Published Jun 17, 2008
SoniaFLRN
5 Posts
Physical needs always come before psychosocial and pain is considered psychosocial!!!
Never ask a patient why questions
RNs can't delegate assessments, teaching, discharges, judgments. Pretty much give lpn's and nurses from other units patients that are the most stable with the least chance of dying, leaving, or a hard procedure.
Never pass the buck.. don't call the MD, and follow your chain of command. Always go to your nursing supervisor first.
Employee experience doesn't matter. Lpn with 10 years vs new rn... rn gets harder pts.
Real problems priority over potential problems.
Assess patients before implementing unless the assessment has already been done by the RN in the question. then get rid of all of the assessment answers and look for the best implementation.
Always stay with pt family during crisis. Seemed weird to stay with a family after a death, but on this test you do.
If question says the nurse should intervein... then look for an answer that is wrong.
If which response is best...use therapeutic responses.
Most meds are not taken at bedtime
Osteoarthritis is worse in morning vs. rhumetoid
watch for sudden crisis or emergent in answers and questions usually will be the answer
read up on digoxin, basic things, drug came up a lot.
no grapefruit with meds...buspar, zocor,tegretol,verapamil
Lithium causes diabetes insepidus. Needs lots of fluids.
gastric ulcers pain one hour after eating, vomiting relieves pain.
duodonal ulcers no vomiting, food relieves pain
also math questions like gtt. 1000ml NS, 15ggt/min over 6 hours. (1000)X(15)/360min = 41.6ggt/min make sure you round or not depending on what they ask you... Got quite a few of these.
I also on the third time got tons of select all that apply. Got very upset about it, but managed to still pass. There will always be at least 2 answers right in those. If you only find one, keep looking. You want questions that are who should you see first, call back first, those are the questions that nclex passes you on.
So... read your first answer... what is it asking for in your words. Do you need to assess the patient? Has the rn in the question already done so.. in that I mean, does it say that the rn checked the pulse and it was 39 or did the wife tell you it was 39. If rn has then get rid of all of those assement answers, like check the patients vitals, or ask the wife how long ago she checked it etc. Then look at your implements. Follow the ABC's in order then.
Does the answer then make sense. ABC's only work if it makes sense. I learned in school always to pick the respiratory answers. Not true on nclex. If question is about diabetic ulcers, and ABC answer is there. More than likely that respiratory although has priority, doesn't make any sense.
Just try and relax. Read each question as many times as you need to. Make slash marks for all four answers(/) then as you get rid of them make them into X's. It worked for me, and I hope this will help you.
jadu1106
908 Posts
Congratulations on passing! Thank you thank you thank you for the info! Very helpful!
LynseyEB
41 Posts
:ancong!:
i am so happy for you !!!!!!!!
dabmtcuRN
161 Posts
Congratulations on passing . Thanks for all the great information!!! My turn is on Friday, I am sure your tips will help.
mcknis
977 Posts
YES!!!!!! Thanks for the info. I am going through an NCLEX review course right now, any more tips to pass along, PM me...
Garifuna30
31 Posts
Hi sonia, this is so encouraging for me because I will be taking my nclex for the third time on the 7th of july. I appreciate your detail plan. I am currently doing hurst review and kaplan with alittle of saunders. I don't wnat to be studying form every book because then I will feel like i'm going in circles. I have been weak in content so hurst review is helping me with that and I like kaplan questiosn because it mimics the actual NCLEX . I am just praying to GOD believing that this is it. How did you feel after leaving the testing center. Once again thanks so much this is encouraging.
I have to say, the first time I took nclex I got 233 questions and knew I had failed. I wanted the test to be over... if I only knew then what I know now, I might have been able to pull off passing that one. The second time I took it medicated, after taking all of kaplans question trainers and a lot of the q bank and got 75 questions. I thought that I had passed because you don't hear many that fail with 75. Only afterwards did I realize that I wasn't getting any of the harder questions. So after taking the actual Kaplan course, learning how to answer these questions, did I feel semi confident that I had passed the 3rd time with 75 questions again. I couldn't imagine failing that bad AGAIN. Deep down I knew I had passed, but was still worried until I saw PASS.
Thank you for your response. Congratulations to you again. I hope to see RN beside my name next month.
gwafuh_rn, BSN, RN
1,241 Posts
congrats
caringkay RN
80 Posts
:up:way to go girl...........!!!!!!!!!!!!!!!!!!!!
i have saved the tips to review the night before my exam though i don't know when yet, guess am very scared.:heartbeat
CONGRATS AND THANK YOU!!!!!
irish6363
152 Posts
Congratulations! and thank you for the tips they are very good.
caliotter3
38,333 Posts
Congratulations!!!:balloons::balloons::balloons: