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littlestar97

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All Content by littlestar97

  1. I used Lacharity, Exam cram, Kaplan Qtrainers through slides share, and Saunders for my nclex RN....just do a lot of practice questions ..you will be fine! Good luck!
  2. Feb seems to be my lucky month. :))Hope everyone will passs!!!
  3. Dear diana2520,Study well and good luck on your exam!!! Plz do a lot of practice questions, by this way you won't have nervous wreck during the exam...Stay calm and pray a lot...You will pass the exam! Hugggsss
  4. Congratulations! I also just passed the Nclex RN using the same materials :))
  5. HELLO, EVERYONE!!! I just got my official result... I am so very THANKFUL!!! I finally passed NCLEX!!! I'm finally an RN :)) Thank you for your replies and encouragement and prayers! To those taking the exam, take courage, patience,keep hoping and do lots of prayers...we all can make it one day!
  6. Congratulations, RN! I like the part when u checked the PVT in the mall haha
  7. Wow...that was such a good study plan! :)) Congratulations!!! So happy for you :)
  8. Good luck everyone! We can do it!
  9. Wow you re awesome! I couldn't do that much SATA questions! Congratulations! :))
  10. Yeah, I keep trying the PVT trick today and still getting the good pop-up! Good luck to my fellow nclex takers!!! We can ace this test!!!
  11. and so, today i just took the big risk in my life ever... i was stressed out myself crazily because i have been sick and i also havent studied much during the past month since my grandma is in the icu, and it was the holiday and that my att is going to be expired today.....however, my uncle and also diana2520 encouraged me to go for it just in case i may hit the spot... i was so confused for almost 3 days whether should i take it or postpone it! finally the day before the exam, my mom and my uncle keep pushing me to give it a try..whether or not there still be a 50% of passing if i'm brave enough to go for it...if im not going, 100% is failing since i need to reapply and reschedule everything again... so i made up my mind, left behind all the worries, put too much hope and prayers on myself before entering the testing center...i couldnt sleep well last night and i was rushing myself into the materials...thanks to allnurses.com..those random facts are very helpful...i read through everything and also all the notes that i collected throughout this forum....i did try some kaplan qtrainers questions using slideshare, lecharity, and exam cram questions, two month ago, and also studied the saunders book (just a few chapters)...i think i learn better by solving all the questions...reading the book just makes me feel so sleepy and tired easily.... here is my story: i was so anxious bcz i felt like i was not ready enough to fight and that i could sleep only two hours at night. today is president's holiday and i tried to get there early to see if the testing center was open...my exam was scheduled around 11am...i got there around 9:30am...but it was not open yet...i was hanging around until the guy opened the door and there were already few ppl who have been taking their tests around 8am i think...around 10:30am, there were me and a lady who registered for the test (they wont let you register for the test 30mins earlier the scheduled time)...this particular testing center was super strict with the ids...the lady could not be sitting for the exam bcz her driver license was expired and her name is not matched since she just got married...so she went home to get the citizenship certificate quickly but she could not make it on time...and my turn, they didnt accept my state id and at that point, i just had 20mins left ...thanks god that my house is close so i quickly called my uncle to bring me my passport...5 mins before the exam, he brought me a passport and i was running into the test crazily..... so i tried to calm myself during those first minutes of the exam....i kept repeating to myself" you can do it! you can do it!" ...i got some easy questions on the first 10...i tried to read through the questions carefully and solve it in a calm manner....bcz i know if i rush through the questions when my anxiety kicks in, im going to screw up everything...then it came with so many difficult questions, and when it didnt stop at 75, i started to panick....i tried to re-focus myself after that....kept praying and doing deep breathing...after that i got around 15 sata, 3 weird meds calculation, 1 put-in correct order, 2 exibits, a tons of psych and med-surg priority questions, several delagation questions and around 10 meds questions that i hardly know about...my last question was about a psych med that i didnt even know...i always stick with my first guesss no matter what...finally my screen went blue when i reached to question 126...i was so tired and my mind almost went blank reading through the questions....it took me almost 3 hours to reach that point... i took a short break when i was around question 102...i drank water and did a bit exercise to relax myself....this exam is the biggest stress in my life...even though im done with the exam, i could not get home with a free-mind...i went to lunch and went shopping with my friend...but still i was anxious about the exam....because i knew i didnt do well and get prepared enough...i was so afraid of it...i didnt even let anyone mention about it...when my mom tried to ask how well i did in the exam, i changed the topic and told her not to talk about it...i told my uncle the test was hard and i think i will fail...i was exhausted and went straight to bed...and now it's 3:30 am...i could not sleep anymore when thinking about it.....i couldnt help myself...so i turned on my laptop and tried the pvt trick.... after 5 times doing it, i got the same pop-up saying that "'our records indicate that you have recently scheduled this exam. please contact your member board for further assistance. another registration cannot be made at this time."...is it a good pop-up? does this trick ever go wrong or today is holiday and that they can't process my result quickly? i'm so confused but have to wait for the real result.... good luck everyone!!! remember that never give up!! believe in yourself until the last minute!!!! we can do it!!!! p/s: plz sorry for my grammar
