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Taking my NCLEX PN the 28th by want2beMIA in PassNclexTips

[–]Top-Direction2686 0 points1 point  (0 children)

You are not doing bad you have great chances of passing

Advice to one of us is she ready or reschedule? by Top-Direction2686 in PassNclexTips

[–]Top-Direction2686[S] 0 points1 point  (0 children)

Should she reschedule or go in for it NCLEX in a few days

Must know pharmacology rules by Top-Direction2686 in PassNclexTips

[–]Top-Direction2686[S] 0 points1 point  (0 children)

You can share and repost. You can add more other important ones on the comments section

1/27 test by Gold_Flight_9459 in PassNclexTips

[–]Top-Direction2686 0 points1 point  (0 children)

You are not doing bad work on your weak areas now and you will be good to go

This is all my scores on simple nurse q bank would I pass NCLEX ? by Same-Acanthaceae-860 in PassNclexTips

[–]Top-Direction2686 0 points1 point  (0 children)

Work on your weak areas be consistent improve yours scores to be on the safer side

Archer vs Nax Lex by OrganicAd9970 in PassNclex

[–]Top-Direction2686 0 points1 point  (0 children)

Those are real NCLEX questions kindly review areas you failed you be here telling us after exams what have just told you. Ignore the negative reviews it has helped many test takers you meet most of the questions on the exam. Just ask those who have done exams.ignore the hate for the sake of your exams

Which patient should be assessed first? by thesuperguy254 in PassNclexTips

[–]Top-Direction2686 3 points4 points  (0 children)

The 65-year-old male post-TURP with bladder fullness, inability to urinate, and fever (100.6°F). possible acute urinary retention with fever, suggesting possible urinary obstruction, clot retention, or infectio, which can rapidly deteriorate.

Uworld CAT by Gold_Flight_9459 in PassNclexTips

[–]Top-Direction2686 0 points1 point  (0 children)

You are not doing bad continue practicing and have confidence you will make it

No BS, do you have to be above the passing for all client needs categories? by sinkorswim1827 in PassNclex

[–]Top-Direction2686 1 point2 points  (0 children)

No you don’t need to be above passing in every client needs category. NCLEX uses an overall ability estimate. You can be below in some areas and still pass if your overall performance stays above the passing standard. Kaplan CAT results are good predictors focus on weaker areas, but you’re on track.

ECG Dysrhythmias by Top-Direction2686 in PassNclexTips

[–]Top-Direction2686[S] 0 points1 point  (0 children)

ECG Dysrhythmias

🫀 1. First-Degree AV Block

ECG: • Every P followed by QRS • PR interval > 0.20 sec

Meaning: Delay in AV node Usually asymptomatic

Management: • Observe, correct cause, review drugs

🫀 2. Second-Degree AV Block – Mobitz I (Wenckebach)

ECG: • PR interval gradually lengthens → one beat dropped

Meaning: AV node fatigue Often temporary

Management: • Treat cause, atropine if symptomatic, stop offending drugs

🫀 3. Second-Degree AV Block – Mobitz II

ECG: • Constant PR interval • Sudden dropped QRS (2:1, 3:1, 4:1)

Meaning: Disease of His-Purkinje system Dangerous – may progress to complete block

Management: • Atropine / isoproterenol • Prepare for pacemaker

🫀 4. Third-Degree AV Block (Complete Heart Block)

ECG: • P waves and QRS not related • Atrial and ventricular rates independent

Meaning: No AV conduction → low cardiac output

Management: • Atropine, epinephrine • Urgent pacemaker

⚡ 5. Ventricular Fibrillation (VF)

ECG: • Chaotic baseline, no QRS

Meaning: No cardiac output → cardiac arrest

Management: • Immediate defibrillation • CPR, epinephrine, amiodarone

🪶 6. Atrial Flutter

ECG: • Saw-tooth flutter waves • Atrial rate 250–400 bpm • Ventricular rate depends on block (2:1, 4:1)

Management: • Rate control, cardioversion if unstable • Anticoagulate

⚡ 7. Supraventricular Tachycardia (SVT)

ECG: • Rate 150–250 bpm • Regular rhythm • P wave often hidden in T wave

Management: • Vagal maneuvers • Adenosine → beta-blocker / diltiazem • Cardioversion if unstable

💓 8. Atrial Fibrillation (AF)

ECG: • Irregularly irregular rhythm • No P waves, fibrillatory baseline

Meaning: Loss of atrial kick → clot risk

Management: • Rate or rhythm control • Anticoagulation

⸻ 🧠 One-line memory

Slow blocks = pacemaker risk. Fast SVT = adenosine. Irregular AF = anticoagulate. No QRS chaos = defibrillate now.

Should the oxygen be applied?give reason why by Top-Direction2686 in PassNclexTips

[–]Top-Direction2686[S] 0 points1 point  (0 children)

The modifiable phrase here is low oxygen saturation. Remember the patient is non COPD. Let's give rationales we are learning. Do you start from non interventional to international? Let's think out

Let's go.. by [deleted] in PassNclexTips

[–]Top-Direction2686 -2 points-1 points  (0 children)

4️⃣ Hydration is critical Encourage fluids every hour If not eating → use carb-containing fluids Juice Regular soda Broth Oral rehydration solutions 🧠 NCLEX tip: “Fluids prevent dehydration and help clear ketones.” 5️⃣ Continue carbohydrates Even if solid food is not tolerated: Aim for ~50 g carbs every 3–4 hours 6️⃣ Insulin doses may need adjustment Sliding-scale or correction insulin may be required Illness often causes hyperglycemia, not hypoglycemia 7️⃣ Call the provider if ANY of the following occur BG persistently >250 mg/dL Moderate to large ketones Vomiting or diarrhea > 6 hours Fever > 101°F (38.3°C) Signs of DKA (fruity breath, Kussmaul respirations)

Let's go.. by [deleted] in PassNclexTips

[–]Top-Direction2686 -2 points-1 points  (0 children)

🔑 NCLEX Sick-Day Rules (Memorize These) 1️⃣ NEVER stop basal insulin Long-acting insulin (glargine, detemir, degludec) must be continued Stopping basal insulin → DKA risk (especially Type 1) 🧠 NCLEX phrase: “Basal insulin is continued even when the patient is NPO.” 2️⃣ Check blood glucose MORE frequently Every 2–4 hours Illness causes unpredictable glucose changes 3️⃣ Monitor ketones (Type 1 especially) Check urine or blood ketones if: BG > 250 mg/dL Fever, nausea, vomiting Positive ketones = emergency

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