Test taking strategic words To priotize Immediate, initial, first, priority, side effects, or toxic effects, most appropriate

or least appropriate Next, primary, vital, most likely, least likely

USE ABC Airway Breathing Circulation

Maslow Hierarchy of Needs Basic Physiological needs are primary like Airway, breathing, heart rate, rhythm, respiratory effort nutrition and elimination Safety and Security protection from injury trust in nurse client relationship Love, belonging- maintain support system- family etc., protect from isolation feeling alone Self-Esteem- control, competent, positive regard, feeling accepted and worthiness Self-Actualization- hope- spiritual wellbeing and enhanced growth.

Use steps of the nursing process to prioritize Assessment- Analysis- planning- implementation and evaluation Assessment gathering subjective data from patient point of view ,and objective date like lab, testing communicating the data and documenting Analysis-need to understand the physiological responses and interpretation of data based on assessment. This requires critical thinking and come up with a rational for therapeutic intervention Analysis type questions help formulate a nursing diagnosis Planning questions require prioritizing nursing diagnosis, determining goals, outcome criteria for goals of care, developing a plan of care communicating and documenting plan of care.

TIP: When it comes to nursing diagnosis remember that the actual client problem rather than potential or at risk client will be the priority on the question Implementation- address the process of organizing and managing care, counseling, teaching, providing care to achieve goals. Supervise and coordinate care, communicate and document interventions provided TIP: Here focus on nursing action rather than medical action anticipated Evaluation - questions focus on comparing the actual outcome of care with expected outcomes and to see if patient met the goal Question focus on determining if the client responded to care and met goals and what factors affected the patient from reaching their goal, and helps you identify the factors Tip: look out for negative event query questions as they are used frequently It might ask you to select an option that is incorrect item or statement example the event query may read which statement by client indicated a need for further teaching about side effects of prescribed medication? Client Need and safe effective care environment focus on safety, ex hand washing, bed positioning, call bell side rails etc. Physiological integrity These questions address nursing concepts to provide comfort and assistance in providing activities of daily living- medication administration and parenteral therapies. These questions will ask about the nurses ability to prevent client from having more complications or health problems related to treatment, procedure existing condition, life threatening physical health conditions On these type of questions focus on Maslows hierarchy remember physiological is priority Use ABC Psychological Integrity- question test that test the emotional and mental social wellbeing of the client Questions will address supporting the clients family or husband or significant other, ability to help cope problem solve adapt to a situation or illness topics will include abuse, neglect, violence Communication type questions that relate to how you would respond to client Use therapeutic communication techniques to answer communication questions Tip: Remember to select options that focus on the clients family member, spouse or others thoughts feelings, concerns, emotions and anxiety

Health Promotion and Maintenance questions address nurses providing care from conception to old age. Providing client early detection and preventative measures

Eliminate options containing close ended words in choices such as Closed ended words- all, always, every, must, none, never, only should be considered as wrong option Open ended words contain May, usually, normally, commonly, or general should be considered as correct options Eliminate comparative or alike options- something that involves similar concept Look for umbrella options this type usually has broad statements and contains concepts with other options within it. Umbrella options are usually correct on the test