  12. I'm in NY and I'm studying for the RN exam
  13. Wow, you re awesome! That s a lot SATA questions! Congratulations!
  14. Dear friend, I'm so sorry to hear that... ( Can I join the study group with you guys? I also study at night usually -)
  15. I wish you the best! Good luck,
  16. Hi Joe,You're right... My mind is not clear these days and I can't concentrate anymore and I feel like I keep rushing myself into the materials....also, I have been sick...But if I reschedule the exam, I have to repay and get everything done all over again bcz my ATT is expired....I really do not know what to do but I really need more time....
  17. thank you diana, i registered for the exam last month and they let me register so i think the testing center maybe open on that date.. i will follow your advice and will give it a try... i hope miracles happen... good luck on your nclex and never give up... now you have more time to prepare...so don't feel bad about those stupid mix up with the id... best regards,
  18. i called them before but there was no response and i left an voice mail..until now i haven't got any feedback... i have been studying for the last two months... but during this month, my grandma is in the hospital...she is in intensive care unit...so i can't focus much... i don't feel like i'm ready for it...
  19. last month, i tried to schedule my nclex-rn exam on feb 20th, 2012. now i realize that day is presidents' day. and my test is in ny. i just wonder if the pearson vue testing center is open on presidents' day. also, my att will be expired on the same date... i'm so confused...please help me!!!!
  20. I had made a collection of SATA questions. If you want to practice, please email me @ [email protected]
  21. tonometry: normal (10-21 mm hg) pr interval: normal (0.12-0.20 seconds) serum amylase: normal (25-151 units/dl) serum ammonia: normal (35 to 65 mcg/dl) calcium: adult (8.6-10 mg/dl) child (8 to 10.5 mg/dl) term11 mm hg = too much fluid potassium: 3.5-5.0 meq/l sodium: 135-145 meq/l calcium: 4.5-5.2 meq/l or 8.6-10 mg/dl magnesium: 1.5-2.5 meq/l chloride: 96-107 meq/l phosphorus: 2.7 to 4.5 mg/dl pr measurements: normal (0.12 to 0.20 second) qrs measurements: normal (0.04 to 0.10 second) ammonia: 35 to 65 ug/dl amylase:25 to 151 iv/l lipase: 10 to 140 u/l cholesterol: 140 to 199 mg/dl ldl: 0.1 to 0.2 ng/ml = mi erythrocyte studies: 0-30 mm/hour serum iron: male 65-175 ug/dl female 50-170 ug/dl rbc: male 4.5 to 6.2 m/ul female 4.0 to 5.5 m/ul theophylline levels normal (10 to 20 mcg/dl) motor development chin up 1 month chest up 2 month knee push and “swim” 6 month sits alone/stands with help 7 month crawls on stomach 8 month stands holding on furniture 10 month walks when led 11 month stands alone 14 month walks alone 15 month at the play ground * stranger anxiety: 0 -1 year * separation anxiety: 1 - 3 years * solitary play: 0 – 1 year * parallel play: 2 – 3 years * group play: 3 – 4 years psychological development age erikson freud piaget infant 0 – 1.5 trust vs. mistrust oral (trust & dependence sensorimotor toddler 1.5 -3 autonomy vs. shame anal (holding vs. letting out) preoperational pre-school 3 - 6 initiative vs. guilt phallic (oedipus complex) preoperational school age 6 - 11 industry vs. inferiority latency concrete operational 11 - 20 identity vs. role confusion genital formal operational 20 – 25 intimacy vs. isolation 25 – 50 generativity vs. stagnation 50 - ? integrity vs.despair laboratory values electrolytes sodium (na+): 135 – 145 meq/l (increase-dehydration; decrease overhydration) potassium (k+): 3.5 - 5.0 meq/l magnesium (mg++): 1.5 – 2.5 meq/l calcium (ca++): 4.5 – 5.8 meq/l neonate : 7.0 to 12 mg/dl child: 8.0 to 10.5 mg/dl phosphorus (po4): 1.7 – 2.6 meq/l chloride (cl-): 96 – 106 meq/l coagulation studies activated partial thromboplastin time(aptt): 20 – 36 seconds depending on the type of activator used prothrombin time(pt): male: 9.6 – 11.8 seconds female: 9.5 – 11.3 seconds international normalized ratio(inr): 2.0 - 3.0 for standard coumadin therapy 3.0 – 4.5 for high-dose coumadin therapy clotting time: 8 – 15 minutes platelet count: 150,000 to 400,000 cells/ul bleeding time: 2.5 to 8 minutes serum gastrointestinal studies albumin: 3.4 to 5 g/dl alkaline phosphatase: 4.5 to 13 king-armstrong units/dl ammonia: 15 to 45 ug/dl amylase: 50 – 180 somogyi u/dl in adult 20 – 160 somogyi u/dl in the older adult bilirubin: direct: 0 - 0.3 mg/dl indirect: 0.1 – 1.0 mg/dl total: less than 1.5 mg/dl cholesterol: 120 – 200mg/dl lipase: 31 -186 