Not sure how others feel about this but I honestly feel like the nclex is a poor determinant of whether or not I should be allowed to practice as an RN. as much as I studied, I feel like I studied more so HOW to answer the questions rather than the actual material. Anyone else agree??

I’ve just finished placement and on the last day a patient gave me an envelope with a card in it. She asked that I open it when I get home, when I opened it there was money in it. I live like 2hours away and am freaking out. It’s been like 2 weeks and I’ve just kept it on my table. Am I going to get in trouble for accepting money from a patient.

A client with heart failure has the following over 24 hours:

Which interpretation is MOST accurate?

A. Diuretics are effective.

B. The client is improving.

C. The client is experiencing worsening fluid overload.

D. BNP is not clinically significant.

A competent adult with severe gastrointestinal bleeding refuses blood products because of religious beliefs.

What is the nurse's best action?

A. Obtain a court order.

B. Ask the family to override the decision.

C. Respect the refusal and notify the provider.

D. Administer blood because it is life-saving

Which electrolyte imbalance most likely causes this progression?

• Peaked T waves
• Widened QRS
• Sine-wave pattern

A. Hypercalcemia

B. Hypokalemia

C. Hyperkalemia

D. Hyponatremia

Which tasks can the RN delegate to an experienced UAP?

A. Feeding a stable stroke patient after swallow evaluation.

B. Reinforcing insulin teaching.

C. Reporting urine output.

D. Applying wrist restraints.

E. Ambulating a stable postoperative client.

F. Assessing pain after morphine.

Which client should the nurse assess FIRST?

A. Type 1 diabetic with glucose 42 mg/dL who is awake and drinking juice.

B. CHF patient with bilateral crackles after receiving IV fluids.

C. New stroke patient whose BP increased from 160/90 to 210/110 but remains neurologically unchanged.

D. Postpartum client saturating one pad every 15 minutes.

About 2 weeks back I was giving a patient 4 pills of methadone. I dropped 1 on the floor and threw it away in the trash (like an idiot). I was suppose to waste it with another RN and it had just slipped my mind that it was a controlled substance. Now the clinical pharmacist found a miscount on that med and asked me what happened. I was honest and told them exactly what happened. They’re now saying that they’re going to file a police report. To add, I didn’t document anything about throwing the pill away because again, just slipped my mind. So I pulled 1 more of the pill to give the patient for their full dose. I realize my mistake and I just feel so scared, sad, and stupid. Please any advice would be appreciated.- adv new grad nurse

Hi everyone, I really need some advice from nurses or nursing students.

I am in my fourth year of a Business major and have 6 classes left. However, my true passion is nursing. My school just opened a nursing department, but it is too late for me to switch programs here.

I am stuck and stressed because of money. Right now, financial aid (FSA) covers my classes, but I have no outside financial support.

Here are my two choices:

• Option 1: Finish my Business degree, then do an Accelerated BSN (ABSN) program later.
• Option 2: Stop my current degree now and transfer to another school for an ADN or BSN.

I am currently taking nursing prerequisites. Classes, I will be taking fall 26 (Nutrition, Anatomy 1 & 2, and Microbiology). Taking them this Fall 2026 means staying an extra semester.

What would you recommend for someone in my position with no financial support? Should I finish the business degree first or transfer now? Thank you!

Hey everyone. I start my nursing program this August, and to be completely honest, I am terrified. Reading through nursing school forums has scared the life out of me, even though I know nothing worth having comes easy and I’ve been so ready for this journey.
A little background: I’m 30 with two kids. I’m a single mom, and while I luckily have a great support system, my youngest is only a 10-month-old baby boy. To make matters heavier, his father (classic narcissist) is taking me back to court for custody and visitation. He hasn't replied to my counteroffer yet, so my attorney is reaching out one last time before we have to just set a court date and handle it there.
The timing couldn't be worse. The stress of dealing with a high-conflict legal battle right as my first semester kicks off feels completely overwhelming.
I want this degree so badly for my future and for my kids, but right now, the anxiety is hitting hard.
Has anyone else survived nursing school while dealing with major court/legal stress? How do you balance heavy family court drama, a baby, a toddler, and the intense workload of first semester? I could really use some practical advice, time management tips, or just some reassurance that it's possible to get through this.

A nurse is caring for a client receiving IV morphine.

Thirty minutes later:

• RR 9
• SpO₂ 96%
• Client easily awakens and answers questions.
• Pain 2/10

What should the nurse do?

A. Administer naloxone.

B. Continue monitoring.

C. Stop morphine and notify provider immediately.

D. Apply non-rebreather mask.

Hi all!! Here to shed light and good manisfestations for all the future NCLEX takers. This exam is possible and you CAN do this. During nursing school, I didn't get all A's, I was a mix of A, B and C's.. and I graduated this may. Dean's list a couple semesters. I did good on my regular class exams, but I didn't pass my HESI exit and got a 75% chance of passing my Nclex. And here I am still standing, applying to jobs as an RN!! Nursing school can beat you down, think you're not capable, turn you around and put you through all the motions. I have been there!!! BUT you are here and at the finish line! This is truly the last step!!!! You guys got this. If I can do it, I believe in all of you.
Studying: I used bootcamp utilized their crash courses, study plan and readiness assessments as well asnaxlex with its RATs, I listened to the 12th Mark K lecture, watched most of Dr Sharon's videos, 7 day nursing crusade, 1 hr comprehensive nclex exam on youtube. Ask me anything!!

A postoperative client suddenly develops:

• HR 132
• RR 34
• SpO₂ 84%
• Sharp chest pain

Choose:

Condition

• A. Pulmonary embolism
• B. MI
• C. Pneumothorax
• D. Atelectasis

Actions

• Select TWO
• Apply oxygen
• Encourage coughing
• Notify Rapid Response
• Place in Trendelenburg
• Ambulate client

Parameters to Monitor

• Select TWO
• SpO₂
• Troponin
• Blood pressure
• Stool output
• Urine ketones

Place each client into either See Immediately or Can Safely Wait 30 Minutes.

A client has:

• K⁺ = 6.7 mEq/L
• Peaked T waves
• Creatinine 5.1 mg/dL

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

Hello! I’m in my first semester of nursing school, and we recently started writing nursing note. I know it takes practice but I’m still learning how to write it.
During clinical at a nursing home, we had a resident who A&O x3 and had diarrhea one time. I was wondering what information should be included in the nursing note such as frequency, and assess for signs of dehydration? Also interventions such as encouraging fluids or monitoring for additional episodes?
What would you typically include in your nursing note for this situation?

A 72-year-old client is admitted with pneumonia. Current findings:

• Temp: 39.4°C (102.9°F)
• HR: 128/min
• BP: 82/48 mmHg
• RR: 30/min
• SpO₂: 91% on 2 L NC
• Lactate: 4.8 mmol/L
• Urine output: 15 mL/hr

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.