Individual Performance Profile

PN Adult Medical Surgical 2023

Individual Name: SEAN MATTHEW B LOPEZ Adjusted Individual Total Score: 50.2%
Student Number: 7936141 ATI Proficiency Level: Level 1
Institution: Unitek College San Jose PN National Mean: 62.4%
Program Type: PN National Percentile Rank: 15
Test Date: 9/3/2024

Individual Performance in the Major Content Areas

# Individual Mean Percentile Individual Score (% Correct)
Rank
Sub-Scale Points Score National National

Coordinated Care 8 62.5% 73.5% 36

Safety and Infection 9 22.2% 67.5% 1

Control
Health Promotion and 5 60.0% 60.0% 41
Maintenance
Psychosocial Integrity 3 100.0% N/A N/A

Basic Care and Comfort 9 55.6% 62.3% 30

Pharmacological 10 70.0% 60.1% 75

Therapies
Reduction of Risk 15 40.0% 60.0% 13
Potential
Physiological Adaptation 15 40.0% 58.9% 9

Clinical Judgment 70 51.4% N/A N/A

NOTE: N/A indicates where means and percentile ranks are not presented for sub-scales with fewer than five items.

Topics To Review

Coordinated Care (2 items)

Collaboration with Interdisciplinary Team (1 item)
Infection Control: Planning Care For a Client Who Has Herpes Zoster (Active Learning Template - System Disorder)
Continuity of Care (1 item)
Admissions, Transfers, and Discharge: Information to Include in Transfer Documentation (Active Learning Template -
Basic Concept)
Safety and Infection Control (7 items)
Accident/Error/Injury Prevention (2 items)
Client Safety: Priority Action for Fire (Active Learning Template - Basic Concept)
Medications Affecting Blood Pressure: Contraindications for Propranolol (Active Learning Template - Medication)
Home Safety (1 item)
Sensory Perception: Reinforcing Teaching About Home Safety (Active Learning Template - System Disorder)
Standard Precautions/Transmission-Based Precautions/Surgical Asepsis (2 items)
Infection Control: Reinforcing Teaching about a Client Who Has Pertussis (Active Learning Template - Basic Concept)

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 Topics To Review

Tuberculosis: Assisting with the Plan of Care for a Client Who Has a Respiratory Disorder (Active Learning Template -
System Disorder)
Safe Use of Equipment (2 items)
Arthroplasty: Caring for a Client Using a Continuous Passive Motion Device (Active Learning Template - Therapeutic
Procedure)
Mobility and Immobility: Caring for a Client Who Has a Prescription for a Sequential Compression Device (Active Learning
Template - Therapeutic Procedure)
Health Promotion and Maintenance (2 items)
Health Promotion/Disease Prevention (2 items)
Cancer Disorders: Identifying Risk Factors for Colon Cancer (Active Learning Template - System Disorder)
Osteoporosis: Reinforcing Teaching About Prevention (Active Learning Template - System Disorder)

Basic Care and Comfort (4 items)

Elimination (1 item)
Urinary Elimination: Contributing to Plan of Care for a Client Who Is Starting a Bladder Training Program (Active Learning
Template - Basic Concept)
Nutrition and Oral Hydration (3 items)
Cancer and Immunosuppression Disorders: Assisting with Nutritional Planning for a Client Who Has HIV (Active Learning
Template - System Disorder)
Cardiovascular and Hematologic Disorders: Evaluating Client Understanding of Dietary Changes to Prevent Hypertension
(Active Learning Template - System Disorder)
Chronic Obstructive Pulmonary Disease: Dietary Recommendations (Active Learning Template - System Disorder)

Pharmacological Therapies (3 items)

Expected Actions/Outcomes (2 items)
Anemias: Evaluating Client Understanding About Iron Supplementation (Active Learning Template - Medication)
Miscellaneous Central Nervous System Medications: Reinforcing Teaching About Oxybutynin (Active Learning Template -
Medication)
Medication Administration (1 item)
Diabetes Mellitus: Reinforcing Client Teaching About Insulin Administration (Active Learning Template - Medication)

Reduction of Risk Potential (9 items)

