Test Taking

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RELEVANT NURSING
CONCEPTS TO
REMEMBER
CARING
ESSENSE OF NURSING
CENTRAL TO EVERY ENCOUNTER

HUMANIZES THE PATIENT
RESPECT AND DIGNITY TRUE EXPRESSION
SAMPLE QUESTION
AN INFANT IS BROUGHT TO THE EMERGENCY DEPARTMENT OF OSPITAL NG MAYNILA
WITH SUSPECTED SUDDEN INFANT DEATH SYNDROME (SIDS). THE INFANTS PARENTS
ARE PRESENT WHEN THE INFANT IS PRONOUNCED DEAD. THE MOST IMPORTANT
ASPECT OF COMPASSIONATE CARE FOR THE PARENTS IS TO:
A.
EXPLAIN TO THE PARENTS THAT THE DEATH WAS NOT THEIR FAULT.
B.
ALLOW THE PARENTS TO SAY GOODBYE TO THE INFANT.
C.
GATHER DATA ABOUT THE EVENTS THAT OCCURRED BEFORE THE INFANT WAS FOUND.
D.
ENCOURAGE THE PARENTS TO ATTEND A SUPPORT GROUP.
COMMUNICATION
NURSE INTERACTS WITH PATIENT
THERAPEUTIC VS. NON THERAPEUTIC
FEEDBACK IS IMPORTANT
CLIENT AS A PRIORITY
SAMPLE QUESTION
A CLIENT SAYS TO THE NURSE, IM SCARED ABOUT MY SURGERY THAT I AM HAVING
RIGHT TOMORROW. THE NURSE SHOULD MAKE WHICH APPROPRIATE RESPONSE TO
THE CLIENT?
A.
THERE IS NO REASON TO BE SCARED.
B.
YOU HAVE PLENTY OF REASONS TO BE SCARED. SURGERY IS A SCARY THING.
C.
SCARED?
D.
MOST PEOPLE WHO HAVE TO HAVE SURGERY ARE SCARED.
DOCUMENTATION
CRITITCAL COMPONENT
11 KEY AREAS OF RESPONSIBILITIES
COMPREHENSIVE REPRESENTATION
BLUEPRINT OF CARE
SAMPLE QUESTION
A NURSE DISCOVERS THAT SHE NEEDS TO MAKE A CORRECTION TO A WRITTEN ENTRY
IN THE CLIENTS CHART. WHICH OF THE FOLLOWING IS THE MOST APPROPRIATE
ACTION?
A.
CONTACT THE NURSING SUPERVISOR TO COSIGN THE CORRECTION.
B.
REMOVE THE PAGE, RECOPY THE DATA TO A NEW PAGE, AND ADD THE CORRECT ENTRY.
C.
DRAW A SINGLE LINE THROUGH THE ENTRY THAT NEEDS CORRECTION FOLLOWED BY THE
NURSES INITIALS
D.
ERASE THE ENTRY THAT NEEDS CORRECTION AND ADD THE CORRECT ENTRY
NURSING PROCESS
ASSESSMENT
INITIAL OR FIRST ACTION = ASSESSMENT ACTION

EMERGENCY SITUATION = READ CAREFULLY, CHOOSE ACTION
ASSESSMENT KEY
WORDS
ASCERTAIN
FIND OUT
ASSESS
DETERMINE
CHECK
IDENTIFY
MONITOR
OBTAIN
GATHER
OBSERVE
SAMPLE QUESTION
A POSTOPERATIVE CLIENT ASKS THE NURSE FOR PAIN MEDICATION. THE NURSE
WOULD TAKE WHICH MOST APPROPRIATE ACTION FIRST?
A.
ASK THE CLIENT HOW LONG IT HAS BEEN SINCE THE LAST DOSE OF PAIN MEDICATION WAS
ADMINISTERED.
B.
GATHER DATA FROM THE CLIENT ABOUT PAIN.
C.
PREPARE THE PRESCRIBED DOSE OF PAIN MEDICATION.
D.
ASK THE CLIENT IF THE LAST DOSE OF MEDICATION WAS EFFECTIVE.
NURSING PROCESS
ANALYSIS
SECOND STEP
SUMMARIZING AND INTERPRETING
NURSE DRAWS CONCLUSIONS
SAMPLE QUESTION
A NURSE IS CARING FOR A CLIENT AFTER A CRANIOTOMY (SUPRATENTORIAL SURGERY)
INVOLVING THE PITUITARY GLAND. WHICH FINDING INDICATES A COMPLICATION OF
THE SURGICAL PROCEDURE AND THE NEED TO NOTIFY THE PHYSICIAN?
A.
PERIORBITAL EDEMA
B.
30 ML FLUID IN THE JACKSON-PRATT DRAIN
C.
URINE SPECIFIC GRAVITY OF 1.001
D.
CLIENT REPORTS OF MOUTH DRYNESS
NURSING PROCESS
PLANNING
THIRD STEP
SETTING PRIORITIES
DETERMINES GOALS
DEVELOP PLAN OF CARE
SAMPLE QUESTION
A NURSE IS REVIEWING THE NURSING DIAGNOSES WRITTEN IN A NURSING CARE PLAN
FOR A CLIENT WITH COPD. THE NURSE DETERMINES THAT WHICH NURSING
DIAGNOSIS IS THE PRIORITY?
A.
ALTERED ROLE PERFORMANCE RELATED TO ROLE LOSS
B.
ALTERED THOUGHT PROCESS RELATED TO SLEEP DEPRIVATION
C.
ANXIETY RELATED TO LOSS OF CONTROL DURING DYSPNEIC EPISODES
D.
IMBALANCED NUTRITION, LESS THAN BODY REQUIREMENTS, RELATED TO DYSPNEA AND
FATIGUE
NURSING PROCESS
IMPLEMENTATION
FOURTH STEP
THE CLIENT IN THE QUESTION IS OUR ONLY ASSIGNED CLIENT

