Semester: Credits/Hours: NUR 290 NCLEX Review 45 hours (Lecture) 3 credit hours Semester: May 11, 2015 August 21, 2015 Course Schedule: Thursday 11:00-1:50 Delivery Method: Instructor: Residential Britt Baer, MSN, RN Cheryl Armstrong, MS, RN Office Hours: Cheryl: Wednesday 0900-1130, Thursday 0900-1100 Britt: Wednesday 1000-1100, 1400-1500 Thursday 1400-1500 **Please make appointment by email for office hour visits whenever possible** Email Address: bbaer@ameritech.edu carmstrong@ameritech.edu Phone Number: 801-816-8622 Pre-requisite: NUR 192, NUR 171, NUR 212 Co-requisite: NUR 252, NUR 272 Mission Statement of AmeriTech College: Through quality training and education, the mission of AmeriTech College is to prepare graduates with the necessary knowledge, skills, and dispositions to become competent professionals in their chosen field of study. Course Description: This course will assist students to finalize preparation for taking the NCLEX examination. Students will learn test-taking techniques and spend time practicing questions in order to increase their comfort with the mechanics of the licensure exam. As part of this course, students will be assessed for readiness to take the NCLEX and individual assistance will be offered for test preparation as student needs are identified. Course Objectives: Upon completion of this course, students should be able to: Revised 5/2015 Page 1
Provider of Care 1. Apply critical thinking when selecting appropriate answers to NCLEX-RN style questions. 2. Choose appropriate plans of care for diverse client populations when answering NCLEX-RN style questions. 3. Choose appropriate methods of education when answering NCLEX-RN style questions Manager of Care 1. Evaluate priorities of care utilizing Maslow s Theory of Human Needs when answering NCLEX-RN style questions. 2. Select effective therapeutic communication techniques used with clients and members of the health care team when answering NCLEX-RN style questions. 3. Recognize appropriate delegation principles utilized by the professional nurse when answering NCLEX-RN style questions. Member of the Profession 1. Recognize legal and ethical principles utilized in health care delivery. 2. State requirements for professional licensure. Required Texts & Software: Knippa, A. (2013). RN maternal newborn nursing. (9.0 ed.). Stilwell, KS. Assessment Technology Institute, LLC. Knippa, A. (2013). Nutrition for nursing. (5.0 ed.). Stilwell, KS. Assessment Technology Institute, LLC. Knippa, A. (2013). RN adult medical surgical nursing. (9.0 ed.). Stilwell, KS. Assessment Technology Institute, LLC. Knippa, A. (2013). RN mental health nursing. (9.0 ed.). Stilwell, KS. Assessment Technology Institute, LLC. Knippa, A. (2013). RN nursing care of children. (9.0 ed.). Stilwell, KS. Assessment Technology Institute, LLC. Knippa, A. (2010). RN pharmacology for nursing. (5.0 ed.). Stilwell, KS. Assessment Technology Institute, LLC. Revised 5/2015 Page 2
Knippa, A. (2010). Fundamentals for nursing. (7.0 ed.). Stilwell, KS. Assessment Technology Institute, LLC. Martinez de Castillo, S. (2006). Quest for academic success. Stilwell, KS. Assessment Technology Institute, LLC. Knippa, A. (2013). Nursing leadership and management review module. (5 th ed.). Stilwell, KS. Assessment Technology Institute, LLC. Knippa, A. (2013). RN community health nursing. (5 th ed.). Stilwell, KS. Assessment Technology Institute, LLC. Zerwekh, J. (2013). Illustrated study guide for the NCLEX-RN exam. (8 th ed.). St. Louis, MO: Mosby/Elsevier Recommended Texts & Readings: Ackley, B. & Ludwig, G., (2014). Nursing diagnosis handbook: An evidence-based guide to planning care (10 th ed.). St. Louis, MO: Mosby. Skidmore-Roth, L. (2014). Mosby s nursing drug reference. (27 th ed.). St. Louis, MO: Mosby. Pagana, K., & Pagana T. (2010). Manual of diagnostic and laboratory tests. (3 rd ed.). St. Louis, MO: Mosby Publisher. Additional Resources: Students and faculty have online access to a variety of databases through WorldCat Discovery including WorldCat, ArticleFirst, FirstSearch Electronic Collections Online (bibliographic index only) and Union Lists of Periodicals, PapersFirst, ProceedingsFirst, ERIC, GPO. MEDLINE, The World Almanac, CAMIO and ArchiveGrid. Students also have access to the EBSCO host database, CINAHL with Full-Text capability. Twenty- four hour librarian support is available through QuestionPoint. Instructional Methods: A variety of instructional methods will be used to include, but not to be limited to: lecture, active dialogue, cooperative learning techniques, quizzes, student writing, and peer evaluation. General Course Policies: 1. Students will show professionalism and courtesy at all times as outlined in the AmeriTech Code of Conduct, the Nursing Student Handbook, and the AmeriTech College Catalog. Revised 5/2015 Page 3
