san joaquin delta college find success on nursing school exams!!
TRANSCRIPT
SAN JOAQUIN DELTA COLLEGE
Find Success on Nursing School Exams!!
So…What are We Talking About Today?
Answering all types of test questions…even alternate item
So I took the ATI test….now what? NCLEX preparation…HELP!
Nursing School is Like Drinking Through a Fire Hose
Types of Test Questions
A.B.C.D.
Multiple Choice
How to Answer a Multiple Choice Test Question
The first step in analyzing a test question is to separate what the question tells you from what it is asking.
Each test question consists of 3 parts: Introductory statement Stem 4 options from which you must select the
answer.
How to Answer a Multiple Choice Test Question
Introductory statement Gives you information about
A clinical problem Present data May state a nursing topic
Always includes a specific question that you must answer using your nursing knowledge Stem
How to Answer a Multiple Choice Test Question
The stem asks you to solve a specific problem select one of the 4 options as the answer.
A client is receiving care at the clinic. Her doctor has prescribed an iron supplement and an increased intake of Vitamin C in her diet. The nurse understands that the best rationale for increasing Vitamin C in the client’s diet is to :
Critical Elements
The key words Early or late Immediately Post operatively Least likely
The client What the question
is about
The issue Specific problem Always about the
client The type of stem
True response False response
•Learning to identify the critical elements in a test question is crucial to interpreting the question correctly.
•The 4 critical elements in each test question are:
Positive Response Stem
Negative Response Stem
Example
An elderly client was admitted to the hospital with pneumonia. He is receiving oxygen at 6 liters per mask. In obtaining vital signs, which nursing action is inappropriate? Taking an axillary temperature. Listening to his lungs when counting
respirations. Listening to an apical heart rate. Taking an oral temperature
Distracters
Most multiple choice questions have 4 options
Of these, 3 are distracters, and 1 is the correct answer.
Distracters are designed to resemble the correct answer
Example
A client returns with a foley catheter after surgery. In providing catheter care, which is the best nursing approach? Preventing infection and maintaining a
patent catheter and drainage system. Keeping the collection bag above the
level of the bladder. Using soap and water to clean the
perineal area. Maintaining a closed system without any
kinks in the tubing
Example
A client who has right sided weakness needs to be transferred from his bed to a wheelchair. In transferring the client, the nurse must remember to: Keep the client at arm’s length while
transferring him. Bend at the waist to get down to his level. Maintain a straight back and bend at the
knees. Try to transfer the client alone, before
determining that help is needed.
Charts and Tables
Charts and Tables
Based on a review of the client’s chart, the nurse speaks to the client’s health care provider about holding the morning dose of: Furosemide (Lasix) Potassium (K-Dur) Clindamycin (Cleocin) Heparin
Charts and Tables
Charts and Tables
Based on a review of the client’s chart, the nurse speaks to the client’s health care provider about holding the morning dose of: Furosemide (Lasix) Potassium (K-Dur) Clindamycin (Cleocin) Heparin
Charts and Tables
Based on a review of the client’s chart, the nurse speaks to the client’s health care provider about holding the morning dose of: Furosemide (Lasix) (Loop diuretic) Potassium (K-Dur) (Low) Clindamycin (Cleocin) (not addressed on
charts) Heparin (not addressed on charts)
Hot Spot
Hot Spot
Hot Spot
Fill in the Blank
Fill in the Blank
Fill in the Blank
Fill in the Blank
4 oz3 oz1 oz
240 ml
Fill in the Blank
Use good math skills Write out the equation Show all of your work Bring up drop down calculator Double check your work No need to enter units
Drop and Drag
Drop and Drag
Drop and Drag
Multiple Response
Multiple Response
True
Multiple Response
Consider each response choice separately, as you would in a true-false question.
Look for mutually exclusive responses which could not both be true.
No partial credit is given When in doubt, go with what you know
Alternate Item Strategies
I’m Getting Ready to Take the ATI Test
Computer will score first response
Equally as important for the student to understand why the response is
INCORRECT!!
This is Kathy’s customized
remediation guide…
She should follow this outline to address her deficits!!!
•
Review Modules—NOT textbooks
• Fundamentals
• Medical/Surgical
• Maternal/Newborn
• Nursing Care of Children
• Mental Health
• Pharmacology
• Community Health
• Nutrition
• Nursing Leadership Streamline Faculty Workload!
Chapter Content Guided by NCLEX® Blueprint
At least two
learning
formats,
including
NCLEX® format items
NCLEX Preparation
Why is NCLEX® Preparation so Important? You gotta ask yourself~
Would you go on vacation without making a list of what you need?
Would you try and make a dress without a pattern?
Would you try and make your favorite dish without a recipe?
If you wouldn’t do these things…why would you NOT prepare for the one thing that
will impact your entire career……NCLEX ®!
NCLEX Success
First Time: 118, 444
86.7%
Repeat: 20,975 53.3%
First Time: 48,31585.6%
Repeat: 9,312
41.3%
RN 2008 Pass Rates PN 2008 Pass Rates
Source: www.ncsbn.org - 2008
421,739 U.S. Educated RN students tested for the first time b/w 2003-
2005
Days of Eligibility Pass Rate
Within 21 90.1%
22 - 33 88.1%
34 - 54 85.0%
55 - 365 77.0%
Source: www.ncsbn.org NCLEX Delay Pass Rate Study. Jan 2007
Where’s the Magic Fairy Dust??
NCLEX Success
RN Comprehensive Predictors
180 Questions
2 versions written to the 2007 NCLEX testplan
Online Comprehensive Assessment
150 Questions – two versions Immediate feedback on right and wrong
answers – 1st version Can be taken anywhere with Internet
access Written according to the 2007 NCLEX
Blueprint Can be taken as many times as
necessary to achieve mastery Linked to Focus Review
New Alternate Item :Drag & Drop
New Alternate Item :Exhibit Chart
Thank you!!Assessment Technologies Institute, LLC
(ATI)
Overland Park, Kansas
(800) 667-7446