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Class 2 TEST-TAKING STRATEGIES (P23)

PYRAMID TO SUCCESS

Read the question and every options thoroughly and carefully .

Ask yourself ,”that is the question specifucally asking ?”

HOW TO AVOID READING INTO THE QUESTION?

A client with metastatic cancer is receiving a continuous intravenous infusion of morphine sulfate to alliviate pain.the nurse monitors the client for which adverse or toxic effect of the medicine ?

  1. Dizziness
  2. Sedation
  3. Skeletal muscle flaccidity
  4. Nausea.

LOOK FOR KEY WORDS

Early or late

Best

First

Initial

Immediately

Most likely or least likely

Most appropriate or least appropriate

TRUE AND FALSE RESPONSE QUESTIONS

True response

A community health nurse is providing an educational session to community members regarding dietary measures that will assist in reducing the risk of osteoporosis .the nurse instructs the community members to increase distary intake of which food that would be most helpful to minimize thid risk?

  1. Yogurt
  2. Turkey
  3. Spaghetti
  4. Shell fish

False response

The nurse has provided instrutions to a client with glaucoma regarding measures that will prevent an increase in intraocular pressure in the eye .which statement if made by the client indicates a need for further education ?

  1. “I should restrict my fluid intake to prevent an increase in pressure .”
  2. “I should eat foods that are high in fiber”
  3. ‘I should avoid lifting objects that weight greater than 20 pounds “.
  4. “I should move objects by using my feet and pushing them rather than lifting them .

PRIORITIZING QUESTIONS

KEY WORDS to prioritize

Best

Essential

First

Highest priority

Immediate

Initial

Most important

Next

Primary

Vital

  1. use of ABC’s ----- airway, breathing, circulation

a nurse preparing to sunction a client with a tracheostomy tube .the nurse gathers the supplies needed for the procedure and prepares to sunction the client .which of the following is the initial nursing action ?

  1. lubricate the catheter
  2. hyperoxygenate the client
  3. place the catheter into tracheostomy tube
  4. place the sunction on the catheter .
  1. maslow’s hierarchy of need theory

1) Physiological: hunger, thirst, bodily comforts, etc.;

2) Safety/security: out of danger;

3) Belonginess and Love: affiliate with others, be accepted; and

4) Esteem: to achieve, be competent, gain approval and recognition

5) Cognitive: to know, to understand, and explore;

6) Aesthetic: symmetry, order, and beauty;

7) Self-actualization: to find self-fulfillment and realize one's potential; and

8) Self-transcendence: to connect to something beyond the ego or to help others find self-fulfillment and realize their potential.

A nurse reviewing the plan of care for a pregant client with a diagnosis of sickle cell anemia.which nursing diagnosis,if stated on the plan of care ,would the nurse select as receiving the hishest priority ?

  1. Anxiety
  2. Ineffective coping
  3. Disturbed body image
  4. Deficient fluid volume
  1. steps of nursing process

assessment ,analysis, planning ,implementation,evaluatuion

assessment key words :

ascertain

assess

check

determine

find out

identify

monitor

observe

obtain information

assessment question:

a client with multiply sclerosis tells a home health nurse that she is having increasing difficulty in transferring from the bed to a chair .the home health care nurse would initially :

  1. observe the client demomstrating the transfer technique.
  2. Document the number of falls that the client has had in recent weeks .
  3. Discuss potential nursing home placement .
  4. Start a restorative nursing program before an injury occurs

Analysis question:

A nurse is reviewing the laboratory ,results of an infant suspected of having hypertrophic pyloric stenosis ,which of the following laboretiry findings would the nurse most likely expect to note in this infant ?

  1. A blood pH of 7.50
  2. A blood ph of 7.30
  3. A blood bicarbonate of 22mEq/L
  4. A blood bicarbonate of 19mEq/L

Planning question:

A nurse develops a plan of care for a client with a cataract .which nursing diagnosis is the priority?

  1. Fear related to lose of eyesight .
  2. Social isolation related to decreased ability to mobilize in the community.
  3. Disturbed sensory perception (visual) related to ocular lens opacity .
  4. Risk for injury related to decreased vision.

Implementation question:

A client is being admitted to the hospital after receiving a radium implant for bladder cancer .the nurse would take which priority action in the care of this client ?

  1. Encourage the client to take frenquent rest periods.
  2. Admit the client to private room .
  3. Encourage family to visit.
  4. Place th client on reverse isolation.

Evaluation questions:

A home health nurse is reviewing medication with the client receiving colchicine for the treatment of gout, the nurse evaluate the medication is “effective” if the client reports a decrease in;

  1. Blood glucose
  2. Blood pressure
  3. Joint inflammation
  4. headaches

ELIMINATE OPTIONS THAT CONTAIN ABSOLUTE WORDS:

All, always,every, must, none, never, only

A nurse is providing safety instructionsto the mother of a child with hemophilia and tells the mother to do which of th following to provide a safe environment for the child?

  1. Remove toys with dharp edges from the child’s toy box.
  2. Allow the child to play with toys only if a parent is present
  3. Place a helment and elbow pads on the child every day
  4. Allow the chils to play indoors only .

LOOK FOR UMBRELLA OPTIONS;

A nurse in the emergency room receives a telephone call from emergency medical services and is told that deveral victims who survived a plane crash and are suffering from cold exposure will be transported to the hospital.the initial nursing action of the emergency room nurse is which of the following?

  1. Supply the trauma rooms with bottles of sterile water and normal saline .
  2. Call the laundry department to send as many warm blankets as possible to the emergency room.
  3. Call the nursing supervisor to activate the agency disaster plan.
  4. Call the ICU to request that nurses be sent to the emergency room.

USE THE GUIDELINES FOR DELEGATING AND ASSIGNMENT-MAKING .

NA(Nursing assistant) :non-invasive intervention,such as ;skin care, range-of-motion exercise, ambulation, grooming, hygiene measures.

LPN(licensed practical nurse)can perform certain invasive tasks such as dressing ,suctioning ,urinary catheterization, administering medications orally, subcutanerously, or intromuslularly .

RN(registered nurse)assessment, planning care,supervising care ,initiating teaching ,administering intravenous medications.

A RN is planning the client assignments for the day and has a licensed practical nurse ans a nursing assistant on the nursing team.which client would the nurse most appropriately assign to the LPN?

  1. A client with stable congestiv heart failure who has early stage Alzheimer’s disease.
  2. A client who eas treated for dehydration and is weak and needs assistance with bathing .
  3. A client with emphysema who is receiving oxygen at 2 liter by nasal cannula and becomes dyspneic on exertion.
  4. A client who is scheduled for an electrocardiogram and a chest X-ray.

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