NCLEX Skill Sets 1 - AWS

NCLEX Skill Sets

STD Category Skill Set 1 2 3 4 5 6 7 8 9 10

Safe & Effective Environment

Coordinated Care - The LPN/VN collaborates with health care team members to facilitate effective client care.

Coordinated Care Use data from various sources in making clinical decisions x x x x x x x x x x

Coordinated Care

„„Contribute to the development and/or update of the client plan of

care x x x x x x x x x x

Coordinated Care

Assign client care and/or related tasks (e.g., assistive personnel or

LPN/VN) x x x x x x x x x xCoordinated Care Organize and prioritize care for assigned group of clients x x x x x x x x x xCoordinated Care „Recognize and report staff conflict x xCoordinated Care „Advocate for client rights and needs x x x x x x x x x xCoordinated Care Promote client self-advocacy x x x x x x x x x x

Coordinated Care

„„ Participate in quality improvement (QI) activity (e.g., collecting

data, serving on QI committee)* x x x x x x x x x xCoordinated Care „„ Involve client in care decision making x x x x x x x x x xCoordinated Care „„ Follow up with client after discharge x x x x x x x x x x

Coordinated Care

„„ Participate in staff education (e.g., inservices and continued

competency) x x

Coordinated Care

„„ Recognize task/assignment you are not prepared to perform and

seek assistance x x x x x x x x x x

Coordinated Care

„„ Respond to the unsafe practice of a health care provider (e.g.,

intervene or report) x xCoordinated Care Participate in client discharge or transfer x x x x x x x x x xCoordinated Care „„ Participate in client referral process x x x x x x x x x x

Coordinated Care

„„ Follow regulation/policy for reporting specific issues (e.g., abuse,

neglect, gunshot wound or communicable disease) x x x x x x x x x xCoordinated Care „„ Participate in client consent process x x x x x x x x x xCoordinated Care „„ Maintain client confidentiality x x x x x x x x x xCoordinated Care „„ Provide for privacy needs x x x x x x x x x xCoordinated Care „„ Provide information about advance directives x x x x x x x x x xCoordinated Care „„ Participate in client data collection x x x x x x x x x xCoordinated Care „„ Use information technology in client care x x x x x x x x x xCoordinated Care „„ Apply evidence-based practice when providing care x x x x x x x x x xCoordinated Care „„ Participate as a member of an interdisciplinary team x x x x x x x x x xCoordinated Care „„ Monitor activities of assistive personnel x x x x x x x x x xCoordinated Care Participate in providing cost effective care x x x x x x x x x xCoordinated Care „„ Provide and receive report x x x x x x x x x x

Coordinated Care „„ Practice in a manner consistent with code of ethics for nurses x x x x x x x x x x

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NCLEX Skill Sets


Coordinated Care „„ Provide care within the legal scope of practice x x x x x x x x x xAdvance Directives „„ Receive and process health care provider orders x x x x x x x x x xAdvance Directives Provide information about advance directives* x x x x x x x x x x

Advance Directives

„„ Review client understanding of advance directives (e.g., living will,

health care proxy, Durable x x x x x x x x x xAdvance Directives Power of Attorney for Health Care [DPAHC]) x x x x x x x x x xAdvance Directives „„ Verify the client advance directives status x x x x x x x x x xAdvocacy Advocate for client rights and needs* x x x x x x x x x x

Advocacy

„„ Discuss identified treatment options with client and respect the

decisions made x x x x x x x x x xAdvocacy „„ Promote client self-advocacy* x x x x x x x x x x

Advocacy „„ Use interpreters to assist in achieving client understanding x x x x x x x x x x

Client Care

Assign client care and/or related tasks (e.g., assistive personnel or

LPN/VN)* x x x x x x x x x x

Client Care

„„ Compare needs of client to knowledge, skills and abilities of

assistive personnel prior to making client care assignments x x x x x x x x x xClient Care „„ Organize information for client assignments x x x x x x x x x x

Client Care

„„ Provide information to supervisor when client care assignments

need to be changed (e.g., change in client status) x x x x x x x x x x

Client Rights

Inform client of individual rights (e.g., confidentiality, informed

consent) x x x x x x x x x xClient Rights „„ Involve client in care decision making* x x x x x x x x x xClient Rights „„ Intervene if client rights are violated x x x x x x x x x xClient Rights „„ Recognize client right to refuse treatment/procedure x x x x x x x x x x

Collaboration Identify roles/responsibilities of health care team members x x x x x x x x x x

Collaboration

„„ Identify need for nursing or interdisciplinary client care

conference x x x x x x x x x x

Collaboration

Contribute to the development and/or update of the client plan

of care* x x x x x x x x x x

Collaboration „„ Contribute to planning interdisciplinary client care conferences x x x x x x x x x xCollaboration „„ Participate as a member of an interdisciplinary team* x x x x x x x x x xMgmt & Supervision Recognize and report staff conflict* x x x

Mgmt & Supervision

„„ Verify abilities of staff members to perform assigned tasks (e.g.,

job description, scope of practice, x x x x x x x x x x

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NCLEX Skill Sets


Mgmt & Supervision training, experience) x x x x x x x x x xMgmt & Supervision „„ Provide input for performance evaluation of other staff x x x x x x x x x x

Mgmt & Supervision

„„ Participate in staff education (e.g., in-services and continued

competency)* x x x x x x x x x x

Mgmt & Supervision „„ Use data from various sources in making clinical decisions* x x x x x x x x x xMgmt & Supervision „„ Serve as resource person to other staff x x x x x x x x x xMgmt & Supervision „„ Monitor activities of assistive personnel* x x x x x x x x x x

Confidentiality

Identify staff actions that impact client confidentiality and

intervene as needed (e.g., access to medical records, discussions

at nurses' station, change of shift reports) x x x x x x x x x

Confidentiality

„„ Recognize staff member and client understanding of

confidentiality requirements x x x x x x x x x

Confidentiality

„„ Apply knowledge of facility regulations when accessing client

records x x x x x x x x xConfidentiality „„ Maintain client confidentiality* x x x x x x x x xConfidentiality „„ Provide for privacy needs* x x x x x x x x xContinuity of Care Follow up with client after discharge* x x x x x x x x xContinuity of Care „„ Participate in client discharge or transfer* x x x x x x x x xContinuity of Care „„ Provide follow-up for unresolved client care issues x x x x x x x x xContinuity of Care „„ Provide and receive report* x x x x x x x x x

Continuity of Care

„„ Record client information (e.g., medical record, referral/transfer

form) x x x x x x x x x

Continuity of Care

„„ Use agency guidelines to guide client care (e.g., clinical pathways,

care maps, care plans) x x x x x x x x x

Establishing Priorities Organize and prioritize care for assigned group of clients* x x x x x x x x x

Establishing Priorities

„„ Participate in planning client care based upon client needs (e.g.,

diagnosis, abilities, prescribed treatment) x x x x x x x x x

Establishing Priorities „„ Use effective time management skills x x x x x x x x xEthical Practice Identify ethical issues affecting staff or client x x x x x x x x xEthical Practice „„ Inform client of ethical issues affecting client care x x x x x x x x xEthical Practice Intervene to promote ethical practice x x x x x x x x x

Ethical Practice „„ Practice in a manner consistent with code of ethics for nurses* x x x x x x x x x

