david.cummiskey

I took it again already on the 10th of August and past but thanks man!

Sounds like your taking all the necessary steps to succeed. Keep up the hard work, it will pay off soon! I'll say a prayer for ya. Good Luck!

Congratulations!!!!!! I am celebrating with you! Thank God we did it! :)

You're very welcome nrcolee6, I will keep you in my prayers. :up: Best of luck!!! You can do it!

Thankyou soo much! I was a nervous wreck, I know God was sitting right there taking the test with me because after praying the ride to the test center and before starting I felt so calm. I'm glad to hear that you have placed your trust in him as well. He will comfort you. I felt an overwhelming peace taking the test. If you get hung up on a long wordy question as I do sometimes wishing they'd leave out all the extra stuff, cut the chase and get to the meat and potatoes of the question. Just take a second, close your eyes and pray, take a deep breath and re-read it. If that still doesn't help look to the answer choices for clues. Don't STRESS!! You've got this! :up: Good Luck!

Great Advice! Congratulations! I just passed too!!!! Feels great doesn't it? :) Go us!

Best of Luck!!! I'll say a prayer for ya!

CONGRATULATIONS DANA!!!!!! I JUST FOUND OUT TODAY I PASSED AS WELL!!!! :up: Dave, RN!!!! FEELS GREAT! GLORY BE TO GOD!

You're very welcome! I'm sure it will be! Best wishes! God Bless!:up:

GFzalez just remember God is in control! Study hard and do your best and leave the rest up to him! Here's wishing you the best of luck!!!! I'll say a prayer for ya! I know you can do it! :up:

The NCLEX is NOTORIOUS for asking questions knowbody predicts being asked. Another thing they are well known for is their strict rules on releasing test information. I hate to tell you this but every person that has taken the test has signed their life away agreeing numerous times not to release any hints, topics, subjects or questions that appear on the test. It is a criminal offense cheating on a State Licensure Examination. For help/encouragement on test taking strategies feel free to check out my post titled: I Passed My NCLEX 2nd Try THANK GOD!!!!! Here's how! Other than that all I can say is your gonna have to pass the good ol fashioned way! I'll pray for ya! All test guides and test taking programs out there such as Saunders and Kaplan focus on Priority questions. ABCs, Maslow, etc. You should become very comfortable with this style. I highly recommend Linda Lacharity's Prioritization book. Also, I have posted a forum about Contact/Isolation Precautions if you'd like to print it out. You should always know what PPE you as a nurse should wear dealing with a patient in order to protect yourself and them. Also know what they shoul have on to be transported, whether they are in a negative pressure room or if the door needs to be closed and who can share a room with them. I cannot tell you specific drugs I encountered, not that it'd help much anyway as you probably wouldn't see them but I can tell you that it helped me alot to learn common suffixes and emergency drugs. You should also know how to do drip calculations for medications and know all your normal lab values. These are all material that is focused on extensively in any review program. I wish you the very best of luck and hope to read your success story on here soon! :up:

I too failed mine in June, June 21st to be exact. I immediately reapplied and hadn't heard from them at all. I ended up calling them after not hearing back from numerous emails. I spoke with the person in charge and they sent me my ATT in my email the next day. They have been very busy apparently and have ppls stuff backed up. Turns out if I had called I could have taken the test even earlier. I just took it yesterday for my second try and passed!!!! Good luck with getting your ATT and taking the NCLEX!!! I know its an aggravating process! If you need some advice or encouragement check out my post titled: I Passed My NCLEX 2nd Try THANK GOD!!!!! Here's how!

