Individual Performance Profile: RN Concept-Based Assessment Level 2

Assessment Metadata and Institutional Context

• Student Name: BRIANNA DOYLE
• Student Number: $000017569$
• Institution: Good Samaritan CON OH AASN
• Program Type: ADN
• Test Date: $6/23/2026$
• Report Date: $6/30/2026$ at $12:30\text{ PM EDT}$
• Practice Time: $43\,\text{min}$
• Assessment Title: RN Concept-Based Assessment Level 2 Online Practice B with NGN
• Document Version: REP_COMP_3_0_Individual Non Proctored_3_0_V3

Quantitative Performance Summary by Major Content Area

• Overall Individual Score: $39.4\%$
• Detailed Scoring Breakdown:
  • Acid-Base Balance: $50.0\%$ ($6$ Items, $6$ Points)
  • Critical Thinking/Clinical Reasoning/Clinical Judgment: $60.0\%$ ($5$ Items, $5$ Points)
  • Elimination: $11.1\%$ ($9$ Items, $9$ Points)
  • Fluid & Electrolyte Balance: $33.3\%$ ($6$ Items, $6$ Points)
  • Gas Exchange/Oxygenation: $75.0\%$ ($8$ Items, $8$ Points)
  • Grief: $0.0\%$ ($5$ Items, $5$ Points)
  • Infection: $75.0\%$ ($8$ Items, $8$ Points)
  • Inflammation: $42.9\%$ ($7$ Items, $7$ Points)
  • Metabolism: $20.0\%$ ($5$ Items, $5$ Points)
  • Mobility: $33.3\%$ ($6$ Items, $6$ Points)
  • Nutrition: $40.0\%$ ($5$ Items, $5$ Points)
  • Perfusion: $44.4\%$ ($9$ Items, $9$ Points)
  • Sensory/Perception: $40.0\%$ ($5$ Items, $5$ Points)
  • Stress and Coping: $40.0\%$ ($5$ Items, $5$ Points)
  • Teaching and Learning/Patient Education: $40.0\%$ ($5$ Items, $5$ Points)
  • Thermoregulation: $60.0\%$ ($5$ Items, $5$ Points)
  • Comprehensive Clinical Judgment: $32.6\%$ ($43$ Items, $43$ Points)

Detailed Study Guide: Acid-Base, Fluids, and Electrolytes

• Acid-Base Balance ($3$ Items to Review):

  • Metabolic Acidosis: Focus on identifying the expected clinical findings associated with this state of low arterial pH and bicarbonate ($HCO_3^-$).
  • Metabolic Alkalosis: Identify expected laboratory values, specifically elevated pH and bicarbonate levels throughout the body.
  • Respiratory Acidosis: Analyze risk factors that lead to hypoventilation and the subsequent retention of $CO_2$.

• Fluid & Electrolyte Balance ($4$ Items to Review):

  • Gastroenteritis with Dehydration: Focus on manifestations of mild dehydration specifically in pediatric populations (e.g., a $6$-month-old infant).
  • Hyperkalemia Management: Review nutritional sources and management for clients with high serum potassium levels.
  • Hypermagnesemia: Identify the clinical manifestations associated with excessively high magnesium levels.
  • Hyponatremia: Identify the clinical manifestations associated with low serum sodium levels.

Detailed Study Guide: Critical Thinking, Clinical Reasoning, and Judgment

• Nursing Process and Clinical Decision Making ($1$ Item to Review):

  • Preoperative Nursing Care: Identify specific clinical findings that must be reported to the healthcare provider before surgery.

• Adverse Drug Reactions ($1$ Item to Review):

  • Acetaminophen (Nonopioid Analgesic): Identify systemic adverse effects and clinical indicators of excessive doses/toxicity.

Detailed Study Guide: Elimination and Renal Health

• Bowel Obstruction ($2$ Items to Review):

  • Identify manifestations of a Large Bowel Obstruction.
  • Identify manifestations of a Small Bowel Obstruction.

• Inflammatory Bowel Disorders ($2$ Items to Review):

  • Diverticulitis: Review discharge teaching protocols for management.
  • Sulfasalazine (IBD Medication): Identify specific adverse effects that a nurse must monitor for.

• Pyelonephritis ($2$ Items to Review):

  • Understand the manifestations of this renal/urinary system infection.
  • Identify anatomical and physiological risk factors contributing to the development of Pyelonephritis.