Ethical Practice

„„ Review client and staff member knowledge of ethical issues

affecting client care x x x x x x x x x

3

NCLEX Skill Sets


Informed Consent

Identify appropriate person to provide informed consent for

client (e.g., client, parent, legal x x x x x x x x xInformed Consent guardian) x x x x x x x x xInformed Consent „„ Participate in client consent process* x x x x x x x x x

Informed Consent

„„ Describe informed consent requirements (e.g., purpose for

procedure, risks of procedure) x x x x x x x x x

Informed Consent

„„ Recognize that informed consent was obtained (e.g., completed

consent form, client understanding of procedure) x x x x x x x x x

Information Technology Use information technology in client care* x x x x x x x x x

Information Technology

„„ Access data for client or staff through online databases and

journals x x x x x x x x x

Information Technology

„„ Enter computer documentation accurately, completely and in a

timely manner x x x x x x x x x

Legal Responsibilities

Identify legal issues affecting staff and client (e.g., refusing

treatment) x x x x x x x x x

Legal Responsibilities „„ Receive and process health care provider orders* x x x x x x x x x


„„ Recognize task/assignment you are not prepared to perform and

seek assistance* x x x x x x x x x


„„ Respond to the unsafe practice of a health care provider (e.g.,

intervene or report)* x x x x x x x x x


„„ Follow regulation/policy for reporting specific issues (e.g., abuse,

neglect, gunshot wound or communicable disease) x x x x x x x x x

Legal Responsibilities „„ Document client care x x x x x x x x x

Legal Responsibilities „„ Provide care within the legal scope of practice* x x x x x x x x xPerformance

Improvement

Identify impact of performance improvement/quality

improvement activities on client care outcomes x x x x x x x x xPerformance

Improvement

„„ Participate in quality improvement (QI) activity (e.g., collecting

data, serving on QI committee)* x x x x x x x x xPerformance

Improvement

„„ Document performance improvement/quality improvement

activities x x x x x x x x xPerformance

Improvement

„„ Report identified performance improvement/quality

improvement concerns to appropriate x x x x x x x x xPerformance

Improvement personnel (e.g., nurse manager, risk manager) x x x x x x x x x

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NCLEX Skill Sets


Performance

Improvement „„ Apply evidence-based practice when providing care* x x x x x x x x x

Referral Process

Recognize need for client referral for actual or potential problem

(e.g., physical therapy, speech therapy) x x x x x x x x x

Referral Process

„„ Use appropriate documents to contribute information needed for

client referral (e.g., medical record, referral form) x x x x x x x x xReferral Process Participate in client data collection* x x x x x x x x xReferral Process „„ Participate in client referral process* x x x x x x x x x

Resource Management

Recognize client need for materials and equipment (e.g., oxygen,

suction machine, wound care supplies) x x x x x x x x x x

Resource Management

„„ Review effective use of client care materials by assistive personnel

(e.g., supplies) x x x x x x x x x x

Resource Management „„ Participate in providing cost effective care* x x x x x x x x x xSafety & Infection Control - The LPN/VN contributes to the protection of clients and health care personnel from health and environmental hazards.

Safety & Infection

Control Assure availability and safe functioning of client care equipment x x x x x x x xSafety & Infection

Control

„„ Evaluate the appropriateness of health care provider's order for

client x x x x x x x xSafety & Infection

Control „„ Verify the identity of client x x x x x x x x xSafety & Infection

Control „„ Use safe client handling techniques (e.g., body mechanics) x x x x x x x xSafety & Infection

Control „„ Maintain standard/universal precautions x x x x x x x xSafety & Infection

Control „„ Identify client allergies and intervene as appropriate x x x x x x x x xSafety & Infection

Control

„„ Participate in preparation for internal and external disasters (e.g.,

fire or natural disaster) x x xSafety & Infection

Control

„„ Identify and address unsafe conditions in health care

environment (e.g., environmental, biohazard, fire) x x x x x x x x x xSafety & Infection

Control „„ Implement least restrictive restraints or seclusion x x x x x x x xSafety & Infection

Control „„ Use aseptic and sterile techniques x x x x x x x xSafety & Infection

Control „„ Follow protocol for timed client monitoring (e.g., safety checks) x x x x x x x x

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NCLEX Skill Sets


Safety & Infection

Control

„„ Assist in and/or reinforce education to client about safety

precautions x x x x x x x xSafety & Infection

Control

„„ Identify the need for and implement appropriate isolation

techniques x x x x x x x xSafety & Infection

Control

„„ Initiate and participate in security alert (e.g., infant abduction or

flight risk) x x x x x x x xSafety & Infection

Control „„ Acknowledge and document practice error (e.g., incident report) x x x x x x x xSafety & Infection

Control

„„ Use transfer assistive devices (e.g., gait/transfer belt, slide board

or mechanical lift) x x x x x x x xAccident/Error/Injury

Prevention Identify client allergies and intervene as appropriate* x x x x x x x x xAccident/Error/Injury

Prevention

„„ Identify and facilitate correct use of infant and child car seats by

client x x xAccident/Error/Injury

Prevention

„„ Identify client factors that influence accident/error/injury

prevention (e.g., age, developmental stage, lifestyle) x x x x x x x x x x

Accident/Error/Injury

Prevention

„„ Recognize what factors related to mental status may contribute to

the client potential for accident or injury (e.g., confusion, altered

thought processes, diagnosis) x x x x x x x x x xAccident/Error/Injury

Prevention „„ Determine client/staff member knowledge of safety procedures x x x x x x x x xAccident/Error/Injury

Prevention „„ Verify the identity of client* x x x x x x x x xAccident/Error/Injury

Prevention

„„ Utilize facility client identification procedures (e.g., client name

band, allergy bands) x x x x x x x x xAccident/Error/Injury

Prevention

„„ Monitor client care environment for safety hazard and report

problems to appropriate personnel x x x x x x x x xAccident/Error/Injury

Prevention

„„ Assist in and/or reinforce education to client about safety

precautions* x x x x x x x x xAccident/Error/Injury

Prevention

Use transfer assistive devices (e.g., gait/transfer belt, slide board

or mechanical lift)* x x x x x x x x xAccident/Error/Injury

Prevention „„ Remove fire hazards from client care areas x x x x x x x x xAccident/Error/Injury

Prevention

„„ Protect client from accident/error/injury (e.g., protect from

another individual, falls, environmental x x x x x x x x xAccident/Error/Injury

Prevention hazards, burns) x x x x x x x x xAccident/Error/Injury

Prevention „„Provide client with appropriate method to signal staff members x x x x x x x x x

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NCLEX Skill Sets


Accident/Error/Injury

Prevention

„„Evaluate the appropriateness of health care provider's order for

client* x x x x x x x x xEmergency Response

Plan

Identify nursing and assistive personnel roles during internal and

external disasters x x x x x x x x xEmergency Response

Plan

„„ Participate in preparation for internal and external disasters (e.g.,

fire or natural disaster)* x x x x x x x x xEmergency Response

Plan

„„ Contribute to selection of client to recommend for discharge in

disaster situation x x x x x x x x x

Ergonomic Principles Use safe client handling techniques (e.g., body mechanics)* x x x x x x x x x x