Hey there in.the.middle! I was just in your shoes a little over two months ago. I found out the news that I failed the NCLEX on June 21st. I just took it again August 10th and found out an hour ago I passed. To find out what I did to prepare. Check out my post titled: I Passed My NCLEX 2nd Try THANK GOD!!!!! Here's how! I wish you the very best of luck! I know you can get it your next try! Don't give up, keep up the positive attitude, I'll say a prayer for ya! :up:

GREAT QUESTIONS RNindmaking! My 1st time taking the NCLEX: Did you feel ready before the test? All my classmates were passing I felt I would too but I was super strung out on stress After taking the test, did you feel you passed? NO, I wanted to believe I did but I knew I failed. I was puzzled because I had only 78 questions and alot of choose all that apply but no math My 2nd time taking the NCLEX: After extensive studying and praying... Did you feel ready before the test? I went into the test knowing that I had done everything I could to prepare myself for this second attempt, I did not feel dissappointed at all because I knew regardless the outcome I gave it my best. After taking the test, did you feel you passed? NO, I think this test is designed to make you think you failed but I knew I gave it my best shot and I prayed alot and left it up to God. I PASSED!!!!! :up:

I did Linda Lacharity's book as Priority questions were definately my weakness. I benefited from it alot! First time I took the NCLEX I had 78 questions and failed! This time after using Linda Lacharity amongst other resources I passed! Just found out an hour ago!!!! The most important thing I can tell you is to not overwhelm yourself with study materials. Pick a study routine and stick to it. Don't try to cram everything you can. If you are going to do Linda Lacharity do a few chapters a day. I ran into trouble when I was being unrealistic and trying to do Kaplan, Saunders, Mosbys and Linda Lacharity everyday! BURNOUT!!!! I have every confidence in you that you will pass!! Good Luck ktbeth104!!!!! I'll be praying for you :up: I know you can do it

:yeah:Good Luck Lady01!!!! You've got this!!! I'll say a Prayer for you!:up:

1. PRAY ALOT! 2. Take Kaplan 3. Pray 4. Brush up on areas of difficulty in Saunders (Read chapter and answer questions) 5. Pray 6. Mosby's 1,500 NCLEX study note card set 7. Pray 8. Linda Lacharity's Priortization, Delegation and Assignment Book 9. Pray 10. Study Lab values 11. Pray 12. Study Medications used in Emergencies and common medication suffixes (-olol, -pril, etc.) 13. Pray 14. Don't forget to collaborate with everyone on the best forums around at allnurses.com:yeah: Test Prep and Action Plan Night before test get a good nights sleep Morning of wake up, take refreshing shower, eat breakfast, talk with family, friends, loved ones those close to you who make you feel comfortable. (DIFFERENT FROM MOST) Instead of arriving extra early to relieve stress, i listen to fav radio station 88.1 the Promise, arrive right at test time so i'm not sitting around thinking about it and getting super stressed out before taking it, i just stroll up, check in and go to town. Pray before the test, Commit, Review in head my game plan: Read questions slowly, summarize what it is asking, :make sure i didn't miss any importan words like Except, or confuse what should the nurse do with what shouldn't. Read the answers, find which one answers the question the best, don't read into the answers. Use process of elimination, remember ABCS and Maslow on priority questions, decide on an answer click it and move on, don't think about that question again. Focus on the next question. New technique I used this time, and I suggest/challenge it to all you NCLEX veterans like myself. Don't ever look at the timer or the number you are on! I still don't know how many questions i had. I think I had 75. I took about an hour and twenty minutes, I know this only because I got there at 1:00 and left at 2:30, figure check in took 10mins give or take. I think of it this way. The timer can do two things. It can A. show you that you are behind and make you anxious and rush or B. show you that you have taken alot of questions and make you think you are doing bad or cause you to be tired of taking the test. My solution, don't look! Treat every question as though it were your first. I find it to take a load of stress off. Take your time with math questions, the better you do the fewer you'll probably get. Remember grade school! Plug in your answer and check your work! On Choose all that Apply. Think about what you know and choose only answers you are sure about. Don't get tricked into thinking well there are six answers here and i've only clicked two, you don't need more than two! Just because if says choose all that apply, doesn't mean they are all right! Don't just pick some answer you have no idea about just because you have no idea! After the test, Do something fun that you enjoy, it helps if this is a physical activity to channel your remaining stress. I went surfing after wards and played football on the beach with my brothers. The next day I prayed and checked my score. I couldn't believe my eyes! I passed! Believe me! I know how discouraging it is to fail and to have to go back and study all that information again. It's no fun! BUT don't lose faith and remember you survived 4 years of college, 3 years of nursing school or how ever long your program was. You've already invested so much hard work and effort and YOU are very intelligent! Never doubt yourself! I have faith in you! I know that if I can pass, so can you! God Bless everyone who reads this and who this may be of some help/encouragement too. Thank you so VERY MUCH to all those who have been helping me along the way through the numerous forums and encouraging messages/prayers. Good luck and keep on truckin. I'm praying for all you out there, I respect you so much! -Dave KJV Phillipians 4:13 "I can do all things through Christ which strengtheneth me" :up:

