Hi,
To everyone who passed recent nclex-rn, can you please share what helped you best (cd's, printed materials, etc..) ? Where to focus? and how did you study/prepare?
thanks... this will help a lot of us who are scheduled to take the exams soon
rnaffah:http://www.the-abg-site.com/level1.htm - this is a good review of blood gases, too.
this is from an allnurses.com posting two years ago from nursefirst:
okay: first thing, find out what the ph is.
7.35-7.45 is normal
>7.45 is alkalosis
to find out whether it is respiratory or metabolic you need to know the hco-3 and the paco-2 values--and the normal values.
if the hco-3 is out-of-whack and not the paco-2, what ever is happening is metabolic, and the body uses the respiratory system to compensate. for example, in dka, pts breath deeply (kussmaul) in order to blow off co-2. this helps the body to become more alkalotic.
if the paco-2 is out-of-whack and not the hco-3, what ever is happening is respiratory. the body uses the kidneys to adjust the ph.
one method is to draw a diagram, showing acidotic normal alkalotic on top and the ph, hco-3 and paco-2 values along the side. then you determine which values represent what. i've forgotten the exact values at the moment, but i can tell you that in respiratory conditions, the paco-2 values move opposite to the ph values. in metabolic conditions, the hco-3 values move in the same direction as the ph.
if the ph is within the normal range, but the hco-3 and paco-2 values are out-of-whack, it means that the body has compensated for the disturbance in the primary system (resp or metabolic). if the ph is less than 7.4, then the body is compensating an acidosis; if the ph is > 7.4, the body is compensating an alkalosis. you then find out which, the hco-3 or the paco-2 value falls on the same side as the ph. if it's the hco-3, it is metabolic; if it is the paco-2, it is respiratory.
one quick tip.... you don't need to know compensation for abg's. don't worry about that. just know your basic s&s and what to do for them.
these are strategies taken from drexel university's nclex® excel! prep course. (i took the live course first time and didn't pass but the strategies are pretty simple to follow and may be some of you might findhelpful).the parts of a question
the question contains several parts:
o the case (sometimes called scenario) - the description of the client and what is happening to him/her
o the stem - the part of the question that asks the question
o the correct response
o distracters - incorrect but feasible choices
those sound complicated, try kaplan strategies
thenurse2006-Is this s popup quiz - ? The first one is neither is at risk because lead is now illegal in all paints, though some antiques may have some lead. guess I'd go with the antique collectors. I think you always apply lotion with gloves, whether or not a person has an infection.
Are these nclex questions?
No lotion with gloves!!! it will ruin the latex!
i would go with the pottery
Hi I graudated from the program with 91% last month nov 17.I am trying to prepare for the nclex PN and I feel like that I DON'T KNOW anything.I tried studing for Nclex I just don't know what and how to do it..I have saunders books, Saunders flash cards. I am aslo going for a 3 days seminar given by Hprovider I want to know what is the best way to study from nclex....I mean reading the whole book or going over just the questions?? if you can recomend another review book.......PLZ help!!! I am lost!!! thank you soooo very.....any advise or suggestions are very welcome!!!
Hi I graudated from the program with 91% last month nov 17.I am trying to prepare for the nclex PN and I feel like that I DON'T KNOW anything.I tried studing for Nclex I just don't know what and how to do it..I have saunders books, Saunders flash cards. I am aslo going for a 3 days seminar given by Hprovider I want to know what is the best way to study from nclex....I mean reading the whole book or going over just the questions?? if you can recomend another review book.......PLZ help!!! I am lost!!! thank you soooo very.....any advise or suggestions are very welcome!!!
2bNurse: I just took the PN - It wasn't that bad. Suzanne, one of the moderators of allnurses.com has a good system, so check her out. Her first step is to take the test at the end of the chapters of the Saunders book - the pn isn't a heck of a lot different than the rn. This is great because you get to see where you are. Don't spread yourself out - this could be a first step. I like having taken the pn first (I'm still working for my RN)
Check with Suzanne though. I didn't have time for her program, but I can tell you a few other things..
Everybody has a lot of prioritization questions - i.e., which patient you see first, after the test describes four different patients. If you do the Mosby's book (it's short and costs 20 bucks, maybe your library system has it) you will find yourself ready for any question like this.
One last thing - the national council, ncsbn.org has a good online review - you pay by the amount of time you have access. On one hand, I think it is far too detailed - for instance, it gets into details of different kinds of cardiac stenosis - you don't need to know this kind of stuff. You would, though, need to know how a person with a stenotic valve would present. Here's the thing - the ncsbn questions are most like the test, after all, they write the thing. Sign up as learningext.com.
Finally remember that this is about functioning as a safe nurse, not a college exam. As for rote memorization - see lab values in the ncsbn's detailed description of nclex on their site. Then there are the diseases , signs and symptoms. Know your meds, but don't kill yourself. It's not a nurse's job to decide what med to give for what condition. You do, however have to know things like potential bad side effects, which ones you monitor, optimal blood values. Really, dont sweat - the test is broad in subject material, but it doesn't dig too deep - that's what your school exams did.
Diahni
LynseyEB
41 Posts
Hey!
Thank You for the information. I will check this out .
LynEB