All absolute statements

with words like ALL and

NEVER is considered a
negative statement and is
therefore incorrect.
If questions have negative
modifiers such as except, least
likely, inappropriate, needs
further teaching, all but one -
choose a negative statement
answer/choice with words such
as NO and NOT in the statement
*Statement of nurse with words
“I am sure” - eliminate
*Statement asking/with word
“why” - eliminate especially if
nurse is asking patient.
Exemption if nurse is asking the
significant others
Psyche = priority is SAFETY
CHN = priority is CLIENT CENTERED
MS= ABC & pain

MASLOW’S HEIRARCHY OF
NEEDS – important to know and
PRIORITIZE
If question is nurse
centered, answer is
based on nursing
process (start with
assessment always)
Questions with words like
INITIAL, PRIMARY and
FIRST - choose answers
with words like assess,
check, determine and ask
in the statement
For implementation
questions, based your
answers using NURSING
PROCESS showing
NURSING ACTIONS
Evaluation questions,
answers should state
expected outcomes,
desired effects, and
effect.
For signs and
symptoms question -
answer should be
based on prevention
of complications.
Read questions
carefully, sometimes
answers are found in
the question.
Prioritizing intervention
questions choose answers
following this sequence:
o Independent – nursing
prescribed intervention
o Interdependent - collaborative
approach
o Dependent - doctor prescribed
ACUTE VS CHRONIC,
acute is priority
STABLE VS UNSTABLE,
unstable is priority
INVASIVE VS NON
INVASIVE, invasive is priority
TOO OLD AND TOO
YOUNG SHOULD ALWAYS
BE THE PRIORITY
TOO OLD VS TOO YOUNG
(neonate or infants), too young is
priority
EARLY SIGNS VS LATE
SIGNS, early signs are priority
Prioritizing intervention questions
choose answers following this
sequence: Fire situation
o RACE
3 levels of prioritizing
o LEVEL 1 - EMERGENT
o LEVEL 2 - STABLE OR
URGENT
o LEVEL 3 – CHRONIC
***TRIAGE***
TRIAGE REFERS TO EVALUATION AND
CATEGORIZATION OF THE SICK OR WOUNDED
WHEN THERE ARE INSUFFICIENT RESOURCES
FOR MEDICAL CARE OF EVERYONE AT ONCE

MASS DISASTER - priority

people who can survive
Emergency - priority people
with life threatening condition.
RED- “EMERGENT”
-WHO CANNOT SURVIVE WITHOUT
IMMEDIENT TREATMENT BUT WHO HAVE A
CHANCE TO SURVIVE, LIFE THREATENING
CONDITION
*CHOKING *AIRWAY TRAUMA
*ASPHYSIA *HCO3 POISONING
*SEVERE TRAUMA *HYPOVOLEMIC SHOCK
*ANAPHYLAXIS *BURNS (FACE, NECK, CHEST)

***SHOULD BE PRIORITIZED OVER THE OTHERS IN A CONTROLLED

ENVIRONMENT
YELLOW “URGENT”
-HAVE THE POTENTIAL TO BE LIFE
THREATENING
-REQUIRES OBSERVATION AND CARE CAN
BE DELAYED BY TO 6 HOURS UNTIL
ASSESSMENT IS DONE. (PWEDENG LUMALA)
*HEAD INJURY
*ABDOMINAL
*INJURY
*BURN
GREEN “NON-URGENT”
-WAIT
-MINOR INJURIES OR “WALKING
WOUNDED”
-CARE CAN BE DELAYED UP TO
24HOURS
BLACK “EXPECTANT”
-FOR THOSED CLIENT THAT WILL EXPIRE
WITH OR WITHOUT MEDICAL
INTERVENTION
-DECEASED OR WILL NOT BE AVAIL TO
SURVIVE GIVEN THAT CARE IS AVAILABLE
*APNEIC OR CYANOTIC
*DEAD ON ARRIVAL
*GCS 3 OR TOTALLY UNRESPONSIVE
WHITE “DISMISS” INJURIES FOR WHOM A DOCTOR’S CARE IS NOT
REQUIRED.