SATA(select all that apply) questions do suck my friend:down:. All I can tell you is if you want extra practice on SATA's and you haven't enrolled in the Kaplan NCLEX review course already, that it may interest you. Under the tool box option where you go to take Q-banks they have a section where you can generate you're own tests comprised of entirely SATA questions. Practice makes perfect. I hope this helps.

A bit about B-Vitamins B-1 (thiamine) and all B vitamins - Alcoholic (to prevent Wernicke's encephalopathy and Korsakoff's syndrome. B-6 (pyridoxide hydrochloride) -TB patient (Pt is likely on INH which can cause peripheral neuropathy, dizziness, and ataxias, B-6 can prevent these unwanted affects). B-9 (folic acid) - Pregnant pt to prevent neural tube defects in fetus B-12 (cobalamine) - Pernicious anemia (autoimmune disease that attacks the parietal cells preventing intrinsic factor from being released, which is needed to absorb B-12. Happy Studying :typing

it helps me to type things out and read through them a few times so here are a few notes i've made today. chicken pox- puritic (itchy) rash – macule (red) – papule (raised)- vesicle (fluid filled) spread by direct contact, communicable 2 days before rash, isolation until all vesicles crusted, topical calamine lotion, avoid aspirin use tylenol. not aspirin with children rubella- measles- macularpapular rash (red-raised) on face, then rest of body. spread by droplet, contact precautions, isolate from pregnant women, antipyretics (tylenol not aspirin) and analgesics reyes syndrome- caused by aspirin- cerebral edema and fatty liver mononucleosis- kissing disease- flulike aches, fever, enlarged lymph nodes, sore throat, 15-30 yr olds, spread by direct contact with oral secretions, avoid saliva for 3 months, rest and good nutrition. rest rest rest risk for ruptured spleen. tonsilitis- fever, white exudate on tonsils, treated with antibiotics, potential complications: rheumatic fever, glomerular nephritis tb- skin test mantoux (ppd) induration or hardness 10mm or greater (5 mm or greater in aids pt) or tine test looking for vesicles. symptoms include: fatigue, anorexia, low-grade fever, night sweats, cough with mucopurulent sputum streaked with blood, dyspnea nursing care: isolation for 2-4 weeks (3 negative sputum cultures), notify health dept. to evaluate contacts, teaching. medication: always on more than one to prevent drug resistance. isoniazid (inh), rifampin, ethambutol, stretomycin (im). on meds 6-9 months. hepatitis: jaundice, anorexia, ruq pain, clay-colored stools, tea-colored urine, pruritis, elevated alt, ast, prolonged pt. hep a-fecal/oral- do not prepare food hep b-parenteral/sexual- vaccine hep c-blood/body/fluids hep d-co-infects with hep b hepatitis nursing care: rest, contact and standard precautions, low-fat, high calorie, high-protein diet, no alcohol, medications (vit k, antiemetic, corticosteroids, antihistamines) lyme’s disease stage 1- red area with papule develops into lesion with clear center (bull’s eye), regional lymphadenopathy, flu-like symptoms stage 2- cardiac conduction defects, neurologic disorders (bells palsy-temporary paralyisis) stage 3- arthralgias, enlarged, inflamed joints prevention- cover exposed areas in wooded areas, check exposed areas for ticks nursing care- antibiotics for 3-4 wks (doxycillin) stds syphilis- painless chancre fades within 6 weeks, copper-colored rash on palms and soles, spread mucous membranes, congenital, treat with penicillin g im or erythromycin if patient has penicillin allergy gonorrhea- thick discharge from urethra, asymptomatic in females, spread by mucous membranes, congenital, im rocephin doxycycline po, im aqueous penicillin with po probenecid (gout med) increased effectiveness of penicillin. complication pid genital herpes- painful vesicular genital lesions, reoccurs with stress, infection, menses, spread mucous membranes, congenital, acyclovir, sitz bath, monitor pap smears regularly due to high cervical cancer risk chlamydia- men: urethritis, dysuria. women: thick lady partsl discharge and acrid odor. spread mucous membranes, congenital, tetracyline or doxycycline po may cause sterility if left untreated. notify sexual contacts. venereal warts- single, small papillary lesion spreads into large cauliflower cluster on perineum, lady parts, member, spread mucous membranes, congenital, curettage, cryotherapy with liquid