My Nursing Education

Dearborn Heights MI.
Author Nancy L. Kimmel RN, PhD, CHMM, CPI, CNAT has been officially awarded a trade mark on the name of her book entitled, PASS THE NET™. 

Professor Kimmel’s book is already in its fourth printing at Henry Ford Community College and on its third printing at Wayne County Community College.  Having a registered trade mark will now allow Professor Kimmel to reach out to the rest of the U.S. higher institutions of learning for book sales.  Very soon Professor Kimmels book, Pass The NET will be offered for sale on such reputable sites such as Amazon, Borders and Barnes and Noble.   This is a very exciting time for Professor Kimmel.  She has spent many years of tutoring and teaching students to pass the net, (nursing entrance test), HESI, HESI A2 and the TEAS to students in South Eastern MI.  She has received much praise and accolades from her students stating that her book has helped them to pass the Nursing Entrance Test, the HESI, the HESI A2 and the TEAS tests with higher than required scores.  One student who just recently sat for the TEAS test, stated that Professors Kimmel’s book helped her score into the Registered Nurse Program at ITT in Dearborn, MI.  Her scores were in the high 80’s.  The nursing program would only take those who scored the highest on the TEAS Test.  Now she will start her Registered Nursing Program in one month.

“Helping students gain entry into the nursing program is my goal.  I believe that there are many wonderful people who should be given the best opportunity possible to pass the various nursing entrance tests that are required throughout the U.S.  Students must be given complete and comprehensive study materials that represent the tests that they will take.  My book, Pass The NET, will not only challenge their intellect, but simulate their critical thinking skills and give them the necessary and pertinent information to help them pass the nursing entrance tests.”

Professor Kimmel’s trade mark is just one addition to her repertoire of degrees and awards.  Professor Kimmel was issued a Patent recently as well on a revolutionary air filter that can actually make a molecule of oxygen.  As Professor Kimmel continues to be an ardent educator and author, she states that her goals are far from complete, “I hope to  develop a website designed for nurses and those students desiring to become nurses that allow them to access many educational portals to assist them in their career goals.”

One of the biggest hurdles that students find in applying to nursing schools, is that now it is not enough to just pass the net.  Now they must score in a sufficiently high percentile to be able to gain entrance into nursing school.  With all of the other books that are on the market, Professor Kimmel’s, Pass The NET is certainly the best choice for students who are serious about pass nursing entrance tests with the highest scores possible.  Professor Kimmel also has a website dedicated to online testing that parallels the material in her book.  The website is www.nurseslearningcenter.com/testing
“Professor Kimmel, congratulations on your first U.S. Trademark on We will definitely be hearing again from you soon no doubt.”

Who We Are: Teachers, Nurses and College Professors dedicated to helping students make it into nursing school and graduate!

We write the software;   We write the tutorials;    We help you Pass The NET

WE ARE THE Authorities on publishing study guides for all nursing entrance tests! Most materials are immediately available to download directly to your computer.

You should care to have the best study tools

Why should you care? YOU SHOULD, IF YOU WANT

TO GET INTO NURSING SCHOOL

Because all our study guides have a proven success rate of 95%

for the past 4 years, whether you need help in the math section,

reading comprehension or just want to review A & P, Chemistry,

Biology, and English Grammar.

What Action you should take? Get the ONLINE N.E.T. Test Practice at

www.nurseslearningcenter.com

START STUDYING RIGHT NOW, NO WAITING, GET THE BEST!

PURCHASE AND DOWNLOAD A TUTORIAL OF YOUR CHOICE NOW!

If you have failed the NET, HESI or TEAS, and don’t want to take the chance

of failing again, or you want a tutorial that you know will give you results

such as a passing score higher than the national average, then you should purchase a tutorial.

What results will you see?

You want to be a nurse? Don’t you?

You’ll  BE A NURSE!

If you study, then you will pass, and get into Nursing School.

If you have the desire to go into nursing, then you must first get ready to take the N.E.T., the HESI or the TEAS entrance test. You can begin preparing for your career by practicing your skills using the online tutorials and tests at The Nurses Learning Center. There are over 1000 questions and answers. You will get unlimited internet access, 24/7. It is yours to keep. New questions are added daily. It’s like sitting for the N.E.T., The HESI or the TEAS in your home.

