San Joaquin Delta College

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San Joaquin Delta College

• Find Success on Nursing School Exams!!

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SoWhat are We Talking About Today?

• Answering all types of test questionseven
  alternate item
• So I took the ATI test.now what?
• NCLEX preparationHELP!

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Nursing School is Like Drinking Through a Fire
Hose
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Types of Test Questions
A. B. C. D. Multiple Choice
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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.

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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

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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 clients diet is to

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Critical Elements

• 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

• The issue
• Specific problem
• Always about the client
• The type of stem
• True response
• False response

• The key words
• Early or late
• Immediately
• Post operatively
• Least likely
• The client
• What the question is about

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Positive Response Stem
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Negative Response Stem
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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

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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

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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

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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 arms 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.

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Charts and Tables
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Charts and Tables

• Based on a review of the clients chart, the
  nurse speaks to the clients health care provider
  about holding the morning dose of
• Furosemide (Lasix)
• Potassium (K-Dur)
• Clindamycin (Cleocin)
• Heparin

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Charts and Tables
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Charts and Tables

• Based on a review of the clients chart, the
  nurse speaks to the clients health care provider
  about holding the morning dose of
• Furosemide (Lasix)
• Potassium (K-Dur)
• Clindamycin (Cleocin)
• Heparin

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Charts and Tables

• Based on a review of the clients chart, the
  nurse speaks to the clients 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)

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Hot Spot
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Hot Spot
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Hot Spot
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Fill in the Blank
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Fill in the Blank
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Fill in the Blank
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Fill in the Blank
4 oz 3 oz 1 oz 240 ml
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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

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Drop and Drag
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Drop and Drag
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Drop and Drag
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Multiple Response
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Multiple Response
True
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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

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Alternate Item Strategies
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Im Getting Ready to Take the ATI Test
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Computer will score first response
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Equally as important for the student to
understand why the response is INCORRECT!!
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This is Kathys customized remediation guide She
should follow this outline to address her
deficits!!!
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Review ModulesNOT textbooks

• Fundamentals
• Medical/Surgical
• Maternal/Newborn
• Nursing Care of Children
• Mental Health
• Pharmacology
• Community Health
• Nutrition
• Nursing Leadership

Streamline Faculty Workload!
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Chapter Content Guided by NCLEX Blueprint
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At least two learning formats, including NCLEX
format items
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Lets Practice

• www.atitesting.com

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NCLEX Preparation
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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 wouldnt do these thingswhy would you NOT
  prepare for the one thing that will impact your
  entire careerNCLEX !

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NCLEX Success

• RN 2008 Pass Rates

• PN 2008 Pass Rates

• First Time 48,315
• 85.6
• Repeat 9,312
• 41.3

• First Time 118, 444
• 86.7
• Repeat 20,975
• 53.3

Source www.ncsbn.org - 2008
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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
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Wheres the Magic Fairy Dust??
NCLEX Success
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RN Comprehensive Predictors
180 Questions 2 versions written to the 2007
NCLEX testplan
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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

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New Alternate Item Drag Drop
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New Alternate Item Exhibit Chart
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Thank you!! Assessment Technologies Institute,
LLC (ATI) Overland Park, Kansas [phone]