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How to PASS the NCLEX [7 DAY TRAINING] DAY 6 Priority Strategies — Transcript

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0:00Welcome to NCLEX Crusade International.
0:04Pass the NCLEX step-by-step 7-day
0:07training. Welcome to day six. I love the
0:12comments that I keep seeing from you
0:14guys all over social media, on our
0:17Telegram group. I see all the students
0:21commenting that they are starting to see
0:24a change in their QBanks, on their
0:27scores. So, I am very very happy to
0:31hear, to see that you're doing better. I
0:35saw one comment from one student saying,
0:37"Professor, since I started watching
0:39this 7-day training, my score changed
0:42from 50% to 78%
0:45and that is a great improvement in just
0:49a few days. So, I am glad that this
0:517-day training that I created for you is
0:54beneficial. I created this free training
0:57so everybody around the world can see
1:00it. Any country, it doesn't matter. If
1:02you're student preparing for the NCLEX,
1:05this 7-day training can be extremely
1:10beneficial to you.
1:12If you haven't seen day one, day two,
1:16day three, day four, and day five, you
1:21are missing on a lot of information.
1:25So, on our first day of training, we
1:27talked about understanding the NCLEX
1:30world.
1:31We talked about the five key factors of
1:34an NCLEX style question. So, you need to
1:37see day that day one if you haven't seen
1:39it yet.
1:41Day two, three, and four, we talked
1:43about NCLEX categories and we practiced
1:46a lot of questions together and I know
1:50that made a difference. That changed
1:52your critical thinking and you started
1:55learning how to use strategies to answer
2:00these types of question. And of course,
2:02yesterday training, day six, was
2:06phenomenal. For the first time, I think
2:09in our in YouTube channels, all over the
2:12NCLEX preparation YouTube, for the first
2:15time we went into in-depth details about
2:19prioritization strategies and you
2:22learned how to use the when to call the
2:25doctor strategy and the Maslow's
2:29hierarchy of needs strategy.
2:31If you do not know what I'm talking
2:34about, if you do not know these
2:37strategies, go ahead and go back to day
2:40six and make sure you see that whole
2:44training because that is going to mark
2:47the beginning of you changing your
2:51critical thinking.
2:53I am so happy to be here with you today
2:57in our day six
2:59training how to pass the NCLEX
3:01step-by-step.
3:03And since day one,
3:05I have seen my students commenting,
3:09"Professor, please talk about SATA,
3:12select all that apply style questions."
3:16So, wait no more.
3:18Today, in our day six agenda, we finally
3:23we're going to talk about select all
3:27that apply.
3:28I'm going to show you a strategy that I
3:30use. It's a simple strategy, but a few
3:34simple steps that you can apply
3:37in every select all that apply question
3:39can take you a long
3:42ahead. It can take you far ahead when
3:45you're analyzing these types of
3:47questions. And of course, we are going
3:50to practice select all that apply style
3:53questions and at the end, I'll give you
3:55a few minutes to ask me some questions
3:58and we'll talk about our last day of
4:01training that will be tomorrow. Tomorrow
4:05is day seven, our last day of training
4:10for this 7-day training. That does not
4:12mean that I will disappear. I'm not
4:15going anywhere. I decided to open this
4:19channel to share some information with
4:22you to help you guys prepare for the
4:26NCLEX the right way and I'm not going
4:29anywhere. As long as I have health, like
4:32I said, as long as God gives me health
4:35to be here and teach and talk to you
4:38guys, I'll do the best I can to help you
4:41prepare. And that is
4:43a desire that I have from the bottom of
4:46my heart. So, tomorrow, we'll talk about
4:49the next steps.
4:51What else we're going to do? What are
4:53What are we going to be doing for the
4:54following weeks? Some other trainings
4:57that we will have. So,
4:59do not worry. But, let's begin. Let's
5:03talk about select all that apply.
5:08I have been for many years researching,
5:12trying to find a way
5:15to help my students
5:18be better at select all that apply style
5:21questions. But, let me tell you
5:23something. There is not a lot of
5:25information.
5:26None of the books really talk about any
5:29strategy, anything that you can use.
5:32And I will tell you that most of these
5:34select all that apply style questions,
5:37they are content related.
5:40Which means that you need to have
5:42content.
5:43Like I've said from day one, remember
5:45that in order to have success, in order
5:48to have success on the NCLEX, you need
5:51both, 50% knowledge and comprehension
5:55and 50% application of strategies. Okay?
6:02Very good.
6:03All right. So, let's talk about this
6:06strategy.
6:08Three simple steps
6:10to answer select all that apply
6:13questions.
6:14Now, is this strategy going to help you
6:18answer ALL OF THE QUESTIONS RIGHT?
6:21Probably not because sometimes it's pure
6:24content. If you don't know the content,
6:27you won't be able to answer that
6:28specific question. But, can we use some
6:32critical thinking? Yes, you can. You can
6:35always use critical thinking and I will
6:39show you a technique that is going to
6:41help you drastically.
6:44So, what are the three steps, Professor?
6:47Step number one,
6:49true or false.
6:51Step number two,
6:52opposite versus similar.
6:55Step number three,
6:57absolute words.
6:59What do you mean by this, Professor?
7:02What do you mean by true or false,
7:04opposite versus similar, and absolute
7:07words?
7:08Let's go in detail.
7:10So, the first step that I want you to do
7:13when you're in front of a select all
7:15that apply question,
7:17of course, you're going to read the
7:18question and you're going to determine
7:21the the five key factors of an NCLEX
7:23question. That doesn't change. It's
7:26always the same. We start the same way
7:29no matter what type of question it is.
7:32But, once you determine that this is a
7:35select all that apply question, then
7:39you're going to start thinking a little
7:41bit different.
7:44Now, you're going to look at each answer
7:47choice
7:48and you will identify which of the
7:51answers are true or false in
7:55relationship
7:57to the scenario or the stem of the
8:00question.
