378 Exam 2 Blue Print
Exam 2: Modules 4
[Respiratory], 5
[Gastrointestinal],6 [Infectious
disease]
Level of Cognitive Skill [50 questions]
Content:
Knowledge
Comprehension
Obj 4.1, 5.1, 6.1-.Describe the
mechanism of action, therapeutic
use, adverse effects, and
interactions of drugs:
Obj 4.2, 5.2, 6.2- Explain the
nursing assessments and
interventions required for safe and
effective administration:
4.3, 5.3, 6.3 -.Summarize client and
family teaching:
[5]
[2]
Apply
[22]
Analyze
[17]
5 NGN
Evaluation
[4]
Total #
Questions
[50]
Respiratory Drugs:
Obj 4.1, 4.3-Antihistaminediphenhydramine [Adv effects and
client teaching]
1
Obj 4.1, 4.2, 4.3-Decongestants
[Adv effects and client teaching]
1
Obj 4.1, 4.2- Expectorantsguaifenesin [assessments]
1
1
1
1
1
Obj 4.1, 4.3-tiotropium [adv effects
and client teaching]
Obj 4.2, 4.3-methylprednisolone
[nurse eval and client teaching]
1
1
Obj 4.1, 4.3- corticosteroid [client
teaching]
Obj 4.1, 4.3- prednisone [adv. effects
and client teaching]
1
1
1
1
Obj 4.1, 4.2- aminophylline [nurse
monitoring and expected response]
1
1
obj 4.2, 4.3-montelukast [client
1
1
1
teaching]
obj 4.2, 4.3-fluticasone,
oxymetazoline [client teaching on
effects/use]
1
Obj 4.1, 4.2, 4.3-SABA-albuterol
[know all aspects of objectives]
1
1
1
1
3
Acid Controlling Drugs:
5.1, 5.2, 5.3 [client teaching]
Obj 5.1, 5.2-magnesium antacid
[contraindications]
1
1
1
1
Obj 5.3-famotidine [client teaching]
1
1
Obj 5.1, 5.3 omeprazole [adv effects
and client teaching],
2
2
Obj. 5.1, 5.3-sucralfate [MOA,
client teaching]
1
1
Obj 5.1-simethicone [therapeutic use]
1
1
Bowel Disorder Drugs:
Obj 5.1, 5.2-bismuth subsalicylate,
[contraindications]
1
1
Obj 5.1- diphenoxylate with atropine,
and loperamide [adv effects and client
teaching]
1
1
Obj 5.1, 5.3-bisacodyl PR [therapeutic
use]
1
1
Obj 5.2- senna [nurse assessments]
1
1
Obj 5.2-promethazine, [adv effects]
1
1
Obj 5.1-metoclopramide, [therapeutic
use- nurse assessment]
1
1
Obj 5.2-ondansetron [adv effects and
nurse assessment]
1
1
Antiemetic and Antinausea Drugs:
Antibiotics Part 1:
Obj 6.1-[General standards of care
and superinfections]
1
1
1
3
Obj 6.2-sulfonamides, [nurse
assessment and contraindications]
1
1
Obj 6.1-penicillin,
cephalosporins [adv effects,
contraindications]
1
1
Obj 6.1, 6.2-erythromycin,
[contraindications, adv effects,
nursing assessment/intervention]
3
3
Antibiotics Part 2 Drugs:
Obj 6.2-gentamicin, [nursing action,
adv effects]
1
1
Obj 6.1ciprofloxacin,fluoroquinolones,[adv
effects and nursing action]
1
1
Obj 6.1-clindamycin,
metronidazole,[adv reaction]
1
1
Obj 6.2, 6.3-nitrofurantoin
[contraindications],
1
1
2
Obj 6.2-vancomycin [nursing
assessments, safe administration]
1
1
2
Antiviral Drugs: Obj 6.1-[MOA]
1
1
Obj 6.1, 6.3- acyclovir, [client
teaching]
1
1
Obj 6.1-zidovudine, [therapeutic use]
1
1
Antitubular Drugs:
Obj 6.1, 6.2, 6.3- rifampin, ioniazid
[therapuetic use, nursing action
and monitoring]
2
Antifungal Drugs: Obj 6.3-[client
teaching]
Obj 6.2-amphotericin B [MOA]
1
1
3
1
1
1
Study Tips
When you are thinking about what you will need to do on the test, consider the following comments on the learning objectives:
● “Describe the mechanism of action, therapeutic use, adverse effects and interactions of drugs used to treat
disorders…”
○ You may be asked to choose the appropriate explanation of one of these drug characteristics to a client or a
colleague
○ You may be asked to recognize if the adverse effect is occurring or if the therapeutic effect has occurred
○ You may be asked to decide which client would be at greatest risk from taking the medication
● “Explain the nursing assessments and interventions required for safe and effective administration of drugs…”
○ You may be asked to choose an action that the nurse would take
■ Before giving a med
■ While giving a med
■ After giving a med
○ You may be asked to choose the best or first action that the nurse should take if something goes wrong
● “Summarize client and family teaching for drugs…”
○ You may be asked to choose the teaching statements a nurse would make
○
You may be asked to choose the correct or incorrect statement a client would make about their medication
All exams follow NCLEX scoring. 1) 0/1 Scoring = Points awarded for correct choices and no penalty
(no points subtracted) for incorrect ones, 2) Plus/minus = Points awarded for correct choices and a
penalty (points subtracted) for incorrect ones, 3) Rationale = All-or-Nothing. As with the NCLEX, no
single question will be given a negative score (below zero).
Blooms Taxonomy:
●
Knowledge: At this level you are asked to remember information.
o How to study: Flash cards are a good way to study for this.
●
Comprehension: This level requires you to both remember and comprehend information. You can think of it as the “so what,” step in learning.
o How to study: Concept maps and case studies help you see the “so what.” Presenting information to other students enables you to check your
understanding.
●
Apply: At this level you are using the information in concrete and abstract situations.
o How to study: Case studies allow you to practice this. Creating an exemplar client is another way to practice applying your knowledge. Ex: how
will you manage the medications for the client with heart failure?
●
Analyze: In these types of questions you are asked to draw conclusions about a situation you may not have seen before but that relates to the concepts you
have studied.
o How to study: Case studies, exemplar clients, and concept maps help you to see the connections that enable you to analyze situations. Discussing
case studies in a group is a useful way to share insight