Download Fundamentals of Nursing crosswalk with the NCLEX

Fundamentals of Nursing Crosswalk with NCLEX-PN 2011 Test Plan
NCLEX-PN 2011 Test Plan
All content categories and subcategories reflect client
needs across the life span in a variety of settings.
Related content includes, but is not limited the
categories as listed.
NOTE: The NCLEX-PN 2011 Test Plan contains very specific
descriptions for each category below. The specific descriptions were
compared to module objectives.
Safe and Effective Care Environment
The LPN/VN provides nursing care that contributes to the
enhancement of the health care delivery setting and
protects clients and health care personnel.
Coordinated Care –
The LPN/VN collaborates with health care team members
to facilitate effective client care.
Fundamentals of Nursing (160 hours)
1 – Skills for Wound Care;
2 – Respiratory Care Skills;
3 – Digestive Care Skills (Upper);
4 – Digestive Care Skills (Lower/Bowel Elimination);
5 – Basic Nutrition;
6 – Urinary Care Skills;
7 – Skills for Applying Heat and Cold;
8 – Mobility;
9 – Plan of Care;
10 – Skills for Admitting, Transferring and Discharging Patients;
11 – Documentation Skills;
12 – Assessment Skills;
13 – Therapeutic Procedures and Surgery;
14 – Skills for Care of the Dying Patient;
15 – Skills for Patients Experiencing Grief and Loss;
16 – Skills for Managing Pain;
17 – Skills for Geriatric Care;
18 – Phlebotomy Skills
NOTE: This crosswalk will provide letter of first name of the course,
module number and objective number from that module, ex: F1.3 would
denote Fundamentals, Module 1, Objective 3
**Objectives F12.8; F5.1; F4.10 are included in this document, however
these will be reworded when curriculum is updated
Advance Directives
 Provide information about advance directives*
Advance Directives
 Review client understanding of advance directives (e.g.,
living will, health care proxy, Durable Power of Attorney
for Health Care [DPAHC])
F14.11 Discuss legal/ethic issues related to death, euthanasia, DNR
orders, organ donation, dying person’s bill or rights, living will,
and durable power of attorney.
Verify the client advance directives status
F14.2 Identify end-of-life needs.

Advocacy
 Advocate for client rights or needs*
F14.6 Assist in resolution of end-of-life issues.
Advocacy
F9.6
Include patient in decisions on priorities of care.
Collaborate with patient regarding self-care needs.
 Discuss identified treatment options with client and
respect the decisions made

Promote client self-advocacy*
F9.11

Use interpreters to assist in achieving client
understanding
F12.11.c. Identify individual consideration related to assessment of
the following: Language barriers
Client Care Assignment
 Assign client care and/or related tasks (e.g., assistive


Client Care Assignment
personnel or LPN/VN)*
Compare needs of client to knowledge, skills and
abilities of assistive personnel prior to making client care
assignments
Organize information for client assignments
 Provide information to supervisor when client care
assignments need to be changed (e.g., change in client
status)
F9.13
F9.17
Discuss the implementation of the plan of care.
Discuss the process of notification of staff regarding
changes in patient condition.
Client Rights
Client Rights

Inform client of individual rights (e.g., confidentiality,
informed consent)
F13.1 Explain routine preoperative preparation required by patients.
F13.2 Assess patient’s preparation status for a diagnostic test,
procedure or surgery.
F13.19 Demonstrate the ability to prepare a patient for procedure or
surgery.
F13.20 Demonstrate the ability to complete a pre-operative checklist

Involve client in care decision making*
F9.1
F9.6

Intervene if client rights are violated

Recognize client right to refuse treatment/procedure
F9.15f
List steps related to decision-making process.
Include patient in decisions on priorities of care.
Revise and contribute to a plan of care that includes:
f. Refusal to follow plan of care
Collaboration with Interdisciplinary Team
 Identify roles/responsibilities of health care team
members
 Identify need for nursing or interdisciplinary client care
conference
 Contribute to the development and/or update of the
client plan of care*


Contribute to planning interdisciplinary client care
conferences
Participate as a member of an interdisciplinary team*
Collaboration with Interdisciplinary Team
F9.16
Discus the role of the LPN/LVN at an interdisciplinary care
conference.
F9.9
F9.12
Distinguish between medical and nursing diagnoses.
Identify resources to be utilized when contributing to an
established nursing care plan.
F9.15 a-g Revise and contribute to a plan of care that includes
a. Religious and spiritual needs, b. Emotional needs,
c. Physical needs, d. Cognitive needs, e. Barriers to plan of
care, f. Refusal to follow plan of care, g. Promotion of safety
and prevention of accident/error
F9.19
Review established plans of care and recommend revisions
as needed.
F9.20
List the process of reviewing the effectiveness of care.
F9.16
Discuss the role of the LPN/LVN at an interdisciplinary care
conference.
F9.20
List the process of reviewing the effectiveness of care.
F10.3
Collect data for admission and health history.
F10.4
Collect baseline data during admission physical condition.
F10.5
Report abnormal data to appropriate health care provider
and document findings according to agency or facility
policies or procedures
F9.16
Discuss the role of the LPN/LVN at an interdisciplinary care
conference.
F9.20
List the process of reviewing the effectiveness of care.
Concepts of Management and Supervision
 Recognize and report staff conflict*
 Verify abilities of staff members to perform assigned

tasks (e.g., job description, scope of practice, training,
experience)
Provide input for performance evaluation of other staff
Participate in staff education*
Use data from various sources in making clinical
decisions*
Serve as resource person to other staff

Supervise/evaluate activities of assistive personnel*



Concepts of Management and Supervision
F9.12
Identify resources to be utilized when contributing to an
established nursing care plan.
Confidentiality/Information Security
Confidentiality/Information Security
 Identify staff actions that impact client confidentiality and F9.18 List the steps of giving shift report on patient’s care.
intervene as needed (e.g., access to medical records,
discussions at nurses' station, change-of-shift reports)
 Recognize staff member and client understanding of
confidentiality requirements
 Apply knowledge of facility regulations when accessing
client records
 Maintain client confidentiality*
 Provide for privacy needs*
Continuity of Care

Follow-up with client after discharge*

Participate in client discharge or transfer*

Provide follow-up for unresolved client care issues

Provide and receive report*

Record client information (e.g., medical record,
referral/transfer form)

Use agency guidelines to guide client care (e.g., clinical
pathways, care maps, care plans)
Continuity of Care
F10.6
F10.7
F10.8
F10.9
Discuss appropriate procedures for transferring a patient.
Discuss appropriate procedures for discharging a patient.
List methods of reinforcing a discharge plan.
Perform teaching of a patient preparing for discharge.
F10.11c
List the steps of: c:Transferring a patient to a different
nursing unit or facility
F10.11b,c List the steps of: b: Identifying and managing patient’s
valuables according to facility or agency policy
c:Transferring a patient to a different nursing unit or facility
F10.1
Identify common reaction of patients admitted to hospitals
and other health care facilities.
F10.2
F10.6
F10.7
F10.11d
F9.2
F9.3
F9.4
Discuss common steps in the admission procedure.
Discuss appropriate procedures for transferring a patient.
Discuss appropriate procedures for discharging a patient.
List the steps of: d: Discharging a patient to home.
Explain the purpose and uses of nursing care plans.
Identify the major components of the nursing care plan.
Explain each step of the nursing process.
Establishing Priorities
Establishing Priorities

F9.7
F9.8
Organize and prioritize care for assigned group of
clients*
F9.5
9.10

Participate in planning client care based upon client
needs (e.g., diagnosis, abilities, prescribed treatment)

Use effective time management skills
Ethical Practice
 Identify ethical issues affecting staff or client





Participate in the development of nursing diagnosis for
patients.
Ethical Practice
Inform client of ethical issues affecting client care
Intervene to promote ethical practice
Review client and staff member knowledge of ethical
issues affecting client care
Informed Consent
 Identify appropriate person to provide informed consent

Prioritize care according to patient’s condition.
Prioritize patient problems according to Maslow’s
Hierarchy of Needs.
Discuss components of each level of Maslow’s’
Hierarchy of Needs
for client (e.g., client, parent, legal guardian)
Participate in client consent process*
Describe informed consent requirements (e.g., purpose
for procedure, risks of procedure)
Recognize that informed consent was obtained (e.g.,
completed consent form, client understanding of
procedure)
Informed Consent
F13.1
Explain routine preoperative preparation required by
patients.
Information Technology
Information Technology

Use information technology in client care*
F11.8 Discuss guidelines related to computer based charting.
F10.10 Discuss the importance of documentation as it relates to
admission, transfer and discharge of patients.
F11.1 Discuss the importance of documentation.
F11.2
Discuss various formats used for charting.