8:02Once you determine what is the patient's
8:04problem, what is the patient's
8:06condition, you are going to look at the
8:09answer and you're going to say, "Does
8:11this answer make sense? Is it true or
8:15false to the patient's condition or to
8:18the patient's problem?"
8:21That is the first step.
8:24Then,
8:26you're going to do step number two.
8:29You're going to look at the answers and
8:31you're going to find a relationship
8:34in between the answers. There is always
8:38some kind of relationship.
8:41You will find You're going to look at
8:43the answer choices and you're going to
8:45determine if the answers are similar or
8:51alike
8:52or opposite.
8:55What do I mean by that?
8:58Well, let's say
8:59that one of the answers say, "Give the
9:02medication in the morning."
9:04And the other answer say, "Give the
9:06medication at night." We have a problem.
9:10What is it? In the morning or at night?
9:13So, that's an example of opposite
9:17answers.
9:19But, maybe you see an answer that says,
9:24"Give the medication with food."
9:28And then another answer that says, "Give
9:30the medication with uh
9:34liquids
9:36or fluids, oral fluids." Then, you're
9:39going to see that those answers are
9:41similar. Why?
9:43It talks about oral intake. They are
9:46similar.
9:48So, trying to identify which answers are
9:52opposite or similar to each other is
9:56extremely important. And you're going to
9:58see, once we start seeing some examples,
10:01what I mean by these steps. It is a
10:03little bit hard to understand it at the
10:06beginning just by looking at these
10:08steps. We have to see it in real
10:10scenarios, so it makes more sense to
10:12you, and we will do that. We will
10:14practice that today.
10:16Thank you, Mr. Jorge Martinez, for
10:20supporting our YouTube channel. Thank
10:22you for your donation.
10:26I appreciate it.
10:30Thank you, my support team, for being
10:33there
10:35and answering the students' questions. I
10:37I appreciate all your help.
10:45If you're looking for how to join the
10:47Telegram group, remember there is a blue
10:51label on the top of the chat. If you
10:53click on it, you will see the link to
10:56our Telegram channel or group, so you
10:59can join us and be up-to-date with the
11:02information.
11:05Okay?
11:07Very good.
11:09And then, step number three,
11:12you are going to find
11:14absolute words.
11:17What are absolute words?
11:20Words like all, always, every, must,
11:27none, never, only.
11:31These absolute words are usually
11:34included within incorrect
11:38answer choices.
11:40Is it always like that, Professor?
11:43No, there are exceptions to this rule.
11:48So, how do I use these absolute words?
11:53Let's say you are analyzing your
11:56answers, and you're in between two
11:58answers, and you're like, "You know, I
12:01think this could be a possible answer,
12:03but I'm not sure.
12:05I'm not sure if it's the right answer."
12:07And then you see one of these words,
12:10all, always, every, must, none, never,
12:12only. You're going to remember, "Oh,
12:16that is an absolute word, and probably
12:19is an incorrect answer." So, if you
12:22having doubts, and you see those
12:25absolute words, that is a trigger that
12:28you can say, "Okay, I can eliminate it
12:30then." If you're not sure.
12:33So, this is a very interesting point of
12:36the strategy. And remember, it is a
12:38mixture of all of this.
12:41It is a mixture of the true or false,
12:45opposite versus similar, absolute word,
12:48and content.
12:51Don't forget about content.
12:54Okay?
12:56Excellent.
12:58I see our advisor
13:00pasting the link to our Telegram group.
13:04So, you if you're not in our Telegram
13:06yet,
13:08Telegram group yet, go ahead and click
13:10on that link, so you can join us.
13:13Thank you, Ms. Lois Brown. Thank you for
13:16that super sticker. Thank you for uh
13:21donating to our channel, supporting our
13:23YouTube channel. Thank you very much.
13:26Thank you, Ms. Caridad Gonzalez, for
13:29that sticker as well. Thank you for
13:33helping us.
13:34Same with uh Alexandra Troncoso.
13:36Alexandra, you've been there every day,
13:39supporting our YouTube channel. You're
13:41going to go broke.
13:43No, thank you. Thank you very much. I
13:45appreciate your help.
13:47I'll see you in class Monday.
13:50Thank you, Raisa Espinosa. Thank you for
13:53helping us.
13:55Thank you for
13:57uh donating to our YouTube channel. So,
13:59what do you think if we see a scenario?
14:03That way we can analyze this question
14:06together, and you can start seeing how
14:10to apply this strategy. Okay?
14:15Uh Crystal, what is the Telegram group?
14:18I tried to join the other day, and I it
14:20didn't load on my computer. Uh Crystal,
14:23if you if you join on on YouTube from
14:25your phone, you can actually do it from
14:28your phone. So, get in this live YouTube
14:32um session, and find the Telegram link
14:36on your phone, and it's going to
14:37automatically open. But you have to make
14:40sure that you have Telegram downloaded
14:42into your cell phone before you do it,
14:44okay?
14:47All right, very good.
14:51Uh Ms. Cena, give an example of absolute
14:54word. Sure. Uh I've mentioned it
14:56already, but I'll I'll mention it again.
14:58Every,
14:59must, none, never,
15:03only.
15:04Those are Those are absolute words, and
15:07usually included in incorrect answer.
15:10Now, listen to this.
15:12I'm going to tell you some open-ended
15:16words that are usually incorrect
15:19answers. For example, may,
15:23usually, normally,
15:26commonly, generally.
15:29Those are words that is the opposite, is
15:33usually incorrect
15:36answer choices, okay? In- correct, not
15:40incorrect, okay?
15:42All right. Thank you, Ms. Dulce
15:47Muñoz, for that super super sticker.
15:50Appreciate it. Thanks for your help.
15:52Thank you, Gisela, for that sticker. I
15:54appreciate it. Thanks for your donation
15:56to our YouTube channel.
