Critical Thinking in Nursing

Written by kimmel52 on January 8, 2012 – 9:57 pm

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critical thinking in nursing
nancy kimmel
September 30, 2014

Critical Thinking in Nursing

As a new nurse, I remember how frightened I was that someone would die do my lack of experience or a poor judgment call. I will never forget my one instructor who said, “You will make a medication error at some point in your nursing career.” That statement shook me to the core. How could that happen? During my orientation on the medical/surgical step down unit, I witnessed nurses nonchalantly switching out I.V. bags of different solutions without first checking the drugs compatibility. What if one of those medications causes a precipitate to form in the line? Then what? Someone could die of an embolism!
Soon I was on my own shift with my own patient load. The fears that plagued me during nursing school did not magically disappear, but instead became magnified. I was a nervous wreck. How did these other nurses manage their patient load with such grace under pressure? When would this ominous fear of doing something wrong let up? For me, it never did. The delicate balance between life and death based on a decision or action is what kept me sharp. Eventually I was able to display a calm exterior while internally; I was ready to react at the slightest change in my patient’s condition. There were no cutting corners. I know that sounds crazy. Obviously, when there were no washcloths we had to use towels, or sometimes we had to make do with what supplies were on the floor. Did I ever deliberately cut a corner just to save time? The answer is no. Everything that I do is for my patient. Even the smallest action of making a toe pleat in the bed or mitering a corner was a action of respect for the patient in that bed.
Nursing school prepared me with critical thinking skills. As my experience as nurse progressed, I became better at assessing a patient’s condition. I would not say that I became an expert according to Benner’s Stages of Critical Competence.(Benner, 2011, para. 5)
Making a competent clinical decision is not based on just one lab result or a patient’s symptoms. The personality traits of going above and beyond, taking risks and deliberate practice seem to be the traits that make an expert nurse.(Kaminski, 2010, p. 967)
Benner’s Stages(Benner, 2011, table 1) verified that I have much to learn. I am looking forward to learning more about evidenced based practice and the critical thinking skills necessary in advanced practice nursing.
Advanced Practice Nurses have the responsibility of providing and documenting research on evidenced based practice for the nursing profession as a whole. Nursing continues to develop and progress into a clinical science. This development is due to the efforts of those nurses who understand the dynamics of change in the role of the nurse in today’s society.

Benner, P. (2011, December 20). “Staged” Models of Skills Acquisition. Society of Gastroenterology Nurses and Associates. Retrieved from
Kaminski, J. (2010). Theory applied to Informatics- Novice to Expert. Retrieved from

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Pass The N.E.T. First!

Written by kimmel52 on December 14, 2009 – 9:41 pm

By Nancy Kimmel R.N. Ph.D. mpj0185026000011

O.k., so you want to become a nurse. Good choice. Did you know that National surveys of registered nurses, physicians, and hospital executives document considerable concern about the U.S. nurse shortage?(1) Will you have job security? Absolutely! Now all you need to do is to become a nurse. As the population continues to grow, so does the need for educated nursing professionals. With such a strong need for nurses many would think it would be easy to get a nursing education. The fact is it may be harder than many people think. Today the United States also has a shortage of nursing educators and this makes many nursing programs hard to get into often with long waiting lists.
Getting onto these waiting lists is all dependent on how well the student performs on the NURSING ENTRANCE TEST This is a three hour exam that tests the students knowledge from reading comprehension to anatomy and physiology. Student aspirations of having a career in nursing can come true if they know how to study intelligently for the NURSING ENTRANCE TEST. This test can become a stumbling block for students who do not adequately prepare for the N.E.T. Comprehensive study materials can be found online at the Nurses Learning Center
Students have online access twenty four hours a day, seven days a week, as long as they need the program. Having access to a comprehensive battery of tutorial test that will help raise students score on the N.E.T is a must is the student plans to get into nursing school on the first try. Not pass the NURSING ENTRANCE TEST is a great set back for everyone trying to get into nursing school, and one that most people can’t afford to take.
Nursing forum – career planning and education advice for nursing careers

