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  1. Sara.92

    Passed NCLEX After Failing

    I promised myself that when I passed the NCLEX-RN, that I would make this post. If you are reading this, you are probably searching through multiple forums for that little bit of hope just like how I was. I know this is a long post, but If I am at least able to help one person from this, it would make me so happy. I know you may be feeling depressed, hopeless, lost, and…stuck. Don't Give Up Regardless of your situation, please don’t give up. TIP: It does not matter how slowly you go as long as you do not stop. I remember reading a post here and it said, “it doesn’t matter how or when you get there…as long as you get there” and that stuck with me. I know how hard it is to feel that heaviness every day. No matter what. It. Never. Goes. Away. You may be feeling like life isn’t worth living anymore and everything feels pointless. You feel like everyone is going on with their lives and you are stuck with this spiraling depression and hopelessness that you carry every single day. As if nursing school and other life events weren’t enough. Even a simple conversation with someone is so draining. I know the feeling. Please don’t give up. You WILL Pass One Day Regardless if that is on your 1st, 2nd, 3rd, 4th, 5th try &, etc. Keep pushing. Remember to give yourself a break. I know it’s hard because you may be feeling guilty for not studying. But trust me it will only burn you out. You know when someone says, “it’s all in your mind.” This phrase is so frustrating to hear, but so helpful. What really helped me the weeks before my test was telling myself “you have done everything you need to do to pass this test. You know everything you need to know to pass. If you don’t know it, you know the principles needed to get the question right.” This helps more than words can describe. Sometimes it all comes down to managing your anxiety and being confident with your knowledge. If I can do it, you can too. No matter how long it takes. Remember, You Only Fail When You Stop Trying 1st try: 265 questions. 2nd try: 265 questions. 3rd try: 75 questions. 4th try: 114 questions. PASSED What I Recommend Mark Klimek UWorld Saunders Lacharity Prioritization, Delegation, and Assignment The worst feeling was failing after I gave it my all. I felt like no matter how hard I try, I will never pass. I would’ve felt better if I know I didn’t put much effort and failed but no. I felt stuck. I felt like it was impossible for me to pass. But I kept reminding myself that I didn’t come all this way to stop. There was more to my journey and there is more to yours. You will be an RN one day. Just take it day by day and meditate, pray, do something each day for yourself. There were so many things coming to my head. Thoughts that I couldn't even say out loud. “what is the point of anything?” “I don't even want to be here anymore” I isolated myself from everyone. Although I had an amazing support system. I still felt alone. Alone with my thoughts, I could never get away from. I mean, how do you tell the people you love that your depression and anxiety is getting so bad you find it hard to even exist? Where do you let these thoughts go? It had been so long since the last time I didn't feel dead inside. I was literally hanging by a thread. If you are reading this, you are probably tired of pretending and may even be close to giving up. You don't know how much more you can take. You feel like you have nothing left in you and you are trying to hard to be positive but still feel so broken. Keep praying, keep putting those positive affirmations in your head. Trust me, you will feel a difference and you WILL PASS. Stay consistent. It's okay if there are days you don't have the energy to be as productive. Be proud of yourself for even trying. TIP: There is always a light at the end of the tunnel even if the tunnel feels longer than you thought it would be. I wouldn’t have passed if it weren’t for the comfort I found reading through these forums, the people in my life, and God. Passing NCLEX is a rite of passage that all nurses must achieve. allnurses consulted with an NCLEX Prep Expert and got the inside scoop! Download NCLEX Study Guide Now! I Am Proud to Say I Am Officially an RN This is so much more than two extra letters to my name. I pray whoever reads this finds some comfort in this. Please don’t hesitate to comment back and I will do my best to get back to you. I wish you all the best and I am praying for you, future RN. ❤️
  2. ladeesse

    Passed the NCLEX (2nd Time)

    Passed the Nclex after 210 questions!!!!! The first time I took it I failed after taking the whole 265 questions. I don't think I was ready to take a 6hr exam even if you know there is a chance you can sit for the whole thing. I was ready this time though, after 150 questions I got myself mentally ready to take the whole thing so I was a little shock when it shut off around 210. I was like ????... I didn't see that coming . A lot of emotions pass through me. I didn't feel confident or non-confident either, just calm. I went home and took a nap because I could not sleep the night before even though I wasn't tired at all in the morning when I woke up cause the test was at 8am. After my 6hr nap, I did the Pearson Vue trick and I got the good pop up. THANK YOU GOD!!!! I was relief but not too much because I wanted to see it officially. Lo & behold, next morning I check my name on the license verify website and there it was, I was officially an RN. I was so relieved, it has been a long journey. I'm glad I could finally close this chapter. For those of you still out there getting ready for the NCLEX, be confident in yourself first and foremost, that is very important. Second, you already know the basics to pass, learn how to take the test and work on your weak areas. Don't overwhelm yourself with too many things to study. What I used Prioritization, Delegation, & Assignment (Practice exercises for the NCLEX Examination 2nd edition) Did half of the book (very important in my opinion, helped me improve a lot in that category, which is HUGE & A LOT in the NCLEX) Kaplan Used it to practice questions in the Qbank, Questions Trainer test, Sample NCLEX test, Focused Review test. Also to review a material in the so fabulous Content Review Videos ....Helped a lot. I kind of follow their guide on how to effectively use the Kaplan website. They have a study guide schedule for when you want to take the NCLEX. I follow their plan a little. Watch a whole lot of videos on what the NCLEX is about & how to prepare for it. I WISH I UTILIZED THE KAPLAN MORE THE FIRST TIME. It really has a ton of info. Just browse through it. It also come with the class session of Kaplan review , with a bunch of questions videos in each NCLEX category which they go with you on answering each question. Honestly Kaplan is all you need. Definitely worth everything. I had it through my nursing school and just continued to ask for an extension over & over (max of 3 month each time) after I fail the first time. Picmonic I also used Picmonic (I wish this was around when I was in nursing school) If you are in nursing school, YOU HAVE TO GET THIS.... It has so many things from anatomy & physiology content to everything you need. You can focus on pharm, med surge, psych, OB , Peds etc.... & it's kinda fun & easy to remember. If you want to have all A's in nursing school while studying things in a fun way without reading too much boring textbook. Get this ****, those drugs & topics that are hard to grasp or remember, it makes it sooo easy. It also cater for students in medical school. Cramfighter.com I use this as a study schedule guide. It does all the work for you, you can rearrange it however you want. I input what materials I am going to study: book, website, flashcards , apps, etc. It may have it or you can manually enter it. It will gives a day to day to day content to study. You can customize everything, how long you want to study each things, how many question you want to do every day, what days you want to study or not, etc. Input your exam date & it will give you the amount of content you need to study till your exam date Well I've said a mouthful, anybody has anymore questions, need advice, etc., don't hesitate to comment or if you need to speak in private let me know too. I'll be happy to help. Good luck to all my future RN's. YOU CAN DO IT!!!
  3. yooniehime

    Don't Give Up On NCLEX

    Good day everyone I just want to say thank you to the allnurses community for their big help towards my nursing career. Starting from when I was so desperate on finding a school to finish my concurrency issues ( Med Surg, OB and Psych) and I know that I will still use this forum in the future. I'm a BSN- Philippine graduate of 2012, I took my local boards and passed. I went to America to start from scratch. My first step was to apply to the CA-BRN after some time I got denied due to the concurrency, I knew it will be a long journey. The fact that I know that I won't be able to take the NCLEX due to the concurrency, I searched this forum dated back 2014 and called all of the school listed in the BRN site of they offer the courses I'm lacking. I messaged people and asked around for schools while doing my research, I applied for the NCLEX-PN. I took it August 15, 2015, and got results on September 27, 2015. I passed. It took me almost all the time given and I got all 205 questions. I was again reading to the forums and thread on how I could manage to find a job as a new grad LVN without experience, I tried my luck on applying with every job ad that I saw and an agency replied and that's when my career started. I found an alternative to take the NCLEX!, I applied to another state because that was the trend that foreign grads do. (I applied to Hawaii because it's one of the easiest states that doesn't need much paperwork except the cgfns). I took the exam after I got the ATT and failed. I got all 265 questions and had all near passing. I was devastated. It feels like all my hard work will be useless. I rested from studying and focused on finding a school, I am once again desperate. There were some threads here that gave me school names, some programs. I applied to most of them. I was ready to wait for 2-4 years for it to happen. I was prepared for the worst case scenario. Around January I was in the list for a subject, I was happy I could at least take one. By March, I got an interview for the school and was told that I would be one of the Psych 7. who are the students who will be taking 3 classes for the semester. I was scared and excited at the same time because I live in Los Angeles ( Don't mock me- I don't drive) and My school is all the way in San Francisco. My dilemma was my tuition fee and of course how I would get to my clinical sites? I found out that I could use a private loan and got approved- solved! Then the professor gave us a list of my classmates, So I asked some of the psych 7: if we had the same schedule if I could carpool with them. Then I ask some other classmates their email and text. It all worked out for me. I live in the dorms and carpooled for clinical duties. After 10 weeks it was all done. I finished all the concurrency issue that I have. Now time to wait for the CA att. I took the NCLEX just to try again using my Hawaii att and I failed miserably. I did it a few times. Once I got the att from CA And took the exam in November and failed again at 195 questions. I keep taking the exam unprepared but I could see the trend and the area of my weakness. I need to start from scratch and take the exam seriously. I pushed myself in working a lot (I had 3 jobs), just to divert my attention. Then I realized that I need to just stick to 1 job while reviewing seriously for the NCLEX. December 2015, I found a job in Orange County a Sub- Acute job that would give me time to study on the day off due to 12 hr shifts. February 2016, I attended a review center while doing Uworld and Saunders book, but I only finished unit peds with the book, I answered Uworld religiously for a month. Even when I worked I answered 10-25 questions just to keep the building momentum. The first week of April, I finally finished my review classes. I do a small study group with some of my workmates, review mates. I refrained from going out to parties or if I'm going to one. I make sure that I answered 75-150 questions that day. I made sure I had enough sleep and energy to focus on studying top. The day before my exam, I still had to work, so after my shift, went home straight and rested. April 21, 2016 (Thursday)- I was scheduled to take my exam at 1 pm at Gardena. I finished at around 2:30 pm with 85. I was trying to keep myself from doing the PVT but I couldn't help it and I got the good pop up but I was not convinced, then I waited 2 days- Saturday, the 23rd, My name was on the breeze site. Until now I can't believe, I passed. To those who have been trying to pass the NCLEX and failed, Please don't give up. You just need consistency and focus on studying. I know you can do it. I am praying for you.
  4. When I was preparing for my boards, I loved coming to this website and reading everyone's NCLEX story, so, I thought I'd write mine. I was an LPN for 2.5 years before graduating with my BSN at the end of April 2014. I took two weeks off studying after graduating because my husband had recently accepted a new job in a different state, and so we had to move. I was then left unemployed and living in a brand new state where I knew not a single soul. I decided I was going to make it my JOB to study for my boards and kick its butt! Here's what I used to study and my review on each: Virtual ATI (provided free from my school) Okay, so I totally hated this program because I didn't feel like I was learning much. We took a Comprehensive Predictor during the last week of school and I scored a 90% chance of passing the NCLEX. I was then given an online tutor via ATI who set me up with a study schedule of 6 weeks based on my results. You study the content off their website through 'learning activities,' which are basically just power-points with information on each topic. This was helpful to me because it gave me an overview of a lot of content that I didn't feel comfortable with or had forgotten over time. After I felt 'well versed' on the information in the module, I would email my tutor and she would send me a test code. If I would get below 60% on a topic, it would give me a 'focused review' on the topics I missed. Once I studied that module more, I would get another test code and try to get above 60%. Here's the problem with this program: They have you take the EXACT same test again after you have already seen the rationales, so you are basically just memorizing the rationales (which isn't helpful). There were 9 different modules: NCLEX strategies, Fundamentals, Pharmacology, Med-Surg, Maternal/Newborn, Nursing Care of Children, Mental Health, Leadership, and the final Comprehensive Predictor. I went through the modules and tests rather quickly (usually 2-3 assessments/modules a week) because I was not working. After about 5 weeks, I took another final Comprehensive Predictor. My results: 76% chance of passing NCLEX-RN. I was like WHAT, how could my percentage go DOWN after all of this studying?! You must get 92% or above chance of passing the NCLEX in order to obtain the 'green light' to take your NCLEX. I jumped back into studying and two weeks later took another Comp Predictor and got 86%. I was feeling very discouraged and didn't understand how I could study for 8 hours a day and still not get the green light. Waited another two weeks and BAM 98% chance of passing. Here is another problem with ATI: the Comp Predictor is the EXACT same each time you take it. Now, they don't give you the rationales or the answers for the comp predictor, but still it's a little ridiculous if you ask me. Bottom line, they need a bigger test bank. Prioritization, Delegation, and Assignment by Linda LaCharity ($30) I would give this book 5/5 stars. Not only are the questions similar to NCLEX, but the rationales give great content. I was scoring in the 60-80% range and my scores kept going up the further I got in the book. Unfortunately, on my NCLEX, I only had 4-5 (SUPER HARD) prioritization questions and ZERO delegation and assignment questions. I recommend this book 100%. It's only $30 on Amazon and will help you a great deal. Kaplan NCLEX-RN 2014-2015 Strategies, Practice & Review ($34) About 6 days out from my test, I bought this book. I read the entire book and answered the questions/rationales after each chapter. I can't say I really used any of the strategies that they provided in this book, but I think it was another great book to help you answer questions while also giving you content at the same time. The book has a 265 question practice test at the end but I didn't have time to take it before my test. Saunders Comprehensive Review for the NCLEX-RN Examination (free from school) I started reading this book and got overwhelmed with it within the first hour. I only utilized this book to go over content areas I felt week in. The book comes with an access code to their EVOLVE website where you can do practice tests. I used this website sporadically throughout my studies, but found that the questions were too easy. One really good thing about their test bank is that they have 342 questions that are all SATA. ACLS Website This website shows you samples of EKG readings, symptoms the patient would experience, and medications given. I had one EKG reading on my test and WOULD NOT have been able to answer it without this website: ACLS EKG | Learn & Master ACLS/PALS Take Notes When I would get a question wrong on one of my practice tests, I would always write down the information from the rational that I didn't know or understand. I filled up two notebooks and read through them 2-3 times a week. Know Your Lab Values Don't only memorize your lab values but also understand the importance of the lab value and what they actually mean. Exercise and Nutrition Before I began studying, I wrote out an exercise plan and stuck to it throughout the entire course of my studies. I would usually wake up every morning around 0700, have a healthy breakfast, surf the net for a bit, and start studying around 0830. Whenever I felt like I needed a break, I took one. Usually mid-afternoon (when my butt felt numb from sitting on it for so long) I would go downstairs to the gym at my apartment and lift weights from the program I designed. I worked out for an hour 5 days a week during my study break and would usually go for a long walk at the end of the day. I truly think this helped me to not only get out of my apartment, but to also do something for myself that I would feel good about. Now, I know that most people are working during their NCLEX prep and may not have time for exercise, but if you do, I highly recommend it. After all, exercise DOES boost your brainpower! I also stuck to a high protein, lots of fruits and veggies diet throughout the entire span of my studies. Okay, one more thing I want to mention is in regards to the Pearson Vue Trick. I finished my exam in less than an hour and had 75 questions. When the screen went blank, I didn't know what to think. I ran out to my car, tried the PVT and got the 'on hold' popup. I FREAKED out and was on the website every 10 minutes (no joke) waiting for the 'on hold' popup to go away. It never did. As time went on, I kept doubting myself and thinking THERE IS NO WAY I PASSED. I was 99.9% sure that I had failed. The questions were so hard and there was not even one question that I knew for sure. I questioned my study habits, I questioned my schooling, I questioned EVERYTHING. I cried several times and researched the CRAP out of the 'on hold' notification. Exactly 50 hours after I took my exam, I logged onto Pearson Vue and noticed the quick results were available. I PASSED! I CRIED, I JUMPED UP AND DOWN, and I gave my cats a big hug . I hope this post helps someone! Let me know if you guys have any questions and I'd be more than happy to pay it forward. Thank you from the very bottom of my heart to everyone on this website who supported and believed in me.
  5. I swear if I read one more "I'm freaking out" post, I may indeed explode myself. People, you can DO this. The NCLEX (RN or PN) is a minimum-competency exam. It is an important exam, absolutely true, but SO WERE all those final exams you took in school! They were ALL important, and you PASSED THEM ALL! If you hadn't passed nursing school, you wouldn't be facing the NCLEX now. So right there, you have an edge. Those of you who completed your education in a US nursing program have an approximately 85% chance of passing the NCLEX on your first attempt. The percentage varies quarter by quarter, but it's always a little above, a little below. It's a GOOD number. Why do US educated applicants NOT pass the NCLEX on their first attempt? Several reasons: some graduated from schools that have just lost (or are about to lose) their accreditation because their program is abysmal: their passing rate is poor. For those students, it is especially important to find a quality review course and preparation for the exam cannot be underestimated. While students who DO have a solid nursing education behind them typically don't require nearly as much prep work, those who have this hanging over them will have to work extra-hard. If you graduated from a program with a high pass rate, don't sit back and count on it and do nothing to prepare, but know that YOU, TOO, are likely to become part of that passing success story 🙂 What's another reason for failing on a first attempt? It is possible to be overly confident. Having been a good student at a good school gives you a definite edge. It does not, however, guarantee success. There are certainly students who have reported rolling out of bed, grabbing a donut on the way to the testing center, and snapping out a passing exam in a half hour, 75 questions. Those people, folks, are the exception and not the rule. Having graduated from a good program, you DO have all the knowledge you need in order to pass. But passing the NCLEX requires one to be able to demonstrate the ability to APPLY that knowledge....and that's where some stumble. This is not a "freak out" warning, this is just a word of caution, a bit of good advice to review your prep materials in such a way that you understand not only why A+B=C, but what to do if A is not available and you have to go with B+D....will you know what that outcome is? And what to do if (while you know A=B=C) the end result turns out to be 😧 what's your next move? Do not freak out. Think. What did your nursing program teach you, what did your clinical experiences teach you about what to do when things aren't exactly as you expected? What's the "out of the box" option? That may be what you have to go with 🙂 And finally, what's a big reason for an NCLEX failure that is unexpected? Anxiety. I'm not talking about people who consistently report "I'm a bad test taker"....you CANNOT be "a bad test taker" and still have graduated from nursing school. You could be someone who doesn't do as well on an exam as expected because of anxiety, however you cannot be someone who FAILS exams because of anxiety. If this were true, you would have failed out of nursing school. Don't use this as a crutch. So what to do when anxiety is gripping you? Breathe. Take a break. Relaxation exercises work for many; distraction activities (stretching, walking, running, YouTube indulgence) works for others. Find your Happy Place. If you allow the NCLEX to become so built up in your mind that the thought of it cripples you, panics you, how on earth is that going to help you? It isn't. You are BETTER than that....treat anxiety like a headache that requires some action to dissipate it (meds if you got 'em, distraction /meditation if you don't). "Freaking out" has never worked for anyone, not once, and I've been following the NCLEX game a long time. Trust me. Calmly approaching a study plan, following a sound study plan, giving yourself time to rest and decompress DO WORK to prepare you for a successful test day. "Freaking out"...not so much. Be good to yourselves. Give yourself time to study, but also take time to relax. You CAN study too much, you CAN overwork your brain. You don't have to. You've got this 🙂
  6. Klofu