Ergonomic Principles

„„ Provide instruction and information to client about body

positions that prevent stress injuries x x x x x x x x x xHandling Hazardous and

Infectious Materials

Identify and employ methods to control the spread of infectious

agents (e.g., cleaning with x x x x x x x x x x

Handling Hazardous and

Infectious Materials appropriate solutions) x x x x x x x x x x



„„ Identify and address unsafe conditions in health care

environment (e.g., environmental, biohazard, fire) x x x x x x x x x



„„ Demonstrate knowledge of facility protocols for handling

hazardous and infectious materials x x x x x x x x x x

Home Safety

Identify fire/environmental hazards (e.g., frayed electrical cords,

small area rugs, inadequate x x x x x x x x x xHome Safety footwear) x x x x x x x x x xHome Safety „„ Determine client understanding of home safety needs x x x x x x x x x xHome Safety „„ Provide client with information on home safety x x x x x x x x x x

Home Safety

„„ Reinforce client education on home safety precautions (e.g.,

home disposal of syringes, lighting, x x x x x x x x x xHome Safety handrails, kitchen safety) x x x x x x x x x xReporting of

Incident/Event/

Irregular

Occurrence/Variance

Identify situations requiring completion of incident/event/

irregular occurrence/variance report x x x x x x x x x xReporting of

Incident/Event/

Irregular

Occurrence/Variance (e.g., medication administration error, client fall) x x x x x x x x x x

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NCLEX Skill Sets

STD Category Skill Set 1 2 3 4 5 6 7 8 9 10Reporting of

Incident/Event/

Irregular

Occurrence/Variance „„ Acknowledge and document practice error (e.g., incident report)* x x x x x x x x x xReporting of

Incident/Event/

Irregular

Occurrence/Variance „„ Monitor client response to error/event/occurrence x x x x x x x x x xLeast Restrictive

Restraints & Safety

Devices

Demonstrate knowledge of appropriate application of

restraints/safety devices x x x x x x x x x xLeast Restrictive

Restraints & Safety

Devices „„ Follow protocol for timed client monitoring (e.g., safety checks)* x x x x x x x x x xLeast Restrictive

Restraints & Safety

Devices „„ Implement least restrictive restraints or seclusion* x x x x x x x x x xLeast Restrictive

Restraints & Safety

Devices „„ Document use of restraints/safety devices and client response x x x x x x x x x xLeast Restrictive

Restraints & Safety

Devices „„ Check for proper functioning of restraints/safety devices x x x x x x x x x x

Safe Use of Equipment Assure availability and safe functioning of client care equipment* x x x x x x x x x x

Safe Use of Equipment „„ Follow facility protocols/procedures for safe use of equipment x x x x x x x x x

Safe Use of Equipment

„„ Provide safe equipment use for client care (e.g., continuous

passive motion [CPM] device, oxygen,mobility aids) x x x x x x x x x x

Security Plan

Initiate and participate in security alert (e.g., infant abduction or

flight risk)* x x x x x x x x x

Security Plan „„ Use principles of triage and evacuation protocols/procedures x x x x x x x x x xSecurity Plan „„ Monitor effectiveness of security plan x x x x x x x x x

8

NCLEX Skill Sets


Standard Precautions/

Transmission-Based

Precautions/ Surgical

Asepsis

Identify communicable diseases and modes of transmission (e.g.,

airborne, droplet, contact) x x x x x x x x x x


Transmission-Based


Asepsis „„ Identify client knowledge of infection control procedures x x x x x x x x x x


Transmission-Based


Asepsis

„„ Identify the need for and implement appropriate isolation

techniques* x x x x x x x x x x


Transmission-Based


Asepsis „„ Maintain standard/universal precautions* x x x x x x x x x x


Transmission-Based


Asepsis „„ Use aseptic and sterile techniques* x x x x x x x x x x


Transmission-Based


Asepsis

„„ Use appropriate supplies to maintain asepsis (e.g., gloves, mask,

sterile supplies) x x x x x x x x x x


Transmission-Based


Asepsis

„„ Use correct techniques to apply and remove gloves, mask, gown

and protective eye wear x x x x x x x x x x

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NCLEX Skill Sets



Transmission-Based


Asepsis „„ Use correct hand hygiene techniques x x x x x x x x x x


Transmission-Based


Asepsis

„„ Prevent environmental spread of infectious disease through

correct use of equipment x x x x x x x x x x


Transmission-Based


Asepsis

„„ Protect immunocompromised client from exposure to infectious

diseases/organisms x x x x x x x x x x


Transmission-Based


Asepsis „„ Monitor client care area for sources of infection x x x x x x x x x x


Transmission-Based


Asepsis „„ Set up a sterile field x x x x x x x x x x


Transmission-Based


Asepsis

„„ Reinforce appropriate infection control procedures with client

and staff members x x x x x x x x x x

Health Promotion &

Maintenance

Provide care and resources for beginning of life and/or end of life

issues and choices x x x x x x x x x xHealth Promotion &

Maintenance „„ Assist with fetal heart monitoring for the antepartum client x xHealth Promotion &

Maintenance „„ Identify community resources for clients x x x x x x x x x x

Health Promotion & Maintenance - The LPN/VN provides nursing care for clients that incorporate knowledge of expected stages of growth and development, and prevention and/or

early detection of health problems.

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NCLEX Skill Sets


Health Promotion &

Maintenance „„ Assist with monitoring a client in labor x xHealth Promotion &

Maintenance „„ Monitor recovery of stable postpartum client x xHealth Promotion &

Maintenance „„ Compare client to developmental norms x x x x x x xHealth Promotion &

Maintenance

„„ Assist client with expected life transition (e.g., attachment to

newborn, parenting, x x x x x x x xretirement)

Health Promotion &

Maintenance „„ Participate in health screening or health promotion programs x x x x x x x x x xHealth Promotion &

Maintenance „„ Provide information for prevention of high risk behaviors x x x x x x x x x xHealth Promotion &

Maintenance „„ Identify barriers to communication x x x x x x x x x xHealth Promotion &

Maintenance „„ Identify barriers to learning x x x x x x x x x xHealth Promotion &

Maintenance

„„ Collect data for health history (e.g., client medical history, family

medical history) x x x x x x x x x xHealth Promotion &

Maintenance

„„ Collect baseline physical data (e.g., skin integrity, or height and

weight) x x x x x x x x x xHealth Promotion &

Maintenance „„ Identify clients in need of immunizations (required and voluntary) x x x x x x x x x xHealth Promotion &

Maintenance

„„ Provide care that meets the needs of the newborn less than 1

month old through the x x xHealth Promotion &

Maintenance infant or toddler client through 2 years x x xHealth Promotion &

Maintenance

„„ Provide care that meets the needs of the preschool, school age

and adolescent clientages 3 through 17 years x x xHealth Promotion &

Maintenance

„„ Provide care that meets the needs of the adult client ages 18

through 64 years x x x x x x x x x xHealth Promotion &

Maintenance

Provide care that meets the needs of the adult client ages 65

through 85 years and over x x x x x x x x x x

Aging Process

Identify client knowledge on aging process and assist in

reinforcing teaching on expected changes related to aging x x x x x x x x x x

Aging Process

„„ Provide care that meets the needs of the newborn less than 1

month old through the infant or toddler client through 2 years* x x x

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NCLEX Skill Sets


Aging Process

„„ Provide care that meets the needs of the preschool, school age

and adolescent client ages 3 through 17 years* x x x

Aging Process

Provide care that meets the needs of the adult client ages 18

through 64 years* x x x x x x x x x x

Aging Process

„„ Provide care that meets the needs of the adult client ages 65

through 85 years and over* x x x x x x x x x xAnte/Intra/Postpartum

& Newborn Care

Identify client emotional preparedness for pregnancy (e.g.

