URNSS NCLEX-RN ® Night

URNSS NCLEX-RN ®  Night URNSS NCLEX-RN ®  Night - Start

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Patti Manson, RN. SCBScN Curriculum . C. oordinator. November . 2017. What is NCLEX-RN Exam all about??. Test . focuses on what new graduates are most likely to be doing and experiencing, primarily in acute care settings. ID: 724241 Download Presentation

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URNSS NCLEX-RN ® Night




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Presentations text content in URNSS NCLEX-RN ® Night

Slide1

URNSSNCLEX-RN® Night

Patti Manson, RNSCBScN Curriculum CoordinatorNovember 2017

Slide2

What is NCLEX-RN Exam all about??Test focuses on what new graduates are most likely to be doing and experiencing, primarily in acute care settingsComputer Adaptive Test (CAT)Minimum 75 – maximum 265 questions (15 unscored test items)Time allowed = 6 hoursCannot skip any questions or go

backAccommodations available if you already have them in placeExam security measures +++

Slide3

NCLEX - Type QuestionsRemember the cognitive domains of Bloom’s

Taxonomy?(knowledge, comprehension, application, analysis, synthesis)The practice of nursing requires application

of knowledge, skills & abilities

All NCLEX-RN

exam questions are testing at the taxonomy level of

application

or analysisRequires more complex thought processing – more than just straight memorization – you need deep understanding The exam is designed to be challenging!

Slide4

Types of Alternate Format QuestionsSample questions obtained from:Silvestri, Linda Ann & Silvestri, Angela (2014). Saunders strategies for test success

(3rd ed.). St. Louis, MI: Elsevier.Rupert, Diana (2014). Lippincott’s NCLEX-RN alternate format questions (5th ed.). Philadelphia, PA: Wolters Kluwer.

Slide5

Multiple Response

A client is to be started on furosemide. What should the nurse include in the health teaching plan? Select all that apply. Advise client to reduce dietary sodium intake

Teach the client to avoid foods high in potassium

Tell the client to alert the health care provider about any signs of swelling

Instruct the client to take the medication as directed

Suggest the medication be taken just before bedtime to establish a routine

Slide6

Hot Spot QuestionDuring the admission assessment the client reports

a history of mitral valve stenosis. While auscultating the client’s heart sounds, which area on the chest should the nurse apply the stethoscope to listen for mitral valve sounds? (Click the chosen location. To change, click on the new location)

Sample supplied by Elsevier/HESI courtesy of Bonnie Hobbins

Slide7

Graphic Question

The nurse notes this cardiac rhythm on a client's cardiac monitor and prepares to administer which priority measure

?

A. Defibrillation

B. Insertion

of a tracheotomy tube

C. Bedside insertion of a central venous lineD. Application of oxygen via non-rebreather mask Image from www.ecgacademy.com

Slide8

Figure Question

The nurse is told that an assigned client is in Buck's traction. Upon entering the client's room, the nurse should expect to see which device?

A.

B.

.

C.

D.

Slide9

Drag and Drop Question

The nurse is performing an abdominal physical assessment on a client

.

In

what order should the nurse assess this client? (Arrange the first item on

top and

the last item on the bottom.)A. Percussion                    B. Palpation                       C. Inspection                     D. Auscultation   

             

 

Sample supplied by HESI courtesy of Bonnie Hobbins

Slide10

Audio QuestionThe nurse is auscultating an adult client’s chest for heart sounds and hears the following sounds. Which description best describes the client’s heart sounds?

Rate 68 beats/minute, regular rhythm Rate 110 beats/minute, regular rhythm with S3 gallop

Rate

100 beats/minute,

irregular rhythm

Rate 80

beats/minute, irregular rhythm with murmur

Slide11

Fill In the BlankThe nurse is to administer haloperidol (Haldol) 2 mg intravenously now to a client in acute psychosis. A vial of haloperidol 5 mg/mL is available.How many

millilitres of medication should the nurse administer? _____ mL (record your answer to the nearest tenth)

Slide12

The NCLEX-RN® Test PlanYOU NEED TO UNDERSTAND IT !!!Download the 2016 Detailed Test Plan !!!NCSBN website

NCLEX-RN® 2016 Detailed Test Plan https://www.ncsbn.org

Slide13

Basic Care and comfort(6-12%)

Assistive devicesImmobility/mobilityPersonal HygieneSleep & Rest

Elimination

Nutrition/oral hydration

Non-pharmacological comfort

measure

Image from www.allnurses.com

Slide14

Safety & Infection control(9-15%)

Accident/Error/Injury preventionEmergency response planHandling hazardous and infectious

materials

Reporting of incident/event/irregular

occurrence/variance

Safe use of equipment

Standard precautions/transmission-based precautions/surgical asepsisUse of restraints/safety devices Image from www.clipart.com

Slide15

Psychosocial integrity(6-12%)Abuse/neglect Grief/loss/end of life

Behavioral interventions Mental health conceptsSubstance/chemical dependencies Stress Management Crisis intervention Spiritual/religiousCultural awareness/influence on health Therapeutic communication

