I realize when I had to write my nursing exam how much pressure I experienced about the whole thing. I wrote mine in June 2010 and passed in first attempt but still remember when I walked out the exam, I was not sure what would be the result.
The purpose of this thread is supporting those nursing students who are planning to write their CRNE in upcoming June. Students, please feel free to share your concerns and questions. Nurses please support those students with tips for study.
Just couple of reminders before we get started:
1. Please do not discuss specific questions or any content tested in CRNE.
2. Please read other threads for more information as well. Other threads give you valuable information and be smart and take them into your advantage.
Hello! I looked through this thread and I didn't see a question like this, also I tried looking on the CNO website but I didn't find my answer.
With regards to time, I want to try and time my study and test sessions at around a similar time to the CRNE, if that makes sense. So for example, if the exam is from 1-5, I will test myself and study and test from 1-5. So does anyone have a real idea of what time the exam is going to be? or is there a standard for every year? Any feedback would be greatly appreciated, I just finished my clinical hours so I can finally concentrate!!
Is anyone having a problem understanding the rationales in the CRNE prep guide?
I took 100 questions yesterday just for practice & finished in about an hour (I was hungry!). When I checked my answers, I got 70% correct (not bad I guess considering I'm an IEN and it was my first time doing CRNE questions). My issue though is that I was getting all the "hard" questions right but missing the "easy" ones. I looked up the rationale and a few just didn't make sense to me because I felt you had to read into the question. I'm not sure if I can post an example on here.
Specializes in NICU, PICU, PCVICU and peds oncology.
I don't think the CNA would have problems with people posting examples of questions from the prep guides. What they (not me - or allnurses.com - CNA) have issues with are people posting questions from the exam they wrote. The "easy" questions are probably the therapeutic communication ones. But no real person speaks the way the "correct" response is written. For thsoe ones I'd go with the most stilted and unnatural response. For example:
Case study:As a nurse, you are taking care of Mr. Denny, age 59 years, who has been admitted with a myocardial infarction.
You observe that Mr. Denny is very sad and dejected. He states, “Life will never be the same.” How would you respond to him?
A.This makes you really sad?
B.Why do you think life will never be the same?
C.Could you be a little more hopeful of your recover from this heart attack?
D.You’re concerned when you think about how this will change your life?
Answer: D
Rationale: The response should be attuned to the feelings of sadness and dejection as well as the content of the patient’s statement.
Most real people would either say A, or B and then take it further when the patient replies. Is that the kind of thing you mean, TazJ?
Actually, that's not the type of question I was missing. I was using the prep guide at the library while I wait for mine to come in - I'll look it up and post the question.
In reference to therapeutic communication, I agree that the answers are usually very stilted. I'm not sure if this is the correct reasoning for CRNE, but for the NCLEX this is what I learned:
a) this is making an assumption
b) this is probably what you would actually say, but asking "why" questions makes the client feel defensive so it's not therapeutic
c) this is judgemental and demeaning to the client
d) this is the most therapeutic answer because it shows concern without judging or making assumptions, and facilitates an opening for the client to discuss their concerns.
Ok this might be a strange question, but are lab values given in SI units (like mmol/L) in Canada? I just wanted to be sure because I learned everything in conventional units.
Also, how is insulin measured in syringes? Another strange question but I know in the US they have orange syringes specifically for insulin where 10 units of insulin = 10ml. Is it the same in Canada?
Specializes in NICU, PICU, PCVICU and peds oncology.
Not strange at all! Yes, most labs are reported in SI units. Fasting glucose is 3.5-6.1, BUN is 2.9-8.9, creatinine is 50-135 and that sort of thing. I'm always completely confused when I read research that has MGH units.
We use insulin syringes with demarcations for units rather than mL. They're orange. Regular insulin comes as 100 units/mL. When we mix insulin infusions for our tiny post-op cardiac infants, it seems like such a negligible volume but it does the trick! (Our standard concentration is 1 mL/hr = 0.05 units/kg/hr so for a 3 kg kid, we'd use 3 units in 20 mL NS...)
Yes I was confused when I was doing the practice questions, but I've found the conversions so I'll be memorizing the ones that are different from what I learned. Glad I realized now than at the CCA though! Sounds like the insulin syringes are the same orange ones I'm used to so one less thing to learn!
Mr. Hansen, a 75yr old client living in a seniors' complex, is prescribed diuretics and other medication for hypertension. What information should the nurse provide?
1. Weight himself at the same time each day
2. Have blood pressure checked twice daily
3. Measure and record urine output daily.
4. Check apical pulse daily.
The correct answer is 1 because daily weight is the best indicator of volume status. I knew this but the question just asks what you would teach. If I had a pt with multiple HTN meds, I would want to make sure they were checking their blood pressure before taking those meds. I asked a pharmacist and they said they would do the same and I checked my cardiac notes too. How do you know this question is specifically asking for volume status??
nurse2be21
2 Posts
Hello! I looked through this thread and I didn't see a question like this, also I tried looking on the CNO website but I didn't find my answer.
With regards to time, I want to try and time my study and test sessions at around a similar time to the CRNE, if that makes sense. So for example, if the exam is from 1-5, I will test myself and study and test from 1-5. So does anyone have a real idea of what time the exam is going to be? or is there a standard for every year? Any feedback would be greatly appreciated, I just finished my clinical hours so I can finally concentrate!!
Take care and good luck everyone!!