Nclex Hurst Review Testing Strategies

Testing Strategies

□ Least Invasive First

□ Pain never killed anyone

□ Never release traction UNLESS you have an order from the physician to do so

□ Polyuria—Think shock first

□ If you have never heard of it…. Don’t pick it!

□ Anytime you see fluid retention… Think heart problems first

□ Stay away from restraints as long as you can… Remember the NCLEX® is a perfect world.

□ Do not pick an answer that delays care or treatment.

□ Never pick an answer that does not allow your patient to speak.

□ Select a “patient focused” answer.

□ With priority questions… Remember you can only send one message to the NCLEX lady… so you must pick the “killer” answer

□ ADH—Think H2O

□ Aldosterone—Think sodium AND water

□ With SIADH—TOO many letters TOO much WATER

□ More Volume—More Pressure

□ Less Volume—Less Pressure

□ Anytime you see the words “assessment” or “evaluation” think pertinent signs and symptoms

□ There will not be a test questions unless there is something to WORRY about…

□ Assume the WORST

□ If there is something you can do about the problem first… do that before calling the doctor

□ Hypoxia may be the first sign of respiratory acidosis

□ With restless patient… think hypoxia first

□ Limit protein in kidney patients EXCEPT with Nephrotic syndrome

□ Like illness can be put in the same room together

□ If there are any long term consequences to your patient with the answer you pick, you should not pick that answer.

□ Assess before implementing

□ If you have a fluid problem you have a Na problem too

□ If you have a fluid problem… you will do I&O and daily weights

□ “Always” and “whenever” are TOO definite

□ Read the questions…. Then decide what you are WORRIED about… then pick an answer that you can do to SOLVE the problem

□ If you see words like “assessment” or “evaluation” in the stem of the question…. Think pertinent signs and symptoms. The presence or absence of the signs or symptoms.

□ You can’t use medical dx in a nursing diagnosis

□ You will report something “new” or “different” or “possible” to the next shift nurse.

□ If you can narrow the answers down to 2 answers… pick the more life threatening answer.

□ Anytime you have a magnesium or calcium question… think muscles first.

□ Digoxin + hypokalemia= toxicity

□ You elevate veins and dangle arteries.

□ Always worry if the rate decreased with a pacemaker

□ Never pick an answer that puts your work off on anyone else

□ Never pick an answer that ignores or brushes off the patient’s compliant.

□ If the answer is not applicable to the situation… don’t pick it.

□ I promise that I will be happy if you get more right than wrong… We are not trying to get a 100!

□ When answering “select all that apply” alternative format questions…look at each option as a true and false question… if you answer true then you would select that option as one of your answer.

 

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