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NurseReview.Org - Test Taking Strategies For Nursing Students


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NurseReview.Org - Test Taking Strategies For Nursing Students

  1. 1. Test taking strategies for Nursing Students Caralee Bromme’, RN , MSN CCRN
  2. 2. Seminars Objectives <ul><li>At the end of this session the student will </li></ul><ul><ul><li>Define critical thinking and it’s application to the nursing process. </li></ul></ul><ul><ul><li>Understand Maslow’s hierarchy of needs in relationship to the nursing process. </li></ul></ul><ul><ul><li>Identify the components of a test question. </li></ul></ul><ul><ul><li>Be able to identify question and answer distracters and qualifiers. </li></ul></ul>
  3. 3. Critical thinking <ul><li>Critical thinking is the cornerstone of one's ability to function in today's society. According to Scriven & Paul (n.d.) , </li></ul><ul><li>it...can be seen as having two components: </li></ul><ul><ul><li>a set of skills to process and generate information and beliefs, and </li></ul></ul><ul><ul><li>the habit, based on intellectual commitment, of using those skills to guide behavior. </li></ul></ul><ul><ul><li>( Scriven & Paul, nd: ) </li></ul></ul>
  4. 4. Test Preparation… the most important step <ul><li>Read the material prior to lecture </li></ul><ul><ul><li>At the minimum, skim the chapter summaries, key word definitions and tables. Identify what the instructor’s going to talk about. </li></ul></ul><ul><li>Take outline notes </li></ul><ul><ul><li>Star concepts you don’t understand for further study. Use a spiral notebook one page for lecture. Then add info from the book on the opposite page *note all page numbers for open book tests. </li></ul></ul><ul><li>Flag or Tab your notes and book for open book test with consistent system </li></ul><ul><ul><li>Blue-tables, red-disease ( Mark disease name on tab), green- nursing care plan </li></ul></ul><ul><ul><li>“ Remember it’s all about understanding and application of the concept “ </li></ul></ul>
  5. 5. Test taking strategies <ul><li>Outline your notes to each disease </li></ul><ul><ul><li>With info from lecture and book </li></ul></ul><ul><li>Pathophysiology of disease/ system </li></ul><ul><li>Signs and symptoms (including labs) </li></ul><ul><ul><li>Highlight special S&S </li></ul></ul><ul><ul><ul><li>such as RLQ pain for appy </li></ul></ul></ul><ul><li>Nursing Diagnosis </li></ul><ul><li>Goals </li></ul><ul><li>Specific Implementation plans </li></ul><ul><li>Patient teaching </li></ul>
  6. 6. Types of questions <ul><li>Knowledge </li></ul><ul><ul><li>Recall or remembered information </li></ul></ul><ul><li>Comprehension questions </li></ul><ul><ul><li>Need to understand the information </li></ul></ul><ul><li>Application Questions </li></ul><ul><ul><li>Show, solve, use or manipulate information </li></ul></ul><ul><li>Analysis </li></ul><ul><ul><li>Interpret data, recognize commonalties, differences, interrelationships among presented ideas </li></ul></ul>
  7. 7. Now critical thinking and the nursing process.. <ul><li>Assessment </li></ul><ul><ul><li>Collect data, communicate information about assessments </li></ul></ul><ul><li>Analysis/ Nursing Diagnosis </li></ul><ul><ul><li>Clustering and interpreting data, identifying and communicating nursing diagnosis </li></ul></ul><ul><li>Planning </li></ul><ul><ul><li>Identifying goals, projecting outcomes, setting priorities, identifying interventions </li></ul></ul><ul><li>Implementation </li></ul><ul><ul><li>Implementing nursing care </li></ul></ul><ul><li>Evaluation </li></ul><ul><ul><li>Identifying patient responses, comparing outcomes to goals, modifying plan of care. </li></ul></ul><ul><li>“ This is process of how we think about patients” </li></ul><ul><li>Now let’s apply the same process to tests </li></ul>
  8. 8. Test taking strategies <ul><li>Prioritization </li></ul><ul><li>Maslow’s Hierarchy of Needs </li></ul><ul><li>Biological </li></ul><ul><li>Safety </li></ul><ul><li>Belonging and love </li></ul><ul><li>Esteem needs </li></ul><ul><li>Self actualization </li></ul>
  9. 9. Test taking strategies <ul><li>If you have to guess think physiological needs first… </li></ul><ul><li>Think.. </li></ul><ul><ul><ul><li>Airway </li></ul></ul></ul><ul><ul><ul><li>Breathing </li></ul></ul></ul><ul><ul><ul><li>Circulation </li></ul></ul></ul><ul><ul><ul><li>Disability </li></ul></ul></ul><ul><li>Safety second </li></ul><ul><li>Communication </li></ul><ul><li>Also do not forget the nursing process </li></ul>
  10. 10. Test taking strategies <ul><li>Questions are based on the nursing process… </li></ul><ul><li>The components include </li></ul><ul><ul><li>The stem </li></ul></ul><ul><ul><li>Correct response </li></ul></ul><ul><ul><li>Distracters </li></ul></ul>
  11. 11. Test taking strategies <ul><li>The client has a red, raised skin rash. During the bath, the priority action of the nurse is to: </li></ul><ul><li>a. Assess for further inflammatory reactions </li></ul><ul><li>b. Discuss the body-image problems created by the presence of the rash </li></ul><ul><li>c. Wash the skin thoroughly with hot water and soap </li></ul><ul><li>d. Moisturize the skin to prevent drying. </li></ul>
