PN Level 1 study plan
PN Level 1 · Give each week a clear focus.
8 weeks · About 6 hours per week
Safe and Effective Care Environment: Coordinated Care & Safe and Effective Care Environment: Safety and Infection Control
Map the NCLEX-PN Client Needs framework onto the nine domains and label each domain's percentage weight on a one-page weight sheet
Define the LPN/LVN role boundaries in delegation, supervision, and assignment-making, and list at least six tasks that may not be delegated to unlicensed assistive personnel
Rank a set of ten client scenarios by acuity using a stable-to-unstable decision rule, and justify each ranking in two sentences
Identify the chain of command and the SBAR structure used for reporting a change in client condition
Explain how case management, discharge planning, and referrals are initiated at the point of admission rather than at discharge
Your checkpoint
A one-page delegation and prioritization decision tree that resolves ten practice scenarios with written rationales
Safe and Effective Care Environment: Safety and Infection Control
Apply standard precautions to every client contact and distinguish when transmission-based precautions (contact, droplet, airborne) are added
Sequence the correct donning and doffing order for personal protective equipment and state the point at which hand hygiene is performed in each step
Differentiate medical and surgical asepsis and give three procedures that require each
Select the appropriate handling, transport, and labeling of a laboratory specimen collected for a client on contact precautions
Describe safety measures for falls, restraints, seizure precautions, and fire response using the RACE and PASS sequences
Your checkpoint
A completed infection-control and environmental-safety checklist with 25 items, each matched to the precaution or safety rule that justifies it
Physiological Integrity: Pharmacological and Parenteral Therapies
Classify the major drug groups by mechanism, expected effect, and the three most clinically important adverse effects for each
Compute safe dose ranges, pediatric weight-based doses, and IV flow rates from supplied values with no calculator error
Interpret the rights of medication administration and identify the correct action when a dose, label, or order is unclear
Explain high-alert medication safeguards, including independent double checks for insulin, heparin, and opioid infusions
Match common antidotes and reversal agents to the drugs they counteract
Your checkpoint
A scored 40-item dosage-calculation and pharmacology set with all work shown and every error reworked to a correct answer
Physiological Integrity: Pharmacological and Parenteral Therapies & Physiological Integrity: Reduction of Risk Potential
Demonstrate the steps of peripheral IV insertion, maintenance, and site assessment, and list signs of infiltration, phlebitis, and extravasation with the immediate nursing action for each
Describe the procedure for administering blood products, including verification, vital-sign timing, and the first response to a transfusion reaction
Identify risk factors and early warning signs for pressure injury, deep vein thrombosis, and postoperative complications, and state the preventive intervention for each
Interpret common laboratory values (potassium, sodium, glucose, hemoglobin, creatinine, INR) and flag which results require immediate reporting
Explain preoperative and postoperative teaching points that reduce surgical risk, including incentive spirometry and early ambulation
Your checkpoint
A risk-reduction quick-reference card covering five complications with early signs, immediate action, and prevention
Physiological Integrity: Basic Care and Comfort & Physiological Integrity: Physiological Adaptation
Perform a head-to-toe assessment and document findings in the order used by the body-system examination
Adapt positioning, mobility, and hygiene care to clients with impaired mobility, obesity, or an existing wound
Explain pain assessment tools across the lifespan and the nonpharmacologic comfort measures that accompany analgesia
Trace the pathophysiology of the most common fluid and electrolyte imbalances and connect each to its assessment findings
Describe the nursing management priorities for clients with diabetes, heart failure, chronic obstructive pulmonary disease, and acute kidney injury
Your checkpoint
A body-system assessment and adaptation study sheet linking each system to two physiological alterations and the matching nursing priority
Psychosocial Integrity & Health Promotion and Maintenance
Apply therapeutic communication techniques and identify nontherapeutic responses in recorded dialogue samples
Describe the stages of grief and the nursing response to clients experiencing loss, anger, or denial
Recognize signs of abuse, neglect, and suicidal ideation and state the reporting and safety actions required
Identify developmental milestones and screening schedules for infants, children, and older adults, and match them to health-promotion teaching
Design client teaching on one modifiable risk behavior using a health-belief or stages-of-change framework
Your checkpoint
A written therapeutic-communication critique of ten nurse statements, each rewritten as a therapeutic response
Professional Practice and Ethical/Legal Responsibilities & Safe and Effective Care Environment: Coordinated Care
Distinguish the nurse's legal obligations for informed consent, advance directives, confidentiality, and mandatory reporting
Apply an ethical decision-making framework to a conflict among client autonomy, beneficence, and family wishes
Explain the scope of practice for the LPN/LVN relative to the registered nurse and the unlicensed assistive personnel in assignment and delegation decisions
Identify when an incident report is completed and what information is and is not documented in the client record
Describe advocacy actions when a client's rights or safety are at risk, including the escalation pathway
Your checkpoint
A case-based legal and ethical analysis of three scenarios, each with the applicable principle, the required action, and the documentation standard
Safe and Effective Care Environment: Coordinated Care & Safe and Effective Care Environment: Safety and Infection Control & Physiological Integrity: Pharmacological and Parenteral Therapies & Physiological Integrity: Reduction of Risk Potential
Complete two full-length timed practice examinations under test-day conditions and record the score for each domain
Rank the three weakest domains from practice results and rework every missed item to a documented rationale
Rehearse the prioritization and delegation decision tree against 20 new scenarios without reference to notes
Recite high-alert drug safeguards, antidotes, and transfusion-reaction steps from memory in a five-minute verbal review
Build a test-day plan covering sleep, arrival time, identification requirements, and a strategy for flagged items
Your checkpoint
A one-page remediation log listing every missed practice item, its domain, the correct concept, and the source used to relearn it
Milestones
Week 2: Score at least 80% on a 25-item safety and infection-control quiz, and demonstrate correct PPE donning and doffing from memory without prompts
Week 3: Achieve 90% accuracy on a 20-item dosage-calculation set with all work shown and no calculation left incomplete
Week 4: Name the early signs and immediate nursing action for infiltration, phlebitis, transfusion reaction, and hemorrhage from memory in under three minutes
Week 6: Score at least 75% on a 30-item mixed psychosocial and health-promotion set, and rewrite every nontherapeutic statement correctly
Week 7: Resolve three legal or ethical scenarios in writing with the correct principle, action, and documentation standard for each
Week 8: Reach at least 70% overall on both timed practice examinations with no domain below 60%, and have a complete remediation log for every missed item