VITAL INTERNATIONAL FOUNDATION

Nursing Review Course Description

NCLEX-RN PREPARATION — Theory based on Saunders Comprehensive Review for the NCLEX-RNÒ Examination

What is NCLEX-RN

1

The NCLEX exam is ………

  1. the exam process
  2. Computer Adaptive Testing
  3. The Test Plan. — Cognitive ability, Client Needs, Safe, Effective Care environment Health Promotion and Maintenance, Psychosocial Integrity
  4. Types of questions
  5. Testing centers, time & length of exam, etc.

Preparation for NCLEX Examination:

2

Visascreen, CGFNS, exam registration, exam prep.

Special Preparation for International Nurses

1

International Nurses should pay special attention to the areas of …………

Strategy for Success

1

Successful strategies for success include the following: …………..

Topics for NCLEX exam

1

Issues in nursing; fundamental skills; maternity nursing; growth, development, aging; pediatric nursing; skin, cancer, endocrine, GI, respiratory, cardiovascular, eye, ear, neurologic, musculoskeletal, immune,, and psychological disorders.

Test-taking Strategies

2

Respond based on the type of questions. General rules for test taking. "You are the perfect nurse with perfect circumstances …….", prioritizing, etc.

 

8 hours

 

 

NURSING BASIC SCIENCE REVIEW

Course

Hours

Hours

Human Anatomy & Physiology

16

Surface anatomy, musculoskeletal system, blood vessels, nervous system, organs, etc.

Nursing Pharmacology

10

Pharmaceutic regulations, Pharmacokinetics, nervous system drugs, cardiovascular drugs, respiratory drugs, endocrine drugs, anti-infectious disease drugs, immunologic drugs, pain modulating drugs, drug abuse, etc.

Human Pathology

10

General pathology and systemic pathology for nurses includes cellular damage, tissue damage, immune response & inflammation, cancer, inherited disorders; toxic and nutritional, cardiovascular, skin, gastrointestinal, respiratory, endocrine, musculoskeletal, nervous system, etc.

Nursing Sciences

4

Fluids and electrolytes; acid-base balance, laboratory values, nutrition, total parental nutrition, IV therapy, Administration and Handling of blood products

 

40 hours

 

 

INTEGRATED PROCESSES COMPREHENSIVE TEST 4 hours

 

Nursing Practicals

Medical/Surgical Nursing

   

General Nursing Practices

1

 

Fluids and Electrolytes

3

Electrolytes, body compartments, tertiary spacing, edema, bodily fluids, fluid transport, osmosis, filtration, hydrostatic pressure, osmolality, hypertonic solution, isotonic solution, hypotonic solution, osmotic pressure, active transport, excretion, fluid replacement, fluid deficits, fluid excess. Electrolyte disturbances: Sodium, potassium calcium, magnesium, phosphate, etc.

Acid-Base

3

Ions, acids & bases, buffers and buffering systems: chloride shift, plasma proteins, carbonic acid, phosphate, lungs, kidneys, potassium, acidosis & alkalosis, arterial blood gasses.

Laboratory values

2

Electrolytes, Na, Cl, K; coagulation studies, aPTT, PT, clotting, platelet count; ESR, hemoglobin and hematocrit, serum iron, RBC count; Enzyme and cardiac markers — CK (MB, BB, MM), LDH, troponin; GI studies — albumin alkaline phosphatase, ammonia, amylase, lipase, bilirubin, lipids, protein, uric acid; glucose studies — glucose tolerance test, HGB-A1c; Renal studies — serum creatinine, blood urea nitrogen; electrolytes- calcium, magnesium, phosphorus; thyroid studies-thyroxine, TSH, TIT; WBCs — WBC count, neutophils, bands, eosinophils, basophils, lymphocytes, monocytes; hepatitis testing — ELISA, immunoglobulin M, HBcAg, HBeAg, HBsAg; HIV-AIDS testing — ELISA, Western Blot, IFA, CD4+ T cell counts, CD4:CD8 ratio, viral culture, viral load, p24 antigen.

