STUDY SKILLS EXTRA HELP SESSION. Test Taking Strategies For Success. Critical Thinking Applied to Test Taking. Educational Domains Components of Multiple choice questions Cognitive level of Nursing questions. Educational Domains. Nursing as a discipline includes three domains
Test Taking Strategies For Success
Nursing as a discipline includes three domains
1. Separate the case scenario and stem, identify the client, the issue and type of stem
2. Identify Key words
3. Avoid reading into the questions
a. Restate question in own words
b. Eliminate any option which include “new” information that was not give in the case scenario
c. Avoid misinterpreting disorders (review carefully; focus on areas of difficulty)
A. Place the bed in the lowest position
B. Expose the top side of the body, washing and drying quickly, then doing the same on the posterior side
C. Gather all articles necessary for the bed bath and place them where they will be within easy reach of the nurse during the bath
D. Use firm, scrubbing strokes to remove dirt and bacteria
A. Read the label
B. Check for the right dose
C. Wash the nurse’s hands
A client who has right sided weakness needs to be transferred from his bed to a wheelchair. In transferring the client, the nurse must remember to:
4. Client A and Client B are sitting in the day lounge. The nurse has medication to administer to client A. When the nurse enters the lounge, Client B says to the nurse “I see you found me to give me my pills” The best nursing response would be:
A. Lift the object at arm’s length so all of the arm muscles are being used.
B. Bend from the waist, using a wide stance, so that the leg muscles of the body are used
C. Maintain good body alignment and use the large muscles of the body
D. Bend at the knees and use the large leg muscles when lifting the object
Identify the global response
1. Global response: is a general statement which includes correct idea form other options
a. Identify critical elements
b. Evaluate stem: Positive or negative
c. Eliminate options that do not match the stem
d. Compare remaining options- look for global response option
In a long-term care facility, the nurse finds an elderly client on the floor. After having the client examined by the physician, the most important nursing action is to:
Eliminate similar distracters
1. There is only one correct answer. If two options say the same thing or include the same idea, neither can be correct
A. Review the questions: identify the critical elements
B. Narrow your choices
C. Use the similar distracter strategy and look for the option that is different
A newly diagnosed adult diabetic is doing a return demonstration of the proper technique for insulin injection. He draws up the correct dose of insulin using the proper technique, but when he is ready to inject the needle, he hesitates and says, “I’m not sure I can do this.” Which response by the nurse would be best initially?
A client is admitted to the hospital for evaluation of inadequate circulation to her lower extremities. The doctor orders a tub bath at the clients request. In assisting the client with her bath, which nursing action would be unsafe?
a. Identify the client
b. Identify the issue/problem/feeling
c. Identify the type of stem
B.Eliminate distracters (14-21)
1. Correct answers have a therapeutic response
a. Therapeutic communication tools: being silent, offering self, showing empathy, focusing, restatement, validation/clarification, giving information, dealing with the here and now
2. Communication blocks are the distracters. Communication blocks prevent therapeutic communication
a. Communication blocks: giving advice, showing approval/ disapproval, using cliché and false reassurance, requesting an explanation, devaluing clients feelings, being defensive, focusing on inappropriate issues or persons, places clients issues on hold
a. Address the clients feelings
Client- centered response’s
b. Analyze the introductory statement
1. Physical problems are addressed first
2. Use the nursing process: is more information needed?
3. If the client is upset, feelings must be address first
An elderly male client is admitted to the hospital. His son asks the nurse what he should do concerning his father’s hearing problem. The nurse’s best response to the son is:
A client is in hospital because of severe weight loss and refusal to eat. The physician orders the insertion of a NG tube for feeding. The nurse find the client with the tube removed. The client tells the nurse the he “doesn’t need that thing”. The most appropriate nursing response is:
A female client is schedule for cardiac bypass surgery in the morning. She says to the nurse, “I don’t think I’m going to have the surgery. Everybody had to die sooner or later” The most therapeutic nursing response is:
A male nurse has received a doctor’s order to catheterize one of his female clients. The client says, “I’m not going to allow a male nurse to catheterize me.” The nurse’s best response is:
A male client is admitted to the hospital for surgery after finding a lump in his right testicle. He asks the nurse, “Do you think that the doctor will find cancer?” The most appropriate nursing response is:
A client is admitted to the hospital with abdominal pain. She overhears her doctor and her nurse discussing cancer of the liver. Later, she says to the nurse, “Having cancer of the liver must be a terrible thing.” Which is the best nursing response?
The nurse is teaching a female client about self breast exam. The client tells the nurse that she doesn’t understand why she is being taught this, since she doesn’t plan on doing it anyway. The best response by the nurse is:
A confused elderly female client has wet herself and is standing in the hospital corridor in a puddle of urine. She has trouble getting to the bathroom in time. She looks ashamed. She says to the nurse, “I want to go outside for a walk now.” What is the most appropriate response by the nurse at this time?
1. Initial response
2. Essential nursing action
3. Vital considerations
4. Immediate attention
5. Priority nursing action
6. Best Nursing judgment
7. Most important
Assessment received priority
b. Maslow’s Hierarchy of needs
c. Communication theory
Tools and feelings
d. Teaching/Learning theory
Motivation is key
A client, 21 years old, is admitted to the hospital because of extreme weight loss. It is noted on the admission assessment that the client believes that she is overweight at 88 pounds. What aspect of care should the nurse consider her first priority?
An elderly male client with COPD is receiving O2 per nasal cannula at 2 liters per minute. At 3:30pm. The nurse assesses that the client appears to have made a good adjustment to hospitalization. At 5pm the nurse finds the oxygen cannula on the floor. The client is angry and says, “It’s about time you got here. Where am I? Where is my breakfast?” Which consideration would receive the nurse’s immediate consideration?
A hospitalized elderly female client is to receive an x-ray. The nurse enters the client’s room, and ask if the client is ready to go to x-ray. She nods her head “yes” the next priority nursing action is to:
A 15-year old female client is being seen in the family planning clinic. She says to the nurse that she is nervous and has never had a pelvic exam before. The best response by the nurse initially is:
The nurse caring for a postoperative client. The nurse is informed during report that the client had not voided for 8 hours. The initial nursing action would be to:
The nurse had completed pre-discharge teaching for an elderly female client who is being discharged from the hospital after treatment for poor circulation to her lower extremities. Which action by the client would the nurse identify as the most important indication of the success for failure of the pre-discharge teaching?
1. Assessment questions (28-30)
A. Tips for assessment questions
a. Terms used: observe, monitor, check, obtain information, and find out
b. Remember: assess first
c. Know your vital signs and lab values
d. Focus on the issue
B. Eliminate options
A male client returns from the recovery room to the surgical unit following surgery. Upon his arrival in the client care unit, what is the initial focus of the nurse’s assessment
The nurse is monitoring a client who is receiving IV infusion for the signs of infiltration. In assessing an IV site which has become infiltrated, the nurse knows that which finding is unexpected?
A client puts her call light on and tells the nurse that she had to urinate. The client had had a foley catheter in place since her surgery two days ago. The appropriate nursing action is to:
An elderly, confused client is on bed rest. In planning nursing care for this client, which nursing intervention will not effectively provide for this client’s safety?
35. An elderly client is in a nursing home and confined to bed. In planning care for this client, the nurse knows that the most essential nursing intervention to prevent skin breakdown and decubitus ulcers is to:
Good Luck Everyone on Future Exams!