Outline Question Method (Note taking)

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Jon Haws
BS, BSN,RN,CCRN Alumnus
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Included In This Lesson

Study Tools For Outline Question Method (Note taking)

10 Steps to Note Taking (Cheatsheet)
Cardiac Notes Note Taking Outline (Cheatsheet)
Survival Guide for Nurses (Book)
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Outline

You will have few opportunities in life to feel as inundated as you will during nursing school. Sometimes it feels like the entire object of nursing school is to see how many students they can stress out of the program.

There is no situation where the old adage applies more realistically; “drinking from a firehose

drinking from fire hose

In all seriousness, nursing school is intense. You are learning how to care for a human being in the most complex of situations both physically and emotionally and there is so much to be learned.

On top of this you are only given a few months to cover the 1,875 pages of a MedSurg textbook before switching to an entirely new topic.

We all understand the problem . . . I’ll move on.

How to Take Notes in Nursing School

At the risk of sounding highly oversimplified, I want to provide you with a note taking method that leads to deep understanding of complex material in accelerated periods of time. Not only did I use this exact method in nursing school, but I have also shared it with nursing students around the globe with much success.

I love processes (as you have probably already guessed), they provide you with a replicable method you can use in your own studies, so I am going to give you a 10 step method for reading and taking notes in nursing school.

Use this same method as you work through the courses within NRSNG Academy.

  1. Read the chapter quickly
  2. Re-read, turning key points into questions
    1. Write questions
    2. Write answers
  3. Read through question/answer document twice
  4. Create another document and remove answers
  5. Hand write in answers for each question
  6. Re-read sections on questions you are unable to answer
  7. Repeat steps 5-6 three times
  8. Condense document to key 50-100 items
  9. Repeat steps 5-6 three times
  10. Randomize questions and answer them three times

10 Steps

Many students that read these ten steps will immediately say, “that seems like a lot of work, I’m just gonna read the chapter and highlight every word”.

Don’t be one of those students. This is a lot of work, but it will pay you back in dividends throughout your career as a nurse and you will be hooked after doing this just once.

  • Read the chapter quickly
    • In order to obtain a base knowledge of the information and to be introduced to key concepts it is important that you skim through the chapter quickly. While doing this initial reading you should be paying attention to key concepts (bold words and nursing care and interventions). Do not worry about taking any side notes, making flashcards, or highlighting. During this initial pass you are simply trying to wrap your mind about the general concepts being covered.
  • Re-read, turning key points into questions
    • Be careful during this step, this is the most important aspect of the ten steps. Read back through the chapter again focusing your attention on key aspects and important concepts. As you do this you need to turn each key concept into an answerable question. Do not create yes or no questions. You should create short answer questions (refer to the example at the bottom of this page).
  • Read through question/answer document twice
    • Now that you have your document, you need to work through the document, answering the questions several times. This will also allow you a couple of chances to amend the document, adding and subtracting as needed.
  • Create another document and remove answers
    • Create a document that contains just the questions with no answers.
  • Hand write in answers for each question
    • Now work through the document adding your answers in for each question. When you are unable to answer a question, just go back to your text, NRSNG Academy, and ppts to find the answers. This is when the real learning occurs. Not only are you discovering what areas you are weak in, but you are rediscovering what material is most important.
  • Re-read sections on questions you are unable to answer
  • Keep note of those areas in which you are struggling to answer. You should go back into the text and resources and really dive into this information until you are able to make complete sense of it.
  • Repeat steps 5-6 three times
  • Condense document to key 50-100 items
    • By this time you should have a good grasp on what REALLY matters . . . the LINCHPINS. Armed with this information, condense your document down to the linchpins, removing the less important and complex information.
  • Repeat steps 5-6 three times
  • With your newly condensed document you should work through the questions again. At this point, feel free to add new and additional details as you expound on the key components.
  • Randomize questions and answer them three times
    • Print off another copy of your document without the answers. Cut up each question and place them all in a bag. Pull out one question at a time and answer them one by one. The reason you need to do this step is that as you work through your document in the same order so many times your brain will just become accustomed to answering questions in a certain order. You need to do this step to mix it up a bit and determine areas where additional study is needed.

Conclusion

I’m not going to lie, this is an arduous task and requires a tremendous amount of dedication and focus. However, those students that dedicate themselves to this process will see their understanding skyrocket in complex subjects. If you marry this process with everything else you’ve learned in this course and the content contained within NRSNG Academy you will surprise yourself with the level of understanding you are able to obtain.