16:00All right, let's practice a question
16:02together. I see we have 293
16:07uh live participants. Very good. Thank
16:10you. I think our our day number one, we
16:13had up to like 700 or 600 live
16:17participants. So, it's gone down a
16:19little bit, but it's normal. As the day
16:21pass by, some people have to work, they
16:24cannot be here live every day, but
16:26remember, it doesn't matter if you're
16:28not able to see this live
16:31edition, you can always see the replay,
16:34and watch everything
16:36uh in your residence, at your own
16:38comfort,
16:40uh little bit by little bit. You can
16:41pause, rewind, forward, and then really
16:45really really study each one of these
16:48days from our 7-day training.
16:52Thank you, Ms. Janina Nico, for
16:54supporting our channel. Thank you very
16:56much. And Amira
16:59Utkodovna.
17:00Thank you for uh helping us. And I'm
17:04sorry if I am killing your first and
17:07last name.
17:09Some Some names are very difficult to
17:12pronunciate,
17:13but I'll do the I'll do the best I can.
17:18Professor, can you repeat the absolute
17:20words? Mariela, go back after the live
17:24training is done, and review that that
17:27session again, so you can understand it,
17:29okay? So, we can continue to a practice
17:32example.
17:34All right, so look at this scenario.
17:38[clears throat]
17:39It says,
17:40"Which nursing interventions
17:42should be included in the care plan for
17:46the for the 84-year-old
17:49client diagnosed with an acute
17:51gastroenteritis?"
17:53Listen this very careful. "Which nursing
17:56interventions should be included in the
17:59care plan for the 84-year-old client
18:04diagnosed with acute gastroenteritis?"
18:08So, this is the important words.
18:12These are the important words, 84 years
18:15old,
18:16and acute gastroenteritis.
18:21So, we're going to use the select all
18:23that apply strategy.
18:25As soon as you know what you think is
18:27the answer, go ahead and comment the
18:30answers in the comment section below.
18:34Now, let's go to step number one.
18:37Analyze each answer choice, and
18:41determine
18:42if it's true
18:44or false to the patient's condition.
18:48Now, remember, there are two key
18:51factors,
18:52age, 84, diagnosis, acute
18:56gastroenteritis.
18:59So, as I review each answer choice, I'm
19:02going to say, "What is the relationship
19:05between this answer and 84 years old and
19:10acute gastroenteritis?"
19:14So, answer number one, it says, "Assess
19:19the skin turgor
19:21on the back of the client's hands."
19:25Wow, what an interesting answer.
19:30So, I'm going to look at the first part
19:34of this answer, because it has two
19:36parts.
19:37Assess the skin turgor,
19:40and then there is an explanation
19:43of where.
19:46Assess the skin turgor. Yes, it is very
19:49important for acute gastroenteritis.
19:52Why? What are the common signs and
19:54symptoms? Nausea, vomiting, watery
19:56watery diarrhea. So, checking for skin
20:00turgor and checking for dehydration, it
20:04is very important.
20:06So, I like this first part. Assess the
20:09skin turgor.
20:11But then he says,
20:13on the back of the client's hands.
20:18Oh, that is a very important part of
20:22that answer. Why? My patient is an
20:26elderly patient.
20:29And in elderly patients, the skin
20:33elasticity
20:35changes.
20:37So, the patient is going to have poor
20:41skin turgor just with age.
20:45Now, imagine how worse it's going to be
20:49with dehydration.
20:51So, the best area to check for skin
20:56turgor in an elderly patient is not the
21:00back of the patient's hand.
21:04The best area
21:06to check for the skin turgor is the
21:09sternum
21:11and the forehead.
21:13That is the best area to check for skin
21:16turgor in an elderly patient. Therefore,
21:21answer number one, I am going to
21:24eliminate. This is false.
21:28It's not correct for an 84-year-old.
21:34Very good.
21:36So,
21:38answer number one, bye-bye. Gone.
21:43Thank you, Steven Films, for donating to
21:47our YouTube channel. Thank you.
21:50Marjorie Lois for helping our YouTube
21:54channel. Thank you very much.
21:57All right, so let's analyze answer
22:00number two. Monitor the client for
22:02orthostatic hypotension.
22:05What do you think about that? True or
22:07false?
22:09Should I be checking for orthostatic
22:11hypotension
22:13on a 84-year-old
22:15elderly patient who has risk of
22:22volume loss because of the diarrhea and
22:26the vomiting? Yes, the patient is at
22:29risk for orthostatic hypotension. So,
22:34answer number two, it is true.
22:38This is a good intervention.
22:44Answer number three,
22:46it says, record the frequency and
22:50characteristics
22:52of sputum.
22:56Should we be checking sputum?
22:59Does it make sense to the patient's
23:02diagnosis?
23:05It does not make sense to the patient's
23:08diagnosis because if anything, we should
23:11be checking the stool, not sputum.
23:16Therefore,
23:18answer number three,
23:21I can eliminate.
23:25So, answer number three is
23:28false.
23:32Answer number four,
23:34use standard precautions when caring
23:39for this client.
23:40Well,
23:42what do we know about standard
23:44precautions?
23:46We know that standard precaution is used
23:50in all clients in any settings
23:54regardless of the diagnosis or presumed
23:59infection.
24:01So, standard precaution is always used
24:05in every patient. So, answer number
24:09four, it is
24:11true.
24:17Answer number five,
24:19says, use droplet precaution.
24:24Well,
24:25what is my patient's problem?
24:27Acute gastroenteritis.
24:31When do I use droplet precaution?
24:34In infections
24:38that are caused by pathogens transmitted
24:42by respiratory
24:44droplets,
24:46like when you're coughing, sneezing,
24:49etc.
24:51So, answer number five does not make
24:55sense to the condition.
24:57It is
24:58false. So, my correct answer is two
25:03and four. So, congratulations to every
25:07nursing student,
25:08every nurse out there that selected
25:11answer number two
25:13and four.
25:16Professor, can you explain again why do
25:20we check for orthostatic hypotension?
25:24Very simple.
25:26We check for orthostatic hypotension.
25:29First reason, because of the age. The
25:32elderly is at risk of orthostatic
25:36hypotension.
