| Coordinated Care |
Provide information about advance directives
- Advocate for client rights and needs
- Promote client self-advocacy
- Assign client care and/or related tasks (e.g., assistive personnel, LPN/VN)
- Involve client in care decision making
- Contribute to the development of and/or update the client plan of care
- Participate as a member of an interdisciplinary team
- Recognize and report staff conflict
- Participate in staff education (e.g., inservices, continued competency)
- Use data from various credible sources in making clinical decisions
- Monitor activities of assistive personnel
- Maintain client confidentiality
- Provide for privacy needs
- Follow up with client after discharge
- Participate in client discharge or transfer
- Provide and receive report
- Organize and prioritize care based on client needs
- Practice in a manner consistent with code of ethics for nurses
- Participate in client consent process
- Use information technology in client care
- Verify and process health care provider orders
- Recognize self-limitations of task/assignments and seek assistance when needed
- Respond to the unsafe practice of a health care provider (e.g., intervene, report)
- Follow regulation/policy for reporting specific issues (e.g., abuse, neglect, gunshot wound, communicable disease)
- Provide care within the legal scope of practice
- Participate in quality improvement (QI) activity (e.g., collecting data, serving on QI committee)
- Apply evidence-based practice when providing care
- Participate in client data collection
- Participate in client referral process
- Participate in providing cost effective care
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| Safety and Infection Control |
Identify client allergies and intervene as appropriate
- Verify the identity of the client
- Assist in and/or reinforce education to the client about safety precautions
- Use transfer assistive devices (e.g., gait/transfer belt, slide board mechanical lift)
- Evaluate the appropriateness of the health care provider’s order for a client
- Participate in preparation for internal and external disaster (e.g., fire, natural disaster)
- Use safe client handling techniques (e.g., body mechanics)
- Identify and address unsafe conditions in health care and home environments
- Follow protocol for timed client monitoring (e.g., safety checks)
- Implement the least restrictive restraints or seclusion
- Acknowledge and document practice error (e.g., incident report)
- Assure the availability and safe functioning of client care equipment
- Initiate and participate in security alert (e.g., infant abduction, flight risk)
- Apply principles of infection control (e.g., PPE, aseptic technique, isolation standard precautions)
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| Health Promotion and Maintenance |
- Provide care that meets the needs of the newborn less than 1 month old through the infant or toddler client through 2 years
- Provide care that meets the needs of the preschool, school-age age and adolescent client ages 3 through 17 years
- Provide care that meets the needs of the adult client ages 18 through 64 years
- Provide care that meets the needs of the adult client ages 65 and over
- Assist with care for the antepartum client
- Assist with monitoring a client in labor
- Monitor the recovery of a stable postpartum client
- Identify community resources for clients
- Collect data for health history (e.g., client medical history, family medical history)
- Collect baseline physical data (e.g., skin integrity, height, and weight). Identify barriers to communication. Identify barriers to learning
- Compare the client to developmental milestones
- Assist client with expected life transitions (e.g., attachment to newborn, parenting, retirement)
- Identify clients in need of immunizations
- Participate in health screening or health promotion programs
- Provide information for prevention of high-risk behaviors (e.g., substance abuse, sexual practices, smoking cessation)
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| Psychosocial Integrity |
- Reinforce education to caregivers/family on ways to manage the client with behavioral disorders
- Incorporate behavioral management techniques when caring for a client
- Participate in reminiscence therapy, validation therapy, or reality orientation
- Participate in a client group session
- Collect data regarding client psychosocial functioning
- Identify the client's use of effective and ineffective coping mechanisms
- Recognize stressors that affect client care
- Assist the client to cope/adapt to stressful events and changes in health status
- Collect data on the client’s potential for violence to self and others
- Assist in managing the care of an angry and/or agitated client (e.g., de-escalation techniques)
- Plan care with consideration of the client's spiritual, cultural beliefs, and/or gender identity
- Provide end-of-life care and education to clients
- Explore reasons for client non-compliance with the treatment plan
- Assist in the care of a client experiencing sensory/perceptual alterations
- Assist in the care of the cognitively impaired client
- Promote positive self-esteem of the client
- Identify signs and symptoms of substance abuse, substance use disorder, withdrawal, and overdose
- Provide emotional support to the client
- Use therapeutic communication techniques with the client
- Promote a therapeutic environment
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| Basic Care and Comfort |
Provide care to client with bowel or bladder management protocol
- Perform irrigation (e.g., urinary catheter, bladder, wound, ear, nose, eye)
- Provide for mobility needs (e.g., ambulation, range of motion, transfer, repositioning, use of adaptive equipment)
- Use measures to maintain or improve client skin integrity
