Gold standard for nclex Exam 2 2024

TIP: Do NOT read into the question-this can create errors in judgment. - Do not make up a story to validate choosing an answer TIP: NCLEX is set as a Utopia Hospital - You have all the time, resources, and staff that is needed. TIP: Least invasive to most invasive - TIP: Avoid using absolutes - Always, never, must, etc. TIP: Assess unless in distress - *ASSESS* the client first before implementing a treatment or action TIP: Priority is PATIENT-FOCUSED - priority assessment goes to direct patient care and not with machines/monitors/equipment unless the question is specifically asking about them ex: auscultate fetal heart rate before checking the monitor TIP: Nurse completes assessment when it is the first time doing something with a patient - vital signs, transfer TIP: Mass casualty emergency situation priority is to patients that have a greater chance at *surviving* - TIP: FIRST action to take in a prioritization/discrimination question - - ask yourself, "If I can only do one action, and then I must go home, what will the outcome be?" TIP: Therapeutic Communication - reflect feelings and provide correct information TIP: *DO NOT* ask "why" questions, yes/no questions, and *DO NOT* say "I understand." - TIP: an answer that DELAYS care or treatment is usually wrong - ex: reassess in 15 minutes monitor the patient for a continuation of symtpoms TIP: If two answers are the exact opposite, one of them is probably the answer - ex: bradycarida, tachycardia TIP: if two or three answers are similar, none are correct - - sometimes answers MAY SEEM similar but in fact are saying something different TIP: 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 TIP: Prioritize actual problems over potential problems - TIP: DO NOT leave the patient - Think Safety TIP: