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.
:yeah:
niamh27
41 Posts
thanks for the tips..it really helped a lot.am goin to take nclex as well soon but feel scared,and not ready yet...yet u gave me inspiration..thanks again.and pray i can make it...cheers! and congrats:yeah: