Competent-B

Random Facts based on Kaplan 1. Evisceration- cover the open area with sterile gauze soaked in normal saline, position supine to reduce pressure :) 2. Central Line changes- If air embolism is suspected, lower the head of the bed, position on left side (left lateral) the air will rise to the right atrium and prevent it from reaching cerebral circulation. :) 3. Whenever TPN solution is not available or if the doctor discontinued it, place no less than 10% dextrose solution to prevent hypoglycemia. Also TPN tubing must be changed EVERY 24 hours, decreases risk of infection from micro :) 4. You cannot give aspirin to pregnant women or during a sickle cell crisis :) 5. For unconscious clients, turn every two hours to maintain pulonary function, this reduces pooling of respiratory secretions :) 6. T-Tube drains bile from cholecystectomy (greenish-brown), document the drainage, should be 500-1000 daily :) 7. Prep for IV Pyelogram- client cannot be taking "metformin" glucophage, Contrast dye can lead to lactic acidosis :) 8. Following Lumbar Puncture- client will remain supine, flat for 8 hours to prevent spinal headache :) 9. Mantoux Skin Test for HIV- Induration is 5 mmHg :) 10. Postpartum, if uterus is boggy and to the left of midline, encourage mom to urinate or offer bed pan. A full bladder can prevent the uterus from contracting and lead to bleeding. Signs and Symptoms Segment a. Bulimia- ulcerated mucous membranes from excessive vomiting b. Autonomic Dysreflexia- severe pounding headache, profuse sweating, nasal congestion c. Intestinal Obstruction- distended abdomen, complaints of pain d. Gastric Ulcer- experience pain 30 min-1 hour after meal e. Previa=painless bleeding f. Abruptio=absolutely painful bleeding (medical emergency) Examples of Clients to see FIRST 1. Client with forceful bleed from head- indicates arterial bleed, could go into shock 2. Client expectorating pink tinged mucous- pulmonary edema 3. Client receiving blood begins to vomit- hemolytic reaction 4. Client with burns to the face- airway compromise 5. Client with a crush injury to the chest with RR of 10- ABC's 6. Client with swollen lips after an ant bite- could be anaphylactic reaction 7. Client admitted with status asthmaticus- life threatening 8. Child with croup and RR rate of 35 9. Client who delivered by C-Section 1 hour ago with 3 soaked pads- active bleed

I am a believer, the "good pop-up" is reeeeaaaall good! I took my exam 8/27, checked PVT when I returned home, got the good, checked early today, got the good again, checked Quick Results, got the "PASS" it really is a mind-easer

Congratulations. It is such a beautiful feeling!:yeah::yeah::yeah:

Definitely take a break if you need it. If you feel your heart beating hard and can hear your heart beating through the noise-reduction head phones then yes. Take a breather, knock out the bathroom while you're at it, refocus and finish up.

IT WORKS PEOPLE! I took my exam Friday 8/27, went home and tried to register, got the good pop-up, checked 4 more times between then and Sunday 8/29 at 11am, same message. At 12:38, quick results said "PASS"!

I PASSED!

Hi Temecula Guy, I just found out 3 minutes ago that I passed. I am a true believer!

Im still rooting for you Temecula Guy. Im sure you gave that Exam a huge piece of your mind! Your day is coming, patience is not easy, but the confidence of the PVT should keep you feeling good.

Depending on your state, you may be able to access quick results by phone or the www.pearsonvue.com/nclex. Log in with your username and password and go to current activity. You will see a tab that says "status" and "quick results" This is 7.95 billed to a credit card. Or you can call at 1-900-776-2539- this is 9.95 and will be billed to your phone service. You will not be charged if your results are not available.

I think you scores reflect that you understand the material. As long as you achieve scores around 60-65%, then you are fine. If you havent already, do the question bank with rationales and start off doing 25 at a time. Do the analysis and see which ones you got incorrect, then after doing this several times, take a test with all the ones you got incorrect. Believe me, this is reinforcement. According to the blueprint, Management of Care and Pharmacological Therapies have a high percentage so definitely focus there.

CONGRATULATIONS!:smokin::smokin::smokin:

I was counting 48 business hours, but thanks, I will try it tomorrow around 12 or 1. I'll post my results!

I will try, I was counting 48 business hours, not the weekend. Thank you!

I have read about this trick on allnurses and followed up on people who were not able to re-register and passed, and people who went to the CC-page, and found out via "Quick Results that they failed. I saw the accuracy behind what people reported and I even tried it myself. I just took the test 8-27 and I was not able to re-register, and that is helping me to remain sane during this waiting period. I can try quick results on Tuesday. Just to follow through, like I did on watching other people, I will post the outcome once they are official. Also, depending on what state you are in, you may be able to go to your Board of Nursing and by the 3rd day, your information should appear once you are deemed "successful". It was the consistency that made me try it. There is a complete thread of over 300 pages about this trick.

The sooner you take your exam from nursing school, the better. Therefore, 5 weeks is a great time period. I graduated in May 2010, but I had my nieces all summer so studying was difficult. Long story short, they went back home to VA on Sunday, August 22 and my exam was scheduled for August 27. In those 5 days, I did some intense studying, Kaplan questions, ATI with rationales and now I am awaiting my results. The computer cut off at 75 questions, of course I wasnt prepared for that! But I will let you know. I would recommend that you study by topic and the areas with the highest percentages like Management of Care, Pharmacologic and Parenteral Therapies. Look at the breakdown and go from there.