Students are especially required to show courtesy to all AmeriTech faculty and staff and to comply with their direction while attending class, lab, Simulated Clinical Experience (SCE), and/or clinical. Students at clinical sites are to follow the direction of the clinical site staff. Lack of courtesy is grounds for probation and/or dismissal from the Nursing program. 2. Students are expected to arrive prepared for learning, and to remain actively engaged in the dynamics of the classroom, lab, or clinical at all times. 3. Students are required to follow the dress code as outlined in the Nursing Student Handbook. Students arriving to class, clinical, lab, or SCE in violation of the dress code may be asked to go home and change, and the time it takes to come into compliance with dress code will be deducted from their attendance time 4. Students may not use electronic devices in class, lab, Simulated Clinical Environment (SCE), or clinical except when on designated breaks. These devices include but are not limited to: cellphones, cameras, MP3 and other music players, personal digital assistants, and laptop computers. The only exception to this rule is the use of laptop computers in the classroom when permitted by the instructor. All AmeriTech instructors have the right to request that students turn off and put away any electronic device, including their laptop computer, while in class, lab, SCE, or clinical. Students who refuse to comply with this request will be asked to leave the classroom, lab, SCE, or clinical setting. No photography in class, lab, or the simulator is permitted without the consent of the instructor as well as the people being photographed. Students may not take photographs in the clinical setting. 5. Students are expected to attend the section of the class, lab, SCE, and/or clinical for which they are registered. Students may not attend another section to make up an absence without the advance permission of the instructor(s) involved. Instructors are not required to allow students to attend a different section from the one in which they are registered. 6. Because of the accelerated nature of this program, any absence from class, lab, SCE, and/or clinical will be detrimental to the student s education. Students are expected to attend all sessions of the classes for which they are registered. If a student is absent more than once in a semester from any one theory class, lab, SCE, and/or clinical they will be withdrawn from the program. Instructors may NOT excuse an absence. Students with extraordinary circumstances surrounding an absence (such as hospitalization, death in the family, court summons) should notify Student Services as soon as possible. 7. Single clinical absences (entire day or partial day) MUST be made up by the end of the semester. It is the responsibility of the student to contact the instructor and arrange for clinical make-up time. Other absences do not need to be made up; however, it is the student s responsibility to follow up with the faculty member and/or fellow students Revised 5/2015 Page 4
regarding work and information missed during an absence. Students should note that points may be lost (for such items as quizzes and participation) for a class, lab, or SCE session that is missed, and it is possible that these lost points could adversely affect their grade. 8. Students should observe standards of punctuality at all times. This means that they must be in the class, lab, SCE, or clinical prior to the start of the session and be ready to participate at the beginning of the session. Students who arrive tardy will be noted and three tardy marks will be equivalent to one absence. Students arriving after the start of nursing shift report in the clinical area will not be permitted to attend clinical that day. 9. All students are required to follow acceptable standards of academic integrity. Cheating and plagiarism will not be tolerated. Evidence of cheating in any form may result in immediate dismissal from AmeriTech College. Students utilizing any electronic device during a quiz or test (unless given specific permission by the instructor) will be assumed to be utilizing that device for cheating and will be dealt with in a manner appropriate to that assumption. 