Quote from mr cooper
For me what has helped is writing on note cards some pathophysiology, etiology, medications and nursing management for each disease. Writing it down on a small card forces you to pick the important stuff and you'll skim over the fluff. When it comes to the tests I have a few rules I think about before I pick an answer. First I ask myself if it is an assessment question. Check the answers and see if there are any answers that relate to assessment. For instance, I had a question that was about a patient calling you're clinic with diarrhea and asking what to do for it. 3 answers were intervention focused, one was assessment focused. The assessment answer was the right one even though the 3 intervention answers sounded good. Remember the nursing process since it will guide how you answer scenario based questions. You need to decide where in the process you are being dropped off and act from there.
Secondly I try to think about priorities. Priority questions are tough, but you can pick the right answer by what is most emergent. What condition, if not taken care of first, can lead to a patient going down the drain or lead you to backtracking and wasting time. If you tell yourself "I'll do answer B first and then do something else" that answer is wrong. The answer needs to be an end point that closes the scenario instead of leading you to make up a story about what happens next.
Another common question type are delegation questions. Remember that CNA's can't do anything except take measurements and record them. They can't interpret, assess or do anything like that. That is the nurse's job. The word "assess" may be used to trick you. Assess has a very specific meaning, it does not mean to just observe. A CNA can't assess, remember that. They record and measure. That is all.
And finally medications... for that you really should learn classes of drugs, not individual drugs. Drugs in a class generally have a similar sounding suffix or prefix. Memorize the protype drugs side effects and a few ones outlined in the book, but as far as memorizing individual drugs, don't. I am finishing up my first Med-Surge class. Its in a 12 month program so the class is 5 weeks. I've slowly improved my scores each test using my rules. The thing is, you need to stick with them and know they work. I've answered some questions where I picked an answer not because I felt it was right but because it made sense when thinking about the nursing process or priorities. Even though I did not want to pick them because they felt "off", I made myself pick them and they ended up being right. Good luck.
Reading this have given me so much encouragement. I am also taking med-surg and I have my first exam this Monday. U hit everything on the nose and it sounds like u have already begun to think like a RN. Appreciate your post and the pointers I believe they will be helpful for upcoming exams. Thanx!!!😄