Testing Strategies Least Invasive First Pain never killed anyone Never release traction UNLESS you have

ave an order from the physician to do so PolyuriaThink shock first If you have never heard of it. Dont pick it! Anytime you see fluid retention... Think heart problems first Stay away from restraints as long as you can Remember the NCLEX is a perfect world. Do not pick an answer that delays care or treatment. Never pick an answer that does not allow your patient to speak. Select a patient focused answer. With priority questions Remember you can only send one message to the NCLEX lady so you must pick the killer answer ADHThink H2O AldosteroneThink sodium AND water With SIADHTOO many letters TOO much WATER More VolumeMore Pressure Less VolumeLess Pressure Anytime you see the words assessment or evaluation think pertinent signs and symptoms There will not be a test questions unless there is something to WORRY about Assume the WORST

If there is something you can do about the problem first... do that before calling the doctor Hypoxia may be the first sign of respiratory acidosis With restless patient think hypoxia first Limit protein in kidney patients EXCEPT with Nephrotic syndrome Like illness can be put in the same room together If there are any long term consequences to your patient with the answer you pick, you should not pick that answer. Assess before implementing If you have a fluid problem you have a Na problem too If you have a fluid problem you will do I&O and daily weights Always and whenever are TOO definite Read the questions. Then decide what you are WORRIED about then pick an answer that you can do to SOLVE the problem If you see words like assessment or evaluation in the stem of the question. Think pertinent signs and symptoms. The presence or absence of the signs or symptoms. You cant use medical dx in a nursing diagnosis You will report something new or different or possible to the next shift nurse. If you can narrow the answers down to 2 answers pick the more life threatening answer.

Anytime you have a magnesium or calcium question think muscles first. Digoxin + hypokalemia= toxicity You elevate veins and dangle arteries. Always worry if the rate decreased with a pacemaker Never pick an answer that puts your work off on anyone else Never pick an answer that ignores or brushes off the patients compliant. If the answer is not applicable to the situation dont pick it. I promise that I will be happy if you get more right than wrong We are not trying to get a 100! When answering select all that apply alternative format questionslook at each option as a true and false question if you answer true then you would select that option as one of your answer.