NCLEX-PN Test prep questions.

NCLEX PN

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NCLEX-PN

Teacher 179 terms angiepowell8989 Preview NCLEX Teacher Tuto Always, all, everyone, never, none, only, every, must. Always, all, everyone, never, none, only, every, must. Answers that include global words such as these2 should be viewed with caution because they imply that there are no exceptions. There are very few instances in which a correct answer is that absolute.Broadest, most comprehensive answers.Choose the answer that includes all the others, which is referred to here as the "umbrella effect." Test how reasonable the answer is by posing a specific situation to yourself For example, the question might read, "The best approach when interviewing children who have irrational fears is to: (1) Help them analyze why they feel this way." Ask yourself if it is reasonable to use Freudian analysis with 2-year-old children Focus on the clientGood NCLEX Strategy - Usually the reason for doing something with a client is not to preserve the good reputation of the doctor, hospital, or nurse, or to enforce rules. Wrong choices would focus on enlisting the client's cooperation for the purpose of fulfilling orders or because it is the rule.Eliminate any answer that takes for granted that anyone is unworthy or ignorant.For example, in the question, "The client should not be told the full extent of her condition because . . .," a poor response would be, ". . . she would not understand." Choose an answer that focuses on the client as a worthy human being.When you do not know the best answer, and need to guess, look for the answer that may be different from the others For example, if all choices but one are stated in milligrams and the exception reads "1 g," that choice may be a distractor or the best choice.

Read the question carefully to see if a negative modifier is used.If the question asks, "Which of the following is least helpful," be sure to gear your thinking accordingly. Emphasize a key word such as least, contraindicated, or avoid as you read the questions. In this type of question, a correct answer may reflect something that is false.Do not look for a pattern in the correct answers. If you have already selected option 3 for several questions in a row, do not be reluctant to choose option 3 again, if you think that it is the correct response.Look for the choices that you know either are correct or may be incorrect.Good NCLEX Strategy - You can save time and narrow your selection by using this strategy. This strategy is also useful when the question requires you to select all options that apply. Read each option and determine if it is correct or not; if correct, click on the box to the left of the option. There is no partial credit if you select some but not all that apply.In eliminating potentially wrong psychosocial answers, remember to look for examples of what has been included in the nontherapeutic responses (e.g., denying feelings, false reassurance, changing the subject).TipWrong choices tend to be either very brief or very long and involved.Better psychosocial nursing responses to select are those responses that (a) focus on feelings (unless safety is at stake!): "How did that make you feel?"

(b) reflect the client's comments: "You say that made you angry";

(c) communicate acceptance of the client by the nurse rather than criticism or a value judgment;

(d) acknowledge the client: "I see that you are wincing"; and

(e) stay in the hereand- now: "What will help now?"

Look for the average, acceptable, safe, common, typical, "garden variety" responses, . not the "exception to the rule," esoteric, or controversial responses.Eliminate the response that may be the best for a physician to make.Good NCLEX Strategy - Look for an RN role-appropriate psychosocial response; for example, psychiatrists analyze the past, and nurses in general focus on present feelings and situations.Look for similarities and groupings in responses and the one-of-a-kind key idea in multiple-choice responses.Example: At which activity would it be important to protect the client who is on phenothiazines from the side effects of this drug?

• Sunday church services.
• A twilight concert.
• A midday movie in the theater.
• A luncheon picnic on the hospital grounds.

Choices 1, 2, and 3 all involve indoor activities. Choice 4 involves outdoor exposure during Be sure to note whether the question asks for what is the first or initial response to be made or action to be taken by the nurse.The choices listed may all be correct, but in this situation selecting the response with the highest priority is important. If the question asks for an immediate action, probably all answers are correct and you need to choose the priority answer.

Identify words that set a priority: best, main, primary, greatest, most.

When you do not know the specific facts called for in a question, use your skills of reasoning; One of the best NCLEX Strategy here! - for example, when an answer involves amounts or time (mainly numbers) and you do not know the answer and cannot find any basis for reasoning (all else being equal), avoid the extreme responses (the highest or lowest numerical values).

