NOTES. UPDATED.
The NCLEX-PN Fundamentals section focuses on core nursing concepts required to provide
safe, effective care to patients. Here is a concise summary of the key topics covered:
1. Nursing Process
The nursing process is a systematic approach to patient care. It includes five steps:
Assessment: Collecting data through observation, patient interviews, and physical
examination.
Diagnosis: Identifying patient problems or risks using nursing diagnoses.
Planning: Setting goals and outcomes, and planning interventions.
Implementation: Executing nursing interventions.
Evaluation: Assessing the effectiveness of interventions and modifying the care plan if
needed.
2. Basic Client Needs
a. Physiological Needs
Hygiene: Bathing, oral care, skin integrity.
Nutrition: Assessing dietary needs, feeding assistance.
Elimination: Monitoring bowel and urinary patterns.
Mobility: Positioning, assisting with ambulation, preventing complications like pressure
ulcers or deep vein thrombosis (DVT).
b. Safety and Security
Infection Control: Hand hygiene, aseptic techniques, personal protective equipment
(PPE).
Fall Prevention: Use of assistive devices, clear pathways, bed rails.
Medication Administration: Following the “Six Rights” (Right Patient, Medication,
Dose, Time, Route, Documentation).
c. Psychological Needs
Emotional support, active listening, and promoting coping mechanisms.