San Antonio College

Department of Nursing Education

 Generic Level 2

RNSG 1126 Professional Nursing Concepts III

Final Exam Blueprint (Student)

Fall 2020

Objective Question

NCLEX RN

Client Need

Category

Integrative Process Refere

nce

Concept - Safety – Items 1-4

1. Explain how

the listed

exemplars

relate to the

concept of

Safety.

 Exemplar: Surgical Time Out

 Focus: Purpose

 Time out; final verification of the correct procedure, site, and

implants.

Right patient

Right procedure

Right surgical site

1. Correct identification of pt using two identifiers

2. Preoperative verification process

3. Marking surgical site- involve pt

4. Checking for implants

5. Checking for arrival of special instruments or equipment

before surgery begins

Final time out involving all members of surgical team

Safe and

Effective Care:

Environment:

Management

of Care

Responsibility of

circulating nurse

confirmed by

OR team.

Research

suggests that

the use of

surgical

checklists help

create a culture

of safety and

reduce

morbidity and

mortality.

Nursing Process:

Implementation

Prevention of wrong

site, wrong procedure,

and wrong person

surgery

Safety

Modul

e

Resour

ces

2. Apply the Exemplar: Standard Precautions Safe and Nursing Process

 1 / 3

San Antonio College

Department of Nursing Education

 Generic Level 2

RNSG 1126 Professional Nursing Concepts III

Final Exam Blueprint (Student)

Fall 2020

nursing process

with

collaborative

interventions

and evaluation

for individuals

experiencing

surgery or a

procedure

requiring a

time-out, or

experiencing

conditions

related to a

core measures

or anticipatory

guidance.

Focus: Application of principle

Droplet; facemask within 3 to 6 feet of the patient

Airborne; N95 and isolation rooms with negative pressure

Contact; gown and gloves; private room to facilitate hand hygiene

 Airborne

 N95, gloves, gown

 Droplet

 Gloves, gown, mask

Effective Care:

Environment:

Management

of Care

Implementation

3. Explain how

the listed

exemplars

relate to the

concept of

Safety.

Exemplar: Core measures

Focus: Rationale for

 utilizing core measures

The patient- it is about the right care every time.

Lower mortality and morbidity, disability, length of stay,

readmissions.

Based on evidence-based practice

Safe and

Effective Care:

Environment:

Management

of Care

Nursing Process

Implementation

4. Apply the

nursing process

with

Exemplar: Anticipatory guidance

Focus: Goals of Anticipatory Guidance

Counseling, therapeutic, or educational services provided to

Physiological

integrity:

Reduction of

Nursing Process

Assessment

Teaching

 2 / 3

San Antonio College

Department of Nursing Education

 Generic Level 2

RNSG 1126 Professional Nursing Concepts III

Final Exam Blueprint (Student)

Fall 2020

collaborative

interventions

and evaluation

for individuals

experiencing

surgery or a

procedure

requiring a

time-out, or

experiencing

conditions

related to a

core measures

or anticipatory

guidance.

individuals or families before they undergo a significant change in

their lives

50 y/o – colonoscopy

risk potential

Concept - Clinical Judgement - Items 5-8

5. Describe the

interrelatedness

between health

care concepts to

assist in

developing

clinical

judgment.

Exemplar: Urgent/Emergent situations

Focus: Priority decision-making

When prioritizing an assessment for a patient a nurse must always

assess the ABC’s first. Airway, breathing, and circulation

Airway- is open and clear, and that the client doesn’t need an oral

or artificial airway to breath sufficiently; assess patient’s oxygen

level, supplemental oxygen may need to be administered.

Breathing- assess respiratory rate is within expected range and

that there is adequate ventilatory effort.

Circulation- assess heart rate and blood pressure are withing

Safe and

Effective Care

Environment:

Management

of Care

Physiological

Integrity:

Physiologic

Adaptation

Nursing Process:

Implementation

Clinical

Judge

ment

Modul

e

Refere

Powered by qwivy(www.qwivy.org)

 3 / 3