Rutgers School of Nursing Test Success. Tips for Succeeding in Your Multiple Choice, Nursing Exams
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1 Rutgers School of Nursing Test Success Tips for Succeeding in Your Multiple Choice, Nursing Exams
2 Understand Parts of a Multiple Choice Question 1. Case (Scenario)- Description of the patient and what is happening. 2. Stem- That part of the question that asks the question. 3. Distractors- Incorrect but feasible choices. 4. Correct Response- The answer to the question.
3 SAMPLE QUESTION: Case Scenario: BSN Test Success A patient who is visibly upset says to the nurse. I want to talk with the head nurse, no, get me the supervisor and the director of nursing and the owner of the hospital. I am mad. Stem: Distractors: Correct Answer The best initial response for the nurse to make is: A. Whom do you wish to see first? B. Don t be angry. C. Why do you want to talk to them when I can help? D. You seem upset.
4 ANSWER A. Whom do you wish to see first? Incorrect. Does not promote communication and does not allow exploration and understanding of the issue. B. Don t be angry. Incorrect. Discounts feelings and does not promote communication. C. Why do you want to talk to them when I can help? Incorrect. Places the patient on the defensive. Does not defuse the situation. D. You seem upset. Correct. The nurse uses the technique of paraphrasing. Acknowledges the patient s feelings. Promotes Communication.
5 CARDINAL RULES OF TEST-TAKING Read all instructions carefully. Read all test questions carefully. (Stem) Answer only what is being asked; do not read into a question anything beyond what is there. Pace yourself. Make sure you answer all of the questions on the exam.
6 READING THE QUESTION 1. Paraphrase the question: What is the question asking for in your own words? (Stem) 2. What are the key words in the question? 3. What is the time frame? 4. What are the answering options?
7 KEY WORDS Patient Factors such as age, sex, and marital status may be relevant. Age of a child may be very relevant. Who is the client the patient, family or maybe even a staff member. Problem/Behavior the problem may be a disease, symptom or a behavior. Details of the Problem e.g. duration of disease, symptom, or behavior.
8 TIME FRAME Whenever time is mentioned it is important. Early vs. Late Pre Operative vs. Post Operative Surgical Day
9 ANSWERING OPTIONS Try to answer the question before looking at the answers. Come up with the answer in your head before looking at the possible answers. Read all the choices. Recall class lectures. If all else fails, use an educated guess.
10 EDUCATED GUESS STRATEGIES Always use the process of elimination as a first step. Beware of negative terms such as none, not, and never. When you are undecided between two answers, try to express each in your own words. Then analyze the differences between the two. Use logic and common sense to reason out the correct answer.
11 ELIMINATE OPTIONS Read all of the distracters. Eliminate distracters that are clearly incorrect. With the elimination of each distracter, you increase the probability of selecting the correct option by 25%.
12 FOR INSTANCE IF YOU STUDY THE FOLLOWING 3 Deep Vein Thrombosis (DVT) is a condition wherein a blood clot forms in a vein of the deep system. DVTs can occur anywhere in the body, but are most frequently found in the deep veins of the legs, thighs, and pelvis. They may infrequently arise from the upper extremities usually because of trauma, or from an indwelling catheter (tubing) or device.
13 PRIOR TO NURSING SCHOOL 2,3 1. Deep Vein Thrombosis (DVT) is: a. blood clot in lungs b. varicose veins in lower extremities c. vasoconstriction of veins in legs d. blood clot in extremities.
14 NURSING SCHOOL 2 2. The nurse is caring for a patient who had a (kō-lə-sis-tek-tə-mē ) cholecystectomy 12 hours ago. To prevent deep vein thrombosis (DVT) the nurse will teach the patient to : 1. Keywords? 2. Time Frame? 3. Your First Response?
15 NURSING SCHOOL 2 2. The nurse is caring for a patient who had a cholecystectomy (kō-lə-sis-tek-tə-mē ) 12 hours ago. To prevent deep vein thrombosis (DVT) the nurse will teach the patient to : a. keep legs immobile while in bed. b. avoid ambulation except to go to the bathroom. c. elevate the legs above the level of the heart at all times. d. ambulate as soon as possible and frequently.
16 NURSING SCHOOL 2 The correct answer is: d. ambulate as soon as possible and frequently.
17 NURSING SCHOOL 2 To answer this question you need to be able to draw on a wealth of information. You need to know at least 4 pieces of information: a) That cholecystectomy is a surgery b) That surgery increased the risk for DVT c) What DVT is d) What does and does not prevent DVT
18 NURSING EXAMS Exams not only test how much you remember or understand about a subject. They are also designed to test your ability to think at the five higher cognitive levels. See examples. Thinking like a nurse is essential to safe and competent nursing practice at the entry level.
19 FIVE COGNITIVE LEVELS 1. Remembering 2. Understanding 3. Applying 4. Analyzing 5. Evaluating
20 HOW TO PREPARE FOR EXAMS USING THE COGNITIVE LEVELS EXAMPLE: STUDYING MEDICATIONS: FUROSEMIDE (LASIX) Remembering: Memorize the classification of Furosemide (Lasix). Understanding: Develop an understanding of the action of Furosemide (Lasix). Applying: Identify specific patient situations where Furosemide (Lasix) would be used; Identify specific patient situations requiring the care of the patient receiving the medication.
21 HOW TO PREPARE FOR NURSING EXAMS USING THE COGNITIVE LEVELS EXAMPLE: STUDYING MEDICATIONS: FUROSEMIDE (LASIX) Analyzing: Differentiate among the side effects of Furosemide (Lasix) and other medications. Determine priorities and explore relationships among data. Evaluating: Make decisions based on reflection; what is the expected outcome of Furosemide (Lasix).
22 SUMMARY Understand parts of exam. Understand the question. Identify keywords & time frame. Eliminate options. Apply your knowledge successfully.
23 Recommended Videos 1. The Science Behind Memory Video produced by Rutgers Today 2. Managing Test Anxiety for Health Professional Students Video produced by Dr. Cathy Evans and Dr. Sharon Switzer- McIntyre. Illustrated by Meg Kirkland, University of Toronto.
24 REFERENCES 1. Undergraduate Nursing Programs. Southern Illinois University Edwardsville, School of Nursing. (2013, May). Student Resources. Test Success: A Module for Test Success in Nursing. Retrieved from 2. AllNurses.com (2009, April) General Nursing Student- How To Study for Nursing Exams. Retrieved from 3. Webmd.com (2014, February). Deep Vein Thrombosis Health Center. Retrieved from 5. Evans, D. (Writer), Switzer-McIntyre, S. (Writer), & Kirkland, M. (Illustrator) (2013). Managing Test Anxiety for Health Professional Students. [Youtube Video]. Canada: University of Toronto Physical Therapy. Retrieved from
25 Faithann Brown Director Center for Academic Success Rutgers School of Nursing 65 Bergen Street, suite 1124 Newark, NJ (973)
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