    NCLEX Experience

    I am going to try to be as brief as possible! I wanted to direct my post to those of you who struggled on exams in school as far as test anxiety is concerned! I came into nursing school with a 3.8 GPA and ended with a 3.49 GPA. I share this with you because I have been on this site and as I was preparing for my exam, I kept comparing myself to other people. I failed my HESI exit 2 and Med-Surge the first times. I passed all other standard exams. I would freak out over something during the exam and then I couldn't concentrate! As I was preparing for NCLEX the thought of failing in the past and doing remediation kept haunting me. I would scroll those threads on here and compare my Kaplan scores with other people. Then finally I said to myself, I don't know their situation.... The moment I realized that it was my confidence and believing I am smart enough to pass this exam was when I was able to focus and DO MY BEST! I definitely lifted up my worries about the exam to the Lord and said it is was in His hands, I had COMPLETE faith that the Lord has called me to be a nurse and I have done EVERYTHING I could do study for this test! I used Kaplan, my scores ranged from 58-77%. I did the entire Q-bank, watched about 3 Lecture on Demands, Read the Kaplan book with the Lectures on Demand, and completed 100% of the Qbank with 1362 questions finishing at 60%. I was TORN the days I got 42% on a Qbank ! I am sharing this with you because at the end of the day it is YOUR BATTLE! I decided to stay off this page and Facebook and truly focus on studying. Day of exam: I got to the testing center, sat down, and said "THIS IS THE DAY!" You could tell the other nursing students because you could cut the apprehension with a knife! I sat down at the spot of my choosing and immediately cried my eyes out; I put on my headphones said a LONG prayer and began! I got hung up on vocabulary more than anything on the exam. I was thinking to myself you really CAN'T study for that! Everything I studied or thought was on the exam wasn't! It was the weirdest thing, I didn't even feel like I was there when I was taking the exam I was so lost ! I had about 15-20 SATAs, 3 pics, 4-5 drag and drops... I got to question 50 and said another prayer! I thought to myself, 15 questions are "test/practice" to see if they will use them in the future, we only need "50%" correct so what does that leave me... I got this... so I just kept going.... The computer stopped at 75q and I went to my car, I cried... I felt like everyone else did on this site that I read... they thought they failed... I did the PVT and got the good pop up! I couldn't drive for a little while because I was in shock and have READ sooo many of these posts with the same feelings... then I thought to myself the WEIGHT is LIFTED! I just ask that you find confidence in yourself. There WILL NOT be a magic post on here telling you what to study... There are suggestions, but the main thing is to dig deep inside, remember WHY you want to nurse, continue your DRIVE... GIVE YOUR ALL.. and you will succeed! I just hope to touch one person who struggles with anxiety and self-doubt!!!! Believe in yourself! Remember you will not KNOW everything! Good Luck and congrats in advance!
  7. dumb

    I'm Dumb and I Passed NCLEX!!!!

    I won't go into details on how to answer questions; there are gazillions of tips here on that subject. I understand how difficult it is to stick to a schedule to study and not allow yourself to slack off or be distracted by other things. That's what this strategy is all about. Getting the job done! I enrolled in Kaplan and studied Saunders from cover to cover and frantically answered as many NCLEX questions and tried to understand each rationale as much as possible, I studied long and hard for this exam. I gave my blood, sweat and tears to pass. I know of some people who just breezed thru it or studied for a month or so but I'm just wired differently. I knew that the only way I was going to pass was if I worked really hard on it. And I did! So bottom line is I had to come up with effective strategies to get me thru! And after passing the exams years ago and procrastinating on this post..... I finally gathered the courage to post here some sane and some insane things I did to pass. I just feel I need to give back and help others succeed as well. Powertalk I freeze up and can't think when I'm scared. Hence, I had to talk myself out of my fears and anxiety and hallucinations of failing. I needed to focus on my goals. Easy for me to say... But it was really hard to do. I had to employ the famous quotes of great motivators like Vince Lombardi, Brian Tracy, Rick Pittino and many others. I looked up quotes, read books, watched you tube motivation videos, believe in miracle videos, any thing that would push me out of my comfort zone and think about conquering my fears and winning this challenge. Believe me, you will need to constantly motivate yourself from beginning to end to accomplish things. And most of all allnurses NCLEX discussion forum- the insights shared by the many posters who went thru the same ordeal and were generous enough to share their experiences and tips and selflessly took the time to inspire others with their success stories helped me tremendously! I owe you guys a lot! Countdown I really mean seriously countdown everything! I worked in sales before I got into nursing... And we were trained to hit a target everyday no matter what. I guess that somehow made I use this strategy and it was so damn effective. This is what I did. First, the moment I got my copy of the Saunder's book, I almost buckled down... It was quite thick! How was I supposed to go thru the whole damn book without falling asleep? So I took the time to examine it. Chapters, summaries, number of pages, introduction, and test taking tips... It was quite interesting... It wasn't as boring or complicated as I thought it would be. In fact I liked it. I tried to read a chapter at my normal pace... And realized I can finish one chapter or 10 pages in one hour. I'm sure everyone has their own pacing and speed... So I'm slow compared to others but at least I know how to work around this. I placed colored tabs in every chapter so I am motivated to reach my finish line - which is the next chapter. So it's like cutting it into chunks and not being intimidated by the amount of material I needed to cover for the exams. So that means if I studied six hours a day that would sum up to 60 pages and another 2 hours for my 100 q&a. Drill. Not bad at all. I counted the days to my exams. And divided it by the number of pages I need to complete. I used index cards to track my daily goals. Here's an actual sample of what my daily countdown would read: Dec 15, 200x Day 17 779 pages to go 56 days to exam Then at the back I would note how much I have accomplished for that day. Including 100 or 30 or 20 q& a. Or how many pages I read. And what points I needed to work on. Sometimes I exceed my goals and sometimes I don't. I just keep going and as long as I know how much I need to catch up on it would keep me on track. And yeah I have a calculator next to me... Just like em sales people counting their profits and quota...I keep counting the pages sometimes on hourly basis... Less 10 pages less 12 pages 500 to go this much hours left much days left... Just so I know I'm moving forward inch by inch. Yeah it sounds ridiculous but self talk is also effective. Jerrrrr.... But please note its not just simply reading.... You also have to understand the material. Sometimes you need to reread and refer back and all that... So its not simply going thru it... Its more of getting the most out of it as well. Commit Commit to your goals. This means temporarily giving up unnecessary chatting, watching tv, and surfing, texting friends, yapping on phone anything that would sidetrack or distract me from my goals. Though these things are inevitable. It's the hardest thing to give up... Of course I still indulge myself in these activities for a while but then I set a time to stop to get back to studying. Most of you maybe don't have to do such drastic measures but in my case I had to. Sacrifices were in order. There was no other way around it. Persevere It won't be easy. The only way to succeed is thru hard work. I tell myself that I won't stand unless I finish a chapter. I'm glued to my chair and my book until I finish a chapter. Once I'm warmed up, it's amazing how I can read more in less time. Gradually my speed increased and even my comprehension improved I have to admit though that sometimes I would be really lazy to even touch a page but when I get back to it I make sure I make up for lost time. I do my best to do 100 questions a day. And read every rationale. I think I completed around 8,000 q an a all in all Music They say music is good for your brain. I tried Mozart but he just put me to sleep... So I tried other songs .... Name it from the Latin drum beat ...Ricky Martin's La Copa de La Vida to Santana, Shakira's hips don't lie to Indian Bollywood beats, Spanish to r&b guns and roses or red hot Chilli Pepers to Aerosmith.. And it worked!!. Id play it before I start studying..Just so to cheer me up and jump start my energy level. The moment it ends I get down to business with high adrenaline! Ok don't laugh... Lol.. Those were the songs back then... Maybe if Justin Bieber rocks your world in this day and age ..Lol ..Then maybe that will work too! Make learning fun! Pray I don't think I could have gone thru this without god's help. I beg god for strength and miracles everyday to make it thru. I start and end my day with a prayer. I believe god heard me and granted my prayer. Breathe I must admit.. That despite having a countdown and a schedule sometimes there are days that I'm just too numb to lift a page or absorb anything. There are days when I just break down in tears because of the stress. Sometimes you need to step back and recharge, breathe, meditate, calm your self and focus your energy for the task ahead. Relax On the day of the exams I did my best to remain calm and focused. I was not confident but I figured having a sharp mind on the day of the exams was more important than anything else... I have worked too damn hard for this and I can't screw this up by being anxious or allowing panic to set in. I just had to focus and work at it one question at a time. And I have to trust that god will help me because I gave it my all. Disclaimer To each his own. Everyone has their own way of learning mechanism. Chose what works for you and make the most out of it. The things I've posted are probably some of the tips I also picked up from many generous and helpful people here. I just modified it to suit my needs. I failed to mention that I didn't go thru this on my own.. I had the support of my family and friends for which I would eternally be greatful for. All the best!
  8. Although now I realize it was a big - big mistake, I never really went back to my nursing books after I left nursing school , and when I was faced with a situation (got married, moved to the USA) where I have to claim my competence in my field to stay in my field I was really worried . I wondered how I am going to go over everything that I learned for 4 years once again. The whole point of my article is to give all those people who are in the situation that I was a couple of months ago, the much-needed support, encouragement, and confidence to be successful in this exam. 3 components to my success in NCLEX What are the paths to success? Positive Support, Prayers, and Hard work, and here I would say the first two factors supersede the last one at least in my case. 1. Positive Support My parents are a constant source of encouragement when I was drained of it ... But when I became overloaded with it .. To the point that stress started getting the best of me ... My husband would just balance it with calming me down saying this test is not going to change anything, anything in the way people (he and everyone else) think about me and it's okay for me to go easy on it. 2. Prayers This was the most important thing that kept me going throughout, I cannot stress how important it was for me. I prayed to all the Gods I knew Ganesh ji, Hanuman ji, Shiv ji, Durga ma, Jesus Christ, mother Mary, Shri Ram. And I believe to this day that it was my Gods who made me pick the right answers. 3. Hard work Paired with consistency is the last but not the least of the factors. My opinion about NCLEX difficulty level There is a lot of hype about NCLEX, that somehow drags down one's confidence. Although it is not an easy exam to crack, from what I have experienced, it can be done with a little extra effort. So exactly like you are doing now, I did a lot of reading on this site about, how people passed the exam, what books they used, and watched videos of successful candidates on YouTube. I do recommend doing that because it gives you choices to pick from. Resources and method used Step 1 - Saunders I purchased a Saunders NCLEX RN review book from Amazon.com but did not finish it. I completed the maternity section, gastro, endocrine, and cardiovascular from that book. At that time I wasn't sure when I was going to take the exam and I was processing my application, so I didn't do it really seriously. Step 2 - Lippincott I had a Lippincott NCLEX q and a book that my sister passed on to me, and I want to say that it was very very helpful for me (Remember I graduated 5 years back, so my knowledge of content was very poor and , doing questions [with a scenario] and reading the rationale and writing down the key points of the answer helped me remember the content better). I used this book because I had it with me, you might want to use some other book that you find had good questions and rationales, that's perfectly fine. Step 3 - Kaplan I invested in Kaplan NCLEX RN review course. I really recommend this course a lot guys. If you can afford it, get it, and once you have it take it seriously. I will say buy it when you have your exam in 1.5 months time. No need to buy the live online one like I did because they do not have the lectures on content in the live session, what they do is teach you to use the decision tree by way of example questions. And there are prerecorded videos of the same, so no need to pay extra. Additional Tips When you use Kaplan, take 2 weeks to read through the content book, cover to cover, with concentration and if possible twice. That I believe is the only amount of content you need for this exam, trust them, there is a reason why they are so popular. Next, for doing the questions make a time table. Make a schedule for the 1 month time left for the exam date, divide days for questions and days to listen to content video and days to revise all of the notes you will take after reading the rationale of all questions you do ( both right and wrong). And divide it proportionately (eg. Monday to Thursday 150 questions daily, Friday content lecture 2 units + 1 unit from course book revision, Saturday Sunday - revise notes taken from question rationales till date). At this point you might think, "man, this sounds like a lot of hard work" , but, because I have done it I am telling you, it isn't, initially it might feel like, but as you advance you will start recalling that you have already come across the same content formatted in a different question. And it is a much more reliable and easy method compared to running between 10 different types of books and ending up feeling not remembering anything learnt thus far. Finally Pay special attention to the delegation, prioritization, assessment questions, there are a lot of them on the exam. And it is very true when people say Kaplan questions are similar to NCLEX and are way harder than it actually. Believe me, if you do it right, you will pass it for sure in the first time, with 75 questions, like I did. Having said that, I will also add that, assess yourself to find out what method suits you, and follow this only if this works for you. You will know when you do it for a few days. DON'T FORGET TO PRAY All the best guy's
  9. NewYorkNurse88

    NCLEX-RN - Don't Give Up!

