I read your post. It is really nice and helpful. But nclex is not asking the easy questions like this. It needs very critical thinking. Some times what we guess is not a answer. Are you tutor for nclex RN examination? May i talk with you on cal or else in mail ? Thanks[/QUOTE]
Reread the third line of my post. This is an example where reading comprehension comes in to play with the NCLEX. I tutor students that fail NCLEX. Critical thinking is the process where you consider if Ladyscrubs tutors students who fail the NCLEX, she is tutoring them to assist them to pass the NCLEX. I am not putting you down or trying to belittle you, but I have found that on review reading errors seem to elicit the " Oh crap, I knew that," but nerves took over, and statements such as most likely, least likely, most important, most appropriate, least appropriate get jumbled.
You said, "Some times what we guess is not a answer." I have to admit that some questions elicit a lot of head scratching, but remember if what you guess is not the answer than your guess is wrong
Okay, but the great thing about multiple choice is that they are giving you the answer in the form of multiple choices, and they may all be correct, or they may be so obviously wrong and some, if all seem right, have priority over others. In order to answers these questions you have to understand the rationale for choosing one over the other and more often than not, have the knowledge of a subject in order to make that choice.
or in select all, more than one.
You are discharging a patient that has been hospitalized for preterm labor
. Further instruction is needed
when she says:
A.“If I think I have a bladder infection, I need to see my obstetrician.”
B. “If I have contractions, I should contact my health care provider.”
C. “Drinking water may help prevent early labor for me.”
D. “If I travel on long trips, I need to get out of the car every 4 hours.”
You need to have gleaned some understanding/knowledge in regard to preterm labor
"Further instruction" indicates to me that she really doesn't understand the seriousness of her situation:
A. Smart move, bladder infection, yep go see the doc (Prego and infection not good)
B. Smart move, was in hospital to begin with because of contractions Key phrase-preterm
C. Hmm, well maybe I don't know this one, so think maybe and move to D
D. Car travel, hmm, restricted movement for long periods... critical thinking... long periods of car travel, infrequent breaks, wait, pregnant people have increased blood volume, so DVT maybe? No, let's think, hmm, long travel with history of preterm contractions? Doesn't sound safe. This one I think.Drinking water? Yea, stay hydrated, so I guess it might be D.
D is the correct answer. So although your knowledge base might be a bit rusty, by using the information that is given you and utilizing critical thinking of what you do recall, you will be pretty sure to pick the correct answer.
Now if C. was written as drinking copious amounts of fluid, that answer would have been quickly eliminated (no pun intended), since critical reasoning + Knowledge of elytes & elimination, would set off some bells, plus copious amounts of anything just sounds wrong.
Just remember you may get to the answer the wrong way, the logic is a bit screwy but your answer ends up to be correct. By thinking that staying hydrated was good and dehydration was bad, C was eliminated. The logic behind drinking fluids and staying hydrated is because dehydration is known to stimulate preterm contractions, but I didn't base my answer on that logic, but I did understand dehydration.
Critical thinking is a combination of knowledge, instinct, and experience. It is thinking outside the box, connecting ideas, and thinking what if ?
Sorry I am so wordy, by the way what is cal? I understand the email part...but yes I would like to hear from you. Can you PM?