Effective strategies to excel on NCLEX 85 question

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NCLEX – RN challenges

“Hats off to your wise decision to embark on a structured preparation journey for the NCLEX-RN! Your commitment to strategic readiness is commendable and essential for success in this critical milestone. By approaching your preparation methodically, you’re setting yourself up for confidence and competence on exam day. Keep up the great work!”

You have already completed a basic nursing program and are confident in your test-taking abilities and clinical performance. While you possess the foundational knowledge necessary for passing the licensing exam, it is prudent to:

1. Organize your knowledge systematically.
2. Review the content covered throughout your nursing education.
3. Identify any areas of weakness to prioritize your study efforts effectively.
4. Enhance your test-taking skills to effectively demonstrate your knowledge.
5. Manage anxiety by increasing your preparedness and confidence.
6. Familiarize yourself with the exam format and expectations. Remember, knowledge empowers you. Your preparation and understanding of what to expect are key to your success.

Test-Taking Tips

Achieving correct answers on exams can never be guaranteed, but these test-taking strategies serve as valuable guidelines to aid in studying and comprehending exam questions. The NCLEX-RN exam tests various domains with each question. For instance, a question may appear to focus on medical/surgical or pediatric issues, yet it may encompass topics such as communication, nutrition, growth and development, medication, client and family education, and safety.

Understanding the Question:

1. Identify Question Style: Determine whether the question is phrased positively or negatively.
   • A positive style might inquire about what actions the nurse should take or request the best or initial action to implement.
   • In contrast, a negative style might question which prescriptions the nurse should avoid, which behavior indicates the necessity for re-teaching the client, or what medication to question.
2. Identify Key Words: Identify crucial words or phrases within the question.
   • These could include the client’s age, the setting, timing, symptoms, behaviors, or other pertinent details.
   • For instance, nursing actions for a 10-year-old one day post-operation will differ from those for a 70-year-old one hour post-operation.
3. Rephrase the Question: Reformulate the question in your own words.
   • This assists in eliminating extraneous details and clarifying the question’s true intent.
   • Consider, “What is the fundamental query here?” while rephrasing the question without viewing the options.
4. Eliminate Incorrect Options: Utilize your knowledge to eliminate clearly incorrect choices.
   • Physically strike through these options if permissible or mentally discard them if using a computer.

General Test-Taking Guidelines

1. Understand the Question: Carefully consider the question’s content and what it requires.
2. Prioritize Assessment: Typically, assessment of the client precedes any action.
3. Least Invasive Intervention: Identify and implement the least invasive intervention before proceeding.
4. Gather Information: Ensure all necessary information is gathered and relevant actions are taken before consulting a physician or healthcare provider.
5. Prioritize Client Care: Determine the order of client assessment based on risk or physiological instability.
6. Identify Opposites: Pay attention to opposites in answer choices and choose the most likely option when unsure.
7. Consider Client Factors: Take into account a client’s lifestyle, culture, and spiritual beliefs when selecting an answer.

Critical Thinking and Reasoning

1. Use Critical Thinking: Base responses on principles such as ABCs, CPR (CAB sequence), scientific and sociological principles, teaching/learning principles, Maslow’s Hierarchy of Needs, and the nursing process.
2. Avoid Personal Bias: Refrain from basing answers on personal past experiences or assumptions.
3. Minimize Memorization: Focus less on rote memorization and more on understanding concepts.

Lab Values, Nutrition, and Medications

• Familiarize yourself with commonly used lab ranges, understand variations, and know the best nursing actions.
• Understand nutrition information and its applications in various health conditions.
• Ensure safe medication administration by applying the “Six Rights” and understanding drug interactions, vulnerable organs, allergies, and medication effects.