What’s the Definition of a Good Nurse?

What is the the Definition of a Good Nurse?

Now let me give you my definition of a Nurse: A nurse is an individual who works towards providing great patient care and customer service. The goal as a nurse should be to help the patient return to optimal health.

A Good Nurse is one that goes above and beyond. No, I didn’t say that phrase to sound fancy. But what I meant is that this nurse is willing to go into work each shift and work towards making his/her patients hospital stay as pleasant and comfortable as can be. This nurse will make sure to cater to his/her patients needs, providing quality time to just talk to the patients and their family members. A good nurse isn’t looking at the dollar signs that come with the career, or the beauty of having the title “Nurse” but rather, they are looking at how they can touch or inspire their patients to keep pushing for the next day.

As a repeat NCLEX taker, I struggled with that term. It can have a negative connotation. It can make you, as it did for myself, feel inferior, and incompetent. I feared that by being a repeat tester, I would be solely identified as such. I later learned that it doesn’t really matter. Did you read that correctly? I hope you did!! It doesn’t really matter.

Just because you didn’t pass your NCLEX exam on the first or second try, doesn’t mean that you aren’t a great nurse. If you passed your exam on the first try, doesn’t automatically define you as a great nurse either.

It doesn’t matter how many times you took your NCLEX, just as long as you developed the skills that the NCLEX exam makers wanted you to obtain and utilize those skills on the job. It doesn’t matter how long it took you to pass your exam. If you kept trying then I believe that that qualifies you as the real MVP. You did it! You didn’t give up on your dreams and for that, you are already a great nurse.

Today, I can stand tall, despite any current struggles, realizing that I am a great nurse. I didn’t give up on my dreams. I worked hard towards passing my NCLEX exam. It didn’t come easy for me. I had to literally work so hard. (Not because I am less than intelligent, but because I wanted to make sure that I knew my material well enough to be a competent nurse).

I know that I am a great nurse because I have my story to tell all about my journey just to get to this point. The struggle was and is still real. But Life is filled with struggles. You just have to remain calm and focus on overcoming them with strength and perseverance.

You are a great nurse if you kept going throughout the setbacks, the tears, the embarrassment and struggles. Now my question to you, is do you believe that? You have a story to tell and with that story you will inspire and help others.

 

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How to make Pharmacology Cards

Hey guys, if you are anything like me, pharmacology was extremely difficult to study and apply when it came to nursing school/NCLEX exam. NCLEX exam loves to give questions on Pharmacology because it is very important. Will acknowledging its importance, it made me develop anxiety whenever I would see a Drug in a question.

During my last NCLEX RN experience, I decided to make detailed Pharmacology aka Drug cards. This was the best decision I ever made in regard to studying for this exam.

 

In my previous posts, I shared some tips on how to study for pharmacology and how to answer any pharmacology question without really knowing what the drug is. If you missed those following videos, please go check them out.

                                           🔵You can watch them here, click the links! 🔵

How to Study Pharmacology | Nursing School | NCLEX

How to answer any Pharm Question | Nursing School | NCLEX

Many of my lovely subscribers requested that I show them how I made my Pharm cards, which helped me pass my NCLEX. So here it is!

 

❤Example of Pharm card : ANTACIDS ❤

 

I HOPE THAT IT HELPS YOU!!

JOIN ME ON TWITTER & PERISCOPE NOW SO WE CAN CONTINUE WITH PHARM CARDS! INVITE SOME FRIENDS, PLEASE!

 

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How to answer any Pharm Question | Nursing School | NCLEX

Hey guys! I hope you are well as you read this post. Today I will share some quick tips that I know may help you out while answering pharmacology questions. The beauty of this post today is that I will help you in that you will learn ways to answer pharmacology questions without really knowing what the drug is.

On NCLEX, you may see tons of drugs that you never heard of or you did not get to cover. “Oh no, what in the world is this drug”, you may find yourself asking. I know I did, several times. But there are methods to think your way around it.

