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 Hospice.
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.

So, it's an issue with screening sensory input? Where I can be cleaning the kitchen, notice those other things and add them to my "to do later" list, you see allthethings, and if you don't utilize the skills you've learned, nothing gets done.

Wow. You guys have every reason to be proud of your accomplishments.

And as for the sound intolerance, I've often wondered if I have a mild degree of misophonia. Breathing noises irritate me, and if I ever kill my husband, it will be because he chews with his mouth open lol. Someone popping gum?? Makes me want to bite.

Specializes in Addictions Nursing, LTC.
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, you changed my life when you posted this the first time. I was diagnosed with "hyperactivity" as a child, but ADHD wasn't a thing 30-something years ago. I wasn't even allowed to have fruit punch or anything with red dye until I was a teenager because the red dye used back then had me practically climbing the walls. I have a near genius IQ and I could barely pass high school. I went to several doctors who couldn't figure out why my hearing was perfect, but I couldn't distinguish words if there was background noise. I just thought I was awkward and weird for so many years.

Because of your post I started researching ADHD, and it all made sense. I finally know why I am the way I am. A huge weight was lifted from my shoulders. I've learned a lot of tools to help mange it. It's getting worse as I get older, and I'll probably end up medicated at some point, but for now, I'm getting through it.

Anyway, sorry to the OP for the derail, but had to thank you for putting your story out there, Cani. You really did change my life.

Specializes in Addictions Nursing, LTC.
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.

This is the story of my life. My husband can clean the entire house in a half hour and can't understand why it takes me all day (on a good day).

All of the distractions are minute issues for me. I wish that was all that I had to worry about! For me, it's a constant fixation on certain things in my life. Kinda like it was said earlier, it's an extreme ATTENTION to everything. So all of the stressors in my life run it, day in and day out. But, what I feel sets us apart from most is the ability to turn it off when we need to the most. So when I go to sit in front of an exam, I can turn the stressors off. I don't have test anxiety. I don't stress about the test itself. It's more like the stress of am I studying enough? Am in studying correctly? Why are my grades just not coming up to where they SHOULD be, according to Kaplan? What is gonna happen if I don't pass, again? How am I going to support my family? If I don't pass, I will let myself and my dad and my family down. Which is all why I got on here and started reading threads on ADD, the NCLEX itself, and the fact that people that are scoring what I continuously score on Kaplan have passed their NCLEX. Canni's thread is what motivated me to post this thread. I hope that someone else will see that how they feel on a regular basis is normal. That they're not weird. And more importantly, they're not alone.

I won't lie.....I also posted this for a little encouragement. Maybe even to elicit some advice that isn't on here. It's hard to work full time, 6 days a week and study for this test. Again. But I have been studying SO much more than I did the last two tries, and I was close then. I mean hell, I ran out the clock at 235 questions! I was SO close!

Specializes in Addictions Nursing, LTC.

OP, I've found that the more time I spend on a question, the more likely I am to get it wrong, and the easier it is for my mind to wander. If I spend too long on a question, I will second guess myself until I've found a way to make all the choices right in some way or other.

I agree with Cani, try picking your first answer and see how that goes while practicing. Also, it seems to help my mind stay more focused if I go quickly from one question to the next. Don't try to think of scenarios where questions other than the one you pick could be right, as that gives your mind a chance to wander too. I know this is not the way we are taught to take tests, but it works better for me.

Hey, anything is worth a shot, right?

Specializes in Transitional Nursing.
So, it's an issue with screening sensory input? Where I can be cleaning the kitchen, notice those other things and add them to my "to do later" list, you see allthethings, and if you don't utilize the skills you've learned, nothing gets done.

Wow. You guys have every reason to be proud of your accomplishments.

And as for the sound intolerance, I've often wondered if I have a mild degree of misophonia. Breathing noises irritate me, and if I ever kill my husband, it will be because he chews with his mouth open lol. Someone popping gum?? Makes me want to bite.

Yes, all of the above, lol. Its self regulation and working memory issues, among other things. I think I have misophonia also, I literally want to stab my husband when he eats doritos!

We know what needs to be done, just struggle with coming up with a way to go about getting it done, usually. Very impulsive, hence "Oh, a sock, lets grab that now so I don't forget" We're also "time blind", no tomorrow, only right now. No concept of time, an hour is the same as a minute unless we're minding the clock... mind you, we have lived with it day in and day out since the day were were born, so it's not like we can't function, we juuuussttt get a little all over the place sometimes. I don't believe we're any less capable of being safe and competent nurses than anyone else.