Nutrition

2

Nutrients-carbohydrates, fats, proteins, vitamins, minerals; food pyramid; therapeutic diets — clear liquid, full liquid, soft diet, bland diet, low residue/fiber diet, high residue/high fiber diet, fat-controlled diet, high-calorie diet, sodium restricted diet, protein restricted diet high protein diet, low calcium diet, high calcium diet low purine diet, high iron diet, diverticular disease, fluid restrictions, carbohydrate controlled diet, vegetarian diets, enteral nutrition.

Total Parenteral Nutrition

1

TPN — Indications, components; IV sites — central parenteral nutrition (CPN), peripheral parenteral nutrition (PPN); fat emulsion; filters; complications — pneumothorax air embolism, infection, fluid overload, hyperglycemia hypoglycemia; other nursing considerations.

Intravenous Therapy

2

Types of solutions; IV devices — IV cannulas, IV gauges, IV tubing, drip chambers macrodrip chamber, filters needless systems intermittent infusion sets; latex allergy; selection of a peripheral IV site; addition of medication to an IV line; administration of IV solutions; Precautions for IV lines; complications — infections, tissue damage, phlebitis and thrombophlebitis, infiltrations, catheter embolism, circulatory overload, electrolyte overload, hematoma; air embolism; central venous catheters — tunneled CVNs vascular access ports, pherpherally inserted central catheter lines;

Administration of blood products

2

Types of blood components — RBCs, Whole blood, platelets, fresh frozen plasma, albumin, cryoprecipitates; types of blood donations — autologous, blood salvage, blood donor; compatibility; infusion controllers and pumps; blood warmers; nursing precautions; complications

Provision of a Safe Environment

2

Environmental Safety — fire safety, electrical safety, radiation safety, disposal of infectious wastes, falls, restraints, poisons, interventions; nosocomial infections; standard precautions; transmission-based precautions — airborne precautions droplet precautions, contact precautions; disasters; biological warfare agents — anthrax, smallpox, botulism plague, tularemia, hemorrhagic fever; chemical warfare agents — sarin, phosgene, mustard gas, ionizing radiation

Administration of Medication and Intravenous Solutions

2

Medication administration; drug measurement systems — metric system, apothecary & household systems; common drug measures — milliequivalent, unit; conversions — metric-to-metric, other conversions; Celsius & Fahrenheit temperature; medication labels; medication orders; oral medications; parenteral medications; injectable medications in powder form; calculating the correct dosage; calculating dosages expressed as a ratio or percent; IV flow rates; electronic IV flow rate regulators; Calculation of infusions ordered by unit dosage per hour.

Basic Life Support

2

BLS; Adult BLS — airway breathing, circulation, chest compressions, complications of chest compressions; adult one-person BLS; adult two-person BLS; pediatric differences; foreign body airway obstruction — conscious adult, unconscious adult, choking child or infant; pregnant or obese victim — Heimlich maneuver; defibrillation; automated external defibrillator (AED)

Perioperative Nursing Care

2

Preoperative care - Informed consent, nutrition, elimination, surgical site preoperative client teaching psychosocial preparation preoperative checklist, preoperative medications, arrival in operating room; postoperative care — immediate postoperative stage, intermediate postoperative stage, extended postoperative stage; pneumonia and atelectasis — assessment interventions; hypoxia — assessment & interventions; hemorrhage — assessment & interventions; shock — assessment & interventions; thrombophlebitis — assessment & interventions; urinary retention — assessment & interventions; constipation — assessment & interventions; paralytic ileus — assessment & interventions;, wound infection — assessment & interventions; wound dehiscence — assessment & interventions; wound evisceration — assessment & interventions; ambulatory surgery — assessment & interventions;

Positioning Clients

1

Bed Positions — Fowler’s, semi-fowler’s Trendelenburg’s, reverse Trendelenburg’s, flat; patient positions — lateral, semiprone (Sims’), supine, prone; provision of safety and comfort — skin, reproductive system endocrine system, GI system, respiratory system, cardiovascular system, sensory system, neurological system, musculoskeletal system