25:37And also, it makes more sense with
25:40gastroenteritis because a patient with
25:43gastroenteritis loses a lot of fluid
25:47both in vomit and in stool with watery
25:52diarrhea. So, that is the reason why
25:56monitoring the client for orthostatic
25:58hypotension makes sense.
26:05So, what do you think?
26:07Did you see how to use the true and
26:11false
26:13strategy of the select all that apply?
26:16Now, do you need to know have content to
26:19answer this question? Absolutely. This
26:23is a content question.
26:25Remember, the select all that apply
26:28strategy is not there to take away the
26:32need of knowledge and comprehension.
26:35It's there to help you.
26:38But it's never going to take
26:42the steps necessary for you to
26:45understand nursing content and nursing
26:48knowledge.
26:50Thank you, Beverly Calania, for uh
26:53donating and helping our YouTube
26:56channel. Thank you, Miss Beatriz
26:59Delgado. Thank you for helping us. Thank
27:02you, Jose De Leon. Thank you, Jose, for
27:06supporting our YouTube channel.
27:10Sailor Vana, I love this review.
27:13Thank you. Thank you. Ronseth, content
27:17is needed. Absolutely.
27:19Absolutely, content is needed. Yes. It's
27:23a mixture of both, but trust me, if you
27:26learn content and you also learn
27:29critical thinking and prioritization,
27:31you have a pass.
27:33You will pass the NCLEX. However, and
27:37please, I have mentioned this several
27:40times already throughout this training,
27:42do not go to the NCLEX if you're if you
27:46haven't developed critical thinking and
27:48prioritization strategies. Because
27:51content is not enough.
27:55It's the mixture of content
27:58content and priorities. You got to mix
28:01them both.
28:03Okay?
28:04Do you want to see our next select all
28:08that apply question? Do you want to
28:10practice once again?
28:13Let's see a different scenario with a
28:16different approach. Thank you, Ana Lacy
28:20Perez, for
28:22supporting our YouTube channel.
28:24Uh Yadira Castro, our wonderful Yadira.
28:28Thank you for being here again. I
28:31recommend 100%
28:33follow everything he explains. I
28:36received my pass after my course with my
28:39Professor Rey. Yadira was my student
28:42like uh
28:44remind me, Yadira, I think like 2 years
28:46ago or 3 years ago.
28:48Yadira is a registered nurse. Now,
28:52uh almost done with nurse practitioner.
28:54So, she's doing awesome.
28:57Congratulations. Thank you for being
28:58here and supporting our YouTube channel.
29:04All right.
29:07Excellent. So, let's go to the next
29:09question.
29:11Another select all that apply. In this
29:13scenario, the nurse provides care to a
29:15client diagnosed with laryngeal
29:18cancer. So, here's the diagnosis. We
29:21have to make sure we see this. We have
29:23to pay attention to this.
29:26Which of the following nursing
29:27interventions are appropriate?
29:32Okay? So,
29:34quick question.
29:36If he says, which of the following
29:39nursing interventions are appropriate,
29:41am I looking for a true
29:45or a
29:47false answer.
29:50If he says appropriate, am I looking for
29:54a correct
29:57or incorrect
30:00answer?
30:02I am looking for a true
30:05or correct answer. And this is very
30:09important. Don't get Don't get confused.
30:11Okay?
30:14So, we have a patient with laryngeal
30:16cancer. Should we Should we be
30:19monitoring the respiratory status?
30:24Well, let's see.
30:25Can a patient with laryngeal cancer
30:29have respiratory complications?
30:34Absolutely.
30:36We have a cancer in the airway.
30:41In the anatomy of the respiratory
30:44system, in the area of airway. So, of
30:48course, we have to monitor the
30:50respiratory status. Yes, this is true.
30:54This is correct. It makes sense.
31:00Answer number two, administer analgesics
31:03as prescribed
31:05for pain.
31:07This as prescribed is kind of like a
31:09given. They're telling you that it's
31:11prescribed.
31:13Now, does it make sense?
31:15Can a patient with laryngeal cancer have
31:18pain and do we have to administer
31:20analgesic drugs? Of course, true.
31:25So, this is a good answer. Correct.
31:30Number three, place in supine position
31:35to promote optimal air exchange.
31:39Aha.
31:41Let me teach you
31:43another tip.
31:45Anytime
31:47you see
31:48a change in position
31:51in one of the answers
31:53put in supine, put in high fowler,
31:56semi-fowler, dorsal recumbent, any
31:59position, you have to think.
32:01By putting the patient IN THAT POSITION,
32:04WHAT AM I TRYING to do?
32:06Promote or prevent? And promote or
32:10prevent what?
32:11If I put my patient with laryngeal
32:13cancer in supine position, do I really
32:17promote
32:19air exchange in the supine position?
32:24No.
32:27No. Supine position makes it more
32:31difficult for the patient to breathe.
32:35The correct position would be Fowler's
32:38position, high Fowler position.
32:43So, this is a false or incorrect
32:49answer.
32:53Answer number four,
32:55administer oxygen.
32:58Now, notice that answer one and four are
33:03similar.
33:05Why? They both deal with airway and
33:10breathing.
33:12So, this is what I call a similar
33:15answer.
33:17If I have to monitor respiratory status,
33:21I have to monitor oxygen. If the patient
33:24has laryngeal cancer and could have
33:27respiratory compromise, probably needs
33:31oxygen. So, this is a good answer.
33:35But bottom line, is it going to hurt my
33:38patient?
33:41No.
33:42So, answer number one and four are
33:45similar. This is true
33:48or
33:49correct.
33:51So, answer number four is a good answer.
33:58Answer number five, monitor for signs of
34:03aspiration
34:04of food and fluid. Once again,
34:09similar. Respiratory status, oxygen.
34:13What is the problem with aspiration?
34:15Airway.
34:18So, five is similar to one and four.
34:24That is also a correct answer. So, my
34:29final answer is one, two,
34:34four, five.
