Latest Comments by kajh20

kajh20 2,161 Views

Joined: Feb 11, '09; Posts: 70 (14% Liked) ; Likes: 13

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    Its really a shame most are left with the feeling like they had to guess on most questions and never knowing which questions right/wrong, though passing is great, confidence with knowledge is even better. I'd hate to think that nursing is a guessing game (I realize it is at times, but..)and that hoping the right delegation tasks(including the 5 rights) is performed. I know this all comes with time working as a nurse, but it's the principle of it I guess. Critical thinking is not guessing without facts, I don't know, it's so confusing. I passed but this process has been mindboggling and still (with passing)I'm just as confused as I was yesterday before passing my boards. Happy I passed but discouraged by the process and not truly grasping the NCLEX test (strategy, info, what I'm suppose to know and WHAT they want me to know thats important).

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    BTW, adorable dogs! We have two big yellow ones! I forgot to ask (I know everyone is different and I read all the posts here) how long would you suggest I do the above study plan? I keep re-scheduling my exam b/c I feel like I don't know everything, but I also know that I can continue to live this isolated life and study and more than likely it's not going to do me any good since the NCLEX RN is so random (I have taken it before which I'm sure contributes to my anxiety!). I now find myself needing to know EVERYTHING as well as questioning everything, which is really good for my nursing b/c I feel like I'm really understanding the path of it all but I can't seem to stop and start answering questions!

    Anyhow, thanks again

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    Thank you, I appreciate your feedback!

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    Hi. I know this may seem silly but I think I have confused myself on airborne/respiratory isolation precautions. I have researched alot on the CDC website but it's very indepth.

    My question, I know Measles, TB and varicella require airborne/resp isolation but what about Herpes zoster/Shingles? it seems likely it would be included but.......Also, it's apparent that a N95 respirator is worn with TB, so is this the same for the other airborne diseases (measles, varicella)? or is a regular/surgical mask only required?

    Can anyone please help clear this up for me?

    Also, I'm wondering how everyone sits and takes 100-200 questions a day? I love to review, learn, find answers but I avoid doing a complete set of any amount of questions! I know this is what I NEED to do to pass and I can't figure out why it's so darn difficult for me to do.

    Any suggestions? I feel like I'm the only one who can't do this after reading these posts, though they are motivating.


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    hey, I just posted but forgot to ask about your method for selecting all the apply? did you use any special book for those or did you just know the diseases processes in and out? Any tips I would be so thankful for as these really freak me out.
    Oh and also for placing things in order like a procedure (which seems to be what I get from practice), is there a method you learned, like beginning with cking dr. order gathering equip, explain to pt, position pt, then place the procedure (say like indwelling cath) in order? one of my practice question from exam cram thru in dimming the lites, but after cross referencing that I found that lighting is important and is done after positioning the pt.

    But, I guess I'm curious to if when placing any task in order is it basically the same concept beginning with dr. order, equip, explaining to pt, then any other relevant steps then the steps for activity that needs to be done?

    Seems simple and I'm sure I'm making more complex but I JUST WANNA KNOW!!!


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    Congradulations to you! Your hard work paid off! I'm in that same mode right now and today I'm like, "I so cannot wait till this is over, I have no life!!!

    Good job!

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    Congradulations! that is so cool! Good job, really! My question for you is what do you mean when you mentioned disaster drills and which pt to d/c, does that mean disconnect or discharge? Just wondering b/c I don't recall covering much about disasters and pt care in my books (aside protocal for pt removal, fire, etc).

    I totally understand about addressing questions using kaplan and the decision tree not truly fitting in, it's never cut and dry which is why it makes it so tough.

    Thanks and congrads again RN!

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    Hi. I know this question seems kind of silly but I have a bad habit in spending way too long on reveiwing info sometimes.

    So, I'm wondering generally how long should I allow in answering 200 questions, probably in review mode so, if needed I could view rationals. Unless people here suggest doing differently.

    I probably take longer to answer questions than the average person and I'm really bad at looking things up when I have NO idea.

    I would like some feedback from others who've had success w/whatever method they used or those who are similar and tend to get bogged down b/c of need to know "right now"!


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    Can anyone inform me on the general tasks, what I mean by that is what they can do according to the NCLEX. I DONT need to know what everyone does per their state I'M SPECIFICALLY asking for duties they can do in the hospital.

    I've been through both the NCSBN/ANA delgation guidelines and they do not address this, only stable patients. But I need to know a range of tasks they can safely perform. Speficially I'm wanting to know if for the NCLEX RN ONLY the LPN can:

    Suction, if so when can they not? suctioning can cause several adverse effects
    sterile dressings, not dressing changes but I need to know if "sterile" is included
    Can they insert foley catheters? other catheters?
    can they instill IV meds? give insulin? give anything else?push meds (this I think not)
    Trach care? can they give tube feedings? or change these dressings?
    can they help with chest tubes?
    I'm sure I'm missing something else?
    AGAIN, I don't need to know what LPNs do in each state, just for the NCLEX RN.
    I appreciate your help!

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    Thanks everyone, evidentally I wasn't very clear in my question and as another person stated, it doesn't matter what who does what in what state. I'm referring to the NCLEX RN exam. However, while trying to research this topic I'm coming to the conclusion that I'm not going to find "one" list which states a LPN can: and a list of delegated or independent tasts are listed (not just "stable patients) and same for a CNA.

    I totally get each state is reg by own BON but it frustrates me that this is not provided since this is what we are being tested on. I get it that I need to critically think BUT since I have NO practical experience I don't even want to begin to "assume" or guess on delegation assign. Just as I expect to be informed and remain safe under my BON as an RN I want to take this test same way. But, I'm guessing I need to get over it and leave it for what it is.

    SO, what do you know about assigning tasks to NEW RNs? do you assume they are like LPNs and assign most stable patient? Can they admit, discharge, do sterile changes? (can LPNs do this?), trach care, IV meds, etc? I've been told not to get distracted by a questions stating new RN but......... and Im not sure what they want me to be thinking about questions like this. I'd just like to know, why does it need to be a guess? Or perhaps one of my 13 books is missing that information? I want to be a safe nurse, so can anyone shed some light?

    Thanks so much!

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    Blanca R and Joe V like this.

    Ok, so I know to delegate stable pts to an LPN, but can anyone provide specific examples of tasks or pt care that is w/in their scope of practice? Some say they can suction, give IV meds, trach care, sterile dressings????? I'm not sure these are all correct. I also read that LPNs cannot do discharge planning, is this true? It makes sense b/c involves teaching. Also, if asked on NCLEX to prioritize 4 pts and 3 have specific needs and the 4th is a discharge pt, can that pt. wait?

    Also, as far as the charge nurse can anyone tell me the role they play for the NCLEX? since positions like this vary per facility I'm not sure how to grasp how they function when answering NCLEX questions.

    Thank you, I test soon and feel more confused than ever!

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    Hi. I'm guessing your wanting my answer, sorry I just was able to check this site. Hmm, my initial thinking is respiratory effort b/c of airway but that's expected w/M.G. I believe, as are answers #3 & 4 (i think), so then I'm thinking #1. But now I'm wondering if ascending paralysis is considered similar/same as respiratory function or perhaps a.paralysis is too vague. I do know that M.G. has resp paralysis, so did I just eliminate #1? OHHHH, this is so frustrating for me when answering questions r/t disease process and it's one that I've either forgotten or just unable to recall!!ERRggg

    What can you teach me from this??????

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    Hi. I'm needing clairification, I'm not sure if i'm in the correct thread or not but I'm sure someone will move it if not. So, with a nursing diagnosis when asked for such on the NCLEX, would the correct answer be the one that is most related to the issue described? or does maslow's still apply and a nursing diagnosis that is a physiological one take priority? For instance, if a question stated a mental condition and wanted a nursing dx related to that, would that be the best answer option? or would it be the option with a nursing dx related to a physiological nursing diagnosis, like safety or something? I think I'm confusing myself more and more.

    any help would be appreciated.

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    Yeah, you hit it right on! totally and completely correct about what you just wrote, forsure! Unfortunately, b/c I'm not such a good test taker so I do more and more which does not help. So, with that said, how can I beg and plead for you to share or at least highlight how you understood the strategy? I have the Hurst review/Patho book and a few of the Hurst CDs w/questions, I've also listened to Marlene over and over again. When I study sometimes I start to feel like I understand the strategy but then in a flash of time I no longer do and get obsessed with trying to find out info on a certain issue, like this.

    I'm open to any suggestions.

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    Do you have any suggestions for more specific info relating to these types of questions? Specifically, when to choose to call doctor vs when to choose an intervention? or just your own theory would help me understand a little better.

    I appreciate it,