Chapter 1: General Survey

• Perform a general survey assessment, including vital signs, ability to communicate, appropriateness of behaviors and responses, general mobility, and basic nutritional and fluid status
• Modify assessment techniques to reflect variations across the life span, cultural values and beliefs, and gender expression
• Document actions and observations
• Recognize and report significant deviations from norms

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Chapter 2: Health History

• Establish a therapeutic nurse-patient relationship
• Use effective verbal and nonverbal communication techniques
• Collect health history data
• Modify assessment techniques to reflect variations across the life span and cultural variations
• Document actions and observations
• Recognize and report significant deviations from norms

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Chapter 3: Blood Pressure

• Accurately measure and document blood pressure using American Heart Association standards
• Adapt the procedure to reflect variations across the life span
• Recognize and report significant deviations from blood pressure norms

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Chapter 4: Aseptic Technique

• Perform appropriate hand hygiene
•  Use standard precautions
•  Use category-specific, transmission-based precautions
•  Maintain a sterile field and equipment
•  Apply and safely remove sterile gloves and personal protective equipment
•  Dispose of contaminated wastes appropriately

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Chapter 5: Math Calculations

• Accurately perform calculations using decimals, fractions, percentages, ratios, and/or proportions
• Convert between the metric and household systems
• Use military time
• Use dimensional analysis
• Accurately solve calculations related to conversions, dosages, liquid concentrations, reconstituted medications, weight-based medications, and intravenous infusions and evaluate final answer to ensure safe medication administration

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Chapter 6: Neurological Assessment

• Perform a neurological assessment, including mental status, cranial nerves, sensory function, motor strength, cerebellar function, and reflexes
• Modify assessment techniques to reflect variations across the life span
• Document actions and observations
• Recognize and report significant deviations from norms

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Chapter 7: Head and Neck Assessment

• Perform a head and neck assessment, including the skull, face, nose, oral cavity, and neck
• Modify assessment techniques to reflect variations across the life span
• Recognize and report significant deviations from norms
• Document actions and observations

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Chapter 8: Eye and Ear Assessment

• Perform an eye and ear assessment, including visual acuity, extraocular motion, and hearing acuity
• Modify assessment techniques to reflect variations across the life span
• Document actions and observations
• Recognize and report significant deviations from norms

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Chapter 9: Cardiovascular Assessment

• Perform a cardiovascular assessment, including heart sounds; apical and peripheral pulses for rate, rhythm, and amplitude; and skin perfusion (color, temperature, sensation, and capillary refill time)
• Identify S1 and S2 heart sounds
• Differentiate between normal and abnormal heart sounds
• Modify assessment techniques to reflect variations across the life span
• Document actions and observations
• Recognize and report significant deviations from norms

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Chapter 10: Respiratory Assessment

• Perform a respiratory assessment
• Differentiate between normal and abnormal lung sounds
• Modify assessment techniques to reflect variations across the life span
• Document actions and observations
• Recognize and report deviations from norms

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Chapter 11: Oxygen Therapy

• Implement interventions to improve a patient’s oxygenation status
• Correctly apply oxygen equipment
• Set flow rate using fixed and portable equipment
• Survey the environment for potential safety hazards
• Use pulse oximetry
• Assess patient response to oxygen therapy
• Adapt procedures to reflect variations across the life span
• Document actions and observations
• Recognize and report significant deviations from norms

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Chapter 12: Abdominal Assessment

• Perform an abdominal assessment
• Differentiate normal and abnormal bowel sounds
• Modify assessment techniques to reflect variations across the life span
• Document actions and observations
• Recognize and report significant deviations from norms

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Chapter 13: Musculoskeletal Assessment

• Perform a musculoskeletal assessment
• Palpate joints for pain, swelling, change in temperature, and range of motion
• Modify assessment techniques to reflect variations across the life span
• Recognize and report significant deviations from norms
• Document actions and observations

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Chapter 14: Integumentary Assessment

• Perform an integumentary assessment including the skin, hair, and nails
• Modify assessment techniques to reflect variations across the life span and ethnic and cultural variations
• Document actions and observations
• Recognize and report significant deviations from norms

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Chapter 15: Administration of Enteral Medications

• Safely administer medication orally, rectally, and via enteral tubes
• Accurately check medication administration rights three times
• Calculate correct amount of medication to administer
• Explain medication information to patient
• Collect appropriate assessment data prior to and after medication administration
• Modify procedure to reflect variations across the life span
• Document actions and observations

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Chapter 16: Administration of Medications Via Other Routes

• Safely administer medications and irrigations for the eye, ear, inhalation, nasal, and vaginal routes
• Select the appropriate equipment
• Calculate correct amount to administer
• Select appropriate site
• Modify the procedure to reflect variations across the life span
• Document actions and observations
• Recognize and report significant deviations from norms

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Chapter 17: Enteral Tube Management

• Administer enteral nutrition
• Perform irrigation and suctioning of enteral tubes
• Select appropriate equipment
• Explain the procedure to the patient
• Assess tube placement
• Implement measures to prevent displacement of tube
• Modify procedures to reflect variations across the life span
• Document actions and observations
• Recognize and report significant deviations from norms

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Chapter 18: Administration of Parenteral Medications

• Safely administer medication via the intradermal, subcutaneous, and intramuscular routes
• Maintain aseptic technique
• Select appropriate equipment
• Calculate correct amount of medication to administer
• Correctly select site using anatomical landmarks
• Modify procedure to reflect variations across the life span
• Document actions and observations
• Recognize and report significant deviations from norms

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Chapter 19: Specimen Collection

• Accurately collect specimens for blood glucose monitoring, nasal swabs, and oropharyngeal swabs
• Modify procedure to reflect variations across the life span
• Maintain standard and transmission-based precautions
• Select appropriate equipment
• Explain procedure to patient
• Document actions and observations
• Recognize and report significant deviations from norms

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Chapter 20: Wound Care

• Assess tissue condition, wounds, drainage, and pressure injuries
• Cleanse and irrigate wounds
• Apply a variety of wound dressings
• Obtain a wound culture specimen
• Use appropriate aseptic or sterile technique
• Explain procedure to patient
• Adapt procedures to reflect variations across the life span
• Recognize and report significant deviations in wounds
• Document actions and observations

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Chapter 21: Facilitation of Elimination

• Perform urinary catheterization, ostomy care, and urine specimen collection
• Manage urinary catheters to prevent complications
• Maintain aseptic or sterile technique
• Explain procedure to patient
• Modify assessment techniques to reflect variations across the life span
• Document actions and observations
• Recognize and report significant deviations from norms

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Chapter 22: Tracheostomy Care & Suctioning

• Safely perform nasal, oral, pharyngeal, and tracheostomy suctioning
• Provide tracheostomy care
• Explain procedure to patient
• Adapt procedure to reflect variations across the life span
• Document actions and observations
• Recognize and report significant deviations from norms

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Chapter 23: IV Therapy Management

• Inspect established IV site for deviations from normal
• Prepare and safely administer primary and secondary IV fluids and medication
• Calculate and ensure designated flow rate
• Change IV tubing
• Change IV site dressing
• Discontinue short-term peripheral IV
• Modify the procedure to reflect variations across the life span
• Document actions and observation
• Report significant deviations from norms

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