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My husband did NCSBN Learning Extension and he felt it helped him most on his exam. It's $50 for 3 weeks. Hope all goes well with your exam! :)

My husband's posted 48 hours after he COMPLETED the test. He started at 7:30 am, finished at 9:30 and his results posted 2 days later at 9:30 on a Saturday. Good luck! :)

Make sure it says "delivery successful" before trying to reregister. Hope it works out for you!

You're in my prayers...best wishes on your exam!

Pharmacology - Know Indication/Action/Effect Prefix/Suffix -ase = thrombolytic -azepam = benzodiazepine -azine = antiemetic; phenothiazide -azole = proton pump inhibitor, antifungal -barbital = barbiturate -coxib = cox 2 enzyme blockers -cep/-cef = anti-infectives -caine = anesthetics -cillin = penicillin -cycline = antibiotic -dipine = calcium channel blocker -floxacin = antibiotic -ipramine = Tricyclic antidepressant -ine = reverse transcriptase inhibitors, antihistamines -kinase = thrombolytics -lone, pred- = corticosteroid -mab = monoclonal antibiotics -micin = antibiotic, aminoglycoside -navir = protease inhibitor nitr-, -nitr- = nitrate/vasodilator -olol = beta antagonist -oxin = cardiac glycoside -osin = Alpha blocker -parin = anticoagulant -prazole = PPI's -phylline = bronchodilator -pril = ACE inhibitor -statin = cholesterol lowering agent -sartan = angiotensin II blocker -sone = glucocorticoid, corticosteroid -stigmine = cholinergics -terol = Beta 2 Agonist -thiazide = diuretic -tidine = antiulcer -trophin = Pituitary Hormone -vir = anti-viral, protease inhibitors -zosin = Alpha 1 Antagonist -zolam = benzo/sedative -zine = antihistamine Pharm Facts -Don't give non-selective beta-blockers to patients w/respiratory problems -Vitamin C can cause false +I've occult blood -Avoid the 'G' herbs (ginsing, ginger, ginko, garlic) when on anti-clotting drugs (coumadin, ASA, Plavix, etc) -ASA toxicity can cause ringing of the ears -No narcotics to any head-injury victims -Mg2+ toxicity is treated with Calcium Gluconate -Do not give Calcium-Channel Blockers with Grapefruit Juice -Oxytocin is never administered through the primary IV -Lithium patients must consume extra sodium to prevent toxicity -MAOI Patients should avoid tyramine: oAacados, bananas, beef/chicken liver, caffeine, red wine, beer, cheese (except cottage cheese), raisins, sausages, pepperoni, yogurt, sour cream. -Don't give atropine for glaucoma – it increases IOP -Don't give ant-acids with food -- b/c it delays gastric emptying. -Don't give Stadol to Methadone/Heroin Preggo's -- cause instant withdrawal symptoms -Insulin – clear before cloudy -Don't give meperidine (Demerol) to pancreatitis patients -Always verify bowel sounds when giving Kayexelate -Hypercalcemia = hypophosphatemia (and vice versa) -Radioactive Dye – urine excretion -Signs of toxic ammonia levels is asterixis (hands flapping) -D10W can be substituted for TPN (temporary use) -Dopamine and Lasix are incompatible -Hypoglycemic shivers can be stopped by holding the limb, seizures cannot (infants) -Common symptom of aluminum hydroxide – constipation -Thiazide diuretics may induce hyperglycemia -Take iron with Vit C – it enhances absorbtion – Do not take with milk -B1 - For Alcoholic Patients (to prevent Wernicke's encephalopathy & Korsakoff's synd) -B6 - For TB Patients -B9 - For Pregnant Patients -B12 - Pernicious anemia, Vegetarians. -Complications of Coumadin - 3H's - Hemorrhage, hematuria & hepatitis -FFP is administered to DIC b/c of the clotting Fx -Mannitol (osmtic diuretic [Head injury]) crystallizes at room temp – use a filter needle -Antianxiety medication is pharmacologically similar to alcohol –used for weaning Tx -Administrate Glucagon when pt is hypoglycemia and unresponsive -Phenazopyridine ( Pyridium)--Urine will appear orange -Rifampicin -- Red-urine, tears, sweat) -Hot and Dry = sugar high (hyperglycemia) -Cold and clammy = need some candy (hypoglycemia) -Med of choice for V-tach is lidocaine -Med of choice for SVT = adenosine or adenocard -Med of choice for Asystole = atropine -Med of choice for CHF is Ace inhibitor. -Med of choice for anaphylactic shock is Epinephrine -Med of choice for Status Epilepticus is Valium. -Med of choice for bipolar is lithium. -Give ACE inhibitors w/food to prevent stomach upset -Administer diuretics in the morning -Give Lipitor at 1700 since the enzymes work best during the evenin -Common Tricyclic Meds - 3 syllabes (pamelor, elavil) -Common MAOI's - 2 syllables (nardil, marplan) -TPN has a dedicated line & cannot be mixed ahead of time -RHoGAM -- Given at 28 weeks & 72 hrs postpartum -Do not administer erythromycin to Multiple Sclerosis pt -Benadryl and Xanax taken together will cause additive effects. -Can't take Lasix if allergic to Sulfa drugs. -Acetaminophen can be used for headache when the client is using nitroglycerin. -Dilantin - can not give with dextrose. Only give with NS. Addison is skinny ( hypoglycemic, you get weight loss, you got weakness, and you get postural hypotn) Cushing is fat ( hyperglycemic, you get moon face big cheeks, and you retain a lot of Na and fluid) -Never Give via IVP: oKCL oHeparin oIbuprofen oInsulin oDobutamine oASA oAlbumin oAcetaminophen -Insulin: oRapid: lispro – onset oShort: Regular – onset ½ - 1 hr. Peak: 2-3hr. Duration: 4-6 hr oInt: NPH or Lente – onset: 2 hr. Peak 6-12 hr. Duration: 16-24hr oLong: Ultralente – onset 4-6 hr. Peak: 12-16 hr. Duration: >24hr oV.Long: Lantus – onset 1 hr. Peak: None. Duration: 24 hr continuous -Anticholergic Side Effects: oCan't See oCan't Pee oCan't Spit oCan't Sh*t -Hypocalcemia – CATS oConvulsions oArrythmias oTetany oSpasms & Stridor -Hyper Kalemia Causes: 'MACHINE' oMedicationa (ace inhibitors, NSAIDS) oAcidosis (metabolic & repiratory) oCellular destruction (burns, traumatic injuy) oHypoaldosteronism, Hemolysis oNephrons, renal failure oExcretion (impaired) -Signs of increased K ' Murder' oMuscle weaknes oUrine – olyguria, anuria oRespiratory distress oDecreaed cardiac contractility oECG Changes oReflexes – hyperreflexia, or flaccid -Substance Poisoning and Antidotes oMethanol -- Ethanol oCO2 -- Oxygen oDopamine -- Phentolamine oBenzo's (Versed) -- Flumazenil oLead -- Succimer, Calcium Disodium oIron -- Deferoxamine oCoumadin -- Vitamin K oHeparin -- Protamine Sulfate oThorazine -- Cogentine oWild Mushrooms - Atropine oRat Poison - Vit K -Parkland Formula: 4cc * Kg * BSA Burned = Total Volume Necessary o1st 8hrs – ½ total volume o2nd 8hrs – ¼ total volume o3rd 8 hrs – ¼ total volumes

