Iowa Western Community College Nursing Program: Test Blueprint (NCLEX-Based)
IWCC NURSING
Test Blueprint
Iowa Western Community College Nursing Program Test Blueprint (NCLEX Based)
Course Name Lifespan IV Date Spring, 2014 Faculty Unit: Comprehensive Final Exam
Exam Name Test #: Comprehensive Final
Unit
NS Process
NCLEX Test plan
Blooms Taxonomy
Question #
Competency #
Content Tested
Discrimination
Difficulty
Assessment
Analyzing
Planning
Implementing
Evaluate
Safe and Effective
Care Environment
Heath Promotion and Maintenance promotion
Psychosocialintegrity
PhysiologicalIntegrity
Knowledge
Comprehension
Application
Analysis
Synthesis
Evaluation
1
5 INCREASED INTRACRANIAL PRESSURE (IICP)
X
X
X
2
4 …show more content…
CEREBRAL ANEURYSMS
X
X
X
3
5
INCREASED ICP
X
X
X
4
4
SMALL BOWEL OBSTRUCTION (SBO)
X
X
X
5
7
BOWEL RESECTION/COLOSTOMY
X
X
X
6
4
COLOSTOMY
X
X
X
7
5
MACULAR DEGENERATION
X
X
X
8
8
PKU
X
X
X
9
3
SYSTEMIC SCLEROSIS
X
X
X
10
3
LARGE BOWEL OBSTRUCTION
X
X
X
11
5
STATUS EPILEPTICUS
X
X
X
12
6
ABUSE
X
X
X
13
4
SBO
X
X
X
14
5
REITER’S SYNDROME
X
X
X
15
3
EAR DISORDERS
X
X
X
16
4
PERITONITIS
X
X
X
17
MATH
18
MATH
19
4
HYPOKALEMIA
X
X
X
20
4
POST-BURNS CARES
X
X
X
21
4
HYPONATREMIA
X
X
X
22
4
HYPOCALCEMIA
X
X
X
23
3
HYPOMAGNESIUM
X
X
X
24
5
HYPERKALEMIA
X
X
X
25
3
PERITONITIS
X
X
X
26
4
TOTAL HIP REPLACMENT
X
X
X
27
4
TOTAL KNEE REPLACEMENT
X
X
X
28
4
CEREBRAL VASCULAR ACCIDENT (CVA)
X
X
X
29
4
CVA
X
X
X
30
5
SJOGREN’S SYNDROME
X
X
X
31
3
CHRONIC RENAL FAILURE
X
X
X
32
3
GLOMERULONEPHRITUS
X
X
X
33
4
RENAL CANCER
X
X
X
34
5
AGING / HEALTH
X
X
X
35
4
RENAL TRANSPLANTS
X
X
X
36
8
PERITONEAL DIALYSIS
X
X
X
37
5
AUTISM
X
X
X
38
4
EAR CONDITIONS
X
X
X
39
8
ILEAL CONDUIT
X
X
X
40
5
DOWN’T SYNDROME
X
X
X
41
3
NARCOLEPSY
X
X
X
42
4
SLEEP APNEA
X
X
X
43
5
WILM’S TUMOR
X
X
X
44
3
SYSTEMIC LUPUS ERYTHEMATOSUS
X
X
X
45
3
FIBROMYALGIA
X
X
X
46
3
PSYCHIATRIC PATHOPHYSIOLOGY
X
X
X
47
3
PSYCHIATRIC PHARMACOLOGY
X
X
X
48
3
PSYCHIATRIC PHARMACOLOGY
X
X
X
49
8
ANXIETY DISORDER
X
X
X
50
3
PSYCHIATRIC PATHOPHYSIOLOGY
X
X
X
51
3
LUPUS
X
X
X
52
5
LUPUS
X
X
X
53
3
SYSTEMIC SCLEROSIS
X
X
X
54
2
INSOMNIA
X
X
X
55
3
POLYMYOSITITIS
X
X
X
56 3
OBSESSIVE COMPULSIVE DISORDER
X
X
X
57
5
ALCOHOL ABUSE
X
X
X
58
3
ALCOHOL ABUSE
X
X
X
59
4
ANOREXIA
X
X
X
60
7
PSYCHIATRIC THERAPEUTIC COMMUNICATION
X
X
X
61
5
OSTEOGENESIS IMPERFECTA
X
X
X
62
4
COLON CANCER
X
X
X
63
MATH
64
5
TOTAL HIP REPLACEMENT
X
X
X
65
3
PERITONITIS
X
X
X
66
3
ABDOMINAL ASSESSMENT
X
X
X
67
4
SIADH
X
X
X
68 3
HYPERKALEMIA
X
X
X
69
4
HYPOMAGNESIUM
X
X
X
70
3
HYPOPHOSPHATEMIA
X
X
X
71
4
HEMODIALYSIS
X
X
X
72
3
PERITONEAL DIALYSIS
X
X
X
73
3
RENAL CANCER
X
X
X
74
4
WILM’S TUMOR
X
X
X
75
5
RENAL TRANSPLANT
X
X
X
76
3
SEIZURES
X
X
X
77
4
SPINAL CORD INJURY
X
X
X
78
4
SEIZURES
X
X
X
79
4
SPINAL CORD INJURY
X
X
X
80
3
ICP
X
X
Competency : this is a number that directly correlates the test question to the syllabus competencies.
Content: this is a word(s) from the syllabus that directly correlates to the test question. Whatever word is used on the syllabus to describe the content is the word that belongs in this space.