Even with all these hurtles in place, a nursing career is still a great choice as long as you select the correct career path. As with any career you choose, you want to create a plan and time line so you can advance into a senior position in the future.While in fact the program of nursing is a grueling one, the rewards of helping others outweighs all other factors considered. The five steps are outlined below.
Step 1. Have a great desire to help others. Becoming a nurse means caring about others as you would care for yourself, your children, your parents and other loved ones. Love of mankind is definitely a prerequisite. This is the most important step. Read more »

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Unlimited, Online, Nursing Entrance Tests Available 24/7

Written by kimmel52 on December 9, 2009 – 9:34 pm

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Now there are available online, all the tests and practice tests that students need to be able to pass such tests as the HESI, The TEAS, HESI A2, and the NET.  These tests simulate the actual computerized tests and help prepare the student to pass with high scores.  Just go to the Nurses Learning Center and read more about the wonderful options that await those struggling to find reliable testing material that will help them to not only prepare for the Nursing Entrance Test, but pass the first time with high scores.
Students need some extra help in studying for the various tests that are currently out there. Unfortunately there is not enough reliable resources on the internet to help students sufficiently prepare for the nursing entrance tests. Even the companies that produce them, such as ATI, (ERI World), and others do not give students the necessary information. The only online practice tests that they give are such that the student has only a few hours or days to practice, then the service is turned off. The fee is sizable for their service. Here at the Nurses Learning Center, students can access tests that include Anatomy and Physiology, Biology, Chemistry, English Grammar, Reading Comprehension, and Mathematics. Over one thousand questions and answers are available to the students. They can track their test scores and determine their weak points. There is no limit, and the service does not terminate. The student can simply access the internet then  begin their practice testing anytime throughout the day or night.

The best way to study is the right way to study.  The online tutorial testing is user friendly.   Students can log in at
All the student has to do is to choose a user name and password when they purchase the online product. This will be their password each time that they log in, no matter where they are.  Start studying today.

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Nursing Entrance Test Math Section

Written by kimmel52 on December 7, 2009 – 7:37 pm

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.


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.


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.


  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.


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

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.

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Nursing Entrance Test and Nursing School

Written by kimmel52 on December 6, 2009 – 6:31 pm

  1. Being admitted to nursing school is indeed a great accomplishment. Before you can get into nursing school you must first pass the NURSING ENTRANCE EXAM OR THE N.E.T. More now, than ever, is the need to be prepared for the fast paced two years of lecture and clinical rotation that lies ahead. Keeping some simple reminders will ensure a successful journey through nursing school. The best reward is graduating as a registered nurse. Some of us nurses have brained stormed the following tips. So have fun with the A, B, C’s of nursing school and best wishes for a bright and rewarding career! The most important step in beginning your nursing career is to begin studying for the N.E.T.
    It is good to be a nurse!

    It is good to be a nurse!

    The A’s
    Always be on time to class and clinicals. (10 to 15 minutes early is the best time)
    Always have on clean scrubs and shoes. (your appearance is a reflection of who you are)
    Answer instructors politely even if you feel they are in the wrong. (They never are)
    Ask questions only when the instructor opens the floor to questions. (Don’t interrupt their lecture, you can see them after class)
    Absolutely no chatting during a lecture.
    Argue, if you want to fail.
    Allocate time for yourself. (Do something nice, just for you and you alone)
    Advise your loved ones of the importance of study time.
    Abstain from activities that drain your mind and body. (you need all the strength and rest possible)
    Acknowledge that fact that you are doing the best that you can. (Forgive yourself)

The B’s

  • Be kind to yourself
  • Believe that you can make it through nursing school.
  • Brave the hardest times. (There will be times that you will want to quit. Don’t ever, it will get better)
  • Bring chocolates on the day of a test.  (Eat a few before a test.  The brain uses 100% glucose, your score may increase.)
  • Buy your self a pair of comfortable nursing shoes. (You will be thankful that you did)
  • Book Bags are a no no, use the ones on rollers.  (Save your back)
  • Beauty is not important.  (Easy on the makeup)
  • Beware of busy bodies. (Always be professional in or out of class and clinical. Never gossip about schoolmates or instructors.  It will come back to you 10 fold. )
  • Balance your home and schoolwork.  (It is difficult to do at first, but it is a must.)
  • Belong to a study group. (One that gets A’s )

