April 2008 NCLEX test takers, COME ON IN!

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Per the request of janina08 ;) I've started the April NCLEX takers support group. When do you take it? What are you using to study? Would anyone like to review any of the systems/meds that he/she feels weakest on? Let's keep each other in our prayers and good thoughts as we go through one of the biggest experiences of our lives. :) :nurse:

Specializes in School Nursing.
I realized rose's exam is tomorrow. So, I'm just going to post some information for revision purposes:

1) Standard precautions:

Goal: prevent nurse from transmitting diseases to another patient and to herself.

2) Airborne precautions:

Infection caused by organisms suspended in the air for long period of time.

Tuberculosis, Measles (Rubella), Chicken pox (Varicella Z) - MTV

Intervention:

Private room

Health care workers: wear HEPA mask or N-95 mask

3) Droplet Precautions:

Organisms suspended in droplets that can travel 3 feet, but not suspended for long period of time.

Influenza, mumps, pertusis, rubella (german measles), diphtheria, pneumonia, scarlet fever, streptococcal pharyngitis, meningitis

Intervention:

Private room OR Room with client with same illness (no closer than 3 feet with one another)

Caregivers: Wear ask

Door can remain open

4) Contact precautions:

Organisms spread by direct contac.

Rsv

scabies

colonization with MRSA

VRE

Intervention: Private room or room with client with same condition.

Care givers: Wear gloves, gowns (when entering room)

Wash hand with anti-microbial soap BEFORE leaving client's room

Equipment used leave in client's room - DISINFECT before used by anyone else.

Transport only for ESSENTIAL procedures

Source: Exam Cram

Please correct if you see any errors. thnks

I am planning to buy the Exam cram, is it really a good review? did it helped you a lot. What review materials did you used beside that? I am doing saunders and all of the notes that was posted here.

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moments im soo soo happy for u! i knew u could do it and i just want to say that i know in my heart that u will be an amazing nurse coz u have ur heart and mind at the right place.. once again congratulations.. :redpinkhe:redpinkhe:redpinkhe

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thank u very very much moments ..

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LPN/PN can do:

Dressing change

MONITOR patients with IV therapy

insert urinary catheter

Tube feeds

apply restraints

Discontinue Ivs, drains and sutures

Sickle cell crisis Treatment: (to remember: [b[H[/b]ip HOP

Heat

hydration

oxygen

pain medication

Hip fracture commonly results in hemorrhage (Hip Hemmorhage)

Femur fracture results in fat emboli (Femur Fat)

Bleeding and spider bite treatment: RICE (rest, ice, cold compression and elevation)

Gall bladder disease: 5F's

Female, forty, fat, fair and five pregnancies (multigravida)

Infants: Apgar score: 1 and 5 minute

0 - absent

1-decreased

2-strongly positive

AVA: umbilical cord has two arteries and one vein

If nurse pregnant : NO go near: cytomegalovirus and toxoplasmosis

Pregnancy:

contraction: Normal frequency: 2-5 minutes apart

normal duration: less than 90 seconds

normal intensity: less than 100 mm/hg

Judaism: No pork, no fish without scales, no blood and Do not mix meat and milk together.

Acidosis: Potassium is UP (HIGH)

Vaccine:

Hepatitis A: 2 doses: 0, 6-12 months OR 0, 6-18 months

Hepatitis B: 3 Doses: 0, 1-2 months Or 4-6 months

D/c aspirin and notify Physician IF child exposed to influenza and chickenpox

increased Intracranail pressure:

Increased BP, temp

Decreased Pulse rate, RR

Shock: opposite of increased intracranial pressure.

Vitmain names:

B1 - thiamine

B2 riBoflavin

B3- niacin

B6 - pyridoxine

B9-folic acid

B12-Cyanocobalamine

Sickle cell anemia: Acute pain: NO meperidine: rational: stimulates Central nervous system.

Yes morphine.

Cholecystitis: No Morphine: causes spasms of oddi of sphincter.

Nsaids and Steroids WITH meal

Potassium: always check renal function before administration

Bitter taset: give with juice

IV - Dilute with Iv fluids

Hypoxia: late s/s: Cyanosis

End stage renal disease: NO protein

Heparin injection: No aspirate , no massage

Digitalis toxicity: HyPOkalemia

source: Exam cram

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I am planning to buy the Exam cram, is it really a good review? did it helped you a lot. What review materials did you used beside that? I am doing saunders and all of the notes that was posted here.

