Test Strategies

Question 1

Auscultation location for:

Aortic Valve

Answer 1

• 2nd intercostal, R sternal border

Question 2

Auscultation location for:

Pulmonic Valve

Answer 2

• 2nd intercostal, L sternal border

Question 3

Auscultation location for:

Tricuspid Valve

Answer 3

• 4th intercostal, L sternal border

Question 4

Auscultation location for:

Mitral Valve

Answer 4

• 5th intercostal, mid-clavicular line

Question 5

If you’re stuck on a psych question, what are the two most common correct options and why?

Answer 5

1. “the nurse will examine their own feelings about…”; that way you don’t counter-transfer (ex. the PT reminds you of your dad & you didn’t like your dad so you treat him badly)
2. “establish a trust relationship”
   - > if you pick something else you’re saying it’s not that important to establish trust
   - > BUT use common sense first! (ex. if a PT is coming at you w/ a knife, safety first duh!) •

Question 6

Nutrition/Food Questions:

In a tie, pick _____. If that is not there, pick _____.

Answer 6

• chicken
• fish (NOT shellfish)

Question 7

Nutrition/Food Questions:

Why should you ever pick casseroles for children?

Answer 7

• They won’t eat it

Question 8

Nutrition/Food Questions:

What type of food is good for toddlers?

Answer 8

Finger food

Question 9

Nutrition/Food Questions:

Why is anorexia not really a concern with pre-schoolers?

Answer 9

• They eat when their hungry & usually picky)
• One meal a day is ok

Question 10

Pharmacology:

If you know what a drug does but you don’t know the side effects, what should you do?

Answer 10

• Pick a side effect in the same body system where the drug is working

Question 11

Pharmacology

If you have no clue what the drug is, determine…

Answer 11

• If its PO and if so, pick a GI side effect

Question 12

Pharmacology:

Never tell a child that medicine is…

Answer 12

candy

Question 13

What are three general pediatric rules for guessing if stuck?

Answer 13

1. When in doubt, call it normal (in med-surge, when in doubt, call it abnormal so you don’t make safety mistakes)
2. When in doubt, pick the older age (the older age of the 2 that it could be, not the oldest; gives more time)
3. When in doubt, pick the easier task (gives more time for the child to learn it)

Question 14

When you get stuck on certain questions where you want to say “all of the above” but that’s not an option, what should you do?

Answer 14

• Look for an answer that is broad enough that covers all the things you need

Question 15

When you’re stuck between two answers, what should you do?

Answer 15

Re-read the question for a clue.

Question 16

Base answers on what you _____, not what you _____ _____.

Answer 16

• know
• don’t know

(don’t answer out of ignorance)

Question 17

If something really seems right, it probably is, so go w/ your gut, unless…

Answer 17

You can prove that a different answer is superior (not “just as good”)