LaCharity

When I read that book, I felt the same way too. Toward the end of book, I started getting more answers right. Make sure to read the rationales, even on the ones you got right.

I think it just takes time and practice. Priority and delegation questions are tough! You will get it though. My scores in Kaplan were similar. It's really about remembering ABCs and knowing who can do what. When I was studying, I wrote up something to help me based off the LaCharity book. I'm attaching a modified version for you.

Delegation and prioritization tips.doc

NCLEX prioritization questions...(Not the real world LOL)

1) Which patient should be seen first? And then who should be seen next?

a) Patient who calls the unit clerk and says "My throat feels like it's swelling up.”

b) Patient with a blood sugar of 475 and complains of frequent urination

c) Patient diagnosed with pneumonia, complaining of new onset chest pain, whose monitor reveals sinus rhythm

d) Patient who is tachypneic with an Spo2 of 75% on room air.

2) Who/or which situation requires immediate intervention? Who would you see next in order?

a) The tearful family of a DNR patient who just passed away

b) A patient admitted last night with 8/10 abdominal pain who is upset that he didn't get his pain medication on time

c) A post-op patient complaining that she keeps feeling like she needs to urinate, but can't go

d) The magnesium level of your patient admitted with a urinary tract infection came back as 1.6 mEq/L

3) You arrive to work. Which of your patients should you see first? Who would you see next?

a) A alcohol withdrawal patient on sliding scale lorazepam who is threatening to kill himself

b) A patient admitted with small bowel obstruction, who has a potassium level of 2.0 mEq/L and magnesium level of 2.1 mEq/L

c) A patient with pneumonia on 3L of oxygen via nasal cannula with an SpO2 of 95% and respiratory rate of 18

d) A patient with acute cholecystitis who is scheduled to be picked up for the OR at 8am

Im also getting 50s- 60s in LaCharity book. With these scores based on your experience were you guys still able to pass the Nclex? Just a little worried. 😔

Thank you so much for this guide. I just looked at it and its really helpful. I'm taking NCLEX soon and I've been doing LaCharity as well and getting average scores.

I was doing Kaplan like a mad woman and got LaCharity only a few weeks before taking the NCLEX but I recall there being one question where I answered like I would've a Kaplan question and it was wrong according to LaCharity. I was freaked out! I guess they interpreted that situation differently.

I passed the test in 75 the first time so take heart!

Good day, Lev

1) D then A

2) C then B

3) B then A

If not, the above, can you please post the answers?

Thank you.