Exam Objective: To measure to overall clinical knowledge of the Registered Nurse in the clinic setting.

23%

17%

5%

20%

23%

12%

Knowledge Domains Clinic RN (Primary Care) Exam

Clinical  Practice

General  Knowledge

Infection  Control

Patient  Education

Pharmacology/ Immunization

Professional  Issues/Social   Services  and  Referrals

Any  unlawful  use  or  reproduction  of  this  data  and  content  will  be  prosecuted  to  the  fullest  extent  of  the  law.

I. Clinical Practice

A. Knowledge of evaluating emergency situations and activating emergency response plans as indicated by patient symptoms/conditions.

B. Knowledge of proper procedures for multiple types of treatments and procedures:

1. Insertion and removal of indwelling urinary catheter 2. IV therapy

C. Knowledge of principles of various assessment techniques: 1. Obtaining vital signs 2. Normal vital signs parameters for all age groups 3. Verifying abnormal findings 4. Obtaining patient’s history 5. Well Child Checks

D. Knowledge of appropriate diagnostic tests and procedures used for patient assessment based on presenting symptoms.

E. Knowledge of assessment findings, pertinent lab data, and the associated symptoms of common disorders and disease processes.

F. Knowledge of evaluating diagnostic tests and appropriate interventions of abnormal findings for:

1. Pulse oximeter 2. Blood glucose 3. Labs 4. Monitoring for effectiveness of medication therapy

Any  unlawful  use  or  reproduction  of  this  data  and  content  will  be  prosecuted  to  the  fullest  extent  of  the  law.

II. General Knowledge

A. Knowledge of principles of age specific considerations for treating and assessing the pediatric population.

B. Knowledge of signs and symptoms of common disorders: 1. Asthma 2. COPD 3. Diabetes 4. Diabetic Ketoacidosis 5. Eating Disorders 6. GERD 7. GI Bleed 8. Hypoglycemia 9. Surgical wound infection 10. Tuberculosis

C. Knowledge of utilizing safety/risk protocols for patients at risk for falls or suicide.

D. Knowledge of principles for assessing discharge criteria as related to pertinent lab data and social services referrals.

E. Knowledge of advanced techniques for obtaining and assessing vital signs: 1. Orthostatic Blood Pressure 2. Pediatric vital sign parameters Joint Commission and OSHA Core Mandatories DQ

III. Infection Control

A. Knowledge of principles of infection control including hand washing protocols, personal protective equipment, and environmental control and cleaning to provide safe patient care

Any  unlawful  use  or  reproduction  of  this  data  and  content  will  be  prosecuted  to  the  fullest  extent  of  the  law.

IV. Patient Education

A. Knowledge of patient education related to plan of care for specific disease processes:

1. ADHD 2. Asthma 3. Bronchitis 4. CHF 5. COPD 6. Gout 7. Helicobacter pylori 8. Iron deficiency anemia 9. Pancreatitis 10. Sickle cell anemia 11. Tuberculosis

B. Knowledge of patient education related to diagnostic testing: 1. Clean catch urine specimen 2. Fasting lipid profile 3. Diabetic testing

C. Knowledge of patient education related to special nutritional considerations: 1. Pediatrics 2. Anticoagulant therapy

D. Knowledge of patient education related to family planning and oral contraceptives.

E. Knowledge of principles of providing timely patient education.

Any  unlawful  use  or  reproduction  of  this  data  and  content  will  be  prosecuted  to  the  fullest  extent  of  the  law.

V. Pharmacology/Immunization

A. Knowledge of safe medication administration utilizing the six rights of medication administration.

B. Knowledge of multiple different types of medications commonly administered in the primary care clinic:

1. Indications & Actions

2. Side effects

3. Contraindications

4. Patient Education

5. Types of medications (antiemetics, antidepressants, antibiotics, anticoagulants, non-narcotic analgesic, thyroid medications, loop diuretics)

C. Knowledge of principles of insulin administration: 1. Different types of insulin 2. Peak actions 3. Proper injection sites

D. Knowledge of principles of immunization administration: 1. Contraindications for specific vaccines 2. Age specific injection sites 3. Pediatric administration considerations

E. Knowledge of principles of tuberculin skin test (PPD) administration.

F. Knowledge of dosage calculations to accurately calculate oral and parenteral for medication administration given via different routes.

Any  unlawful  use  or  reproduction  of  this  data  and  content  will  be  prosecuted  to  the  fullest  extent  of  the  law.

VI. Professional Issues/Social Services and Referrals

A. Knowledge of principles of HIPAA in the provision of care.

B. Knowledge of principles of delegation to non-licensed personnel using the 5 rights for delegation.

C. Knowledge of principles of incident reporting and legal responsibilities of the nurse.

D. Knowledge of utilizing appropriate referrals to community resources.

E. Knowledge of principles of assessment and interventions for patients at risk for abuse/neglect.

F. Knowledge of principles of appropriate protocols for medication administration, treatments and invasive procedures:

1. Utilizing two patient identifiers 2. Informed consent 3. Time out