NS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II -- TTHHEEOORRYY
SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS
COURSE CREDIT Seven-week course, offering 3 credit hours
PREREQUISITES Grades of “C” or higher in NS 216, NS 300, NS 303, and
NS 309
CO-REQUISITES NS 313L
COURSE DATES May 5 through June 23, 2014
TIME and LOCATION Mon 1030 – 1420 Location: HSB 110
Fri 1130 – 1520 Location: HSB 110
FACULTY Thomas J. Hendrix, PhD, RN
Associate Professor,
HSB, Room 329 Telephone: 786-4583
E-mail: [email protected]
COURSE DESCRIPTION The course emphasizes health disruptions occurring across the lifespan. Nursing therapeutics utilized
focus on nursing management of the individual, the family, and the environment to optimize
wellness.
COURSE OBJECTIVES
Course objectives were designed to be consistent with the categories of the conceptual framework.
Upon completion of this course, the student will be able to:
Critical Thinking
Use nursing process to determine nursing care needs of clients in medical/surgical and
pediatric settings.
Apply nursing process to clients of all ages, from infant to elder.
Demonstrate critical thinking in the use of psychomotor skills appropriate to the care of
clients/ families experiencing health disruptions.
Demonstrate awareness of socio-cultural factors in the application of nursing process to
clients experiencing health disruptions.
NNSS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II –– TTHHEEOORRYY
SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS ____________________________________________________________________________________________
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Caring
Demonstrate the art of caring for clients and their families experiencing disruptions in their
health.
Demonstrate the art of caring for peers and colleagues interacting with clients and their
families experiencing disruptions in their health.
Communication
Demonstrate competency in interpersonal communication with clients and their families.
Demonstrate effective communication and collaboration with other health care providers.
Incorporate feedback from instructors and peers to assess personal professional strengths and
weaknesses, and modify behavior appropriately.
Roles
Begin to develop skills as a client advocate.
Demonstrate an understanding of the role of the registered nurse in the acute care setting.
Integrate knowledge/skills obtained in previous courses (e.g., health assessment, fundamental
skills, and pharmacology) into the plan of care for clients experiencing health disruptions.
Populations
Demonstrate an understanding of the client as a member of a family within a community.
Demonstrate an understanding of the community resources available to populations of patient
with specific health disruptions.
Therapeutic Nursing Interventions
Provide developmentally appropriate teaching to clients across the lifespan experiencing
health disruptions.
Formulate comprehensive nursing care plans that include monitoring, independent
interventions, and collaborative actions.
Utilize nursing interventions that are consistent with nursing theory and current nursing
research.
Evaluate the nursing care provided in accordance with ANA standards.
NNSS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II –– TTHHEEOORRYY
SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS ____________________________________________________________________________________________
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TEACHING METHODS
Lectures, group discussion, computer simulations, and examination reinforced through the associated
laboratory, seminar, and clinical courses.
COURSE POLICIES
In addition to the policies outlined in the SNHS Undergraduate Nursing Student Handbook, the
following guidelines and policies will be in effect throughout this course:
Attendance: It is expected that students will attend all scheduled class meetings, skills
laboratory experiences, and clinical practice experiences. We recognize that on rare
occasions, a student may need to be absent from a scheduled class meeting.
Lecture: Students are responsible for all announcements, information, and handouts
presented in class. Students who are absent should make arrangements to obtain the
necessary information from classmates.
Computer Exercises: Web-based computer exercises are assigned to supplement the
classroom discussion and textbook. Computer Exercises are not accepted late.
Disability Support Services: The NS313 faculty members are committed to meeting the
unique needs of every student. If you experience a disability and would like information
about support services, contact Disability Support Services, located in BEB 105 at 786-4530.
Communicate your needs to the NS313 faculty.
Honor Code: All UAA Nursing Students are expected to abide by the UAA School of
Nursing Honor Code and will be required to sign a pledge affirming their commitment to do
so. A copy of the Honor code is contained within the Student Handbook and is also located
within BlackBoard under the “Course Materials” link.
NNSS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II –– TTHHEEOORRYY
SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS ____________________________________________________________________________________________
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REQUIRED TEXTBOOKS
In addition to texts from NS 216, NS 300, NS 303, NS 304, and NS 309:
James, S. & Ashwill J. (2013). Nursing Care of Children: Principles & Practice, (4rd ed.).
