{"id":13206,"date":"2016-12-05T11:58:46","date_gmt":"2016-12-05T16:58:46","guid":{"rendered":"http:\/\/www.kaptest.com\/blog\/prep\/?p=13206"},"modified":"2020-09-11T20:42:30","modified_gmt":"2020-09-11T20:42:30","slug":"nclex-strategies-eliminating-incorrect-answer-choices","status":"publish","type":"post","link":"https:\/\/wpapp.kaptest.com\/study\/nclex\/nclex-strategies-eliminating-incorrect-answer-choices\/","title":{"rendered":"NCLEX Strategies: Eliminating Incorrect Answer Choices"},"content":{"rendered":"<p>One of the major problems of unsuccessful test takers is that they do not thoughtfully consider each answer choice. They react to questions using feelings and hunches. Unsuccessful test takers look for a specific answer choice. The following strategy will enable you to consider each answer choice in a thoughtful way.<br \/>\n&nbsp;<br \/>\n<div  class='avia-icon-list-container   avia-builder-el-0  el_before_av_heading  avia-builder-el-first '><ul class='avia-icon-list avia-icon-list-left av-iconlist-big avia_animate_when_almost_visible avia-iconlist-animate'>\n<li><div  class='iconlist_icon  avia-font-entypo-fontello'><span class='iconlist-char ' aria-hidden='true' data-av_icon='\ue816' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='iconlist_content_wrap'><header class=\"entry-content-header\"><h4 class='av_iconlist_title iconlist_title   '  itemprop=\"headline\"  >Step 1<\/h4><\/header><div class='iconlist_content  '  itemprop=\"text\"  ><p>Do not look at any of the answer choices except answer choice (1).<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class='iconlist-timeline'><\/div><\/li>\n<li><div  class='iconlist_icon  avia-font-entypo-fontello'><span class='iconlist-char ' aria-hidden='true' data-av_icon='\ue816' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='iconlist_content_wrap'><header class=\"entry-content-header\"><h4 class='av_iconlist_title iconlist_title   '  itemprop=\"headline\"  >Step 2<\/h4><\/header><div class='iconlist_content  '  itemprop=\"text\"  ><p>Read answer choice (1). Then repeat the\u00a0Reworded\u00a0Question after reading the answer choice. Ask yourself, \u201cDoes this answer the\u00a0Reworded\u00a0Question?\u201d If you know the answer choice is wrong, eliminate it. If you aren\u2019t sure, leave the answer choice in for consideration.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class='iconlist-timeline'><\/div><\/li>\n<li><div  class='iconlist_icon  avia-font-entypo-fontello'><span class='iconlist-char ' aria-hidden='true' data-av_icon='\ue816' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='iconlist_content_wrap'><header class=\"entry-content-header\"><h4 class='av_iconlist_title iconlist_title   '  itemprop=\"headline\"  >Step 3<\/h4><\/header><div class='iconlist_content  '  itemprop=\"text\"  ><p>Repeat the above process with each remaining answer choice.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class='iconlist-timeline'><\/div><\/li>\n<li><div  class='iconlist_icon  avia-font-entypo-fontello'><span class='iconlist-char ' aria-hidden='true' data-av_icon='\ue816' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='iconlist_content_wrap'><header class=\"entry-content-header\"><h4 class='av_iconlist_title iconlist_title   '  itemprop=\"headline\"  >Step 4<\/h4><\/header><div class='iconlist_content  '  itemprop=\"text\"  ><p>Note which answer choices remain.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class='iconlist-timeline'><\/div><\/li>\n<li><div  class='iconlist_icon  avia-font-entypo-fontello'><span class='iconlist-char ' aria-hidden='true' data-av_icon='\ue816' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='iconlist_content_wrap'><header class=\"entry-content-header\"><h4 class='av_iconlist_title iconlist_title   '  itemprop=\"headline\"  >Step 5<\/h4><\/header><div class='iconlist_content  '  itemprop=\"text\"  ><p>Reread the question to make sure you have correctly identified the\u00a0Reworded\u00a0Question.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class='iconlist-timeline'><\/div><\/li>\n<li><div  class='iconlist_icon  avia-font-entypo-fontello'><span class='iconlist-char ' aria-hidden='true' data-av_icon='\ue816' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='iconlist_content_wrap'><header class=\"entry-content-header\"><h4 class='av_iconlist_title iconlist_title   '  itemprop=\"headline\"  >Step 6<\/h4><\/header><div class='iconlist_content  '  itemprop=\"text\"  ><p>Ask yourself, \u201cWhich answer choice best answers the question?\u201d That is your answer.