Basic Information on Test taking for Nursing Exams. First year. Do not approach exams believing the questions are “tricky.” If you know the answer do not use test taking strategies. The perfect world according to the textbook, not what you see everyday.
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If you know the answer do not use test taking strategies.
If you find it, keep it, don’t convince yourself to choose another! Remember your first instinct is often the best.
it is usually significant.
A student who “thinks she is failing and doesn’t know what to do”.
The bookstore manager wants the book order for next semester ASAP.
School administrator with “impending crisis”.
Daughter could “use some cash”.
Take her to Pizza Hut for pizza.
Tell her she probably flunked the exam.
Recommend that she fast to cleanse her system of toxins.
Suggest psychiatric help.
The nurse is responsible for providing the client with information on which to base these decisions.
“Yes. Although it’s relatively new and its results remain tentative, it does seem so.”
“Yes, it will cure the disease but you will want to monitor for side effects and stop the medication immediately if any occur.”
“Although this medication cannot cure your disease, it will control it.”
“Yes, but just be certain to divide the dosage as the doctor has indicated in his instructions.”
“It is possible but it can be difficult because breastfeeding mothers have increased insulin requirements.”
“Certainly, we encourage you to breastfeed because it can be beneficial both physically and psychologically.”
“Yes, you may, and it is encouraged, but keep in mind that hyperglycemia can cause a decrease in milk production.”
“Generally, breastfeeding is contraindicated in women with diabetes because it places a greater physical strain on them.”
“What will keep the client safe?”
“Before we go for a walk, perhaps we can make a list that will help you make your bathroom trips easier.”
“Right now, let me wipe up the urine on the floor, and let’s get a change of clothing for you. I am sure that this problem is upsetting for you.”’
“This has been a problem for you. Let’s see if we can find a solution together.”
“Wetting yourself is very upsetting. Yes, let’s take a walk.”
Prepare an insulin drip.
Give the client a glass of orange juice.
Administer a bolus of 50% dextrose.
Check the client’s capillary blood glucose.
On an empty stomach.
With food or milk
At night before retiring.
In four divided doses.
If you have an opportunity to suction,
It’s not the answer.
b. Knowledge deficit
c. Impaired swallowing.
d. Altered family processesRemember Maslow:
“What would your children think if they knew how you felt?”
“Most people who lose a loved one feel empty.”
“Your life has no meaning?”
“Let’s talk about the positive things that you have in your life.”
“There are lots of other foods you can eat.”
“Ice cream has too much fat content, so why would you even want to eat it.”
“You don’t think you will be able to eat ice cream at all?”
“Why do you say that?”
Look for patterns in the answers. Does three of the four answers address the questions in a similar fashion?
Not affect cardiac conduction.
Slow the cardiac rate.
Maintain a constant cardiac rate.
Increase the cardiac rate.
Supply the triage rooms with bottles of sterile water and normal saline.
Call the laundry department and ask the department to send as many warm blankets as possible to the emergency room.
Call the nursing supervisor to activate the agency disaster plan.
Call the intensive care unit to request that nurses be sent to the emergency room.
Provide a diet low in calories and protein.
Keep the room temperature cool.
Encourage frequent ambulation and other physical activities.
Place extra blankets on the client’s bed.
The client did not take deep breaths while the nurse examined his lower lobes.
Because of improper positioning, the client has developed pulmonary edema.
Atelectasis, caused by immobility, has resulted in the decreased breath sounds.
The client's resistance is down, and he has caught a cold from someone else.
Administer the morphine.
Obtain a 12-lead ECG
Obtain the blood work.
Order the chest radiograph.
Let’s Identify what test taking strategy we are using…
Whole grain cereal.
Green leafy vegetables.
“Seven-up would be better for your nausea, and I’ll give you a pain medication to reduce your anxiety.”
“Do these deep breathing and leg moving techniques to reduce your pain, and I’ll bring you some hot tea.”
“I can let you have an occasional ice chip to suck on, and I’ll see about applying a heating pad for the pain.”
“This IV that I’m starting will help decrease your thirst, and you’ll receive medication for pain just before surgery.”
Pain rating of “no pain” by the client.
Decreased client anxiety.
PaO2 of greater than 70 mm Hg.
Inability to change position.
Problems with communication.
Elevate the head of the bed .
Elevate the foot of the bed.
Assess the radial pulse.
Assess the blood pressure.
“I’m certain that this will do the trick.”
“Will I be radioactive afterwards?”
“This is just one of several treatment options I have for treatment.”
“This treatment is great because it is invisible and very effective.”
“Just give it a few more days and you should be fine.”
“Well that shouldn’t happen. Let me recommend a good laxative for you.”
“When you increase the fiber in your diet, you also need to increase liquids.”
“I will tell the doctor you are having problems, maybe he can help.”
“You have the right to refuse treatment. Why don’t you talk to your doctor about it?”
“Something is upsetting you. Can you tell me what it is?”
“What do you feel about this hose?”
“I would just get it over with, because you won’t get better without this tube.”
Low-calorie diet with high fiber.
Add alcohol to daily routine.
Include daily exercise in routine.
Join a study group.
Obtain psychiatric help .
Bright lighting in room
History of falls
Use of walker when ambulating
Lack of restraint use
Re-read the stem.
Focus on the adjectives.
Don’t jump at expected words!
Look at answers for clues.
“Did you bring the container of paint thinner with you?”
“What time did the injury occur?”
“Did you flush the eye after the injury?”
“What brand of paint thinner caused the injury?”
Apply ice to the affected eye.
Call an ambulance.
Irrigate the eye with cool water.
Bring the husband to the emergency department.
A client with an upper respiratory infection (common cold) tells the nurse, “I am so angry with the nurse practitioner because he would not give me any antibiotics.” What would be the most accurate response by the nurse?
Which of the following routes of drug administration would be the most rapidly absorbed?