🚧 Under construction — VoTechWorks is being built. A free tech program — complimentary, as our commitment to get America working.
voTechWorksGrade 13 · a vocational technology learning center, by urbanicity
newSchoolWorks.com › VoTechWorks › Health & Personal Services › Practical Nursing (LPN) › Courses
Health & Personal Services · course plan
⚠ Pending professional review

This course plan, its lessons and its assessments has not yet been verified by a licensed clinician in the field or by a certification or approval body. It is a study draft and may contain errors. Do not use it to make decisions about any patient or medication. Always follow your instructor, your supervising professional, and current official references and regulations.

VoTechWorks program approval and accreditation are still in progress. Credentials are issued only by the certifying bodies named in each program, after their own exams.

Practical Nursing (LPN)

9 courses · 1,800 clock hours · 12 mo full-time. Grading is competency-based: each course requires the written exam, a competent skills demonstration with zero safety faults, a signed log, and a passed safety audit; percentage weights only rank performance above the competency floor.

$24,680 COMPLIMENTARYprogram tuition
9courses
79lessons
1,800hours
31assessments
Development progressPlanCourses, lessons and assessments written for this tradeLessons79 of 79 lesson pages writtenPractice628 practice questionsResources117 reference entries (study list)Review0 lesson pages reviewed by a licensed professional
Study now: 79 lesson pages are open (lesson titles below are links).
HLT-LPN37-01 Universal core

Universal Core: Safety, Math, Communication & Career for Practical Nursing

148 hr · $1,185 COMPLIMENTARY

This foundational course equips pre-licensure practical nursing students with the safety protocols, dosage calculation skills, health-literacy communication strategies, and professional behaviors required throughout the LPN program and in entry-level nursing practice. Students earn OSHA 10 recognition and CPR/First Aid certification while building the numeracy and documentation habits that directly support safe patient care. All content is mapped to NCLEX-PN client-needs categories, particularly Safe and Effective Care Environment and Health Promotion and Maintenance.

Outcomes
Course text

This foundational course equips pre-licensure practical nursing students with the safety protocols, dosage calculation skills, health-literacy communication strategies, and professional behaviors required throughout the LPN program and in entry-level nursing practice. Students earn OSHA 10 recognition and CPR/First Aid certification while building the numeracy and documentation habits that directly support safe patient care. All content is mapped to NCLEX-PN client-needs categories, particularly Safe and Effective Care Environment and Health Promotion and Maintenance.

How the course runs. 7 blocks: Workplace Safety, OSHA 10, and Infection Control in the Clinical Setting; First Aid and CPR/AED Certification; Dosage Calculation and Medication Math for LPNs; Medical Terminology, Technical Reading, and Clinical Documentation; Therapeutic Communication and Patient Education Across the Lifespan; Digital Tools for Nursing Practice: EHR Navigation and Health Informatics; Professional Identity, Scope of Practice, and Career Planning.

What competent looks like. Demonstrate workplace safety practices aligned with OSHA general-industry standards and infection-control principles in a simulated clinical environment. Perform accurate dosage and measurement calculations—including metric conversions, ratio-and-proportion, and drip-rate problems—with 90% or greater accuracy. Interpret and produce clear clinical documentation, including accurate use of medical terminology, abbreviations approved by facility policy, and plain-language patient instructions. Apply therapeutic communication techniques and professional standards of conduct consistent with the LPN scope of practice and the NCLEX-PN Safe and Effective Care Environment framework. Use common digital health-care tools—electronic health record training modules, patient education databases, and online credentialing portals—to locate and record information accurately. Construct a personal career plan that includes a completed NCLEX-PN eligibility timeline, state board of nursing application requirements, and a professional resume and cover letter.

Lessons · 7 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1Workplace Safety, OSHA 10, and Infection Control in the Clinical Setting22theoryStudents will identify OSHA general-industry hazard categories relevant to health-care settings and demonstrate correct PPE selection, donning, doffing, and hand-hygiene technique.
  1. Complete all ten modules of the OSHA 10-hour General Industry online course and pass the associated OSHA 10 knowledge checks to receive the OSHA 10 card.
  2. Participate in a guided case-study discussion analyzing three workplace incidents (needlestick, chemical spill, patient fall) to identify root causes and corrective actions using the hierarchy of controls.
  3. Practice the CDC five-moment hand-hygiene protocol and correct PPE sequence (gloves, gown, mask, eye protection) in paired skills stations, with peers evaluating each other against a printed competency checklist.
OSHA 10-Hour General Industry course access (OSHA-authorized provider), CDC Hand Hygiene in Healthcare Settings guidelines, facility-grade PPE set (gloves, gown, N95/surgical mask, face shield), sharps container, biohazard waste bags, UV hand-hygiene demonstration lotion, CDC isolation-precautions reference cardInstructor observes each student's full PPE sequence and hand-hygiene technique using a 10-point competency checklist; student must score 9/10 (90%) and must correctly answer all three OSHA 10 end-of-course assessments to receive the OSHA 10 card.
2First Aid and CPR/AED Certification16labStudents will perform adult, child, and infant CPR, use an AED, and deliver first-aid interventions for choking, bleeding control, and shock management to the standard required for certification.
  1. Complete the didactic portion of an accredited CPR/AED and First Aid course (American Heart Association Healthcare Provider BLS or equivalent), covering chain of survival, rescue breathing, and AED operation.
  2. Practice CPR compression depth, rate, and hand placement on adult, child, and infant manikins in rotating pairs, using CPR feedback devices to achieve correct depth and rate before the certification skills test.
  3. Run a simulated multi-casualty scenario in which students triage and apply first aid (hemorrhage control with direct pressure and tourniquet, recovery position, AED pad placement) while an instructor calls out changing patient status cues.
Adult, child, and infant CPR manikins with CPR feedback devices, AED trainer units, face shields and gloves, commercial tourniquets (CAT or similar training version), pressure dressings, BLS course provider cards, AHA BLS Provider Manual or equivalentStudents must pass both the written exam and the hands-on skills station of the accredited CPR/First Aid course with the scores required by that course's issuing organization to receive a valid certification card; all students must achieve a passing score before advancing.
3Dosage Calculation and Medication Math for LPNs28practiceStudents will accurately solve metric unit conversions, ratio-and-proportion dosage problems, weight-based calculations, and basic IV flow-rate problems at a minimum of 90% accuracy on timed practice sets.
  1. Complete structured practice sets progressing from metric conversions (grams to milligrams, liters to milliliters, kilograms to pounds) through tablet/liquid dose calculations and on to weight-based and flow-rate problems, with immediate self-scoring using an instructor answer key.
  2. Work in triads to solve realistic medication administration records (MARs) pulled from LPN simulation scenarios, cross-checking each other's arithmetic and documenting the calculation steps in a standardized format.
  3. Participate in a timed 'pharmacy window' drill in which the instructor calls out verbal medication orders and students independently calculate and record the correct dose within two minutes per problem, then discuss errors as a group.
Drug Calculations: Ratio and Proportion Problems for Clinical Practice (Kee & Marshall, current edition) or equivalent adopted textbook, calculators (non-programmable), sample MARs and medication labels (faculty-created), whiteboard and markers, printed drill worksheetsStudents complete a 20-problem timed calculation quiz (40 minutes); passing score is 90% (18/20 correct); any student below 90% completes a documented remediation session with the instructor and retakes a parallel-form quiz within one week before progressing.
4Medical Terminology, Technical Reading, and Clinical Documentation26theoryStudents will correctly interpret and apply at least 200 core medical terms (prefixes, suffixes, root words) and produce accurate SBAR and narrative nursing notes using only approved abbreviations.
  1. Use a medical-terminology workbook or interactive digital platform (such as Elsevier's Medical Language Lab or equivalent) to study and self-quiz on body-system root words, common prefixes and suffixes, and The Joint Commission's 'Do Not Use' abbreviation list.
  2. Decode three authentic (de-identified) clinical documents—a physician's progress note, a laboratory report, and a discharge summary—by translating every unfamiliar term in writing and then summarizing each document in plain language suitable for a patient.
  3. Draft an SBAR (Situation, Background, Assessment, Recommendation) communication and a brief narrative nursing note for a provided patient scenario, then exchange with a peer for accuracy and abbreviation review using the Joint Commission's official 'Do Not Use' list as the reference.
Medical Terminology: A Short Course (Chabner, current edition) or equivalent adopted text, The Joint Commission Official 'Do Not Use' List (current version), de-identified sample clinical documents (faculty-created), SBAR template, nursing note format guide, medical dictionaryStudents submit one SBAR and one narrative nursing note for the same scenario; the instructor scores both with a rubric (terminology accuracy, abbreviation compliance, logical organization); passing standard is 80% on the rubric with zero use of TJC 'Do Not Use' abbreviations.
5Therapeutic Communication and Patient Education Across the Lifespan22demoStudents will demonstrate at least four NCLEX-PN-aligned therapeutic communication techniques and adapt a patient teaching moment to the literacy level and developmental stage of an assigned patient scenario.
  1. View and debrief a series of instructor-led role-play vignettes illustrating therapeutic versus non-therapeutic responses (open-ended questions, reflection, clarifying, versus false reassurance, minimizing), then classify each response type on a provided chart.
  2. In pairs, conduct a five-minute simulated patient interview using a scenario card (assigned patient age, chief complaint, stated anxiety), applying therapeutic techniques while a third student records technique use on an observation form; rotate roles.
  3. Prepare a one-page plain-language patient education handout on an assigned health topic (using a readability tool to target a sixth-grade reading level), then present it in a mock teach-back session with a peer acting as a patient of specified literacy level.
Fundamentals of Nursing textbook (Potter, Perry, or equivalent, current edition) communication chapter, scenario cards (faculty-created), observation/tallying form, readability checker (Hemingway App or SMOG formula worksheet), plain-language health-education example handouts from MedlinePlusInstructor evaluates the live simulated interview with a 12-item therapeutic communication checklist (must demonstrate at least 4 of 6 target techniques correctly, score ≥ 67%); the teach-back handout is scored on a separate rubric for accuracy, reading level, and completeness with a passing score of 80%.
6Digital Tools for Nursing Practice: EHR Navigation and Health Informatics16labStudents will navigate a simulated electronic health record system to enter, retrieve, and verify patient data accurately, and locate evidence-based clinical references using digital databases.
  1. Complete a guided walkthrough of an EHR training environment (such as Elsevier's SimChart for the Medical Office, NovEx, or a comparable simulation platform) covering patient lookup, vital signs entry, MAR review, and allergy documentation, following along with a step-by-step instructor screencast.
  2. Complete a structured EHR task set for a simulated patient (document intake vitals, review current medication list for a specified allergy, flag a missing allergy field, and print a medication reconciliation summary) and submit a screen-captured or printed output for instructor review.
  3. Use a clinical reference database (such as Nursing Central, ClinicalKey Nursing, or the program's adopted resource) to locate the drug monograph for an assigned medication and answer five structured questions about indications, contraindications, and nursing considerations, citing the database.
Computers or tablets with internet access, EHR training platform subscription (SimChart or equivalent), clinical reference database access, instructor-created EHR task packet, screen-capture software or printer, APA citation quick guideInstructor reviews the submitted EHR output for completeness and accuracy using a 10-item task checklist; passing score is 90% (9/10 items correct with zero critical errors such as wrong patient or undocumented allergy); drug monograph worksheet is graded for accuracy at 80% pass.
7Professional Identity, Scope of Practice, and Career Planning18fieldStudents will construct a complete personal career-entry plan that includes a professional resume, a cover letter, an NCLEX-PN eligibility checklist aligned to their state board of nursing requirements, and a two-year professional-development goal statement.
  1. Research their state board of nursing website to complete a structured NCLEX-PN eligibility worksheet covering application steps, required documents, Authorization to Test process, and applicable deadline timelines; share findings in a small-group debrief facilitated by the instructor.
  2. Draft a nursing-specific resume and targeted cover letter for an actual local LPN job posting found on a healthcare employer website, then participate in a structured peer-review workshop using a provided resume rubric aligned to health-care employer expectations.
  3. Complete a 30-minute informational interview (in person or by video) with a practicing LPN or LPN supervisor arranged through the program's employer network, then write a one-page reflection connecting the interview insights to the LPN scope of practice and their own professional-development goals.
State board of nursing website (student's state), NCSBN candidate bulletin (current version), NCLEX-PN Test Plan (current version, available free from NCSBN), job-posting printouts from local healthcare employer sites, resume rubric (faculty-created), interview reflection prompt sheet, word-processing softwareInstructor scores the completed career plan portfolio (NCLEX-PN eligibility worksheet, resume, cover letter, reflection) with a four-part rubric; each section must score at least 80% and the eligibility worksheet must have zero factual errors about state board requirements; incomplete portfolios are returned for correction within one week.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Safety and Regulatory Knowledge ExamWritten exam25%75% (38/50 items correct)A 50-item multiple-choice and select-all-that-apply written exam covering OSHA hazard categories, PPE selection and sequence, infection control (standard and transmission-based precautions), chain of infection, the hierarchy of controls, and emergency response procedures, all mapped to the NCLEX-PN Safe and Effective Care Environment: Safety and Infection Control client-needs category.
Accuracy · Safety · Communication · Professionalism
Dosage Calculation and Medical Terminology ExamWritten exam25%90% on the calculation section (18/20 problems); 80% on the terminology section (32/40 items); both sections must be passed independentlyA two-section closed-book exam: Section A contains 20 medication math problems (conversions, dosage, weight-based, and flow-rate) administered without a calculator beyond the final verification step; Section B contains 40 items testing medical term decoding, approved-abbreviation recognition, and identification of TJC 'Do Not Use' abbreviations, mapped to NCLEX-PN Pharmacological Therapies and Basic Care and Comfort categories.
Accuracy · Safety · Communication · Professionalism
Career-Entry Portfolio ProjectProject25%80% overall on the portfolio rubric with zero factual errors on the NCLEX-PN eligibility checklistStudents submit a complete career-entry portfolio containing a professional nursing resume, a targeted cover letter for a real LPN job posting, an accurately completed NCLEX-PN eligibility checklist sourced from their state board of nursing, and a one-page informational-interview reflection linking LPN scope of practice to personal professional-development goals; the portfolio is evaluated for accuracy, professionalism, and completeness.
Accuracy · Safety · Communication · Professionalism
Communication Skills Oral DefenseOral / panel25%Pass on all three evaluated domains (score ≥ 2 on a 3-point scale per domain); any domain scored 1 requires a documented remediation and re-evaluation within two weeksIn a 10-minute structured interaction with the instructor (acting as a simulated patient), students must demonstrate therapeutic communication techniques, deliver a brief plain-language patient education explanation using teach-back, and transmit a verbal SBAR report; a second faculty member or peer observer scores three domains—therapeutic technique, health-literacy appropriateness, and SBAR accuracy—using a validated 3-point rubric, mapped to NCLEX-PN Psychosocial Integrity and Management of Care.
Accuracy · Safety · Communication · Professionalism
HLT-LPN37-02 Trade course

Pharmacology for Practical Nursing

205 hr · $3,840 COMPLIMENTARY

This course introduces LPN students to the principles of drug therapy, safe medication administration, and pharmacokinetics as they apply to practical nursing practice. Students develop the knowledge and skills to prepare, calculate, administer, and document medications across multiple routes while recognizing adverse effects and applying patient teaching principles. Content aligns directly with the NCLEX-PN Pharmacological Therapies and Safe and Effective Care Environment client needs categories.

Outcomes
Course text

This course introduces LPN students to the principles of drug therapy, safe medication administration, and pharmacokinetics as they apply to practical nursing practice. Students develop the knowledge and skills to prepare, calculate, administer, and document medications across multiple routes while recognizing adverse effects and applying patient teaching principles. Content aligns directly with the NCLEX-PN Pharmacological Therapies and Safe and Effective Care Environment client needs categories.

How the course runs. 12 blocks: Foundations of Pharmacology: Terminology, Legal Scope, and Drug Sources; Pharmacokinetics and Pharmacodynamics; Dosage Calculation: Oral and Enteral Medications; Dosage Calculation: Parenteral and IV Medications; The Ten Rights of Medication Administration and Preventing Medication Errors; Oral, Topical, Ophthalmic, Otic, and Inhalation Administration; Subcutaneous, Intradermal, and Intramuscular Injections; Drug Classifications Part 1: Cardiovascular, Respiratory, and Analgesic Agents; Drug Classifications Part 2: Anti-infectives, Endocrine, Gastrointestinal, and Psychiatric Agents; Adverse Drug Reactions, Interactions, and Toxicity; Patient Teaching, Medication Reconciliation, and Special Populations; Integrated Pharmacology Simulation: Safe Medication Pass.

What competent looks like. Calculate accurate medication dosages using dimensional analysis and ratio-proportion methods for oral, injectable, and IV medications with 100% accuracy on dosage calculation assessments. Demonstrate safe medication administration via oral, subcutaneous, intramuscular, intradermal, topical, and inhalation routes following the ten rights of medication administration. Identify the mechanism of action, therapeutic uses, common adverse effects, and nursing implications for major drug classifications encountered in LPN practice. Apply knowledge of pharmacokinetics—absorption, distribution, metabolism, and excretion—to anticipate drug interactions and individualize patient monitoring. Document medication administration accurately in a simulated medication administration record (MAR) and report adverse drug reactions using correct terminology and chain of command. Educate a simulated patient on purpose, schedule, side effects, and storage of a prescribed medication using plain-language teaching techniques appropriate to health literacy level.

