Download NURSING JURISPRUDENCE AND ETHICS FOR TEXAS NURSES EXAM Questions and Answers Latest 2024 G and more Exams Nursing in PDF only on Docsity! 1 NURSING JURISPRUDENCE AND ETHICS FOR TEXAS NURSES EXAM Questions and Answers Latest 2024 GRADE 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 A. 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. B. 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. C. the tube has been in place for 4-6 weeks and the nurse observed a supervisor completed the procedure. D. 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 2 established fistulous tract. - correct answers 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. The BON differs from nursing and healthcare specialty associations since the BON A. lobbies for legislation favorable to the practice of nursing. B. sets criteria for evaluating nursing career ladders. C. offers liability insurance at discounted rates for members D. protects and promotes the welfare of the people of Texas - correct answers D. protects and promotes the welfare of the people of Texas. The Standards of Nursing Practice, Board Rule 217.11 state that the LVN scope of practice includes including doing which of the following with regard to care plans? A. Initiate the development of a comprehensive nursing care plan independently 5 Am advertisement for a "licensed nurse" states the following as routine job responsibilities. "Must work independently without supervision, have expertise in developing nursing care plans, including establishing appropriate nursing diagnoses for assigned patients, and, must be able to complete comprehensive nursing assessments." Based on these responsibilities, this advertisement would require, at a minimum, the nurse to hold a valid A. Advanced Practice Registered Nurse license. B. Physician Assistant license. C. Vocational Nurse license. D. Registered Nurse license. - correct answers D. Registered Nurse license. A nurse is caught stealing narcotics from the automated dispensing machine on the unit and self-injecting these drugs while on duty. The nurse admits that she is chemically dependent. In this situation, the NPA requires A. the nurse be reported to the BON. 6 B. the Peer Review Committee to monitor the nurse's practice. C. the nurse to enroll in the Texas Peer Assistance Program for Nurses (TPAPN). D. a report to law enforcement. - correct answers B. the Peer Review Committee to monitor the nurse's practice. A nurse was reported to the BON by two different employers multiple practice errors. The BON may determine that the nurse's conduct demonstrates a pattern of practice that A. complies with the standard to provide nursing services without discrimination of the client served. B. violates professional boundary regulations because the nurse has two employers C. results in immediate disciplinary action because the second complain validates the first. D. indicates the nurse's continued practice poses a risk of harm and may endanger a client's life, health, or safety. - correct answers D. indicates 7 the nurse's continued practice poses a risk of harm and may endanger a client's life, health, or safety. According to Board Rule 213.29, Criteria and Procedure Regarding Intemperate Use and Lack of Fitness in Eligibility and Disciplinary Matters, a person desiring to obtain or retain his or her nursing license must provide a sworn certificate to the board that he or she has NOT A. had any alcohol within the last five years. B. been under the influence of any alcohol or other illegal substance for the last five years. C. been addicted to or treated for the use of alcohol or any other drug in the last five years. D. been in the hospital for any type of surgery within the last five years. - correct answers B. been under the influence of any alcohol or other illegal substance for the last five years. According to board rule, after a nurse refuses a float assignment and invokes Safe Harbor, the nurse 10 B. can be considered a minor incident if the patent had a do-not-resuscitate order. C. cannot be considered a minor incident, even if the nurse appears to have the knowledge and skills to practice safely. D. cannot be considered a minor incident unless the nurse has a previous pattern of similar nursing practice errors. - correct answers C. cannot be considered a minor incident, even if the nurse appears to have the knowledge and skills to practice safely. A nurse was terminated from three different jobs beause he or she was stealing from staff members. The nurse has no pending criminal issues and no criminal history. Though this activity does not involve patients, it may indicate that A. the nurse will repeat similar conduct and exploit patients who trust the nurse to act in their best interest. B. the nurse only steals from fellow employees and would not steal from unsuspecting and vulnerable patients. 11 C. the nurse will delegate tasks to unlicensed assistive personnel that are beyond their scope of practice. D. the nurse is unable to supervise nursing care provided by other licensed nurses. - correct answers A. the nurse will repeat similar conduct and exploit patients who trust the nurse to act in their best interest. A BON investigator in the enforcement division collected evidence that supports the BON's formal charges against a nurse regarding violations of the NPA and board rules. Attempts to notify the nurse via standard and certified mail at the nurse's last address of record have been returned to the BON office as being "undeliverable or not at this address." Since the investigator has been unable to communicate with the nurse about the BON's formal charges, Board Rule 213.16(i) on Practice and Procedure requires that A. the case proceed and the board's charges be deemed to be true. B. the board close the case and take no action if they are unable to locate the nurse. 