This is not a timed examination. If you request a Reasonable Accommodation, your account will be locked and you will not be able to proceed with the examination until the request is processed.

The information below will help you determine which classification(s) is(are) appropriate for you. Applicants must meet the Minimum Qualifications as stated on this bulletin to compete in this examination.

Open and Open, Non-Promotional Examination(s):

• REGISTERED NURSE (MAND) - Open

For all Classifications, once you have participated in any of the following examinations, you may not recompete for 9 months:

Exam Code(s):

2368

For REGISTERED NURSE (MAND), once you have participated in any of the following examinations, you may not recompete for 9 months:

Exam Code(s):

• EX-02368

Submit an Examination/Employment Application (STD 678) to apply for this examination.

Electronic applications can be submitted through your account at www.CalCareers.ca.gov.

If you require assistance or alternative testing arrangements due to a disability, indicate on your application that you need reasonable accommodation. You will be contacted by a representative of the testing department to make the necessary arrangements. If you have not been contacted by the time you receive notification of testing, please contact the testing department listed in the Contact section of this bulletin.

If you are unable to submit your application or complete the test due to a disability, please contact the testing department listed in the Contact section of this bulletin.

All applicants must meet the education and/or experience requirements as stated on this exam bulletin to be accepted to the examination.

We recommend using Chrome, Firefox, or Edge for optimal performance when accessing the examination.

This examination consists of the following component(s):

A final score of 70% must be attained to be placed on the eligible list.

In addition to evaluating the applicant's relative knowledge, skill and ability as demonstrated by quality and breadth of education/experience, emphasis in each test component will be on measuring competitively, relative to job demands, each applicant's:

A Servicewide Open eligible list for the REGISTERED NURSE (MAND) Classification will be established for:

• State of California

The names of successful competitors will be merged onto the eligible list(s) in order of final score regardless of test date. Eligibility expires 12 months after it is established. Applicants must then retake the examination to reestablish eligibility.

Veterans' Preference will be granted for this examination. Veterans' Preference is an assistance program for veterans, veteran widows and widowers, and spouses of 100% disabled veterans who seek employment with the state. Veterans' Preference is also extended to currently serving military members nearing their retirement or separation date.

You are not eligible for Veteran's Preference if you are:

• A veteran who has been dishonorably discharged or released.
• A veteran, widow or widower of a veteran, or spouse of a 100 percent disabled veteran who currently has permanent civil service status. (Permanent civil service status is the status of an employee who is lawfully retained in his/her position after completion of the applicable probationary period. This does not include limited term).

Veterans' Preference is codified in Government Code Sections 18973 – 18979.

Veteran status is verified by the California Department of Human Resources (CalHR). Directions to apply for Veterans' Preference are on the Veterans' Preference Application (Std. Form 1093), which is available at www.CalCareers.ca.gov, and the Department of Veterans Affairs.

Career Credits are not granted for examination(s) administered on an Open basis or a Promotional basis.

Section 1

Instructions:

Using the rating scale(s) provided below, you will rate your experience performing specific job-related tasks.

Respond to each of the following statements by indicating how the statement applies to you. You are required to respond to every statement by marking one option from the scale(s) provided.

In responding to each statement, you may refer to your REGISTERED NURSE STUDENT CLINICAL AND/OR PROFESSIONAL WORK EXPERIENCE.

1. Evaluating patient conditions (e.g., bio/psycho/social status, diet, physical activity, vital signs) to promote and/or improve overall health.
2. Administering medications to patients to provide continuity, timeliness, and appropriateness of health care in accordance with the established regulatory guidelines.
3. Administering treatments in order to prevent or care for patient illnesses and injuries in accordance with established regulatory guidelines.
4. Monitoring and ensuring therapeutic interventions to assist patients in regaining and maximizing physical abilities.
5. Evaluating and updating patient care plans to ensure compliance with nursing policies and procedures.
6. Providing necessary medical treatments in the event of changes in condition or emergencies (e.g., change in consciousness, heart attack, stroke) to help ensure patient safety.
7. Participating in treatment plan meetings for patients on admission and at established intervals to assess significant changes in condition.
8. Monitoring and ensuring proper body positions and alignments of bedbound patients to ensure optimal comfort and circulation.
9. Assessing and monitoring patients to ensure adequate nutrition, intake, and output based upon physician diet orders.
10. Collaborating with interdisciplinary teams in developing individualized care plans for patient health needs.
11. Assessing patient health status using nursing theories, medical equipment, clinical records, and staff/patient interviews to determine health care needs.
12. Educating patients about medical conditions to promote participation in health care planning.
13. Reviewing laboratory results, analyses, x-rays and other diagnostic tests to provide appropriate care to patients.
14. Reviewing diagnostic test results for critical values and inform physicians of significant values immediately.
15. Counting narcotics and documenting their inventory to ensure all controlled medications are accounted for per facility protocol.
16. Assessing and documenting side effects of medications to ensure effective treatments of patients.
17. Documenting nursing assessments regarding patient conditions in interdisciplinary notes and other forms.
18. Collecting and documenting data for patient assessments to record and ensure quality of care is received for varying purposes (e.g., Medicaid and Medicare services) in accordance with regulatory agencies.
19. Monitoring the timely completion of consents, reports, and documentation to comply with facility policies and procedures.
20. Completing incident reports regarding patient injuries to establish records of incidents, dispositions, and interventions taken.
21. Transcribing physician orders to ensure accurate documentation pertaining to patient care.
22. Ensuring the timely completion of patient admission processes for continuity of care.
23. Completing comprehensive nursing admission assessments using patient history, physical condition, current medications, immunizations, treatment and responses, and bio/psycho/social condition to initiate the plan of care.
24. Reviewing patient medication and vaccination orders by comparing past orders with current orders to ensure accuracy.
25. Communicating with patients regarding physical, emotional and bio/psycho/social needs to identify and address issues that facilitate improvement and quality of care.
26. Instructing individuals, families and other groups on topics such as health education, disease prevention, and health improvement options.
27. Assisting physicians with physical examinations (e.g., preparing patient charts, taking vital signs) in order to expedite physician evaluation processes.
28. Preparing and assisting patients with examinations, treatments, and procedures in accordance with established regulatory guidelines.
29. Ensuring patients engage in activities of daily living (e.g., bathing, dressing, grooming, dining), exercise, and range of motion in accordance with individualized nursing care plans.
30. Providing direct observation of patients with special precautions per physician orders to ensure patient safety.
31. Writing discharge summaries which include patient status, follow-up treatments, and care needed.
32. Completing comprehensive nursing discharge assessments using patient history, physical condition, current medications, immunizations, treatment and responses, and bio/psycho/social condition to evaluate barriers to discharge and summarize care plans.