Lessons · 12 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1Foundations of Pharmacology: Terminology, Legal Scope, and Drug Sources14theoryThe student will define core pharmacology terms, describe the LPN scope of practice related to medication administration under state and federal law, and classify drugs by source and schedule.
  1. Students create a illustrated pharmacology glossary of at least 40 terms (generic vs. trade name, agonist, antagonist, half-life, therapeutic index) with a self-quizzing tool such as index cards or a digital flashcard set.
  2. Small groups research one DEA drug schedule (I–V), identify two example drugs per schedule, and present a five-minute summary on why scheduling matters to LPN practice and documentation.
  3. Students read an excerpt from their state nurse practice act related to medication delegation and administration, then write a one-page reflection identifying three situations where the LPN must defer to an RN or provider.
Kee, Hayes & McCuistion Pharmacology: A Patient-Centered Nursing Process Approach (current edition); state nurse practice act printout; DEA schedule chart; whiteboard; student notebooksTerminology quiz of 40 items; student must score 80% or higher to proceed.
2Pharmacokinetics and Pharmacodynamics16theoryThe student will explain the four phases of pharmacokinetics (absorption, distribution, metabolism, excretion) and apply pharmacodynamic concepts—peak, trough, therapeutic window—to patient monitoring scenarios.
  1. Students trace a simulated drug (acetaminophen) through all four pharmacokinetic phases by completing a guided diagram, labeling routes of absorption, hepatic first-pass effect, plasma protein binding, renal excretion, and half-life.
  2. In pairs, students analyze three case vignettes involving patients with hepatic impairment, renal impairment, and advanced age, and predict how each condition alters drug processing and what nursing monitoring is required.
  3. Instructor-led Socratic discussion using a whiteboard graph of a dose-response curve; students identify LD50, ED50, and therapeutic index and explain clinical implications for narrow-therapeutic-index drugs such as digoxin and warfarin.
Pharmacology textbook chapters on pharmacokinetics; printed pharmacokinetic diagram worksheet; case vignette packets; dose-response curve posterCompletion and accuracy check of the pharmacokinetic diagram (instructor-scored rubric); all phases correctly labeled and annotated earns a pass.
3Dosage Calculation: Oral and Enteral Medications20labThe student will accurately calculate ordered oral medication doses using dimensional analysis and ratio-proportion methods, converting between metric, household, and apothecary units as needed.
  1. Instructor demonstrates dimensional analysis step-by-step using three progressively complex oral drug problems on the whiteboard; students replicate each problem independently in their calculation workbook.
  2. Students complete a timed 20-problem oral dosage calculation worksheet covering tablets, capsules, liquids, and unit-dose packs, converting mg to mcg, g to mg, and mL to teaspoons as required.
  3. Lab activity: students use a simulated MAR, select the correct simulated medication cup or tablet from a labeled mock medication cart, and verbally state their full calculation before the instructor before 'administering' the simulated dose.
Dosage calculation textbook or workbook; calculators; simulated MAR forms; mock medication cart with labeled placebo tablets and liquid cups; metric conversion reference cardWritten dosage calculation quiz of 20 problems; student must achieve 100% accuracy (all 20 correct) to progress, with one supervised remediation and retest opportunity.
4Dosage Calculation: Parenteral and IV Medications20labThe student will calculate correct parenteral doses in milliliters and IV flow rates in drops per minute and milliliters per hour, demonstrating safe syringe selection and reading.
  1. Students complete a structured worksheet calculating IM and subcutaneous doses in mL from supplied concentration, selecting the correct syringe size (1 mL, 3 mL, 5 mL) for each answer and marking the correct graduation on a printed syringe diagram.
  2. Pairs practice reading actual syringes (1 mL tuberculin, 3 mL standard, insulin syringe) using colored water, calling out the drawn volume for peer verification before recording; instructor circulates and corrects errors immediately.
  3. Students solve a series of IV flow-rate problems using both the drop-factor formula and mL/hr method, then set a simulated IV pump (or paper pump scenario) to the calculated rate and document it on a sample MAR.
Dosage calculation workbook; 1 mL, 3 mL, 5 mL, and insulin syringes; colored water; printed syringe diagrams; IV pump simulator or paper scenario; sample MARsParenteral and IV calculation quiz of 20 problems; student must score 100% accuracy, with one remediation and retest opportunity.
5The Ten Rights of Medication Administration and Preventing Medication Errors14theoryThe student will name and apply the ten rights of medication administration and describe the LPN's responsibility for recognizing, preventing, and reporting medication errors using facility reporting tools.
  1. Students use a scenario-based sorting activity: given 15 medication error vignettes printed on cards, they identify which right was violated, what harm could result, and what the nurse should have done differently.
  2. Role-play in triads: one student acts as nurse, one as patient, one as observer with a ten-rights checklist; the nurse verbally verbalizes each right while preparing a simulated dose and the observer provides structured feedback.
  3. Students complete an anonymous near-miss medication error incident report form using a provided scenario, then discuss as a class how Just Culture principles balance individual accountability with system improvement.
Ten-rights vignette card deck (instructor-prepared); ten-rights observation checklist; sample incident report form; simulated MAR; ISMP medication error resourceObserver checklist score during role-play: student must demonstrate all ten rights in correct sequence with no omissions to earn a pass; any omission requires repeat demonstration.
6Oral, Topical, Ophthalmic, Otic, and Inhalation Administration18demoThe student will demonstrate safe preparation and administration of medications via oral, sublingual, buccal, topical, ophthalmic, otic, and metered-dose inhaler routes using correct technique and patient teaching.
  1. Instructor demonstrates each non-injectable route using simulation supplies (placebo tablets, eye-drop bottles, otic drops, nitroglycerin patch, metered-dose inhaler with spacer) while narrating every step; students complete an observation guide.
  2. Students practice each route on a task trainer or simulation mannequin, being observed by a lab partner using a route-specific checklist; they alternate roles until each student completes all six routes.
  3. Students write and deliver a two-minute teach-back to a classmate acting as a patient with limited health literacy, explaining how to use a metered-dose inhaler with spacer correctly; classmate provides feedback using a plain-language rubric.
Simulation mannequin or task trainer; placebo oral medications; simulated eye drops and otic drops; transdermal patch demonstration model; MDI trainer with spacer; route-specific skills checklistsInstructor-observed skills checklist for at least three routes; student must perform all critical steps on each checklist with no unsafe omissions (100% of critical steps) to pass.
7Subcutaneous, Intradermal, and Intramuscular Injections20labThe student will prepare and administer subcutaneous, intradermal, and intramuscular injections using correct site selection, angle, needle length, and aseptic technique on simulation trainers.
  1. Instructor-led demonstration: drawing up a simulated medication from a vial and an ampule, selecting the correct needle gauge and length for SC, ID, and IM routes, and administering to injection pads while verbalizing rationale for each decision.
  2. Students practice drawing up colored water from simulated vials, verifying freedom from air bubbles, then administering SC injections to injection pads at the correct 45- or 90-degree angle; they document the dose on a simulated MAR after each attempt.
  3. Structured lab rotation: students rotate through three stations (SC abdomen pad, ID forearm pad, IM deltoid and vastus lateralis mannequin), completing each technique under peer observation with a critical-steps checklist; instructor evaluates IM station.
Injection skill pads; mannequin with IM and SC injection sites; simulated vials and ampules; colored water; syringes and needles of appropriate gauges; alcohol swabs; gloves; sharps container; simulated MARsInstructor-observed IM injection demonstration on mannequin using critical-steps checklist; all critical steps (hand hygiene, site ID, angle, aspiration policy per facility type, documentation) performed correctly for pass.
8Drug Classifications Part 1: Cardiovascular, Respiratory, and Analgesic Agents18theoryThe student will describe the mechanism of action, therapeutic uses, major adverse effects, contraindications, and LPN nursing implications for cardiovascular, respiratory, and analgesic drug classes.
  1. Students complete a drug-classification grid for antihypertensives (ACE inhibitors, beta-blockers, calcium channel blockers), antiarrhythmics, bronchodilators, corticosteroids (inhaled), opioid analgesics, and NSAIDs—filling in mechanism, use, adverse effect, and nursing priority for each.
  2. Case study analysis in small groups: each group receives a patient scenario (e.g., patient prescribed metoprolol with a heart rate of 52, or a patient on morphine with a respiratory rate of 10) and must identify the problem, state the LPN action, and cite which right of administration was relevant.
  3. Flashcard competition: instructor calls out a drug name, students race to write mechanism and one key nursing implication on individual whiteboards; answers are discussed and corrected immediately.
Pharmacology textbook; drug-classification grid worksheet; case study packets; individual student whiteboards or dry-erase sleeves; drug handbook (Davis's Drug Guide or Nursing Drug Handbook)Drug classification quiz covering 30 drugs across the three categories; student must score 80% or higher to proceed.
9Drug Classifications Part 2: Anti-infectives, Endocrine, Gastrointestinal, and Psychiatric Agents18theoryThe student will describe the mechanism of action, therapeutic uses, major adverse effects, contraindications, and LPN nursing implications for anti-infective, endocrine, gastrointestinal, and psychiatric drug classes.
  1. Students complete a drug-classification grid for antibiotics (penicillins, cephalosporins, fluoroquinolones), antifungals, insulin types (rapid, short, intermediate, long-acting), oral antidiabetics, thyroid agents, antiemetics, antacids, SSRIs, and antipsychotics.
  2. Insulin safety station: students correctly draw up and mix two types of simulated insulin (draw clear before cloudy), verify dose with a simulated peer nurse, and identify hypoglycemia signs and the nurse's emergency response.
  3. Students use a current drug reference to look up three unfamiliar medications from the list, locate black-box warnings, and present findings to the class, emphasizing why the LPN must know where to find reliable drug information during practice.
Pharmacology textbook; drug-classification grid worksheet; insulin syringes; simulated insulin vials (NPH and regular placebo); current drug handbook; black-box warning handoutDrug classification quiz covering 30 drugs across the four categories; student must score 80% or higher to proceed.
10Adverse Drug Reactions, Interactions, and Toxicity16theoryThe student will differentiate between side effects, adverse drug reactions, allergic reactions, and anaphylaxis, identify common drug-drug and drug-food interactions, and describe the LPN's response to signs of toxicity.
  1. Instructor-led case analysis: four patient scenarios depicting side effect, adverse reaction, allergic reaction, and anaphylaxis are presented; students classify each event, state expected assessment findings, and identify the LPN's first three actions in priority order.
  2. Drug interaction mapping activity: students receive a list of eight commonly prescribed drugs and use a drug handbook to identify which pairs have clinically significant interactions, noting the mechanism and clinical consequence of each identified interaction.
  3. Simulation debrief video review: class watches a brief recorded simulation of a nurse failing to recognize early anaphylaxis signs; students identify the missed cues, discuss the chain of command, and outline the emergency response steps including epinephrine use as ordered.
Case scenario packets; drug handbook; interaction mapping worksheet; simulation debrief video (instructor-created or commercially licensed); anaphylaxis response algorithm posterWritten scenario response: student must correctly classify the reaction type and list correct priority nursing actions for three of four scenarios to pass (75%).
11Patient Teaching, Medication Reconciliation, and Special Populations15demoThe student will conduct a medication reconciliation interview using a structured tool and deliver an individualized medication teaching session adapted for a patient from a special population (pediatric, geriatric, or pregnant).
  1. Students practice a structured medication reconciliation interview with a classmate acting as a patient who takes multiple home medications; they document findings on a standard reconciliation form and identify discrepancies against a simulated admission order.
  2. Lecture and discussion: physiologic differences in pediatric (weight-based dosing, liquid formulations), geriatric (polypharmacy, renal/hepatic decline, fall risk), and pregnant patients (pregnancy risk categories concept, teratogenicity) that alter pharmacotherapy and LPN teaching.
  3. Students prepare and deliver a five-minute teach-back session for an assigned drug and patient profile (e.g., warfarin for an elderly patient or amoxicillin suspension for a pediatric patient's caregiver) using plain language, a printed handout, and the teach-back method; peers evaluate with a rubric.
Medication reconciliation form; simulated admission orders; patient teaching rubric; teach-back handout templates; pharmacology textbook chapters on special populationsPeer and instructor evaluation of teach-back session using rubric; student must score satisfactory or above on all three rubric domains (accuracy, plain language, teach-back confirmation) to pass.
12Integrated Pharmacology Simulation: Safe Medication Pass16practiceThe student will independently complete a simulated medication pass for a two-patient assignment, applying all course skills—calculation, preparation, administration, documentation, and patient teaching—safely and without prompting.
  1. Each student receives a simulated patient assignment with two patients who have MARs containing oral, topical, and one subcutaneous medication; the student independently reviews orders, calculates doses, checks for allergies and interactions, and prepares medications using the ten rights before approaching the simulated patients.
  2. Student administers all prepared medications to simulation mannequins or task trainers, provides patient teaching for one drug, and documents administration and any refused or held medications on the MAR, documenting rationale for any drug withheld.
  3. Structured debrief: instructor reviews the student's completed MAR, asks three clinical reasoning questions (e.g., 'What would you do if the patient's blood pressure were 88/50 before metoprolol?'), and provides documented feedback on errors and strengths.
Simulated two-patient MAR packets; simulation mannequins or task trainers; simulated medication cart with labeled placebo medications; syringes; injection pads; gloves; skills checklist; documentation debrief formInstructor-scored integrated skills checklist: student must perform all critical safety steps (correct drug, dose, route, patient ID, documentation) with zero critical errors and score 80% overall on the checklist to pass this capstone simulation.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Pharmacology Knowledge ExaminationWritten exam25%80% (80 out of 100 items correct)A 100-item written examination covering pharmacokinetics, pharmacodynamics, drug classifications, adverse reactions, drug interactions, special populations, and patient teaching, with item formats mirroring NCLEX-PN style (multiple choice, select-all-that-apply, ordered response). Items are mapped to the NCLEX-PN Pharmacological Therapies and Safe and Effective Care Environment client needs categories.
Standard met · Safety · Time · Quality/finish · Documentation
Medication Administration Skills DemonstrationSkills demonstration45%100% of critical steps performed correctly on at least one injectable and one non-injectable route; no critical safety errors permittedThe student performs a complete medication preparation and administration sequence for an oral medication and an IM injection on simulation equipment, observed by the instructor using a standardized critical-steps checklist. Any critical error (wrong patient, wrong drug, wrong dose, breach of aseptic technique, failure to document) results in an automatic fail and requires a full remediation and retest.
Standard met · Safety · Time · Quality/finish · Documentation
Dosage Calculation Lab LogLog15%100% accuracy required on all calculation sections; any incorrect answer requires reworking before log is acceptedStudents submit a compiled lab log containing all completed dosage calculation worksheets from oral, parenteral, and IV lessons, showing full dimensional analysis work for each problem. The log is reviewed by the instructor for mathematical accuracy, correct unit labeling, and legibility of work shown; all answers must be correct and all work must be shown.
Standard met · Safety · Time · Quality/finish · Documentation
Medication Safety CheckSafety audit15%Zero critical safety errors; all ten rights verified and documented correctlyAn unannounced observational safety check conducted during the integrated simulation lesson in which the instructor uses a ten-rights verification checklist to confirm the student independently identifies the correct patient using two identifiers, verifies the ten rights without prompting, and documents administration accurately on the MAR before and after the simulated administration event.
Standard met · Safety · Time · Quality/finish · Documentation
HLT-LPN37-03 Trade course

Medical-Surgical Nursing

205 hr · $3,840 COMPLIMENTARY

This course prepares practical nursing students to provide safe, competent care to adult patients experiencing common medical and surgical conditions across body systems. Students apply the nursing process—assessment, planning, intervention, and evaluation—to manage conditions including cardiovascular disease, respiratory disorders, diabetes, renal disease, neurological conditions, cancer, and perioperative care. Lessons align directly with the NCLEX-PN test plan categories of Physiological Integrity, Safe and Effective Care Environment, and Reduction of Risk Potential.

Outcomes
Course text

This course prepares practical nursing students to provide safe, competent care to adult patients experiencing common medical and surgical conditions across body systems. Students apply the nursing process—assessment, planning, intervention, and evaluation—to manage conditions including cardiovascular disease, respiratory disorders, diabetes, renal disease, neurological conditions, cancer, and perioperative care. Lessons align directly with the NCLEX-PN test plan categories of Physiological Integrity, Safe and Effective Care Environment, and Reduction of Risk Potential.

How the course runs. 12 blocks: Foundations of Med-Surg Nursing: Nursing Process, Assessment, and Safety; Fluid, Electrolyte, and Acid-Base Balance; Cardiovascular Disorders: Assessment, Interventions, and Medications; Respiratory Disorders: Assessment, Airway Management, and Oxygen Therapy; Endocrine Disorders: Diabetes Management and Thyroid Conditions; Neurological Disorders: Stroke, Seizures, and Increased Intracranial Pressure; Renal and Urinary Disorders: Kidney Function, UTI, Renal Failure, and Dialysis; Gastrointestinal Disorders: Assessment, Ostomy Care, and Wound Management; Musculoskeletal Disorders: Fractures, Arthritis, Amputation, and Mobility; Cancer Care, Immunological Disorders, and Infection Control; Perioperative Nursing: Preoperative, Intraoperative, and Postoperative Care; NCLEX-PN Integration: Prioritization, Delegation, and Clinical Judgment in Med-Surg.

What competent looks like. Apply the nursing process to plan and deliver safe, individualized care for adult patients with medical-surgical conditions across major body systems. Recognize and report abnormal assessment findings, critical laboratory values, and changes in patient condition that require immediate intervention or escalation. Implement evidence-based nursing interventions for common medical-surgical conditions while maintaining scope of practice as a licensed practical nurse. Administer medications safely for medical-surgical patients, including calculation of dosages, recognition of side effects, and documentation in compliance with facility policy. Demonstrate perioperative nursing care including preoperative preparation, intraoperative support roles, and postoperative monitoring and patient education. Use therapeutic communication, patient teaching, and interdisciplinary collaboration to promote recovery, prevent complications, and support discharge planning.

