This Nursing Fundamentals textbook is an open educational resource with CC-BY licensing developed for entry-level nursing students. Content is based on the Wisconsin Technical College System (WTCS) statewide nursing curriculum for the Nursing Fundamentals course (543-101), the 2019 NCLEX-RN Test Plan,[1] the 2020 NCLEX-PN Test Plan,[2] and the Wisconsin Nurse Practice Act.[3]

This book introduces the entry-level nursing student to the scope of nursing practice, various communication techniques, and caring for diverse patients. The nursing process is used as a framework for providing patient care based on the following nursing concepts: safety, oxygenation, comfort, spiritual well-being, grief and loss, sleep and rest, mobility, nutrition, fluid and electrolyte imbalance, and elimination. Care for patients with integumentary disorders and cognitive or sensory impairments is also discussed. Learning activities have been incorporated into each chapter to encourage students to use critical thinking while applying content to patient care situations.

The Open Resources for Nursing (Open RN) project is supported by a $2.5 million grant from the Department of Education. This book is available for free online and can also be downloaded in multiple formats for offline use. The online version is required for interaction with adaptive learning activities included in each chapter. Affordable print versions may also be purchased from XanEdu in college bookstores and on Amazon.

The following video provides a quick overview of how to navigate the online version.


  1. NCSBN. (n.d.). 2019 NCLEX-RN test plan.
  2. NCSBN. (2019). NCLEX-PN Examination: Test plan for the national council licensure examination for practical nurses.
  3. Wisconsin State Legislature. (2018). Chapter 6: Standards of practice for registered nurses and licensed practical nurses. Board of Nursing.


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Nursing Fundamentals Copyright © by Chippewa Valley Technical College is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

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