RUA

Safety and Infection Control � Protecting clients and health care personnel from health and environmental hazards. Safety and Infection Control Related Activity Statements from the 2021 RN Practice Analysis: Linking the NCLEX-RN® Examination to Practice � Assess client for allergies and intervene as needed � Assess client care environment � Promote staff safety � Protect client from injury � Properly identify client when providing care � Verify appropriateness and accuracy of a treatment order � Participate in emergency planning and response � Use ergonomic principles when providing care � Follow procedures for handling biohazardous and hazardous materials � Educate client on safety issues � Acknowledge and document practice errors and near misses � Report, intervene, and/or escalate unsafe practice of health care personnel (e.g., substance abuse, improper care, staffing practices) � Facilitate appropriate and safe use of equipment � Follow security plan and procedures (e.g., newborn security, violence, controlled access) � Apply principles of infection prevention (e.g., hand hygiene, aseptic technique, isolation, sterile technique, universal/standard enhanced barrier precautions) � Educate client and staff regarding infection prevention measures � Follow requirements when using restraints

National Council of State Boards of Nursing, Inc. (NCSBN) | 2023112023 NCLEX-RN® Test Plan Physiological Integrity The nurse promotes physical health and wellness by providing care and comfort, reducing client risk potential and managing health alterations. Basic Care and Comfort � Providing comfort and assistance in the performance of activities of daily living. Basic Care and Comfort Related Activity Statements from the 2021 RN Practice Analysis: Linking the NCLEX-RN® Examination to Practice � Assist client to compensate for a physical or sensory impairment (e.g., assistive devices, positioning) � Assess and manage client with an alteration in bowel and bladder elimination � Perform irrigations (e.g., of bladder, ear, eye) � Perform skin assessment and implement measures to maintain skin integrity � Apply, maintain, or remove orthopedic devices � Implement measures to promote circulation (e.g., active or passive range of motion, positioning and mobilization) � Assess client for pain and intervene as appropriate � Recognize complementary therapies and identify potential benefits and contraindications (e.g., aromatherapy, acupressure, supplements) � Provide non-pharmacological comfort measures � Evaluate the client’s nutritional status and intervene as needed � Provide client nutrition through tube feedings � Evaluate client intake and output and intervene as needed � Assess client performance of activities of daily living and assist when needed � Perform post-mortem care � Assess client sleep/rest pattern and intervene as needed

National Council of State Boards of Nursing, Inc. (NCSBN) | 2023122023 NCLEX-RN® Test Plan Pharmacological and Parenteral Therapies � Providing care related to the administration of medications and parenteral therapies. Pharmacological and Parenteral Therapies Related Activity Statements from the 2021 RN Practice Analysis: Linking the NCLEX-RN® Examination to Practice � Administer blood products and evaluate client response � Access and/or maintain central venous access devices � Perform calculations needed for medication administration � Evaluate client response to medication � Educate client about medications � Prepare and administer medications using rights of medication administration � Review pertinent data prior to medication administration (e.g., contraindications, lab results, allergies, potential interactions) � Participate in medication reconciliation process � Titrate dosage of medication based on assessment and ordered parameters � Dispose of medications safely � Handle and maintain medication in a safe and controlled environment � Evaluate appropriateness and accuracy of medication order for client � Handle and administer high-risk medications safely � Monitor intravenous infusion and maintain site � Administer medications for pain management � Handle and administer controlled substances within regulatory guidelines � Administer parenteral nutrition and evaluate client response

National Council of State Boards of Nursing, Inc. (NCSBN) | 2023142023 NCLEX-RN® Test Plan Physiological Adaptation � Managing and providing care for clients with acute, chronic or life-threatening physical health conditions. Physiological Adaptation Related Activity Statements from the 2021 RN Practice Analysis: Linking the NCLEX-RN® Examination to Practice � Assist with invasive procedures (e.g., central line, thoracentesis, bronchoscopy) � Implement and monitor phototherapy � Maintain optimal temperature of client � Monitor and care for clients on a ventilator � Monitor and maintain devices and equipment used for drainage (e.g., surgical wound drains, chest tube suction, negative pressure wound therapy) � Perform and manage care of client receiving peritoneal dialysis � Perform suctioning � Perform wound care and dressing change � Provide ostomy care and education (e.g., tracheal, enteral) � Provide pulmonary hygiene (e.g., chest physiotherapy, incentive spirometry) � Provide postoperative care � Manage the care of the client with a fluid and electrolyte imbalance � Monitor and maintain arterial lines � Manage the care of a client with a pacing device � Manage the care of a client on telemetry � Manage the care of a client receiving hemodialysis or continuous renal replacement therapy � Manage the care of a client with alteration in hemodynamics, tissue perfusion, and hemostasis � Educate client regarding an acute or chronic condition � Manage the care of a client with impaired ventilation/oxygenation � Evaluate the effectiveness of the treatment plan for a client with an acute or chronic diagnosis � Perform emergency care procedures � Identify pathophysiology related to an acute or chronic condition

