TDE> ¥ ferthe opectacnconet Cores Answer Epecietourcomesare ne enavorsarecrargesyoutninkare ennetooccur as aresultormursing cere. They allowthe RNTOEVAURE \wnetnergoasnave beenmet Example: The pnysiaan ortersan A fora certrecelyrgonygenatsi/min Resuitssnow pH7537, HCOS 26, pCO2$2, po230 Which ofthe TolowinesroulatnenuisecorIRsT? 1. Increase therte of orygenflowthecientisreceivng 2 Sevaterne Hoe 2 Oonumenttne recultinthe chart 4 Instructthe cienttocougnand ceep breathe RewerdedQueston—Whatshouldyoudo win acon mith these ABS? cognie normal ersbnormal. Then decidahow youhouldueethiinfermatin Rewerdthe Questionagai~Whatshould yeu dowitha cient wth normal ABS:? Correct anewerst The ABGe aewithinnerral mie. Some izle 2hecauce thy thinkthars/ssomettngthay mice, ritmay be ‘mck queston. Thevicriscecainawhetherthenfothatyauare guenicnarma of abrommal. Then answertecueeion3ccorang Feder tengo corms fewer! ‘Youmay2ae a questiontnat concert achsaae proces or procedure which yausreunfamisarwth Mosttrttaker:whoarecluslese=bouta ueston wilreadthe question ndansnerchoiecsoverndoveraganinhopesthat they wilrerembersometarg! What usualy happens? ‘bsclutelynechire!The studenten andor selectanansner choice Meanineycunowbevee tin 4chance of geting thiseuestion ent You can bettertnoescescel war chowslontorcuesin tw ansver shoes inetd of Imehequestonst=m Example: diertcontacshishome cre nurse with comelaints of nause end abdominal pain Hees type AelabetesThenurse should aise theclanttode uninotine tloving? 1 Holeyour regular dese ctinclin implementation] 2 Checkyour Boodglucose lve everyS-#. (asses) 5 Inceaseyour consumption orfoodscortaningsimciesugars.fmplemerttion} 4 Increaseyouracivityleve implementation] (syousid yourser tes Ress the inpulseroreadandreread he question Readitorce Now dently tetopicMyoucant= then move on escthe answer vices rottocslecttecotectancwer but to igueout “thats the opicfthequastr® cr"ahatsnould be turking?” ook forciues! Here, each answer choice dais with woysto maintinnomalbicd suger. Lookforthe pate arterteacingthe answers renordtne question Mnatcoestenursete te cert bouts doy ues? The corectaraweris #2 The nue sould alaayzeziss before imple mertingrursng care. Before youcanecvie the cent yournustigertiy, whether tuecientshyporlvemicorhyperaveera Nomatter now much youprepereforNex there maybe topes yeuseeonyeurtestwith ‘wmlenyousre unfamiiarwith Remember, yousonave te rowerge Sta caman aces: hat knowiedgel3) Qi >¥ In some cuestionsyourave ous etc thinking tofigue out what theanswerchccesreallymean.Néexcantake a concept withwhich _yovareverfomainrwrthandmake Reins torecoznze Example: The urs scaring ora cientimmeciateyatteraperacentesis isMOSTimportentforthe nurse toesk whichof te folowing 1 Doyourdothessil eeltight?[etheshouldfitloosmraftereperacertess] 2 Dovoureedto veld? Youneedtoempty te bladder bore the proceautel & Areyouteeingaiay? {& Dovouraveary pam ptwlhavesome dcontor tian expecacouroms] Ieisnoraimeutroienuyierpicoftisquestio, “whore pron fora cient fer a prceerress? Watch orcomplicatins~shoxk ‘aastme stamor tequestienRewers the qUestonInYCUrom Words. ReBa:eanswercclcs. nK“why shoul acktnacento¥s quesoen™ Tnecorrctancwerie #8 Unatmakece clantfeectzy?Oneoftne ceues ica deceareincerebralzerusonsve toatel mploedpreccure iss volumetasprossure.Coulé ths eenthavea dcreasedbloed esse? YeeHypotercien anahypovolemcsheccrecomsiof2 parscenereauctremolctoomevoue oi ey: »> eoeenetemone Deva anse tetas corecarue ‘Thetest doesnotrefiec whsthanpensintneresl wor butisbasedon textbocknursng. heck word o perfecto. Youhaveallthe time andrescuresyouneedto provide appropriatecare toyour dient Youhavealthe equipment youreed. There atenastafing robles. ‘Youre cringoniyfor the dent descibedin he question Aare vento dlensisby the book sample: cientistrestedinthe emergency room foracte cohol intoxication He asa yearhistorfalecel abuse Heisaatedand verbally abusive. His admission orders inclu isu SongiM er PO every &-Shsfor agitation. The nurse shouldtake whichof te folowing recautons after Ubrumisagmniserea? 