Lessons · 12 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1Foundations of Med-Surg Nursing: Nursing Process, Assessment, and Safety16theoryStudents will apply the five steps of the nursing process (ADPIE) to a medical-surgical case and identify at least four safety priorities aligned with the LPN scope of practice.
  1. Lecture and guided note-taking on the nursing process (Assessment, Diagnosis, Planning, Implementation, Evaluation) with examples drawn from common med-surg scenarios such as postoperative care and chronic disease management.
  2. Small-group case study: given a patient report including vital signs, history, and labs, students write a prioritized problem list and one nursing goal per problem, then share with the class for critique.
  3. Role-play activity in which one student acts as charge nurse and another as LPN; students practice SBAR (Situation, Background, Assessment, Recommendation) hand-off communication for a deteriorating patient.
Lewis's Medical-Surgical Nursing textbook (current edition), NCSBN NCLEX-PN test plan, SBAR template, vital signs reference card, whiteboardStudents correctly identify all five ADPIE steps and write a complete, prioritized nursing problem list for a new written case scenario; pass = 80% accuracy on a 10-item written check.
2Fluid, Electrolyte, and Acid-Base Balance14theoryStudents will interpret common fluid, electrolyte, and arterial blood gas imbalances and identify appropriate nursing interventions for each condition.
  1. Illustrated lecture on fluid compartments, osmolality, and the pathophysiology of dehydration, fluid overload, and common electrolyte disorders (hypo/hypernatremia, hypo/hyperkalemia, hypo/hypercalcemia) using diagrams and clinical photos.
  2. Lab-value interpretation drill: students work in pairs to analyze a set of ten printed lab reports, flag abnormal values, state clinical significance, and list two nursing actions for each abnormality.
  3. Acid-base worksheet: students use a systematic four-step approach (pH, PaCO2, HCO3, compensation) to classify six ABG results as respiratory acidosis, respiratory alkalosis, metabolic acidosis, or metabolic alkalosis and identify one nursing priority for each.
Lewis's Medical-Surgical Nursing, printed lab-value reference ranges, ABG interpretation worksheet, colored pens for flagging, calculatorStudents correctly classify at least 5 of 6 ABG results and identify appropriate nursing interventions on a short quiz; pass = 80%.
3Cardiovascular Disorders: Assessment, Interventions, and Medications20theoryStudents will describe nursing assessment findings, priority interventions, and medication considerations for patients with hypertension, heart failure, coronary artery disease, myocardial infarction, and dysrhythmias.
  1. Lecture with case vignettes covering pathophysiology, signs and symptoms, diagnostic tests (EKG, troponin, BNP, echocardiogram), and nursing priorities for each cardiovascular condition; students annotate their textbooks and build a comparison table.
  2. EKG strip interpretation practice: instructor demonstrates identification of normal sinus rhythm, sinus tachycardia, sinus bradycardia, atrial fibrillation, and premature ventricular contractions using printed rhythm strips; students label six strips independently.
  3. Medication card project: each student creates a drug card for one cardiovascular medication class (beta-blockers, ACE inhibitors, diuretics, antiplatelets, statins) covering mechanism, common side effects, patient teaching, and nursing monitoring parameters; cards are shared with the class.
Lewis's Medical-Surgical Nursing, printed EKG rhythm strips, drug reference handbook (Davis's Drug Guide or equivalent), index cards, stethoscopes, blood pressure cuffsStudents correctly label all six EKG strips and score at least 80% on a 20-item multiple-choice quiz covering cardiovascular pathophysiology, nursing interventions, and medication safety.
4Respiratory Disorders: Assessment, Airway Management, and Oxygen Therapy18demoStudents will perform a focused respiratory assessment, set up and apply supplemental oxygen delivery devices, and explain nursing priorities for patients with pneumonia, COPD, asthma, and pulmonary embolism.
  1. Instructor demonstration of head-to-toe respiratory assessment including inspection, palpation, percussion, and auscultation of breath sounds (vesicular, bronchovesicular, bronchial, wheezes, crackles, stridor, absent sounds) using a standardized patient or mannequin; students practice on each other in pairs.
  2. Oxygen delivery setup demonstration: instructor sets up nasal cannula, simple face mask, Venturi mask, non-rebreather mask, and aerosol nebulizer, stating flow-rate ranges and appropriate patient scenarios for each; students then set up each device on a mannequin and verbalize the indication.
  3. Scenario-based discussion: three written patient scenarios (COPD exacerbation with hypoxia, new pneumonia with fever and productive cough, suspected pulmonary embolism with sudden dyspnea) are distributed; student groups identify priority assessments, interventions, and when to call the provider.
Stethoscopes, lung sound audio recordings, nasal cannulas, simple masks, Venturi masks, non-rebreather masks, nebulizer kits, pulse oximeters, oxygen flowmeters, task trainer or mannequin, Lewis's Medical-Surgical NursingStudents correctly identify at least four breath sound types during a live auscultation check and set up the correct oxygen delivery device for a given scenario; pass = instructor sign-off on skills checklist with all critical steps met.
5Endocrine Disorders: Diabetes Management and Thyroid Conditions18labStudents will perform blood glucose monitoring, demonstrate safe insulin preparation and injection technique, and describe nursing care for patients with hypoglycemia, hyperglycemia, diabetic ketoacidosis, and thyroid disorders.
  1. Lab station 1 – Blood glucose monitoring: each student performs capillary blood glucose testing using a glucometer on a practice finger or simulation device, documents the result, and states the action to take for a reading below 70 mg/dL and a reading above 300 mg/dL.
  2. Lab station 2 – Insulin preparation: students draw up a prescribed dose of regular insulin from a vial using sterile technique, identify the correct syringe markings, and describe the rotation of injection sites; instructor evaluates each student individually.
  3. Case-based theory segment: instructor leads a facilitated discussion of a patient presenting with DKA (Kussmaul respirations, fruity breath, altered mental status, elevated blood glucose and ketones), walking through nursing assessments, IV fluid and insulin administration principles, electrolyte monitoring, and patient teaching for discharge.
Glucometers and test strips, lancets, alcohol swabs, insulin syringes (U-100), normal saline vials labeled as insulin for practice, sharps containers, gloves, Lewis's Medical-Surgical Nursing, drug reference handbookStudents perform all steps of blood glucose monitoring and insulin preparation correctly on a pass/fail skills checklist (100% on critical safety steps including correct dose, sterile technique, and proper sharps disposal); written quiz on DKA and hypoglycemia nursing care scored at 80% or higher.
6Neurological Disorders: Stroke, Seizures, and Increased Intracranial Pressure16theoryStudents will identify the signs and symptoms of stroke, seizure activity, and increased intracranial pressure, and describe priority nursing interventions and safety measures for each condition.
  1. Lecture on neurological anatomy review, stroke recognition using the BE-FAST mnemonic (Balance, Eyes, Face drooping, Arm weakness, Speech difficulty, Time to call), ischemic versus hemorrhagic stroke differences, seizure types and postictal care, and signs of increased ICP (Cushing's triad, altered LOC, pupil changes).
  2. Neurological assessment practice: students perform a focused neuro check using the Glasgow Coma Scale on a partner, score the result, and document findings; instructor then presents three GCS scenarios of decreasing scores for students to interpret and state when they would notify the provider.
  3. Seizure safety simulation: using a mannequin in a mock hospital bed, students demonstrate seizure precautions (padded side rails, suction at bedside, oxygen available), timed seizure management steps (positioning, airway protection, timing the seizure, calling for help), and postictal monitoring.
Lewis's Medical-Surgical Nursing, Glasgow Coma Scale reference card, BE-FAST poster, hospital bed mannequin, suction equipment, oxygen delivery supplies, timer, documentation formStudents correctly perform a complete GCS assessment scored within one point of instructor score and list all seizure precautions without prompting; pass = 80% on a 15-item written quiz.
7Renal and Urinary Disorders: Kidney Function, UTI, Renal Failure, and Dialysis14theoryStudents will explain nursing care priorities for patients with urinary tract infections, acute kidney injury, chronic kidney disease, and patients receiving dialysis, including monitoring intake and output and interpreting relevant laboratory values.
  1. Lecture covering kidney function, urinalysis interpretation, pathophysiology and clinical manifestations of UTI, acute kidney injury (prerenal, intrarenal, postrenal), and chronic kidney disease staging; students complete a graphic organizer comparing AKI and CKD across etiology, labs, and nursing priorities.
  2. Lab-value analysis exercise: students receive a printed set of comprehensive metabolic panels from three simulated patients at different CKD stages; they identify abnormal BUN, creatinine, potassium, phosphorus, and hemoglobin values, state clinical significance, and write two nursing interventions per patient.
  3. Group discussion on dialysis nursing care: instructor presents hemodialysis and peritoneal dialysis with visual diagrams; students discuss AV fistula access precautions, monitoring during and after dialysis, dietary restrictions, and psychosocial support needs of patients with end-stage renal disease.
Lewis's Medical-Surgical Nursing, printed CMP lab results worksheets, urinalysis reference chart, diagrams of hemodialysis and peritoneal dialysis circuits, dietary restriction handoutStudents correctly identify all abnormal values on the lab analysis worksheet and state appropriate nursing actions; pass = 80% on a 15-item quiz covering renal pathophysiology, lab interpretation, and nursing interventions.
8Gastrointestinal Disorders: Assessment, Ostomy Care, and Wound Management16labStudents will perform an abdominal assessment, perform ostomy pouch care on a mannequin, and demonstrate wound assessment and basic dressing-change technique using sterile and clean technique as appropriate.
  1. Abdominal assessment lab: students practice the correct sequence (inspection, auscultation, percussion, palpation) of abdominal assessment on a partner, document findings, and identify abnormal findings (absent bowel sounds, rigidity, distension, rebound tenderness) from scenario cards read aloud by the instructor.
  2. Ostomy care station: using an abdomen task trainer with a simulated colostomy, each student removes the used pouch, measures and cuts a new skin barrier, cleans the peristomal skin, applies the new pouching system, and documents stoma color, size, and output characteristics; instructor evaluates with a checklist.
  3. Wound care station: students perform a dressing change on a simulated wound (wound pad embedded in a practice arm), assess wound appearance using the TIME framework (Tissue, Infection/inflammation, Moisture, Edge), apply a dry sterile dressing using sterile technique, and document findings.
Abdomen task trainer with colostomy simulator, ostomy pouching system kits, scissors, skin barrier wafers, gloves, wound care mannequin arm with simulated wound, sterile dressing supplies, normal saline, sterile gloves, documentation form, Lewis's Medical-Surgical NursingStudents complete all critical steps on both the ostomy care checklist and the wound care checklist without instructor prompting; critical safety steps (hand hygiene, sterile field maintenance, stoma assessment) must be 100% correct; overall checklist pass = 80%.
9Musculoskeletal Disorders: Fractures, Arthritis, Amputation, and Mobility12demoStudents will demonstrate safe patient mobility techniques including positioning, transfer, and assistive device use, and describe nursing care for patients with fractures, hip replacement, rheumatoid arthritis, and lower-limb amputation.
  1. Instructor demonstration of safe patient handling techniques: log-rolling, repositioning in bed using a draw sheet, and two-person transfer to a chair for a post-hip-replacement patient (hip precautions); students practice each technique on a mannequin or consenting peer with instructor supervision.
  2. Assistive device instruction and return demonstration: instructor demonstrates walker use, axillary crutch walking (non-weight-bearing gait), and cane use; each student performs one assigned technique in the hallway while the instructor observes for safety and correct weight distribution.
  3. Case discussion on amputation and phantom limb pain: instructor presents a case of a patient with a below-knee amputation following peripheral vascular disease, covering residual limb care, stump wrapping technique demonstration, psychosocial support, and prosthetic preparation; students discuss interdisciplinary team roles.
Hospital bed with side rails, draw sheets, transfer belt, walker, axillary crutches, standard cane, stump wrapping elastic bandages, mannequin, Lewis's Medical-Surgical Nursing, safe patient handling policy referenceStudents safely demonstrate one assigned mobility or transfer technique with no safety errors (e.g., no unsupported patient, correct hip precautions maintained); pass = instructor sign-off on skills checklist; written scenario quiz scored at 80%.
10Cancer Care, Immunological Disorders, and Infection Control16theoryStudents will describe nursing care priorities for patients receiving chemotherapy or radiation therapy, explain oncological emergencies, and apply appropriate transmission-based precautions for immunocompromised and infectious patients.
  1. Lecture on the nursing role in cancer care: common cancer types in adult medical-surgical settings, side effects of chemotherapy (neutropenia, mucositis, nausea, fatigue, alopecia) and radiation, nursing interventions, and oncological emergencies including septic shock, tumor lysis syndrome, and spinal cord compression.
  2. Isolation precautions simulation: instructor sets up three rooms with different signs (standard, contact, droplet, airborne); students rotate through each room, don and doff the required PPE for each precaution level, and justify their choices; errors in donning/doffing sequence are corrected immediately by the instructor.
  3. Group activity on neutropenic precautions: using a written patient scenario of a patient post-chemotherapy with an absolute neutrophil count below the threshold requiring protective precautions, student groups develop a plan covering visitor restrictions, diet modifications, room assignment, hygiene practices, and staff education talking points.
Lewis's Medical-Surgical Nursing, CDC isolation precautions reference, PPE sets (gowns, gloves, surgical masks, N95 respirators, eye shields), precaution signs, ANC calculation reference, whiteboardStudents correctly don and doff PPE for all four precaution levels in sequence with no contamination errors (100% on critical steps); written quiz on cancer nursing and oncological emergencies scored at 80%.
11Perioperative Nursing: Preoperative, Intraoperative, and Postoperative Care18practiceStudents will complete a preoperative nursing checklist, perform a postoperative assessment including airway, breath sounds, circulation, pain, and wound status, and identify at least five common postoperative complications with corresponding nursing interventions.
  1. Preoperative simulation: given a patient scenario scheduled for surgery in two hours, students complete a preoperative nursing checklist (informed consent verification, NPO status, allergy identification, vital signs, skin prep documentation, IV access check, jewelry and prosthetic removal, pre-op medication administration documentation, patient teaching on deep breathing and incentive spirometry) and identify two missing items planted in the scenario by the instructor.
  2. Postoperative assessment return demonstration: each student performs a systematic post-anesthesia assessment on a mannequin including airway patency, respiratory rate and breath sounds, oxygen saturation, blood pressure, heart rate, level of consciousness (ALDRETE score), pain using a numeric scale, surgical site inspection, IV site assessment, and urinary output documentation.
  3. Complication prevention practice: using an incentive spirometer, students teach-back correct technique to a partner and document the teaching; they then practice applying sequential compression devices (SCDs) to a mannequin's lower extremities for DVT prophylaxis and verbalize the rationale.
Preoperative checklist form, consent form template, incentive spirometer, SCD sleeves and pump unit, stethoscopes, pulse oximeter, blood pressure cuff, mannequin, ALDRETE scoring tool, surgical wound pad for inspection, Lewis's Medical-Surgical NursingStudents identify both planted errors on the preoperative checklist and complete all 12 steps of the postoperative assessment checklist correctly; pass = 100% on critical steps (airway and consent), 80% overall on skills checklist and a 15-item written quiz.
12NCLEX-PN Integration: Prioritization, Delegation, and Clinical Judgment in Med-Surg27practiceStudents will apply clinical judgment and NCLEX-PN Next Generation item-style reasoning to prioritize care, make safe delegation decisions, and answer application-level questions across all medical-surgical body systems covered in this course.
  1. Prioritization workshop using multiple-patient assignment scenarios: each student receives a written assignment of four patients (e.g., post-op day 1 hip replacement, COPD exacerbation with oxygen saturation of 88%, new admission with chest pain, and a patient requesting pain medication) and must rank order whom to assess first and justify each decision using the ABCs and Maslow's hierarchy, then discuss as a class.
  2. Delegation drill: instructor presents ten situations involving LPN, RN, and unlicensed assistive personnel (UAP); students identify which tasks the LPN may perform, which require RN direction, and which are appropriate to delegate to UAP, citing LPN scope of practice and the five rights of delegation; common errors are debriefed as a group.
  3. Full-length NCLEX-PN style practice test covering all body systems from this course: students complete a 50-question timed test using Next Generation NCLEX (NGN) item formats including multiple response, ordered response, and case study items; students review all rationales and identify their two weakest content areas for targeted self-study before the course assessment.
NCLEX-PN test plan (current NCSBN version), Saunders Comprehensive Review for the NCLEX-PN (current edition), printed 50-question practice exam with answer key and rationales, delegation reference chart, timerStudents score at least 80% on the 50-question practice test and correctly prioritize all four patients in rank order with written rationale accepted by the instructor; any student scoring below 80% completes a targeted remediation assignment before sitting the course knowledge exam.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Medical-Surgical Nursing Knowledge ExaminationWritten exam25%80% (80 of 100 questions correct)A 100-item written examination using NCLEX-PN-style multiple-choice and multiple-response questions covering all body systems, nursing process application, pharmacological considerations, lab value interpretation, and prioritization across the full course content. Items are written at the application and analysis level to mirror the cognitive demand of the NCLEX-PN, and the exam is completed independently without notes or references within a timed block.
Standard met · Safety · Time · Quality/finish · Documentation
Integrated Med-Surg Skills DemonstrationSkills demonstration45%All critical safety steps scored as 'met' (pass/fail); overall checklist score 80% or higherEach student is assigned a simulated patient scenario (drawn from a set of six rotating scenarios covering postoperative care, diabetic emergency, neurological deterioration, wound and ostomy care, respiratory distress, or renal failure) and must perform a focused assessment, identify two priority nursing problems, carry out two assigned psychomotor skills from the scenario, and communicate findings to the instructor using SBAR. Critical steps including hand hygiene, correct patient identification, and patient safety during any procedure must be performed without error for the student to pass regardless of overall checklist score.
Standard met · Safety · Time · Quality/finish · Documentation
Clinical Lab Log and Nursing Care Plan PortfolioLog15%All six entries submitted and scored at 80% or higher on the rubric; any entry below 80% must be revised and resubmitted within one weekThroughout the course, each student completes and submits six lab log entries corresponding to the six lab and practice lessons (fluid and electrolytes, cardiovascular EKG, diabetes and endocrine, GI and wound care, musculoskeletal mobility, and perioperative care); each entry includes a completed skills checklist, a one-page nursing care plan with at least two NANDA-format nursing diagnoses and SMART goals, and a reflection paragraph on one learning challenge encountered and how it was resolved. The portfolio demonstrates cumulative skill development and written documentation competency.
Standard met · Safety · Time · Quality/finish · Documentation
Medication and Patient Safety CheckSafety audit15%100% on all safety-critical items; no partial credit for critical errorsA structured safety evaluation conducted by the instructor in the lab setting in which each student must correctly perform the five rights of medication administration (right patient, right medication, right dose, right route, right time) using a written medication administration record and a mock medication preparation scenario, correctly calculate one dosage problem without a calculator error, demonstrate proper sharps disposal, and identify one instance of a planted safety hazard in the simulated room (such as an unlabeled solution or unsecured bed rail). Any critical safety error—including a calculation error that would result in an unsafe dose—results in an automatic retest after mandatory remediation before the student may progress to the next course.
Standard met · Safety · Time · Quality/finish · Documentation
HLT-LPN37-04 Trade course

Maternal/Child Nursing

204 hr · $3,820 COMPLIMENTARY

This course covers nursing care of the childbearing family across the perinatal continuum—antepartum through postpartum—and of the newborn and pediatric patient through adolescence. Students apply the nursing process, scope-of-practice principles, and LPN competencies to common conditions encountered in obstetric, newborn, and pediatric settings. Lessons map directly to the NCLEX-PN test plan areas of physiological adaptation, health promotion and maintenance, reduction of risk potential, and safe and effective care environment.

