CORRECT ANSWERS - - Nurses ACTUAL EXAM 60 QUESTIONS AND CORRECT ANS...

Nursing Jurisprudence and Ethics for Texas Nurses ACTUAL EXAM 60 QUESTIONS AND

CORRECT ANSWERS -

ALREADY GRADED A+

According to BON Position Statement 15.24 Engaging in Reinsertion of Permanently Placed Feeding Tubes, it would be within the scope of practice for a nurse to replace a gastrostomy tube provided that

• the tube has been in place for 8-12 weeks, the nurse has a physician's order to replace the tube,

and the nurse has completed specific competency training to safely replace the tube.

• the tube has been in place for 8-12 weeks, the facility policy allows replacement of a tube with a

specific physician's order, and the nurse has not completed the required skills check-off.

• the tube has been in place for 4-6 weeks and the nurse observed a supervisor completed the

procedure.

• the tube has been in place 4-6 weeks and the nurse as been determined to be competent in

reinserting permanently placed tubes that have an established fistulous tract. - CORRECT ANSWER-A. the tube has been in place for 8-12 weeks, the nurse has a physicians to replace the tube, and the nurse has completed specific competency training to safely replace the tube.

A nurse quits his job, and submits a written notice at the end of his shift, telling his supervisor that he will not be back at work the following morning. The supervisor tells the nurse he has to complete the entire month's schedule or he will be committing "patient abandonment," and will be reported to the BON. This is

• true. The nurse must work the entire currently posted work schedule before he can quit his

present job.

• true. It would be "patient abandonment" if the nurse does not complete the current schedule.

The nurse could be reported to the BON.

• false. Quitting a job at the end of a shift is not considered "patient abandonment" by the BON and

is not grounds for reporting to, or action by, the BON.

• false. The nurse only has to work for two more weeks of the schedule before he can quit. -

CORRECT ANSWER-C. false. Quitting a job at the end of a shift is not considered "patient abandonment" by the BON and is not grounds for reporting to, or action by, the BON.

The BON rules regarding licensure renewal require the nurse to answer eligibility questions concerning which of the following with regard to the previous two-year licensure cycle

• whether the nurse has completed hours of continuing education. 1 / 2

• whether the nurse has a current CPR card.
• whether the nurse has any criminal background that must be revealed.
• whether the nurse has been fired from employment in the past two years. - CORRECT

ANSWER-C. whether the nurse has any criminal background that must be revealed.

Chart audits find the following errors committed by a nurse with observed impaired behavior at work. NO physician orders for narcotics signed out by the nurse, and NO documentation that the nurse either administered or wasted the narcotics. The best decision for the Incident Based Peer Review Committee to make is that

• the nurse needs remedial education in how to document the rationale for and response to PRN

pain medications.

• the nurse must be reported to the Texas Medical Board for signing out medications without a

valid physician's order for controlled substances.

• the nurse should be terminated from employment at the facility for stealing drugs.
• the nurse must be reported to the BON because of the combination of practice errors with

possible practice impairment due to substance use or abuse. - CORRECT ANSWER-D. the nurse must be reported to the BON because of the combination of practice errors with possible practice impairment due to substance use or abuse.

What type of license is required to utilize the two BON rules on delegation to unlicensed personnel?

• Registered Nurse.
• Physician.
• Physician Assistant.
• Licensed Vocational Nurse. - CORRECT ANSWER-A. Registered Nurse.

The BON rules, located in Title 22 of the Texas Administrative Code, help implement and reflect

• the standards of nursing care developed by various nursing specialty and professional

organizations.

• the statues passed by the legislature relating to nursing found in Texas Occupations Code,

including the NPA.

• the steps necessary to complete the NCLEX exam application.
• the process necessary to be promoted to higher positions in nursing in different practice settings -

CORRECT ANSWER-D. the process necessary to be promoted to higher positions in nursing in different practice settings

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