00:01
I'm going to walk you through
the NGN questions.
00:04
Okay? I want you to see some quick
strategies on how you can take a look at
these from a big view and then show you how
to take the next steps and break down the
question. So I'm not going to spend a lot of
time finding the right or wrong answer here.
00:17
I just want you to get the big picture now.
00:20
We have lots of videos that will walk you
through exactly how to work through this
question, find the topic, pick the best
answer.
00:27
But in this one, I just want you to get
familiar with the format.
00:31
See, this looks different than what you see
on your regular nursing school exams.
00:35
On the left hand side, you've got a lot of
information about the patient.
00:39
On the right hand side, you've got a type of
question that you have to respond to.
00:44
Now see what's different about this one.
00:45
Look at the right hand side.
00:47
Select the four client findings that require
immediate follow up on some questions.
00:52
You'll be told exactly how many answers are
correct.
00:56
It's kind of a relief and then yet sometimes
kind of bittersweet when you're still working
through those questions. But use your
strategies and walk through them.
01:03
Now look at this format.
01:05
You see, here's what the clinical findings
are, and then they give you three different
diagnoses. This is where that checking, that
clinical judgment and that critical thinking
for you, you see fever, you'd have to know,
does that happen in pneumonia?
You'd say yes or no.
01:19
If it's yes, you check the box.
01:20
Same thing with UTI.
01:21
Yes or no? Check the box.
01:23
If it's yes. Influenza, yes or no, check the
box.
01:26
If it's yes, leave it blank.
01:27
If it's no. And then you would work through
each one of those client findings.
01:32
So remember, the first one told me exactly
how many answers I was looking for.
01:37
I was looking for four.
01:38
This format tells me you've got to think of
this System the symptom client finding, and
then think through the three diagnoses and
check in or out.
01:47
Yes or no.
01:49
Now, this is a drop down.
01:50
You've seen this all over the Internet.
01:52
So you see the little drop down box when you
click on it.
01:55
Look what's going to happen.
01:56
It gives you the answer option.
01:58
So you'll notice all the way through the
left hand side of the screen has stayed the
same. I've got all the patient information.
02:06
The question changes on the right hand side
of the screen.
02:10
If you're looking at a case study, there's
six of these questions that refer to the same
client. So on this one, you hit the dropdown
arrow and you select the answer that you
think is most correct.
02:22
Now, in this version, you see, look at the
left hand side.
02:26
We've got another tab that it's appeared.
02:28
So on most of these you'll see three tabs,
you might see two tabs, but you've just got
that as a reminder.
02:34
You have the ability to click in between
those and read the information any time you
want to. Now this is asking you to figure
out what's the best thing to do.
02:44
You've got potential nursing interventions
all the way down the left side.
02:48
Should you do it or not?
That's really what the question is asking
you Should you do it or not?
And if you think about it, it's just like a
select all that apply.
02:57
Question Right? Because you take each
question with each option one at a time and
decide yes or no, in or out, true or false.
03:05
So that's all you're doing here.
03:06
It's just presented in a little different
way.
03:09
Now you're looking at orders and it's asking
you to click to highlight the order that the
nurse should consider a priority.
03:16
Ready When I first heard about these, I was
kind of tripped out.
03:19
I'm like, Oh, it just seemed like too many
options on the NCLEX exam.
03:24
It will limit what can or cannot be
highlighted so you'll know what you're
picking from on the exam.
03:30
So don't panic. It'll be very clear what's
even possible to highlight.
03:34
You just have to choose the best answer.
03:38
This is the last type of question that we're
going to talk about that could show up in a
case study.
03:43
Remember, a case study has six different
questions about the same patient.
03:48
So you'll see things that are happening to
the patient over time, orders that are
changing. But this is the last one we're
going to talk about.
03:55
So we saved the best for last on this one.
03:58
You have three options for each one of the
assessment findings, so don't let that panic
you. This is going to happen, but you can do
it.
04:06
This is where you recognize cues, analyze
cues, prioritize hypothesis.
04:12
This is how you'll be tested on that.
04:14
Take it one assessment finding at a time.
04:17
Check the boxes, make sure you're thorough,
and then you can move on.
04:21
And that are all the different types of
questions that could show up on a clinical
case study on next gen.
04:29
This has been labeled a bow tie question
because of the shape of the question on the
right. You see that it kind of looks like a
bow tie.
04:36
The name isn't as important as you
processing.
04:39
What's the most efficient way for you to get
the best answer?
On the left hand side is all the information
about the patient.
04:47
Read it slowly and thoroughly.
04:50
Make sure you're paying attention to any
numbers.
04:52
Are they high, low or normal?
Make sure you know what's normal or
abnormal.
04:56
So as you spend thoughtful, focused time
reading through those questions.
05:00
Now, when you move over to the right hand
side, you see this is where it starts to test
your knowledge. So you'll see there's
essentially three columns.
05:07
The one on the left of the bow tie has two
boxes.
05:11
In the middle you have one box and on the
last two you have two boxes.
05:15
Now you can change your answers after you
pick them.
05:18
But let's talk about strategies.
05:20
Some people are starting with the middle
first.
05:23
They want to start with that and then they
work both the sides.
05:26
That can be a little tricky.
05:29
You can do it that way, but make sure you're
very clear, because if you put the wrong
answer in the middle, you're going to get
the wrong answers on either side.
05:38
So I prefer to start for me on the left hand
side, match that up.
05:43
I go through each one of those options where
it says action taken, right?
So each one of those potential actions, I
look at that and see which one makes sense
for this particular patient.
05:55
Then I do.
05:56
Oh, the potential condition.
05:57
Yes. Does that line up?
And then I know what I need to monitor,
which is the third column.
06:03
So my best recommendation for this is I
start at the left.
06:06
I work through each one of those options,
say yes or no.
06:09
I'm keeping them in Then.
06:11
I'm rock solid on What the middle and the
last pieces are.
06:14
Once I've filled out all five boxes, I'll go
back and make sure that all makes sense.
06:19
Like everything matches three columns
across.
06:22
Then I'll read the question one more time to
make sure that I answered the right question
because they write really good distractors
on this question.
06:30
So make sure you're thorough and take your
time.
06:35
This question is a trend.
06:37
Question. I'm going to show you two types of
these as we walk through them.
06:41
But what makes it a trend question is that
you see information over time.
06:46
So look at this. You've got a weekly visit,
one weekly visit, two weekly visit, three.
06:50
It might be just the same patient in the
same day, but this is telling us what's
happened over a period of weeks.
06:57
Timing matters when you're reading the
information, but this tells you what is a
trend. Question Now, over on the right hand
side, that's where we do the work of
answering the question.
07:07
You'll see that you're going to have to
click and drag your answers to the boxes.
07:11
That's how this type of trend question
works.
07:14
This type of trend question is a little bit
different.
07:17
You'll see you have the flow sheet.
07:19
This is one patient you're working through a
time things are happening during the day and
then you have a select all that apply.
07:26
Question On the right, this question
addresses what's happening on the left hand
side. So just use the same strategies go
through, make sure you notice what things are
normal or abnormal things you would expect,
things you would not expect.
07:38
Then go to the question and treat each one
of those options on a select apply as a true
false. Yes, no question.
07:47
And you'll have those knocked out.