Kaplan NCLEX Summary Recap PDF

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Use this tool to pass your NCLEX! Kaplan has great resources that help break down important material....

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Session 1

Lessons on Demand: These are the prerecorded class videos, covering all the information from our PowerPoint presentations from our class. This will not be a LIVE recording of the instructor you have in class, but a different instructor. Go to the Study Plan at the top of your homepage, then go to "Phase 2". Click on the Session you want to review. Then click on the selection “Lesson on Demand”. If you want a copy of the ebook, as a hard copy, you have the option to buy it on your own at Amazon.com at Steps to access: 1. go to kaptest.com 2. scroll down and select the course (may say: NCLEX Deluxe Integrated, RN Deluxe Institutional, etc. ) (purple access resources button) 3. accept enrollment agreement (if that is an option) 4. click blue/purple “access resources” tab —click the study plan tab at the top and you will see your 3 phases of study on the left hand side RN: (8th edition) https://www.amazon.com/NCLEX-RN-Content-Review-Guide-Preparation/dp/ 1506262910/ref=dp_ob_title_bk Organize yourself, 4 sheets of paper, and get focused to take good HAND WRITTEN notes: 1. Content notes (write down what you don't know and look it up after class) 2. Pharmacology 3. Infection Control (airborne, contact, droplet, standard) 4. Pearls of Wisdom

“Kaplan NCLEX RN Content Review Guide -8th ed” You can purchase on your own as a hardcopy at the link in Phase 1 or go to this link: https:// www.amazon.com/NCLEX-RN-Content-Review-Guide-Preparation/dp/ 1506262910/ref=dp_ob_title_bk NEW COVID RULES: The NCLEX will be as follows: 1. Minimum of 75 questions and maximum of 145 (15 experimental questions scattered in the first 75) 2. Exam length is 5 hours maximum 3. Difficulty level unchanged 4. Continue to be a CAT exam 5. Updates @ https://www.ncsbn.org/14428.htm 6. Then Next Generation NCLEX Special Research Section will be included Phase 1: Review of essential nursing content (Content Review Guide / ebook, Content Lecture Videos/322 videos, Test Taking Workshop, Diagnostic Test, Question Trainer 1 and 2 and 3). These resources help you identify your specific "content gaps" and can help you fill in those “gaps” with the high yield content found on the NCLEX A Plan for NCLEX Success: Watch all the online videos, read the ebook front to back, do all the Kaplan Practice exams and remediate all of the exams Kaplan breaks down your plan of study into “Phases” Phase 1 = building content foundation Phase 2 = learning Kaplan strategies for critical thinking = class activities Phase 3 = mastering critical thinking with practice questions/remediation The National Council of State Board of Nursing creates the NCLEX exam. Go to www.ncsbn.org and click on NCLEX exams at the top left. Open all the tabs on the left. Know what they know and what they will give you about the exam. Information about your Authorization to Test (ATT) Check out the NCSBN.org website and information about BEFORE, DURING and AFTER the exam: https:// www.ncsbn.org/before-the-exam.htm

Master clinical Judgment = use critical thinking and the Kaplan Strategies/ Decision Tree with EVERY Question --the strategies work -> Practice, Practice, Practice. In class do every question with the instructor so you “train your brain” – you get into the groove and will get stronger everyday. NCLEX Rule -> correct answers are based on textbook answers NOT real world experience -> think "it’s by the book!" keep your experience out of NCLEX land. The NCLEX is a National exam. It is NOT based on your facility, your state or your experience. It is based on National standards. The NCSBN creates questions and answers based on several different textbooks and what is consistent in those books. The NCSBN creates questions and answers based on several different textbooks and what is consistent in those books.

Largest Portion of the NCLEX test = Management of Care, Pharmacology and Physiological Adaptation—be sure you are strong in these categories (about 49% of the content they will test you on). All the categories are important. After each Kaplan exam/question you take, an analysis will be generated to give you data about each specific Test Plan category = use this to determine your weak areas. Study your weak areas so they become your strengths.