AND THE ONLY CLIENT CONCERN
ANSWER FROM IDEAL RATHER REALITY

ANSWER AS IF ALL RESOURCES ARE PRESENT
NURSING PROCESS
IMPLEMENTATION
INTELLECTUAL SKILLS
CRITICAL THINKING,
PROBLEM SOLVING, AND
MAKING JUDGMENTS
NURSING PROCESS
IMPLEMENTATION
INTERPERSONAL SKILLS
ABILITY TO COMMUNICATE,
LISTEN, AND
CONVEY COMPASSION
NURSING PROCESS
IMPLEMENTATION
TECHNICAL SKILLS
PERFORMANCE OF TREATMENTS AND PROCEDURES
USE OF NECESSARY EQUIPMENT
SAMPLE QUESTION
A NURSE IS MONITORING A CLIENT AFTER A CARDIAC CATHETERIZATION PROCEDURE.
THE CLIENT SUDDENLY REPORTS A FEELING OF WETNESS AT THE INJECTION SITE. THE
NURSE QUICKLY ASSESSES THE SITE AND DISCOVERS THAT THE CLIENT IS BLEEDING.
THE BEST INITIAL NURSING ACTION IS TO:
A.
APPLY FIRM PRESSURE TO THE SITE USING A STERILE GAUZE PAD.
B.
APPLY FIRM PRESSURE TO THE SITE USING A BATH TOWEL
C.
CALL THE PHYSICIAN
D.
CHECK THE CLIENTS BLOOD PRESSURE
NURSING PROCESS
EVALUATION
FIFTH STEP
CONTINUOUS
COMPARISON OF ACTUAL AND EXPECTED
MODIFY NURSING CARE
SAMPLE QUESTION
CELECOXIB (CELEBREX) HAS BEEN PRESCRIBED FOR A CLIENT. ON A FOLLOW-UP
PHYSICIANS VISIT, THE NURSE DETERMINES THAT THE MEDICATION IS EFFECTIVE IF
THE CLIENT STATES RELIEF OF:
A.
ABDOMINAL BLOATING
B.
CONSTIPATION
C.
JOINT STIFFNESS
D.
HEARTBURN
TEACHING / LEARNING
READINESS AND THE CLIENTS MOTIVATION TO LEARN IS THE
INITIAL STEP
ALWAYS USE THE PRINCIPLES
ALWAYS USE THE PRINCIPLES RELATED TO TEACHING/

LEARNING THEORY
TEACHING / LEARNING
PRINCIPLES
CLIENTS READINESS AND MOTIVATION TO LEARN AS WELL AS

THE CLIENTS LEARNING NEEDS. FIRST PRIORITY
CLIENTS EXISTING KNOWLEDGE OF THE INFORMATION
TEACHING / LEARNING
PRINCIPLES
UNDERSTAND THAT THE CLIENTS ABILITY TO LEARN
CONSIDER THE CLIENTS HEALTH BELIEFS

CONSIDERS DEMOGRAPHIC DATA
CLIENT SHOULD BE AN ACTIVE PARTICIPANT

USE A COMBINATION OF TEACHING METHODS
TEACHING / LEARNING
PRINCIPLES
ALLOW AMPLE TIME FOR THE CLIENT TO UNDERSTAND
EVALUATE A CLIENTS LEARNING
SAMPLE QUESTION
A NURSE HAS TAUGHT A CLIENTS SPOUSE HOW TO CHANGE THE CLIENTS COLOSTOMY
BAG. THE NURSE WOULD BEST DETERMINE THAT THE SPOUSE UNDERSTANDS THE
PROCEDURE BY:
A.
ASKING THE SPOUSE IF SHE UNDERSTANDS ANY QUESTIONS ABOUT THE PROCEDURE
B.
ASKING THE SPOUSE IF SHE UNDERSTANDS WHAT ITEMS ARE NEEDED TO PERFORM THE
PROCEDURE
C.
ASKING THE SPOUSE TO PERFORM THE PROCEDURE AND OBSERVE HER PERFORMING IT
D.
ASKING THE SPOUSE IF SHE FEELS COMFORTABLE PERFORMING THE PROCEDURE
HOW TO AVOID
READING INTO THE
QUESTION
HOW TO AVOID READING INTO THE

QUESTION
IDENTIFY THE PARTS OF A QUESTION.
READ CAREFULLY.
LOOK FOR KEYWORDS OR KEY PHRASES.
IDENTIFY THE ISSUE.
USE THE PROCESS OF ELIMINATION.
AVOID ASKING YOURSELF WHAT IF?
WHAT IS THE CASE SITUATION?

THE CASE SITUATION IS THE HEART OF THE QUESTION.
IT PROVIDES YOU WITH THE INFORMATION THAT YOU NEED

TO THINK ABOUT TO ANSWER THE QUESTION.
WHAT IS A QUESTION STEM?

STATEMENT THAT GENERALLY FOLLOWS THE CASE SITUATION
ASKS YOU SOMETHING VERY SPECIFIC
WHAT ARE THE OPTIONS?

