I am an RN!!! Nclex tips and tricks just for you!! - page 5
by healthstar 135,041 Views | 159 Comments
Hello everyone, I am officially an RN, and it feels so good. I had 75 questions and out! Most of the questions were priority questions, lots of SATA 30+ no meds, math, or put in order, or pictures. I did not touch any notes... Read More
- 0Oct 18, '12 by ZazakQuote from healthstarCongratulations, Don't be sorry, thank you for advise it's realy helpfull,, good luck!!!I am so so so sorry for any misspelling, I am typing really fast from iPad. I had this post broken down into paragraphs, but for some reason when I copied and pasted this in here, it's one whole page....I will repost again when I get home so it's easier for you guys to read. I'm very sorry!!,
- 1Oct 18, '12 by lalita BhandariQuote from healthstarCongrats....Hello everyone, I am officially an RN, and it feels so good.
I had 75 questions and out! Most of the questions were priority questions, lots of SATA 30+ no meds, math, or put in order, or pictures. I did not touch any notes about medications. I did not study medications at all!!
I know that many of you are freaking out about this important exam that determines your future, I know because I was constantly thinking about it and I was constantly on this website reading success stories.
I was inspired by many people who posted about their nclex experience and I like to share my experience with you, and also share some of my notes that helped me. I did about 5000 questions, I went over the content a couple of times. Honestly, the most important thing is doing questions and reading EVERY single rationale.
Virtual ATI was my primary source. I am totally a visual and tactile person so I used a book with lots of pictures. Example: CHF, CF, pulmonary edema, left and right sided heart failure, copd, etc).
While in school, I HATED ATI, it was really hard and some questions were completely wrong and the rationales were not that clear and specific. I also hated the virtual ATI, but I had to take it.
2 weeks before the NCLEX, I started to like ATI and I was getting pretty high scores. I felt confident, now that I passed the NCLEX, I can honestly say ATI was 1000000 times harder than the actual NCLEX. NCLEX test style questions were so so so similar to ATI. I did not tell anyone when I was going to take my NCLEX, so no one could pray for me.
I posted here and asked everyone to pray for me and reading the comments had therapy effects on me lol, I felt so good and confident. A special thank you goes to those who prayed for me, I really really really appreciate it. I did not do anything the day before the exam (I mean studying). However, I got a massage, which I loved every second of it, I got mani and pedi, I went shopping, watched a movie and I went to bed at 9:30.
Anyway, I feel like I'm writing a book and I know that many of you don't have the time or patience to read posts so let's just get straight to the nclex tips and tricks!
Tips & tricks
Priority questions: this is the most important information make sure you read it 1 or 2 days before the test and I guarantee that you will answer all the priority questions correctly!!!Remember: nclex does not want you to kill any patients or damage any of their organs or parts of their body. This is what determines competency. Ex: if you have to administer medication and you have no freaking idea if the med is given with food or without food, and you get that question wrong....you will NOT kill the patient *and nclex doesn't take those questions seriously. But if you miss a blood clot, stroke, heart attack s/s, blood and medication reactions and anything that can lead to death or loss of body function......that question will weigh a lot on your score, it will drop you from the top of the graph to the bottom. *Memorize: Lab values ABGs Cranial nerves Normal changes of aging Child development Math formulas In disaster: help the ones who are most likely to live Most likely to be sequential order: ( anything that has a lot of steps is likely to be a sequential order)*Examples:*Urine culture Starting a new iv *Administering meds via g tube Drawing insulins ( clear or cloudy)Inserting foley catheters ( males and females)Sterile field Personal protective equipment( what would you wear and how you would take the off) Abdominal assessment: always start with RLQ*Performing exams such as breast and testicular exam Administering ear and eye drops
Delegation: remember that the RN can only delegate stable pts to NA and LPNs.In nclex you are one nurse( no other nurse is available to help you)You have only one patient. All the orders you need are written (no need to call a doctor)The only time the nurse needs to call the doctor is after she has intervened and there's nothing else the nurse can do!When you call MD about concerns: never call about something that is expected with the disease process. Such as: the pt has voided 20 cc/hr instead of 30 cc/ hr but the pt has chronic renal failure. *The doctor is going to say, " are you stupid" duhh Only call MD for something that is not expected with the disease process, in order to know hat is expected and not expected you need to know signs and symptoms of the disease.The nurse assistant CANNOT do these:Position hip replacement Total knee replacement ICPAcute CVA Above or below knee amputations
Priority patients : these are the conditions/ patients you would see first:Compartment syndromeCentral line with s/s SOBEpiglottitis( pt is dyingggg, MD)Autonomic dysreflexia Epigastric pain( in pregnant woman) = preeclampsia**Pain in LLQ= diverticulosis Pain in RLQ= appendix*Must see the above patients firsts, severe conditions can lead to death or loss of body function. Remember: acute problems comes first, chronic later In case of a disaster and need to make room in ED for new pts. These are the patients you would send home:Copd and CFlaporoscopy w chest pain or shoulder pain ( it is expected)Chronic conditions Meniers diseaseBloody urine Kidney and gallbladder stones. These people can survive they are not dying, they can always wait a couple of days.Not priority:Teaching Sending/ drawing *lab values Pain Bleeding( unless it is coming from a major artery)*Increased/ decreased BS Documentation I personally summarized this information from my ATI books and class online.