Manage your TEST experience -> go to the Pearson Testing Center website and know all the rules ->!http://www.vue.com/nclex!and!https://portal.ncsbn.org/ Practice testing center rules: no gum, candy, food or drinks while testing. Practice with a mask as this is required by testing centers during covid. Practice with a whiteboard (sheet of paper - about normal size) and practice what you will write on your whiteboard. -There are VERY specific rules about the white board on NCLEX. For information on the Erasable Note Board on NCLEX see this link: https://www.ncsbn.org/ 1268.htm Bloom’s Taxonomy is used for writing NCLEX-RN® test items, as the practice of nursing requires problem-solving and clinical judgment. Nurses need to be able to perform this higher-order thinking on NCLEX questions. Analyzing!requires ability to identify assumptions, spot errors of logic, and distinguish facts from values.

Applying!requires ability to apply principles to new situations. PASS LINE------------------------------------------------------------------Understanding!requires ability to interpret and extrapolate from a set of data. Remembering!requires recall of facts and basic principles. To find your ebook: Use your original Kaplan link (https://nursingkaplan.com/ s_login.aspx). Log in and look at “Getting Started” or “Welcome to NCLEX Prep/ Path to NCLEX Success” or go to “Phase 1”: then “Essential Nursing Content” The NCLEX is a computer adaptive test. It “adapts” based on if you get a question correct or incorrect. If you get it correct, a harder question will be next. If you get it incorrect and easier/less challenging questions will be next. You want to practice harder more challenging questions. To PASS the NCLEX you must be ABOVE the passing line (getting harder more challenging questions). There is NO partial credit for any question. You either get it right or wrong. How the NCLEX works = check out the FAQs -> https://www.ncsbn.org/1216.htm and https://www.ncsbn.org/9009.htm NCSBN will tell you that you should plan on feeling like you are getting 50% correct and 50% incorrect. Kaplan target scores for your practice questions = 60-65%. This puts you well above that 50% mark. The NCLEX is NOT about a number or percentage. It is all about staying ABOVE the passing line = answering passing level questions (application/analysis difficulty level) and showing a “band of confidence” =consistently staying above the passing line making safe effective clinical decisions “consistently” just like a licensed nurse. Band of confidence -> The computer will stop giving items when it is 95% certain that your ability is clearly above or clearly below the passing standard. It monitors where you are and where you stay = establishing a band. Stay consistently ABOVE the passing line = Pass the NCLEX. https://www.ncsbn.org/ 5908.htm NEVER give up --as long as you are getting questions = you are still in the game (NCLEX is giving you another chance). This means you are staying at the passing line and not demonstrating staying above or below the passing line. Stay in control, manage your anxiety and OWN each question. This is YOUR test, your day to celebrate your knowledge and ability to show the world you are safe and effective ;-) Recognize what the NCLEX is doing –pushing you with harder

more challenging questions. Don’t lose control or freak out –you wouldn’t do this in front of a patient so don’t do it in front of your questions. If you run out of time = 5 hours is up. The computer doesn't have the opportunity to give you more questions. Thus, the computer will go back and look at your overall ability. Accuracy is the key, not rushing. Understand how the NCLEX tests you: https://www.ncsbn.org/5908.htm

Select All That Apply Questions (SATA): No partial credit. Can be one answer, more than one answer, or all answer options. These questions will be: -Looking for something wrong -Looking for something right -Delegation -Risk factors -Dietary

Phase 1 = content foundation building -> read ebook, watch all the content videos, take specific tests (Diagnostic Exam, Trainer 1,2,3). (before class activities) If you did not complete before class –no worries, it is just something you will need to do after class is over. These are content specific tests so you want a higher goal score of 65%. If you are an Institutional student, check with your faculty about your specific target score –they determine it for you. Remember Phase 1 tests gives you data about what you know/don't know related to content. These tests help you focus on what you need to study related to content. Areas of the NCLEX Test Plan that are less than 60% = you need to study it by watching applicable content videos and reading that chapter in your Ebook. Phase 2 = strategy focus -> learning new strategies, class activities. -> you have *class" videos which are prerecorded sessions of ALL our class sessions/ presentations. In class you will learn the strategies and begin to “train your brain”. We will “guide” you through this thinking process.