ARE ALL OF THE ANSWERS PRESENTED WITH THE QUESTION.
THERE WILL BE FOUR OPTIONS,
AND YOU MUST SELECT ONE.
SAMPLE QUESTION
CASE SITUATION:
THE NURSE IS REVIEWING THE LABORATORY RESULTS OF A CLIENT WHO IS RECEIVING MAGNESIUM
SULFATE BY IV INFUSION AND NOTES THAT MAGNESIUM LEVEL IS 7 MEQ/L.
QUESTION STEM: BASED ON THIS LABORATORY RESULT, THE NURSE WOULD MOST LIKELY EXPECT TO
NOTE WHICH OF THE FOLLOWING IN THE CLIENT?
OPTIONS:
A.
NO SPECIFIC SIGNS OR SYMPTOMS BECAUSE THIS VALUE IS A NORMAL LEVEL
B.
TREMORS
C.
RESPIRATORY DEPRESSION
D.
HYPERACTIVE REFLEXES
KEYWORDS OR KEY
PHRASES
KEYWORDS AND KEYPHRASES

FOCUS YOUR ATTENTION ON CRITICAL AND SPECIFIC POINTS.
MAY INDICATE THAT THERE IS ONLY ONE OPTION
MAY INDICATE THAT YOU NEED TO PRIORITIZE

MAY INDICATE A TRUE RESPONSE QUESTION
MAY INDICATE A FALSE RESPONSE QUESTION
WHAT ARE THE

COMMONLY USED
KEYWORDS OR KEY
PHRASES TO LOOK FOR?
COMMON KEYWORDS OR KEY PHRASES THAT

INDICATE THERE IS ONLY ONE CORRECT OPTION
EARLY SIGN
LATE SIGN
UNDERSTANDS
GOAL HAS BEEN ACHIEVED
ADEQUATELY TOLERATING
AVOID
NEEDS REINFORCEMENT OF THE INSTRUCTIONS
LACK OF UNDERSTANDING

INDICATE THERE IS ONLY ONE CORRECT OPTION
GOALS HAVE NOT YET BEEN FULLY MET
HAS NOT MET THE OUTCOME CRITERIA
INEFFECTIVE
INADEQUATE
UNABLE TO TOLERATE

INDICATE THE NEED TO PRIORITIZE
BEST
FIRST
INITIAL
IMMEDIATELY
MOST LIKELY OR LEAST LIKELY

LEAST APPROPRIATE
MOST APPROPRIATE OR

INDICATE THE NEED TO PRIORITIZE
HIGHEST OR LOWEST PRIORITY
ORDER OF PRIORITY
AT HIGHEST RISK
AT LOWEST RISK
BEST UNDERSTANDING

INDICATE A TRUE OR FALSE RESPONSE QUESTION
COMMON WORDS OR PHRASES THAT INDICATE A TRUE RESPONSE
QUESTION
INCLUDE THE FOLLOWING:
EARLY SIGN
LATE SIGN
BEST
FIRST
INITIAL
IMMEDIATELY

MOST LIKELY
MOST APPROPRIATE
ORDER OF PRIORITY
GOAL HAS BEEN ACHIEVED
ADEQUATELY TOLERATING

COMMON WORDS OR PHRASES THAT INDICATE A FALSE RESPONSE
QUESTION
INCLUDE THE FOLLOWING:
LEAST LIKELY
LEAST PRIORITY
AT LOWEST RISK
LEAST APPROPRIATE
LEAST HELPFUL
AVOID

NEEDS REINFORCEMENT OF INSTRUCTIONS

NEEDS ADDITIONAL TEACHING
LACK UNDERSTANDING
GOALS HAVE NOT YET BEEN FULLY MET
HAS NOT MET THE OUTCOME CRITERIA

INEFFECTIVE/ INADEQUATE
UNABLE TO TOLERATE
SAMPLE QUESTION TRUE RESPONSE

A CLIENT WITH SUSPECTED ACTIVE TUBERCULOSIS IS BEING SCHEDULED FOR DIAGNOSTIC TESTS.
THE NURSE ANTICIPATES THAT WHICH OF THE FOLLOWING TESTS WILL MOST LIKELY BE PRESCRIBED
TO CONFIRM THE DIAGNOSIS?
A.
CHEST X-RAY
B.
SKIN TESTING (PPD)
C.
WHITE BLOOD CELL COUNT
D.
SPUTUM SMEAR
SAMPLE QUESTION FALSE

RESPONSE
THE NURSE HAS COLLECTED ASSESSMENT DATA FROM FOUR CLIENTS EXAMINED IN THE OUT-PATIENT
DEPARTMENT. WHICH IS LEAST LIKELY TO DEVELOP CORONARY ARTERY DISEASE?
A.
A CLIENT WITH A BLOOD CHOLESTEROL LEVEL OF 289 MG/ DL
B.
A CLIENT WITH HYPERTENSION WHOSE BLOOD PRESSURE HAS BEEN MAINTAINED AT 118/ 78 MMHG
C.
A CLIENT WHO HAS BEEN SMOKING TWO PACKS OF CIGARETTES FOR THE PAST 20 YEARS
D.
A CLIENT WHO IS OBESE, INACTIVE, AND HAS A STRESSFUL LIFESTYLE

RESPONSE
THE NURSE WOULD AVOID WHICH OF THE FOLLOWING ACTIONS WHEN COMMUNICATING WITH A
CLIENT WITH APHASIA?
A.
INCREASE ENVIRONMENTAL STIMULI.
B.
ASK QUESTIONS THAT CAN BE ANSWERED WITH A YES OR NO
C.
SPEAK WITH A NORMAL VOLUME OR TONE.
D.
PRESENT ONE THOUGHT OR IDEA AT A TIME.

RESPONSE
THE NURSE IS COLLECTING ASSESSMENT DATA FROM A CLIENT WHO HAS BEEN TAKING OMEPRAZOLE
(PRILOSEC) AS PRESCRIBED. THE NURSE DETERMINES THAT THE MEDICATION IS INEFFECTIVE IF THE
CLIENT CONTINUES TO EXPERIENCE WHICH SYMPTOM?
A.
HEADACHES.
B.
MUSCLE PAINS.
C.
HEARTBURN.
D.
DIZZINESS.