Outcomes
Course text

This course covers nursing care of the childbearing family across the perinatal continuum—antepartum through postpartum—and of the newborn and pediatric patient through adolescence. Students apply the nursing process, scope-of-practice principles, and LPN competencies to common conditions encountered in obstetric, newborn, and pediatric settings. Lessons map directly to the NCLEX-PN test plan areas of physiological adaptation, health promotion and maintenance, reduction of risk potential, and safe and effective care environment.

How the course runs. 12 blocks: Anatomy, Physiology, and Terminology of Reproduction and Pregnancy; Antepartum Care: Prenatal Assessment and Common Discomforts; High-Risk Pregnancy: Complications and LPN Response; Intrapartum Nursing: Labor, Delivery, and Fetal Monitoring; Obstetric Medications and Analgesic/Anesthesia Support; Obstetric Emergencies: Recognition and Priority Action; Postpartum Nursing: Assessment and Care of the Mother; Newborn Assessment, Care, and APGAR Scoring; Breastfeeding, Newborn Nutrition, and Parent Education; Pediatric Growth, Development, and Health Maintenance; Common Pediatric Conditions, Medications, and Nursing Care; Pediatric Emergencies, Child Safety, and Mandatory Reporting.

What competent looks like. Describe normal physiological changes of pregnancy, labor, delivery, and the postpartum period and identify deviations that require escalation to an RN or provider. Perform accurate obstetric and pediatric assessments including fundal height measurement, fetal heart rate monitoring interpretation, APGAR scoring, and pediatric vital-sign interpretation using age-appropriate norms. Implement evidence-based nursing interventions for common antepartum, intrapartum, postpartum, and newborn conditions within LPN scope of practice. Apply growth-and-development milestones to anticipatory guidance and age-appropriate patient and family education across the pediatric lifespan from newborn through adolescence. Demonstrate safe medication administration including pregnancy risk categories, weight-based pediatric dosing calculations, and common obstetric and neonatal medications. Recognize clinical emergencies—including obstetric emergencies and pediatric respiratory distress—and execute correct priority actions and escalation procedures.

Lessons · 12 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1Anatomy, Physiology, and Terminology of Reproduction and Pregnancy14theoryStudents accurately describe female and male reproductive anatomy, fertilization, fetal development by trimester, and physiological adaptations of pregnancy using correct medical terminology.
  1. Label anatomical diagrams of the female reproductive tract, fetal circulation, and placental structure, then peer-check for accuracy against the textbook atlas.
  2. Build a trimester-by-trimester fetal development timeline noting organ system milestones and corresponding maternal physiological changes (cardiovascular, respiratory, renal, musculoskeletal).
  3. Complete a terminology matching quiz of 30 obstetric and embryological terms, correct answers, and write one patient-friendly explanation for five key terms to practice health literacy communication.
Maternal-newborn nursing textbook (e.g., Pillitteri or London/Ladewig), anatomical models of female pelvis and fetal development stages, whiteboard, terminology flash cards, NCLEX-PN test plan (Client Needs: Health Promotion and Maintenance)Score ≥ 78% on a 25-item terminology and physiology quiz; correctly label at least 10 of 12 structures on an unlabeled diagram.
2Antepartum Care: Prenatal Assessment and Common Discomforts16theoryStudents identify components of the initial and ongoing prenatal assessment, apply GTPAL notation, and distinguish normal discomforts of pregnancy from warning signs requiring provider notification.
  1. Apply GTPAL to a set of six patient vignettes, recording obstetric history correctly and explaining each component to a peer.
  2. Using a case study of a 28-week prenatal visit, document expected findings for each trimester assessment component (blood pressure, weight gain, fundal height, fetal heart tones, urinalysis results) and flag two abnormal values for escalation.
  3. Role-play a prenatal education session in pairs: one student plays the nurse providing anticipatory guidance about nutrition, activity, common discomforts, and warning signs; the other plays a first-trimester patient and asks three spontaneous questions.
Maternal-newborn nursing textbook, GTPAL reference card, prenatal flow-sheet forms, blood pressure cuffs, fetoscope/Doppler (demo), NCLEX-PN test plan (Health Promotion and Maintenance; Reduction of Risk Potential)Correct GTPAL notation on all six vignettes; identification of at least four of five planted warning signs in the case study with correct rationale; instructor observation checklist score ≥ 78% on patient education role-play.
3High-Risk Pregnancy: Complications and LPN Response18theoryStudents describe pathophysiology, signs and symptoms, and priority LPN nursing actions for major antepartum complications including gestational hypertension, preeclampsia, gestational diabetes, placenta previa, and placental abruption.
  1. Complete a comparison chart for gestational hypertension versus preeclampsia versus eclampsia, filling in defining criteria, key assessment findings, LPN priority actions, and when to escalate—using the textbook and clinical guidelines.
  2. Analyze three high-risk pregnancy case studies (one gestational diabetes, one placenta previa, one preeclampsia), identify the priority nursing problem, select two appropriate LPN interventions, and state one finding that would require immediate provider notification.
  3. Group discussion: review a simulation scenario where a patient reports sudden, painless bright-red vaginal bleeding; students prioritize actions, identify contraindicated interventions (e.g., vaginal exam), and practice verbal SBAR report to the RN.
Maternal-newborn nursing textbook, printed comparison chart templates, case study packets, SBAR communication reference card, NCLEX-PN test plan (Physiological Adaptation; Reduction of Risk Potential)Accurate completion of comparison chart with ≥ 78% correct entries; correct prioritization and rationale in all three case studies; SBAR report includes all four elements as rated by instructor checklist.
4Intrapartum Nursing: Labor, Delivery, and Fetal Monitoring20demoStudents describe the stages and phases of labor, perform Leopold maneuvers on a simulation model, and interpret fetal heart rate monitor strips identifying reassuring versus non-reassuring patterns.
  1. Instructor demonstrates Leopold maneuvers on a birthing simulator; students then perform all four maneuvers on the simulator in pairs and document fetal position using correct obstetric notation, with instructor observing each pair.
  2. Review six printed fetal heart rate monitor strips, classify baseline rate, variability, accelerations, and decelerations (early, late, variable) for each strip, and state one priority LPN action for the two non-reassuring strips.
  3. Step through a staged intrapartum simulation: receive shift report, assess a patient in active labor (vital signs, contraction frequency/duration/intensity, cervical dilation from report, fetal heart rate strip), document findings on a labor flow sheet, and report abnormal finding via SBAR.
Birthing simulator/pelvis model, Leopold maneuvers reference card, printed fetal heart rate monitor strips (variety of patterns), labor flow-sheet forms, electronic fetal monitor (demo unit or training software), maternal-newborn textbook, NCLEX-PN test plan (Reduction of Risk Potential; Physiological Adaptation)Correct performance of all four Leopold maneuvers on three consecutive simulator attempts as rated by instructor skills checklist (pass = correct technique on ≥ 3 of 4 maneuvers per attempt); ≥ 78% accuracy classifying monitor strip patterns; SBAR report complete per checklist.
5Obstetric Medications and Analgesic/Anesthesia Support16theoryStudents identify the mechanism of action, indications, nursing considerations, and adverse effects of medications commonly used in obstetric care including oxytocin, magnesium sulfate, terbutaline, and opioid and epidural analgesics.
  1. Complete a medication reference card for each of five obstetric medications (oxytocin, magnesium sulfate, terbutaline, a common opioid analgesic, and methylergonovine), noting: class, use in obstetrics, key nursing assessments before and during administration, signs of toxicity, and antidote if applicable.
  2. Work through four medication calculation problems using safe weight-based or unit-based dosing for obstetric scenarios (e.g., oxytocin infusion rate in mL/hr given mU/min order, magnesium sulfate loading dose), showing all work in dimensional analysis format.
  3. Case study: a patient receiving magnesium sulfate develops decreased deep tendon reflexes and respiratory rate of 10; students identify the adverse effect, state the antidote, and sequence the priority nursing actions, then discuss why this is within versus outside LPN independent scope.
Maternal-newborn nursing textbook, drug handbook (current edition), medication reference card templates, calculator, dimensional analysis worksheet, NCLEX-PN test plan (Pharmacological and Parenteral Therapies)Medication cards accurate for ≥ 78% of entries; all four calculation problems correct with dimensional analysis shown (any error flagged for remediation before clinical); correct adverse effect identification and sequenced response in case study.
6Obstetric Emergencies: Recognition and Priority Action14practiceStudents correctly identify clinical signs of obstetric emergencies—including umbilical cord prolapse, shoulder dystocia (nurse support role), amniotic fluid embolism, and postpartum hemorrhage—and execute priority LPN actions including positioning, escalation, and hemorrhage assessment.
  1. Scenario carousel: four stations, each presenting an obstetric emergency scenario card; students read findings, write the emergency identified, list two immediate LPN actions, and state one thing they must NOT do independently outside LPN scope—rotate every 8 minutes.
  2. Simulation: postpartum patient with excessive vaginal bleeding; students perform uterine fundal assessment, identify boggy uterus, perform fundal massage on simulator, measure simulated blood loss on calibrated pad, and report via SBAR to RN.
  3. Group debrief using a structured format: identify what was recognized correctly, what action came first and why, what was escalated and to whom, and what documentation is required—instructor facilitates and corrects priority sequencing.
Birthing/postpartum simulator, calibrated perineal pads (simulated blood loss), SBAR cards, scenario station cards, personal protective equipment (gloves, gown), maternal-newborn textbook, NCLEX-PN test plan (Physiological Adaptation; Safety and Infection Control)Correct emergency identification at ≥ 3 of 4 carousel stations; fundal massage performed correctly per skills checklist (pass = correct hand placement, direction, and documentation of findings); SBAR includes all elements.
7Postpartum Nursing: Assessment and Care of the Mother16labStudents perform a complete systematic postpartum assessment using the BUBBLE-HE mnemonic, document findings accurately, and identify two postpartum complications (hemorrhage, infection) requiring escalation.
  1. Instructor-led walk-through of BUBBLE-HE (Breasts, Uterus, Bowel, Bladder, Lochia, Episiotomy/incision, Homans sign/lower extremities, Emotional status) on a postpartum simulator; students then perform the assessment independently while instructor observes and records checklist.
  2. Document a full postpartum nursing note in SOAP format based on findings obtained during the simulator assessment, then peer-review for completeness and correct terminology.
  3. Compare two lochia specimen cards (normal versus abnormal color, quantity, and odor) and two incision photographs (normal healing versus signs of infection); write one nursing action for each abnormal finding and the escalation step required.
Postpartum simulator or standardized patient, BUBBLE-HE assessment checklist, SOAP note forms, lochia specimen reference cards, wound photograph cards, centimeter ruler, gloves, maternal-newborn textbook, NCLEX-PN test plan (Health Promotion and Maintenance; Reduction of Risk Potential)BUBBLE-HE assessment checklist completed with ≥ 78% correct findings documented; SOAP note includes all four sections with relevant data; both abnormal findings identified with correct escalation action.
8Newborn Assessment, Care, and APGAR Scoring18labStudents perform a systematic newborn physical assessment, calculate APGAR scores from given data at one and five minutes, and implement priority interventions for a newborn requiring resuscitation support within LPN scope.
  1. Use a newborn simulator to practice head-to-toe newborn physical assessment in the correct sequence, documenting findings including head circumference, chest circumference, weight, length, skin color, fontanels, reflexes (Moro, rooting, sucking, Babinski), and gestational age indicators.
  2. Score five written APGAR scenario cards at one minute and five minutes, interpret each score (0–3, 4–6, 7–10), and state the priority nursing action for two scores below 7.
  3. Demonstration and return demonstration of newborn thermoregulation interventions: dry and stimulate, skin-to-skin placement, radiant warmer operation, and proper hat and blanket technique—instructor observes and rates each step on a skills checklist.
Newborn simulator, infant scale, tape measure, stethoscope, APGAR scenario cards, radiant warmer (demo unit or model), infant hats/blankets, newborn assessment reference card, maternal-newborn textbook, NCLEX-PN test plan (Health Promotion and Maintenance; Physiological Adaptation)Newborn assessment completed in correct sequence with ≥ 78% of findings accurately recorded; all five APGAR scores calculated correctly with accurate interpretation; thermoregulation return demonstration passes all critical steps on checklist.
9Breastfeeding, Newborn Nutrition, and Parent Education12practiceStudents explain the physiology of lactation, demonstrate correct latch assessment technique using a simulator, and provide evidence-based anticipatory guidance to new parents about infant feeding, sleep safety, and newborn care.
  1. Using a breastfeeding simulator and doll, assess latch position for correct technique (wide mouth, flanged lips, chin to breast, audible swallowing); document what is correct and what needs correction, then give one specific instruction to improve an incorrect latch.
  2. Develop a one-page, plain-language parent handout covering: breastfeeding frequency and duration cues, formula preparation safety (if formula feeding), safe sleep guidelines (ABC: Alone, on Back, in Crib), umbilical cord care, circumcision care, and jaundice warning signs—use a 6th-grade reading level.
  3. Role-play: one student is the nurse teaching a new parent who states they plan to use formula and asks about safe preparation; student provides accurate, non-judgmental, evidence-based instructions including water temperature, measurement, storage, and when to call the provider.
Breastfeeding simulator, infant doll, latch assessment checklist, parent education handout template, AAP safe sleep guidelines reference, current infant formula preparation guidelines, maternal-newborn textbook, Flesch-Kincaid readability guideLatch assessment identifies all three errors planted on simulator per checklist; handout reviewed for accuracy and readability (pass = all six topics covered, no inaccurate information, readability at or below 8th-grade level); role-play rated satisfactory on non-judgmental communication and accuracy per instructor checklist.
10Pediatric Growth, Development, and Health Maintenance18theoryStudents match age-appropriate developmental milestones to Erikson's psychosocial stages across the pediatric lifespan (infant through adolescent) and apply this knowledge to developmentally appropriate patient communication, assessment techniques, and anticipatory guidance.
  1. Complete a lifespan development grid for six age groups (infant, toddler, preschool, school-age, early adolescent, late adolescent) with columns for: Erikson's stage and conflict, gross and fine motor milestones, language/cognitive milestones, and one anticipatory guidance topic per age group—use textbook and cross-check with CDC developmental milestones.
  2. Review three pediatric case vignettes and identify whether the child is meeting, exceeding, or missing expected milestones; state whether a developmental concern warrants provider referral and what the LPN's role is.
  3. Practice age-appropriate communication techniques in pairs: approaching a toddler for vital signs using distraction and play, explaining a procedure to a school-age child using simple honest language, and discussing confidentiality with an adolescent—instructor rates on developmentally appropriate approach.
Pediatric nursing textbook (e.g., Hockenberry or Ball/Bindler), CDC developmental milestones reference, Erikson's stages reference card, lifespan grid worksheet, case vignette packets, NCLEX-PN test plan (Health Promotion and Maintenance)Development grid completed with ≥ 78% accuracy; correct milestone assessment and referral decision in all three vignettes; age-appropriate communication rated satisfactory for all three age groups per instructor checklist.
11Common Pediatric Conditions, Medications, and Nursing Care22theoryStudents describe pathophysiology, assessment findings, and LPN nursing interventions for high-priority pediatric conditions including respiratory illnesses (croup, asthma, bronchiolitis), gastrointestinal conditions (dehydration, pyloric stenosis), and communicable diseases, and accurately calculate weight-based pediatric medication doses.
  1. Build a pediatric condition comparison chart for six conditions (croup, asthma, bronchiolitis, dehydration, otitis media, varicella), including: age group most affected, hallmark signs and symptoms, one diagnostic clue, two LPN nursing interventions, and one priority safety concern.
  2. Complete six weight-based pediatric medication dosing problems (e.g., ibuprofen mg/kg, amoxicillin mg/kg/day divided doses) in dimensional analysis format, verify that each calculated dose falls within the safe dose range using a current drug reference, and flag any dose outside range.
  3. Case study: a 2-year-old with moderate dehydration and frequent vomiting—students assess hydration status using clinical indicators (mucous membranes, skin turgor, fontanel, urine output, vital signs), prioritize two nursing interventions, and state one sign that would indicate deterioration requiring immediate escalation.
Pediatric nursing textbook, current drug handbook with pediatric dosing, dimensional analysis worksheets, calculator, safe dose range reference card, comparison chart template, case study packet, NCLEX-PN test plan (Pharmacological and Parenteral Therapies; Physiological Adaptation)Condition chart ≥ 78% accurate; all six medication calculations correct with dimensional analysis shown and safe-dose verification documented (any error requires remediation before clinical rotation); dehydration case study: correct assessment indicators identified and priority interventions appropriate.
12Pediatric Emergencies, Child Safety, and Mandatory Reporting20practiceStudents recognize clinical signs of pediatric respiratory distress and shock, describe the LPN's role in pediatric emergency response, apply age-appropriate injury prevention teaching, and state the legal and ethical obligations of mandatory reporting for suspected child abuse and neglect.
  1. Simulation scenario: a 4-year-old presents with increased work of breathing, nasal flaring, intercostal retractions, and SpO₂ of 92%; students identify signs of respiratory distress using the Pediatric Assessment Triangle, position the child correctly, apply supplemental oxygen per standing order within scope, and call SBAR report to the provider—instructor debriefs priority sequencing.
  2. Review a case vignette describing a child with multiple bruises in various stages of healing, inconsistent parental history, and fearful behavior; students identify physical and behavioral indicators of possible abuse, document objective findings only, and describe the mandatory reporting process including to whom, within what timeframe (general obligation—no specific statute cited), and what not to do (do not confront parents or delay care).
  3. Develop an age-appropriate injury prevention teaching plan for one assigned age group (toddler, school-age, or adolescent) covering three leading causes of injury for that age; present to peers and receive structured feedback on accuracy and developmental appropriateness.
Pediatric simulator or high-fidelity manikin (child-sized), pulse oximeter, pediatric non-rebreather mask and nasal cannula, Pediatric Assessment Triangle reference card, SBAR form, mandatory reporting resource (state child protective services process overview), injury prevention reference (AAP or CDC), pediatric nursing textbook, NCLEX-PN test plan (Safety and Infection Control; Coordinated Care)Respiratory distress signs correctly identified and oxygen application performed within 2 minutes per skills checklist; mandatory reporting case study: objective documentation accurate (no subjective language), reporting obligation correctly described, and no contraindicated actions taken—rated pass/fail by instructor; injury prevention teaching plan includes three accurate, age-appropriate topics as rated by peer and instructor checklist ≥ 78%.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Maternal/Child Nursing Knowledge ExaminationWritten exam25%78% or higher on a 75-item multiple-choice examA proctored, 75-item multiple-choice examination covering antepartum, intrapartum, postpartum, newborn, and pediatric content aligned to NCLEX-PN client needs categories (Health Promotion and Maintenance, Physiological Adaptation, Pharmacological and Parenteral Therapies, Reduction of Risk Potential, Safety and Infection Control). Questions are written at the application and analysis level to mirror NCLEX-PN style, including medication dosing calculations embedded within clinical stems.
Standard met · Safety · Time · Quality/finish · Documentation
Integrated Maternal/Child Skills DemonstrationSkills demonstration45%Pass on all critical-safety steps; ≥ 78% overall on skills checklistStudents complete a sequential simulation that includes a postpartum BUBBLE-HE assessment, newborn APGAR scoring from a live scenario card, correct fundal massage technique on a simulator, and a pediatric respiratory distress priority-action sequence; each skill is rated on an instructor checklist with critical-safety steps (PPE, correct escalation, no contraindicated actions) designated as automatic fails if missed.
Standard met · Safety · Time · Quality/finish · Documentation
Maternal/Child Lab LogLog15%All 12 lesson activities documented; ≥ 78% accuracy on medication calculation entries; instructor-initialed on each entryStudents maintain a cumulative lab log throughout the course recording completed lab and practice activities, all medication calculation work shown in dimensional analysis format with safe-dose verification, SBAR communications, assessment findings from simulator sessions, and reflection notes on scope-of-practice decisions; the log is submitted at course end and reviewed by the instructor for completeness, accuracy, and professional documentation standards.
Standard met · Safety · Time · Quality/finish · Documentation
Obstetric and Pediatric Emergency Safety CheckSafety audit15%Pass/fail — all five critical safety behaviors must be demonstrated correctly; no retakes on the same scenario; one remediation opportunity with a different scenario within the same course termA timed, unannounced skills check in which each student individually manages one of two randomly assigned emergency scenarios (postpartum hemorrhage or pediatric respiratory distress); the instructor scores five pre-designated critical safety behaviors including correct identification of the emergency, immediate priority action, appropriate positioning, escalation using SBAR, and avoidance of at least one clearly contraindicated action—all five must be achieved to pass.
Standard met · Safety · Time · Quality/finish · Documentation
HLT-LPN37-05 Trade course

