| Client Needs | ||
| Safe and Effective Care Environment - the nurse encourages the achievement of client outcomes. He/she gives and directs nursing care that boosts the care delivery setting to protect clients and healthcare staff. | ||
| Subcategories | Description | Percentage of Items from Each Category/Subcategory |
| Management of Care | The nurse gives and directs nursing care that boosts the care delivery setting to protect clients and healthcare staff. | 17–23% |
| Safety and Infection Control | The nurse protects clients and healthcare staff from health and environmental hazards. | 9–15% |
| Health Promotion and Maintenance - The nurse gives and directs nursing care of the client by using knowledge of expected growth and development; early detection and prevention of health problems, and techniques to achieve optimal health. | 6-12% | |
| Psychosocial Integrity - The nurse gives and directs nursing care that encourages and supports the mental, emotional, and social well-being of the client who is experiencing stressful events. He/she also helps clients with acute or chronic mental illness. | 6-12% | |
| Physiological Integrity - The nurse encourages physical health and wellness by giving care and comfort. He/she reduces client risk potential and manages health alterations. | ||
| Subcategories | Description | Percentage of Items from Each Category/Subcategory |
| Basic Care and Comfort | The nurse offers comfort and assistance in the performance of daily living activities. | 6–12% |
| Pharmacological and Parenteral Therapies | The nurse gives care by administering medications and parenteral therapies. | 12–18% |
| Reduction of Risk Potential | The nurse reduces the chances that clients will develop health complications or problems in relation to existing conditions, treatments or procedures. | 9–15% |
| Physiological Adaptation | The nurse manages and offers care for clients with chronic, acute, or life-threatening physical health conditions. | 11–17% |
| Client Needs | ||
| Safe and Effective Care Environment - The practical/vocational nurse gives nursing care that contributes to boosting the health care delivery setting and protects clients and healthcare staff. | ||
| Subcategories | Description | Percentage of Items from Each Category/Subcategory |
| Coordinated Care | The LPN/VN works with healthcare team members to help successful client care. | 18–24% |
| Safety and Infection Control | The LPN/VN play a part in protecting clients and healthcare staff from environmental and health hazards. | 10–16% |
| Health Promotion and Maintenance - The practical/vocational nurse provides nursing care for clients by using knowledge of expected growth and development, and early detection and prevention of health problems. | 6-12% | |
| Psychosocial Integrity - The practical/vocational nurse gives care by assisting with the promotion and support of the mental, emotional, and social well-being of clients. | 9–15% | |
| Physiological Integrity - The practical/vocational nurse assists in the encouragement of physical health and well-being. He/she provides care and comfort, reduces risk potential for clients, and assists them with the management of health alterations. | ||
| Subcategories | Description | Percentage of Items from Each Category/Subcategory |
| Basic Care and Comfort | The LPN/VN gives comfort to clients and assists in the performance of daily living activities. | 7–13% |
| Pharmacological Therapies | The LPN/VN gives care such as administering medications and monitoring clients who are receiving parenteral therapies. | 10–16% |
| Reduction of Risk Potential | The LPN/VN reduces the chances of clients developing health complications or problems in relation to treatments, procedures, or existing conditions. | 9–15% |
| Physiological Adaptation | The LPN/VN participates in giving care for clients with chronic, acute, or life-threatening physical health conditions. | 7–13% |
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Prepare for the NCLEX - National Council Licensure Examination exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.
Try these questions from our free NCLEX practice tests. The correct answer and an explanation follow each question.
A licensed practical nurse is attending an agency orientation meeting about the nursing model of practice implemented in the facility. The nurse is told that the nursing model is a team nursing approach. The nurse understands that which of the following is a characteristic of this type of nursing model of practice?
Answer: C. Nursing staff are led by a nurse when providing care to a group of clients.
Administering an additional dose of bumetanide, a potent diuretic, significantly increases the client's risk for hypotension and fluid volume deficit, which can lead to falls. The nurse's failure to adequately educate the client about these risks and the importance of calling for assistance, combined with a lack of immediate follow-up after administering the medication, constitutes a breach in the standard of care. These omissions directly contributed to the client's fall and injury, supporting a malpractice claim.
The RN is supervising a nursing team of one LPN and one nursing assistant (NA). Which task is appropriate to delegate to the LPN?
Answer: B. Administer a scheduled oral medication to a stable post-op client
LPN scope of practice includes administering medications (oral, IM, subcutaneous, topical — IV varies by state) to stable clients. Initial assessments, care plan development, and evaluation of client teaching are within the RN scope and cannot be delegated to an LPN. The RN retains accountability for all delegated tasks.
A client with MRSA is on contact precautions. A nursing assistant is about to enter the room to deliver a meal tray. Which PPE should the nursing assistant wear?
Answer: B. Gloves and gown
Contact precautions require gloves and gown upon entering the room, regardless of the nature of the task. MRSA is spread by direct and indirect contact. An N95 is required for airborne precautions (e.g., TB, measles), not contact precautions.
A client is receiving total parenteral nutrition (TPN). Which nursing assessment is most important for monitoring metabolic complications?
Answer: B. Capillary blood glucose every 4–6 hours
TPN contains high concentrations of dextrose, which can cause hyperglycemia. Blood glucose monitoring every 4–6 hours (or per protocol) is the most critical metabolic monitoring in TPN clients. Hyperglycemia impairs immune function and can cause osmotic diuresis. Insulin may be added to the TPN bag or given as sliding-scale coverage.