National Exam-- NOCTI
Info to study for NOCTI’s
Written Exam  220 questions – 2 days                           


 
Basic Nursing Skills: (36%)
1.   Care of clients when death is imminent       
·      Attitude toward death: culture religion
·      Stages of dying
·      Own feeling
·      Postmortem care
·      Assist roommate and family’ role    
 
2. Measuring, recording, reporting                       
·      I&O, HT/Wt, VS                                         
·      Normal /abnormal  
                                              
3. Providing a safe/clean environment
·      Identify client’s need for clean/comfortable environment
·      Report unsafe conditions/equipment
·      Basic safety interventions
·      Apply maintain Safety devices
 
4. Recognizing abnormal signs/symptoms            
    of disease/conditions and report                                       
·      Respiratory System    Nervous System                                  
·      Diabetes                      Skin Problems                            
·      UTI’s                         Digestive System                
·      Cardiac System  
                                         
5. Using Appropriate and effective communication
·      Verbal/nonverbal       Objective/subjective
·      Observations              Client’s record
·      Client’s stage of development
 
 
6. Understanding basic principles of Infection control
·      How diseases are transmitted
·      Hand washing technique
·      Disinfecting solutions/uses
·      Universal precautions/isolations/blood borne pathogens
 
7. Assisting with basic Emergencies:
·      Accident prevention
·      Clearing obstructed airway/signs
·      Follow disaster plan
·      Report emergencies accurately
·      Identify potential fire hazards
·      Recognize code status and begin CPR
·      Summons help when encountering emergencies: convulsive disorders, loss of consciousness, falls, hemorrhage- assist with client until help arrives
 
Personal Care Skills: (27%)
1.   Client bathing
·      Privacy
·      Perform and / Assist with bathing
·      Oral hygiene conscious/unconscious
2.   Client grooming
·      Shaving, hair, nail, personal preference
3.   Client dressing
·      Privacy/ independence, assist with dressing
4.   Client toileting
·      Perform cath care, assist with bathroom, commode, urinal, bedpan
5.   Nutrition, hydration, and feeding
·      Principles of nutrition
·      Special diet
·      Serve or feed; distribute nourishment/water
·      Swallowing disorders
·      Arrange food on tray with visual problems
6.   Client skin care
·      Observe/report condition
·      Prevention of decubitus ulcers; turning, positioning
·      Promoting /maintain good skin care-applying various protective devices
7.   Bedmaking
·      Occupied/unoccupied
8.   Client medical care
·      Apply hot/cold
·      Apply non-sterile dressing/compresses, soaks
 
Mental Health and Social Needs: (9%)
1.   Psychosocial characteristics of populations
·      Clients with mental retardations, mental illness, dementia, Alzheimer’s
2.   Modification of inappropriate client behavior
·      Reality orientation
·      Communication with agitated/ frighten clients
·      Repetitive behaviors
3.   Developmental tasks
·      Early Adulthood (22- 30) through Old Age (65+)
·      Age appropriate care
·      Promoting independences – ADL’s
·      Behavior management
·      Family as support
·      Affects of age, illness/disabilities on sexuality
 
Clients Rights: (10%)
1.   Privacy /confidentially
2.    Personal choices
3.    Grievances
4.    Client and family group participation
5.   Personal possessions
6.   Abuse, mistreatment, neglect
7.   Physical/Chemical restraints
 
Employability Skills: (7%)
1.   Acquiring and Maintaining a job
·      Appropriate conduct/communication for an interview
·      Appropriate job related behavior
·      Resource documents
·      Time /resource management
·      Continuing Education
 
Basic Restorative Devices: (11%)
1.   Use of Restorative Devices
·      Ambulation aids; canes, walkers, braces, crutches
·      Assist with Wheelchairs/transfer aids
·      Assistive Devices for eating/drinking/dressing/undressing
·      Care and use of prosthetic devices
2.   Range of Motion
·      Perform ROM
·      Assist with dangling, standing, walking
·      Proper turning/positioning in bed/chair
·      Proper body mechanics
3.   Client transfer
·      Transfer form client from bed to chair, bed to bed
4.   Bowel/bladder training
·      Assist with training
 
SKILLS:  Will be a practical, timed examination performed in the Nursing Lab.  This will take place over a period of 3 days.
 
·      Vitals Signs
·      Barrier Techniques
·      Wheelchair Use
·      Occupied Bed making
·      Complete Bed Bath