Your diagnostic scorecard
a horizontal bar field of eight empty outlined bars the reader fills in by hand, with a dashed vertical line at 60 percent, plus two smaller copies of the same field for the judgment grid and for a repeat attempt.
How to score. Mark each of the thirty items right or wrong. No partial credit at this stage, so a matrix item with one wrong cell is a wrong item and a select-all with one missing option is a wrong item. Transfer the marks into both grids below. Score the three sets separately and never average them, because the sets were built to different shapes and the average of three different shapes is nothing.
GRID 1 · BY CLIENT NEEDS SUBCATEGORY
| Subcategory | Your items | Attempted | Correct | Percent | Flag |
|---|---|---|---|---|---|
| Management of Care | A1, A10, C1, C2, C3, C4, C7, C8, C10 | ___ /9 | ___ | ___ % | ☐ |
| Safety and Infection Control | A2, C5, C6 | ___ /3 | ___ | ___ % | ☐ |
| Health Promotion and Maintenance | A3 | ___ /1 | ___ | ___ % | ☐ |
| Psychosocial Integrity | A4, C9 | ___ /2 | ___ | ___ % | ☐ |
| Basic Care and Comfort | A5 | ___ /1 | ___ | ___ % | ☐ |
| Pharmacological and Parenteral Therapies | A6, A7, B4, B10 | ___ /4 | ___ | ___ % | ☐ |
| Reduction of Risk Potential | A8, B5, B8, B9 | ___ /4 | ___ | ___ % | ☐ |
| Physiological Adaptation | A9, B1, B2, B3, B6, B7 | ___ /6 | ___ | ___ % | ☐ |
GRID 2 · BY CLINICAL JUDGMENT STEP
| Step | Your items | Attempted | Correct | Percent | Flag |
|---|---|---|---|---|---|
| Recognize cues | A9, B2, B5, B7 | ___ /4 | ___ | ___ % | ☐ |
| Analyze cues | A5, B3, C5, C6 | ___ /4 | ___ | ___ % | ☐ |
| Prioritize hypotheses | A10, B1, C1, C4, C8, C10 | ___ /6 | ___ | ___ % | ☐ |
| Generate solutions | A1, A2, A3, A4, B9, C2, C3, C9 | ___ /8 | ___ | ___ % | ☐ |
| Take actions | A6, A7, A8, B4, B6, B10 | ___ /6 | ___ | ___ % | ☐ |
| Evaluate outcomes | B8, C7 | ___ /2 | ___ | ___ % | ☐ |
Grid 2 is what tells a reader whose clinical knowledge is fine that their actual problem is prioritization or evaluation. Note that evaluation carries only two items here, so a flag in that row is a suspicion rather than a finding. Confirm it on the repeat attempt or on a full-length mock.
THE FLAG RULE
This is a rule, not a suggestion. Two or more misses in any row holding four or fewer items sets a flag. Below 60 percent in any row holding five or more items sets a flag. Flags are the only output of this page that matters. A total score is not an output.
PROFILE BANDS
Compare your three set percentages, then read the band that matches.
Even across all three sets. No single hole; your gaps are distributed. Follow the six-week plan on page 77 exactly as written, without reordering it, and let the flag override handle the rest.
Set A adequate, set B low. This is a clinical knowledge gap rather than a reasoning gap. Front-load the physiological books, meaning Books 7 through 11, and move week 3 and week 4 of the six-week plan forward into weeks 1 and 2.
Sets A and B adequate, set C low. This is a judgment gap, and it is the most common profile among candidates who feel prepared and test poorly. Front-load Books 2 and 3, and re-run all three cases on pages 62 through 67 cold before you open anything else.
THE ROUTING TABLE
Circle the chip beside every flagged row and carry the circled chips to page 77.
| Flagged subcategory | Open these next |
|---|---|
| Management of Care | → BOOK 02 → BOOK 03 |
| Safety and Infection Control | → BOOK 04 |
| Pharmacological and Parenteral Therapies | → BOOK 05 → BOOK 06 |
| Reduction of Risk Potential | → BOOK 07 → BOOK 15 |
| Physiological Adaptation | → BOOK 08 → BOOK 09 → BOOK 10 → BOOK 11 |
| Health Promotion and Maintenance | → BOOK 12 → BOOK 13 |
| Psychosocial Integrity | → BOOK 14 |
| Basic Care and Comfort | → BOOK 15 |
If you have circled more than three destinations, you have not finished the exercise. Rank your flagged rows by percentage and keep the worst three. Eight priorities is the same as none.
Margin note: "three flags. Not eight."
> ☐ Scored ☐ Flagged ☐ Routed > → BOOK 16 · P12 for full-length mock scoring.
This scorecard is a study routing tool. It is not a prediction of your exam result. The real exam is adaptive and is not scored as a percentage, so no percentage you calculate here transfers to it.
Takeaway. Your three worst rows, not your overall percentage, are the whole output of thirty questions.