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class='iconlist-timeline'><\/div><\/li>\n<\/ul><\/div><br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3    avia-builder-el-1  el_after_av_iconlist  el_before_av_promobox  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Practice Question 1<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\nLet\u2019s practice the elimination strategy using the same questions.<br \/>\n\t<div   class='av_promobox  avia-button-no   avia-builder-el-2  el_after_av_heading  el_before_av_heading '>\t\t<div class='avia-promocontent'><p>\nA preschooler with a fractured femur is brought to the emergency room by her parents. When asked how the injury occurred, the child\u2019s parents state that she fell off the sofa. On examination, the nurse finds old and new lesions on the child\u2019s buttocks. Which of the following statements\u00a0<i>most\u00a0<\/i>appropriately reflects how the nurse should document these findings?<\/p>\n<ol>\n<li>\u201cSix lesions noted on buttocks at various stages of healing.\u201d<\/li>\n<li>\u201cMultiple lesions on buttocks due to child abuse.\u201d<\/li>\n<li>\u201cLesions on buttocks due to unknown causes.\u201d<\/li>\n<li>\u201cSeveral lesions on buttocks caused by cigarettes.\u201d<\/li>\n<\/ol>\n<p>\n<\/div><\/div><br \/>\nThe\u00a0Reworded\u00a0Question: \u201cWhat is good charting?\u201d<br \/>\n<i>Step 1. <\/i>Do not look at any of the answer choices except for answer choice (1). Thoughtfully consider each answer choice individually.<br \/>\n<i>Step 2. <\/i>Read answer choice (1). Does it answer the question, \u201cWhat is good charting for this situation?\u201d<br \/>\n(1) \u201cSix lesions noted on buttocks at various stages of healing.\u201d Is this good charting? Maybe. Leave it in for consideration.<br \/>\n<i>Step 3. <\/i>Repeat the process with each remaining answer choice.<br \/>\n(2) \u00a0\u201cMultiple lesions on buttocks due to child abuse.\u201d Is this good charting? No, because the<br \/>\nnurse is making a judgment about the cause of the lesions.<br \/>\n(3) \u00a0\u201cLesions on buttocks due to unknown causes.\u201d Is this good charting? Maybe. Leave it in for consideration.<br \/>\n(4) \u00a0\u201cSeveral lesions on buttocks caused by cigarettes.\u201d Is this good charting? No. The question does not include information about how the lesions occurred.<br \/>\n<i>Step 4. <\/i>Answer choices (1) and (3) remain.<br \/>\n<i>Step 5. <\/i>Reread the question to make sure you have correctly identified the\u00a0Reworded\u00a0Question. This question asks you to identify good charting.<br \/>\n<i>Step 6. <\/i>Which is better charting? \u201cSix lesions noted on buttocks at various stages of healing,\u201d or \u201cLesions due to unknown causes\u201d? Good charting is accurate, objective, concise, and complete. It must reflect the client\u2019s current status. The correct answer is (1).<br \/>\nSome students will select answer (3), thinking, \u201cHow can I be sure about the stages of healing?\u201d But the purpose of this question is to test your ability to select good charting.<br \/>\nSelect the answer choice that shows you are a safe and effective nurse. Remember, questions on the NCLEX-RN<b>\u00ae <\/b>exam are not designed to trick you. Stay focused on the question.<br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3    avia-builder-el-3  el_after_av_promobox  el_before_av_promobox  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Practice Question 2<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\nLet\u2019s select the correct answer for the second question.<br \/>\n\t<div   class='av_promobox  avia-button-no   avia-builder-el-4  el_after_av_heading  el_before_av_heading '>\t\t<div class='avia-promocontent'><p>\nA construction worker is admitted to the hospital for treatment of active tuberculosis (TB). The nurse teaches the client about TB. Which of the following statements by the client indicates to the nurse that further teaching is necessary?<\/p>\n<ol>\n<li>\u201cI will have to take medication for 6 months.\u201d<\/li>\n<li>\u201cI should cover my nose and mouth when coughing or sneezing.\u201d<\/li>\n<li>\u201cI will remain in isolation for at least 6 weeks.\u201d<\/li>\n<li>\u201cI will always have a positive skin test for TB.\u201d<\/li>\n<\/ol>\n<p>\n<\/div><\/div><br \/>\nThe\u00a0Reworded\u00a0Question: What is incorrect information about TB? <i>Step 1. <\/i>Do not look at any of the answer choices except answer choice (1).<br \/>\n<i>Step 2. <\/i>Read answer choice (1). Does it answer the\u00a0Reworded\u00a0Question, \u201cWhat is incorrect (or wrong) information about TB?\u201d<br \/>\n(1) \u201cI will have to take medication for 6 months.\u201d Is this wrong information? No, it is a true statement. The client will need to take a medication, such as isonicotinyl hydrazine (INH), for 6 months or longer. Eliminate this choice.<br \/>\n<i>Step 3. <\/i>Repeat the process with each remaining answer choice.