support systems, perception of pregnancy) x x xAnte/Intra/Postpartum

& Newborn Care Assist in performing client non-stress test x x xAnte/Intra/Postpartum

& Newborn Care Assist with fetal heart monitoring for the antepartum client* x x xAnte/Intra/Postpartum

& Newborn Care

Perform care of postpartum client (e.g. perineal care, assistance

with infant feeding) x x xAnte/Intra/Postpartum

& Newborn Care Contribute to newborn plan of care x x xAnte/Intra/Postpartum

& Newborn Care

Reinforce client teaching on infant care skills (eg. Feeding,

bathing, positioning) x x xAnte/Intra/Postpartum

& Newborn Care Monitor recovery of stable postpartum client x x xAnte/Intra/Postpartum

& Newborn Care Monitor client ability to care for infant x x xData Collection

Techniques

Collect data for health history (e.g. client medical history, family

medical history)* x x x x x x x x x xData Collection

Techniques

Collect baseline physical data (e.g. skin integrity, or height and

weight)* x x x x x x x x xData Collection

Techniques

Prepare client for physical examination (e.g. reinforce explanation

of procedure provide privacy and comfort) x x x x x x x x xData Collection

Techniques

Document findings according to agency, facility

policies/procedures x x x x x x x x xData Collection

Techniques Report client physical examination results to health care provider x x x x x x x x xData Collection

Techniques Report client physical examination restuls to health care provider x x x x x x x x xDevelopental Stages &

Transitions

Identify and report client deviations from expected growth and

development x x x x x x x x x xDevelopental Stages &

Transitions Identify occurrence of expected body image changes x x x x x x x x x x

12

NCLEX Skill Sets


Developental Stages &

Transitions Identify barriers to communication* x x x x x x x x xDevelopental Stages &

Transitions Identify barriers to learning* x x x x x x x x xDevelopental Stages &

Transitions Compare client development to norms* x x x x x x x x x xDevelopental Stages &

Transitions

Assist client with expected life transition (eg attachment to

newborn, parenting, retirement)* x x x x x x x x x xDevelopental Stages &

Transitions Assist client to select age-appropriate activities x x x x x x x x x xDevelopental Stages &

Transitions

Modify approaches to care in accordance with client development

stage x x x x x x x x x xDevelopental Stages &

Transitions

Provide care and resources for beginning of life and/or end of life

issues and choices x x x x x x x x x xDevelopental Stages &

Transitions

Determine client acceptance of expected boy image change (eg

aging, pregnancy, menopause) x x x x x x x x x xDevelopental Stages &

Transitions

Determine impact of expected body image changes on client (eg

temperament) x x x x x x x x x xHealth

Promotion/Disease

Prevention

Identify risk factors for disease/illness (eg age, gender, ethnicity,

lifestyle) x x x x x x x x x xHealth

Promotion/Disease

Prevention

Identify clients in need of immunizations (required and

voluntary)* x x x x x x x xHealth

Promotion/Disease

Prevention Identify precautions and contraindications to immunization x x x x x x x xHealth

Promotion/Disease

Prevention

Identify client health seeking behaviors (eg breasts and testicular

self-examinations) x x x x x x x xHealth

Promotion/Disease

Prevention

Gather data on client health history and risk for disease (eg

lifestyle, family and genetic history) x x x x x x x x x xHealth

Promotion/Disease

Prevention

Check results of client health screening tests (eg scoliosis, breast

and testicular self-examination (eg scoliosis breast and testicular

self-examinations, blood pressure check) x x x x x x x x xHealth

Promotion/Disease

Prevention

Provide Assistance for screening esaminations (scoliosis, breast

and testicular self exams, blood pressure check) x x x x x x x x x x

13

NCLEX Skill Sets


Health

Promotion/Disease

Prevention Participate in a health screening or health promotion programs* x x x x x x x x xHealth

Promotion/Disease

Prevention Assist client in disease prevention activities x x x x x x x x xHealth

Promotion/Disease

Prevention

Monitor client actions to maintain health and prevent disease (eg

smoking cessation, exercise, diet, stress management) x x x x x x x x xHealth

Promotion/Disease

Prevention

Monitor incorporation of healthy behaviors into lifestyle by client

(eg screening examinations, immunizations, limiting risk taking

behaviors) x x x x x x x x x xHealth

Promotion/Disease

Prevention Recognize client unexpected response to immunizations x x x x x x x xHigh Risk Behaviors Assist client to identify high risk behaviors x x x x x x x x xHigh Risk Behaviors Provide information for prevention of high risk behaviors x x x x x x x x x x

High Risk Behaviors

Monitor client lifestyle practice risks that may impact health (eg

excessive sun exposure, lack of regular exerce) x x x x x x x x x x

Lifestyle Choices

Identify client lifestyle practices that may have an impact on

health x x x x x x x x x x

Lifestyle Choices

Identify contraindications to chosen contraceptive method (eg

smoking, compliance, medical conditions) x x x x x x xLifestyle Choices Identify client attitudes/perceptions on secuality x x x x x x xLifestyle Choices Recognize client need/desire for contraception x x x x x x

Lifestyle Choices Recognize expected outcomes for client family planning methods x x x x x x x

Lifestyle Choices

Recognize client need to discuss sensitivie issues related to

sexuality x x xLifestyle Choices Support client in family planning x x x

Lifestyle Choices

Respect client lifestyle choicers (eg child-free, home schooling,

rural or urban living) x x x x x x x x

Lifestyle Choices

Reinforce teaching with client on healthy lifestyle choices (eg

exercise regimen, smoking cessation) x x x x x x x x x x

Self-Care.

Determine client ability and support for performing self-care (ie:

feeding, dressing, hygiene) x x x x x x x x x

Self-Care.

Consider client self-care needs before contributing to changes in

plan of care x x x x x x x x x

14

NCLEX Skill Sets


Self-Care.

Monitor client ability to perform instrumental activities of daily

living (eg using telephone, shopping, preparing meals) x x x x x x x x x x

Community Resources Idetnify community resources for clients* x x x x x x x x x

Community Resources Assist and/or particpate in community health education x x x x x x x x x x

Community Resources

Reinforce teaching with client about health risks based on family,

population, and/or community characteristics) x x x x x x x x x x

Abuse or Neglect Identify client risk factors for abusing or neglecting others x x x x x x x x x

Abuse or Neglect

Identify signs and symptoms of physical, psychological or financial

abuse in client (e.g. family involvement, inadequate weight gain,

poor hygiene) x x x x x x x x x x

Abuse or Neglect

Recognize risk factors for domestic, child and/or elder abuse,

neglect and sexual abuse x x x x x x x x x xAbuse or Neglect Provide safe environment for abused/neglected client x x x x x x x x x

Abuse or Neglect

Provide emotional support to client who experienced abuse or

neglect x x x x x x x x x

Abuse or Neglect

Reinforce client teaching on coping strategies to prevent abuse or

neglect x x x x x x x x x xAbuse or Neglect Evaluate client response to interventions x x x x x x x x x x

Behavioral Management

Monitor client appearance, mood and psychomotor behavior and

observe for changes x x x x x x x x x x

Behavioral Management Explore cause of client behavior x x x x x x x x x x


Assist client with achieving self-control of behavior (eg contract,

behavior modification) x x x x x x x x x x

Behavioral Management Assist client in using behavioral strategies to decrease anxiety x x x x x x x x x x


Assist in or reinforce education to caregivers/family on ways to

manage client with behavioral disorders* x x x x x x x x x x


Participate in behavior management program by recognizing

environmental stressors and/or providing a therapeutic

environment* x x x x x x x x x x


Participate in reminiscense therapy, validation therapy or reality

orientation* x x x x

Behavioral Management Participate in client group session* x x x x

Psychosocial Integrity

15

NCLEX Skill Sets


Behavioral Management Reinforce client participation in therapy x x x x


Use behavioral management techniques when caring for a client

(e.g. positive reinforcement, setting limits) x x x x


Evaluate client responses to behavioral management

interventions x x x xChemical and Other

Dependencies

Identify signs and symptoms of substance abuse, chemical

dependency, withdrawal or toxicity* x x x x x x x x x x

Chemical and Other

Dependencies

Plan and provide care to client experiencing substance related

withdrawal or toxicity (eg nicotime, opioid, sedative) x x x x x x x x x xChemical and Other

Dependencies

Provide care and support for client with impulse - control

disorders (eg gambling, sexual addiction, pornography) x x xChemical and Other

Dependencies

Reince provided information on substance abuse diagnosis and

treatment plan to client x x x xChemical and Other

Dependencies

Encourage client participation in support groups (eg Alcoholics

Anonymous, Narcotics Anonymous x x xChemical and Other

Dependencies

Monitor client response to treatment plan and contribute to

revision of plan as needed x x xCoping Mechanisms Collect data regarding client psychosocial functioning* x x x x x x x x x xCoping Mechanisms Identify client support systems and available resources x x x x x x x x x

Coping Mechanisms

Identify client use of effective and ineffective coping

mechanisms* x x x x x x x x x

Coping Mechanisms

Identify stressors that may affect recovery/health maintenance

(eg Lifestyle, body changes, environmental)* x x x x x x x x x

Coping Mechanisms

Recognize abilities of client to adapt to temporary/permanent

role changes x x x x x x x x x

Coping Mechanisms

Recongize client response to illness (eg rationalization,

hopelessness, anger) x x x x x x x x x

Coping Mechanisms

Provide support to the client with unexpected altered body image

(eg alopecia) x x x x x x x x x

Coping Mechanisms Use therapeutic techniquest to assist client with coping ability x x x x x x x x x x

Coping Mechanisms

Assist client to cope/adapt to stressful events and changes in

health status (eg abuse/neglect, end of life, grief and loss, life

changes or physical changes)* x x x x x x x x x

Coping Mechanisms

Assist client in maintaining level of independence after

unexpected body image changes (eg amputation, paralysis x x x x x x x x x x

16

NCLEX Skill Sets


Coping Mechanisms

Monitor client progress toward achieving improved body image

(eg: mastectomy, colostomy) x x x x x x x x xCrisis Intervention Identify client in crisis x x x x x x x x x

Crisis Intervention

Identify client risk for self injury and/or violence (suicide or

violence precaution) x x x x x x x x x

Crisis Intervention Collect data on client's potential for voilence to self and others* x x x x x x x x x

Crisis Intervention

Assist in managing the care of angry and/or agitated client (eg de-

escalation techniques)* x x x x x x x x x

Crisis Intervention Use crisis intervention techniques to assist client in coping x x x x x x x x x

Crisis Intervention

Provide opportunities for client to understand why the crisis

occurred x x x x x x x x x

Crisis Intervention

Guide client to resources for recovery from crisis (eg social

supports) x x x x x x x x xCrisis Intervention Reinforce client teaching on suicide/violence prevention x x x x x x x x x

Crisis Intervention

Report changes in client behavior (indicating a develpoing crisis)

to supervisor x x x x x x x x x

Cultural Awareness

Identify importance of client culture/ethnicity when

planning/providing/monitoring care x x x x x x x x x

Cultural Awareness

Recognize client cultural practices that may affect interventions

for procedures/surgery (eg, direct eye contact) x x x x x x x x x

Cultural Awareness

Recognize cultural issues that may impact client

understanding/accepotance of psychiatric diagnosis x x x x x x x x x

Cultural Awareness Plan care with consideration of client spiritual or cultural beliefs * x x x x x x x x x

Cultural Awareness

Respect cultural background/practices of client (does not include

dietary preferences) x x x x x x x x xCultural Awareness Document how client language needs are met x x x x x x x x x

End of Life Concepts

Identify client end-of-life needs (eg financial concerns, fear, loss of

control, role changes) x x x x x x x x xEnd of Life Concepts Identify client ability to cope with end-of-life interventions x x x x x x x x xEnd of Life Concepts Provide care or support for client/family at end of life x x x x x x x x xEnd of Life Concepts Assist client in resolution of end-of-life issues x x x x x x x x xGrief and Loss Identify client reaction to loss (eg denial, fear) x x x x x x x x xGrief and Loss Support the client in anticipatory grieving x x x x x x x x x

Grief and Loss

Reinforce client teaching on expected client reactions to grief and

loss (denial, fear) x x x x x x x x x

17

NCLEX Skill Sets


Grief and Loss

Provide client with resources to adjust to loss/bereavement (eg

individual counseling, support groups) x x x x x x x x x

Mental Health Concepts

Identify expected behaviors of client with independent or

dependent personality x x x x x x x x x


Identify client sympoms of acute or chronic mental illness (eg

schizophreia, depression, bipolar disorder) x x x x x x x x x

Mental Health Concepts Recognize client use of defense mechanisms x x x x x x x x x

Mental Health Concepts Recognize change in client mental status x x x x x x x x x

Mental Health Concepts Recognize client symptoms of relapse x x x x x x x x x

Mental Health Concepts Eplore why client is refusing or not following treatment plan* x x x x x x x x x


Assist in the care of a client experiencing sensory/perceptual

alterations* x x x x x x x x x

Mental Health Concepts Assist in the care of the cognitively impaired client* x x x x x x x x x

Mental Health Concepts Assist in promting client independence x x x x x x x x x

Mental Health Concepts Promote positive self-esteem of client* x x x x x x x x x

Religious and Spiritual

Influences on Health

Identify client emotional problems related to religious/spiritual

beliefs (eg spiritual distress, conflict between recommended

treatment and beliefs) x x x x x x x x x


Influences on Health Recognize effect of client religious/spiritual beliefs on plan of care x x x x x x x x x



Assist client to meet religiuos/spiritual needs (eg referral to

pastoral care) x x x x x x x x x



Assist in evaluation of client religious/spiritual needs related to

necessary nursing interventions x x x x x x x x x


Influences on Health Respect client religious/spiritual beliefs x x x x x x x x x

18

NCLEX Skill Sets


Sensory/Perceptual

Alterations

Identify needs of client with altered sensory perception (eg

hallucinations, delirium) x x x x x x x x x xSensory/Perceptual

Alterations Verify client ability to effectively communicate needs x x x x x x x x x x

Stress Management

Identify actual/potential stressors for client (eg fear, lack of

information) x x x x x x x x x

Stress Management

Implement measures to reduce environmental stressors (eg noise,

temperature, pollutioin x x x x x x x x x

Stress Management Monitor client effective use of stress management techniques x x x x x x x x xSupport Systems Determine client abilities to provide client support x x x x x x x x xSupport Systems Identify client support systems/resources x x x x x x x x x

Support Systems

Identify family response to client illness (eg acute episodes,

chronic disorder, terminal illness) x x x x x x x x xTherapeutic

Communication Provide emotional support to client* x x x x x x x x xTherapeutic

Communication Assist client in communicating needs to health care staff x x x x x x x x xTherapeutic

Communication Develop and maintain therapeutic relationships with client x x x x x x x x xTherapeutic

Communication Respect client personal values and beliefs x x x x x x x x x xTherapeutic

Communication Establish a trusting nurse-client relationships x x x x x x x x xTherapeutic

Communication Use therapeutic communication techniques with client* x x x x x x x x xTherapeutic

Communication

Encourage client appropriate use of verbal and non-verbal

communication x x x x x x x x x xTherapeutic

Communication Monitor effectiveness of communications with client x x x x x x x x xTherapeutic

Environment

Identify external factors that may interfere with client recovery

(eg stressors, noise) x x x x x x x x x xTherapeutic

Environment Participate in community meetings x x x x x x x x xTherapeutic

Environment

Contribute to maintaining a safe and supportive environment for

client x x x x x x x x x xTherapeutic

Environment Monitor client response to environmental factors x x x x x x x x x xPhysiologcal Integrity

19

NCLEX Skill Sets


Assistive Devices

Identify approprate use of assistive devices (eg cane, walker,

crutches) x x x x x x x x x x

Assistive Devices

Contribute to care of client using assistance device (eg feeding

devices, telecomuunication devices, touch pad, communication

board) x x x x x x x x x xAssistive Devices Reinforce teaching for client using assistive device x x x x x x x x x x

Assistive Devices

Review correct use of assistive devices to client and staff

members x x x x x x x x x x

Elimination

Identify client at risk for impaired elimination (eg medication,

hydration status) x x x x x x x x x x

Elimination

Provide care to client with bowel or bladder management

protocol x x x x x x x x x xElimination Monitor client bowel souinds x x x x x x x x x x

Elimination

Perform an irrigation of urinary catheter, bladder, wound, ear,

nose or eye* x x x x x x x x x x

Elimination

Provide skin care to client who is incontinent (eg wash frequently,

barrier creams, ointments) x x x x x x x x x x

Mobility/Immobility

Identify signs and symptoms of venous insufficiency and intervene

to promote venous return (eg elastic stocksing, sequential

compression device) x x x x x x x x x xMobility/Immobility Check client for mobility, gait strength, motor skills x x x x x x x x x x

Mobility/Immobility

Provide for mobility needs (eg ambulation, range of motion,

transfer, repositioning, use of adaptive equipment* x x x x x x x x x x

Mobility/Immobility

Reinforce client teaching on methods to maintain mobility (eg

active/passive range of motion ROM, strengthening, isometric

exercises) x x x x x x x x x xMobility/Immobility Use measures to maintain or improve client skin integrity* x x x x x x x x x xMobility/Immobility Maintain client correct body alignment x x x x x x x x x x

Mobility/Immobility Provide care to an immobolized client (eg traction, bedridden) x x x x x x x x x xNonPharmacological

Comfort Intervention Identify client need for palliative/comfort care x x x x x x x x xNonPharmacological

Comfort Intervention

Assist in the care and comfort for a client with a visual and/or

hearing impairment* x x x x x x x x x xNonPharmacological


Assist in planning comfort interventions for client with impaired

comfort x x x x x x x x x x

20

NCLEX Skill Sets


NonPharmacological


Apply therapies for comfort and treatment of

inflammation/swelling (eg apply heat and cold treatments,

elevate limb) x x x x x x x x x xNonPharmacological


Use alternative/complementary therapy in providing client care

(eg music therapy)* x x x x x x x x x xNonPharmacological


Provide non-pharmacological measures for pain relief (eg

imagery, masseage or repositioning) x x x x x x x x x xNonPharmacological

Comfort Intervention Provide palliative/comfort care interventions to client x x x x x x x x xNonPharmacological

Comfort Intervention Respect client palliative care choices x x x x x x x x xNonPharmacological


Reinforce client teaching on stress management technicques (eg

relaxation, exercises, meditation) x x x x x x x x x xNonPharmacological

Comfort Intervention Reinforce client teaching on palliative/comfort care x x x x x x x x xNonPharmacological


Monitor client non-veral signs of pain/discomfort (eg grimacing,

restlessness) x x x x x x x x x xNonPharmacological

Comfort Intervention Monitor client response to nonpharmacological interventions x x x x x x x x x xNonPharmacological

Comfort Intervention Monitor outcome of palliative care interventions x x x x x x x x xNonPharmacological

Comfort Intervention Evaluate pain using standardized rating scales* x x x x x x x x x xNutrition and Oral

Hydration Check client feeding tube placement and patency x x x x x x x x x xNutrition and Oral

Hydration Provide feeding for client with enteral tubes* x x x x x x x x x xNutrition and Oral

Hydration Monitor and provide for nutritional needs of client* x x x x x x x x x xNutrition and Oral

Hydration Monitor client ability to eat (eg chew, swallow) x x x x x x x x x xNutrition and Oral

Hydration Monitor impact of disease/illness on client nutritional status x x x x x x x x x xNutrition and Oral

Hydration Monitor client intake/output* x x x x x x x x x x

Nutrition and Oral

Hydration

Reinforce client teaching on special diets based on client

diagnosis/nutritional needs and cultural considerations (eg high

protein kosher diet, calorie restriction) x x x x x x x x x x

21

NCLEX Skill Sets


Nutrition and Oral

Hydration Promote client independence in eating x x x x x x x x x xPersonal Hygiene Determine client usual personal hygiene habits/routines x x x x x x x x x xPersonal Hygiene Assist with activites of daily living* x x x x x x x x x xPersonal Hygiene Assist in providing postmortem care* x x x x x x x x xPersonal Hygiene Provide site care for client with enteral tubes* x x x x x x x x x x

Personal Hygiene

Reinforce teaching to client on required adaptions for

performinnig activities of daily living (eg shower chair, hand rails) x x x x x x x x x x

Rest and Sleep

Identify client usual rest and sleep patterns (eg bedtime, sleep

rituals) x x x x x x x x x xRest and Sleep Provide measures to promote sleep/rest* x x x x x x x x x

Rest and Sleep Schedule client care activities to promote adequate rest and sleep x x x x x x x x x

