Carol just finished taking the NCLEX-RN® exam. One of the questions involved evaluating the outcomes from a nursing intervention. She recalled a similar experience from her position as a nursing assistant and how the nurse, who had six clients that day, performed the procedure in a way different from what Carol learned in school but with the same outcome. Carol answered the question based on this experience. The next question concerned delegating to a nursing assistant. Carol felt confident, knowing that she was an excellent nursing assistant and that her nurse delegated many tasks to her, especially complicated dressing changes and treatments. The subsequent question asked about the nursing care priority for a client complaining of a new headache. Carol selected the response that involved completing a nursing intervention because she thought that turning off the lights would be more important than performing a nursing assessment.
Review the test-taking tips in Chapter 5 of the textbook. Identify possible problems and key strategies for responding to questions in the following categories during the NCLEX® exam.
If the question asked about the preoperative management for the patient undergoing laprotomy for ectopic pregnancy. She could use critical thinking and choose fluid replacement as the prior action as the patient may have abdominal bleeding.
If the next question asks about proper positioning for basic procedures. Assisting the nurse during procedures would help us to select the correct answer. For instance: The position required for female catheterization as assisted many procedures she selected dorsal recumbent position
If the following question includes the best action a nurse should do during CardioPulmonary Resuscitation. She could recall the Basic Life Support programme conducted in her hospital and select Maintain vertical Pressure on the clients chest through the heel of the nurses hands.
If the question asks about the clinical manifest for multiple sclerosis. She could eliminate the unrelated answers and select vision loss as the most appropriate answer.
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