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Avoid marathon study sessions Dont review right before a test Get a good nights sleep two nights before a test Dont work the day before
Think Positive!
Sample
What should the midwife do immediately before performing any procedure?
Options
a) b) c) d)
Shut the door Wash the hands Close the curtain Drape the patient
Item
Correct
Identify Theme of the Item & Base it on Information Provided in the Stem Dont jump to conclusions; never assume information that is not given What is appropriate for one patient; may not be appropriate here
Strategy II:
Read the question carefully before looking at the options, identify key words in the stem
Stem is heart of the item Provides the focus, directs your thinking Key words found in the stem
first, primary, initial, early, most important, except
1. The midwife is assessing a client in labor recognizes that the sign most diagnostic of effectiveness of labor is: a. b. c. d. Rupture of BOW Passage of mucus plug Cervical dilation Increasing intensity of pain
Rule 3: Identify Theme of the Item & Base it on Information Provided in the Stem Dont jump to conclusions; never assume information that is not given What is appropriate for one patient; may not be appropriate here
Strategy III
Identify Key Words!!!!
PRACTICE QUESTION
To meet a clients physical needs, the midwife will: a. Pull curtains when providing care b. Answer call bell STAT c. Administer physical hygiene d. Obtain vital signs
PRACTICE QUESTION
When providing perineal care in patients, midwives can appropriately protect themselves from microorganisms by:
a. b. c. d. Wearing gown prior to giving care Wearing clean gloves during perineal care Discarding contaminated water in the toilet Encourage patients
PRACTICE QUESTION
The nurse would most likely assess all but one of the following signs of dehydration in a preschooler? a. Tenting of the skin b. Sunken eyeballs c. Depressed fontanel d. Lack of tears
Strategy IV
Be on ALERT for GLOBAL WORDS in the options
PRACTICE QUESTION
To best improve circulation during a bath, the midwife should: a. Apply soap to washcloth b. Use long firm strokes c. Washes from proximal to distal d. Use only hot water
PRACTICE QUESTION
Strategy V
Process of Elimination
Answer Difficult Questions by Eliminating Obviously Incorrect Responses First Then select the best of the remaining options This will help sharpen your focus If all seem right, skip it and return to it later
Practice Question
The four levels of cognitive ability are: a. Assessing, analyzing, applying, evaluating b. Knowledge, analysis, assessing, comprehension c. Knowledge, comprehension, application, analysis d. Medical nursing, surgical nursing, mental health nursing, child bearing and womens health nursing
Strategy VI
Practice Question
In teaching a newly diagnosed pregnant mother about their condition, it is important to focus on:
a. b. c. d. Dietary modifications Use of sugar substitutes Their present understanding of diabetes Use of diabetic nutritional exchange lists
Strategy VII
Watch for Grammatical Inconsistencies
Practice Question
Communicating with a deaf client will be facilitated by: a. Use gestures b. Speaking loudly c. Find out if he has a hearing aid d. Facing the client while speaking
Strategy IX
Multiple components in an Option!!!One wrong component in an option automatically eliminates the option
PRACTICE QUESTION
Signs and symptoms of preeclampsia are: a.Proteinuria, hypotension, edema b.Edema, hypertension, proteinuria c.Proteinuria, hypoglycemia, edema d.Hyperglycemia, edema, hypertension
PRACTICE QUESTION
A patient with fever must have a diet of: a.High calorie, high protein b.High calorie, high fat c.High fat, low protein d.Low calorie, low fat
Strategy X
Therapeutic approach is PATIENT CENTERED
Strategy
Look for Questions Requiring answers of NEGATIVE POLARITY
Stem Polarity
Can be positive or negative A stem with a positive polarity will ask you to pick out the option that is true. A stem with a negative polarity will ask you to pick out the option that is not true. By understanding the polarity of the question, you can eliminate wrong answers.
Positive Polarity
This question is concerned with the truth, a fact, a principle. This question attempts to determine if you are able to understand, apply or differentiate correct information. Example
Negative Polarity
Concerned with what is false. Asks a question with a negative statement. Typically uses words like except, not, or never. May use other words like contraindicated, unacceptable, least, or avoid. Requires that you recognize exceptions to the rule.
Positive or Negative
What position would be contraindicated for the patient who has dyspnea:
a) b) c) d) Supine Contour Fowlers Orthopaedic
One More
An older adult who is dying starts to cry and says, I was always concerned about myself first and I hurt so many people during my life. What is the underlying feeling being expressed by the patient?
a) Ambivalence b) Sadness c) Anger
Strategy XI
UMBRELLA EFFECT
PRACTICE QUESTION
The major purpose of thoracostomy tube is: a.To drain air and fluids from thoracic cavity b.To restore negative pressure in the lungs c.To expand the lungs d.None of the above