Recognize signs and symptoms of client complications and intervene

Safety and Infection Control � Protecting clients and health care personnel from health and environmental hazards. Safety and Infection Control Related Activity Statements from the 2021 RN Practice Analysis: Linking the NCLEX-RN® Examination to Practice � Assess client for allergies and intervene as needed � Assess client care environment � Promote staff safety � Protect client from injury � Properly identify client when providing care � Verify appropriateness and accuracy of a treatment order � Participate in emergency planning and response � Use ergonomic principles when providing care � Follow procedures for handling biohazardous and hazardous materials � Educate client on safety issues � Acknowledge and document practice errors and near misses � Report, intervene, and/or escalate unsafe practice of health care personnel (e.g., substance abuse, improper care, staffing practices) � Facilitate appropriate and safe use of equipment � Follow security plan and procedures (e.g., newborn security, violence, controlled access) � Apply principles of infection prevention (e.g., hand hygiene, aseptic technique, isolation, sterile technique, universal/standard enhanced barrier precautions) � Educate client and staff regarding infection prevention measures � Follow requirements when using restraints

National Council of State Boards of Nursing, Inc. (NCSBN) | 2023112023 NCLEX-RN® Test Plan Physiological Integrity The nurse promotes physical health and wellness by providing care and comfort, reducing client risk potential and managing health alterations. Basic Care and Comfort � Providing comfort and assistance in the performance of activities of daily living. Basic Care and Comfort Related Activity Statements from the 2021 RN Practice Analysis: Linking the NCLEX-RN® Examination to Practice � Assist client to compensate for a physical or sensory impairment (e.g., assistive devices, positioning) � Assess and manage client with an alteration in bowel and bladder elimination � Perform irrigations (e.g., of bladder, ear, eye) � Perform skin assessment and implement measures to maintain skin integrity � Apply, maintain, or remove orthopedic devices � Implement measures to promote circulation (e.g., active or passive range of motion, positioning and mobilization) � Assess client for pain and intervene as appropriate � Recognize complementary therapies and identify potential benefits and contraindications (e.g., aromatherapy, acupressure, supplements) � Provide non-pharmacological comfort measures � Evaluate the client’s nutritional status and intervene as needed � Provide client nutrition through tube feedings � Evaluate client intake and output and intervene as needed � Assess client performance of activities of daily living and assist when needed � Perform post-mortem care � Assess client sleep/rest pattern and intervene as needed

National Council of State Boards of Nursing, Inc. (NCSBN) | 2023122023 NCLEX-RN® Test Plan Pharmacological and Parenteral Therapies � Providing care related to the administration of medications and parenteral therapies. Pharmacological and Parenteral Therapies Related Activity Statements from the 2021 RN Practice Analysis: Linking the NCLEX-RN® Examination to Practice � Administer blood products and evaluate client response � Access and/or maintain central venous access devices � Perform calculations needed for medication administration � Evaluate client response to medication � Educate client about medications � Prepare and administer medications using rights of medication administration � Review pertinent data prior to medication administration (e.g., contraindications, lab results, allergies, potential interactions) � Participate in medication reconciliation process � Titrate dosage of medication based on assessment and ordered parameters � Dispose of medications safely � Handle and maintain medication in a safe and controlled environment � Evaluate appropriateness and accuracy of medication order for client � Handle and administer high-risk medications safely � Monitor intravenous infusion and maintain site � Administer medications for pain management � Handle and administer controlled substances within regulatory guidelines � Administer parenteral nutrition and evaluate client response

National Council of State Boards of Nursing, Inc. (NCSBN) | 2023142023 NCLEX-RN® Test Plan Physiological Adaptation � Managing and providing care for clients with acute, chronic or life-threatening physical health conditions. Physiological Adaptation Related Activity Statements from the 2021 RN Practice Analysis: Linking the NCLEX-RN® Examination to Practice � Assist with invasive procedures (e.g., central line, thoracentesis, bronchoscopy) � Implement and monitor phototherapy � Maintain optimal temperature of client � Monitor and care for clients on a ventilator � Monitor and maintain devices and equipment used for drainage (e.g., surgical wound drains, chest tube suction, negative pressure wound therapy) � Perform and manage care of client receiving peritoneal dialysis � Perform suctioning � Perform wound care and dressing change � Provide ostomy care and education (e.g., tracheal, enteral) � Provide pulmonary hygiene (e.g., chest physiotherapy, incentive spirometry) � Provide postoperative care � Manage the care of the client with a fluid and electrolyte imbalance � Monitor and maintain arterial lines � Manage the care of a client with a pacing device � Manage the care of a client on telemetry � Manage the care of a client receiving hemodialysis or continuous renal replacement therapy � Manage the care of a client with alteration in hemodynamics, tissue perfusion, and hemostasis � Educate client regarding an acute or chronic condition � Manage the care of a client with impaired ventilation/oxygenation � Evaluate the effectiveness of the treatment plan for a client with an acute or chronic diagnosis � Perform emergency care procedures � Identify pathophysiology related to an acute or chronic condition

Recognize signs and symptoms of client complications and intervene