Hi missmykids,

If you are near any bookstore, please just go there and scan these books and make note and study. For me, when I write and study, I tend to learn better than just reading. So that's what I did last four days before mye xam, I went there and checked the books there and made notes.

Exam cram is good yes only after you know the content well from saunders. Like it's easy to forget the information after 2-3 months of studying, the old ones we m;ust have studied. In that case, just before exam to just go through exam cram is a good idea - helps wake up the material hidden in the storage rooms of our brain. I would advise you to go to the bookstore and spend some days there, make note and study (if you spend maybe 11 hours there, u can finish it in one day I think).

I did Saunders for the most part (Did the questions and read every rationale, whether I got it right or wrong and Lot of the times I checked the strategy also just to see, if I was thinking along the line of hte writers or not. It was helpful to me, that way helped me to see what I was doing right or what I was doing wrong.

And then I read the strategy book Kaplan ( I did maybe 25 question from that - did horrible on those questions-even after knowing hte information and content, I was getting the questions wrong. So I was very worried) And then s omeone posted 4tests.com something like that site here on the site, and I did maybe 51 questions from that kaplan online exam. I got maybe 55% on that.

I studied some from ATI - like knowing hte normals. For me knowing the normal helped me a lot. Like for Endocrine. ATI has a list of all the endocrine and exocrine glands, the hormones that each of the release and the function of each of those hormones. Now just knowing hta tinformation, it was very easy for me to learn cushing's , addisons, and other endocrine disorders. Since I know the normal, the conditions was easy to figure out.

I would say, just keep doing your saunders quersiton. If you find yourself weak in certain area, u can read it from the book or find information on Web. I'm a v isual learner and I do better looking at the picture. So while studying traction, I would google tractions and look at them carefully, it was helpful

And then there was this other book in barnes and noble. The name was: I forgot: it was thin but it had all information in PICTURES. So it was helpful. i think the name was nursing mad easy.

And then I just basically looked through the PDQ for RN.

I still can't believe I passed. Coz I feel like I knew content, but not like pass with 70 or 80. All praise to God. Prayers and support from you guys definitely carried me through :icon_hug:

So, I'll say if there is a bookstore go there and make notes and study. I'll also post the notes I made in Barnes and nobles here, every chance I get :icon_hug:

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And also studying system by system was very helpful to me. Finish one system in study mode and then only go unto another system.

I still dunno how much I scored in Saunders' exams, coz I didn't do exam mode, and before exam I didn't wanted to freak myself out so I didn't do it. But on Kaplan that I did 51 question online, it was horrible 55%

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moments im soo soo happy for u! i knew u could do it and i just want to say that i know in my heart that u will be an amazing nurse coz u have ur heart and mind at the right place.. once again congratulations.. :redpinkhe:redpinkhe:redpinkhe

thank you chichiii and all of my april family :icon_hug: i couldn't have possibly done without you guys :). i just want to dance, dance and dance now he he he i mean dance literally in the room too ::D i know you guys will make awesome nurses too. april familiy has been just amazing. i will never forget you guys in my life.

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Specializes in School Nursing.

thanks a lot....you deserved to pass because you studied hard for this test. I am planning to take the test as soon as possible because I feel that as time goes by, I am already forgetting the things that I have studied....I will definitely go to the bookstore and follow your advise... you inspire me.... continue to pray for us who will be taking the test soon.... again...CONGRATS!

I was thinking just now, maybe I should have taken the test this month....because...all of you APRIL TEST TAKERS are AWESOME... Almost all of you are RN now....WOW... I hope I would be next...

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Normal Hemoglobin A1c = 4-6%

Before thyroid medication: evaluate pulse rate

More than 100 bpm (adults) and more than 120 bpm (infants) = Notify Dr.

Burn: Rule of 9 (to 9 major body surfaces)

Adult

Head 9%

Arms 9% each

Anterior trunk 18%

posterior trunk 18%

Legs 18%

Perineum 1%

Parkland formula for burns: Ringer's lactate 4 mL x (KG) body wt. x % total body surface area

give half infusion first 8 hours

remainder next 16 hours

calculate your time from the time of injury and not when patient arrived.

