NCLEX Critical Thinking – What to Do When You Don't Know What to Do (for 2018 NCLEX)



have you ever had a question on an exam and had no idea what the answer is I'm sure you have it happens to everyone and it will happen to you on the NCLEX because that's the nature of a computer adaptive test it will find your breaking point so what are some of the tools that top test takers use to answer questions that are out of their current knowledge base I'm about to break down a question like this and show you a basic strategy that you can use to drastically increase your score on exams especially on questions for about content that you don't understand or aren't familiar with stay tuned for an NCLEX super strategy coming right up so now this question was posted by the ncsbn into the public domain on their website and I write this question but I'd love to share with you some strategies that you can use to break it down and totally crush this question on the NCLEX here's a question an 80 year old client who is experiencing unintentional weight loss is admitted with a diagnosis of malnutrition the nurse understands that which of these lab tests is most sensitive measure of nutritional status a serum calcium B urine creatinine C serum albumin or B urinary protein so here's the strategy remember we always want to start by rewriting the question in our own words in our head so ask yourself when I'm looking at lab reports what's the best indicator of nutritional status that's all this questions asking this is one of those questions that's both easy and really challenging at the same time well how can that be that's because this is not an application question this is just assessing your knowledge about basic lab values and they want to know if you know what the monitor for nutrition status if you know that and you know it's straight off it's an easy question but if you don't know the answer straight off it's really difficult because we don't have a whole lot of other strategies that we can use to break it down but I do have one in my back pocket we're going to use what we want to do with this is start eliminating things that we know were wrong based on big kind of high level content think way back to basic ANP when we were studying about nutrition and metabolism and our bones and how we maintain all of this different stuff with hormones because remember there's things that you need to know in nursing just basic facts but then there's things that you need to understand their concepts and they're the way things work together and influence each other and this question it falls into the straight up facts category so the first thing you want to use is your knowledge if you know the answer and you see it there go for it if you don't know it and you were just to simply guess and not use any strategy you're gonna have a 1 in 4 chance 25% chance at getting this question right so let's apply a strategy that we can use to increase those odds you will get questions like this on the NCLEX where you have no idea what the answer is and maybe no idea even what the question is about because the NCLEX always asks you questions pretty much every single one it estimates you have a 50% chance of knowing the answer or getting that question correct that's why every question on the NCLEX is hard because you're debating it could be this or it could be that so now let's go back to A&P as I mentioned let's think about some big concepts what organ determines what comes out of our urine and what gets reabsorbed because we noticed two things about the answers on this question two of them were serum labs blood labs and two of them where urine labs so again what's monitoring what comes out of our urine what's going to be our kidneys right so if our kidneys aren't functioning a lot of times they let out extra stuff and let out things that we don't normally want to see so in this case creatinine or protein this question is asking about nutrition status it's not asking about renal function so if you're not dead set but it's one of those two urine labs let's just cross the is off because that's assessing kidney function we're not looking at kidney function we're looking at nutrition so now if we cross those two out we've only got two left we're up to 50/50 we just doubled our odds using that one strategy just think bigger picture so now let's look at calcium what do we remember about calcium in our blood from a and P think big level stuff we know it's calcium stored mostly in our bones we know PTH is involved we got osteoclasts and osteoblasts none of that really to me sounds like nutrition a lot of that just sounds like hormones and different cells doing different things so that really doesn't make sense so if I didn't know this answer straight off I can eliminate those three and I'm left with serum albumin as it is that's the correct answer serum albumin is the best indicator of nutritional status so remember you have this huge knowledge base that you bring into this exam think all the way back to A&P think big concepts things that you learned a long time ago just apply that basic thinking to these questions and start removing some of the answers as possibilities and it brings up your odds apply what you know and you're going to do well so if you found this information helpful go ahead and spread the love you can email a link to this video to one of your classmates you can post some comments below here let me know what you think tell me where you still feel stuck or where I could help you out more I'd love to hear about your experiences so keep me posted you think people know I'm not wearing any pants now don't wear my pants Underpants creepy

31 thoughts on “NCLEX Critical Thinking – What to Do When You Don't Know What to Do (for 2018 NCLEX)”

  1. This is my top choice for NCLEX style practice questions whenever anyone asks… https://amzn.to/2Lc0UdO
    Nursity NCLEX Strategies and Review Course http://bit.ly/2y8sI6K

  2. yehey my answer is correct!😋😋😋😋😋😋😋😋😋😋

  3. very good teaching but we love to see the questions and answers on the screen, that help your students

  4. Just wanted to say I love your videos! I find them more helpful and easier to understand than Simple Nursing. Using these to study for NCLEX! Thanks

  5. I actually watched this video in the beginning of nursing school, since I had no idea how to answer the critical thinking questions that appeared on my first Basic Nursing Skills test. This video helped me out then. Now that I am getting ready to take my NCLEX-PN I have watched this video another two times, and will probably watch it more before I take the NCLEX.

  6. I wanted to share my good news. I recently took boards and passed! I had the minimal amount of questions and 29 SATA. I used your strategies along with a couple of books. I want to thank you so much, I feel that your information is truly helpful. I will share your videos with instructors and anyone else who will listen!

  7. Great video. In my last term and a big portion of our capstone grade is taking NCLEX questions and re-mediating. I still struggle with test taking (and I have never struggled with this before in my life!) and so I found this helpful. I will use this from now on!

  8. thank you! very helpful. waiting in my card to sit for the test, now. whoot whoot! it's all in the hands of the examiner now!

  9. Thank you for this video. Your videos were recommended to me by a friend who passed the NCLEX just recently. They are very helpful in understanding different strategies in answering the NCLEX. Keep it up!

  10. Can you do a video on SATA questions please! Im taking NCLEX soon, hope you see this.. your videos break everything down well, love them!

  11. I'm spreading the love and love these helpful videos .. I see paris I see france I see someone's underpants

  12. Do you have any suggestions on questions about meds? I find it very challenging especially now that they only give you generic name.

  13. Lol, I like this guy, hopefully he will build up his videos like Michael Linares and possibly be a competitor with a cheaper version of help!

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