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Capstone Affirming NCLEX-RN® Readiness II Assignment Guidelines Purpose:

The Affirming NCLEX-RN® Readiness II Assignment is designed to provide the student an opportunity to assess their NCLEX-RN® readiness, identify areas of strengths and opportunities for growth, practice NCLEX®-style adaptive testing, and participate in a required NCLEX-RN® 2-day live review.

Course Outcomes: This assignment enables the student to meet the following course outcomes.

Synthesize knowledge from sciences, humanities, and nursing in managing the needs of humans as consumers of healthcare in a patient-centered environment. (PO 1)
Utilize information technology to manage knowledge, mitigate error, and support decision making with health team members and consumers of care. (PO 2)

Integrate critical thinking, clinical reasoning skills, best current evidence, clinical expertise, and patient/family preferences/values in the implementation of the nursing process. (POs 4 and 8)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 100 points

Preparing the assignment:

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

Completion of this assignment includes 4 general components:

Completion of 4 NCLEX-RN® Client Needs Category Focused Adaptive Mastery Quizzes at the proficient level
Attendance at the 2-day NCLEX-RN® Review
Attendance at individual faculty conference to review NCLEX-RN® readiness
Completion of NCLEX-RN® Readiness Self-Evaluation and Study Plan

To complete this assignment, include the following sections:

NCLEX-RN®® Client Needs Category Focused Adaptive Mastery Quizzes - 40 points/40%
- Submit proof of achievement of completion of adaptive quizzing at the proficient level for each of your top 4 NCLEX-RN® Client Needs Category areas of opportunity based on your Strengths and Opportunities Report for the Clinical Judgment Readiness Exam (CJE): Readiness II. For assistance with the adaptive quizzing, please see the Adaptive Quizzing Help Guide.
NCLEX-RN® Review Attendance - 20 points/20%
- Submit proof of attendance for the 2-day NCLEX-RN® Review based on faculty instruction.
Attendance at an individual faculty conference to review NCLEX-RN® readiness - 20 points/20%
NCLEX-RN® Readiness Self-Evaluation and Study Plan - 20 points/20%
Links the Affirming NCLEX-RN® Readiness II Assignment to the Affirming NCLEX-RN® Readiness II Assignment section in the ePortfolio.

Note: An unsatisfactory level of performance for ePortfolio will result in a zero for the assignment.

Instructions for the NCLEX-RN® Readiness Self-Evaluation and Study Plan

Review the Strengths and Opportunities Report from the Clinical Judgment Exam (CJE) Readiness II and complete the table below.

NCLEX-RN® Client Need Categories:

Students will log their individual assessment performance in each category below and highlight the lowest four scores from the Clinical Judgment Exam (CJE) Readiness II

Management of Care

Safety & Infection Control

Health Promotion & Maintenance

Psychosocial Integrity

Basic Care & Comfort

Pharmacological & Parental Therapies

Reduction of Risk Potential

Physiological Adaptation

58.73

35.83

34.17

62.63

43.33

37.48

62.63

Identify your current greatest areas of opportunity based on NCLEX® Client Need Categories and Concepts.

Develop an NCLEX-RN® Study Plan to support your preparation for the NCLEX-RN® examination. You will identify a target testing date, develop a study schedule, and plan study activities.

Resources to support your preparation for the NCLEX-RN® include Adaptive Quizzing, CJSim™, and National Virtual Center for Academic Support.
1. Adaptive Quizzing
  1. Use test mode versus study mode.
  2. Complete 10-20 items at a time and complete at least 3 minutes of remediation for each item missed after you complete each set of items.
  3. Complete a quiz for each concept you identify as an opportunity so you can concentrate studying on one concept at a time.
  4. Complete NCLEX-RN® Client Need Category or Concept Focused Quizzes based identified on areas of opportunity
2. CJSim™:
  1. Review the unit census and select clients to take care of based on your identified concepts of opportunity
  2. Review each client’s electronic health record carefully and answer the questions
  3. Complete a minimum of 15 minutes caring for each client selected
3. National Virtual Center for Academic Support Resources:
  1. Review NCLEX Review Resources: Handouts, presentations, and worksheets
  2. Review Prelicensure Videos: Focused NCLEX review recordings and focused systems review recordings

Greatest Area of Opportunity Table

NCLEX® Client Needs Categories

Directions: Select 2-5 NCLEX® Client Need Categories that you have identified as areas of opportunity. Include these NCLEX Client Needs Categories on your NCLEX-RN® Readiness Study Plan.