nitrogen, kerotolytic agents. avoid intimate contact until healed. strong correlation with cancer. aids, hiv positive hiv (+)-presence of hiv in blood aids- defects in immune function, associated with positive hiv virus, opportunistic infections, cd4 counts below 200. opportunistic infections associated with aids: p. carnii pneumonia- sob, dry non productive cough c. albicans stomatitis- difficulty swallowing, white exudate back of throat c. neoformans- deabilitating type of meningitis cytomegalovirus (cmv)- lymphadenopathy, visual impairment kaposi’s sarcoma- most common, small purple brown, nonpainful, nonpuritic palpable lesions on body. aids transmitted by blood, body fluids, sharing iv needles, sex, transplacental, breast milk. clean blood spill up with bleach. elisa confirm with western blot decrease in wbcs contact and standard precautions, high protein, high calorie diet. symptomatic relief, support. stomatitis (inflammation of mouth), do not share toothbrush or razor. poison control- treat pt first then poison. call poison control center with what substance, when, how much, route of ingestion, condition now, age and wt. do not induce vomiting if danger of aspiration ( decreased loc or gag reflex) if child ingested pain thinner, lighter fluid, (petroleum distillate). corrosive. if wasn’t corrosive give ipecac (emetic) with small amount (4-8oz) of clear fluid to induce vomiting. position head lower than chest. don’t give large amount of fluid. don’t use milk, have a bottle of ipecac for everyone in household, 1 bottle per person. lead toxicity- blocks formation of hgb and toxic to the liver. irritability, decreased activity, increased icp. metal retardation in children. nursing care: chelating agents. accident prevention newborn: rear facing care seat, crib safety, no smoking, lead free paint infant: check water temp, avoid small objects (choking) toddlers: child proof home, 20 lb front facing car seat in back seat of car children: bicycle helmet, sports safety, swimming pool safety adolescents: teach ways to deal with anger, driving safety adults: handgun control, responsible sexual behavior, smoke and carbon monoxide detector elderly- higher risk for injury poor balance, slow reaction time, exercise and assistive devices, sufficient lighting, up and down stairs, good shoes, cleaning pathways triage- red- unstable, yellow-stable can wait, green- stable can wait longer, black- unstable, probably fatal. doa. bells palsy- tape eye shut at night, frequently use artificial tears to protect cornea from drying due to inability to close eye, place food in unaffected side of mouth, protect face from cold myelomeningocele- no pressure on back licorice can increase potassium loss set up field before donning gloves, above waist, outer inch is contaminated induration is area of hardened tissue, positive sign of tb on mantoux test, 5mm or> on hiv pt 10mm or> on reg pt. measure induration not redness eye drops- do put drops in middle inner cantus, push on inner angle of eye to prevent systemic contamination, and blink between drops, do not touch dropper, allow to flow to other eye or squeeze eye tightly aminophylline-xanthine bronchodilator-may cause rapid pulse and dysrythmias right side elevated- promotes emptying of stomach and prevents aspiration look for jaundice on posterior palate in asians. may be result of inh hepatotoxicity ileostomy- very irritating to skin, should empty at 1/3 full, keep bag on at all times, record output, do not use moisturizers prevents a good seal around stoma narcan causes signs and symptoms of opiate withdrawl (heroin) – n&v, restlessness, abd cramping, htn, tachycardia unintentional wrong- negligence (doing something bad, not doing something good) malpractice- duty, breach of duty, injury, causation of duty intentional wrong- assault- intentional threat battery- intentional touching of pt without consent invasion of privacy- release of information w.out client consent hep a- anorexia, malaise, lethargy, easily fatigued fundus at level of umbilicus then one finger down per day validate feelings and present reality menieres disease- stick to low sodium to avoid vertigo septic shock- dic- mini clots everywhere until clotting factors used up then hemmoraging. look for blood at venipuncture site and around iv catheter. acute glomerularnephritis is caused by strep ace inhibitors- blocks release of aldosterone causing potassium retention