Download this example worksheet. This is an ACTUAL worksheet I used in nursing school (way back in the day) to learn cardiac disorders. As you will see (and as I’ve stated ad nauseum), this is not an easy task. Creating the document alone will take a good amount of time and answering each question will take even that much longer.

DownloadCardiac Example Outline

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My Study Plan

Concepts Covered:

  • Upper GI Disorders
  • Anxiety Disorders
  • Depressive Disorders
  • Medication Administration
  • Disorders of the Posterior Pituitary Gland
  • Respiratory Disorders
  • Female Reproductive Disorders
  • Neurologic and Cognitive Disorders
  • Shock
  • Cardiac Disorders
  • Cardiovascular Disorders
  • Urinary Disorders
  • Pregnancy Risks
  • Disorders of Pancreas
  • Liver & Gallbladder Disorders
  • Hematologic Disorders
  • Nervous System
  • Substance Abuse Disorders
  • Personality Disorders
  • Dosage Calculations
  • Urinary System
  • Learning Pharmacology
  • Immunological Disorders
  • Test Taking Strategies
  • Prefixes
  • Suffixes
  • Bipolar Disorders
  • Concepts of Population Health
  • Factors Influencing Community Health
  • Community Health Overview
  • Trauma-Stress Disorders
  • Cognitive Disorders
  • Psychotic Disorders
  • Somatoform Disorders
  • EENT Disorders
  • Musculoskeletal Trauma
  • Integumentary Important Points
  • Musculoskeletal Disorders
  • Integumentary Disorders
  • Disorders of the Thyroid & Parathyroid Glands
  • Disorders of the Adrenal Gland
  • Oncology Disorders
  • Labor Complications
  • Lower GI Disorders
  • Central Nervous System Disorders – Brain
  • Emergency Care of the Neurological Patient
  • Neurological Emergencies
  • Central Nervous System Disorders – Spinal Cord
  • Noninfectious Respiratory Disorder
  • Respiratory Emergencies
  • Infectious Respiratory Disorder
  • Vascular Disorders
  • Emergency Care of the Cardiac Patient
  • Circulatory System
  • Postoperative Nursing
  • Intraoperative Nursing
  • Preoperative Nursing
  • Eating Disorders
  • Renal Disorders
  • Infectious Disease Disorders
  • Musculoskeletal Disorders
  • Renal and Urinary Disorders
  • EENT Disorders
  • Gastrointestinal Disorders
  • Hematologic Disorders
  • Oncologic Disorders
  • Endocrine and Metabolic Disorders
  • Integumentary Disorders
  • Childhood Growth and Development
  • Adulthood Growth and Development
  • Prenatal Concepts
  • Postpartum Complications
  • Fetal Development
  • Labor and Delivery
  • Postpartum Care
  • Newborn Care
  • Newborn Complications
  • Digestive System
  • Tissues and Glands
  • Concepts of Mental Health
  • Health & Stress
  • Fundamentals of Emergency Nursing
  • Developmental Theories
  • Prioritization
  • Basics of NCLEX
  • Communication
  • Emotions and Motivation
  • Delegation
  • Legal and Ethical Issues
  • Basic
  • Note Taking
  • Studying

