NCLEX Question on Acute Poststreptococcal Infections (Nursing)

by Prof. Lawes

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    00:01 Now, here's the one you're really interested in.

    00:04 I know you want to give great patient care, but you got to get through nursing school first, right? So how do we take all that information and apply it to an exam question.

    00:14 Ready? I promise you this is going to make such a difference in how you study and how you start rocking those exams.

    00:21 Okay, Here's our question.

    00:23 Notice what we did to you there.

    00:25 Yeah, Do you see any answer choices? No, you do not there's a reason reason for that because most of us just want to show race through a question because no one likes taking tests.

    00:36 Well, there's a few weirdos at like taking tests, but we don't talk to those people.

    00:40 Most of us don't like to take a test because it's uncomfortable.

    00:45 So you try to skim through the question look at the answer choices and pick your best one.

    00:49 That is a recipe for disaster.

    00:52 Okay, I'm going to show you based on the years of experience and I get just as nervous as you do in a test, but I want to show you what I found through research if you're my experience for teaching test-taking strategies and skills how you can start making a difference in your very next exam.

    01:09 All right, so let's take a look at the question.

    01:12 You are a nurse in a Pediatric ER.

    01:15 All right, that's my setting.

    01:16 So I'm a nurse in a Pediatric ER the mother of the patient reported that the baby was recovering from what? Impetigo 10 days ago, which of the mother statements requires immediate follow-up by the nurse.

    01:32 Okay so let's break that down for this particular patient.

    01:35 What's particular about them? Well their pediatric.

    01:38 I don't know exactly how pediatric it just says pediatric.

    01:42 Okay so we're less than 18 years of age.

    01:44 The mother gave us some information every time you get information from a patient that's really important.

    01:50 And this is assessment information.

    01:53 There's something abnormal about that assessment because oh the baby had impetigo 10 days ago.

    02:00 So what do I know about impetigo? That's a diagnosis? Whoo, that's a strep infection.

    02:05 Right? Okay, so at a strep infection ten days anything ringing a bell for you that you should know.

    02:12 Okay, cool.

    02:13 Now look at that last statement, which of the mother statements requires immediate follow-up by the nurse? Okay, we're going to put this into our own words.

    02:24 So take all the words from your nurse and Pediatric ER down to 10 days ago and frame that in your own words.

    02:36 Good! So what's particular about this patient is their Pediatric and they had impetigo 10 days ago.

    02:43 Now the final sentence of many of the questions like it's the laser focus for you.

    02:49 This is asking which of the mother statements requires immediate follow-up by the nurse? So here's what I know.

    02:56 What's going to come up next are going to come up all patient statements, right? These are the moms statements, so that last sentence is super important that once you have put it in your own words, you go back and make sure you are focused on exactly what that question is asking you.

    03:13 So if I'm looking for something that requires immediate follow-up that means it's something that's wrong or unsafe.

    03:21 Now you might think like goodness.

    03:24 I will never get through a test question at this speed.

    03:27 I promise you will if you practice because here's how the magic happens when you introduce your brain to these questions making sure you don't dissect it and pull it apart.

    03:38 You're going to be less confused by distractors or wrong answers.

    03:42 So I'm looking for something that's wrong or unsafe for this patient something that's wrong or unsafe for a pediatric patient who had impetigo 10 days ago.

    03:54 Now every time I look at each one of these four answer choices, I'm going to ask myself that same question.

    04:00 Oh, yeah.

    04:01 You heard me.

    04:02 Is this annoying? Yes. It's so annoying.

    04:06 It's going to feel like you're swimming through Jello.

    04:10 That's okay.

    04:11 You're slowing down your brain and you're teaching it to laser focus on answering these questions.

    04:18 Remember the NCLEX you can have 75 to 265.

    04:23 The better your answers are in the beginning the shorter your test will be no shame in 265, but we'd like everyone to have less than that if possible.

    04:34 So now let's look at the answer choices.

    04:35 We know that for this particular patient, pediatric patient who had impetigo 10 days ago.

    04:41 I'm looking for something that is wrong or unsafe.

    04:46 Okay well, you got four answer choices, you know, it doesn't matter if you start at the top at the bottom in the middle, it does not matter.

    04:53 What does matter is that you eliminate answers you don't just skim them you got to literally think of like drawing a line through them.

    05:02 Now you'll see us put lines to the answers as we rule them out.

    05:05 You can't do that in an online test, but you'll need to do that visually or if you're allowed a piece of scratch paper.

    05:12 You can just write ABCD or one two, three, four, whatever your test format uses.

    05:17 And what you want to do is to cross through those as you mark them off Now on the NCLEX you'll be able to do that because you have a right on wipe off board that you can write numbers on.

    05:27 So is it wrong or unsafe for a baby who had impetigo 10 days ago to say the baby doesn't really like to sit with help.

    05:37 No, that's okay.

    05:39 What about C.

    05:42 is it wrong or unsafe for a baby would impetigo 10 days ago if the mom says the baby can push up to a crawl position for months.

    05:52 No, that's pretty developmentally okay.

    05:54 That's all right.

    05:57 Here we go.

    05:58 The last two the famous famous last two.

    06:03 We all say I can always get it down to two and I pick the, right the wrong one.

    06:10 Well here to teach you how to pick the best one.

    06:14 So is it wrong or unsafe to say the baby does not need vaccinations today or is it wrong or unsafe to say the baby has four wet diapers a day.

    06:25 Now go back to that question remember, is it wrong or unsafe for a baby who had impetigo 10 days ago to have facts not need vaccinations today.

    06:36 Oh, you think back to your vaccination schedule? What if you can't remember your like man, I don't remember exactly.

    06:43 Well look at answer B.

    06:45 The baby has four wet diapers a day anytime you see a number in a question.

    06:51 You have to make a call as the student.

    06:53 The number four is that high low or normal for a baby to have for wet diapers a day.

    07:01 Wait a minute.

    07:02 That's low.

    07:04 So even if I'm not sure about the vaccinations, I know a baby should have more than four wet diapers a day.

    07:11 So I'm going to eliminate A and B is my correct answer.

    07:16 All right, good work.

    07:18 I know it was longer because I was talking you through it.

    07:20 But let's review quickly.

    07:22 When you see the question do not look at the answer choices and allow your brain to get confused.

    07:27 Make sure you spend time in the stem of the question.

    07:30 Those are the words that you see in the Box.

    07:32 So those are the words before the answer choices, make sure that you put the question into your own words and then you repeat that with every answer Choice making sure that you eliminate answers in any order.

    07:45 It does not matter, but you want to make sure you eliminate answers not just gravitate to an answer.

    About the Lecture

    The lecture NCLEX Question on Acute Poststreptococcal Infections (Nursing) by Prof. Lawes is from the course Glomerulonephritis (Nursing).

    Included Quiz Questions

    1. Monitor intake and output every hour.
    2. Assess urine color after every void.
    3. Monitor the client's weight daily.
    4. Initiate and maintain a diet high in potassium.
    5. Encourage to increase fluid intake to at least 3 liters per day.
    1. Morning
    2. Afternoon
    3. Evening
    4. Night
    1. Sodium-rich foods
    2. Protein-rich foods
    3. Calcium-rich foods
    4. Magnesium-rich foods

    Author of lecture NCLEX Question on Acute Poststreptococcal Infections (Nursing)

     Prof. Lawes

    Prof. Lawes

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