RESPONSE
THE NURSE HAS FORMULATED A NURSING DIAGNOSIS OF IMBALANCED NUTRITION: LESS THAN BODY
REQUIREMENTS FOR THE UNCONSCIOUS CLIENT. WHICH OF THE FOLLOWING OUTCOMES INDICATES
TO THE NURSE THAT THE GOALS HAVE NOT YET BEEN MET?
A.
STABLE WEIGHT.
B.
INTAKE EQUALING OUTPUT.
C.
BLOOD UREA NITROGEN (BUN) 12 MG/ DL.
D.
TOTAL PROTEIN 4.5 G/ DL.
THE ISSUE OF THE QUESTION
SPECIFIC SUBJECT CONTENT THAT THE QUESTION IS ASKING

ABOUT.
READ EVERY WORD IN THE QUESTION
DETERMINE WHAT THE QUESTION IS ASKING
WILL ASSIST IN ELIMINATING THE INCORRECT OPTIONS

DIRECT YOU TO SELECTING THE CORRECT OPTION.
SAMPLE QUESTION
A CLIENT WITH METASTATIC CANCER IS RECEIVING A CONTINUOUS IV INFUSION OF MORPHINE
SULFATE TO ALLEVIATE PAIN. THE NURSE MONITORS THE CLIENT FOR WHICH ADVERSE OR TOXIC
EFFECT OF THE MEDICATION?
A.
DIZZINESS
B.
SEDATION
C.
SKELETAL MUSCLE FLACCIDITY
D.
NAUSEA
USING NURSING
KNOWLEDGE AND THE
PROCESS OF
ELIMINATION
WHY NURSING KNOWLEDGE IS SO IMPORTANT

PROVIDES YOU WITH INFORMATION THAT YOU NEED TO PROCESS
THINK ABOUT CRITICALLY TO ANSWER THE QUESTION

DO NOT BE SURPRISED IF YOU ARE GIVEN QUESTIONS THAT
CONTAIN CONTENT WITH WHICH YOU ARE TOTALLY UNFAMILIAR
OR ARE ONLY VAGUELY FAMILIAR
IMPORTANT THING IS NOT TO BECOME ALARMED AND ANXIOUS
WHY NURSING KNOWLEDGE IS SO IMPORTANT

SIT BACK,
TAKE A DEEP BREATH,
READ CAREFULLY,
FOCUS ON THE ISSUE, AND
USE NURSING KNOWLEDGE FROM A DIFFERENT CONTENT ARE TO
ANSWER THE QUESTION
WHAT DO YOU MEAN BY USING THE PROCESS OF

ELIMINATION?
COURSE OF ACTION THAT INVOLVES READING EACH OPTION PRESENTED
WITH A QUESTION AND REMOVING THE OPTIONS THAT ARE INCORRECT
DO NOT ADDRESS THE ISSUE OF THE QUESTION
HELPFUL STRATEGY TO USE WHEN ANSWERING A TEST QUESTION

YOU MAY HAVE AN ANSWER TO THE QUESTION IN MIND, BUT WHEN YOU
LOOK AT THE OPTIONS YOUR ANSWER IS NOT THERE
WHAT DO YOU DO IF YOU ELIMINATE TWO OF THE

OPTIONS AND ARE UNSURE OF THE FINAL TWO?
FOLLOW THESE HELPFUL STEPS WHEN YOU ARE TRYING TO DECIDE WHICH
OF THE LAST TWO OPTIONS IS CORRECT
READ THE QUESTION AGAIN.
IDENTIFY THE CASE SITUATION FROM THE STEM OF THE QUESTION.
LOOK FOR THE KEYWORDS OR KEY PHRASES.
IDENTIFY THE ISSUE OF THE QUESTION.
WHAT DO YOU DO IF YOU ELIMINATE TWO OF THE

OPTIONS AND ARE UNSURE OF THE FINAL TWO?
ASK YOURSELF, WHAT IS THE QUESTION ASKING?
READ THE OPTIONS AGAIN.
MAKE YOUR FINAL CHOICE BY FOCUSING ON WHAT THE QUESTION IS

ASKING, USING NURSING KNOWLEDGE, AND IMPLEMENTING TEST-TAKING
STRATEGIES.
SAMPLE QUESTION
A NURSE IS CHANGING THE TAPES ON A TRACHEOSTOMY TUBE. THE CLIENT COUGHS AND THE TUBE
IS DISLODGED. THE INITIAL NURSING ACTION IS TO:
A.
COVER THE TRACHEOSTOMY SITE WITH A STERILE DRESSING TO PREVENT INFECTION.
B.
CALL THE PHYSICIAN TO REINSERT THE TUBE.
C.
GRASP THE RETENTION SUTURES TO SPREAD THE OPENING.
D.
CALL THE RESPIRATORY THERAPY DEPARTMENT TO REINSERT THE TRACHEOSTOMY.
SAMPLE QUESTION
A NURSE IS CARING FOR A HOSPITALIZED CLIENT WITH A DIAGNOSIS OF CONGESTIVE HEAT FAILURE
WHO SUDDENLY REPORTS SHORTNESS OF BREATH AND DYSPNEA. THE NURSE TAKES WHICH
IMMEDIATE ACTION?
A.
PREPARES TO ADMINISTER FUROSEMIDE (LASIX)
B.
CALLS THE PHYSICIAN
C.
ADMINISTERS OXYGEN TO THE CLIENT
D.
ELEVATES THE HEAD OF THE CLIENTS BED
QUESTIONS THAT REQUIRE PRIORITIZING

PRIORITIZING: WHAT DOES IT MEAN?
HIGH PRIORITY
INTERMEDIATE (MIDDLE) PRIORITY
LOW PRIORITY
WHEN DO YOU SELECT THE OPTION, CALL THE