1+ Placethe entinresvaiens {thsi donelnthe el worl —butrestalnsare LAST RESORT] 2 Lewvetne entina room byhimself unl thetrangulier takes effect [hss done inthe eal wort 3 Assign praca nuseto say wit the cert andassesshisconaltion. (Dovouhave enoughsta todo tis?) 1 Aotthesecunyguarstostaywitntne cent [evslsdone inthe eal wri) Remember, his Ncex world Younaveallhestatyouneed! Whenin doubt, awayscelectthe textbook answer. Intiscase, the vertbook saysthatthe cientshouldnotbe lfteloneifaptated Aprofessonalshoudremen withthe dent. Iisalzoveryimporanttoremember STEPS ~ Toke cre of sect fs. Tote creo the equipment second. Example: A cientsustinsafracuredlehfemurina cr accident Selsplacedina balanced suspensionsteleta rection usinga Thomasspint anda Pearsonatachmert The ent telisthe nurse that she has "erie" palninherlettigh Whichafthefolloungshoulthe nurse do Fast? 1+ Determine thatallthe weightsandropestrom the traction an apparatus areinlineandhanging fee (equipment) 12. Asktneclentformorelnformaton about the locaton and hare oer pln check tne moma epintandPearronatacimenttomake sure the ae appropriately posrioned [equpment 4 Exlaintothe cient thatthe pinsheisexperencngisacommon ccaurenee The corectanswerisk2. Tenurseshoulfocusonassesing the dlemtandher problembeforeasessngine equipment Alcomplantsetrae, shouldbe teroughivinvestntedby he nue‘You mustinowhow to answer uestonsabout bb values, andcoret interpret normalorabnornall estes. For mediation quescons,mostor theme the question wills the narreofthemedteoton but wil not ve the reason tecientsrecehire ‘thamaciton. “rample-The physician orcesLasxand Aldactone foradient Prior toadministeringibe medication, thenursedeserminesthatthecier's Potassiumis3.2 In adcton rotting thepskian the hutse should antcpaeekite which ote elowreactions? Donot adminictr the Laci or Aldactone. Adiiniste the aldactone oly faiiniste the asixonW, pepe “Tis iso typicel exam style meckation question The questicnconcerns common ide effects[ which yournurtknow.] Tecomectaneweris#2. Potassiumievellsbelonnormal 35-5. I} Lasixisa potassium rsting diureuc Aldactone Isapocessiu sparing dure “Another type ofquestioninvlvesanswersinwhichyou“sal the physio.” More often thanno, the answer choice that states ‘cathe physican,“contacthesodal worker "orrefertothe chaplain’ lszhe WRONGarcwer. Usually there issorsetringyouncedt do FIRST before ‘Youmubethat call Nex doesnot wantto know what the physicen wil do Melex wats:okrow what you, the AN do Esanple:A cient ieeceiving pxckedradblocd cal Saver mine aftr ta infsion etarted the cientcomalsinecfitchingand developshives on hschestand béemen. Whichofthefolloningacions should the nurse take FIRST? 1 Slowtherate ortne anstusion.(hilhimslowy1 2 Calthephysicanforanorderfor an artiste 3 Micthelvflucwitnthe bloostoclae [kllhimslowh] 4 Septheinfusion RewordedQue:tien What shouldyoudo FAST forthe chet? In zounce lide the diantishavinganallergireacton tothe trancucion I hic what sgcingon, whathoulé youdo? Ver, the physicanshould benctiies, buts there smethingyoucoulddofiet? The corcecrananeris 44, :top the infusion. Afteritestopped, youvil contact physidanafdaninistaines wil obabiybe ordered. Beorecnoosing “cal hepsi” make sure tat hee is tanans Werth crvains {gn atesementoracionyoushould do netore making the cl Fecoenar tt hors ‘eucan econise ony questonscn lees becaethey ile youhet isthe BEST “MOST IMPORTANT, "RST or INTIAL RESPONSE."l uly means tht ote tho nse! ce couldbeconsceedcvec. As Youtead hs ype of queso you OsaBIy ‘Wnlons"Aotthesalosknert” o-newean | é2age net nga Aear iyovwilbecannefor cert nave mats raceme amuse abletoesnblshprontesby decdngwhch edetake receaeneoverthe otherness “Te llowingstueonmihtsound fara: Youre called oe cen sroom by Firemen the enirgonthe or. Hes Deedee ayaue on the oteheasardhslnduetng cates sleaze endhargirom deseo” We bes Wie'edoyou bei? DO ‘oval ores "bo youratuntimia bed" Do you sppypeseureon thea you cat tn doar? What do youdoRST®Taveate $nategestone pyuexbich prone: By uingthee seepesyouwilbedoletoelirratetheseconstestansve rand corecty ety shetaphet iyHeras howyouuie the Masi Strategy—look