I recently took (and passed, thank god) the NCLEX-RN, and I wanted to share a few points that I think are beneficial to consider when preparing for your test. (Reposting just the text so I can tag appropriately)

I think there’s a lot of different methods of studying for NCLEX that are probably more or less equally effective, but I used Kaplan and my own personal textbooks and notes from school. My nursing program included the Kaplan review in our last week, and I primarily used the online resources to study after graduation. 
Here’s my general NCLEX advice though:

- Do as many practice questions as you can stand. And then do more. You need to get used to sitting quietly, without distraction, for several hours at a time and answering question after question. Take 10 minute breaks every hour or so, or as you need them. But stay focused on the questions, because that’s what your test experience will be like.

- Review content areas you know you are weak in. For me, this was primarily endocrine (ugh) and a re-memorizing of some lab values that I had forgotten. 

- Review infection control and the various levels of precaution (standard, contact, droplet, airborne), as well as basic comfort and care and safety issues. The board of nursing wants to know that you understand patient safety and infection prevention.

- Do not freak out during the test when you feel like you don’t know anything or if you feel like you aren’t confident in ANY of your answers. You know more than you think and the test is really assessing your nursing judgment. But you will probably leave feeling like you failed, whether you got 75 or 265 questions. It helped me to not freak out as much just knowing that going in.

- Get a good night’s sleep, eat a good breakfast, and don’t try to cram right before your test. It will just stress you out more.

- GO SLOW during your test. Chances are you will not need the entire 6 hours, so you have plenty of time. Read each question and answer choice carefully. Take your hand off the mouse during each question and breathe.

Good luck! You got this!

Drug diversion

We have a school who does clinical rotations on my unit at work.  Last week two of the students turned in their instructor for stealing Norco.  From what we’ve been told, what happened was, one student had all her meds crushed and mixed with water ready to give with the teacher (It was her first time doing g-tube med pass).  Another student was walking in to watch since she hadn’t gotten to do that before and saw the instructor snag and drink the cup of Norco and then pour a bit of water in it to cover her tracks while the student was checking g-tube placement.

The student who saw asked the one giving the meds in private after if she had seen what happened.  That student said she hadn’t realized anything was amiss, but that she had just been so nervous about giving the meds right (I can so sympathize with that from nursing school).  But as she thought about it, she felt the teacher had been acting strange and backed up the other student when she went to administration.

I can’t imagine trying to figure out what to do as a student after that.  How scary to know that something wrong like that was done, but surely be worried about not being believed or retaliation.  Plus for all the students how sad to know you were being taught by someone who would put you in such a position.

Hesi vs. NCLEX

Hi everyone. Since I have taken the NCLEX. I thought I should let you know about something.

My school had us take the HESI exams every year in school. They are supposed to mimic the NCLEX and help you prepare for it. The score my school wanted us to achieve was an 850. I only passed 1 of them by 4 points. All the other ones, I failed. If anyone fails the HESI at my school, they make you do remediation. 

If your nursing school/program has you take the HESI exams, it’s okay if you don’t pass. It doesn’t mean that you won’t pass NCLEX. People tell you that if you don’t pass HESI, you won’t pass NCLEX.

I’m living proof! and probably many others too! A lot of my classmates didn’t pass HESI, and they’re all RN’s right now.

SO, after taking the NCLEX-RN, I want to tell you that HESI is a lot HARDER than the NCLEX!!! Seriously, I personally thought every HESI exam was extremely difficult. NCLEX was hard, but not as hard as any HESI exams!

So, don’t get discouraged if you fail HESI, you will PASS THE NCLEX!!!!!!

Be confident in yourself, study, and you will succeed :)

[Question mark if you’d like to comment]?

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During assessment of the patient with acromegaly, the nurse would expect the patient to report

A. infertility
B. dry, irritated skin
C. undesirable changes in appearance
D. an increase in height of 2 to 3 inches per year

C. undesirable changes in appearance
(Rationale- the increased production of growth hormone in acromegaly causes an increase in thickness and width of bones and enlargement of soft tissues, resulting in marked changes in facial features, oily and coarse skin, and speech difficulties. Height is not increased in adults with growth hormone excess because the epiphyses of the bones are closed, and infertility is not a common finding because growth hormone is usually the only pituitary hormone involved in acromegaly.)


During an assessment of a patient who sustained a head injury 24 hours ago, the medical-surgical nurse notes the development of slurred speech and disorientation to time and place. The nurse’s initial action is to:

A. continue the hourly neurologic assessments.
B. inform the neurosurgeon of the patient’s status.
C. prepare the patient for emergency surgery.
D. recheck the patient’s neurologic status in 15 minutes.

B. Inform the neurosurgeon of the patient’s status

Aspiring Nurse

My name is Alyssa, I am 21 & an aspiring nurse…this is basically the intro you have probably heard 100 times the first day of classes BEFORE nursing school because lets face it, ain’t nobody got time for then in nursing school….wait ain’t nobody got time for anything in nursing school. However I do have time to procrastinate on Pinterest, color code my closet, & blog on tumblr. I created this blog to share my notes, sample NCLEX questions, & to write about my dream profession.

So what made me create this blog?

Because I want to share my passion with the world & learn from other nurses of the future & the present. I have never felt so challenged in my life before nursing school. Everyday is a struggle trying to balance school, work, relationships, and family. I have cried more in a week in nursing school than probably all four years of high school combined. However, there is no other place in the world I rather be at the bed side of my patient. I think this is why first semester is so challenging because once you experience & create that bond with a patient, that feeling will never go away. To be at the bed side of someone who is so fragile and vulnerable and to do something to make their day a little better is the most rewarding feeling one can experience. I run on 4 hours of sleep & a medium cup of coffee from Dunkin Donuts pre-clinical & I leave feeling like a million bucks. It doesn’t matter how many times I had to clean a patient or respond to their requests because that goodbye, where your patient looks you in the eye & grabs your hand with sincere gratitude, that is exactly how I went to leave every day for the rest of my life. I think we lose sight of that sometimes during the week without clinical. We become stressed, and yes it is because we have a care plan, case study, 3 exams, a family, a boyfriend/girlfriend, a desire to get more than 4 hours of sleep. But this is now…and it is going to be very difficult, and you will cry, and you will be stressed, but you might also save a life, make somebody smile, do something for somebody that they cannot do for themself. And I believe there is no greater act than to care for and love another. I can promise you that maybe one it may be unnoticed but you are appreciated, looked up to, and one day you will inspire someone else to do what you do.

With love~