The C’s

  • Craming doesn’t get you A’s (take your time and study well in advance)
  • Care about all that you do, especially the patients
  • Caffine can be your best friend, but don’t over do it.
  • Clear your mind of all your worries prior to an exam(remember, this is your carrer, and sometimes you only get this one chance, so do your best)
  • Comfort is very important whether in school or in clinicals(always dress in loose fitting clothes, and wear comfortable supportive shoes) If your jeans are too tight, it is hard to breath and your brain doesn’t get enough oxygen.
  • Crack open the books daily. (it is the only way to keep up with the material)
  • Confine yourself to a designated study area where it is nice an quiet.  (keep one place in the house that is for you only.)
  • Contemplate what a wonderful nurse you are going to be when you graduate. (It is important to be able to visualize your future accomplishments.  Keep the dream alive.)
  • Cupid can wait until after your through with nursing school. (Beginning a new relationship isn’t the best thing for a nurse in training.  Be strong, it really isn’t that long.  You have your whole life ahead of you.)
  • Call a friend or family member when you are feeling down. (It is important early in the game to establish your support base.  You will  need them.)

All of the above criteria to be successful as a nursing school student also applies to studying for the N.E.T. You can begin today, and increase your chances of getting into nursing school fast by getting the right study materials for the NURSING ENTRANCE TEST at the Nurses Learning Center.
Remember the ABC’s of Nursing School and be a success.


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Online Practice Tests now available for All Nursing Entrance Tests Nationwide

Written by kimmel52 on December 6, 2009 – 4:41 am

Students have to pass the TEAS, the HESI and the NET to get into nursing school. Finding the right tutorial can be frustrating. Now, students can have unlimited access to online tests that will help them to prepare for any nursing entrance test

Dec 06, 2009 – How frustrating is it when students aspiring to become nurses have to pass the HESI, TEAS, or the NET and the only help they can find isn’t enough to help them pass.  Even worse, the sites that actually offer the tests to nursing schools charge students a fee to access only a few practice questions and then only give them a few hours or days until their access expires.  Nancy Kimmel, educator, nurse and PhD recognized this fact long ago, and has diligently worked on preparing an online tutorial containing challenging test questions and explanations that students can use whenever and where ever they choose, as long as the have access to a computer.  With an extensive background in chemistry, biology, anatomy and physiology, math and reading comprehension, Nancy Kimmel has compiled all of her years of teaching and writing to give students the opportunity to pass the nursing entrance test successfully the first time

“Too many students find my site after the fact.  They have failed either the HESI, TEAS or the NET more than one time and they are desperate.  I have had more than one conversation that centered around helping a student calm down and gain confidence.”

Professor Kimmel has complied tests that cover anatomy and physiology, biology, chemistry, English grammar, reading comprehension and math.  All with detailed answers, explained in a manner that student’s can understand.  The best thing about these tests are that they are accessible online.  All the student has to do is to log on to and they are ready to go.  Over one thousand questions and answers are contained in this online program.

The online program keeps track of the student’s scores, so that the students can see how they are progressing.
Professor Kimmel states, “It’s not about the money, it’s about education.  Students require real and applicable knowledge if they are to pass the various nursing entrance tests.  Unfortunately there are way too many sites on the internet that are just out there to make money advertising, and the students are led about from one site to another.  This leaves them frustrated and hopeless.  I want to be able to give students a legitimate study guide that will help them to pass the first time.”

Since the HESI and the TEAS are very similar in test content, Professor Kimmel has been able to combine a similar testing format.  The method of having online practice tests also helps students with test anxiety and helps them to time themselves.  Many of the nursing entrance tests are offered by computer examination only.  Students who are not familiar with computerized testing usually do not score as high on the tests.

With the combined test information put into an online tutorial, students are able to master the material and perform with more confidence thus increasing their scores.

