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Medic2RN-CCRN-CMC's Latest Activity

  1. Medic2RN-CCRN-CMC


    I took the CSC exam about 2 months ago. I prepared for it using the AACN CSC review and also used the Pass CCRN cardiac test bank.
  2. Medic2RN-CCRN-CMC

    NCLEX-RN in 5 days!!!

    Hi Everyone, I like everyone else have never been so excited to get to this point only to realize that there is one examination standing in my way...The NCLEX! I was a pretty good student in class, had the highest GPA...but none of that matters now as there is only one examination that really counts in the end. I graduated in May 2018, since then I have been utilizing Uworld as my only resource of study. Our program used ATI which I never scored anything less than a level II and obtained a 98% first time pass probability on the comprehensive predictor. We also had to sit through the ATI Live Review that they offer. I know that I shouldn't be as nervous as I am considering I have taken my NCLEX-PN last June and passed with 85 questions and contribute my success to Uworld. Here has been my study plan. Right after graduation I took the first (1 of 2) self assessment examinations. I obtained a "very high" probability of passing the first time as I was in the 85th percentile. As a previous user of Uworld I knew that was an ok score but I wanted better. At this point I have went through over 1500 question in the Qbank. I currently have an overall average of 67% which ranks me in the 94th percentile. Since my NCLEX exam is coming up in less then a week I decided to take the second self assessment examination and again obtained a result of "very high" chance of passing and was in the 92nd percentile this time. So I see that there has been some improvement from the first examination. I am curious what everyones thoughts are on my current scores? Is there anything else I should be reviewing prior to the examination? My ultimate goal would be to get through the rest of the Qbank questions and then go through the incorrect questions I have. To be honest I am becoming burnt out on answering test questions but then I continue to think about the examination and how it's so close and all the work, money, and time spent away from my wife and children comes down to this examination that I don't want to let anyone down. To top it off I was offered and accepted a full time RN position in the ICU so theres the added stress that. For anyone saying that no new grad belongs in the ICU I should tell you I have worked as a flight paramedic for the past 12 years so am very familiar with the critical care setting. Any thoughts and suggestions would be greatly appreciated!
  3. Medic2RN-CCRN-CMC

    NCLEX Studying is Making Me Wish I Never Graduated

    I can completely relate to your situation. Myself also graduated from my ADN program in May 2018. I was fortunate enough to be a paramedic prior to getting into the nursing program which luckily had a paramedic to nurse bridge which lasted roughly six months. After the completion of that program we were able to take the NCLEX-PN examination, which I did. I am scheduled to take my examination on the 7th of June at 0800. Just like everyone else taking the examination have been freaking out. I purchased UWorld just prior to graduation but didn't really do much with it until 2.5 weeks ago. I have 400 questions left in the Qbank and only have a 67% overall total. I had taken my first self assessment right after graduation just to see where I was currently sitting. At that time I scored in the "very high" chance of passing (in the 85th percentile). It was nice to see where I was but that score wasn't good enough for me. I have been doing 150-175 questions/day. I took my last self assessment last evening and again obtained a "very high" chance of passing but was now ranked in the 92nd percentile. I know I shouldn't have the nervousness/anxiety that I do considering I have taken numerous PearsonVue examinations including the NCLEX-PN but like everyone else says, you don't know what they are going to ask you. Let me know how it all turns out. Godsent23 how are you doing in Uworld?
  4. Medic2RN-CCRN-CMC

