Prep Live! ATI's Mini NCLEX Review

Prep Live! ATI’s Mini NCLEX Review 1

Objectives Discuss the NCLEX test plan. Review regulations of the testing center. Apply priority test-taking strategies to NCLEX style questions. 2

The NCLEX Exam Computer Adaptive Testing Pass / fail exam (No score) RN: 75 - 265 questions 15 pretest items, not scored PN: 85 - 205 questions 25 pretest items, not scored Ends when eligibility level is determined Every time you answer an item, the computer re-estimates ability level Next item is selected based on a 50% chance of answering correctly Be Aware of Your Time About 2% of candidates run out of time Give every question your best effort Do not randomly answer to finish quickly Average RN test time is 2.5 hours, 6 hour maximum Average PN test time is 2.3 hours, 5 hour maximum Breaks are optional and count in total test time 3

Pearson Vue Administers the NCLEX 2016 RN-NCLEX Candidate Bulletin 2017 PN-NCLEX Candidate Bulletin Online Tutorial: pearsonvue.com/NCLEX 4

Expect Alternate Item Formats Formats Hot spot Drag and drop Multiple choice Multiple response Fill-in-the-blank Use of Multimedia Graphic Chart / exhibit Audio / video 5

Test-Taking Strategies NCLEX items will be: Knowledge based to test recall and recognition. or Application, requiring use of nursing knowledge to solve client problems. 6

Sample NCLEX Question #1 A nurse prepares to administer medications to a client who has asthma. Which effect should the nurse recognize as an adverse response to bronchodilator therapy? 1. 2. 3. 4. Hyperkalemia Hypoglycemia Increased myocardial oxygen use Limited routes of administration 7

Sample NCLEX Question #1 A nurse prepares to administer medications to a client who has asthma. Which effect should the nurse recognize as an adverse response to bronchodilator therapy? 1. 2. 3. 4. Priority Strategy? ABC’s Hyperkalemia Hypoglycemia Increased myocardial oxygen use Limited routes of administration 8

Use Priority Setting Guidelines A-B-C Nursing Process Systemic before Local Maslow’s Hierarchy of Needs Self-actualization Self-esteem Love and belonging Safety and security Physiological 9

Sample NCLEX Question #2 A nurse admits a client who sustained a C3 spinal cord injury. Which finding should the nurse recognize as priority of care? 1. 2. 3. 4. Heart rate 52/min Respirations 10/min Temperature 97ᵒ F (36ᵒ C ) Blood pressure 88/54 mm Hg 10

Sample NCLEX Question # A nurse admits a client who sustained a C3 spinal cord injury. Which finding should the nurse recognize as priority of care? 1. 2. 3. 4. Priority Strategy? ABC’s Heart rate 52/min Respirations 10/min Temperature 97ᵒ F (36ᵒ C ) Blood pressure 88/54 mm Hg 11

Sample NCLEX Question #3 A nurse enters the room of a client who is at the foot of the bed lying on the floor. Which should be the initial nursing action? 1. 2. 3. 4. Examine the client for injuries. Obtain pulse and blood pressure. Assess vital signs and level of consciousness. Determine intensity of pain with range of motion. 12

Sample NCLEX Question #3 A nurse enters the room of a client who is at the foot of the bed lying on the floor. Which should be the initial nursing action? 1. 2. 3. 4. Examine the client for injuries. Obtain pulse and blood pressure. Assess vital signs and level of consciousness. Determine intensity of pain with range of motion. Priority Strategy? Nursing Process Assessment 13

Sample NCLEX Question #4 One hour after a client has a cardiac catheterization and stent placement using an approach via the left femoral artery, the nurse should be most concerned about which finding? 1. Left pedal pulse 1 , right pedal pulse 2 , left leg slightly cooler than the right 2. Client rates discomfort of 3, on a scale of 0 to 10, in the left groin area 3. Cardiac monitor shows 1 to 2 premature ventricular contractions (PVCs) per minute 4. Vital signs include pulse rate 120 bpm, BP 90/60, respirations 22, and temperature 99o F 14

Sample NCLEX Question #4 One hour after a client has a cardiac catheterization and stent placement using an approach via the left femoral artery, the nurse should be most concerned about which finding? 1. Left pedal pulse 1 , right pedal pulse 2 , left leg slightly cooler than the right 2. Client rates discomfort of 3, on a scale of 0 to 10, in the left groin area 3. Cardiac monitor shows 1 to 2 premature ventricular contractions (PVCs) per minute 4. Vital signs include pulse rate 120 bpm, BP 90/60, respirations 22, and temperature 99o F Priority Strategy? Systemic before local 15

Sample NCLEX Question #5 A client presents to the emergency department and reports a history of Gravida 3 Para 2. Which should be the nurse’s initial action after observing a presenting part? 1. 2. 3. 4. Provide emotional support to the client. Notify labor and delivery staff members. Time frequency and duration of contractions. Prepare for delivery of the newborn in the emergency department. 16

Sample NCLEX Question #5 A client presents to the emergency department and reports a history of Gravida 3 Para 2. Which should be the nurse’s initial action after observing a presenting part? 1. 2. 3. 4. Priority Strategy? Maslow’s Provide emotional support to the client. Notify labor and delivery staff members. Time frequency and duration of contractions. Prepare for delivery of the newborn in the emergency department. 17

Prioritizing Client Care ABCs Maslow’s Hierarchy Nursing process Systemic before Local 18

Questions? Continue to review and apply the test-taking strategies! 19

Prep Live! ATI's Mini NCLEX Review. 2 Objectives Discuss the NCLEX test plan. Review regulations of the testing center. Apply priority test-taking strategies to NCLEX style questions. 3 Computer Adaptive Testing Pass / fail exam (No score) RN: 75 - 265 questions