Professor Kimmel states, “With so many people going into the nursing field, nursing schools are raising their entrance test scores to 80% on some exams.  In some nursing schools, only the students that score the highest are allowed entry.”

Professor Kimmel sees the need for more than just adequate preparation.  The online test questions are designed through integrated learning to increase the student’s knowledge base each time they master one test.  The material keeps getting more challenging.

Professor Kimmel stated, “If student’s can pass with an 80% or better on all of the tests then they will score in the top 5 percent of those testing.”

This is quite a statement.  But it is evidently one that Professor Kimmel believes students can achieve.

This Study Guide is designed to alleviate the stress by providing a clear path to “passing the first time”.

The designer of the online exams has personally tutored students success.
Dr. Nancy Kimmel, one of the authors of the Nursing Entrance Test Study Guide, writes:

“I can say with confidence, anyone who can score an 80% of the post-final exam for math and reading, will pass the Nursing Entrance Test the first time using this study guide. Many students simply cannot pass the Nursing Entrance Test the first time. I have decided it is time to change that. I encourage all feedback. It is my goal that this software will benefit all those who seek to become nurses. I am happy to help their careers along”.

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Pass The N.E.T. and Become a Nurse!

Written by kimmel52 on November 26, 2009 – 7:28 pm

How does one go about to becoming  a Nurse?
There are several ways to become as a Registered Nurse: First and foremost you must pass the NURSING ENTRANCE TEST, THE N.E.T., THE HESI OR THE TEAS-ATT. After which the student will gain entry into the nursing program to earn an associate degree, bachelors degree or diploma as a registered nurse.  There are not as many diploma programs around as there once was.  Twenty to thirty years ago, it was commonplace for an student of nursing to live and work at a hospital.  It was at the hospital that the nurse was trained.  There the student learned hands on the true duties of a nurse.  There was book learning as well, but not as much as there is today.  There are diploma programs available for Licensed Practical Nurses.  There is one in Toledo, Ohio.  It has a waiting list about as long as registered nursing programs. Read more »

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The Nursing Entrance Test Can You Pass?

Written by kimmel52 on November 23, 2009 – 10:00 am

Nursing Entrance Test, An Introduction
One of the biggest hurtles that aspiring nursing school students must face is the Nursing Entrance Test. This is a nationally standardized test that is administered prior to placing students on the long waiting list for nursing school. Even if the student has passed all the prerequisites required for admission, such as anatomy and physiology, English 131 and 132, Sociology, Pharmacology, and Chemistry, this doesn’t guarantee admission to nursing school.

Although there are required passing grades, of a C at the least, the Nursing Entrance Test must be passed to be put on the list for admission to nursing school. This is by far the most nerve racking test that students must face. The main reason for this anxiety is that many students have come into the test either unprepared or just overconfident. Unfortunately, the preparatory literature that is currently available does not do complete justice to covering all that is necessary for the Nursing Entrance Test.

Most of the prep books cover a plethora of topics associated with various exams offered in the many fields of health care. This is insufficient for the knowledge that is required for passing the Nursing Entrance Test. Those who feel that the test is simply a remedial exercise in review are surprised when they sit for the test, because many have forgotten some basic math and algebra principals. Unfortunately, there are those who have been away from school for such a long time that when they sit for the exam they do very poorly. Some students have never learned math skills efficiently enough to be able to apply them in a test setting. The key to remedy much of this stress is to provide those students that are going to be taking the test with materials that will prepare them for exactly what to expect in the same method that the test is administered.

There is another level of stress that has been added to the test recently. That is, that the student is now only allowed to fail up to three times. After which, the student can no longer enroll in the nursing program at that particular school. For instance, Henry Ford Community College has now adopted this rule. This is very annoying and frustrating to those students who have taken all of their prerequisites and are on their last chance. They are faced with having to transfer their credits to another nursing school program and take the test again at another school. This prolongs their admission to nursing school which is usually a two to three year wait at the minimum. Some students have opted to take a refresher math course. However, this is in no way a guarantee that they will pass the Nursing Entrance Test. Much of the math in a remedial math course is not sufficient to pass the Nursing Entrance Test.