Burn Consensus formulae: Ringer's lactate (2-4 ml) x kg wt x % TBSA

CPR:

child: carotid or femoral

infant: brachial or femoral

Map(Mean arterial pressure) = Systolic + 2(Diastolic)/3

Insulin adminstration: Sub Q - 45-90 degre

Rotate site weekly

insulin vials STORED in freeze

Source: Exam cram

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Specializes in Cardiac/Telemetry.

update time!!!!!

april test takers schedule:

april 1st:

imignior (took it 3/29=congratulations!!!! :yeah:)

april 3rd:

avalere2474

kano (congratulations!!! :yeah:)

jtejas

april 7th:

genny0616 (congratulations!!! :yeah:)

laurakfels (congratulations!!! :yeah:)

npeltier (congratulations!!! :yeah:)

[color=olive]april 8th:

janina08 (congratulations!!!! :yeah:)

rnbymay08 (congratulations!!! :yeah:)

april 10th:

ms.h

april 12th:

ailedeck

april 14:

chichimitchi (congratulations!! :yeah:)

supernurse08 (congratulations!! :yeah:)

ibethandysa (congratulations! :yeah:)

april 15th:

faeriwand

latueno (congratulations!! :yeah:)

april 16th:

icyblue

moments (congratulations!!!! :yeah:)

[color=olive]april 17th:

craveme

louimed5

april 18:

pinkroyalty18

or2ca

april 19th:

rose143

[color=gray]april 21st:

mave

bryjah

april 22nd:

rizapride

teresab930

april 23rd:

ianjel

zackjabeen

april 24th:

malachi39

april 26th:

mrstip905

april 29th:

ron134

april 30th:

ethenmon

deliciouscandii

waikiki

ilovetiggerdear

undecided/did not say date/waiting for att:

hopefulrn82

stacy14

lvlytxn (congratulations! :yeah:)

pinaigie

bigglesnurse

kimkevant

pinky22

lola4525

sccc07grad

a2008

wedny2006

youcan

lizbiz

jasminebynight

enobong

clarissa

mrslean709

mischa2busrn

mreyes1014

trimedu

stevejizobs (congratulations! :yeah:)

prettynix (congratulations!!! :yeah:)

good luck rose143!!!!!

fyi: soon, i'm not going to have enough room for the smilies, so i'll be "borrowing" the smilies for the rest of the people. *grins*

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thanks a lot....you deserved to pass because you studied hard for this test. I am planning to take the test as soon as possible because I feel that as time goes by, I am already forgetting the things that I have studied....I will definitely go to the bookstore and follow your advise... you inspire me.... continue to pray for us who will be taking the test soon.... again...CONGRATS!

I was thinking just now, maybe I should have taken the test this month....because...all of you APRIL TEST TAKERS are AWESOME... Almost all of you are RN now....WOW... I hope I would be next...

You are welcome hun. And thank u again. Yeah, def. with time, if it is like 3 months and more we begin to forget I think. I mean not forget forget, but it's not fresh like yesterday's material. They say, repetition is the mother of retention, so we just have to repeat it. Yeah! Have faith in God and on you, you'll definitely pass it. I know you have been working very hardddd. WE are all praying and rooting and cheering for you and other april family members. So, just keep doing what u have been doing, and if there is any information u need to know or find, let me know. I can help too. MOre the merrier u know :D

This was my refuge and you g uys were my refuge, whenI Felt low, w hen I felt down, when I felt sad, when I felt happy, when I felt up in the clouds. When things were rough, I came and vented here, spreading negativity around, but I'm so glad today I can spread positivity. :)

I'l come back and post more infor laters guys.

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Specializes in Psychiatric Nursing.
Oh my God. I'm crying here. Thank you God and all of you guys. I PASSED! I have to look at it again and again to make sure, it's me. Thank you so much. I cannot thank you all enough. Praise be to God and to all of you for believing in me, when I doubted myself. Oh my God! oH my God.

I want to specially thank:

genny

Mave

chichi

Janina

Or2ca

igmirmor

julezheart

riza,

rose,

missmykids,

lantueno,

steve

and everyone of you guys, every single one of you. Thank you so much from the bottom of my heart. I couldn't have done it without God's blessings and your support, positive vibes, prayers and luck. I have to go back and look at my name again and again on BON to be sure, it's me. Thank you so much guys. Amen!

CONGRATULATIONS MomenTs!!! :yeah::yeah::yeah:

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