Geriatric Nursing Care

204 hr · $3,820 COMPLIMENTARY

This course prepares practical nursing students to deliver safe, competent, person-centered care to older adults across long-term care, skilled nursing, assisted living, and home health settings. Students examine the physiological, psychological, and social changes of aging and apply evidence-based nursing interventions to common geriatric conditions, syndromes, and end-of-life situations. Lessons are mapped to NCLEX-PN client needs categories, with emphasis on safe and effective care environments, health promotion, physiological integrity, and psychosocial integrity.

Outcomes
Course text

This course prepares practical nursing students to deliver safe, competent, person-centered care to older adults across long-term care, skilled nursing, assisted living, and home health settings. Students examine the physiological, psychological, and social changes of aging and apply evidence-based nursing interventions to common geriatric conditions, syndromes, and end-of-life situations. Lessons are mapped to NCLEX-PN client needs categories, with emphasis on safe and effective care environments, health promotion, physiological integrity, and psychosocial integrity.

How the course runs. 12 blocks: Aging in America: Demographics, Settings, and LPN Scope of Practice; Normal Aging: Physiological and Psychosocial Changes Across Body Systems; Geriatric Assessment Tools and Focused Nursing Assessment; Falls Prevention and Safe Mobility in Older Adults; Pressure Injury Prevention and Wound Care in Older Adults; Dementia, Delirium, and Depression: The Three Ds; Polypharmacy and Medication Safety in Older Adults; Chronic Conditions Common in Older Adults: Cardiovascular, Respiratory, and Musculoskeletal; Nutrition, Hydration, and Elimination in Older Adults; Pain Management in Older Adults; Psychosocial Care, Elder Abuse, and Legal/Ethical Issues; End-of-Life Care, Palliative Nursing, and NCLEX-PN Geriatrics Integration Review.

What competent looks like. Distinguish normal age-related physiological and psychosocial changes from pathological findings and adjust nursing assessments and care plans accordingly. Implement safe, evidence-based nursing interventions for high-priority geriatric conditions including dementia, delirium, falls, pressure injuries, polypharmacy, and pain. Apply principles of person-centered care, cultural humility, and resident rights when planning and delivering care to diverse older adult populations. Demonstrate accurate documentation, structured communication (SBAR), and appropriate delegation consistent with LPN scope of practice in geriatric settings. Perform focused geriatric nursing assessments using standardized tools and report abnormal findings to the supervising RN or provider in a timely manner. Articulate ethical and legal responsibilities of the LPN related to elder abuse recognition and reporting, advance directives, and end-of-life care.

Lessons · 12 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1Aging in America: Demographics, Settings, and LPN Scope of Practice14theoryStudents will describe the continuum of geriatric care settings, differentiate the LPN scope of practice from RN and CNA roles in those settings, and identify at least four current demographic trends shaping elder care in the US.
  1. Annotated reading from a current nursing fundamentals textbook covering aging demographics, care levels (SNF, ALF, PACE, home health), and Medicare/Medicaid funding basics, followed by a structured note-taking guide.
  2. Small-group case analysis: given three resident vignettes placed in different care settings, students identify which tasks fall within LPN scope, which require RN delegation, and which are CNA duties, then present findings to the class.
  3. Individual written reflection (one page) on how ageism and stereotyping can affect nursing care quality, citing two specific examples from the vignettes or assigned reading.
Current LPN/LVN nursing textbook (geriatrics chapter), state nurse practice act (printed excerpt), NCSBN LPN scope-of-practice resources, whiteboard, case vignette handoutsExit quiz: 10 multiple-choice questions covering demographics, care settings, and scope of practice; students must score 80% or higher to proceed without remediation.
2Normal Aging: Physiological and Psychosocial Changes Across Body Systems18theoryStudents will correctly differentiate normal age-related changes in at least eight body systems from abnormal findings that require nursing action, using system-by-system comparison charts.
  1. Lecture with projected body-system diagrams; students complete a two-column comparison chart ('Normal Aging Change' vs. 'Abnormal/Report') for integumentary, musculoskeletal, cardiovascular, respiratory, renal, gastrointestinal, neurological, sensory, and immune systems.
  2. Paired role-play: one student acts as a 78-year-old resident describing common complaints (slower wound healing, nocturia, constipation, reduced hearing); partner practices therapeutic communication and distinguishes reportable from expected findings.
  3. Concept-mapping exercise: each student builds a one-page concept map linking three age-related physiological changes to their nursing implications (e.g., decreased skin turgor → increased pressure injury risk → turning schedule).
LPN textbook, printed body-system comparison charts, colored markers for concept mapping, simulated assessment findings handoutScored concept map rubric: must correctly link all three selected changes to accurate nursing implications (3/3) and achieve 80% on an in-class 15-question quiz on normal vs. abnormal findings.
3Geriatric Assessment Tools and Focused Nursing Assessment18demoStudents will correctly administer and score four standardized geriatric assessment tools—the Mini-Cog, the Katz Index of Independence in ADLs, the Braden Scale, and the Morse Fall Scale—and document results accurately.
  1. Instructor-led demonstration of each assessment tool using a simulated resident (standardized patient or high-fidelity manikin), narrating each step and showing how scores are recorded and interpreted.
  2. Students practice administering all four tools on a peer or simulated patient in pairs, with an instructor observing and providing real-time corrective feedback on technique and scoring.
  3. Documentation lab: using a sample facility electronic health record (EHR) training module or paper form, students enter assessment scores, flag abnormal findings, and write a brief SBAR communication note to the charge RN.
Printed Mini-Cog, Katz ADL, Braden Scale, and Morse Fall Scale scoring sheets; simulated EHR training module or paper charting forms; simulated patient or standardized patient; instructor demonstration guideSkills checklist: instructor verifies student completes all scored items, calculates scores without arithmetic error, and correctly identifies risk level for each tool; pass = zero critical errors and 85% checklist completion.
4Falls Prevention and Safe Mobility in Older Adults18labStudents will implement a falls-prevention care plan for a simulated high-risk resident, correctly applying environmental modifications, assistive devices, and safe transfer techniques according to facility protocol.
  1. Pre-lab briefing on fall risk factors (polypharmacy, postural hypotension, impaired gait, sensory deficits), falls-prevention interventions, and OSHA body mechanics guidelines; students complete a pre-lab quiz before entering the lab.
  2. Lab station rotation: (1) environmental safety scan—identify and correct eight planted hazards in a mock resident room; (2) gait-belt assisted ambulation and pivot transfer to wheelchair with a simulated resident; (3) proper use and fitting of a standard walker.
  3. Post-lab debrief: each student documents the falls-prevention interventions applied, writes a Morse Fall Scale score for the simulated scenario, and states which findings would require immediate escalation to the RN.
Lab simulation room with planted hazards, gait belts, standard walker, wheelchair, hospital bed, transfer belt, Morse Fall Scale form, OSHA body-mechanics poster, non-slip footwearInstructor skills checklist: all eight environmental hazards identified and corrected, transfer completed without unsafe body mechanics, post-lab documentation complete; pass = zero safety-critical errors and 80% overall checklist.
5Pressure Injury Prevention and Wound Care in Older Adults18labStudents will stage pressure injuries using the NPIAP classification system, implement evidence-based prevention interventions, and perform a basic wound assessment and dressing change on a simulated wound model.
  1. Lecture and photo-based case review: instructor presents NPIAP stages (Stage 1 through 4, unstageable, deep tissue pressure injury) with clinical photos; students match descriptions to correct stages on a printed worksheet.
  2. Lab practice: students perform a head-to-toe skin assessment on a manikin using a skin assessment guide, document findings on a body diagram, calculate Braden Scale score, and develop a two-turn-schedule repositioning plan.
  3. Wound-care dressing change simulation: using a wound care task trainer or foam wound model, students perform hand hygiene, apply sterile/clean technique per facility type, measure wound dimensions, and apply a simulated moisture-retentive dressing following step-by-step procedure card.
NPIAP staging photos and worksheet, manikin with simulated skin findings, Braden Scale forms, wound care task trainer or foam wound model, dressing supplies (gloves, gauze, moisture-retentive dressing), body diagram handout, measuring tapeSkills checklist: correct staging of five sample wounds (5/5), complete Braden Scale with accurate risk level, dressing change completed in correct sequence with no sterile-field breaks; pass = 80% checklist and 5/5 staging accuracy.
6Dementia, Delirium, and Depression: The Three Ds20theoryStudents will distinguish the clinical features, onset, and nursing management of dementia, delirium, and depression in older adults and prioritize appropriate nursing interventions for each condition.
  1. Structured lecture with a three-column comparison table (dementia vs. delirium vs. depression) covering onset, course, cognition, affect, and key nursing interventions; students complete the table during lecture.
  2. Video case-study analysis: students watch two short clinical videos—one depicting acute delirium, one depicting moderate Alzheimer's disease behavioral symptoms—and answer a guided question set identifying clinical cues, potential triggers, and priority nursing actions.
  3. Small-group scenario: groups receive a resident scenario describing sudden-onset confusion in a resident with known dementia; groups identify delirium indicators, list three priority nursing actions (assess for infection, pain, medication changes), and explain when to escalate to the RN using SBAR format.
LPN textbook, three-column comparison table handout, clinical video clips, guided question set, SBAR template, DSM-5 summary handout (depression criteria overview)Written SBAR communication from the scenario scored on a four-component rubric (Situation, Background, Assessment, Recommendation): all four components present and clinically accurate = pass; plus 80% on a 10-question quiz on the Three Ds.
7Polypharmacy and Medication Safety in Older Adults18theoryStudents will identify at least five categories of medications on the Beers Criteria as potentially inappropriate for older adults, explain pharmacokinetic changes of aging, and apply the five rights plus two additional checks when administering medications to geriatric residents.
  1. Lecture on age-related pharmacokinetic changes (decreased renal clearance, reduced hepatic metabolism, altered distribution) and their clinical implications; students annotate a printed pharmacokinetics diagram and answer three application questions.
  2. Beers Criteria case study: given a mock medication administration record for an 82-year-old with six medications, students identify which agents appear on the Beers Criteria, explain the associated risk (e.g., anticholinergic burden, fall risk), and suggest a nursing action (monitor, report, educate).
  3. Medication calculation practice: students solve eight dosage calculation problems specific to geriatric scenarios (weight-based dosing for lower weights, liquid formulations for swallowing difficulties) and self-check with answer key; errors discussed in debrief.
Printed or digital Beers Criteria summary (American Geriatrics Society), mock MAR, pharmacokinetics diagram, dosage-calculation worksheet, answer key, LPN pharmacology textbook chapterScored medication calculation quiz: 8/8 correct required (100% pass standard for medication math); Beers Criteria case study scored on rubric—identifies at least 4/5 target medications with correct rationale = pass.
8Chronic Conditions Common in Older Adults: Cardiovascular, Respiratory, and Musculoskeletal18theoryStudents will apply nursing assessment and intervention knowledge for heart failure, COPD, osteoporosis, and osteoarthritis in the geriatric population, recognizing atypical presentations and priority reportable signs.
  1. Lecture-discussion covering pathophysiology (brief review), atypical presentations in elders (e.g., confusion as the first sign of MI or infection), and nursing priorities for each condition; students complete a priority-findings table for each diagnosis.
  2. Paired case-study analysis: four cases (one per condition) with assessment data, current medications, and functional status; students identify two priority nursing diagnoses, three nursing interventions, and one reportable finding for each case.
  3. Class discussion: instructor leads a 'What would you do first?' rapid-fire scenario drill using the four cases, reinforcing critical thinking about which finding requires immediate RN notification versus routine monitoring.
LPN med-surg and geriatrics textbook chapters, priority-findings table handout, four printed case studies, whiteboard for class discussionCase-study written response: must correctly identify both priority nursing diagnoses and all three interventions for at least three of four cases; scored at 75% minimum weighted average across all four cases.
9Nutrition, Hydration, and Elimination in Older Adults16demoStudents will perform a nutritional screening using a validated tool, identify signs of dehydration and malnutrition in a simulated resident, and implement nursing interventions to promote adequate nutrition, hydration, and bowel/bladder function.
  1. Instructor demonstrates use of a validated nutritional screening tool (such as the Mini Nutritional Assessment-Short Form) on a simulated resident, then demonstrates calculation of fluid intake and output from a 24-hour I&O record.
  2. Students in pairs conduct a nutritional screening on a peer acting as a resident with guided scenario data, calculate 24-hour fluid balance from a sample I&O sheet, and identify whether the resident is at risk for dehydration or malnutrition.
  3. Thickened liquid and modified-diet simulation: students prepare and present thickened liquids to IDDSI standards using thickening agent and demonstrate proper positioning for a resident with dysphagia risk, followed by instructor feedback.
Mini Nutritional Assessment-Short Form, sample 24-hour I&O record, IDDSI framework chart, commercial thickening agent, cups, thickened liquid sample, simulated resident positioning pillow, calculatorSkills checklist: nutritional screening completed with correct score and risk interpretation, I&O calculation accurate within accepted rounding, IDDSI level correctly prepared and resident positioning performed safely; pass = 80% checklist completion with no safety errors.
10Pain Management in Older Adults16theoryStudents will select appropriate pain assessment tools for residents with and without cognitive impairment, differentiate pharmacological from non-pharmacological pain interventions within LPN scope, and identify signs of undertreated pain in nonverbal residents.
  1. Lecture: pain physiology review, barriers to pain assessment in elders (stoicism, cognitive impairment, fear of addiction), overview of numeric rating scale, Wong-Baker FACES scale, and PAINAD scale for nonverbal residents; students practice scoring three sample PAINAD scenarios.
  2. Video observation: students watch a short video of a simulated nonverbal resident displaying pain behaviors; each student independently scores the PAINAD, then the class compares scores and discusses discrepancies with instructor guidance.
  3. Non-pharmacological intervention planning: given five geriatric pain scenarios, students identify two appropriate non-pharmacological interventions per scenario (positioning, heat/cold, distraction, guided imagery) and document them on a care plan template, noting which require an order.
PAINAD scale printouts, numeric rating scale and FACES scale handouts, pain video clip, care plan template, LPN pharmacology textbook (analgesics chapter), Beers Criteria summaryPAINAD scoring accuracy: student scores must be within one point of instructor key score on all three practice scenarios; care plan template graded on rubric—two appropriate interventions documented per scenario with correct notation of order requirements = 80% minimum.
11Psychosocial Care, Elder Abuse, and Legal/Ethical Issues16theoryStudents will identify types of elder abuse and mandatory reporting obligations of the LPN, explain resident rights under federal guidelines, and demonstrate therapeutic communication techniques for residents experiencing grief, loneliness, or end-of-life transitions.
  1. Lecture and guided reading: federal resident rights in long-term care settings, types of elder abuse and neglect (physical, emotional, financial, sexual, abandonment), mandatory reporting process and timeline, and advance directives (living will, POLST/MOLST, healthcare proxy); students annotate a resident rights summary sheet.
  2. Role-play in triads: one student plays a resident disclosing suspected financial exploitation, one plays the LPN conducting the initial response and documentation, one observes and completes a peer-feedback checklist on therapeutic communication and appropriate escalation steps.
  3. Case-study analysis: students review two written scenarios involving ethical conflicts (family disagrees with resident's DNR wishes; resident refuses a prescribed medication) and write a one-paragraph response for each explaining the LPN's legal and ethical obligations.
Federal resident rights summary sheet, elder abuse mandatory reporting reference (state-specific), POLST/MOLST sample form, advance directive sample, peer-feedback checklist, case scenario handoutsRole-play peer and instructor checklist: student correctly validates resident concern, initiates appropriate documentation language, and states mandatory reporting obligation without prompting = pass; case-study paragraphs graded for legal/ethical accuracy on four-point rubric, minimum 3/4 per scenario.
12End-of-Life Care, Palliative Nursing, and NCLEX-PN Geriatrics Integration Review14practiceStudents will apply palliative and hospice nursing principles to a complex geriatric end-of-life scenario and correctly answer NCLEX-PN–style questions across all geriatric care competency areas covered in the course.
  1. Case-based palliative care planning: working in small groups, students receive a complex end-of-life scenario (advanced dementia, terminal cancer, or late-stage CHF) and develop a brief comfort-focused care plan addressing pain, respiratory comfort, skin integrity, psychosocial support, and family communication.
  2. Group presentations: each group presents their comfort care plan to the class; peers and instructor provide structured feedback using a three-point rubric (clinical accuracy, person-centeredness, LPN scope alignment).
  3. Timed NCLEX-PN practice drill: 30 alternating-format questions (multiple-choice, select-all-that-apply) covering all 11 lessons in this course, aligned to NCLEX-PN client needs categories (Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, Physiological Integrity); students review rationales after scoring.
End-of-life scenario packet, comfort care plan template, NCLEX-PN practice question bank (geriatrics subset), peer-feedback rubric, NCLEX-PN client needs category reference sheetNCLEX-PN practice drill: minimum score of 75% (23/30 questions) required; comfort care plan presentation scored on rubric—all three components addressed accurately = pass for this lesson; deficiencies trigger instructor-guided remediation before course assessments.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Geriatric Nursing Knowledge ExaminationWritten exam25%75% (38/50 items correct)A 50-item written examination in NCLEX-PN format (multiple-choice and select-all-that-apply) covering normal aging changes, the Three Ds, polypharmacy and the Beers Criteria, common chronic conditions, pain assessment, elder abuse, and palliative care, mapped to NCLEX-PN client needs categories. Students have 90 minutes to complete the exam; those scoring below 75% complete mandatory remediation and one retake within five business days.
Standard met · Safety · Time · Quality/finish · Documentation
Geriatric Assessment and Care Skills DemonstrationSkills demonstration45%Pass all critical-safety items; 80% overall checklist completionIn a proctored simulation lab, each student individually administers the Mini-Cog, Braden Scale, and Morse Fall Scale to a standardized patient or manikin, performs a focused skin assessment, documents findings in a sample EHR module, and delivers an SBAR report to the instructor acting as charge RN. Any critical-safety error (e.g., unsafe transfer technique, incorrect medication stage, failure to report an abnormal Braden score) results in automatic failure and a required remediation skills session before retake.
Standard met · Safety · Time · Quality/finish · Documentation
Clinical Lab Log: Geriatric Care Activities RecordLog15%All required entries present; 80% average score on narrative reflection rubricStudents maintain a structured lab log throughout the course documenting each lab or demo lesson, including: the assessment tool or skill practiced, their scored performance, two clinical reasoning notes explaining why the intervention matters for older adults, and one self-identified area for improvement. The instructor reviews the log at lesson 6 (midpoint) and again at lesson 12 for completeness and depth of reflection, using a four-point rubric per entry.
Standard met · Safety · Time · Quality/finish · Documentation
Elder Safety and Mandatory Reporting Safety CheckSafety audit15%100% on all seven critical safety indicators; no safety indicator may be marked incompleteA structured observed safety competency in which the instructor presents a written vignette describing a resident with signs of neglect or abuse, fall risk, and a potential pressure injury, then asks the student to verbally state: (1) correct identification of abuse or neglect type, (2) mandatory reporting obligation and steps, (3) immediate safety interventions for fall risk, (4) correct pressure injury stage, (5) who to notify and in what timeframe, (6) applicable resident right being violated, and (7) documentation requirements. All seven indicators must be answered correctly without prompting; failure on any indicator requires remediation and retake before the student may advance to the Clinicals course.
Standard met · Safety · Time · Quality/finish · Documentation
HLT-LPN37-06 Trade course