To help the future nursing student avoid all of this unnecessary stress, the Nursing Entrance Test Study Guide has been developed. The Nursing Entrance Test Study Guide is a comprehensive review of the Nursing Entrance Test. It is set up exactly like the actual test, allowing the student approximately one minute per question (although for practice purposes they can take as long as they want), and three answers to choose from, and includes all of the content necessary to achieve a passing score. The Nursing Entrance Test Study Guide includes a complete tutorial in all of the math and reading comprehension that the student needs to assure that not only will they pass the Nursing Entrance Test, but pass with a score that is higher than the national average. Some schools require a passing score that may be higher than another school.

The developer of The Nursing Entrance Test Study Guide software, Dr. Nancy Lydia Kimmel devoted much time and effort in making sure that the student is well prepared. In this aspect, Dr. Kimmel has been able to help those aspiring to go to nursing school the advantage of being able to jump the greatest hurtle, passing the Nursing Entrance Test, the first time.

The Nursing Entrance Test Mathematical Content

The mathematical content that is tested in the Nursing Entrance Test consists of solving the following; addition, subtraction, multiplication and division of mixed and improper fractions, manipulation of exponents, decimals and percentages, word problems, algebra problems including factoring, use of quadratic equation, slope of line, reading point coordinates from a graph, solving for variables in the first power and square roots. This may seem like a lot to someone who is hoping to go into the nursing field. However, this mathematical knowledge should be part of the repertoire for the student planning to take the Nursing Entrance Test.

For many preparing to take this test, trying to learn this from scratch may seem like a daunting task. Indeed, for those with minimal to no knowledge math this becomes a daunting challenge. Some students elect to take refresher math courses. These math courses are misnamed, in the fact that they are not so much a refresher course but a course that only covers certain aspects of the math that is tested on the Nursing Entrance Test. Depending on the teacher and the learning curve of the rest of the class, this may not help the student sufficiently. Many teachers adjust the content of the class based upon the percent of the class that has a difficult time comprehending the material. What this means is that if there is a majority of the class that is having a hard time with basic principals, then the teacher will not completely cover all that is required. This is unfortunate, because those who are picking up the material quickly are placed at an educational disadvantage and are not getting their moneys worth of education.

Time and time again, students have sought out new materials on the market to better prepare them for the Nursing Entrance Test, only to be given bits and pieces of information that is insufficient to pass with an acceptable score. Math is the enemy to many that wish to be nurses and is a source of dread when it comes to test performance. Much of this anxiety is due to insufficient preparation at the college and high school level. The population of new nursing students encompasses a wide age and educational disparity.

The typical nursing student is no longer the fresh high school graduate, or the young mother returning to school after her children reach preschool age. Now, nursing students come from many diverse backgrounds, such as engineers, teachers, computer technologist and people with masters and doctorates. Naturally, with so many degreed people entering the nursing field, the bar has been raised for the score needed to pass the Nursing Entrance Test at many nursing schools. This puts the typical nursing student at a disadvantage.

So, the question can be asked, what is the person to do about obtaining the skills necessary to pass the math on the Nursing Entrance Test? There is no simple answer. However the best answer is to study. Having the right tools is also necessary. One of the most helpful tools to achieve math proficiency on the Nursing Entrance Test, is in utilizing the software entitled, “The Nursing Entrance Test Study Guide”. This tutorial written by Dr. Nancy Lydia Kimmel, encompasses a comprehensive math review of all the concepts necessary to master in order to pass the Nursing Entrance Test with higher than national average scores. Dr. Kimmel has been a professor of engineering, math, physics and chemistry for over fifteen years and has had much experience developing tutorials to help those challenged by the sciences.

