Nurses thinking multiple choice? - page 2
I'm a first year NS and quarter one is drawing to a close. Do all RN's love and cherish multiple choice tests for all tests of knowledge. Today, the comletion of my labs culminated with a... Read More
Dec 2, '02Mario, I am currently a second year NS and i can totally relate to you. The one thing I can give you is that at least for me the 2nd year is better. I also was pulling my hair out because of mult. choice questions when there were 2 right answers, then my psych prof gave me an article about test taking and it helped me out alot, if i can find it i will post it. Heres another one, i don't know if it's like this where anyone else goes/went to school, but my whole first year we learned in knowledge based form and then all of our tests were application! Did that bother anyone else??
Dec 2, '02Mario,
Congratulations, you must be feeling a bit relieved.
If you want my vote, I too would choose the difficulty swallowing as #1 priority. Now please excuse this cause it is rather crude but if I learned one thing in EMT class it was the A,B,Cs. And as "some" students use this to remember the importance, "If they're blue they're through." Point being if you can't maintain an airway, don't bother splinting the leg or doing just about anything else.
Now if the question had said swallowing vs profuse bleeding my choice would have been different.
Anyway enough of this, enjoy your triumph!
Dec 2, '02Remember-AIRWAY,AIRWAY,AIRWAY. Difficulty swallowing could lead to aspiration, or maybe it indicates swelling that may compromise respiration. I remember on our exams, if airway was involved in any way, that was the right answer. Those multiple choice questions can be really nasty!
Dec 3, '02See? I know about ABC being a priority, no doubt. But the question didn't specify if the PT ws actually eating anything, or drinking anything. So I figured the statement to be null because aspiration must require someting to aspirate, right? My advisor said that there is saliva that could be aspirated, but I blocked bowel is matter of fact. Had the answer read "Pt has trouble swallowing and is drinking water" I would have went for it. How do you stop a person who has trouble swallowing from aspirating their own saliva????? :-(
There was also a question about a jewish mother and circumcision which I thought was wigged out. Ethics and values.
There was a mom-favoring question about where peds should recieve the most cc's IM injection. I chose dorso glutleal, but the moms all knew it is rectus femoris. How was I supposed to remember that? Dag nab it!
Dec 3, '02I'm glad you passed the test.
I can't stand it when they all are correct, and you must choose the priority, or which would you do first. Sometimes the most obvious to me isn't the correct answer.
Dec 3, '02Mario, even if the patient isn't stated to be eating or drinking, dysphagia precautions are still very important. Yes, a person could aspirate on their own saliva. In fact, one of my elderly patients last year was their because of aspiration pneumonia and had to be watched closely because of her profuse saliva.Suctioning would be an option for a patient who has a lot of saliva and is at risk.
I also agree with a previous poster who said second year is easier. It is, at least for me.
Dec 3, '02Mario..CONGRATS!!!! I ditto Oldgirl...in these K questions ( i call em that because iether of 2 answrs could always be oKay, but only ONE is CORRECT) . as Oldgirl says..Airway...ABC's are big deal forever on.(NCLEX)....ABC's will lead ya right in assessment every time also, cause long as that patients breathing you can come up with all kinds of Diagnosis,and interventions...first second he aint breathing NOTHING ELSE MATTERS>!!!! You got it..KEEP UP THE GREAT(hard) WORK
Dec 3, '02Mario,
In my soon-to-be-former program, Maslow's Hierarchy takes precedence over everything. Since the first need is oxygenation, aspiration risk, or if you prefer the more corect scientific observation, ventillation perfusion mismatch
In the real world I think that absent bowel sounds will get more attention than a patient having "trouble swallowing", since there are many simple interventions.
I think its real BS to tell us not to assume while reading questions, and then present us with questions like yours that force us to assume the patient's nutritional intake.
If your pt was on a tubefeed, for example, the question would be moot.
Dec 3, '02Mario, look at it this way, you knew the answers to the questions that you got right and now you'll not forget the correct answers to the questions you got wrong. It's all part of the learning process, my friend. You did a good job on the test. Keep up the good work.
Dec 3, '02THe thing to remember about multiple choice, is GO WITH THE FIRST ANSWER THAT CAME TO YOU. Circle the number if you think you may need to rethink it and come back after you've already finished the other questions.
And personal opinion, I think multiple choice is just plain wrong for nursing...you have to pull the answers out of your head when you are with your patients. You may have your own PERSONAL multiple choices, but you have to know what your choices are.
And yes, I know it's harder to grade and harder to do.
Dec 3, '02With as much emphasis as they put on PAIN control in... never get sucked into answering one of those "what would you do first" questions by giving pain meds if there is ANYTHING at all airway-related. Pain comes after the ABC's.
Dec 3, '02My experience with nursing tests is that they involve the nursing process (this sometimes is a hint on what to do first: assess) and Maslow's heirarchy (breathing is way up on the list of things that are important). And don't read into the questions. Just go with the info you have. You did great! Good luck.