TEST TAKING STRATEGY

Is it possible to narrow the question into 2 options even without reading the question?

Is it possible to know the side effect of a drug without knowing the drug?

Is it possible to correctly answer an option even without knowing a thing about the question?

Is it possible to correctly identify the correct answer by studying only the configuration of the options?

Is it possible to answer a question confidently even without a question?

ANATOMY OF A QUESTION

I. STEM

Is the most important part of a question that asks for the correct response.

Example : The client has nasal packing in place. The nurse reviews the physician order and anticipate that which client position would be prescribed to reduce swelling?

A. Sim’sB. ProneC. SupineD. Semi fowler’s position

II. MODIFIER

A single word in the question stem that changes the whole stem of the question or give a new meaning to it.

Example : All of the following are contraindication when giving Immunization except:

A. BCG Vaccines can be given to a child with AIDS B. BCG Vaccine can be given to a child with Hepatitis B C. DPT Can be given to a child that had convulsion 3 days after being given the

first DPT Dose D. DPT Can be given to a child with active convulsion or other neurological

disease

III. PITFALL - The option set by the author that he thinks most students will answer.

Example : Mrs. Luis, the patient, states that she has burning sensation of urination and sense of urgency. A urine specimen is to be collected. Which of the following is the BEST method for collecting the specimen?

A. Clean catch urine collectionB. Do proper perineal care. Ask the client to first void in a bedpan, prepare the clean specimen container and catch her midstream urine, Send to the laboratory immediately.C. 24 hour urine collectionD. Obtain her urine through catheterization

PRINCIPLES OF TEST TAKING

I. PRINCIPLE OF CONTRADICTION

When two options contradict each other, there is a higher chance of one of them being the correct answer.

Example 1: Mr. CKK is now comatose after 5 days of hospital stay. If Mr. CKK’s Thumb mark was obtained as his signature, how should you consider this signature?

A. It has no meaning B. It is a valid signature C. It is not a valid signature D. Verification is needed

Example 2: During Insertion of a central venous catheter, the patient should be in:

A. Supine position B. Trendelenburg position C. Reverse trendelenburg position D. High fowlers position

Example 3: Which physiologic effect should the nurse expect in a client addicted to hallucinogens?

A. Dilated pupils B. Constricted pupils C. Bradycardia D. Bradypnea

Example 4: In doing leopold’s maneuver, which among the following is not considered as a good preparation?

A. The woman should lie in a supine position with her knees flex slightly B. The hands of the nurse should be cold C. Be certain that your hands is warm D. The woman empties her bladder before palpation

Example 5: In consideration of the steps in applying the bag technique, which side of the paper lining of the CHN bag is considered clean to make a non-contaminated work area?

A. The lower tip B. The outer surface C. The inner surface D. The upper tip

Example 6: To prevent leakage of fluid from the thoracic cavity, how will you position the client after thoracentesis?

A. Place flat in bed B. Turn on the unaffected side C. Turn on the affected side D. Place on bed rest

Example 7: You are the nurse of Tony who will Undergo T and A in the morning. His mother asked you if tony will be put to sleep. Your teaching will focus that tony will receive?

A. Spinal anesthesia B. Anesthesiologist's preference C. Local anesthesia D. General anesthesia

Example 8: Jolina is put on antidepressant drug. These drugs act on the brain chemistry therefore, they would be useful on what type of Depression?

A. Exogenous depression C. Endogenous depressionB. Neurotic depression D. Psychotic depression

II. PRINCIPLE OF COMMONALITY AND DIFFERENCE

2 or more options that has the same essential configuration and thought is unlikely the correct answer.

Example 1: When injecting subcutaneous injection in an obese patient, It should be angled at around:

A. 45 °B. 90 °C. 180 °D. Parallel to the skin

Example 2: In cleaning the stoma, the nurse would use which of the following cleaning mediums?

