TxPonyChic

1. your patient is complaining of shortness of breath or feeling faint. what do you do? what is your priority? airway-listen to lungs, head to toe assess for possibilities (bleeding, overdose, diabetic?) 2. your patient's blood pressure is low, ex. 91/45. what is the first thing you do? do you go ahead and hang a bolus of ns automatically? take it manually-still low-tilt, o2, auscultate-still low-rapid response- call dr. 3. your patient's respirations are labored. what do you do? depends of medical history/diagnosis-if unknown-o2, postion for maximal lung expansion-assess reasons for labored breathing (asthma, chf, chemical inhalation, etc..) 4. your patient's respirations are low. example 9/minute. what do you do? airway, neuro check, vital signs/ od-narcan 5. your patient is complaining of pain...say 9/10. however, they appear to be in no pain. vitals normal, body language gives no clue to pain. do you give the 1 tab of vicodin or the 2 tabs? do you choose the morphine instead? or what about 650 of tylenol? what do you do? start with the smallest least potent medication and dose, pain is subjective, titrate up as needed so long as vs are stable 6. the patient grimaces when you flush the iv. what is your first action? stop, assess iv site for hardness, edema, erythema 7. your patient is coding. you're in the room doing cpr, bagging them (until respiratory shows), starting an iv, etc. all of a sudden there are 20+ people in the room, you've given report to the physician in the room. you feel like the situation is under control as everyone has roles but you. what do you do? step back and let them do their job, once reported off unless asked to do something else u have done your job 8. patient wants water/fresh linen/ lotion. all of this will take you about 5 minutes to do yourself. do you do it yourself or do you tell the patient you'll send for help? what do you do? is it a priority? do i have more critical patients to tend to? may be time to delegate, if not busy of course i do it 9. your patient is wandering, non-redirectable. you have 7 other patients as well and cannot sit with this patient around the clock. what is your first action? vss, no threat to self or others, have na sit with patient until i can get back to them 10. your patient has a complaint that...well...can't be resolved. she has stubbed her toe on the bedside table, she has an itch that wont stop itching, she is concerned about a hangnail and she never gets hangnails. after assessing the stubbed toe and seeing there is no break in skin integrity, after assessing the itch and seeing there's no rash only redness from itching, and after "looking" at the hangnail in question...what do you do? trim the hangnail for crying out loud!

Hi, In Texas you don't have to pay for quick results through Pearson Vue. If you pass your name will be on the BON website the second business day after you test! www.bne.state.tx.us Click on verifications and fill in whichever method of searching you want to use. I took mine on the 16 at 9 am and thursday morning at 8 am it was on the website. Mine stopped at 76 and I was so relieved that it didn't go to 265 again, sheesh. I am sure you did fine. I know it's hard to say relax cuz u can't, but try. I will pray for you! God bless you and let us know how you did! Hugs~~

Congratulations New RN :balloons::balloons::balloons: God is great!!

Jeez a massage sounds so good right now. Matilda soon2b RN! You will do it girl, I just know this! Praying for you and keeping the faith that you will pass. Found out I passed this morning on 2nd try, 76 questions this time versus 265 first time! God was with me and he is with you too! God Bless You and Good Luck! :icon_hug: Erin RN (sounds so good!) :balloons::balloons::balloons:

Words cannot express the excitement I am feeling today! On my second attempt I passed. My name was on the Texas BON website at 8 am this morning and I have been crying with excitement ever since! I just want to say Thank You for all the support I got from this message board. I feel everyone here is an inspiration. Every single person here is smart and will pass this test. I pray for all of us everyday. God hears your prayers and he knows your desires and I feel if you put all your faith and trust in him he will make a path for you. It wasn't until after I failed the first time with 265 questions that I actually put things into perspective. You have to trust, you have to work hard and you have to give your burdens to him. When your heart is humbled and you trust in him so many good things start to happen. You know the weirdest thing is this second time I went in to test I was so calm and I felt so confident coming out. I didn't know if that was good or bad but I just knew after praying and being positive and believing it could happen I could do it and I did. God answered my request and I am positive he will be with each and every one of you on your testing day. I just wanted to share the news. Everyone else I know isn't at home! You are all great and everyone's support on this website helped me keep my faith and helped see me through this. My heart goes out to all of you. God Bless You! Erin RN :balloons::balloons::balloons:

Forgot to add that this time it shut off at 76 instead of going all the way to 265, praise GOD!