Clinicals: Supervised Patient Care Skills

204 hr · $3,820 COMPLIMENTARY

Students rotate through supervised clinical settings to apply nursing theory, pharmacology, and patient-care skills in real or high-fidelity simulated environments under licensed nurse supervision. Each lesson integrates NCLEX-PN competency areas including safe and effective care environment, health promotion, psychosocial integrity, and physiological integrity. Students document care accurately, practice therapeutic communication, and demonstrate safe scope-of-practice decision-making throughout.

Outcomes
Course text

Students rotate through supervised clinical settings to apply nursing theory, pharmacology, and patient-care skills in real or high-fidelity simulated environments under licensed nurse supervision. Each lesson integrates NCLEX-PN competency areas including safe and effective care environment, health promotion, psychosocial integrity, and physiological integrity. Students document care accurately, practice therapeutic communication, and demonstrate safe scope-of-practice decision-making throughout.

How the course runs. 12 blocks: Clinical Orientation: Facility Rules, Scope of Practice, and Professional Conduct; Infection Control and Standard Precautions in Clinical Practice; Head-to-Toe Physical Assessment in the Clinical Setting; Vital Signs: Accuracy, Trending, and Reporting Critical Values; Medication Administration: Five Rights, Documentation, and Patient Education; Subcutaneous and Intramuscular Injection Technique; Wound Assessment, Dressing Changes, and Pressure Injury Prevention; Urinary Catheter Care and Insertion; Nasogastric Tube Insertion, Feeding, and Medication Administration; Therapeutic Communication, SBAR, and Interdisciplinary Handoff; EHR Documentation and Legal Standards of Nursing Notes; Integrated Clinical Simulation: Full Shift Patient Care.

What competent looks like. Perform and document a head-to-toe physical assessment on an assigned patient, identifying and reporting abnormal findings to the supervising nurse. Administer oral, topical, and injectable medications using the rights of medication administration and appropriate documentation under licensed nurse supervision. Demonstrate safe application of at least six fundamental nursing skills—including wound care, catheter care, and vital signs—meeting established facility and program competency checklists. Communicate patient status using SBAR (Situation, Background, Assessment, Recommendation) format to supervising nurses and interdisciplinary team members. Maintain HIPAA-compliant, accurate nursing notes in a simulated or actual electronic health record (EHR) for every patient encounter. Identify situations that exceed LPN scope of practice and escalate appropriately to the supervising RN or provider without prompting.

Lessons · 12 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1Clinical Orientation: Facility Rules, Scope of Practice, and Professional Conduct14theoryStudents will state the LPN scope of practice in the clinical setting, list facility safety and confidentiality policies, and identify mandatory reporting obligations before entering patient care areas.
  1. Complete facility-specific orientation packet including infection control, fire safety, and HIPAA modules, then pass the accompanying facility quiz.
  2. Role-play three scenarios in which a student must recognize a task outside LPN scope and verbally escalate to the supervising nurse using correct language.
  3. Review and sign a professional conduct agreement; discuss in small groups real consequences of scope-of-practice violations using de-identified case summaries.
State nurse practice act (current edition), facility policy and procedure manual, HIPAA orientation handout, LPN scope-of-practice quick-reference card, professional conduct agreement formWritten orientation quiz scored 80% or higher; role-play scenario evaluated by instructor using a pass/fail rubric requiring correct escalation in all three scenarios.
2Infection Control and Standard Precautions in Clinical Practice16demoStudents will don and doff personal protective equipment (PPE) correctly and demonstrate hand hygiene technique meeting CDC standard precautions guidelines in a simulated patient-care environment.
  1. Watch and critique a recorded video of incorrect PPE doffing; identify each error and state the correct procedure in written notes.
  2. Practice the CDC five-moment hand hygiene protocol at a simulation station, receiving real-time feedback from the instructor using a standardized checklist.
  3. Set up and break down an isolation room, selecting appropriate PPE for contact, droplet, and airborne precaution scenarios, then justify choices verbally.
Gloves (various sizes), surgical masks, N95 respirators, gowns, face shields, hand sanitizer and soap stations, CDC hand hygiene poster, isolation precautions reference cards, skill competency checklistInstructor-scored PPE donning/doffing checklist; every critical step (e.g., not touching face during doffing) must be performed correctly; overall checklist pass rate 100% on critical steps, 85% on non-critical steps.
3Head-to-Toe Physical Assessment in the Clinical Setting18practiceStudents will complete a systematic head-to-toe assessment on a peer or standardized patient, documenting all findings using correct anatomical and clinical terminology within the allotted time.
  1. Perform a timed head-to-toe assessment on a peer patient using an instructor-provided assessment guide, verbalizing findings aloud as they assess.
  2. Compare documented findings with the instructor's baseline findings on the same peer patient, discussing and correcting discrepancies.
  3. Practice charting assessment findings in a paper SOAP-format note, then transcribe to a simulated EHR template and check entries for accuracy and completeness.
Stethoscope, blood pressure cuffs (adult and pediatric), penlight, reflex hammer, pulse oximeter, thermometer, standardized assessment guide, EHR simulation software or paper EHR template, anatomy quick-reference chartInstructor-observed assessment scored on a 30-item competency checklist; must complete assessment within 20 minutes; score of 85% or higher with zero omissions of safety-critical findings (pain, neurological change, abnormal respiratory pattern).
4Vital Signs: Accuracy, Trending, and Reporting Critical Values14labStudents will accurately obtain and record a full set of vital signs—temperature, pulse, respirations, blood pressure, oxygen saturation, and pain score—and correctly identify which values require immediate reporting to the supervising nurse.
  1. Measure vital signs on three different peers under timed conditions, recording values in a clinical log; instructor compares student readings to reference values to check accuracy within acceptable variance.
  2. Review a set of ten printed vital-sign flowsheets and identify which values fall outside normal adult ranges, stating the corresponding nursing action for each.
  3. Simulate a critical-value call using a script: student notifies the 'charge nurse' (instructor role-playing) via SBAR when a simulated patient's blood pressure exceeds a critical threshold.
Electronic and manual blood pressure cuffs, tympanic and oral thermometers, pulse oximeters, stopwatch, vital-signs documentation flowsheet, SBAR reference card, clinical log binderVital signs recorded within clinically accepted variance for each measurement type; clinical log reviewed by instructor for completeness; SBAR communication evaluated pass/fail—must include all four SBAR components correctly.
5Medication Administration: Five Rights, Documentation, and Patient Education20labStudents will administer oral and topical medications to a simulation mannequin or standardized patient using the rights of medication administration, document administration accurately, and provide patient-appropriate medication education.
  1. Calculate three medication dosages using dimensional analysis from a simulated MAR, then cross-reference with the drug reference (Davis's Drug Guide or equivalent) before administering to the simulation mannequin.
  2. Administer oral medications to a simulation mannequin, verbalizing each right aloud (right patient, drug, dose, route, time, reason, documentation) and charting administration in the simulated MAR.
  3. Deliver a two-minute patient education session to a peer acting as the patient on the purpose, expected effects, and one key side effect to report for a common drug; receive peer and instructor feedback.
Simulation mannequin, medication cups, simulated oral medications (candy/colored tablets), simulated MAR, Davis's Drug Guide for Nurses (current edition), dimensional analysis worksheet, EHR simulation or paper MAR, patient education rubricMedication administration checklist scored by instructor; all seven rights must be verbalized and met—any wrong patient, drug, dose, or route results in automatic failure and repeat; overall checklist 90% or higher for pass.
6Subcutaneous and Intramuscular Injection Technique16labStudents will prepare and administer a simulated subcutaneous and intramuscular injection using correct site selection, aseptic technique, and safe sharps disposal on a task trainer.
  1. Identify and mark the four IM injection sites (ventrogluteal, vastus lateralis, deltoid, and dorsogluteal—noting dorsogluteal is no longer preferred) on an anatomical diagram, then locate each site on the injection task trainer.
  2. Draw up a simulated injectable medication from a vial using aseptic technique, change to an appropriate gauge needle, administer IM to the task trainer, and dispose of the syringe in the sharps container without recapping.
  3. Self-evaluate using a recorded video of their injection technique compared against the instructor-demonstrated model, listing two areas of improvement in their clinical log.
Injection task trainer arm, syringes (1 mL and 3 mL), needles (various gauges and lengths), simulated medication vials (saline), alcohol swabs, gloves, sharps container, anatomical diagram of injection sites, clinical log binderInstructor-scored injection technique checklist; critical steps (aseptic technique maintained, correct site, no recapping of needle) must be 100% correct; total checklist score 85% or higher.
7Wound Assessment, Dressing Changes, and Pressure Injury Prevention18practiceStudents will assess a simulated wound using the correct staging or classification system, perform a sterile dressing change, and document findings using standard wound-care terminology.
  1. Examine five simulated wound photographs or moulage wounds and classify each by type and, for pressure injuries, by NPIAP stage; discuss classifications with the group and reconcile discrepancies with instructor.
  2. Perform a sterile dressing change on a wound care task trainer, including irrigation, application of appropriate dressing, and secure taping, narrating each step aloud.
  3. Write a wound assessment note using correct terms (location, size in cm, wound bed color, exudate amount/color, surrounding skin, odor, pain) and compare with instructor's model note for accuracy.
Wound care task trainer or moulage kit, sterile dressing supplies (gauze, transparent film, foam dressings), normal saline irrigation, sterile gloves, wound measurement guide, NPIAP pressure injury staging chart, wound documentation templateWound staging accuracy 80% or higher on classification exercise; dressing change checklist scored by instructor with 85% minimum; wound note graded against rubric with all required elements present for pass.
8Urinary Catheter Care and Insertion16labStudents will insert an indwelling urinary catheter into a catheterization task trainer using sterile technique, maintain the closed drainage system, and identify signs of catheter-associated urinary tract infection (CAUTI).
  1. Set up a sterile field for catheterization, identifying each item in the catheter kit and stating its purpose before the procedure begins.
  2. Insert a Foley catheter into the catheterization task trainer using sterile technique, inflate the balloon, confirm placement, and connect the drainage bag, securing it below bladder level.
  3. Review a brief case study of a patient with signs of CAUTI; list assessment findings, document a nursing note, and state the escalation action to the supervising nurse using SBAR.
Catheterization task trainer, Foley catheter kit (sterile), sterile gloves, drainage bag, tape or catheter securement device, CAUTI prevention checklist, SBAR reference card, clinical log binderInstructor-scored catheterization checklist; sterile field break results in automatic redo; total checklist score 90% or higher required; CAUTI SBAR evaluated pass/fail with all four components required.
9Nasogastric Tube Insertion, Feeding, and Medication Administration14demoStudents will demonstrate NG tube insertion on a simulation mannequin, verify placement using accepted bedside methods, administer a simulated tube feeding, and safely give a medication via the tube.
  1. Watch a narrated demonstration of NG tube insertion, pausing to identify the critical safety checkpoint (placement verification before any instillation), and answer comprehension questions.
  2. Insert an NG tube into a simulation mannequin, measure from nose to earlobe to xiphoid for tube length, secure the tube, and verify placement using aspiration and pH testing with pH paper.
  3. Prime a simulated enteral feeding bag, set a gravity drip rate for a prescribed feeding volume, and administer a crushed simulated medication dissolved in water through the tube, flushing before and after.
NG tube insertion mannequin, NG tubes (various French sizes), 60 mL catheter-tip syringe, pH paper, enteral feeding bag and formula (simulated), tape and tube holder, crushed simulated medication, water, clinical log binderPlacement verification step must be performed before any instillation—omission is an automatic failure; total competency checklist scored by instructor at 85% or higher for pass.
10Therapeutic Communication, SBAR, and Interdisciplinary Handoff18practiceStudents will conduct a therapeutic patient interview, deliver a complete SBAR handoff report, and demonstrate active listening and de-escalation techniques during a standardized simulated patient interaction.
  1. Role-play a patient admission interview with a peer acting as an anxious patient; student demonstrates open-ended questioning, therapeutic silence, and empathetic responses while gathering chief complaint and history.
  2. Receive a written patient scenario and deliver a complete four-component SBAR verbal handoff to the instructor (acting as the receiving nurse), incorporating vital signs, current medications, and pending orders.
  3. Participate in a simulated interdisciplinary team huddle (student plays LPN role); practice concise reporting, appropriate deference on medical decisions, and assertive communication when patient safety is at stake.
SBAR reference card, standardized patient scenario cards, communication skills rubric, role-play evaluation form, de-escalation techniques handoutCommunication rubric scored by instructor and one peer observer; therapeutic interview must include at least five open-ended questions and no leading questions; SBAR handoff scored pass/fail requiring all four components; overall rubric score 80% or higher.
11EHR Documentation and Legal Standards of Nursing Notes16theoryStudents will enter accurate, legally sound nursing notes into a simulated EHR for a full patient shift scenario, applying principles of timeliness, objectivity, and correct error correction.
  1. Complete a full shift documentation exercise using a written patient scenario: chart assessment findings, medication administration, interventions, patient response, and end-of-shift summary in the simulated EHR.
  2. Review five printed nursing notes for errors (late entries, subjective language, blank fields, unapproved abbreviations) and rewrite each note correctly using accepted documentation standards.
  3. Discuss the legal implications of documentation errors using de-identified real-case examples; each student writes a one-paragraph reflection on how the error could affect patient safety and nurse licensure.
EHR simulation software (or paper EHR template), shift scenario packet, list of unapproved abbreviations (per The Joint Commission), documentation standards reference, legal implications case summariesEHR documentation graded using a documentation standards rubric; notes must be objective, timely (within scenario time frame), free of unapproved abbreviations, and contain all required fields; score of 85% or higher for pass.
12Integrated Clinical Simulation: Full Shift Patient Care24fieldStudents will manage a simulated two-patient assignment over a full shift scenario, integrating assessment, medication administration, wound care, documentation, SBAR communication, and scope-of-practice decision-making without instructor prompting.
  1. Receive shift report via SBAR on two simulated patients with different diagnoses; prioritize care, create a shift assignment sheet, and verbalize the rationale for priority order to the instructor before beginning.
  2. Carry out all assigned nursing interventions across the simulated shift—including vital signs, medication administration, wound dressing change, and patient education—documenting each action in the simulated EHR in real time.
  3. Encounter two embedded unexpected events (e.g., abnormal vital sign change, patient refusal of medication) and respond correctly by reassessing, escalating appropriately, and documenting the event and nursing actions taken.
High-fidelity simulation mannequins or standardized patients, full simulation lab setup (medication cart, EHR station, supply cart), shift report cards, simulated MAR, all previously used skill supplies, shift assignment worksheet, scenario unexpected-event cardsHolistic clinical performance rubric scored by two instructors independently; student must pass all four embedded critical checkpoints (correct prioritization, safe medication administration, appropriate escalation of unexpected events, complete EHR documentation); overall rubric score 80% or higher; any patient-safety critical failure triggers remediation and repeat.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Clinical Knowledge ExaminationWritten exam25%75% or higher (scaled score)A 60-question multiple-choice and alternate-format examination covering infection control, medication administration principles, wound staging, documentation standards, scope of practice, and NCLEX-PN client needs categories (Safe and Effective Care Environment, Physiological Integrity, Psychosocial Integrity, Health Promotion and Maintenance). Questions are written at the application and analysis level to mirror NCLEX-PN cognitive demand.
Standard met · Safety · Time · Quality/finish · Documentation
Clinical Skills DemonstrationSkills demonstration45%All critical steps rated 'satisfactory'; overall checklist score 85% or higher; any critical safety failure requires remediation and one repeat attemptEach student is evaluated individually by a licensed nurse instructor on four randomly selected skills from the course (drawn from: head-to-toe assessment, IM injection, Foley catheter insertion, wound dressing change, NG tube management, or SBAR handoff). The evaluator uses a standardized pass/fail competency checklist for each skill; critical steps—those directly linked to patient safety—must be performed correctly on every attempt.
Standard met · Safety · Time · Quality/finish · Documentation
Clinical Log and Documentation PortfolioLog15%85% or higher on the portfolio rubric; all required entries present and completeStudents submit their clinical log binder containing completed documentation from every lesson: vital-signs flowsheets, wound assessment notes, medication administration records, EHR printouts or screenshots, and a one-page written reflection on scope-of-practice decision-making encountered during the integrated simulation. The portfolio is evaluated for accuracy, completeness, professional language, and legal documentation standards.
Standard met · Safety · Time · Quality/finish · Documentation
Safety and Infection Control CheckpointSafety audit15%100% on all critical safety behaviors; no repeat of sharps mishandling or sterile-field break permitted without full remediationAn unannounced direct-observation check conducted by the instructor during any lab or practice lesson in weeks 6–10; the evaluator uses a non-negotiable safety checklist covering hand hygiene, PPE use, sharps disposal, sterile technique, and patient identification before any procedure. Any single critical safety failure stops the activity immediately, triggers a documented incident report, and requires mandatory remediation before the student may continue clinical rotations.
Standard met · Safety · Time · Quality/finish · Documentation
HLT-LPN37-07 Capstone