a theansuerchote.Oaterminsiftheancwercheices ars tbathphyoiagal an peychoeeil, Ittreyare ~aoaiyineMasiow sate. Now, eliminate of psychosociclanewerchoites ifthe answterchoicels physiologic, don teininateit. Maslowstates that pysalogical needs ‘muste mettist. although pa certanly has aphysilogcal componens, kiscosidereda psydosodalneesiontdex Look at each answerchoicethat sett andaskyoursef the ansner choice makes sense wit regard the stustiondescrbedintne question, Iitmakessense,keepitfor consideration, Lookat the remaining choices; can you apply the ABs? Ara —reathune Circulation. Exanple:4 womans admittadtothe hospital with nunturedecopicpregrancy Alaparctomyiczcheculel Preeperativey, which ofthe ‘olonanggcals is MOSTimporenttor nef to induce on he ent'splanctarer Fidreplacement [physisogical} Pain rele psyenesocl) Ectioral opper|psychococal] Respirator therapy (physoioexal) pene “Tre word MOSTIVPORTANTmeansthisis a pricrty question. Youcan see thatboth PHVB PY interventions aeinluded Apply MASLOV! Eliminate PS¥ansiers. The correct answer #I Decauserespirator therapy aneelimiratd [i doesnt make sersewitharupturedectopie Pregnancy) ‘vamle:A nursecbtainsa dethistory froma pregnant 16 yearoldzir. eg tlisthe nursethat her typical daly cletinuces cereal anc ‘ake for breakfast, pizza and secafor lunch, and a cheeseburger, milkshake, fies andasaladfor cine Whichof he following stie MOST secuate nursing diagnosis basedonthis data? 4 Alterednutition: more thanthe body requirements relatedtohigh-etintake [PY] 2 ‘Knowledgedefatnutriteninpregnancy PSM 5 Alierednutidor-lesstnan the body requiementsreletedto inceasednuttionaldemerdsorpregrancy [PA] 44 Rekfor injury: etal malnartionrelatedtopoermatemal det. [SAFETY] ‘The word MOST means sa priority question. You an see botnPSY & PHT intervenconsare ncluded. Apply Mélow Eimbate PSY answers. Eliminate, there are anadaquate numberofcalorestosupporefets growen The anaweris#3 -theteen mom needzmore nutrient! (9) a (9 ») DE a> B12 (Dee eee assess anaimplement cecide whether assessment or Correct Answert anewers toassessorimplement. Implementation. ‘Thisneststategyiswellknown—its the Nursing process AAPE], Thistype of questions assessment vsimplemeataton How do ou cheese ‘thecerectanswer whenboth the corectassesmentandimplementaten ae iver? Assessment iswer yeu ookatsympters oucEtan objeciveandsubjecvedeta~ by elting, tacrgeheelthhistryperforningayscal exam, endloakreat eb results Youssther eta then) {Compare co nova values ts the FIRST step ofthe raring ress and takesprioiy over al the other steps Don'te ver implement before ‘youassars Implementation thecare you prowie. Acti ally mg tearing superveng, evaluating 2, Hereizhow te anawerthistyp of question Fir, lookatthequertion, Thenloakatthe anewers-itheyare amiof 2ecasemen/imolemertacionusethtsmethod Ge Sacto the qustionanddatermine whethe you shouldbe azessing rimplemerting. ‘Crample:Aboy as rdirghisbiketosthool where hitacxb, The boy tells the schcol nurse, ‘Think rote my leg" Whichot thefollowirg aetonsisine FRSTaCton the nursesnous Take? 4 Immobilizthe tfectelimo witha splintandastthe dientrottomeve I 2 Askthecientioexplainwhathappered [A] 3 Putthecientinsemiowlerspestvon wfacitete breathing [1 4 checkthe appearance ofthe cent'sleg (4) Determine tyoushoud assess orintervene? Remember to assessberoreinleerine SoCancel out] 3. Now what tkespionty, ake ‘ientwnatrapnenedt Criookingatine appearance ct ie leg Mhecorecr answer,‘the anes Teteersner A ‘mustbeimpleneniation, basedon towledge; —causetecient comet Anower! ityou cant the leer amount cfham? Nurseshavethe primar responsibilty of ensuing the sefety of dient Tisindudesatthe hosp, inthe home, at wort, orinte comm, Safety nudes: meeting baicneeds| eslow/;reducnghazarsthatcause injury othe dient [accidents cbstadesinthe home] and cecreasngtrensmisonofpathogens[vacines, et] Ncexischeckngtosee fyouare2 safe nurse! Hereorethestepsforansweringthistype of questions. Fist, rea the question andthen the answers. Areal the answer choices implementations? so, use hisstreteg! Then, askyourself can you answer this