Test Taking Tips
Test Taking Tips
Test Taking Tips
Is it possible to narrow the question into 2 options even without reading the
question?
Is it possible to know the side effect of a drug without knowing the drug?
Is it possible to correctly answer an option even without knowing a thing about the
question?
I. STEM
Is the most important part of a question that asks for the correct response.
Example : The client has nasal packing in place. The nurse reviews the
physician order and anticipate that which client position would be
prescribed to reduce swelling?
A. Sim’s
B. Prone
C. Supine
D. Semi fowler’s position
II. MODIFIER
A single word in the question stem that changes the whole stem of the question or give
a new meaning to it.
Example : Mrs. Luis, the patient, states that she has burning sensation of urination
and sense of urgency. A urine specimen is to be collected. Which of the following is
the BEST method for collecting the specimen?
I. PRINCIPLE OF CONTRADICTION
When two options contradict each other, there is a higher chance of one of them
being the correct answer.
A. It has no meaning
B. It is a valid signature
C. It is not a valid signature
D. Verification is needed
Example 2: During Insertion of a central venous catheter, the patient should be
in:
A. Supine position
B. Trendelenburg position
C. Reverse trendelenburg position
D. High fowlers position
A. Dilated pupils
B. Constricted pupils
C. Bradycardia
D. Bradypnea
Example 4: In doing leopold’s maneuver, which among the following is not
considered as a good preparation?
A. The woman should lie in a supine position with her knees flex slightly
B. The hands of the nurse should be cold
C. Be certain that your hands is warm
D. The woman empties her bladder before palpation
Example 7: You are the nurse of Tony who will Undergo T and A in the morning. His
mother asked you if tony will be put to sleep. Your teaching will focus that tony
will receive?
A. Spinal anesthesia
B. Anesthesiologist's preference
C. Local anesthesia
D. General anesthesia
Example 8: Jolina is put on antidepressant drug. These drugs act on the brain
chemistry therefore, they would be useful on what type of Depression?
A. 45 °
B. 90 °
C. 180 °
D. Parallel to the skin
Example 2: In cleaning the stoma, the nurse would use which of the following cleaning
mediums?
Example 4: The nurse refers a client with severe anxiety to a psychiatrist for
medication evaluation. The physician is most likely to prescribe which psychotropic
drug regimen on a short-term basis?
A. Valium
B. Elavil
C. Anafranil
D.Pamelor
Example 5: A client with glaucoma asked “ When will my vision returns? “ The most
appropriate response is ?
A. Although some vision has been lost and cannot be restored, further loss may be
prevented by adhering to the treatment plan.
B. Your vision will return as soon as the medication begins to work
C. Your vision will return to normal
D. Your vision loss is temporary and will return in about 3-4 weeks
Example 6: Aminophylline was ordered for acute asthmatic attack. The mother asked
the nurse, what is its indication, the nurse will say:
A. 5 gtts/min
B. 10 gtts/min
C. 15 gtts/min
D. 20 gtts/min
Example 2: The client is taking a long acting insulin. How long will the insulin
achieve it’s peak level in the blood?
A. 4 hours C. 16 hours
B. 8 hours D. 32 hours
Example 3: The normal amount of blood loss after a caesarian section is estimated to be:
A. 300-500 cc
B. 700-1000 cc
C. 100-200 cc
D. 1500-2000 cc
Example 4: The nurse knows that after receiving the blood from the blood bank, it should
be administered within:
A. 1 hour
B. 2 hours
C. 4 hours
D. 6 hours
Example 5: How long should the nurse wait before taking the client’s blood pressure for
accurate reading?
A. 15 minutes
B. 30 minutes
C. 1 hour
D. 5 minutes
Example 6: In extreme situation and when no other resident or intern is available ,
should a nurse receive telephone orders, the order has to be correctly written and
signed by the physician within:
A. 24 hours C. 48 hours
B. 36 hours D. 12 hours
Example 7: This postpartal mother wants to loose weight she gained in pregnancy, so
she is reluctant to increase her caloric intake for breast feeding. By how much should
a lactating mother increase her caloric intake during the first 6 months after birth?
Example 1: The nurse assessing the urine of a client knows that which of the
following is unusual?
