immusicman
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I took the exam on 4/8/2017 which was yesterday. I passed the exam but I had failed the AANP exam a couple months back. I studied both the APEA review and Fitzgerald. I love the way the APEA review is done and I have to say, after passing the ANCC, it is geared more towards the ANCC exam clinical portion of the exam. The AANP seemed to try and trick you up and just drove me crazy trying to figure out what they were asking. I hated the exam. However, the ANCC was straight forward with no trickery at all. You hear some saying over half the questions were non clinical but I will tell you that about 29% is what ANCC says is non-clinical on leadership, insurance, professional role, research evidence, etc.. This means about 60 questions out of 200 will be on the aforementioned subjects. While it is fresh in my mind, here are some of the things that were on my exam and will likely be on yours.. Know at what stage of acne to use peroxide and topical antibiotic Know hierarchy of evidence Know where in the lung you would find Tuberculosis lesions Know what to do for a tooth ache Know Nurse Practitioner Leadership Roles – Bupert book Meta-analysis of Randomized trials is the pinnacle of the hierarchy of evidence Know what herb is used for menopause symptoms Know how to handle quality processes Know about symptoms of hypercalemia Know Bells Palsy Know first line drug for BPH because you will be choosing between both of the types that are used..know which is first. Know herbs like kava kava, black cohash and more Know cultural beliefs on healthcare, what muslims prefer, Chinese, Vietnamese, Mexican American, and others Know what culturally competent healthcare is Know about DEA role, and State Nurse practice act purposes. Though DEA is federal, prescriptive authority is managed by the state board Far as what to study..I would recommend first and foremost, reading the entire Leik book twice. It is barebones of what you need to know. Then do the APEA review because it will help you tremendously for the clinical part of the exam. I also did fitzgerald and she puts a lot of fluff in hers, things that will help you in practice, but I was trying to study for an exam and wasn't interested in the fluff. However, if you have time and money, I would do it also because there were a few questions specifically I was able to get correct just because of the fitzgerald review. I did two reviews because I need someone speaking to keep me engaged. I think there is an attention issue I have that has gone undiagnosed my entire life. Far as questions go..I did board vitals. The questions were extremely difficult but had amazing rationales. However, most of the clinical questions were way above (like physician board questions) what you will see on this exam. I would recommend board vitals for a few days to have access to the professional and leadership questions..they have about 400. But you do not need to waste your time on the clinical questions there. For those, use APEA questions. I did a predictor exam of 150 questions the day before my exam. I found the questions were similar and I felt I was learning right up to the last minute before my actual exam. If you have any questions, if I can help in any way, message me. Do not panic when you take the exam. I had about a 40 question stretch in the middle of the exam where I felt I did not know ANY of the questions. I was feeling pretty low at that point, but I passed! Also, READ the QUESTION twice and see what they are really asking you. What I mean is this: If the question is asking you to assess the patient and give an assessment type answer, do not choose a planning or diagnosis answer. The planning answer might look right because it probably is the right thing to do in the planning phase, but the question is asking you about assessment of the patient. So narrow down to which answers are assessment and choose from those! This will help you tremendously and will increase the odds of you getting about 40 questions right on this exam. Good luck!
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Everybody has their own opinion. But as for me, I failed it the first time, and this Thursday took it again and passed in 75 questions. I took the HURST review. Let me tell you that there is NO SUBSTITUE for knowing your content. Learn every disease, with symptoms, learn all the signs such as Gray turners sign, etc. And learn the main drugs in each class, ya can't know them all, but know the side effects or toxicity of your drug classes anyway. But more importantly, study the techniques of prioritizing your patients. You will have MANY questions that say: The nurse is planning to teach a client regarding_____________, what should the nurse include in her plan? So knowing general nursing content will help you with those. Don't select ANYTHING you have never heard of in any question. On SATA questions, don't select ANYTHING just because it sounds possible..trust what you KNOW you have seen. I hope this helps, and I have to admit that 2 weeks studying the Hurst review, with PLENTY breaks, gave me enough content to pass in 75 questions. I had been out of school 7 months and forgot EVERYTHING..I learned more in this review than I did in Nursing school. Good luck to you! God bless.
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Just a little information to help anyone that might need it. Like everyone else, I knew nothing about NCLEX and the ramifications of the exam. I failed it in 78 questions the first time. I took a Hurst Review and felt like I did no better the second time. In fact, of the 5 or 6 questions I remembered, I looked them up and I had missed them all! But see thats the problem. I only remembered the questions I Knew nothing about. I came home this past Thursday ALL UPSET that I had failed again. I went to Pearson Vue website to register for the exam AGAIN. But I got the so called GOOD POPUP. Last time when I failed, it let me register again right away. So I took the test December 23rd in the early AM, 8AM to be exact. Since quick results takes 2 business days I thought I would probably not learn of my fate until the following Tuesday. That is 5 days total! With Christmas in all, well, I just would have to tough it out. BUT, I read on here that Pearson Vue would allow quick results in 48 hours and holidays didn't matter. Well guess what? THAT IS FACT. In just a few minutes over 48 hours from when I started the exam, on CHRISTMAS DAY, I got my quick results and I passed! So yes the Pearson VUE "Trick" is fact also. I had NO FAITH in it since I just knew I failed. I feel like that if you get several SATA type questions, then you are doing well on the exam..the more you get, the higher level questions you have been answering correctly. Just my opinion. I hope this helps..and as of today, December 25th 2010, I have completed my BSN journey and I passed that nasty NCLEX! God bless you all.
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I took the NCLEX RN yesterday and after the long drive home, I logged into pearson vue site to find "delivery successful." I then attempted to register again and was blocked by the "good popup". I failed the exam once and last time it let me register again. I hope and pray this is a good sign. I already feel like a moron for failing. I graduated near the top of my class with honors in a BSN program. I have always had some trouble with the "standardized exams." My poor analytical mind will not allow me to just pick the best answer without considering EVERY possiblity. I did study more this time and I hope I passed, but if I didn't, I will study harder and take it again in 45 days. I intend to pass. I worked hard for this and will NEVER give up. Your prayers are appreciated.
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I think I am gonna raise ten kinds with my clinical instructor tomorrow..and attempt to get guidance from her. She is only the clinical instructor, but it is the lecture instructor making the requirements. I will harass my clinical instructor enough to get her to dig and find out what alternatives if any exist. This is totally ridiculous. I have read it over ten times and called other classmates who have had no better luck than I. I love this lecture instructor and have a great deal of respect for her, but I am blindsided by her request on this thing.
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Ok, I have a case study due in a few days and I have completed most of it, but I am required to use three research articles in my plan of care..sounds easy right? Well these articles must be less than five years old, and I must use ONE nursing intervention from each research article on a nursing care plan, but the catch is..it must be a new nursing intervention not found in any of our text books. Not only this, but it must be an actual research article done by a nurse or nurses and the research must be on CRF, ESRD or something to do with kidney failure. I have found many research articles but most do not contain interventions...it HAS TO BE reasearch and cannot be anything else. I have spend 4 hours just looking for articles and found one I can actually "create" an intervention for. I'm reaching on this one, but I really need someone to help me out here..point me to a few more research articles where I can get a new intervention for just one care plan for risk for fluid volume excess or even activity intolerance. Heck I will build a care plan around any new intervention you can find from a research article. I think this is the dumbest thing I have been asked to do since I have been in college. I graduate in May and how I cannot wait! Any help appreciated. John