<br \/>\n(2) \u00a0\u201cI should cover my nose and mouth when coughing or sneezing.\u201d Is this wrong information about TB? No, this is a true statement. TB is transmitted by droplet contamination. Eliminate it.<br \/>\n(3) \u00a0\u201cI will remain in isolation for at least 6 weeks.\u201d Is this wrong information about TB? Maybe. Leave it in for consideration.<br \/>\n(4) \u00a0\u201cI will always have a positive skin test for TB.\u201d Is this a wrong statement about TB? No, this is true. A positive skin test indicates that the client has developed antibodies to the tuberculosis bacillus. Eliminate this choice.<br \/>\n<i>Step 4. <\/i>Only answer choice (3) remains.<br \/>\n<i>Step 5. <\/i>Reread the question to make sure you have correctly identified the\u00a0Reworded\u00a0Question. The question is, \u201cWhat is incorrect information about TB?\u201d<br \/>\n<i>Step 6. <\/i>The correct answer is (3). You \u201cknow\u201d this is the correct answer because you\u2019ve eliminated the other three answer choices. The client does not need to be isolated for 6 weeks. The client\u2019s activities will be restricted for about 2\u20133 weeks after medication therapy is initiated.<br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3    avia-builder-el-5  el_after_av_promobox  el_before_av_promobox  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Practice Question 3<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\nHere\u2019s another question.<br \/>\n\t<div   class='av_promobox  avia-button-no   avia-builder-el-6  el_after_av_heading  el_before_av_one_half '>\t\t<div class='avia-promocontent'><p>\nA woman admitted to the hospital in premature labor has been treated successfully. The client is to be sent home on an oral regimen of terbutaline. Which of the following statements by the client indicates to the nurse that the client understands the discharge teaching about the medication?<\/p>\n<ol>\n<li>\u201cAs long as I take my medication, I can be sure I will not deliver prematurely.\u201d<\/li>\n<li>\u201cIt is important that I count the fetal movements for one hour, twice a day.\u201d<\/li>\n<li>\u201cI may feel a rapid heartbeat and some muscle tremors while on this medication.\u201d<\/li>\n<li>\u201cBed rest is necessary in order for the medication to work properly.\u201d<\/li>\n<\/ol>\n<p>\n<\/div><\/div><br \/>\nThe\u00a0Reworded\u00a0Question: What is true about terbutaline (Brethine)?<br \/>\n<i>Step 1. <\/i>Do not look at any of the answer choices except answer choice (1).<br \/>\n<i>Step 2. <\/i>Read answer choice (1). Does it answer the question, \u201cWhat is true about terbutaline?\u201d<br \/>\n(1) \u201cAs long as I take my medication, I won\u2019t deliver prematurely.\u201d Is this true about terbutaline? No. Terbutaline will inhibit uterine contractions, but there is no guarantee that there won\u2019t be a premature delivery. Eliminate it.<br \/>\n<i>Step 3. <\/i>Repeat the process with each remaining answer choice.<br \/>\n(2) \u00a0\u201cIt is important that I count the fetal movements for one hour, twice a day.\u201d Is this true about terbutaline? Maybe. Clients are told to be aware of fetal movement. Keep it as a possibility.<br \/>\n(3) \u00a0\u201cI may feel a rapid heartbeat and some muscle tremors while on this medication.\u201d Is this true of terbutaline? Yes. Terbutaline is a smooth-muscle relaxant. Side effects include increased maternal heart rate, palpitations, and muscle tremors. Leave this choice in for consideration.<br \/>\n(4) \u00a0\u201cBed rest is necessary in order for the medication to work properly.\u201d Is this true about terbutaline? No. Terbutaline will work whether the client is on bed rest or not. Eliminate it.<br \/>\n<div class=\"flex_column av_one_half  flex_column_div first  avia-builder-el-7  el_after_av_promobox  el_before_av_one_half  \" ><p><i>Step 4.\u00a0<\/i>Note that only answer choices (2) and (3) remain.<br \/>\n<i>Step 5.\u00a0<\/i>Reread the question to make sure you have correctly identified\u00a0the\u00a0Reworded\u00a0Question. The reworded question is, \u201cWhat is true about Brethine?\u201d<br \/>\n<i>Step 6.\u00a0<\/i>Which choice best answers the question, (2) or (3)? If you are focused on the question, you will select (3). Some students focus on the background information (pregnancy). This question has nothing to do with pregnancy. If you chose (2), you fell for a distracter.