    I have decided to write a post about tips for the NCLEX through my experience. I took the NCLEX twice. The first time I failed with 263 questions, and the second time, I passed with 75 questions. The First Time I was told that this was a very difficult exam from professors, nurses, doctors, and students. It was very disheartening because I believed them. This placed a lot of doubt in my own abilities. I took the Kaplan course, which was to a certain extent, helpful (questions-wise). Unfortunately, the professor had instilled how difficult the exam was in each and every one of our heads. I felt more inadequate. I also took HURST Review Services, but didn't use it as much as I should have. For a month and a half, I completed about 4,000 questions, and spent about ten hours a day studying. I was doing too much, and when I became nervous, I could not recall any information. I used numerous books, class notes, and lectures. It was too much, and I was hard on myself. By the time I took the exam I had over studied, and, mentally, I was not prepared. My biggest fear was having the computer never shut down on me. That was exactly what happened. I ran out of time on the 263rd question. I was miserable, traumatized, and feeling unbelievably stupid. At one point during the exam, I was reading the questions once, and clicking ANY answer. I couldn't think. I was numb, and I just wanted to run out of the exam room. After failing, I was depressed. I felt like a failure, I was a failure. I heard about other graduate nurses passing and finding jobs... It made me feel inferior. But, although defeated, I didn't give up. I changed my study plan. I knew that while I felt horrible, I couldn't give up on something that I am so passionate about. This was meant to be. I was meant to have a ', RN' after my name. The Truth The exam is what you make it. If you put yourself down, it will affect how you answer questions. Believe in yourself. It is impossible to know everything. Walk into the exam, with confidence. Don't act it, believe it. What you know is what you know; no one can take that away from you. The NCLEX is not a race. The NCLEX is about being a safe nurse, and not killing patients. Take some time to absorb information. Knowing and understanding is better than memorizing. Remember, the NCLEX is on your side. It will keep giving you chances to pass. Read each question carefully. Take your time. So, You Are A Perfectionist? You have just met your match... me. I am the Queen, nice to meet you. I spent my paychecks shopping at Staples, Office Depot, AC Moore, Michael's, Wal-Mart, Target, etc. I bought and utilized different colored folders, binders, highlighters, pens, stickers, sticky tabs, sheet protectors, planners, calendars, storage items, and more. I'm sure you catch my drift. I believe in perfection, I don't settle for less. Now, that you believe me, listen up! You are trying too hard. Stop it. You need to relax. If you are like me, you believe that you need to know every single word to truly know a topic. That is not true. You just need to understand it. I was able to let go and relax mainly because of Hurst Review Services. They focused on topics that they felt the NCLEX touches on. This was a lifesaver. I did the online version, which was $300. It was worth it. The Pearson Vue Trick (PVT) I believe it works. Both times were accurate for me. For those of you who don't know about it, basically, after taking the exam, you register to take the exam again on the Pearson Vue website. You sign in, fill out the registration form, then hit 'next.' If it takes you to the credit card screen, you most likely failed, because they are allowing you to pay for the next exam. If you get a pop-up saying the exam is already scheduled, then you passed, because they won't allow you to pay or schedule another exam if you already passed it. How to Dress The first time, I dressed like a bum. I wore sweats, and sneakers. I dressed how I felt. Normally, I'm a girly girl, so this did not help with my confidence. Even in "comfortable" clothing, I felt out of my element. My professors told me that you will not know how long you will be taking the examination, so dress comfortably. Because other people were planning on wearing sweats, I did the same. The second time around, I dressed like I was going out on a date. I felt comfortable, sexy, and confident. This was what I was used to. Do what works for you, not what other people tell you to. Everyone is different. Don't be afraid to be you. So, shine. Shine bright. Shine bright like a diamond. Yes, I said it. And, I ain't taking it back, lol! How to Study Questions. Surprised? Probably not. If people keep telling you this, then there has to be some truth to it. I combined questions and content. Altogether, I finished about 2,000 questions and spent 1-3 hours studying content per day. I completed 100 questions per day. I learned very quickly, not to over do it. Your brain needs time to absorb information. I realized I was beginning to retain information in my long-term memory more easily. Oh yes. Items I Used to Study 1. Hurst Review Services - I must confess, I used this mainly as a refresher course. I enjoyed listening to the professors and filling in the blanks on the notes' pages. This made me. 2. PrepU (NCLEX-RN 10,000) Questions - I completed 1200 questions. They give you your weaknesses and strengths. My school gave this to us free. It turned out to be an amazing tool. 3. Kaplan NCLEX-RN Strategies, Practice and Review - Good test-taking strategies, and easy to read and follow. I liked the questions behind each chapter. They also give you practice questions/exams in the back. 4. Take time out to study infection control. Make a list/chart. It is okay to memorize this. I had to. Hurst Review Services gives materials on infection control. I read and utilized all of them. 5. EAT - No, don't EAT, lol, know 'EAT.' Evaluate, Assess and Teach. Never delegate tasks that involve evaluating, assessing, and teaching to nursing assistants. I had a few questions on delegation, and knowing 'EAT,' got me through all of them. The Day Before the Exam Get your nails done Watch TV Enjoy some dessert Listen to some music Spend time with your best friend, someone that you love Prepare and pack all necessary documentation and identification (I also packed snacks, just in case.) Go to bed early The Day of the Exam Please don't do any questions. The exam will take care of that. Promise. Eat breakfast. A hungry belly, talks back, and is extremely disruptive to the thinking process, and other test-takers. Be kind to your tummy, and others. Taking the Exam You got this. You believe it because you did the work. On the top of my board, I wrote, a silly little cray quote. It's okay to have swag during the exam. It empowered me. I smiled and laughed throughout taking the NCLEX. For difficult questions, I wrote down what each question was asking, and then wrote 1, 2, 3 and 4. Once I eliminated an answer, I crossed it out on my board. This also applied to 'select all that apply' questions. It was useful and kept me focused. I took my first break when I was on question #47. I had become overwhelmed, and felt myself getting nervous. I had a tricky dosage calculation question that I was about to give up on. Once I came back from my break, I was able to figure out the answer, no problem. I held onto my cool. When the computer shut down after question 75, the screen turned blue. At first, I thought it was a scheduled break, until it took me to the 'Exit Survey.' I shed a few happy tears, and was so happy that it was all done. I knew I passed. I didn't even need the Pearson Vue trick. However, an hour later, I gave in and used it. Needless to say, I got the good pop-up. My Goal Is to inspire you and make you believe that you are worth it. I have always had to work harder than other people I know. Sometimes it went unnoticed, but it made me stronger. It made believe that no matter the task, I can do it. I am smart, and I will put in the work and the time, to succeed. I was destined for greatness. Remember, that one exam does not make or break you. Your willpower, dedication, passion, makes you. And, of course, feel free to ask me questions or post comments. I'm here to help anyone and every one. Happy Studying, and for those who will be taking the NCLEX soon, Happy Clicking. -RNSwag
  10. Here's my story & tips about my NCLEX experience... maybe it will be helpful to someone out there to be better prepared for the NCLEX itself and know that if you've failed you're not alone. My Story I took NCLEX for the 1st time about 1 1/2 yrs after graduating. I failed the 1st attempt... I was devastated, but I sort of expected it because I made the mistake of waiting too long to study for it after graduating. Why'd I wait so long? I could go on and on! But to keep it brief here's some of the obstacles I faced. I was 9 months pregnant when I graduated and was having back pain and typical pregnancy issues, so I didn't want to take NCLEX while pregnant I wanted to be mentally prepared & comfortable. I THOUGHT I'd be able to study after the baby was born because my 1st two kids were so easy, but my 3rd one was a HANDFUL and I hardly slept the 1st few months. On top of having a new baby, I had emergency surgery (ruptured appendix), fractured my toe, had an urgent root canal, all while taking care of 3 kids. My husband works a lot so he was gone a lot, and all within 1 1/2yrs. How long should you wait to take the NCLEX? NO MATTER what... LIFE may get in the way of studying, so my advice is take it AS SOON AS POSSIBLE after graduating, but make sure you get in some good studying (see "2nd attempt")! There was so much content that I had forgotten, just because I wasn't using it every day the way we did in nursing school. So many things that I thought had been burned into my brain were gone! The more I studied, the more I realized I had forgotten! My NCLEX 1st attempt On my 1st attempt, all I did was study my notes, used my books to relearn content I had forgotten, and did some NCLEX style questions from different sources. I took my exam not feeling prepared... I ran out of time to study and I knew I had not covered enough material, but I wanted to try taking it anyway just in case because I was always pretty good at passing exams. The actual exam: I felt like the exam found my weaknesses IMMEDIATELY. I hardly got any SATA's, lots of risk factor, proper foods, priority, delegation, several EKG, and only a couple of other alternative style questions. Towards the end, I pretty much knew I was failing because I just really didn't know the content of the questions being asked. Pearson Pop-up I read somewhere that the Pop-up was no longer valid... I tried anyway, and honestly, trying to figure out if it was still working, how to do it, etc.. I was just getting even more stressed out, so I decided to forget about doing the Pearson Vue Trick. My NCLEX test results I just kept myself VERY busy for the next 48hrs. The quick results came in literally 48hrs after the time of my exam appt. I FAILED. I cried. I got over it. I applied again immediately. Don't get me wrong, it was hard to get over... It was a blow to my ego and was embarrassing having to tell all my family that I didn't pass. Of course, they understood, but still. Studying NCLEX on 2nd attempt If you don't know the content, you can't really answer critical thinking questions very well. You MUST know your CONTENT. Here's what I recommend studying and how I used it. Plan to study for a MINIMUM of 3-4weeks... I suggest 4-8weeks, any less and the information doesn't get a chance to burn into your brain, any more and you might start to forget what you studied the 1st week. This is just my personal suggestion! During nursing school I was the type that didn't need a lot of study time before exams, but... ***THIS IS NOT A NURSING SCHOOL EXAM... The wording of questions might be similar, BUT this exam is SMART and is NOT going to give you the OBVIOUS answers for most of the questions! You HAVE to STUDY. I'm talking about nursing skills, labs, risk factors, signs & symptoms, pharm, etc. EVERYONE wonders what to study. For this exam, you HAVE to know what you're doing as a nurse. Think about it, you are in a career of SAVING LIVES... so when you study, try thinking of the things that will help keep your patient SAFE and ALIVE. Think about the things that will HARM your patient the fastest, too. To help me review content, I learn best by being challenged/quizzing myself, so I used the NCLEX RN Mastery app on my cell phone. Erase all of your social media apps. When you're bored, use this app! I promise the social world will still be there after the exam, almost as if you were never gone! To help memorize things, I bought a dry erase board and lots of dry erase markers. I would write the same thing over and over, such as Risk factors, s/s, pneumonics, etc.. and I would take a picture on my cell phone of what I wrote/drew, so that way I could later scroll through my phone and do some quick reviewing while I was out and about, or during commercials, etc. And then a few days later, I would try writing it again without looking at my phone. I'm a visual learner, so pretty colors & pictures are more helpful than reading text after text. For a general understanding of concepts I loved simplenursing.com He's not SUPER accurate, and miss-spells a lot of words, but he explains things in a way that's very easy to understand, and he's silly so studying doesn't feel SO serious & boring. Since I needed help with content, I only paid for the month to month Nursing School info, I didn't use their NCLEX study so I don't know how helpful it may or may not be. After reviewing content, I would do NCLEX style questions over that topic on my phone, and on my computer. For NCLEX prep: A MUST! Hurst review was amazing for having a study plan & reviewing pertinent, MUST KNOW content for the actual NCLEX. I honestly wish I would have done it right after graduating!! My mom was the one that ended up giving me the money to take it, and I only had about 3wks to do it before my ATT expired. I didn't get through all of the videos, but I honestly think if I would have finished it all and had about 1 more week to study, I probably would have passed NCLEX with 75 questions (I had a little over 100 on the 2nd attempt). NOTE: From my experience, most of the question banks out there are not built to help you prepare for the REAL NCLEX style questions. They absolutely WILL help you review nursing material to gain that basic nursing knowledge, they just don't really train your brain to think the way NCLEX wants you to think. Hurst review & quizzes helped train my mind to think the way NCLEX wants you to think as a new nurse. Sometimes, I would do questions on a different site, and it wouldn't make sense compared to what the HURST review said. ***STICK TO THE HURST REVIEW when in doubt! So why don't I just tell you to do the Hurst review alone? Well, it wasn't exactly thorough enough for me, since there was so much I had forgotten since nursing school. It doesn't really cover actual nursing skills such as administering injections, or starting IV's etc. For the NCLEX, you want to know this kind of stuff step by step, the OFFICIAL way. Forget about shortcuts & stuff you learned from other nurses in clinicals. For NCLEX, everything must be the legit way with no shortcuts. On testing day: I've always been a crammer, I do better under pressure. The 1st time, I crammed so much and was exhausted and sleepy right when I started the exam. I seriously felt like my brain was already shutting off by question #5!! The 2nd time, I had more sleep and didn't try to cram so much at the last minute. I noticed a huge difference! My brain was actually absorbing what I was reading and I was able to break down the questions and possible answers much easier during the test. Bring water, a snack, and make sure you eat a healthy meal about an hour before you go. Bring Tylenol if you tend to get headaches or have chronic pain, you COULD be there for a while. I was there for about 2hrs for each exam. My second exam started late because the testing center was packed. I feel like I just wrote a book!! I'm going to cut it off here... hopefully everything makes sense and if you have questions just ask me & I'll do my best to help you out! Good luck!
  11. RNinsomnia

    NCLEX Advice PVT, Out of Time

    I'll start by saying I am a foreign graduate student, Puerto Rico, graduated on December 2015, got my ATT by early March (took a while due to school paperwork, misunderstandings etc), and took the NCLEX on May 26, 2016. So here it goes, on D Day, I went on to tackle the NCLEX feeling somehow confident as I was getting 70s on my qbanks, I'll say which ones later, walked in there they handed me the paper with the rules and info and as a typical Caribbean born Latino I paid no mind to that, the first mistake. Proceeded to the jail like check-in, placed my stuff in the locker including some snacks and the sealed cellphone, yes, they make you put it in a sealed bag and can't be open until after the test by the person there at the test center. Went in and started my test, again feeling confident and somewhat cocky that I was going to pass in 75, at the most 100 questions, or fail if anything at the same amount. HA!! I started taking questions, I was taking my sweeeett time answering because remember, only 75-100. Hit the 75 mark clicked next aaanndd 76 popped up, no worries I have 24 more and at that moment I got the "take your 10 min break" window, yeah, exactly that tells you how slow I was moving. So I took my break, went to the locker grabbed some snacks, restroom... and went back. I actually took longer than 10min, about 13 or so, is ok, I got this, only 24 more to go. Came back to the test and realized the time for the test NEVER STOPS, yeah! Remember that paper I said I didn't read at the beginning, that info was there, and yes I didn't know, shoot me!! Right there I panicked a bit and honestly don't even know how I answered the next couple of questions. I talked to myself and calmed myself down and continued. Long story short, question 100 appeared, then 101, 110 and so on with about a bit over one hour left. Now I'm really panicking, "What am I doing?" "Am I doing that bad?"... and another voice in my head, wiser, screamed "hold it!! If questions are still popping it means you're NOT doing that bad, it is just the computer can't decide with 90% certainty. You are still in the game!!!." I stopped looking at the time left because it was making me nervous. Well, I was still in the "game" at the 225 questions when I realized I had only 4 mins left, and the time numbers were yellow. Not as bad as red, but "no good" (through a Latin accent there). So what did this "smart" cookie did? The worst thing ever. In my native country when you are running out of time on a test they say is best to just answer quickly hoping you make it to the end and answering at least some right. HA! I forgot I was taking the NCLEX!!!! Anyway, that's what I did! I started answering at 300 mph mainly looking at last sentence, the one where they really ask what you need to figure out. I did that with like 10 questions and only stopped for about 30 seconds on 2 SATA questions that came out. I had about 40 on my test. Still, I ran out of time at question 240 something. At that point, thank God I had adult pampers on!! So you know what wouldn't show through my pants (yes, I'm kidding but still...). Got out SUPER depressed! My wife saw my face and just went "oh-oh!" At that point God love her soul, and one of the many reasons I love her, no, she's not next to me with a knife I do love her lol She was encouraging me to not feel bad and even went online to look for what happens when you run out of time in order to give me hopes. The result, I felt worst because I learned it doesn't really matter if you run out of time, the computer will still analyze your LAST 60 question to see your performance, doesn't mean you have to answer all right but you have to be above the line, the passing line, if you fall under just once in those 60 questions you fail. Well, now I felt I didn't pass for sure! Remember I answered a lot of the last questions quick!! Without thinking much!!! Got depressed again, even more, the next morning!!! Until I decided to be brave and go do the PVT trick. I did research about it and everybody said it was accurate. So I went ahead and around noon I followed the steps and did it been 99.99 certain I failed. Well, guess what!!! I'm writing here lol remember I started this long story saying "if I passed the NCLEX..." lol the trick gave me the GOOD POP UP! Red triangle with an exclamation mark saying "our records indicate that you have recently scheduled this exam. Another registration can not be made at this time." I still didn't believe I called my wife excited/freaking out. I was still discouraging myself although this gave me hope I didn't have. I took the test on a Thursday and wasn't sure if the "quick results" will be worked on a Saturday but THEY DID and I purchased it gave the phone to my wife, I was scared to look and next thing I heard was a loud happy scream followed by an "I told you, I told you you'll pass." When I saw the "PASS" result I honestly can't describe the feeling, but I won't have to because I'm pretty sure that whoever you are, reading this now, you'll experience the same thing or close to it. WOW! I really couldn't believe it but yes and a week later my BON posted my license (NY). Summary, in case you skipped lol So to summarize my long story, be confident but NOT overly, STUDY YOUR CONTENT HARD, I used Saunders for content, watched some HURST review videos a friend handed me, they are content-based which I liked because it doesn't matter how many questions about a subject they throw at you, if you know your content and how to apply it, you're good. I bought both the Kaplan qbank and the Uworld and honestly, if I had to do it again, I'll only stick to Uworld! Their software is nice and their rationales are AWESOME! I was scoring high 60s low 70s on both. Some people say to try to aim at Uworld to be above the "the average score" I say stay above 65% regardless. What did I come across on the NCLEX? Tons of prioritization, infection control and some delegation, not as many as I expected, and of course some content based questions here and there BUT prioritization and infection were the keys on my test. When you get to the center READ the instructions they give you if you don't know much about what to expect while there. And don't take a lot of time answering the questions, HOWEVER, do if you need to because remember it is MOST IMPORTANT to answer right than to run out of time. Don't talk yourself down while on the test try to remain calm and keep yourself "up". The fact you keep getting questions doesn't mean you're doing bad, it only means the computer can't decide at 90% certainty, YOU'RE STILL IN THE GAME. It doesn't matter if 75 or 265. You just need to pass and do not listen only to those who say they passed in 75 and feel bad if you didn't. Reality is, a lot say they do to try to look good when in fact they went over 75 and if they didn't oh well good for them, really, but their license is the same as yours lol Anyway study hard and good luck!! Yours truly a proud RN who went way above 75, ran out of time, shat his pants(not literally) but got the good pop up and a beautiful diploma with a license number.
  12. waterpaint