Section 2

Instructions:

Using the rating scale(s) provided below, you will rate your experience in accordance to specific job-related knowledge and abilities.

Respond to each of the following statements by indicating how the statement applies to you. You are required to respond to every statement by marking one option from the scale(s) provided.

In responding to each statement, you may refer to your REGISTERED NURSE STUDENT CLINICAL AND/OR PROFESSIONAL WORK EXPERIENCE.

33. Knowledge of current developments and professional nursing standards to manage conditions and practice preventive care.
34. Knowledge of nursing processes, including assessing, diagnosing, planning, implementing, and evaluating patient condition.
35. Knowledge of professional nursing principles used in the assessment, care, and treatment of patients.
36. Knowledge of human anatomy and physiology used in the assessment, care, and treatment of patients.
37. Knowledge of nutrition terminologies used in the assessment, care, and treatment of patients to facilitate optimal health.
38. Knowledge of mental disorders and developmental disabilities to help understand patient conditions.
39. Knowledge of communicable and infectious diseases to assist in preventing their spread and treatment.
40. Knowledge of medical and nursing terminologies used in the assessment, care, and treatment of patients.
41. Knowledge of proper medication administration used in the care and treatment of patients to ensure safety.
42. Knowledge of medicines and narcotics used in the care and treatment of patients to ensure safety.
43. Knowledge of accepted standards of care and practice to ensure adherence to statutes.
44. Ability to develop and implement individualized nursing care plans.
45. Ability to physically assess patients to identify normal and abnormal physical findings.
46. Ability to review laboratory values and other diagnostic test results to determine their significance and guide subsequent patient nursing plans.
47. Ability to lead and motivate patients to maximize their capabilities and participate in their treatment.
48. Ability to plan, organize, and direct the work of others to promote standard patient care.
49. Ability to work independently on projects or assignments without close supervision to maximize workplace productivity.
50. Ability to prioritize assignments and projects to ensure their timely completion.
51. Ability to care for patients in a professional and therapeutic manner in accordance with regulatory agencies.
52. Ability to provide clear and accurate verbal instructions and directions to individuals with various levels of understanding.
53. Ability to prepare clear and concise written documents to individuals with varying levels of understanding.
54. Ability to read and interpret charts and graphs to assist with the nursing process.
55. Ability to determine the accuracy of various mathematical calculations (e.g., addition, subtraction, multiplication, division, ratios, percentages).
56. Knowledge of mathematical conversions (e.g., milligrams to grams) for accurate medication dosage computations.
57. Ability to respond to emergency situations to ensure patient safety and prompt and appropriate care.

• State of California

Questions regarding this examination should be directed to:

California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice). TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device.

Examination and/or Employment Application (STD 678) forms are available at the California Department of Human Resources, local offices of the Employment Development Department, and through your CalCareer Account (www.CalCareers.ca.gov).

If you meet the requirements stated on this examination bulletin, you may take this examination, which is competitive. Possession of the entrance requirements does not assure a place on the eligible list. Your performance in the examination described in this bulletin will be rated against a predetermined job-related rating, and all applicants who pass will be ranked according to their scores.

State of California reserves the right to revise the examination plan to better meet the needs of the service, if the circumstances under which this examination was planned change. Such revision will be in accordance with civil service laws and rules and all applicants will be notified.

General Qualifications: Applicants must possess essential personal qualifications including integrity, initiative, dependability, good judgment, the ability to work cooperatively with others, and a state of health consistent with the ability to perform the assigned duties of the class. A medical examination may be required. In open examinations, investigation may be made of employment records and personal history and fingerprinting may be required.

Eligible Lists: Eligible lists established by competitive examination, regardless of date, must be used in the following order: 1) sub-divisional promotional, 2) departmental promotional, 3) multi-departmental promotional, 4) service-wide promotional, 5) departmental open, 6) open. When there are two lists of the same kind, the older must be used first. Eligible lists will expire in one to four years unless otherwise stated on the bulletin.

High School Equivalence: Equivalence to completion of the 12th grade may be demonstrated in any one of the following ways: 1) passing the General Education Development (GED) Test; 2) completion of 12 semester units of college-level work; 3) certification from the State Department of Education, a local school board, or high school authorities that the competitor is considered to have education equivalent to graduation from high school; or 4) for clerical and accounting classes, substitution of business college work in place of high school on a year-for-year basis.

Accepted applicants must provide proof of identification at each in-person test session. Acceptable identification consists of a photo identification card or two forms of signed identification.