How do you deal with questions on prioritization, delegation, etc.

[JasonKa]

So basically I get screwed with select all that apply questions and questions involving really deep critical thinking.

For example on my last exam we got a question that presented 4 options. Each option had a patient with different conditions. And we had to choose which patient a nurse would choose last to assess. And you could reverse that question like who would you assess first?

So far I'm thinking I should go about exams using ABC's, Maslow's heirarchy, fluid & electrolytes, and patient safety. Am I missing anything else? I have some NCLEX review books like the SAunder's and the Rationales & Review ones, but I need way more questions to hammer out.

[Guest757854]

Prioritization delegation and assignment by linda lacharity.

[Summer Days]

I have had people speak of the book by Lacharity called prioritization, delegation and assignment. I have yet to use it but I will very soon, try it and see if it'll help. Also another way to go about these typa questions is to consider whether the patient is stable or unstable. Unstable patients are seen first.

[hope4ccns]

I hate select all that apply! I think that every nursing student does. I select based on abcs, stability, and safety. I cross out incorrect answers and underline key words. I also google practice quizzes online. Good luck.

[AmyRN303, BSN, RN]

I second the LaCharity book. Essential for prioritization and delegation and very helpful to review for NCLEX.

[classicdame, MSN, EdD]

Priority is what is going on NOW that needs to be fixed. Delegation is whos is LEGALLY capable of doing this task. Assignment is who is LEGALLY allowed by scope of practice to do this task.

[Lev, MSN, RN, NP]

Follow AABC

ARREST – Respiratory and Cardiac

Airway – anaphylaxis, COPD exacerbation & asthma attack (inflammation of airway) trach or ET tube pulled out

Breathing – shortness of breath, new onset decreased Spo2, apnea, hyperventilation

Circulation – chest pain, MI, stab wound in chest or artery, arrhythmias, arterial bleed, aneurysm at risk for rupture, dangerously abnormal labs that can affect the heart: K, Mg, Ca, Na

Another way to look at it...Using Maslow too..This I found online.

First-level priority problems

ABCS

Airway

Breathing

Circulation

Signs for Vital Sign concerns

Second-level priority problems

MAA-U-AR

Mental Status change

Acute pain

Acute Urinary elimination problems

Untreated Medical problems requiring immediate attention (Diabetic who needs insulin)

Abnormal lab values

Risks of infection, safety, or security

Third-level priority problems

Things lower in priority than above (lack of knowledge, coping, family coping, activity, rest)

[nurseprnRN, BSN, RN]

I hate select all that apply! I think that every nursing student does. I select based on abcs, stability, and safety. I cross out incorrect answers and underline key words. I also google practice quizzes online. Good luck.

Don't fear SATA. Those are actually excellent ways to evaluate your readiness for, well, real life. "It's all SATA out here."

https://allnurses.com/nclex-discussion-forum/why-you-dont-902671.html