Question for Those that Passed and LaCharity

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I am taking my Nclex in 2 weeks. I am now doing the case studies and I am struggling with a lot of the questions. I feel like I do know my content pretty well, but the multiple patient questions and putting things in order questions are killing me. For those that passed, did you have trouble getting the questions on Lacharity?

Also, I'm confused about the LPN delegation. Can I delegate a LPN to do tasks that would normally be done by a CNA? I know that sometimes the test doesn't want you have an LPN take vitals because it can be given to a CNA. But what if the question doesn't mention the existence of a CNA?

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I didn't do the case study questions since they are complex situations and the NCLEX is a test of minimum competency. I focused mostly on the other questions. It seems that those were the kind of questions that NCLEX was asking, not the case study ones.

As far as the LPN duties I believe that they have a higher scope of practice and training, so they couldn't really do what a CNA would do.

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we're on the same boat!!!! la charity is driving me crazy... :nuke:

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From what I've experienced so far from La Charity, in questions regarding delegating staff, it seems correct to delegate to an LPN/LVN a task that he/she would do instead of delegating the the one for the CNA even if the CNA is not stated in the questions...

Here is why I think its correct:

The NCLEX is "Ivory Tower" nursing, everything you need and everyone their is available unless stated... So it is only fair to say that delegating what an LPN/LVN would do to a LPN/LVN is the way to go, even when there is no CNA stated.. It seems to be the trend there in the book..

But it also depends on the choices available, if there is NO LPN/LVN responsibilities in the choices, but there is a CNA responsibility one, and you know that all the other choices are responsibilities of an RN, and the question only stated that you have an LPN/LVN, then that would be the only time to delegate the CNA's responsibility to the LPN/LVN...

Correct me if I am wrong here.. :D

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Specializes in orthopedic & HDU.
I am taking my Nclex in 2 weeks. I am now doing the case studies and I am struggling with a lot of the questions. I feel like I do know my content pretty well, but the multiple patient questions and putting things in order questions are killing me. For those that passed, did you have trouble getting the questions on Lacharity?

Also, I'm confused about the LPN delegation. Can I delegate a LPN to do tasks that would normally be done by a CNA? I know that sometimes the test doesn't want you have an LPN take vitals because it can be given to a CNA. But what if the question doesn't mention the existence of a CNA?

i love lacharity,,try ur best to answer the case study its doesnt matter if u get it wrong read the rationale carefully and hopefully it stick in ur mind which u can aplly in actual nclex in 2/52 time.. regarding delegation LPN CAN DO CNA JOB,,if there is no CNA IN THE COICES GIVEN TO YOU...ITS LIKE RN CAN DO VITAL SIGNS ,,BUT WITHOUT LPN AND CNA IN THE CHOICES THEN RN HAS TO DO IT..SO WHAT IM SAYING IS THAT IT DEPENDS IN UR ANSWER CHOICES..HOPE IT MAKES SENSE:coollook:..GOODLUCK TO UR TEST,,ILL PRAY FOR YOUR SUCCESS

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Hope this helps :rolleyes:

Nursing Assistant

- ADLs/Noninvasive

- Assist

- Remind/Reinforce: usually reminds pt. TO do something rather than HOW to do it (skills previously taught by other health care professional or precaution measures)***

** Usually in regards to ADLs (hygiene, nutrition, ambulating, skin care), turning, repositioning, cough deep breathe ROM **

- Special positioning-- requires initial education by RN -- assistant will assist not teach

- I/O , VS, Weight

- They can detach suction and remove a foley but not connect or insert

- Gather (equipment)

LVN/LPN

- Auscultate/Listen

- Check(s)

- Reinforce/remind

- Administer (PO,SubQ,IM -- NO high alert meds, plasma, blood products-- these and IV are done by RN)

- Observe

- Collect (data, specimens)

- Monitor

- Set up (basic equipment)

- Review/Teach-- Usually standard practices (hand washing/hygiene) or med administration (ie. eye drops) -- RN mostly teaches/educated and LPNs Reinforce

- Routine/Standard

- Wound care/Suction/Urinary Cath/Blood glucose readings

** Don't assign LVN/LPN to do a task an nurse assistant can complete**

RN

- Assess

- Plan

- Evaluate

- Consult

- Teach/Educate

- Encourage

- Develop

- Review

- Update

- Counsel

- Suggest

- Initial/Comprehensive/Baseline (assessments)

- Frequent/Ongoing assessments (unstable pts)

Physician

-Informed Consent

-Medical diagnosis

-Prescriptions

-Order procedures

Avoid These Assignments for New/Float/LVN/LPN/Traveling

-New onset/sudden/acute

-New admission

-Transfer

-Newly diagnosed

-Discharge

-Require education/teaching (beyond basic skills -- tend to be complex and specific to patients on that particular unit)

- Unstable (ie. High risk of sudden respiratory failure, or requires frequent assessments and changes in therapy(like electrolyte imbalances)

Give

- Chronic

- Routine meds/procedures

- Stable

ALL HEALTHCARE WORKERS

- Responsible for knowing about and implementing standard precautions + airborne/droplet/contact --> therefore all can teach about it or prepare a room for it

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Specializes in Medsurg, Public Hlth, School Nurse, Acute Rehab.

I didn't do the case studies in La Charity. I did all of the other questions however. I had a hard time answering the questions in the book because some of them contradicted other questions. I missed so many during my last few study days that I started to panic. I realized I was really anxious so I just stopped looking at the book altogether. It was starting to make me doubt myself.

I passed the NCLEX my first attempt btw. :) You can do it without reading the whole book if you know the basic jist of delegation and priority.

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i didn't do any of the case studies, either. i completed the other section though. good luck.

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wow... famunurse11 that is marvelous and golden info... you are awesome to share it… thank you!~

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I'm finding that i'm doing significantly better on my kaplan questions after working in the LaCharity book. Personally, I don't know why they don't hand this book to every nursing student at orientation!

I plan to work on the case studies as well to keep the momentum going :yelclap:

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For those of you who passed, were you guys getting higher than 70% on lacharity questions? Just wondering!

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i didn’t find lacharity helpful at all. i only did the first 4 chapters and passed the nclex with 75 questions.

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