Test Taking Strat-nfc

8/6/2019 Test Taking Strat-nfc

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Strategies for TakingStandardized Tests



µTwas the Night BeforeTesting

� Go to bed on time.

�Put a few number 2 pencilswith erasers in your backpack.

�Solve family/friend problems beforethe testing date.

�Talk to your parents about anyconcerns that you might have about the

test.



� Avoid marathon study sessions

� Don¶t review right before a test

� Get a good night¶s sleep two nightsbefore a test

� Don¶t work the day before



The Morning of Testing

� Start your day as you always

do.

� Eat a good breakfast.

� Think of what you will do to

relax after you get home from

school.

��

Think Positive!Think Positive!



Strategy I:

Know the Anatomy

of the Question



The parts of a question.

� Three main parts:

± Background statement (brief scenario that

will provide useful info to answer

question)

± Stem (this contains specific problem or

intent of the item, presented as question or

incomplete statement & formed by subject

and verb)

± List of options (list of possible answers)



Sample

� What should the midwife do

immediately before performing anyprocedure?

a) Shut the door

b) Wash the handsc) Close the curtain

d) Drape the patient

Options Correct

Item



Identify Theme of the Item & Base it on

Information Provided in the Stem

� Don¶t jump to

conclusions; never

assume information

that is not given

� What is appropriate

for one patient; may

not be appropriate

here



Strategy II:

Read Questions

Very Carefully



Read the question carefully

before looking at the options,identify key words in the stem

� Stem is heart of the item

� Provides the focus, directs your

thinking

� Key words found in the stem

± first, primary, initial, early, most important,

except



How to Avoid Reading into the

Question

Read the question and every option

thoroughly and carefully.

Ask yourself, ³ What is the question

specifically asking?´

What information relevant to answering

this question is included in the stemHow would I ask this question in my own

words



How to Avoid Reading into

the Question� Read every word in the question and

specifically determine what the question

is asking.

� Focus only on the information in the

question and avoid asking yourself, ³

Well, what if«.?´

� Look for the key words in the question,

such as early signs or late signs.



1. The midwife is assessing a client in

labor recognizes that the sign mostdiagnostic of effectiveness of labor is:

a. Rupture of BOWb. Passage of mucus plug

c. Cervical dilation

d. Increasing intensity of pain



Rule 3: Identify Theme of the Item & Base it on

Information Provided in the Stem

� Don¶t jump to

conclusions; never

assume information

that is not given� What is appropriate

for one patient; may

not be appropriate

here



Strategy III

Identify Key Words!!!!



COMMON KEY WORDS

Early or Late

Best

First

Initial

Immediately

Most likely or least

likely

critical

Most appropriate or least

appropriate

Priority

Correct, does not need

further

Needs further intervention

Needs attention



PRACTICE QUESTION: Look for the

Key words

Methylergonovine (methergine) is prescribed for

a postpartum woman to treat postpartum

hemorrhage by contracting the uterus. Before

administration of methylergonovine, thepriority nursing assessment is to check the:

A. Amount of lochia

B. Blood pressureC. Deep tendon reflexes

D. Uterine tone




Key words

The patient tells the nurse that she has been having

painless contractions occurring at irregular

intervals, which are relieved by walking. Based on

this information, what would the midwife bestconclude?

a. This is a pathologic sign

b. This is a sign of true labor

c. These are Braxton-Hick¶s contractions

d. This is a sign of impending fetal distress




Key words

Midwife Pokwang is discussing the female

reproductive system to her brilliant sophomore

nursing students. Which of the following statements

by the students requires further teaching?

a.³Clitoris is not an erectile tissue which is the primary

site of sexual arousal among women.´

b.³Labia majora are two-folds of pigmented skin

extending from the mons pubis to the perineum.c.³Hymen is a membranous tissue circling the vaginal

introitus.´

d.³Vagina is the organ of copulation of females.´



Specific Determiners or

Clang Association?.



PRACTICE QUESTION

To meet a client¶s physical needs,the midwife will:

a. Pull curtains when providing

care

b. Answer call bell STAT

c.A

dminister physical hygiened. Obtain vital signs



PRACTICE QUESTION

When providing perineal care inpatients, midwives can appropriately

protect themselves from

microorganisms by:

a. Wearing gown prior to giving care

b. Wearing clean gloves during perineal care

c. Discarding contaminated water in the toilet

d. Encourage patients



PRACTICE QUESTION

The nurse would most likely assess all but one of

the following signs of dehydration in a

preschooler ?

a. Tenting of the skinb. Sunken eyeballs

c. Depressed fontanel

d. Lack of tears



Strategy IVBe on ALERT for GLOBAL

WORDS in the options



Avoid GLOBAL

Words!!!!