    I Am Not Alone

    CAT, a computer adaptive test, allows the individual to be tested on their weak areas rather than their strengths. Based on how well the questions are answered, the CAT and one other individual can determine whether or not the graduate nurse is safe to become a licensed nurse. Does taking a test really entail a safe nurse? This is a bit controversial within the nursing community being that there have been complaints about some nurses who end up passing not appearing safe in their nursing atmosphere, and vice versa for the non-passing nurse. With any examination, especially the NCLEX-RN, there is no doubt you need to be somewhat of a good test taker to pass. I am not one of them. Now, where does the agonizing part come in? The agonizing aspect of taking this NCLEX-RN examination includes not only the studying prior to the exam, but it also includes the examination itself and the process afterward. Whether you sit at home or Barnes & Noble's, the task of taking question after question eventually tires you out. Your mind is filled with information obtained through nursing school and now through additional preparation for the NCLEX examination. There is so much information out there, old and new, that it's hard to know when studying has sufficed. It gets to the point where you're tired of doing questions and your mind can no longer hold any new information. You are now 'ready' to take the NCLEX-RN exam, or as ready as can be. The day of the exam is mentally exhausting. You try to eat breakfast but can't keep it down, you try to tell yourself that you're going to pass but the dread of failing still lingers, especially if you're a horrible test taker like myself. Blasting music in the car on the way to the exam center temporarily calms you down as you scream "I'm a survivor" at the top of your lungs, but the dread returns as soon as you park and realize you're about to take a nerve-wracking exam. As you enter the building and walk up to the front desk of the testing center, you're required to have your identification reviewed, and a picture, as well as fingerprint, taken. You literally feel like a felon about to enter a jail cell; as if we didn't have enough anxiety as it is. You're asked to take everything out of your pockets and all items placed in a locker, except for your identification. Lip gloss, watch, water etc are prohibited. And if you're like me with wanting a lucky pin nearby, even that is questioned. You then resume to another checkpoint where another individual also checks your identification and fingerprint before entering the 'CAT room'. Thankfully, they offer you earplugs. Although, in some cases, I've heard that earplugs were not helpful being that a fire siren remained nearby. I was lucky the building remained somewhat quiet despite the shuffling of new victims or individuals with GI issues walking in and out of the testing center. The exam has begun. With deep breaths, you sit there as the time goes by, faster than what it seems when practicing with Kaplan. Each question seems hard within itself, which to you, seems like a great sign with hard questions meaning you're above 'the line'. But how does one really know if NCLEX considers this and that question hard or easy? After talking to most GN's, it seems impossible to tell. They ALL seem hard. When the computer reaches question number 75, your heart races as you anticipate the computer to go blank when clicking next. When question 76 appears instead, your heart drops for you fear that you've already failed. You take a deep breath and keep trucking on. You can't give up because people still pass after the 75 marks. (My best friend passed with more or less than 120 questions and another passed at 265.) After this point, you need to just have faith in yourself, only thinking positively. Easier said than done, I know. Question after question, you're anticipating the computer to go blank. Your eyes strain and get tired of looking at a bright screen, but you seem to be used to this because you've been doing this for at least a month now, preparing for the exam. All those Kaplan users out there know exactly what I'm talking about. At the two hour mark, the computer goes blank and your heart races thinking "this is it". Instead, 2-3 seconds after the screen goes blank, a pop-up says a bathroom break is permitted at this time. Your heart feels as though it's palpitating out of your chest because you had thought the exam was over. Instead, you contemplate whether or not you should take a break to calm down, or if you should keep attacking the questions. You decide to keep on going. At this point, you don't even realize what exam question you're on. I was at about 160 something when the screen went blank for a second time. This time, it remained blank and I actually thought something went wrong with my computer. As I was about to raise my hand for assistance, a survey popped up. I had officially finished my examination. With heart racing and hands shaking, you just want to get out of the testing center and call the first person you can think of. Instead, you have to remain for the 20-30 something question survey NCLEX has provided after the examination. By this time, you're sick of answering questions and quickly scan the answers, clicking on whatever deems appropriate within 1 second of seeing it. The exam is finally over. You would think finishing an exam would bring a sigh of relief, but you are wrong! The agonizing continues. Depending on what state you're from, some if not most support the 'fast results' website in which you can pretty much find out the results (PASS or FAIL) within 2 days, that is, with a payment of about $8.00. This is considered unofficial but assumed to be guaranteed. In other states, you find out 2-3 business days via automated phone or by looking at the Board of Nursing (BON) website. This is only a pass result determined by entering your social security number and looking up your license number. If no license number appears when entering your social security number and/or name, you can assume you failed. They also send a letter officially confirming your pass or fail status within 7-10 days through the mail. What a long wait! If you live in a state that does not support the 'fast results' website, like me, you are waiting for what seems like a long time, especially if you decided to take your test during the weekend. After your examination, you literally live at your computer's side with a phone nearby, calling and checking online at every half-hour mark. Each time, the anticipation builds up and the long wait slowly gets taken over by a feeling of impending doom. Seeing Facebook status' being changed to include the words 'RN', only increases the anticipation and anxiety. For me, the time waiting for any sort of result, was mentally and physically draining. I saw more and more of my classmates becoming RNs while I was still waiting on my results and hoping for the best. My anticipation turned into depression with each and every call/online checkup stating no license could be found under my name/SSN. My days were filled with tears with each disappointing day. At one point, I wouldn't even get out of bed. As the days went by with no word of a license number, my gut was telling me I actually failed. It is now day #5 after examination and business day #3. I have been checking the BON systems since the morning, and there are only four more hours until closing time. At this point, I'm almost positive I have failed. With lingering hope, I continue to check their systems for any sort of a license number, but continue to be disappointed when hearing the words "This number does not identify..." or seeing "sorry, no matches were found" when entering my information. I felt alone up until a couple of days ago. There has been no word of anyone failing within my class which makes a person feel awful. But, I came upon the allnurses.com website and fell in love with the tremendous amount of support coming from all angles, and the stories pouring out from other individuals who have also experienced what I have. I then realized, "I am not alone". Although I am still heartbroken from the idea that this exam has caused a setback in my life, I have also realized that I cannot let an exam control it. I realized from reading other heart-felt blogs that I have so much to appreciate for in my life. For one, I am healthy when many are not. I am reminded that my passion for people and helping those in need, is the sole reason why I kept with the 4-year nursing program instead of quitting as some had. My goal is to be the best patient advocate possible, and an exam isn't going to stop me from reaching that goal. I remind myself that I have come this far with a nursing degree in hand. I am just a few feet away from my next goal of achieving a license and becoming a registered nurse. I am a caterpillar dreaming of becoming a butterfly, and I will not give up. If others can do it, I can do it! And so can you... *****************[uPDATE]***************** It is now 5 PM on October 7th, 2009. Approximately 3 months after the first time I've taken the NCLEX-RN examination. Why is today a significant day? I just took my examination for the 2nd time, and the computer shut off at 75 questions instead of the 160 I had originally taken with the first exam. I'm unsure of whether or not I did well enough to pass at 75 or if I did horribly instead. For now, I can only hope for the best, but it's hard when the known statistic for second-time test takers actually passing is extremely low compared to first-time test takers. I'm currently awaiting my results in VA, which are only available on the board of nursing website, hoping to see the results that will enable me to do what I've wanted to do since grade school. To be a nurse! I hope that by changing my studying pattern and having the faith of my friends and family, that I have indeed reached that goal. My prayer goes out to those who not only need it but are also in the same stressful shoes as myself. Only time will tell... 15 hours later...and...I PASSED! How proud I am to say that I'm an RN
  13. NirvanaUSRN