 

Here are some tips that I shared:

1. Think about safety first. NCLEX and NURSING is all about making sure that you keep your patients safe at all times.
2. Think about the Side Effects of drugs. Try to memorize the major side effects of each classification of drugs. This will aid in quick identification of the drugs. Learn the common side effects just to be on the safe side.
3. Study the top drugs that are used to treat a disease. I say this lightly because I personally felt that in my experience, knowing the top drugs was helpful. But I felt that its important to be aware of the uncommon drugs too. (Always cover all areas as best as you can while studying).
4. Study the Generic names of drugs. Generic names are always long and difficult to pronounce. Sit next to me and you will feel my pain. But in the end, its always good to be aware of both generic and brand names. In the nursing field, you never know which name will be given to you. Most times, it will be the Generic name.
5. Eliminate. Practice, practice, practice the art of elimination. Once you can identify which option is incorrect, keep going until you are left with the two best answers and continue on using critical thinking to select the the correct answer. (This takes time to do, so please get some NCLEX styled question books and practice elimination).

You can watch the video here too!

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How to Study Pharmacology | Nursing School | NCLEX

Hello, in today’s post I will share with you some tips on How to Study Pharmacology in Nursing school and for NCLEX. These tips are simple yet effective. I can tell you that. It was a learning experience for me. Like the saying goes, “you live and you learn”.

Nursing school wasn’t easy and when my pharmacology class came around I was so scared. I had great professors and friends who helped me along the way. But in order to get over my fears of pharmacology I had to build my confidence. The only way I knew how was to get into my pharmacology books, look online for additional resources, tips and just do it.

If you passed your pharmacology class, please leave some tips below in the comment area so that you can help someone. Share some of your struggles with pharmacology. I know most of us had struggles. I struggled with managing how to get all the drugs memorized and understood. But a great way I discovered to get it done was by breaking it all down. I divided my time as I went through each classification of drugs. Trust me, it helped me so much!

 

Here  are a lists of tips I shared in my video.

1. Get familiar with the drugs
2. Study prefixes & suffixes
3. Make flash cards/pharm cards (study on the go0
4. Get a pocket drug guide (use an app on your cell)
5. Make fun mnemonics (check out my pinterest account for some that I’ve saved)
6. Make studying pharmacology fun (study in groups, make it into a little game)

I hope that these tips are helpful and if you want to get more information, please watch the video here!

 

Thank you so much for stopping by!!

Please leave some comments and some feedback here so I can see how I can improve here on this blog! Thanks and good luck!!

 

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How to Break down SATA NCLEX Questions

Hey everyone, in today’s blog post. I will share with you Four steps on how to answer Select All That Apply (SATA) NCLEX Questions. In a previous post, I shared with you some tips that I used and were very helpful for me. I included a video as well, How to answer SATA Questions

Here are the Four Steps to answering Select All That Apply questions:

Step 1: What is the topic?

Step 2: What do you know about the topic? (Content?)

Step 3: What is the question really asking? (Rephrase the question)

Step 4: Eliminate

 

Here are the sample questions I went over in the related video: How to Br

eak Down SATA Questions

1. Which conditions are signs of vascular insufficiency? Select all that apply
   1. Decreased pedal pulses
   2. Thickened toenails
   3. Chronic foot wounds
   4. Hairy legs

What is the answer to this question? Leave the answer in the comment section below

Hurst, M. (2008). NCLEX-RN review. New York: McGraw-Hill Medical.

Page 430 Question 76

2. Which of the following diagnoses require Droplet Precautions? Select all that apply

1. Varicella
2. Rubella
3. Streptococcocal pharyngitis
4. Scarlet Fever
5. Shigella
6. Hepatitis A

Gardner, W. R., Sloan, D., & Hurd, C. (n.d.). NCLEX-RN (4th ed.).