A. Hydrogen Peroxide, water and mild soapB. Providone Iodine, water and mild soapC. Alcohol, water and mild soapD. Mild soap and water

Example 3: The client was involuntarily admitted to the mental health. The client is demanding to be discharged from the hospital. The nurse does not allow the client to leave. Which of the following represents the legal ramification associated with the nurse’s behaviour?

A. The nurse will be charged with imprisonmentB. The nurse will be charged with assaultC. The nurse will be charged with slanderD. No charge will be made against the nurse because the nurse’s actions are reasonable

Example 4: The nurse refers a client with severe anxiety to a psychiatrist for medication evaluation. The physician is most likely to prescribe which psychotropic drug regimen on a short-term basis?

A.Valium B.ElavilC.AnafranilD.Pamelor

Example 5: A client with glaucoma asked “ When will my vision returns? “ The most appropriate response is ?

A. Although some vision has been lost and cannot be restored, further loss may be prevented by adhering to the treatment plan.

B. Your vision will return as soon as the medication begins to workC. Your vision will return to normalD. Your vision loss is temporary and will return in about 3-4 weeks

Example 6: Aminophylline was ordered for acute asthmatic attack. The mother asked the nurse, what is its indication, the nurse will say:

A.Relax bronchial muscleB.Promote expectorationC.Thin the secretionD.Prevent thickening of the secretion

Example 7: Most antipsychotic medications exert which of following effects on the central nervous system (CNS)?

A. Stimulate the CNS by blocking postsynaptic dopamine, norepinephrine, and serotonin receptors.

B. Sedate the CNS by stimulating serotonin at the synaptic cleft.C. Depress the CNS by blocking the postsynaptic transmission of dopamine,

serotonin, and norepinephrine.D. Depress the CNS by stimulating the release of acetylcholine.

Example 8: The length of insertion in nasopharyngeal suction is:

A.Four to Eight inchesB.The distance from the tip of the nose to cheekC.The distance from the tip of the nose to earlobeD.Eight to Ten inches

III. PRINCIPLE OF CENTRAL TENDENCY

Correct answers in an all numeric options is most likely located in between the extremes.

Example 1: What is the KVO rate of BT?

A. 5 gtts/minB. 10 gtts/minC. 15 gtts/minD. 20 gtts/min

Example 2: The client is taking a long acting insulin. How long will the insulin achieve it’s peak level in the blood?

A. 4 hours C. 16 hoursB. 8 hours D. 32 hours

Example 3: The normal amount of blood loss after a caesarian section is estimated to be:A. 300-500 ccB. 700-1000 ccC. 100-200 ccD. 1500-2000 cc

Example 4: The nurse knows that after receiving the blood from the blood bank, it should be administered within:A. 1 hourB. 2 hoursC. 4 hoursD. 6 hours

Example 5: How long should the nurse wait before taking the client’s blood pressure for accurate reading?A. 15 minutesB. 30 minutesC. 1 hourD. 5 minutes

Example 6: In extreme situation and when no other resident or intern is available , should a nurse receive telephone orders, the order has to be correctly written and signed by the physician within:

A. 24 hours C. 48 hoursB. 36 hours D. 12 hours

Example 7: This postpartal mother wants to loose weight she gained in pregnancy, so she is reluctant to increase her caloric intake for breast feeding. By how much should a lactating mother increase her caloric intake during the first 6 months after birth?

A. 350 kcal/day B. 500 kcal/dayB. 200 kcal/day D. 1000 kcal/day

IV. PRINCIPLE OF POSITIVE AND NEGATIVE HARMONY

A positive question will always ask for a positive answer and so is a negative question.

FORMULA : [-] [-] = + Question

[+] [+] = + Question

[-] [+] = - Question

Example 1: The nurse assessing the urine of a client knows that which of the following is unusual?

