NCLEX June 2018

[sch19]

Hey all! First off, congrats to everyone who graduated this year (and those who graduated in any previous year)!!! My day was May 11th, and it still feels so surreal. Also unreal. Probably because I'm busting my butt studying for this crazy NCLEX thing that's looming on the horizon! In that regard, it feels like nothing has changed haha.

I scheduled my NCLEX for mid-June, because everything else that was available felt too late or too early, and I'm still feeling skeptical about the day I chose. But it's definitely motivated me to keep a decent study schedule going. And if anything, like if I feel super unprepared, I can always reschedule to a later date, but I'm trying to avoid this. I've been using UWorld, trying to do at least 50 questions a day, and then doing questions/reviewing Saunders on 3 specific systems a day, just to brush up on it. I also plan to start utilizing Mark Klimek's audios when I find time to sit and listen. The week before the NCLEX, once my review of systems is (hopefully) complete, I will do at least 150 questions a day. Then, like many others, I will not study at all the day before the exam, and Monday, June 11th is the big day!

That being said, I saw a bunch of other threads for people who were taking the NCLEX during a specific month, so I thought I'd go ahead and do the same for the month of June! I like the idea of us building each other up, supporting each, crying to each other, offering insight or advice or tips that we may know... the list goes on. Anybody taking the NCLEX in the month of June, or even early July? Anybody freaking out like me??? "RN" is so close I can almost taste it! Ahhhhhh!

[Rainbow_RN, BSN, RN]

Since I didn't see a forum for May, I'm just gonna hop on here. Took my NCLEX today, shutoff in 75, Pearson's got the good pop up. Anyone know if the "two business days" for unofficial results means no quick results on Fridays?

[ScamilleS]

hello again

Cardiac Take-Away Points

Hypertension

â– Defined as a blood pressure (BP) of 140/90 mmHg or higher*

â– Diagnosis as defined by the Seventh Report of Joint National Committee (JNC 7) is based on the average of two or more BP measurements taken during two or more visits/contacts with a health care provider.*

â– Primary or essential hypertension (HTN) occurs when there is no identified cause; occurs in 95% of patients diagnosed with HTN.*

â– Secondary HTN, diagnosed in 5% of patients, is a high BP secondary to an identified cause.*

â– There are typically no signs or symptoms of HTN until organ damage has occurred.*

â– Treatment begins with lifestyle modifications, including the Dietary Approaches to Stop Hypertension (DASH) diet, and pharmacologic therapy.*

â– The goal for diabetic patients is a BP of less than 130/80 mmHg.

Coronary Artery Disease

â– Risk factors are either modifiable or no modifiable.*

â– Factors that cannot be controlled are age, gender, race, and family history.*

â– Modifiable risk factors include diabetes, HTN, smoking, obesity, physical activity, and high cholesterol.*

â– Classic signs of myocardial ischemia include chest pain, shortness of breath, extreme fatigue, diaphoresis, nausea, and vomiting.*

â– Women, diabetic patients, and the elderly frequently do not exhibit the typical signs and symptoms.*

â– Treatment is aimed at modifying those risk factors that can be controlled.

Myocardial Infarction

â– Myocardial infarction (MI) occurs when an area of the myocardium is permanently destroyed, usually as a result of a ruptured atherosclerotic plaque and subsequent occlusion of a coronary artery caused by a thrombus.*

â– Acute coronary syndrome is the term used to identify the continuum that exists between unstable angina and an acute MI.*

â– The most common presenting symptom in those having an acute MI is chest pain that occurs suddenly and continues despite rest and medication.*

â– Myocardial injury is seen on the EKG as ST segment elevation (greater than 1 mm above the isoelectric line).*

â– A pathological Q wave (0.04 seconds or longer, 25% of the R-wave depth, or did not previously exist) represents myocardial necrosis.

â– Troponin I and T levels are laboratory markers specific for myocardial injury; levels increase in 3 to 4 hours and return to

normal in 1 to 3 weeks.*

â– Medical management includes MONA: morphine, oxygen, nitrates, and aspirin.*

â– The goal is to restore blood supply to the myocardium through thrombolytic therapy, percutaneous coronary interventions, or coronary artery revascularization.