Page 422 Question 9

Must Know Lab Values for NCLEX

Are you wondering which labs you need to know for NCLEX? There’s so much information that you need to know for the NCLEX RN, NCLEX PN exam. Knowledge of the lab values are highly important as a change in lab value measurements can indicate whether a patient is returning to optimal health or is not. I decided to share my personal list that I used while studying for my NCLEX exam. I hope that you found it informative and helpful.

Here is my list of the Lab Values that you NEED TO KNOW!!

                                                         ▼▼

ARTERIAL BLOOD GASES (ABG’S)

pH: 7.35-7.45 (High pH=Alkalosis, Low pH= Acidosis)

pCo2- 35-45 (High pCo2=Respiratory Alkalosis, Low pCo2= Metabolic Acidosis)

P02= 80-100

HC03= 22-26 (High HC03=Respiratory Alkalosis, Low HC03= Metabolic Acidosis)

Sa02= 94-100%

 

ERYTHROCYTE SEDIMENTATION RATE (ESR)

ESR indicates inflammation.

Normal is <30mm/hr

 

TOTAL CHOLESTEROL <200

 

HDL (GOOD) >60

 

LDL (BAD) <130

 

TRIGYLCERIDES

100-200; you want <150

If patient is on medication, you want <100

 

LIVER ENYZMES/HEPATIC FUNCTION TESTS

ALT = 10-30

➢Identifies hepatocellular disease of the liver; monitors improvement of disease

AST = 8-40

➢Evaluates a client with suspected hepatocellular disease/ cardiac markers to evaluate coronary artery occlusive disease

➢Increased levels of ALT & AST indicates Jaundice, Liver Problems

 

ALBUMIN 3.5-5.0

➢Volume expander, a protein

➢Indicates nutritional status

 

BILIRUBIN 0.1-1

infant levels= 10-14

Increased Bilirubin=jaundice

 

GLUCOSE 70-110 (Fasting State Normal)

<50 (Low) >400 (High)

1 hr- 190 mg/dL

2 hr- 140 mg/dL

3hr- 125 mg/dL

 

HBA1C <7%

Its a 3 month review of Glucose management

 

BUN (RENAL FUNCTION) 10-20

➢Increased BUN indicates Dehydration via GI bleed, poor renal perfusion, corticosteroid use

 

CREATININE (RENAL FUNCTION) 0.6-1.5

Increased Creatinine indicates Renal dysfunction

 

HEMOGLOBIN (HGB)

Measures Oxygen carrying capacity of the RBC

Male = 13-18 g/dL

Female = 12-16 g/dL

Child = 11-12.5 g/dL

Increased Hgb= Dehydration

Decreased Hgb= Bleeding, Anemia, Hemorrhage, Hemodilution

HEMATOCRIT (HCT)

The percentage of RBC per fluid volume of Blood

Male = 42-52%

Female  = 35-45%

Child = 35-45%

➢Increased Hct= Dehydration

➢Decreased Hct= Bleeding

 

WHITE BLOOD CELL (WBC)

Helps fight infections; immune system cells (leukocytes)

Adult = 5,000-10,000

Child = 5,000-13,000

➢Increased WBC = immunosuppressed, infections (bacterial/viral), inflammation (Rheumatoid arthritis, IBD, Leukemia, Allergies)

➢Decreased WBC =  neutropenic; bone marrow disorders, lymphoma, lupus, HIV

 

RED BLOOD CELL (RBC)

Male = 4.6-6.2 million/mm3

Female = 4.2-5.4 million/mm3

Child = 3.2-5.2 million/mm3

➢Decreased RBC- hypoxia, anemia

 

PLATELETS 150,000-450,000/ mm3

Used to diagnose hemorrhagic disease, thrombocytopenia

<20,000 = Risk for bleeding

<100,000 = Thrombocytopenia

 