[-]

A. RBC 10-15 / hpfB. TurbidC. AmberD. PH 6.0

Example 2: All but one of the following is an Anxiolytic:

[+] [-]A. TranxeneB. MilltownC. AtaraxD. Parlodel

Example 3: Which of the following is not an unaccepted way of checking for tube placement in patient undergoing gastric gavage? [-] [-]A. X-RayB. Observing for bubbles when the end of the tube is place in a vessel with waterC. Observing for symmetry of lung expansionD. Instilling 60 ml of water and listening for gurgling sound by auscultation

Example 4:Which of the following is a pharmacological nursing intervention in relieving the pain of a client?

A. DistractionB. Guided ImageryC. BiofeedbackD. Herbal Plants

Example 5: All but one of the following is not a type of non pharmacological relief use in treating cancer pain in patients, EXCEPT:

A. DistractionB. Herbal PlantsC. All of the aboveD. None of the above

[+][-][-][-][-] = +

V. PRINCIPLE OF IMPROBABLE EXTREMES

Extreme modifiers, such as always, all, never, or only make it more likely that the question is false. Here is a more complete list of EXTREME modifiers.

All, every, nothing, none, best, absolutely, always, never, worst, absolutely not, only, nobody, everybody, certainly, invariably, no one, everyone, certainly not.

Example 1: The most effective way in limiting the number of microorganism in the hospital is:

A. Using strict aseptic technique in all proceduresB. Wearing mask and gown in care of all patients with communicable diseasesC. Sterilization of all instrumentsD. Handwashing

Example 2: When planning activities for the depressed client especially during the early stages of hospitalization, which of the following plan is best?

A. Providing an activity that is quiet and solitary in nature to avoid increased fatigue such as working on a puzzle or reading a book

B. Planning nothing until the client asks to participate in the milieu

C. Offering a client a menu of daily program of activities and insisting that the client participate in all of them

D. Providing structured daily program of activities and encouraging the patient to participate

Example 3: An incontinent elderly client frequently wets his bed and eventually develop redness and skin excoriation at the perianal area. The best nursing goal for this client is to:

A. Make sure that the bed linen is always dryB. Frequently check the bed for wetness and always keep it dryC. Place a rubber sheet under the client’s buttocksD. Keep the patient clean and dry

Example 4: While doing nasopharyngeal suctioning on Mr. Abad, the nurse avoid trauma to the area by:

A.Apply suction atleast 20 to 30 seconds each time to ensure that all secretions are removed

B.Always use a sterile glove to prevent pathogens from entering the bodyC.Never lubricate the tubeD.Do not apply suction while inserting the catheter

Example 5: A client with chronic renal failure is undergoing dialysis. You taught him to limit his sodium intake and you told him about the use of Salt substitute. You correctly explained to him that:

A. Do not use salt substitutes because some of them contain potassium and it could cause fatal arrhythmias and asystoleB. Never use salt substitutes because it contains higher amount of sodium and might contribute to your edemaC. Salt substitute is only taken if the Sodium intake exceeded the limitD. Salt substitutes is recommended than the usual table salt because it contains less sodium that might contribute to hypertension and water retention to the patient with chronic renal failure

Example 6: Transmission of HIV from an infected person to another individual occurs:

A.Always in nurses that are pricked by needlestickB.Only if there is a large amount of viral loadC.Commonly occurs as a result of sexual contactD.In all infants born from women with HIV infection

Example 7: Mr. Santos RN, Works in a nursing home and he knows that one of his duties is to be a patient advocate. Mr. Santos knows that being a patient advocate involves:

A.Act as the patient’s legal representativeB.Complete all nursing responsibilities on timeC.Safeguard the wellbeing of every patientD.Maintain the patient’s right to privacy

VI. PRINCIPLE OF INITIATIVE CRITICAL THINKING

1.Cover the options

2.Read the question carefully

3.Try answering the question without looking at the options

4.Select the option that most closely matches your answer

Example 1: Which of the following is the most important assessment during the acute stage of an unconscious patient like Mr. Franco?