The Nursing Entrance Test Study Guide is presented in colorful Power Point slides to enhance the leaning experience for the reader. All three learning domains, audio, visual and written are targeted for the learners benefit. Dr. Kimmel starts out the tutorial with introducing how to add and subtract fractions that are proper, improper and mixed. The tutorial continues to increase in developing and review of math principals using examples and mini tests with complete explanations, until the learner feels that they have mastered the topics. Even if the learner has not had some math concepts formerly taught to them, this tutorial will assist them in mastering the skills. Dr. Kimmel’s software entitled, The Nursing Entrance Test Study Guide, has successfully helped many aspiring nursing students pass the Nursing Entrance Test the first time with high scores. It is Dr. Kimmel’s goal that the Nursing Entrance Test should not be a hindrance to those wishing to go to nursing school, but a stepping stone that they can confidently surpass.
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.

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Pass The N.E.T and get into Nursing School?

Written by kimmel52 on September 4, 2009 – 6:05 pm



The health-care job market for nurses is booming and so is the enrollment in nursing programs.  Nursing Schools across the United States are having difficulty keeping up with the high numbers of students seeking to get into their nursing programs.  There are not enough teachers to go around.  Those who wish to become nurses must wait until there is an opening in the next class.  It is not unusual for students to have to wait two to three years to get into nursing school.     So how hard is it to get into nursing school?  It all depends on you. First and foremost, you must first begin by finding out which of the NURSING ENTRANCE TESTS the school of your choice requires. The nursing school which you decide to attend may offer the HESI, THE TEAS-ATT, OR THE N.E.T. The pre-requisites vary, depending on whether a student chooses a two year or four year degree program.  Most two year associate degree nursing programs require at least one year of pre-requisites.  These pre-requisites include, Biology (two semesters), Anatomy and Physiology (two semesters), English, (two semesters), Political Science, Psychology, Child Psychology, Sociology, Basic Math, Beginning Algebra, Chemistry, and Pharmacology.  It seems that each year the list of pre-requisites gets longer.  These courses could take longer than a year to complete, depending on the students home life and job commitment.  Then there are the nursing entrance tests.  There are several variations of nursing entrance tests circulating throughout the United States.  There is the HESI, the TEAS and the NET.  Each nursing school requires a different score for passing.  Passing implies that the student has scored sufficiently high enough to get their name on the nursing school waiting list.  To make matters more difficult, some schools only allow the student to take the nursing entrance test three times.  If the student fails on the third try,then they are not allowed entrance into the schools nursing program.  This can be a devastating blow to someone who has just completed over one year of pre-requisites and have set their entire two year calender by one school.  There is indeed some very stiff competition for nursing school seats.  Some of the other criteria that is examined prior to students gaining admission includes, grade point average, past medical or healthcare experience, and nursing entrance test scores.  As unbelievable as it may seem, there are actually some schools that require students to have a 4.0 grade point average just to get placed on the nursing school wait list. It is no wonder that so many nursing school students are over stressed. The high expectations required by so many nursing schools are actually acting as a deterrent. Some students who contemplated a carrer in nursing change their path when faced with the daunting expectations of nursing schools. They go into other health-care fields that do not require as much preparation. These fields include patient care technicians, emergency technicians, and medical assistants. Though these careers do not pay as well as nursing, the student has a greater comfort level and can therefore perfrom better in class and in clinical. What’s the best advice to give someone who wants to become a nurse? To begin with, people should be selective when choosing a nursing school. Find out what are the requirements. Look into their pass rate on the NCLEX State Boards. Certainly, one would not want to put in three years of school, only to find out that their school had one person pass the State Boards out of 50. Also it is important to find out if the pre-requisites change while in the program and if it is necessary to take more classes. Most importantly find out if there is a limit to how many times the nursing entrance test can be taken, and if each failed attempt is counted as a strike against the student. Knowing the playing field ahead of time can save a lot of heartache not to mention money. Much of a students money and time is lost when they are not accepted to the nursing program. This takes a toll on the student and their family. Many nursing students are well into their thirties and forties. These are people that have had mortgages, prior schooling and have had their share of debts. When a student is fully aware of what is expected of them with regard to the school and the nursing program, there is less chance of failure. Good advice is to remember to keep the dream. Don’t give up, and plan well in advance for any road blocks that may occur.

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Written by kimmel52 on June 7, 2009 – 5:31 pm

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.

HESI A&P Topics

HESI A&P Topics

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.

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