10. The misuse of computing, networking, or information resources may result in the restriction of computing privileges. Examples of misuse include, but are not limited to: unauthorized use of another person s computer account; viewing inappropriate content on the Internet; attempting to monitor or tamper with another person s electronic communications; and/or reading, copying, changing, or deleting another user s files. Grading Criteria: Each student is responsible for maintaining a cumulative minimum average academic grade of 76% or above for the semester. All classes require the student to achieve a 76% in order to pass the course. Failure to achieve satisfactory minimum grade levels will result in probation. Should a student need to repeat a course, that student is responsible for the associated costs; however, Federal Financial Aid may be available. Students should review the AmeriTech catalog regarding probation. Further information regarding academic probation is available through the office of the Nursing Director and information regarding costs is available through the Financial Aid office. Students may only repeat one course during the nursing program. If they fail two courses (including general education, core courses or other nursing course requirements), or fail the same course more than once, they will be dismissed from the program. Revised 5/2015 Page 5
Letter Grade Percentage GPA Equivalent Status Letter Grade Percentage GPA Equivalent Status A 94 100% 4.0 Passing D- 60 63% 0.7 Not Passing A- 90 93% 3.7 Passing F 0 59% 0.0 Not Passing B+ 87 89% 3.3 Passing AU - ** Audit B 84 86% 3.0 Passing I - ** Incomplete B- 80 83% 2.7 Passing C+ 77 79% 2.3 Passing S - ** Scheduled C 76% 2.0 Passing C 74 75.9% 2.0 Not Passing T - ** Test Out C- 70 73% 1.7 Not Passing TC - ** Transfer Credit D+ 67 69% 1.3 Not Passing W - ** Withdrawal D 64 66% 1.0 Not Passing WF 0% 0.0 Withdraw Fail ** not computed in GPA PLEASE NOTE: THIS SYLLABUS IS A GUIDE TO LEARNING, IT IS NOT A CONTRACT! The instructor reserves the right to make changes to the syllabus at any time. If you need special accommodations, please notify the instructor prior to the first class period. AmeriTech College reserves the right to hold coursework on an alternate day to accommodate holidays within the semester. Lecture Evaluation & Grading Criteria Methods: Homework 10% ATI Specialty Exams (See Course Outline) 15% Comprehensive Final Examination 75% TOTAL 100% Students in this course will need to have a working laptop computer that is able to access the Internet. Various practice specialty exams will be administered throughout the course, and the student is expected to take them in class on the days indicated. These exams may be timed, and the student is responsible to finish the examination in the time indicated. Revised 5/2015 Page 6
Homework Students are required to complete a weekly Practice Exam prior to the start of class as noted on the schedule. Students who do not complete the listed practice exam prior to the start of class will receive a grade of 0 on both the in-class practice exam and the homework practice exam. Homework completed prior to class will receive 100% regardless of the score on ATI. Grading For the Nutrition, Fundamentals, Mental Health, Maternal-Newborn, Care of Children, Leadership, Pharmacology, Community Health, and Adult Medical-Surgical practice exams the grade entered will be the FIRST grade noted on the Practice Exam taken in class according to the following schedule: (Proficiency Level) Level 3: 100 Level 2: 90 Level 1: 75 Below Level 1: 60 The instructor has the information regarding scores needed for proficiency levels on each individual specialty practice examination. The Comprehensive Predictor Final Examination grade will be recorded as follows: 80% and above: 100 74%-79.9%: 95 70%-73.9%: 90 0-69.9%: 50 Students who take the Comprehensive Predictor Final Examination more than once will receive the highest score out of all attempts. 1. Students MUST have a working laptop computer that meets school specifications to complete this national exam. 2. Students who do not have a working laptop will not be allowed to take the examination and will receive a score of 0 on the exam. 3. Students who have not successfully passed ALL other classes needed for graduation will not be eligible for the second Comprehensive Predictor Final Examination (if applicable). In this instance, even if the student passed the first Comprehensive Predictor, they will receive a score of 0 on the Comprehensive Predictor, which will result in a failing course grade. The student will retake the NUR 290 course when and if they return to school to retake the other failed course. Students who fail NUR 290 because they did not pass other coursework and could not take the comprehensive predictor final examination will not have the NUR 290 Revised 5/2015 Page 7
