san joaquin delta college find success on nursing school exams!!

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

Let’s Practice

www.atitesting.com

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