COAGS

PT  9.5-12 seconds

➢Measures amount of time it takes in seconds for clot formation

➢Monitors effectiveness of Warafin (Coumadin) and detects coagulation disorders

➢Longer than 30 seconds = risk for Bleeding

➢Antidote for Coumadin = Vitamin K

PTT 20-45 seconds

Therapeutic – 1.5-2.5 times

Lower limit of normal 20-25 second

Upper limit of normal 32-39 second

➢Monitors effectiveness of Heparin

➢Detects coagulation disorders

➢Antidote for Heparin = Protamine Sulfate

INR  2-3 (therapeutic)

➢Monitors effectiveness of anticoagulation therapy

➢Monitors Warafin Therapy

AMMONIA  10-80

➢Metabolized by liver, excreted by kidneys as Urea

URIC ACID 3.5-7.5

 

DIGESTIVE ENZYMES (PANCREAS)

LIPASE 0-110 (Most specific)

AMYLASE 45-200 (made by Pancreas & salivary glands, helps with digestion)

 

TROPONIN <0.6 mg/mL

>1.5 = indicates MI

➢Cardiac Marker

PHENOBARBITAL 10-30

 

LITHIUM 0.5-1.5

➢Mood stabilizer for Depressed/Manic patients

➢Don’t use in Renal/Cardiac patient

➢Loss water & sodium; so increase sodium intake

➢Give with meals

➢Safety- causes orthostatic hypostension

DIGOXIN 0.5-2.0

➢Dig toxicity = >2.5

➢Decreases Heart Rate

➢Early signs of toxicity= GI symptoms (N/V)

➢Late signs of toxicity= yellow halos, visual changes

DILANTIN (PHENYTOIN) 10-20

➢Phenytoin toxicity = >30

➢Turns urine Brown

THEOPHYLLINE 10-20

➢Theophylline toxicity = >20

Central Venous Pressure (CVP)

2-11 mm/Hg

5-13 cc/H20

➢Measures pressure in Right Atria of the heart.

➢Remember: more volume, more pressure

SPECIFIC GRAVITY 1.010-1.030

➢Less than 1.010 = Diluted urine

➢Higher than 1.030 = Concentrated urine

 

TYLENOL TOXICITY >4,000 mg/day

➢Can cause liver problems

➢Antidote for Tylenol = Acetocysteine 

FLUID & ELECTROLYTES

Potassium, Calcium, Magnesium, Sodium, Chloride, etc.

♢◆♢◆♢◆♢ For my NCLEX exam, I memorized these lab values. (I wrote them all out over and over again until I knew them. Then I quizzed myself as I had them on index cards and/or I asked family members to quiz me).

                         During my exam I wrote down the lab values that I definitely knew that I had trouble remembering. This was helpful because while I was answering questions, I had the information in front of me as reference.

 * Note: Testers are not allowed to write down information on the whiteboard immediately after getting the whiteboard. I suggest that you wait until you’ve started your first exam question to write the lab values down* ♢◆♢◆♢◆♢

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How to PUT ON & TAKE OFF PPE |NCLEX

On the job as a nurse it is imperative that you prevent transmission of disease and maintain patient safety. The NCLEX exam loves to give questions on how you put on and take off your Personal Protective Equipment to see if you maintain safety and prevent disease transmission. NCLEX is all about safety!!

Personally for me, while studying for NCLEX, this topic was a bit confusing. Luckily I found a way that helps me to remember them without a doubt. If you want to be confident in answer precaution questions, then please watch this video!

 

 

In addition, please check out my previous post and corresponding videos, Easy Way to Remember Isolation Precautions and Infection Control Precautions Demonstration

I hope that the information provided is helpful to you. If it is, please comment below letting me know. Feel free to ask questions!

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How to Study Precautions for NCLEX

Infection Control Precautions are huge on the NCLEX exam. It is important that you know and understand which diseases belong in each precaution category. On NCLEX, there will be questions that may ask you if patient A (who has TB) can be in a room with patient B (who has Hepatitis C), etc.

