Place each client into either See Immediately or Can Safely Wait 30 Minutes.
| Client | Immediately | Can Wait |
|---|---|---|
| A. New unilateral dilated pupil after head injury | ||
| B. Post-op patient requesting pain medication 9/10 | ||
| C. DKA patient whose potassium dropped from 5.8 to 3.0 | ||
| D. Stable COPD patient requesting inhaler refill |
A client has:
Which prescriptions should the nurse anticipate? (Select all that apply.)
A. IV calcium gluconate
B. Sodium bicarbonate
C. Kayexalate
D. IV insulin with dextrose
E. Spironolactone
F. Hemodialysis
A 72-year-old client is admitted with pneumonia. Current findings:
Which action should the nurse perform FIRST?
A. Administer prescribed broad-spectrum antibiotics.
B. Increase oxygen to 6 L/min.
C. Begin rapid infusion of isotonic IV fluids.
D. Insert a urinary catheter.
Which medication order should the nurse question FIRST?
A. Furosemide for edema
B. Metformin for Type 2 DM
C. Morphine for severe pain
D. Potassium chloride for K⁺ 5.9 mEq/L
A. Notify security
B. Obtain a court order
C. Respect the client's decision
D. Ask family to consent
A. Hemoglobin 10.8 g/dL
B. Sodium 132 mEq/L
C. Potassium 6.4 mEq/L
D. Platelets 145,000/mm
A. Administer PRN anxiety medication
B. Check oxygen saturation
C. Call the provider
D. Document the behavior
Which task is appropriate to delegate to the UAP?
A. Assess a new pressure injury
B. Reinforce discharge teaching
C. Obtain vital signs on a stable client
D. Evaluate pain medication effectiveness
A patient's potassium trend is:
0800: 3.8 mEq/L
1200: 3.3 mEq/L
1600: 2.9 mEq/L
Which action is most appropriate?
A. Continue monitoring
B. Notify provider immediately
C. Encourage fluids only
D. Recheck in 24 hours
A nurse suspects sepsis. Which findings support the diagnosis? (SATA)
A. Temperature 39.2°C (102.6°F)
B. Heart rate 122/min
C. BP 84/50 mmHg
D. WBC 18,000/mm³
E. Urine output 10 mL/hr
A nurse has time to complete only ONE action. Which should come first?
A. Administer overdue antibiotics
B. Reassess pain after morphine given 30 min ago
C. Respond to a bed alarm from a confused client
D. Complete discharge paperwork
A nurse receives report on four clients. Which client should be assessed FIRST?
A. Post-op day 1, pain 8/10
B. COPD client with SpO₂ 89% on baseline oxygen
C. Diabetic client with blood glucose 58 mg/dL, awake and talking
D. New admission with chest pain rated 7/10
But after my pity party, I told myself: I’m not giving up. I changed my approach, studied smarter, and when I walked into that exam the second time… my screen shut off at 85 questions. This time, it was a PASS! Here’s exactly what I did differently:
The first time, I wasted too much time on resources that didn’t work for me. The second time, I discovered Naxlex, and it was a game-changer. Their high-yield questions felt exactly like NCLEX-style questions. More importantly, their rationales weren’t just explanations they actually taught me how to think like a nurse. Instead of memorizing answers, I learned how to break down questions and pick the BEST answer.
Before, I’d panic if I wasn’t getting 60%+ on UWorld. This time, I told myself: “It’s not about the score it’s about understanding WHY you got it wrong.” I used every mistake as a learning opportunity, writing down rationales and reviewing them daily.
The first time, I studied randomly. This time, I made a structured plan: ✔ 100 Naxlex questions a day – Reviewed every rationale, even the ones I got right. ✔ Saunders for content review – Focused only on my weak topics. ✔ UWorld for extra practice – Used it to simulate the real test. ✔ Test-taking strategy drills – Learned how to eliminate wrong answers and trust my gut.
The first time, I walked into the NCLEX feeling like an imposter. This time, I walked in saying, “I deserve to pass. I did the work. I got this.” Instead of doubting myself, I reminded myself of every question I had studied, every rationale I had learned, and every strategy I had practiced.
The Moment My Screen Shut Off at 85…
My heart started racing. The first time, 150 questions felt like torture. This time, 85 questions felt like redemption. I tried not to overthink it, but the wait for my results was brutal. When I saw PASS, I screamed, cried, and immediately texted everyone who supported me through the journey.
If you’re taking the NCLEX again, please don’t give up. I know how heartbreaking it feels to fail, but it doesn’t define you. What you do NEXT does. Study smarter, trust your prep, and believe in yourself. You got this
If you’re retaking, drop your test date below I’m rooting for you.. (shared)
Dispatched to 19 y/o male with syncope. On arrival pt is A&Ox2, GCS 14. Pressure 50/30 without tachycardia, all other vitals WNL. BP refractory to bolus of LR. Pts chief complaint is midline, non-reproducible chest pain. Describes it as sharp and 7/10 without radiation. Acquire EKG in first image. Non contiguous ST elevation but was interpreting reciprocal changes. With addition of pt presentation, called the STEMI alert.
2nd EKG acquired while setting up Norepi drip, and now confident in STEMI alert with suspicion of LMCA involvement. Roll off scene with 4mcg/min Norepi drip initiated. (Couplet PVC at lead change to V4-6)
BP Improves to 100 systolic along with pts mentation. Withheld ASA due to pt being unsure on his ability to swallow without choking.
3rd EKG as we’re pulling up to ED. I’m floored. Sheepishly give report to receiving team. POCUS shows no signs of occlusion. Corner cardiologist and beg for some kind of explanation as to what happened.
1 hour later, cardiologist gives follows up with an outcome. Heart CT showed anomalous LMCA with occlusion. As a humble paramedic (ha), had to google that one.
Anyway, cool strips. Also pics might be reversed, if so, sorry. On mobile.
Does anyone have any info on this? Hamilton G5 Model. Reports of a staff member who also passed?
Last week I missed clinical because I tested positive for the flu at the doctor's. I asked if I could get an excused absence because I can't control getting sick and I'm not going to show up to clinical with the flu. They said it can't be excused. If we miss >3 clinicals we get kicked out of the program.
Our program is a bachelor's and the other program at school is an associates. The associates program gets EVERYthing- all the good instructors, clinical spots and they get to use the lab the most. We get nothing, probably because the school wants those students to come back and get their bachelor's after. I literally pay so much money for school and I'm so disheartened by this. I want to be a really good nurse and they just don't care to teach me like I matter.
I'm just like unbelievably frustrated with nursing school because I really thought the hardest part would be the content but it turns out the content is the easiest part. The social dynamic, lack of choice for professors/instructors and rules are killing me. I can't believe it's only been 8 months, it feels like 2 years.
Please tell me I'm not the only one so frustrated with their school. I just feel like I made such a big mistake and I'm wasting my money. From- r/StudentNurse
Relax, almost nothing changed. The content weights are nearly identical to the 2023 plan. Only one category shifted: Safety and Infection Prevention and Control went from 9-15% to 10-16%. Every other category stayed the same. This is not a redesign.