[-]
[+] [-]
A. Tranxene
B. Milltown
C. Atarax
D. Parlodel
Example 3: Which of the following is not an unaccepted way of checking for tube
placement in patient undergoing gastric gavage?
[-] [-]
A. X-Ray
B. Observing for bubbles when the end of the tube is place in a vessel with water
C. Observing for symmetry of lung expansion
D. Instilling 60 ml of water and listening for gurgling sound by auscultation
Example 4:Which of the following is a pharmacological nursing intervention in
relieving the pain of a client?
A. Distraction
B. Guided Imagery
C. Biofeedback
D. Herbal Plants
Example 5: All but one of the following is not a type of non pharmacological relief
use in treating cancer pain in patients, EXCEPT:
A. Distraction
B. Herbal Plants
C. All of the above
D. None of the above
[+][-][-][-][-] = +
V. PRINCIPLE OF IMPROBABLE EXTREMES
Extreme modifiers, such as always, all, never, or only make it more likely that the
question is false. Here is a more complete list of EXTREME modifiers.
All, every, nothing, none, best, absolutely, always, never, worst, absolutely not,
only, nobody, everybody, certainly, invariably, no one, everyone, certainly not.
Example 1: The most effective way in limiting the number of microorganism in the
hospital is:
C. Offering a client a menu of daily program of activities and insisting that the
client participate in all of them
Example 4: While doing nasopharyngeal suctioning on Mr. Abad, the nurse avoid trauma
to the area by:
A. Apply suction atleast 20 to 30 seconds each time to ensure that all secretions are
removed
B. Always use a sterile glove to prevent pathogens from entering the body
C. Never lubricate the tube
D. Do not apply suction while inserting the catheter
Example 5: A client with chronic renal failure is undergoing dialysis. You taught him
to limit his sodium intake and you told him about the use of Salt substitute. You
correctly explained to him that:
A. Do not use salt substitutes because some of them contain potassium and it could
cause fatal arrhythmias and asystole
B. Never use salt substitutes because it contains higher amount of sodium and might
contribute to your edema
C. Salt substitute is only taken if the Sodium intake exceeded the limit
D. Salt substitutes is recommended than the usual table salt because it contains less
sodium that might contribute to hypertension and water retention to the patient with
chronic renal failure
Example 6: Transmission of HIV from an infected person to another individual occurs:
Example 7: Mr. Santos RN, Works in a nursing home and he knows that one of his duties
is to be a patient advocate. Mr. Santos knows that being a patient advocate involves:
Example 1: Which of the following is the most important assessment during the acute
stage of an unconscious patient like Mr. Franco?
A. Brick Red
B. Gray
C. Blue
D. Pale Pink
Example 3: Which of the following method if used by Wilma will best assure that the
tracheostomy ties are not too tightly placed?
A. Dizziness
B. Drowsiness
C. Shock
D. Lethargy
Example 2: When planning a care for a client who is pancytopenic, The major goal
should be:
Example 3: During routine care, Mr. Gary ask the nurse. “How can I be anemic if
this disease causes increased white blood cell production? The nurse best response
is that the increase in WBC production will cause:
Example 5: When preparing epinephrine injection from an ampule, the nurse initially:
A. Taps the ampule at the top to allow fluid to flow to the base of the ampule
B. Checks the expiration date of the medication ampule
C. Removes the needle cap of syringe and pulls plunger to expel air
D. Breaks the neck of the ampule with a gauze wrapped around it
VIII. PRINCIPLE OF UMBRELLA EFFECT
A Choice that is more inclusive is usually the correct answer.
Example 1: Edna, 46 years old female is seen at the OPD for chromosomal and genetic
analysis. The nurse knows that Phenotype is:
Example 3: The major goal of health promotion and disease prevention is:
A. Supply 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 emergency room
C. Call the nursing supervisor to activate the agency disaster plan
D. Call the intensive care unit to request that nurses be send to the emergency room
IX. Principle of ABC, Maslow’s Hierarchy and Nursing
Process
When questions requires prioritization, These principles should apply. Keywords that
indicate the need to prioritize include :
BEST VITAL
ESSENTIAL PRIMARY
FIRST HIGHEST PRIORITY
IMMEDIATE INITIAL
MOST IMPORTANT NEXT
Example 1 : The 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 whith PRIORITY action?
