PSB-RNSAE study materials
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PSB-RNSAE study plan

PSB-RNSAE · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Safe and Effective Care Environment: Management of Care

  • Map the four management-of-care subareas (delegation and supervision, prioritization, client advocacy, continuity and collaboration) and rate your confidence in each on a 1-5 scale to target weak spots.

  • Apply the five rights of delegation to at least 15 written scenarios, naming the task, the delegate, the supervision required, and the client-specific caveat each time.

  • Rank 20 mixed acuity client descriptions by priority using airway-breathing-circulation, Maslow, and acute-over-chronic rules, and write one sentence justifying each top-three ranking.

  • Distinguish the RN scope of practice from LPN and unlicensed assistive personnel scope across 10 tasks, citing the decision rule you used.

  • Build a one-page delegation decision checklist you can recall from memory for use in later weeks.

Your checkpoint

A scored delegation and prioritization worksheet of 35 items with your answers, rationale sentences, and a list of the three subareas you scored lowest on.

Week 2

Safe and Effective Care Environment: Management of Care & Safe and Effective Care Environment: Safety and Infection Control

  • Explain the nurse's role in informed consent, advance directives, and restraint use, writing the correct action for each of six short vignettes.

  • Identify the reporting obligations for suspected abuse, unsafe practice, and medication errors, and state to whom and how quickly each report is made.

  • Classify 25 infection-control items as standard precautions, transmission-based precautions, or neither, and specify the correct barrier for each positive answer.

  • Sequence the steps of donning and doffing personal protective equipment and the hand-hygiene moments that bracket client contact.

  • Differentiate a breach in sterile technique from acceptable contamination in five procedure descriptions and state the corrective action.

Your checkpoint

A two-column safety reference sheet (legal-ethical actions on one side, precaution type and required barriers on the other) plus a 30-item self-quiz with a recorded score of at least 85 percent.

Week 3

Physiological Integrity: Pharmacological and Parenteral Therapies

  • Calculate 30 dosage problems covering weight-based dosing, reconstitution, IV drip rate, and safe-dose range checks, with no more than two errors.

  • List the high-alert medication classes and the independent double-check steps required before administration for each.

  • Match 20 adverse drug effects to the medication class that causes them and the monitoring parameter that detects them earliest.

  • Describe the assessment and intervention sequence for anaphylaxis, extravasation, and opioid-induced respiratory depression in three written drills.

  • Explain the rights of medication administration and identify which right is violated in 10 error scenarios.

Your checkpoint

A dosage-calculation error log documenting every missed problem, the cause of the error, and a corrected worked solution, plus a one-page high-alert medication monitoring table.

Week 4

Physiological Integrity: Pharmacological and Parenteral Therapies & Physiological Integrity: Reduction of Risk Potential

  • Interpret 15 parenteral therapy situations (central versus peripheral access, compatibility, infusion rate, site assessment) and state the next nursing action for each.

  • Identify risk factors and early warning signs for pressure injury, falls, aspiration, and venous thromboembolism in 20 client profiles.

  • Select the appropriate screening tool or prevention bundle for each risk identified in the previous goal.

  • Explain the nurse's response to a deteriorating client using a structured communication format, drafting three escalation reports.

  • Review laboratory values for 10 clients and flag which results require holding a medication or notifying the provider.

Your checkpoint

A risk-screening and escalation portfolio containing 20 client profiles with matched risk, prevention bundle, and escalation threshold for each.

Week 5

Physiological Integrity: Physiological Adaptation

  • Trace the pathophysiology of the eight highest-yield conditions (heart failure, chronic obstructive pulmonary disease, diabetes with ketoacidosis, acute kidney injury, sepsis, stroke, shock, and fluid-electrolyte imbalance) and link each to its expected assessment findings.

  • Predict the compensatory mechanism a body will mount in six deteriorating-client scenarios and state how that compensation shows up in vital signs and laboratory data.

  • Prioritize interventions for each of the eight conditions in the order they would be performed.

  • Distinguish the expected adaptation from a complication in 12 clinical changes and justify each classification.

Your checkpoint

An eight-condition pathophysiology-to-intervention map, one page per condition, with assessment cues, compensation signs, and ordered interventions.

Week 6

Physiological Integrity: Physiological Adaptation & Physiological Integrity: Basic Care and Comfort

  • Plan basic care and comfort interventions for 15 clients covering mobility, positioning, skin care, nutrition and hydration, elimination, sleep, and pain management.

  • Apply nonpharmacologic and pharmacologic pain management principles to six scenarios, including reassessment timing and equianalgesic considerations.

  • Adapt care for older adults and clients with sensory or mobility limitations in 10 scenarios, naming the specific modification for each.

  • Evaluate whether a comfort intervention was effective using a measurable outcome for each of the 15 clients in the first goal.

Your checkpoint

A comfort-care care-plan set of 15 short plans, each with a measurable outcome criterion and a reassessment interval.

Week 7

Health Promotion and Maintenance & Psychosocial Integrity

  • Select the recommended screening and health-promotion schedule for 12 clients across the lifespan, citing the rationale for each screening.

  • Teach a health-behavior change using a client-centered approach in three written teaching dialogues, and identify the stage of change each client is in.

  • Recognize the clinical features of the major psychosocial conditions (anxiety, depression, substance withdrawal, delirium, grief, and crisis) in 15 vignettes.

  • Demonstrate therapeutic communication by rewriting 10 nontherapeutic nurse statements into therapeutic ones.

  • State the immediate safety actions for suicidal ideation, aggression, and elopement risk in three written responses.

Your checkpoint

A lifespan screening grid plus a 15-vignette psychosocial recognition log with the therapeutic response written for each.

Week 8

Safe and Effective Care Environment: Management of Care & Physiological Integrity: Pharmacological and Parenteral Therapies & Physiological Integrity: Reduction of Risk Potential

  • Complete two full-length timed practice exams under test conditions and record the percentage correct per domain.

  • Analyze every missed item from both exams by cause (content gap, misread, priority error, calculation error) and rank the causes by frequency.

  • Re-study only the two domains with the lowest practice-exam percentages, using targeted drills rather than full review.

  • Recite from memory the delegation checklist, high-alert medication table, and escalation format, correcting any gaps found.

  • Write a test-day plan covering timing per question, strategy for flagged items, and a rest schedule for the 48 hours before the exam.

Your checkpoint

A practice-exam analysis report with per-domain scores, ranked error causes, a remediation list, and a written test-day plan.

Milestones

Week 2: Score at least 80 percent on the self-made management-of-care and safety quiz, and correctly classify all 25 infection-control items.

Week 4: Complete 30 dosage calculations with no more than two errors and correctly match risk, prevention bundle, and escalation threshold for at least 18 of 20 client profiles.

Week 6: Produce all eight pathophysiology maps from memory outlines and write 15 comfort-care plans each with a measurable outcome.

Week 8: Score at least 65 percent on the first full-length practice exam and improve by at least 5 percentage points on the second, with no domain below 55 percent.