Access data for client or staff through online databases
and journals

Enter computer documentation accurately, completely
and in a timely manner
F11.7
F11.8
Correctly document information in a patient’s chart.
Discuss guidelines related to computer based charting.
Legal Responsibilities
 Identify legal issues affecting staff and client (e.g.,





Legal Responsibilities
refusing treatment)
Receive and process health care provider orders*
Recognize task/assignment you are not prepared to
perform and seek assistance*
Respond to the unsafe practice of a health care provider
(e.g., intervene or report)*
Follow regulation/policy for reporting specific issues
(e.g., abuse, neglect, gunshot wound, or communicable
disease)*
Document client care
F10.10 Discuss the importance of documentation as it relates to
admission, transfer and discharge of patients.
F11.1 Discuss the importance of documentation.
F11.2
Discuss various formats used for charting.
F11.3
Identify rules utilized when documenting information.
F11.4
Identify types of information that should be documented.
F11.5
Translate patient data and activities into charting
phraseology.
F11.6
Identify common forms found in a patient’s chart.
Performance Improvement (QI)
 Identify impact of performance improvement/quality




Performance Improvement (QI)
improvement activities on client care outcomes
Participate in quality improvement (QI) activity (e.g.,
collecting data or serving on QI committee)*
Document performance improvement/quality
improvement activities
Report identified performance improvement/quality
improvement concerns to appropriate personnel (e.g.,
nurse manager, risk manager)
Apply evidence-based practice when providing care*
Referral Process

Identify community resources for client (e.g., respite
care, social services, shelters)

Recognize need for client referral for actual or potential
problem (e.g., physical therapy, speech therapy)

Use appropriate documents to contribute information
needed for client referral (medical record, referral form)

Participate in client data collection and referral*
Referral Process
F10.6
Discuss appropriate procedures for transferring a patient.
Resource Management
Resource Management

F1.6
F2.10
Recognize client need for materials and equipment
(e.g., oxygen, suction machine, wound care supplies)
F2.11
F2.12
F2.13
F2.14
F2.15
F2.16
F2.17
F2.18
F4.9
F4.10
F18.4
F18.5
F4.14
F4.15
F4.16
F4.17


Review effective use of client care materials by assistive
personnel (e.g., supplies)
Participate in providing cost effective care*
Describe various types of wound care equipment.
Demonstrate the ability to perform oronasophayngeal
suctioning.
Demonstrate the ability to instruct a patient to utilize
incentive spirometry.
Demonstrate the ability to initiate oxygen therapy via
piped-in wall unit.
Demonstrate the ability to initiate oxygen therapy via
cylinder.
Demonstrate the ability to use an oxygen concentrator.
Demonstrate the ability to initiate oxygen therapy via oxygen
delivery systems: Nasal cannula and mask; Flowby;
Tracheostomy collars; Face shields and oxygen hoods; Face
tent
Demonstrate the ability to perform endotracheal suctioning.
Demonstrate the ability to perform tracheostomy care.
Demonstrate the ability to provide care for a patient with a
chest tube.
Differentiate between types and uses of enemas.
Identify type of ostomy
Identify common equipment used when collecting blood.
Match types of collection tubes to their use/purposes in
specimen collection.
Demonstrate the ability to administer a cleansing enema
Demonstrate the ability to administer a retention enema.
Demonstrate the ability to administer a colonic irrigation
Demonstrate the ability to perform ostomy irrigation.
Safety and Infection Control – The LPN/VN
Safety and Infection Control – The LPN/VN
contributes to the protection of clients and health care
personnel from health and environmental hazards.
contributes to the protection of clients and health care
personnel from health and environmental hazards.
Accident/Error/Injury Prevention
 Identify client allergies and intervene as appropriate*
Accident/Error/Injury Prevention

Identify and facilitate correct use of infant and child car
seats by client

Identify client factors that influence accident/error/injury
prevention (e.g., age, developmental stage, lifestyle)
Recognize what factors related to mental status may
contribute to the client potential for accident or injury
(e.g., confusion, altered thought processes, diagnosis)
Determine client/staff member knowledge of safety
procedures
Verify the identity of client*
Utilize facility client identification procedures (e.g., client
name band, allergy bands)
Monitor client care environment for safety hazard and
report problems to appropriate personnel
Assist in or reinforce education to client about safety
precautions*
Remove fire hazards from client care areas
Protect client from accident/error/injury (e.g., protect
from another individual, falls, environmental hazards,
burns)








F17.3 Explain safety concerns related to the care of geriatric patients.
F1.7 Implement safety standards related to wound care.
F2.2 Implement safety standards related to respiratory care skills.
F3.11 Implement safety standards related to digestive care skills
(Upper)
F4.5 Implement safety standards related to digestive care skills
(lower).
F6.5 Integrate safety standards related to urinary care skills.
F7.3 Identify safety factors for consideration when utilizing heat
therapy.
F7.7
Identify safety factors that should be considered when utilizing
cold therapy.
F12.2 Implement safety standards related to assessment.
F17. 3. Explain safety concerns related to the care of geriatric patients.
F18.7 Identify safety precautions to take when performing
phlebotomy procedures.


Provide client with appropriate method to signal staff
members
Evaluate the appropriateness of health care provider
order for client*
F10.11a List the steps of: a. Orientating a patient to a nursing unit.
Emergency Response Plan
 Identify nursing and assistive personnel roles during


internal and external disasters
Participate in preparation for internal and external
disasters (e.g. fire or natural disaster)*
Contribute to selection of client to recommend for
discharge in disaster situation
Ergonomic Principles
 Use safe client handling (e.g. body mechanics)*



F8.3
Use immobilizing equipment.
Handling Hazardous and Infectious Materials
infectious agents (e.g., cleaning with appropriate
solutions)
Identify and address hazardous conditions in health care
F1.7
environment (e.g., chemical, smoking or biohazard)*
Demonstrate knowledge of facility protocols for handling F1.7
hazardous and infectious materials
Home Safety
 Identify fire/environmental hazards (e.g., frayed


Ergonomic Principles
Provide instruction and information to client about body
positions that prevent stress injuries
Handling Hazardous and Infectious Materials
 Identify and employ methods to control the spread of

Emergency Response Plan
electrical cords, small area rugs, inadequate footwear)
Determine client understanding of home safety needs
Provide client with information on home safety
Reinforce client education on home safety precautions
(e.g., home disposal of syringes, lighting, handrails,
kitchen safety)
Implement safety standards related to wound care.
Implement safety standards related to wound care.
Home Safety
Reporting of Incident/Event/Irregular Occurrence/
Variance
 Identify situations requiring completion of


incident/event/irregular occurrence/variance report (e.g.,
medication administration error, client fall)
Acknowledge and document practice error (e.g., incident
report)*
Monitor client response to error/event/occurrence
Restraints and Safety Devices
 Demonstrate knowledge of appropriate application of




Reporting of Incident/Event/Irregular Occurrence/
Variance
restraints/safety devices
Follow protocol for timed client monitoring (e.g.,
restraint, safety checks)*
Implement least restrictive restraints or seclusion*
Document use of restraints/safety devices and client
response
Check for proper functioning of restraints/safety devices
Restraints and Safety Devices
Safe Use of Equipment
 Assure availability and safe functioning of client care
equipment*
Safe Use of Equipment
F1.6 Describe various types of wound care equipment.
F2.4 Discuss basic techniques of chest tube management.

