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Leda

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All Content by Leda

  1. The Becker College nursing programs (ASN and BSN) are fully accredited by ACEN. This program has never been in danger of losing nursing accreditation or approval from the Massachusetts Board of Registration in Nursing. In fact the nursing program has a very high NCLEX-RN pass rate at at time when other nursing programs have experienced a decline in their pass rates. A nursing program can be accredited by CCNE/AACN or ACEN. Because Becker has an ASN program, and has been around for over 30 years it is ACEN (formerly NLNAC formerly NLN) accredited. ASN programs are not able to be CCNE/AACN accredited, this does not make them an inferior or inadequate program. I am not sure where you received your information but I can tell you it is 100% untrue.
  2. Med Pub was purchased by Assessment Technologies, Inc. (ATI) (www.atitesting.com ) some time ago. Med Pub materials would be outdated and probably not the most appropriate resource to prep for you NCLEX.
  3. transcripts for graduates of worcester city hospital school of nursing are stored at the worcester technical high school, guidance department, 1 skyline drive, worcester, ma 01605. it is important that you connect with someone in the guidance department and make it clear that you are requesting transcripts for the worcester city hospital school of nursing, not the former david hale fanning school of practical nursing (now located at qcc). from time to time graduates do have trouble with personel at the school who misunderstand the request. per the information in the worcester city hospital school of nursing alumni newsletter, school transcripts can be obtained by mailing your request to: worcester technical high school guidance department 1 skyline drive worcester, ma 01605 the guidance department telephone number is, 508-799-1940
  4. Massachusetts requires that you have, "completed a minimum of 945 hours in theoretical and clinical practice in medical, surgical, pediatric, and obstetrical, as well as mental health nursing concepts, of which a minimum of 540 hours will be allocated to clinical practice." http://www.mass.gov/Eeohhs2/docs/dph/quality/boards/cs_form03.pdf Most ADN programs are structured so that with only 3 semesters of nursing education you would most likely not have had all of the required theoretical content and/or the minimum number of clinical hours. The director of your nursing program has to verify that you meet the MA BORN requirements (theory and clinical hours). If you believe your curriculum meets the requirements after 3 semesters of ADN education, this is something you should discuss with the director of your program. More often than not, in Massachusetts, the RN graduate that takes the NCLEX-PN is someone that has been unsuccessful on the NCLEX-RN multiple times, and wishes to practice nursing at some level.
  5. I am only speaking for myself as my opinion does not reflect many nursing instructors. If the OP obtained the teacher's edition and test bank with the sole purpose of accessing course exam, this would indeed be cheating. That said, it is no longer appropriate for any nursing program to used textbook test bank questions "verbatim". We know that these test banks are not secured and that students have access to them. In my opinion any instructor that uses these questions is in fact cheating the students. Nursing education is a high stakes major and human nature will always be present; meaning if students have access to the questions, they will use them. Knowing this and also knowing that the test bank questions typically aren't the best reflection of actual NCLEX questions, nursing instructors should avoid using test bank questions as written at all costs. Also, it is unwise for a nursing instructor to use the same exam year to year. In my experience, students have a keen memory for exam questions. This too can be shared with students in subsequent classes. I do believe that the OP does need to consider that their nursing program may view obtaining the teacher's edition and question bank as cheating even if based on what is posted that wasn't the intent.
  6. Nursing instructor responding, I never use the textbook questions as I know they are not secure questions. In addtion the textbook test bank questions are not always written in current NCLEX-style and they aren't as high level as your instructor/nursing program may like. The nursing program that I am associated with will not use the textbook test bank questions for the reasons I've stated. Your nursing program may well have a similar policy. In my experience students that have had exam success based on access to the textbook questions alone (didn't study the material, just learned the answers to the questions) were unsuccessful on either the comprehensive exam (that didn't include textbook test bank questions) or the NCLEX-RN. If the information in the teacher's edition of the text helps you to understand the concepts, that is great but you will need to study all course material for success in the course and on the NCLEX.
