NCLEX-PN_Notes_Test-Taking_Tips - TEST-TAKING TIPS FOR...

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TEST-TAKING TIPS FOR MULTIPLE-CHOICE QUESTIONS CODE: TT—Test-Taking Tip ST—Study Tip Italicized option: Correct options in example questions and their rationales are italicized IDENTIFY THE BEST POSITIVE RESPONSE OPTION TT: The correct answer is in accord with a truth, fact, principle, or action that should be done. It attempts to determine if you can understand, apply, or differentiate information to identify the correct answer to the question. The question has only one correct answer. This is different from a question that asks you to pick the best action. ST: Use the process of elimination to rule out incorrect options first. Then select the best remaining option. . EXAMPLES 1. Which physical characteristic should a nurse expect to decrease the loss of body heat from a newborn? 1. Flexed posture 2. Blood vessel dilation 3. Limited subcutaneous fat 4. Large surface area relative to an adult TT: The question is asking for a fact about a newborn’s physiology. 1— Flexion of all extremities resulting in the assumption of the fetal position reduces the body surface area exposed to the environment, thus reducing the loss of body heat . 2, 3, & 4—The larger the body surface area, the greater the extent of blood vessel dilation, and the less subcutaneous fat present, the greater the loss of heat from the body. 2. A physician orders a topical corticosteroid for a toddler who has atopic dermatitis. A nurse applies the medication to the affected area to decrease: 1. pain. 2. pruritus. 3. moisture. 4. inflammation. TT: The question requires the test-taker to apply knowledge of the expected outcome of a classification of drugs, corticosteroids to identify why the nurse is applying the medication. 4— Corticosteroids modify the immune response, thereby suppressing inflammation . 1—Analgesics reduce pain. 2—Antihistamines limit pruritus. 3—Antiperspirants help limit moisture. 3. A client is receiving a continuous intravenous heparin drip. Which antidote should a nurse keep readily available in case the client’s drip infuses too rapidly? 1. Naloxone 2. Vitamin K 3. Protamine sulfate
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4. Sodium bicarbonate TT: This question requires the test-taker to apply knowledge of the action of each drug to select the correct answer. Only one drug is the antidote for heparin. 3— Protamine sulfate is a strong base that forms a complex with heparin, an acid, which neutralizes the heparin . 1—Naloxone (Narcan) is an opioid antagonist that reverses CNS depression associated with opioid overdose. 2—Vitamin K is the antidote for warfarin (Coumadin), not heparin. 4—Sodium bicarbonate is an alkalinizing agent used to manage metabolic acidosis and neutralize gastric hydrochloric acid. 4. When assessing a client with the diagnosis of borderline personality disorder, a nurse should anticipate considers that the client will most likely exhibit: 1. controlled anger.
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NCLEX-PN_Notes_Test-Taking_Tips - TEST-TAKING TIPS FOR...

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