Capstone Project: Integrated Practical Nursing Care Plan and Defense

216 hr · $2,160 COMPLIMENTARY

Students synthesize all prior coursework by designing, documenting, and defending a comprehensive, evidence-based nursing care plan for a complex simulated patient scenario that spans pharmacology, med-surg, maternal/child, and geriatric considerations. The capstone requires students to demonstrate safe, competent, entry-level LPN practice through written documentation, skills demonstration, and an oral defense before a faculty panel. Every component is mapped to NCLEX-PN client needs categories to reinforce exam readiness.

Outcomes
Course text

Students synthesize all prior coursework by designing, documenting, and defending a comprehensive, evidence-based nursing care plan for a complex simulated patient scenario that spans pharmacology, med-surg, maternal/child, and geriatric considerations. The capstone requires students to demonstrate safe, competent, entry-level LPN practice through written documentation, skills demonstration, and an oral defense before a faculty panel. Every component is mapped to NCLEX-PN client needs categories to reinforce exam readiness.

How the course runs. 4 blocks: Case Assignment, Patient Assessment, and Nursing Diagnosis Prioritization; Evidence-Based Intervention Planning, Pharmacology Integration, and Patient Education Design; Simulation Skills Demonstration and Documentation Refinement; Capstone Oral Defense, Self-Reflection, and NCLEX-PN Gap Analysis.

What competent looks like. Construct a complete, individualized nursing care plan—including assessment data, prioritized NCLEX-PN–aligned nursing diagnoses, SMART goals, planned interventions, and evaluation criteria—for a complex simulated patient. Apply safe medication administration principles, including dose calculation verification and patient education documentation, consistent with LPN scope of practice. Demonstrate accurate physical assessment findings and documentation using professional nursing terminology and standardized charting formats (SBAR and SOAP). Integrate knowledge from pharmacology, med-surg, maternal/child, and geriatrics courses to justify clinical decisions with rationales drawn from evidence-based nursing practice. Communicate clinical reasoning clearly and professionally during a structured oral defense before a faculty panel, fielding questions on safety, ethics, and scope of practice. Self-evaluate practice gaps using a structured reflection tool and produce a personalized NCLEX-PN study plan targeting identified weak areas.

Lessons · 4 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1Case Assignment, Patient Assessment, and Nursing Diagnosis Prioritization54labGiven a complex simulated patient scenario packet, the student will complete a head-to-toe assessment, document findings using SOAP format, and select and prioritize at least five nursing diagnoses using Maslow's Hierarchy and the NCLEX-PN framework with a passing score of 80% or higher on the faculty-graded rubric.
  1. Students receive a multi-problem scenario packet (e.g., a 72-year-old patient with heart failure, type 2 diabetes, and a recent hip replacement) and complete a structured head-to-toe assessment on a high-fidelity simulation mannequin, documenting all subjective and objective findings in SOAP format.
  2. In small groups, students use a prioritization worksheet to rank their five or more nursing diagnoses using Maslow's Hierarchy and NCLEX-PN client needs categories (Safe and Effective Care Environment, Health Promotion, Psychosocial Integrity, Physiological Integrity), then defend their ranking in a peer discussion with instructor facilitation.
  3. Each student submits an individual written assessment and prioritized diagnosis list; instructor provides written feedback using a standardized rubric before the student advances to care plan development.
High-fidelity simulation mannequin and simulator software, scenario packet (faculty-developed), SOAP documentation forms, NANDA-I nursing diagnosis reference, Maslow's Hierarchy reference chart, LPN scope-of-practice state guidelines handout, Saunders Comprehensive Review for the NCLEX-PN (current edition)Faculty score the SOAP documentation and prioritized diagnosis list using a rubric; students must achieve 80% or higher overall, with mandatory satisfactory marks in the safety-critical items (vital signs accuracy, allergy documentation, fall risk notation) to advance; students below 80% receive targeted remediation and one resubmission opportunity.
2Evidence-Based Intervention Planning, Pharmacology Integration, and Patient Education Design60practiceThe student will develop a written care plan section detailing nursing interventions with evidence-based rationales, perform and document medication dose calculations for all scenario medications with 100% accuracy, and design a patient-education handout appropriate to the patient's literacy and developmental level.
  1. Using the approved prioritized nursing diagnoses from Lesson 1, each student writes SMART goals and selects at least three nursing interventions per diagnosis, citing rationales from a nursing fundamentals or med-surg textbook; interventions must address all four NCLEX-PN client needs categories across the full care plan.
  2. Students receive the scenario's medication administration record (MAR) and complete a faculty-designed dose calculation worksheet covering oral, IM, and IV medications relevant to the scenario (e.g., insulin sliding scale, anticoagulant dosing, cardiac medications); calculations are checked independently by a peer using a structured peer-check form before faculty review.
  3. Each student creates a one-page patient-education handout on one key topic from the scenario (e.g., low-sodium diet for heart failure, wound care after hip replacement) using plain language at an appropriate reading level, incorporating teach-back prompts; the handout is reviewed in a structured peer critique session using a provided checklist.
Nursing care plan template (faculty-developed), nursing fundamentals textbook (current edition), med-surg nursing textbook (current edition), medication reference (Davis's Drug Guide for Nurses or equivalent, current edition), MAR worksheet, dose calculation worksheet, peer-check form, patient-education handout template, plain-language writing guide, Flesch-Kincaid readability referenceDose calculations must be 100% accurate (any error triggers mandatory remediation and retest before advancing); the written care plan and patient-education handout are scored on a faculty rubric requiring 80% overall and satisfactory marks on all safety-critical interventions; peer-check forms are collected and reviewed by the instructor for completeness.
3Simulation Skills Demonstration and Documentation Refinement54labThe student will perform a minimum of four prioritized nursing skills drawn directly from the care plan on a simulation mannequin within a timed session, document each skill using SBAR communication format, and receive a satisfactory evaluation on all critical-safety steps.
  1. Each student performs their four required skills (selected from the scenario-relevant skill set, such as wound assessment and dressing change, blood glucose monitoring and insulin administration technique, cardiac and respiratory auscultation with findings documentation, and patient repositioning with fall-prevention protocol) on the simulation mannequin under direct faculty observation using a standardized skills-performance checklist.
  2. Immediately after each skill, the student dictates a verbal SBAR handoff report to a faculty member acting as the receiving nurse, identifying the situation, background, assessment, and recommendation relevant to that skill finding; faculty provide real-time corrective feedback.
  3. Students review their recorded SBAR notes and the faculty checklist, identify any documentation gaps, revise their written documentation, and compile all assessment, care plan, and skills-documentation materials into a unified care plan binder that will be submitted as the project deliverable and referenced during the oral defense.
High-fidelity simulation mannequin, skills lab supplies (dressing supplies, glucometer, stethoscope, sphygmomanometer, personal protective equipment per standard precautions), SBAR documentation form, standardized skills-performance checklist (faculty-developed, aligned to LPN scope of practice), care plan binder template, audio/video recording capability for self-review (optional per program policy)The standardized skills checklist is used by faculty; all critical-safety steps (hand hygiene, patient identification, allergy verification before medication administration, correct technique on invasive steps) are mandatory-pass items with no allowance for error; the overall skills session requires satisfactory on all critical steps and 80% on non-critical steps; students with any critical-step failure repeat that skill with remediation before submitting the final binder.
4Capstone Oral Defense, Self-Reflection, and NCLEX-PN Gap Analysis48fieldThe student will present and defend the completed care plan before a two-person faculty panel, respond to structured clinical-reasoning questions mapped to NCLEX-PN client needs categories, and produce a written self-reflection with a personalized NCLEX-PN study plan that targets at least three self-identified knowledge gaps.
  1. Each student delivers a structured 15-minute oral presentation of their care plan binder to a two-person faculty panel, walking through assessment findings, prioritized diagnoses, goals, interventions with rationales, medication considerations, and patient-education approach; panel members then ask at least five structured probing questions covering scope of practice, safety decisions, pharmacology rationales, and ethical considerations—all mapped to NCLEX-PN client needs categories.
  2. Following the defense, each student completes a guided self-reflection form addressing: what clinical decisions they are most confident in, what areas felt uncertain during the defense, how they would modify the care plan if the patient's condition changed, and how this project revealed personal readiness or gaps relative to entry-level LPN practice.
  3. Using their self-reflection and faculty defense feedback, each student creates a written personalized NCLEX-PN study plan that identifies at least three specific content areas for continued review, maps each area to the relevant NCLEX-PN client needs category, lists specific study resources (textbook chapters, question-bank topics, or review book sections), and sets a weekly study schedule for the remaining program courses.
Completed care plan binder (from Lessons 1–3), faculty panel oral defense rubric, structured question bank (faculty-developed, mapped to NCLEX-PN client needs categories), self-reflection form, personalized NCLEX-PN study plan template, Saunders Comprehensive Review for the NCLEX-PN (current edition), NCSBN NCLEX-PN candidate bulletin (current year)The oral defense is scored on the faculty panel rubric requiring 80% overall; any question involving a patient-safety scenario (e.g., recognizing a critical lab value, refusing an out-of-scope order) must be answered correctly as a mandatory-pass item; the self-reflection and study plan are evaluated pass/fail on completeness using a checklist—all three sections (reflection, gap identification, study schedule) must be present and substantive to pass.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Integrated Nursing Care Plan ProjectProject60%80% overall on the faculty scoring rubric, with satisfactory marks on all designated critical-safety items; a score below 80% or any unsatisfactory critical-safety item requires targeted remediation and one resubmission within the course timelineThe student submits a complete care plan binder containing the SOAP assessment, prioritized NANDA-I–aligned nursing diagnoses, SMART goals, evidence-based interventions with rationales, 100%-accurate dose calculations for all scenario medications, a patient-education handout, and SBAR documentation for each performed skill. Faculty score the binder using a detailed rubric aligned to NCLEX-PN client needs categories, ensuring every section reflects safe, entry-level LPN practice.
Meets specification · Within estimate · Workmanship · Safety · Documentation
Capstone Professional PortfolioPortfolio20%Pass/fail based on a completeness and quality checklist; all eight required artifacts must be present and meet minimum quality standards (no plagiarism, professional language, accurate clinical content) as determined by faculty reviewEach student compiles a professional portfolio containing: the finalized care plan binder, the peer-check medication calculation form, the patient-education handout with peer critique feedback incorporated, the completed skills-performance checklist with faculty sign-off, the self-reflection form, and the personalized NCLEX-PN study plan—presented in a organized, professionally formatted binder or digital document. The portfolio demonstrates the student's cumulative growth across the program and serves as a personal reference tool for NCLEX-PN preparation and early employment.
Completeness · Organization · Evidence quality
Oral Defense Before Faculty PanelOral / panel20%80% overall on the panel rubric; mandatory correct response on all patient-safety scenario questions embedded in the Q&A; students who do not meet the passing standard complete a structured remediation session and defend one additional time before a grade is finalizedIn a 20-to-25-minute session, the student presents the care plan to a two-person faculty panel and responds to at least five structured clinical-reasoning questions mapped to NCLEX-PN client needs categories, demonstrating the ability to articulate assessment findings, justify clinical decisions, recognize safety-critical situations, and communicate within LPN scope of practice. The panel scores the presentation and Q&A separately using a shared rubric, and consensus scoring is used when evaluators differ by more than one rating level.
Explains decisions · Answers technical questions · Professional communication
HLT-LPN37-08 Externship / clinical

Clinical Practicum: Supervised Nursing Practice

324 hr · $1,295 COMPLIMENTARY

Students complete 324 supervised clinical hours at approved healthcare worksites, applying classroom and laboratory skills to direct patient care under the oversight of a licensed nurse preceptor. Learners practice the full scope of LPN duties across care settings, integrating pharmacology, medical-surgical, maternal/child, and geriatric competencies in real patient interactions. Performance is formally evaluated by the site preceptor and program faculty using standardized rubrics tied to NCLEX-PN client needs categories.

Outcomes
Course text

Students complete 324 supervised clinical hours at approved healthcare worksites, applying classroom and laboratory skills to direct patient care under the oversight of a licensed nurse preceptor. Learners practice the full scope of LPN duties across care settings, integrating pharmacology, medical-surgical, maternal/child, and geriatric competencies in real patient interactions. Performance is formally evaluated by the site preceptor and program faculty using standardized rubrics tied to NCLEX-PN client needs categories.

How the course runs. 4 blocks: Practicum Orientation: Site Policies, Safety, and Scope of Practice; Direct Patient Care: Assessment, Skills Performance, and Documentation; Interdisciplinary Collaboration, Patient Teaching, and Care Transitions; Capstone Clinical Days: Independent Performance and Preceptor Final Evaluation.