Care of a Client with a Tube

2

Nasogastric tubes — types (Levin, Salem), intubation procedures, assessment of placement, assessment of residual, irrigation removal; Gastrointestinal tube feedings — types, type of administrations, administration of feeding, precautions, prevention of complications (diarrhea, aspiration, clogged tube, vomiting); medications via nasogastric or gastrostomy tube;, intestinal tubes — description, types, interventions; esophageal and gastric tubes — description, Sengstaken-Blakemore tube Minnesota tube, interventions; ravage tubes — types and use; urinary and renal tubes — routine urinary catheter care, arterial and nephrostomy tubes; respiratory tubes — endotracheal tube, orotracheal, nasotracheal, interventions, minimal leak technique, extubation, tracheostomy; chest tube drainage system — collection chamber, water seal chamber, suction control chamber, dry suction system, interventions

Maternity Nursing

0

 

Female Reproductive System

2.0

Reproductive structures; menstrual cycle, female pelvis; fertilization and implantation; fetal development; fetal environment

Obstetrical Assessment

1.0

Gestation, gravidity and parity, pregnancy signs, fundal height, maternal risk factors,

Prenatal Period

1.0

Physiological maternal changes, psychological maternal changes, discomforts of pregnancy, laboratory tests, diagnostic tests, nutrition

Risk Conditions Related to Pregnancy

2.0

Abortion, AIDS, anemia, cardiac disease, chorioamnionitis, hypertension, diabetes mellitus, disseminated intravascular coagulation (DIC), ectopic pregnancy, endometritis, fetal death in utero, hepatitis B, hematoma, hydatidiform mole, hyperemesis gravidarum incompetent cervix, infections, multiple gestation, pregnancy induced hypertension (preeclampsia), pyelonephritis, sexually transmitted diseases, tuberculosis, urinary tract infections, malaria

Labor and Delivery

2.0

Process of labor — four P’s, mechanisms of labor Leopold’s maneuvers, breathing techniques, fetal monitoring, stages of labor, anesthesia, obstetrical procedures

Labor and Delivery complications

1.0

Dystocia prolapsed cord, preterm labor, rupture of uterus, placenta previa, placentae abruptio, uterine inversion, amniotic fluid embolism, supine hypotensive syndrome, fetal distress

Postpartum Period

1.0

postpartum defined, physiological maternal changes, postpartum interventions, postpartum discomforts, nutritional counseling, breast feeding

Postpartum complications

1.0

Cystitis, hematoma, hemorrhage, infection, mastitis, pulmonary embolism, subinvolution, thrombophlebitis

Care of the newborn

1.0

Initial care of the newborn, initial physical examination, body system assessment, parent teaching, preterm newborn, postterm newborn, small for gestational age large for gestational age, respiratory distress syndrome, hyperbilirubinemia, erythroblastosis fetalis, sepsis, TORCH syndrome, syphilis, drug addiction, fetal alcohol syndrome, newborn with AIDS, newborn of a diabetic mother, hypoglycemia

Maternity and Newborn Medications

0.5

Oxytocic medication - Oxytocin (pitocin); ergot alkaloids; uterine relaxants; prostagoandins, magnesium sulfate, meperidine hydrocholoride (demerol); Rho(D) immune globulin (RhoGAM), Betamethasone (celestone), lung surfactants, eye prophylaxis of the neonate, vitamin K (AquaMEPHYTON)

 

0

 

Pediatric Nursing

0

 

Neurologic, Cognitive, and Psychosocial disorders

2.0

Head injury; hydrocephalus; spina bifida; Reye’s syndrome; meningitis, seizure disorders; cerebral palsy; mental retardation autism, attention deficit hyperactivity disorder, Tourette’s disorder, child abuse

Eye, Ear, Nose & Throat

1.0

Strabismus, conjunctivitis; otitis media; tonsillectomy and adenoidectomy

Respiratory disorders

2.0

Epiglotitis; laryngotracheobronchitis; bronchitis bronchiolitis/respiratory synctial virus (RSV); pneumonia; tuberculosis; asthma; cystic fibrosis; sudden infant death syndrome

