Sample of TOS with formula

1. Prepared by: Dr. Odilon A. Maglasang Page 1 of 5
Cebu Technological University
in consortium with
Cebu City Medical Center-College of Nursing
NgCM 116
Care of Clients with Problems in Nutrition and Gastro-Intestinal, Metabolism and Endocrine,
Perception and Coordination (Acute and Chronic)
2nd
Semester (Sy 2021-2022)
Table of Specifications
Long Exam No. 2 of the Midterm Period
Client Needs
The content of the NCLEX-RN Test Plan is organized into four major Client Needs categories. Two of the four categories are divided into subcategories:
A. Safe and Effective Care Environment
A-1. Management of Care: providing integrated, cost-effective care to clients by coordinating, supervising and/or collaborating with members of the multidisciplinary
health care team. Specific areas of knowledge include, but are not limited to, advance directives, advocacy, case management, client rights,
concepts of management, confidentiality, continuity of care, continuous quality improvement, delegation, ethical practice, incident/irregular
occurrence/variance reports, informed consent, legal responsibilities, organ donation, consultation and referrals, resource management, and
supervision.
A-2. Safety and Infection Control: protecting clients and health care personnel from environmental hazards. Specific areas of knowledge include, but are not limited to,
accident prevention, disaster planning, error prevention, handling hazardous and infectious materials, medical and surgical asepsis, standard
(universal) precautions, other precautions, and use of restraints.
B. Health Promotion and Maintenance: Assisting client and significant others through the normal, expected stages of growth and development from
conception through advanced old age. Specific areas of knowledge include, but are not limited to, aging process, ante/intra/postpartum and newborn, developmental
stages and transitions, expected body image changes, family planning, family systems, and human sexuality. Also includes managing and providing care for clients in
need of prevention and early detection of health problems. Specific areas of knowledge include, but are not limited to, disease prevention, health and wellness, health
promotion programs, health screening, immunizations, lifestyle choices, and techniques of physical assessment.
C. Psychosocial Integrity: promoting client ability to cope, adapt and/or problem solve situations related to illnesses or stressful events. Specific
areas of knowledge include, but are not limited to, coping mechanisms, counseling techniques, grief and loss, mental health concepts, religious and spiritual influences
on health, sensory/perceptual alterations, situational role changes, stress management, support systems, and unexpected body image changes. Also includes managing
and providing care for clients with acute or chronic mental illnesses. Specific areas of knowledge include, but are not limited to, behavioral interventions, chemical
dependency, child abuse/neglect, crisis intervention, domestic violence, elder abuse/neglect, psychopathology, sexual abuse, and therapeutic milieu.

2. Prepared by: Dr. Odilon A. Maglasang Page 2 of 5
D. Physiological Integrity
D-1. Basic Care and Comfort: providing comfort and assistance in the performance of activities of daily living. Specific areas of knowledge include, but are not
limited to, assistive devices, elimination, mobility/immobility, nonpharmacological comfort interventions, nutritional and oral hydration, personal
hygiene, and rest and sleep.
D-2. Pharmacological and Parenteral Therapies: managing and providing care related to the administration of medications and parenteral therapies. Specific
areas of knowledge include, but are not limited to, administration of blood and blood products, central venous access devices, chemotherapy,
expected effects, intravenous therapy, medication administration, parenteral fluids, pharmacological agents and actions, side effects, total
parenteral nutrition, and untoward effects.
D-3 Reduction of Risk Potential: reducing the likelihood that clients will develop complications or health problems related to existing conditions, treatments or
procedures. Specific areas of knowledge include, but are not limited to, alterations in body systems, diagnostic tests, lab values, pathophysiology,
potential complications of diagnostic tests, procedures, surgery and health alterations, and therapeutic procedures.
D-4 Physiological Adaptation: managing and providing care to clients with acute, chronic or life-threatening physical health conditions. Specific areas of
knowledge include, but are not limited to, alterations in body systems, fluid and electrolyte imbalances, hemodynamics, infectious
diseases, medical emergencies, pathophysiology, radiation therapy, respiratory care and unexpected response to therapies.
Integrated Processes (IP)
The following processes are fundamental to the practice of nursing and are integrated throughout the Client Needs categories and subcategories:
1. Nursing Process – a scientific, clinical reasoning approach to client care that includes assessment, analysis, planning, implementation and evaluation.
2. Caring – interaction of the nurse and client in an atmosphere of mutual respect and trust. In this collaborative environment, the nurse provides encouragement, hope, support
and compassion to help achieve desired outcomes.
3. Communication and Documentation – verbal and nonverbal interactions between the nurse and the client, the client’s significant others and members of the health
care team. Events and activities associated with client care are recorded in written and/or electronic records that demonstrate adherence to the standards of practice
and accountability in the provision of care.
4. Teaching/Learning – facilitation of the acquisition of knowledge, skills and attitudes promoting a change in behavior.
References
National Council of State Boards of Nursing. (2004). NCLEX-RN® examination test plan. Chicago: NCSBN.
Other than the referenced test plan, the National Council takes no position on the accuracy of the content provided herein by the
Commission on Graduates of Foreign Nursing Schools

