Got 100% on my Renal Exam

CapNurse09 · Nov 29, 2008

WOW ... I'm impressed. Congratulations big time !!!!! :yeah:

Natingale, EdD, RN · Nov 30, 2008

So whats your secret ..hmmmm??

RN2BMU2009 · Dec 1, 2008

You Go Guurlll! Renal is a booger! :yeah:

NaomieRN · Dec 1, 2008

So whats your secret ..hmmmm??

At my school we have to go to a dialysis rotation. I read the chapters before I went, and I had a list of questions. I spent half a day observing patients. I asked the nurse a million questions. I interviewed 3 patients to understand the signs and symptoms of ESRD. Most of the patients told me, they had diabetes or HTN. I think that helped me more than reading the textbook because during the exam, I can remember what the patients were telling me.

I did well also on my Cardiac exam, but I did not get 100%, got a 94%. I did a 10 week intership last summer, which helped me. The patients are my best teacher, what can I say.

I also did almost 500 nclex questions, from Saunders, lippincotts, Nclex 3500 and Delmar.

I typed all my notes, listen to the recordings and spend time trying to understand. I also run a study group with 8 other students. I think also by me teaching others, it sticks in my head. More than half of my class has joined me this semester. So far, they are all passing. I also have a good test taking strategies. My professor is also good, she explains stuff and whatever she says, usually on the exam. I dont read the book as much as I did last semester.

jadu1106 · Dec 2, 2008

that is very impressive--your study skills paid off and your clinical sessions also seem to be interesting! best of luck as you finish the semester! :)

congratulations on scoring a 100% on your renal exam!

Natingale, EdD, RN · Dec 2, 2008

Why thank you for the detailed response, with all the work you put into it you deserved it!!

Im very proud of you, thanks again for the info.

sher_bet · Dec 4, 2008

oh wow, you are a really engaged learner! that is impressive, good for you.

keyboard · Dec 4, 2008

You go girl! Congrats! It's a great, great thing to score 100% on any exam.

Your study strategy was key, and you must have a love for what you do. I am in renal, so your proud achievments just make me smile.

Maeva002 · Dec 4, 2008

Congrats girl,

my next exam is renal

you just give me some idea

thanks

NaomieRN · Dec 5, 2008

congrats girl,
my next exam is renal
you just give me some idea
thanks

sorry i did not respond to you sooner. i had a big nursing grand round presentation that i was preparing for on chronic cardiac disease. i am glad it's over.

i have my notes if you like. give me an email and i will send them to you.

sample for my notes:

acute renal failure (arf)

- acute renal failure (arf) usually develops over hours or days with progressive elevations of blood urea nitrogen (bun), creatinine, and potassium with or without oliguria. it is a clinical syndrome characterized by a rapid loss of renal function with progressive azotemia.

- arf is often associated with oliguria (a decrease in urinary output to

- the causes of arf are multiple and complex. they are categorized according to similar pathogenesis into prerenal (most common), intrarenal (or intrinsic), and postrenal causes.

o prerenalcauses are factors external to the kidneys (e.g., hypovolemia) that reduce renal blood flow and lead to decreased glomerular perfusion and filtration.

intrarenal causes include conditions that cause direct damage to the renal tissue, resulting in impaired nephron function. causes include prolonged ischemia, nephrotoxins, hemoglobin released from hemolyzed rbcs, or myoglobin released from necrotic muscle cells. acute tubular necrosis (atn) is an intrarenal condition caused by ischemia, nephrotoxins, or pigments. atn is potentially reversible if the basement membrane is not destroyed and the tubular epithelium regenerates

o postrenalcauses involve mechanical obstruction of urinary outflow. common causes are benign prostatic hyperplasia, prostate cancer, calculi, trauma, and extrarenal tumors.

- clinically, arf may progress through four phases: initiating, oliguric, diuretic, and recovery. in some situations, the patient does not recover from arf and chronic kidney disease (ckd) results, eventually requiring dialysis or a kidney transplant.

CandyGyrl · Dec 5, 2008

Wow, awesome job. I've yet to get a 100% on any of my nursing exams I usually fall within an 88-94% range so kudos to you! Does your instructor allow for item analysis.. meaning does he/she throw out any of the questions?

I am in Med surge I (Fluid Electrolytes and Acid Base, Inflammation and Infection, Shock, Perioperative, Immune System, Cancer etc...) Did you all cover these topics in your first med surg rotation? My next rotation is med surg II which from what I understand are the body systems. Are you all in Med Surge II? The original poster mentioned she was in med surge IV? I know that all schools are different and I am just curious to know what you covered in med surg II and III.