    Hemodynamic Lines

    Hi all! I am finishing up my ADN program and graduate in 1 week!!! I have a 4.0 in the program and received a 99% on my ATI Comprehensive Predictor. I think overall have done well. We have one last examination on Monday and it is on critical care. Here is my question. I need someone to help me understand what these particular lines do and where they are placed. Here is my thought process, please let me know if I am on the right tract. 1) PA Cath/Swan- I believe this is placed into the pulmonary artery and then can be inflated to monitor the PAWP. The PA catheter is looking at the left side of the heart and is looking at pre load You can also obtain CO by using this. 2) CVP- This is utilized via a central line. This is looking at the right side of the heart, in the right atrium and is looking at the preload.A normal CVP is 2-8. Anything less shows that their volume deficient and anything higher shows fluid overload. To treat volume deficiency we are going to start out by giving fluids. If fluids don't work we can look at going with vasopressors. Now if we have an overload we will start with diuretics, vasodilators, ACE, ARBS. Please let me know if I am on the right train of thought here. Thanks!
  5. Medic2RN-CCRN-CMC

    Humanities Course

    I am almost 50% completed with my ADN program, I just found out today that I am missing a humanities course. I know, your wondering the same thing I am...why am I just finding this out? I had all of my transcripts evaluated prior to admission by the same individual and nothing was ever brought up. I am curious if anyone knows of a regionally accredited college/university that offers a humanities course? I may have to find one to CLEP but that's added stress I don't need right now. Any suggestions?
  6. Medic2RN-CCRN-CMC


    Thanks for your reply. Sorry I was misleading in my question. I was curious as I am an educator for EMS courses and do lots of training. I wanted to add the LPN title to the list such as BS, NRP (Paramedic) would the LPN go before paramedic and the paramedic would be listed as last?
  7. Medic2RN-CCRN-CMC


    Do you have a link for this?
  8. Medic2RN-CCRN-CMC


    Hey everyone! I was curious what your thoughts were about how I would display my credentials? Here is my education... I have read mixed reviews that LPN is superior to paramedic but then have also heard the complete opposite. Let me know what your thoughts are! Bachelor of Science Nationally Registered Paramedic. AAS degree New LPN. Certificate program Thanks!
  9. Medic2RN-CCRN-CMC

    NCLEX Prep Advice

    Did you struggle with ATI? Why did it do nothing fro you? The reason I ask is I also was required to utilize the ATI for PN. I thought it help greatly. Were you required to take the 2017 PN ATI Comprehensive predictor? If so, what you probability of passing NCLEX the first time? I scored a 94% first time probability of passing the first time but am in the same boat as you wondering about additional resources. I have ordered Saunders as everyone seems to speak highly of it. I have also used the Kaplan test prep and have recently started using Vipramed. Still not sure what to think about that one.
  10. Medic2RN-CCRN-CMC

    Online Test Prep NCLEX-PN

    Hello, Well I am finally finished with my Paramedic to Nurse (PN) bridge program. I had taken and passed all of my ATI exams achieving a level II or III. I took the 2017 PN ATI Comprehensive predictor and scored a 94% probability of passing the NCLEX-PN examination on the first attempt. Since graduating and waiting for the BON to get all my stuff together which will then allow me to test I have been trying to utilize other resources to help me study and understand material better. Have anyone of you used Vipramed? If so what did you think? Did you find it more difficult than the actual NCLEX? I know that there are many resources out there and it depends on what type of learner one is. I definitely learn by taking tests and reading the rationales. I have used Kaplan stuff as well and have been scoring around 67% on exams. I have also ordered Saunders 6th edition and should be arriving tomorrow. Thanks in advance! Chad.
  11. Medic2RN-CCRN-CMC

    ATI Pharmacology

    Yes I did complete the pharmacology proctored exam. I found it somewhat difficult even with me obtaining a level II. I have the comprehensive predictor and medical surgical left.
  12. Medic2RN-CCRN-CMC

    ATI Pharmacology

    I am wondering what other methods were used to help study for ATI? I finished up with my first semester (Fundamentals) passed the ATI proctored examination and the course with an overall B. Besides reading the books and taking the quizzes that are provided by ATI are there any other options out there? TIA.
  13. Medic2RN-CCRN-CMC

    ATI Pharmacology

    I used Quizlet during my Fundamentals course which was a lifesaver! I am somewhat cautious about using it for pharmacology thought. I am worried that the material may not be up to date with what ATI uses. I found that out as well.
  14. Medic2RN-CCRN-CMC

