Struggling with the NCLEX? These tips may help you.

Nursing Students NCLEX

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This post is for those who are struggling and have taken the test more than twice but actually it could benefit anyone. I am passing on my experience and what helped me to succeed and it took me a lot of hitting heads against walls. I will not go over study methods in particular because there are so many posts in this forum which addresses it, instead I think that most people fail this test by not understanding the nature of the beast. Yes you must have a good NCLEX type knowledge base and without that you can’t play the game, but that alone will not pass you, there is something else you must know.

1)TIMING: as they say, timing is everything. This might be one of the most misunderstood items on the NCLEX. You really have one minute or so to answer each questions. I am not sure about this but I now believe there is an algorithm which measures the time you use for each question and credits you accordingly. The NCLEX really like when you go fast. And that makes sense for the nursing profession where you will encounter emergency situations you know little about and only have a minute to make a decision. So when they say don’t over think is that you really don’t have the time to do it. Have you ever noticed how some questions keep coming back, that’s because you might have answered correctly but took too much time so they are not sure that you really know. They want you to look at the question, read it carefully, make a decision select, and move on. Another timing issue is how long you delay to re take the test. Don’t. You are never ready for this test, put that in your mind. This test is about action at the moment of the test, because that is exactly what they are testing; your ability to think on your feet with the little knowledge you have in about a minute. So go to PearsonVue website and schedule that test now and go face the beast!

2)YOUR KNOWLEDGE: of course the more you know the best, but not really. All you have to have is some “NCLEX type knowledge” and that you can get with so many books that this site has enlisted in so many treads, Kaplan book/course, is a good source of that as well. Know for ex: that when they ask about chest tube, they might want to know a, b, or c and usually it does not stray too far from a certain number of options. This is the building blocks the NCLEX gives you so you can play the game. And as they say in so many books and it’s true, the NCLEX is “ivory tower nursing” but more than that they have a vocabulary and which is huge and the more you know the better because it will help you speed up the answers. So the way to look at knowledge is not in the traditional way of really knowing it but using your NCLEX knowledge to play the NCLEX game.

3)STUDY TIME: don’t drive yourself crazy. I would practice 60 questions a day in one hour's time. Buy a timer and keep the pace, don’t ever take more than one hour. If you are getting above 65% in one hour you looking good but try to get higher. One day per week go all the way to 265 (ouch!) because most likely this is what your test will be like! So in essence you are building up endurance within that kind of knowledge rather than becoming a nursing genius. Have fun with it, if you drive yourself to pain you will also learn pain so when you get to the test that’s what you will remember.

4)THE TEST: it’s important to know about this test and its inner workings. One fact I think is interesting is that the NCLEX will test everyone differently. The NCLEX has two ways to make a decision about you: (1) you will pass or fail with an “X” number of questions, so if you are really good you can pass as little as 75-180 (average) questions and if you are doing really badly you will fail with 75-180 questions. (2) but at a certain point in the beginning of the test the computer makes a decision, it can’t figure you out, you have missed a bunch of questions but you’ve also hit some important ones, so it decides that you need to be tested in the whole gamut of questions, so you are going all the way to 265 baby (ouch again). However remember, if you are not consistent and begin to do poorly because you are tired you can fail too and not go all the way so it's not guaranteed you will go all the way, so you must stay in the game. If you are struggling forget about that magical “oh a passed with 75 questions”, be prepared to go all the way and most importantly be consistent throughout the entire range and that’s why is so important to train yourself that way. The NCLEX will be really impressed with your consistency and you will be credited for that. Remember, the NCLEX is not about getting questions right and building up points like in regular tests, the NCLEX is testing how you perform under stressful situations and in certain ways your ability to improvise. I believe the algorithm of this program is very sophisticated and can measure everything you do.

5)CRITICAL THINKING: to critically think about the questions require a different set of tools. You must focus in the question, you must zero in to that question only and not stray one bit from it. I developed this way of thinking. I would imagine myself there, at the hospital with a real situation and then think “what would I do here…for real” and make that decision in terms of what would I do in order to be the safest.

6)PLAY TETRIS: and here’s why, Tetris is one of the first video games made for computers and in my opinion it simulates several of the brain functions required for the NCLEX. It will help you with the brain stamina you need to endure all the 265 questions without lowering your performance. You have to make quick decisions in shorter and shorter amounts of time. It forces your brain to critically think faster and faster as the geometrical shapes fall down and you have to figure out where they fit. I was amazed to find out how much I improved as I started to play. If you don’t believe this is helpful, just play for fun and it will your mind from the study.

