Plan of Care

navigating through nursing school

Monthly Archives: September 2010

tricky test question

I literally just had the test and am in a lecture, but couldn’t possibly wait to share this question as I was afraid I would forget it. It’s one of the most cleverly written exam questions I’ve ever encountered.

#. Which procedure is correct to follow when listening to breath sounds?
A. Auscultate the anterior chest at 6 different points.
B. Use the zig-zag pattern to listen, comparing sounds from right to left.
C. Ask the patient to take a deep breath and hold it in so you can listen.
D. Instruct the patient to breathe slowly and deeply in and out through the nose.

If I didn’t know before that my instructor wrote NCLEX questions (not examples, but the actual NCLEX) I would definitely know it now. I’m very impressed by the sneakiness of this question’s wording! If not reading carefully you’d definitely be screwed on this one.

disjointed post

My previously comfortable, low-key schedule (meant to contain nursing classes and Anatomy & Physiology, totaling 8 credits and about a million lab hours, plus a clinical rotation) has been completely destroyed by the addition of Microbiology, attempt #3. Every single time I’ve tried to take this class I’ve ended up sick and unable to complete, and so I don’t like the omen this is creating, but it’s a co-requisite to nursing classes and I’ve got to get through it. I like the course material, mostly (there are some instances that are painfully boring) but my trouble with my left eye makes microscope work tedious and sometimes impossible. Which leads to me being terribly down on myself for otherwise being capable.

Our first skill exam was yesterday morning and I passed; there isn’t really a “doing well” or a “not as well,” so much as just “passing” and “failing.” I’m actually afraid of the next one, which is the complete bath of a patient and making an occupied bed (at once). This is a ridiculous thing for me to be afraid of; IV insertion? Administration of medications? No problem. Intubation? Easy as whichever pastry you choose, I’ve done a million of ’em. Making a bed? Get me away! I can’t even make my own bed. And as far as the entire thing goes, I’m 5″ and 80some pounds; the manikins are bigger than I am, and what may well fail me is not being able to move them in a way that is the most comfortable for a real patient. Obviously, with a real patient, I would get assistance. I can’t so much do that on a skill exam.

Most schools, as far as I’m aware, don’t do skill exams like ours do; hopefully I’m not risking identifying myself. Much.

Despite the scary bedmaking (I know, I’m pathetic) and the additional class making my schedule merry hell because it’s a night class and getting to school at 7am on Monday and leaving at 11pm is a little bit wretched … the worst part of all of it is probably the commute.

At various times, I have: experienced a drive home spending 15 minutes straight with my foot on the break in one spot, been caught at a single red light for 10 minutes, nearly gotten into two separate accidents (neither of which are my fault), forced to park across the street in a pile of rocks and mud behind the grocery store, driven through major construction in the rain at rush hour, left 45 minutes before my class began and still ended up late because of a lack of parking, and other such delightfully pleasant things to experience when I’ve only had a drivers’ license for two weeks.

I’m sure I’m actually forgetting a million (un)pleasant such driving experiences. Really, I’m only posting so I can have posted something and can have even remotely mentioned the terrors of the commute; if I felt awake, it’d be a better constructed post.

But I have homework to do.