I have a video on my youtube channel that explains what you need to do for your patient and which Personal Protective Equipment (PPE) you need too. Please watch this video to go along with this post.

 

⭕️AIRBORNE PRECAUTIONS⭕️

“My Chicken Flew Up in the AIR and has TB”

My- Measles/Rubeola

Chicken- Chicken pox/Variella

Hez- Herpez Zoster/Shingles

TB- Tuberculosis

⭕️DROPLET PRECAUTIONS⭕️

“Spiderman DROPPED out of the Sky”

S (x3)

S- Sepsis

S- Scarlet Fever

S- Streptococcoal pharyngitis

P (x3)

P- parvovirus B19

P- pneumonia

P- Pertussis (Whooping Cough)

I- Influenze

D- diptheria (pharyneal)

E- epiglottitis

R- rubella, rhinovirus

M (x3)

M- Mumps

M- meningitis

M- mycoplasma/meningeal pneumonia

AN- Adenovirus

⭕️CONTACT PRECAUTIONS⭕️

“If you want to get better, do not CONTACT MRS.WEE”

M- multi-drug resistant organism (MRSE, VRE)

R- respiratory infection, croup, Respiratory syncytial virus (RSV)

S- skin infections

W- wound infections

E- Enteric infections (C. Diff)

E- eye infections (conjunctivitis)

Additional diseases: Impetigo, Head lice, Endometritis,MRSA (staph infection), Staphylococcal (S. aureus), Rota virus, Shigellosis, Herpes Simplex, Varicella Zoster, Hepatitis A, Candidiasis (Thrush), DRE

⭕️SKIN INFECTIONS⭕️

“To prevent SKIN INFECTIONS, avoid TOUCHING V’s Chips”

V- Varicella zoster

C- Cutaneous diptheria

H-herpes simplex

I- impetigo

P- pediculosis

S- scabies

⭕️UNIVERSAL/STANDARD PRECAUTIONS⭕️

AIDS, Vaginal yeast infection, Diarrhea (basic type),

Mononucleosis/Epstein Barr Virus, West Nile (via Mosquitos), Hepatitis C (via blood/body fluids)

Cutaneous Anthrax, Tetanus, Escherichia Coli (E. Coli), Lyme Disease

♢◆If there are any that I missed, please share in the comment section. I would greatly appreciate your input. If you know of other ways to learn the precautions, please share them below. It will help someone. Thank you so much for your support! ♢◆

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How I Passed NCLEX

Hi guys, I noticed that I didn’t get to share with you how I passed my NCLEX RN exam. I was a repeat tester. What? Yes, I was. There is no shame in telling you all this because I am human. NCLEX  wasn’t an easy experience for me. It was definitely a journey. I appreciate the ride to success because it has taught me more about myself as a young woman.

Most times when people hear about nursing school they are aware that its tough,  it is mentally draining, and its a beautiful career. But what about the final exam of them all, the NCLEX? Well, I personally feel like this exam mentally tested me not only on the nursing material but it tested me physically and spiritually.

If you would like to hear about how I passed my NCLEX, then please watch this video. =)

If you found it helpful or inspirational, please share it along with friends and family. Join me here for more posts and subscribe to my youtube channel.

I would love for you to share your experience with the NCLEX exam below. Or if you are getting ready to take it, share how you are feeling about it, questions or concerns.

Thank you so much for stopping by!

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How to Study for NCLEX (Tips)

 

Hi everyone,Welcome to FearlessRN blog!

Today I would like to share some helpful tips on how you should study for the National Council Licensure Exam (NCLEX) aka State Boards. My journey wasn’t an easy one, but I discovered some tips that helped me to be successful on the NCLEX exam. I hope that these tips are beneficial to you. If you like them, please share them along with your friends, classmates. I really hope they help you on your NCLEX exam.

✤My Tips✤

Tip 1: Take an NCLEX refresher course.