7)PRAY FOR ST. JUDE THE PATRON OF THE IMPOSSIBLE CAUSES AND THE BEST LUCK TO YOU. PERSISTENCE WILL SEE YOU THROUGH.

I just recieved my ATT for nclex pn and i am so nervous that i dont even want to set up a date for the exam :confused: i will eventually do it but feel like i will never be ready.:idea: please... more words of advise will be greatly appreciated.

Specializes in "Wound care - geriatric care.
I just recieved my ATT for nclex pn and i am so nervous that i dont even want to set up a date for the exam :confused: i will eventually do it but feel like i will never be ready.:idea: please... more words of advise will be greatly appreciated.

Don't delay...go and take it. Nervous is OK, too confident is trouble. You are never ready. Don't know much about the PN exam. Again you must know the "hot topics" and be able to dish them out quickly. Don't procrastinate.

Thanks for posting this! In my experience, nursing students tend to go so discouraged because they feel like they will never know everything...which, of course, is true!! But as you point out, that's not a reason to be discouraged because you CAN'T know everything, you just need to know the 'hot topics' that the NCLEX wants you to know about.

Whenever my tutoring students start to get down on themselves because they're getting review questions wrong, I always remind them that it is literally impossible to get all the questions right on NCLEX! The test is designed so that even when you're doing well, the questions get harder and harder until you are only getting 50/50 right and wrong. Understanding this helps nursing students have a more reasonable expectation for how they should be doing. That's why it is definitely so important to understand how the NCLEX works.

Thanks for sharing your insights!

Hi!

I am reading this line...

you just need to know the 'hot topics' that the NCLEX wants you to know about.

What exactly the hot topics you mean?

Also, this line.....The test is designed so that even when you're doing well, the questions get harder and harder until you are only getting 50/50 right and wrong.

What do you mean by just getting 50/50 right and wrong?

There's a cd,in our library that I tried answering,I noticed that when I got my answer right,it adds up like 3 points only but once I got wrong, it decreases by like 11 points.So when we hit the wrong answer many times, it reduces our %.

I was thinking this might be how the nclex scoring is done.

The book is NCLEX RN REVIEW by Margaret Dahlhauser.

Just my thought.

Specializes in "Wound care - geriatric care.
Hi!

I am reading this line...

you just need to know the 'hot topics' that the NCLEX wants you to know about.

What exactly the hot topics you mean?

Also, this line.....The test is designed so that even when you're doing well, the questions get harder and harder until you are only getting 50/50 right and wrong.

What do you mean by just getting 50/50 right and wrong?

There's a cd,in our library that I tried answering,I noticed that when I got my answer right,it adds up like 3 points only but once I got wrong, it decreases by like 11 points.So when we hit the wrong answer many times, it reduces our %.

I was thinking this might be how the nclex scoring is done.

The book is NCLEX RN REVIEW by Margaret Dahlhauser.

Just my thought.

The best way to know what the "hot topics" are is by practicing thousands of questions. You will begin to notice that certain subjects come up over and over again even though they have different wordings and soon you begin to get more and more questions right. A possible definition: clinical situations that are frequent and need a analysis or a decision/assessment (i.e. when they ask about chest tube, note that it's always about the same things, usually things that are the most serious). ABC in a way is the hottest topic of all.

On the the best explanations of how the test work is here: How The NCLEX Works .... Caring4you.net

I never heard of Margaret Dahlhauser's book but it sounds good. Practicing questions on a computer is better because you become more familiarized with it. But remember, the NCLEX is "alive" in other words, it interacts with you and it's like a computer game.

Good luck

WOW, you're tip is short but well explained about nclex exam.. I think you should publish the book "how to deal with nclex test..by "YOUR NAME"!!

A++++++++++++++++++

With your response, I begin to pictured out what this "hot topics" all about.Thanks for explaining it.

My exam is fast approaching, and all I do now is slowing down answering in the computer,not anymore 100/day,but only number of questions that I can absorbed like 20 to 50 items only.I'm pushing myself so hard to finish the Saunder's CD, but it seems not the right way to do it.

By the way, this Book that I mentioned,really feels like you're in the real exam.I learned to analyzed more the questions so as not to keep my score reducing and down to not passing.It' like,oh I need to make this answer right so I'll increase my score to reach the 75% passing rate.