PHYSICIAN?
INDEPENDENT VS DEPENDENT
IF THE QUESTION DOES NOT DESCRIBE A CLIENT SITUATION THAT IS LIFETHREATENING AND THERE IS AN OPTION THAT DIRECTLY RELATES TO A
NURSING ACTION
IF THE QUESTION PRESENTS A CLIENT SITUATION THAT IS LIFETHREATENING, THEN THE CORRECT OPTION MAY BE TO CALL THE
PHYSICIAN
SAMPLE QUESTION
THE NURSE ENTERS A CLIENTS ROOM AND FINDS THE CLIENT SLUMPED
OVER IN BED. THE NURSE QUICKLY ASSESSES THE CLIENT AND DISCOVERS
THAT THE CLIENT IS NOT BREATHING. THE NURSE IMMEDIATELY:
A.
PLACES OXYGEN VIA CANNULA ON THE CLIENT.
B.
SITS THE CLIENT UPRIGHT IN BED.
C.
CALLS THE PHYSICIAN.
D.
BEGINS CARDIOPULMONARY RESUSCITATION (CPR)
SAMPLE QUESTION
A NURSE IS CARING FOR A POSTOPERATIVE CLIENT WHO SUDDENLY
BECOMES RESTLESS. THE NURSE WOULD MOST APPROPRIATELY:
A.
CHECK THE CLIENTS VITAL SIGNS.
B.
NOTIFY THE PHYSICIAN.
C.
MEDICATE THE CLIENT FOR PAIN.
D.
TALK TO THE CLIENT IN A CALM VOICE.
SAMPLE
QUESTION
A NURSE IS CARING FOR A CLIENT WHO JUST RETURNED FROM THE RECOVERY ROOM
AFTER A TONSILLECTOMY AND ADENOIDECTONMY. THE CLIENT IS RESTLESS AND THE
PULSE RATE IS INCREASED. THE NURSE PREPARES TO CONTINUE ASSESSING THE
CLIENT BUT THE CLIENT BEGINS TO VOMIT LARGE AMOUNTS OF BRIGHT RED BLOOD.
THE IMMEDIATE NURSING ACTION IS TO:
A.
CALL THE SURGEON.
B.
CONTINUE THE ASSESSMENT.
C.
CHECK THE CLIENTS BLOOD PRESSURE.
D.
OBTAIN A FLASHLIGHT AND GAUZE.
COMMON KEYWORDS THAT INDICATE THE NEED TO

PRIORITIZE
BEST
ESSENTIAL
FIRST
HIGHEST PRIORITY
IMMEDIATELY
INITIAL
MOST APPROPRIATE
MOST EFFECTIVE
MOST IMPORTANT
MOST LIKELY
VITAL
PRIMARY
NEXT
ORDER OF PRIORITY
PRIORITY
SAMPLE QUESTION
A NURSE IS CARING FOR A CLIENT WITH ANGINA PECTORIS WHO BEGINS TO
EXPERIENCE CHEST PAIN. THE NURSE ADMINISTERS A SUBLINGUAL NITROGLYCERIN
(NITROSTAT) TABLET AS PRESCRIBED BUT THE PAIN IS UNRELIEVED. WHICH ACTION
WOULD THE NURSE TAKE NEXT:
A.
CONTACT THE PHYSICIAN.
B.
CALL THE CLIENTS FAMILY.
C.
ADMINISTER ANOTHER NITROGLYCERIN TABLET.
D.
REPOSITION THE CLIENT.
THE ABCS: WHAT ARE THE ABCS AND HOW WILL

THEY HELP YOU ANSWER A PRIORITIZING
QUESTION?
IF AN OPTION ADDRESSES MAINTENANCE OF PATENT AIRWAY, THAT WILL BE
THE CORRECT OPTION.
IF NONE OF THE OPTIONS ADDRESS THE AIRWAY, MOVE TO BREATHING,
FOLLOWED BY CIRCULATION.
SAMPLE QUESTION
A CLIENT WITH A DIAGNOSIS OF CANCER IS RECEIVING MORPHINE SULFATE 10 MG
SUBCUTANEOUSLY EVERY 3 TO 4 HOURS FOR PAIN. WHEN PREPARING THE PLAN OF
CARE FOR THE CLIENT, THE NURSE INCLUDES WHICH PRIORITY ACTION?
A.
MONITOR STOOLS.
B.
MONITOR THE URINE OUTPUT.
C.
ENCOURAGE THE CLIENT TO COUGH AND DEEP BREATHE.
D.
ENCOURAGE FLUID INTAKE.
SAMPLE QUESTION
THE NURSE IS ASSESSING THE CLIENTS CONDITION AFTER

CARDIOVERSION. WHICH OF THE FOLLOWING OBSERVATIONS WOULD BE OF
HIGHEST PRIORITY TO THE NURSE?
A.
STATUS OF AIRWAY.
B.
OXYGEN FLOW RATE.
C.
LEVEL OF CONSCIOUSNESS.
D.
BLOOD PRESSURE.
SAMPLE QUESTION
THE NURSE IS PROVIDING PREOPERATIVE TEACHING TO A CLIENT SCHEDULED FOR A
CHOLECYSTECTOMY. WHICH INTERVENTION WOULD BE OF HIGHEST PRIORITY IN THE
PREOPERATIVE TEACHING PLAN?
A.
TEACHING COUGHING AND DEEP BREATHING EXERCISES.
B.
TEACHING LEG EXERCISES.
C.
INSTRUCTIONS REGARDING FLUID RESTRICTIONS.
D.
ASSESSING THE CLIENTS UNDERSTANDING OF THE SURGICAL PROCEDURE.
MASLOWS HIERARCHY OF NEEDS THEORY

WHAT IS MASLOWS HIERARCHY OF NEEDS THEORY AND HOW WILL IT HELP
TO ANSWER PRIORITIZING QUESTIONS?
NEEDS ARE SATISFIED IN A PARTICULAR ORDER, AND HE ARRANGED HUMAN
NEEDS IN A PYRAMID OR HIERARCHY
SAMPLE QUESTION
A NURSE IS ADMITTING A CLIENT WITH A DIAGNOSIS OF POSTTRAUMATIC STRESS