As for NS Process, NCLEX Testplan & Blooms Taxonomy: for each test question, there should be an ‘X’ placed in one of the columns under each of these categories (see descriptions below). Ex. If the question is having the student recall a piece of data collection about a psychiatric patient directly from their notes, an ‘X’ would be placed in the following categories Assessment, Psychosocial Integrity & Knowledge.
DISCRIMINATION: (For Faculty Use Only) the degree to which an item discriminates between students with low achievement and those with high achievement. POSITIVE DISCRIMINATION: more often, the item was answered correctly by those with high achievement on the test.
NEGATIVE DISCRIMINATION: more often, the item was answered correctly by those with low achievement on the test.
DIFFICULTY: (For Faculty Use Only) percentage of students who answered the item correctly. <30% = difficult question.
Instructor should make sure the content is supplied to the students, possible remediation 30%-70%=ideal question
>80%=easier question. Instructor should look at this question for review to possibly make a higher level question.
ASSESSMENT: Obtaining, validating, and communicating subjective and objective client assessment data including patient history, consultations, lab findings, pharmacological requisites, and the nurse’s physical examination. Also involves the nurse’s determination of the congruency between the client’s needs and the ability of health care team members to meet such needs.
ANALYZING: Selecting relevant data and drawing inferences and conclusions to identify actual and/or potential problems that require nursing assistance. Includes identifying nursing diagnoses and communicating results of the analysis.
PLANNING: Making plans with the client to set goals and establish outcomes to deal with the identified problems. Includes prioritizing, communicating a plan, and collaborating with other health care team members to deliver comprehensive care. Outcomes development encompasses designation of the desired responses of the client’s condition including the physiological, emotional, social, developmental, and spiritual …show more content…
dimensions.
IMPLEMENTING: Includes nursing behaviors and actions such as communicating, teaching, performing, or assisting with activities of daily living, and informing client and/or family about health status in order to achieve the established goals and expected outcomes.
EVALUATING: Gauging and measuring the client’s response to nursing actions and the movement toward or away from identified goals. Includes comparisons of actual outcomes of therapy with expected outcomes, evaluating compliance with prescribed or proscribed therapy, describing response to therapy or care, and determining the extent to which client outcomes have been achieved. Also involves the modification of plan, as indicated, and the re-establishment of prioritized care needs.