3. Prepared by: Dr. Odilon A. Maglasang Page 3 of 5
Table of Specifications
Course Learning Outcome
(CLO)
No. of
hours
No. of
points
Percentage Remembering Explaining Applying Analyzing Evaluating Creating Type of
Questions
CLO 1.1 Integrate the concepts of Anatomy &
Physiology, Pharmacology, Biochemistry,
and Basic Psychology in a given health and
nursing situation.
30
mins
3 4%
#10 and #24 #55 Multiple
choice
CLO 2.1 Assess the health status of the client
whether individual, family, population groups,
and/or community with problems in Nutrition
and GI, Metabolism and Endocrine,
Perception and Coordination, Acute and
Chronic.
2 11 15%
#4, #5,
#7, #12,
#16, #21,
#46,
#13, #26,
#38, #43
Multiple
choice
CLO 2.2 Formulate with the client a plan of
care based on the assessment and
diagnostic findings, health needs and health
conditions of a chosen client with problems in
Nutrition and GI, Metabolism and Endocrine,
Perception and Coordination, Acute and
Chronic.
2 11 15%
#6, #32,
#41, #48,
#52, #59,
#37, #46,
#60
#8, #28,
#57
Multiple
choice
CLO 2.3 Implement safe, quality, and
effective nursing interventions to address
identified nursing diagnosis in caring for
clients with problems in Nutrition and GI,
Metabolism and Endocrine, Perception and
Coordination, Acute and Chronic.
3.5 19 27%
#11, #14,
#15, #17,
#22, #30,
#34, #44,
#47, #51,
#54, #56,
#58, #61,
#62, #64,
#1, #69 #18 Multiple
choice

4. Prepared by: Dr. Odilon A. Maglasang Page 4 of 5
Course Learning Outcome
(CLO)
No.
of
hours
No. of
points
Percentage Remembering Explaining Applying Analyzing Evaluating Creating Type of
Questions
CLO 2.4 Provide appropriate health
teachings which are understandable on the
level of the patients or clients.
1 5 8%
#2, #9,
#14, #15,
#19,
Multiple
choice
CLO 2.5 Evaluate the patient’s response to
the interventions based on the identified
desired outcomes.
1.5 8 12%
#21, #45,
#63
#29, #33, #25, #36,
#53
Multiple
choice
CLO 2.6 Institute appropriate corrective
actions to prevent or minimize harm arising
from adverse effects.
1 5 8%
#3, #24,
#27, #35,
#40
Multiple
choice
CLO 5.2 Address with respect, trust, and
concern for safety, team needs, issues, or
problems related with psycho-social
adaptation using appropriate communication
strategies.
1 5 8%
#2, #20,
#30, #39,
#50
Multiple
choice
CLO 6.1 Accurately document the nursing
care services provided and the outcomes of
care for clients with problems in Nutrition and
GI, Metabolism and Endocrine, Perception
and Coordination, Acute and Chronic.
30
mins
3 3%
#23, #31,
#42
Multiple
choice
Total 13
hours
70 100% Multiple
choice
Special Note: The total 13 hours is the budget I have gave to one organ system of disorders.
The column for the number of hours per CLO is the discretion of the CI.
The total number of items per exam is also the discretion of the CI.

5. Prepared by: Dr. Odilon A. Maglasang Page 5 of 5
Formula:
No. of teaching hours x total # of test items = number of test items per CLO
Total No. of teaching hours
Example:
1 hour x 70 items = 5 items
13 hours
Sample Question:
1. Which of the following is an expected physiologic response to using a non-narcotic antipyretic and an NSAID every two hours to a female client diagnosed with bacterial
meningitis?
A. decrease the purulent exudate surrounding the meninges
B. decrease in intracranial pressure and brain metabolism
C. improvement in the client's memory and orientation
D. prevent a yeast infection secondary to antibiotic therapy
Answer: B
Course Learning Outcome: CLO 2.5
Hierarchy of Learning: Applying
Integrated Process: Nursing Process
Nursing Process: Evaluation
Client Needs Category: Pharmacological and Parenteral Therapies (D-3)
Rationale: Fever increases cerebral metabolism and intracranial pressure. Therefore, measures are taken to reduce body temperature as soon as possible, and alternating
Tylenol and Motrin would be appropriate.