- Provide care to an immobilized client based on need
- Assist in the care and comfort for a client with a visual and/or hearing impairment
- Promote alternative/complementary therapy in providing client care (e.g., music therapy, pet therapy)
- Provide non-pharmacological measures for pain relief (e.g., imagery, massage, repositioning)
- Evaluate pain using standardized rating scales
- Provide feeding for client with enteral tubes
- Monitor and provide for nutritional needs of client
- Monitor cBasic Care and Comfortlient intake/output
- Assist with activities of daily living
- Provide site care for client with enteral tubes
- Assist in providing postmortem care
- Provide measures to promote sleep and rest
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| Basic Care and Comfort |
Provide care to a client with a bowel or bladder management protocol
- Perform irrigation (e.g., urinary catheter, bladder, wound, ear, nose, eye)
- Provide for mobility needs (e.g., ambulation, range of motion, transfer, repositioning, use of adaptive equipment)
- Use measures to maintain or improve client skin integrity
- Provide care to an immobilized client based on need
- Assist in the care and comfort of a client with a visual and/or hearing impairment
- Promote alternative/complementary therapy in providing client care (e.g., music therapy, pet therapy)
- Provide non-pharmacological measures for pain relief (e.g., imagery, massage, repositioning)
- Evaluate pain using standardized rating scales
- Provide feeding for cthe lient with enteral tubes
- Monitor and provide for the nutritional needs of the client
- Monitor client intake/output
- Assist with activities of daily living
- Provide site care for a client with enteral tubes
- Assist in providing postmortem care
- Provide measures to promote sleep and rest
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| Pharmacological Therapies |
Perform calculations needed for medication administration
- Reinforce education to client regarding medications
- Evaluate client response to medication (e.g., adverse reactions, interactions, therapeutic effects, critical laboratory values)
- Follow the rights of medication administration
- Maintain medication safety practices (e.g., storage, checking for expiration dates, compatibility)
- Reconcile and maintain medication list or medication administration record (e.g., prescribed medications, herbal supplements, over-the-counter medications)
- Collect required data prior to medication administration (e.g., contraindications, current medications)
- Administer medication by oral route
- Administer intravenous piggyback (secondary) medications
- Administer medication by various gastrointestinal tubes
- Administer a subcutaneous, intradermal or intramuscular medication
- Administer medication by ear, eye, nose, inhalation, rectum, vagina or skin route
- Count controlled substances and report discrepancies
- Calculate and monitor intravenous (IV) flow rate
- Monitor the transfusion of blood products
- Maintain pain control devices (e.g., epidural, patient-controlled analgesia, peripheral nerve catheter)
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| Reduction of Risk Potential |
Check and monitor client vital signs
- Perform an electrocardiogram (EKG/ECG)
- Perform venipuncture for blood draws
- Perform blood glucose monitoring
- Collect specimens for diagnostic testing (e.g., blood, urine, stool, sputum)
- Maintain the central venous catheter
- Monitor diagnostic or laboratory test results
- Identify signs or symptoms of potential prenatal complications
- Perform focused data collection based on client condition (e.g., neurological checks, circulatory checks)
- Check for urinary retention (e.g., bladder scan, ultrasound, palpation)
- Apply and check the proper use of compression stockings and/or sequential compression devices (SCD)
- Identify client risk and implement interventions
- Monitor continuous or intermittent suction of the nasogastric (NG) tube
- Use precautions to prevent injury and/or complications associated with a procedure or diagnosis
- Evaluate client oxygen (O2) saturation
- Assist with care for the client before and after the surgical procedure
- Reinforce client education about procedures and treatments
- Monitor client responses to procedures and treatments
- Insert, maintain, and remove urinary catheter
- Insert, maintain,n and remove nasogastric (NG) tube
- Maintain and remove a peripheral intravenous (IV) catheter
- Assist with the performance of a diagnostic or invasive procedure
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| Physiological Adaptation |
Recognize and report basic abnormalities on a client cardiac monitor strip
- Provide care for client drainage device (e.g., wound drain, chest tube)
- Provide cooling/warming measures to restore normal body temperature
- Provide care for a client with a tracheostomy
- Provide care to client with an ostomy (e.g., colostomy, ileostomy, urostomy)
- Provide care to client on a ventilator
- Provide care for a client receiving peritoneal dialysis or hemodialysis
- Perform wound care and/or dressing change
- Assist in the care of a client with a pacing device
- Remove wound sutures or staples
- Assist with client wound drainage device removal
- Intervene to improve client's respiratory status (e.g., breathing treatment, suctioning, repositioning)
- Reinforce education to client regarding care and condition
- Identify signs and symptoms related to acute or chronic illness
- Provide care for a client with a fluid and electrolyte imbalance
- Respond and intervene to a client life-threatening situation (e.g., cardiopulmonary resuscitation)
- Recognize and report a change in client condition
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| Official Information |
https://www.nclex.com/files/2023_PN_Test%20Plan_FINAL.pdf |