SAFE EFFECTIVE CARE ENVIRONMENT: The nurse promotes achievement of client outcomes by providing and directing nursing care that enhances the care delivery setting in order to protect clients and other health care personnel.
HEALTH PROMOTION AND MAINTENANCE: The nurse provides and directs nursing care of the client that incorporates the knowledge of expected growth and development principles, prevention and/or early detection of health problems, and strategies to achieve optimal
health.
PSYCHOSOCIAL INTEGRITY: The nurse provides and directs nursing care that promotes and supports the emotional, mental and social well-being of the client experiencing stressful events as well as clients with acute or chronic mental illness.
PHYSIOLOGICAL INTEGRITY: The nurse promotes physical health and wellness by providing care and comfort, reducing client risk potential and managing health alterations.
KNOWLEDGE: Exhibits memory of previously learned material by recalling fundamental facts, terms, basic concepts and answers about the selection. Commonly used words include: what, why, choose, define, match, select
COMPREHENSION: Demonstrate understanding of facts and ideas by organizing, comparing, translating, interpreting, giving descriptors and stating main ideas. Commonly used words include: compare, contrast, explain, relate, summarize
APPLICATION: Solve problems in new situations by applying acquired knowledge, facts, techniques and rules in a different, or new way. Commonly used words include: apply, choose, develop, organize, solve, utilize
ANALYSIS: Examine and break information into parts by identifying motives or causes. Make inferences and find evidence to support generalizations. Commonly used words include: analyze, categorize, classify, examine, distinguish, conclusion SYNTHESIS: Compile information together in a different way by combining elements in a new pattern or proposing alternative solutions. Commonly used words include: build, combine, compile, compose, construct, create, develop, formulate, plan, discuss, modify, theorize
EVALUATION: Present and defend opinions by making judgments about information, validity of ideas or quality of work based on a set of criteria. Commonly used words include: conclude, defend, determine, evaluate, judge, recommend, prioritize, interpret,
Test Blueprint
Iowa Western Community College Nursing Program Test Blueprint (NCLEX Based)
Course Name Lifespan IV Date Spring, 2014 Faculty Unit: Comprehensive Final Exam
Exam Name Test #: Comprehensive Final
Unit
NS Process
NCLEX Test plan
Blooms Taxonomy
Question #
Competency #
Content Tested
Discrimination
Difficulty
Assessment
Analyzing
Planning
Implementing
Evaluate
Safe and Effective
Care Environment
Heath Promotion and Maintenance promotion
Psychosocialintegrity
PhysiologicalIntegrity
Knowledge
Comprehension
Application
Analysis
Synthesis