Unfortunaely,We cannot share questions from nclex because it is against the law and you will read all about it before you get to sit. I studied all the common conditions and procedures that are common and we hear about it everyday, everything I wrote helped me a ton!!! The priority tips alone helped me answer 30 questions or more.*I have more notes to post I just do not have time to type them all at this time.*I hope you find these notes helpful and good luck, and believe in your inner strength. *If you have any questions about anything, feel free to send me a message or comment in the page. Peace and love!DO NOT KILL PATIENTS or their organs or their body parts and you will PASS! Notes: to be continued
- 1Dec 18, '12 by nvalenzioI first came to allnurses.com before taking the NCLEX-RN. Let me tell you, everyone scared me half to death and made me more nervous from their stories..(so nervous I couldnt open the testing center door- it said push and I was pulling, didnt know which was my index finger and couldnt lock my locker). I never get test anxiety but reading this forum def made me crazy and anxious. I cried after the exam and I never cry over exams. Sooo, I'm going to help other students and share how I studied and passed the first time.
-If your school uses HESI, make notecards of all the HESI hints. These are great general points to know. (We were told to do this for our exit hesi so mine were already made)
-Go through La Charity for priority questions because their are a ton of priority questions
-Buy the NCLEX-RN exam cram practice question book. It has five exams, 250 questions each. It also comes with the questions on a cd.
-Go over basic procedures. For me I also went over isolation rules.
-Take a practice CAT test. It shuts off after so many questions you answer and is a good predictor of how youll do on the nclex (so ive heard)
I studied for a week straight. Since my school did an exit HESI, it was more reviewing the notecards than studying. I probably did about 600 practice questions and the day before the exam looked over techniques and procedures.
On the nclex youll get select all that apply questions. Best advice given to me was to take each statement as true/false statements.
Advice: Have confidence in yourself. Take your time. The nclex is straightforward and is not trying to trick you unlike other nursing exams. You will be fine..after all you made it thru nursing school. If you have to take it again, itll only make you a better nurse Good luck!
Ps. One of my old professors said peppermint helps your memory recall...so before you take the exam, maybe you should drink a peppermint hot chocolate from starbucks worked for me
- 0Dec 18, '12 by five10fevrThanks everyone for your great input. I will be taking my NCLEX at the end of January and starting to really stress out. My school requires us to take Kaplan review and will be doing that the first week of January. I took my pre review test today and only got 61.7%
I know I need to do several practice questions daily.
Where do you sign up for the practice CAT test.
- 0Dec 18, '12 by nvalenzioQuote from five10fevrOn all the practice exams I took (hesi practice, nclex-rn practice exams), my score was always in the 60% range too. A lot of my classmates who scored in the 60s on practice exams ended up passing the nclex. It was hard for me to find someone who scored higher than that on practice exams.Thanks everyone for your great input. I will be taking my NCLEX at the end of January and starting to really stress out. My school requires us to take Kaplan review and will be doing that the first week of January. I took my pre review test today and only got 61.7%
I know I need to do several practice questions daily.
Where do you sign up for the practice CAT test.
My school offered a cat test so I did that, but I know the nclex-rn practice question book I used has a cd with a CAT test as well. That book is made by pearson vue. Maybe you could even find one by googling it..
Good luck! Ps. Stressing is the worst you can do..youll overthink. Remember, theyre not trying to trick you. I had 160 questions n only 25 sata questions. Dont freak out if ur classmates say they got 75 questions n around 30 sata. They passed but I did too with a lot fewer sata questions. Worrying about how many sata questions you are getting will cause anxiety. Keep calm.
I have faith in you, esp bc youre not taking it until Jan. Like i said your practice exam scores are the same as my friends and my scores before i took the nclex and we all passed, so take a breather.