Heart Failure

â– Systolic heart failure, which is an alteration in ventricular contraction, is characterized by a weak heart muscle.*

â– Diastolic heart failure is characterized by a stiff and noncompliant heart muscle, which makes it difficult for the ventricle to fill.*

â– A normal EF is 55% to 65%; this decreases with systolic heart failure, but may remain normal with diastolic failure.*

â– Major risk factors are age, male gender, HTN, left ventricular hypertrophy, MI, valvular heart disease, and obesity.*

â– Signs and symptoms relate to whether the failure is left sided or right sided.*

â– Diagnostic evaluation includes a chest x-ray, EKG, echocardiogram, laboratory tests, and right-sided heart catheterization.*

â– Lifestyle changes that are recommended include dietary sodium restriction, control of fluid intake, avoidance of smoking and alcohol use, weight reduction, and exercise.*

â– Ace inhibitors, beta-blockers, diuretics, and digitalis are routinely prescribed for systolic heart failure; medications for diastolic failure depend on the cause.

Dysrhythmias

â– Dysrhythmias, also called arrhythmias, cause disturbances of the heart rate, rhythm, or both.*

â– Sinus dysrhythmias occur at the sinus node; they do not generally require treatment unless the patient becomes symptomatic.*

â– Atrial dysrhythmias arise from the atria and often result in rapid heart rates.*

â– Atrial fibrillation is a rapid, disorganized rhythm that causes a loss of atrial kick, resulting in a reduction in cardiac output by 25% to 30%.*

â– Patients in atrial fibrillation for longer than 48 hours should be anticoagulated before attempting cardioversion to minimize the risk of an embolus.*

â– Ventricular dysrhythmias arise from the ventricles and can be deadly for the patient.*

â– Ventricular fibrillation causes ineffective quivering of the ventricles resulting in no appreciable cardiac output.

â– Cardioversion can be done electively or emergently for dysrhythmias such as atrial flutter, atrial fibrillation, or supraventricular

â– Cardioversion is timed or synchronized to deliver the energy on the QRS complex or during ventricular depolarization; energy delivered on the vulnerable T wave could lead to ventricular fibrillation.*

â– Defibrillation is done emergently for pulseless ventricular tachycardia or ventricular fibrillation; synchronization is not required.

[pommeetrn]

hello im thinking of doing mine end of june or early july. im getting anxious anyone know how different is the RN exam to the LPN exam?

[Willa3003]

Hi everyone! Congrats on getting through nursing school. It's not easy anywhere you go so that's a big step. Like almost everyone I think that's posted, I take my NCLEX in June. This coming Monday the 4th will be mine. And I'm really really nervous. Been having nightmares every night and trouble falling asleep. And that's WITH anxiety medicine. Anyone feeling the same way yet?

[nursecope.cna.ra.lpn(a)]

hi yall! i take my nclex pn saturday i am absolutely a nervous wreck.

ive done uworld for the past week and half and did my assessment today with a 92nd percentile of passing. ive been ranging on the q banks between 40-70%.

i made a 1042 on my exit hesi 96% passing rate.

i graduated may 5 as an lpn. anyone got any tips on how to prepare myself anymore for this test?

thanks :)

[Lana7]

I can't believe how much the Mark Klimek audios have helped me! Wish I had listened to them in nursing school or before I completed the whole UWorld Bank. If you are listening to the audios, I suggest searching for the lecture notes that follow along and looking up the blue book questions on quizlet.

For those of you who used the PDA LaCharity book, were the questions similar to the NCLEX questions?

[Bibbidi-Bobbidi-Boo]

Hello,

Good luck on your upcoming exam. I am foreign educated nurse. I am still waiting for the decision of the BON whether they will allow me to take the NCLEX without going to school again. I feel like I have to do a lot of studying since I graduated last 2010. I have 1.5 years clinical experienced from the country where I came from. I have been studying, unfortunately I dont have my own review materials, I only borrow the Saunders book from the public library, In Saunders there is practice test for every topic and I am doing poorly, my score is 50-60 percent. I know I need to work hard and pray harder. Thank you.

[ririii]

Hey guys! congrats on graduating!! I graduated in December took my Nclex in February and failed I wasted some time and now will be taking it in June.

Some advice to you all is to focus on prioritization questions, a big help to me was the Lacharity book on Prioritzation, Delegation, and Assignment. The NCLEX is really testing safety! I hope I pass my second try!!

[StephL87]

I took my NCLEX today! It shut off at 75 questions but I have no idea if I passed, man I hope I did 😬

[2016srnfcc]

keep us posted please.

[2016srnfcc]

i have the book but i feel like it is so dry and boring. did you utilize uworld into your studies?

[bondlg1996]

Ohhh, I'm taking mine the day after you! June 13th here in Texas. Your test day is my "think about literally anything other than NCLEX, no studying day"! Bst of luck, it's getting close!!