DISORDER AT THE CAVITE CENTER FOR MENTAL HEALTH. THE CLIENT IS CONFUSED AND
DISORIENTED. DURING THE ASSESSMENT, THE NURSES PRIMARY GOAL FOR THIS
CLIENT IS TO:
A.
STABILIZE THE CLIENTS PSYCHIATRIC NEEDS.
B.
ORIENT THE CLIENT TO THE UNIT.
C.
EXPLAIN THE UNIT RULES.
D.
ACCEPT THE CLIENT AND MAKE THE CLIENT FEEL SAFE.
SAMPLE
QUESTION
THE NURSE HAS DEVELOPED A PLAN OF CARE FOR A CLIENT DIAGNOSED WITH
ANOREXIA NERVOSA. WHICH OF THE FOLLOWING NURSING DIAGNOSES WOULD THE
NURSE SELECT AS THE PRIORITY IN THE PLAN OF CARE?
A.
DISTURBED BODY IMAGE
B.
DEFENSIVE COPING
C.
DEFICIENT KNOWLEDGE
D.
IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENTS
SAMPLE
QUESTION
A NURSE IS PREPARING TO TEACH A CLIENT HOW TO USE CRUTCHES. BEFORE
INITIATING THE LESSON, THE NURSE PERFORMS AN ASSESSMENT OF THE CLIENT. THE
PRIORITY NURSING ASSESSMENT SHOULD INCLUDE WHICH OF THE FOLLOWING?
A.
THE CLIENTS FEAR RELATED TO THE USE OF THE CRUTCHES
B.
THE CLIENTS UNDERSTANDING OF THE NEED FOR INCREASED MOBILITY
C.
THE CLIENTS MUSCLE STRENGTH AND PREVIOUS ACTIVITY LEVEL
D.
THE CLIENTS FEELINGS ABOUT THE RESTRICTED MOBILITY
ELIMINATING OPTIONS THAT CONTAIN ABSOLUTE

WORDS AND SELECTING OPTIONS THAT CONTAIN NOTSO-ABSOLUTE WORDS: HOW WILL THIS HELP?
IN MOST SITUATIONS (MEANING NOT ALL SITUATIONS), IF AN OPTION CONTAINS
AN ABSOLUTE WORD, IT IS INCORRECT.
AS YOU READ EACH OPTION, IF YOU NOTE A WORD THAT IS ABSOLUTE, ELIMINATE
THAT OPTION.
CONVERSELY, AS YOU READ AN OPTION AND NOTE A NOT-SO-ABSOLUTE WORD,

THEN THAT MAY BE THE CORRECT OPTION.
ABSOLUTE WORDS
ALL
ALWAYS
CANT
EVERY
MUST
NEVER
NONE
NOT
ONLY
WONT
NOT-SO-ABSOLUTE WORDS
GENERALLY
MAY
POSSIBLY
USUALLY
SAMPLE QUESTION
A NURSE IS PROVIDING DIETARY INSTRUCTIONS TO A CLIENT ABOUT LOWFAT DIET. THE NURSE TELLS THE CLIENT TO:
A.
NEVER USE BUTTER FOR COOKING
B.
READ THE LABELS ON FOOD ITEMS TO DETERMINE THE FAT CONTENT
C.
EAT ONLY FOODS THAT HAVE LESS THAN 1% FAT CONTENT
D.
DRINK FLUIDS ONLY IF THEY ARE FAT-FREE
SAMPLE QUESTION
A CLIENT SCHEDULED FOR A COMPUTERIZED TOMOGRAPHY (CT) SCAN OF THE

ABDOMEN ASKS THE NRSE WHEN THE RESULTS OF THE TEST WILL BE AVAILABLE. THE
NURSE MAKES WHICH MOST APPROPRIATE RESPONSE TO THE CLIENT?
A.
THE RESULTS WONT BE AVAILABLE FOR AT LEAST ONE WEEK.
B.
YOU MUST ASK THE CT TECHNICIAN FOR THAT INFORMATION.
C.
YOUR PHYSICIAN MAY HAVE THE RESULTS IN ABOUT THREE DAYS.
D.
EVERY SCAN IS READ BY A RADIOLOGIST AND THIS PROCESS ALWAYS TAKES
ONE WEEK.
ELIMINATING OPTIONS THAT CONTAIN MEDICAL

RATHER THAN NURSING INTERVENTIONS: HOW WILL
THIS HELP?
FOCUS ON NURSING AND SELECT THE OPTION THAT RELATES TO A NURSING

INTERVENTION RATHER THAN A MEDICAL ONE
ONLY SITUATION IN WHICH YOU MAY NEED TO SELECT A MEDICAL INTERVENTION

IS IF THE QUESTION INDICATES TO DO SO
THIS IS A NURSING EXAMINATION NOT A MEDICAL ONE
SAMPLE QUESTION
A NURSE IS CARING FOR A CLIENT WITH A DIAGNOSIS OF CONGESTIVE HEART FAILURE

(CHF) WHO SUDDENLY EXPERIENCES SEVERE DYSPNEA; THE NURSE SUSPECTS THAT
PULMONARY EDEMA HAS DEVELOPED. THE NURSE IMMEDIATELY:
A.
OBTAINS A VIAL OF FUROSEMIDE (LASIX) AND A SYRINGE
B.
PLACES THE CLIENT IN A HIGH-FOWLERS POSITION
C.
OBTAINS A DOSE OF MORPHINE SULFATE FROM THE NARCOTIC MEDICATION
DRAWER
D.
INSERTS A FOLEY CATHETER
ELIMINATING SIMILAR OPTIONS: HOW WILL THIS

HELP?
IF YOU NOTE OPTIONS THAT ARE SIMILAR WITH REGARD TO THEIR CONTEXT,
ELIMINATE THESE OPTIONS
THE CORRECT ANSWER TO THE QUESTION WILL BE THE OPTION THAT IS DIFFERENT.
THERE IS ONLY ONE CORRECT OPTION
SAMPLE QUESTION
A NURSE IS PREPARING A PLAN OF CARE FOR AN OLDER ADULT WITH A HISTORY OF