Study Plan Lessons

Proton Pump Inhibitors
SSRIs
TCAs
Vasopressin
Anti-Infective – Penicillins and Cephalosporins
Metronidazole (Flagyl) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Vancomycin (Vancocin) Nursing Considerations
Nitro Compounds
NSAIDs
Parasympatholytics (Anticholinergics) Nursing Considerations
Hydralazine (Apresoline) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate
Insulin
MAOIs
Histamine 1 Receptor Blockers
Histamine 2 Receptor Blockers
HMG-CoA Reductase Inhibitors (Statins)
Corticosteroids
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Epoetin Alfa
Parasympathomimetics (Cholinergics) Nursing Considerations
Benzodiazepines
Calcium Channel Blockers
Cardiac Glycosides
Autonomic Nervous System (ANS)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
ACE (angiotensin-converting enzyme) Inhibitors
Angiotensin Receptor Blockers
Atypical Antipsychotics
Atypical Antipsychotics
Injectable Medications
Injectable Medications
IV Infusions (Solutions)
Complex Calculations (Dosage Calculations/Med Math)
Renin Angiotensin Aldosterone System
Basics of Calculations
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Oral Medications
The SOCK Method – S
The SOCK Method – O
The SOCK Method – C
The SOCK Method – K
Essential NCLEX Meds by Class
6 Rights of Medication Administration
The SOCK Method – Overview
12 Points to Answering Pharmacology Questions
12 Points to Answering Pharmacology Questions
54 Common Medication Prefixes and Suffixes
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Communicable Diseases
Disasters & Bioterrorism
Disasters & Bioterrorism
Cultural Care
Environmental Health
Technology & Informatics
Epidemiology
Health Promotion & Disease Prevention
Alcohol Withdrawal (Addiction)
Grief and Loss
Paranoid Disorders
Personality Disorders
Cognitive Impairment Disorders
Mood Disorders (Bipolar)
Depression
Schizophrenia
Generalized Anxiety Disorder
Post-Traumatic Stress Disorder (PTSD)
Somatoform
Dissociative Disorders
Anxiety
Glaucoma
Macular Degeneration
Hearing Loss
Fractures
Cataracts
Integumentary (Skin) Important Points
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoporosis
Burn Injuries
Pressure Ulcers/Pressure injuries (Braden scale)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Diabetes Management
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Oncology Important Points
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Anaphylaxis
Addisons Disease
Blood Transfusions (Administration)
Leukemia
Lymphoma
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Thrombocytopenia
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Nursing Care and Pathophysiology for Appendicitis
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Nursing Care and Pathophysiology for Pancreatitis
Seizure Therapeutic Management
Nursing Care and Pathophysiology for Seizure
Nursing Care and Pathophysiology for Meningitis
Stroke Nursing Care (CVA)
Seizure Causes (Epilepsy, Generalized)
Seizure Assessment
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Stroke Assessment (CVA)
Stroke Therapeutic Management (CVA)
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Parkinsons
Adjunct Neuro Assessments
Intracranial Pressure ICP
Cerebral Perfusion Pressure CPP
Routine Neuro Assessments
Levels of Consciousness (LOC)
Levels of Consciousness (LOC)
Levels of Consciousness (LOC)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Chest Tube Management
Nursing Care and Pathophysiology of Pneumonia
Artificial Airways
Airway Suctioning
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Lung Sounds
Alveoli & Atelectasis
Gas Exchange
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Cardiogenic Shock
Pacemakers
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology for Heart Failure (CHF)
Premature Ventricular Contraction (PVC)
Ventricular Tachycardia (V-tach)
Ventricular Fibrillation (V Fib)
Sinus Bradycardia
Sinus Tachycardia
Performing Cardiac (Heart) Monitoring
Atrial Fibrillation (A Fib)
Hemodynamics
Preload and Afterload
Normal Sinus Rhythm
Post-Anesthesia Recovery
Postoperative (Postop) Complications
Discharge (DC) Teaching After Surgery
Local Anesthesia
Moderate Sedation
Malignant Hyperthermia
Preoperative (Preop)Assessment
Preoperative (Preop) Education
Preoperative (Preop) Nursing Priorities
