| Safety and Infection Control |
- Assess the client for allergies and intervene as needed
- Assess the client care environment
- Promote staff safety
- Protect the client from injury
- Properly identify the client when providing care
- Verify the appropriateness and accuracy of a treatment order
- Participate in emergency planning and response
- Use ergonomic principles when providing care
- Follow procedures for handling biohazardous and hazardous materials
- Educate the client on safety issues
- Acknowledge and document practice errors and near misses
- Report, intervene, and/or escalate unsafe practice of health care personnel (e.g., substance abuse, improper care, staffing practices)
- Facilitate appropriate and safe use of equipment
- Follow security plan and procedures (e.g., newborn security, violence, controlled access)
- Apply principles of infection prevention (e.g., hand hygiene, aseptic technique, isolation, sterile technique, universal/standard enhanced barrier precautions)
- Educate client and staff regarding infection prevention measures
- Follow the requirements when using restraints
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| Health Promotion and Maintenance |
- Provide care and education for the newborn, infant, and toddler client from birth through 2 years
- Provide care and education for the preschool, school-age age and adolescent clients ages 3 through 17 years
- Provide care and education for the adult client ages 18 through 64 years
- Provide care and education for adult clients aged 65 years and over
- Provide prenatal care and education
- Provide care and education to an antepartum client or a client in labor
- Provide post-partum care and education
- Assess and educate clients about health risks based on family, population, and community
- Assess client’s readiness to learn, learning preferences, and barriers to learning
- Plan and/or participate in community health education
- Educate the client about preventative care and health maintenance recommendations
- Provide resources to minimize communication barriers
- Perform targeted screening assessments (e.g., vision, nutrition, depression)
- Educate the client about the prevention and treatment of high-risk health behaviors
- Assess client's ability to manage care in home environment and plan care accordingly, perform comprehensive health assessments
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| Psychosocial Integrity |
- Assess client for abuse or neglect and report, intervene, and/or escalate
- Incorporate behavioral management techniques when caring for a client
- Assess client for substance abuse and/or toxicities and intervene as appropriate (e.g., dependency, withdrawal)
- Assess the client’s ability to cope with life changes and provide support
- Assess the potential for violence and use safety precautions
- Incorporate client cultural practices and beliefs when planning and providing care
- Provide end-of-life care and education to clients
- Assess the client support system to aid in the plan of care
- Provide care for a client experiencing grief or loss
- Provide care and education for acute and chronic psychosocial health issues (e.g., addictions/dependencies, depression, dementia, eating disorders)
- Assess psychosocial factors influencing care and plan interventions (e.g., occupational, spiritual, environmental, financial)
- Provide appropriate care for a client experiencing visual, auditory, and/or cognitive alterations
- Recognize non-verbal cues to physical and/or psychological stressors
- Use therapeutic communication techniques
- Promote a therapeutic environment
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| Basic Care and Comfort |
- Assist the client to compensate for a physical or sensory impairment (e.g., assistive devices, positioning)
- Assess and manage a client with an alteration in bowel and bladder elimination
- Perform irrigations (e.g., of bladder, ear, eye)
- Perform skin assessment and implement measures to maintain skin integrity. Apply, maintain, or remove orthopedic devices
- Implement measures to promote circulation (e.g., active or passive range of motion, positioning, and mobilization)
- Assess the client for pain and intervene as appropriate
- Recognize complementary therapies and identify potential benefits and contraindications (e.g., aromatherapy, acupressure, supplements)
- Provide non-pharmacological comfort measures
- Evaluate the client’s nutritional status and intervene as needed
- Provide client nutrition through tube feedings
- Evaluate client intake and output and intervene as needed
- Assess client performance of activities of daily living and assist when needed. Perform post-mortem care
- Assess client sleep/rest pattern and intervene as needed
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| Pharmacological and Parenteral Therapies |
- Administer blood products and evaluate client response
- Access and/or maintain central venous access devices
- Perform calculations needed for medication administration
- Evaluate the client's response to medication
- Educate the client about medications
- Prepare and administer medications using the rights of medication administration
- Review pertinent data before medication administration (e.g., contraindications, lab results, allergies, potential interactions)
- Participate in the medication reconciliation process
- Titrate the dosage of medication based on assessment and ordered parameters
- Dispose of medications safely
- Handle and maintain medication in a safe and controlled environment
- Evaluate the appropriateness and accuracy of the medication order for the client
- Handle and administer high-risk medications safely
- Monitor intravenous infusion and maintain the site
- Administer medications for pain management
- Handle and administer controlled substances within regulatory guidelines
- Administer parenteral nutrition and evaluate client response
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| Physiological Adaptation |
- Assist with invasive procedures (e.g., central line, thoracentesis, bronchoscopy). Implement and monitor phototherapy
- Maintain the optimal temperature of the client
- Monitor and care for clients on a ventilator
- Monitor and maintain devices and equipment used for drainage (e.g., surgical
- wound drains, chest tube suction, negative pressure wound therapy)
- Perform and manage the care of a client receiving peritoneal dialysis
- Perform suctioning
- Perform wound care and dressing change
- Provide ostomy care and education (e.g., tracheal, enteral)
- Provide pulmonary hygiene (e.g., chest physiotherapy, incentive spirometry)
- Provide postoperative care
- Manage the care of the client with a fluid and electrolyte imbalance
- Monitor and maintain arterial lines
- Manage the care of a client with a pacing device
- Manage the care of a client on telemetry
- Manage the care of a client receiving hemodialysis or continuous renal replacement therapy
- Manage the care of a client with alterations in hemodynamics, tissue perfusion, and hemostasis
- Educate the client regarding an acute or chronic condition
- Manage the care of a client with impaired ventilation/oxygenation
- Evaluate the effectiveness of the treatment plan for a client with an acute or chronic diagnosis. Perform emergency care procedures
- Identify the pathophysiology related to an acute or chronic condition
- Recognize the signs and symptoms of client complications and intervene
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| Official Information |
https://www.nclex.com/files/2023_RN_Test%20Plan_English_FINAL.pdf |
