cee cee g, CNA 4,587 Views
Joined Jun 25, '12.
Posts: 106 (40% Liked)
Good morning nurses and student nurses! i posted here before years ago regarding my nursing journey. I promised God that I will post some updates to inspire and help people specially the students who failed, once I become an RN.
I started my nursing school journey in 2002 as a nursing student in the BSN program, didn't make it. So I went for an Associate's and didn't make it either. My school nursing advisor at that time told me it is hopeless, that I should just change my major and not go for nursing. When I went home, my friends and even my husband were discouraging me, telling me to just give up nursing school and that I am too dumb for nursing. I cried. But I told myself I'll never give up. I went to this forum and some nurses were not nice, telling me also to just give up, that it is not meant for me to be a nurse. While other nurses were very nice to advise me never to give up. They said "if it is a nurse that I want to be, then it is a nurse that I will soon be". I was inspired by that.
So I prayed to God that if it is really his will to make me a nurse, to please give me one final chance in nursing school. So I was accepted in LPN school, I became class Vice President and even graduated Valedictorian with 4.0 GPA. I have been working as an LPN since then for 5 years while continuing to take pre-requisites for LPN to RN school. In 2013, I was accepted in the LPN-RN bridge program at a local community college. I did very well in school and even graduated Cum Laude last year Dec. 2014.
I finally took my NCLEX-RN last August 5, 2015. The test was very hard. I was praying to God to please be there for me, my deceased loved ones to help me and even some saints to just please help me while I was taking the exam coz it was very HARD. I prayed that pass or not, to please only give me 75 questions coz I can't stand taking anymore hard questions that are mostly select all that apply and prioritization.Only 50% of what I studied from my Saunders reviewer were on the exam, the others I have to just make an educated guess because I never saw them on my reviewer. Finally, after 75 questions, the computer screen went blank. I was shocked. I thought I failed because the questions were so hard. I even told my family not to expect too much because I thought I failed. I did the Pearsonvue trick 1 hour after and after 24 hours, and I still got the good pop-up. I felt relieved. Finally at 9 AM today, Aug. 7, 2015 after 12 years, I got my Quick results and it said PASS. I am finally an RN (Registered Nurse).
I am so happy. I finally got the fruit of my years of labor because I never quit or gave up in my dream to be a nurse. Thank God and thanks to those people and very nice nurses here who were very nice to inspire me never to stop in reaching my goals. Because of my faith in God, hardwork, perseverance, family and some nurses here, I am finally an RN.
So it is my turn now to advice people,specially the student nurses, never ever to give up on your dreams. Even if it takes a very long road, you will still get there in the end.Never ever listen to negative people who try to discourage you or tell you to just give up. If it is a nurse that you want to be, then it REALLY is a nurse that you will be. I am a living testimony of that. Once again, thank you everybody and goodluck in your nursing journey.
...I now get to put RN after my name!!! I am so excited to be done with the NCLEX and to be an RN!
������ I'm officially a NURSE!!! I took the NCLEX on Thursday June 18 and paid for my unofficial results 48 business hours later. It was the best $7.95 I spent!!! I'm still smiling ������!!!
I look at several resources for about one week before I commit to one. The Hurst was excellent because it was straight to the point. Kaplan was good but over my head. However, the pediatric lectures was simple.
Also, I used a study guide I found online (32 pages), which was very helpful. A medication summary (3 pages). Kaplan NCLEX trainer. These can be emailed.
My NCLEX day started out peaceful and I was more excited than nervous. The test offer me a break and I took it. I went into the bathroom and wanted to cry because I felt like I was failing. But I encouraged myself through and went back to complete my exam. I was scared when it shut off at 75!!! It was the hardest test I ever took. But thank God I passed. Inasmuch, I went back and highlighted area that I remember from the exam and to my surprise. 1/3 pediatric 1/3 psychiatric 1/3 delegation... My 3 highest areas I scored high on during school and on Hesi!!!!
3-4 weeks of studying is more than enough!
������ I'm still smiling ������
I wanted to write a bit about my opinions on NCLEX. Some background. Nursing is a second career for me and before going into it, it had not been a life long dream. I'm a married guy with a kid so it's not something that I've ever been encouraged to do. But I digress. I went to LPN school in 2012 and took NCLEX-PN in January 2013. I immediately started taking classes and working full time as an LPN. I graduated with my nursing degree in May of this year, took NCLEX RN and am now employed, full time, as an RN. There are a lot of videos and comments online, the gist of which is, " STUDY TO DEATH AND TAKE QUESTIONS UNTIL YOUR FINGERS BLEED". Also, buy every book and immerse yourself in an NCLEX bath.