Do you have the LaCharity book (Priority, Delegation & Assignment)? That's a good one to practice priority. Hope it all goes well for you! :)

From what I've read the scores you should be getting on practice exams depends on what sources you are using. Some books/reviews are more difficult than others. If I'm not mistaken, Kaplan recommends you get 65% on their exams. My husband just passed the NCLEX, he was getting 80-90% in Saunders and 75-89% on NCSBN. The NCSBN Learning Extension recommends you score at least 75% on all of their exams. Hope this helps! :)

In Florida you can take the test 3 times, then you have to take a review course before your 4th attempt. You can retest every 45 days.

If you did fail at 265 it means you were close to passing. Not that it makes you feel any better. When you go all the way to 265, the computer can't determine with 95% confidence that you passed or failed, so your score will depend on whether you were more consistently above the passing standard or more consistently below the passing standard. Your account will say "your results are not available at this time" for 48 hours after you finished your exam. Then the message changes and you can pay $7.95 for your unofficial quick results, assuming your state participates in quick results. Hope all goes well for you :)

My husband took it Thursday. He had 75 questions, 18 SATA, no calculations, but he did have several pharm questions. He did the "trick" and got the pop-up. Just found out today he did indeed pass. :)

I remember seeing that question in the Saunders book. The rationale stated that administering oxygen would be wrong because you have to have a doctor's order. The above poster is correct...never make assumptions with NCLEX questions! :)

just wanted to say that the saunder's q & a book is supposed to have audio questions on the cd. you may want to check it out. :)