Follow facility protocols/procedures for safe use of
equipment
F1.7 Implement safety standards related to wound care.
F2.2 Implement safety standards related to respiratory care skills.
F3.11 Implement safety standards related to digestive care skills
(Upper)
F4.5 Implement safety standards related to digestive care skills
(lower).
F6.5 Integrate safety standards related to urinary care skills.
F7.3 Identify safety factors for consideration when utilizing heat
therapy.
F7.7 Identify safety factors that should be considered when utilizing
cold therapy
F2.2 Implement safety standards related to respiratory care skills.

Provide safe equipment use for client care (e.g.,
continuous passive motion [CPM] device, oxygen,
mobility aids)
F2.4
F2.5
F3.10
F8.3
Security Plan
 Initiate and participate in security alert (e.g., infant


abduction or flight risk)*
Use principles of triage and evacuation
protocols/procedures
Monitor effectiveness of security plan
Discuss basic techniques of chest tube management.
Demonstrate the ability to utilize a pulse oximeter.
Demonstrate knowledge related to tube feedings and formulas.
Use immobilizing equipment.
Security Plan
Standard Precautions/Transmission-Based
Precautions/Surgical Asepsis
 Identify communicable diseases and modes of
Standard Precautions/Transmission-Based
Precautions/Surgical Asepsis
F1.7
Implement safety standards related to wound care.
transmission (e.g., airborne, droplet, contact)

Identify client knowledge of infection control procedures

Identify the need for and implement appropriate isolation
techniques*

Use standard/universal precautions*
F1.12 Demonstrate the ability to apply a clean dressing.

Use aseptic and sterile techniques*

Use appropriate supplies to maintain asepsis (e.g.,
gloves, mask, sterile supplies)
Use correct techniques to apply and remove gloves,
mask, gown and protective eye wear
Use correct hand hygiene techniques
F1.10 Demonstrate the ability to set up a sterile field
F1.11 Demonstrate the ability to perform a sterile dressing change.
F6.15 Demonstrate the ability to set up a sterile field.
F1.10 Demonstrate the ability to set up a sterile field
F1.11 Demonstrate the ability to perform a sterile dressing change.
F13.18 Demonstrate the ability to use correct techniques to apply and
remove mask, gown, gloves and protective eyewear.



F1.6
Describe various types of wound care equipment.

Prevent environmental spread of infectious disease
through correct use of equipment
Protect immunocompromised client from exposure to
infectious diseases/organisms

Monitor client care area for sources of infection

Set up a sterile field
F1.10 Demonstrate the ability to set up a sterile field
F6.15 Demonstrate the ability to set up a sterile field

Reinforce appropriate infection control procedures with
client and staff members
F1.7
Implement safety standards related to wound care.
Health Promotion and Maintenance
Health Promotion and Maintenance
The LPN/VN provides nursing care for client that
incorporate knowledge of expected stages of growth and
development and prevention and/or early detection of
health problems.
Aging Process
 Identify client knowledge on aging process and assist in
Aging Process
reinforcing teaching on expected changes related to
aging

Provide care that meets the special needs of the
newborn – less than 1 month old*

Provide care that meets the special needs of infants or
children aged 1 month to 12 years*

Provide care that meets the special needs of
adolescents aged 13 to 18 years*

Provide care that meets the special needs of young
adults aged 19 to 30 years*

Provide care that meets the special needs of adults
aged 31 to 64 years*
Provide care that meets the special needs of clients
aged 65 to 85 years of age*
Provide care that meets the special needs of clients
aged greater than 85 years of age*


F17.7 Provide care to meet age-related needs to the aging adult.
F17.7 Provide care to meet age-related needs to the aging adult.
Ante/Intra/Postpartum and Newborn Care
 Identify client emotional preparedness for pregnancy








(e.g., support systems, perception of pregnancy)
Assist in performing client non-stress test
Assist with fetal heart monitoring for the antepartum
client*
Assist with monitoring a client in labor*
Perform care of postpartum client (e.g., perineal care,
assistance with infant feeding)
Contribute to newborn plan of care
Reinforce client teaching on infant care skills (e.g.,
feeding, bathing, positioning)
Monitor recovery of stable postpartum client*
Monitor client ability to care for infant
Ante/Intra/Postpartum and Newborn Care
Data Collection Techniques
Data Collection Techniques

Collect data for health history*

Collect baseline physical data (e.g., skin integrity, or
height and weight)*

Prepare client for physical examination (e.g., reinforce
explanation of procedure, provide privacy and comfort)

Document findings according to agency/facility
policies/procedures
F12.11 Identify individual consideration related to assessment of the
following: a. Psychosocial status; b. Spiritual and religious
beliefs; c. Language barriers; d. Coping status; e. Cultural
beliefs; f. Physical status; g. Mobility status
**F12.8 Explain aspects of patient’s data collections during the
physical examination.
F12.9 Discuss the methods of physical assessment.
F12.10 Identify basic components included in the assessment of each
body system.
F12.12 Demonstrate the ability to perform a focused head to toe
assessment.
F17.1 Identify age related changes that occur in body systems.
F12.1 Discuss the role of the practical nurse when assisting with a
physical assessment.
F12.6 Describe common equipment used during physical assessment.
F12.7 Explain the process of the physical examination to the patient.
F12.18 Demonstrate the ability to evaluate vision using a Snellen chart.
F12.19 Demonstrate the ability to administer a hearing test.
F12.20 Demonstrate the ability to prepare an otoscope for an exam by
a primary health provider.
F12.21 Demonstrate the ability to prepare an ophthalmoscope for an
exam by a primary health provider.
F12.23 Relate physical examination results to health care provider and
document findings according to agency or facility policies or
procedures

Report client physical examination results to health care
provider
F12.23 Relate physical examination results to health care provider and
document findings according to agency or facility policies or
procedures
Developmental Stages and Transitions
 Identify and report client deviations from expected
Developmental Stages and Transitions
F14.1 Discuss the meaning of death for different developmental age
groups.

growth and development
Identify occurrence of expected body image changes

Recognize barriers to communication or learning*

Compare client development to norms*

Assist client with expected life transition (e.g.,
attachment to newborn, parenting or retirement)*

Assist client to select age-appropriate activities

Modify approaches to care in accordance with client
development stage
F17.5 Identify actions to promote health and wellness in aging adults

Provide care and resources for beginning of life and/or
end of life issues and choices*
F17.7 Provide care to meet age-related needs to the aging adult.