HEART FAILURE WHO WILL BE RECEIVING A BLOOD TRANSFUSION. THE NURSE WRITES
IN THE PLAN OF CARE WHICH INTERVENTION THAT RELATES TO MONITORING FOR A
TRANSFUSION REACTION?
A.
MONITOR THE CLIENTS INTAKE AND OUTPUT DURING THE TRANSFUSION
B.
WEIGH THE CLIENT BEFORE AND AFTER THE TRANSFUSION
C.
MONITOR THE CLIENTS TEMPERATURE DURING THE TRANSFUSION
D.
CHECK THE CLIENTS LUNG SOUNDS HOURLY FOR RALES
ENSURING THAT ALL PARTS OF AN OPTION ARE

CORRECT: HOW WILL THIS HELP?
THERE MAY BE SOME QUESTIONS THAT CONTAIN OPTIONS THAT INCLUDE TWO
PARTS, AND EACH PART F THE OPTION IS SEPARATED BY THE WORD AND
IF YOU NOTE THAT ONE PART OF THE OPTION IS INCORRECT, THEN THE ENTIRE
OPTION IS INCORRECT; THEREFORE, ELIMINATE THAT OPTION.
IN THESE TYPES OF QUESTIONS, IT IS IMPORTANT TO ENSURE THAT BOTH PARTS

OF THE OPTION ARE CORRECT.
SAMPLE QUESTION
A NURSE IS PERFORMING AN ASSESSMENT ON A CLIENT DIAGNOSED WITH A
CATARACT OF THE RIGHT EYE. THE NURSE WOULD EXPECT TO OBTAIN WHICH DATA ON
ASSESSMENT?
A.
REPORTS BLURRED VISION AND EXCESSIVE TEARING OF THE EYE
B.
A CLOUDY PUPIL AND REPORTS EYE PAIN
C.
REPORTS OF A GRADUAL LOSS OF VISION AND PHOTOPHOBIA
D.
REPORTS FRONTAL HEADACHE AND PHOTOPHOBIA
SELECTING THE UMBRELLA OPTION: HOW WILL THIS

HELP?
OPTION THAT IS GENERAL STATEMENT AND MAY INCORPORATE THE CONTENT OF
THE OTHER OPTIONS WITHIN IT.
TERMED AS A GLOBAL OPTION OR A COMPREHENSIVE OPTION

ANSWERING A QUESTION AND NOTE THAT MORE THAN ONE OPTION APPEARS
CORRECT, LOOK FOR THE UMBRELLA OPTION.
UMBRELLA OPTION WILL BE THE CORRECT ANSWER!
SAMPLE QUESTION
A NURSE IN THE EMERGENCY DEPARTMENT RECEIVES A TELEPHONE CALL FROM EMERGENCY MEDICAL
SERVICES AND IS TOLD THAT SEVERAL VICTIMS WHO SURVIVED A PLANE CRASH AND ARE SUFFERING
FROM COLD EXPOSURE WILL BE TRANSPORTED TO THE HOSPITAL. THE INITIAL NURSING ACTION OF
THE EMERGENCY DEPARTMENT NURSE IS WHICH OF THE FOLLOWING?
A.
SUPPLY THE TRAUMA ROOMS WITH BOTTLES OF STERILE WATER AND NORMAL SALINE
B.
CALL THE LAUNDRY DEPARTMENT AND ASK THE DEPARTMENT TO SEND AS MANY WARM
BLANKETS AS POSSIBLE TO THE ER
C.
CALL THE NURSING SUPERVISOR TO ACTIVATE THE AGENCY DISASTER PLAN
D.
CALL THE ICU TO REQUEST THAT NURSE BE SENT TO THE ER
VISUALIZING THE INFORMATION IN THE CASE

SITUATION AND IN THE OPTIONS: HOW WILL THIS
HELP?
IT IS HELPFUL TO VISUALIZE THE CASE SITUATION
FORMING A MENTAL IMAGE OF THE SITUATION PLACES YOU AS THE NURSE INTO
THE SCENARIO
YOU MAY RECALL A SIMILAR SITUATION THAT YOU EXPERIENCED IN THE ACTUAL
CLINICAL AREA AND RECALL WHAT THE NURSE DID IN THE SITUATION
VALUABLE STRATEGY AS YOU ATTEMPT TO ELIMINATE INCORRECT OPTIONS
SAMPLE QUESTION
A NURSE PREPARES TO PERFORM A STERILE DRESSING CHANGE ON AN ABDOMINAL
INCISION. THE NURSE EXPLAINS THE PROCEDURE TO THE CLIENT, WASHES HER HANDS,
AND SETS UP THE STERILE FIELD. THE NURSE TAKES WHICH ACTION NEXT?
A.
DONS STERILE GLOVES
B.
DONS CLEAN GLOVES AND REMOVES THE OLD DRESSING
C.
CLEANS THE WOUND WITH BETADINE SOLUTION AS PRESCRIBED
D.
ASSESSES THE INTEGRITY OF THE ABDOMINAL INCISION
LOOKING FOR SIMILAR CONCEPTS IN THE QUESTION

AND IN ONE OF THE OPTIONS: HOW WILL THIS HELP?
LOOK FOR THE OPTION THAT CONTAINS SIMILAR CONCEPTS

HAS A RELATIONSHIP TO THOSE IDENTIFIED IN THE QUESTION
THIS STRATEGY MAY BE HELPFUL AS YOU ARE ELIMINATING THE
INCORRECT OPTIONS.
SAMPLE QUESTION
A CLIENT IS ADMITTED TO THE HOSPITAL WITH A DIAGNOSIS OF PERICARDITIS. THE
NURSE ASSESSES THE CLIENT FOR WHICH MANIFESTATION THAT DIFFERENTIATES
PERICARDITIS FROM OTHER CARDIOPULMONARY PROBLEMS?
A.
CHEST PAIN THAT WORSENS ON INSPIRATION
B.
PERICARDIAL FRICTION RUB
C.
ANTERIOR CHEST PAIN
D.
WEAKNESS AND IRRITABILITY
WHAT STRATEGIES WILL BE HELPFUL WHEN