    NCLEX RN Passed

    Hi colleagues. Today is the official confirmation that I passed NCLEX RN. As promised to myself, I will share my experience to all of you who aspire to become a USRN. FirstI applied for Northern Mariana Island Board of nursing last year and I got my eligibility last November. The BON in NMI requires less requirements if you are up to less complicated process but the only down side of it is communication in the said island. I'm just thankful that I have American friends who helped me call to follow up my eligibility in the said island. Their number is quite confusing so you must really need to contact Carol Fleming as she is in charge to it. SecondI started to register in Pearson Vue NCLEX in January 2016 and waited for my ATT and that is 200$. it took 1month for me to get a confirmation that I'm okay to schedule an exam so you just need to wait. I scheduled an exam for May 26 and it costs me 150$ since I'm based in Manila Philippines. So while waiting for my ATT, I made a calendar of what I need to read and do (basically a checklist) ThirdI read Saunders religiously. I did not go to a review center. I did self review for 2months even though it has been 3years already that i did not practice nursing because i work in a different field but saved to save for this exam and career as a nurse. Honestly, my nursing concepts are quite rusty but when i started reading Saunders i got the credits from it as it is basically basic and NCLEX is really theory and book based per se. I also take credits to my knowledge in college most especially to my review center before when I'm doing my NLE because i still can recall the foundation when it comes to diseases. FourthI read the whole chapters of Saunders book and took Kaplan question bank, Lippincott, Huttel, La Charity for me to gauge my scores. My scores are quite good in Saunders and Lippincott and Huttel. Kaplan really has good input I should say on question strategy. It is really hard just like NCLEX RN. LastlyI took my exam last May 26, 2016 at trident tower. I was really doing a mantra 1 week before my exam that i should not be discourage to my score and that whatever happens I just need to feel confident on my answers and stick to it and will not change it no matter what. I prayed a lot that God will send me his Holy Spirit and give me wisdom so I may be able to correctly answer the questions asked. So, I arrived at the testing center 7:40am and I started at 8:45am and I finished the exam at 10:50am. My pc prompt for a mandatory break at question 79 and I utilized it. I thought I would stop at 75 but I did not. I stop at 115 and right from there I claim it to the Lord that I will pass. My questions are more of SATA, saftey and precautions and delegations. I have no computations, no drag and drop.I listed all my topics and questions after i took my exam but I will not share it since it's case nu case experience and before you take the exam you have to consent yourself not yo divulge any information or replicate the said questions. (We must adhere with that). I would say that NCLEX is hard but it is a fair examination. It is more on analysis and I can say that NLE is more difficult for me maybe because I have lots of knowledge that I was so drained with it not thinking of how i can attack the questions. When I took my NCLEX it seems that i can feel that the questions are the things that I expect to see (the flow itself on how it should be asked)so i just let my subconscious work during the exam and it is just like I'm answering my practice questions everyday. Pearson Vue trick--Trust me, this is really logical to say that it is reliable. Please do it after 24hours . You must enter a valid cc I was hysterical when I first tried it because a friend gave me a wrong cc and it prompted me an invalid cc which made me really really sad without thinking that I'm still on page 1 so TIP: use a valid cc and so the trick after 24 hours. We tried it again after 48 hours and in step 2 it will prompt you to SUMBIT--take the risk on this part or wait for quick results if your state participate to it. You passed if you cannot schedule an exam - "our records indicate that you are..." This really make sense now take it from me. My suggestions/adviceKnow your learning curves( if you are good in group or just yourself)Do pretest to gauge yourself before you start SaundersIf you intend to read Saunders read it as if you know nothing:) start from the basicTake practice exam everyday per system and review the system where you score low.Do Kaplan finish it i suggest get the bank question online for 50$Do Lippincott examsDo Huttel questions. It is good for 265 everyday to prepare you mentally for the examThe key here is to BELIEVE in yourself - Do it now do not delay it just trust yourself that you prepared for this exam and put your heart on itI will give you more tips on do and don'ts in taking NCLEX Rn or if you have clarifications you can reach me here.
  14. Background: I graduated from an incredibly competitive, top rated accelerated BSN program a few months back. My gpa was good, bordering a 3.5, I was a class representative at various events, and I was also an ambassador for the nursing school. I say all this not to brag because I was not labeled a person "at risk" of failing the NCLEX (schools who think entirely too highly of themselves do this). As involved as I was, I was still concerned about NCLEX because the classes my school taught the last semester were worlds away from "normal" nursing school. By that I mean, nothing remotely related to patho, med-surg, etc. And while I grasped the more common concepts drilled into us throughout nursing school (right versus left-sided heart failure, COPD, potassium levels and the consequences of their imbalance, etc.) I quickly forgot the ones we infrequently saw (the specific differences and symptoms of UC v. Crohns, complications of maternity as well as norms, different pediatric diseases including Hirschprung's and pyloric stenosis, and all related to neuro). Needless to say, I was concerned when, after a month of graduating, NCLEX studying began. Leading up to NCLEX Round 1: The cost of Kaplan was included in my school's tuition so we were obligated to take the course. My scores on the predictors and q trainers were in the 50s, high to low, and on q bank, I averaged about a 60. I did what they said - 75 questions a day and remediate - but the problem remained that I forgot the little things we had learned very early on in nursing school. Regardless of how poorly or well I did on Kaplan for that day, I never felt like I was learning content; only reviewing how to take the NCLEX-like questions. In the days leading up to the exam, I didn't feel confident and became more of a nervous wreck. I couldn't quite pinpoint what the problem was but I wasn't ready to take the exam and I for sure was confident I'd fail. But, it was scheduled for March 17 and I did anyway. NCLEX Round 1: It's unclear how I even made it through the exam. I entered the room and was blown away by the sterile, office spacey, FBI-y vibe of everything. I didn't know that I was going to fingerprinted, have my phone off in a specially sealed bag, or sitting in a room in a seat that I didn't choose with my back to a woman behind a clear glass window. The entire situation redefined anxiety. Prior to entering, the woman offered me tissues. I took 10 and put them to use immediately. And then my hell began; the timer started ticking and took me through NCLEX-y sample questions. I thought, at first, that I was ok. When the actual exam began, I almost threw up. Initially (for about the first 50 questions), I tried hard to focus on what the questions were asking but I sincerely struggled because, knowing it was an adaptive exam, I was paying a lot of attention to the level of difficulty of the questions. If they got harder, I breathed a little easier; if they got easier, respiratory alkalosis kicked in. It got worse; I went past question 75. While a calm, confident person would think "Oh, the computer still thinks I can do it!" I thought this was really the end. At question 100, I took a break, went to the bathroom, and threw up. I returned and the exam continued.... all the way to question 265! I know odds well and the chances of making it that far are rare. I was zigzagging and the computer wanted to pass me but I just couldn't! My last question was about Coumadin and foods with Vit K. I knew I got it wrong and lost it. I walked out, did the trick, and it didn't work (it let me reregister) and I spent the next hour making everyone in the neighborhood think that my entire family died because I was sobbing and inconsolable. I, mind you, do not act like this most days. When I got my "results" which list each topics by below passing, near passing, or above passing, I was SO mad because everything was near or above passing. NOTHING below. Imagine how I felt. Post Round 1/Leading to Round 2: I took a week of self-pity and loathing and then, reassessed what went wrong and what I could have done better. I realized (both in reading the forums and discussing how I felt with a friend who also failed) that I had had a horrible attitude and serious confidence issues leading up to the exam. I never thought I could do it. Instead, I would read endless forums about failing the NCLEX. It was toxic and took a toll on my self-esteem. I addressed that by saying to myself, twice a day, that I COULD pass, that I AM an awesome nurse, and that, at the end of the day, this is really just an exam. We, as nurses, are going to be dealing with incredibly sick people and an adaptive exam is dumb and only gives us a license. Doing both these things helped me tremendously. I also made it a point to visit my best friends in the surrounding states because they were the ones who helped me and had faith that I could do it. I'm big on energy and I needed to absorb that kind. Regarding studying for the actual exam, I invested in what I consider to be the MOST hilarious and useful review ever - the Hurst review. I live up North and learning about content in a humorous way with a southern accent totally did the trick! It broke down everything I was concerned about by topic, and because there are online lectures, you can listen to them as many times as you want. There are also worksheets which help to drill in content one sees on NCLEX. I called Kaplan and while they said they couldn't reset my scores, they gave me back another shot at the readiness test (the first time, I had scored a 52% on it and that was in early January. I intended to save it for the day before NCLEX). Whereas the first go, I was doing 75 questions a day and remediating, this time, I was studying 2-3 hours a day and also doing practice questions. I took out a few books from the library and also had the Lippincott book on hand. I did like 50 questions in the morning and 30-50 in the evening; so, around 150-200 ?s a day. My friend and I did it together and would teach each other the content. Talking it out helped for the exam because it simply helped me remember. My scores on everything were high; the minimum across the board on any exam or book was a 60. On the readiness test, which I took the day before, I scored a 71%. I was stoked. Over the 45 days that passed - that's all I took - I became more excited. Rather than dreading the NCLEX, I looked at it like a marathon that ultimately, made me a better nurse. My friends and family also noticed that I had become a happier, calmer person. NCLEX Round 2: I couldn't sleep the night before. I remembered little things I had seen the first time that I forgot to review like EKGs, baby lab values, etc. and ended up going to bed at 11 p.m. but my nerves kept me up until 3. When I awoke that morning, I made a few decisions. The first was that I would never wake up that early for any exam, ever; the second was that I was becoming a nurse that morning; and the third was that I was finishing that exam in 75 questions. I was also ready for the fingerprinting and all and arrived as early as I could! I started at 745 and ended at 11 with 75 questions. As impatient as I am, I knew the value of spending a significant amount of time with each question. I (truthfully) didn't know one topic and that was how to do a Z-track. Everything else I had learned from Hurst or seen a similar question in Kaplan. I felt good because I knew my stuff inside and out. Unlike what most people say, I think you know when you've aced it or bombed it. I knew, when the computer shut down, that I kicked butt. I had 28 SATA, 1 bizarre body picture question, 5 put in order, and the rest, multiple choice. I took each question for what it was and reminded myself consistently to breathe and to gain perspective; there were far more important things going on in the world and I was sitting in front of a computer, taking an exam. It helped! I did the trick after, and got the good pop-up! I recommend having a bathroom nearby... that was SO scary. Post NCLEX Round 2: Two days later, I paid the $7.95 and saw "Pass." It felt AMAZING and I realized the experience made me a much better person. I would never wish the anxiety, self-doubt or deprecation that I experienced on anyone but I think it needed to happen so that I would, at the end of the day, become a better nurse and person. I know the content for NCLEX better than most and I'm proud of that because when I do start working, I'll be able to assess my patients better. Job wise, I have interviews at two major hospitals and couldn't be happier 🙂 My can-do attitude now applies to pretty much everything; next project - fixing a car! Why: I wanted to share this because I know, I've been there, and I NEVER thought it could happen to me. But it did, I survived, and I am devoting my nursing work to helping us manage this test and other anxiety! Good luck to all out there and shoot me a message if you need a pep talk. I promise to give you a good one!
  15. Let me start by disclosing some background information to enable readers to paint a mental picture. I completed a 12-month LVN program back in late 2005 and passed the NCLEX-PN with the minimum of 85 questions on my first attempt by using the Saunders Comprehensive book for self-review. After working as an LVN in long term care for three years, I returned to school in early 2009 and graduated from an RN completion program in March 2010 which resulted in the conferral of an associate of science degree in nursing. I knowingly enrolled in an RN bridge program at a private for-profit school that had consistently low first-time NCLEX-RN pass rates; however, the schedule and time frame being offered were convenient for me. To give readers an idea of just how low the pass rates were, this particular school of nursing had a first-time pass rate of 47 percent in 2007. The 2008 first-time pass rate slightly increased to 56 percent, and the 2009 pass rate was not much better. In case you are wondering, the state board of nursing did eventually place this nursing program on probation as a result of the dismal NCLEX-RN pass rates of its former students. Live Review Through Kaplan? The nursing program that I attended offered a four-day live review through Kaplan free of charge to all students, and although I was in attendance all four days, I felt it did not provide the content review that I believed I desperately needed. My friend had attended a four-day live Hurst Review session in Alabama back in 2005 while studying to take the NCLEX-PN and had nothing but good things to say about her experience, so we both made plans to attend as part of our review for the NCLEX-RN. Live Hurst Review Session My friend and I both reside in the Dallas/Fort Worth area of Texas, but decided to make the 300+ mile drive to a live Hurst Review session in a small city in Arkansas. We stayed at a hotel during the four days that we were in town and managed to conjure up a mini vacation out of our time in this economically depressed city. We attended the live review from March 31 until April 3, 2010. Is Hurst Review worth the money? I thoroughly enjoyed the live Hurst Review. The instructor was an elderly, experienced critical care nurse who had a sense of humor, a passion for nursing, and a flair for teaching things in a simplified manner. The Hurst Review provided excellent content review. In fact, I ended up learning facts and tidbits that the instructors at my former school of nursing had never covered. In my opinion, the review filled in many of the knowledge gaps that my abbreviated nursing education left. The nicest part was the fact that the instructor employed techniques that helped attendees to easily remember all of the nursing content. To keep a long story short, I passed the NCLEX-RN on May 11, 2010 on my first attempt with the minimum of 75 questions. Even though I attribute much of my success to my hard work, the Hurst Review was a major tool that helped me fight the uphill battle. My friend, on the other hand, took NCLEX-RN during the same week and failed with 265 questions after having reviewed with both Kaplan and Hurst. However, she did not study the test materials properly or put in the necessary time. Use Hurst Review For Comprehensive Review of Nursing Content In a nutshell, I would definitely recommend the Hurst Review for any student or graduate who needs a comprehensive review of nursing content. Kaplan is excellent for test taking strategies, but the Hurst Review is stellar for teaching the content in a manner that is easy to absorb. Video by Hurst Review Related Topics Anyone take the Hurst Review for NCLEX? Is it worth the money? Hurst Review Opinion? Hurst Q-review questions Hurst Review vs. Kaplan
  16. I am a graduate of Bachelor of Science in Nursing in 2006 here in the Philippines. This is my second college degree and my first was Hotel and Restaurant Management. In June 2006, I took the Philippine Nurse Licensure Exams and passed. However, the exam was tainted with controversy and I surrendered my license and retook it in June 2007. I passed again with flying colors in 2007. After passing, my next step was taking the CGFNS as a requirement for applying licensure in Michigan BON. However, I failed. In January 2008, I applied for Vermont BON and they approved my documents. In May, I also landed in a hospital job. I had only a limited time to study because I preferred to take some sleep and I handled 7 to 9 patients in every shift. I also got unmotivated to study because I felt that I was bullied by my colleagues and the Infectious Disease doctor. However, I set a schedule to take the exam in March 2009. My world got devastated in Sept. 2008 when my father suffered a stroke. Mom and I took care of him hand in hand. I resigned from work in Oct. 2008 to help my Mom in taking care of my Dad. Then came March 2009 and I took NCLEX. However, after 256 questions, I failed. During that time, I felt heaven and earth fell on top of me. I tried to reapply for a retake in VT BON but they told me to take a review course. I paid US$275 to retake. After a year, I kissed $275 goodbye. I wasted it because I don't have time to attend a review course due to my new job as a call center agent for a hotel chain, which is my current job. Still, I kept on reading and browsing my only reviewer, which is the Saunders Comprehensive Review for NCLEX-RN. My father died in 2013 and I decided to take the NCLEX-RN exam again. This time, I applied for licensure by exam in Michigan BON, my Aunt's home state. Two of their requirements were a headache for me: fingerprint card and the CES credentials. It took me 1 1/2 year and a payment of $400+ that was wasted to complete the 2 requirements. Finally, in July 2015, MI BON gave me an approval to take the exam but I was not prepared yet. It took me until Dec. 2015 to decide when to take it and I firmly made a decision to take the exam on March 8, 2016 here in Manila. Since that I am also working on a night shift duty, I only have 2 hours daily to study. Oftentimes, I do not follow that routine because I always feel tired everytime I arrive from home. Two and a half weeks before March 8, I decided not to read Saunders anymore and proceed to answer practice questions via Saunders website. I only answered 2500 questions because I was running out of time. On the day of the exam, I arrived in test area early. When I sat down before taking the exam, I said a short prayer. My exam was full of multiple choice and SATAs. When I reached the 75th question, I was hoping that the computer would shut off after. However, it did not! I got rattled because it was another set of multiple choice and SATA questions. My brain was already drained and I knew I would fail. The computer shut off after question no.139. I felt devastated after the exam and I called my Mom and my younger brother in San Antonio, TX to purchase the Quick Results because I do not want to prolong my agony of waiting. Two days after March 8, Mom sent me a message that I passed. At first, I did not believe her but when I opened the NCSBN website, it was true that I PASSED!!! A few hours later, I opened the MI BON website and I saw my permanent license number. Now, I am waiting for my license to be mailed and I do not care on how long I will receive my license for as long as I knew, I PASSED! I would like to share some tips on how you can pass and I hope these will help you: 1. Always use one reviewer only. If you have 3 reviewers, read them one at a time and weigh it to yourself on which among the 3 will give you more chances of gaining information and that you can rely on. When you made a decision in which one, please review that reviewer or manual ONLY! In my case, I only used Saunders. 2. Allot Study Time If you are working, whether you are in a hospital setting or not, and you want to review (just like me!), when you get home, allot 2 to 3 hours of your time daily and make it as your study session. Refrain from browsing your FB, Instagram, Viber or any social media account, otherwise, you will get addicted browsing your FBs or social media account instead of you are allotting your time to review. If you feel sleepy because you get tired from work, take some rest first and set your alarm clock on what time you are going to study. You may spread out the 2 to 3 hours, especially during your day offs or rest days. 3. After reading, do practice questions. One website suggested that you answer at least 4000 to 5000 questions. Again, spread out your time to do practice questions. For example, if you have only 30 days to prepare before your exam, you divide 4000 questions to thirty days and that is the number that you have to answer in a day. If you are using a Smartphone, upload apps that have NCLEX based questions. Some apps are free. Again, refrain from browsing your social media accounts and do the browsing after review. 4. One to 2 days before the exam, STOP REVIEWING EVERYTHING! Go out and chat with your friends personally or via social media. On the night before your exam, sleep early and get at least a continuous 8 to 10 hour sleep so that you will have lots of energy on the day of your exam in case your computer has not yet shut off on the 75th question. 5. Finally, PRAY. Believe in the power of prayer. Do not be selfish that you are praying that you only pass the exams but also pray for others who are also taking the exam at the same time as yours that they will also pass. If you are an atheist or a spiritual person, wish them good luck. I hope that with my sharing, I inspire people not to lose hope and they will pass the exams at a right time. Now, I'm planning to return to Nursing profession and I will proceed to the Philippine Nurses thread of this website and ask if there are hospitals here Manila with a Nursing refresher course with IVT training because it has been 8 years since I have worked in a hospital setting. Please excuse my English because this is not my first language. GOOD LUCK to all who will be taking the NCLEX in days and months from and I hope all of you will pass and have that precious license in your possession.
  17. retired_prtygirl