I think this is fundamentally wrong. I'll try to explain a somewhat different strategy.
1. CALM THE HELL DOWN!!! I know, I know, easier said than done. You've just spent between 1-4 years, tens of thousands of dollars, and countless hours preparing for this one test. From day one, you've been told about the importance of this test. Without a license, your degree is useless. You need to actively work to let that go. Read the stories about the people that failed. They invariably speak of fear and panic. Stress that builds and drowns out the one part of your brain that you actually need to pass. Your rational, critical thinking.
2. This ain't your normal test. Every test that you have ever taken has been finite. That is to say, a known number of preselected questions. If you've taken computer tests, those questions may have been randomized, but they were the same questions. NCLEX is not like that. Every question answered, changes the next question asked. If you get it right, it then gives you a question that it thinks you have a 50/50 chance of getting. One implication of this is that you could pass while getting ALMOST HALF THE QUESTIONS WRONG. Think about that. How many tests in nursing school did you get a 60% or less on, I'm gonna guess, none.The other implication is that by doing great, you're gonna get questions that you are very unlikely to get right. This leads to the inevitable feeling of "What the hell is that".
3. Stop reading every book in existence. Stop memorizing every type of cancer. Stop thinking that filling your head with the most obscure facts, is going to help you pass. It won't. The NCLEX is designed to establish the fact that you, as a new nurse, seem like you won't kill someone on day one. It doesn't indicate that you are a repository of all nursing knowledge. You can't be that, nobody is. Remember when you met your first OB nurse? She's been doing it for years. Can tell when a baby is gonna be born by listening to the screams. Take her and put her in oncology. She would be lost. Her expertise was gained through experience, not books. You have none of that experience and NCLEX knows this.
4. It's about thinking and analyzing, that's what we're paid for. I could teach anyone how to put in a catheter or an NG tube, probably fairly quickly. We are not employed for the skills we know or for the facts we learned, we are employed to think and respond. We are needed to be the one who says "something is wrong with this situation, I'm calling the doctor at 3 am, and I don't care if he's pissed." Here's and interesting stat: the pass rate for NCLEX with and associates degree is about 83%, the pass rate with a bachelor's, is about 85%. Two whole extra years gets you only a 2% higher pass rate. That is proof that knowing more, is not what it's about.
5.Slow down and read the damned answers. Since you've been drilled in those damned questions from day one, you've become too used to them. It's like driving. You can drive to work and have no memory of actually doing it. This will happen on NCLEX. You'll be chugging along and BAM, you're at question 50. You need to stop, reset, and bring that higher brain function back online. I think people either don't read the questions, or they panic. That's how they fail. They do the thing that you don't want a nurse doing, they stop thinking.
6. Give yourself some credit. The one thing that you've consistently sucked at, is predicting your own failure. You thought you wouldn't get into nursing school. You did. You thought you would suck at clinicals. You didn't. You thought you wouldn't survive one more day of nursing school, and yet, here you are.
During LPN school, our class used Kaplan. During RN school, we used ATI. When school was over. I'm gonna admit it....I didn't study at all. I'm just not a big studier, never have been. If I have a focused section, I'll go over it, but not for hours. I just don't work that way.
It's not about studying, it's about thinking.
Now go pass NCLEX. Truly believe that you can and you will.
Best of luck.
In 1988, as a teenager in my first year of college, I still suffered from the crippling insecurities of adolescence. Although I always worked hard and made good grades, I sold myself short. Gina, my best friend and college roommate, chose nursing. Her mother was a nurse, so I figured that Gina was a natural fit for the profession. Day by day I observed Gina closely as she came home from school, deeply absorbed in her studies. Every week I looked forward to hearing her animated stories about caring for patients. As a student nurse, Gina was taking on so much responsibility and being challenged in so many ways- intellectually, emotionally, physically.
While I envied her, and a part of me wanted so badly to walk in her shoes, a little voice inside my head insisted I wasn’t good enough. That little voice convinced me that there was no way I could give someone a shot…or clean up an incontinent patient, or, worst of all… deal with a patient dying. So, I decided to earn a degree in business administration.