Determine client acceptance of expected body image
change (e.g., aging, pregnancy, menopause)
Determine impact of expected body image changes on
client (e.g., temperament)

F12.11 Identify individual consideration related to assessment of the
following: a. Psychosocial status; c. Language barriers
F17.2 Discuss cognitive changes that occur due to aging.
F17.3 Discuss psychosocial issues related to the aging adult.
Health Promotion/Disease Prevention
Health Promotion/Disease Prevention
 Identify risk factors for disease/illness (e.g., age, gender,












ethnicity, lifestyle)
Identify and educate clients in need of immunizations
(required and voluntary)*
Identify precautions and contraindications to
immunizations
Identify client health seeking behaviors (e.g., breast and
testicular self-examinations)
Gather data on client health history and risk for disease
(e.g., lifestyle, family and genetic history)
Check results of client health screening tests (e.g.,
Papanicolaou [Pap] test or smear, stool occult blood
test)
Provide assistance for screening examinations (e.g.,
scoliosis, breast and testicular self-examinations, blood
pressure check)
Participate in a health screening or health promotion
programs*
Assist client in disease prevention activities
Monitor client actions to maintain health and prevent
disease (e.g., smoking cessation, exercise, diet, stress
management)
Monitor incorporation of healthy behaviors into lifestyle
by client (e.g., screening examinations, immunizations,
limiting risk taking behaviors)
Reinforce teaching with client about health risks and
health promotion
Recognize client unexpected response to immunizations
F9.24
Contribute to selecting teaching strategy to use in reviewing
health promotion teaching
High Risk Behaviors
 Assist client to identify high risk behaviors



Provide information for prevention of high risk
behaviors*
Monitor client lifestyle practice risks that may impact
health (e.g., excessive sun exposure, lack of regular
exercise)
Reinforce client teaching related to client high risk
behavior (e.g., unprotected sexual relations, needle
sharing)
High Risk Behaviors
F9.24
Contribute to selecting teaching strategy to use in reviewing
health promotion teaching
Lifestyle Choices
Lifestyle Choices
 Identify client lifestyle practices that may have an impact









on health
Identify contraindications to chosen contraceptive
method (e.g., smoking, compliance, medical conditions)
Identify client attitudes/perceptions on sexuality
Recognize client need/desire for contraception
Recognize expected outcomes for client family planning
methods
Recognize client need to discuss sensitive issues
related to sexuality
Support client in family planning
Respect client sexual identity and personal choices
(e.g., sexual orientation)
Respect client lifestyle choices (e.g., child-free, home
schooling, rural or urban living)
Reinforce teaching with client on healthy lifestyle
choices (e.g., exercise regimen, smoking cessation)
F9.24
Contribute to selecting teaching strategy to use in reviewing
health promotion teaching
Self-care
 Determine client ability and support for performing self

care (e.g., feeding, dressing, hygiene)
Consider client self care needs before contributing to
changes in plan of care
Monitor client ability to perform instrumental activities of
daily living (e.g., using telephone, shopping, preparing
meals)
Psychosocial Integrity
Self-care
F12.11.c. Identify individual consideration related to assessment of
the following: Language barriers
Psychosocial Integrity
The LPN/VN provides care that assists with promotion and
support of the emotional, mental and social well-being of
clients.
The LPN/VN provides care that assists with promotion and
support of the emotional, mental and social well-being of
clients.
Abuse/Neglect
 Identify client risk factors for abusing or neglecting
Abuse/Neglect
others
 Identify signs and symptoms of physical, psychological
or financial abuse in client (e.g., family involvement,
inadequate weight gain, poor hygiene)
 Recognize risk factors for domestic, child and/or elder
abuse/neglect and sexual abuse
 Provide safe environment for abused/neglected client
 Provide emotional support to client who experienced
abuse or neglect
 Reinforce client teaching on coping strategies to prevent
abuse or neglect
 Evaluate client response to interventions
Behavioral Management
 Monitor client appearance, mood and psychomotor

behavior and observe for changes
Explore cause of client behavior
Assist client with achieving self-control of behavior (e.g.,
contract, behavior modification)
Assist client in using behavioral strategies to decrease
anxiety
Assist in or reinforce education of caregivers/family on
ways to manage client with behavioral disorders*
Participate in behavior management program by
recognizing environmental stressors and/or providing
therapeutic environment*
Participate in reminiscence therapy, validation therapy
or reality orientation*
Participate in client group session*

Reinforce client participation in therapy

Use behavioral management techniques when caring for
a client (e.g., positive reinforcement, setting limits)
Evaluate client response to behavioral management
interventions







Behavioral Management
F15.3 Encourage the patient to reminisce.
Chemical and Other Dependencies
 Identify signs and symptoms of substance



abuse/chemical dependency, withdrawal or toxicity*
Plan and provide care to client experiencing substancerelated withdrawal or toxicity (e.g., nicotine, opioid,
sedative)
Provide care and support for client with impulse-control
disorders (e.g., gambling, sexual addiction,
pornography)
Reinforce provided information on substance abuse
diagnosis and treatment plan to client

Encourage client participation in support groups (e.g.,
Alcoholics Anonymous, Narcotics Anonymous)

Monitor client response to treatment plan and contribute
to revision of plan as needed
Chemical and Other Dependencies
Coping Mechanisms
 Collect data regarding client psychosocial functioning*

Identify client support systems and available resources

Identify client use of effective and ineffective coping
mechanisms*
Identify significant body or lifestyle changes and other
stressors that may affect recovery/health maintenance*


Recognize abilities of client to adapt to
temporary/permanent role changes

Recognize client response to illness (e.g.,
rationalization, hopelessness, anger)

Provide support to the client with unexpected altered
body image (e.g., alopecia)

Use therapeutic techniques to assist client with coping
ability
Assist client to cope/adapt to stressful events and
changes in health status (e.g., end of life, grief and loss,
life changes or physical changes)*



Assist client in maintaining level of independence after
unexpected body image changes (e.g., amputation,
paralysis)
Monitor client progress toward achieving improved body
image (e.g., mastectomy, colostomy)
Coping Mechanisms
F15.2 Collect data on patient’s reaction to loss.
F10.1
Identify common reaction of patients admitted to hospitals
and other health care facilities.
F15.1 Provide patient with resources to help adjust to grief or loss.
F15.3 Encourage the patient to reminisce.
F15.4 Reinforce teaching on common reactions to grief and loss.
Crisis Intervention
 Identify client in crisis



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



Identify client risk for self injury and/or violence (e.g.,
suicide or violence precaution)
Collect data on client potential for violence*
Assist in managing the care of angry/agitated client*
Use crisis intervention techniques to assist client in
coping
Provide opportunities for client to understand why the
crisis occurred
Guide client to resources for recovery from crisis (e.g.,
social supports)
Reinforce client teaching on suicide/violence prevention
Report changes in client behavior (indicating a
developing crisis) to supervisor
Cultural Awareness
 Identify importance of client culture/ethnicity when

F15.1 Provide patient with resources to help adjust to grief or loss.
Cultural Awareness
planning/providing/monitoring care
Recognize client cultural practices that may affect
interventions for procedures/surgery (e.g., direct eye
contact)

Recognize cultural issues that may impact client
understanding/acceptance of psychiatric diagnosis

Make adjustment to care with consideration of client
spiritual or cultural beliefs*

Respect cultural background/practices of client (does
not include dietary preferences)
Document how client language needs are met

Crisis Intervention
F14.3 Compare different cultural responses to death.
End of Life Concepts
End of Life Concepts

Identify client end of life needs (e.g., financial concerns,
fear, loss of control, role changes)
F14.2 Identify end-of-life needs.
F14.9 Explain the physical and psychological needs of the dying
patient.

Identify client ability to cope with end of life interventions

Provide care or support for client/family at end of life
F14.4 Collect data on patient’s reaction to loss of a child.
F14.5 List nursing interventions to assist patients as they process
through the grieving process.
F14.9 Explain the physical and psychological needs of the dying
patient.
F14.10 Implement nursing interventions for dying patients and their
families.

