The first step in preventing panic is to learn everything you can about the exam
Test questions are chosen according to the accuracy of your responses You can answer a minimum of 75 to maximum of 265 Qns Dont lose concentration.
NCLEX is not divided up into separate content area. It tests integrated nursing content
A woman with type 1 DM is returned to the recovery room one hour after an uneventful delivery of a 9 lb,8oz baby boy. The nurse would expect the womans blood sugar to:
Contents of NCLEX
Leadership Safety and infection control Health promotion Therapeutic communication Abuse and domestic violence Hazards of immobility and positioning techniques Medications Procedures Emergency management
Recall/Recognition
Multiple choice
Format: Question stem +3 wrong answers + 1 right answer
Strategies Part 1
Follow a regular pattern:
Read the question Reword the question Go through the options Eliminate the options Choose the correct answer
Step 1:Read each question carefully. Do not skim over the words read them to quickly Step 2:Look for hints in the wording of the question stem:
Most, first, best, Initial Further teaching is necessary Client understands the correct information
Step 3: Reword the question in your own words with WHAT,WHEN or WHY
Exercise 1
Elimination
Step 1:Cover all answer choices except First Step 2: Does this answer the REWORDED QUESTION?? apply for all the options. Step 3:Note which answer choices remain. Reread the question and make sure the answer selected is the correct answer
Remember
Do not answer questions based on feelings or hunches Stay focused on the reworded question Eliminate only what you know is wrong. Do not focus on unnecessary information Do not predict answers Practice answering test questions
Strategies Part 2
ABC
Nursing process
Assessment Nursing diagnosis Goal/Objective Planning Intervention Evaluation
Remember
Physiological needs are more important than psychosocial needs Always assess before you implement Action doesnt always mean implementation
Remember
NCLEX exam is not the real world. Time is on your side Always take care of the patient first before the equipment. Memorize normal lab values and be able to interpret them Normal lab values-review
Remember
The five rights of medication administration Drugs-actions, side effects and nursing implications
Therapeutic Communication
Dont ask WHY Focus on the client,not on the nurse Dont be authoritarian
Clarification
Encourages recalls and details of particular experience Encourages description of feelings. Makes sure nurse understands the patient. Eg: Tell me more, How do you feel when you are angry?
Reflecting
Paraphrases what patient says Reflects what patient says, especially feelings conveyed Eg: It sounds like you are feeling angry?
To avoid:
Closed ended questions (Yes/NO Qs)
How many children do you have?
To avoid
WHY Qs:
Why didnt you take your medication?
Judgmental responses
You were wrong to do that
Positioning questions
Know the terminology Good positioning should
Prevent??? Promote???
Essential positions
Delegation
Never delegate assessment, teaching or evaluation to LPN or UAP Delegate care for stable patients with expected outcome Delegate tasks that involve standard, unchanging procedures