ADD sufferer taking NCLEX for the third time...

Nursing Students NCLEX

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I write this in hope that it will either elicit some much-needed advice/encouragement or maybe give others hope that they are not the only person that struggles with becoming what they know they are destined to become.

In 2008, my dad died. My hero. He was only in the ICU for 5 days, but the care that he and I received left its mark on me. That is where I learned that the person in the bed is not the only pt. So, in 2010, I began my experience of nursing school.

Plainly put, I struggled. But, I later found out that it was due to poor test-taking because of the ADD. Let's face it, ANYONE that gets into nursing school is smart. But I wasn't Dx'd yet, so I just went through school struggling. I saw that while everyone else had it fairly easy, I was studying so much harder. Just to barely pass. My test grades were all over the place. But in clinical, I shined! I had others asking me for advice/help. Hell, even during my preceptorship, I was asked to teach paramedic students how to do IV's!

I graduated school in May of 2014. I tested within a month. I shouldn't have. Why? I was just beginning the long process of a divorce. Luckily, no kids were involved in the making of this divorce...(Ok, bad joke. Leave me alone! It's early and I'm not awake yet!) I got to 165 questions and failed. I know that I was close. But not close enough. But here was my biggest mistake....I was under the assumption that nursing school prepares you to take the NCLEX. It does not. It's what you do in nursing school that prepares you for the test. And yes, some of you lucky people out there just "get it" and can do it anyways. Am I jealous? Damn straight! While others were studying for the NCLEX, I was taking additional classes towards my future BSN as well as working 2 jobs. Yeah, I cringe looking back on it. The moral of the story is that I just had too much going on and was not prepared. Plain and simple.

But, like most others, I wasn't discouraged. I immediately re-registered and scheduled my next test for about 2 months later. I studied. In retrospect, not hard enough. I took the next test, and got to 235 questions and I ran the clock out at 6 hours. I went in knowing that if the clock runs out, they only grade the last 60 questions. So I took my time on each and every question. If it was spitting out questions and hadn't cut off yet, I knew I was still in the game. Finished and did the PVT. I tested about 2 1/2 hours away from home. I am a man and I am not afraid to admit that I cried almost the whole way home.

It is now just over a year later. I have been studying as I can. I have had a LOT going on in my life in the last year, so the test has kinda been on the back burner. I have been studying harder and harder. I use Kaplan as my mainstay. I purchased Hurst as well, and finished it, but didn't like it. Again, test grades were not where THEY said I needed to be. So I went back to Kaplan and have stayed. Although my test grades have improved, they are still fairly all over the place. I general stay in the high 50's to mid 60's. I will occasionally get in the 70's, and unfortunately will dip into a 40-something every now and then. Those are what freak me out. Like BAD. They throw me off. I WANT to blame those grades on the ADD, but I don't like to make excuses. So I study harder.

Looking back on my life, the ADD/ADHD makes sense. As a child, I always brought home report cards saying that I couldn't sit still and that I was always disruptive. I continuously got A's & B's, so I never got into too much trouble. But I'm almost 40. Back then, you didn't have ADD or ADHD. You were just a hyper kid that was out of control. Luckily my dad wasn't mean to me. I was reprimanded, but never got into trouble because my grades were good. Fast forward to nursing school.....I had friends in the class a year ahead of me that would get Adderall to study. I was willing to try anything. So I went to the VA. After several visits, and several long discussions, I was beginning to make sense of it all. It all just fell into place. I was constantly having the "ooooooooooohhhsssssss, that makes sense!" It effects my personal life just as much, or even more so, than school. I am convinced that I am depressed. I fixate on random things. But I will keep this as relevant as I can. I have now been dating an AWESOME woman for 9 months now. She has 3 full-grown kids, one of which is engaged. So we have 6 basically adults living in this house. Between my gf and I, we make $20 an hour. That isn't enough to support 6 adults. Yes, we are the only people working. Long story there! DSS wont give us food stamps. She and I have now picked up extra shifts to make a bit more money. I work 2nd shift, so I get off at 11. I come home and try to wind down, all while trying to get some studying in with 5 other people and usually one or two of their friends. I typically get to bed anywhere from 2-3:30am. Some times I will just say it's 1:30 and I have to get up tomorrow to study, so I'm going to bed. EVERY day I wake up at 9am so I can study. It takes awhile for me to get to sleep, so I generally only get roughly 5 hours of sleep a night. Some nights I lay in bed and MIGHT get 2 hours. Some times none. We struggle to pay bills. So, needless to say, I have a LOT riding on whether or not I pass this next test. I also just found out yesterday that the $200 I paid to the BON is only good for 365 days. That expired last month. So now I have to find a way to come up with $275 ASAP so I can test.

Yes, I know that I am over-stressed. But I have the capability of looking past the stress when it comes time to study and especially when I sit in front of a test. What is discouraging though is that with as much studying that I have done, my grades only stay in the 50's-60's. I have read on here recently that a LOT of people have those grades and pass their NCLEX. I am down to about 500 questions left on the QBank and have done QT's 1-4. #4's score was in the 40's. I KNOW I can retake that test and do better. I read every single rationale TWICE on it. ALL 150 questions. I look back at the wrong answers and it makes sense why I missed them. Then I miss simple stuff like marking the locations of where I can palpate this or that, and it's either correct, or it's right on the black line, making it incorrect. That is SO frustrating! It means I know the answer, but was close. Seems to be my theme in all of this.

