NUR 436 Experiential Learning Advanced Final Exam Blueprint
There will be 50 questions. You will have 75 minutes to complete the exam. Take your time. You will be
using Respondus Lockdown Browser to access the exam. Read each question and all the answer
choices.
This exam is based ONLY on the listed concept-based simulated patient care comprehensive
experiences and is designed to assess your application of knowledge over the semester in lab.
The exam will have Multiple Choice Questions, Multiple Answer (SATA) Questions, NGN style
questions, fill in the blank and Math Calculations for pediatric and adult care and critical care
situations.
The calculator will be available in Respondus for math calculations.
Your preparation should include review of the listed simulation concepts, including resource videos,
text/ATI readings, PPTs, and documents provided to students in the Canvas modules for each patient
care experience. The medications to focus on are listed under clinical judgement.
Here are the specific course concepts and experiences from the course modules.
Delegation and Prioritization
o Multi-patient Simulations-E7A Victoria Gonzales/Isabelle Capstone and E5B Coder
Johnson/Rosalee Sweetwater).
Deliberate Practice E4B, E6, E9, E10B
o Heparin protocol, Dopamine titration, pediatric dosing calculations, gtt/min
calculations, and critical care medication calculations.
Perfusion
o Coder Johnson E1B/E3B, Arne Ardings E2B/E9B, Ana T. DKA E6A, Tommy Travis E9A and
Bob Powers E8B
Professional Identity
o Interprofessional needs of the client/role of the nurse-Bertha Strong E10A
Fluids and Electrolytes
o Arne Ardings E9B, Tommy Travis E9A, Ana T. DKA E6A & Bob Powers E8B
Clinical Judgement
o Multi patient sims E5B/E7A, DKA E6A, Sepsis E9B, Burn trauma E8B, Coder Johnson
E1B/E3B, Cecilia Proctor-E6B, Bertha Strong acute stroke- E7B
Care Coordination and Collaboration
o Victoria Gonzales at Home E8A, Adult and peds care coordination E5B/E7A, IPE-Bertha
Strong event E10A, Burn trauma team E8B, Sepsis E9B, Bertha Strong acute stroke-E7B
Glucose regulation
o Ana Tarasova DM & DKA E2A/E6A
Safety
o Peds Multipatient and Deliberate Practice E4B/E6B/E10B/E11AB/E12AB
o E10B-Blood administration, chest tube maintenance, central line maintenance, Art line
maintenance, trach suctioning, seizure management, GT/NG tube management.
Medication administration/dosing calculations. Infection control.
4/24 LD
Concepts reviewed:
Clinical Judgment (Nursing Process-Assess, analyze cues, Plan/decide, Implement, Evaluate)
(25 questions)
Prioritization of care situations for children and adults using prioritization methods based on
report, patient information and assessment.
Assessment and intervention provision for: Parkland Formula calculations, BSA % Rule of Nines
calculations; Blood transfusion reaction, Sepsis recognition, DKA priority assessment; IV site
management (infection vs infiltration findings).
Complex care assessments: Stroke; Septic shock; DKA neuro exam; dysrhythmia recognition (V-
Tach and A-fib with Rapid Ventricular Response) and interventions for stable vs unstable patient
assessment from situation presented; ventilator/endotracheal (ET) tube management;
Emergent phase Burn IV fluid requirements and emergent phase burn assessments.
Nursing care, assessment and education for tracheostomy suctioning, chest tube management
(normal vs abnormal findings), DKA interventions, central lines, pediatric enteral feeding
considerations, stroke protocol, sepsis protocol, seizure management, NG tube placement, GT
care, Art lines and infection control measures and assessments in the home environment.
Management of care and prioritization of situations including diabetic ketoacidosis, emergent
phase of burns, sepsis, cardiac emergencies (V-Tach and unstable A-fib), blood transfusion,
medication administration using protocols and provider orders.
Medication administration-know indications, mechanism of action, brand and generic names,
patient education, and nursing actions concerning the following medications—Dopamine,
Heparin, Insulin, Levophed, Vancomycin, Epinephrine, Morphine Sulfate, Fentanyl and Propofol.
Communication (3 questions)
Developmentally appropriate interventions and communication to use with care of a pediatric
patient.
Communicate effectively with interdisciplinary team, patient and family.
Education on modifiable and non-modifiable risk factors for stroke prevention.
Collaboration (2 questions)
Collaborative IPE practice related to management of pediatric clients.
Use of appropriate and complete communication with SBAR/CUS tool.
Safety (11 questions)
Infection control and assessment of environmental and client safety in the home setÝng.
Blood Products: patient identification; transfusion administration safety; transfusion reaction
signs and symptoms and intervention needed.
Central Line care and management for infection control.
Indications and contraindications for nasogastric intubation for clients.
Calculate medication safe dose and dose to administer based on protocols and parameters:
Pediatric medications, Heparin protocol orders, Parkland fluid orders, calculations for critical
care medication infusion and titration of critical care medications.
Professional Identity (9 questions)
4/24 LD
Role of the nurse in Interprofessional experiences for best patient care outcomes.
Collaboration with Interprofessional resources for best patient care outcomes.
Professional practice guidelines for the Home Health Nurse.
Prioritize care of adult and pediatric patients/families based on competing critical, urgent and
routine needs.
Understand the factors of delegation and how to implement the role of the RN with the
rights of delegation (e.g., right task, right circumstances, right person, right direction or
communication, right supervision).
4/24 LD