This is a course that guides you on how to study and what topics to focus on while you are studying. There are so many NCLEX review course on the market, but here are just a few. There’s Kaplan, Hurst Review, Remar Review, Simple Nursing, Uworld, Lippincott, NCSBN, Mark Klimek, and much more.

Tip 2: Make a study schedule.

Your study schedule should be realistic and appropriate for your lifestyle. You should have “goals of the day”, lists of items/topics you want to cover for the day. Use time to help maximize the amount of tasks to complete. For example, study Renal for 1 hour. After that hour is over, move on to something else. I like to use check off lists. Check off lists helps ensure that I get all the material I would like to get done for the day. It helps keep me motivated!

Tip 3: How are you going to study?

Style:

 ▻Will you break down your studying by topics (Neuro, OB, etc) and then do the corresponding questions on that topic? If yes, I suggest that you start off with your weakest area. Keep doing questions until your scores are above average. Make your weakness, your strength!!

 ▻Will you do NCLEX styled questions randomly. If yes, I suggest that you do them in a timed fashion (like NCLEX). The most important thing to do, is to remediate/study the rationales immediately! Its best to do this, so that the material is fresh in your brain and you can always stop and go back to content to gain more knowledge if you were unaware of something before.

Amount of Questions per day:

I recommend doing at least 75 questions per day. But its always best to do what you know you can handle. Don’t overload yourself with large amounts of daily questions. This will have a negative effect. Take the time out to remediate and study the rationales to understand. Don’t look at the rationales to memorize. You can always find ways to complete the amount of questions you planned by simply breaking them down. For example, do 25 questions, remediate, 25 questions, and so on.

Tip 4: Take breaks

Its so important to take breaks while studying. Only you know how much you can handle. Take days off if you need to. Your brain needs time to rest in order to function properly. Have some fun too! It is ok to take a day off to just relax and start off new the next following day.

Tip 5: Do your research

Do your research to find our which NCLEX resource caters to how you learn. Some people learn best by reading, writing, watching videos. Its so important to figure out which type of learner you are and then find a resource that corresponds to that.

Please check out this video How To Study for the NCLEX + Review, for short reviews on some of the NCLEX  reviews mentioned. (This is also Part 2)

Tip 6: No distractions

Study without any distractions. NCLEX requires lots of time and dedication. Deactivate social media accounts if you have to. Go to the library or any environment that mimics the NCLEX testing environment. Wear headphones or ear plugs to decrease disruptive sounds.

Tip 7: Core Content is essential

Learn your core content! Be sure that you know content that everyone knows. Its imperative to know the core content so that you have a strong foundation on each and/or any topic that is given to you in an NCLEX question. In addition, it helps with strengthening your critical thinking skills (huge on NCLEX).

Tip 8: Flash cards

Make flash cards on topics that you know you have difficulty on. For example, Lab values, Disease and Nursing interventions. Personally for me, I made Pharm cards. They were portable, light weight and fun. Each time I used them, I made it into a game, so studying never felt like studying.  **Please let me know if you would be interested in seeing how I made mine.

Tip 9: Study in Groups or Alone?

Will you study in groups or alone?? Which works best for you? You have to look back to your nursing school days and find out which method worked out best for you. There are pros and cons for both. Maybe studying alone, helps you to focus in on what you really don’t know. Or maybe group studying, helps you get some clarification on topics you thought you knew but you weren’t accurate.

Tip 10: Pray! Believe in yourself!

NCLEX is a difficult exam. Trust me, I know! But personally, it has helped me to get closer to God and stay in faith. When you are scared, doubtful, just pray about it. Pray! Believe in yourself! You got this far, so you can pass this exam. Don’t ever give up!!

As always, I hope that these tips helps you! If you have any tips, please share them below as well. If you would like, please watch these videos PART 1|How To Study for the NCLEX (Tips) and PART 2| How To Study for the NCLEX + Review for a visual.

Thank you so much for stopping by! Good luck!!

 

 

 

 

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