A. Monitor stools
B. Monitor urine output
C. Encourage the client to cough and deep breath
D. Encourage fluid intake
Example 2: A nurse if reviewing the plan of care for a pregant client with a diagnosis
of sickle cell anemia. Which nursing diagnosis, if stated on the plan of care, would
the nurse select as receiving the highest priority?
A. Anxiety
B. Ineffective coping
C. Disturbed body image
D. Deficient fluid volume
Example 3: A nurse is teaching a client with coronary artery disease about dietary
measures to follow. During the session, the client expresses frustration in learning
the dietary regimen. The nurse would initially:
A. Identify the cause of the frustration
B. Continue with the teaching
C. Notify the physician
D. Tell the client that the diet needs to be followed
Example 6: A client is seen by the nurse tilting his head and whispering words, as if
he is talking to someone. What should the nurse do first?
A. Initiate suicidal precaution
B. Ask the client if he is hearing voices
C. Formulate a nursing diagnosis of risk for injury directed to self
D. Evaluate the effects of the antipsychotic medication
Example 7: Once the flame is extinguish, it is most important to:
Example 6: When caring for Aida after a chest surgery, your priority would be to
maintain:
A. Supplementary oxygen
B. Chest tube drainage
C. Blood replacement
D. Ventilation exchange
X. Principle of “Tell Me More”
Example 1: A mother say to the nurse, “I am afraid that my child might have another
seizure” Which response by the nurse is most therapeutic?
A. “Don’t say you are worthless, you are not a worthless person”
B. “We are going to help you with your feelings”
C. “What makes you feel you’re worthless?”
D. “What you say is not true”
Example 5: Ms. Maria Salvacion says that she is the incarnation of the holy Virgin
Mary. She said that she is the child of the covenant that would save this world from
the evil forces of Satan. One morning, while caring for her, she stood in front of you
and said “Bow down before me! I am the holy mother of Christ! I am the blessed Virgin
Mary!” The best response by the Nurse is:
A. Job description
B. Pattern of nursing care
C. Manual of procedures
D. Health care delivery system
Example 2: A survivor of an accident repeatedly blames himself and tells the nurse he
should have died instead of his girlfriend. This is an example of:
A. Denial C. Repression
B. Grief D. Survivor’s Guilt
Example 3: A chronically ill school-age child is most vulnerable to which stressor?
A. Mutilation anxiety
B. Anticipatory grief
C. Anxiety over school absences
D. Fear of hospital procedures
A. Patient’s hypothermia
B. Cross contamination of the burn wound
C. Patient’s discomfort
D. Excessive manpower requirement
XII. The Drug Technique
Example 1: The nurse administers Wyamine to a client. The nurse should monitor
which of the following adverse effect associated with Wyamine?
A. Hypotension
B. Bradycardia
C. Shock
D.Hypertension
Example 2: The nurse is assessing a client who has just been admitted to the emergency
department. Which signs would suggest an overdose of an antianxiety agent?
A.Muscular Spasticity
B.Bradycardia
C.Hypotensive crisis
D.Depression
Example 5: During the client-teaching session, which instruction should the nurse give
to a client receiving the second-generation antidepressant paroxetine (Paxil)?
There are words in the NCLEX/CGFNS and Local board examination where in, when
they appear, they are the most likely answer.
Example 3: Leah is developing constipation from being on bed res. What measures
should you suggest she take to help prevent this?
Example 5: The nurse should always remember the antibiotics are best given:
A. Self awareness
B. Acceptance of others
C. Knowledge
D. Skills
Question : Alio eram penetro in hospitium propter offensus. Quod of sequens est non an
specto in alio?
A client was admitted in the hospital because of shock. Which of the following is not
an expected assessment on a client?
A. Blood pressure of 90/60
B. Blood pressure of 139/89
C. Heart rate of 120 bpm
D. Low CVP recorded at 3 cmh2o
IV. Is it possible to correctly identify the correct answer by studying only the
configuration of the options?
Question : WHAT?
After one week of antidepressant medication, Jolina still manifests depression. The
nurse evaluates this as:
Question : No Question
A. Increased heart rate C. Muscular flaccidity
B. Rapid breathing D. Diarrhea
Question : No Question
A. Are you feeling guilty about what happened?
B. Why do you feel this way?
C. That happened to me once
D. You seem very upset. Tell me how you are feeling.
Question : No Question
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