Cardiovascular disorders

2.5

Congestive heart failure (CHF); defects with increased pulmonary blood flow; obstructive flow defects; defects with increased pulmonary blood flow; mixed defects; interventions — cardiovascular defects; cardiac surgery; rheumatic fever; Kawasaki disease

Gastrointestinal disorders

2.5

Vomiting; diarrhea; cleft lip and cleft palate; esophageal atresia and tracheoesophageal fistula; gastroesophageal reflux; hypertrophic pyloric stenosis; lactose intolerance; celiac disease; appendicitis; Hirschsprung’s disease; intussusception; abdominal wall defects; umbilical hernia, inguinal hernia, or hydrocele; constipation and encopresis; imperforate anus; hepatitis; ingestion of poisons

Metabolic and endocrine disorders

1.5

Fever; dehydration; phenylketonuria; type 1 diabetes mellitus

Renal and urinary disorders

2.0

Glomerulonephritis; nephrotic syndrome; enuresis; cryptochidism; epispadias and hypospadias; bladder exstrophy

Integumentary disorders

1.0

Eczema (atopic dermatitis); impetigo; pediculosis capitis (lice); scabies; burned child

Musculoskeletal disorders

2.0

Dysplasia of the hip; congenital clubfoot; scoliosis; juvenile rheumatoid arthritis; fractures

Hematological disorders

2.0

Sickle cell disease; iron deficiency anemia; aplastic anemia; hemophilia; beta thalassemia major

Oncological disorders

2.0

Leukemia; Hodgkin’s disease; nephroblastoma (Wilm’s tumor); neuroblastoma; osteogenic sarcoma; brain tumors

HIV-AIDS

0.5

AIDS; care of the child with AIDS

Infectious and Communicable Diseases

2.0

Rubeola (measles); roseola (exanthema subitum); rubella (German measles); mumps; chicken pox (varicella); pertussis (whooping cough); diptheria; poliomyelitis; scarlet fever; infectious mononucleosis; rocky mountain spotted fever; enterobiasis (pinworm); immunizations; recommended immunizations (child and adolescent); vaccines for selected populations

Pediatric Medication Administration and Calculations

1.0

Oral medications; parenteral medications; calculation of medication dosage by body weight; calculation of body surface area (BSA); calculation of dosage based on BSA

 

0

 

Adult Nursing

0

 

Integumentary Disorders

2.0

Anatomy & Physiology; risk factors for integumentary disorders; psychosocial impact; diagnostic tests; skin disorders, skin cancer, contact dermatitis, poison ivy, oak, &sumac, Lyme disease, erysipelas and cellulitis, psoriasis, Kaposi’s sarcoma, herpes zoster, paronychia, impetigo, boils, frostbite, scabies, acne vulgaris, decubitus; burn injuries; types of burns; inhalation injuries; psychophysiology of burns; management of burn injury

Integumentary Medications

.5

Emollients and lotions; rubs and liniments; antiinfective agents; antipruritics; keratolytics; stimulants and irritants; protective; growth factors, enzymes; corticosteroids; acne products; poison ivy treatment; burn products

Neoplastic Disorders

3.0

Cancer; breast self examination; testicular self examination; diagnostic tests; pain control; surgery, chemotherapy; radiation therapy; bone marrow transplantation; skin cancer; leukemia; Hodgkin’s disease; multiple myeloma; testicular cancer; cervical cancer; ovarian cancer; endometrial cancer; breast cancer; gastric cancer; pancreatic cancer; intestinal tumors; lung cancer; laryngeal cancer; prostate cancer; bladder cancer; oncological emergencies

Neoplastic Medications

.5

Antineoplastic medications; alkylating medications; antitumor antibiotic medications; antimetabolite medications; mitotic inhibitors (vinca alkaloids); hormonal medications and enzymes; immunomodulator agents — biological response modifiers; other antineoplastic medications

Endocrine Disorders

2.0

Anatomy and physiology of endocrine glands; diagnostic tests; disorders of pituitary gland; disorders of adrenal glands; disorders of the thyroid gland; disorders of the parathyroid gland; disorders of the pancreas; acute complications of diabetes mellitus; chronic complications of diabetes mellitus; operative care of the diabetic client

