreover, incentives should be formulated to entice more medical students to enter family practice.

  • May 24

    Quote from AAC.271
    Serious philosophical question about the state of healthcare.
    I doubt that v. much. Looking to "catch" NPs claiming to be equal to physicians??

  • May 21

    Hello! Has anyone taken AANP's FNP exam this year yet, 2016? I'm taking it in August and am looking for some feedback/advice about studying for the exam! Thanks!

  • May 21

    I passed the ANCC FNP exam today and I have got to say I really do not know what helped the most. There were so many theories and research questions that I did not prepare for. It was not for lack of effort but because it was not in any books I have read. Leik's is great. Fitzgerald I read so long ago but sure it helped some. I did not really feel comfortable with what I was finding in the material I had so I took the Mosby review and really liked it because it covered more than these two. The only question site that was like the boards was board vitals.

    You have to know your meds for each age group and interactions. You have to know your disorders/illnesses and labs that go with them for each system. I had a question on every single one of them. There was not one that really stood out except for like others said which was knowing your research and theory. Just remember its entry level so do not overthink.

    I tried getting a good night sleep but no way so was very glad I picked a later time. I used the highlighting feature which helps to take out distractors. I marked every question I wasn't sure of just in case I found answers in others questions and I had 20 minutes remaining to go over them. I had no clue if I passed until the girl said congrats and gave me my paper.

    I wish everyone the best on taking their exam! You can all do this. God Bless!!

  • May 13

    No not forget... I am told Calendar Method of Birth Control is sometimes asked.... We need to post any tips we find to support each other... FNPinNY...

    Calendar Method Of Birth Control



    Don't use the calendar method if all your cycles are shorter than 27 days.
    Chart Your Calendar Pattern
    To predict the first fertile day in your current cycle:

    • Find the shortest cycle in your record.
    • Subtract 18 from the total number of days.
    • Count that number of days from day one of your current cycle, and mark that day with an X. Include day one when you count.
    • The day marked X is your first fertile day.

    To predict the last fertile day in your current cycle:

    • Find the longest cycle in your record.
    • Subtract 11 days from the total number of days.
    • Count that number of days from day one of your current cycle, and mark that day with an X. Include day one when you count.
    • The day marked X is the last fertile day.

    Here is an example:
    Predicting your first fertile day. If your shortest cycle is 26 days long, subtract 18 from 26. That leaves 8. If day one was the fourth day of the month, the day you will mark X will be the 11th. That's the first day you're likely to be fertile. So on that day, you should start abstaining from sex or start using a cervical cap, condom, diaphragm, or female condom.
    Predicting your last fertile day. If your longest cycle is 30 days, subtract 11 from 30. That leaves 19. If day one was the fourth day of the month, the day you will mark X will be the 22nd. That's the last day you're likely to be fertile during your current cycle. So you may start to have unprotected vaginal intercourse after that day.
    In this example, the 11th through the 22nd are unsafe days. All the others are safe days.
    [IMG]file:///C:\Users\joespc1\AppData\Local\Temp\msohtmlclip1\0 1\clip_image001.jpg[/IMG]
    The Role of the Calendar Method
    The calendar method can only predict what are most likely to be safe days. It is especially risky if your cycles are not always the same length. That's why it should always be used with other methods. Do not have unprotected intercourse on any day that the calendar method says is unsafe.
    This information is not meant as a substitute for professional advice.




    Fertility Awareness-Based Methods | (FAMs) Natural Birth Control

  • May 13

    Hello, the yellow book is sold by ANCC published by Mometrix Media.

  • May 13
  • May 13

    There's no way in Hades I'd work as a CNA if I had an associate degree in nursing under my belt. It is best to accrue RN pay and RN experience, even if it means missing out on prestigious hospital employment. You worked hard for the degree. Use it.

    I'd pick the most affordable BSN completion program.

  • May 13

    It would be better for you to get a job as a new grad RN.

  • May 11

    Hi,

    I haven't seen lots of posts about people taking the new ANCC-FNP exam as of February 2016, so I decided to write one because I know I went looking here for advice and on what to expect several times throughout my process. I just got home and I passed the exam.

    So as far as study advice I would say really really really really DO NOT SKIP OR GLOSS OVER epidemiology, all the technical jargon about nursing roles, standards of practice, quality improvement programs, risk management programs, sentinel events, root cause analysis, outcomes analysis, malpractice, CPT, ICD-10, incident to billing.

    Learn these definitions so well you can repeat them back including, if applicable, their precise names (International Classification for Diseases, Budget Reconciliation Act). If there are stated steps to the "risk management review process"- know them by name and in order. If you get these type of questions wrong on your practice exams, pay A LOT of attention and review, retest, try to fix. Don't think "ugh, whatever, I know what 'leadership' is"... they will ask it in strange ways.

    Really improve your literal test-taking skills at closely reading questions. I am someone who is generally naturally good at this (I had a near perfect score on GRE verbal and I'm a voracious reader), but I actually realized I needed to do work on this. There are many questions where the line between the right answer or wrong are things.

