PSB-RNSAE study plan
PSB-RNSAE · Give each week a clear focus.
8 weeks · About 7 hours per week
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.
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.
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.
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.
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.
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.
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.
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.