questionbasedcn krow edge? not, thenchoase theansner that will" cause the east amouncetharm tothe dient” Exanple:The motherofe 6 year old who has DMA cls thecinicnurean tls the nusethatthechishas beensick Themotherreportstrat shecheckedthe child surineanditshowedpositve ketenes, The nurse instructs the mother to: 1 Holdthe nerteoseofinsuin 2 Cometotrediricimmeciste 5 Encourage the childto drnkcalorie- tree igus.) { Adminsteran ational dose of regu insulin) nen te classic themomshouldcheckfor ketonesintheurin. Thechilsheuldbe encouragedtodrinkca ore igus Liquids are essential to idincearngthe ketones Thecortectansweris#3, The rewordec questionsis-what do youdo ifycufindetonesin ycurutne? Thefiststepis ots of luidstofush rou a 7 7 ¥ (4) (9 >| Qi» fo le le aa. sa Ss ome ves or eweuatn, wees unrarerg proces ‘Tenures mcrae tsuperstonother 2am. Yourmstknou wriccletsto delegate anawnich ones theRN esporstster. These are highleveluestns Heveare there: 4 Do not delegate thefunconsof assesment, eeluio,andnusing judgement ike teaching) |. Ndexworcisnotte real eri Goby thebook whenanswerng questions | Delesate avis forsabe certs withpredcableo.tcames. tne cents unstable ort outcome ofan acvyis unpredicatle it shouldnt be deleted. |# Delegate acvitestetiwohe standard unchengngprocedes, he 2ctvtiesof daly hing|frstabe cers ony] | RememberProris! Mason, ARCs adstale vs unstable wnen ceteminngwrichclerttne i stoudsee ft eanple- Which ofthe folowing diensshoulithenurseonapedacunitesigntoen LPN? 1 ASyearolitadmitedytatay with lanngotachacbroncite whohasatrathestony. unstable} 2 AS yearoldgetadmitedatterasrclavage from Tvenoingesion [unstable 5 Abyearoldboyacmiedforafracureof ne femur intlancedsusprsion ran. | AD yearald boy asmizedtor sewaton fteran ate asthmaticaiac. [erways—unstale] Rewordthe question ~wich assignments oporonatforan PN? Ask yourself desthiscenthaveapredicable outcome? she sabe? Tis wllnelpyousnonse necorectanswer 3Areyouyrete Whetareyou ting THIKAES revert or promote? to event or promise? Correct answer! Immobilityoccurswhenacilentisurabltomore about rely and independent. Toansuerauestorson psticrng. youree dtoknow he hararcf immobility, normal anatomy and hysiclogy, andthe terminology for positing. ‘hiss how to answer positioning questions: Fist youredtoreadthe questionand decideifthe posionfor the lentisdesigredtoprevent Sometng or promote sometrg. Men, rer whats ryouare tyngto prevent. rnkaboutanatomy & physo\ogy. lc) postion BEST accomplished whetyou are yingtopreventor promote eample:lnmadistely afters pareutaneouslivr biopsy, he nurse sheuldpi2c the diertin which the following postions? supine Fight Side-tying LefSide-tying SembFowlers one Lersgotnrougntne ters. mirkaboutt, wnat are youtyingto do, preventor promote sometning? Wel, we are trying preventhemorhage aftera iverbiopsy, because te iverhas been puncurecand tshigvyvesculr. So, you wantto peventbleeng. Howcanyoudo that? You aopivprssure. Where? Ontheliver Wherelstheliver?Ontherhtsie of the abdomen under thers. Howshouldyoupostion Yount? Go ‘hrcughthesrewers. Theconecancwer it? ‘Youcarwor igure outananswertyou do natkrow the posttonirg terms [supine Tower's, xc] You canotTigue out an answer tyouse not ‘now anatomy and physiology. oucennctf gure cutan answer youco not know watyouare tyingto accomplish, ertastah? Bimne Tocison DOWTEVER choosethese types answers "itsgongto be OE ortwern “Dont wor yourdoaoswildoeverymrgnecesaroryourare fortwo] ‘ets aboutwhy yous take our mediation” fetseaplre] “Teme why you elie our Tetcempoe] “nat akesyoutnctnt” ny queso, “hy co youee hs ay?" question] Contin atthe cen llowunire [aorta ans] or tins tte lent dowhatyouconarand inmediaey utr “Thathanpenedtomeonce” ruc fones] “linowtromexsenencetissharaforve" [nurse eck) “Areyouteergguity about natranpenest doseende “ow nanyehicrendoyautave? [eos ence geevaw eens L 2 Dooosetneserygsotanners 1 “ovate experencg aloha wthdraalyounay secandfeclthingsthatarenreal” 2 Thereae manyteasnsfor menos memo shot ratyouhaveronice.” & “Teanseetaryouare igenedzboureighere” 4 “ouseemvaryurcet Tellmeton yousrefeeing”