12 C. the investigator drop the recommended action (sanction) on the nurse's license to a lower level since the nurse has not responded to the formal charges. D. the case be referred to the District Attorney's office for follow-up action. - correct answers A. the case proceed and the board's charges be deemed to be true. The functions of the BON include A. regulating the education, licensure, and practice of nurses in Texas to ensure the safety of the public. B. lobbying members of the Texas Legislature to pass bills that are favorable to nurses C. evaluating student D. advising currently licensed nurses about potential employment opportunities throughout the state. - correct answers A. regulating the education, licensure, and practice of nurses in Texas to ensure the safety of the public. 15 D. Guideline for LVN Scope of Practice under Board Rule 217.11 - correct answers C. Position Statement 15.14 Duty of a Nurse in Any Setting. While interacting with the public in a nursing role, each nurse must wear a clearly legible insignia (such as a name badge) that identifies the nurse as A. an employee of the institutional setting. B. a registered nurse or a licensed vocational nurse. C. a member of a professional organization. D. an experienced nurse in the service area. - correct answers B. a registered nurse or a licensed vocational nurse. In a nurse-patient relationship, the most vulnerable patients are those who are A. under anesthesia or sedation. B. wearing a patient or exam gown. C. undergoing chemotherapy. 16 D. using an interpreter. - correct answers A. under anesthesia or sedation. In the NPA, "conduct subject to reporting" includes A. conduct that causes a person to suspect that the nurse's practice is impaired by chemical dependency or drug or alcohol abuse. B. the occurrence of 2 minor incidents within a twelve month period in a facility with no nursing peer review. C. mandatory overtime resulting in sixteen consecutive hours worked. D. a nurse who disagrees with the supervisor over a patient assignment. - correct answers A. conduct that causes a person to suspect that the nurse's practice is impaired by chemical dependency or drug or alcohol abuse. Which of the following resources on the BON web page would assist a nurse in determining his or her scope of nursing practice? A. Disciplinary Action: Individual's Report to the BON. 17 B. Memorandum of Understanding between the BON and the Texas State Board of Pharmacy. C. The continuing competency into sheet. D. Scope of Practice Decision-Making Model. - correct answers C. The continuing competency into sheet. If a nurse has reason to believe a medication order is inaccurate or contraindicated, the Standards of Nursing Practice require the nurse to do all of the following EXCEPT: A. consult with the ordering practitioner to clarify the order. B. give the medication as ordered and document concerns in the medical record. C. tell the ordering practitioner if the nurse decide not to give the medication. D. collaborate with other members f the health care team for more information about the medication and why it was ordered. - correct answers B. give the medication as ordered and document concerns in the medical record. 20 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 A. whether the nurse has completed hours of continuing education. B. whether the nurse has a current CPR card. C. whether the nurse has any criminal background that must be revealed. D. whether the nurse has been fired from employment in the past two years. - correct answers 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 21 A. the nurse needs remedial education in how to document the rationale for and response to PRN pain medications. B. the nurse must be reported to the Texas Medical Board for signing out medications without a valid physician's order for controlled substances. C. the nurse should be terminated from employment at the facility for stealing drugs. 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. - correct answers 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? A. Registered Nurse. B. Physician. C. Physician Assistant. D. Licensed Vocational Nurse. - correct answers A. Registered Nurse. 22 The BON rules, located in Title 22 of the Texas Administrative Code, help implement and reflect A. the standards of nursing care developed by various nursing specialty and professional organizations. B. the statues passed by the legislature relating to nursing found in Texas Occupations Code, including the NPA. C. the steps necessary to complete the NCLEX exam application. D. the process necessary to be promoted to higher positions in nursing in different practice settings - correct answers D. the process necessary to be promoted to higher positions in nursing in different practice settings A school district contracts with a registered nurse (RN) to teach the staff how to monitor a student's blood glucose. The RN then observes each perform this task correctly. The RN does not work for the school district and will not have any further contact with the staff. In this example, the RN is A. training the staff how to perform the task of monitoring blood glucose. 