St. Louis: Saunders Elsevier.
Lewis, S., Dirksen S., Heitkemper, Bucher L. & Camera, I. (2011). Medical-Surgical
Nursing, (8th ed.). St. Louis: Mosby.
OPTIONAL TEXTBOOKS
James, S.R. & Ashwill, J. W. (2007). Study Guide for Nursing Care of Children Principles
& Practice (3rd ed.). St. Louis: Saunders Elsevier.
Nugent, P. & Vitale, B. (2004). Test success: Test-taking techniques for beginning nursing
students (4th ed.). Philadelphia: F.A. Davis Company.
O’Brien, P. (2007). Study Guide for Medical-Surgical Nursing Assessment and Management
of Clinical Problems (7th ed.). St. Louis: Mosby.
SUPPLEMENTAL READINGS
The majority of the readings are available in full text format through the library’s information
system.
NNSS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II –– TTHHEEOORRYY
SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS ____________________________________________________________________________________________
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COURSE SCHEDULE
DATE TOPIC/ASSIGNMENTS
Required Assignments are highlighted!
Before classes start
Remember: Lab Quiz #1 must be completed by 0800 on Thursday (05/08)
Remember: Case Study #1 is due before lecture begins on Friday (05/09).
Remember: Transfusion Quiz is due by midnight Saturday (05/10)
1
5/05
Monday
The Perioperative Patient
DUE TODAY BEFORE CLASS: Honor Pledge (signed)
Lewis, Dirksen, Heitkemper, Bucher & Camera: Chapters 18 - 20
James & Nelson: pp 52 - 68 (Developmental), pp 295 - 297 (Surgery) & pp 317 – 334
(pain management)
Supplemental Activities:
Complex Analgesia & Pediatric Pain Management 1) D’Arcy, Y. (2007). Safe pain relief at the push of a button. Nursing Made Incredibly
Easy, Sept/Oct., 9-12.
2) Kingsley, C. (2001). Epidural analgesia your role. RN, 64(3), 53-58.
Remember: Lab Quiz #1 closes at 0800 Thursday (05/08)
Remember: Case Study #1 is due before lecture on Friday (05/09)
Remember: Transfusion Quiz closes at midnight Saturday (05/10)
NNSS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II –– TTHHEEOORRYY
SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS ____________________________________________________________________________________________
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COURSE SCHEDULE
DATE TOPIC/ASSIGNMENTS
Required Assignments are highlighted!
2
05/09
Friday
Fluid and Electrolyte Imbalances
Lewis, Dirksen, Heitkemper, Bucher & Camera: Chapter 17, pp. 301–320.
James & Nelson: Chapter 16 & Inside back cover: Range of Average Water
Requirements at Different Ages Under Ordinary Conditions
DUE TODAY BEFORE CLASS: Case Study #1
Acid Base Imbalances Lewis, Heitkemper, Dirksen, O’Brien & Bucher: pp. 320-331
James & Nelson: Review the tables that highlight conditions causing acid-base
disturbances in children, pp 338 - 342
Required Reading:
Tasota, F. & Wesmiller, S. (1994). Assessing ABGs: Maintaining the delicate balance.
Nursing 24(5), 34-46.
Remember: Transfusion Quiz closes at midnight Saturday (05/10)
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05/12
Monday
Diabetes
Lewis, Heitkemper, Dirksen, O’Brien & Bucher: Chapter 49 James & Nelson: pp. 718 – 732 (Developmental Issues, Pay attention to table 27 – 5 & the
nursing care plans beginning on page 724.)
DUE TODAY BEFORE CLASS: Nothing
Supplemental. Children with Diabetes. The following web site provides information on concerns for the
diabetic child for varying developmental levels. http://www.childrenwithdiabetes.com/d_0n_b00.htm Reading: Skelly, A. (2002). Elderly patients with diabetes. American Journal of Nursing, 10 (2), 15-16.
Remember: Lab Quiz #2 closes at 0800 this Thursday (05/15).
Remember: Case Study #2 due before class this Friday (05/16).
Remember: Pre-exam Quiz #1 closes at 1130 this Friday (01/17) and
EXAM ONE is this Friday
NNSS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II –– TTHHEEOORRYY
SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS ____________________________________________________________________________________________
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COURSE SCHEDULE
DATE TOPIC/ASSIGNMENTS
Required Assignments are highlighted!
