n.nclex

Thank solneeshka very much.

Thank all of you for those good advices once again. They are general medical floor and general surgical floor. It is a 199 beds hospital and the medical surgical unit is divided into medical floor and surgical floor. I like both units and medical surgical unit is my passion. I know there is no easy jobs for rn nowadays, but I still want to go for the floor less stressful because I am totally new in nursing caree.

Hello everyone, I just got an offer from a hospital, either medical unit or surgical unit. I am a new grad rn and I don't have any experiences in the nursing field, cna, nurse tech, or lpn. I need advice from all of you: Which unit is better for me, medical or surgical? I consider maybe the medical unit is better for me because it is easier than surgical unit. Am I right? Thank you for all advice in advance.

Well, for the first question, I choose decreased LOC, because I look at your question: 1.End stage renal failure: it is serious but I don't overthink it:no any ABC symptoms described here right now. The atient with ESRF maybe is controled by dialysis and at least he is stable right now. 2.DKA: it is serious but I don't overthink it: no any ABC symptoms described here right now, too. 3.Hyperglycemia 500 BS:it is serious but I don't overthink it: no any ABC symptoms described here right now. But this one "decreased LOC" : do you remember the triage nurse? Triage 1: unresponsive; tachycardia with hypotension; respiratory distress--- Triage 2: consciousness change; high risk patients; pain over 7 with vital signs change. Triage 3:need resources more than 2 Triage 4:need one resource Triage 5: none of resources needed In the emergency situation, I use Emergency Severity Index (triage 1-triage 5)to sort patients because sometimes we don't have to take vital signs on those patients in the primary survey. If a patient is unresponsive, the first thing I do is to call for help (911 or a Rapid Action Team) instead of ABC. In the patient with fluid overload, I use ABC: lift the head of bed, give O2, and stop IV. Refering to the disaster nurse, I am not good at it either. What I know is RACE(rescue a patient close to the fire first, then activate alarm, then close the door, and last extinguish fire.) I will evaculate the most stabled patient first. Please correct me if I am wrong.

rickspfc75 , i had to guess most of the answers! is insane that you have to spend months and months in school and when you take the damn test everything looks chinese i totally agree with you. i took my exam on 10/21. when i walked out from the test room and i asked myself,"why did i spend 2 and a half years for the nursing degree and why was i so stupid to spend a lot of time preparing for the nclex? nonsense and crazy!" i wasn't too nervous before the exam because i thought i was well prepared. however, after i started the exam and answered a couple of questions, i began to stare at the computer and those questions without anything in my mind. i checked the time and closed my eyes to take deep breath each time i finished one question and that is the reason i spent 2 and a half hours for 75 questions. i knew i was crazy and i knew i should speed up in case i had to take 265 questions, but i couldn't help behaving like that. after the exam, i walked out of the test room, forgetting to put on my shoes. a lot of sata questions, meds which was the hard part, one picture, a couple of peds, elderly, ob, and psychiatrics questions. a couple of diseases i never met during the nursing program and in the kaplan practice. the similarity between the real exam and the kaplan i think is the way by which they post questions. the contents are totally different. abc didn't help me in the exam and i used a lot of elimination and common sense to answer those questions. after i went back home, i did some reseach because i wanted to know correct answers for those questions. i found test strategy very important(especially the elimination) and critical thinking is very important. think deeply and flexibly because no straight answers are there waiting for you. i saw my name on the nursing board at 3 am today. i want to thank a lot of helpers here. practice questions and think deeply and flexibly when you answer questions. good luck, everyone.:hug: