Iowa Western Community College Nursing Program: Test Blueprint (NCLEX-Based)

IWCC NURSING
Test Blueprint
Iowa Western Community College Nursing Program Test Blueprint (NCLEX Based)
Course Name Lifespan IV Date Spring, 2014 Faculty Unit: Comprehensive Final Exam
Exam Name Test #: Comprehensive Final
Unit
NS Process
NCLEX Test plan
Blooms Taxonomy
Question #
Competency #
Content Tested
Discrimination
Difficulty
Assessment
Analyzing
Planning
Implementing
Evaluate
Safe and Effective
Care Environment
Heath Promotion and Maintenance promotion
Psychosocialintegrity
PhysiologicalIntegrity
Knowledge
Comprehension
Application
Analysis
Synthesis
Evaluation
1
5 INCREASED INTRACRANIAL PRESSURE (IICP)

X

X

X

2
4
Instructor should make sure the content is supplied to the students, possible remediation 30%-70%=ideal question
>80%=easier question. Instructor should look at this question for review to possibly make a higher level question.
ASSESSMENT: Obtaining, validating, and communicating subjective and objective client assessment data including patient history, consultations, lab findings, pharmacological requisites, and the nurse’s physical examination. Also involves the nurse’s determination of the congruency between the client’s needs and the ability of health care team members to meet such needs.
ANALYZING: Selecting relevant data and drawing inferences and conclusions to identify actual and/or potential problems that require nursing assistance. Includes identifying nursing diagnoses and communicating results of the analysis.
PLANNING: Making plans with the client to set goals and establish outcomes to deal with the identified problems. Includes prioritizing, communicating a plan, and collaborating with other health care team members to deliver comprehensive care. Outcomes development encompasses designation of the desired responses of the client’s condition including the physiological, emotional, social, developmental, and spiritual
EVALUATING: Gauging and measuring the client’s response to nursing actions and the movement toward or away from identified goals. Includes comparisons of actual outcomes of therapy with expected outcomes, evaluating compliance with prescribed or proscribed therapy, describing response to therapy or care, and determining the extent to which client outcomes have been achieved. Also involves the modification of plan, as indicated, and the re-establishment of prioritized care needs.
SAFE EFFECTIVE CARE ENVIRONMENT: The nurse promotes achievement of client outcomes by providing and directing nursing care that enhances the care delivery setting in order to protect clients and other health care personnel.
HEALTH PROMOTION AND MAINTENANCE: The nurse provides and directs nursing care of the client that incorporates the knowledge of expected growth and development principles, prevention and/or early detection of health problems, and strategies to achieve optimal