One of the most common mistakes I see people making daily is reading questions too fast and assuming that they know what is being asked…when in reality, they don’t. It is very important to read each question slowly and thoroughly. The presence or absence of this skill can make or break you on your actual NCLEX test. There are a few app questions in particular that are missed on a daily basis by users and it is always due to reading the question incorrectly. It is very important to carefully take notice of words and phrases such as avoided, ineffective, needs further, and…is not…to name a few. These are not difficult questions, but they are consistently missed. Here are some examples: 1. “A patient is admitted to the hospital with an INR of 3.9, history of a GI bleed, and osteomyelitis. The patient is complaining of bone pain, so the nurse prepares to administer morphine. Which route should be avoided?” A. PO B. IV C. IM D. SQ
- With an elevated INR of 3.9, the patient is at risk for bleeding. Muscles are highly vascular and should be avoided due to the bleeding risk
- The patient should be encouraged to reposition and move to help facilitate drainage and re-expansion. The patient should be cautious not to pull at the tubing.