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The Study Guide that covers
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Pass The Nursing Entrance Test, The First Time

All the practice that you need to Pass the Nursing Entrance Test. Pass the NET, The First Time contains over 1000 questions on Biology, Math, Reading Comprehension, English Grammar, Anatomy and Physiology in a 450 pages Pdf easily downloaded directly to your computer. Accessible today, no waiting for shipping.

You can also get immediate, online access to FREE practice tests and answers to help you pass the N.E.T., the HESI and the TEAS at www.nurseslearningcenter.com

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“Helps prepare students better than the actual study guides for the HESI, The N.E.T. and The TEAS, much more comprehensive. This is the book we will carry!   (Jack, Bookstore Manager at WCCC)
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95% Pass Rate! Proven results.

Written by Professor Nancy Kimmel RN, Leading Michigan Lecturer and tutor on helping students pass the NET for over 6 years.

 

 

 

Now in College Book Stores such as Henry Ford Community College in Dearborn, MI and all 5 Wayne County Community College Campuses.

Pre-nursing students going for the RN or LPN/LDN degree now have a reliable tutorial Read more »

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Pass The N.E.T. Reading Comprehension Includes over 140 pages of challenging science based essays with questions and completely and thoroughly explained reasoning.
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25
Nov

Treatment of Pressure Ulcers

Written by kimmel52
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Change in practice assignment
The purpose of this article is to address the problem of the development of pressure ulcers occurring in susceptible individuals during short terms stays in the hospital. Identifying those factors that put patients at risk and critically evaluate current nursing practices used on the floor, such as documentation, identification and current methods of prevention.
The Development of Pressure Ulcers during Short Term Stays
According to the National Guideline Clearing House, people of all ages are at risk of developing pressure sores based on the vulnerability of their current health status (“Target population,” 2011, para. 4). In the current work setting, almost all patients with limited mobility who cannot get out of bed by themselves and need to wear briefs or use the bedpan begin to develop a stage I pressure ulcer prior to discharge within 1 -2 days after hospitalization or short term emergency room stay. The hallmark of quality nursing care is excellent skin care (Wurster, 2007, p. 267). It is up to the nurse to lead the role in pressure ulcer prevention. The importance of this problem extends beyond the hospitalization stage. Those individuals who are discharged with stage 1 pressure ulcers do not always have properly trained family members to care for them thereby preventing the stage 1 from getting worse. For many of the elderly patients, pressure sores are a common health problem particularly among the physically limited or bedridden and without proper treatment can remain for the duration of the persons life (Jaul, 2010).
The incidence of pressure sores has increased by 63% between the years of 1993 to 2003 in hospitalized patients(Wurster, 2007). The nurse is responsible for targeting the care that these patients need to receive to prevent pressure ulcer development. Coordinating staff to work as a team is currently lagging in the work place. The charge nurse does not follow up on the staff nurse notes, nor does the staff nurse follow up on the nurse aide tasks of turning the patients and providing nutritional supplements provided by their dietary orders. The assessment and management of pressure ulcers require a comprehensive multidisciplinary approach (Jaul, 2010, p. 313).
Practice Change
The proposed evidenced based practice change would begin by the identification of gaps in knowledge and practice of the treatment of pressure sores (Schmidt & Brown, 2012). This process would begin with a survey on current patients with pressure sores, identifying their dietary intake of protein, vitamin C and other nutritious intake such as flavored protein shakes and healthy snacks(Wurster, 2007). The survey would include verifying linen change frequency and adherence to turning schedules. Identification of vulnerable patients who have limited mobility, incontinence, dementia or are over the age of 65 (Jaul, 2010).
Staff RN’s current knowledge base on pressure sore prevention should be evaluated. This could be done by asking the RN’s to fill out a pressure sore prevention questionnaire. The nurse aides would also be asked to fill out a questionnaire on pressure sores, identifying patient’s comfort levels and the importance of a turning schedule. The questionnaires would also evaluate the level of communication between staff members and shift team members thus identifying communication gaps (Banning, 2005).
RN’s would be assigned to collect quantitative articles from credible databases such as CINAHL or the National Guideline Clearninghouse for best practices documentation literature review. A proposed meeting time and place would be agreed upon to review article research, wherein the credibility of the articles obtained would be determined. The articles requested would be those that meet the quantitative standards(Schmidt & Brown, 2012).
Articles that meet quantitative and or qualitative standards would be decided at journal club meetings. Best practices would include statistically significant data based upon population parameters, level of significance and positive outcomes. Identification of the RN’s role in delegation of duties to the nurse aide’s job of providing patient safety, comfort and importance of prioritizing the patient’s needs would be reviewed. Determining the importance of the lead RN and their responsibility to subsequent shift team leaders would be identified and discussed at team meetings.
Rewards, praise and recognition of the importance of team members plays a large role in facilitating change (Schmidt & Brown, 2012). The lead RN initiating the change in practice should be responsible for coordinating meetings and dissemination of data.
Evidence Supporting Proposed Change
Icek Ajzen’s theory of planned behavior states that behavior is influenced directly by intention to perform the behavior (Ajzen, 2011, p. 1113). The nurse in charge of the change process begins by creating a sense of urgency (Schmidt & Brown, 2012). Several studies done on nurses’ attitudes toward pressure ulcer prevention revealed that there were barriers and gap knowledge present within staff members.
The first study identified (Athlin, Idvall, Jernfalt, & Johansson, 2009) 30 RN’s as the sample. The setting included two hospitals and one community care facility. The instrument used to evaluate the RN’s attitude toward pressure ulcer prevention was a questionnaire. Variables that were identified included patient health status and vulnerability to the development of pressure sores, the health care structure variable that affect pressure ulcers and prevention. Findings of the research indicated that the knowledge of pressure ulcer prevention was present. However the ability to follow through with collaborative treatment was lacking. This knowledge gap was due to lack of staff, time and consistent prevention routines.