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 »

How hard is the NURSING ENTRANCE TEST MATH SECTION?
Does the NURSING ENTRANCE TEST, OR N.E.T. contain any medication calculations?
The answer is yes! This may intimidate many students who are getting ready to take the N.E.T. There is hope. At the Nurses Learning Center students can study online tests and tutorials with unlimited access without worrying that they will lose their access. There are indeed some questions requiring knowledge of medication dosing calculations. These questions however can be broken down into simple ratios and proportions. The student will be using these formulas quite a bit during nursing school, where they can expect frequent medication calculation tests. The N.E.T. Study Guide author, Nancy Kimmel has broke down exactly how to solve for these ratio and proportion problems at the Nurses Learning Center. Whether the student is studying the drip factor of an IV or exactly how much medication to dispense, the student will find the information that they need to pass the NURSING ENTRANCE TEST MATH SECTION.

It is important for the student to prepare for the N.E.T. by getting a thorough understanding of how to use ratio and proportions prior to nursing school. One of the reasons that so many people do not do well on the MATH SECTION OF THE NURSING ENTRANCE TEST, is due to their lack of study in such subject matter.

MEDICATION SAFETY

While medications do a lot of good, most of them can cause a patient physical harm or death if too high a dose is administered. Because of this nurses typically double-check  and triple check their calculations when they are giving a new or potentially deadly medication, or have another nurse check their calculations.  As a nursing student you will check every doctor’s order with your instructor before the two of you act on the order. For a student to give a medication or change an IV rate without consultation with a professional is not permitted by this School or the clinical agencies. Medication safety is crucial. Below you will find some examples of ratio and proportion problems.

IV FLUIDS

The amount of fluids administered intravenously each hour should never be more than you would want to drink in an hour. Most often doctors order only about 4 ounces of IV fluid per hour for their clients. The Metric System is usually used by doctors to order the infusion rate for an IV. There are 30ml in an ounce of fluid. “Infuse 125 ml/ hour” is a common IV order. If the client has a heart or kidney problem, IV fluids might be restricted to 50 – 80ml/ hour. More than that could cause their lungs to fill with fluid, drowning them from the inside causing congestive heart failure.  In the following exercises if you get an answer wildly different from these numbers, your logic should tell you that your answer is probably wrong.

BASIC INFORMATION YOU NEED TO KNOW ABOUT AN IV

1. Usually IVs come in clear plastic bags with lines on the side showing how much fluid is left in the bag so a nurse can see how much of the IV has infused.
   
2. The most common size is about a quart which is equal to 1000 ml. 1000 ml is one liter. The total amount is printed on the bag.
   
3. There are many different solutions in these bags, but they all look the same. The name of the solution is printed on the bag. Even though they may be all piled in a heap on a shelf, it is critical that the correct solution be hung for each patient. The wrong solution could kill.
   
4. The tubing that connects the bag to the client comes in different diameters. The wider the tubing, the faster fluid gets into the client. When you look at the box the tubing came in it could give a “Drop Factor” of 10 drops/ ml or 12 or 15 or 20 drops/ ml. When the Drop Factor is between 10 – 20 it is called “macrodrip tubing”. A drip rate can’t be figured out unless you know the Drop Factor for the tubing being used.
   
5. Some tubing has a needle built in that limits the size of the drop that can enter the tubing from the IV bag. Pediatric nurses use this kind of tubing because their little patients can only tolerate tiny amounts of IV fluid. It takes 60 of these little drops to equal one ml. When the Drop Factor is 60 the tubing is called “microdrip tubing”
   
6. All IV tubing has a chamber at the end near the IV bag where nurses can see the fluid dripping out of the bag before the fluid enters the tubing. This is where they count the rate of the falling drops using the second hand on their watches. So you can check your answers for logic be aware that if the tubing delivers one ml every 10 drops, a drip rate of 21 will give the patient 125 ml in an hour. If the tubing delivers one ml every 15 drops, a drip rate of 31 will give the patient 125 ml in an hour.
   
7. If the drip rate is less than 10 drops each minute the client’s vein may clot off the IV, meaning s/he might have to get stuck again to start a new IV.
   
8. Just because the IV is no longer in the IV bag a nurse can not assume that it infused into the client. It could have disconnected and be in a puddle on the floor. Nurses always check the client’s infusion site to make sure everything is connected and the client’s arm looks okay.
   

FORMULAE AND PRACTICE

The goal for these exercises is for you to be able to quickly formulate and calculate IV problems.