u/l lipids: 400 – 800 mg/dl triclycerides: normal range: 10 – 190 mg/dl borderline high: 200 – 400 mg/dl high: 400 – 1000mg/dl very high: greater than 1000mg.dl protien: 6.0 – 8.0 g/l uric acid: male: 4.5 – 8 ng/dl female: 2.5 – 6.2 ng/dl glucose studies fasting blood sugar: 70 – 105 mg/dl glucose monitoring (capillary blood): 60 – 110 mg/dl renal function test creatinine: 0.6 – 1.3 mg/dl blood urea nitrogen (bun): 5 – 20 mg/dl erytrocytes studies erytrocyte sedimentation rate(esr): 0 – 30 mm/hr depending on age hemoglobin: male: 14 – 16.5 g/dl female: 12 – 15 g/dl hematocrit: male: 42% - 52% (increased in hemoconcentration, fluid loss and dehydration) female: 35% - 47% ( decreased in fluid retention) red blood cell (rbc): male: 4.5 to 6.2 million/ul female: 4 to 5.5 million/ul white blood cell (wbc): 4500 to 11,000/ul erytrocyte protoporthyrin (ep) : 25 mg/dl cranial nerves major functions I. olfactory (s) smell ii. optic (s) vision iii. oculomotor (m) iv. trochlear (m) eye movement v. trigeminal (s-m) facial sensation jaw movement vi. abducent (m) eye movement vii. facial (s-m) taste facial expression viii. acoustic (s) hearing and balance ix. glossopharyngeal (s-m) taste throat sensation gag and swallow x. vagus (s-m) gag and swallow parasympathetic activity xi. spinal accessory (m) neck and back muscles xii. hypoglossal (m) tongue movement on old olympus’ towering tops, a finn and german viewed some hops some says marry money, but my brother says bad business marry money arterial blood gas (abg) ph: 7.35 – 7.45 pco2: 35 - 45 mmhg po2: 80 - 100 mmhg hco3: 22 - 27 meq/l o2 saturation: 96% - 100% acid-base “rams”(respiratory alternate, metabolic same) glasgow coma scale eye opening response motor response verbal response autonomic nervous system sympathetic/ adrenergic parasympathetic/ cholinergic heart increased heart rate increased conduction increased force decreased heart rate bronchi dilation constriction gi tract reduced motility increased motility rectum allows filling empties rectum relaxes internal sphincter bladder allows filling empties bladder relaxes internal sphincter erection maintains erection ejaculation triggers ejaculation pupils of eye big (mydriasis) small (miosis) salivary glands secretion blood vessels depends on receptors -a contrict -b dilates
  22. Glycosylated hemoglobin is a measure of glucose control during the past 6 to 8 weeks before the test. It is a reliable measure to determine the degree of glucose control in diabetic clients over a period of time and is not influenced by good glucose or dietary management a day or two before the test is done. The HbA1c should be 7.5% or less, with elevated levels indicating poor glucose control. Allopurinol (Zyloprim) helps prevent an attack of gouty arthritis, but it does not relieve the pain. Therefore, another medication such as colchicine or an NSAID must be added if an acute attack occurs. Pseudoparkinsonism is a common extrapyramidal side effect of antipsychotic medications. This condition is characterized by a stooped posture, shuffling gait, masklike facial appearance, drooling, tremors, and pill-rolling motions of the fingers. Hyperpyrexia is characteristic of another extrapyramidal side effect, neuroleptic malignant syndrome (NMS). Aphasia is not characteristic of pseudoparkinsonism. Treatment for Raynaud’s disease includes avoidance of precipitating factors such as cold or damp weather, stress, and cigarettes. The client should get sufficient rest and sleep, protect the extremities by wearing protective clothing, and stop activity during vasospasm. The size of the opening for the appliance is generally cut 1/8 inch larger than the size of the client’s stoma. This minimizes the amount of exposed skin, but does not cause pressure on the stoma. Sinus tachycardia is often caused by fever, physical and emotional stress, heart failure, hypovolemia, certain medications, nicotine, caffeine, and exercise. Valproic acid (Depakene) is an anticonvulsant that causes central nervous system (CNS) depression. For this reason, the side effects include sedation, dizziness, ataxia, and confusion. When the client is taking this medication as a single daily dose, administering it at bedtime negates the risk of injury from sedation and enhances client safe
