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Tuesday, May 20, 2008

NCLEX TIPS FOR YOU

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I found this post at www.nclex-rn.net. It was posted by alex from IP 202.81.174.252 on April 25, 2007 at 20:44:17:

Bulk of my NCLEX questions are:

1. PRIORITIZATIONS.
Remember the rule of stable vs. unstable. Lagi ko itong sinasabi. Although you consider the client unstable but if it expected in him, this is stable. I just stick with this rule. Example. Asthma with wheezing- you consider this unstable at sa ABC, unstable ito. But first think na ito ay EXPECTED sa may asthma so this will be considered stable. Remember, this rule is based on what the question is being asked. PRACTICE makes PERFECT and makes you PASS. On the day before the exam and during my practice, sabi ko sa sarili ko, I’d rather answer prioritization questions rather than basic. Mas ok ako sa mga analysis and application more on basic questions. Pero as I said, LEARN THE BASIC. Read nyo daw iyong book ni Mosby na delegation and prio. Just buy it harap PRC photocopy, Php 150 lang than orig Php 1700. (laking mura no) I didn’t read the book pero highly recommended daw!

2. Delegation.

Just learn the basic- RN- newly admitted, needs assessment, pre op teaching and post op, nsg. Judgement and discharge planning ,IV meds, BT. LPN-can give meds except IV, sterile techniques like wound dressing, catheterization, insertion of NG tube, remove sutures. Also for stable expected outcome. NA/ UAP/CN/ Senior nursing student- lahat ng may “-ing” ex bathing, reading v/s in long term pt. Testing occult blood, BS monitoring, soap sud enema, testing occult blood, isolation precautions, basic hygiene ADL, Input and Output, finger stick with gestational diabetes, urinalysis, TSB, turning unconscious patient, change perineal pad, assist in ambulation, discharge tomorrow, stable v/s, pulse oximetry reading, terminally ill because of comfort only needed and Isolation. Remember: Routinary Procedure ang NA (medyo maduduming trabaho)

3. Safety Infection Control

Basic again: TB or airborne (just PARTICULATE MASK). Pnemonia or droplet (just SURGICAL mask). Read as much as possible and take note if the diseases mode of transmission is airborne, droplet or contact. PLEASE do read.

4. Pharmacology

TIP: get the suffixes of all the meds you encountered and know their side effects. Ex. –one= steroids and glucocorticoids. SE: Cushings disease. Antihypertensive meds SE: orthostatic hypotension. BAGONG BAGO ang meds at never heard before. There are only for choices in every pharmacology question.

Question: You are going to give _________. Which among these statements is correct.
a. I will take this with meals (or without meals)
b. I will take this med in the morning (or evening)
c. The side effects of these meds are:___________
d. I will notify the doctor if I felt____


Ito lang ang ang choices ng bawat pharmacology question. If you encountered this, if you really don’t know, FIRST INSTICT and PRAYER will be the best answer. Tao ka lang, hindi mo alam ang buong meds!!!!


5. Read on/ Emphasize on:
a. Triage (External)- treat first the stable before the unstable. Emergent first before urgent. But kung E.R. unstable muna before stable. ABC
b. Spinal Cord Injury
c. Reflexes
d. Cane/ Walker/ Crutches
e. LABORATORY VALUES
f. DIET DIET DIET
g. Nephrotic syndrome and Glomerulonephritis
h. Burn
i. Respi and Metabolic Acidosis and Alkalosis
j. CHEST TUBE CHEST TUBE CHEST TUBE
k. Cataract/ glaucoma/ retinal detachment
l. Defib vs. cardio version
m. Hemodialysis vs. peritoneal dialysis
n. HERBAL MEDS( just summarize their effects)
o. AUTONOMIC DYSREFLEXIA
p. DIABETES DIABETES DIABETES
q. Transcultural nsg.
r. Primary, team, functional Nsg.
s. Consent and Advance Directives!!!!
t. Glasgow coma scale
u. Traction
v. DI vs SIADH
w. FLUID VOL DEFICIT vs. OVERLAOAD
x. PEAK FLOW METER vs. METERED DOE INHALER vs. INCENTIVE SPIROMETER.
y. RENAL FAILURE ACUTE VS CHRONIC ACUTE VD. CHRONIC
z. Colostomy Irrigation/ care and Ileostomy Care
aa. Rhematoid vs. Osteoporosis vs Gouty
bb. CAST CARE
cc. DIET DIET DIET
dd. IV side effects
ee. Lung Sounds
ff. Shock
gg. NORMAL AGING PROCESS
hh. Levin vs. Salem vs. Sengstaken tube
ii. Immunizations
jj. PHEOCHROMOCYTOMA
kk. Chrons Disease
ll. ECG
mm. Breast Cancer
nn. Some OB and PEDIA ( marami rami rin ang questions ko ditto pero hindi ako masyadong nagaral nito. Know the different developmental stages)- placenta previs vs abruptio, PIH, APGAR
oo. Psychiatric: MEDS and SE and therapeutic communication., defense mechanism, SUICIDE!!!!
pp. Addisons vs. cushings; Hypothyroid vs Hyper;
qq. Computation of Meds, substitution ( Dopamine)
rr. NCLEX IS REALLY UNPREDICTABLE. JUST KNOW THE BASIC, HOW IT WORKS, PROCEDURES, NURSING INTERVENTION. Marami pa iyan!!!!
ss. KAPLAN STRATEGIES!!!!!

AVOBE ALL, PRAYER IS THE BEST TOOL. The whole exam, hindi ako kinabahan. I prayed before I answer my number 1 question. It is better to condition yourself physically, mentally and spiritually. Go to website www.vue.com/nclex then click the play the turorial para alam ninyo kung paano sumagot sa NCLEX. Ganoon din makikita ninyo sa actual exam.

Masuwerte ang mga nag265, pinagbibigyan tayo ng computer. For my readings, I just read twice my KAPLAN book ( iyong kasama sa package naming); CD’S like Saunders compre and QA (compre lang ako and not the book, just CD, wala kasi me pangbili just burn it from your friends or borrow it), mosby, QUESTION TRAINER NG KAPLAN (1-7)- I finished this twice (60-68% lang ako always), lippincott, NSNA, spring house. Focus on your weakness especially of the CD’s who has performance report after each exam. If it is in percentage, monitor it so that you can make your score higher the next time.

Goodluck and just email me for more questions. I really love to share my experience with you guys!!! Do share these also to others. Sharing is best!!!

I really gain lot of friends in here. God has really plans for me and to you as well!!!!

God Bless!!!!-Alex USRN


SOURCE: http://www.nclex-rn.net/nclex/messages2007a/173482.html


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1 comments:

Ana said...

Wow! Congratulations to you Alex! Thanks for these helpful tips...God bless us.


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