Presentation on theme: "BECOME TEST – WISE Mastering Computer-based Standardized Nursing Tests"— Presentation transcript:
1 BECOME TEST – WISE Mastering Computer-based Standardized Nursing Tests Texas State UniversitySt. David’s School of Nursing
2 Acknowledgements Liz Fuentes, MS, RN, FNP-C Assistant Clinical Professor, Texas Women’s UniversitySchool of Nursing, Mott Community College, Flint, MI
3 Table of Contents Mastering Computer-based Standardized Nursing Tests SlidesSolid Learning StrategiesGeneral Test Taking SkillsHow to Read and Interpret a Test Question 10Parts of a QuestionPracticing What We Just L earnedMathematical Computations 21OptionsTypes of Test ErrorsEliminating Incorrect Options15 Test Taking StrategiesReferences
4 Learning Strategies: Your Guide to Classroom and Test-Taking Success With the above workbook that you received at New Student OrientationandLearning Strategies Inventories worksheets posted on thewebsiteComplete Self-Assessment InventoriesOne chapter at a timeYou must have solid learning strategies to master standardized nursing tests
5 You are to fine tune and strengthen these learning strategies: Getting the most from lecturesPreparing for classTaking notesEveryday learningStudyingReading strategiesTips for remembering factsPreparing forClassroom assessmentsStandardized nursing assessments
6 When studying – what works best for you? Don’t change your mode of successIf study groups work for you – continueIf studying alone works – continueIf creating a quiet study space works – continueIf noise keeps you alert – go for itIf changing your study space every couple of hours works - continueAssess your attitude toward test-takingBe positive; it makes a differenceBe steadfast – determinedCheckout this New York Times ( ) article:Forget What You Know About Good Study Habits
7 General Test-taking STRATEGIES Avoid changing answersBe systematicWork at a steady paceStay focusedBreatheLook for logic
8 THE TIME OF THE TEST ARRIVES…. Get sleepEat what is kind on your digestive system at a time that works well for youWear comfortable clothing and a watchOr try wearing a “Sunday” outfitBring a pencil or penGoal: Be physically and mentally alert at an intensity that feels right to you
9 FORECAST POSITIVE RESULTS “I am in control of my attitudes and my attitudes are positive. I can do well on this exam.”andI am steadfast – determined.
10 Standardized NursingTests:How to Read andInterpret a Test Question
11 Parts of an Assessment Question Situation/scenario: Statement giving information about a clinical problemStem: Specifically asks you somethingOptions: Choices to answer the stem
12 The Situation/Scenario Sets the stage for the questionUsually describes a client, family member or significant other with a particular problem or set of problemsContains some pertinent information
13 What is the Question Stem? Central focus of the itemPresented as a question or incomplete itemLook for key words such as:Most correctMost likelyDo firstInitialHighest priorityMay require information from the situation in order to answer
14 Stem TypesTrue response stem – asks for a true statement (commonly used)False response stem – asks for the incorrect answer (not commonly used)
15 Options: Choices to answer the stem One option is the most correct answerThe other options are called distractersMay be four options of similar lengthMay be two short and two long answersMay be similar in length and designed as the correct answerMust be plausible, but not correctIf an option contains both correct and incorrect information – it is a distracterNegative Options – not common but you need to be familiar with themChanges direction of the questionLooks for the WRONG answerThe correct option answers what the stem of the question is asking you, so make sure to re-read the stem (central focus of a question) after you’ve chosen your answer
16 Options: Choices to answer the stem TipsSeparate what the question is telling from what it is askingScenario vs. stem (usually asks for true statement)Always identify the client, issue, key wordsEliminate options offering new informationGiven: The nurse is always therapeutic and time is available
17 Let’s practice what we just learned plus learn a few strategies
18 Sample Nursing Test Question The nurse is preparing a medication for a client and observes the date of expiration occurred two months ago. Which action should the nurse perform?
19 Sample Nursing Test Question Situation/ScenarioQuestion StemThe nurse is preparing a medication for a client and observes the date of expiration occurred two months ago. Which action should the nurse perform?
20 Options to the Nursing Test Question A. Give the medicationDiscard the medicationOmit the medicationReturn the medication to the pharmacyRationale: Laws require all medication to have an expiration date. Outdated medication should be returned to pharmacy for proper disposal.
21 Mathematical Computations Be mindful of mathematical questions which will be included in an exam:The nurse is to administer an antibiotic to a child who weighs 22 lbs. The dosing is mg/kg/day.First you would need to convert lbs to kgs: 2.2lb=1kg so this child weighs 10 kgs.Then multiply 10 kg by 40 mg (right in the middle of the recommended dose) = 400mg/day.Amoxicillin comes in 125 and 250mg/5cc (1 teaspoon).Antibiotic dosing should be divided throughout the day. Divide the total dose per day (400mg) by 3 doses throughout the day = 133mg.The child can receive 125mg or 5cc three times daily.