Assist client in resolution of end of life issues
F14.6
Assist in resolution of end-of-life issues.
Grief and Loss
Grief and Loss

F14.1
Identify client reaction to loss (e.g., denial, fear)
F15.2


Support the client in anticipatory grieving
Reinforce client teaching on expected client reactions to
grief and loss (e.g., denial, fear)
F15.4
F14.1
F14.7

Provide client with resources to adjust to
loss/bereavement (e.g., individual counseling, support
groups)
F15.1
Discuss the meaning of death for different developmental
age groups.
Collect data on patient’s reaction to loss.
Reinforce teaching on common reactions to grief and loss.
Discuss the meaning of death for different developmental
age groups.
Match steps of the grieving process to their appropriate
characteristics.
Provide patient with resources to help adjust to grief or loss.
Mental Health Concepts
Mental Health Concepts
 Identify expected behaviors of client with independent or









dependent personality
Identify client symptoms of acute or chronic mental
illness (e.g., schizophrenia, depression, bipolar disorder)
Recognize client use of defense mechanisms
Recognize change in client mental status
Recognize client symptoms of relapse
Explore why client is refusing or not following treatment
plan*
Assist in the care of the cognitively impaired client*
Assist in promoting client independence
Establish trusting nurse-client relationship
Promote positive self-esteem of client*
Religious and Spiritual Influences on Health
 Identify client emotional problems related to




religious/spiritual beliefs (e.g., spiritual distress, conflict
between recommended treatment and beliefs)
Recognize effect of client religious/spiritual beliefs on
plan of care
Assist client to meet religious/spiritual needs (e.g.,
referral to pastoral care)
Assist in evaluation of client religious/spiritual needs
related to necessary nursing interventions
Respect client religious/spiritual beliefs
Religious and Spiritual Influences on Health
F12.11b Identify individual consideration related to assessment of the
following: b. Spiritual and religious beliefs
Sensory/Perceptual Alterations
 Identify needs of client with altered sensory perception
Sensory/Perceptual Alterations
(e.g., hallucinations, delirium)

Verify client ability to effectively communicate needs
F12.11c Identify individual consideration related to assessment of the
following: c. Language barriers
Stress Management
Stress Management

F10.1
Identify actual/potential stressors for client (e.g., fear,
lack of information)
F13.11

Implement measures to reduce environmental stressors
(e.g., noise, temperature, pollution)

Monitor client effective use of stress management
techniques
Support Systems
 Determine client abilities to provide client support


Identify client support systems/resources
Identify family response to client illness (e.g., acute
episodes, chronic disorder, terminal illness)
Identify common reaction of patients admitted to hospitals
and other health care facilities.
Identify common concerns of patients undergoing surgical
procedures.
Support Systems
Therapeutic Communication
 Provide emotional support to client and family*


Assist client in communicating needs to health care staff
Develop and maintain therapeutic relationships with
client




Respect client personal values and beliefs
Establish a trusting nurse-client relationship
Use therapeutic communication techniques with client*
Encourage client appropriate use of verbal and nonverbal communication
Monitor effectiveness of communications with client

Therapeutic Environment
 Identify external factors that may interfere with client



recovery (e.g., stressors, noise)
Participate in community meetings
Contribute to maintaining a safe and supportive
environment for client
Monitor client response to environmental factors
Therapeutic Communication
Therapeutic Environment
Physiological Integrity
Physiological Integrity
The LPN/VN assists in the promotion of physical health and
well-being by providing care and comfort, reducing risk
potential for clients and assisting them with the
management of health alterations.
Basic Care and Comfort – The LPN/VN provides
comfort to clients and assistance in the performance of their
activities of daily living.
The LPN/VN assists in the promotion of physical health and
well-being by providing care and comfort, reducing risk
potential for clients and assisting them with the
management of health alterations.
Basic Care and Comfort – The LPN/VN provides
comfort to clients and assistance in the performance of their
activities of daily living.
Assistive Devices
 Identify appropriate use of assistive devices (e.g., cane,
Assistive Devices




walker, crutches)
Use transfer assistance device (e.g., t-belt, slide board,
or mechanical lift)*
Contribute to care of client using assistive device (e.g.,
feeding devices, telecommunication devices, touch pad,
communication board)
Reinforce teaching for client using assistive device
Review correct use of assistive devices of client and
staff members
F8.3
Use immobilizing equipment.
F3.3
Demonstrate knowledge related to tube feedings and formulas
Elimination
Elimination

Identify client at risk for impaired elimination (e.g.,
medication, hydration status)
F4.1
F4.2
F4.3

Institute bowel or bladder management*
F4.7
F4.8
F6.8
F6.9

Monitor client bowel sounds
F4.2 Identify normal bowel elimination patterns.

Discontinue or remove peripheral intravenous (IV) line,
nasogastric (NG) tube or urinary catheter*
F3.5 Demonstrate the ability to remove a nasogastric tube.
F6.19 Demonstrate the ability to discontinue a urinary catheter.

Perform an irrigation of urinary catheter, bladder,
wound, ear, nose or eye*

Provide skin care to client who is incontinent (e.g.,
wash frequently, barrier creams/ointments)
F1.15 Demonstrate the ability to irrigate a wound.
F3.4 Demonstrate the ability to irrigate a nasogastric tube.
F3.8 Demonstrate the ability to perform a gastric lavage.???
F3.9 Demonstrate the ability to irrigate a gastric tube.
F4.16 Demonstrate the ability to administer a colonic irrigation.
F4.17 Demonstrate the ability to perform ostomy irrigation.
F6.22 Demonstrate the ability to perform closed intermittent bladder
irrigation.
F6.23 Demonstrate the ability to manage a continuous bladder
irrigation.
F6.27 Identify types and purposes of bladder irrigation.
F4.3 Explain the causes of and nursing interventions for altered
elimination patterns: c. Bowel incontinence.
Identify normal and abnormal characteristics of feces.
Identify normal bowel elimination patterns.
Explain the causes of and nursing interventions for altered
elimination patterns: a. Constipation; b. Diarrhea; c. Bowel
incontinence; d. Fecal impaction; e. Flatulence
F4.4 Identify signs and symptoms of fecal impaction.
F4.6 Discuss factors that affect bowel elimination.
F4.13 Demonstrate the ability to remove fecal impaction.
F6.3 Perform focused assessment on fluid/volume status.
F6.4 Distinguish between normal and abnormal voiding patterns.
Discuss steps of a bowel retraining program.
Reinforce methods of preventing constipation and incontinence.
Reinforce teaching regarding maintenance of urinary function.
Discuss steps of a bladder re-training program.
Mobility/Immobility
Mobility/Immobility
 Identify signs and symptoms of venous insufficiency and F8.1 Observe patient for complications of immobility.




intervene to promote venous return (e.g., elastic
stockings, sequential compression device)
Check client for mobility, gait, strength, motor skills
Provide for mobility needs (e.g., ambulation, range of
motion, transfer to chair, repositioning, or the use of
adaptive equipment)*
Reinforce client teaching on methods to maintain
mobility (e.g., active/passive range of motion [ROM],
strengthening, isometric exercises)
Use measures to maintain or improve client skin
integrity*


Maintain client correct body alignment
Provide care to client in traction*

Apply or remove immobilizing equipment (e.g., splint or
brace)*
F8.6 Implement nursing actions to prevent complications of
immobility.
F8.6 Implement nursing actions to prevent complications of
immobility.
F8.5
Determine patient understanding of techniques to prevent
the effects of immobility
F8.4 Teach the importance of changing position.
F8.2 Position patient in correct body alignment.
F8.6 Implement nursing actions to prevent complications of
immobility.
F8.2 Position patient in correct body alignment.
F8.3 Use immobilizing equipment
F8.3 Use immobilizing equipment.
Non-Pharmacological Comfort Interventions
 Identify client need for palliative/comfort care




Assist in the care and comfort for a client with a visual
and/or hearing impairment*
Assist in planning comfort interventions for client with
impaired comfort
Apply therapies for comfort and treatment of
inflammation/swelling (e.g., apply heat and cold
treatments, elevate limb)

Use an alternative/complementary therapy (e.g.,
acupressure, music therapy or herbal therapy) in
providing client care*
Provide non-pharmacological measures for pain relief
(e.g., imagery, massage or repositioning)*
Provide palliative/comfort care interventions to client

Respect client palliative care choices

Reinforce client teaching on stress management
techniques (e.g., relaxation exercises, exercise,
meditation)
Reinforce client teaching on palliative/comfort care
Monitor client non-verbal signs of pain/discomfort (e.g.,
grimacing, restlessness)
Monitor client response to non-pharmacological
interventions
Monitor outcome of palliative care interventions
Evaluate pain using rating scale*






