These application/analysis questions are retarded and any answer is easily justified by writing a short rationale for it.
Anybody of Native American descent will never be on time for their appointment because they live "in the present"... well I live in the 21st century and the Native Americans I've known have watches and cell phones.
Kaplan's decision tree does not always work, and the way I use it on one question might be completely different than the next person.
Cut the perfect world/perfect patient crap, this is not a perfect world and there are no perfect patients.
There is no way that this test can accurately measure one's competency to be a nurse- it measures your competency to write checks and take tests.
Today, I learned that if there is an RN, two LPN's, and a nursing assistant on a floor, they will each be assigned one patient. The nursing assistant will be assigned a patient that they are responsible for all by themselves, because the RN and LPN's are unable to take more than one patient at a time.
I love those questions: "Which patient would you assign to an unlicensed assistive personnel?" And I'm like, "Uhhhhh....I wouldn't assign them any patient by themselves?" But I get the gist of the question and so I play along....
Today I learned that if a patient is in respiratory distress, the last thing you do is apply the oxygen that they already had ordered. (You would sit them up, ask another nurse to stay with them, call the physician, and THEN apply the oxygen!).
I'm still scratching my head on this one...
I've also learned that you hold dig from a child if their heart rate is lower than 90-110 bpm... why would they not just give one number? 95 is lower than 110, but is not lower than 90... UGH!
Today I learned that if a patient is in respiratory distress, the last thing you do is apply the oxygen that they already had ordered. (You would sit them up, ask another nurse to stay with them, call the physician, and THEN apply the oxygen!).
I'm still scratching my head on this one...
I've also learned that you hold dig from a child if their heart rate is lower than 90-110 bpm... why would they not just give one number? 95 is lower than 110, but is not lower than 90... UGH!
HAHA... I totally feel your pain. I had almost the same question. Mine was sequential order and I placed all the interventions I would do before calling the physician like placing oxygen, siting client up, etc. I got the question wrong because according to the rationale, I need a physician order before applying oxygen. ummmmm o....k.. but didn't you tell me that " I should assume I have all the orders that are written because this is the "NCLEX World"?
Sometimes I just want to pull my hair out in frustration...lol
The one thing I learned from taking NCLEX is that there is no point in studying for it. None. At all. Don't waste your time. The only benefit practice questions offer is getting your brain firing in the right way to answer NCLEX style questions. I was tested on some really obscure content--stuff I had never heard of. But according to the Pearson Vue Trick I passed; I'll know for sure tomorrow. Oh and one more thing, don't listen to anyone who thinks they've figured out if you passed or failed based upon the types of questions you get, or the order in which they appear. There is no rhyme or reason as to the structure of your exam. It is what it is, so don't get psyched out while you're taking it. Everyone told me that if you get a bunch of SATA questions, then you're doing good...BS...I only had 8. My questions were also all over the place in terms of content; it was so random. Take home message: don't study, and relax. You either know the content by now or you don't. Good luck!
Always_Learning, BSN, RN
461 Posts
I love those questions: "Which patient would you assign to an unlicensed assistive personnel?" And I'm like, "Uhhhhh....I wouldn't assign them any patient by themselves?"
But I get the gist of the question and so I play along....