    I used lots of things to study over time, Leik is very good for streamlining and making things feel manageable, but there are also mistakes and exclusions and its organized not very well. There were some nights where all that made me pretty aggravated. All that said, I used her a lot. She does talk about professional issues, but you NEED to supplement-- go everywhere looking for supplements on the topics I suggested above, no one source covers it all. Check ANCC's book.

    I took Barkley review ages ago, so the live review didn't factor in to my success (but could have), but the book I got from it was very good-- his outline for peds really helped me feel like it was manageable where other books were too bogged down in info. But of course, none of that was on the exam.

    Fitzgerald is great, but she really lays on surplus info you don't need- she's focused on making great clinicians with her book, not getting people to focus on only passing the exam. But good supplement. I took Fitzgerald's practice online questions (many repeats from book, but some new), I bought Barkley's DRT exams (annoyingly expensive and overthinking it I think), the ANCC practice tests (they only sell 2 which together make up a little less than 1 whole exam), and I took APEA predictor exams the last few days before my exam, which I liked and also boosted my sense of confidence. Really none of these provided the mix I got on my exam, they were all much more clinical, and the test wasn't. But you need to just start testing and getting some sense, so just choose whichever budget wise works for you. But, if you had to only buy two for instance, I would choose two tests from two different sources rather than from one. Just having the experience of doing questions on the computer is valuable.

    I also took Fitzgerald's review (again a long time ago) it was very thorough... it had a less relaxed feeling than Barkley's... I felt I liked hers better, but again... they are all focused on clinical...I also have lots of other resources that I didn't use much (Fitzgerald's CD's for instance) and I am happy I didn't use to study in retrospect... although I will for my general knowledge.

    So, that's it. Hope it's helpful. I had agonized way past the point of return because I was so nervous about this test.... Oh, also, normally I take tests VERY quickly. On practice exams of 150 questions, I am done in an hour and 15. I needed every minute of 4 hours and 30 minutes on this test. I didn't even get through reviewing all of my marked questions when the computer shut off and I only took one short bathroom/ drink break.

    OH and another thing, the computer DID NOT tell me if I passed. I sat there thinking it would given what others have said. And then I thought something went horribly wrong, or I failed. In fact, the proctor outside the room after checking me out, printed out a sheet, silently folded it and then handed it to me. THIS had if I passed or failed on it.

    Additionally there were two features available to help you on the exam, which I have never heard anyone mention before. 1. You can strike out answers to help you visualize and cut down on the data. When you go back to a question, your strike outs remain. 2. You can also highlight parts of the question and your highlights remain.

    Also everything, but your ID And key to your locked has to be put away, but at my testing center people were allowed to access food and drink they left on top of the lockers. A lady actually told me that I could even go into my locker as long as I didn't check my phone or other prohibited behaviors, so although I left my water and juice out, I left my snack bars in. It turns out my proctor made me leave my key on the desk, so she was misinformed. But I had access to my liquids, I would have put out my bar too if I had known. I took the test in NYC- Manhattan at Prometric and I am sure there could be variation between centers, but just putting it out there....

    Good luck!

  • May 11

    You know..I purchased the Barkley's Curriculum Review book for FNP's a while back and was excited about it. Just finished NP school and looked more closely at the questions and review sections and rationals. I have come to the conclusion that I want my money back. There are many questions that contradict the explanation or rationals. Then to top it off some of the discussion parts of the review sections are darn right wrong. That or there are a serious amount of typos! If anyone has caught these mistakes please let me know because I want my money back. Some typos or incorrect information I found on pt 94 Question 19, 103 DM chart, 104 explanation of anion gap labs in reference to DKA (to name a few). I'm disappointed in Barkley's review book and I was so looking forward to the format it offered.

  • May 10

    I just passed AANP boards today, I am officially a FNP-C!!!! I promised myself that when I did that I would "pay it forward" and post a thread (I came to this site MANY times to see what others were posting/asking about boards).

    I will be honest and admit that this was my second time taking AANP boards (never attempted ANCC). I failed the first time about a month ago, and was ABSOLUTELY devastated! I couldn't understand how this happened! I had previously took the live Fitzgerald class, plus ordered her practice book from Amazon, and bought a bundle package from APEA. While I was absolutely heartbroken, I was happy to know that I wasn't that far off from passing (I got a 474).

    So, I was determined to reevaluate how I studied and retest in one month. What I believe really made the difference was Leik's book! I don't want to sound like a sales representative, but her exam tips and straight-to-the-point facts were right on! I even saw a couple of the practice questions on the exam!

    In addition, I also used APEA again (bought another monthly bundle) and bought quite a few practice exams (2 from APEA, both the family and adult-gero practice exam from AANP), and 1 practice exam from Barkley. While this did become pricey, it paid off when I saw "PASSED" on the screen!

    Words of advice...study, study, study your weak areas. When taking these practice exams, really look at what areas you are low in. I hope that this long thread helps someone who is sitting for boards soon. Good luck to everyone reading this!


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