Non-Pharmacological Comfort Interventions
F7.10 Discuss signs of the effectiveness of heat and cold therapies.
F7.15 Demonstrate the ability to apply a warm compress (dry and
moist)
F7.16 Demonstrate the ability to apply a cold compress (dry and
moist)
F7.11 Incorporate aspects of complementary and alternative medicine
into patient's care according to practice setting guidelines.
F17.7
Describe non-pharmacological pain management techniques.
F17.10 Select appropriate nursing measures when caring for a patient
in pain.
F17.3 List factors that can influence pain response.
F16.6 Discuss “pain scales” utilized in pain assessment.
Nutrition and Oral Hydration
 Identify client potential for aspiration (e.g., feeding tube,




sedation, swallowing difficulties)
Check client feeding tube placement and patency.
Nutrition and Oral Hydration
F3.10 Demonstrate knowledge related to tube feedings and formulas
F3.13 Explain guidelines for caring for a patient with a
nasogastric/gastric tube.
Provide feeding and/or care for client with enteral tubes* F3.3 Demonstrate the ability to insert a nasogastric tube.
F3.4 Demonstrate the ability to irrigate a nasogastric tube.
F3.5 Demonstrate the ability to remove a nasogastric tube.
F3.6 Demonstrate the ability to feed patient via feeding tube.
F3.7 Demonstrate the ability to feed patient via gastrostomy tube
F3.12 Discuss types of nasogastric/gastric tubes and their purposes.
F3.13 Explain guidelines for caring for a patient with a
nasogastric/gastric tube.
F3.1
Discuss principles of maintaining nutritional status
Monitor and provide for nutritional needs of client (e.g.,
F5.1 ** Utilize terms associated with nutrition.
labs, calorie counts/percentages or daily weight)*
F5.9 Discuss changes in nutrient needs throughout the life cycle.
F5.11 Identify interventions to maximize nutrition in the clinical
setting.
F5.4 List the functions and food sources of carbohydrates, protein
and fats.
F5.5 Identify correct percentages of fats, carbohydrates and
proteins that are recommended for the daily diet.
F5.6 Discuss key vitamins and minerals, including food sources and
health benefits.
F5.7 Describe the health benefits of fiber and water in the diet.
F5.8 Calculate calories in servings of foods given the carbohydrate,
protein and fat content.
F5.14
Discuss
the characteristics of vomitus.
Monitor client ability to eat (e.g., chew, swallow)
F5.15 Identify nursing actions to relieve nausea and vomiting.
F3.16 Demonstrate ability to perform a focused nutritional
assessment.
F3.1
Discuss principles of maintaining nutritional status

Monitor impact of disease/illness on client nutritional
status
F3.2
F5.2

Monitor client intake/output*
F6.12 Demonstrate the ability to calculate intake and output.

Reinforce client teaching on special diets based on
client diagnosis/nutritional needs and cultural
considerations (e.g., high protein, kosher diet, calorie
restriction)
F5.3 Identify factors that affect food habits, including culture.

Promote client independence in eating
F5.10 Identify ways for the nurse to promote a patient’s
independence while assisting with intake.
Personal Hygiene
 Determine client usual personal hygiene habits/routine




Personal Hygiene
Assist with activities of daily living*
Assist in providing postmortem care*
Reinforce teaching to client on required adaptations for
performing activities of daily living (e.g., shower chair,
hand rails)
Rest and Sleep
 Identify client usual rest and sleep patterns (e.g.,

Describe types of therapeutic diets.
Describe the role of the practical nurse in promotion of
good nutrition.
bedtime, sleep rituals)
Provide measures to promote sleep/rest*
Schedule client care activities to promote adequate rest
and sleep
Rest and Sleep
Pharmacological Therapies – The LPN/VN
Pharmacological Therapies – The LPN/VN
provides care related to the administration of medications
provides care related to the administration of medications
and monitors clients who are receiving parenteral therapies. and monitors clients who are receiving parenteral therapies
Adverse Effects/Contraindications/Side
Effects/Interactions
 Identify potential and actual incompatibilities of client











medications
Identify a contraindication to the administration of a
prescribed or over-the-counter medication to the client
Identify symptoms of an allergic reaction (e.g., to
medication)
Implement procedures to counteract adverse effects of
medications
Withhold medication dose if client experiences adverse
effect to medication
Monitor and document client response to actions taken
to counteract adverse effects of medications
Monitor client for actual and potential adverse effects of
medications (e.g., prescribed, over-the-counter and/or
herbal supplements)
Monitor anticipated interactions among client prescribed
medications and fluids (e.g., oral, IV, subcutaneous, IM,
topical)
Monitor and document client side effects to medications
Monitor and document client response to management
of medication side effects including prescribed, over-thecounter and herbal supplements
Reinforce client teaching on possible effects of medications
(common side effects or adverse effects, when to notify primary
health care provider)
Notify primary health care provider of actual/potential adverse
effects of client medications
Adverse Effects/Contraindications/Side
Effects/Interactions
Dosage Calculations
 Perform calculations needed for medication

administration*
Use clinical decision making when calculating doses
Expected Actions/Outcomes
 Identify client expected response to medication
 Use resources to check on purposes and actions of





Dosage Calculations
pharmacological agents
Apply knowledge of pathophysiology when addressing
client pharmacological agents
Monitor client use of medications over time (e.g.,
prescription, over-the-counter, home remedies)
Reinforce education to client regarding medications*
Reinforce client teaching on actions and therapeutic
effects of medications and pharmacological interactions
Evaluate client response to medication*
Expected Actions/Outcomes
Medication Administration
 Identify client need for PRN medications

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


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







Medication Administration
Mix client medication from two vials as necessary (e.g.,
insulin)
Follow the rights of medication administration*
Maintain medication safety practices (e.g., storage,
checking for expiration dates or compatibility)*
Reconcile and maintain medication list or medication
administration record*
Review pertinent data prior to medication administration
(e.g., vital signs, lab results, allergies)
Assist in preparing client for insertion of central line
Administer medication by oral route*
Administer intravenous piggyback (secondary)
medications*
Administer medication by gastrointestinal tube (e.g., gtube, nasogastric [NG] tube, g-button or j-tube)*
Administer a subcutaneous (SQ), intradermal, or
intramuscular (IM) medication*
Administer a medication by ear, eye, nose, rectum,
vagina or skin route*
Dispose of client unused medications according to
facility/agency policy
Count narcotics/controlled substances*
Regulate client intravenous (IV) rate*
Monitor transfusion of blood product*
Monitor client intravenous (IV) site and flow rate*
Reinforce client teaching on client self administration of
medications (e.g., insulin, subcutaneous insulin pump)
F1.5 Identify treatments for wounds and ulcers.
Pharmacological Pain Management
Pharmacological Pain Management

F16.1
F16.2
F16.3
F16.4
F16.5
Identify client need for pain medication
F16.7
F16.8
F16.9
F16.10
F16.11
 Monitor client non-verbal signs of pain/discomfort (e.g.,

Differentiate between chronic and acute pain.
Discuss physiological and neurological mechanisms of pain.
List factors that can influence pain response.
Discuss the effects of pain.
Identify subjective and objective data considered in pain
assessment.
Identify types of pain medications, their effects and side
effects.
Identify types of pain medications, their effects and side
effects.
Assess a patient who is in pain.
Select appropriate nursing measures when caring for a patient
in pain.
Incorporate aspects of complementary and alternative
medicine into patient's care according to practice setting
guidelines.
grimacing, restlessness)
F16.5 Identify subjective and objective data considered in pain
assessment.
Monitor and document client response to
pharmacological interventions (e.g., pain rating scale,
verbal reports)
F16.6 Discuss “pain scales” utilized in pain assessment.
F16.7 Identify types of pain medications, their effects and side
effects.
Reduction of Risk Potential – The LPN/VN
Reduction of Risk Potential – The LPN/VN
reduces the potential for clients to develop complications or
health problems related to treatment, procedures or existing
conditions.
reduces the potential for clients to develop complications or
health problems related to treatment, procedures or existing
conditions.
Changes/Abnormalities in Vital Signs
Changes/Abnormalities in Vital Signs