ANSWERING MEDICATION AND IV CALCULATION
QUESTIONS?
MEDICATION AND INTRAVENOUS CALCULATIONS
USE YOUR CALCULATOR. MAKE SURE IT IS FULLY FUNCTIONAL!
CONVERT THE UNIT OF MEASURE IF NECESSARY!
FOLLOW THE FORMULA!
PLACE THE DECIMAL POINTS IN THE CORRECT PLACES!
RECHECK THE ACCURACY OF THE CALCULATION!
WHAT STRATEGIES WILL BE HELPFUL WHEN

ANSWERING QUESTIONS THAT RELATE TO LABORATORY
VALUES?
LABORATORY VALUES
IDENTIFY WHETHER THE LABORATORY VALUE IS NORMAL OR ABNORMAL!
NOTE THE DISORDER PRESENTED IN THE QUESTION!
IDENTIFY ASSOCIATED BODY ORGAN THAT IS AFFECTED AS A RESULT OF THE
DISORDER!
EXAM CRAM SHEET

TAKE DEEP BREATHS AND

IMAGINE YOURSELF
STUDYING IN YOUR
FAVORITE LOCATION
READ THE QUESTION AND

ALL ANSWERS
CAREFULLY
LOOK FOR KEYWORDS

WATCH FOR SPECIFIC

DETAILS
ELIMINATE ANSWERS
THAT ARE CLEARLY
WRONG OR INCORRECT
LOOK FOR INFORMATION

GIVEN WITHIN THE
ANSWERS
LOOK FOR THE SAME OR

SIMILAR WORDING IN
THE QUESTION AND THE
ANSWERS.
WATCH FOR
GRAMMATICAL
INCONSISTENCIES
DONT READ INTO

QUESTIONS
MAKE AN EDUCATED
GUESS
ASK FROM HIM

Will you be successful if you ONLY

have your BRAIN?
B2
R 18
A1
I- 9
N 14
44%
Will you be successful if you are a

LEADER?
L 12
E5
A1
D-4
E5
R - 18
45%
Will you be successful if you ONLY have

your BEAUTY?
B2
E5
A1
U - 21
T 20
Y - 25
74%
Will you be successful if you have a good

ATTITUDE?
A- 1
T- 20
T- 20
I- 9
T- 20
U- 21
D- 4
E- 5
100%
HAVE IN MIND ALWAYS

FOCUS
F Feel confident
O- Omit doubts
C- Concentrate
U- Use common sense
S- spiritual guidance
Here @ POWERHOUSE
You
ASPIRE
PERSPIRE
TRANSPIRE
INSPIRE
THANK YOU SO MUCH FOR

LISTENING
MAGIS
POWERHOUSE CDO

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GOOD MORNING

WHAT BROUGHT YOU HERE?

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

CENTRAL TO EVERY ENCOUNTER

I WILL PASS THE BOARD EXAM!

ALLOW THE PARENTS TO SAY GOODBYE TO THE INFANT.

ENCOURAGE THE PARENTS TO ATTEND A SUPPORT GROUP.

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

THERE IS NO REASON TO BE SCARED.

YOU HAVE PLENTY OF REASONS TO BE SCARED. SURGERY IS A SCARY THING.

MOST PEOPLE WHO HAVE TO HAVE SURGERY ARE SCARED.

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

CONTACT THE NURSING SUPERVISOR TO COSIGN THE CORRECTION.

I WILL PASS THE BOARD EXAM!

INITIAL OR FIRST ACTION = ASSESSMENT ACTION

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

GATHER DATA FROM THE CLIENT ABOUT PAIN.

PREPARE THE PRESCRIBED DOSE OF PAIN MEDICATION.

ASK THE CLIENT IF THE LAST DOSE OF MEDICATION WAS EFFECTIVE.

I WILL PASS THE BOARD EXAM!

NURSE DRAWS CONCLUSIONS

I WILL PASS THE BOARD EXAM!

30 ML FLUID IN THE JACKSON-PRATT DRAIN

URINE SPECIFIC GRAVITY OF 1.001

CLIENT REPORTS OF MOUTH DRYNESS

I WILL PASS THE BOARD EXAM!

DEVELOP PLAN OF CARE

I WILL PASS THE BOARD EXAM!

ALTERED ROLE PERFORMANCE RELATED TO ROLE LOSS

ALTERED THOUGHT PROCESS RELATED TO SLEEP DEPRIVATION

ANXIETY RELATED TO LOSS OF CONTROL DURING DYSPNEIC EPISODES

I WILL PASS THE BOARD EXAM!

THE CLIENT IN THE QUESTION IS OUR ONLY ASSIGNED CLIENT

ANSWER FROM IDEAL RATHER REALITY

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

APPLY FIRM PRESSURE TO THE SITE USING A STERILE GAUZE PAD.

APPLY FIRM PRESSURE TO THE SITE USING A BATH TOWEL

CALL THE PHYSICIAN

CHECK THE CLIENTS BLOOD PRESSURE

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

I WILL PASS THE BOARD EXAM!

ALWAYS USE THE PRINCIPLES RELATED TO TEACHING/

I WILL PASS THE BOARD EXAM!

CLIENTS READINESS AND MOTIVATION TO LEARN AS WELL AS

I WILL PASS THE BOARD EXAM!

UNDERSTAND THAT THE CLIENTS ABILITY TO LEARN

CONSIDER THE CLIENTS HEALTH BELIEFS

CLIENT SHOULD BE AN ACTIVE PARTICIPANT