Nclex Aug. 20 have questions

[BeOne77]

have you heard of the similar distractor theory? It states that similar distractors are basically the same thing using different words, since there is only one correct answer in a question, similar distractors must be wrong so pick an option that is different. I also have conflicting info which states that with similar distractors one is right and one is almost right (wrong) and that every right answer has a wrong answer that looks almost right. Can you give me the low down on which theory to go with for the Nclex? Help?!

Also Do nursing assistants in Nclex land, are they able to do bloodwork, take out foleys and do finger glucose checks?

And finally which diuretic do you increase sodium with?

Any help with these questions would be awesome.

Thank you in advance.................Beone 77:yeah:

[realnursealso/LPN, LPN]

one is right and one is almost right (wrong)

, And the other two are so far out there you'll know they must be wrong. Good Luck!

[ObtundedRN, BSN, RN]

Also Do nursing assistants in Nclex land, are they able to do bloodwork, take out foleys and do finger glucose checks?

NAII can place/remove foleys and do finger glucose checks. (Even though in my state, a hospital can choose 3 NAII skills to teach to their NAI. But this is not assumed to be true on the NCLEX). I've never seen any NA do bloodwork, that would be for the phlebotomy tech or nurse.

[dthfytr, ADN, LPN, RN, EMT-B, EMT-I]

Don't assume there's only one correct answer. The NCLEX is testing your judgement, not your knowledge. With 2 correct answers you'd have to pick the better of the 2, or the highest priority. The ABC's are usually a good start. Since I have no idea about "distractors" I hope this helps. Good Luck.

[itsmejuli]

Get reviewing and practicing answering these types of questions with Saunder's NCLEX review book and cd. The more you practice the better you'll be at selecting the correct answer.

[I_See_You_RN]

My test, for the most part wasn't like that. It really wasn't trying to trick to you. It was more like "can you recognize what's going on, and can you figure out what is more important". Also, since there are multiple answer multiple choice questions at times you can't rule out something because its too similar or etc. Many times there will be more than one right answer.

And actually on the test if they give you a situation and ask you what would you do first... most likely you wouldn't get fired from your job if you did 3 of the 5 things first, which means that they are correct things to do,.. now you just have to critically think and figure out which one is the most important.

good luck! Dont stress too much

[Redhead28]

Too long ago to remember but I will tell you, don't stress so much. Concentrate on the ABC's. Nursing assistants don't even enter into the questions.

[ObtundedRN, BSN, RN]

Too long ago to remember but I will tell you, don't stress so much. Concentrate on the ABC's. Nursing assistants don't even enter into the questions.

When I took mine, I had several questions regarding delegation to UAPs and LPNs.

So you kinda need to know what skills they can do. But if you're not sure if they can perform the skill, use the criteria for delegation. I don't remember them all off the top of my head, but it was something along the lines of it having to be a routine task that doesn't need much modification from one patient to the next, and the skill should not require any ongoing assessment or nursing judgement. And the skill must be something that the UAP has received adequate education on. etc.

And yes, concentrate on ABC's and other priorities. And don't stress, its not as bad as you think. :)

[tbell2]

I just took (and passed!) my NCLEX last week. I took Kaplan and learned that nursing assistants do standard/unchanging procedures (glucose checks, routine vitals, baths-- don't know about foleys) and LPN/LVNs take care of stable patients with predictable outcomes. Someone who is about to be discharged requires teaching which must be done by an RN.

[Overland1, RN]

Other things to consider... do not "over-engineer" the question nor the listed answers; the longer you beat it to death, the more likely you are to ultimately pick the wrong answer. Do not change your answer unless you can immediately come up with at least a couple of bulletproof reasons to do so. Many answers are changed from right to wrong; do it often and it may cause a failure.

One trick suggested by a nurse I used to work with. Use the scratch paper to cover the answers after each question (yes, this can be done with a computer screen, too! ), and come up with your best answer (as though it were an essay question). Next, uncover the answers and see which best matches your choice. This has worked for many of the graduate nurses who took and passed the NCLEX.

Go for it, and remember rule #1:

If Overland1 can do it, you can do it.