NCLEX PN ARCHER REVIEW

NCLEX PN ARCHER REVIEW

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NCLEX-PN

Teacher 179 terms angiepowell8989 Preview NCLEX 50 terms Am The nurse should understand the regulations of nursing practice as put forth by the Nurse Practice Act. Which of the following statements are correct?Select all that apply.Some other issues covered by the Nurse Practice Act include grounds for disciplinary action, licensure requirements, and the rights of the nurse licensee if disciplinary action is taken.The Nurse Practice Act defines the scope of nursing practice.All nurses have the responsibility to know the provisions of the act for the state or province in which they work.The Nurse Practice Act is a series of statutes enacted by the federal government in order to regulate the practice of nursing.Some other issues covered by the Nurse Practice Act include grounds for disciplinary action, licensure requirements, and the rights of the nurse licensee if disciplinary action is taken.The Nurse Practice Act defines the scope of nursing practice.

Rationale:

Nurse practice acts (NPAs) contain a provision that creates and empowers a state board of nursing to regulate nursing practice in that state. All 50 states, the District of Columbia, and the four U.S. territories have established nursing boards. Although NPAs can vary from state to state, they all have standard components because states used ANA guidelines in developing their regulations.

A state’s nurse practice act usually includes the following:

The authority of the board of nursing, its composition, and powers A definition of nursing and the boundaries of nursing practice Standards for the approval of nursing education programs The requirements for licensure of nurses Grounds for disciplinary action against a nurse’s license

The nurse knows that which of the following scenarios are common reasons for disciplinary action against practical nurses by the State Board of Nursing? Select all that apply.Failure to administer medications as prescribed.Violation of client confidentiality.Poor attendance record.Engaging in personal relationships with clients.Failing to maintain continuing education requirements.Failure to administer medications as prescribed.Violation of client confidentiality.Engaging in personal relationships with clients.Failing to maintain continuing education requirements.

Rationale:

Failure to administer medications as prescribed. This is a valid reason for disciplinary action against practical nurses. Failing to administer medications as prescribed can harm clients and violate nursing standards and client safety protocols.Violation of client confidentiality. This is a valid reason for disciplinary action against practical nurses. Violating client confidentiality by sharing client information without proper authorization or justification breaches client privacy and can lead to legal and ethical consequences.Engaging in personal relationships with clients. This is a valid reason for disciplinary action against practical nurses. Engaging in personal relationships with clients is considered unprofessional and can compromise client care, boundaries, and ethical standards.Failing to maintain continuing education requirements. This is a valid reason for disciplinary action against practical nurses. Nursing boards often require practical nurses to participate in continuing education programs to ensure ongoing competency and keep up-to-date with advancements in the field. Failing to meet these requirements can result in disciplinary action, which indicates a lack of commitment to professional growth and acquiring the necessary knowledge and skills.

Which of the following are components of the definition of critical thinking?Select all that apply.Reasoned thinking Openness to alternatives Adherence to established guidelines Ability to reflect Loyalty to traditional approaches Desire to seek the truth Reasoned thinking Openness to alternatives Ability to reflect Desire to seek the truth

Rationale:

Critical thinking is a combination of reasoned thought, openness to alternatives, the ability to reflect, and a desire to seek the truth. There are many definitions of critical thinking. It is a complex concept, and people think about it in different ways. Any situation that requires critical thinking is likely to have more than one “right” answer. You do not need critical thinking to add 2 + 2 and come up with the solution. However, you do need critical thinking for problem-solving essential decisions. A crucial aspect of critical thinking is the process of identifying and checking your assumption. This is also a necessary part of the research process. Critical thinking is a combination of reasoned thought, openness to alternatives, the ability to reflect, and a desire to seek the truth.The licensed practical/vocational (LPN/VN) nurse is caring for a client with cardiac arrest and assisting the registered nurse (RN) in identifying priorities and delegation. As the LPN/VN assists with assigning roles to other staff, this is demonstrating which leadership style?

• Authoritative
• Situational
• Democratic
• Laissez-faire

Authoritative

Rationale:

Authoritative leadership is demonstrated in this situation as the nurse assists with the delegation and provides directives to accomplish tasks. This is an appropriate leadership style in an emergency where one individual assigns tasks/roles to decrease confusion and chaos in an emergent situation.

What is the normal level of creatinine in a healthy adult male?

• 0.4 to 0.8 mg/dL
• 0.1-0.4 mg/dL
• 0.6-1.2 mg/dL
• 1.5-2.0 mg/dL

0.6-1.2 mg/dL

Rationale:

Creatinine values reflect both the amount of muscle a person has and their amount of kidney function. Hence, the levels are slightly lower in women due to lesser muscle mass. Most men with normal kidney function have 0.6 to 1.2 milligrams/deciliters (mg/dL) of creatinine. Most women with normal kidney function have between 0.5 to 1.1 mg/dL of creatinine.The nurse is caring for a client who has a serum calcium level of 13.2 mg/dL(9-10.5 mg/dL). Which of the following medications would be expected orders for this condition?Select all that apply.Phosphorus Calcitonin Vitamin D IV calcium gluconate Glucocorticoids Phosphorus Calcitonin Glucocorticoids

Rationale:

The normal serum calcium level is 8.4-10.2 mg/dL. This client has a high serum calcium level (hypercalcemia). Phosphorus is a medication that the nurse would expect to administer to treat hypercalcemia. Phosphorus and calcium have an inverse relationship, so by increasing the serum level of phosphorus the nurse can decrease the serum level of calcium. Oral phosphate is the preferred method of administering phosphorus. If given IV, calcium phosphate forms and precipitates in the tissues. This “precipitation phenomenon” reduces serum calcium levels very quickly.Calcitonin is a medication that the nurse would expect to administer to treat hypercalcemia. Calcitonin is a thyroid hormone that decreases the plasma calcium level by inhibiting bone resorption and lowering the serum calcium concentration.Glucocorticoids are steroids that can be used to treat a variety of conditions, including hypercalcemia associated with certain cancers.Glucocorticoids work by inhibiting the activity of cells that break down bone and release calcium into the blood.