Adverse

Effects/Contraindication

s/ Side

Effects/Interactions

Identify potential and actual incompatibilities of client

medications x x x x x x x x xAdverse


s/ Side


Identify a contraindictation to the administration of a presribed or

over-the-counter medication to the client x x x x x x x x xAdverse


s/ Side

Effects/Interactions Identify symptoms of an allergic reation (eg to medication) x x x x x x x x xAdverse


s/ Side


Implement procedures to counteract adverse effects of

medications x x x x x x x x xAdverse


s/ Side


Withhold medication close if client experiences adverse effect to

medication x x x x x x x x xAdverse


s/ Side


Monitor and document client response to actions taken to

counteract adverse effects of medications x x x x x x x x x

Pharmacological Therapies

22

NCLEX Skill Sets

STD Category Skill Set 1 2 3 4 5 6 7 8 9 10Adverse


s/ Side


Monitor client for actual and potential adverse effects of

medications (eg prescribed, over-the-counter, and/or herbal

supplement) x x x x x x x x xAdverse


s/ Side


Monitor anticipated interactions among client prescribed

mediccations and fluids (ie oral, IV, subcutaneous, IM, topcial) x x x x x x x x xAdverse


s/ Side

Effects/Interactions Monitor and document client side effects to medications x x x x x x x x xAdverse


s/ Side

Effects/Interactions Monitor and document client side effects to medications x x x x x x x x xAdverse


s/ Side


Monitor and document client response to management of

management of medication side effects including prescribed, over-

the count and herbal supplements x x x x x x x x xAdverse


s/ Side


Reinforce client teaching on possible effects of medications

(common side effects or adverse effects, when to notify primary

health care providers) x x x x x x x x xAdverse


s/ Side


Notify primary health care provider of actual/potential adverse

effects of client medication x x x x x x x x x

Dosage Calculations. Perform calculations needed for medication administration* x x x x x x xDosage Calculations. Use clinical decision making when calculating doses x x x x x x xExpected

Actions/Outcomes Identify client expected response to medication x x x x x x x x xExpected

Actions/Outcomes

Use resources to check on purposes and actions of

pharmacological agents x x x x x x x x xExpected

Actions/Outcomes

Apply knowledge of pathophysiology when addressing client

pharmacological agents x x x x x x x x xExpected

Actions/Outcomes

Monitor client use of medications over time (eg prescription, over

the counter, home remedies) x x x x x x x x x

23

NCLEX Skill Sets


Expected

Actions/Outcomes Reinforce education to client regarding medicatinos* x x x x x x x x xExpected

Actions/Outcomes

Reinforce client teaching on actions and therapeutic effects of

medications and pharmacological interactions) x x x x x x x x xExpected

Actions/Outcomes

Evaluate client response to medication (eg adverse reactions,

interactions, therapeutic effects)* x x x x x x x x xMedication

Administration Identify client need for PRN medications x x x x x x x x xMedication

Administration Mix client medication from two vials as necessary (eg insulin) x x x x x x x x xMedication

Administration Follow the rights of medication administration* x x x x x x x x xMedication

Administration

Maintain medication safety practies (eg storage, checking for

expiration dates, or compatabilty * x x x x x x x x x

Medication

Administration

Reconcile and maintain medication list or mediation

administration record (eg prescribed medications, herbal

supplements, over the counter medications)* x x x x x x x x xMedication

Administration Collect required data prior to medication administration* x x x x x x x x xMedication

Administration Assist in preparing client for insertion of central line x x x x x x x x xMedication

Administration Administer medication by oral route* x x x x x x x x xMedication

Administration Administer intravenous piggyback (secondary) medications* x x x x x x x x xMedication

Administration

Administer medication by gastrointestinal tube (eg g-tube,

nasogastric (NG) tube, g-button, j-tube)* x x x x x x x x xMedication

Administration

Administer a subcutaneous, intradermal or intramuscular

medication* x x x x x x x x xMedication

Administration

Administer medication by ear, eye, nose, inhalation, rectum,

vagina or skin route* x x x x x x x x xMedication

Administration

Dispose of client unused medi ations, according to facility/agency

policy x x x x x x x x xMedication

Administration Count narcotics/controlled substances* x x x x x x x x xMedication

Administration Calculate and monitor intravenous (IV) flow rate* x x x x x x x x xMedication

Administration Monitor transfusion of blood product* x x x x x x x x x

24

NCLEX Skill Sets


Medication

Administration

Reinforce client teaching on client self administration of

medications (eg insulin, subcutaneous insulin pump) x x x x x x x x xPharmacological Pain

Management Identify client need for pain medication x x x x x x x x x

Pharmacological Pain

Management

Monitor and document client response to pharmacological

interventinos (eg pain rating scale, verbal reports) x x x x x x x x xPharmacological Pain

Management

Maintain pain control devices (eg epidural, patient control

analgesia, peripheral nerve catheter)* x x x x x x x x x

Changes/Abnormalties

in Vital Signs. Check and monitor client vital signs* x x x x x x x x x xChanges/Abnormalties

in Vital Signs. Compare vital signs to client baseline vital signs x x x x x x x x x x

Changes/Abnormalties

in Vital Signs.

Reinforce client teaching about normal and abnormal vital signs

(eg hypertension, tachypnea, bradycardia, fever) x x x x x x x x x xDiagnostic Tests. Perform an electrocardiogram (EKG/ECG) x x x x x x x x x x

Diagnostic Tests.

Perform diagnostic testing (eg blood glucose, oxygen saturation,

testing for occult blood) x x x x x x x x x xDiagnostic Tests. Reinforce client teaching about diagnostic test x x x x x x x x x x

Laboratory Values

Identify laboratory vales for ABGs (pH, PO2, PCO2, SAO2, HCO3),

BUN, cholesterol (total), glucose, hematrocrit, hemoglobin (HgbA,

C) platelets, potassium, sodium, WBC, creatinine, PT, PTT & APTT,

INR) x x x x x x x x x x

Laboratory Values Compare client laboratory values to normal laboratory values x x x x x x x x x xLaboratory Values Perform venipuncture for blood draws* x x x x x x x x x xLaboratory Values Perform blood glucose monitoring * x x x x x x x x x x

Laboratory Values

Collect specifmen for diagnostic testing (eg blood, urine, stool, or

sputum)* x x x x x x x x x xLaboratory Values Maintain central venous catheter* x x x x x x x x x xLaboratory Values Reinforce client treaching on purposes of laboratory tests x x x x x x x x x xLaboratory Values Monitor diagnostic or laboratory test results* x x x x x x x x x x

Laboratory Values

Notify primary health care provider about client laboratory test

results x x x x x x x x x x

Potential for Alterations

in Body Systems. Identify signs or symptoms of potential prenatal complication* x x x x x x x

Reduction of Risk

25

NCLEX Skill Sets



in Body Systems.

Identity clients with increased risk for insufficient blood

circulation (eg immobilized limb, diabetes) x x x x x x x x x x


in Body Systems.

Recognize change in client neurological status (level of

consciousness, orientation, muscle strength) x x x x x x x x x x


in Body Systems. Compare current client clinical data to baseline information x x x x x x x x x x


in Body Systems. Perform neurolgogical checks* x x x x x x x x x x


in Body Systems. Perform circulatory checks* x x x x x x x x x x


in Body Systems.

Check for urinary retention (eg bladder scan/ultrasound or

palpation)* x x x x x x x x x x


in Body Systems.

Apply and check proper use of compression stockings and /or

sequential compression devices SCD)* x x x x x x x x x x


in Body Systems.

Monitor client output for changes from baseline (e nasogastric

emesis, stool, urine) x x x x x x x x x x


in Body Systems.