Perhaps that came out the wrong way, I did not mean to sound insensitive. I do not wish illness on anyone or that I had it. I simply meant that I understand and remember the symptoms and treatment for when I have broken my ankle, fingers, nose, got Strep, Chickenpox, Bronchitis, Asthma, etc. I did not mean to offend anyone or sound ungrateful. I thank God for my health. Sorry for any misunderstanding. :nuke:

Thank you Soooooo much! I mean I thought this forum was all about nurses/students helping each other. Some ppl can be so bitter. I appreciate your help :up: I was not trying to get an easy answer for a homework assignment. Sorry but I put in my time for Nursing School. Been there done that got the Degree.

Sounds like a homework question? I already graduated from nursing school.

I know that I often get these mixed up and see them a lot on exams, wishing I would have taken the few extra minutes necessary to commit them to memory. Hope this helps you too Denial- Refuses to accept a painful reality, pretending as if it doesn't exist. Ex. A man who snorts cocaine daily, is fired for attendance problems, yet insists he doesn't have a problem. Displacement- Directing anger toward someone or onto another, less threatening (safer) substitute. Ex. An older employee is publicly embarrassed by a younger boss at ork and angrily cuts a driver off on the way home. Identification- Taking on attributes and characteristics of someone admired. Ex. A young man joins the police academy to become a policeman like his father, whom he respects. Intellectualization- Excessive focus on logic and reason to avoid the feelings associated with a situation. Ex. An executive who has cancer, requests all studies and blood work, and discusses in detail with her doctor, as if she were speaking about someone else. Projection- Attributing to others feelings unacceptable to self. Ex. A group therapy client strongly dislikes another member but claims that it is the member who "dislikes her". Reaction Formation- Expressing an opposite feeling from what is actually felt and is considered undesirable. Ex. John, who despises Jeremy, greets him warmly and offers him food and beverages and special attention. Sublimation- Redirecting unacceptable feelings or drives into an acceptable channel. Ex. A mother of a child killed in a drive-by shooting becomes involved in legislative change for gun laws and gun violence. Undoing- Ritualistically negating or undoing intolerable feelings/thoughts. Ex. A man who has thoughts that his father will die must step on sidewalk cracks to prevent this and cannot miss a crack. (Davis Psych Notes Clinical Pocket Guide, 2005, pp.6) Happy Studying :typing

Differentiating Parathyroid Hormone and Calcitonin's effect on calcium placement. Calci-Tonin increases Calcium in the BONE PTH- Puts The calcium in the Heme (blood) Happy Studying