Principles of test taking

MULTIPLE CHOICE• EVENT

• QUERY

• CHOICES

EVENTTake note of the Event’s subject• Disorder• Case• Patient Scenario:Emergent Non-emergentSetting

QUERY• The question

PositiveNegative

POSITIVE • BEST• EARLY OR LATE • FIRST• IMMEDIATELY• INITIAL• MOST APPROPRIATE• MOST LIKELY

NEGATIVE• NOT• EXCEPT• LEAST APPROPRIATE• NEED FOR FURTHER• LEAST LIKELY

PRIORITIZATION• BEST• ESSENTIAL• FIRST• HIGHEST PRIORITY• IMMEDIATE• INITIAL• MOST APPROPRIATE• MOST IMPORTANT• MOST LIKELY• NEXT• VITAL

THE CHOICES• LOOK FOR IMPROBABLE EXTREMES:

-All - Always-Every - Never-Nothing - Worst-None - Absolutely-Best - Only-Absolutely – No one- Everyone

The most effective way in limiting the number of microorganism in the hospital is:

A. Using strict aseptic technique in all procedures

B. Wearing mask and gown in care of all patients with communicable diseases

C. Sterilization of all instrumentsD. Handwashing

• LOOK FOR THE REAPPERARING VISAGE

- Look on the Event’s subject

A chronically ill school-age child is most vulnerable to which stressor?

A. Mutilation anxietyB. Anticipatory griefC. Anxiety over school absencesD. Fear of hospital procedures

An 80-year-old aphasic CVA client had abdominal surgery two days ago. Which of the following places is this client at the highest risk for inadequate pain management?

A.inability to turn, cough, and deep breath

B.inability to communicate painC.inability to ambulate freelyD.inability to use a bedside commode

CONTENT OR ANALYSIS?• CONTENT - DIRECT QUESTIONS

ANALYSIS NURSING PROCESS?MASLOWS?- PHYSICAL?- ABCD- PSYCHOSOCIAL?

The home care nurse is scheduling clients for the day. Which of the following clients should the nurse visit FIRST?

A. A primigravida client, 10 days postpartum, who is anxious about caring for her newborn.

B. A middle-aged client, 6 days postoperative, who is complaining of pain in his midsternal incision.

C. A client with AIDS who had a chest tube removed yesterday and is complaining of crackling under his skin.

D. A client who receives amiloride hydrochloride (Midamor) and states that she is dizzy when she gets up in the morning.

After a client has returned to the floor from thyroidectomy surgery, it is MOST important for the nurse to take which of the following actions?

A. Monitor vital signs every four hours.B. Observe for frequent swallowing.C. Monitor for signs of respiratory distress

every hour.D. Position the client in the supine position.

The nurse is caring for a client recently diagnosed with AIDS. The nurse identifies the following nursing diagnosis: risk for infection. Which of the following interventions by the nurse would BEST?

A. Inspect the skin daily for signs of breakdown.

B. Limit the number of health care personnel caring for the patient.

C. Utilize standard precautions when administering parenteral medications.

D. Assess the patient's vital signs q4h.

An elderly man is admitted to an inpatient psychiatric unit with an initial diagnosis of psychotic depression. The INITIAL nursing priority is to

A. clarify perceptual distortions.B. establish reality orientation.C. ensure client and milieu safety.D. increase self-esteem.

CONTENTRemember to eliminate first before

you select the correct answer.PRINCIPLES:CONTRADICTIONCOMMONALITY CENTRAL TENDENCY- numerical

answers.GLOBAL OR UMBRELLA

I. PRINCIPLE OF CONTRADICTIONWhich physiologic effect should the

nurse expect in a client addicted to hallucinogens?

A. Dilated pupilsB. Constricted pupilsC. BradycardiaD. Bradypnea

II. PRINCIPLE OF COMMONALITY

When injecting an intradermal injection to the patient it should be;

A. 45°B. 90°C. 180°D. Parallel to the skin

III. PRINCIPLE OF CENTRAL TENDENCY

What is the KVO rate of BT?A. 5 gtts/minB. 10 gtts/minC. 15 gtts/minD. 20 gtts/min

IV. PRINCIPLE OF UMBRELLA EFFECT

To view a person holistically, the nurse should think of him or her as:

A. Physical being who experiences pathology and sociological changes

B. Social being who needs the dynamics of group interaction

C. Psychological being whose mind influences his or her health status

D. Biopsychosocial being who is in constant interaction with the environment

THERACOMTHERAPEUTIC NON-THERAPEUTICPT CENTERED NURSE CENTERED

INFO FALSE REASSURANCE

REFLECT/ RESTATE IDEAS/ OPINIONS/ SUGGESTION

OPEN-ENDED YES/NO QUESTIONS, WHY

QUESTIONS CLARIFY DISCOUNTING/

JUDGMENTAL

1 Principle of “Tell Me More”A mother says to the nurse, “I am afraid that my child

might have another seizure” Which response by the nurse is most therapeutic?

A. “Why worry about something you cannot control?”B. “Most children will never experience a second

seizure”C. “Tell me what frightens you the most about

seizures.”D. “Tylenol can prevent another seizure from occuring”

MANAGING HALLUCINATIONSHallucinating patients

Acknowledge the hallucination

Reality presentation

Distract/ Divert

“I know that you are hearing voices, but I don’t hear them, come on let’s go to the garden”

At an inpatient psychiatric unit, a 40-year-old woman insists on staying in her room and repeatedly comments to the nurse: "Special agents are here. Maybe you are one." Which of the following responses, if made by the nurse, is BEST?

A. "You can trust me. There are no agents here."B."You must feel afraid if you believe that, but

there are no agents here."C. "No one here will hurt you. They are here to

help you."D. "Agents? Tell me more about what you mean."

LAST NA HAHAHAHAHA!!!!• Nurses always do something, they never pass

the buck (Go tell your doctor)

• Always do something AS A NURSE!!!!!• Always stay with your patient, never leave them

alone.

• Always think of your patient’s safety!!!!!!!!!!

“It’s not how smart a student you are it’s HOW GOOD A TEST TAKER YOU ARE!!!!!!!”

S.Nabong