nclex takers june 2012

[xtian2405]

hey guys i'm not new here in this forum but just made a 2nd account for myself..

anyway,i'll be taking my 3rd time on june 12 and been studying like 6-7 mos since i failed the 2nd time.. my sources are :LIPPINCOTT 10th ed q&a, SAUNDERS 4th ed for content, SAUNDERS 4th & 5th q&a, KAPLAN(11-12 edition & 12-13 edition) for test taking strategies especially the CD & LACHARITY

for lippincott i've been scoring mostly avg of 60-65%; saunders(both books)75-80%; kaplan(both books)60% and for the CD i just did it 2days ago i avg 62% and for lacharity 65% total...

i've been studying like 8hrs(4 in the afternoon & 4 in the evening) & all i can think about is PASS and never do this exam AGAIN!..

we know that anxiety will always ruin our mindset even before you're getting started to study, during in the middle of your study and after the exam..what I did was stop and think on who are those people that made me motivated & then there, I regain my strength and confidence..i'm a type of guy that will do anything not for my own future but also for my gf..sharing my blessings from God to someone special in my life is my attitude..

I always pray to st joseph of cupertino,st. rita of cascia and to Lord Jesus to guide me from my journey not just for the exam but for eternity..I always say to myself especially that I jog 3x/wk is "help me lord i know i can & will pass this exam"..we know our plans from God might not be now & certainly not forever but just do what you can to pray & communicate to him..

i'm sorry if this is long to read guys but i'm just letting myself to give our fellow nclex takers a heads-up and believing that we will pass..

[xtian2405]

to kajh20: for me there's unusual choices that never related to the questions given and you should analyze it before you think that's the right answer...

example:

the pt. has been dx with myasthenia gravis, which assessment findings would concern you the most?

1-ascending paralysis

2-respiratory effort

3-urinary function

4-musculoskeletal function

[kajh20]

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??????

[jagged777]

i will go with #2 cuz ABC weak muscle will affect resp effort.

[AmandaRoseRN]

to kajh20: for me there's unusual choices that never related to the questions given and you should analyze it before you think that's the right answer...

example:

the pt. has been dx with myasthenia gravis, which assessment findings would concern you the most?

1-ascending paralysis

2-respiratory effort

3-urinary function

4-musculoskeletal function

#1 is seen in Guillain-Barre syndrome so i'd say #2 d/t the possibility for Myasthenic crisis

[xtian2405]

as u can see,all are seen in a pt with MG but the highest priority is the respiratory effort...and once u can further assess the pts respiratory, you can make your nursing action..

[xtian2405]

i juat want to correct the ascending paralysis is found in GBS not in MG...

[Tgirl30]

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??????[/quote

This is a priority question, the word MOST makes you aware of that. I would choose #2 because it should be my prority concern, regardless if it is expected in the diseases proccess. There's no need to assess all the other issues if the patients Not/Stops BREATHING!!! I'm sure the priority questions are big on this test because those type of questions make sure we can keep patient safe...alive and even prevent/handle emergencies situations.