Endocrine Medications

.5

Pituitary medications; antidiuretic hormones; thyroid hormones; antithyroid medications; parathyroid medications; adrenocorticotropic hormones; corticosteroid (glucocorticoids); androgens; estrogens and progestins; oral contraceptives; fertility medications; medications for penile erection dysfunction; medications for diabetes mellitus

Gastrointestinal Disorders

4.0

Anatomy and physiology; diagnostic procedures; assessment; gastrointestinal tubes; gastroesophageal reflux disease; hiatal hernia; gastritis; peptic ulcer disease; vitamin B12 deficiency; gastric cancer; esophageal varices; ulcerative colitis; Crohn’s disease (regional enteritis) pancratic tumors intestinal tumors and bowel obstructions; diverticulosis and diverticulitis; hemorrhoids; appendicitis; cirrhosis; cholecystitis; pancreatitis; hepatitis; hepatitis A; hepatitis B; hepatitis C; hepatitis D; hepatitis E; hepatitis G; home care for the client and family

Gastrointestinal Medications

.5

Antacids and mucosal protective medications; histamine H2 receptor antagonists; proton pump inhibitors; gastrointestinal stimulants; bile acid sequestrants, medications for cholelithiasis; medications for hepatic encephalopathy; pancreatic enzyme replacements; antiemetics; laxatives; diarrhea medications; antispasmodics

Respiratory Disorders

3.0

Anatomy and physiology; diagnostic tests; respiratory treatments; oxygen; mechanical ventilation; chest injuries; respiratory failure; acute respiratory distress syndrome; chronic obstructive pulmonary disease; severe acute respiratory syndrome (SARS); pleural effusion; empyema; pleurisy; pulmonary embolism; carbon monoxide poisoning; histoplasmosis; occupational lung disease — silicosis; tuberculosis

Respiratory Medications

.5

Broncodilators; glucocorticoids (corticosteroids); inhaled nonsteroidal antiallergy agents, leukotriene modifiers; antihistamines; nasal decongestants; expectorants and mucolytic agents; antitussives; narcotic antagonist; use of an inhaler; tuberculosis medications; first-line medications for tuberculosis; second-line medications for tuberculosis

Cardiovascular Disorders

4.0

Anatomy & physiology; diagnostic tests and procedures; therapeutic management; cardiac dysrhythmias; management of dysrhythmias; pacemakers; coronary heart disease; angina; myocardial infarction; heart failure; cardiac index; inflammatory diseases of the heart; cardiac tamponade; valvular heart disease; cardiomyopathy; vascular disorders; arterial disorders; aortic aneurysms; embolectomy; vena caval filter and ligation of the inferior vena cava; hypertension; hypertensive crisis

Cardiovascular Medications

1.0

Anticoagulants; thrombolytic medications; antiplatelet medications; positive inotropic/cardiotonic medications; cardiac glycosides; antihypertensive medications; peripherally acting alpha-adrenergic blockers; centrally acting sympatholytics (adrenergic blockers); angiotensin-converting enzyme inhibitors; antianginal medications; beta-adrenergic blockers; calcium channel blockers; peripheral vasodilatorsl direct-acting arteriolar vasodilators; antidysrhythmic medications; adrenergic agonists; antilipemic medications

Renal Disorders

2.0

Anatomy and physiology; diagnostic procedures and assessment; renal failure; hemodialysis; complications of hemodialysis; access for hemodialysis; peritoneal dialysis access for peritoneal dialysis; complications of peritoneal dialysis; uremic syndrome; cystitis/urinary tract infections (UTI); urosepsis; urethritis; ureteritis and pyelonephritis; glomerulonephritis; nephrotic syndrome; hydronephrosis; polycystic kidney disease; urolithiasis and nephrolithiasis; surgical management of kidney stones; kidney tumors; bladder trauma; epididymitis; prostatitis; benign prosthetic hypertrophy or hyperplasia; kidney transplantation

Renal Medications

.5

Urinary tract antiseptics; fluoroquinolones; sulfonamides; cholinergic; antispasmodics; urinary analgesic; hematopoietic growth factor; prevention of organ rejection

Eye and Ear Disorders

2.0

Anatomy and physiology; diagnostic procedures; assessment; disorders of the eye. Anatomy and physiology; diagnostic procedures; assessment; disorders of the ear.