always only

never mustall except

every none



PRACTICE QUESTION

To best improve circulation during a

bath, the midwife should:

a. Apply soap to washcloth

b. Use long firm strokes

c. Washes from proximal to distal

d. Use only hot water



PRACTICE QUESTION



Strategy V

Process of Elimination



Answer Difficult Questions by Eliminating

Obviously Incorrect Responses First

� Then select the best

of the remaining

options

� This will help sharpenyour focus

� If all seem right, skip

it and return to it later



Practice QuestionThe four levels of cognitive ability are:

a. Assessing, analyzing, applying, evaluating

b. Knowledge, analysis, assessing,

comprehension

c. Knowledge, comprehension, application,analysis

d. Medical nursing, surgical nursing, mental

health nursing, child bearing and women¶s

health nursing



Strategy VI

PRINCIPLE OF

SIMILAR OPTIONS



Practice Question

In teaching a newly diagnosed

pregnant mother about their

condition, it is important to focus

on:a. Dietary modifications

b. Use of sugar substitutes

c. Their present understanding of diabetes

d. Use of diabetic nutritional exchange lists



PRINCIPLE OF SIMILAR

OPTIONS

A client at risk of hypovolemic shock

secondary to abruptio placentashould be observed for:

a. Bradycardia

b. Decreased heart ratec. Hypertension

d. tachycardia



Strategy VII

Watch for Grammatical

Inconsistencies



Practice Question

Communicating with a deaf client

will be facilitated by:a. Use gestures

b. Speaking loudly

c. Find out if he has a hearing aidd. Facing the client while speaking



Strategy VIII

Make Educated

Guesses



Hint: Only one of the opposites is

Correct

A patient with bleeding is at risk of

hypovolemic shock. The midwife

must placed the patient in what

position?

a.Supine

b.Trendelenburg

c.Reverse trendelenburg

d.High fowler¶s position



Strategy IX

Multiple components in anOption!!!One wrong component

in an option automatically

eliminates the option



PRACTICE QUESTION

Signs and symptoms of preeclampsia

are:

a.Proteinuria, hypotension, edemab.Edema, hypertension, proteinuria

c.Proteinuria, hypoglycemia, edema

d.Hyperglycemia, edema, hypertension



PRACTICE QUESTION

A patient with fever must have a diet of:

a.High calorie, high protein

b.High calorie, high fat

c.High fat, low protein

d.Low calorie, low fat



Strategy X

Therapeutic approach is

PATIENT CENTERED



Rule 5: Select Responses That Are Therapeutic

� Select responses that

communicate

acceptance

�

Eliminate bizarre,inappropriate & punitive

responses

� Use as a guide the

principles of

interpersonal &therapeutic

relationships ³accept

the patient as he or she

is´



Select Responses That Are Therapeutic

The night before surgery, the patient says to the

midwife, ³I am worried that I might die with

surgery.´ The midwife most therapeutic response

is:

a. ³It is really just routine surgery.´

b. ³You need to tell the doctor about this´

c. ³The thought of dying can be frightening´

d. ³Most people who have had this surgery did not

die



Strategy

Look for Questions Requiringanswers of NEGATIVE POLARITY



Stem Polarity� Can be positive or negative

� A stem with a positive polarity will ask

you to pick out the option that is true.

� A stem with a negative polarity will askyou to pick out the option that is not

true.

�By understanding the polarity of thequestion, you can eliminate wrong

answers.



Positive Polarity

� This question is concerned with

the truth, a fact, a principle.� This question attempts to

determine if you are able to

understand, apply or differentiate

correct information.

� Example



Positive Polarity Stem

� Which intervention most accuratelysupports the concept of informed

consent?

a) Obtaining the patient¶s signatureb) Explaining what is being done and

why

c) Involving the family in the teaching

plan

d) Teaching preoperative deep

breathing and coughing



Negative Polarity

� Concerned with what is false.

� Asks a question with a negative statement.

� Typically uses words like ³except,´ ³not,´ or

³never.´� May use other words like ³contraindicated,´

³unacceptable,´ ³least,´ or ³avoid.´

� Requires that you recognize exceptions to

the rule.



Negative Polarity Stem

� On what part of the body should

the midwife avoid using soapwhen patient a patient?

a) Eyes

b) Back

c) Under the breasts

d) Glans of the penis



You pick²Is this positive or

negative?

Range of motion (ROM) exercises

should NOT be done:

a) For comatose patients

b) On limbs that are paralyzed

c) Beyond the point of resistance

d) For patients with chronic joint diseases



Positive or Negative

� What position would be

contraindicated for the patient whohas dyspnea:

a) Supine

b) Contour

c) Fowler¶s

d) Orthopaedic



One More

� An older adult who is dying starts

to cry and says, ³I was alwaysconcerned about myself first and I

hurt so many people during my

life.´ What is the underlying feeling

being expressed by the patient?

a) Ambivalence

b) Sadness

c) Anger



Strategy XI

UMBRELLA

EFFECT



PRACTICE QUESTION

The major purpose of thoracostomy

tube is:

a.To drain air and fluids from thoraciccavity

b.To restore negative pressure in the

lungs

c.To expand the lungs

d.None of the above

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Test Taking Strat-nfc