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 Critical Care.
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.

Always choose the answer based on how things would function at The NCLEX Hospital, not real world hospital.

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.

Forgive my Midwestern-ness, but hogwash. When working, you're not going to be put into a little room full of other distracting people with a computer adaptive test and told you must pass to keep working. LDs that manifest in educational settings often have no affect on the the performance of job duties.

I asked for extra time when i was in school and they gave it to me. There was a group of us. I asked then because there was almost always a few students with a cough or some sort of nervous thing going on that was a big distraction. Am I proud of the accommodation? No. But I passed nursing school. There are tons of scenarios that we could discuss making the use of accommodations useful or a hindrance. The fact of the matter is that we do what we have to do to become what we know we are meant to be. In the "real world" I am not going to need to worry about distractions while taking a test on material I am attempting to verify that I retained the information. I will have already known the I formation and will be performing the same act I have performed a hundred times. A thousand times. (For clearance, I am not speaking these words in anger or frustration. Just explaining MY thoughts.)

I look at it this way.....there was a guy in my class that passed his test the first time. He already had a bachelor's in mechanical engineering from a major University here in NC. He was/is smart. He was a great test taker and could retain some of the most off the wall info that even impressed the instructors. After he passed, he went to work for a local skilled nursing facility. Long story short, he administered K when the pt just returned from the ED......and the pt had a K level of 5.6!! The pt passed, but it is hard to prove that the additional K is what killed the pt. Is it safe to assume that it likely is the cause? Likely. People that are "smart" pass these tests every day and are practicing nurses. Just because you can easily pass a test does not make you any more capable than anyone else. It simply means that you are a better test taker.

It is hard to say exactly why I can't pass this test. I am scared out of my ever-loving mind, but I study almost every available minute that I have. Sure, I could study more, but I would be depriving myself of sleep. That would be counterproductive in itself. This is all about discovering what works best for ME....a combination, if you will, of methods, medications, etc.

But, at the end of the day, I go through this because I want to change lives. I doubt that I will be the best nurse that ever lived. But to send pts home is what we ALL want, no matter how we accomplish it.

Specializes in Critical Care.
Forgive my Midwestern-ness, but hogwash. When working, you're not going to be put into a little room full of other distracting people with a computer adaptive test and told you must pass to keep working. LDs that manifest in educational settings often have no affect on the the performance of job duties.

Agreed, but you will be in a high-stress situation where someone's life depends on you pulling yourself together.

Specializes in Critical Care.

And I say that as a person with ADD.

Im my opinion all these review courses are not how they should be! I know that sounds crazy but hear me out. This is why people do well in nursing school but fail the NCLEX. In nursing school your only focusing on so many chapters for each test and the final is just everything condensed into one. When it's time to prepare for the NCLEX the school hands you a Saunders book with 5,500 questions to do (At least my school did and they should have made it homework to do NCLEX questions) I believed nursing school prepared me for the exam too but I was wrong. Back to the saunders book. That thing is so overwhelming I didn't even continue using it. That was ridiculous! So then I took a review course. Well when you sit there and listen to them talk for 35 hours think about it how much of that info can you seriously 100% retain? It's supposed to be a review of what you learned but when your sitting there listening to them they are explaining how nursing school taught you this but really this is what you should know!! They contradict many things you learned in school?!!?? Explain that to me! I go take the test and I fail!!! So i'm thinking wow this is crazy!!! So I bought UWORLD and it changed my life!!!!!!!!! In my opinion Uworlds technique for teaching you is the best! You answer a question and if you get it right or wrong it tells you right then and there (In tutor mode) all about the disease what is so important to know pictures about somethings and why the wrong choices are wrong and where those wrong choices would be correct. Plus theres only 1800 questions! Not something crazy like 5500. I suggest to you that you order uworld. Set aside 3 days per week which is not overwhelming and do 75 questions each those days. I also suggest you do it in tutor mode because I saw that helped me best because I would learn as I went through each one then maybe 10 questions down I would get it correct which reinforced my knowledge learned. So if you do the 75 questions 3 days a week for 8 weeks your done so go take that test and ace it! Really focus hard on those 75 questions! Don't rush through the questions give your self time to absorb it!

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