Trying to pass my NCLEX the second time :(

pogi · Jul 17, 2009

thanks pogi
:)

If you have a question about a specific disease, you can PM me and I will do my best to break it down in a way that helped me understand it.

david.cummiskey · Jul 17, 2009

If you have a question about a specific disease, you can PM me and I will do my best to break it down in a way that helped me understand it.

apparently i need 15 posts to PM? I have 8. 7 to go haha.

david.cummiskey · Jul 17, 2009

I need help with Prioritizing? Can anyone help me? I know Airway Breathing Circulation but what about when none of those apply? What about when the answer choices are Infection, Pain, etc.

CoffeeGeekRN · Jul 19, 2009

For prioritization after ABCs go to Maslow's Heirarchy.

EymieICURN · Jul 19, 2009

Use the nursing process to prioritize...Assess before diagnosing, planning, inplementing and evaluating. As an instructor, I see a lot of students trying to do someting before they assess the pt and obtain the pertinent data...and remember you are a nurse not a doctor. There are certain things that only an RN can do and you can't delegate to others. Do not delegate assessment, patient education or the sickest patient.

GOOD LUCK!!!

shadowrose45 · Jul 20, 2009

i took the nclex my first time june 21st and it was the most stressful thing i have ever done. i didn't not feel comfortable at all taking it. i took the kaplan course but it didn't seem that the strategies they recommended were enough for me. i have trouble picking the right answer after narrowing it down to two. i think my problem areas are endocrine, renal, chest tubes. i get alot of things mixed up with hypo and hyperthyroidism, hypo and hyperglycemia, and cushings and addisons. i have a weakness in priority questions when they are between pain and infection and the abcs do not apply. i am a very visual learner. anyone have any pictures of the things i have mentioned that may help me or very simple explanations of them. i'm just not getting it. i take it again in august. thanks in advance :)

hi

i tried to answer your pm but apparently i don't have enough posts.

type 1 diabetics produce no insulin at all. onset is usually during childhood. type 2 diabetics do produce insulin--just not enough. signs and symptoms can be the same--but treatments will vary. for instance, type 2 don't always need to be on insulin--sometimes they are on meds like metformin. others with type 2 are treated with diet restriction only. with the ever increasing number of children with poor diets--there are an increasing number of children developing type 2 diabetes during childhood.

type 2 diabetics are often warned before they are diagnosed that they are insulin resistant and to begin a healthier diabetic diet.

some type 2 diabetics that loose weight and keep their diet healthier no longer may need the meds they were previously on. my own type 2 diabetes, for instance, is now regulated solely by diet and metformin--i no longer have to take the second med i was on. when my type 2 father lost weight, he was allowed to go off his daily insulin.

main difference: type 1 will always need insulin for the rest of their lives

type 2 diabetics may not ever be on insulin--or may be allowed off it when they control their disease.

does that help? if not--email me

mod note, please do not post email addresses as per terms of service. please use the pm system once you have 15 or more posts. alternatively members can send via pm to you as long as they have 15 or more posts as you can read them before you have 15 posts

david.cummiskey · Jul 20, 2009

hi
i tried to answer your pm but apparently i don't have enough posts.
type 1 diabetics produce no insulin at all. onset is usually during childhood. type 2 diabetics do produce insulin--just not enough. signs and symptoms can be the same--but treatments will vary. for instance, type 2 don't always need to be on insulin--sometimes they are on meds like metformin. others with type 2 are treated with diet restriction only. with the ever increasing number of children with poor diets--there are an increasing number of children developing type 2 diabetes during childhood.
type 2 diabetics are often warned before they are diagnosed that they are insulin resistant and to begin a healthier diabetic diet.
some type 2 diabetics that loose weight and keep their diet healthier no longer may need the meds they were previously on. my own type 2 diabetes, for instance, is now regulated solely by diet and metformin--i no longer have to take the second med i was on. when my type 2 father lost weight, he was allowed to go off his daily insulin.
main difference: type 1 will always need insulin for the rest of their lives
type 2 diabetics may not ever be on insulin--or may be allowed off it when they control their disease.
does that help? if not--email me
mod note, please do not post email addresses as per terms of service. please use the pm system once you have 15 or more posts. alternatively members can send via pm to you as long as they have 15 or more posts as you can read them before you have 15 posts

helps alot thank you sooooo much! :nuke: get your posts up so we can pm. :up:

UjonesRN · Jul 21, 2009

thanks.. it took a while to get the positive attitude.. i initially tested on june 22nd, a day after ur test... and ive already been through my stages of grieving.. my first time taking the test i think i really screwed it up.. because whenever i got questions like "whats the most important thing to do" i would pick answers like "remain with the patient" or calm the patient down... or decrease stimuli.. when actually those are physchosocial.. and physiological responses come first.. ( i know that as a nurse.. but i just thought first thing to do would be to get the patient to calm down.. but im learning otherwise from kaplan)... and i didnt round properly when i did my exam.. i know i didnt.. i hurried with my tutorial.. and later i found out that the tutoial teaches you how to round.. its not that i dont know how to round.. but i didnt round how many places i was asked to round on.. therefore; this time.. im not going to make those mistakes.. when r u re testing?

OMG r u serious about the rounding part?????? i was trying to figure that out!! :madface:

2bNurse4life4ever · Jul 21, 2009

OMG r u serious about the rounding part?????? i was trying to figure that out!!

yes , that im serious... i messed that up big time on the exam..im really good at math..and i actually wanted math questions for my pharm. part of the test rather than meds..and when i got them, i didnt get credit, because i didnt round properly... (unless they ask u for a whole number).. the question will tell u either if it wants a whole num or if it wants u to round..

UjonesRN · Jul 21, 2009

yes , that im serious... i messed that up big time on the exam..im really good at math..and i actually wanted math questions for my pharm. part of the test rather than meds..and when i got them, i didnt get credit, because i didnt round properly... (unless they ask u for a whole number).. the question will tell u either if it wants a whole num or if it wants u to round..

I feel like a dummy... :down: I was asking myself what should i round to got mad :madface: so i know i didnt round correctly. Then i forgot titration :nono: WTHeck

feliz3 · Jul 21, 2009

In that case, since you are a strong visual learner I recommend you to sign for the Hurts Review for Marlene Hursts teaches by online lectures...she even has a Mock NCLEX test discussion in which she is discussing priority questions with three other very well prepared and experienced nursing instructors. I did that the Mock NClEX exam the night before taking the NCLEX...it helped me a lot, so much that I passed it. I took it on July 1, 2009. You need to develop stronger skills on core content and priority questions, my friend. On the Fact Throwing Thread, I believe post # 305 or so I gave suggestions on books to get which helped me to pass. It was not the first time I took the NCLEX for me either, but that is not an issue any longer, thanks to God who supported me. If I did it so will you, but you have to know what to study in order to pass. Go to www.hurstreview.com and watch an example or Marlene Hurst lecturing...you will connect with her teaching style. Best, feliz3

inspired26 · Aug 25, 2009

Hello,

I have heard of hurst review, but wasn't sure if I should purchase it. seeing as though this was not your first time taking the exam, do you feel that the questions were centered around your previous topics or was the content different the next time around. For example, if you weren't very good at answering questions involving one system, will your test involve that system the next time around. I just got my report but it really doesn't give you a clue as to what you should study. Thanks to you and anyone else that reponds to this message.