The 22nd edition is really 3,821 pages

When I lost my sports facility business it was because of paperwork. Not the special deed of trust that was signed, but the REAL paperwork behind that one page document. Legally, when you get a very small amount of paperwork, there is USUALLY some fine print behind it that is what makes or breaks you and that’s what Excelsior is going to do to YOU…

You see, Excelsior did a very smart thing. They knew that people were using the Study Guide as a reference and if there was sufficient documentation then the student would get a pass (or at least a re-test).

Now however, they gave you a VERY LIGHT STUDY GUIDE and what they didn’t tell you is that they are referencing the fundamentals of nursing books for A LOT of their new material.

We know this because a RobsREVIEW tribe member asked an Excelsior faculty member why there was no specific information on exactly how to do an intermittent catheterization for the lab station in the guidebook OR the referenced fundamentals of nursing book  that is listed in the 22nd edition:

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This one…

The response went something along the lines of:

“We are not solely referencing one fundamentals book. We are also referencing fundamentals of nursing textbooks that have been cited throughout your entire program here at Excelsior. Please reference those books for guidance.”

Two words: that sucks….This means you have to look through ALL of these books for answers to your questions:


Robs CPNE workshop online excelsior

books like these…1,000+ pages EACH

But don’t lose hope yet, young jedi…every problem has a solution and this one is HUGE. In the old days (21st edition and before) the book was huge but it was incomplete with information. Questions came up like,

  • “Do we need sterile gloves for this procedure?”
  • “Should we use a gown here?”
  • “When do we assess the fontanelle?”

The guidebooks had all these wacky time frames and way to do things (remember when we DIDN’T cleanse the wound in the lab sims?). Now, Excelsior is pretty much giving up and saying, “Use the fundamentals book for your answers.”

Here’s where things get a little tricky….

If you are going to perform trachea suctioning the guidebook KINDA lays it out, and says what you need. One thing it DOESN’T mention is that you should wear a gown and a face shield when performing suctioning, (page 1342, #3 in BASIC NURSING by Treas & Wilkinson).

  • Will it result in a failure if you DON’T put on a gown and face mask when performing suctioning?
  • I’m not sure, as it is not SPECIFICALLY written in the 22nd edition of the guidebook BUT if I was a betting man, I would say SOMEONE will fail for NOT wearing this equipment (and all the examiner has to do to justify your failure is to reference page 1342 #3 in the Treas & Wilkinson BASIC NURSING BOOK.)


So… there needs to be mnemonics that zipper in ALL the critical elements from the book AND from the fundamentals books to make SURE they don’t fail you. I’m in the process of doing it now and I think you’re going to be happy with it. I’m trying to leave no stone unturned and make SURE you become an RN.


I’ll need some help from you though, to make sure things are correct…

  1. Did you receive ANY answers from Excelsior on the questions from my last post (you can view those questions HERE)
  2. More questions we came up with this weekends mastermind (thanks Tracy!) such as:
  3. When would we have to “label unidentifiable medication with drug name and dose?” (pg.28 4d  &  pg.55 4d in the 22nd ed.)
  4. For the Sterile Intermittent catheterization station in the NSL what kind of drape do we have to use at the beginning? Do we drape the mannequin with a blanket as it states in the fundamentals book OR are we using a drap from the catheterization kit that has the hole cut out? Also, at the end of the catheterization where we are supposed to “Drape for privacy” can we use a blanket or do we have to use the sterile drape again?
  5. For our Plan Of Care (nursing care plan). It looks like the 2 assessments at the top are assessments that we receive in report and NOT what we are going to assess. Is that correct?
  6. For the Plan of Care (nursing care plan) Can a family member be included as a “team member” or is this for only “medical professionals”?


If you could ask these questions that would be great because it isn’t listed in the 22nd edition OR in the fundamentals of nursing books (and by the way, those fundamentals of nursing books are EXPENSIVE!). Lastly, if you get a response please let me know…


P.S. One thing DOES concern me and that is if a student fails, what will they have to reference to dispute their failure? I have an example that I worked on today and I am telling you, the information we used to appeal this students decision IS in the 21st edition, but it is NOT in the 22nd. Buckle up kids…it’s going to get bumpy.

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