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8/6/2019 Test Taking Strat-nfc
http://slidepdf.com/reader/full/test-taking-strat-nfc 1/54
Strategies for TakingStandardized Tests
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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.
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� 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
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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!
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Strategy I:
Know the Anatomy
of the Question
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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)
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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
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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
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Strategy II:
Read Questions
Very Carefully
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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
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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
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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.
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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
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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
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Strategy III
Identify Key Words!!!!
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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
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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
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PRACTICE QUESTION: Look for the
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
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PRACTICE QUESTION: Look for the
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.´
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Specific Determiners or
Clang Association?.
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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
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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
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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
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Strategy IVBe on ALERT for GLOBAL
WORDS in the options
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Avoid GLOBAL
Words!!!!
always only
never mustall except
every none
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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
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PRACTICE QUESTION
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Strategy V
Process of Elimination
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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
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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
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Strategy VI
PRINCIPLE OF
SIMILAR OPTIONS
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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
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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
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Strategy VII
Watch for Grammatical
Inconsistencies
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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
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Strategy VIII
Make Educated
Guesses
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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
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Strategy IX
Multiple components in anOption!!!One wrong component
in an option automatically
eliminates the option
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PRACTICE QUESTION
Signs and symptoms of preeclampsia
are:
a.Proteinuria, hypotension, edemab.Edema, hypertension, proteinuria
c.Proteinuria, hypoglycemia, edema
d.Hyperglycemia, edema, hypertension
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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
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Strategy X
Therapeutic approach is
PATIENT CENTERED
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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´
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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
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Strategy
Look for Questions Requiringanswers of NEGATIVE POLARITY
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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.
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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
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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
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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.
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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
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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
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Positive or Negative
� What position would be
contraindicated for the patient whohas dyspnea:
a) Supine
b) Contour
c) Fowler¶s
d) Orthopaedic
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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
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Strategy XI
UMBRELLA
EFFECT
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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