Complete Session 7 on your own by taking the NCLEX RN Practice Test in Phase 2 under Session 7. Then access the Channel and attend a Roadmap to Success Session 8 (your last 3 hour class session). During the Roadmap to success we will review all of the 60 practice test questions to show you how to remediate, we will talk about how to establish an NCLEX test date and create a study plan ROADMAP TO SUCCESS access in Phase 2 session 8 (roadmap to success). You can also click at the top of your phase 3 resources on the CHANNEL!! Kaplan Nursing’s Decision Tree is our cornerstone tool to foster critical thinking and clinical judgment.!You must use the Decision Tree on every question in order to foster success. We will help you learn how to apply!the Decision Tree to every question. The Decision Tree helps you develop complex critical thinking skills. We will discuss the difference between basic critical thinking and complex critical thinking later in this session.! Phase 3 = after class activities -> practice using the strategies you learned in class, taking questions, and remediating before taking the next exam. This is NOT just about taking this class then going to take your NCLEX. You will need to practice the strategies you learn and “train your brain”. It takes 21 days to build a habit – so we recommend at least a 3 week plan to practice. Kaplan online resources -> you have *class" videos which are prerecorded sessions of ALL our class sessions/presentations. These are titled “Review of Questions” or “Lessons on Demand”. You can stop, pause, rewind, fast forward these videos. These are NOT LIVE recordings –the instructor will be different but will cover all the class slides/presentations. Check out Phase 2 resources and the videos are labeled by the Session number. The Decision Tree = your guide in critical thinking to find the priority, most safe/ effective response and clinical judgment for each question. • Use with EVERY question. • The Decision Tree is NOT a trick or cheat for NCLEX.!It guides your thinking --step by step.!Thus, it makes you a better thinker.! It will help you learn to critically think- required for the NCLEX test and practice as a nurse!!

Practice in the field does not always match textbook. Make sure your answer is not based on real world experience. Don’t ask “what do they do on my floor” but ask “what does my textbook say about this?” NCLEX is a perfect world: You have all the time, staff, equipment, and orders. You have an order for every answer choice on the NCLEX but you still have to decide if it is within your scope of practice - and if the order is safe and effective You have an order for every answer choice -RN can increase & decrease fluid infusion rate, -RN can increase oxygen rate and change type of delivery device -RN can administer sliding scale insulin -RN can titrate any meds that are generally titratable (vasopressor drip, insulin drip, heparin drip) RN cannot change dosaging on non-titratable medications TIP: I can only do ONE thing and walk away. What is SAFE and EFFECTIVE? Step 1: Know the topic – this will point you in the right direction and is the focus Read the stem only (the question, not the answers) Rephrase into 2-3 of your own words Not sure about the answers? - look at your answer options for clues Topic: Figure out what the “right here, right now” problem is. " The NCLEX® will give you the information you need to know to answer the question, but you have to figure out the clues: Pay attention to key words. Ages and time frames are important. 1. Priority Question-- asks us what is "best, most, priority, first, next, initial, immediate”—“action” or “response” = Means there is more than just one answer that can be correct • Use all 5 Steps of the Decision Tree. • Steps 2-4 help us to Eliminate non priority answers and keep priority answer options.! • When NCLEX asks us to prioritize (do one thing and walk away for 1 patient –then we are establishing Priority)

2. Evaluation question-- asks us to decipher if something is wrong/right, correct/incorrect, true/false and/or ask for special evaluation criterion. • Use Steps 1 and 5 of the Decision Tree • These are questions that can be negatively or positively phrased • Looking for responses or statements (therapeutic communication), risk factors, SATA questions/alternate format questions, special questions that require special evaluation criteria (who do I see first, assignment/ delegation questions) and/or asks us if something is right/wrong.

POW: TIP: Time frames are HUGE in NCLEX world. The first 24 hours after a procedure, we are looking for a possible complication....ABC's !! 24 to 48 hours after a procedure, we are looking at the inflammatory process. Totally expected to have increased pain, swelling, temp, and WBC. 36 to 72 hours after a procedure we are looking for infection!! The NCLEX bolds key words such as best, most, essential, first, priority, immediately, highest, initial, next, etc. Pay attention to these words -they are important. Ages: think Erickson’s developmental stages. Denver Developmental Delay Scale. Assessment vs Implementation: Look at the answers and determine if they are assessments (gives you data) or implementations (does something for the problem/situation) An "action" that gives you data about the client or situation = assessment (VS, physical assessment findings, asking questions, Lab values/results, etc) An "action" that does something for your problem/situation and does not give you data = implementation (sitting patient up, turning patient, give O2, give meds, starting an IV, etc) The NCLEX tests your thinking on "do you know when you need more information (assessment) or do you know when you have enough information and you NEED to "do" something for a problem/situation (implementation) NEED to know verses NICE to know!! If you have a mix (assessments and implementations)--then you have the ability to prioritize and eliminate answer options. The Nursing Process tells us we