Eye and Ear Medications

.5

Ophthalmic medication administration; mydriatic/cycloplegic and anticholinergic medications; antiinfective eye medications; anti-inflammatory eye medications; topical anesthetics for the eye; eye lubricants; miotics; Ocusert system; beta-adrenergic blocking eye medications; carbonic anhydrase inhibitors; osmotic medications; otic medication administration; antiinfective ear medications; antihistamines and decongestants; local anesthetics; ceruminolytic medications

Neurologic Disorders

2.0

Anatomy and physiology; diagnostic procedures; assessment; of the brain and spinal cord; neurological assessment; the unconscious client; increased intracranial pressure (ICP); hyperthermia; head injury; spinal cord injury; cerebral aneurysm; cerebrovascular accident (CVA); multiple sclerosis; myasthenia gravis; Parkinson’s disease; trigeminal neuralgia; Bell’s palsy (facial paralysis); Guillain-Barre syndrome; amyotropic lateral sclerosis; encephalitis; West Nile virus; meningitis

Neurologic Medications

.5

Antimyasthenic medications; antiparkinsonian medications; anticonvulsant medications; central nervous system stimulants; non-narcotic analgesics; narcotic analgesics narcotic antagonists; osmotic diuretics

Musculoskeletal Disorders

2.0

Anatomy and physiology; risk factors of musculoskeletal disorders; diagnostic procedures; assessment; injuries, fractures, complications of fractures, crutch walking; canes and walkers; fractured hip; total knee replacement; herniation — intervertebral disk; amputation of a lower extremity; rheumatoid arthritis; osteoarthritis (degenerative joint disease); osteoporosis; gout

Musculoskeletal Medications

.5

Skeletal muscle relaxants; antigout medications; antiarthritic medications; medications to prevent and treat osteoporosis

Immune Disorders

2.0

Functions of the Immune System; Immune response; Immunity; Immunizations; Laboratory studies; immune deficiency; hypersensitivity and allergy; anaphylaxis; latex allergy; autoimmune disease; Goodpasture’s syndrome; AIDS

Immune Medications

.5

HIV/AIDS, systemic lupus erythematosus,

Foundations of Psychiatric Mental Health Nursing

1.0

Mental Health; psychiatric/mental health illness; coping and defense mechanisms; nurse-client relationship; therapeutic communication process, diagnostic and statistical manual of mental health disorders; types of mental health admissions and discharges

Models of Care

.5

Milieu Therapy; psychotherapy; behavior and behavior modification; cognitive therapy; group development and group therapy

Mental Health Disorders

2.0

Anxiety; generalized anxiety disorder; posttraumatic stress disorder; phobias; obsessive-compulsive disorder; somatoform disorders; dissociative disorder; bipolar disorder; schizophrenia; paranoid disorders; cognitive impairment disorders; psychosexual alterations;

Addictions

1.0

Eating disorders; substance abuse disorders, alcohol abuse; alcohol withdrawal; drug dependency

Crisis Theory and Intervention

1.0

Crisis intervention; grief; loss; nurse’s role: grief and loss; end-of-life; depression; electroconvulsive therapy; suicidal behavior; abusive behaviors; family violence; child abuse; abuse of the older adult; rape and sexual assault

Psychiatric Medications

1.0

Selective serotonin reuptake inhibitors; tricyclic antidepressants; monoamine oxidase inhibitors; mood stabilizers; anxiety and anxiolytic medications; medications for insomnia and anxiety; antipsychotic medications; neuroleptic malignant syndrome; medications to treat attention deficit hyperactivity disorder; medications to treat Alzheimer’s disease.

 

hours

 

NURSING PRACTICALS COMPREHENSIVE TEST 4 hours

Nursing Pre-Test Study & Questions

80 hours

Self study and test questions using Vital’s library, computer network, and Computer Assisted Learning (CAL) CD-ROMs

TOTAL

240 hours