A descriptive cross-sectional study involving 77 RN’s and 77 Nurse Aides traversed six hospitals and six clinics (Kallman & Suserud, 2009, p. 336). The researchers used a 47 item questionnaire which included an 11 item attitude scale (Moore & Price, 2004). The research concluded that all RN’s and Nurse Aides had a positive attitude toward the prevention of pressure ulcers. Their inability to provide collaborative care stemmed from environmental factors such as lack of time and communication between staff members. Performance in the prevention of pressure ulcers was inadequate due to lack of teamwork, access to necessary preventative equipment and supplies and current work routines.
The necessity for increased knowledge regarding the prevention of pressure ulcers is evident across both studies as is the necessity for more staff, time and open lines of communication regarding the worsening status of the patients’ current condition.
Evaluating the Change
To identify whether or not a change is evident begins with the patient population and identification of a positive outcome. In this case it would be a decrease in the amount of stage 1 pressure sores not present at the time of discharge. In short term admissions the first step would be to do a thorough assessment of the patient and their risk for pressure ulcer development. Having collected relevant research data from articles and questionnaires, the lead RN would initiate the plan of action. Identifying team leader RN’s for each shift would ensure that the tasks for prevention of pressure ulcers are being followed through by the staff RN and the nurse aide. Having access to and providing the patient with adequate nutrition would be a priority for all staff (Jaul, 2010) Making sure that their over bed table is always within reach and that assistive feeding be followed through until the patient has finished eating. Frequent turning schedules are to be implemented on patients who are alert and oriented but do not ask for anything or turn on their call light (“Target population,” 2011) Nurse aides and nurses should always ask to reposition for comfort and explain why they are doing so for the patient’s own knowledge. Daily shift meeting should address those interventions taken on the patient’s that are vulnerable for pressure ulcers. Linen change each shift should be mandatory for patients at risk (“Target population,” 2011). Moisture frequency should be evaluated every hour for those who are incontinent of bladder or bowel. This can be done by assistive turning and inspection of the area per patient’s approval. Keeping patients’ involved in their own care is an important aspect of nursing. Self care helps the patient develop confidence and hope in their treatment.
Assuming that all criteria is evaluated with attention to where the knowledge gaps are evident and corrected and the RN’s and nurse aides are able to perform their required tasks, the outcome should be positive. Determining the where the problem with pressure ulcer prevention exists would in the responses from the RN’s and nurse aides. Once the problem is identified then the development of the plan of action would be developed as described above. Putting the plan of action into place requires that the change agent or the lead RN verify that everyone is staying on task. The lead RN can do this through a daily shift evaluation of the patients’ condition and through nurse charting notes. Communication between shifts is a common problem as is the continuum of care. Quality care is the key. Prevention of pressure sores is not that difficult when it becomes a common goal for all who are working on the floor. With the implementation of the described changes the resulting outcome should be positive.
Summary
Research has documented that there are knowledge gaps between staff members in the flow of care in the prevention of pressure ulcers. While pressure ulcers continue to be a problem in most healthcare institutions, there is hope in lessening their prevalence. This paper focused on the development of evidenced based practice to reduce the incidence of stage 1 pressure ulcers that develop with a few days after admission in short stay patients’. Evidence from research on the attitudes of nurses and nurse aides in regards to the prevention of pressure ulcers shed light on a common theme, that of a lack of communication and the consistency of care (Kallman & Suserud, 2009). Those interviewed stated that lack of knowledge, time and or access to necessary preventative equipment also exacerbated the patient’s condition. The proposed evidenced based change practice initiates a sense of urgency and provides a plan of action to help reduce the frequency of stage 1 pressure ulcers. The EBP change details how to begin the study and the methods to evaluate the study. Ensuring that the standard of care continues across all shifts requires communication between all shifts. A nurse leader can ensure that this takes place with proper team leadership on each shift. Rewarding and recognizing those who are following the plan of care and going above and beyond ensures that the plan will continue to have positive outcomes for the patient.
References
Ajzen, I. (2011). The theory of planned behaviour: Reactions and reflections [Magazine]. Psychology and Health, 26, 1113-1127. http://dx.doi.org/110.1080/08870446.2011.613995
Athlin, E., Idvall, E., Jernfalt, M., & Johansson, I. (2009). Factors of importance to the development of pressure ulcers in the care trajectory: Prectptions of hospital and communcity care nurses [Magazine]. Jouranl of Clinical Nursing, 19, 2252-2258. http://dx.doi.org/10.1111/j.1365-2702.2009.02886.x
Banning, M. (2005, April). Conceptions of evidence, evidence-based medicine, evidence-based practice and their use in nursing: independent nurse precribers’ views. [Magazine]. Journal of Clinical Nursing, 14(4), 411-417. http://dx.doi.org/10.1111./j.1365-2702.2004.01086.x
Jaul, E. (2010). Assessment and mnagement of Pressure ulcers in the elderly [Supplemental material]. Drugs & Aging, 27(4), 311-325. Retrieved from http://web.b.ebscohost.com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=19&sid=fcecb593-84bd-4598-81db-b92f5a4f8e60%40sessionmgr198&hid=102
Kallman, U., & Suserud, B. (2009). Knowledge, attitudes and practice among nursing staff concering pressure ulcer prevention and treatment-A survey in a Swedish healthcare setting [Magazine]. Scandinavian Journal of Caring Sciences, 23, 334-341. http://dx.doi.org/10.1111/j.1471-6712.2008.00627.x
Moore, Z., & Price, P. (2004). Nurses’ attitudes, behaviours and preceived barriers towards pressure ulcer prevetnion [Magazine]. Journal of Clinical Nursing, 13, 942-951. http://dx.doi.org/10.1111/j.1365-2702.2004.00972.x
Pressure ulcer prevention and treatment guidelines. (2011). Retrieved from http://www.guideline.gov/content.aspx?id=25139&search=pressure+ulcers+during+short+term+stay+and+pressure+sores
Schmidt, N. A., & Brown, J. M. (2012). Evidence-based practice for Nurses appraisal and application of research (2nd ed.). Sudbury, MA: Jones & Bartlett Learning .
Wurster, J. (2007, September 1). What role can nurse leaders play in reducing the incidence of pressure sores? [Magazine]. Nursing Economic$, 25(5), 267. Retrieved from http://web.b.ebscohost.com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?sid=fcecb593-84bd-4598-81db-b92f5a4f8e60%40sessionmgr198&vid=11&hid=102

