NUTC 3113 CB : Blueprint for Exam 1
Exam 1: 40 multiple choice, 3 multiple response (select all that apply, drop and drag format, partial credit
possible, plus/minus scoring), 1 sequencing, 2 cloze (drop down) and 3 short answer (which may include
calculations). For the multiple response items, partial credit is possible. For ABG interpretations, you
may be asked to identify the derangement (acidosis or alkalosis), the problem of origin (metabolic or
respiratory), the level of compensation (fully compensated, partially compensated, uncompensated),
and/or the likely cause of the derangement; partial credit is possible. For the calculation items, you must
include the unit of measurement (milliliters, tablets, kilograms, pounds, etc.) to earn credit. Rules learned
in Therapeutics related to preceding and trailing zeros will be applied to this exam. If the answer to a
calculation item includes a decimal, round to the nearest tenth. For the cloze items, you may need to use
the touch screen or touch pad to allow you to see all the options for each part of the question. The cloze
items are valued at 3 points each, the other items are 2 points each.
For ABG interpretation, the expected (‘normal’) ranges are
pH 7.35 to 7.45, CO2 35 to 45 mm Hg, HCO3- 22 to 26 mEq/L
In Examplify, labels will open on the right side of computer screen; you have the option to increase the
size by clicking on the label. You access the calculator by selecting the toolkit (top right of screen).
You will have 60 minutes to complete the exam.
Health assessment skills learned in NUTC 2011 are foundational knowledge in this course, and may be
included in any exam.
In client teaching, you must be able to determine statements by the client that indicate understanding of
the information taught and, conversely, statements that indicate the client does not understand the
information.
, Topics covered on the exam may include:
Prioritizing client care (may include identifying the intervention to be implemented first, or which client
to assess/attend to first after change of shift report)
- nurses must use classification of priorities based on urgency/ importance
1. ABCS (airway, breathing, cardiac/circulation, (vital) signs
2. mental status change, acute pain, acute urinary elimination problems, untreated
medical problem requiring immediate attention, abnormal lab values, risk of infection,
safety/security
3. deficient knowledge, activity, rest, family coping
Safety in client care
- quality & safety education for nurses (QSEN) = minimizes risk of harm to clients &
providers through individual performance & systemic effectiveness
- competencies include patient centered care, teamwork & collaboration, evidenced
based practice, quality improvement, safety, informatics
- safety & nursing process:
- assessment = client perception of risks, client home environment, client activity,
exercise, medication history, falls…
- diagnosis = risk for falls, impaired home maintenance, risk for injury,
poisoning, suffocation, trauma, & deficient knowledge
- general preventative measures include lighting & changing the environment
- strategies in acute care include fall risk, restraints as last resort & restraint alternatives
Calculation for medication administration (may include conversions, reconstitution, reading labels,
determining the correct amount to administer the prescribed dose)
Intake & output (includes correctly identifying what to include in calculation of I&O, and calculating
I&O; you must include the unit of measure in your response)
- intake = output (ideally)
- expected 24hr urine volume is 800-2000 mLs/day
- oliguria = decreased urine output; <500 mLs w/in 24hrs
Nursing process: assessment, diagnosis (including identifying defining characteristics of nursing
diagnoses), planning (appropriate interventions for the circumstances), implementation (examples of
interventions), evaluation; identify examples of each step (HINT: review the nursing diagnoses included
in the slides for each week)
- assessment = uses subjective & objective data to determine “what brings you in today?”; open
& closed ended questions; health assessment
- process:
- collect data
- cluster cues, make inferences & identify patterns & problem areas
- critically anticipate
- have supporting cues before inference
- physical examination
- observation of client behavior (verbal & nonverbal)
- diagnostic & lab data
- diagnosis = provides precise definition of client’s problem that gives nurses & other members
of the health care team a common language for understanding client needs
- types of nursing diagnoses:
- problem focused = described human responses to health conditions of
life processes
Exam 1: 40 multiple choice, 3 multiple response (select all that apply, drop and drag format, partial credit
possible, plus/minus scoring), 1 sequencing, 2 cloze (drop down) and 3 short answer (which may include
calculations). For the multiple response items, partial credit is possible. For ABG interpretations, you
may be asked to identify the derangement (acidosis or alkalosis), the problem of origin (metabolic or
respiratory), the level of compensation (fully compensated, partially compensated, uncompensated),
and/or the likely cause of the derangement; partial credit is possible. For the calculation items, you must
include the unit of measurement (milliliters, tablets, kilograms, pounds, etc.) to earn credit. Rules learned
in Therapeutics related to preceding and trailing zeros will be applied to this exam. If the answer to a
calculation item includes a decimal, round to the nearest tenth. For the cloze items, you may need to use
the touch screen or touch pad to allow you to see all the options for each part of the question. The cloze
items are valued at 3 points each, the other items are 2 points each.