  7. Try this link: http://www.mass.gov/dph/boards/rn Click on Statues, Rules and Regulations.
  8. You can find information on the NCSBN website, https://www.ncsbn.org/1287.htm Once you have accessed the site click on 2007 NCLEX-RN Detailed Test Plan - Candidate. You will find what you are looking for in that document
  9. Sorry to hear that you are dissastisfied with you nursing program. At two months into any nursing program it is common to feel overwhelmed and uncertain about your choice. The fact that your program has a history of low NCLEX pass rates adds to your uncertainty, as you have indicated in your post. I would suggest that you consider having your questions answered by your nursing program in one of two ways. The first approach would be for you to make an appointment with your nursing professor to discuss your concerns. Be prepared to offer reasonable solutions to your professor. For example, because there is a large amount of studying involved and you must budget your time accordingly it would be helpful to have the professor post the homework assignments one week in advance. During this meeting you can also inquire about the rationale for including in your curriculum areas that you have assessed as being beyond the scope of practice for an entry level RN. It may well be that the expectation is for the student to appreciate the role of the RN in these procedures as part of providing for safe patient care. In other words, you aren't being educated to perform these procedures independently, but rather you need to know how the procedure should be done to support the patient physically and psychologically througout the procedure and to make certain that any associated tests are processed in a way that ensures accuracy. The second approach to having your concerns addressed would be through student representation on the nursing faculty curriculum committee. All programs have a mechanism for student participation in nursing faculty curriculum and governance. Present your concerns to your student representatives for discussion and resolution. You should be aware that any nursing program that falls below the state board of nursing's benchmark NCLEX pass rate must address curriculum problems contributing to the low pass rate. This means that it is more than likely that your nursing program has a solid plan for correcting curriculum problems to signifcanlty improve the pass rate (the homework may or may not be part of this plan). You should bring this concern (the low pass rate and what is being done to correct it) to your nursing professor or the nursing faculty via student representatives. Unfortunately, as you will find by reading through the posts on this forum there is no perfect nursing program. You will need to take an honest and realistic appraisal of your goals and determine if indeed this nursing program is a fit for you. This is a very big decision and you should take the time to talk to students, faculty, and graduates of the nursing program you are in to get as much information is necessary before you make the decision.
  10. Outstanding summary of what is necessary for success on nursing exams! Thank you for sharing with others what is necessary for success (self-direction, time management, and study methods adapted to your unique learning style). As a nursing educator that has spent countless hours facilitating student learning; which includes trying to "sell" them on the approach you have taken, I urge every nursing student that reads your post to make the time necessary in their lives to try your methods, they work.
  11. Leda replied to JillFRN's topic in General Students
    I'm not sure about the second a in CAART, but here is what OLD CART (used for symptom assessment) usually means: O = onset L = location D = duration C = characteristics of symptom or complaint A = aggrevating or associated factors R = relieving factors T = treatment (what has been used to relieve symtom)
  12. Typically people score 10 to 20 percentage points lower on Kaplan than on other NCLEX-style questions (i.e, NCLEX 3500, Saunders, etc.). That said it is important to review the rationales for all questions answered, those that you got correct as well as those you did not. It is by reviewing the rationales for all the questions that you add to your knowledge base and improve your critical thinking for NCLEX. Best wishes for NCLEX success
  13. Your argument makes sense at face value, but it doesn't hold up when you thoroughly understand the NCSBN mission, values, and purpose. "The purpose of NCSBN is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing." https://www.ncsbn.org/about.htm The NCLEX-RN and NCLEX-PN are one aspect of protecting the public. The passing standard on NCLEX is established to protect the public, not to generate revenue for the NCSBN. Each state establishes their individual benchmark on what an appropriate first-time pass rate on the NCLEX should be. Schools of nursing are held to that benchmark by both the state in which they are located and the national accrediting agencies. If each state is a member of the NCSBN then they too would want NCLEX candidates to fail. That makes no sense when they are requiring a minimum first-time pass rate for nursing programs and will hold schools accountable when they fail to meet this. The detailed NCLEX-RN and PN test plans are published and available for educators, students, and NCLEX candidates. There is no surprise concerning potential content on the exam nor the level of difficulty or type of question the NCLEX candidate will face. Concerning the need to pay a fee each time a candidate retakes the NCLEX, although I don't have inside information just considering the personnel involved from start to finish in the process (test generation, which is a detailed, time consuming and expensive process; processing the application; testing; results report; answering phone calls and emails of candidates; etc.) I don't believe they make much if any money on the NCLEX. What revenue is generated is certainly put back into test development and other important aspects of ensuring that the NCLEX is valid, secure, and in keeping with the mission of protecting the public. Although the NCSBN offers a rather inexpensive NCLEX preparation program compared to other commercial NCLEX prep programs my sense is that the majority of NCLEX candidates use other resources to prepare (i.e., Kaplan). I would suggest that you thoroughly review the information on the NCSBN website, including exacty how the a candidate's passing status is determined and the content of the exam. By the way I do not have and never have had any connection to the NCSBN; however I am involved in nursing education which requires that I understand the NCSBN and NCLEX. Best wishes for success on the NCLEX.