NCLEX Client Need Category	Description	Related Content
☐ Management of Care	Providing and directing nursing care that enhances the care delivery setting to protect the client and health care personnel.	Advance Directives/Self-Determination/Life Planning Advocacy Assignment, Delegation, and Supervision Case Management Client Rights Collaboration with Interdisciplinary Team Concepts of Management Confidentiality/Information Security Continuity of Care Establishing Priorities Ethical Practice Information Technology Informed Consent Legal Rights and Responsibilities Performance Improvement (Quality Improvement) Referrals
☐ Safety and Infection Control	Protecting clients and health care personnel from health and environmental hazards.	Accident/Error/Injury Prevention Emergency Response Plan Ergonomic Principles Handling Hazardous and Infectious Materials Home Safety Reporting of Incident/Event/Irregular Occurrence/Variance Safe Use of Equipment Security Plan Standard Precautions/Transmission-Based Precautions/Surgical Asepsis Use of Restraints and Safety Devices
☐ 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.	Abuse/Neglect Behavioral Interventions Coping Mechanisms Crisis Intervention Cultural Awareness/Cultural Influences on Health End of Life Care Family Dynamics Grief and Loss Mental Health Concepts Religious and Spiritual Influences on Health Sensory/Perceptual Alterations Stress Management Substance Use and Other Disorders and Dependencies Support Systems Therapeutic Communication Therapeutic Environment
☐ Reduction of Risk Potential	Reducing the likelihood that clients will develop complications or health problems related to existing conditions, treatments or procedures.	Changes/Abnormalities in Vital Signs Diagnostic Tests Laboratory Values Potential for Alterations in Body Systems Potential for Complications from Surgical Procedures and Health Alterations Potential for Complications of Diagnostic Tests/Treatments/Procedures System Specific Assessments Therapeutic Procedures
☐ Physiological Adaptation	Managing and providing care for clients with acute, chronic or life-threatening physical health conditions.	Alterations in Body Systems Fluid and Electrolyte Imbalances Hemodynamics Illness Management Medical Emergencies Pathophysiology Unexpected Response to Therapies
☐ Pharmacological and Parenteral Therapies	Providing care related to the administration of medications and parenteral therapies.	Adverse Effects/Contraindications/Side Effects/Interactions Blood and Blood Products Central Venous Access Devices Dosage Calculation Expected Actions/Outcomes Medication Administration Parenteral/Intravenous Therapies Pharmacological Pain Management Total Parenteral Nutrition
☐ Basic Care and Comfort	Providing comfort and assistance in the performance of activities of daily living.	Assistive Devices Elimination Mobility/Immobility Non-Pharmacological Comfort Interventions Nutrition and Oral Hydration Personal Hygiene Rest and Sleep
☐ 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.	Aging Process Ante/Intra/Postpartum and Newborn Care Developmental Stages and Transitions Health Promotion/Disease Prevention Health Screening High Risk Behaviors Lifestyle Choices Self-Care Techniques of Physical Assessment

Reference:

National Council of State Boards of Nursing. (2023). 2023 NCLEX-RN® Test Plan. https://www.ncsbn.org/publications/2023-nclex-rn-test-plan

Nursing Concepts

Directions: Select 10-20 concepts that you have identified as areas of opportunity. Include these concepts on your NCLEX-RN® Readiness Study Plan.