25 Rule 216 related to Continuing Competency requires nurse to complete A. 20 contact hours of continuing education within two years preceding license renewal. B. 15 contact hours of continuing education each year for license renewal. C. 15 contact hours of continuing education within two years preceding license renewal. D. 20 contact hours of continuing education each year for license renewal. - correct answers A. 20 contact hours of continuing education within two years preceding license renewal. A nurse is terminated and reported to the BON for committing repeated practice errors. As required in the NPA, the CNO also sends the case to the Incident Based Peer Review (IBPR) Committee because: A. the nurse may convince the committee the errors were not her fault, and the committee can then withdraw the CNO's report to the BON. 26 B. the IBPR Committee can decide to reverse the CNO's decision to terminate the nurse's employment. C. the IBPR Committee may decide to re-orient and re-train the nurse even though she was fired. D. the IBPR Committee is required to review external factors surrounding the practice errors and to report to the facility's Patient Safety Committee as appropriate. - correct answers D. the IBPR Committee is required to review external factors surrounding the practice errors and to report to the facility's Patient Safety Committee as appropriate. While a LVN has a "directed" scope of practice, this is NOT true for a RN. This means that the RN A. has full accountability for the LVN. B. is able to engage in making medical diagnoses if signed off by a physician and performed under the physician's delegation. C. must be present in all settings to supervise the LVN's care. 27 D. is permitted to practice nursing independently within the RN's scope of practice. - correct answers D. is permitted to practice nursing independently within the RN's scope of practice. Which of the following activities would violate a provision of the NPA and Board Rule 217.11(2), Standards of Nursing Practice, relating to the practice of nursing by a LVN? A. Assisting in the evaluation of a client's response to nursing interventions. B. Practicing in any setting without an appropriate practice supervisor who is at least telephonically available. C. Collaborating with the RN to revise the nursing care plans for assigned clients. D. Making assignments to other licensed nurses and to unlicensed assistive personnel when working in a supervisory position. - correct answers B. Practicing in any setting without an appropriate practice supervisor who is at least telephonically available. 30 Knowing, recognizing, and maintaining professional boundaries of the nurse- patient relationship is a nursing standard. Which of the following is a violation of professional boundaries? A. A nurse borrows money from a patient to repair the nurse's car. B. A nurse accepts a box of candy from the patient and shares it with other staff. C. The patient shares a history of substance abuse that the nurse reports during shift change. D. A nurse report's a patient's communicable disease to the health department. - correct answers A. A nurse borrows money from a patient to repair the nurse's car. The identity of a person submitting a complaint against a nurse to the BON is kept confidential A. until the nurse is made aware of the compliant. B. throughout the entire investigation process. 31 C. until formal charges are filed. D. until an agreed order is signed and ratified. - correct answers B. throughout the entire investigation process. A nurse was arrested for making death threats with a gun, then subsequently admitted to a psychiatric facility, and diagnosed with previously untreated and other mental health conditions. The BON is likely to consider the conduct by this nurse as grounds for disciplinary action on the nurse's license due to A. the nurse not obtaining treatment when symptoms first occurred. B. lack of fitness to practice which may impose a risk to patients. C. the likeliness the nurse would have the diagnoses for life. D. exposing patients or the public to a communicable disease. - correct answers B. lack of fitness to practice which may impose a risk to patients. A person with a history of chemical dependency on controlled substances who desires to obtain or retain a license to practice nursing may be required to provide evidence of 32 A. current sobriety and fitness to practice. B. good employer evaluations. C. attendance at five Alcoholics Anonymous meeting each week. D. support system of family and friends. - correct answers A. current sobriety and fitness to practice. In Texas, advanced practice registered nurse (APRNs) may delegate which of the following to unlicensed assistive personnel? A. APRNs can delegate anything a physician would delegate, as APRNs are educated to engage in some some aspects of medical and medical management. B. Medical diagnosis and nursing assessment in compliance with BON Rules 224 and 225 on RN delegation. C. Advanced practice skills that the APRN learned in his or her advanced practice nursing program of study. D. Activities of daily living, health maintenance activities, and nursing tasks in compliance with BON Rules 224 and 225 on RN Delegation. - correct