12
Mar

Phlebotomy_Seal
 

 

 

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So you just want to pass the Math section on the TEAS or the TEAS A5. How do you do that, if your math background isn’t that substantial. Well there is a way. Practice Practice and more practice. But where and what do you begin to study? At the Nurses Learning Center there are many tests that you can take online. You can choose from many different levels of math practice tests. All tests are online and you can choose to purchase one or more. Learn the steps to answer all of the math questions on the TEAS. Raise your scores so that you can get into the nursing school of your choice. Most nursing schools require a score of 80% on the TEAS or the TEAS A5. The math section is the one part of the exam that most students fail or score poorly. At the Nurses Learning Center students can feel confident that they are getting the correct study materials to pass the TEAS. What really helps students is that each questions has an explanation that goes through the entire problem, so that there is no question at how to arrive at the answer. Since students are not allowed to use a calculator on the test and they only have a short period of time to complete the math section, it is imperative that students can use their critical thinking skills.
The Nurses Learning Center helps students develop their math critical thinking skills by presenting the answer to each question step by step. Even students in school do not get as much help in their math classes. The Math 1 exam covers basic math skills such as adding, subtracting, decimals, long hand division and long hand multiplication. These skills are no longer taught in middle school and in high school. Yet those students seeking entrance into nursing school must do all the problems without calculators using long hand multiplication and division. Quite scary if you do not feel comfortable with these skills. Once you are a nurse you must use these skills to calculate medication dosages. Here a the Mynursingedu.com you can also purchase a hard copy book of the “Pass The NET”. It is the same as the online tests offered at nurseslearningcenter.com. Testing the TEAS can be very challenging. Students feel very intimidated by math. Some students will not go near a math test. Understanding math questions and knowing how to answer them will help students pass their math section. Knowledge is the key. Students should take their time studying for the TEAS. They should set aside time where it is quiet and they have the ability to concentrate. It is suggested that students take up to three months to prepare for the TEAS.
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Best Wishes to All,
Kindly,
Nancy Kimmel RN PhD