Changes/Abnormalities in Vital Signs (1 item)
Postoperative Nursing Care: Priority Nursing Actions Following Surgery (Active Learning Template - System Disorder)
Diagnostic Tests (1 item)
Gastrointestinal Diagnostic Procedures: Reinforcing Teaching About Colonoscopy (Active Learning Template - Diagnostic
Procedure)
Laboratory Values (1 item)
Gastrointestinal Therapeutic Procedures: Monitoring Total Parenteral Nutrition (Active Learning Template - Therapeutic
Procedure)
Potential for Alterations in Body Systems (2 items)
Angina and Myocardial Infarction: Reinforcing Teaching With a Client Who Has Angina (Active Learning Template -
System Disorder)
Peripheral Vascular Diseases: Reinforcing Teaching About Peripheral Arterial Disease (Active Learning Template -
System Disorder)
Therapeutic Procedures (1 item)
Disorders of Reproductive Tissue: Caring for a Client Following a Transurethral Resection of the Prostate (Active
Learning Template - Therapeutic Procedure)
Potential for Complications from Surgical Procedures and Health Alterations (2 items)
Gastrointestinal Diagnostic Procedures: Positioning for a Sigmoidoscopy (Active Learning Template - Diagnostic
Procedure)
Gastrointestinal Therapeutic Procedures: Monitoring Client for Manifestations of Complications After Colostomy (Active
Learning Template - Therapeutic Procedure)
Potential for Complications of Diagnostic Tests/Treatments/Procedures (1 item)
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 Topics To Review

Respiratory Diagnostic and Therapeutic Procedures: Reportable Findings Following Thoracentesis (Active Learning
Template - Therapeutic Procedure)
Physiological Adaptation (9 items)
Alterations in Body Systems (5 items)
Electrocardiography and Dysrhythmia Monitoring: Recognizing Life-Threatening Dysrhythmias (Active Learning Template
- Diagnostic Procedure)
Ergonomic Principles: Client Positioning to Facilitate Breathing (Active Learning Template - Therapeutic Procedure)
Esophageal Disorders: Evaluating Client Understanding About GERD (Active Learning Template - System Disorder)
Musculoskeletal Trauma: Caring for a Client Who Is in Skeletal Traction (Active Learning Template - Nursing Skill)
Respiratory Management and Mechanical Ventilation: Providing Tracheostomy Care (Active Learning Template - Nursing
Skill)
Basic Pathophysiology (2 items)
Heart Failure and Pulmonary Edema: Clinical Manifestations of Right-Sided Heart Failure (Active Learning Template -
System Disorder)
Urinary Elimination: Identifying Overflow Incontinence (Active Learning Template - System Disorder)
Fluid and Electrolyte Imbalances (1 item)
Electrolyte Imbalances: Planning Care for a Client Who Has Hypernatremia (Active Learning Template - System Disorder)
Medical Emergencies (1 item)
Emergency Nursing Principles and Management: Priority Care for a Client Who Has Ventricular Tachycardia (Active
Learning Template - System Disorder)
Clinical Judgment (15 items)
Recognize Cues (2 items)
Noninflammatory Bowel Disorders: Identifying Findings That Require Follow-up (Active Learning Template - System
Disorder)
Polycystic Kidney Disease, Acute Kidney Injury, and Chronic Kidney Disease: Identifying Subjective and Objective Client
Data (Active Learning Template - Basic Concept)
Analyze Cues (4 items)
Antibiotics Affecting the Bacterial Cell Wall: Contraindications for Administering Cefazolin (Active Learning Template -
Medication)
Hypertension: Identifying a Prescription to Clarify with the Provider (Active Learning Template - System Disorder)
Noninflammatory Bowel Disorders: Findings Consistent with Disease Processes (Active Learning Template - System
Disorder)
Polycystic Kidney Disease, Acute Kidney Injury, and Chronic Kidney Disease: Collecting Data on a Client Who has
Kidney Disease (Active Learning Template - System Disorder)
Prioritize Hypotheses (1 item)
Noninflammatory Bowel Disorders: Planning Care for a Client who has a Nasogastric Tube (Active Learning Template -
System Disorder)
Generate Solutions (3 items)
Increased Intracranial Pressure Disorders: Caring for a Client Who Has Experienced a Stroke (Active Learning Template
- System Disorder)
Noninflammatory Bowel Disorders: Prioritizing Nursing Actions (Active Learning Template - System Disorder)
Polycystic Kidney Disease, Acute Kidney Injury, and Chronic Kidney Disease: Identifying Prescriptions for a Client Who
Has Kidney Disease (Active Learning Template - System Disorder)
Evaluate Outcomes (3 items)
Asthma: Interventions for a Client Who Has Asthma (Active Learning Template - System Disorder)
Hypothyroidism: Caring for a Client Who Has Hypothyroidism (Active Learning Template - System Disorder)
Polycystic Kidney Disease, Acute Kidney Injury, and Chronic Kidney Disease: Evaluating Understanding of Teaching for a
Client Who Has Kidney Disease (Active Learning Template - System Disorder)
Take Actions (2 items)
Bacterial, Viral, Fungal, and Parasitic Infections: Priority Actions for a Client Who Has Kidney Disease (Active Learning
Template - Basic Concept)

