NCLEX Test-Taking Strategy Tip

Tip #7: Confused at this point? What if, after reading the question, you aren't sure what the question is even asking?

Take a deep breath, reread the question, and ask yourself, "What is the main topic of the question?" Now read the option choices, not to eliminate options or select a correct answer, but to get a clue as to the direction of the question. It might be helpful to read the options from the bottom up (start with option 4, rather than option 1) to help your brain focus on the options.

Example: A mother brings in a toddler with pediculosis capitis. A prescription of 1% permethrin (Nix) is given to her. What is important for the nurse to teach the mother?

Ask yourself: Is the question asking about prevention of pediculosis, complications, prevention of spread of the disease, or treatment? Check out the options. Is there an indication in the options as to the direction of the question?

1. Medication should be applied daily for 1 week with an additional follow-up treatment in 7 days.
2. Clothing, toys, and personal belongings of other family members do not require any special care.
3. Solution should be applied today and be applied again if nits are still visible in 24 hours.
4. Allow the medication to remain in contact with the scalp for 10 minutes and then thoroughly rinse.

After checking out the options, it appears that the question is asking for teaching implications for the mother regarding the use of the medication, Nix. Now that you have determined what you need to identify, you can begin the process of elimination of the options until you have found the correct answer.

The correct answer is 4. The Nix solution needs to remain on the scalp for 10 minutes before the hair is rinsed. Option 1 is too frequent for the medication to be used. Option 2 is incorrect, because the child's clothing and toys, as well as clothing and toys of the siblings, will need to be treated. Option 3 is not correct because medication should be reapplied in 7 days.

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