Priorities and Delegation

Flnolegirl · Mar 20, 2016

I took my NCLEX yesterday 3/19 and I can say that all of my questions were very similar to Uworld even down to the drag & drop. So if you have a good understanding of the Uworld you should do just fine. Best of luck to you.

bregee · Mar 20, 2016

Just took my NCLEX on St Patties day and passed at 75. My test consisted of several prioritizing and delegation questions and it seemed like every other question was SATA. I left there feeling the worst I have felt in a LONG time Lol. As far as prioritizing goes, always remember your ABC's, airway, breathing and circulation. I know this has been drilled in to you during nursing school but time and time again you have to be reminded. If you are given a list of patients and are asked who you would assess first, say to yourself "airway, breathing, circulation" and then look closely at the symptoms of each patient and think of the potential outcome of those symptoms. For instance, patient A is complaining of pain #8 on a 0-10 scale and is 1 day post op of a total hip. Patient B is, 85 y/o febrile and receiving first dose of antibiotic for a UTI and showing signs of confusion. Patient C is 1 day post op of an ORIF of right forearm and complaining of numbness, tingling and increased pain in the fingers. Patient D is ER admit day 3 of MVA head and neck trauma, resp 32 and dyspneic.

I KNOW this seems obvious, but you have to get down to the basics of ABC's...airway is always first! Anyone showing signs of obstruction should be seen first. Patient C is important as well due to possible compartment syndrome (circulation) but not as important as seeing D first. Just break those questions down and take each symptom for what possible outcomes they could have, could it threaten their life?

As far as delegation goes, read the question and take them for what they are saying. I had a question on mine about what to delegate to the UAP that was a SATA. One of the answers was "check the PH of residual of a tube feeding". I started to over think of what that answer meant....did it mean she was the one to actually perform the residual or just the PH check after the nurse obtained it? I decided that yes, the UAP could check the PH and chose it as one of the answers...I don't know if I got it right, but I am sure I did because we are taught in school to look at exactly WHAT they are asking and don't add "what if's" or "but's" to the answer.

Just remember to not over think that one and read the question as it's presented. Remember that the only person that can teach and assess is the RN. The LPN can give meds, dressing changes and the like....but she cannot assess or teach. The UAP can assist with ADL's, certain specimen collections and the like. Also remember that LPN's have a higher level of ability and responsibility than the UAP. Don't be giving the LPN a lower skillset activity when you are presented with a question that states you have an "RN, LPN and UAP". I've been burnt by that one before Lol.

Just take a deep breath, a valium if you have it and kick that tests butt!!

Lnzsay · Mar 21, 2016

Just took my NCLEX on St Patties day and passed at 75. My test consisted of several prioritizing and delegation questions and it seemed like every other question was SATA. I left there feeling the worst I have felt in a LONG time Lol. As far as prioritizing goes, always remember your ABC's, airway, breathing and circulation. I know this has been drilled in to you during nursing school but time and time again you have to be reminded. If you are given a list of patients and are asked who you would assess first, say to yourself "airway, breathing, circulation" and then look closely at the symptoms of each patient and think of the potential outcome of those symptoms. For instance, patient A is complaining of pain #8 on a 0-10 scale and is 1 day post op of a total hip. Patient B is, 85 y/o febrile and receiving first dose of antibiotic for a UTI and showing signs of confusion. Patient C is 1 day post op of an ORIF of right forearm and complaining of numbness, tingling and increased pain in the fingers. Patient D is ER admit day 3 of MVA head and neck trauma, resp 32 and dyspneic.
I KNOW this seems obvious, but you have to get down to the basics of ABC's...airway is always first! Anyone showing signs of obstruction should be seen first. Patient C is important as well due to possible compartment syndrome (circulation) but not as important as seeing D first. Just break those questions down and take each symptom for what possible outcomes they could have, could it threaten their life?
As far as delegation goes, read the question and take them for what they are saying. I had a question on mine about what to delegate to the UAP that was a SATA. One of the answers was "check the PH of residual of a tube feeding". I started to over think of what that answer meant....did it mean she was the one to actually perform the residual or just the PH check after the nurse obtained it? I decided that yes, the UAP could check the PH and chose it as one of the answers...I don't know if I got it right, but I am sure I did because we are taught in school to look at exactly WHAT they are asking and don't add "what if's" or "but's" to the answer.
Just remember to not over think that one and read the question as it's presented. Remember that the only person that can teach and assess is the RN. The LPN can give meds, dressing changes and the like....but she cannot assess or teach. The UAP can assist with ADL's, certain specimen collections and the like. Also remember that LPN's have a higher level of ability and responsibility than the UAP. Don't be giving the LPN a lower skillset activity when you are presented with a question that states you have an "RN, LPN and UAP". I've been burnt by that one before Lol.
Just take a deep breath, a valium if you have it and kick that tests butt!!

Wow! U are very detailed and I am learning from u. I think u would be a good tutorí ½í¸Š congrats

Travis_P · Mar 21, 2016

Just took my NCLEX on St Patties day and passed at 75. My test consisted of several prioritizing and delegation questions and it seemed like every other question was SATA. I left there feeling the worst I have felt in a LONG time Lol. As far as prioritizing goes, always remember your ABC's, airway, breathing and circulation. I know this has been drilled in to you during nursing school but time and time again you have to be reminded. If you are given a list of patients and are asked who you would assess first, say to yourself "airway, breathing, circulation" and then look closely at the symptoms of each patient and think of the potential outcome of those symptoms. For instance, patient A is complaining of pain #8 on a 0-10 scale and is 1 day post op of a total hip. Patient B is, 85 y/o febrile and receiving first dose of antibiotic for a UTI and showing signs of confusion. Patient C is 1 day post op of an ORIF of right forearm and complaining of numbness, tingling and increased pain in the fingers. Patient D is ER admit day 3 of MVA head and neck trauma, resp 32 and dyspneic.
I KNOW this seems obvious, but you have to get down to the basics of ABC's...airway is always first! Anyone showing signs of obstruction should be seen first. Patient C is important as well due to possible compartment syndrome (circulation) but not as important as seeing D first. Just break those questions down and take each symptom for what possible outcomes they could have, could it threaten their life?
As far as delegation goes, read the question and take them for what they are saying. I had a question on mine about what to delegate to the UAP that was a SATA. One of the answers was "check the PH of residual of a tube feeding". I started to over think of what that answer meant....did it mean she was the one to actually perform the residual or just the PH check after the nurse obtained it? I decided that yes, the UAP could check the PH and chose it as one of the answers...I don't know if I got it right, but I am sure I did because we are taught in school to look at exactly WHAT they are asking and don't add "what if's" or "but's" to the answer.
Just remember to not over think that one and read the question as it's presented. Remember that the only person that can teach and assess is the RN. The LPN can give meds, dressing changes and the like....but she cannot assess or teach. The UAP can assist with ADL's, certain specimen collections and the like. Also remember that LPN's have a higher level of ability and responsibility than the UAP. Don't be giving the LPN a lower skillset activity when you are presented with a question that states you have an "RN, LPN and UAP". I've been burnt by that one before Lol.
Just take a deep breath, a valium if you have it and kick that tests butt!!

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