    On Being a Nurse By Destiny

    I graduated in 2006, from a prestigious school in the Philippines. I was a humdrum student then, not very booksmart but I made grades good enough not to get kicked out of my college. I passed college and proceeded to taking the NLE. I was lucky to pass that exam as I remember it was pretty difficult for my brain but voila! Luck. Most Filipinos are well aware of the 2006 board exam leakage, so if you took the exam during that year, you have three options, Just trust your original exam and hope that employers both in the P.I and abroad will not take notice of Take a quarter of the exam where there was a leakage on Take the whole exam again. My friends decided to take the whole exam again and dragged me into it. I was working full time as a nurse then so I did not have the time to study my bum off . I prayed to God that if I don't pass this time, that means I'm not meant to do this thing. LO and behold! I passed again! I was like okay I'm meant to do this. Two years later, as I was going back to the nurse's station, I passed the staircase and I had that thought of just running away from the hospital. I realized, I did not want to do this anymore. I was always tired and going to work started to feel like it was a chore that I did not want to do. I was reviewing for IELTS then for plans of going to the UK for a greener pasture. I got the NURSE burn out. The next week, I applied for another job. I decided to try to become a Flight Attendant. My older sister was a F.A. already so I was interested. By another whip of luck I got accepted , It was a tumultuous journey, I was not in great shape, my hair was blonde when my natural hair color was dark brown (I had to get it colored the day before the open day) I was fairly short compared to many but out of 14,000 aspirants only 15 was accepted for that day, I was one of them. My life decided to go to a different path and then again, I thought, I was meant to do this! screw being a nurse. In less than a month, I flew out of the country to venture on my new found path. I am now a flight attendant, I will love this job and this is what I was meant to do. or so I thought..(again) So there I was travelling the whole world for free, visiting places I never thought existed and see. I was having breakfast in London, lunch in Milan, dinner in Berlin. (This was a line from my previous airline to pull in some new applicants which was true just not on the same day.) In my days off, I would party like there's not tomorrow, live like nothing's gonna stop me. I get to experience how to live like a princess in some points, I did extreme sports, traveled to great destinations using my 90% off tickets, shopped like crazy, spent on shoes purses, jewelry etc and I did not save anything thinking I'm gonna be like this forever, I was selfish and I just thought about myself. I'm meant to do this, this is my destiny. Then a crazy thing happened. I got pregnant. In the country I was residing in, it was great deal if you're not married and you've got a bun in the oven. Rumors were if they found out you were pregnant and unmarried, you will be sent to jail, will have 100 whiplashes on your back, keep you in until you give birth and put your child up for adoption. Imagine the stress of keeping my baby in secret as I needed a month to fix all my stuff for resignation. I was showing when I left. I wasn't aware that I was pregnant until almost two months (what a nurse), I had my tight uniform adjusted twice to hide my belly. I made it back home to my lovely Philippines safely. So me and then BF decided to go back to the country as his work was still there, we made all the necessary paperwork and we forgot one thing. We still weren't married and we are not allowed to be staying in one house as the country law states. We needed to get married, I did not want to ever get married though. The thought of it gives me chills through my spine. But things change and Love does really make you do crazy things. We got married in the US as my husband (now) is an American. Plan was to get married, send paperwork to the Muslim country, go back there when were approved and my career would be a question mark. That never happened. My husband also tried to get work here in the US and by some weird luck again he got one and he got it fast. After making the necessary adjustment, we decided to live here and I felt like I needed to be a housewife. For two years again, I was the dainty housewife, learning my way from zero. I don't know how to do anything. Laundry, Ironing, cooking, taking care of the newborn, being a wife, its all new to me, everyday I feel like my head is going to explode because I have no idea of what I'm doing. I'm so clueless that there was a time burned the upholstery of our couch because I used an iron to dry the wet stuff on it. My self esteem was at it's lowest, I was losing my baby weight slower than usual ( even though I was breastfeeding), I feel ugly most of the time, I felt worthless. I felt like I wasn't doing anything with my life. I was never inside the house this much. When I was asked what do I do for a living I would always say, I'm a bum, I don't do anything. But one thing that I keep on forgetting is that being a mother is a task and a blessing. There are no day offs. Its a continuous process and seeing your baby smile and laugh and be the best he can be is comforting. More than any job can offer. I can't even believe I'm saying this because well, I never thought it would happen to me. Even though I've already settled in being a housewife, I never lost that itch or drive to be something else. I wanted to become a 2.0 version of me all the time. I wanted to become a better me, a better mother , a better wife and a better person for everybody else, I want to help and touch lives again. As I was thinking these thoughts, what better way to upgrade myself other than being a nurse? After all I'm still a nurse at heart, its just I've become rusty and clouded. I feel its still there. I decided to take the NCLEX. I studied for almost a year, on and off, studying, juggling my way between taking care of my child and being a wife. And also losing weight. It wasn't easy. One of the most stressful events in my life. NCLEX was a toughie, I had to learn and relearn all my principles and rationales, I had no nursing experience for 5 years prior to this. my head was blank. and I was questioning myself am I really meant to do this again or am I just pushing it. Starting from step 1 all over again, I inched my way back to the world of Nursing, my first love. I had sleepless nights, weeks. I had to study at night when everybody was sleeping and all the chores were done. There were times I just couldn't do it, since things just kept on happening. I had to wait for my paperwork from the P.I to be sent here which took months and then one day I applied for my ATT, got approved in less than a week, I had to take my NCLEX in less than two months. I was armed with nothing but a Saunders and Mnemonics book.I prayed again to God, If this was meant to be, I will be able to pass. I took the online Kaplan Course for the last month before NCLEX. IT wasn't cheap but it was definitely worth it. It was a big help. Most of the Qbank questions are NCLEX like compared to the other review materials I found. Everyday I was answering more than a 100 questions, I'm a fast test taker and I finished the Qbank a week before my exams. And I was like what am I supposed to do now. Nothing but pray and hope that things will turn out like how destiny planned it to be. The day of the exam, I got there early and settled in early. I was ready but not ready. I was ready because I'm tired of reviewing and I just wanted to get it done and over with. I wasn't ready to fail though. Took the exam with whatever brainpower I've got and found myself crying in the middle of the exam. I have no idea what these questions are about. I'm doing horrible. 75 questions rolled in. and the screen didn't turn blue. I turned off the number counter and just endured the hard questions like I'm Thor. I lost track of the numbers and then it just shut off. I feel like it was a 100 since I checked it at 80 something. I took off with a heavy heart. ready to tell the world. I failed myself. Almost a day had passed and I did not want to do the PVT trick. I felt like it was just going to increase my anxiety at that point, I'd rather see the real results from the quick results than rely on something that's just a trick. That I night I dreamt of opening my quick results on Pearson Vue. when I clicked submit, the site says "worried" not pass or fail. My brain works in funny ways to mock me. Here comes Saturday the day of doom. I sat in my front of my computer, took a deep breath and whispered a silent prayer. I prayed to every single religious entity I can think of. Jesus, Buddha, Allah, the Gods of India. My husband was holding my hand as if were waiting to become Powerball winners, we clicked submit together. I was covering my eyes then. Then I fell to the ground. PASS. I thanked everybody who prayed and encouraged me that day. MY husband, my almost two year old son, though he just wasn't the best study person to be with( he wants to play all the time) Kaplan, Saunders. It was again a stroke of LUCK for me. This vocation is still in my veins, runs in my blood. Im still a nurse! But this was just the beginning, as I haven't practiced for my than 4 years, I needed to take a foreign refresher course for six weeks in order to obtain my US RN license but all is well and done. I'm going to embark on my sort of new journey with high hopes and tons of Luck as usual. Thanks for reading my uber long story, hope this will bring good vibes.
  18. WHAT DOES THE RESEARCH SAY? Google “How to pass the NCLEX-RN the first time” and you’ll get many results, some of them more reliable than others. You’ve learned in nursing school that it’s important to look for evidence-based resources, so I thought I’d back up my NCLEX success tips with hard facts. Evidence for educational strategies that support NCLEX success is rare, but there are some studies out there with interventions that correlate with NCLEX success. Success on the NCLEX-RN actually starts before admission to nursing school. Studies have shown that pre-admission scores on reading and math assessments, pre-clinical GPA and scores on the NLN-PAX-RN are all predictors of NCLEX success.1, 2 Several studies stressed the importance of setting up a test preparation plan and sticking to it. A few hours each day of nonnegotiable study time is crucial. Put it on your calendar.2, 3 A qualitative study asked nursing students what they thought contributed to their first-time success on the NCLEX-RN. She interviewed 12 students and grouped their responses into four categories: 1) practicing NCLEX-RN questions; 2) nurse clinical experiences; 3) receiving support; 4) participating in an NCLEX-RN review course.4 Another study was an evidence-based education project with BSN students. They provided students with coaching, test-taking strategies, study groups, review courses, review books, self-assessment, as well as time management, relaxation and anxiety reduction techniques.3 There are many comprehensive exams that mimic the NCLEX (Often called RN-CAT): Mosby, NLN, HESI, ATI all assess preparedness. There is a correlation between scores on standardized exam like HESI or ATI and passing the NCLEX. 1 NCLEX-RN FORMAT Multiple studies mentioned the importance of understanding the test format, so let’s review1, 4: You will have between 75-265, and that includes non-scored experimental items. You will also have 6 hours. As I am sure you know by now, the test is adaptive and the length of the exam and the specific test items depend on the candidate’s knowledge level and ability. If you get one right, a more difficult item is next. If you get one incorrect, an easier item is next. The test is scored with something called a logit, a unit of measure used to calibrate items. It is a prediction of the probability of an event. The higher a person’s ability relative to the difficulty of an item, the higher the probability of a correct response. This means the computer can make a pass/fail decision with 95% confidence. The idea is to determine at what point the candidate is answering items correctly about half the time. After item 75, the computer calculates the standard error to estimate candidate competence. If it’s at or above competency, the computer shuts off. If it’s below, the computer shuts off. It only keeps going if more items are needed for a statistically significant measurement. Two things can happen to cause the computer to use the last 60 items to estimate your score: you reach 265 questions, or time runs out.2 HOW TO FAIL Students who failed the NCLEX-RN the first time, identified inadequate study habits, lack of knowledge about how to prepare for the exam, difficulty setting priorities and poor test-taking skills. Students felt most prepared for patient priorities and delegation and least prepared for maternity/newborn, pediatrics and pharmacology.1 There are some factors beyond your control. If you are a student who is experiencing English as a second language, if you have educational deficits, a low preclinical GPA or test anxiety, studies show you are more likely to fail the NCLEX-RN.1,2 In addition, there is a strong relationship between a delay of more than 3 months post-graduation before taking the NCLEX-RN and failing.1 PRACTICE, PRACTICE, PRACTICE I know you’ve heard this so many times from your professors and your friends, but it’s true. The more questions you do, they better you’ll do on the exam. It’s important to understand question structure and use practice questions to prepare. Practice questions force you to analyze the stem and understand what the question is asking. You’ll improve if your practice questions have the rationale for content and for incorrect answers. SAMPLE QUESTIONS ONE A client had an IV started at 0900. At 0930 the client rings to complain of shortness of breath. The client has a blood pressure of 90/60 mm Hg from a baseline of 130/82 mmHg, and a pulse of 110 beats per minute. Which of the following should the nurse do FIRST? Check the IV tubing for air bubbles Assess the IV tubing for loose connections Clamp the tubing and turn the client on the left side Raise the head of the bed Rationale: This client is showing signs of air embolism, which is a complication of Intravenous therapy. When a client complains of shortness of breath, there is a need for immediate intervention, and no further assessment is required. The correct interventions for air embolism include: clamping the tubing, turning the client on the left side with the head of the bed lowered to Trendelenburg to trap the air in the right atrium, assessing vital signs and breath sounds, administering oxygen and notifying the HCP. Complications of air embolism include shock and death. Options 1 & 2) Checking for air bubbles and loose connections are correct prevention activities, but do not address the presence of a presumptive air bubble already in the client’s bloodstream. Option 4) Raising the head of the bed may cause the air embolism to migrate to the lungs or brain. The correct answer is option 3 Competency: Pharmacological and Parenteral Therapies, IV Therapy Hinkle, J. L. & Cheever, K. H. (2018). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (14th ed.). Philadelphia, PA: Wolters Kluwer. Pg. 291 Taylor, C., Lillis, C., Lynn, P. & LeMone, P. (2015). Fundamentals of Nursing (8th ed.). Philadelphia, PA: Wolters Kluwer. Pg. 1510 TWO A nurse on an oncology unit receives verbal report about four patients. Which client will the nurse see FIRST? A client with a total serum calcium level of 10.8 mg/dL, complaining of fatigue and nausea. A client with a temperature of 100.1 oF and a neutrophil count of 950 neutrophils/mcL A client with lymphoma who has shortness of breath, edema of the neck and arms and difficulty swallowing. A client with metastatic breast cancer, complaining of throbbing and aching joint pain and a platelet count of 50,000/mm3. Rationale: 1 & 3 are oncologic emergencies, however, option one indicates hypercalcemia, which is potentially life-threatening metabolic abnormality resulting from calcium release from the bones exceeding the ability of the kidneys to excrete calcium. Symptoms include serum calcium above 10.1, fatigue, weakness, confusion, polyuria, nausea and vomiting. Answer option three is a true oncologic emergency that can progress to cerebral anoxia, bronchial obstruction and death. Signs and symptoms of Superior Vena Cava Syndrome (SVCS) include dyspnea, edema of neck, arms, hands, skin tightness, difficulty swallowing, distended jugular veins and increased ICP. SVCS is associated with a diagnosis of lung cancer and lymphoma. It Option two indicates a client who may be developing neutropenic fever, which is associated with any temperature of 100.4oF and a neutrophil count of <1000 neutrophils/mcL. This client has the potential for developing an emergency but is not a priority. Option four indicates probable pain from bone metastasis. It is important to treat pain, but it would not be the priority. The platelet count is low, but not low enough to be associated with spontaneous bleeding (<20,000/mm3). The correct answer is option 3 Competency: Management of Care, Establishing Priorities, Oncology, Evaluation Hinkle, J. L. & Cheever, K. H. (2018). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (14th ed.). Philadelphia, PA: Wolters Kluwer. Pgs 372, 377, 382 Taylor, C., Lillis, C., Lynn, P. & LeMone, P. (2015). Fundamentals of Nursing (8th ed.). Philadelphia, PA: Wolters Kluwer. Pg. 1482 THREE The nurse is assessing a client for the possibility of pregnancy. Which of the following statements by the client indicate probable signs of pregnancy? Select all that apply. “I’ve been nauseated every morning and I haven’t had a period in two months.” “I’m just so tired all the time.” “I took a pregnancy test and it came up positive.” “My breasts are much larger, and my nipples are sore.” “I’ve been having irregular contractions.” “My boyfriend felt the baby moving.” Rationale: Options 3 & 5) are probable signs of pregnancy. Although probable signs suggest pregnancy and are more reliable than presumptive signs, they are still not 100% reliable in confirming pregnancy. Options 1, 2 & 4) are presumptive signs of pregnancy. These are the least reliable indicators of pregnancy because any one of them can be caused by conditions other than pregnancy. Amenorrhea can be caused by early menopause, endocrine dysfunction, malnutrition, anemia, diabetes mellitus, long-distance running, cancer or stress. Nausea can be caused by gastrointestinal disorders. Fatigue can be caused by anemia, stress or viral infections. Breast tenderness can be caused by chronic cystic mastitis, premenstrual changes or use of oral contraceptives. Option 6) Palpating for fetal movements is a positive sign of pregnancy when performed by an experienced healthcare provider. Fetal movements that have not been confirmed by an experienced practitioner are considered presumptive signs. The correct answer: options 3 & 5 Competency: Health Promotion and Maintenance, Health screening, Antepartum, Assessment Ricci, S. S., Kyle, T. K., & Carman, S. (2017). Maternity and Pediatric Nursing (3rded.). Philadelphia, PA: Wolters Kluwer. 363-364 Taylor, C., Lillis, C., Lynn, P. & LeMone, P. (2015). Fundamentals of Nursing (8th ed.). Philadelphia, PA: Wolters Kluwer. Pg. 1665 FOUR The nurse has been teaching a client about a new prescription for carbamazepine (Tegretol) for tonic-clonic seizures. Which of the following statements by the client indicates need for further teaching? “I should call the doctor if I notice a rash or blurry vision.” “If I experience nausea or blurry vision, I should stop taking the medication immediately.” “I need to take the medication with food, but not with grapefruit juice.” “I need to take the medication twice daily at the same time each day.” Rationale: Option 1) Toxic effects of carbamazepine include severe skin rash, blood dyscrasias and hepatitis. Visual disturbances and serious skin reactions should be reported. Option 2) Client education about carbamazepine includes teaching that medications should not be discontinued, even if adverse side effects occur such as rash, dizziness, nausea or blurry vision; however the healthcare provider should be called if there are adverse side effects. Option 3: Giving medication with meals can reduce the risk of GI distress, however grapefruit juice may increase absorption. Option 4): Strict maintenance of drug therapy is essential for seizure control. The correct answer is option 2 Competency: Pharmacological and Parenteral Therapies, Adverse Effects/Contraindications/Side Effects/Interactions, Evaluation Hodgson, B. B. & Kizior, R. J. (2014). Nursing Drug Handbook. St. Louis, MO: Elsevier. Pgs 180-182 Hinkle, J. L. & Cheever, K. H. (2018). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (14thed.). Philadelphia, PA: Wolters Kluwer. Pg. 2000 FINAL ADVICE Take advantage of end of program review options. The NCSBN offers an online review course of 3, 6 or 9 weeks – the candidate has 24/7 access to material. Since the NCSBN is the organization that “writes” the NCLEX, I think this would be the one to take if you had to pick just one.5 The most important thing you can do to increase your chances of passing the NCLEX-RN is to accept responsibility for your success. For more tips and tricks, check out another article I wrote – it will lead you through strategies for understanding the stem and choosing the correct answer option: Are You Ready for NCLEX? Think PATIENT SAFETY and You Will Be!
  19. Every nurse dreads the day they have to sit down and take their boards, aka the NCLEX. This exam is built up in the minds of nursing students all over the world. Personally, I imagined this test being a huge green monster with snotty mucus, only one top tooth, and a grimace to scare any small child. In reality, the NCLEX is an exam that can be as short as 75 questions or as long as 265 questions. The kicker? You ready for this? At any time between 75 and 265 questions the computer will shut off, ending your exam. With no sign of whether you passed or failed. THE HORROR! Well, I am here to tell you all about my NCLEX experience. The studying, the test taking, and the dreaded 48 hours waiting for my results. First, let me tell you a little bit about my nursing program. I went to nursing school in an accelerated program as a second Bachelor's degree. I chose a small, Catholic school (although the religious affiliation has nothing to with any of this) in the Bronx with a picturesque campus and a nursing school that accepted both myself and my cousin. The beauty stops there. I know most nursing students will claim their program is disorganized, late to tell students any important information, and has the worst teachers EVER. Well come to find out this dreaded trifecta culminated with the nursing program at this school (I am withholding its name for good reason). It started with a professor who nearly failed half of the 32 students in the program...in NURSING FUNDAMENTALS. Then moved on to waiting until the night before clinicals started to learn our placements. With a final resting stop in the financial aid office. Weekly. But I digress, you are not interested in my terrible nursing school. Instead you want to know how I passed this slobbery, wart-filled green monster known as the NCLEX. Let me continue.... I graduated Nursing school in mid-December and took a couple of weeks off to spend the holidays with friends and family before I began studying. Let me preface this with the fact that I graduated nursing school with a FANTASTIC job offer contingent on me passing this exam. NO PRESSURE!! Anyway, my nursing program utilized the Kaplan study program throughout our nursing degree. At the time most student dreaded taking these exams as they were usually on the same days as our final exams. I never really cared about Kaplan nor did I take it very seriously. That all changed when the calendar turned to 2016 and I was faced with an unknown test date and one shot at not completely messing this up. (If you only care about my test taking tips and nothing else, skip to the end. The next few paragraphs are truly only helpful for people getting ready for the test.) The first few days of studying I was puzzled, staring endlessly at notes I had taken throughout nursing school, study books filed with 1000s of questions, and a Kaplan website that claimed they held the "key to success." Well I decided I'd begin with a content review. I watched endless hours of videos Kaplan provided, bored through the Saunders review book, and hyperventilated my way through reviewing topics covered in Nursing school. As I reviewed content I created a binder filled with all of my notes, tips, tricks, and mnemonics to help me remember random tidbits. Once my "brain book" was created, I decided practice questions were the next logical step. Now that I was supposed to know all of my content, I needed to put all that information to good use. So enter the many weeks of practice tests, practice tests, and...you guessed it; MORE practice tests. My scores were average, never reaching above an 80 (and boy I was pleased with that!). By week three, the panic had certainly sunk in. If only I knew then what panic and anxiety I would truly experience. HA! I worried that putting all of my marbles in the Kaplan basket (or drinking gallons of the Kaplan Kool-Aid) was going to royally screw me over when I went to take my test. So onto step number 17 of this miserable experience. I purchased a three week subscription to have access to EVEN MORE PRACTICE QUESTIONS from the writers of the actual test. This helped minimized my panic at the time and I felt the questions were actually pretty helpful. I studied in total for 6 weeks. 4 on my own and 2 with my cousin. But nothing and I mean NOTHING could prepare me for the horror that this exam brings to the minds of so many young, impressionable, terrified baby nurses. I took the exam (on a Wednesday) and the computer shut off at 75 questions. I had only 9 "Select All That Apply" questions, no Med-Math, no ordering; NOTHING. And the grand finale....I had 3 questions on the Exact. Same. Topic. (Closed MRIs to be exact). I was sure, let me repeat SURE that I had failed. To compare, my cousin (who took the test on the same day) also had 75 questions, but instead had 20+ select all that apply questions, a few ordering AND med-math. The questions I had were NOTHING like either of the practice questions provided by the two companies I had invested in. I walked out of the testing center feeling like a horrible, embarrassing idiot who not only failed this exam but also lost the job opportunity that I had moved 1000s of miles for. PLUS I failed in the most EPIC way possible, with the minimum amount of questions. That meant that I screwed up so badly that the test decided I was nowhere near a competent nurse. Have I told you I was SURE I had failed. Boy I was in a FOUL MOOD. When we got back to our apartment I searched and searched online for people in the same boat as me. BIG MISTAKE. I cried, on and off, for 3 days. While I waited for my results. 2 days later (a Friday) we were refreshing our computers every hour waiting for our results. We had people from our new job calling to check and see if we'd passed or not. And we knew our family was waiting with baited breath as they were almost as nervous as we were. FINALLY, both of our results became available. And every time we had to click something on the results website, we would count to 3 and do it at the same time. The agonizing seconds after we clicked "submit" felt like hours. We both looked at each other with shocked faces. And finally 2, maybe 3 seconds had passed and we asked each other what had happened. When we both screamed "I PASSED" There were tears, laughter, screaming, dancing, and jumping!! I have never been more ecstatic (and surprised). The best feeling in the world was right before we called our families. We were the only ones who knew we had passed. It has been a little over a day since I found out that I was officially Nurse Paige and it still feels surreal that on Monday our new job starts and we will be caring for little humans (in the pediatrics department) My Advice To All You Test Preppers Go with your GUT I cannot stress this enough. Yes, I had three questions on the same topic, asking the exact same thing. And each time I chose the same answer. I was sure I was correct (and who knows if I actually was) but I went with my gut choice on each question. Study with a buddy Your parents and friends may offer to help but the best help will come from someone who is equally as terrified and afraid of this exam. Invest in Kaplan The best part wasn't actually the content review. It was the review to questions where this awesome lady named Barbara walked you through hundreds of practice questions to show you how to get the correct answer without knowing much. I don't know if Kaplan made the difference between me passing or failing, but I do think they explain things well (although the do miss some big topics) Do what you want the day before the test Everywhere I looked told me to take the day off before my exam. However, this was not me; and this was not how I had studied or prepared for any of nursing school. So, I studied up until hours before the exam (and was completely OK with it). You are going to freak out after the exam You may think you passed or you may think you have failed. Accept the fact that you have to wait 48 hours before receiving your results. It's terrible. There is nothing anyone can say to make you feel better about yourself. You may cry, you may laugh, but in the end we all wait those dreaded 48 hours. It's ok. Do whatever feels right. See a movie, clean the house, make homemade cookies (or like me, do all three of these things in between your mental breakdowns and anxiety attacks). Finally, you've got this. You have studied for this. And if all else fails when prioritizing who to take care of first after a fictional tornado, don't choose the person who hasn't been breathing for 10 minutes (He's already dead). I know this from personal, practice question experience.
  20. Like many others, I told myself when I pass, I would also share my experience and give back. (this is a long story and for those who could not sleep after hours of studying, like me) First off, I was born and raised in California and I graduated with a BSN from the Philippines in 2014. I am married with twin boys in Kindergarten. Here is what I did to study: First I had to get organized, I printed a blank schedule with times and filled in time slots of my day, which included waking up at 7am, getting the boys up and ready for school and making breakfast for the family. Then I headed to the local library to study. I knew I was to take my exam at 2pm so I studied till 12pm and headed home to eat lunch. At home, at 1pm I did practice tests until it was time to pick the boys up from the bus stop at 3:50pm. After that, we did their homework, made and ate dinner and put them to bed at 7ish. After they fell asleep, I'd do household chores. Then I'd help my hubby get ready for work (He works PM). After he left for work at 10:30ish, I'd study some more until 2:00am. Last Year in November, I enrolled in Kaplan. I completed Phase One - Before Class in a month which included Question Trainer 1,2,3 and Online Content Review. In December I attended the 4 day live review and completed Phase Two . Parts of December , all of January and the beginning of Feb, I completed Phase three. I did all 1,300 questions in the qbank plus the sample tests and the rest of the question trainers. I followed what Kaplan recommended which was space the Question Trainers and Sample Test with qbank tests in between. I made sure to do at least 1 test a day (75 questions) (on the weekends) but for the most part I did 2 tests a day (my goal was to finish the QBank) It took me 27 tests (75 questions) to finish the Qbank (I put it on Incorrect and Unused, Timed mode). I really liked Kaplan because of their timed qbank. I wanted to prepare my mind and body for the long 6 hour exam by taking tests every day until 2 days before my exam. The videos were long but well worth watching because Barbara does a good job enforcing the decision tree into my brain. Every question she would explain how to critically think to get the right answer because that what you need to do during NCLEX. After every test, I read the rationale. I took the time to look up what I did not know. I also printed out pictures and graphs and articles of it too to help me remember. I started taking notes on a notebook, I also started taking notes on post its and then at the end, I ended up making flash cards (to me that was easier) Backing up a bit, I also did Hurst Review. I enrolled last year in April and attended their 3 day live review. Honestly, I attended their live reviews 4 times (all in different cities and even a different state, because we moved)! (Got my moneys worth) I really liked their review book and videos, I was able to follow along and understand the material. I completed their Q Review tests but felt I personally needed to do more questions. Last year, I also bought the PDA book by La Charity and did the questions online. I highly recommend this book because it's straight to the point. I became a lot better at prioritizing, especially delegating and assigning questions, ust what the title says it is. I especially liked the case study at the end because that really made me critically think. Like most of us, I found those notes with a link lingering around here. I printed it out, read it and kept it with me. It has some good pointers, mnemonics, all summarized notes by past students. What else, oh, I also got the NCLEX Mastery app. I highly recommend that app because I'd open it up and do some practice questions here and there, on the go. It has 1,800+ questions, I still have around 500 left on my app. I really liked as part of their resources, their lab values. It had a * on the lab value that you should have memorized. I also liked that it has terminology broken down with stem and prefixes to help you remember, and mnemonics and test. Highly recommend and worth $30. I didn't finish the Saunders book, I started reading it back in October 2014 when I first started studying. Then did some Kaplan QBank questions in November afterwards and then did the NCSBN 5 week review (to me it was a lot of reading, a lot of reading online and my eyes were hurting afterwards.) before I took the NCLEX my first time in December 2014. To pass the exam this time, I realized I needed to change my study habits. It was only towards the end of last year, was when I got my act together and made my schedule. I was able to follow through with my schedule when my boys started kindergarten. Before that, I really didn't have a routine. I took supplements to help me focus, I made bullet proof coffee to stay awake. I tried to take breaks from studying every 30 mins, I'd walk around or just stretch, to get my bottom off the chair. I also prayed every night. The day before my exam, I was told NOT to study and to stay busy so I got a haircut, got my eyebrows threaded and my nails done. My hubby sacrificed his sleep to go with me to the beach where we just walked on the shore. That night, we ate take out. I got a good night sleep and woke up the next day refreshed. Exam Day The day of my exam, I couldn't help but read over my notes one last time. I took 2 showers that day, once in the morning when I woke up and another right before my exam (It was at 2pm, so I had time for a 1 hour nap before my shower while my hubby took the boys out so I can be extra refreshed) Last time I took the exam, it was at 8am and I felt rushed, I recommend picking a time when you're at your most optimal and highest functioning, mine is certainly not in the morning) I arrived there 30 minutes before the exam (as recommended), I left my purse and my phone in my car, so no distractions and just took with me my Amino Acids drink, a protein bar, some trail mix and my ID. I dressed in layers, because last time, I was asked to take off my jacket and I was cold. This time, they asked me to take off my jacket but I was ready, but this time they asked me to roll up my sleeves (hahaha) Last time, I wore a head band to keep my bangs or stray hairs off my face but was asked to remove it, this time I didn't wear one and just put my hair in a pony tail with some hair spray for my fly aways. Last time, I went in jogging pants, t shirt and bearpaw boots, this time I went in with style. I really got ready this time and felt more relaxed and confident, like going to an interview. Last time, when the computer didn't stop at 75 questions, I panicked. This time when it didn't stop at 75 questions, I thought, Yes I still have a chance!! This time I took my time, I used the white board (I used 3 of them) I tried to take a break every hour but when the 3rd hour came, I felt I was running out of time so I didn't take it. ( I recommend taking a break every hour) I must have gotten a string of correct answers right because it stopped, blue screen in my face! But I was like, OMG! I should have taken that break!! I recently read you can hid the timer? I'm not sure but if I'd known I would have done that because towards the end, I kept looking at it and to see what number I was on, very distracting but a good way to pace yourself. Anyways, I left the exam, with tear in my eyes. I came home thinking I didn't pass, thinking what do I tell my hubby and my family. At home I cried and told my hubby I'm sorry, it was really hard and that I'll start studying again soon. I texted my family who prayed for me that I wasn't sure but thanked them for their prayers. Last night, I cried myself to sleep after saying my prayers. Tonight, after my husband went to work, I went online and at midnight, I went to Breeze.ca.gov to check and "verify" my license, I searched my name and bam! My name showed up in front of me with my license number! I clicked my name and saw my license was insured this very day! I also login to check. I was in total shock!! I screen shot it on my phone and sent it to my hubby and family. They were all super excited for me, I was trembling and shaking. God answers prayers, all in His time. Glory to God. My 2 cents of advice: You can do it!! Study hard and study smart. Your sacrifice of time and resources will pay off in the end. Stay strong and healthy so you can endure hours of studying, sleepless nights and a 6 hour test. You do need your sleep, stay hydrated and focused. Believe in yourself. You gotta want it with all your might, if you do, you will surely pass!! Message me if anything. God bless and good night 🙂
  21. Lev