4
01/16
Friday
Exam 1 – followed by 2-hour lecture
Upper Respiratory Problems
Lewis, Heitkemper, Dirksen, O’Brien & Bucher: Chapter 27
James & Nelson: Chapter 21
DUE TODAY BEFORE CLASS:
1. Pre-exam quiz #1 closes at 1030 today.
2. Case Study #2 due before class
5
05/19
Monday
Lower Respiratory Problems
Lewis, Heitkemper, & Dirksen: Chapter 28
James & Nelson: same as prior lecture – Chapter 21
Obstructive Pulmonary Problems Lewis, Heitkemper, & Dirksen: Chapter 29
James & Nelson – same as prior lecture – Chapter 21
Readings:
Boucher, M. (1996). When laryngectomy complicates care RN, August, 40-45. Miracle, V. & Winston, M. (2000). Take the wind out of asthma Nursing, 30(8), 34-43.
Dunn, N. (2001). Keeping COPD patients out of the ED. RN, 64(2), 33-38.
Please remember that:
1. Lab Quiz #3 (final lab quiz) closes at 0800 this Thursday (05/22)
2. Case Study #3 is due before class this Friday (05/23)
3. CVAD quiz closes at midnight this coming Saturday (05/24)
NNSS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II –– TTHHEEOORRYY
SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS ____________________________________________________________________________________________
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COURSE SCHEDULE
DATE TOPIC/ASSIGNMENTS
Required Assignments are highlighted!
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05/23
Friday
Upper and Lower Gastro-Intestinal Problems Lewis, Heitkemper, & Dirksen: Chapters 42 and 43
James & Nelson: Chapter 19
DUE TODAY BEFORE CLASS: nothing
Remember: Case Study #3 due this Friday before class (01/31)
Remember: CVAD quiz closes at midnight Saturday (05/24)
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05/26
Monday
Memorial Day – no lecture
Your clinical instructor will provide instructions for pre-clinical preparation
Remember: Case Study #4 due this Friday before class (05/30)
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05/30
Friday
Musculoskeletal Trauma and Orthopedic Surgery
Musculoskeletal Problems Lewis, Heitkemper, Dirksen, O’Brien & Bucher: Chapters 63, 64 and 65.
James & Nelson: Pediatric Differences in the Musculoskeletal System, Box pp. 663,
Casts, Traction & Other pediatric conditions: pp. 666 - 671, Scoliosis, etc pp 678 – 683 & hip dysplasia pp. 685 - 689
DUE TODAY BEFORE CLASS: Case Study #4
Remember: Pre-exam quiz #2 closes at 1030 this coming Monday (06/02).
Remember: Optional exam 2 test prep/review tomorrow (05/31) at 0900
NNSS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II –– TTHHEEOORRYY
SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS ____________________________________________________________________________________________
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COURSE SCHEDULE
DATE TOPIC/ASSIGNMENTS
Required Assignments are highlighted!
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06/02
Monday
Exam 2 . . . . . . . . . . . . . . followed by a 2-hour lecture
Hypertension Lewis, Heitkemper, & Dirksen: Chapter 33
James & Nelsons: Chapter 22 (Hypertension – pp. 565 - 567)
Coronary Artery Disease and Acute Coronary Syndrome
Lewis, Heitkemper, & Dirksen: Chapter 34
DUE TODAY: Pre-exam quiz #2 closes at 1030 today
Remember: Case Study #5 is due this Friday (06/06) before lecture begins.
Remember: 4 EKG quizzes are due by midnight this coming Saturday (06/07)
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06/06
Friday
Heart Failure and Cardiomyopathy
Lewis, Heitkemper, & Dirksen: Chapter 35
Dysrhythmias Lewis, Heitkemper & Dirksen: Chapter 36
James & Nelson: Chapter 22: pp. 535 – 541 & pg. 568
DUE TODAY BEFORE CLASS: Case Study #5
Remember: Optional Exam Two Review immediately after class today.
Remember: The 4 EKG quizzes are due by midnight tomorrow (06/07)
Optional open lab today 0900 – 1100 (more opportunities next week)
NNSS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II –– TTHHEEOORRYY
SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS ____________________________________________________________________________________________
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COURSE SCHEDULE
DATE TOPIC/ASSIGNMENTS
Required Assignments are highlighted!
