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Mark Klimek Nclexgold - Lecture notes 1-12

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Mark Klimek Nclexgold - Lecture notes 1-12 NCLEX TIPS 1) Do not read into the question- never assume anything that has not been specifically mentioned (in the question) and do not add extra meaning or history to the question—do not make up a story to validate choosing an answer 2) NCLEX land is set at Utopia General Hospital- you have all the time, all the resources, and all the staff you need! 3) Least invasive to most invasive – least restrictive to most restrictive (restraints are rarely a good choice) 4) Avoid using absolutes- always, never, must, etc. 5) Assess the client first before implementing a treatment or action—if there’s a choice that pertains to assessment of the patient—it isusuallythe answer –assess unless in distress 6) Priority goes to assessments and answers that deal with the patient (patient-focused) directly and not with machines/monitors/equipment (unless the question is specifically asking about them) a. Ex: Auscultate fetal heart rate before checking the monitor 7) If it is theFIRSTtime doing something for or with the patient (such as vital signs upon admission to the floor/unit, or when a transfer is involved), theNURSEmust complete the assessment- including vital signs 8) If patient is an adult, answers with family options can be ruled out (unless patient is not competent to make own decisions) 9) In emergency situations (mass casualty), patients with greater chance to live are treated first 10) If you are asked about theFIRSTaction you would take in a prioritization/discrimination question think:“If I can only do one action, and then I must go home, what will the outcome be?” 11) Therapeutic communication- reflect feelings and provide correct information 12) Do not ask “why”questions (or yes/no) and do not say “I understand” 13) An answer that delays care or treatment is usually wrong (Ex: reassess in 15 minutes, monitor the patient for a continuation of symptoms) 14) When determining interventions to enhance a client’s wellness, consider options that promote healthy nutrition, regular exercise, proper weight maintenance, proper rest, and avoidance of harmful chemicals (nicotine) and risk-taking behaviors (not wearing a seat belt) 15) If two of the answer choices are the exact opposite, one is probably the answer (ie. bradycardia, tachycardia)

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