Reinforce client teaching on methods to preven compliactions

associated with activity level/diagnosed illness/disease (eg foot

care for client with diabets mellitus) x x x x x x x x x x

Potential for

Complications of

Diagnostic Tests/

Treatments/ Procedures

Identify client response to diagnostic

tests/treatments/procedures x x x x x x x x x x

Potential for

Complications of

Diagnostic Tests/

Treatments/ Procedures Maintain client tube patency (eg chest tube, tracheostomy tube) x x x x x x x x x x

26

NCLEX Skill Sets


Potential for

Complications of

Diagnostic Tests/

Treatments/ Procedures Provide care for client receiving electroconvulsive therapy (ECT) x x x x x x x x x x

Potential for

Complications of

Diagnostic Tests/


Provide appropriate follow-up after incident (eg fall, client

elopment, or medication error) x x x x x x x x x x

Potential for

Complications of

Diagnostic Tests/

Treatments/ Procedures Identify client risk and implement interventions* x x x x x x x x x x

Potential for

Complications of

Diagnostic Tests/


Monitor continuous or intermittent suction of nasogastric NG

tube x x x x x x x x x x

Potential for

Complications of

Diagnostic Tests/


Implement, measures to prevent complication of client condition

or procedure (eg circulatory complication, seizure, aspiration or

potential neurological disorder)* x x x x x x x x x x

Potential for

Complications of

Diagnostic Tests/


Reinforce teaching to prevent complications due to client

diagnostic tests/treatments, procedures x x x x x x x x x x

Potential for

Complications of

Diagnostic Tests/


Notify primary health care provider if client has signs of potential

complications (eg fever, hypotension, limb pain, thrombus

formation) x x x x x x x x x x

27

NCLEX Skill Sets


Potential for

Complications of

Diagnostic Tests/

Treatments/ Procedures Evaluate client oxygen (02) saturation* x x x x x x x x x x

Potential for

Complications of

Diagnostic Tests/


Suggest change in interventions based on client response to

diagnostic tests/treatments procedures x x x x x x x x x x

Potential for

complications from

Surgical procedures and

Health Alterations Identify client response to surgery or health alterations x x x x x x x x x x

Potential for

complications from


Health Alterations

Provide care for client before surgical procedure and reinforce

education* x x x x x x x x x x

Potential for

complications from


Health Alterations

Provide intra-operative care (positioning client for surgery,

maintaining sterile field or providing operative observation) x x x x x x x x x x

Potential for

complications from


Health Alterations

Reinforce teaching to prevent complications due to surgery or

health alterations (cough and deep breathing, elastic stockings) x x x x x x x x x x

Potential for

complications from


Health Alterations

Suggest change in interventions based on client response to

surgery or health alterations x x x x x x x x x x

Therapeutic Procedures Insert, maintain and remove urinary catheter* x x x x x x x x x x

Therapeutic Procedures Insert, maintain and remove nasogastric NG tube* x x x x x x x x x x

28

NCLEX Skill Sets


Therapeutic Procedures Maintain and remove peripheral intravenous IV catheter* x x x x x x x x x x

Therapeutic Procedures

Assist with the performance of a diagnostic or invasive

procedure* x x x x x x x x x x

Therapeutic Procedures Reinforce client teaching on treatments and procedures x x x x x x x x x x

Alterations in Body

Systems

Identify signs and symptoms of an infection (eg temperature

changes, swelling, redness, mental confusion or foul smelling

urine) x x x x x x x x x xAlterations in Body

Systems

Identify andor intervene to control signs of hypoglycemia or

hyperglycemia* x x x x x x x x x xAlterations in Body

Systems

Recognize and report basic abnormalities on a client cardiac

monitor strip x x x x x x x x x xAlterations in Body

Systems

Provide care for client drainage device (eg wound drain or chest

tube)* x x x x x x x x x xAlterations in Body

Systems

Provide colling/warming measures to restore normal

temperature* x x x x x x x x x xAlterations in Body

Systems Provide care for a client with a tracheostomy* x x x x x x x x x xAlterations in Body

Systems

Provide care to client with an ostomy (eg colostomy, ileostomy or

urostomy) x x x x x x x x x xAlterations in Body

Systems Provide care to client on ventilator* x x x x x x x x x xAlterations in Body

Systems Provide care to correct client alteration in body systems x x x x x x x x x xAlterations in Body

Systems Provide care to client undergoing peritoneal dialysis x x x x x x x x x xAlterations in Body

Systems

Provide care for client experiencing increased intracranial

pressure x x x x x x x x x xAlterations in Body

Systems Provide care to client who has experienced a seizure x x x x x x x x x x

Alterations in Body

Systems

Provide care for client experiencing complications of

pregnancy/labor and/or delivery (eg eclampsia, precipitous labor,

hemorrhage) x x xAlterations in Body

Systems Perform would care and/or dressing change x x x x x x x x x xAlterations in Body

Systems Perform check of client pacemaker* x x x x x x x x x x

Physiologcal Adaption

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NCLEX Skill Sets


Alterations in Body

Systems Perform care for client after surgical procedure x x x x x x x x x xAlterations in Body

Systems Remove woud sutures or staples* x x x x x x x x x xAlterations in Body

Systems Remove client would drainage deise* x x x x x x x x x xAlterations in Body

Systems

Interen to improve client respiratory status (eg breathing

treatment, suctioning or repositining) x x x x x x x x x xAlterations in Body

Systems Reinforce client teaching on ostomy care x x x x x x x x x xAlterations in Body

Systems Reinforce education to client regarding care and condition x x x x x x x x x xAlterations in Body

Systems Notify primary health care provider of a change on client status x x x x x x x x x xAlterations in Body

Systems

Document client response to interventions for alteration in body

systems (eg pacemaker, chest tube) x x x x x x x x x x

Basic Pathophysiology

Identify signs and sypmotms related to an acute or chronic

illness* x x x x x x x x x x


Consider general principles of client disease process when

providing care (eg injury and repair, immunity, cellular structure) x x x x x x x x x x


Apply knowledge of pathophysiology to monitoring client for

alterations in body systems x x x x x x x x x xFluid & Electrolyte

Imbalances

Identify signs and symptoms of client fluid and/or electrolyte

imbalances x x x x x x x x x xFluid & Electrolyte

Imbalances

Provide interventiosn to restore client fluid and/or electrolyte

balance x x x x x x x x x xFluid & Electrolyte

Imbalances

Monitor client response to interventions to correct fluid and/or

electrolyte imbalance x x x x x x x x x x

Medical Emergencies

Respond/intervene to a client life-threatening situation (eg

cardiopulmonary resuscitation) x x x x x x x x x x

Medical Emergencies

Provide emergency care for wound disruption (eg evisceration,

dehiscence) x x x x x x x x x x

Medical Emergencies

Notify primary health care provider about client unexpected

response/emergency situation x x x x x x x x x x

Medical Emergencies

Recommend change in emergency treatmnt based upon client

response to interventions x x x x x x x x x x

Medical Emergencies

Reinforce teaching of emergency intervention explanations to

client x x x x x x x x x x

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NCLEX Skill Sets


Medical Emergencies

Review and document client response to emergency interventions

(eg restoration of breathing, pulse) x x x x x x x x x xUnexpected Response

to Therapies Identify and treat a client intravenous (IV) line infiltration x x x x x x x x x xUnexpected Response

to Therapies Recognize and report change in client condition x x x x x x x x x xUnexpected Response

to Therapies

Intervene in response to client unexpected negative response to

therapy (eg unexpected bleeding) x x x x x x x x x xUnexpected Response

to Therapies Document client unexpected response to therapy x x x x x x x x x xUnexpected Response

to Therapies

Promote recovery from client unexpected negative response to

therapy (eg urinary tract infection) x x x x x x x x x x

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NCLEX Skill Sets 1 - AWS

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