This is all just so frustrating. So many responsibilities riding on this test. Some may call them all "stressors." While they are not wrong, I am choosing to call them all "motivators." It took too long for me to realize that this is what I was meant to do. When I walk into a hospital for ANY reason, I feel like I am home. This is where I am supposed to be. There are two women from my class that took the test twice and have since given up. They have gone different routes. I cannot. No matter how hard this gets, I refuse to give up. But oh wow.....I'm not going to lie. I am tired. I'm tired of studying. I'm tired of worrying. I'm tired of saying "when I pass my test....."

I know that I can do this. I just wish I would already "do this" so I can start being a nurse. You wait until I get my license and I sit in front of a hiring manage and/or charge nurse and they ask me why I want to be there.....why I want to be a nurse. I plan to drop their jaws.

So please, if you have advice, I welcome ANY and all! But if you have none but this helps you in any way, keep your head up! This CAN be done. If you want it bad enough, it will happen. It may not happen when and how you want. But it WILL happen!

Specializes in Transitional Nursing.
Tex....

When I was first put on Adderall, it barely worked. I called the psychiatrist back at the VA and was told that there is nothing else the VA could Rx me. (I was also put on Ritalin and dextro. Neither worked, so we tried the Adderall.) After I tried the test twice without meds, I called the VA back and there was another psychiatrist that replaced the previous one. He suggested just increasing the dose. I have been on 20mg for almost a year and it doesn't work like it used to. So he increased it to 20 bid.

Yeahhhh, you might want to see a psych who actually knows a bit about adhd and therapeutic doses. 20mg IR? ugh.... finding a psych. who truly specializes in and understands this disorder is worth it, truly. It's a long, hard road figuring out what works but not all docs understand the severity of executive function disorder which is what ADHD is. Studies have shown not being properly treated increases the risk of premature death, among other things.

My own personal experience, not medical advice.

So, if he tests with accommodations and manages to pass NCLEX, what kind of accommodations can he demand from an employer?

I'm sorry, but if I'm ever in a hospital, I really don't want to have to worry about whether my front line health care professional is going to have an issue that could interfere with him/her maintaining a safe environment, utilizing his/her critical thinking skills or catching a small issue before it becomes a critical one.

So, if he tests with accommodations and manages to pass NCLEX, what kind of accommodations can he demand from an employer?

I'm sorry, but if I'm ever in a hospital, I really don't want to have to worry about whether my front line health care professional is going to have an issue that could interfere with him/her maintaining a safe environment, utilizing his/her critical thinking skills or catching a small issue before it becomes a critical one.

You are way out of line.

NCLEX style tests don't happen at work.

Many nurses work with ADHD. I'm one of them. I know dozens more. Having trouble taking tests does not equate to being unable to maintain a safe environment, utilize critical thinking skills, or recognize issues with patients. It means it takes longer to take a test.

Why don't you worry about the nurses who divert and/or use on the job instead? That's an actual safety problem.

Specializes in Hospice.
You are way out of line.

NCLEX style tests don't happen at work.

Many nurses work with ADHD. I'm one of them. I know dozens more. Having trouble taking tests does not equate to being unable to maintain a safe environment, utilize critical thinking skills, or recognize issues with patients. It means it takes longer to take a test.

Why don't you worry about the nurses who divert and/or use on the job instead? That's an actual safety problem.

Cani, I'm not trying to be mean. I don't have ADD or ADHD, so I honestly don't know. So, no, I'm NOT "way out of line."

What I DO know is that Nursing has changed radically in the past decade or so. If you can assure me that someone with ADD or ADHD, properly medicated, wouldn't be any more likely to miss something important than the average overworked, overwhelmed Nurse, then okay.

And about Nurses who divert or use on the job? Yes, a concern worthy of its own conversation (and an entire sub-forum if I'm not mistaken). But in this context, apples and oranges. And a low blow-you know me from in here, you know I'm not a hit and run poster.

OP, follow up with your physician, comply with whatever regimen you're put on, please don't try and self medicate. If your ADD truly means that your only problem is taking tests, then use whatever accommodations you need to pass NCLEX, take a deep breath and hop on the Nursing train. I honestly don't mind being proven wrong.

Jensmom7, it is because of your history as a non-jerk that I am so upset.

That post really hurt my feelings. If you feel that way about someone taking the NCLEX...

I have a tendency to take things too personally, so I probably overreacted. But, damn, that hurt. I catch things going south all the time, before anyone else does. I am incedibly over organized and have excellent time management.

And for someone who doesn't even have ADD to be so critical and dismissive...

Well, I'm getting too emotional about this.

Specializes in Hospice.
Jensmom7, it is because of your history as a non-jerk that I am so upset.

That post really hurt my feelings. If you feel that way about someone taking the NCLEX...