If you failed with Kaplan, then you probably need content. My husband failed the first time. He did the retake this morning, did the PVT and got the "good pop-up." He reviewed and practiced questions for about 7 weeks before the second test. He thinks the Exam Cram review book, NCSBN Learning Extension, and the LaCharity Priority, Delegation & Assignment book helped the most. He also did the NCLEX Made Incredibly Easy review book and Question and Answer book. Even though he didn't get a chance to finish it, he also liked the Saunder's Q & A book. It is broken up according to the NCLEX categories instead of body systems, so you can focus on your weak areas. Hope this helps and best wishes on your next exam! :)

Congrats!! My hubby got the "good pop-up" too! :) He failed the first time and the PVT took him straight to the cc page. I'd say you passed! :)

My husband is taking his right now! He studied so much and of course you still get nervous and don't feel 100% prepared. You are in my prayers! Just trust God to guide the test to your strengths and guide you to the answers!! :) Have faith and know He is with you!

Maybe you should do some content review and save LaCharity for one of the last things you do. My husband worked on content then did LaCharity and he scored high on the tests. He used the NCLEX-RN Made Incredibly Easy review book and their Q&A book, plus he read the Exam Cram review book. Best wishes in your studies!! :)

I'm so sorry.. I don't know how it is with the PN, but with the RN if you fail you lose your graduate nurse status. I wish you all the best for next time.

When do you plan on taking your test? My husband is taking his (2nd time) on the 25th. I wish you well on your next time! You and my hubby both will be part of that 53%!!

Don't get wrapped up in the statistics. I read that 53% of 2nd time takers pass. Just make up your mind that you are going to be one of those 53%, set up a study plan and stick to it. I've seen several posts that state you have to get "above passing standard" on each category of the test plan, however, the NCSBN website states that the NCLEX is not scored on each individual area, pass/fail is based on your OVERALL performance. The detailed report they send to people who fail is to be used as a study guide so you know your weaknesses. Work on your weakest areas first and refresh yourself so you stay strong in the other areas. The majority of the test comes from physiological integrity, so make sure you are strong in that area. I agree with most that you need to practice TONS of questions, but I also think if you fail you should do a content review. If you don't have the knowledge then how are you going to analyze and apply information to questions? The Exam Cram review book is good for a quick overview. If you need more detailed content then you should do something like Saunder's or Davis. I personally feel that you need a mixture of content and strategy to pass. Don't have a negative attitude!! God brought you this far and He doesn't want to see you fail! :)

Maybe it seemed harder because you were more prepared and you were getting higher level questions throughout your test. You probably came closer to passing this time around. I'm sorry it didn't work out for you this time (although PVT may not be 100% accurate). I wish you well in your future studies and hope you become licensed soon! :)

The passing standard is increasing .05 logits (don't know how much that is), management of care is being increased while reduction of risk potential is being decreased. Heart/lung sounds are being added as well. NCSBN describes the changes as "minimal." Hope this helps :)

Just said a prayer for you...wishing you well on the 18th! :)

I said a prayer for all of you guys. Wishing you well! :)

Someone else posted this in the random facts thread: Airborne Precautions Private Room Negative pressure with 6-12 air exchanges per hour UV Mask N95 mask for TB My Chicken Hez TB MyMeasles ChickenChickenpox HezHerpes Zoster (Disseminated) TBTB Droplet Precautions Private Room Mask SSSPPPIDERMMMAn SSepsis SScarlet Fever SStreptococcal Pharyngitis PParvovirus B19 PPertussis PPneumonia IInfluenza DDiphtheria (Pharyngeal) EEpiglottis RRubella MMumps MMeningitis MMycoplasma or Meningeal Pnuemonia AnAdenovirus Contact Precautions Private Room Gloves Gown MRS. WEE MMulti-drug Resistant Organism RRespiratory Infection - RSV SSkin Infections WWound Infections EEnteric Infections - Clostridium Defficile EEye Infections VCHIPS (skin infections) VVaricella Zoster CCutaneous Diphtheria HHerpes Simplex IImpetigo PPediculosis SScabies, Staphylococcus

If you're looking for something free to practice, you can do the NCLEX 3500 site: http://libtc.utmb.edu/nclexrn3500/mainMenu.do;jsessionid=A9EACF1DDBB5AC43D95C3F184E37CE58 The Exam Cram review book is good too if you're looking for content review that doesn't overwhelm you. Hope things go better for you next time!! :)