I feel the same exact way! I got repeat question on my 2nd try that was on Tuesday. The questions were the same but the answer options were different. I really don't remember getting any repeat questions the first time. It was all a blur, 265 questions, 5 hours, headache, just knew I failed and I did. I too also felt more confident in my abilities to answer this time and like you I wonder if that is good or bad. My meds were just about all inhalation ones, one psych and one optic. Had lots of questions with ESSENTIAL, PRIORITY, IMMEDIATE, FIRST, 3 select all that apply, 5 meds, 3 math. I was out in 1 hour and 15 minutes and I was smiling. I just was so much more comfortable this time. I hope and pray it is a good thing and I should know tomorrow! Fingers crossed, I pray for all of us! Gob bless!

I was curious to find out from those of you in Texas, after you took your NCLEX was your name up on the BON before Pearson Vue's results were made available? Took my NCLEX for 2nd time Tuesday morning. The test shut off at 76. The first time I took it I had all 265 questions. Feeling very positive, test seemed easier this time and I was familiar with most all the subjects. 3 select all, 5 or 6 meds, lots of priority, infection and safety, 3 math and lots of essential questions. Also got the same question 2 times with different answers. Anyways maybe someone here will answer! I pray and pray and pray that God will see me through this soon! I am ready to be an RN!

Good Luck to you Matilda50. You are in my prayers! “Those of steadfast mind you keep in peace— in peace because they trust in you.” —Isaiah 26:3

I am taking my test tomorrow as well!! I will pray for you. Sending you lots of positive thoughts, chin up, u can do it!! “Those of steadfast mind you keep in peace— in peace because they trust in you.” —Isaiah 26:3

congratulations!!! i am so happy for you!! i knew you could do it, we all can!! i re-test on the 16th and i feel more prepared this time. can't wait til it's my turn again! by gosh i am gonna pass this time!!!!!!! again i am so happy for you ms. rn, go gurl!!

Hang in there guys. You are all smart, you made it through nursing school and you will make it pass this point as well. Lots of prayers, lots of hugs. Keep the faith and pray!

you are in my prayers. be confident because you can do it. i too am re-testing this month for the 2nd time so i can surely understand the nervousness that comes with the big day. here is a prayer for you and everyone else who is testing soon. god bless everyone, believe in the power of prayer and in yourself! i thankfully turn to you, god, for guidance. i listen in the stillness to your wisdom already in my heart, and i know what to do. dear god, your love fills my heart and your light guides my steps. in all i do i acknowledge you and give thanks for your wisdom, strength, and peace within. in the awareness of your constant presence within me, god, i listen for the direction that guides me and makes my way sure. you, dear god, are the light that shines on my path. your light gives me insight and understanding that help me make wise decisions. god, you are my source of wisdom. your spirit guides me, your love enfolds me, and your light inspires me. please be with me on my testing day. guide me with your strength, wisdom and glory. in your name all is possible. in the name of jesus i pray, amen

I will pray for you. You have studied hard, you are smart, you will pass. Big HUGS, think positive. O Lord, grant me to greet the coming day in peace, help me in all things to rely upon your holy will. In every hour of the day reveal your will to me. Bless my dealings with all who surround me. Teach me to treat all that comes to throughout the day with peace of soul and with firm conviction that your will governs all. In all my deeds and words, guide my thoughts and feelings. In unforeseen events, let me not forget that all are sent by you. Teach me to act firmly and wisely. Give me strength to bear the fatigue of the coming day with all that it shall bring. Direct my will, teach me to pray. And you, yourself, pray in me. Lord we ask that you be with Melinanpt and guide her with your will, strength and glory as she tests tomorrow. Help her to be strong. We ask this in Jesus name. Amen

I am praying for everyone. You will win! I will be taking my NCLEX-RN for the second time this month. Have been using Saunder's and Mosby's Priority, Delegation book. I feel more confident now than the first time. Just want to pass and stop the insanity and have a life!! Good Luck to everyone and Congrats to all who have passed. Prayers~~~~~~~~~~