Those still have time to read this book, why not try so you will know what I mean.Especially to my kababayan.

God Bless Us All! who will be taking exam soon.

marcos9999.."Don't delay...go and take it. Nervous is OK, too confident is trouble. You are never ready. Don't know much about the PN exam. Again you must know the "hot topics" and be able to dish them out quickly. Don't procrastinate."

thanx marcos9999:bow:.I set up the date for my NCLEX and all set to work on the questions everyday. any more ponters on how to prepare?:eek:

Specializes in Nursing Education.
The best way to know what the "hot topics" are is by practicing thousands of questions. You will begin to notice that certain subjects come up over and over again even though they have different wordings and soon you begin to get more and more questions right.

I agree 100%!! Couldn't have said it better myself :yeah: If you're a new nursing student, start practicing NCLEX questions on the first day of class. But no matter where you're at in the program, it's never too late to start. I hear lots of nursing students tell me that they know they should be doing this, but just don't have time to do it regularly. I have to explain to them that, in reality, they don't have the time NOT to do it regularly! You really have to make this a priority, and it will pay off in the long run.

I failed my NCLEX for the second time...

At first, I got so depressed but this thread had shed some light on me...

Specializes in "Wound care - geriatric care.
I failed my NCLEX for the second time...

At first, I got so depressed but this thread had shed some light on me...

If you are one of those that take a little more time to carefully read the questions before answering...these advices might work well for you. These are not things I read in a book but hard earned real life lessons from hitting my poor head against the NCLEX wall. Good luck next time and remember...you will pass the next time.

marcos9999 - don't know if you are still active on this thread... I wish I saw your post before yesterday. I took the NCLEX-RN yesterday for 6 exhausting hours... the test ended - I ran out of time - and I had only answered less than 200 questions.... (failed the test) Throughout the 6 hours I keep hoping the test would stop and it never did. I think (know) my mistake was taking too long on each answer. I felt that the first 2 hours went well - but at the 2 hour break, I had only answered 60 questions. I read and reread carefully each question to be sure I understand the questions. I should have done what you recommend - 1:15 min per question. To prepare for the test, I did the Hurst Review, Kaplan Review, Lipincott 10,000, Saunders and LaCharity....My mistake was not timing my questions and practicing answering more quickly... I can not reschedule until late October. Any recommendations on my new improved test prep plan? (I get married mid Sept. so 2 of the weeks will be busy)

1) TIMING: as they say, timing is everything. This might be one of the most misunderstood items on the NCLEX. You really have one minute or so to answer each questions. I am not sure about this but I now believe there is an algorithm which measures the time you use for each question and credits you accordingly. The NCLEX really like when you go fast. And that makes sense for the nursing profession where you will encounter emergency situations you know little about and only have a minute to make a decision. So when they say don’t over think is that you really don’t have the time to do it. Have you ever noticed how some questions keep coming back, that’s because you might have answered correctly but took too much time so they are not sure that you really know. They want you to look at the question, read it carefully, make a decision select, and move on. Another timing issue is how long you delay to re take the test. Don’t. You are never ready for this test, put that in your mind. This test is about action at the moment of the test, because that is exactly what they are testing; your ability to think on your feet with the little knowledge you have in about a minute. So go to PearsonVue website and schedule that test now and go face the beast!

Could someone in the know confirm or deny this?

This is the first I've ever heard of 'algorithms based on time' being a part of the NCLEX "CAT" (Computer Adaptive Testing) works.

From their site https://www.ncsbn.org/1216.htm

How Does CAT Work?

[TABLE=width: 100%]

[TR]

[TD]

  1. Every time you answer an item, the computer re-estimates your ability based on all the previous answers and the difficulty of those items.
  2. The computer then selects the next item that you should have a 50% chance of answering correctly.
    • This way, the next item should not be too easy or too hard
    • The computer’s goal is to get as much information as possible about your true ability level
    • You should find each item challenging as each item is targeted to your ability

[*]With each item answered, the computer’s estimate of your ability becomes more precise.

[/TD]

[/TR]

[/TABLE]

If length of time was part of the CAT algorithms, I see no reason by NCSBN would not include that in the FAQ's.

It would truly be a disservice to future NCLEX test takers, if they follow this advice and rush to answer and end up failing.

More clarity (or facts) are needed on this alleged timing algorithm topic. It is imperative if it true or not.

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