General Anesthesia
Ultrasound
Biopsy
Informed Consent
Magnetic Resonance Imaging (MRI)
Cerebral Angiography
Cardiovascular Angiography
Echocardiogram (Cardiac Echo)
X-Ray (Xray)
Computed Tomography (CT)
Glucose Lab Values
Hemoglobin A1c (HbA1C)
Blood Urea Nitrogen (BUN) Lab Values
Creatinine (Cr) Lab Values
Urinalysis (UA)
Coagulation Studies (PT, PTT, INR)
Albumin Lab Values
Cholesterol (Chol) Lab Values
Cholesterol (Chol) Lab Values
Ammonia (NH3) Lab Values
Hematocrit (Hct) Lab Values
White Blood Cell (WBC) Lab Values
Platelets (PLT) Lab Values
Red Blood Cell (RBC) Lab Values
Hemoglobin (Hbg) Lab Values
Chloride-Cl (Hyperchloremia, Hypochloremia)
Hypotonic Solutions (IV solutions)
Hypertonic Solutions (IV solutions)
Potassium-K (Hyperkalemia, Hypokalemia)
Sodium-Na (Hypernatremia, Hyponatremia)
Metabolic Alkalosis
Base Excess & Deficit
Isotonic Solutions (IV solutions)
ABG (Arterial Blood Gas) Interpretation-The Basics
Respiratory Acidosis (interpretation and nursing interventions)
Respiratory Alkalosis
Metabolic Acidosis (interpretation and nursing diagnosis)
ABGs Nursing Normal Lab Values
Varicella – Chickenpox
Pertussis – Whooping Cough
Attention Deficit Hyperactivity Disorder (ADHD)
Scoliosis
Rubeola – Measles
Mumps
Meningitis
Spina Bifida – Neural Tube Defect (NTD)
Autism Spectrum Disorders
Nephrotic Syndrome
Enuresis
Cerebral Palsy (CP)
Defects of Increased Pulmonary Blood Flow
Defects of Decreased Pulmonary Blood Flow
Obstructive Heart (Cardiac) Defects
Mixed (Cardiac) Heart Defects
Asthma
Cystic Fibrosis (CF)
Congenital Heart Defects (CHD)
Conjunctivitis
Acute Otitis Media (AOM)
Tonsillitis
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Appendicitis
Intussusception
Constipation and Encopresis (Incontinence)
Vomiting
Pediatric Gastrointestinal Dysfunction – Diarrhea
Celiac Disease
Hemophilia
Nephroblastoma
Fever
Dehydration
Pediculosis Capitis
Burn Injuries
Sickle Cell Anemia
Growth & Development – School Age- Adolescent
Growth & Development – School Age- Adolescent
Eczema
Impetigo
Growth & Development – Infants
Growth & Development – Toddlers
Growth & Development – Preschoolers
Care of the Pediatric Patient
Vitals (VS) and Assessment
Menstrual Cycle
Fundal Height Assessment for Nurses
Gravidity and Parity (G&Ps, GTPAL)
Gestation & Nägele’s Rule: Estimating Due Dates
Family Planning & Contraception
Antepartum Testing
Discomforts of Pregnancy
Physiological Changes
Maternal Risk Factors
Gestational Diabetes (GDM)
Chorioamnionitis
Nutrition in Pregnancy
Gestational HTN (Hypertension)
Hydatidiform Mole (Molar pregnancy)
Ectopic Pregnancy
Disseminated Intravascular Coagulation (DIC)
Fetal Development
Infections in Pregnancy
Mechanisms of Labor
Process of Labor
Fetal Circulation
Fetal Environment
Placenta Previa
Prolapsed Umbilical Cord
Fetal Heart Monitoring (FHM)
Leopold Maneuvers
Precipitous Labor
Preterm Labor
Abruptio Placentae (Placental abruption)
Breastfeeding
Postpartum Discomforts
Postpartum Physiological Maternal Changes
Dystocia
Initial Care of the Newborn (APGAR)
Mastitis
Postpartum Hemorrhage (PPH)
Newborn Reflexes
Body System Assessments
Newborn Physical Exam
Transient Tachypnea of Newborn
Meconium Aspiration
Babies by Term
Newborn of HIV+ Mother
Hyperbilirubinemia (Jaundice)
Head to Toe Nursing Assessment (Physical Exam)
Blood Glucose Monitoring
Specialty Diets (Nutrition)
Enteral & Parenteral Nutrition (Diet, TPN)
Bowel Elimination
Pain and Nonpharmacological Comfort Measures
Hygiene
Intake and Output (I&O)
Patient Positioning
Complications of Immobility
Urinary Elimination
Defense Mechanisms
Abuse
Overview of Developmental Theories
Overview of Developmental Theories
Prioritization
Triage
Overview of the Nursing Process
Therapeutic Communication
Isolation Precaution Types (PPE)
Maslow’s Hierarchy of Needs in Nursing
Delegation
Fall and Injury Prevention
HIPAA
Brief CPR (Cardiopulmonary Resuscitation) Overview
Fire and Electrical Safety
Advance Directives
Legal Considerations
Drawing Pictures
Duplicate Facts
Repeating Words
Denying Feelings
NCLEX® Question Traps
Outline Question Method (Note taking)
Priority
Nursing Process
Acute vs Chronic
What do you want me to know?
Absolute Words
Opposites
Same
What is the NCLEX?
Anatomy of an NCLEX Question
SATA
Goal Setting
Critical Thinking
Bloom’s Taxonomy
Time Management
Study Setting