This is a useful formula to compute the drip rate of an IV. Memorize it. You will need to prove that you can use it in every clinical course before you will be allowed into the clinical area.

= drops/minute

Another way of saying the same thing is:

Example #1

Dr. A. orders your client to receive 125 ml of D5W an hour for the next 8 hours. The nursing unit used tubing with a drop factor of 10. What is the drip rate?

Fill in the formula putting an X for the drip rate because that is what you want to know.

Notice that the fact that the information about 8 hours was not needed to figure out the drip rate.

Example #2

Dr. B. orders a liter of D5W to run this 8-hour shift. The drop factor is 15. Put this information in the formula with the X in the spot for the drip rate.

Example #3

Dr. C. wants your client to have 50 ml of a pre-mixed antibiotic. The Pharmacy writes, “infuse in 30 minutes”. The tubing box says drop factor = 15.

Many Thanks to the wonderful faculty at Fairleigh Dickinson College of Nursing

http://www.fdu.edu/
If you would like to begin to prepare to study for the N.E.T today, you will be making a decision that will help your chances at being placed on the nursing school waiting list before the other testers.

Anatomy and physiology review for the NURSING ENTRANCE TEST, THE TEAS-ATT, OR THE HESI, require that the student apply the nursing process. However, no one tells that student that those are the type of questions that they will see on the NURSING ENTRANCE TEST. The best preparation is for the student to read about how the nursing process applies to real world nursing, and thus see how their knowledge of anatomy and physiology is used in the health care field.

Nursing care for allergies include some of the following; identifying the level of health care deficit, providing comfort care, encouraging self care, promoting comfort, assuring that the patients airway is patent and free of any obstruction, and that is no further injury to skin integrity caused by scratching. Nursing diagnoses that are applicable to those suffering from allergies can include but are not limited to; impaired skin integrity related to persistent scratching secondary to an allergic reaction, knowledge deficit related to treatment of allergy symptoms and insufficient air exchange related to congestion secondary to an allergic reaction. Notice that nursing care and nursing diagnoses are not medical diagnoses, such as the diagnoses of an allergy or an allergic response. Nurses who specialize in care for patients with allergies and asthma are able to assist with diagnosis, establishing nursing care objectives and providing treatment. Nurses help determine the cause and treatment of allergic reactions, administer medication and monitor the patients progress throughout the treatment program. Allergy nurses must have knowledge of signs and symptoms allergic reactions and are trained to provide emergency treatments such as, resuscitation, emergency intubation and administration of proper medications when necessary. Allergy nurses help patients understand their conditions, medications and self-care skills.
To learn more about how to better study for the A&P section on the HESI, TEAS TEST, or THE NURSING ENTRANCE TEST, just go to the Nurses Learning Center.

By Nancy l Kimmel RN Phd CHMM

How does one approach the reading comprehension section on the Nursing Entrance Test? Many for one are unprepared for the wealth of reading that is required and the computerized method of testing. It can be difficult for those who are not computer savvy to comfortably navigate from page to another and go back to re-read. Time is of course of the essence in taking any test. The questions are at best hard to assimilate due to the ambiguous nature of the way that they are asked. This can be a stumbling block for those who are not prepared before hand for the reading comprehension section of the Nursing Entrance Test. Read more »

The Study Guide that covers
ALL Nursing Entrance Tests with Emphasis on Math
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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, unlimited access to 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 »

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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Those who are planning to sit for the HESI EXAM, the TEAS-ATT, or the NURSING ENTRANCE TESTwill probably have to apply their knowledge of anatomy and physiology. At the nurses learning centerthe student will find thousands of questions and tests with online access to practice their anatomy and physiology anytime throughout the day or night. Preparing for the anatomy and physiology section of the HESI, THE NURSING ENTRANCE TEST OR THE TEAS, can be a daunting task without proper preparation. The student of A&P is required to study vast amounts of knowledge. This knowledge over two semesters is very difficult to retain, especially with other classes that the student is taking. Therefore it helps to have the right test knowledge streamlined at the student’s fingertips. The articles contained in this site will assist the student preparing for the NURSING ENTRANCE TEST, THE HESI, and the TEAS-ATT anatomy and physiology section to help bring that knowledge to a level that is actually applicable. Similar to nursing school. As a matter of fact, the topics that are covered in the A&P section on the NURSING ENTRANCE TEST, is covered in the first semester of nursing school. For instance, in the paragraphs that follow the subject is how people get allergies. This is directly related to the immune system and the immunoglobin E, which controls the severity of the reaction.