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06/09
Monday
Inflammatory and Structural Heart Disorders
Lewis, Heitkemper, & Dirksen: Chapter 37
DUE TODAY BEFORE CLASS: nothing
Suggested Supplemental Reading:
Miracle, V. (2001). Put the brakes on pericarditis. Nursing, 31(4), 44-5.
The Child with a Cardiovascular Alternation
James & Nelson: Chapter 22: pp 544 – 547.
Open Lab Times (optional) for upcoming skills check off
1. Today 0800 – 1000
2. Tuesday (06/10) from 1500-1700
3. Wednesday (06/11) from 1500-1700.
Remember -- The lab practicum is this Thursday (06/12) – see schedule for time.
Remember: Case Study #6 is due this Friday (06/13) before lecture begins – last one
Remember: Optional Exam 3 prep/review is this coming Saturday at 0900
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06/13
Friday
Vascular Disorders
Lewis, Heitkemper & Dirksen: Chapter 38
Shock
Lewis, Heitkemper & Dirksen: Chapter 67 pp. 1772 – 1794
James & Nelson: pp 212 – 215
DUE TODAY BEFORE CLASS: Case Study #6 before lecture begins
Optional exam #3 prep/review tomorrow at 0900
Remember: Pre-exam quiz #3 is due before exam #3 in on Monday (06/16)
NNSS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II –– TTHHEEOORRYY
SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS ____________________________________________________________________________________________
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COURSE SCHEDULE
DATE TOPIC/ASSIGNMENTS
Required Assignments are highlighted!
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06/16
Monday
Exam 3 . . . . . . . . . . . Followed by a 2-hour lecture
Pediatric Renal Dysfunction James & Nelson: Chapter 20, pp. 454 - 473
Renal and Urologic Problems
Lewis, Heitkemper & Dirksen, Chapter 46
DUE TODAY BEFORE CLASS: Pre-exam quiz #3 is due before exam #3 today
And . . . . . . . . . . .
Remember: Pre-exam quiz #4 is due before the Final Exam in one week on 06/23.
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06/20
Friday
Acute Renal Failure and Chronic Kidney Disease
Lewis, Heitkemper, & Dirksen: Chapter 47
James & Nelson: pp. 474 - 479
DUE TODAY BEFORE CLASS: nothing
Complete IDEA course evaluations please.
Optional Exam Three Review after class today – & then you can review all exams
Remember: Pre-exam quiz #4 is due before the Final Exam on Monday 06/24.
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06/23
Monday
Comprehensive Final Exam
Pre-exam quiz #4 is due before the Final Exam today.
Complete IDEA course evaluations please.
We are done!!!
NNSS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II –– TTHHEEOORRYY
SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS ____________________________________________________________________________________________
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EVALUATION METHODS Several mechanisms will be used to evaluate student progress. They are discussed below.
Evaluation Mechanisms % of Grade
Exams: Three objective exams of lecture material. Each exam is 17% of the
final grade. 51%
Comprehensive Final Exam: The exam is comprehensive and is 31% of the
final grade. 31%
Case Studies: The assigned case studies are worth 5% of the total grade. Case Study assignments are not accepted late.
5%
3 Lab Quizzes: There will be 3 online lab quizzes, which tests the knowledge
underlying the procedures taught in the lab. They are worth 5% of your grade. 5%
Lab Simulation: Each of you will be graded on 2 different lab simulation
exercises. Each is worth 1.5% of your final grade. These points can only be
earned on the day you are scheduled to perform. If you miss the lab, you
lose the points.
3%
Computer-Aided Instructions and Online Quizzes: The assigned computer
exercises (pre-exam quizzes), as well as the transfusion, CVAD and EKG on-
line quizzes are worth 5% of the final theory grade. Computer exercises are
not accepted late. On-line tests must be taken during the assigned
timeframe.
5%
Clinical: Any student not passing the clinical (313L) portion of the course will not pass the theory portion of the course. In other words, if a student does
not pass clinical they will be required to repeat both 313 and 313L regardless
of their scores in 313.
Pass/No Pass
Math Test: Each student must obtain a minimum of 90% on a math test. Pass/No Pass
NNSS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II –– TTHHEEOORRYY
SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS ____________________________________________________________________________________________
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COURSE GRADING POLICIES
1. THEORY EXAMS – An average of 75% must be achieved on the four exams to pass the
course. Therefore, to pass this course, students must achieve a 75% average on the exams
and a 75% average for the entire course.
