Strategy for NCLEX RN

[Map123]

Does any one know how to use the strategy on priority questions? (Maslow, assessment vs. implementation, A,B,C's) To me it seems like it doesn't work with every priority question but Kaplan says it does. It's very confusing. Please Help; I've failed multiple times

Here's and example:

A clinical nurse is planning to complete a physical examination on a 19yr old female who has participated on a strenuous physical activities while in High School. It will be most important for the nurse to plan to asses this client for:

a. Lordosis

b. an eating disorder

c. an increase in muscle mass

d. excessive bleeding with menses.

Now how do you use strategy on a priority question like this?

[1244 rock]

I would say b.

[MendedHeart]

I would go with eating disorder...first..based on physiological needs then based on key word "strenuous" activities. ...excessive workouts can be a hint of eating disorders

Very unlikely there is excessive bleeding with strenuous activity.

Menses usually slows or stops with that

[1244 rock]

What's the answer

[NYCRN16]

A clinical nurse is planning to complete a physical examination on a 19yr old female who has participated on a strenuous physical activities while in High School. It will be most important for the nurse to plan to asses this client for:

a. Lordosis

b. an eating disorder

c. an increase in muscle mass

d. excessive bleeding with menses.

With these types of questions, you have to take apart the answers and know the rationale behind it. This is why the NCLEX is not a test of memorization, you have to know disease and wellness front and back. If you look at the choices you will see why the correct answer is the only one that makes sense.

a) Lordosis is a normal variation in a small child, not in a teenager or middle adult. Could also be in elderly I think? Either way, this is out of her age group that you would screen for. Wrong choice.

b) Eating disorder would make sense in this age group because of the concern of body image to a teenager. Anorexia and bulemia cause death, so this would be an important assessment. Excessive exercise is a form of bulemia. This makes sense.

c) An increase in muscle mass is a positive result of exercise, no need for concern here. If this were a male of the same age, then I would probably screen for steriod use. In this case though this choice does not make sense.

d) The total opposite happens in female athletes or those with eating disorders. They have light menses or miss periods altogether.

[Nurse Neddie]

So what was the answer ???

[Lemuel_RN]

So what was the answer ???

Based on the data, a 19 y/o is doing an strenuous activity. It is not appropriate for the 19 y/o to have that kind of exercise and there might have an underlying cause of that.

Here is the process of elimination:

First ,you have to eliminate the choices that is not related on the data. Lordosis won't be developed during strenuous activity, so eliminate that. Increase mass is normal since there is a workload in the muscles, eliminate that also.

so we are down to two, B and D. Strenuous activity usually can cause the menstruation to stop (amenorrhea) and not to make it excessive.

In maslow's hierarchy of needs, adolescents primary concern is their body images, and strenuous activity can be an indication that the 19 y/o has eating disorder.

so the answer is B. eating disorder

[Map123]

well explained and yes the answer is B

[Map123]

A nurse obtains the following assessment data for the client diagnosed with acute myeloid leukemia. For which finding should a nurse plan interventions first?

a. Pain from mucositis

b. weakness and fatigue

c. T 99F, P 100, R 20, and BP 132/64

d. Ecchymosis and petechiae noted on arms

[Lemuel_RN]

A is the answer, all the options are normal .

VS normal

weakness and fatigue and ecchymosis is common among pts with AML.

[Map123]

Lemuel_RN; You are correct The answer is A