27
Jul

 

Take Medical Surgical Nursing School Tests anyhwere

Take Medical Surgical Nursing School Tests anyhwere

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23
May

LPN ENTRANCE TEST

Written by kimmel52
Go and get your LPN Degre

our Phlebotomy Program in now Accredited

Are you going to LPN school? Then you are going to need to pass the LPN entrance test. Everything you need is right here. The new book, “Pass The N.E.T.” will prepare you to pass the LPN entrance test. Why wait? Get the scores that you need to succeed.

PASS THE N.E.T. (Nursing Entrance Test) the First Time

Pre-nursing students going for the RN or LPN/LDN degree now have a reliable tutorial that streamlines the learning process. A proven 95% of students using the tutorials have passed the nursing entrance test on their first try.

Finally there is a tutorial that will prepare students to pass the nursing entrance test the first time. Though there are many study guides on the market, most students feel they are insufficient in adequately preparing them for this three hour exam. The Pass The N.E.T.™ tutorials stand out against the competition. Read more »

 

 

 

 

 

The N.E.T. Study Guide, LLC is pleased to announce that TEXAS Women’s University School

of Nursing has approved the book, “Pass The NET, The First Time” to be the official study

guide for pre nursing students seeking to pass the TEAS A5.
Many Thanks to Dr. Ann Stiles and all of the Nursing Professors,
Thank you,
Nancy Kimmel RN, PhD

Great News;
Pass The N.E.T. has just been released in its second edition. This book continues to help student pass the HESI, HESI A2, TEAS and the N.E.T. Not only does this book have more questions and tutorials, but it includes additional sections on medical/surgical nursing practice questions, medication calculations, scholarship information and much much more.

29
Jan

HESI & HESI A2 TEST SECRETS

Written by kimmel52

What do you do when you tried and tried but consistently failed the HESI and HESI A2?  You have to look for a study guide that will help you prepare for the exam.  One that has problems similar to the test.  A study guide that has been time proven and is up to date with the information that will assist in preparing the student for the exam.

Students should be comfortable with sitting for the HESI or HESI A2.  They should feel prepared, ready and confident, knowing that the material that they studied would help them achieve a high score.  Higher scoring students have the edge  to get into nursing school than those who score lower on the exam.  A good study guide should accurately reflect the type of tests that will be administered.  Pass The NET, The First Time, does just that.  NET stands for, “The Nursing Entrance Test”.  There are many nursing entrance tests being given across the U.S.  There is the N.E.T., the HESI, HESI A2 and the TEAS.

Students are confused much of the time if they have purchased the right study guide.  Unfortunately, even the study guides prepared by the companies that offer the tests do not adequately prepare the students to pass.  This is where the study guide, Pass The NET, the First Time, steps things up a notch.  Not only does this study guide prepare student’s to pass, it helps them pass with high scores.  Professor Kimmel has taken great care at writing a book that covers the subject matter which is covered on the HESI and HESI A2.   Professor Kimmel states; ” I have been tutoring students to success for many years and have seen many of the nursing entrance tests.  I know what the student needs to study, as well as how to present the material in an easy to understand format.”

Time to get the edge over the rest.  Get started today with the study guide,

Pass The NET, The First Time

09
Sep

Online practice for the HESI, the TEAS, and the N.E.T.

Practice Taking HESI Tests Online at the Nurses Learning Center
Attention all students. Now you can pass the HESI Nursing Entrance Test on the first try. The Nurses Learning Center now offers online HESI practice tests designed to help students pass the first time. Failure is no longer an option.