34:39Natasha, how much I respect and admire
34:42my teacher. Oh my god, this is good
34:45explanation.
34:47Thank you, Natasha. Thank you for being
34:49here with us.
34:50I really hope that that this helps you.
34:53Because, you know what, guys?
34:55You will see
34:57up to 30, 40 select all that applies on
35:01your exam. But do not be worried.
35:04And I'm going to talk about a few things
35:07of select all that applies that are
35:09important
35:10on the next slide
35:12that you really really really have to
35:16listen. Because there's a lot of
35:19misconceptions
35:21when it comes to select all that apply,
35:23and I want to eliminate all those
35:26misconceptions
35:27tonight.
35:31All right? So,
35:33do you want to continue?
35:35Do you want to learn more on this day
35:38six
35:39of our Pass the NCLEX step-by-step 7-day
35:44training? If you haven't done done so
35:47yet, go ahead and like this video right
35:51now. We have 330
35:55nurses connected live right now. All you
35:59have to do is click the like button.
36:03That's all I ask you. I'm not asking you
36:05for much. Help me help other students.
36:09So, everybody, right now, click the like
36:13button on this video, in our YouTube
36:16channel, and share this video with other
36:20nurses out there.
36:23Copy the link, share it on Telegram,
36:26WhatsApp, Facebook, Facebook groups,
36:30everywhere. Anyway you can, share this
36:33valuable information with them.
36:39Uh Deanne, yes, please like the video,
36:41guys. Help the professor. Thank you.
36:43Thank you. Thank you very much.
36:48So,
36:49what are some misconceptions about
36:52select all that apply? And I want to
36:53talk
36:54uh about this before we continue.
36:58The first misconception that I have seen
37:01with select all that applies is that
37:04students think that they get partial
37:08credit.
37:09You do not get partial credit in select
37:13all that applies.
37:15What do I mean by that?
37:17Let's say you're dealing with Let's go
37:20back to the scenario before. Let's say
37:23you're dealing with this question right
37:25here.
37:27You know that the answer is one, two,
37:29four, and five. But let's say on the
37:31NCLEX, you selected one, two, four.
37:37And you And you didn't put number five.
37:40That is an incorrect answer.
37:44Why? You missed one answer.
37:48But let's say you put one, two, three,
37:52four.
37:54That is an incorrect answer
37:57because you selected an inappropriate
38:01answer.
38:03But let's say you only select one and
38:06two,
38:07and you miss four and five.
38:09That is an incorrect answer choice.
38:13Remember, for select all that apply is
38:16all or nothing.
38:20Now,
38:21what do I tell my students?
38:24Select [snorts]
38:25the answer that you are sure.
38:30When you
38:31read the question and read the answer,
38:33you say, "Monitor respiratory status.
38:36Yep, I am sure of that."
38:38You click it. You select it.
38:41Place in supine position to promote
38:44optimal air exchange.
38:47Oh, supine?
38:49Is it supine?
38:52Is it semi-fowler?
38:54Is it high fowler?
38:56If you don't remember, if you're not
38:59sure that that is correct, DO NOT PUT
39:02IT. WHY PUT something that you're not
39:04sure?
39:06So, only select the answers that you are
39:11sure.
39:13Another myth that I hear some students
39:16say, "I'm only going to select one
39:18answer."
39:20Because if I select the correct answer
39:23and it is correct, I'm going to get full
39:25credit. Wrong.
39:27Remember, there's no partial credit.
39:30It's all or nothing. Very important that
39:34you understand that.
39:38Thank you, Yusel, for supporting our
39:41channel. Yusel Nunez, everyday there,
39:44every single day starting day one.
39:47You've been here supporting our channel.
39:50I appreciate it. Thank you, Miss Gloria
39:52Carter. Thank you for supporting our
39:56YouTube channel.
40:00Uh Rona, we are 320 of us with 195
40:05likes. Please, let's give him these
40:07likes. Not much to ask from us.
40:10Thank you, Rona. Thank you for
40:12advocating for our YouTube channel. It
40:15is It's like that, you know, sometimes
40:18um
40:20students don't do it. It's okay, you
40:22know, as long as you guys uh some of you
40:25do it and help me, it's more than
40:27enough. I have I'm appreciative of the
40:30one that does it. Even if it's five, if
40:33I see five doing it, I appreciate that
40:35and I am happy with that. I don't worry
40:38about the ones that didn't do it.
40:40I care about the ones that did it and
40:42that's enough. Only one,
40:44I'm here. But, you know what? Even if
40:47nobody liked it, I will still continue
40:49doing this. Why? It's my passion. I like
40:51it. I enjoy it.
40:53I have fun.
40:54This is a This is me having fun.
40:57See, some people like to do other
40:59things. I have fun teaching and I love
41:01it.
41:02That's why sometimes my students see we
41:04have a class from like 7:00 to 11:00 and
41:08it's like 11:30, 11:45, midnight and I'm
41:11still talking and they're like,
41:13"Professor, you don't get tired?" Yeah,
41:14I get tired, but I get into it and I
41:17forget
41:19the time. Like I told you, the training
41:21was supposed to be from like 5:00 to
41:246:00, but I don't think we've ended at
41:266:00
41:27none of the days. It's always been like
41:296:20, 6:30, 6:45 cuz I I forget the time
41:35and I just keep going.
41:37All right. Excellent. So, let's
41:40see the next scenario.
41:43This is a very interesting scenario and
41:46you will learn something special in this
41:49one.
41:51Okay?
41:52It says, "A nurse in the intensive care
41:55unit is providing care to a female
41:59client."
42:00So, it's describing
42:02the patient. Remember, that is a
42:05keyword. That is a one of the five key
42:08factors of an NCLEX question. It's
42:10telling you It's telling you
42:13the patient is a female.
42:17"The nurse is inserting an indwelling
42:19urinary catheter."
42:23"Which of the following nursing
42:25interventions are appropriate?"
42:32Uh Miss Fiba, prof, when I choose all
42:34the right answers and also a wrong
42:37answer, what happens there?
