management-NCLEX test tips NCLEX Mark

Mark Klimek - Prioritization-Delegation-staff management-NCLEX test tips NCLEX Mark Klimek - Lecture 12 (Prioritization, Delegation, Staff Management, Organ and Pulse Locations, & Guessing Strategies) Latest Update 2024-2025 100% Complete Questions and Verified Correct Answers Already Graded A+

***Countertransference - CORRECT ANSWER: Refers to the nurse's behavioral and

emotional response to the client

***Sesame street rule: only when NO other way. Right answer tends to be ____ than others. Wrong answers are similar. When something really ____ right it probably is- go

with your gut - CORRECT ANSWER: Right answers tend to be DIFFERENT than the

others. Wrong answers are similar. When something really feels right it probably is. GO

WITH YOUR GUT.

*4 rules for prioritization* - CORRECT ANSWER: 1. acute BEATS chroni

ex. appendicitis beats COPD

• fresh post-op (first 12 hrs) BEATS medical or other surgical-> no matter how big

surgery was-> fresh post of wins

• Unstable > stable
• More vital the organ, the higher the priority (organ of the modifying phrase) (only use

this as a tie-breaker)

• rules of GROWTH & DEVELOPMENT questions (always give child more time to

grow= don't rush it) - CORRECT ANSWER: 1. When in doubt, call it NORMAL

• When in doubt, pick the OLDER age

ex. walking- 12mo or 14mo= pick 14mo

• When in doubt, pick the EASIER task

ex. rolling over or sitting up= rolling over

Always high priority (5)= UNSTABLE IF EXPECTED OR NOT - CORRECT ANSWER:

Hemorrhage Fever >105 (seizures) Hypoglycemia (<70) Pulseless Breathlessness

Angina Pectoris vs Myocardial Infarction - who is higher priority? - CORRECT

ANSWER: MI

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Angina Pectoris with UNSTABLE BP vs Myocardial Infarction with STABLE vital signs -

who is higher priority? - CORRECT ANSWER: Angina pectoris with unstable BP

(modifying phrase more important)

UNSTABLE OR STABLE?

Black tag (triage) - CORRECT ANSWER: Pulselessness

Breathlessness Fixed and dilated pupils

DELIGATION - CORRECT ANSWER:

Do NOT delegate SAFETY responsibilities to.... - CORRECT ANSWER: family

DO NOT delegate what you can EAT! - CORRECT ANSWER: E - evaluate

A - assess T - teach

General guessing skills - CORRECT ANSWER: 1. Rule out absolutes

• If two answers say the same thing, both are wrong
• If two answers are opposite, one of them is probably right
• Umbrella --> which answer is more global? An answer that is very broad and covers

everything else

• Always think, what is the WORST that can happen?

Post-hip replacement. What is most important to do?

WHAT'S THE WORST THING THAT COULD HAPPEN?

-Sips of water *-Put side rails up --> Because if you didn't do it, then you could break your hip again, etc -give pain meds -use abductor pillow

How do you guess on the NCLEX? - CORRECT ANSWER: 1. Knowledge

• Common sense

3. Guessing Strategy:

Psych questions:

-the nurse examine their own feelings about something in psych nursing -establish a trust relationship

Food Questions:

-In a tie, pick baked chicken -NEVER pick casseroles for children -Never mix medications in children's food -Never mix medications in food without permission

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