Questionable test questions..any input

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I just went and reviewed the questions I missed on our first test and there were two questions that I am questioning the answers the instructor says are correct. If you could take the time to take a look at these and let me know what you think I would appreciate it...after all we all know every point counts! ;)

#1. A patient comes in to the ER by ambulance screaming that she does not want to be there because hopitals kill people. This is an example of

(Mind you that this is paraphrasing the question)

A. A typical patient

B. Health behavior

C. Illness attitude

and one other choice that I can't remember but it was not right.

I picked "C" but the insturctor says the answer is "B"...if this is the case can anyone explain to me why that would be the right answer because according to my text this is not a health behavior.

#2. (This question was a select all that apply) Which of the following are examples of autonomous nursing:

A. Teaching a new mother how to breast feed.

B. Giving and enema to a patient that is scheduled for an ultrasound

C. Adjusting the patients meal to fit their dietary preferences

D. Giving a back rub or massage.

I chose A, C, and D but the correct answer was A and D. Can anyone explain this to me if this is the right answer.

I want to protest these questions if the answers are not right but I don't want to say anything if I am totally wrong in my thinking. Any help would be much appreciated.

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Specializes in Geriatrics, Cardiac, ICU.

First, what class is this?

I have no idea on the first question because we have never talked about that subject, but I agree with the instructor on the second one.

A nurse needs an order to give an enema, and the doctor advances the diet.

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This is for fundamentals

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Specializes in Med/Surg, ICU, ER, Peds ER-CPEN.
i just went and reviewed the questions i missed on our first test and there were two questions that i am questioning the answers the instructor says are correct. if you could take the time to take a look at these and let me know what you think i would appreciate it...after all we all know every point counts! ;)

i just finished fundamentals and the motto at our school is there are 4 right answers, you pick the most right lol luckily med/surg is coming together alot better for me than fundamentals did at first

#1. a patient comes in to the er by ambulance screaming that she does not want to be there because hopitals kill people. this is an example of

(mind you that this is paraphrasing the question)

a. a typical patient

b. health behavior

c. illness attitude

and one other choice that i can't remember but it was not right.

i picked "c" but the insturctor says the answer is "b"...if this is the case can anyone explain to me why that would be the right answer because according to my text this is not a health behavior.

my understanding of this is health behavior as her belief is that hospitals kill ppl, her attitude isn't focused on her illness killing her or any other aspect of her illness she may even veiw her illness as trivial and non life threatening, her health behavior tho is shaped by internal i.e. - she may believe ppl die in hospitals because her only experiences with them ended in the death of someone and external values i.e. from parents, family members

#2. (this question was a select all that apply) which of the following are examples of autonomous nursing:

a. teaching a new mother how to breast feed.

b. giving and enema to a patient that is scheduled for an ultrasound

c. adjusting the patients meal to fit their dietary preferences

d. giving a back rub or massage.

the patient picks their meals, the dr and dietician control what they pick from if there is a specific diet prescribed, but the patient always picks their own meals, not us (we had a similar question last semester)

i chose a, c, and d but the correct answer was a and d. can anyone explain this to me if this is the right answer.

i want to protest these questions if the answers are not right but i don't want to say anything if i am totally wrong in my thinking. any help would be much appreciated.

i have found that if you sit down with the instructor during office hours they can clarify why your answer is wrong, or right but not the most right of the options, and why the right answer is what it is,

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Specializes in OB.
i have found that if you sit down with the instructor during office hours they can clarify why your answer is wrong, or right but not the most right of the options, and why the right answer is what it is,

yes, check with the instructor. they should always provide rationale for their answers.

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Specializes in Looking at: ER-Trauma-CC.

my understanding of this is health behavior as her belief is that hospitals kill ppl, her attitude isn't focused on her illness killing her or any other aspect of her illness she may even veiw her illness as trivial and non life threatening, her health behavior tho is shaped by internal i.e. - she may believe ppl die in hospitals because her only experiences with them ended in the death of someone and external values i.e. from parents, family members

spot on! the actual "word" answers of your particular exam were worded differently than we learned, but that is what this is.

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Specializes in Med/Surg, Tele.

I agree with the instructors choices for the sec. question: A and D. The nurse need a doctors order for the enema.

I am not sure about the first question/terms. I would ask the instructor for the rationales for the answer and then decide, if I still want to fight her on this question.

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Do people actually challenge the professors test questions on a regular basis? Obviously the prof thinks his/her answer is correct. I understand your frustration on one level, but I really don't understand the whole challenge thing. Could someone explain the rationale, and the expected outcome?

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Specializes in Med/Surg, ICU, ER, Peds ER-CPEN.

my class has had a few successful challenges in Med/Surg and it's usually a question that just about every one missed and the information had to be vastly different from lecture to reading assignment to test, I haven't reaped the benefits of them tho because somehow I got them right :bugeyes:

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Specializes in Diabetes ED, (CDE), CCU, Pulmonary/HIV.

For second question both B and C would require doctor's orders. Enema as stated before. Doctor orders the diet. He may order 1800 calorie, low Na+ and low fat. Pt may prefer regular diet without limitations, but need doctor's order to change.

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Specializes in Diabetes ED, (CDE), CCU, Pulmonary/HIV.
do people actually challenge the professors test questions on a regular basis? obviously the prof thinks his/her answer is correct. i understand your frustration on one level, but i really don't understand the whole challenge thing. could someone explain the rationale, and the expected outcome?

most nursing instructors have not had formal training in education methods and test question construction. therefore you'll find some ambighous and downright laughable test questions on the exams.

one that still bugs me is the question about what would be the first nursing action for pt who has just died and family is waiting outside to come in to see him. i chose "remove all tubing and medical devices (this is something we actually discussed in class,) the "right" answer was "put the pt is a comfortable position." my comment--how do we validate that he is comfortable?:smackingf

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I always feel that it best to speak with the instructor for the rationale of why. Its not always about getting the extra points, it about understanding why your answer is wrong so u can later be able to answer these style of questions on the Nclex. Good luck!

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