Slide16

Health promotion & maintenance(6-12%)

Aging process High risk behaviorsAnte/Intra/Postpartum & Newborn Care Lifestyle choicesGrowth & Development Self Care

Health promotion/disease

prevention

Health screening

Slide17

Pharmacology & pArenteral therapies(12-18%)

Expected actions & outcomesParenteral & intravenous therapiesPharmacological pain managementBlood & blood productsCVADs/TPNDosage calculations

Side effects/adverse effects/interactions

Safe medication administration principles

Image from www.delishbeads.com

Slide18

Physiological adaptation(11-17%)

Alterations in body systemsPathophysiologyFluid, Electrolyte & Acid-Base imbalancesHemodynamicsMedical emergencies/unexpected response to therapiesIllness management

Image from www.shutterstock.com

Slide19

Reduction of risk potential(9-15%)

Changes/abnormalities in vital signs Diagnostic tests & proceduresLaboratory values System specific assessmentsPotential alterations in body systems

Potential for complications of diagnostic tests, treatments, procedures, surgical

procedures

Image from www.zazzle.com

Slide20

Management of care(12-23%)Advance directives

Advocacy Establishing prioritiesContinuity of care Ethical practice

Client

rights Informed consent

Assignment,

delegation

and supervision Information technology Collaboration with interdisciplinary team Legal responsibilities of RNConcepts of management Quality improvementConfidentiality/Information security Referrals Image from www.zazzle.com

Slide21

Client Need CategoriesSub-categories Percentage

Safe and Effective Care Environment Management of Care17 - 23%Safety and Infection Control

9 - 15%

Health Promotion and Maintenance

6 - 12%

Psychosocial Integrity 6 - 12%Physiological Integrity (Note this is 50% of exam)Basic Care & Comfort

6 - 12%

Pharmacological and Parenteral Therapies

12 - 18%

Reduction of Risk Potential

9 - 15%

Physiological Adaptation

11 - 17%

Slide22

General tips Read carefully – make sure you understand what the question is askingLook for key words – priority, first, initial, earliest sign, best responseDo not “read into” the questionsThink about your scope of practice – what can YOU do

?Tackle each question to the best of your ability, then let it go and move on Image from www.shlokconsultants.com

Slide23

four Key Strategiesto answer ANY QUESTION#1. If the question asks what you should do, can you apply the nursing process?A client returns from an endoscopic procedure during which the client was

sedated. Before offering the client food, which initial action should the nurse take?Assess the client’s vital signs Check the client’s gag reflexPlace the client is a side-lying positionHave the client drink a few sips of water

Slide24

#2. If the question is about client needs, can you apply Maslow’s Hierarchy of Needs?

A client experiences severe pain two days after surgery. What action should the nurse perform first?Offer reassurance that the pain will subsideAllow the client time to verbalize feelingsTeach the client about pain management breathing techniquesAdminister the prescribed analgesic

Slide25

#3. If the question involves communication, apply principles of therapeutic communication.These questions usually ask for the “best response” Look for options that involve:Listening to the clientSeeking to understand the client’s needsEncourage the client to talkReflect that the nurse has listened to the client

#4. If the client does not have an urgent physiological need, is there an answer option that best ensures client safety? (i.e. chose client over equipment)

Slide26

For multiple-multiples:Content for these questions is typically nutrition/diet, symptoms, signs of decompensation, clinical manifestations, teaching points for a disease condition, etc.

Go through each answer option systematically like True/FalseStudy maps or lists will help you prepare

Slide27

The National Council of State Boards of Nursing (NCSBN) website https://www.ncsbn.org/index.htm

NCSBN Learning Extension student resources http://learningext.com/students/student_resources/default.aspxNCLEX-RN® 2016 Detailed Test Plan Candidate Version https://

www.ncsbn.org/2016_RN_Test_Plan_Candidate.pdf

Computer

Adaptive Testing (CAT) Video

https://

www.ncsbn.org/356.htmAlternate Format Test Items https://www.ncsbn.org/2334.htm2016

NCLEX Examination Candidate Bulletin

https://

www.ncsbn.org/089900_2016_Bulletin_Proof3.pdf

Sample questions

in this presentation

and the accompanying

Kahoot

were

obtained from

:

Silevstri

, Linda Ann. (2017).

Saunders Canadian comprehensive review for the NCLEX-RN Examination

. Toronto, ON: Elsevier Canada.

Silvestri

, Linda Ann &

Silvestri

,

Angela.

(2014).

Saunders strategies for test success

(3

rd

ed.). St. Louis, MI: Elsevier.

Rupert, Diana.

(

2014).

NCLEX-RN alternate format

questions.

Philadelphia, PA:

Wolters Kluwer/Lippincott

Colgrove

, Kathryn. (2017).

Med-

Surg

Success

(3

rd

ed.). Philadelphia, PA: F. A. Davis Company

Hargrove-

Huttel

, Ray &

Colgrove

, Kathryn. (2014).

Prioritization, delegation & management of care for the NCLEX-RN exam

. Philadelphia, PA: F. A Davis Company


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