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 Topics To Review

Noninflammatory Bowel Disorders: Nursing Actions for a Preoperative Client (Active Learning Template - Therapeutic
Procedure)

Outcomes

No of Individual
Nursing Process Points Score Description

PN Data Collection 51 52.9% The data collection step of the nursing process involves the nurse’s
ability to apply nursing knowledge to the systematic and continuous
collection, organization, validation and documentation of data about
a client’s present health status. The nurse must use therapeutic
communication and technical skills to safely collect comprehensive
client data and draw conclusions.
PN Planning 29 48.3% The planning step of the nursing process involves the nurse’s ability
to contribute to developing a plan of care for a client who has
specific health alterations or needs for health
promotion/maintenance. The nurse will assist in establishing
priorities, measurable client goals and nursing interventions to assist
the client to achieve his goals.
PN Implementation/Therapeutic 37 43.2% The implementation step of the nursing process involves the nurse’s
Nursing Intervention ability to apply nursing knowledge to implement interventions to
assist a client to promote, maintain, or restore his health. The nurse
uses problem-solving skills, clinical judgment, and critical thinking
when using interpersonal and technical skills to provide client care.
During this step the nurse will also delegate and supervise care and
document the care and the client’s response.
PN Evaluation 27 59.3% The evaluation step of the nursing process involves the nurse’s
ability to evaluate a client’s response to nursing interventions and to
reach a nursing judgment regarding the extent to which the client
has met the goals and outcomes. During this step the nurse will
also assess client/staff understanding of instruction, the
effectiveness of interventions, and identify the need for further
intervention or the need to alter the plan.

No of Individual
Priority Setting Points Score Description

17 29.4% Ability to demonstrate nursing judgment in making decisions about

priority responses to a client problem. Also includes establishing
priorities regarding the sequence of care to be provided to multiple
clients.

No of Individual
Thinking Skills Points Score Description

Foundational Thinking 11 54.5% The ability to comprehend information and concepts. Incorporates
Blooms Taxonomy categories of Remembering and Understanding.
Clinical Application 63 49.2% The ability to apply nursing knowledge to a clinical situation.
Incorporates Blooms Taxonomy category of Applying.

Clinical Judgment 70 51.4% The ability to analyze and interpret elements of a clinical situation to
make a decision and respond appropriately. Incorporates Blooms
Taxonomy categories of Analyzing and Evaluating.

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 No of Individual
NCLEX® Points Score Description

PN Coordinated Care 8 62.5% The nurse coordinates, supervises and/or collaborates with
members of the health care to provide an environment that is cost-
effective and safe for clients.
PN Safety and Infection Control 9 22.2% The nurse uses preventive safety measures to promote the health
and well-being of clients, significant others, and members of the
health care team.
PN Health Promotion and 5 60.0% The nurse contributes to the plan of care to promote prevention and
Maintenance detection of illness and support optimal health.

PN Psychosocial Integrity 3 100.0% The nurse contributes to the plan of care to promote and support the
emotional, mental and social well-being of clients and significant
others.
PN Basic Care and Comfort 9 55.6% The nurse contributes to the plan of care to promote comfort and
assist client to perform activities of daily living.
PN Pharmacological Therapies 10 70.0% The nurse provides safe care for clients receiving medications and
parenteral therapy.

PN Reduction of Risk Potential 15 40.0% The nurse contributes to the plan of care to decrease clients’ risk of
developing complications from existing health disorders, treatments
or procedures.
PN Physiological Adaptation 15 40.0% The nurse contributes to the care of clients who have an acute,
chronic or life threatening illness.

