Question

Find an NCLEX question and determine what test-taking strategy you would use for that question. Make sure the questions differ from ones already posted. You may cite either where you located the question or support your test-taking strategies or both.  

Answer 1

NCLEX abbreviated as  National Council Licensure xamination is a standardized test used to determine if a candidate is ready to become licensed as a nurse. It is mainly conducted by the countries of USA and canada.

To qualify to take NCLEX-RN , you must first complete an accredited registered nursing program. NCLEX-RN focuses on thinking through a problem or situation. It is testing our ability to think crtically.

Strategies that must be followed on every NCLEX-RN are: You must always figure out what the question is asking, and you must always eliminate answer choices. Choosing the right answer often involves choosing the best of several answers that have correct information. This may entail the correct analysis and intepretation of what the question is really asking.

There are different steps to be taken into consideration while measuring the critical thinking of the nurse

• Observation
• Looking for patterns and relationships
• Identifying the problem
• Transferring knowledge from one situation to another
• Applying knowledge
• Descriminating between possible choices and couse of action
• Evaluating according to criteria established

QUESTION

1. A woman admitted to the hospital in premature labor has been treated successfully. The client is to be sent home on an oral regimen of terbutaline. Which of the following statements by the client indicates the discharge teaching abouut the medication.

1. " As long as I take my medication, I can be sure I will not deliver prematurely"

2."It is important that I count the fetal movements for one hour, twice a day"

3. " I may feel a rapid heartbeat and some muscle tremors while on this medication"

4. " Bed rest is necessary in order for the medication to work properly"

Steps while answering the question involves the following.

STEP 1: Read the question stem carefully

STEP 2: Look for hints. Pay attention to the words client understands.You are looking for true information

STEP 3: Reword the question stem. This question is asking ,'what is true about terbutaline?'

Do not look at any of the answer choices except answer choice (1). Read answer choice(1). Does it answer the question, what is true about terbutaline?

(1) As long as I take medication, I wont deliver prematurely. Is this true about terbutaline? No. Terbutaline will inhibit uterine contractions, but there is no guarantee that there won't be a premature delivery. Eliminate it.

Repeat the process with each remaining answer choice.

(2) " It is important that I count the fetal movementa for one hour, twice a day. Is this true about terbutaline? Maybe. Clients are told to be aware of fetal movement. Keep it as a possibility.

(3) "I may feel a rapid heartbeat and some muscle tremors while on this medication. Is this true of terbutaline? Yes. Terbutaline is a smooth muscle relaxant. Side effects include increased maternal heart rate, palpitations, and muscle tremors. Leave this choice in for consideration

(4) Bed rest is necessary in order for the medication to work properly." Is this true about terbutaline? No. Terbutaline will work whether the client is on bed rest or not. Eliminate it

Note that only answer choices (2) and (3) remain. Reread the question to make sure you have correctly identified the reworded question. Which choice best answers the question, (2) or(3)? You will select (3) if you are focused on the question. Some students focus on the background information( pregnancy) . This question has nothing to to do with pregnancy. If you choose (2), you fell for a distracter.

STEP 4: Because you were able to reword this question, the fouth step is unnecessary. You didn't need to obtain clues about what the question is asking from the answer choices

Therefore the answer is (3)