A. Level of awareness and response to painB. Papillary reflexes and response to sensory stimuliC. Coherence and sense of hearingD. Patency of airway and adequacy of respiration

Example 2: The nurse knew that the normal color of Michiel’s stoma should be:

A. Brick RedB. GrayC. BlueD. Pale Pink

Example 3: Which of the following method if used by Wilma will best assure that the tracheostomy ties are not too tightly placed?

A. Wilma places 2 fingers between the tie and neckB. The tracheotomy can be pulled slightly away from the neckC. James’ neck veins are not engorgedD. Wilma measures the tie from the nose to the tip of the earlobe and to the xyphoid process.

VII. PRINCIPLE OF GRAMMATICAL HARMONY

Options that do not coincide with the grammatical configuration of the stem is NOT the correct answer.

Choices that are grammatically incorrect or contains typographical errors are probably not the correct answer.

Example 1: Diazepam (Valium) is prescribed for a client with anxiety. The nurse instructs the client to expect which adverse effect?

A.DizzinessB.DrowsinessC.ShockD.Lethargy

Example 2: When planning a care for a client who is pancytopenic, The major goal should be:

A.Prevent hemorrhage, infection and decrease oxygenationB. Administering an oral iron preparationC. Preventing Fatigue and fluid overloadD. Encouraging a consumption of a neutropenic diet

Example 3: During routine care, Mr. Gary ask the nurse. “How can I be anemic if this disease causes increased white blood cell production? The nurse best response is that the increase in WBC production will cause:

A. Crowding out of RBCB. Are not responsible to anemiaC. Use nutrients from other cellsD. Have an abnormally short lifespan

Example 4: Martha does review of related literature for the purpose of:

A.Determine statistical treatment of research dataB.Gathering data about what is already known or unknown about the problemC.To identify if the problem is duplicatedD.To answer the research question

Example 5: When preparing epinephrine injection from an ampule, the nurse initially:

A.Taps the ampule at the top to allow fluid to flow to the base of the ampuleB.Checks the expiration date of the medication ampuleC.Removes the needle cap of syringe and pulls plunger to expel airD.Breaks the neck of the ampule with a gauze wrapped around it

VIII. PRINCIPLE OF UMBRELLA EFFECT

A Choice that is more inclusive is usually the correct answer.

Example 1: Edna, 46 years old female is seen at the OPD for chromosomal and genetic analysis. The nurse knows that Phenotype is:

A. The number of chromosomes of Edna which is 46 XXB. The Totality of the Appearance and Behavior influenced by her Genetic constitutionC. The Behavior and Attitude of Edna as influence by the environmentD. The Behavior and Attitude of Edna as influence by her genes

Example 2: To view a person holistically, the nurse should think of him or her as:

A. Physical being who experiences pathology and sociological changesB. Social being who needs the dynamics of group interactionC. Psychological being whose mind influences his or her health statusD. Biopsychosocial being who is in constant interaction with the environment

Example 3: The major goal of health promotion and disease prevention is:

A. Betterment of the quality of life B. Positive habits for enhancing healthC. Social and Economic productivityD. Reduction of mortality rate

Example 4: A nurse in the emergency room receive a telephone call from emergency medical services and is told that several victims who survived a plane crash and are suffering from cold exposure will be transported to the hospital. The initial nursing action of the emergency room nurse is which of the following?

A. Supply trauma rooms with bottles of sterile water and normal saline

B. Call the laundry department and ask the department to send as many warm blankets as possible to the emergency room

C. Call the nursing supervisor to activate the agency disaster plan

D. Call the intensive care unit to request that nurses be send to the emergency room

IX. Principle of ABC, Maslow’s Hierarchy and Nursing

Process

When questions requires prioritization, These principles should apply. Keywords that indicate the need to prioritize include :

BEST VITAL

ESSENTIAL PRIMARY

FIRST HIGHEST PRIORITY

IMMEDIATE INITIAL

MOST IMPORTANT NEXT

Example 1 : The client with a diagnosis of cancer is receiving morphine sulfate 10 mg Subcutaneously every 3 to 4 hours for pain. When preparing the plan of care for the client, the nurse includes whith PRIORITY action?