No of Individual
Clinical Areas Points Score Description

Adult Medical-Surgical 46 50.0% Ability to apply medical-surgical nursing knowledge to clinical

problems experienced by adults. Topics include care of clients with
cardiovascular, hematologic, gastrointestinal, neurosensory,
endocrine, fluid and electrolyte, integumentary,
lymph/immune/infectious, renal and urinary, musculoskeletal,
reproductive, and respiratory disorders as well as topics relevant to
perioperative nursing care and emergency care/triage.
Nutrition 9 33.3% Ability to apply nursing knowledge to normal nutrition and diet
therapy. Topics include the collection of data regarding nutritional
status; implementation of actions to promote normal nutrition or
dietary modification in response to illness; and evaluation of the
client’s response to diet therapy.

No of Individual
QSEN Points Score Description

Safety 34 52.9% The minimization of risk factors that could cause injury or harm
while promoting quality care and maintaining a secure environment
for clients, self, and others.
Patient-Centered Care 14 57.1% The provision of caring and compassionate, culturally sensitive care
that is based on a patient’s physiological, psychological,
sociological, spiritual, and cultural needs, preferences, and values.
Evidence Based Practice 89 50.6% The use of current knowledge from research and other credible
sources to make clinical judgments and provide client-centered
care.

Informatics 4 25.0% The use of information technology as a communication and

information gathering tool that supports clinical decision making and
safe, scientifically based nursing practice.
Teamwork and Collaboration 3 33.3% The delivery of client care in partnership with multidisciplinary
members of the health care team, to achieve continuity of care and
positive client outcomes.

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 No of Individual
NLN Competency Points Score Description

Human Flourishing 16 50.0% Human flourishing is reflected in patient care that demonstrates
respect for diversity, approaches patients in a holistic and patient-
centered manner, and uses advocacy to enhance their health and
well-being.
Nursing Judgment 102 52.0% Nursing judgment involves the use of critical thinking and decision
making skills when making clinical judgments that promote safe,
quality patient care.
Professional Identity 6 33.3% Professional identity reflects the professional development of the
nurse as a member and leader of the health care team who
promotes relationship-centered care, and whose practice reflects
integrity and caring while following ethical and legal guidelines.
Spirit of Inquiry 20 50.0% A spirit of inquiry is exhibited by nurses who provide evidence based
clinical nursing practice and use evidence to promote change and
excellence.

No of Individual
Clinical Judgment Points Score Description

Recognize Cues 7 42.9% Filter information from different sources (i.e., signs, symptoms,
health history, environment).
Identify relevant information related to the client’s condition.
Use knowledge, experience and evidence to assess clients.
Use verbal, nonverbal, written, and electronic modes of
communication.
Recognize relevant subjective/objective client data.
Identify subtle and apparent changes in client condition and related
factors.

Analyze Cues 16 43.8% Link recognized cues to a client’s clinical presentation and
establishing probable client needs, concerns, or problems.
Compare client findings to evidence-based resources and standards
of care.
Analyze expected and unexpected findings in health data.
Anticipate illness/injury and wellness progression.
Identify client problems and related health alterations.
Analyze client needs.
Identify potential complications.
Identify how pathophysiology relates to clinical presentation.
Identify data that is of immediate concern.
Prioritize Hypotheses 7 57.1% Establish priorities of care based on the client’s health problems (i.e.
environmental factors, risk assessment, urgency, signs/ symptoms,
diagnostic test, lab values, etc.).
Organize client assessment information according to changes,
patterns and trends.
Use standards of care and empirical frameworks for priority setting.
Establish and prioritize client problems/needs based on the analysis
of information and factors.
Generate Solutions 19 52.6% Identify expected outcomes and related nursing interventions to
ensure clients’ needs are met.
Collaborate with members of the interprofessional healthcare team
to establish client outcomes and the plan of care.
Collaborate with client and care partners to establish client
outcomes and the plan of care.
Identify optimal client outcomes based on information and factors.
Identify evidence-based nursing actions to effectively address the
clinical situation of the client’s health problem.
Prioritize plan of care to achieve optimal client outcomes.
Prioritize nursing care when caring for multiple clients.
Re-prioritize nursing actions as the client’s condition changes.
Modify a plan of care to assure achievement of optimal client
outcomes when indicated.
Determine the potential impact of selected interventions.