  14. I would suggest that you contact the local publishing company representative directly to request the replacement. For reasons of exam security the publishing companies have strict requirements concerning the distribution of instructor resources. It is essential that they confirm you are actually a nursing faculty member. This typically involves confirmation from the director/department head of the nursing program. Many publishing companies are no longer issuing instructor textbook resource CDs. Instead all instructor resources are online. This is another reason you need to contact the book company rep to find out exactly what is currently available for instructor resources for your textbook.
  15. NCLEX is a national exam; therefore the passing standard is the same for all states. NCLEX is not graded in the traditional sense, meaning it isn't scored on a percent correct basis. You can read about the passing standard on the NCSBN website (see below) Exam Psychometrics: https://www.ncsbn.org/1230.htm How the Passing Standard is Set: https://www.ncsbn.org/05_14_07_nclex_passing_fact.pdf
  16. Many people have passed the NCLEX-RN without answering one select all that apply/alternative format or dosage calculation question. There is no way of telling if you've passed or failed the NCLEX-RN, based on the type of questions or number of questions you received. Anything you've read or heard about having to receive a specific number or type of question is a myth. Best of luck of success on the NCLEX.
  17. I'll respond to your question. Receiving a 42% on one section of the Q-Bank, isn't great BUT, it isn't an indicator that you will fail the NCLEX either. Passing the NCLEX is about being able to demonstrate critical thinking via the questions you receive. Therefore don't stress out over any individual score but rather go back and review the rationales for all of the questions in that test. Identify the concept that was being tested, the knowledge you needed to respond to the question, and the test-taking strategies suggested to select the best answer. Remember NCLEX answers are "best answers" they are the best available answer. Apply the principles of safe and effective nursing care to the situation in the question, think nursing process, and ABC's and you'll improve your percent correct. Best wishes for NCLEX success.
  18. Over the last few years the first-time NCLEX-RN pass rate for US educated nurses has increased: https://www.ncsbn.org/461.htm 2004: 85.3% 2005: 87.3% 2006: 88.1% The first time NCLEX-RN pass rate for US educated nurses for the first quarter of 2007 was 89.1%. The passing standard was increased on April 1, 2007 therefore a slight decrease in the pass rate is anticipated. Historically when the passing standard is increased the first time NCLEX-RN pass rate still remains at or above 85%. The overall increase in the first time pass rate reflects the efforts of individual nursing programs to achieve the required benchmark for graduates writing the NCLEX-RN for the first time. The individual state boards of nursing and the national accrediting agencies require nursing programs to meet their stated benchmarks. This is the reason that most nursing programs have in place the use of external program curriculum support and student assessment described by doliveri. I am on the prelicensure side of nursing education, in a state that does not allow for graduate nurse practice so I have no suggestions about employer alternatives for those who fail the NCLEX-RN. In my experience as an educator, post graduation NCLEX-RN preparation has to be priority one for the candidate. Although is is certainly possible it is typically only the exceptional, stronger graduate that can put little preparation into NCLEX and be successful. This means that NCLEX-RN candidates that were not strong students or test takers should probably not be in the process of orienting to a nursing position and preparing for NCLEX at the same time. One of the keys to NCLEX-RN success is being able to successfully use critical thinking to answer the questions. Therefore one approach to use to help your graduate nurses achieve success on NCLEX is to incorporate critical thinking and NCLEX-style questions into your graduate nurse orientation as much as possible. Doing a quick Google search I did find this reference, which may help you with your second question. When New Graduate Nurses Fail the NCLEX: What Role Can the Hospital Play? Article Journal for Nurses in Staff Development - JNSD. 22(4):187-189, July/August 2006. Spencer, Janine A. EdD, MSN, RN Abstract: New graduate nurses employed at a hospital who have failed the National Council Licensure Examination are in need of guidance. They are no longer a part of the academic system, and hospital educators are often at a loss as to how to assist them in successful completion of the licensing exam. This article provides information on how to support and guide the new graduate during this difficult time. © 2006 Lippincott Williams & Wilkins, Inc.
