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NCLEX - The Kaplan Decision Tree
Transcript of NCLEX - The Kaplan Decision Tree
Presentation by Mary Ann McLaughlin MSN, RN
Step One: Can you identify the topic of the question?
Yes: Proceed to Step 2
No: Read answer choices for clues. Identify the topic of the question. Proceed to Step 2.
Trap: NCLEX "hides" the topic of the question.
Step Two: Are the answers assessments or implementations?
Are answers all assessment or implementation? Yes. Proceed to Step 3
A mix of assessments and implementations? Read the stem to determine if you should assess or implement. Select the correct answer.
Trap: Is validation required?
Step Three: Does Maslow fit?
No: Are all answers physical? Proceed to Step 4.
No: Are all answers psychosocial? Proceed to Step 5.
Yes: Eliminate psychosocial answers. Do the physical needs make sense? Apply ABC's.
Trap: Physical needs take priority over psychosocial needs.
Step Four: Are all answers physical?
No: Proceed to Step 5.
Yes: Apply ABC's.
Trap: Don't automatically select respiratory answers.
Step Five: What is the outcome of each of the remaining answers?
Determine the outcome of each answer. Is it desired?
Select the correct answer.
Trap: Don't select answers that "sound" right.
Additional NCLEX Strategies
This isn't the real world.
You always have an order.
Don't "pass" the buck.
Take care of the patient/client first, and then the equipment.
Memorize lab values.
Learn to recognize expected outcomes.
Learn to answer positioning questions.
Don't delegate assessments, teaching, or evaluation.
Pay close attention to words such as "first", "best", or "initial". These words indicate priority.
Never use the word "why" when asking the patient a question.
Only choose the answer, Notify the physician, if the situation is emergent and the physician is needed immediately.
"Most appropriate" indicates that there may be more than one correct response.
Determine the outcome of each answer choice. Is it desired?
If the topic is not obvious from the stem of the question, look at the answer choices to determine the topic of the question.
If the question says "Teaching has been successful" we are looking for a correct answer.
Rephrase the question in your mind.
Do not offer false reassurance.
Do not ask yes/no questions.
Never leave the patient.
Comma, comma rule.
(Kaplan Instructor Manual, 2007).
Which of the following tasks is appropriate for the nurse to delegate to an experienced nursing assistant?
Obtain a 24-hour diet recall from a patient admitted with anorexia nervosa.
Obtain a clean catch urine specimen from a patient with a urinary tract infection.
Observe the returns from a continuous bladder irrigation for a patient with a urinary tract infection.
Observe a patient newly diagnosed with diabetes mellitus practice injection techniques using an orange.