failure count towards the two-failure policy. 4. Students who do not earn a passing score on the second Comprehensive Predictor Final Exam will earn a failing grade in NUR 290. This will count towards the two failure policy, and if the student has failed any other course, will result in dismissal from the program. 5. Students who have not already reapeated another course during the nursing program and who do not achieve a passing score in NUR 290 after 2 comprehensive predictor examination attempts will be required to repeat NUR 290. Students repeating NUR 290 who have already taken two versions of the comprehensive final exam will have only ONE more attempt to take the comprehensive final examination (at the completion of the repeated course). After this attempt, the student who has not achieved a passing grade will have a second NUR 290 failure recorded on their transcript and will not graduate from the AmeriTech College associate degree nursing program. All Students MUST participate in an ATI Live Review on-site, three day session that is held during finals week (dates and times to be determined). Revised 5/2015 Page 8
Outside Preparation: This course requires out-of-class work that may include, but is not limited to: text and/or other readings, quiz and test preparation, homework assignments, written papers, projects, presentations, and other work as assigned by the instructor. Week Content and Topic Outside Preparation 1 5/14/15 2 5/21/15 Review Syllabus and class expectations. Testing Strategies for the NCLEX RN Examination Review topic: Leadership Baseline assessment for students: RN Comprehensive Online At Home: Self-assessment Inventory Web (ATI under practice tests) Review Zerwekh Ch. 1 Bring your computers to class every week Start Focused Review with results from Comprehensive Practice Test A. Print out results and bring to next class. Take: RN Leadership Online Practice 2013 A Approximate Preparation Time 2 hours 6 hours 3 5/28/15 -Personal results from RN Comprehensive Online -RN Leadership Online Review: Zerwekh Ch. 3 and 4 ATI Leadership Book Take: RN Fundamentals Online Take: Targeted Medical-Surgical 2013: Fluid, Electrolyte, and Acid-Base 4 hours RN Leadership Online Review: Zerwekh Ch. 7 and 15 ATI Med/Surg-Respiratory & Fundamentals Revised 5/2015 Page 9
Week Content and Topic Outside Preparation 4 6/4/15 Review topic: Fundamentals of Nursing, (Fluids and Electrolytes, Labs, ABG s) -RN Fundamentals Online - Targeted Medical Surgical 2013: Fluid, Electrolyte, and Acid- Base Take: RN Pharmacology Online Review: Zerwekh Ch. 6 and ATI Pharmacology Book Approximate Preparation Time 4 hours 5 6/11/15 RN Fundamental Online Review topic: Pharmacology -RN Pharmacology Online Practice 2013A RN Pharmacology Online Review topic: Maternal/Newborn & Care of Children Take: RN Maternal Newborn Online Take: RN Nursing Care of Children Online Remember to take BOTH practice tests! Review: Zerwekh Ch. 24 & 25 and ATI Maternal/NB and Care of Children 5 hours Revised 5/2015 Page 10
Week Content and Topic Outside Preparation Approximate Preparation Time 6 6/18/15 -RN Maternal Newborn Online -RN Nursing Care of Children Online Practice 2013 B RN Maternal Newborn Online Take: RN Nutrition Online Practice 2013 A Review: Zerwekh Ch. 2 and ATI Nutrition Book 4 hours RN Nursing Care of Children Online Practice 2013 A Review: Nutrition Take: RN Community Health Online 4 hours 7 6/25/15 -RN Nutrition Online Take: Targeted Medical-Surgical 2013: Endocrine RN Nutrition Online Remember to take BOTH practice tests! Review topic: Community health nursing & Endocrine Review: Zerwekh Ch. 5 &13 ATI Community Health & Med Surg- Endocrine Revised 5/2015 Page 11
Week Content and Topic Outside Preparation Approximate Preparation Time 8 -RN Community Health Online Take: RN Adult Medical-Surgical Online 4 hours 7/2/15 - Targeted Medical Surgical 2013: Endocrine Review: Zerwekh Ch. 14, 17 & 23 ATI Med/Surg Cardio, Renal RN Community Health Online Review topic: Adult Medical/Surgical (Renal & Cardio) 9 -RN Adult Medical- Surgical Online Practice 2013 A Take: RN Mental Health Online Review: Zerwekh Ch. 10 and ATI Mental Health Book 4 hours 7/9/15 Adult Medical/Surgical Test B Review: Mental Health Revised 5/2015 Page 12
Week Content and Topic Outside Preparation Approximate Preparation Time 10 7/16/15 -RN Mental Health Online Review your ATI focused review of RN Comprehensive Online Practice 2013 A 6 hours RN Mental Health Online Comprehensive Review Do your ATI focused review of RN Comprehensive Online 10 hours Print out results and bring to next class. 11 7/23/15 RN Comprehensive Online Take: NCLEX Final Exam (ATI: found under Tutorials---Learning System RN Final Exams) Revised 5/2015 Page 13
Week Content and Topic Outside Preparation 12 7/30/15 -NCLEX Final Exam Tutorial -Personal results from RN Comprehensive Online Do your ATI focused review of RN Comprehensive Predictor 2013 Approximate Preparation Time 6 hours RN Comprehensive Predictor 2013 13 8/6/15 Review Session Continue focused review of Comprehensive Predictor 4 hrs 14 8/13/15 Review Session Study notes for second attempt at Comprehensive Predictor (if applicable) 6 hours Week 15 Finals Week **ATI Live Review Wednesday, Thursday and Friday** TBA Revised 5/2015 Page 14