☐ Accountability

☐ Acid-Base Balance

☐ Advocacy

☐ Anxiety

☐ Assessment

☐ Behaviors/Addiction

☐ Caring

☐ Caring Interventions

☐ Cellular Regulation

☐ Clinical Decision Making/Clinical Judgment

☐ Clotting

☐ Cognition

☐ Collaboration/Teamwork & Collaboration

☐ Comfort/Rest

☐ Communication

☐ Coordinator/Manager of Care

☐ Critical Thinking

☐ Culture

☐ Development/Human Development

☐ Diversity

☐ Elimination

☐ End of Life

☐ Ethics

☐ Evidence-Based Practice

☐ Family

☐ Fluid & Electrolyte Balance

☐ Functional Ability

☐ Grief & Loss

☐ Health Care Systems/Health Care Organizations

☐ Health Policy

☐ Health Promotion

☐ Health, Wellness & Illness

☐ Illness

☐ Immunity

☐ Infection

☐ Inflammation

☐ Informatics/Health Information Technology

☐ Interpersonal Relationships

☐ Intracranial Regulation

☐ Leadership & Management

☐ Legal Issues

☐ Managing/Coordinating Care

☐ Medical Emergencies

☐ Metabolism

☐ Mobility

☐ Mood & Affect/Mental Health Concepts

☐ Nursing Process

☐ Nutrition

☐ Oxygenation/Gas Exchange

☐ Patient-Centered Care

☐ Perfusion

☐ Pharmacology

☐ Professional Behaviors/Professionalism

☐ Psychosocial Well-Being

☐ Quality Improvement

☐ Reproduction

☐ Safety

☐ Self

☐ Sensory Perception

☐ Sexuality

☐ Sleep

☐ Spiritual

☐ Stress & Coping

☐ Teaching & Learning/Patient Education

☐ Technical Skills

☐ Therapeutic Communication

☐ Thermoregulation

☐ Time Management/Organization

☐ Tissue Integrity

☐ Violence

☐ Wellness

NCLEX-RN® Readiness Study Plan

Test Date: May 29, 2023

EXAMPLE Week 1 (complete for weeks 1-4)
Date	Study Activities	Anticipated Time to Complete	Completed
Monday, May 1	Complete a 150-item practice exam and remediation on missed items Check in with my accountability buddy	4.5 hours	☐
Tuesday, May 2	Complete 50 quiz items based on a concept identified as an opportunity from Monday’s practice exam and remediation on missed items Complete 50 quiz items on the Cellular Regulation Concept and remediation on missed items Take care of 2 CJSim™ clients based on an identified concept of opportunity from Monday’s practice exam	3.5 hours	☐
Wednesday, May 3	Complete 50 quiz items based on a concept identified as an opportunity from Monday’s practice exam and remediation on missed items Complete 50 quiz items on the Legal Issues Concept and complete remediation on missed items Complete 50 quiz items on the Physiological Adaptation NCLEX® Client Need Category and remediation on missed items	4.5 hours	☐
Thursday, May 4	Complete 50 quiz items on the Grief & Loss Concept and remediation on missed items Complete 50 quiz items on the Reduction of Risk Potential NCLEX® Client Need Category and remediation on missed items Take care of 2 CJSim™ clients based on an identified concept of opportunity from Monday’s practice exam	3.5 hours	☐
Friday, May 5	Complete 50 quiz items on the Mood & Affect/Mental Health Concept and remediation on missed items Complete 50 quiz items on the Functional Ability Concept and remediation on missed items Complete 50 quiz items on the Pharmacological and Parenteral Therapies NCLEX® Client Need Category and remediation on missed items	4.5 hours	☐
Saturday, May 6	Complete 50 quiz items on the Fluid & Electrolyte Balance Concept and remediation on missed items Complete 50 quiz items on the Oxygenation/Gas Exchange Concept and remediation on missed items	3 hours	☐
Sunday, May 7	Rest day		☐

NCLEX-RN® Readiness Study Plan

Test Date:

Week 1 (complete for weeks 1-4)
Date	Study Activities Health Promotion	Anticipated Time to Complete	Completed
Monday	50 Questions of EAQ • Aging Process • Ante/Intra/Postpartum and Newborn Care • Developmental Stages and Transitions	3 hrs	☐
Tuesday	50 Questions of EAQ • Health Promotion/Disease Prevention • Health Screening	2 hrs	☐
Wednesday	50 Questions of EAQ • High Risk Behaviors • Lifestyle Choices	2 hrs	☐
Thursday	50 Question of EAQ • Self-Care • Techniques of Physical Assessment	2 hrs	☐
Friday	100 Question of EAQ Retake quiz on topic	2 hrs	☐
Saturday	3 CJSIMS	45 mins	☐
Sunday			☐

Grading Rubric

Assignment Section and Required Criteria (Points possible/% of total points available)	Highest Level of Performance	High Level of Performance	Satisfactory Level of Performance	Unsatisfactory Level of Performance	Section not present
NCLEX Client Needs Category Quizzes (40 points/40%)	40 points	30 points	20 points	10 points	0 points
Required Criteria Submit proof of achievement of a proficient mastery level for each of top 4 NCLEX® Client Needs Category areas of opportunity based on your Strengths and Opportunities Report for the Clinical Judgment Exam (CJE) Readiness II	Criteria met	Submitted proof of achievement of a proficient level for 3 NCLEX® Client Needs Category quizzes	Submitted proof of achievement of a proficient level for 2 NCLEX® Client Needs Category quizzes	Submitted proof of achievement of a proficient level for 1 NCLEX® Client Needs Category quiz	Criteria not met
NCLEX-RN® 2-day Live Review Attendance (20 points/20%)	20 points				0 points
Required Criteria Submit proof of attendance of the NCLEX-RN® 2-day Live Review based on faculty instruction.	Criteria met				Criteria not met
Readiness Self-Evaluation and Study Plan (20 points/20%)	20 points				0 points
Completes the Individual Student Performance Clinical Judgment Exam (CJE) Readiness II table Completes the Greatest Area of Opportunity Table Completes the NCLEX-RN® Readiness Study Plan	Criteria met				Less than 3 criteria met
Faculty Conference (20 points/20%)	20 points
Required Criteria Attend faculty conference to review NCLEX-RN® readiness.	Criteria met				Criteria not met
ePortfolio (S/U)	Satisfactory				Unsatisfactory
Required Criteria Links the Affirming NCLEX-RN® Readiness II Assignment to the Affirming NCLEX-RN® Readiness II Assignment section.	All required criteria met				Criteria not met
Total Points Possible = 100 points

Capstone Affirming NCLEX-RN® Readiness II Assignment Guidelines_Sept23 v1.1 1