would “assess” before we implement –establishing priority. We don’t just grab an assessment because it is an assessment – we need to think about if we need it, if it makes sense, if it makes a difference and if it validates (confirms) what I am thinking. The NCLEX is testing your thinking –do I need more data? Or do I already have enough data! Ask yourself....do I have this assessment in the question? Do I need this assessment? What is the outcome of this implement? Does it relate to the topic? If both assess and implement remain...ask...if I can do one thing and walk away...do I have to have this assessment to do this implementation? **Validation = "confirms/clarifies" what you were thinking. An example is you have a client that is diabetic and jittery -- you think (“suspect”) possible "hypoglycemia". An assessment answer that "validates" what you were thinking would be "getting the blood sugar". The blood sugar gives you concrete evidence -**validation** of what you thought was going on. An assessment that “validates” is an appropriate priority answer option. You need it, it makes a difference in what you would do next. In this question, do we have concrete evidence they are in pain? Do you need more? Physical answer options are needed to survive = air, water, food, shelter, safety, etc. They are the basic needs. " Psychosocial answer options are not needed to survive = emotions, thoughts/ feelings, love/belonging, social activities, emotional support, teaching for later use, expected pain, etc. When you have a MIX, then you have the opportunity to prioritize and eliminate. Physical answer options take priority over psychosocial answer options = Eliminate psychosocial answer options if they do not make sense -> think "what will kill them first" If you have a physical problem you will need a physical answer. If you have a psychosocial problem you need a psychosocial answer option. ”When you see pain = use your brain“ -> understand the context of the pain = Expected pain could be considered psychosocial (shoveling snow and have back pain/ get up hit my toe on my desk –won’t kill me) -> If pain is indicative of being severe/sudden and/or a physical problem (loss of life/limb/organ) then consider it

physical (shoveling snow and having chest pain –MI = ischemia). Severe pain can cause “shock” which is a threat of loss of life. Pain is about the underlying issue. Understand the context of pain. Pain is considered psychosocial UNLESS: Acute, severe, unexpected, or life/ limb threatening. Then we consider pain physical TRAP: Don't automatically pick the respiratory or chest pain answers - they MUST make sense to the topic!

ABCs • Airway includes the air passages from tip of nose to the alveoli (structures). • Breathing includes chest expansion, contraction and exchange of O2 and CO2 at alveoli level • Circulation includes Blood/Vessels (vascular space -veins/arteries, capillaries, RBC/WBC), fluid volume and fluid exchange, cardiac Evaluation: Evaluate the answer option according to the criteria: What is the outcome, does it help my problem, is it desired? Is this safe and effective? Does this relate to my topic? Does it help me here and now? If I can do 1 thing and walk away, will this help me help my client? Strategy: Your correct answer will ALWAYS address your topic. Be sure to determine that specific topic. If you have a circulation problem, you need a circulation answer. If you have a breathing problem, you need a breathing answer. If we have a physical problem, we need a physical answer.

Ages on the NCLEX Infant: 30 days - 1 year Toddler: 1-3 year Preschool: 4-5 years School Age: 6-12 years Adolescent: 13-19 years Adult: 20 - 40 years Middle Ages Adult: 40 - 65 years

Older Adult 65+ years Review Somogyi's effect and dawn phenomenon: The!dawn effect!involves a rise in early morning blood sugar levels. This results from declining levels of insulin and an increase in growth hormones. ... The difference between the!Somogyi effect!and the!dawn phenomenon!is that the!Somogyi effect!is a response to low blood sugar during the night MONA: Morphine, Oxygen, Nitro, Aspirin TIP: When you see "diaphoretic" think "significant distress”

Tip: Therapeutic Communication -> do NOT ask "why" --this causes the client to become defensive. We do not "explore" why a client feels or does something. We want them to express themselves openly but we do not ask them to determine "why" they feel a certain way. “Why” addresses the nurses curiosity – as a nurse we want information to help the client with their problem not our curiosities. Classroom Posters (blue strategy bar in class) -> Kaplan Strategies -> They are in your online resources, find them tonight and print them out. Phase 2, Session 1 For PRIORITY PATIENT/WHO DO YOU SEE FIRST QUESTIONS: Use Step 1 and Step 5. Your topic will always be the most Unstable client then go to Step 5 and use the evaluation criteria to ...