Strategies...  

Posted by Red in

To all graduate nurses who will be taking the July NLE, I would like to share these strategies posted months ago.

Remember...

  1. What’s the answer ( ANSWER FIRST)
  2. What’s the question (REPHRASING)

· Numbers ( age, lab values, percentage)

· Signs & Symptoms

· Acute or Chronic

  1. ELIMINATION

· True or False

· Clustering (GROUPING)

o A. hypertension (BP)

o B. tachycardia (HR)

o C. hypotension (BP)

o D. bradycardia (HR)

· Odd Man Out/In (TOO OBVIOUS)

· Comma-Comma-And, “Rule”

o ___, ___, & ___ (ELIMINATE VERTICALLY)

  1. ALL OF THE ABOVE

· Eliminate AOTA if there is an: OPPOSITE TERM

o A. tachycardia, bradycardia & tachypnea

o B. hypertension, hypotension & pyrexia

  1. KEYWORDS

· Eliminate choices with the ff words:

o Always,

o Never,

o Necessarily,

o Any,

o Only,

o Must,

o Completely,

o Totally

  1. TRAPS

· Be aware of the ff words that are often missed:

o Inappropriate

o Not applicable

o Ineffective

o Further teaching

CRITICAL THINKING

· Validate & Organize data

· Look for patterns & relationship

· Transfer knowledge

· Evaluate

  1. Identify the topic of the question

o NO: Read the choices and restate the problem

o YES: Proceed to 2

  1. The Nursing Process

o Assessment & Implementation = Read the stem carefully

o All Assessment & Implementation = Proceed to 3

  1. Does Maslow fit?

o YES: Physical vs. Psychosocial

ü PHYSICAL FIRST!

ü If all Physical, ABC!

o NO: Focus on the TOPIC/ PROBLEM


PSYCHIATRIC QUESTIONS

WRONG

· False assurance

· Personal opinion/ advice

· Should not insist

· Blocking

· Why?

CORRECT

· Listening to client’s concern

· Assessing & acknowledging client’s response

· Encourage to talk more about the client’s feelings

· Focus on the concern of the client

· Use open ended questions

IMPORTANT TERMS

· Laenec’s disease- liver cirrhosis 2nd to alcoholism

· Homman’s sign- distention in the calf that is used to determine Deep Vein Thrombosis

· Hegar’s sign- softening of the Uterus

· Goodel’s sign- softening of the Cervix

· Chadwick’s sign- bluish discoloration of the Vagina

· Korsakoff- complication of Chronic Alcoholism manifested by Confabulation

· Confabulation- making up stories

· Illusion- with stimulus ( Desert- water)

· Hallucination- without stimulus ( Auditory)

· Delusion- false belief


SIGNS & SYMPTOMS

· Tachycardia (Cardiac Rate) = Mild Dehydration

· Hyperthermia (Temperature) = Moderate to Severe Dehydration

· K+ = Severe Vomiting

· Glucose = Diarrhea

· Cal+ = Trosseau’s Sign

· Hyperventilation = DM Ketoacidosis

· N pH = 7. 35 – 7. 45

· N pCO2 = 35 – 45 / partial pressure of Carbon Dioxide

· N pO2 = 95 – 100 / partial pressure of Oxygen

· N HCO3 = 22 – 26 / Bicarbonate

· Metabolic (HCO3)

o Acidosis (pH, HCO3)

o Alkalosis ( pH, HCO3)

· Respiratory (pCO2)

o Acidosis ( pH, pCO2)

o Alkalosis ( pH, pCO2)

This entry was posted on Saturday, March 27, 2010 at Saturday, March 27, 2010 and is filed under . You can follow any responses to this entry through the comments feed .

2 comments

thanks 4 this post... this will help my co colleague.... guys... gudluck 4 the NLE this july....

May 18, 2010 at 10:51 PM
ogie  

parang mali po yung sa respi, para masabing acidosis, diba dapat drop and pH?

June 26, 2010 at 6:36 AM

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