  23. Asterixis is an abnormal muscle tremor often associated with hepatic encephalopathy. Asterixis is sometimes called “liver flap.” Asterixis (also called the flapping tremor) is a tremor of the wrist when the wrist is extended (dorsiflexion), sometimes said to resemble a bird flapping its wings. The nurse should be alert to the fact that the client taking spironolactone (Aldactone) may experience body image changes resulting from threatened sexual identity. These are related to decreased libido, gynecomastia in males, and hirsutism in females. Bell’s palsy is an inflammatory condition involving the facial nerve (cranial nerve VII). Although it results in facial paralysis, it is not the same as a stroke or cerebrovascular accident (CVA). Digoxin may be withheld for up to 48 hours before cardioversion because it increases ventricular irritability and may cause ventricular dysrhythmias post countershock. The client typically receives a dose of an intravenous sedative or antianxiety agent. The defibrillator is switched to synchronizer mode to time the delivery of the electrical impulse to coincide with the QRS and avoid the T wave, which could cause ventricular fibrillation. Energy level is typically set at 50 to 100 joules. During the procedure, any oxygen is removed temporarily, because oxygen supports combustion, and a fire could result from electrical arcing. Toxic effects of magnesium sulfate may cause loss of deep tendon reflexes, heart block, respiratory paralysis, and cardiac arrest. The antidote for magnesium sulfate is calcium gluconate and should be available at the client’s bedside. Nurses are advised not to document the filing of an incident report in the nurses’ notes for legal reasons. Incident reports inform the facility administration of the incident so that risk management personnel can consider changes that might prevent similar occurrences in the future. Incident reports also alert the facility insurance company to a potential claim and the need for further investigation.
  24. Phenelzine sulfate is in the monoamine oxidase inhibitor (MAOI) class of antidepressant medications. An individual on an MAOI must avoid aged cheeses, alcoholic beverages, avocados, bananas, and caffeine drinks. There are also other food items to avoid, including chocolate, meat tenderizers, pickled herring, raisins, sour cream, yogurt, and soy sauce. Medications that should be avoided include amphetamines, antiasthmatics, and certain antidepressants. The client should also avoid antihistamines, antihypertensive medications, levodopa (L-Dopa), and meperidine (Demerol). Incentive spirometry is not effective if the client breathes through the nose. The client should exhale, form a tight seal around the mouthpiece, inhale slowly, hold to the count of three, and remove the mouthpiece to exhale. The client should repeat the exercise approximately 10 times every hour for best results. Lovastatin (Mevacor) is a reductase inhibitor. It results in an increase in the high-density lipoprotein (HDL) cholesterol and a decrease in the triglycerides and low-density lipoprotein (LDL) cholesterol. This medication is converted by the liver to active metabolites, and therefore is not used in clients with active hepatic disease or elevated transaminase levels. For this reason, clients are recommended to have periodic liver function studies. Periodic cholesterol levels are also needed to monitor the effectiveness of therapy. Clients with chronic venous insufficiency are advised to avoid crossing the legs, sitting in chairs where the feet don’t touch the floor, and wearing garters or sources of pressure above the legs (such as girdles). The client should wear elastic hose for 6 to 8 weeks, and in some situations for life. The client should sleep with the foot of the bed elevated to promote venous return during sleep. Venous problems are characterized by insufficient drainage of blood from the legs returning to the heart. Thus, interventions need to be aimed at promoting flow of blood out of the legs and back to the heart. The client taking sublingual nitroglycerin should lie down upon taking the medication because lightheadedness and dizziness may occur as a result of postural hypotension. The client should use up to three tablets at 5-minute intervals before seeking medical attention. With a uric acid stone, the client should limit intake of foods high in purines. Organ meats, sardines, herring, and other high-purine foods are eliminated from the diet. Foods with moderate levels of purines, such as red and white meats and some seafood, are also limited.
  25. Congratulations!!!:jester::hrnsmlys::anpom::anpom: You now can relax and party!!! By the way, how did you reapply to take the test in NY?

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