nclex takers june 2012

all the best.

hey good luck, third time's a charm! im taking mine 2 days after you as a first timer. I'm on a strict routine too..jogging every morning to start my day then study but i only put in 4 hrs and its been like this for about 2 weeks now. Hope things works out this june for the both of us! God bless!

Thanks for this post..I am also taking mine in june ..haven't scheduled my test yet but just wanna get it over with ..I am using -NCLEX4000

-Some notes from hurst

-saunders 4th edition

-AN study guide

-saunders 5th editon cd

-Kaplan strategy book

-PDA book

I don't know if its enough

But I hope it will be all good

GOOD LUCK TO EVERYONE WHO IS TAKING THE EXAM THIS MONTH:up:

Hi. I'm also taking my test at the end of June and the more I study the more I tend to confuse myself. I have a question I was wondering if someone could help shed some light for me.

Ques is: Related to how to answer certain types of questions when given a certain situation like the following question:

A child has a R femur fracture caused by a MVA and is placed in skin traction temporarily until surgery can be performed. During assessment, the RN notes that the dorsalis pedal pulse is absent on the R foot. What action should the RN do next?

1. Notify dr

2. Admin pain med

3. Release the skin traction

4. Apply ice to the extremity

The answer is #1 b/c an absent pulse to an extremety of affected limb could mean child is developing or exper compartment syndrome. This is an emergency situation and the dr needs to be notified.

I choose #3 only b/c from what I've read in my study books if I'm to call the dr. what is the one intervention you would do to either save the pts. life or to improve their condition. So this was my thinking.

I understand emergency conditions, s/s of, etc (or so I thought). For ex. I know the RN does not provide an intervention (if asked on NCLEX) if a pt. has a stridor, shock, hemorrahage, cardiac arrest and the like and that the option to call the dr. is the one to choose.

I hope this makes sense, please tell me to clairify if I'm not making sense.

Thanks for you help

Your rationale about calling the doctor only when it's the one intervention to improve their condition is the reason why #1 was the answer. Compartment syndrome is a serious complication and neither 2,3 or 4 provide you with an option that could help you fix it. Calling the doctor is your only intervention here.

At least that's how I understand it! Forgive me if I'm wrong and I hope that helped!

Thanks, I guess my confusion is coming from different sources stating different things (or perhaps I'm confusing myself). I'm trying to find additional information (if any)or examples of situations like this where it gets me thinking and more "aware" of these types of conditions and s&s where the RN does not provide an intervention but calls the doctor.

Anyone have any thoughts?

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,