NCLEX-PN
If you came across this question in one of your medical/surgical exams, you might assume it's describing a problem, and consequently, you would select an answer that addresses "fixing" the issue. Let's examine this question: The reworded question is “How should you manage a client with these ABGs?” ● Step 1. Recognize what's normal. Interpret the ABGs. In this case, all values fall within the normal range. ● Step 2. Determine how to apply this information . Since all the values are normal, let's rephrase the question with this knowledge. Now the modified question becomes, “How should you care for a client with normal ABGs?” 1) “Increase the rate of oxygen flow the client is receiving.” Not needed because the client's oxygen levels are normal. Eliminate . 2) “Elevate the head of the bed.” Unnecessary since the ABGs are within normal limits. Eliminate . 3) “Document the results in the chart.” This is essential because the ABGs are normal. 4) “Instruct the client to cough and deep-breathe.” While this is generally advised in certain situations, like limited respiratory function due to immobility or post-operative conditions, the question only provides ABG results within the normal range. Although this action could be done, there's no indication that it's necessary here. Eliminate . The correct answer is (3) because the ABG values are normal. Sometimes, students might lean toward the answer (2) suspecting they missed something, but the key is recognizing whether the information provided is normal or abnormal and responding accordingly. Question Types The Next Gen NCLEX (NGN) introduces several innovative question types to assess nursing knowledge and skills effectively. It contains a mix of case studies (12 question types) and standalone items (two question types). Here's a detailed breakdown of these question types and their significance: The Next Generation NCLEX (NGN) introduces several innovative question types to assess nursing knowledge and skills effectively.
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