NCLEX TIPS (MARK KLIMEK) EXAM
QUESTIONS AND ANSWERS
Do not read into the question - Answer-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
NCLEX land is set at _________________ ____________ _____________- you have
all the time, all the resources, and all the staff you need! - Answer-Utopia General
Hospital
invasive to invasive - least restrictive to most restrictive (___________________ are
rarely a good choice) - Answer-Least - most, restraints
Avoid using __________-
e.g., always, never, must, etc. - Answer-absolutes
____________ the client first before ____________________ a treatment or
____________—if there's a choice that pertains to assessment of the patient—it is
usually the answer - ___________ unless in ___________ - Answer-Assess the client
first before implementing a treatment or action—if there's
a choice that pertains to assessment of the patient—it is usually the
answer - assess unless in distress
Priority goes to __________________ and answers that deal with the ____________
(_________-focused) directly and not with machines/monitors/equipment (unless the
question is specifically asking about them)
Ex: Auscultate fetal heart rate before checking the monitor - Answer-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
If it is the _______ time doing something for or with the patient, the NURSE must
complete the __________________- including vital signs - Answer-If it is the first time
doing something for or with the patient, the NURSE must complete the assessment-
including vital signs
e.g., vitals upon admission or transfer involved
If patient is an _____, answers with ____________ options can be ruled out - Answer-If
patient is an adult, answers with family options can be ruled out
(unless patient is not competent to make own decisions)
, In emergency situations , patients with greater chance to live are treated __________ -
Answer-In emergency situations , patients with greater chance to live are treated first
(mass casualty)
_____________ communication- reflect ___________ and provide ___________
information - Answer-Therapeutic communication- reflect feelings and provide correct
information
Do not ask "___" questions (or yes/no) and do not say "_____ ____________" -
Answer-Do not ask "why" questions (or yes/no) and do not say "I understand"
An answer that ______ care or treatment is usually wrong - Answer-An answer that
delays care or treatment is usually wrong
(Ex: reassess in 15 minutes, monitor the patient for a continuation of symptoms)
When determining ___________ to enhance a client's wellness, consider options that
promote _______ _________, _______ _________, _______ __________ _________,
_______ _________, and avoidance of _______ _________, and _______-_________
behaviors - Answer-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)
If two of the answer choices are the exact _________, one is probably the answer -
Answer-If two of the answer choices are the exact opposite, one is probably the answer
(ie. bradycardia, tachycardia)
If two or three answers are ________, none are correct - Answer-If two or three
answers are similar, none are correct
(*be careful—sometimes answers may seem similar but in fact are saying something
different)
Always look for the ___________ option—one that is a broad universal statement and
usually contains the concepts of the other options with it—often the correct answer -
Answer-Always look for the UMBRELLA option—one that is a broad universal statement
and usually contains the concepts of the other options with it—often the correct answer
If you have never heard of an answer—do not ____________ it—work around it...if you
can ________ ____________ all other answers, that is your answer—if you are down to
two answers and you know one answer is right, go with what you know - Answer-If you
have never heard of an answer—do not eliminate it—work around it...if you can safely
QUESTIONS AND ANSWERS
Do not read into the question - Answer-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
NCLEX land is set at _________________ ____________ _____________- you have
all the time, all the resources, and all the staff you need! - Answer-Utopia General
Hospital
invasive to invasive - least restrictive to most restrictive (___________________ are
rarely a good choice) - Answer-Least - most, restraints
Avoid using __________-
e.g., always, never, must, etc. - Answer-absolutes
____________ the client first before ____________________ a treatment or
____________—if there's a choice that pertains to assessment of the patient—it is
usually the answer - ___________ unless in ___________ - Answer-Assess the client
first before implementing a treatment or action—if there's
a choice that pertains to assessment of the patient—it is usually the
answer - assess unless in distress
Priority goes to __________________ and answers that deal with the ____________
(_________-focused) directly and not with machines/monitors/equipment (unless the
question is specifically asking about them)
Ex: Auscultate fetal heart rate before checking the monitor - Answer-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
If it is the _______ time doing something for or with the patient, the NURSE must
complete the __________________- including vital signs - Answer-If it is the first time
doing something for or with the patient, the NURSE must complete the assessment-
including vital signs
e.g., vitals upon admission or transfer involved
If patient is an _____, answers with ____________ options can be ruled out - Answer-If
patient is an adult, answers with family options can be ruled out
(unless patient is not competent to make own decisions)
, In emergency situations , patients with greater chance to live are treated __________ -
Answer-In emergency situations , patients with greater chance to live are treated first
(mass casualty)
_____________ communication- reflect ___________ and provide ___________
information - Answer-Therapeutic communication- reflect feelings and provide correct
information
Do not ask "___" questions (or yes/no) and do not say "_____ ____________" -
Answer-Do not ask "why" questions (or yes/no) and do not say "I understand"
An answer that ______ care or treatment is usually wrong - Answer-An answer that
delays care or treatment is usually wrong
(Ex: reassess in 15 minutes, monitor the patient for a continuation of symptoms)
When determining ___________ to enhance a client's wellness, consider options that
promote _______ _________, _______ _________, _______ __________ _________,
_______ _________, and avoidance of _______ _________, and _______-_________
behaviors - Answer-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)
If two of the answer choices are the exact _________, one is probably the answer -
Answer-If two of the answer choices are the exact opposite, one is probably the answer
(ie. bradycardia, tachycardia)
If two or three answers are ________, none are correct - Answer-If two or three
answers are similar, none are correct
(*be careful—sometimes answers may seem similar but in fact are saying something
different)
Always look for the ___________ option—one that is a broad universal statement and
usually contains the concepts of the other options with it—often the correct answer -
Answer-Always look for the UMBRELLA option—one that is a broad universal statement
and usually contains the concepts of the other options with it—often the correct answer
If you have never heard of an answer—do not ____________ it—work around it...if you
can ________ ____________ all other answers, that is your answer—if you are down to
two answers and you know one answer is right, go with what you know - Answer-If you
have never heard of an answer—do not eliminate it—work around it...if you can safely