  12. 12. Test taking strategies <ul><li>A 61-year-old client recently had left-sided paralysis from a cerebrovascular accident (stroke). In planning care for this client, the nurse implements which one of the following as an appropriate intervention? </li></ul><ul><li>a. Encourage an even gait when walking in place. </li></ul><ul><li>b. Assess the extremities for unilateral swelling and muscle atrophy. </li></ul><ul><li>c. Encourage holding the breath frequently to hyperinflation his lungs. </li></ul><ul><li>d. Teach the use of a two-point crutch technique for ambulation . </li></ul>
  13. 13. Test taking strategies <ul><li>A client has severe right-sided weakness and is unable to complete bathing and grooming independently. Based on this observation, the nurse identifies a nursing diagnosis of: </li></ul><ul><li>a. Powerlessness </li></ul><ul><li>b. Self-care deficit </li></ul><ul><li>c. Tissue integrity impairment </li></ul><ul><li>d. Knowledge deficit of hygiene practices </li></ul>
  14. 14. Test taking strategies <ul><li>The client is receiving an epidural opioid infusion for pain relief. A priority nursing intervention when caring for this client is to: </li></ul><ul><li>a. Use aseptic technique </li></ul><ul><li>b. Label the port as an epidural catheter </li></ul><ul><li>c. Monitor vitals signs every 15 minutes </li></ul><ul><li>d. Avoid supplemental doses of sedatives </li></ul>
  15. 15. Test taking strategies <ul><li>After administering an intramuscular injection, the nurse should massage the needle insertion site to: </li></ul><ul><li>Limit infection </li></ul><ul><li>Prevent bleeding </li></ul><ul><li>Reduce comfort </li></ul><ul><li>Promote absorption </li></ul>
  16. 16. Test taking strategies <ul><li>To promote respiratory function in the immobilized client, the nurse should: </li></ul><ul><li>Change the client’s position q4-8 </li></ul><ul><li>Encourage deep breathing and coughing every hour </li></ul><ul><li>Use oxygen and nebulizer treatments regularly </li></ul><ul><li>Suction the client every hour </li></ul>
  17. 17. Test taking strategies <ul><li>The nurse is caring for a client with cirrhosis of the liver with ascites. When instructing nursing assistants in the care of the client, the nurse should emphasize that </li></ul><ul><li>The client should remain on bed rest in a semi-Fowler's position </li></ul><ul><li>The client should alternate ambulation with bed rest with legs elevated </li></ul><ul><li>The client may ambulate and sit in chair as tolerated </li></ul><ul><li>The client may ambulate as tolerated and remain in semi-Fowlers position in bed </li></ul>
  18. 18. Test taking strategies <ul><li>A client has gastroesophageal reflux. Which recommendation made by the nurse would be most helpful to the client? </li></ul><ul><li>Avoid liquids unless a thickening agent is used </li></ul><ul><li>Sit upright for at least 1 hour after eating </li></ul><ul><li>Maintain a diet of soft foods and cooked vegetables </li></ul><ul><li>Avoid eating 2 hours before going to sleep </li></ul>=
  19. 19. Test taking strategies <ul><li>A 43-year-old client is scheduled to have a gastrectomy. Which of the following is a major preoperative concern? </li></ul><ul><li>a. The client’s brother had a tonsillectomy at age 11 years </li></ul><ul><li>b. The client smokes a pack of cigarettes a day </li></ul><ul><li>c. The presence of an intravenous (IV) infusion </li></ul><ul><li>d. A history of employment as a computer programmer </li></ul>
  20. 20. Test taking strategies <ul><li>The nurse is working in a postoperative care unit in an ambulatory surgery center. Of the following clients that have come to have surgery, the client at the greatest risk during surgery is a: </li></ul><ul><li>a. 78-year-old taking an analgesic agent </li></ul><ul><li>b. 43-year-old taking an antihypertensive agent </li></ul><ul><li>c. 27-year-old taking an anticoagulant agent </li></ul><ul><li>d. 10-year-old taking an antibiotic agent </li></ul>
  21. 21. Test taking strategies <ul><li>To provide for the psychosocial needs of an immobilized client, an appropriate statement by the nurse is: </li></ul><ul><li>a. “The staff will limit your visitors so that you will not be bothered.” </li></ul><ul><li>b. “A roommate can be a real bother. You’d probably rather have a private room.” </li></ul><ul><li>c. “ Let’s discuss the routine to see if there are any changes we can make.” </li></ul><ul><li>d. “I think you should have your hair done and put on some make-up.” </li></ul>
  22. 22. Test taking strategies <ul><li>Conclusion </li></ul><ul><li>Prepare and learn the concepts </li></ul><ul><li>Tab and out line your notes </li></ul><ul><li>Use the ABC’s and Maslow’s Hierarchy </li></ul><ul><li>For more info…. </li></ul><ul><li>www,medspub,com </li></ul><ul><li>Nurse Logic program </li></ul>