42:39If you select all the right answers, but
42:42then you add an incorrect answer, then
42:46the whole question is wrong. You won't
42:48get credit.
42:50Okay?
42:59Very good. So, we have a female patient
43:02and what we are doing, we are inserting
43:07an indwelling catheter. Indwelling
43:11urinary catheter.
43:14So, what are the nursing interventions?
43:15Select all that apply.
43:19Well,
43:20let's do one by one.
43:22True or false?
43:24Opposite and similar?
43:26Any absolute words that we can
43:28encounter? So, let's use that.
43:32So, number one, "Explain the procedure
43:35and its potential discomfort."
43:39Okay?
43:40This is important.
43:42Is this a nursing procedure? Yes or no?
43:47If it's a nursing procedure, then I can
43:51explain it.
43:53You have to understand that rule.
43:55You can only explain procedures that are
43:58done by nurses.
44:01If it's done by somebody else,
44:03like a surgeon, the doctor, then I
44:05cannot explain something that I don't
44:07do.
44:09That is important. It's important
44:11keyword number one.
44:13"Explain the procedure." Depends.
44:16Is it a nursing procedure? Yes.
44:19Inserting an indwelling urinary catheter
44:21is a nursing procedure. I can explain
44:23it.
44:24"COULD THE PATIENT EXPERIENCE POTENTIAL
44:27DISCOMFORT?" ABSOLUTELY.
44:29Somebody's inserting an indwelling
44:31catheter through your urethra. Yeah,
44:34this is this discomfort.
44:37It's uncomfortable.
44:39So, answer number one,
44:42I think uh
44:45makes good sense.
44:48Answer number TWO AND THREE.
44:51OH, WHAT IS THE relationship in between
44:55those two answers? Because they
45:00are related to each other
45:04and I see some of you
45:07on the comments, you are selecting both
45:11answer number two and answer number
45:13three. But, this strategy tells you that
45:18one of those answers
45:20is incorrect.
45:22Because
45:23do I put my patient in supine
45:27or dorsal recumbent?
45:30I cannot put the patient in both
45:31positions at the same time.
45:36So, what is the position? Well,
45:40this is dorsal recumbent.
45:43This is supine.
45:44Who is my patient? Female.
45:48Let me tell you something, inserting an
45:50indwelling catheter on a female patient
45:52is rather difficult
45:54and you need as much space to see
45:59and to maintain a sterile field.
46:02So,
46:04which of the two positions
46:06do you think is better?
46:09It gives you more visualization.
46:14It helps you more maintain the sterile
46:17field.
46:19The dorsal recumbent position
46:23or supine?
46:26If you go to the Saunders book,
46:29the eighth edition or seventh edition,
46:32and you find what is the position when
46:35inserting an indwelling catheter on a
46:37female patient, it's going to identify
46:41very big that the right position is
46:45dorsal recumbent.
46:48So, answer number two, I can eliminate.
46:54Answer two and three are opposite to
46:57each other. One of them is wrong.
47:00I have to eliminate one of them.
47:04So, this is what is good about the
47:06opposite or similar scenario.
47:09If I have a correct answer and then I
47:11have another one that is similar, then
47:13that one is correct as well.
47:16If I have an incorrect answer and I have
47:18another one that is similar to the
47:20incorrect answer, then that one is
47:22incorrect as well.
47:25And if I have answers that are opposite
47:28to each other, usually
47:30one of them is correct and the other one
47:34is incorrect. This is an excellent
47:37technique that you can use in select all
47:40that apply.
47:44So, so far I got one and three.
47:50Now, look at the relationship
47:52between four and five.
47:55THERE IS A RELATIONSHIP AS WELL.
47:59WHAT IS THE relationship in answer four
48:01and five?
48:03Well,
48:05they are both talking about
48:07sterile gloves.
48:09Answer four says, "Use sterile glove."
48:13Answer five says, "Use sterile glove."
48:17[clears throat]
48:18But, keep reading.
48:20Answer number four says,
48:23"Use sterile glove to wash the perineal
48:28area
48:30with soap and water."
48:34Look at number five.
48:36"Dawn, which is where,
48:39put on
48:41sterile glove
48:43and use
48:45sterile technique."
48:47Hmm, ding ding ding ding ding. Do I have
48:50to use sterile glove when I am using
48:53sterile technique?
48:56Yes,
48:58you have to use sterile glove if you're
49:00using sterile technique, especially to
49:03insert the catheter.
49:07Answer four and five are opposite to
49:10each other.
49:12So, if answer number five is correct,
49:15then four must be
49:17incorrect.
49:20Because I do not have to use sterile
49:23glove to wash the perineal area with
49:26soap and water. I use clean glove, not
49:29sterile glove.
49:31So, this is what I'm telling you.
49:34Yes, it's content, but yes, you can use
49:38your critical thinking as well.
49:41You have to analyze the scenario.
49:44Thank you, Miss Arlene Arlene Núñez.
49:48Thank you for that super sticker.
49:52Says, "You are amazing." Thank you.
49:54Thank you very much. I appreciate it.
49:59All right.
50:01Let's see what you're commenting.
50:04I wish I can use that red pen for
50:06testing day.
50:08[laughter]
50:10Hey, you can you can you can take your
50:12own red pen.
50:13You can make your own red pen in your
50:15mind.
50:17So, the correct answer, guys, is one,
50:20three,
50:21and five.
50:24Okay?
50:26All right. All right. All right. Let's
50:28go to the next question. Let's practice
50:31another select all that apply.
50:34Are you Are you having fun?
50:37Are you learning? That is the most
50:39important thing. If you're learning,
50:42I'm happy.
50:43So, comment, "Yes, Professor, I'm
50:45learning. I'm excited.
50:48I really like this day six
50:51because
50:52it's only going to get better from now."
51:02Oh, great point, uh Janine.
51:06The male patient has a different
51:09position. Yes, that is why when it tells
51:13you a female client is important because
51:17the position for the female is different
51:21than for the male when you are inserting
51:24an indwelling urinary catheter.