<\/p><\/div><br \/>\n<div class=\"flex_column av_one_half  flex_column_div   avia-builder-el-8  el_after_av_one_half  el_before_av_hr  \" ><p>&nbsp;<br \/>\n<article  class=\"iconbox iconbox_left_content    avia-builder-el-9  avia-builder-el-no-sibling  \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class=\"iconbox_icon heading-color\" aria-hidden='true' data-av_icon='\ue83f' data-av_iconfont='entypo-fontello'  ><\/div><div class=\"iconbox_content\"><header class=\"entry-content-header\"><h3 class='iconbox_content_title  '  itemprop=\"headline\"  >Remember<\/h3><\/header><div class='iconbox_content_container  '  itemprop=\"text\"  ><p>Focus on the question, and not the background information. If you can answer the question\u2014\u201cWhat is true about Brethine?\u201d\u2014without considering the background information (pregnancy), do it. Many students answer a question incorrectly because they don\u2019t focus on\u00a0the\u00a0Reworded\u00a0Question. Don\u2019t fall for the distracters.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><\/p><\/div><br \/>\n&nbsp;<br \/>\n<div   class='hr hr-short hr-center   avia-builder-el-10  el_after_av_one_half  el_before_av_icon_box '><span class='hr-inner ' ><span class='hr-inner-style'><\/span><\/span><\/div><br \/>\nAt this point you\u2019re probably thinking, \u201cWill I have enough time to finish the test using these strategies?\u201d or \u201cHow will I ever remember how to answer questions using these steps?\u201d Yes, you will have time to finish the test. Unsuccessful test takers spend time agonizing over test questions. By using these strategies, you will be using your time productively. You will remember the steps because you are going to practice, practice, practice with test questions. You will not be able to absorb this strategy by osmosis; the process must be practiced repeatedly.<br \/>\n&nbsp;<br \/>\n<article  class=\"iconbox iconbox_top main_color    avia-builder-el-11  el_after_av_hr  el_before_av_sidebar  \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class=\"iconbox_content\"><header class=\"entry-content-header\"><div class=\"iconbox_icon heading-color\" aria-hidden='true' data-av_icon='\ue82a' data-av_iconfont='entypo-fontello'  ><\/div><h3 class='iconbox_content_title  '  itemprop=\"headline\"  >Remember<\/h3><\/header><div class='iconbox_content_container  '  itemprop=\"text\"  ><p>A few things to remember when using this strategy:<br \/>\nEliminate only what you know is wrong. However, once you eliminate an answer choice, do not retrieve it for consideration. You may be tempted to do this if you do not feel comfortable with the one answer choice that is left. Resist the impulse!<br \/>\nStay focused on the\u00a0Reworded\u00a0Question. How many times have you missed a question that asked for negative information because you selected the answer choice that contained correct information?<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><br \/>\n&nbsp;<br \/>\nPrevious:\u00a0<a title=\"NCLEX Strategies: Critical Thinking &amp; Rewording Questions\" href=\"https:\/\/www.kaptest.com\/blog\/prep\/nclex\/nclex-strategies-critical-thinking-rewording-questions\/\">NCLEX Strategies:\u00a0Critical Thinking &amp; Rewording Questions<\/a><br \/>\nNext: <a title=\"NCLEX Strategies: Don\u2019t Predict Answers\" href=\"https:\/\/www.kaptest.com\/blog\/prep\/nclex\/nclex-strategies-dont-predict-answers\/\">NCLEX Strategies: Don&#8217;t Predict Answers<\/a><br \/>\n<div  class='avia-builder-widget-area clearfix  avia-builder-el-12  el_after_av_icon_box  avia-builder-el-last '><div id=\"text-78\" class=\"widget clearfix widget_text\">\t\t\t<div class=\"textwidget\"><p><span data-sumome-listbuilder-embed-id=\"ed685fed995ca0b14adea942b9321bfdb4da66714744f69d9ba773e8becb00b9\"><\/span><\/p>\n<\/div>\n\t\t<\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"<p>One of the major problems of unsuccessful test takers is that they do not thoughtfully consider each answer choice. They react to questions using feelings and hunches. Unsuccessful test takers look for a specific answer choice. The following strategy will enable you to consider each answer choice in a thoughtful way. &nbsp; Let\u2019s practice the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":26988,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[97],"tags":[],"_links":{"self":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/13206"}],"collection":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/comments?post=13206"}],"version-history":[{"count":3,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/13206\/revisions"}],"predecessor-version":[{"id":36104,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/13206\/revisions\/36104"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/media\/26988"}],"wp:attachment":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/media?parent=13206"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/categories?post=13206"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/tags?post=13206"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}