What competent looks like. Perform foundational LPN clinical skills—including vital signs, wound care, catheterization, medication administration, and IV site monitoring—safely and accurately on real patients under preceptor supervision, meeting facility policy standards. Apply the nursing process (assessment, planning, implementation, evaluation) to assigned patients across at least two distinct care settings, documenting findings and interventions in the facility's health record system. Demonstrate safe medication administration using the rights of medication administration, recognize adverse reactions, and communicate concerns to the supervising RN or provider within scope of LPN practice. Communicate therapeutically and professionally with patients, families, and interdisciplinary team members, adapting to age-specific and culturally diverse populations encountered at the clinical site. Identify and report actual or potential patient safety events, apply standard and transmission-based precautions, and follow facility emergency and incident-reporting procedures. Receive, act on, and document written preceptor feedback to demonstrate progressive improvement in clinical performance across the practicum period, achieving a passing score on the final employer evaluation.

Lessons · 4 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1Practicum Orientation: Site Policies, Safety, and Scope of Practice24fieldStudents accurately identify the clinical site's policies, chain of command, emergency procedures, and LPN scope-of-practice boundaries before delivering any direct patient care.
  1. Complete site-specific orientation checklist covering infection control, fire/evacuation routes, workplace violence policy, electronic health record (EHR) login, and mandatory reporter obligations; have preceptor sign off on each item.
  2. Shadow the assigned preceptor through one full shift, recording in a reflective journal three scope-of-practice decisions the LPN made and explaining why each action was or was not within LPN scope in that state.
  3. Role-play with the preceptor two scenarios—one requiring immediate escalation to an RN or provider and one within LPN independent authority—demonstrating correct handoff using the SBAR communication framework.
Facility policy and procedure manual, state nurse practice act summary, SBAR reference card, site EHR training module, personal protective equipment (PPE) station, student clinical orientation checklist, reflective journalPreceptor signs completed orientation checklist (all items verified); reflective journal entry reviewed by faculty showing accurate scope-of-practice reasoning; SBAR role-play scored by preceptor on a 4-point rubric, minimum 3/4 on each of the four SBAR elements to pass.
2Direct Patient Care: Assessment, Skills Performance, and Documentation180fieldStudents perform assigned LPN clinical skills—including head-to-toe assessment, vital signs, wound care, urinary catheterization, enteral feeding, subcutaneous and intramuscular injections, and IV site monitoring—accurately and safely on real patients while documenting each encounter completely in the facility EHR.
  1. Each shift, complete at minimum one full head-to-toe assessment on an assigned patient, record all findings in the EHR, and review the entry with the preceptor before the end of the shift; preceptor annotates a skills tracking log with the date, skill, and a pass/needs-practice rating.
  2. Administer medications for assigned patients using the facility's medication administration record (MAR), verifying all rights of medication administration aloud before each dose; for any unfamiliar drug, look up indication, dose range, contraindications, and key patient teaching points in a current drug reference and discuss findings with the preceptor before administration.
  3. At the end of each clinical week, complete a structured patient-care reflection form identifying one clinical judgment decision made, one communication challenge and how it was resolved, one safety concern noticed and the action taken, and one skill that needs further practice—submit to faculty for review.
Clinical skills tracking log, facility MAR, approved drug reference (e.g., Davis's Drug Guide or facility formulary), EHR workstation, sterile and non-sterile supply carts, wound care supplies, catheterization kits, injection supplies, enteral feeding equipment, stethoscope, blood pressure cuff, pulse oximeter, thermometer, weekly patient-care reflection formSkills tracking log shows each core LPN skill performed and signed off by preceptor at least twice (or as specified by program's minimum skill frequency list); no unresolved medication errors or safety incidents attributable to student negligence; weekly reflection forms submitted on time with substantive entries; faculty review of log at midpoint—students with fewer than 50% of required skill sign-offs by midpoint complete a remediation plan.
3Interdisciplinary Collaboration, Patient Teaching, and Care Transitions80fieldStudents actively participate in interdisciplinary care activities—including care conferences, hand-off reports, and discharge planning—and deliver at least two documented patient or family teaching sessions appropriate to the patient's learning needs and the LPN's scope of practice.
  1. Attend or listen to a minimum of three nursing hand-off reports during the practicum and then deliver a full outgoing SBAR hand-off report to the oncoming nurse for at least two assigned patients, with the preceptor evaluating accuracy and completeness using the site's hand-off checklist.
  2. Identify a patient with a documented learning need (e.g., new medication, wound care at home, dietary restriction, fall prevention), prepare a brief written teaching plan using plain-language principles, implement the teaching session with the patient or family, and evaluate understanding using teach-back; document the session in the EHR and debrief with the preceptor.
  3. Observe or participate in a discharge planning discussion or care conference for one patient; afterward, write a one-page summary describing each team member's role, the patient's identified needs, the discharge plan, and how LPN input contributed, and submit to faculty.
SBAR hand-off form, site hand-off checklist, plain-language patient education materials (facility-provided or approved by preceptor), teach-back documentation template, EHR, care-conference notes, one-page summary templatePreceptor hand-off checklist scores minimum 80% on two observed SBAR reports; teach-back teaching session documented in EHR with preceptor co-signature; one-page care-conference summary reviewed by faculty for accuracy and completeness—pass requires all required elements present and accurate.
4Capstone Clinical Days: Independent Performance and Preceptor Final Evaluation40fieldStudents manage a full patient assignment with minimal prompting, demonstrating integrated clinical judgment, safe care delivery, and professional accountability across an entire shift, achieving a passing score on the standardized employer final evaluation form.
  1. For each of three designated capstone shifts, accept a full patient assignment from the preceptor, independently prioritize care tasks using a written time-management worksheet at the start of the shift, and carry out the plan while the preceptor observes without assisting unless a patient safety issue arises.
  2. Complete a self-evaluation using the same rubric as the employer evaluation form immediately after each capstone shift, then meet with the preceptor to compare ratings, discuss discrepancies, and identify one specific professional development goal for the LPN licensure period.
  3. Participate in a final end-of-practicum conference with the preceptor and a program faculty member, presenting the completed skills tracking log, the portfolio of weekly reflections, and a brief verbal summary of clinical growth and one area for continued development.
Shift time-management worksheet, standardized employer final evaluation rubric (program-issued), student self-evaluation form, completed skills tracking log, portfolio of weekly reflection forms, all patient care documentation from the practicum periodEmployer final evaluation form completed by preceptor scores at minimum 75% overall and no individual competency domain rated below 'satisfactory'; student self-evaluation submitted for all three capstone shifts; final conference held with faculty present—student who scores below 75% on the employer evaluation or has an unsatisfactory domain rating must complete a remediation plan and, if available within the program calendar, additional supervised hours before program completion.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Preceptor Clinical Evaluation (Employer Evaluation)Clinical evaluation70%Minimum overall score of 75% on the standardized employer evaluation rubric, with no competency domain rated below 'satisfactory'; any domain rated unsatisfactory triggers a written remediation plan.The assigned preceptor completes the program's standardized clinical evaluation form at the practicum midpoint and at the end of the practicum, rating the student across competency domains that include clinical skills performance, medication safety, clinical judgment and prioritization, professional behavior, communication, and documentation accuracy—domains aligned to the NCLEX-PN client needs categories of Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity. Ratings are discussed in a face-to-face conference with the student and reviewed by program faculty, who make the final pass/fail determination.
Competency · Safety · Attendance · Conduct · Initiative
Clinical Practicum Skills and Reflection LogLog30%All required core skills signed off by preceptor at least the minimum number of times specified in the program's skill frequency list; all weekly reflection forms submitted; no weeks with missing entries—any incomplete log requires remediation before a grade is posted.Students maintain a cumulative skills tracking log documenting every clinical skill performed at the site, with the date, patient setting, and preceptor signature for each entry, alongside the portfolio of weekly patient-care reflection forms submitted to faculty throughout the practicum. The log serves as the official record of hours and competency breadth, verifying that the student has practiced the range of LPN skills assessed on the NCLEX-PN across the Physiological Integrity and Safe and Effective Care Environment client needs categories, and it is reviewed by faculty at midpoint and at the end of the practicum to confirm satisfactory completion of externship requirements.
Complete · Verified
HLT-LPN37-09 Exam prep

NCLEX-PN Certification Exam Preparation

90 hr · $900 COMPLIMENTARY

This 90-hour course systematically reviews all content areas tested on the NCLEX-PN using the National Council of State Boards of Nursing Next Generation NCLEX framework, including clinical judgment, pharmacology, safe care, health promotion, and psychosocial integrity. Students practice with NCLEX-style questions across all item types—including Next Generation NCLEX case studies, bow-tie items, and extended multiple-response—to build test-taking stamina, strategy, and content mastery. The course culminates in a timed, full-length computerized mock exam that mirrors the licensure exam experience.

Outcomes
Course text

This 90-hour course systematically reviews all content areas tested on the NCLEX-PN using the National Council of State Boards of Nursing Next Generation NCLEX framework, including clinical judgment, pharmacology, safe care, health promotion, and psychosocial integrity. Students practice with NCLEX-style questions across all item types—including Next Generation NCLEX case studies, bow-tie items, and extended multiple-response—to build test-taking stamina, strategy, and content mastery. The course culminates in a timed, full-length computerized mock exam that mirrors the licensure exam experience.

How the course runs. 4 blocks: NCLEX-PN Blueprint, Clinical Judgment Model, and Exam Strategy; Content Review: Safe Care, Pharmacology, and Physiological Integrity; Content Review: Health Promotion, Psychosocial Integrity, and Maternal/Child & Geriatric Nursing; Full-Length Mock NCLEX-PN Examination and Individualized Remediation Debrief.

What competent looks like. Demonstrate mastery of safe and effective care environment content—including infection control, safety, and management of care—by scoring at or above the benchmark on targeted NCLEX-PN practice sets. Apply clinical judgment using the NCSBN Clinical Judgment Measurement Model to analyze patient scenarios and select priority nursing actions across all client need categories. Correctly answer pharmacology and medication administration questions, including dosage calculation, drug classifications, and adverse-effect recognition, at or above the course benchmark. Identify and apply evidence-based test-taking strategies—including prioritization frameworks such as ABC and Maslow, process of elimination, and recognition of distractors—to improve performance on NCLEX-style items. Complete a full-length, timed computerized mock NCLEX-PN exam under simulated testing conditions, achieving a passing benchmark consistent with NCSBN passing standards. Develop and execute an individualized remediation plan based on diagnostic practice-exam data to address personal content and clinical judgment gaps before sitting for licensure.

Lessons · 4 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1NCLEX-PN Blueprint, Clinical Judgment Model, and Exam Strategy18theoryStudents will accurately describe the NCLEX-PN test plan client need categories and percentage weights, explain the six layers of the NCSBN Clinical Judgment Measurement Model, and apply at least three test-taking strategies to a set of practice items.
  1. Instructor-led walkthrough of the current NCLEX-PN test plan: students annotate a printed blueprint identifying the four client need categories (Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, Physiological Integrity) and their subcategories and approximate percentage distributions, then discuss how program coursework mapped to each area.
  2. Small-group analysis of six Next Generation NCLEX item types (unfolding case study, bow-tie, extended drag-and-drop, matrix, enhanced hot spot, extended multiple-response) using sample items from the NCSBN practice resource; groups identify the cognitive layer being tested in each item and present findings to the class.
  3. Individual timed practice set of 25 NCLEX-PN–style questions using test-taking strategies (ABC prioritization, Maslow hierarchy, eliminate-the-distractor, reread-the-stem); students self-score, identify errors, and complete a written reflection on which strategies reduced incorrect choices.
Current NCLEX-PN Test Plan (NCSBN publication, available free at ncsbn.org); NCSBN Next Generation NCLEX sample item handouts; approved NCLEX-PN review textbook (e.g., Saunders Comprehensive Review for the NCLEX-PN or equivalent); printed blueprint annotation worksheets; laptop or tablet with internet access for NCSBN practice resources.Students complete a 25-item scored quiz covering blueprint category definitions, Clinical Judgment Model layers, and application of test-taking strategies to sample stems; pass mark is 76% (19/25 correct).
2Content Review: Safe Care, Pharmacology, and Physiological Integrity32practiceStudents will correctly answer practice questions at or above 76% in the Safe and Effective Care Environment and Physiological Integrity client need categories, including pharmacology, infection control, reduction of risk potential, and basic care and comfort subcategories.
  1. Rotating content-area stations (90 minutes each across multiple class sessions) covering: infection control and standard precautions; management of care and delegation; medication administration, drug classifications, and adverse effects; fluid and electrolyte balance; perioperative care; and reduction of risk potential—students complete 20–30 focused NCLEX-style questions per station using the review textbook and course-provided question banks, then review rationales as a group.
  2. Pharmacology rapid-fire drill: instructor calls out a drug class (e.g., beta-blockers, loop diuretics, opioid analgesics, anticoagulants, insulin types); students write the mechanism, key nursing considerations, and priority adverse effects on individual whiteboards, followed by immediate whole-class feedback referencing the pharmacology content from Course 2.
  3. Prioritization and delegation case studies: student pairs receive written patient assignment scenarios with four patients of varying acuity and must rank care priorities using ABC and safety frameworks, justify delegation decisions per LPN scope of practice, and document their rationale; pairs share decisions with the class for structured peer critique.
NCLEX-PN review textbook; printed and digital question banks aligned to NCSBN test plan subcategories; individual dry-erase whiteboards and markers; delegation and scope-of-practice reference chart (state board of nursing LPN scope summary); drug classification quick-reference cards developed in Course 2; printed prioritization case-study packets.Two topic-area scored practice exams—one covering Safe and Effective Care Environment (50 items) and one covering Physiological Integrity including pharmacology (50 items)—administered under timed conditions (1 minute per item); students must score 76% or above on each; those below 76% complete instructor-assigned remediation modules and retest within the same lesson block.
3Content Review: Health Promotion, Psychosocial Integrity, and Maternal/Child & Geriatric Nursing20practiceStudents will correctly answer NCLEX-PN practice questions at or above 76% in the Health Promotion and Maintenance and Psychosocial Integrity client need categories, integrating content from maternal/child and geriatric nursing coursework.
  1. Structured review seminars on health promotion across the lifespan (prenatal through older adult), expected developmental milestones, immunization schedules, and screening guidelines, followed by 30 focused practice questions with rationale review; students cross-reference their notes from Courses 4 and 5 to confirm content accuracy.
  2. Psychosocial integrity concept mapping: small groups build concept maps linking mental health disorders, therapeutic communication techniques, crisis intervention, substance use, and coping mechanisms; maps are presented to peers, who pose two NCLEX-style clinical judgment questions per map, which the presenting group must answer and defend.
  3. Targeted geriatric and maternal/child question sprint: students complete a 40-item mixed practice set drawn from geriatric pharmacokinetics, age-related physiological changes, postpartum and newborn care, and pediatric growth and development; errors are categorized by content subcategory and entered into each student's personal remediation tracking sheet to guide independent study.
NCLEX-PN review textbook chapters on health promotion, psychosocial integrity, maternity, and pediatrics; CDC immunization schedule reference (current year); blank concept-map templates; course notes from Courses 4 and 5; printed 40-item practice sets; individual remediation tracking sheets.One scored 50-item practice exam covering Health Promotion and Maintenance and Psychosocial Integrity administered under timed conditions; pass mark is 76% (38/50); students who score below 76% complete targeted remediation using the review textbook and a second practice set before the mock exam in Lesson 4.
4Full-Length Mock NCLEX-PN Examination and Individualized Remediation Debrief20labStudents will complete a full-length, timed, computerized mock NCLEX-PN examination under simulated testing-center conditions and develop a written individualized remediation plan identifying content gaps and specific study actions for each deficient category.
  1. Full-length computerized mock NCLEX-PN exam administered in the school computer lab under testing-center conditions (no notes, no phones, timed at one minute per item, minimum 85 items in the adaptive format or a fixed 150-item version per available platform); the exam includes a representative distribution of all NCLEX-PN test plan client need categories and incorporates Next Generation NCLEX item types; students complete the exam individually and in silence.
  2. Instructor-facilitated whole-class debrief immediately following the mock exam: aggregate performance by client need category is displayed; instructor reviews the top five most-missed item stems with full rationale explanations, emphasizing the clinical judgment layer being tested and the correct reasoning process, not just the correct answer.
  3. Individual remediation planning conference (15 minutes per student with instructor): each student reviews their category-level score report, identifies a minimum of three content priority areas, and completes a structured written remediation plan specifying the exact review textbook chapters, NCSBN practice resource modules, and daily study schedule they will follow before sitting for the NCLEX-PN; plan is signed by student and instructor and retained in the student file.
Computerized NCLEX-PN mock exam platform (school-licensed adaptive testing software or publisher-provided full-length practice exam with Next Generation NCLEX item types); school computer lab with individual workstations; printed scratch paper and pencil per testing-center protocol; category-level score reports generated by the exam platform; blank individualized remediation plan templates; NCLEX-PN review textbook.Students must achieve a score equivalent to the NCSBN passing standard on the mock exam (76% correct on a fixed-format exam, or a passing-level performance indicator on an adaptive platform); all students regardless of mock score must submit a complete, instructor-approved individualized remediation plan by end of the lesson to receive credit; students scoring below benchmark receive mandatory one-on-one remediation coaching from the instructor before program completion.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Full-Length Mock NCLEX-PN Certification ExaminationMock certification exam100%Score at or above 76% on a fixed-format exam, or a passing-level adaptive indicator on a computerized adaptive platform; submission of a complete, instructor-approved individualized remediation plan is required for course completion regardless of exam score.Students complete a full-length, timed, computerized mock NCLEX-PN examination administered under simulated testing-center conditions, covering all NCSBN test plan client need categories and including Next Generation NCLEX item types. Results are reviewed in a structured debrief, and each student produces a written individualized remediation plan identifying content gaps and a concrete study schedule to prepare for the actual NCLEX-PN licensure exam.
Score · Time management
Program completion

External credential: NCLEX-PN

Students sit the NCLEX-PN (National Council Licensure Examination for Practical Nurses), administered by the National Council of State Boards of Nursing (NCSBN) through its testing vendor at authorized testing centers. Passing the NCLEX-PN is required to obtain a practical nurse license in any U.S. state or territory. Pass standard: Credential issued by the body.

Back to Practical Nursing (LPN) · How the school gets authority to award these credentials