51:27Both answers are on Saunders book.
51:30That's why I told you, one of the
51:32resources that I encourage each one of
51:36you to have.
51:37Right here.
51:39Saunders book.
51:41Excellent. Excellent resource to have. I
51:43have it here with me. I read it every
51:45day.
51:47Eighth edition.
51:48I don't work for Saunders. I don't make
51:51any money with Saunders, but it is a
51:53great tool to have. It's an excellent
51:55resource to have
51:58to to to train and read and study and
52:02prepare for the NCLEX. Awesome book. I
52:05call it the nursing Bible.
52:07It is a Bible. It has everything there.
52:10Okay?
52:12All right.
52:15Let's go to our next question.
52:20It says, "A client is scheduled for a
52:23computed
52:24tomography, a CAT scan,
52:27of the abdomen
52:28with IV contrast." Okay, this is
52:32important.
52:35We're doing a CAT scan, yes, but is with
52:38IV contrast.
52:40Because
52:41there could be a CT scan without
52:44contrast.
52:46So, it's important to understand that
52:48yes,
52:50we're doing a a CT scan. The patient is
52:53undergoing a CT scan with IV contrast.
52:59Which pre-procedure
53:04pre-procedure
53:06nursing actions are appropriate?
53:11Okay?
53:13So, let's think about this one. And if
53:15you know, comment
53:17on the sec- on the comment section.
53:19Okay?
53:26Uh Nadira,
53:28if you're finished
53:29with the training, how long the videos
53:32will stay on YouTube? It will stay on
53:34YouTube
53:35forever.
53:36I'm not going to take it off YouTube.
53:38It'll be there.
53:40Okay? [clears throat] And as a matter of
53:41fact, later on, I'm going to make it
53:44smaller, like put like clips with with
53:48details. That way you can find the
53:50information faster.
53:52Because
53:53I know that most of the time you don't
53:55have an hour and a half to watch a
53:58video. So, I will put this in in smaller
54:01videos with information
54:03that you can relate and you can go back
54:05to it and study it. Okay? I'll do that
54:08for you.
54:13All right. So, select all that apply.
54:16So, remember, we're thinking of content,
54:19we're thinking of true and false, we're
54:21thinking of opposite and similar, and
54:24we're thinking of absolute words. Let's
54:27see if we find any in this scenario.
54:32The key points,
54:34pre-procedure,
54:37CT scan
54:38with IV contrast.
54:41And then,
54:42answer number one,
54:44assess for allergies to iodine contrast
54:48dye or shellfish.
54:52Do I have to do that?
54:54Does it make sense to the stem of the
54:56question?
54:58Absolutely.
54:59Because the patient could be allergic to
55:02the IV contrast. So, yes, it is a very
55:06important nursing assessment
55:09safety to check for
55:12allergies. So, answer number one,
55:16I like it. True.
55:22Kratzy Professor,
55:24what Saunders edition do you recommend?
55:26I recommend the last one, the eighth
55:27edition.
55:31Answer number two,
55:32inform the client to withhold
55:37metformin.
55:39OH,
55:40I'M GOING TO teach you something else.
55:43Whenever they talk about a medication
55:47on the stem of the question,
55:49IV contrast,
55:51and then they mention another medication
55:55in one of the answers answer choices,
55:58hm, be careful.
56:01I'm not saying that it's always because
56:03I cannot be absolute either.
56:07But most of the time you have to be
56:09careful because usually there's some
56:11kind of contraindication in between them
56:14two.
56:14Usually, not always,
56:17but think about that.
56:20Soon as you see metformin, holding the
56:23metformin, IV contrast, hm, what's the
56:26relationship?
56:28What's the relation between metformin
56:30and IV contrast? Can I give them
56:33together or no?
56:36Got to think about content now.
56:39And
56:40we know that metformin we're going to
56:44hold usually
56:46before
56:48the test and up to 48 hours after the IV
56:53contrast. Why? Because there is high
56:57risk of nephropathy,
57:00kidney damage,
57:02and lactic acidosis.
57:06So, remember,
57:09could be nephrotoxic
57:11and there's high risk of lactic
57:14acidosis.
57:15So, be
57:17very careful with this and be cautious.
57:21Two medications that are different, what
57:23is the relationship between them two?
57:28Okay?
57:30Uh Kairu,
57:32thank you for your generosity and
57:34kindness.
57:35Thank you very much. Thanks for your
57:37support
57:38uh to our YouTube channel. Thank you for
57:40your donation. I appreciate it.
57:45All right. So, informing the client to
57:49withhold the metformin makes sense.
57:52True.
57:56Number three,
57:57ensure informed consent is obtained.
58:01Well, we know that informed consent we
58:04have to
58:05witness it if we're dealing with an
58:09invasive procedure.
58:12So, is a CAT scan with IV contrast
58:17invasive?
58:19Absolutely.
58:22There's high risks
58:23associated with it. So,
58:26we need to get that consent signed.
58:30Remember what is our role of informed
58:34consent?
58:35We are witness. We witness that the
58:39patient understands that the doctor
58:42explained the the procedure or diagnosis
58:44test, that the doctor explained the
58:47risk, the alternative.
58:50We don't do that. We only witness and
58:52make sure that the patient understands,
58:56has the opportunity to ask questions,
58:58and one of these days I will do a live
59:02training on
59:04uh informed consent and a a little bit
59:07of ethics and laws. So, we we I got that
59:11planned for the near future.
59:14So, answer number three makes a whole
59:16lot of sense.
59:20Uh Lester Pineda, excellent question.
59:24Professor, are there cases where
59:28all the answers are correct?
59:30Yes.
59:32There could be a scenario select all
59:34that apply that all the answers are
59:38correct.
59:42Okay?
59:43It's not this scenario, but there are
59:45scenarios.
59:48So, answer number four, instruct the
59:51client to take
59:53all routine medications
59:58with a glass of water. Uh-oh, what do we
1:00:02have here?