Why do we get allergies? Perhaps your mother, grandmother or someone in your family suffers from allergies. Does this mean that you will inherit the same allergies? Well, actually, it is very possible. Allergies are caused from an immune response that the body mounts against the allergen. This can happen at any time during a persons life. For example, strawberries may not have ever bothered you, but one day you eat a strawberry and then you begin to break out in hives, a runny nose, congestion and difficulty breathing. More than likely at this point, your body mounted an allergic response to strawberries. Therefore the next time and each consecutive time after, that you eat a strawberry, the allergic response of your body will become more and more pronounced. Immunoglobuin E or IgE is the protagonist that ultimately begins the cascade of a series of physiological reactions that ultimately result in allergy symptoms. Histamines are then released to the areas that are most sensitive, such as nose, throat and eyes. The nervous system is comprised of a division called the autonominc nervous system which branches into the sympathetic and parasympathetic nervous systems. Sympathetic nervous system: A part of the nervous system that serves to accelerate the heart rate, constrict blood vessels, and raise blood pressure. The sympathetic nervous system and the parasympathetic nervous system constitute the autonomic nervous system, the branch of the nervous system that performs involuntary functions. The parasympathetic nervous system is activated during an allergic response, which is why we feel like we are filling up with fluid. Physicians usually prescribe antihistamines such as the brand Benadryl or Epi-pens to alleviate severe allergy symptoms by stimulating the sympathetic nervous system. People with allergies are told to avoid those foods or items which cause an allergic response. With people who have multiple allergies, it is not always possible to refrain or avoid all of the allergens that cause them reactions. Therefore, such over the counter remedies fall short of helping the person live a allergy symptom life. Sometimes it becomes necessary for physicians to prescribe autoimmune drugs in order to surppress the patient’s immune system to prevent a severe allergic response.  This type of treatment has its drawbacks since it renders the patient helpless against attack from viruses and disease.  Many common ailments that plague people stem from some type of allergic response, such as rheumatoid arthritis, diabetes, and HIV.

Nursing is an exciting field. Many would be nurses entertain the idea of going into critical care nursing. The first thing that the potential nurse must do however is to pass the NURSING ENTRANCE TEST, THE N.E.T., THE TEAS-ATT OR THE HESI. These exams are crucial to get entrance into any nursing school program. So one of the first things that a potential nursing student must do is to prepare. It is good to learn about nursing as much as possible. Studying for the NURSE ENTRANCE TEST will help prepare the students critical thinking skills as well as test their knowledge of anatomy and physiology, biology, chemistry and English Grammar. Students can feel assured that they are studying the right materials when using the online program at the Nurses Learning Center.
Critical care nurse practitioners, or Acute Care Nurse Practitioners(ACNPs) help assess and manage acutely ill patients with the physicians supervision. Within the inpatient/hospital setting and across hospital-to-clinic settings, including the emergency department, intensive care unit, specialty labs, acute care wards, specialty clinics or any combination of the above, critical care nurse practitioners are vital in assisting patients to improved health. ACNPs diagnose and treat medical conditions, and some ACNPs provide direct patient management from admission to discharge in collaboration with the physician and other health care team members. They are not yet allowed in the state of Michigan to operate as an independent practitioner. Nurse Practitioners still must have a physician who is oversees and monitors their work, such a writing prescriptions and assessing patients. Many ACNPs have a good working relationship with the physicians. In most cases an agreement between the physician and the nurse practitioner is entered into so as to facilitate the job description and duties of the nurse practitioner. Generally, the doctor knows the ACNP and places their trust in their judgment. Nurse Practitioners in critical care have a masters level education with a specialization in trauma or emergency care from an accredited institution of higher learning. ACNPs also may continue to follow the patient into the outpatient setting to ensure successful transition after discharge and complete resolution of transition needs. The nations complex health care system is becoming increasingly focused on the care of the acute or critically ill patient, and acute care nurse practitioners are becoming a critical component of successful health care today.
To learn more about how to first prepare for a career in nursing, by first passing the NURSING ENTRANCE TEST, just go to the Nurses Learning Center. The author Nancy Kimmel has written The N.E.T. Study Guide, and has has tutored many students to success as nurses. An Registered Nurse in the State of Michigan, Professor Kimmel continues to be an educator and now has her own school.