Practice for Proficiency: NUR 290 NCLEX Review For each question you choose to journal, briefly document your approach to each question as you learned in Nurse Logic 2.0 Testing and Remediation; 1. What is the question asking? Write what the question is asking, in your own words. 2. Which type of question is this: a positively worded question, a negatively worded question, or a priority question? 3. What content knowledge is needed to answer this question? (Look up content when you are unsure or need to review the information.) 4. For each possible answer, state why it is the answer to choose (the key) or should be eliminated (the distractors). 5. Post reflection: What might keep me from answering this question correctly? What is most important in getting this particular question right? Example #1: Question: For an adult who experienced a seizure, which notation is a nurse most likely to document in the client s medical record about the postictal period? A. Whether the client experienced an aura B. What the client was doing immediately preceding the seizure C. What the condition of the client was immediately following the seizure D. Where tonic-clonic activity started and how long the client was unresponsive 1. Write what the question is asking, in your own words: What does a nurse chart about the postictal period when an adult had a seizure? 2. Which type of question is this: Positively worded 3. What content knowledge is needed to answer this question?: A postictal period happens after a seizure, client is usually dazed or very sleepy during this time. An aura may happen before a seizure, and tonicclonic activity refers to rhythmic jerking or shaking of muscles during a seizure. 4. Explain why each action is correct or incorrect: A is not correct because an aura happens before a seizure, and is not part of the postictal period. B is not correct because the postictal period is after the seizure and is not related to what the client was doing before the seizure. C is correct because the condition of the client after the seizure is what the nurse would describe as being characteristic of the postictal period. Revised 5/2015 Page 15
D is not correct because tonic-clonic activity and length of unresponsiveness are referring to what happened during the seizure, not afterward. 5. Reflection: What might keep me from answering this question correctly? What is most important in getting this question right? I might not get this question right if I was worried about the part of the question that asks what a nurse is most likely to document. I may be more worried about whether the question is asking about documentation, when it is really just finding out if I know what a postictal period is. I would also miss the question if I didn t know the meaning of the terms postictal period, aura, and tonic-clonic activity. Example #2: Question: Which action should a nurse perform first when receiving a client in the operating room? A. Assess the client s level of anxiety B. Confirm that the operative consent is signed C. Verify the correct operative site with the client D. Check the client s name band and ask the client s name 1. Write what the question is asking, in your own words: What is the most important thing that has to get done as soon as a client gets into the operating room before surgery? 2. Which type of question is this: Priority 3. What content knowledge is needed to answer this question?: What actions are taken prior to surgery, importance of actions to be taken before surgery, and in what order actions should be done 4. Explain why each action is correct or incorrect: A is not correct because assessing anxiety is not as important as verifying safety issues like consent and patient identity and operative site. B is important, but not as important as validating the client s identity. C is also important but not as important as checking identity. D is most important to do first, because if the client is not the right client, it won t do any good to check for the consent form or the operative site. 5. Reflection: What might keep me from answering this question correctly? What is most important in getting this question right? We have always been taught to make sure the consent is Revised 5/2015 Page 16
signed before anything else. I need to be able to understand that verifying identity must come before other good actions. Same thing for verifying the site it IS important, but checking identity is MORE important. I might pick A because it says assess ; but checking anxiety levels won t make a huge difference; finding out you have the wrong patient is much more important! Revised 5/2015 Page 17