    NCLEX Facts and FAQ

    Post your NCLEX related questions on this thread. NCLEX-RN test plan: lite https://www.ncsbn.org/2013_NCLEX_RN_Test_Plan.pdf longer https://www.ncsbn.org/2013_NCLEX_RN_Detailed_Test_Plan_Candidate.pdf NCLEX-PN test plan: lite https://www.ncsbn.org/2014_PN_TestPlan.pdf longer https://www.ncsbn.org/PN_Test_Plan_2014_Candidate.pdf Pass/Fail Rules (Computerized Adaptive Testing (CAT) | NCSBN) The computer decides whether you passed or failed the NCLEX using one of three rules: 95% Confidence Interval Rule Maximum-Length Exam Rule Run-out-of-time (R.O.O.T.) Rule See the links for helpful videos...the number questions you had does not determine whether you passed or failed. Candidates cannot reliably identify which items are easy and which are difficult with regard to the NCLEX scale. At the end of an examination, a candidate is usually receiving items that they have approximately a 50% chance of answering correctly. Typically, candidates regard items that they can answer correctly only half the time as difficult. The candidate's sense of what is easy and what is difficult is relative to their ability. Because the examination is adaptive, both high and low ability candidates will think the items at the end of the exam are challenging. This means that it took only the minimum number of items for the scoring algorithm to determine with 95% certainty that the candidate's nursing ability was below the passing standard. To ensure adequate content coverage, candidates must answer at least 60 operational items to pass the NCLEX. To be consistent with the minimum number of items required to pass the NCLEX, the run-out-of-time stopping rule reviews candidate's ability estimates on the last 60 operational items answered. No, this is not possible. The LPN/VN examination length ranges from 85-205 items. The RN examination length ranges from 75-265. It is possible, however, for a candidate to be administered fewer than the minimum amount of items and to run out of time. In that case the candidate would not pass because they did not receive a complete examination. Items are administered following the principles of CAT. Candidates are NOT randomly selected to receive a designated number of examination items. As a candidate takes the examination, items are selected based on the candidate's response to previous items. The exam ends when it can be determined with 95% confidence that a candidate's performance is either above or below the passing standard, regardless of the number of items answered or the amount of testing time elapsed (six-hour maximum time period for the NCLEX-RN examination and five hour maximum time period for the NCLEX-PN examination). Candidates do not need to answer all items in a particular test plan category correctly to pass the NCLEX. The NCLEX is a prelicensure assessment used to identify candidates that can demonstrate sufficient nursing ability to practice entry-level nursing. Pass/fail decisions on the NCLEX are based on global entry-level nursing competence, not by subtest areas. "Near the Passing Standard" means that the scoring algorithm is not able to determine with 95% certainty whether a particular candidate's ability estimate is clearly above or clearly below the passing standard in a content area. In other words, the candidate's 95% confidence interval for his/her ability estimate encompasses the passing standard. Source: How the NCLEX Works | NCSBN Since the practice of nursing requires the application of knowledge, skills and abilities, the majority of items on the examination are written at the application or higher levels of cognitive ability using Bloom's taxonomy and revised taxonomy (Bloom, 1956; Anderson and Krathwohl, 2001). These "higher level" items require more complex thought processing and problem solving. For example, a pediatric client undergoing a medical procedure may additionally have a mental illness and therefore all factors must be considered in order to prepare the client for the procedure and to correctly answer the item. The framework for the test plan is based on "Clients Needs"; therefore, it is not possible to specify the percentage of test items that address a particular nursing specialty such as Pediatric Nursing. Nursing content related to this nursing practice specialty can be found in many areas of the test plan. At first glance, it may seem as though the only test plan category to assess Pediatric Nursing competencies is the "Health Promotion and Maintenance" category where age-related activities are specified; however, a more detailed analysis reveals that many test plan areas address the care competencies required for Pediatric Nursing. It should be noted that there are similar analogies for other nursing practice specialties and sub-specialties such as Psychiatric Nursing and Geriatric Nursing. Source: Preparing Students for the NCLEX | NCSBN Candidates whose board of nursing participates in the Quick Results Service* can receive their 'unofficial' results 48 hours after their exam date and time (a fee is required). Official exam results are available only from the boards of nursing/regulatory bodies (BONs/RBs) and will be mailed to candidates approximately six weeks after taking the exam. Pearson VUE and NCSBN do not provide exam results. *only applies to candidates seeking licensure in the U.S. Links to all BON/RB websites and contact information are available on the Contact a BON/RB page. For more information about getting NCLEX results, visit the Results Reporting section. Candidates must wait a minimum of 45 days between each exam. This length of time is determined by the board of nursing/regulatory body (BON/RB)s validity dates. The NCSBN retake policy allows candidates to retake their exam 45 days after administration of their exam. Candidates who have applied for licensure/registration with a participating BON/RBday period, unless limited to fewer retakes by the desired jurisdiction of licensure/registration. Candidates are encouraged to contact the BONs/RBs for their policy on NCLEX retakes. Once you reregister for the NCLEX, the length of time determined by the BON/RB will be reflected in the new ATT's validity dates. NCSBN does not limit the number of times a candidate may attempt the NCLEX. Based on its policy or law, individual boards of nursing/regulatory bodies may have additional restrictions on this basic requirement, such as longer wait time between retests and limitation on number of exam attempts. Candidates should contact their board of nursing/regulatory body for exam retake rules specific to that jurisdiction. See the research study on NCLEX Pass Rates: An Investigation Into the Effect of Lag Time and Retake Attempts. In 2012, the average number of items (questions) administered per candidate was around 119 on the NCLEX-RN and 117 on the NCLEX-PN. Currently, an average RN exam lasts for 2.5 hours and an average PN exam lasts for 2.3 hours. Currently, about 2% of NCLEX candidates run out of time on their exams. This percentage has been consistent since 2005. The run out of time rates are similar for the NCLEX-RN and NCLEX-PN. Find more information about how CAT determines a pass or fail result when a candidate runs out of time. About 20% candidates receive the maximum number of items: 265 items for the NCLEX-RN exam and 205 items for the NCLEX-PN exam. A research study addressing the relationship between retake attempts and NCLEX performance was published in JONA: Healthcare, Law, Ethics and Regulations. Bibliography of this study is as follows: Woo, A., Wendt, A., & Liu, W. (2009). NCLEX pass rates: An investigation into effect of lag time and retake attempts. Journal of Nursing Administration: Healthcare, Law, Ethics, and Regulation, 11(1), 23-26. Source: https://www.ncsbn.org/2321.htm No. There is a message that appears on the candidate's computer screen, which states "Examination is ended." Source: https://www.ncsbn.org/2325.htm An alternate item format (previously known as an innovative item format) is an exam item, or question, that uses a format other than standard, four-option, multiple-choice items to assess candidate ability. Alternate item formats may include: Multiple-response items that require a candidate to select two or more responses Fill-in-the-blank items that require a candidate to type in number(s) in a calculation item Hot spot items that ask a candidate to identify one or more area (s) on a picture or graphic Chart/exhibit format where candidates will be presented with a problem and will need to read the information in the chart/exhibit to answer the problem Ordered Response items that require a candidate to rank order or move options to provide the correct answer Audio item format where the candidate is presented an audio clip and uses headphones to listen and select the option that applies Graphic Options that present the candidate with graphics instead of text for the answer options and they will be required to select the appropriate graphic answer Any item formats, including standard multiple-choice items, may include multimedia, charts, tables or graphic images. There is no established percentage of items with alternate formats that will be administered to candidates. The NCLEX examination is computer adaptive and items are based on the candidate's ability. There are alternate item types in all areas of the test plan, across all difficulty levels. It is NOT true that if a candidate misses a calculation item they will automatically fail the NCLEX examination. All items "count" the same. Multiple response items are described as having five or six options with a minimum of two correct (key) options. Items contain the statement "Select all that apply". At this time, NCSBN requires the candidate to utilize their comprehensive knowledge to determine the appropriate amount of applicable maximum correct answers to each item. In short, we disclose how many, at a minimum can be correct; however, we do not disclose how many at a maximum may/may not be correct. Source: https://www.ncsbn.org/2334.htm I hope this is helpful.
  22. CrazyJess

    My NCLEX story...

