Positive and Negative Event Queries

Chapter 7


Positive and Negative Event Queries


The questions presented on the National Council Licensure Examination (NCLEX®) are written to include either a positive or a negative event query. Primarily, the questions are written as positive event queries; however, you need to be prepared for either type.



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Positive Event Queries



What Is a Positive Event Query?


A positive event query asks you to make a decision and select the option that is accurate or correct with regard to the data presented in the question. How will you know that the question includes a positive event query? Read the question carefully, and focus on the query of the question. The query contains words or phrases that indicate the question includes a positive event query.





Positive Event Queries: Examples of Queries



What is the earliest sign of a change in level of consciousness?


Which is a late sign of shock?


The nurse most likely expects to note which finding?


Which individual is at the greatest risk for committing suicide?


The nurse plans to administer how many milliliters of medication?


What best action should the nurse implement?


Which action should the nurse do first?


What is the initial nursing action?


Based on these findings, the nurse should immediately take which action?


Which nursing action is most appropriate?


List in order of priority the actions that the nurse should take.


The nurse should make which most appropriate response to the client?


Which intervention is of highest priority in the preoperative teaching plan?


Select all that apply.


Which statement made by the client indicates the best understanding of how to prevent transmission of the disease?


Which outcome would indicate that the most important goal has been achieved for this client?


The nurse determines that the client is adequately tolerating the procedure if which observation is made?



Positive Event Queries: Sample Questions



SAMPLE QUESTION 1




ANSWER: 3



TEST-TAKING STRATEGY:


This question identifies an example of a positive event query. Note the strategic words most likely. Additional noteworthy words are active and confirm. Focus on the diagnosis presented in the question and the associated pathophysiology to assist in directing you to option 3. Remember that tuberculosis is an infectious disease caused by Mycobacterium tuberculosis, and the demonstration of tubercle bacilli using bacteriology is essential for establishing a diagnosis. It is not possible to make a diagnosis solely on the basis of a chest x-ray, and a positive reaction to a skin test indicates the presence of tuberculosis infection but does not show whether the infection is active or dormant. A white blood cell count may be increased, but it is not specifically related to the presence of tuberculosis. Remember to focus on the strategic words!







Jul 24, 2016 | Posted by in NURSING | Comments Off on Positive and Negative Event Queries

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