FOR IMMEDIATE RELEASE
PRLog (Press Release) – Sep 10, 2010 – HESI Online Practice Tests are now available at the Nurses Learning Center. Students can now take advantage of online tests and tutorials designed to help them pass the Nursing Entrance Test HESI Exam. The online tests are written by nurses and educators who have taken and administered the HESI Exam. The educational team involved in the development of the Nursing Entrance Test question and answer bank have dedicated years of their lives to helping students achieve their goals of becoming a nurse.
Students are searching for reliable study materials and guides to better prepare them for the HESI Test. Preparation is the key to getting scores high enough to get into nursing school. When students are not prepared, they lose their opportunity to enter nursing school that year. This is very disheartening, especially when they have already dedicated two or more years of studying nursing school prerequisites.
Nursing school enrollment is soaring across the nation. Unfortunately, many wonderful pre-nursing students are left behind due to poor HESI scores or not passing the HESI exam. The educators at Nurses Learning Center have decided that enough is enough. Since the actual guide does not help students pass the HESI Test, then there should be a guide that does help students pass. Hence, the Nurses Learning Center Developed the online test bank for students to practice for the HESI Exam.
The online test bank includes tests on Anatomy and Physiology, Biology, Mathematics, English Grammar, Reading Comprehension and Chemistry. There are over one thousand questions and answers for students to practice. The tests are designed around first year nursing school curriculum.
This is what separates the Nurses Learning Center site from the rest of the testing sites and guides. The fact is that the educators care about student’s performance on the HESI Exam, and truly want students to pass the first time. Online testing simulates the actual HESI Test and the manner in which it is administered. Many of the nursing entrance tests are now computerized. If students are not familiar with the format of testing on a computer, their chances of passing become poor opposed to those students already familiar with online testing.
Many students find the Nurses Learning Center after they have already failed the HESI Exam one or more times. The Nurses Learning is a small company but one that is committed to the success of students. Professor Nancy Kimmel has been a nurse and educator for over twenty years. Author of the book, Pass The NET, she has pioneered the online testing site with all of her knowledge and skill.
Students have been able higher scores than they could imagine, using the online Nurses Learning Center. Professor Kimmel states, “I have such wonderful letters from students who have passed their HESI Tests after using the Nurses Learning Center online test bank with tutorials. It is a great feeling knowing that you have had some small part to play in the goals of those who pass the HESI Test. These students are going to be nurses, and we helped to get them there! There is no better compensation than a student’s success. “
The Nurses Learning Center enables the students to surpass the level of difficulty required by the HESI Exam. This is the reason that 95% of all students who take the HESI Test after using the Nurses Learning Center pass the first time. The online Nurses Learning Center site can be accessed at http://www.nurseslearningcenter.com

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Our educational products assist students in preparing for the Nursing Entrance Tests across the U.S., including the TEAS, The HESI and the NET. Students can choose from a variety of study materials, such as study guides, pdf downloads and online practice

26
May

Pass the NET

Written by kimmel52

The nursing entrance test is used to evaluate pre nursing students academic abilities. Students gain acceptance into nursing schools based on their scores. The tests that are used for evaluation incorporate subjects such as math, English, English grammar, biology, chemistry and anatomy and physiology. Several of the most widely used tests, are the HESI, the HESI A2 and the TEAS. There are many study guides available for the students that help them prepare for these tests. Unfortunately, even the actual study guides from the authors of the tests fall short of preparing the students to pass successfully. Students are faced with the dilemma as to what type of study guide will help them to best prepare. The frustration is critical, especially when their futures hang in the balance. Waiting lists for nursing school have exceeded to the point that people are told that they have to wait three to five years. If the student only gets three chances to pass the entrance test, then they have to choose another school or they feel forced to choose another career. This is unfair to the student who wishes to go into the nursing field to help people. Taking into consideration the nursing shortage that the U.S. is facing, one would think that getting into nursing school should not be so difficult. Instead, the stakes are continually raised. Not only now does the student have to pass the nursing entrance tests, but that is not enough, now they have to pass with a score that is higher than the rest. The question that has to be asked, is, if there is not a study tool that the actual authors of the tests produce that will give students this edge, then how can they pass with exceptional scores. The answer is, they can’t. It is no wonder that students are becoming disheartened at realizing their dreams of becoming a nurse. The good news is that there is hope. The book, Pass the NET, is the secret weapon that students now have to help the not only pass the nursing entrance tests, but pass with exceptional scores. So true is this that one nursing dean in the metro Detroit area stated, “It is probably better that we don’t tell students about this book, since it will give them an edge. This book is like a secrete weapon.” But the good thing is that this book is available to all, and it has been helping students across the U.S..