For ABG interpretation, the expected (‘normal’) ranges are
pH 7.35 to 7.45, CO2 35 to 45 mm Hg, HCO3- 22 to 26 mEq/L
In Examplify, labels will open on the right side of computer screen; you have the option to increase the
size by clicking on the label. You access the calculator by selecting the toolkit (top right of screen).
You will have 60 minutes to complete the exam.
Health assessment skills learned in NUTC 2011 are foundational knowledge in this course, and may be
included in any exam.
In client teaching, you must be able to determine statements by the client that indicate understanding of
the information taught and, conversely, statements that indicate the client does not understand the
information.
, Topics covered on the exam may include:
Prioritizing client care (may include identifying the intervention to be implemented first, or which client
to assess/attend to first after change of shift report)
- nurses must use classification of priorities based on urgency/ importance
1. ABCS (airway, breathing, cardiac/circulation, (vital) signs
2. mental status change, acute pain, acute urinary elimination problems, untreated
medical problem requiring immediate attention, abnormal lab values, risk of infection,
safety/security
3. deficient knowledge, activity, rest, family coping
Safety in client care
- quality & safety education for nurses (QSEN) = minimizes risk of harm to clients &
providers through individual performance & systemic effectiveness
- competencies include patient centered care, teamwork & collaboration, evidenced
based practice, quality improvement, safety, informatics
- safety & nursing process:
- assessment = client perception of risks, client home environment, client activity,
exercise, medication history, falls…
- diagnosis = risk for falls, impaired home maintenance, risk for injury,
poisoning, suffocation, trauma, & deficient knowledge
- general preventative measures include lighting & changing the environment
- strategies in acute care include fall risk, restraints as last resort & restraint alternatives
Calculation for medication administration (may include conversions, reconstitution, reading labels,
determining the correct amount to administer the prescribed dose)
Intake & output (includes correctly identifying what to include in calculation of I&O, and calculating
I&O; you must include the unit of measure in your response)
- intake = output (ideally)
- expected 24hr urine volume is 800-2000 mLs/day
- oliguria = decreased urine output; <500 mLs w/in 24hrs
Nursing process: assessment, diagnosis (including identifying defining characteristics of nursing
diagnoses), planning (appropriate interventions for the circumstances), implementation (examples of
interventions), evaluation; identify examples of each step (HINT: review the nursing diagnoses included
in the slides for each week)
- assessment = uses subjective & objective data to determine “what brings you in today?”; open
& closed ended questions; health assessment
- process:
- collect data
- cluster cues, make inferences & identify patterns & problem areas
- critically anticipate
- have supporting cues before inference
- physical examination
- observation of client behavior (verbal & nonverbal)
- diagnostic & lab data
- diagnosis = provides precise definition of client’s problem that gives nurses & other members
of the health care team a common language for understanding client needs
- types of nursing diagnoses:
- problem focused = described human responses to health conditions of
life processes
