Test Breakdown

Clinical Needs

Percentage
   of Test

Safe and Effective Care Environment
• Management of Care 20%
• Safety and Infection Control 9-15%
Health Promotion and Maintenance 6-12%
Psychosocial Integrity 6-12%
Physiological Integrity
• Basic Care and Comfort 6-12%
• Pharmacological and Parenteral Therapies 12-18%
• Reduction of Risk Potential 9-15%
• Physiological Adaptation 11-17%

Detailed Breakdown

Safe and Effective Care Environment

The nurse promotes achievement of client outcomes by providing and directing nursing care that enhances the care delivery setting in order to protect clients and other health care personnel.

Management of Care

 -- providing and directing nursing care that enhances the care delivery setting to protect clients and health care personnel.

Related content includes, but is not limited to:

  • Advance Directives
  • Advocacy
  • Case Management
  • Client Rights
  • Collaboration with Interdisciplinary Team
  • Concepts of Management
  • Confidentiality/Information Security
  • Consultation
  • Continuity of Care
  • Delegation
  • Establishing Priorities
  • Ethical Practice
  • Informed Consent
  • Information Technology
  • Legal Rights and Responsibilities
  • Performance Improvement (Quality Improvement)
  • Referrals
  • Supervision

Safety and Infection Control

 -- protecting clients and health care personnel from health and environmental hazards.

Related content includes, but is not limited to:

  • Accident/Injury Prevention
  • Emergency Response Plan
  • Ergonomic Principles
  • Error Prevention
  • Handling Hazardous and Infectious Materials
  • Home Safety
  • Reporting of Incident/Event/Irregular Occurrence/Variance
  • Safe Use of Equipment
  • Security Plan
  • Standard Precautions/Transmission-Based Precautions/Surgical Asepsis
  • Use of Restraints/Safety Devices

Health Promotion and Maintenance

The nurse provides and directs nursing care of the client that incorporates the knowledge of expected growth and development principles, prevention and/or early detection of health problems, and strategies to achieve optimal health.

Related content includes, but is not limited to:

  • Aging Process
  • Ante/Intra/Postpartum and Newborn Care
  • Developmental Stages and Transitions
  • Health and Wellness
  • Health Promotion/Disease Prevention
  • Health Screening
  • High Risk Behaviors
  • Principles of Teaching/Learning
  • Self-Care
  • Techniques of Physical Assessment

Psychosocial Integrity

The nurse provides and directs nursing care that promotes and supports the emotional, mental and social well-being of the client experiencing stressful events, as well as clients with acute or chronic mental illness.

Related content includes, but is not limited to:

  • Abuse/Neglect
  • Behavioral Interventions
  • Chemical and Other Dependencies
  • Coping Mechanisms
  • Crisis Intervention
  • Cultural Diversity
  • End of Life Care
  • Family Dynamics
  • Grief and Loss
  • Mental Health Concepts
  • Religious and Spiritual Influences on Health
  • Sensory/Perceptual Alterations
  • Stress Management
  • Therapeutic Communication
  • Therapeutic Environment

Physiological Integrity

The nurse promotes physical health and wellness by providing care and comfort, reducing client risk potential and managing health alterations.

Basic Care and Comfort

 -- providing comfort and assistance in the performance of activities of daily living.

Related content includes, but is not limited to:

  • Assistive Devices
  • Elimination
  • Mobility/Immobility
  • Non-Pharmacological Comfort Interventions
  • Nutrition and Oral Hydration
  • Rest and Sleep

Pharmacological and Parenteral Therapies 

-- providing care related to the administration of medications and parenteral therapies.

Related content includes, but is not limited to:

  • Adverse Effects/Contraindications /Side Effects/Interactions
  • Blood and Blood Products
  • Central Venous Access Devices
  • Dosage Calculation
  • Expected Actions/Outcomes
  • Medication Administration
  • Parenteral/Intravenous Therapies
  • Pharmacological Pain Management
  • Total Parenteral Nutrition

Reduction of Risk Potential

 -- reducing the likelihood that clients will develop complications or health problems related to existing conditions, treatments or procedures.

Related content includes, but is not limited to:

  • Changes/Abnormalities in Vital Signs
  • Diagnostic Tests
  • Laboratory Values
  • Potential for Alterations in Body Systems
  • Potential for Complications of Diagnostic Tests/Treatments/Procedures
  • Potential for Complications from Surgical Procedures and Health Alterations
  • System Specific Assessments
  • Therapeutic Procedures

Physiological Adaptation

 -- managing and providing care for clients with acute, chronic or life-threatening physical health conditions.

Related content includes, but is not limited to:

  • Alterations in Body Systems
  • Fluid and Electrolyte Imbalances
  • Hemodynamics
  • Illness Management
  • Medical Emergencies
  • Pathophysiology
  • Unexpected Response to Therapies