A. Monitor stools

B. Monitor urine output

C. Encourage the client to cough and deep breath

D. Encourage fluid intake

Example 2: A nurse if reviewing the plan of care for a pregant client with a diagnosis of sickle cell anemia. Which nursing diagnosis, if stated on the plan of care, would the nurse select as receiving the highest priority?

A.Anxiety

B.Ineffective coping

C.Disturbed body image

D.Deficient fluid volume

Example 3: A nurse is teaching a client with coronary artery disease about dietary measures to follow. During the session, the client expresses frustration in learning the dietary regimen. The nurse would initially:

A.Identify the cause of the frustration

B.Continue with the teaching

C.Notify the physician

D.Tell the client that the diet needs to be followed

Example 4: A nurse is reviewing the laboratory results of an infant suspected of having pyloric stenosis. Which of the following is most likely expected to note in this infant?

A.Blood PH of 7.5

B.Blood PH of 7.30

C.Blood Bicarbonate of 22 mEq/L

D.Blood Bicarbonate of 19 mEq/L

Example 5: A nurse develops a plan of care for a client with a cataract. Which nursing diagnosis is a priority?

A.Fear r/t loss of eyesight

B.Social Isolation r/t decrease ability to mobilize

C.Disturbed sensory perception r/t ocular lens opacity

D.Risk for injury r/t decrease vision

Example 6: A client is seen by the nurse tilting his head and whispering words, as if he is talking to someone. What should the nurse do first?

A. Initiate suicidal precaution

B. Ask the client if he is hearing voices

C. Formulate a nursing diagnosis of risk for injury directed to self

D. Evaluate the effects of the antipsychotic medication

Example 7: Once the flame is extinguish, it is most important to:

A.Cover the burn victim with warm blanket

B.Give him sips of water

C.Calculate the extent of his burn

D.Assess the client’s breathing

Example 6: When caring for Aida after a chest surgery, your priority would be to maintain:

A.Supplementary oxygen

B.Chest tube drainage

C.Blood replacement

D.Ventilation exchange

X. Principle of “Tell Me More”

In Psychiatric Nursing, Remember to focus on the client’s feeling, concerns, anxieties and fears. This is best summarized by a response the encourage the client’s verbalization of feelings.

Example 1: A mother say to the nurse, “I am afraid that my child might have another seizure” Which response by the nurse is most therapeutic?

A. “Why worry about something you cannot control?”

B. “Most children will never experience a second seizure”

C. “Tell me what frightens you the most about seizures.”

D. “Tylenol can prevent another seizure from occuring”

Example 2: The nurse is observing a client with a potential for violence is agitated, pacing up and down the hallway and is making aggressive gestures at other clients. Which statement is most appropriate to make to this client?

A.“What is causing you to become agitated?”

B.“You need to stop that behavior now!”

C.“You will be restrained if you will not stop”

D.“You will need to be place in a seclusion”

Example 3: During a conversation with a depressed client on an inpatient unit, the client says to the nurse,”My family would be better off without me” The nurse best response is

A.“Everyone feels like this when depressed”

B.“Have you talked to your family about this?”

C.“You sound upset, are you thinking of hurting yourself?”