  19. Relax! Most people score 15 to 20% lower on the Kaplan tests/questions vs. other NCLEX prep questions (e.g. Saunders). Your Kaplan scores are fine, remember the NCLEX is not scored in the traditional manner (0 to 100%). To successfully pass the NCLEX you must reach the point at which you are answering/predicted to answer the "higher level" questions with 50% accuracy (50% correct, 50% incorrect). Stay confident in your test taking abilities and don't let your Kaplan scores affect your confidence. Best wishes for NCLEX success.
  20. Everyone's NCLEX is different; however everyone's NCLEX questions are based on the Detailed NCLEX Test Plan. The stress of the exam, etc. makes it very difficult for the test taker to know with 100% certainty the specific NCLEX Test Plan category any question fits into. You have to expect that you will get tested on any "testable" content. All NCLEX candidates should review the current Detailed NCLEX Test Plan. You can access the current plan at https://www.ncsbn.org/454.htm Click on the specific NCLEX plan you are studying for (RN or PN). Best of luck on NCLEX.
  21. Here is another way to look at the question and answers. I am aware that there will be disagreement with my posting but it is important to remember that, airway is only the best answer when it fits the specific information in the questions. Because you only have limited information "Patient is going to have a colonoscopy" then you must select the answer that relates to all patients undergoing a colonoscopy, within the time frame of the question (preprocedure). "The nurse is caring for a patient going to have a colonoscopy. What is the MOST important thing for the nurse to assess?" a. respiratory -No data about the patient having pre-exisiting respiratory problems, no data about whether or not sedation or anesthesia will be used (not all colonscopies are done with sedation or anesthesia, although it is kinder to do so). No information about whether this is a diagnostic or screening colonoscopy; therefore you have to consider that the vast majority of colonoscopies are performed on healthy, low-risk individuals. Remember this question is asking about the priority preprocedure assessment (see b) b. fluid and electrolytes- All patients having a colonoscopy will have a significant bowel prep, which can result in loss of fluids and electrolytes. This would have the greatest impact on the patient's level of health/physiologic stability preprocedure. BEST answer because it can affect all patients and will have the greatest significance preprocedure. Fluid and electrolyte imbalance would have to be corrected before the procedure occurs. c. comfort level - No data in question about pre-exisiting illness. Patient may be uncomfortable from the bowel prep, but this isn't life threatening. d. nutritional status - Important to know, but response b would capture the most important pre-procedure nutritional concerns. Again, I'm not saying I'm right, I'm just posting another way to look at the question and answers to point out that airway may not always be the best answer.
  22. The place to start is with your nursing program. In order to be eligible for the NCLEX your nursing program has to verify that you are in fact a graduate. Each state has different criteria as to how this is done, but none the less verification from your nursing program is part of the process. Since all nursing programs have experience with the NCLEX process I would suggest discussing this with the director or your program. It may be unrealistic to expect to take the NCLEX five days after graduation given the multi-step process for eligibility verification between your nursing school, your state board of nursing and Pearson-Vue. After all of your paper work is processed and you receive your ATT (authorization to test) you then must book a test-time. There is often a wait time to test based on availability of test time "slots". Your nursing program director has experience with your nursing program graduates NCLEX processing time, this would be the place to start. Good luck.
  23. Congratulations!!!!! Enjoy your success.
  24. "thanks for the replies.giving a immunoglobulin is the best choice(vzig) but the given choice only states "vaccine" is it proper to think that in this kind of question (situation) the "vaccine "is a immunoglobulin(vzig) not a varicella vaccine? since the choice is not specific..." Yes this is the concept that the question is testing.
  25. The vaccine given to the child in the question will not be varicella vaccine. This child would be administered VZIG (varicella-zoster immune globulin). VZIG would be administered to this non-varicella immune immunocompromised to child to hopefully prevent them from developing varicella.

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