Evaluation
1
5 INCREASED INTRACRANIAL PRESSURE (IICP)
X
X
X
2
4 …show more content…
CEREBRAL ANEURYSMS
X
X
X
3
5
INCREASED ICP
X
X
X
4
4
SMALL BOWEL OBSTRUCTION (SBO)
X
X
X
5
7
BOWEL RESECTION/COLOSTOMY
X
X
X
6
4
COLOSTOMY
X
X
X
7
5
MACULAR DEGENERATION
X
X
X
8
8
PKU
X
X
X
9
3
SYSTEMIC SCLEROSIS
X
X
X
10
3
LARGE BOWEL OBSTRUCTION
X
X
X
11
5
STATUS EPILEPTICUS
X
X
X
12
6
ABUSE
X
X
X
13
4
SBO
X
X
X
14
5
REITER’S SYNDROME
X
X
X
15
3
EAR DISORDERS
X
X
X
16
4
PERITONITIS
X
X
X
17
MATH
18
MATH
19
4
HYPOKALEMIA
X
X
X
20
4
POST-BURNS CARES
X
X
X
21
4
HYPONATREMIA
X
X
X
22
4
HYPOCALCEMIA
X
X
X
23
3
HYPOMAGNESIUM
X
X
X
24
5
HYPERKALEMIA
X
X
X
25
3
PERITONITIS
X
X
X
26
4
TOTAL HIP REPLACMENT
X
X
X
27
4
TOTAL KNEE REPLACEMENT
X
X
X
28
4
CEREBRAL VASCULAR ACCIDENT (CVA)
X
X
X
29
4
CVA
X
X
X
30
5
SJOGREN’S SYNDROME
X
X
X
31
3
CHRONIC RENAL FAILURE
X
X
X
32
3
GLOMERULONEPHRITUS
X
X
X
33
4
RENAL CANCER
X
X
X
34
5
AGING / HEALTH
X
X
X
35
4
RENAL TRANSPLANTS
X
X
X
36
8
PERITONEAL DIALYSIS
X
X
X
37
5
AUTISM
X
X
X
38
4
EAR CONDITIONS
X
X
X
39
8
ILEAL CONDUIT
X
X
X
40
5
DOWN’T SYNDROME
X
X
X
41
3
NARCOLEPSY
X
X
X
42
4
SLEEP APNEA
X
X
X
43
5
WILM’S TUMOR
X
X
X
44
3
SYSTEMIC LUPUS ERYTHEMATOSUS
X
X
X
45
3
FIBROMYALGIA
X
X
X
46
3
PSYCHIATRIC PATHOPHYSIOLOGY
X
X
X
47
3
PSYCHIATRIC PHARMACOLOGY
X
X
X
48
3
PSYCHIATRIC PHARMACOLOGY
X
X
X
49
8
ANXIETY DISORDER
X
X
X
50
3
PSYCHIATRIC PATHOPHYSIOLOGY
X
X
X
51
3
LUPUS
X
X
X
52
5
LUPUS
X
X
X
53
3
SYSTEMIC SCLEROSIS
X
X
X
54
2
INSOMNIA
X
X
X
55
3
POLYMYOSITITIS
X
X
X
56 3
OBSESSIVE COMPULSIVE DISORDER
X
X
X
57
5
ALCOHOL ABUSE
X
X
X
58
3
ALCOHOL ABUSE
X
X
X
59
4
ANOREXIA
X
X
X
60
7
PSYCHIATRIC THERAPEUTIC COMMUNICATION
X
X
X
61
5
OSTEOGENESIS IMPERFECTA
X
X
X
62
4
COLON CANCER
X
X
X
63
MATH
64
5
TOTAL HIP REPLACEMENT
X
X
X
65
3
PERITONITIS
X
X
X
66
3
ABDOMINAL ASSESSMENT
X
X
X
67
4
SIADH
X
X
X
68 3
HYPERKALEMIA
X
X
X
69
4
HYPOMAGNESIUM
X
X
X
70
3
HYPOPHOSPHATEMIA
X
X
X
71
4
HEMODIALYSIS
X
X
X
72
3
PERITONEAL DIALYSIS
X
X
X
73
3
RENAL CANCER
X
X
X
74
4
WILM’S TUMOR
X
X
X
75
5
RENAL TRANSPLANT
X
X
X
76
3
SEIZURES
X
X
X
77
4
SPINAL CORD INJURY
X
X
X
78
4
SEIZURES
X
X
X
79
4
SPINAL CORD INJURY
X
X
X
80
3
ICP
X
X
Competency : this is a number that directly correlates the test question to the syllabus competencies.
Content: this is a word(s) from the syllabus that directly correlates to the test question. Whatever word is used on the syllabus to describe the content is the word that belongs in this space.
As for NS Process, NCLEX Testplan & Blooms Taxonomy: for each test question, there should be an ‘X’ placed in one of the columns under each of these categories (see descriptions below). Ex. If the question is having the student recall a piece of data collection about a psychiatric patient directly from their notes, an ‘X’ would be placed in the following categories Assessment, Psychosocial Integrity & Knowledge.