D.“You will feel better once your medication works”

Example 4: A client says to the nurse “I am worthless person, I should be dead” The nurse best replies:

A. “Don’t say you are worthless, you are not a worthless person”B. “We are going to help you with your feelings”C. “What makes you feel you’re worthless?”D. “What you say is not true”

Example 5: Ms. Maria Salvacion says that she is the incarnation of the holy Virgin Mary. She said that she is the child of the covenant that would save this world from the evil forces of Satan. One morning, while caring for her, she stood in front of you and said “Bow down before me! I am the holy mother of Christ! I am the blessed Virgin Mary!” The best response by the Nurse is:

A. Tell me more about being the Virgin MaryB. So, You are the Virgin Mary?C. Excuse me but, you are not anymore a Virgin so you cannot be the Blessed Virgin Mary. D. You are Maria Salvacion

XI. Principle of Reappearing Visage

A word or phrase that appears in the question and then re appears at one of the 4 choices is the most probable answer.

Example 1: A system used to deliver nursing care is known as:

A. Job descriptionB. Pattern of nursing careC. Manual of proceduresD. Health care delivery system

Example 2: A survivor of an accident repeatedly blames himself and tells the nurse he should have died instead of his girlfriend. This is an example of:

A.Denial C. RepressionB.Grief D. Survivor’s Guilt

Example 3: A chronically ill school-age child is most vulnerable to which stressor?

A.Mutilation anxiety

B.Anticipatory grief

C.Anxiety over school absences

D.Fear of hospital procedures

Example 4: The major disadvantage of whirlpool cleansing of burn wound is:

A.Patient’s hypothermia

B.Cross contamination of the burn wound

C.Patient’s discomfort

D.Excessive manpower requirement

XII. The Drug Technique

Most drug, especially psychotropic medications either acts as a CNS Stimulant or a CNS depressant. The strategy revolves in determining which are the Central nervous system excitations and which are the Central nervous system inhibitions. If 3 of the options are all CNS up and 1 is CNS down, pick the CNS down. If 3 of the options are all CNS down and 1 is CNS up, pick the CNS down.

Example 1: The nurse administers Wyamine to a client. The nurse should monitor which of the following adverse effect associated with Wyamine?

A.HypotensionB.BradycardiaC.ShockD.Hypertension

Example 2: The nurse is assessing a client who has just been admitted to the emergency department. Which signs would suggest an overdose of an antianxiety agent?

A. Combativeness, sweating, and confusionB. Agitation, hyperactivity, and grandiose ideationC. Suspiciousness, dilated pupils, and increased blood pressureD. Emotionally blunt, lethargy and impaired memory

Example 4: The nurse is monitoring a client receiving tranylcypromine sulfate (Parnate). Which serious adverse reaction can occur with high dosages of this monoamine oxidase (MAO) inhibitor?

A.Muscular SpasticityB.BradycardiaC.Hypotensive crisisD.Depression

Example 5: During the client-teaching session, which instruction should the nurse give to a client receiving the second-generation antidepressant paroxetine (Paxil)?

A. "Report diarrhoea to the physician."B. "Include high-fiber foods in your diet."C. "Report polyuria to the physician immediately."D. “Report hypertensive crisis and avoid tyramine rich foods."

Example 6: A client is admitted for an overdose of amphetamines. When assessing this client, the nurse should expect to see:

A.tension and irritability.B. hypotension.C. slow pulse.D. constipation.

7. A client with a history of polysubstance abuse is admitted to the health care facility. She complains of nausea and vomiting 24 hours after admission. The nurse assesses the client and notes piloerection, pupillary dilation, and lacrimation. The nurse suspects that the client is going through which of the following withdrawals?

A. Ecstasy withdrawal C. Cocaine withdrawalB. Cannabis withdrawal D. Opioid withdrawal

XIII. Magic Words

There are words in the NCLEX/CGFNS and Local board examination where in, when they appear, they are the most likely answer.

Example 1: This is an important procedure of the nurse during home visits:

A.Protection of the CHN bagB.Proper cleaning of the CHN bagC.Arrangement of the content of the CHN bagD.Handwashing

Example 2: Post IVP, Fe should excrete the contrast medium. You instructed the family to include more vegetable in the diet and:

A. Increase fluid intakeB. Barium enemaC. Cleansing enemaD. Gastric lavage

Example 3: Leah is developing constipation from being on bed res. What measures should you suggest she take to help prevent this?

