test taking strategies for nle board exam
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7/30/2019 Test Taking Strategies for NLE board Exam
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Sometimes pure hard work and mental preparedness is not enough. The ability to answers exams or any test faster is
a must specially if it is bounded by time. Usually the pressure sets in if the time is working against you and even if
you’ve prepared 100%, it can ruin entirely what you have poured in. We have outlined test taking tips and strategies
applicable not only in the June 2009 Nursing Board Exam but also in any type of multiple choice exams including
NCLEX.
The Parts of a Question The question contains several parts:
the case (sometimes called scenario) – the description of the client and what is happening to him/her
the stem – the part of the question that asks the question
the correct response
distracters – incorrect but feasible choices
Key Words
The most important skill for the test taker is the ability to read the question carefully and determine the key elements
in each question. Each question has key words. Key words relate to the client; to the problem; and to specific aspects
of the problem.
Client
Factors such as age, sex, and marital status may be relevant. When a child’s age is given it often is very relevant to
the answer. Vital signs vary with age. Preoperative teaching methods vary with age. Appropriate toys and
diversional activities vary with age. Always pay special attention to the age of a client when it is given. Also
consider who is the client for this question. That is, who is the focus of the question. The client may be the identified
sick person, or it might be a relative of the identified sick person, or even a staff member.
Problem/Behavior The problem may be a disease, a symptom or a behavior.
Details of the Problem
Is the question asking for nursing actions or client symptoms or family responses? Does the question ask about a specific aspect of nursing care assessment, planning, implementation,
evaluation?
Does the question ask details relevant to a specific symptom or behavior the client exhibits?
Is there additional information about the client or the problem that is important?
Priority Setting
“What action takes priority?”
“What should the nurse do first?”
“What should the nurse do initially?”
“What is essential for the nurse to do?”
Physiologic needs are first, followed by safety needs, then love and belonging, self-esteem and self-actualization.
The first step of the nursing process is assessment! When the stem of a question asks for the initial nursing action
always look to see if there is a relevant assessment answer. The nurse will take an action only when there is enough
data to act. Call the physician only when there is not a nursing action that should be taken first. The stem of the
question may ask for a nursing action and the correct answer may be to assess.
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When the stem of the question asks what is essential for the nurse to do, think safety. Remember many of the test
questions are safety questions.
What is the Time Fr ame?
Whenever a specific time frame is indicated in a question it is very important. Pay attention to it. Time related words
may be like early or late in relation in symptoms, pre operative or post operative, care on the day of surgery or later
postoperative care.
Repeated Words Words from the question are repeated in the answer. Frequently the same word or a synonym will be in both the
question and the answer.
Opposites When two answers are opposite such as high blood pressure and low blood pressure or increase the drip rate and
stop the IV, or turn on the right side and turn on the left side, the answer is usually one of the two.
Same Answer If two or three answers say the same thing in different words none can be correct. If the answers are too alike, then
neither one is correct.
Odd Answer Wins The answer that is different from the others is apt to be the correct answer. It may be the longest or the shortest or
simply very different in content or style.
Umbrella Answer One answer includes the others. There may be more than one correct answer. One answer is better than all the others
because it includes them.
Test I tem Check L ist
Use this handy list to check yourself every time you answer a test question.
Say to yourself, DID I CAREFULLY…
Read the stem?
Read all of the options?
Read the stem again?
Look for key words?
Eliminate obviously incorrect options?
Absolutes Answers containing universal or absolute words are very apt to be incorrect. Very little in life or nursing is always
correct or incorrect. Answers stated in absolute terms should be looked at with great caution.
Deadly Dangerous Safe
all
every
total
nothing
always
each
only
any
nobody
main
chief
avoid
primarily
major
shall
inevitable
eliminate
rarely
usually
almost
frequently
probably
potentially
may
sometimes
partial
some
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never
none
impossible
too
might
should
few
essentially
generally
occasionally
nearly maybe
could
commonly
average
seldom
often
normally
Choosing between the two best options
After eliminating the incorrect options and you are having difficulty choosing between two seemingly correctresponses, use the following strategies:
Eliminate Similar Distracters - If two options are essentially saying the same thing or include the same
idea, then neither of them can be the answer. The answer has to be the option that is different.
Reread two seemingly correct options – If two options seem equally correct, reread them carefully; there
must be some difference between them. Reread the stem; you may notice something you missed before.
Look for a global response – A more general statement may also include correct ideas from other options.
Multiple Choice Test Taking Tips
Tips on answering multiple choice questions
Read the question before you look at the answer.
Come up with the answer in your head before looking at the possible answers, this way the choices
given on the test won't throw you off or trick you. Eliminate answers you know aren't right.
Read all the choices before choosing your answer.
If there is no guessing penalty, always take an educated guess and select an answer.
Don't keep on changing your answer, usually your first choice is the right one, unless you misread the
question.
In "All of the above" and "None of the above" choices, if you are certain one of the statements is true
don't choose "None of the above" or one of the statements are false don't choose "All of the above".
In a question with an "All of the above" choice, if you see that at least two correct statements, then "All
of the above" is probably the answer.
A positive choice is more likely to be true than a negative one.
Usually the correct answer is the choice with the most information.
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Multiple choice Tests
Multiple choice questions usually include a phrase or stem
followed by three to five options:
Test strategies:
Read the directions carefully
Know if each question has one or more correct option
Know if you are penalized for guessing
Know how much time is allowed (this governs your strategy)
Preview the test
Read through the test quickly and answer the easiest questions first
Mark those you think you know in some way that is appropriate
Read through the test a second time and answer more difficult questions
You may pick up cues for answers from the first reading, or become more comfortable in the testing
situation
If time allows, review both questions and answers
It is possible you mis-read questions the first time
Answering options
Improve your odds, think critically:
Cover the options, read the stem, and try to answer
Select the option that most closely matches your answer
Read the stem with each option
Treat each option as a true-false question, and choose the "most true"
Strategies to answer difficult questions:
Eliminate options you know to be incorrectIf allowed, mark words or alternatives in questions that eliminate the option
Give each option of a question the "true-false test:"
This may reduce your selection to the best answer
Question options that grammatically don't fit with the stem
Question options that are totally unfamiliar to you
Question options that contain negative or absolute words. Try substituting a qualified term for the absolute one, like frequently for always; or
typical for every to see if you can eliminate it
"All of the above:" If you know two of three options seem correct, "all of the above" is a strong possibility
Number answers: toss out the high and low and consider the middle range numbers
"Look alike options" probably one is correct; choose the best but eliminate choices that mean basically the
same thing, and thus cancel each other out
Double negatives: Create the equivalent positive statement and consider
Echo options: If two options are opposite each other, chances are one of them is correct
Favor options that contain qualifiers
The result is longer, more inclusive items that better fill the role of the answer
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If two alternatives seem correct, compare them for differences,
then refer to the stem to find your best answer
Guessing:
Always guess when there is no penalty for guessing or you can eliminate options
Don't guess if you are penalized for guessing and if you have no basis for your choice
Use hints from questions you know
to answer questions you do not.
Change your first answers when you are sure of the correction, or other cues in the test cue you to change.
Remember that you are looking for the best answer, not only a correct one, and not one which must be true all of the time, in all cases, and without exception