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bregee

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  1. Just took my NCLEX on St Patties day and passed at 75. My test consisted of several prioritizing and delegation questions and it seemed like every other question was SATA. I left there feeling the worst I have felt in a LONG time Lol. As far as prioritizing goes, always remember your ABC's, airway, breathing and circulation. I know this has been drilled in to you during nursing school but time and time again you have to be reminded. If you are given a list of patients and are asked who you would assess first, say to yourself "airway, breathing, circulation" and then look closely at the symptoms of each patient and think of the potential outcome of those symptoms. For instance, patient A is complaining of pain #8 on a 0-10 scale and is 1 day post op of a total hip. Patient B is, 85 y/o febrile and receiving first dose of antibiotic for a UTI and showing signs of confusion. Patient C is 1 day post op of an ORIF of right forearm and complaining of numbness, tingling and increased pain in the fingers. Patient D is ER admit day 3 of MVA head and neck trauma, resp 32 and dyspneic. I KNOW this seems obvious, but you have to get down to the basics of ABC's...airway is always first! Anyone showing signs of obstruction should be seen first. Patient C is important as well due to possible compartment syndrome (circulation) but not as important as seeing D first. Just break those questions down and take each symptom for what possible outcomes they could have, could it threaten their life? As far as delegation goes, read the question and take them for what they are saying. I had a question on mine about what to delegate to the UAP that was a SATA. One of the answers was "check the PH of residual of a tube feeding". I started to over think of what that answer meant....did it mean she was the one to actually perform the residual or just the PH check after the nurse obtained it? I decided that yes, the UAP could check the PH and chose it as one of the answers...I don't know if I got it right, but I am sure I did because we are taught in school to look at exactly WHAT they are asking and don't add "what if's" or "but's" to the answer. Just remember to not over think that one and read the question as it's presented. Remember that the only person that can teach and assess is the RN. The LPN can give meds, dressing changes and the like....but she cannot assess or teach. The UAP can assist with ADL's, certain specimen collections and the like. Also remember that LPN's have a higher level of ability and responsibility than the UAP. Don't be giving the LPN a lower skillset activity when you are presented with a question that states you have an "RN, LPN and UAP". I've been burnt by that one before Lol. Just take a deep breath, a valium if you have it and kick that tests butt!!
  2. Good luck and sending positive vibes!! The wait is the WORST! I took mine on St Patties day at 8am, stopped at 75 and left feeling like I didn't know a damn thing Lol. But that is the majority...I don't know of one person feeling very positive about passing after taking the NCLEX, so the feeling is normal. I felt sick afterwards and thought for sure I failed. Seemed like every other question was SATA. Luckily I didn't have to wait long. Got an email from the state that my license had been issued a little over 5 hours after the test! Keep the faith!
  3. By the way, for those of you thinking of going to nursing school: Look at a probable schools NCLEX passing rate, if it's high, you know they're doing something right and that's where you want to go for your education
  4. Congrats! It's such a relief to get that pass! I just took mine yesterday and passed with 75. After taking the test, and talking with fellow nursing students that took it before me, I believe these study programs aren't worth the money. My classmates that did take these courses (I did not take a course and only "studied" 3 days before my exam, which I am NOT recommending by any means) said after it is all said and done, they would have been better off just doing a boat ton of NCLEX style questions, reading rationales (wrong or right) rather than pay for a program to "help" you pass the NCLEX. The reason people pass is the education they obtain from their school and what they've retained. My school DRILLED NCLEX constantly, prioritization, delegation, NCLEX boot camps, endless tests etc... They gave us a great foundation out of the gate which is the reason they have a 96-100% NCLEX passing rate year in, year out. I feel that anyone can pass the NCLEX without paying for these study programs, as long as you received a great foundational education from your school and you follow your own reasonable study plan. I am definitely not knocking those that do take a program for NCLEX, but it is my opinion they are a waste of money. Believe me, after taking it yesterday, I don't believe endless amounts of studying, nor a study course, could have prepared me for what the questions were like. All it took was me taking what I learned in school and applying that to each question.
  5. When I graduated, the school had to send my info to the state and we had to sign up on the state registering website to be eligible to take the NCLEX. I also applied for a temp nursing license because I got hired before graduation and I started right after. So the state licensing had all my info and sent emails when things were processed etc. Not sure how they get information from NCLEX so quickly, but they do and most people here know by 3pm day of testing if they passed.
  6. I just took my NCLEX yesterday at 8am. Took 1.5 hours and shut off at 75. I live in Wisconsin and by 2:40pm I got an email from my state licensing board that my license had been issued. This is not abnormal for WI, they seem to be quick about results. If I had to wait longer than that I would probably die...that was the worst 5 hours of my life Lol. I feel for those that have to wait so long.
  7. I too just had a similar experience. I graduated this past December, started my new job in January and didn't really give much thought to the NCLEX during that time. I, of course, knew I had to take it to keep my job...but being a new nurse on the job takes a lot of your time and thought and it kind of got thrown to the background. I finally bucked up and registered to take the NCLEX on March 14th...the next available time was the 17th, so I took it. Mind you, up until I actually registered, I didn't even look at an NCLEX question, took a prep course or anything related to studying for this...I did, however, cram some in over the next few days and refreshed my lab value knowledge. Took the NCLEX yesterday and as of 2:41pm, March 17th, I am an official RN! Totally stoked! I will say, the test was nerve wracking. Not only the actual test but signing in for it! Palm scans, ID's, checking your body, glasses and clothes for hiding places for cheating...it's a bit crazy. It took me 1.5 hours and shut off at 75 questions. At that point it seemed like every other question was SATA and they were just hoping for me to fail. I left there feeling not so good and feeling like I had failed. Much to my surprise, it was the opposite! The test was definitely something I feel that no amount of prep will prepare you for. What you retained in nursing school, prioritization, delegation, how well your school prepped you and common sense is what it takes to pass this thing. I came from a school with a yearly pass rate between 96-100% so I feel they had prepped me well. Good luck!

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