In college I had the opportunity to take a semester off to work full time as an intern at a technology firm, earning college credit plus a generous wage. The work was interesting, the money was good, and the employees I worked with were engaged. However despite the positive environment, during that semester it hit me: if I continued on the current path, I was very likely to have a “desk job” for the rest of my working life. Even if I were to find a career which allowed me to move around a bit, the goal of my work would likely be to make a company more profitable. While this may be exciting and motivating to many, it was depressing to me. I felt doomed, and realized I had to do something quickly to re-route my future. I needed to find a career which allowed me to work to benefit people, not corporations. A career rich with intrinsic rewards which would keep me motivated and interested, and actually wanting to go to work for the next 30 or 40 years.
By the last semester of college, armed with this realization, a little additional life experience and a lot more confidence, I decided that I was going to become a nurse. Nursing was exactly what I wanted to do, but didn’t have guts to pursue until I was 21. I graduated in 1992 with a Bachelor’s Degree in Business Administration, moved back to my home town, got a job, then went to a community college for four years, part time, to earn an Associate’s Degree in Nursing.
From the minute I began the program, I knew I had made the right decision. For the first time ever, every class fascinated me. The “work” of patient care was more rewarding than any job I had ever had or could imagine having, and I realized that nursing was a dynamic, stimulating career. I couldn’t wait to be a “real nurse”. The four years of nursing school flew by.
Almost 20 years later, the learning continues and the rewards of the profession are endless. There have been plenty of bumps in the road, but none that have made me even consider taking another path. Instead, nursing has given me the opportunity to walk many different paths at the same time, and see new scenery every day. I have even learned to give shots, clean up poop, and deal with death. In fact, some of the most rewarding moments I’ve had as a nurse have been in the midst of very challenging or sad situations. Being able to find the rewards in these moments has been the key to my resiliency and is the main “skill” I try to teach my nursing students. I think this “skill” will probably benefit them more as nursing students and later as “real nurses”, than any other skill.
Currently I work as a clinical instructor for new nursing students, a staff nurse in a Pediatric ER, and write periodically for Allnurses.com. I’m preparing to return to school to earn a PhD in Nursing. Every day that I go to “work”, whether it is as a staff nurse or as an educator, I am humbled by the rewards of the profession I chose. Nursing truly is the greatest career in the world. And now I know that I’m good enough ☺
I just got my acceptance letter into nursing school. I start this August. I just want to say thank you to everyone that posts on allnurses, it's been a huge blessing having everyone's posts to read to get me through.
I passed my boards today, and my first thought was "Yes, I can add RN to my title on allnurses!"
So excited to join this profession, but even more happy that I never have to take a nursing school test again! This board has been amazing help for the last 2 years, and I just wanted to say thank you! Good luck to all the future nurses who are getting ready to start their journey, and it is amazing to come out the other side!
I'm a nurse! Yay!
So Friday, May 29th, I walked in to take the biggest test of my life. Sat down and began answering questions to the best of my ability. All the sudden, the computer shuts off. At 75. Could I already be done? Its only been an hour. Surely I failed. It was way too easy. Those are the troubling thoughts I dealt with for two brutal days. Even broke down the day after swearing I failed because the test was supposed to get hard...and it didn't. So obviously I failed. As of May 31st, I am a registered nurse! Here's how I did it....
First, I didn't know what to do because there are soooo many sources out there to use. Words of advice... DO NOT USE MORE THAN 2-3 SOURCES! If you use more, you will confuse yourself. I started studying a few months before my NCLEX just doing 20 questions a day to get me used to NCLEX style questions. So from January-April I used the NCLEX Mastery app. This app was not my favorite because I felt it was very content based and some of the questions were well beyond the knowledge of a nurse with 2 weeks of vast nursing knowledge (which is what the NCLEX requires). When April hit, I cracked down. I purchased Kaplan Qbank April 30th, which I felt helped the most. With the Kaplan Qbank, I would go through the quizzes when I was finished and read the rationales for both what I got right and wrong. I also wrote down most of the rationales to review periodically. I did 100 questions a day, but not all at once because I didn't want to burn out before my test. When I finished the Qbank, I went back through and did the ones I got wrong. After the Qbank, I did the Hurst review May 18th-19th. After the review, I went back through each day and reviewed the topics we covered in class by day (Hurst breaks the book into 3 days material). Hurst also provides 6 quizes you can take after you finish their class that are 125 questions each, which I did along with rereading the material. However, when you are done with them, you can't redo the ones you got wrong. But you can read the rationales, which I did and wrote down the ones I got wrong. I did 1 quiz each day before my quiz. I also should mention that the format of the Kaplan and Hurst quizzes is just like NCLEX so that alleviated my anxiety when taking the test. The day before my test I did my very last Hurst quiz and then got a relaxing massage. I came home and relaxed. The day of my exam, I just went for a walk with my mom and dog and did some laundry. I treated it like any other day. My test wasn't until 530pm so I slept in. I watched some TV with my mom and sister during the day and just relaxed. I drove to the testing site 45 minutes earlier and ate a snack in my car. Went into the testing site 30 minutes early and took my test shortly after!
