NLN NEX study plan

Define the scope of practice boundaries that separate nursing actions from tasks that must be delegated or referred

Rank a set of 10 client scenarios by urgency using airway-breathing-circulation and acute-over-chronic reasoning

List the correct sequence of steps for initiating and releasing isolation precautions for a client with a suspected transmissible infection

Identify the elements required for a valid informed consent and state who may obtain it

Distinguish negligence, malpractice, assault, battery, and false imprisonment using short written examples

Apply fall, restraint, and seizure safety measures to written case vignettes

Describe the nurse's role in recognizing and reporting suspected abuse, neglect, and unsafe practice

Map the normal ranges and nursing implications for sodium, potassium, calcium, and magnesium

Sequence the assessments for a client with a fluid volume deficit versus fluid volume excess

Explain how to verify safe administration of a blood product from pre-check through reaction response

Interpret basic arterial blood gas values and classify respiratory versus metabolic acid-base imbalances

Outline assessment priorities for a client with chest pain, heart failure, or a dysrhythmia

Describe nursing actions for a client with worsening oxygenation, including positioning, oxygen delivery, and when to escalate

Compare early and late signs of increased intracranial pressure and stroke

Explain perioperative nursing priorities before and after surgery

Differentiate hypoglycemia from hyperglycemia and state the immediate nursing response to each

Describe monitoring priorities for a client with acute kidney injury or chronic kidney disease

Sequence care for a client with a gastrointestinal bleed, bowel obstruction, or ostomy

Identify precautions and mobility limits for a client with a fracture, traction, or total joint replacement

Recognize signs of postpartum hemorrhage and preeclampsia and state the escalation steps

Summarize recommended screening schedules across the lifespan, including prenatal, pediatric, adult, and older adult intervals

Explain the recommended immunization schedule and common contraindications in plain language

Identify modifiable risk factors for the leading chronic conditions and the teaching points that address each

Describe developmental milestones and anticipated guidance for infants, toddlers, school-age children, and adolescents

Outline prenatal and postpartum teaching topics, including breastfeeding, nutrition, and warning signs

Apply the teach-back method to a written client education scenario and evaluate whether learning occurred

Adapt teaching for a client with low health literacy, a sensory deficit, or a language barrier

Describe the stages of grief and the expected coping responses at each stage

Differentiate normal stress responses from maladaptive coping behaviors

Identify the components of a cultural assessment that affect health beliefs and adherence

Select therapeutic communication responses and rewrite nontherapeutic statements into therapeutic ones

Describe assessment and safety priorities for a client experiencing suicidal ideation, agitation, or withdrawal

Outline nursing considerations for clients receiving common psychotropic medication classes

Explain how to support a client and family through a crisis, an unexpected loss, or a new chronic diagnosis

Recognize signs of substance withdrawal and the associated monitoring priorities

Complete two full-length timed practice tests under exam conditions

Rank your five weakest content areas from the practice results and remediate each with focused review

Re-derive the prioritization and delegation decision tool and confirm it holds up against missed items

Practice a timed test-day routine, including pacing checkpoints and breaks

Consolidate one final one-page summary per domain