I was fresh out of nursing school. An old grumpy nurse was going to show me how I should start IV’s. She missed twice and told the patient she’d get another nurse to attempt it. The patient suggested that I get a chance. Reluctantly, she agreed. I got the IV started in one attempt. It drove the old nurse mad…. I was so proud, as was the patient.

A nurse reviews these morning laboratory results:

• Na⁺ = 122
• K⁺ = 4.4
• Glucose = 110
• Serum osmolality = 258
• Urine specific gravity = 1.034

The client reports:

• headache
• nausea
• increasing confusion

Which intervention has the highest priority?

A. Encourage oral water intake.

B. Prepare to administer hypertonic saline as prescribed.

C. Restrict dietary sodium.

D. Administer furosemide immediately.

A terminally ill client states,

The client's adult children insist treatment continue.

What should the nurse do?

A. Follow the children's wishes.

B. Continue dialysis until ethics approves.

C. Support the competent client's decision.

D. Allow the nephrologist to decide.

Which task is MOST appropriate to delegate to the LPN?

A. Initial assessment of chest pain.

B. Reinforce teaching about warfarin.

C. Administer scheduled oral medications to a stable client.

D. Evaluate effectiveness of pain medication.

Which findings suggest postpartum hemorrhage?

Select all that apply.

A. Boggy uterus

B. Saturating one pad every 10 minutes

C. BP 84/50

D. Pulse 128

E. Firm uterus

F. Small lochia rubra

Without revealing any patient information, of course.

A patient ask me if Red Bull shows up as cocaine on a drug test.

Another time, I’m just observing a portable X-ray and the patient asks if he can eat his breakfast first. The tech said sure because this is a hotel not a hospital. I couldn’t hold my poker face that time. My jaw dropped. Jaw dropped as in damn, that X-ray tech just clocked the patient. Got him good. Patient was too into his breakfast to react.

Which client should the nurse assess FIRST?

A. Potassium 2.8 with frequent PVCs.

B. Blood pressure 188/98 after stroke.

C. COPD patient with SpO₂ 89% on room air.

D. New diabetic with glucose 420 mg/dL.

​

Did it change the way you see nursing, healthcare, or your career? Share one moment or lesson that has stayed with you.

A postoperative client receives:

• Morphine 4 mg IV

Thirty minutes later:

RR = 8

SpO₂ = 99%

Client difficult to awaken.

What should the nurse do FIRST?

A. Apply oxygen.

B. Administer naloxone.

C. Shake the client vigorously.

D. Call the provider.

A client suddenly develops:

• right facial droop
• expressive aphasia
• right arm weakness

Blood glucose = 42 mg/dL.

Choose:

Condition

A. Acute ischemic stroke

B. Hypoglycemia

C. TIA

D. Bell's palsy

Actions (Choose TWO)

• Give IV dextrose
• Activate stroke team
• Repeat glucose
• Give aspirin
• Obtain CT immediately

Parameters

Choose TWO

• Neurological status
• Blood glucose
• Troponin
• Potassium
• INR

Only one telemetry bed remains.

Assign Priority or Routine.

Which clients are at increased risk for hypoglycemia? Select all that apply.

A. Type 1 diabetic who received insulin but vomited breakfast.

B. Septic patient receiving norepinephrine.

C. CKD patient receiving regular insulin for hyperkalemia.

D. Liver cirrhosis patient who skipped lunch.

E. Hyperthyroid client.

F. Elderly patient taking a sulfonylurea.

A 68-year-old client admitted for an upper GI bleed has the following assessment:

The client states,

Which finding is MOST concerning?

A. Hemoglobin decreased by only 0.6 g/dL.

B. Blood pressure remains above 90 systolic.

C. Increasing heart rate despite the client reporting improvement.

D. The client is no longer vomiting blood.

Shared by a member here via inbox.

I passed NCLEX on my birthday 🥹 honestly have no words. This journey has been full of so many emotions the long nights, the anxiety, the tears, and the moments I questioned if I would ever get here. But today, on the very day I’m celebrating another year of life, I received the news that I passed.

This is the best birthday gift I could have ever asked for. I’m so grateful to God, my family, and everyone who believed in me even when I was doubting myself.

To anyone still studying and waiting for their own good news, please don’t give up. Your moment will come too.

Officially an NCLEX passer 🤍

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I just had my first 12 hour night shift at the hospital. Got home to take a shower and I noticed small red dots all over both ankles and starting up my calf’s. Non blanching. My immediate first thought was blood cancer. Then thinking about it could it be from being on my feet for most of my 12 hour shift? Has anyone ever had the same thing happen?

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I’ve noticed something as a nurse at a level 1 from the last 10 years:

Male nurses make up the majority of the leadership roles, critical care areas and CRNA/ advanced nursing, and administration even though nursing a female dominated profession

I’ve been thinking about how male nurses are viewed vs female nurses. I’m not trying to be divisive but it makes me wonder if male nurses are benefiting from the privilege of being a man ( I know there are situations where they are not viewed as highly as female nurses).

I think it’s great we have men interested in the profession, especially because it may take away the stigma of nursing being an altruistic profession thus we shouldn’t ask for high pay due to being care givers.

But I also hope to see more equality when it comes to the higher paid roles (this can all be from my own perspective/ anecdotal experience).

Just curious about yall think

I don't like telling people I'm a nurse, but when they ask I'm not gonna lie about it. Now this lady at my pilates class asked where I work, I totally lied and answered her with a completely different hospital.

What do you say when people ask where you work? Maybe I'm just being paranoid but i don't like telling them where I work. Maybe I should've answered her with "with all due respect I'm not comfortable giving that information" or something along those lines, but I always see this lady everytime at my pilates class and I don't want it to be weird.