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 Take Actions 3 33.3% Implement appropriate interventions based on nursing knowledge,
priorities of care, and planned outcomes to promote, maintain, or
restore a client’s health.
Promptly and accurately perform nursing actions based on
prioritized client problems.
Implement a plan of care in collaboration with members of the
interprofessional health care team.
Implement a plan of care in collaboration with the client and care
partners.
Accurately document client care data and information.
Incorporate client preferences and needs when performing nursing
actions.
Provide education to the client and/or care partner(s) regarding their
health condition and care management.
Participate in coordination of care with the client and healthcare
team.
Monitor the client’s response to interventions.
Evaluate Outcomes 18 61.1% Evaluate a client’s response to nursing interventions and reach a
nursing judgment regarding the extent to which outcomes have
been met.
Reassess client condition to determine achievement of expected
outcomes.
Evaluate efficacy of nursing actions determine if client outcomes
were met.
Modify client outcomes and/or nursing actions based on the client’s
response and clinical findings when indicated.
Update and revise the plan of care.

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 Score Explanation and Interpretation
Individual Performance Profile
ATI PROFICIENCY LEVELS
Proficiency Level Proficiency Level Definition Score Range*
Below Level 1 Scores below the Proficiency Level 1 standard can be considered below 0.0% to 49.9%
minimum expectations and can be indicative of significant risk in this
content area. ATI strongly advises these students to develop and complete
an intensive plan for focused review and remediation, including the use of
ATI materials, textbooks, class notes, reference materials, and assistance
from nurse educators.
Level 1 Scores meeting the Proficiency Level 1 standard can be considered to meet 50.0% to 63.2%
the absolute minimum expectations for performance in this content area.
Scores at this level were judged by the content expert panel to indicate a
student as likely to just meet NCLEX-PN® standards in this content area. ATI
advises these students to develop and complete a rigorous plan of focused
review in order to achieve a firmer grasp of this content.
Level 2 Scores meeting the Proficiency Level 2 standard can be considered to 63.3% to 76.6%
exceed minimum expectations for performance in this content area. Scores
at this level were judged by the content expert panel to indicate a student
as fairly certain to meet NCLEX-PN standards in this content area. ATI
advises these students to engage in continuous focused review in order to
improve their knowledge of this content.
Level 3 Scores meeting the Proficiency Level 3 standard can be considered to 76.7% to 100.0%
exceed most expectations for performance in this content area. Scores at
this level were judged by the content expert panel to indicate a student as
likely to exceed NCLEX-PN standards in this content area. ATI advises these
students to engage in continuous focused review to maintain and improve
their knowledge of this content.
*There are no scoring gaps between the ranges of each level to include all possible scores of the NGN assessment.

ADJUSTED INDIVIDUAL TOTAL SCORE PRETEST ITEMS

To adjust for possible differences in difficulty among the forms There are 10 unscored and 90 scored questions throughout
of this assessment, the raw score (the total number of points the assessment. The unscored questions are used for
received) is converted to an adjusted raw score through a research purposes.
standard process known as equating. The adjusted individual
total score is a function of the adjusted raw score divided by the NATIONAL MEAN
total number of points possible on the assessment. This is the average score of all examinees.
Adjusted raw score × 100 PROGRAM MEAN
Total number of points possible
This is the average score of all examinees within your specified
The adjusted individual total score is on a scale of 0% to 100% program type.
and is incremented in units of 0.1%. For example, if a student
received 76 points (raw score) and an adjusted raw score of NATIONAL PERCENTILE RANK
75.5810 on a test that has 99 total points possible, then the This is the percentage of examinees who scored at or below
adjusted individual total score is equal to 76.3%: your score.
75.5810 × 100 = 76.3%
99 TOPICS TO REVIEW
Based on the questions missed on this assessment, a listing
ITEM SCORING of content areas and topics to review is provided. A variety
ATI follows NCSBN guidance for item scoring. Accordingly, of learning resources can be used in the review process,
each item is worth one or more points. Depending on the item- including content, images, animations and videos in ATI’s
specific scoring method, a student’s response may earn full, Content Mastery Series® Review Modules, online practice
partial, or no points. assessments, and a focused review that is individualized to the
questions missed.
TOTAL NUMBER OF POINTS POSSIBLE
The total number of points possible is the sum of the number of
points possible of all scored items and is greater than the total
number of scored items on the assessment. The total number
of points possible may vary across assessment versions.

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