DISCRIMINATION: (For Faculty Use Only) the degree to which an item discriminates between students with low achievement and those with high achievement. POSITIVE DISCRIMINATION: more often, the item was answered correctly by those with high achievement on the test.
NEGATIVE DISCRIMINATION: more often, the item was answered correctly by those with low achievement on the test.
DIFFICULTY: (For Faculty Use Only) percentage of students who answered the item correctly. <30% = difficult question.
Instructor should make sure the content is supplied to the students, possible remediation 30%-70%=ideal question
>80%=easier question. Instructor should look at this question for review to possibly make a higher level question.
ASSESSMENT: Obtaining, validating, and communicating subjective and objective client assessment data including patient history, consultations, lab findings, pharmacological requisites, and the nurse’s physical examination. Also involves the nurse’s determination of the congruency between the client’s needs and the ability of health care team members to meet such needs.
ANALYZING: Selecting relevant data and drawing inferences and conclusions to identify actual and/or potential problems that require nursing assistance. Includes identifying nursing diagnoses and communicating results of the analysis.
PLANNING: Making plans with the client to set goals and establish outcomes to deal with the identified problems. Includes prioritizing, communicating a plan, and collaborating with other health care team members to deliver comprehensive care. Outcomes development encompasses designation of the desired responses of the client’s condition including the physiological, emotional, social, developmental, and spiritual …show more content…
dimensions.
IMPLEMENTING: Includes nursing behaviors and actions such as communicating, teaching, performing, or assisting with activities of daily living, and informing client and/or family about health status in order to achieve the established goals and expected outcomes.
EVALUATING: Gauging and measuring the client’s response to nursing actions and the movement toward or away from identified goals. Includes comparisons of actual outcomes of therapy with expected outcomes, evaluating compliance with prescribed or proscribed therapy, describing response to therapy or care, and determining the extent to which client outcomes have been achieved. Also involves the modification of plan, as indicated, and the re-establishment of prioritized care needs.
SAFE EFFECTIVE CARE ENVIRONMENT: The nurse promotes achievement of client outcomes by providing and directing nursing care that enhances the care delivery setting in order to protect clients and other health care personnel.
HEALTH PROMOTION AND MAINTENANCE: The nurse provides and directs nursing care of the client that incorporates the knowledge of expected growth and development principles, prevention and/or early detection of health problems, and strategies to achieve optimal
health.
PSYCHOSOCIAL INTEGRITY: The nurse provides and directs nursing care that promotes and supports the emotional, mental and social well-being of the client experiencing stressful events as well as clients with acute or chronic mental illness.
PHYSIOLOGICAL INTEGRITY: The nurse promotes physical health and wellness by providing care and comfort, reducing client risk potential and managing health alterations.
KNOWLEDGE: Exhibits memory of previously learned material by recalling fundamental facts, terms, basic concepts and answers about the selection. Commonly used words include: what, why, choose, define, match, select
COMPREHENSION: Demonstrate understanding of facts and ideas by organizing, comparing, translating, interpreting, giving descriptors and stating main ideas. Commonly used words include: compare, contrast, explain, relate, summarize
APPLICATION: Solve problems in new situations by applying acquired knowledge, facts, techniques and rules in a different, or new way. Commonly used words include: apply, choose, develop, organize, solve, utilize
ANALYSIS: Examine and break information into parts by identifying motives or causes. Make inferences and find evidence to support generalizations. Commonly used words include: analyze, categorize, classify, examine, distinguish, conclusion SYNTHESIS: Compile information together in a different way by combining elements in a new pattern or proposing alternative solutions. Commonly used words include: build, combine, compile, compose, construct, create, develop, formulate, plan, discuss, modify, theorize
EVALUATION: Present and defend opinions by making judgments about information, validity of ideas or quality of work based on a set of criteria. Commonly used words include: conclude, defend, determine, evaluate, judge, recommend, prioritize, interpret,