Check and monitor client vital signs*
F12.13 Demonstrate the ability to identify normal heart tones.
F12.14 Demonstrate the ability to identify normal breath sounds.
F12.15 Demonstrate the ability to identify normal bowel sounds

Compare vital signs to client baseline vital signs

Reinforce client teaching about normal and abnormal
vital signs (e.g., hypertension, tachypnea, bradycardia,
fever)
Diagnostic Tests
 Perform an electrocardiogram (EKG/ECG)*
Diagnostic Tests

Perform diagnostic testing (e.g., blood glucose, oxygen
saturation, testing for occult blood)
F2.5
F4.11
F4.12
F12.22

Reinforce client teaching about diagnostic test
F13.27 Demonstrate the ability to perform EKG
Demonstrate the ability to utilize a pulse oximeter.
Demonstrate the ability to collect a stool specimen.
Demonstrate the ability to check stool for occult blood.
Demonstrate the ability to perform a capillary blood glucose
check.
Laboratory Values
 Identify laboratory values for ABGs (pH, PO2, PCO2,


Laboratory Values
SaO2, HCO3), BUN, cholesterol (total), glucose,
hematocrit, hemoglobin, glycosylated hemoglobin
(HgbA1C), platelets, potassium, sodium, WBC,
creatinine, PT, PTT & APTT,
Compare client laboratory values to normal laboratory
values
Perform venipuncture for blood draws*
F18.1
F18.2
F18.3
F18.4
F18.5
F18.6
F18.7
F18.9
F18.10
F18.11
F18.12
F18.13
F18.14
F18.15
State the general purposes for phlebotomy.
Differentiate between arteries, veins and capillaries.
Identify commonly used sites/veins for venipuncture.
Identify common equipment used when collecting blood.
Match types of collection tubes to their use/purposes in
specimen collection.
Identify steps necessary to prevent hemolysis of blood
specimens during venipuncture.
Identify safety precautions to take when performing
phlebotomy procedures
Identify possible complications of phlebotomy procedures and
appropriate nursing actions if they occur.
Identify other methods to obtain blood specimens.
Demonstrate ability to obtain a venous blood specimen via
Vacutainer.
Demonstrate ability to obtain a venous blood specimen via
needle/syringe.
Demonstrate ability to obtain a blood culture.
Demonstrate ability to use finger stick method to obtain blood
specimen in a microtainer.
Demonstrate ability to use a capillary tube to obtain a
hematocrit specimen.

Collect specimen (e.g., urine, stool, gastric contents or
sputum for diagnostic testing)*
F2.6
F2.7
F4.11
F4.12
F6.11
F6.14
F6.16
F6.21
F6.24
F6.29

Reinforce client teaching on purposes of laboratory tests

Monitor diagnostic or laboratory test results*

Notify primary health care provider about client
laboratory test results
Demonstrate the ability to collect a throat culture.
Demonstrate the ability to collect a sputum specimen.
Demonstrate the ability to collect a stool specimen.
Demonstrate the ability to check stool for occult blood.
Differentiate between the types of urine specimens.
Demonstrate the ability to obtain clean catch/midstream urine
specimen.
Demonstrate the ability to obtain a sterile urine specimen from
Foley catheter.
Demonstrate the ability to collect a 24-hour urine specimen.
Demonstrate the ability to strain urine for stones.
Identify ways to adapt the collection of urine specimens to
meet the needs of various age groups
F13.7 Review the patient’s diagnostic test results.
Potential for alterations in Body Systems
 Identify signs or symptoms of potential prenatal
Potential for alterations in Body Systems
complication*
Identify client with increased risk for insufficient blood
circulation (e.g., immobilized limb, diabetes)
F12.16 Demonstrate the ability to perform a focused neurovascular
check.

Recognize change in client neurological status (level of
consciousness, orientation, muscle strength)
F12.17 Demonstrate the ability to perform a focused neurological
check.

Compare current client clinical data to baseline
information

Perform neurological checks* 
F12.1 Discuss the role of the practical nurse when assisting with a
physical assessment.
F12.3 Identify responsibilities of the practical nurse when performing
a physical assessment.
F12.4 Illustrate the difference between objective and subjective
data.
F12.5 Explain patient positions used for various types of
assessments.
F13.4 Determine patient’s response to a procedure or surgery.
F13.5 Observe patient before, during and after a diagnostic test,
procedure and surgery and document accordingly.
F13.8 Gather data on nutritional status of postoperative patients.
F13.11 Identify common concerns of patients undergoing surgical
procedures.
F13.12 Discuss nursing responsibilities during the intraoperative
period.
F13.13 Perform focused assessment on patient during diagnostic test,
procedure or surgery.
F13.15 Discuss components of a focused postoperative assessment.
F13.16 Identify postoperative complications.
F13.21 Demonstrate the ability to perform a focused post-operative
assessment.
F14.17 Support patients who experience postoperative complications.
F12.17 Demonstrate the ability to perform a focused neurological
check.


Perform circulatory checks*

Check for urinary retention (e.g., bladder scan,
palpation)*
Administer and check proper use of compression
stockings/sequential compression devices (SCD)
F6.26 Demonstrate the ability to perform a bladder scan
Monitor client output for changes from baseline (e.g.,
nasogastric emesis, stool, urine)
F6.1
F6.2


F12.16 Demonstrate the ability to perform a focused neurovascular
check.
Discuss the relationship of urination and fluid volume
Differentiate between normal and abnormal characteristics of
urine.
F6.3
Perform focused assessment on fluid/volume status.
F6.4
Distinguish between normal and abnormal voiding patterns.
F6.7
Identify nursing interventions for patients who are
experiencing urinary incontinence.
F6.13 Demonstrate the ability to assist with urinary elimination
utilizing a bedpan or fracture pan, bedside commode, and
urinal.
F1.9
Identify types of wound drainage
F13.22 Demonstrate the ability to clean and care for a surgical drain.
F13.25 Demonstrate the ability to care for a biliary drainage tube.
F13.26 Demonstrate the ability to care for a closed wound drainage

Reinforce client teaching on methods to prevent
complications associated with activity level/diagnosed
illness/disease (e.g., foot care for client with diabetes
mellitus)
F6.8
Reinforce teaching regarding maintenance of urinary system
function.
F13.6 Explain how the patient’s developmental status must be
considered when discussing procedures or surgery with patient.
F13.9 Teach postoperative breathing techniques and controlled
cough.
F13.10 Contribute to a preoperative teaching plan for a patient.
F13.11 Identify common concerns of patients undergoing surgical
procedures.
F13.14 Reinforce patient teaching to reduce post procedure or surgery
risks.
Potential for Complications from Surgical
Procedures and Health Alterations
Potential for Complications from Surgical
Procedures and Health Alterations

Identify client response to surgery or health alterations
F13.5 Observe patient before, during and after a diagnostic test,
procedure and surgery and document accordingly.
F13.11 Identify common concerns of patients undergoing surgical
procedures.

Provide care for client before surgical procedure
including teaching*
F13.1 Explain routine preoperative preparation required by patients.
F13.2 Assess patient’s preparation status for a diagnostic test,
procedure or surgery.
F13.6 Explain how the patient’s developmental status must be
considered when discussing procedures or surgery with
patient.
F13.7 Review the patient’s diagnostic test results.
F13.10 Contribute to a preoperative teaching plan for a patient.
F13.19 Demonstrate the ability to prepare a patient for procedure or
surgery.
F13.20 Demonstrate the ability to complete a pre-operative checklist

Provide intra-operative care (e.g., positioning client for
surgery, maintaining sterile field, or providing operative
observation)

Reinforce teaching to prevent complications due to
surgery or health alterations (e.g., cough and deep
breathing, elastic stockings)
F13.4 Determine patient’s response to a procedure or surgery.
F13.12 Discuss nursing responsibilities during the intraoperative
period.
F13.13 Perform focused assessment on patient during diagnostic test,
procedure or surgery.
F13.8 Gather data on nutritional status of postoperative patients.
F13.9 Teach postoperative breathing techniques and controlled
cough.
F13.14 Reinforce patient teaching to reduce post procedure or
surgery risks.