The ADHD brain is like a ferrari, going a million miles a minute at all time, most of us are so used to it because we've always been this way. Meds help but nothing takes it away completely. The reason we're known to procrastinate is because working under pressure or at the last minute gives us the ability to hyperfocus and DO IT. It's when I do my best work, it's also why we make great nurses.

Its very complex and hard to explain, but there is a massive lack of education about the disorder and what people think they know is usually wrong. The stereotype and stigma surrounding it makes it that much harder.

Specializes in Transitional Nursing.
All of the distractions are minute issues for me. I wish that was all that I had to worry about! For me, it's a constant fixation on certain things in my life. Kinda like it was said earlier, it's an extreme ATTENTION to everything. So all of the stressors in my life run it, day in and day out. But, what I feel sets us apart from most is the ability to turn it off when we need to the most. So when I go to sit in front of an exam, I can turn the stressors off. I don't have test anxiety. I don't stress about the test itself. It's more like the stress of am I studying enough? Am in studying correctly? Why are my grades just not coming up to where they SHOULD be, according to Kaplan? What is gonna happen if I don't pass, again? How am I going to support my family? If I don't pass, I will let myself and my dad and my family down. Which is all why I got on here and started reading threads on ADD, the NCLEX itself, and the fact that people that are scoring what I continuously score on Kaplan have passed their NCLEX. Canni's thread is what motivated me to post this thread. I hope that someone else will see that how they feel on a regular basis is normal. That they're not weird. And more importantly, they're not alone.

I won't lie.....I also posted this for a little encouragement. Maybe even to elicit some advice that isn't on here. It's hard to work full time, 6 days a week and study for this test. Again. But I have been studying SO much more than I did the last two tries, and I was close then. I mean hell, I ran out the clock at 235 questions! I was SO close!

Our nursing exams are set up like NCLEX, to get us ready. We're only allowed one question at a time and they're NCLEX "style". What I do after I read the question and all the answers is just answer the question.

Be sure you read it correctly and you see your options, and make your choice. Once you've made it, MOVE ON. Don't sit there and ponder if that's actually right or not, just click the button and NEXT!!

Study every day a little bit, but it's not about the questions, its about the content. If you KNOW the content, you can answer a question about it in any format.

Just keep reviewing, BREATHE, and kill that darn test!

A couple of things - listen to your instincts. ADHDers are often very intuitive.

Even though you can't explain WHY you know an answer is right, believe in yourself when you choose it.

Your brain holds literally trillions of pieces of information and it knows how to access that stuff. We are not wired for direct recall.

Think of it like this:

For a neuronormal person, if they want to remember a piece of information, they cast out a single fishing line and reel that sucker in.

We cast out nets. It brings in all the relevant info, some totally irrelevant info that sheds light on understanding different aspects of the answer, a soundtrack that rocks that answer, and 22 dance moves and some kung-fu that could make you feel good while using said answer.

The trick is narrowing it down. The NCLEX does that for you. It has the answers right there. You just pick the one you know is best. We have tricky brains, so seeing through the NCLEX trick questions can sometimes be easier for us.

Watch the wording. If the answer has "always" or "never," it's wrong. If it's a "what should you do first," use ADPIE, ABCs, and Maslow. Assess the situation, safety first, and make sure the patient has an airway.

Remember, you want to fix first what kills your patient fastest.

Now, just memorize some pharm and you'll be all set! Nursing school summary in 30 seconds, LOL.

Specializes in HH, Peds, Rehab, Clinical.

My school DID teach me to take the NCLEX. That's their goal after all. Teach their students so they can pass that exam and become licensed nurses.

I think what kills me is I almost always get to two answers, and it's always a what would I do in the REAL world vs what would I do on the test world? I can't use reverse logic every time because it's a little bit of both. Some times what I would do in the real world and some times its the wrong thing to do according to Kaplan/NCLEX.

Specializes in Critical Care.
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.

Dose increase should help. If it doesn't, maybe another increase would. We can't (shouldn't) ask for special accommodations for testing, because when you are working you will get NO such special treatment. Get your meds right then retest. It can be done.

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