• Renal Calculi ($2$ Items to Review):

  • Identify specific laboratory findings that are high priority for reporting to providers.
  • Provide patient teaching regarding Calcium Oxalate renal calculi (dietary and lifestyle management).

Detailed Study Guide: Infection and Inflammation

• Infection ($2$ Items to Review):

  • Methicillin-Resistant Staphylococcus Aureus (MRSA): Develop teaching points regarding this antibiotic-resistant infection.
  • Infectious Mononucleosis: Identify reportable clinical findings in the adolescent population.

• Inflammation ($4$ Items to Review):

  • Appendicitis: Focus on acute care and nursing interventions for suspected or confirmed cases.
  • Gastroesophageal Reflux Disease (GERD): Identify characteristic clinical manifestations.
  • Upper Gastrointestinal Bleed: Identify manifestations specifically related to peptic ulcer disease complication.

Detailed Study Guide: Oxygenation, Perfusion, and Mobility

• Gas Exchange ($2$ Items to Review):

  • Asthma: Identify nursing interventions for acute exacerbation.
  • COPD: Provide prevention teaching for pneumonia in clients with Chronic Obstructive Pulmonary Disease.

• Perfusion ($5$ Items to Review):

  • Deep Vein Thrombosis (DVT): Identify the specific antidote for Heparin therapy.
  • Left-Sided Heart Failure: Identify specific manifestations and pulmonary consequences.
  • Atorvastatin (Antilipemic): Identify adverse effects of this cholesterol-lowering medication.
  • Hypertension/Peripheral Vascular Disease: Identify classes of antihypertensive medications and clinical manifestations of Peripheral Arterial Disease (PAD).

• Mobility ($4$ Items to Review):

  • Carpal Tunnel: Plan postoperative care following an open release surgery.
  • Osteoarthritis: Identify appropriate medications for treatment and provide patient teaching regarding exercise.
  • Osteoporosis: Screen and identify relevant risk factors.

Detailed Study Guide: Metabolism, Nutrition, and Thermoregulation

• Metabolism ($4$ Items to Review):

  • Diabetes Mellitus: Identify expected findings for Hyperglycemic-Hyperosmolar State (HHS) and evaluate foot care understanding.
  • Methimazole: Evaluate therapeutic responses to treatment for hyperthyroidism.
  • Hypothyroidism: Identify expected clinical manifestations.

• Nutrition ($3$ Items to Review):

  • Hyperlipidemia: Evaluate understanding of dietary management.
  • Ulcerative Colitis: Evaluate nutritional status markers.
  • Failure to Thrive (FTT): Identify risk factors in the infant population.

• Thermoregulation ($2$ Items to Review):

  • Heat Stroke: Identify manifestations of severe hyperthermia.
  • Severe Hypothermia: Determine immediate nursing actions and management principles.

Detailed Study Guide: Psychosocial Care and Sensory Perception

• Grief and Loss ($5$ Items to Review):

  • Identify risk factors for maladaptive grieving.
  • Identify the stages of grief.
  • Provide appropriate nursing responses to a grieving client.
  • Identify expected developmental grief responses in preschoolers.
  • Manage care for a client experiencing fetal demise.

• Stress and Coping ($3$ Items to Review):

  • Clonazepam: Provide patient teaching for this medication used in Generalized Anxiety Disorder (GAD).
  • Suppression: Identify the adaptive use of this defense mechanism.
  • Phobias: Appropriately document findings related to acrophobia (fear of heights).

• Sensory Perception ($3$ Items to Review):

  • Hearing Loss: Focus on trauma prevention.
  • Diabetic Neuropathy: Evaluate the effectiveness of foot care education.
  • Macular Degeneration: Identify key risk factors for vision impairment.

Clinical Judgment and NGN Competencies

• Recognize Cues ($1$ Item): High-priority assessment findings for Hyperthyroidism.
• Analyze Cues ($3$ Items):
  • Identifying manifestations of Thyroid Storm (emergencies).
  • Identifying manifestations of Acute Appendicitis.
  • Identifying clinical findings that indicate a worsening skin infection.
• Prioritize Hypotheses ($1$ Item): Anticipate specific provider prescriptions for Hyperthyroidism.
• Generate Solutions ($1$ Item): Client education regarding their clinical condition (Hyperthyroidism).
• Take Actions ($2$ Items):
  • Manage care for a client with a parasitic skin infestation.
  • Coordinate priority nursing interventions.
• Evaluate Outcomes ($3$ Items): Evaluating the efficacy and success of implemented nursing care plans.