Theory Grades Percent Points
Exam 1 0.25
Exam 2 0.25
Exam 3 0.25
Final Exam 0.25
Sum of all points (must be at least 75%) 1.00
2. CLINICAL – A “Pass” must be earned in clinical (NS 313L) to pass NS 313.
3. MATH – A score of 90% must be earned on the math exam to pass the course.
4. LATE ASSIGNMENTS -- Students are expected to complete assigned coursework as per
the schedule in the course syllabus and/or announcements on Blackboard. Assigned
coursework may be, but is not limited to, exams, quizzes, papers, care plans, journals,
presentations, check-offs, and any other assignments.
5. LATE OR RESCHEDULED ASSIGNMENTS AND TESTS
All students are expected to complete required assignments and tests as scheduled in the
syllabus and/or announced on Blackboard.
Anticipated Absences. Faculty must be notified in advance of the intent to miss the
deadline for a required assignment or of the intent to miss a scheduled test. Proper
notification varies with instructors. The proper media (examples are phone, face-to-face,
email, voice mail, message with the receptionist) for notification and the plan for
completion of the assigned coursework (usually within one week or less of the absence)
will be determined by the course instructor. Instructors may require students to complete
the assigned coursework prior to the anticipated absence. Missed exams will receive a 3%
deduction in the earned grade.
Unanticipated Absences. Grades for assigned coursework that is late due to a student’s
unanticipated absence will result in the late assigned coursework receiving the usual 3%
deduction per day with exams receiving a 3% deduction in the earned grade.
Students who have unanticipated absences due to extenuating circumstances must
notify the instructor as soon as possible. The conditions for completing the
assigned coursework will be determined by the instructor.
NNSS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II –– TTHHEEOORRYY
SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS ____________________________________________________________________________________________
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Extenuating circumstances are circumstances that prevent students from
attending or submitting assigned coursework by the scheduled date. Such
circumstances are rare and would be unpreventable, unforeseeable, and would
have a serious impact on performance. Students could have done nothing
reasonably in their power to avoid the extenuating circumstance. Things such as
minor illness, poor night’s sleep, and minor injury are not expected to have a
serious impact on performance, so are not considered extenuating circumstances.
Students are expected to make reasonable plans to prevent unforeseeable
circumstances such as with such things as transportation, child care, and
computer problems, so these are not usually considered extenuating
circumstances. It is impossible to provide a complete list of these things.
Extenuating circumstances are circumstances which occur very rarely. They
include circumstances which are verifiable, such as death of a close relative,
traffic accident, or serious personal illness. (Ongoing medical conditions may be
covered by disability procedures).
Failure to notify faculty of absence from a required test, quiz or other assignment will be
considered an unexcused absence and result in a zero (0) grade for the test, quiz or other
assigned activity.
8. STUDENT CODE OF CONDUCT. The following policies will be in place during all NS313
examinations:
Prior examinations are not authorized as a study source.
Only a simple calculator is allowed to be used during an examination (No PDAs)
No study materials are to be utilized during examinations.
Ideas/answers are not shared during examinations.
These specific behaviors illustrate forms of conduct that are prohibited in NS313. This is not
an exhaustive list, rather it supplements the actions described in the UAA Student Code of
Conduct in the UAA Catalog. Students will earn a “Zero” in any assignment or examination
when behavior does not conform to the Code of Conduct. Further disciplinary actions may
be initiated.
9. GRADING SCALE – The following scale will be used to determine the final course grade:
93.00% to 100.00% A
84.00% to 92.99% B
75.00% to 83.99% C
66.00% to 74.99% D
65.99% or lower F
NNSS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II –– TTHHEEOORRYY
SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS ____________________________________________________________________________________________
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NS 313 – EARNED GRADE WORKSHEET
To determine your grade, multiply the earned grade (%) by the Percent of Grade to calculate the
number of points for that component of the grade. Add the points together to determine your
numeric grade.
EARNED GRADE PERCENT OF GRADE POINTS
Exam 1 0.17
Exam 2 0.17
Exam 3 0.17
Skills Lab Exams 0.05
Lab Simulations 0.03
Virtual Clinical Exercises 0.05
Quizzes 0.05
Final Exam 0.31
Sum of all points 1.00