22 Option Position Myths Example: No one position is favored; A vs. B vs. C vs. DWhen in doubt – select C is a myth that itemwriters know about…Don’t look for shapes, letters, sequences, or patterns in answersExample:“I have too many C answers”There is no pattern to answers
23 One Last Option MythThe longest answer contains the most information but don’t assume the information in the longest answer is correct
24 Umbrella Option Contains other options within it Present when there is more than one right answer found
28 First Error Type Misperceiving Information Words are read incorrectly Information is overlookedSee next slide for an example
29 Read These Options ONCE IN A A LIFETIME BIRD IN THE THE HAND PARIS THE SPRINGONCEIN AA LIFETIMEBIRDIN THETHE HAND
30 What did you see?Did you see “Paris in the Spring”, “Once in a Lifetime” and “Bird in the Hand?”Look again at the next slide
31 Each option has repeated words PARISIN THETHE SPRINGONCEIN AA LIFETIMEBIRDIN THETHE HAND
32 Second Error Type Misprocessing information Not recognizing a key word ExampleDysphagia may be misread as dysplasiaFocusing on the wrong key word in a distracter
33 Third Error Type Misapplying the response Results when knowledge cannot be applied to the questionGraduates have a great deal of knowledge, but may have difficulty narrowing it to a particular answer
35 Absolutes 101 Anti-hypertensives always make you dizzy Patients should never self-medicateDoubtless the nurse is correctThe patient was completely satisfied with treatment
36 Qualifiers The medication is probably the cause of the problem Patients usually walk after surgeryAspirin is the best medicationNo one ever documents that way
37 There is no penalty for guessing but you don’t want to “have to” guess too frequently
38 Test-taking Strategies The following are 15 strategies for mastering computer-based standardized nursing testsWe have included so many because different types test questions require different strategies to answer the question stem correctlyYour assignment is to practice these strategies to determine which ones work best for you
39 Strategy 1 Read the client description and question carefully Take time to read each word in the situationRead the question stem – be sure you understand what it is askingForm an answer in your mind, then select the option closest to your answerThe correct answer answers what the stem of the question is asking you, so make sure to re-read the stem (central focus of a question) after you’ve chosen your answerOnce a question is answered, it’s done…. Go to the next question
40 Strategy 2 The information provided is the only information to use Avoid adding information to the situationDon’t assume information that is not thereDon’t refer to personal experience
41 Strategy 3 Go with your gut Go with your intuition It may be a trigger to your memory if it sounds familiarOr perhaps your subconscious is at work
42 Strategy 4 Identify the step of the nursing process being tested If an assessment question is asked, answers should involve collection more dataYou need to become sensitive to words that indicate the phase of the nursing process being tested
43 Strategy 4: Example continued For example:The nurse completes a client’s vitals and notes the following:RR: 28 per minuteTemperature: 98.6°FHR: 90BP: 100/70Which of these results would be concerning to the nurse?
44 Strategy 4: Options with rationales Temperature: No, it is in normal rangeRespiratory rate: Yes, the client is tachypneicBP: No, 100/70 could be a normal range for this clientHR: No, 90 is within normal range
45 Strategy 5 Concentrate on the question at hand Each question demands your undivided attentionOnce a question is answered, it’s done…. Forget it!
46 Strategy 6 Every question has the same point value No question carries more weight on the test than anotherIf you don’t know an answer, make an educated guess and move forward
47 Strategy 7 Don’t test angry Avoid personalizing a question Some topics, such as abortion, abuse or rape trigger personal emotionsAnswer according to what you have learned, not according to what you believe
48 Strategy 8 Generally, avoid answers containing qualifying words Always NeverAllNoneNothing is always, never, or none
49 Strategy 9 Look for answers that are somehow different If three options give a specific age, but the fourth option generalizes (i.e. adult), the general option is usually the correct one
50 Strategy 10 Look for answers that facilitate something such as: Client teachingAssisting the client toward independenceLook for facilitative words:* Assist * Help* Aid * Reinforce* Support * Foster* Encourage * Nurture* Facilitate * Endorse
51 Strategy 11 Look for relationships between answers: Item writers usually write the question first, the right answer next, then the distractersUsually the correct answer has a connection with the other optionsIncorrect answers don’t have a relationship with each of the other answers
52 Strategy 12 Select the answer that is most inclusive If more than one answer looks to be correct, see if one of the answers contains the otherThe more comprehensive an answer is, the more likely it is the correct one
53 Strategy 13When given the option to medicate or use a non-pharmacologic treatment, select the non-pharmacologic treatmentAlternative methods of treating a problem should be attempted before administering medications
54 Strategy 14For each option note (quickly - in your head) if it’s a true statement (+), a false statement (-) or a not sure (?)If there are 2 matching options left, select the more familiarIf there is 1 matching and 1 not sure, pick the matching oneGO WITH YOUR GUT
55 Strategy 15: Practice Practice Practice Take practice tests – timed at 2 minutes for each questionGoal: 9 of 10 answers correctTake practice tests – timed at 1.5 minutes for each questionTake practice tests – timed at 1 minute 15 secondsTake practice tests – timed at 1 minute for each questionGood resource:for onlinePractice Nursing Assessments
56 Practice Practice Practice Using practice tests in a timed environment helps reduce anxiety when it’s time for the real thingPractice Practice PracticeWe are serious about practicing…
57 References Mott Community College Nursing Department Mott Community CollegeNursing DepartmentFlint, MichiganFUENTES, ELIZABETH E., MS, RN, FNP-C, Assistant Clinical Professor Texas Woman's University PowerPoint presentation: Test Taking StrategiesZerwekh, J. & Claborn, J.C. (2003). Family Nurse Practitioner Certification Review. St. Louis: Saunders.