Students NCLEX
Published Apr 28, 2011
You are reading page 2 of How I passed the NCLEX-RN (AKA the BEAST)
Awww_ItsMyNurse
75 Posts
On every priority question that you get ask yourself if the patient fits into any of the following:
I. ABC's
1. Airway
2. Breathing
3. Circulation
II. Maslow's hierarchy of needs (physiological needs before psychological)
1. Physiological or survival needs
2. Security needs (safety-protection from harm)
3. Belonging needs
4. Esteem needs
5. Self-actualization
III. OREM theory of Nursing (AWFERSH)
1. Air (O2, H2o, temperature)
2. Water (dehydration, fluid volume excess
3. Food (malnutrition, feeding concerns)
4. Elimination (bowel & bladder problems, know expect I&O's of patient)
5. Rest (sleep, comfort, pain)
6. Socialization (right balance of solitude and social interactions)
7. Hazards (safety must be provided)
IV. Assessment vs Implementation
1. Assessment - Do I have all the information I need? If not, assess FIRST!
2. Implementation - Is the patient in a critical state or needs immediate care? If so, implement right away!
V. Determine whether the question is asking for you to pick the EXPECTED or UNEXPECTED outcome.
1. Expected - is this suppose to happen to the patient? (i.e., side effect of med, disease process, lab values)
2. Unexpected - this is not suppose to happen. (adverse reaction, deterioration, etc)
VI. Triage
1. chest wounds, airway obstruction, facial or chest burns, shock, pneumothorax, hemorrhage, etc
a. pt may exhibit anxiety, apprehension, restlessness, confusion, change in LOC... some early signs of hypoxia & ICP
2. abdominal wounds w/o hemorrhage, GI and CNS injuries, etc
3. fractures, burns, lacerations, etc
4. usually people that cant be saved, absent pulses, absent bp, fixed and dilated pupils.
Hence, "1,2,3" is for who you would see first in that category.
Hope this helps!
tildor
99 Posts
This is wonderfull!!!!!!!!!!!!!!!!! Thank you so much!!!
Itsmynurse,
So who would you see first?
A pt with asthma type symptoms or MI type symptoms? I made this question up....
Well Tildor if you are familiar with the pathophysiology you can figure out the answer. Let's see:
Asthma - airway constriction due to inflammation. (Air)
Myocardial Infarction - interruption of the blood supply to the heart. (Circulation)
Although both require immediate attention, Asthma would be considered priority.
I totally agree..... I have been having disagreements with other students (they do not agree with you and I). lol
When in doubt go to your books and practice questions, that's the best way to evaluate your progress and understanding.
katm0
59 Posts
CONGRATS! and thanks for sharing!
:cheers:::clpty::cheers:
:dncgbby:
caliotter3
38,333 Posts
:ancong!:
illbeanrn
223 Posts
Congratulations. :)
soupyjc2
4 Posts
I'm taking my exam here next week, unfortunately for the 3rd time, but hey, they say 3rd time's a charm. After reading this, it helped me justify that what I'm currently doing to prepare this time is the right thing to do. I too am using only 3 sources (Kaplan, Pearson review questions, and saunders). I am greatly optimistic this time and feel that the strategies I learned from Kaplan and Saunders has opened my eyes to new ways to take the exams.
Reading this also gave me a lot of confidence too. It's great to hear success stories. Really a confidence builder. Thank you.
nursemami4
173 Posts
Awesome advice and congrats! Thanks for passing on some wise words :)