A. Eat more frequent meals instead of three large mealsB. Walk for at least half an hour daily to stimulate peristalsisC. Drink more milk, increase calcium intake to prevent constipationD. Increase fluid to 8 full glasses of water daily

Example 4: In administering pain medication in a cancer client, it should be administered:

A. Round the clockB. as neededC. 4 times a dayD. as the patient requests

Example 5: The nurse should always remember the antibiotics are best given:

A. Round the clock, to maintain the adequate serum levelB. Twice a day, for the level to decrease during sleepC. Thrice a dayD. PRN

Example 6: The most important quality that a nurse should demonstrate before establishing a therapeutic relationship with the client is:

A. Self awarenessB. Acceptance of othersC. KnowledgeD. Skills

Example 7: Before being able to enter the AA, An alcoholic client must first have:

A. Sincere desire to changeB. Motivation to changeC. Being aware of his own problem and how it negatively affects his lifeD. Adequate support system

I. Is it possible to narrow the question into 2 options even without reading the question?

Question : Brain tumor, whether malignant or benign has a serious implications. As a nurse, you should be able to understand the consequences of the disease and its treatment. Conrad, who has brain tumor has an increase intracranial pressure. Keeping Conrad's head and neck in alignment will result in:

A. Increase intrathoracic pressure

B. Decrease venous outflow

C. Increase venous outflow

D. Increase Intrabdominal pressure

II. Is it possible to know the side effect of a drug without knowing the drug?

Question : A patient is receiving a dose of sodium meta diamino para dioxy arseno benzoe methylene sulph oxylate (Neosalvarsan) for treatment of his Syphilis. When administering the drug, which of the following is a potential side effect that you need to tell the client?

A. Avoid driving or operating heavy machineries, The drug causes drowsiness.B. Avoid exercising, The drug causes Palpitation and TachycardiaC. Do not go to high places, the drug causes TachypneD. Take a bath using cold water because the drug causes Flushed and warm skin

III. Is it possible to correctly answer an option even without knowing a thing about the question?

Question : Alio eram penetro in hospitium propter offensus. Quod of sequens est non an specto in alio?

A client was admitted in the hospital because of shock. Which of the following is not an expected assessment on a client?

A.Blood pressure of 90/60

B.Blood pressure of 139/89

C.Heart rate of 120 bpm

D.Low CVP recorded at 3 cmh2o

IV. Is it possible to correctly identify the correct answer by studying only the configuration of the options?

Question : WHAT?

After one week of antidepressant medication, Jolina still manifests depression. The nurse evaluates this as:

A.Unusual because the action of antidepressant is immediate

B.Unexpected because therapeutic effectiveness is always within a week

C.Expected because therapeutic effectiveness takes 2 to 4 weeks

D.Ineffective result because probably the drug dosage is inadequate

V. Is it possible to answer a question confidently even without a question?

Question : No Question

A. Increased heart rate C. Muscular flaccidity B. Rapid breathing D. Diarrhea

Question : No QuestionA. Are you feeling guilty about what happened?B. Why do you feel this way?C. That happened to me onceD. You seem very upset. Tell me how you are feeling.

Question : No Question

A. CNS Depression C. LethargyB. Bradycardia D. Pupil constriction

Researched and Prepared By :

MULTI EDUCATIONAL REVIEW GROUP EXPERTS

[ MERGE ]

# 28 G/F A.M. Building, Quezon Avenue, Quezon City telephone no.: (632) 742- 0022 and (632) 741-1336

mobile no.:SMART: (0921) 952- 6710GLOBE: (0906) 222- 5227SUN: (0922) 899- 6668

fax no.: (632) 742 - 0022

pinoybsn.tk

pinoybsn@yahoo.com