1:00:04We have an absolute word all and we know
1:00:10that they're usually included in
1:00:12incorrect answers.
1:00:15Can the patient take all the medication?
1:00:18No.
1:00:20If the patient takes metformin every
1:00:22day,
1:00:23obviously, cannot take it now.
1:00:26So,
1:00:28what is the relationship between two and
1:00:31four?
1:00:33Not only four has an absolute word,
1:00:37but also four is opposite to two.
1:00:41Because if in four it says take all the
1:00:43medication,
1:00:45metformin is included in all the
1:00:47medication, but in number two we already
1:00:50said, "No, no, no, no, no. We have to
1:00:52withhold metformin."
1:00:54So, two and four are opposite to each
1:00:56other. Therefore, four
1:00:59is not the correct answer.
1:01:03Eliminate
1:01:06five.
1:01:07Explain the client
1:01:09any
1:01:12complications
1:01:13related to the CAT scan. Another
1:01:17absolute word here.
1:01:19Explaining
1:01:21complication,
1:01:24that is not under my scope of practice.
1:01:26The doctor has to explain the
1:01:29complications associated
1:01:31and the alternative.
1:01:33Not the RN, not the nurse.
1:01:36So, number five,
1:01:38I can
1:01:40eliminate.
1:01:41My correct answer is one,
1:01:45two,
1:01:46and three.
1:01:50All right.
1:01:52Um if I didn't use contrast IV,
1:01:57do we need a consent? No. Without IV, no
1:02:00consent.
1:02:01Without IV contrast, no consent
1:02:03necessary.
1:02:07So,
1:02:09I know that this is only a few
1:02:11scenarios, a few a few examples,
1:02:14and it's the beginning
1:02:17of your preparation.
1:02:19But you will never think about select
1:02:21all that apply the same way.
1:02:23And I am absolutely sure that it will
1:02:27help you
1:02:28select some right answers.
1:02:31But remember,
1:02:32you got to touch up on content because
1:02:35most of the select all that apply are
1:02:37content-based
1:02:39questions.
1:02:41All right. If you have not subscribed to
1:02:43our chat to our channel yet, do it. Go
1:02:46ahead and subscribe to our channel, join
1:02:49our Telegram group. Join us because it's
1:02:53going to get very interesting in the
1:02:56next few weeks. Are you ready
1:03:00for our day seven,
1:03:02our last day
1:03:04of our past the NCLEX step-by-step
1:03:08seven-day training?
1:03:10Don't get sad. I'm not going anywhere.
1:03:13I'm here for good.
1:03:16Tomorrow, you cannot miss tomorrow's
1:03:19training
1:03:20because we will talk about the next
1:03:23steps.
1:03:24The first thing that we're going to have
1:03:25tomorrow is going to be an open session.
1:03:30I will have give all of you guys the
1:03:32opportunity to ask question, clear
1:03:35information about everything that we've
1:03:38talked so far in this training. We'll
1:03:40talk about future trainings and I'm
1:03:44going to talk to you tomorrow about a
1:03:46few classes that I will be offering in
1:03:50our Zoom for Zoom classes cuz I know a
1:03:53lot of you have the test right away
1:03:56and I will talk about some classes that
1:03:59I I plan
1:04:00to to teach, the dates that I will be
1:04:04teaching them,
1:04:05and all the information that you need
1:04:08for the following days after our last
1:04:12day of training.
1:04:14And then,
1:04:16tomorrow I'll tell you a nice surprise.
1:04:20Nice surprise
1:04:22that I am willing to give, but I'm not
1:04:26going to tell until tomorrow.
1:04:29Tomorrow is the surprise day.
1:04:31I am even giving a gift.
1:04:34So, make sure
1:04:36that everybody comes tomorrow.
1:04:38Okay? And you have to be live, not
1:04:41recorded. You have to be live
1:04:43in order for me
1:04:46to give that gift. So,
1:04:49thank you very much, guys. I appreciate.
1:04:51Thank you, Jeannette C. De La Cruz, for
1:04:53supporting
1:04:54our YouTube channel.
1:04:57It's been a pleasure. It's been a
1:04:58pleasure to work with you for six days
1:05:01in a row. I'm tired. I got to tell you
1:05:03that. I am tired, very tired. I've been
1:05:06working very hard this week with our
1:05:08Spanish Academy.
1:05:10We've talked every day plus preparing
1:05:13these PowerPoint presentations and
1:05:16creating something valuable to you.
1:05:20Because what I didn't want to do was
1:05:22just create whatever and just say a
1:05:24bunch of words here
1:05:26that means nothing.
1:05:28I wanted this seven-day training to
1:05:30really really make a difference.
1:05:33And I believe so.
1:05:35I believe it has made a difference in
1:05:37many of you.
1:05:39It has been validated in your comments
1:05:43here in our YouTube videos, some
1:05:46messages that I've gotten on the
1:05:49Telegram, even on on Instagram. I don't
1:05:52even know how you guys found Instagram.
1:05:54And I've seen some messages there. I
1:05:57appreciate that
1:05:58very much. Thank you for your support.
1:06:01Thank you for all the donations so far.
1:06:03Anubis, Almagro,
1:06:06thank you for supporting our channel.
1:06:14All right. So, I see you tomorrow at
1:06:175:00 p.m. Eastern Standard Time. Make
1:06:20sure you're here. We're going to have a
1:06:22big Q&A session.
1:06:25I'll make sure that all your doubts are
1:06:29answered,
1:06:30all your questions are are answered. So,
1:06:32I'm going to make sure I read every
1:06:35question. I'll have my support team
1:06:38available to help me answer some
1:06:40questions as well.
1:06:42And I wish you the best to all of you
1:06:44guys. Thank you for being here.
1:06:46Remember, like this video. Help me with
1:06:49that. Share this video with other
1:06:51students and don't forget to subscribe.
1:06:55God bless you. See you tomorrow.
1:06:57Bye-bye.
1:06:59Take care.

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