Answered wrong on Interview Question - page 2

Hi Everyone, I just came back from an interview and realized that I answered an important prioritizing question wrong in my interview. My professor for my coronary care course helped me in getting the interview and I am going... Read More

  1. 0
    I agree with airway first! We have been taught that since day one. If you aren't breathing nothing else matters!

    I would've said SOB first, chest pain, pain med, person at nurses station

    Everyone is nervous in interview so I bet you did great keep a positive outlook!!

    Good Luck!

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  2. 0
    Quote from missrn208
    Hi Everyone,

    I just came back from an interview and realized that I answered an important prioritizing question wrong in my interview. My professor for my coronary care course helped me in getting the interview and I am going to see him for class tonight, he was supposed to be on the interview panel but he had to leave for something so I was interviewed by his 2 colleagues. Any ideas on how I can rectify the situation?

    The Question was: You have 4 patients and all at the same time 1) Calls for pain medication 2) States he's dizzy and has a heaviness feeling in his chest area 3) a new patient coming from the operating room states he's having SOB 4) A family member won't leave the nurses station until they get an update about a patient.

    I said I would see the patient who is dizzy and has a heaviness feeling in his chest.

    But what I really should have said was I would give pain medication as pain is the 6th vital sign.

    I was so nervous but I answered confidently and I feel the rest of the interview went well, and I know they were impressed with my resume.

    Any ideas?
    The pain patient is most definitely not the priority. Patients 2 & 3 take priority over the patient who calls for pain medication. That patient could be a stable post-op who just needs his PRN oxycodone. I'd probably go see the SOB patient and see if another nurse was available to check on Patient #2.
  3. 1
    I, too, thought SOB after reading through the choices. The pt could have a life threatening PE, plus airway is #1 focus over chest pain.
    I would say SOB, chest pain, Pain, family member wanting update. If you feel the rest of the interview went well, I wouldn't focus too much on this one question. If they wanted you to pass a "test" question, they wouldn't bother with a whole interview--you are a whole person, with other insights and things to offer, its the whole package I would trust your overall confidence and get a good night's sleep. Best wishes you get what you wish for!
    redhead_NURSE98! likes this.
  4. 1
    I agree with others. Answer according to ABC's. Someone who is short of breath is more of a priority than the person in pain. Family member won't leave the nurses station? You find someone else to deal with them. Not important at all.
    Meriwhen likes this.
  5. 1
    I'd say the pain in the chest area and the fresh surgery patient that is having sob would tie. You have a potential MI vs potential PE... OK now I see where the surgery patient has a nurse with him. So I guess the nurse that brought him to the unit is waiting to give report so she can get the hell outta dodge before the stinky stuff hits the fan!! If you said the one with chest pain I think you got it right.
    Altra likes this.
  6. 8
    To make you feel a little better, last Tuesday my best friend's wife, who just finished her MD Fellowship in a North Texas Pediatric Emergency Program, had her first interview at a mid sized City's Level II ED.

    She was asked ("pimped out" they call it when senior MDs put Jr. MDs on the spot) to give a PALS example of a choking infant(doll) where nervously, and with sweaty hands sent the poor baby "flying across the room like a lawn dart!" To make matters worse, she picked the baby up by the head causing the MD to holler, "You reckon you might need a C-Spine Allignment there?" Causing her once again to drop it like a hot potato.

    She graduated 3rd/100, in her 4 yr class. I will hold this over her head for a long time to come. I have already bought her some 3M grip gloves for Christmas- I think if you let them know you messed up they'll be alright about it if the rest of the interview went well. Nurses are harsh self critics, were also human

    Your actions following a mistake say tons about your character!!
    Guttercat, nursel56, DawnJ, and 5 others like this.
  7. 3
    I agree with Boston....
    Your actions following a mistake say tons about your character!!
    ...If the OR patient coming from the PACU with a nurse and that nurse was still with them......I would check and be sure that nurse needed nothing (so I guess checking that patient first) then I would go to the dizzy chest pain as that can be a PE, MI or cardiac arrhythmia....I would then treat the pain and delegate the family member until I had time.
  8. 4
    With these questions, the important thing is not only a good answer but also your rationale.Yes, pain is the 6th vital sign. But pain is not going to kill someone. A PE will. A heart attack will. I would see the SOB first because even if there's a nurse with them, this patient needs attention quickly and possibly will be a 2:1 for a bit while stabilizing them. Then the chest pain. Pain management is a low 3rd priority. You have to take care of your critical patients first. The family member at the desk can camp out there for last.
  9. 1
    I would had stated first priority assess pt coming from OR w/ SOB possible PE securing an airway is usually always a top of the list, You can go wrong. Like someone stated what is going to kill you the quickest that is how I prioritized .

    Then I would go w/ the acute chest pain because further increasing myocardial oxygen demand creates ischemia in other words is an acute MI

    It is normal to get nervous in interviw and with time you will get better.
    Last edit by LADYVENGEANCE1 on Nov 27, '12 : Reason: grammar
    Meriwhen likes this.
  10. 0
    I would say SOB1st and that I would ask my colleagues to check on the chest pain. However, I have never done acute care in my 23 years of nursing so what do I know?

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