CNA Medical-Surgical LPN (MSPNC(C)) study plan

Build a one-page drug-class grid covering the 15 highest-yield med-surg classes (anticoagulants, insulin, antihypertensives, opioids, antibiotics, corticosteroids, diuretics, bronchodilators, anticonvulsants, thyroid agents, antidotes, chemotherapy precautions, parenteral nutrition, IV fluids, electrolyte replacements) with mechanism, key monitoring, and one major adverse effect per class.

Calculate 20 practice dosage problems (weight-based, IV drip rate, unit conversion, pediatric/adult safe-dose range) and record each error with the rule it violated.

List the six rights of medication administration plus the LPN's scope limits for IV push, blood products, and chemotherapy, citing your state nurse practice act where known.

Identify the chain-of-command and delegation steps for a conflict between an RN assignment and a facility policy, and write the three people you would notify in order.

Create a flashcard deck of 40 high-alert medications flagged by name and required double-check step.

Apply the nursing process to five medication scenarios (missed dose, held dose for bradycardia, incompatible IV line, adverse reaction, patient refusal) by writing the assessment, action, and documentation for each.

Explain the LPN's role in informed consent, advance directives, and patient advocacy during a procedure, in 150 words or fewer per item.

Compare enteral, parenteral, and peripheral IV therapy on site care, complication signs, and when to escalate.

Practice 15 pharmacology items under timed conditions and categorize each miss by knowledge gap, misread stem, or content never studied.

Map the assessment findings and priority interventions for the ten most-tested acute conditions (MI, heart failure exacerbation, stroke, DKA, COPD exacerbation, sepsis, GI bleed, acute kidney injury, pancreatitis, postoperative hemorrhage).

Distinguish compensated from decompensated shock states and state the first three actions for hypovolemic, cardiogenic, and septic shock.

Interpret 15 sets of vital signs and labs (ABGs, potassium, glucose, hemoglobin, creatinine) and state whether each is stable, worsening, or emergent.

Identify five early-warning signs that require immediate escalation rather than reassessment in 30 minutes.

Calculate and interpret fall-risk, pressure-injury, and VTE risk scores on five written patient profiles and state the matching prevention bundle.

Sequence preoperative teaching, postoperative nursing priorities, and discharge criteria for three surgical cases (abdominal, orthopedic, cardiac).

Explain five complication-prevention measures (incentive spirometry, early ambulation, sequential compression devices, glycemic control, sterile dressing change) with the complication each prevents.

Complete 20 mixed reduction-of-risk practice items and rewrite every missed item as a one-line rule.

Demonstrate the sequence for standard precautions, transmission-based precautions, and donning/doffing PPE by writing each step in order and naming one common error at each step.

List five sterilization versus disinfection distinctions and identify which items require each.

Describe positioning, skin assessment, and turning schedules for three immobility scenarios and state the pressure-injury staging criteria.

Outline comfort interventions for pain, nausea, dyspnea, and constipation, distinguishing independent nursing measures from those requiring an order.

Identify the reporting requirements and immediate actions for a needlestick or body-fluid exposure.

Apply safety measures for restraint use, seizure precautions, suicide risk, and elopement risk in four written scenarios.

Practice therapeutic communication by writing responses to five patient statements (anger, grief, denial, hopelessness, refusal of care) and labeling each technique used.

Differentiate delirium, dementia, and depression by onset, course, and nursing priority for each.

Describe the nurse's role in suspected abuse or neglect, including mandatory reporting steps and interview technique.

Explain how to support a patient and family through a new cancer diagnosis or terminal illness using the stages of grief without imposing them.

Build a health-promotion teaching plan for three populations (post-MI adult, newly diagnosed diabetic, older adult at home) covering screening, diet, activity, and follow-up.

Identify the recommended screening intervals and teaching points for five common conditions (colorectal cancer, hypertension, diabetes, osteoporosis, immunizations).

Explain breastfeeding, newborn care, and postpartum warning signs at a level an LPN would reinforce with a new mother.

Describe five strategies to promote sleep, mobility, and nutrition in hospitalized older adults while reducing functional decline.

Complete two full-length timed practice exams and record domain-level scores for each.

Rank your three weakest domains by score and build a 90-minute targeted review for each from your own notes.

Re-drill all previously missed dosage and pharmacology items until each is answered correctly twice in a row.

Write a one-page test-day plan covering timing per item, elimination strategy for priority questions, and how you will handle a stem you do not recognize.