    I've always loved reading success stories from this site, and it really helped me get motivated. Now it's time to share mine, and hopefully my story will inspire someone somehow. A Little About Myself:I graduated nursing school in 2009 from a foreign university. I didn't take NCLEX right away due to some life events. 3 years passed and finally I was able to apply for the exam. When I got my ATT, I realized I needed to study. The first thing I did was answer some Kaplan questions just to see where I was at in terms of content. Boy, I couldn't remember the normal value for temperature and what incentive spirometer was! I had to look it up in a dictionary. I couldn't remember which one is insulin dependent, DM1 or DM2. It's a shame. I mean these are real basic concepts! You can just imagine how out of touch I was to the nursing world. I figured I needed a real review! Before we begin...I believe that everyone is different. My study habits and materials may not work for you. I'm not prescribing any specific review material/class/practice/habit to anyone. I'm not affiliated to any review material/class. What I'm sharing here is mainly based on my own experiences, with the purpose of inspiring others. Okay, enough on that. Let's get on to why you're reading this post...what I did to pass. Review Materials I Used:KaplanNCLEX-RN Strategies, Practice and Review 2012-2013. I feel like the book wasn't much of help to me. My weakness is not with strategies but with content. The nursing content isn't discussed in-depth in this book. But I would say that I really loved the Q-trainers and the Q-banks. The rationales are well explained. You would really understand why the answer you picked is right or wrong. This helped me practice in answering NCLEX type questions. Feuer Audio ReviewThese are MP3 files I got from my sister. I think she got the CDs from Feuer when she herself was studying for NCLEX a decade ago. This was a 2002 review, so I was scared it might be outdated. However, I find the review still very useful. This review has tremendously helped me with content. It helped me get back on track. I personally LOVE the Psych portion. It is very well explained, and the lecturer helps you boast your confidence. Not a dull moment with this review. SaundersComprehensive Review for the NCLEX-RN Examination 5th ed. This book didn't work very well for me. After reading around 10 Chapters in a month, I got too overwhelmed. My brain was fried with too much information. DONT GET ME WRONG. This book is EXCELLENT for content. It's very complete. I believe that if you can get to master this book alone, you are safe. Almost all the NCLEX topics (from what I saw in the exam) are covered by this book. The problem is with me. I don't have enough time to read and review everything, and actually remember what I've read. So I took the quicker route. Also, the practice questions are too easy compared to NCLEX. I didn't bother answer them. HurstI took the online review for $300, and I find it very informative. What I like about them is they focus on the WHYs so you understand the topic, and you don't have to memorize a lot. I also benefited from a lot of the 5th day materials, like normal values, Peds, etc. One negative thing I've noticed is there were a lot of topics that weren't covered by Hurst. Good thing Feuer discussed them, so I'm glad I have both. Overall I believe that if I took only Hurst, I won't be able to pass that exam. Hurst is really good, and I don't regret taking it, but it felt that it was not enough. I needed other review materials to complement it. LaCharityPrioritization, Delegation and Assignment by LaCharity. This is the book that everyone should have! I mean it! Please buy yourself one if you still don't have it. I find the questions in NCLEX to be just like this book. Majority of my questions are Prioritization, and this is what really helped me understand how to prioritize. This book is more than worth buying. Pharmacology Memory Note Cards 3rd ed.Pharm is my worst nightmare! This is my weakest and this book helped me. What I like about it is it has pictures that helped me remember those darn drugs. The pictures are funny, and I always find myself laughing whenever I study this book. I got a lot of meds in my exam, and some of them, I haven't heard of before, but there were meds that I recognized from reading this book. NCSBN learning extension program for $50 (3 weeks).I think this was a huge waste of money. I signed up for this mainly for the questions, and not the review. I know a lot of people like it, and I don't mean to offend anyone. Everyone is different, and it just didn't work for me. The questions were like NCLEX but the rationales were not well explained at all. I felt like even if I answered a ton of questions from their site, I won't be able to remember them because I don't understand why the answer I picked was right or wrong, especially for the prioritization questions. 35 Page Study Guide that's been floating around hereAfter I was done with Hurst, Feuer, and LaCharity, I read this guide. It's packed with helpful random facts. I didn't get a lot of Infection Control, so Spiderman and Mrs. Wee weren't much of help to me. But I was able to review other information from this material. Overall, this guide is great to have. Whoever made it, thank you. Youtube, google, wikipedia - I think everyone uses these. So I don't think I need to elaborate. In the end, I think that the materials that helped me the most are Feuer, Hurst, and LaCharity. Other things I did:I wrote down important facts I came across from answering Kaplan and LaCharity in my notebook. And I review them every chance I get until I'm able to store them in my long term memory.Because I didn't have Feuer's review book, I wrote down everything that was discussed in the audio. And that helped a lot too.I studied for 2 months, 4-6 hours a day, 5 days a week. I only answered 25-75 questions a day, and reviewed each rationale. I wasn't able to finish all the Q-trainers but I wish I did. My Kaplan scores were in the high 50s to low 60s, and some are in the 70s. I got 50s to 70s in LaCharity, with 80% as my highest score. My pretest for NCSBN was only 50%. I didn't take the Hurst Mock Exam.Prayers- This is the most important thing...having GOD with me all way from the review to the exam. I was so scared the week before the test, but when the exam day came, He kept me calm and at peace. I fervently prayed to our Heavenly Father to help me get through this. I fasted for 3 Sundays to ask for guidance in this exam, that I will be able to remember the things I've studied, that I will have the wisdom in discerning the right answer and be able to pass, and that I will stay calm, focused, and have peace of mind. I lifted everything up to Him. And He never failed me.The day before the exam:Unlike what most people do, I studied the day before my exam. I read the 35 page study guide and memorized normal values. I also went to the testing center just to make sure I know where it is and I don't get lost the morning of my exam. I made a list of the things I needed to bring so I don't forget anything. I prepared my clothes ahead of time, and bought some snacks and drinks to take with me. I called my Mom and Dad, and they both said a prayer over the phone.That night I was able to get a good 6 hours sleep. I just listened to religious music to calm myself. I prayed and prayed, and I fell asleep. The Big Day:I woke up well rested and full of energy. I ate chicken tenders for breakfast and electrolyte drink. I wore comfortable jeans, regular Tee shirt, sweat shirt, and running shoes. I found out that you can't wear a jacket or sweat shirt that opens in the front (like zipper)--just wanted you to know. My exam was scheduled 8:00 am. I got there 7:30. Registration process took around 30 minutes. I was then escorted to the computer. Oh and I took the ear plugs and the erasable sheet they provided. Before I started anything, I prayed. The first 10-20 questions were real easy. But after that I was guessing all the way to the end. I had no clue which answer to pick. I was pounded with a lot of meds. And there were meds I've never even heard of before. Majority of my questions were priority questions, just like what you see in LaCharity... "Which patient to see first", "Which s/s would concern you the most", "Which patient statement would require immediate intervention". I didn't get delegation and assignment question at all, and I didn't get a lot of infection control either, probably only around 5 or less. Most of my questions were Med-Surg, then a little bit of Ped and OB. I got 21 SATA, 5 pictures, 5 drag and drop, and 1 exhibit, and the rest were multiple choice. I had around 100-115 questions in total. It shut off when I least expected it. I didn't even know what number I was. The moment I got out of the testing center, I told my husband I need to start studying again. I was certain I failed. There's no way I passed that exam. My husband brought me to a nice restaurant for lunch. He's very supportive of me. He said I need to calm down, and whatever the result is, he'll always be there for me. That made me feel a little better. When we got home, I rushed to the computer and checked PVT, and I got the good pop-up. I couldn't believe it. At that time, I was too overwhelmed with feelings I couldn't even describe. I was in denial. I didn't wanna believe I passed until I actually see my name in BON website. And today, my name is finally in the BON website. I'm now an RN!!! Hoooray! God is so good... In conclusion, even if you graduated years ago, don't despair, you can still pass NCLEX. Being out for years was my greatest challenge, but studying brought back memories of the nursing world. You can do it too! Second, you'll never know what questions you'll gonna get. They say there are a lot of delegation and infection control but that wasn't the case for me. Some get a lot of meds, some get only 1 or 2. Just study as much as you can, and hope that the knowledge you have will lead you to the right answer. There's no way one can learn everything there is to learn about nursing. The important thing is you did your best. Leave the rest to God. He is always there and He will guide you and help you. Like they say "Work like everything depends on you, Pray like everything depends on God". I'm not trying to push my beliefs here. All I'm saying is pray according to your beliefs, wether you're a Buddhist, Hindu, Islam, etc. Lastly, you are the best judge on what study material or study habit and pacing works for you. Find what is most effective and comfortable. Identify which areas you're weak in and focus on those areas. Don't lose focus. Believe in yourself. Like I said, everyone is different. Don't compare yourself to others, and feel sad because you're still in Chapter 6 and they're now on Chapter 10, or they answered 500 questions and you only answered 300. The important thing is you progress as you study, and you actually understand what you're studying. Remember Quality is more important than Quantity. You can do it! God bless, and good luck with NCLEX!
  23. Kaplan NCLEX Prep

    Busting Myths About the NCLEX-RN

    Let's bust some of the most popular myths surrounding the NCLEX-RN so you can get to the business of studying for-and passing-this exam. Myth: Over 75 questions on the NCLEX-RN? You're failing Reality check The NCLEX-RN follows the principles of its format as a computer adaptive test or CAT. This means the testing format is interactively based on how you respond to the questions. Everyone answers a minimum of 75 questions to a maximum of 265 questions, and the exam can last up to six hours. It's not the length of your exam that matters most. Every question has been analyzed and vetted for difficulty, and it's how you respond to each question that affects when the exam shuts off. As you answer more questions, you'll get some right and some wrong. Based on that, the test determines your competency level-which is the whole point, right? Myth: Some testers get a set number of questions Reality check No one taking the test is ever randomly selected to take a designated number of exam questions. The exam ends when it can be determined with 95 percent confidence that a candidate's performance is either above or below the passing standard. That happens no matter the number of items answered or the amount of testing time that's passed. Myth: "Select all that apply" means passing-level competency Reality check If only it were that simple! Unfortunately, "select all that apply" (SATA) questions can be written above passing-level competency and below minimum-level competency. Granted, SATA questions can be difficult, but that doesn't mean you're answering passing-level questions. The best way to think of these questions is that you want to practice them as much as possible, just as you want to do with every aspect of your NCLEX-RN prep. Myth: Getting similar questions means you're answering wrong Reality check You may get a question that seems very similar to the one you've already answered. Don't assume that it's because you keep striking out on your answers. The NCLEX-RN doesn't work that way. It won't change or rephrase questions that you've answered incorrectly. All of the exam questions are randomly chosen from a pool of thousands of approved questions, which means that any similarities when it comes to topic or disease are just a coincidence. The bottom line: Focus on the answer you think is right for each individual item you're presented with-even if it feels like deja vu. Myth: Most people fail the NCLEX-RN the first time Reality check In 2015, 157,882 people took the exam. The National Council of State Boards of Nursing (NCSBN) statistics show that, out of that number, 84.53 percent passed on their first go-round. Let that boost your confidence. With a little prep, strategy, and determination, the odds are ever in your favor. Myth: You have to remember everything to pass Reality check You don't have to remember every detail you learned in nursing school, even when it comes to things like medications, disease process, and nursing diagnosis. The NCLEX-RN is organized according to the framework "Meeting Client Needs" and has four major categories and eight subcategories: Safe and Effective Care Environment Health Promotion and Maintenance Psychosocial Integrity Physiological Integrity The main point to keep in mind is that the NCLEX-RN tests how you use critical thinking skills to make nursing judgments. With the right tools and a strategic approach, you can break down each question and systematically reach the answer. The exam has one mission: to determine if it's safe for you to begin practice as an entry-level nurse. It's the most important test you'll have as a nursing graduate. By avoiding the myths and keeping your focus on the realities of great preparation, you'll succeed.
  24. gaj418

    Passed NCLEX-RN In 75 Questions

    I looked through these discussion boards a lot while I was preparing for the NCLEX, and I told myself that I would come back to share my experience if i passed. I also wanted to share my experience because I got stressed out reading about others' preparation on this site because it seemed like everyone was doing so much more than I was. BEFORE THE EXAM I graduated from my accelerated BSN program in the middle of December. I moved back to my hometown and did not do anything nursing related until I bought the Kaplan Q bank (the Q bank ONLY, not the course) around 12/22. When I bought the Q bank, I did the NCLEX practice exam 1 and got 58%. I was discouraged with my score so I took a break until after the new year and did not do any questions or review. After the new year, I really got down to business and started completing the Kaplan q bank, I did 75-150 questions a day until I completed the entire bank. My cumulative score for the bank was 62%. I then went back and did ONLY the questions that I got incorrect the first time around. Each day after I completed my questions, I would go back and review the rationales for ALL of the questions. I wrote down some of the rationales (the ones I had trouble remembering) into a notebook. It was really helpful to review the rationales because they sometimes contained information that did not have to do with the particular question asked, but would help me for other questions. My scores on the Q bank questions ranged from 52%-77%. So if you are scoring low on the q bank questions, do not get discouraged!! I finished the entire q bank plus the ones I got wrong ~3 days before the exam. My practice NCLEX scores on kaplan were 58%, 54%, 90%, and 32%(all SATA questions). I also found the Question Trainers online (did not pay for them) and did QT 4,5, and 6. I do not know what my scores on them though because of the way the website was set up. THE DAY BEFORE THE EXAM The day before the exam, I babysat from 8-5:30. Throughout the day, I did 106 Lacharity questions that I found on quizlet. After I got off, I went to the bar with my friend for a couple of drinks. When I got home, I skimmed the 38 page study guide that's floating around on here and then went to bed. EXAM DAY I woke up at 6:30 am (test was at 😎 and had breakfast. I got my dad to drive me to the testing center so that I could review lab values and nutrition info (what foods are high in potassium, phosphorus, etc). I went into the testing center at 7:30 am and waited for my number to be called. I started the exam at around 8:05. I completed the entire process (exam instructions from the test center employee, pre test questions, test, post test survey) in 1 hour and 50 minutes. I was nervous during the test, but not to the point where I was shaking or anything. I was able to focus on the questions. I had 22 SATA, 3 drag and drop, 5 medications, and no calculations. I wasn't sure on any of the medication questions, but I guess that I was able to make good guesses. When I got home, I did the PVT and got the good pop up. I used a visa gift card that had $2 on it. The card you choose to enter has to VALID. It does not have to have $200 dollars on it, but the card number and expiration date has to be valid. After I got the good pop up the first time, I tried it again by changing the last number on my card. It said "invalid credit card number". When I entered it again using my real number, I got the good pop up once again. Today when I woke up, I checked my state board website and I saw that I was officially an RN and I have never felt so relieved! In case you didn't read my ramblings above, here is a summary of what I did to prepare: The entire Kaplan q bank Lacharity questions I found on quizlet 3 Question Trainer banks 38 page study guide that I found on this site I studied for 3 weeks total. I hope that this helps anyone that is discouraged about their Kaplan Q bank scores or anyone that is only using the Q bank to study. GOOD LUCK to those of you preparing to take the exam soon! Just believe in yourself, trust your knowledge, and do as many practice questions and you can get your hands on! Check Out The Following Videos... NCLEX-Study-Guide (2).pdf
  25. Do not take other peoples' experiences to heart. Reading about people failing really freaked me out. It added more stress on me. Relaxation is KEY. I broke down the night before the exam because I believed that other peoples' bad experiences would happen to me. After I graduated in May, I started with some questions everyday with Saunders CD questions, and NCLEX mastery app on the iPhone. (I wrote down all the rationales or screen shot rationales from the app to my photos) I didn't commit to a certain number of questions, but I just did the questions and read rationales. Then a month before my exam, I really got down to studying. I alienated myself for a month, committing to just studying THE WHOLE DAY. This is where I felt was my biggest mistake. Although I took breaks throughout the day, I wasn't going out much. The strict routine made me stressed, and isolated. I ended up losing sleep, staying up until 3-4 AM and waking up at 10 am to study. I used online Kaplan course and Saunders for content review. I reviewed EVERY rationale and wrote it down. Even if I got the question right, I would look for the topic of the question and read about it in my Saunders book. My Kaplan scores weren't that good. I was able to get the strategy in how to answer the questions, but I was not strong on my content (which fueled the fear). Scores QT1: 48 QT2: 56 QT3: 48 QT4: 50 QT5: 65.3 QT6: 54.5 QT7: 58.1 QBank: 50-73. Each Qbank were 75 questions, and as I got closer to my exam date, my Qbank scores were in the high 60s. I only got 2 scores that were in the 50s and that was when I first started doing qbanks. For some reason, my qbanks were higher than my qtrainers, so I realized I wasn't good at content, and I wasn't good at long sessions of just doing questions. Sample 1 60 Sample 2 62 Sample 3 70 Sample 4 28.57 (SATA questions) As I said, I wrote down a lot of my Kaplan rationales especially the question trainers. Some of which I have written on a word doc (50 page document). I also made a power point of the medications (100 meds w/classifications) that Kaplan's video covers. If you're curious, Saunders questions were a lot more based on content, but they also provide some good advice about strategies on the CD. And Mastery APP was hard and heavily based on content (on diseases I've never heard about). But the app helped because it forced me to carefully read the question before answering. The app is also nice for on-the-go. Sometimes the Mastery app has 50% off sale, where you can pay $15, instead of $30. Look out for those! (They have a money back guarantee if you don't pass on your first attempt) During my exam, I honestly can't tell you how many of each type of questions I had. It is all a blur. Kudos to those who kept track. But I know I did have SATAS, exhibits, priority/delegation, and precautions questions. I didn't think I had that many medication questions though. AND NO EKG. I'm a little miffed about that because I read about people getting EKGs and it scared me so I prepared for them. (ReMarReview has good videos about EKG nclex questions on youtube) I had 1 or 2 questions about maternity and pediatrics. The topic of the questions I did get were the ones I happened to cover or had some knowledge about but the questions were hard to answer nonetheless. The questions themselves were pretty basic, in terms of being pretty straightforward and the questions weren't long paragraph length type. You knew exactly the topic, which I found were easier than kaplan...at least for me. During the exam, I wasn't anxious, I just told myself it was as if I was answering Kaplan questions at home so that helped a lot. I told myself that I was staying for the 265 questions and that helped, especially since I was bad at sitting through long sessions of questions. After I passed 75, I readied myself for 265, and stopped keeping track of the number of questions I was up to. For some reason, I didn't feel like taking a break when the computer asked, so I sat there until around 120 and my computer went blue. My test was about 2.5 hours long. Honestly, after taking the exam, I did not know what to feel at all. I wasn't overly depressed, but I wasn't too confident either. The next two days however were torture. I did the PVT (putting in the wrong expiration date and cc number), and received the good pop up. I paid for quick results and passed. TIP: sometimes if you're unaware of the disease that the question gives you, just look at the symptoms of the patient and determine if the patient requires immediate help. If the symptoms don't indicate an emergency, assess first. If the patient requires immediate attention, choose an implementation choice that pertains to relieving the symptoms present. PLEASE remember one thing Take every experience with a grain of salt for the sake of your own mental state. 🙂 GOOD LUCK. I will be glad to answer questions, and provide my notes!