Yay I'm an RN!!!!
75 ml/hr for 37.5 ml - bolus.
40g in 500 ml comes to 1g in 12.5 ml.
3g bolus is 3 x 12.5 ml = 37.5 ml. 37.5 ml/hr would be the rate if it was over an hour.. Double it since its over half an hour - 75 ml/hr
2 g/hr continuous rate. We know 1g is 12.5 ml, so 2 g/hr is 25/ml/hr.
You are almost right with the first problem. 37.5 mL is correct, however is this the volume to be delivered, or the infusion rate, to administer a 3 g bolus over 30 minutes? You can work the second problem the same way you did the first. There are, however, other ways in which this problem could be worked.
As SNurseKylam suggests, you could start by determining the volume for 1 g and then work from there. For example, let’s assume our infusion contains 1 g in 20 mL. For the first part of your problem you want to administer a 3 g bolus you would need to administer 60 mL. What would the infusion rate be to infuse 60 mL over 30 minutes?
Another way to work this problem use the following formula (D/H) * V where D = the desired dose, H = the dose available, and V = the volume for H. Again, let’s assume our infusion contains 1 g in 20 mL. For the second part of your problem you could calculate the infusion rate in the following manner: (2 [D] / 1 [H]) * 20 (V) = 40 mL/hour.
While you are in school your instructor might insist that you work problems using a prescribed formula (ratio proportion, D/H*V, etc.). While it might seem petty, this ensures that you have been exposed to the varied ways of calculating medication math. When you graduate, you will find certain formulae that work best for you.
Good luck with your schooling!
Find out how much ml is in 1 g first then work from there. Show us what you have so far
My second semester of nursing school one of my professors told me "it's going to get harder before it gets harder. When you feel like giving up, and you will, just think of that nurse you know that has no compassion left and is hardened by her experience and or blind to her own callousness. Think of that person and think if that b***h can do it, so can I!"
BEST HOLIDAY GIFT EVER!!
Hello everyone, you may remember me from these past months. I have finally passed my RN NCLEX examination, after graduating last May. I didnt get the letter in the mail yet, but my name and license number has been posted on the NY nursing board!! I guess third time is the charm. I would like to thank everyone for their wonderful support throughout the months, I really appreciate it!!
Also like to thank my friends, family and almighty God!! f I can do it, then so can all of you, if you put in the effort and dont give up!
I AM OFFICIALLY A REGISTERED NURSE!!!!!!!!!
I earned my BSN May 10, 2014, and I took my NCLEX-RN yesterday at 8 AM. I checked the Ohio Board of Nursing Website and I have an ACTIVE LICENSE posted today!!!
I am SO THANKFUL that the dreaded NCLEX is behind me, and that I passed on the first attempt! The machine cut off at 85 questions in less than two hours.
My advice to all of the people that are either just starting out (applying to nursing school/taking prerequisite courses for nursing school) or those that are near graduation and/or preparing for the NCLEX, DO NOT GIVE UP! There is an end in sight and if you REALLY desire it you will obtain it.
Good luck, God bless, and Happy Holidays!!!
P.S. - Thank you Kaplan NCLEX Prep (Online/On Demand) Review Course. I used them exclusively, and I know I wouldn't have passed the first time in 85 questions without their EXCELLENT resource!
Well, I finished nursing school with great grades, a marriage, and three children 🙏😁 .. And most of all complete sanity. I didn't find it as stressful as I read about and managed to go straight thru my program with no hiccups. I'm so happy and proud of myself. Took my weeklong Kaplan review class last week, doing my QTrainers and qbanks, and waiting for my permission to test. Hoping for middle end of January. Wish me luck and many prayers! 😁😁 good luck to all the new nursing school students! Enjoy it, it really does go by quickly.
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