Summary HESI NCLEX RN Exam prep

HESI NCLEX RN Exam prep HESI and NCLEX Explained ■Comprehensive Exit HESI – 160 questions ■NCLEX 75-265 questions ■Computerized adaptive testing – CAT – Targeted to the candidates ability – Matches the NCLEX blueprint for each candidate – Selects questions and degree of difficulty based on the candidate’s response ■You have a 50% chance of answering the next question correctly – Starts with challenging question – 95% Confidence Interval Rule – 15 questions are pretest items and not scored – Time limit: 6 hours NCLEX Test Plan Blueprint Client Need ■ Safe and Effective Care Environment – Management of Care 17-23% – Safety and Infection Control 9-15% ■ Health Promotion and Maintenance 6-12% ■ Psychosocial Integrity 6-12% ■ Physiological Integrity – Basic Care and Comfort 6-12% – Pharmacological and Parenteral Therapies 12-18% – Reduction of Risk Potential 9-15% – Physiological Adaptation 11- 17% Integrated Processes - 4 Processes fundamental to nursing - Incorporated in Client Needs section 1. Caring 2. Communication and Documentation 3. Nursing Process (Assessment, Analysis, Planning, Implementation, and Evaluation) 4. Teaching and Learning Multiple Types of Questions Different point values assigned to questions – Fill in the blank – Multiple response – Prioritizing (ordered response) – Figure or illustration – “HOT SPOT” – Chart/Exhibit – Graphic item options – Audio and video 1. Multiple Choice – Entire question – ITEM – First part – STEM and Key Words ■Statement that asks the question ■Presents a problem ■Complete ( ? ) or incomplete sentence . – Second part – OPTIONS ■Possible responses ■One is the “correct answer” ■Others are “distractors” *TIP* Look for Question Polarity Positive Polarity ■ Asks you to select the correct option ■ Options are facts, principles or an action(s) that should be implemented ■ Three options are incorrect and one is correct (right answer) STRATEGIC WORDS ■ Early ■ Late ■ Most likely ■ Highest ■ Initial ■ Immediately ■ First ■ Best ■ Most appropriate ■ Highest priority Stem with positive polarity ■ The nurse anticipates which diagnostic test will most likely be prescribed to confirm the client has active lung tuberculosis? 1. Chest X-ray 2. Skin testing 3. Sputum culture 4. White blood cell count *TIP* Look for Question PoNleagartiivteyPolarity ■ Negative – Asks you to select an incorrect item or statement ■ Wants to know what is NOT TRUE ■ Requires you to recognize exceptions, detect errors or identify interventions that are unacceptable or contraindicated ■ Three options are correct and one is STRATEGIC WORDS ■ Except ■ Not ■ Never ■ Contraindicated ■ Further ■ Least likely ■ Avoid ■ Needs additional Stem with negative polarity ■ Which suggestion by the nurse is the least therapeutic when teaching the client about promoting personal energy? 1. Eat breakfast every day 2. Exercise three times a week 3. Get adequate sleep each night 4. Drink a cup of coffee each morning Stem with negativ e polarity ■ The nurse is reviewing the nursing care plan of a client hospitalized with sickle cell crisis. Which client problem is the least priority? 1. Generalized pain 2. Signs of dehydration 3. Inability to deal with the disease 4. Lack of perfusion to peripheral tissues *TIP* Look for Time Frame and Strategic Words Whenever time is mentioned…it is important. ■ Early vs. Late ■ Pre operative vs. post op Words that indicate need to prioritize… ■ Next ■ Primary ■ Initial 2. Fill in th