Suggest change in interventions based on client
response to surgery or health alterations
F13.15 Discuss components of a focused postoperative assessment.
F13.16 Identify postoperative complications.
F13.17 Support patients who experience postoperative
complications.
F13.21 Demonstrate the ability to perform a focused post-operative
assessment.
F13.22 Demonstrate the ability to clean and care for a surgical drain.
F13.23 Demonstrate the ability to remove sutures or staples from a
surgical wound.
F13.24 Demonstrate the ability to apply a stump bandage.
F13.25 Demonstrate the ability to care for a biliary drainage tube.
F13.26 Demonstrate the ability to care for a closed wound drainage
system.
Therapeutic Procedures
Therapeutic Procedures

Insert urinary catheter*
F6.17 Demonstrate the ability to perform a straight catheterization.
Male Female
F6.18 Demonstrate the ability to insert a Foley catheter
Male and Female
F6.10 Describe the types and care of urinary catheters.
F6.19 Demonstrate the ability to discontinue a urinary catheter.
F6.20 Demonstrate the ability to change a supra-pubic catheter.

Insert nasogastric (NG) tube*
F3.3

Assist with the performance of a diagnostic or invasive
procedure *
Reinforce client teaching on treatments and procedures

Demonstrate the ability to insert a nasogastric tube.
Physiological Adaptation – The LPN/VN
Physiological Adaptation – The LPN/VN
participates in providing care for clients with acute, chronic
or life-threatening physical health conditions.
participates in providing care for clients with acute, chronic
or life-threatening physical health conditions.
Alterations in Body Systems
Alterations in Body Systems

Identify signs and symptoms of an infection (e.g.,
temperature changes, swelling, redness, mental
confusion or foul smelling urine)
F1.1
F1.2
F1.3
F1.4
F1.8

Identify/intervene to control signs of hypoglycemia or
hyperglycemia*

Recognize and report basic abnormalities on a client
cardiac monitor strip*
Provide care for client drainage device (e.g., wound
drain or chest tube)*


Provide cooling/warming measures to restore normal
temperature*
Differentiate between wound classifications.
Discuss the process of wound healing.
Identify factors that affect wound healing.
Discuss complications related to wound healing.
Identify factors that may interfere with wound healing.
F1.19 Demonstrate the ability to remove a wound drain
F2.4 Discuss basic techniques of chest tube management.
F2.18 Demonstrate the ability to provide care for a patient with a
chest tube.
F7. 1 Identify indications for heat therapy.
F7.2 Discuss the effects of heat therapy on body tissues.
F7.9 Identify appropriate temperature ranges for various types of
heat and cold therapies.
F7.12 Demonstrate the ability to utilize a temperature control blanket
F7.14 Demonstrate the ability to assist with a warm soak
F7.15 Demonstrate the ability to apply a warm compress (dry and
moist)
F7.16 Demonstrate the ability to apply a cold compress (dry and
F7.17
F7.18
F7.11
F7.12
F7.13
F7.4
F7.5
F7.6
F7.8
moist)
Demonstrate the ability to apply a chemical warm/cold pack
Demonstrate the ability to give a tepid sponge bath
Identify therapeutic implications related to use of temperature
control blankets.
Demonstrate the ability to utilize a temperature control
blanket
Demonstrate the ability to use an aquathermia pad
Identify sources/equipment used to deliver heat therapy.
Identify indications for cold therapy
Discuss the effects of cold therapy on body tissues.
Identify sources/equipment used to delivery cold therapy.

Provide care for a client with a tracheostomy*
F2.17 Demonstrate the ability to perform tracheostomy care.

Provide care to a client with an ostomy (e.g., colostomy,
ileostomy or urostomy)*
**F4.10 Identify type of ostomy.
F6.28 Discuss the purposes and care of urostomies

Provide care to client on ventilator*

Provide care to correct client alteration in body system

Provide care to client undergoing peritoneal dialysis




Provide care for client experiencing increased
intracranial pressure
Provide care to client who has experienced a seizure
Provide care for client experiencing complications of
pregnancy/labor and/or delivery (e.g., eclampsia,
precipitous labor, hemorrhage)
F17.1 Identify age related changes that occur in body systems.

Perform wound care and/or dressing change*
F1.10
F1.11
F1.12
F1.13
F1.14
F1.17
F1.18

Perform check of client pacemaker*
F17.1 Identify age related changes that occur in body systems.


Perform care for client after surgical procedure*
Remove wound sutures or staples*
F14.17 Support patients who experience postoperative complications.
F1.16 Demonstrate the ability to remove sutures and staples

Remove client wound drainage device*
F1.19 Demonstrate the ability to remove a wound drain

Intervene to improve client respiratory status (e.g.,
breathing treatment, suctioning or repositioning)*
F2.1
F2.3
F2.8
F2.9

Reinforce client teaching on ostomy care

Reinforce education to client regarding care and
condition*
Notify primary health care provider of a change in client
status
Document client response to interventions for alteration
in body systems (e.g., pacemaker, chest tube)


Demonstrate the ability to set up a sterile field
Demonstrate the ability to perform a sterile dressing change.
Demonstrate the ability to apply a clean dressing.
Demonstrate the ability to apply a wet-to-dry dressing
Demonstrate the ability to pack a wound.
Demonstrate the ability to apply an eye dressing.
Demonstrate the ability to apply a transparent dressing.
Describe nursing interventions that promote lung expansion
and respiratory efficiency.
Identify indications for performing postural drainage
percussion or vibration therapy.
Demonstrate the ability to assist a patient with deep
breathing/coughing exercises.
Demonstrate the ability to perform postural drainage,
percussion, and vibration.
F6.28 Discuss the purposes and care of urostomies
Basic Pathophysiology
 Identify signs and symptoms related to an acute or


chronic illness*
Consider general principles of client disease process
when providing care (e.g., injury and repair, immunity,
cellular structure)
Apply knowledge of pathophysiology to monitoring client
for alterations in body systems
Fluid and Electrolyte Imbalances
 Identify signs and symptoms of client fluid and/or






F17.1 Identify age related changes that occur in body systems.
F14.12
Provide postmortem care
F6.6
F14.8
Discuss causes of urinary incontinence.
List signs and symptoms of impending death.
Fluid and Electrolyte Imbalances
electrolyte imbalances
Provide interventions to restore client fluid and/or
electrolyte balance
Monitor client response to interventions to correct fluid
and/or electrolyte imbalance
Medical Emergencies
 Respond to a client life-threatening situation (e.g.,

Basic Pathophysiology
cardiopulmonary resuscitation)*
Provide emergency care for wound disruption (e.g.,
evisceration, dehiscence)
Notify primary health care provider about client
unexpected response/emergency situation
Recommend change in emergency treatment based
upon client response to interventions
Reinforce teaching of emergency intervention
explanations to client
Review and document client response to emergency
interventions (e.g., restoration of breathing, pulse)
Medical Emergencies
Radiation Therapy
Radiation Therapy
 Provide interventions for client side effects to radiation

therapy
Monitor client for signs and symptoms of adverse effects
of radiation therapy

Reinforce client teaching for management of
side/adverse effects of radiation therapy

Document client response to radiation therapy (e.g., skin
condition)
Unexpected Response to Therapy
 Identify and treat a client intravenous (IV) line infiltration
Unexpected Response to Therapy

Recognize complications of acute or chronic illness and
intervene*
Intervene in response to client unexpected negative
response to therapy (e.g., unexpected bleeding)
F13.16 Identify postoperative complications.

Document client unexpected response to therapy
F13.17 Support patients who experience postoperative
complications.

Promote recovery from client unexpected negative
response to therapy (e.g., urinary tract infection)