Give special attention to questions in which each word counts.The purpose of this type of question may be not only to test your knowledge but also to see if you can read accurately and find the main point (e.g., early vs. late sign of shock). In such questions, each answer may be a profusion of words, but there may be one or two words that make the critical difference. If the option has several aspects, all the parts must be correct for that answer to be correct. If you can eliminate one aspect in an answer, you can eliminate the other options with that aspect.All else being equal, select the response that you best understand.Long-winded statements are likely to be included as distractors and may be a lot of words signifying little or nothing, such as "criteria involved in implementing conceptual referents for standardizing protocol." You may want to eliminate unusual or highly technical language. Relate the situation to something that is familiar to you.Select all that apply" questions require that all correct responses must be selected to get credit.First pick out key words (write them down, if that is helpful to you). Translate, into your own words, the gist of what is asked in the question. You might close your eyes at this point and see if the answer "pops" into mind. Then, skim the answer choices, looking for the response that corresponds to what first came into your mind. Key ideas or themes to look for in psychosocial responses have been covered in this section—for example, look for a "feeling" response, acceptance, acknowledgment of the client, and reflection.Look for the best answer, not the right answer; This might seem to be an obvious NCLEX Strategy but it's well worth noting - for example, incorrect action may be the best answer if the stem asks for an action that is not appropriate (e.g., "Which of the following is an inappropriate action?" can be rephrased to say "Which action is wrong?").To narrow down the choices, first find two contradictory options; for example, hypo-hyper, flex-extend, give-withhold, dilate-constrict, increase- decrease, bradycardia-tachycardia; then focus on which one may be the correct or best choice.Focus on the age-appropriate answer"When caring for a toddler, with what safety issue should the nurse be concerned?").Time sequence points to the best choice.For example, ask yourself when is this taking place (e.g., prenatal or postpartum; preoperative or postoperative; before, during, or after; early or late; immediately?).

• Medication ActsRight Medication

Right Route Right Client Right Dosage Right Time When more than one answer looks right, choose the first step of the nursing process

Assessment words and phrases indicate priority:

Ascertain, Assess, Check, Collect, Detect, Determine, Find out, Identify Look, Monitor, Observe, Obtain information, Recognize Isolate the verbs from the rest of the questionIsolate the verbs from the rest of the question (e.g., ask is better than tell, give, or ignore).

Do not overlook the obvious answerKIS (Keep It Simple). For example, the best answer for what to do when there is a malodor in the room of a client with a colostomy is to "check the stoma for fecal leakage." If it smells like feces, check for feces.As you read what is given for assessment findings (e.g., signs and symptoms) ask yourself: Is this OK? or is it not OK?When two options are correct, choose the one that covers them both (i.e., incorporates the other, like a telescope).Example: Two hours after a liver biopsy, the nurse finds the client lying on the left side. What is the best nursing action at this time?

• Check for bleeding.
• Turn the client onto the right side.

Look at root words to give you a clue:for example, hemi = one half (hemianopsia = "half without vision"). Break down unfamiliar words in the stem.Think safety as the best choice when more than one answer could be right.Safety is a priority. See the preceding example, where putting side rails up is a "safety" action.Visualize the condition, behavior, situation, and the options to help you choose the best answer.Form a mental image (e.g., what flexion looks like versus extension); visualize and sound out the answers (e.g., to eliminate trite clichés or "authoritarian- sounding" responses such as "That's not allowed here").Would that, you could, that the ideal be possible." Choose an answer for the "ideal," not real, world.Do not rely solely on real-world experiences to answer NCLEX® questions (i.e., on the examination, answer as if you have all the time, all the staff, and all the equipment).When in doubt as to which answer is best, use the process of elimination first (e.g., eliminate what you know is incorrect) to narrow your choice to two options.The best choice will provide an answer to what the question is asking.PrioritiesABC'S An important goal is to maximize client actions For example, choose options that have indicator words for "encourage": Reinforce, Support, Facilitate, Assist Help, Aid ,Foster Try to turn options into true-or-false responses if possible in order to narrow down to two possible options.For example, when a question asks about adjusting insulin dosage, ask yourself, "What is true about adjusting the dose?" "Is it true or false that dosage is increased when the client has an infection?" (True). "Is it true or false that dosage is decreased when blood glucose level increases?" (False). If you find no "true" answers, look at the choices for a "maybe" answer.Use acronyms and memory aids to help remember theory in selecting an answer. SWISS—management of Cushing's syndrome Reword the question if the stem says "further teaching is necessary e.g., the best answer will have an incorrect statement).

• Recognize what is normal. For example