I have a tendency to take things too personally, so I probably overreacted. But, damn, that hurt. I catch things going south all the time, before anyone else does. I am incedibly over organized and have excellent time management.

And for someone who doesn't even have ADD to be so critical and dismissive...

Well, I'm getting too emotional about this.

Cani, I in no way ever meant to hurt anyone. But if I, an RN, don't completely understand what ADD and ADHD is all about, don't you think that the civilians could have the same concerns and be TRULY hurtful?

I probably worked with people who had their ADD well managed-the subject had never come up to even discuss it with them, and I don't make it a practice to ask co-workers their medical history.

Please, educate me so I can say "Ok, this is what it's about, and a Nurse with ADD poses no more risk than a Nurse with diabetes or asthma."

Again, cani, my intent was never to hurt anyone. I'm very sorry.

Cani, I in no way ever meant to hurt anyone. But if I, an RN, don't completely understand what ADD and ADHD is all about, don't you think that the civilians could have the same concerns and be TRULY hurtful?

I probably worked with people who had their ADD well managed-the subject had never come up to even discuss it with them, and I don't make it a practice to ask co-workers their medical history.

Please, educate me so I can say "Ok, this is what it's about, and a Nurse with ADD poses no more risk than a Nurse with diabetes or asthma."

Again, cani, my intent was never to hurt anyone. I'm very sorry.

Awwww, I DID overreact. I'm sorry, too.

Anyway, I wrote an article about ADHD and how it feels to have it, and be judged by it.

Here's the link:

https://allnurses.com/nurses-with-disabilities/im-not-flaky-951199.html

OP, sorry for the derailment. Try to get your meds worked out before you take the NCLEX and set yourself goal times.

Take a couple of practice tests with 265 questions and a timer so you get more comfortable. Figure out how many minutes you can spend on each question to get all 265 done and try to beat that time.

Also, most people with ADHD have issues with second-third-and-fourth-guessing their answers. If you do, practice going with your first answer and see how well you do.

You will be able to figure this out.

Specializes in Hospice.
Awwww, I DID overreact. I'm sorry, too.

Anyway, I wrote an article about ADHD and how it feels to have it, and be judged by it.

Here's the link:

https://allnurses.com/nurses-with-disabilities/im-not-flaky-951199.html

OP, sorry for the derailment. Try to get your meds worked out before you take the NCLEX and set yourself goal times.

Take a couple of practice tests with 265 questions and a timer so you get more comfortable. Figure out how many minutes you can spend on each question to get all 265 done and try to beat that time.

Also, most people with ADHD have issues with second-third-and-fourth-guessing their answers. If you do, practice going with your first answer and see how well you do.

You will be able to figure this out.

Cani, I believe everything happens for a reason. You didn't post here until you read my post.

That article was amazing. Frankly, I was exhausted after reading it. If anyone can help OP navigate his way you can. You walk the walk, and talk the talk.

Specializes in Transitional Nursing.
So, if he tests with accommodations and manages to pass NCLEX, what kind of accommodations can he demand from an employer?

I'm sorry, but if I'm ever in a hospital, I really don't want to have to worry about whether my front line health care professional is going to have an issue that could interfere with him/her maintaining a safe environment, utilizing his/her critical thinking skills or catching a small issue before it becomes a critical one.

NM, I jumped the gun.

Specializes in 15 years in ICU, 22 years in PACU.
I probably worked with people who had their ADD well managed-the subject had never come up to even discuss it with them, and I don't make it a practice to ask co-workers their medical history.

A well-managed medical condition doesn't (usually) come up unless the person chooses to bring it up as a subject of conversation.

Constant referral starts to sound like an excuse and it gets old real fast. Just like when old farts always talking about their aches and pains gets to be a pain. Get started on that subject and you can't get any work done.

Specializes in Transitional Nursing.

ADHD is an issue with Executive function. It is a widely misunderstood disorder and truly shouldn't bear the name "attention deficit" because the problem isn't not paying attention, it's PAYING attention....to EVERYTHING.

I notice people breathing, shoe tapping, chewing (OMG MAKE IT STOP), I start cleaning the kitchen and notice a sock on the floor, pick up the sock bring it to the laundry, start the water, find a hair tie, bring the hair tie to the bathroom, start cleaning the bathroom, go to get the windex to clean the bathroom mirror and pass the laundry room with the washer now washing without clothes or soap in it and the kitchen sink overflowing......

anyways, its completely manageable and those of us who have it are able to truly shine in select areas and need a little assistance in others.

Cani, I believe everything happens for a reason. You didn't post here until you read my post.

That article was amazing. Frankly, I was exhausted after reading it. If anyone can help OP navigate his way you can. You walk the walk, and talk the talk.

**sniff**

((((Jensmom7))))

Specializes in Hospice.
A well-managed medical condition doesn't (usually) come up unless the person chooses to bring it up as a subject of conversation.

Constant referral starts to sound like an excuse and it gets old real fast. Just like when old farts always talking about their aches and pains gets to be a pain. Get started on that subject and you can't get any work done.

Have we talked about my lumbago yet?? 😇

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