    ATI Pharmacology

    I am wondering if anyone has suggestions on study material for ATI Pharmacology other than just reading the book and taking the practice exams? What did you use? Was there an online source that helped you? Was there a particular set of drug flash cards that worked? Thanks, Medic2LPN.
  15. Medic2RN-CCRN-CMC

    Advice on care plan

    AliNajaCat, Thank you for your input as I greatly appreciate it! But I am now more confused then I was prior to asking for advice. You said you will bold out your recommendations. When I look at the subjective/objective you didn't think most of them would work. Are subjective/objective items that either the patient tells you or that you observe during your examination? All four in each category were either found upon assessment or verbalized by the patient. Sorry, as I said before I am now more confused about this entire care plan than I have ever been. Makes me think that the last one I had done was the same.
  16. Medic2RN-CCRN-CMC

    Advice on care plan

    Hi Everyone! I am new to the site. I am a paramedic and have been for 10 years, have worked on ground ambulance, ER and critical care flight. I have recently enrolled in a paramedic to nurse bridge program. I must say I definitely have much more respect for anyone who has nurse behind their name. To be honest the first couple of weeks were horrible. There are only 3 of us in this particular program as we all have to be paramedics. The most difficult aspect is getting the emergency thought process out of our heads and looking at the big picture "Nursing Process". We have all had a reality check during this course. The first two semesters (16 weeks total) are targeted towards the LPN side. We are currently on our second week for care plans. I am curious if anyone would mind looking through mine and possibly giving any advise on them. The first week plans were graded, overall I did well. I want more opinions and ways to improve every single care plan I do. I think I have utilized the SMART acronym in both of these. Thanks in advance! Admitting diagnosis-Congestive heart failure Nursing diagnosis-Impaired gas exchange RT-Ventilation-perfusion imbalance AEB-Irregular heart beat Subjective Data (4) 1) Client states " I get restless at night". 2) Client states " I cough up green phlegm" 3) Client expresses increased shortness of breath upon exertion. 4) Client expresses increased weakness with exertion. Objective Data (4) 1) Nasal flaring 2) Lung sounds diminished in bases, wheezing in apex bilaterally 3) Bilateral lower extremity edema 4) Tachycardia (A fib) Interventions (NIC) (4) 1) The CNA will elevate head of bed 3x's/shift. 2) The The nurse will monitor clients lower extremities for edema daily. 3) The CNA will obtain clients oxygen saturations twice/shift. 4) The nurse will access lung sounds q shift. Rationale for selected interventions. 1) The client will notice ease of breathing by end of the shift..look at #1 of intervention... 2) The clients edema will improve by the next review 5/14/17. 3) Client will maintain saturations above 92% per MD until next review 5/14/17. 4) Clients lung sounds will improve in 1 week. Admitting diagnosis- Diabetes Nursing diagnosis-Impaired tissue integrity RT-Impaired circulation AEB-Decreased sensation in lower extremities Subjective Data (4) 1) Client states, "I bruise easily". 2) Client expresses concerns for skin tears. 3) Client expresses irritation to left lower extremity. 4) Client states right buttock itching. Objective Data (4) 1) Multiple bruises noted bilaterally to upper extremities. 2) Decreased sensation to lower extremities. 3) Redness and swelling noted to left lower extremity 4) Client is confined to bed and wheelchair. Interventions (NIC) (4) 1) The CNA will turn the client q 2 hours during the night. 2) The CNA will apply moisturizer 1 time a day. 3) The CNA will monitor for incontinence q 2 due to loss of bladder control. 4) The physician will add/change PT exercises to take pressure off reddened areas. Rationale for selected interventions (4) 1) The client will have no additional bruising by the next review. 2) The client will be itch free in 1 week. 3) The client will have no skin break down in the perineum region by the next review. 4) The clients skin/reddened areas will be showing signs of healing in 2 weeks.

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