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2025 MN DENTAL JURISPRUDENCE EXAM| 100
QUESTIONS & ANSWERS|A+PASS GUARANTEE
A nurse wants help to lobby the Texas Legislature in favor of a bill that will help staff nurses. The nurse should contact his or her nursing professional organization. A nurse who contacts a physician to clarify a medication order is A.fulfillinga duty to keep the patient safe. B. likely to detract from a collegial nurse-physician relationship. C. engaging in action that is the duty of the pharmacist. D. not fulfilling nursing tasks with other patients. When deciding what course of action to follow, the nurse has a duty to always keep the patient safe. A nurse believes that she lacks the basic knowledge and skills necessary to carry out her initial patient assignment. The nurse invokes Safe Harbor and brings her Quick Request for Safe Harbor form to her supervisor. What other action is required by the nurse when refusing an assignment? The nurse must collaborate with the supervisor in an attempt to determine an alternate assignment that will not violate the nurse's duty to the patient(s). An advanced practice registered nurse in an outpatient clinic could delegate which of the following tasks to an unlicensed clinical staff member? ANSWER A. Administering intramuscular (IM) and subcutaneous (SQ) injections other than insulin. B. Calling in prescription refills of a PRN pain medication for which no refills have been authorized. C. Reviewing routine laboratory results and calling the patient to tell the patient what the resultsmean. D. Cleansing and dressing a minor leg wound in accordance with step-by-step instructions. If a nurse borrows money from an elderly client to help pay personal bills, this act would be ANSWER
A. physical abuse of the patient. B. a violation of professional boundaries. C. emotional abuse of the patient. D. a violation of Scope of Practice. An Incident-Based Nursing Peer Review Committee ANSWER A. must make decisions about whether or not a nurse's employment should be terminated, and whether or not the nurse will be paid for accrued vacation time. B. may include the nurse's supervisor, charge nurse, and other management-level nurses who have administrative authority over the nurse. C. can prohibit the nurse from calling witnesses or asking questions during the hearing. D. must adhere to due process requirements for the nurse, unless the nurse has already been reported to the board and the committee is only reviewing the possible impact of external factors on the error. One of the ways the BON carries out its mission is by ANSWER A. starting nursing schools. B. projecting the needs for nurse aides in the state. C. approving nursing educational programs.D.regulating work settings for nurses. A nurse believes that she lacks the basic knowledge and skills necessary to carry out her initial patient assignment. The nurse invokes Safe Harbor and brings her Quick Request for Safe Harbor form to her supervisor. What other action is required by the nurse when refusing an assignment? ANSWER
Which of the following situations is an example of a nurse MAINTAINING appropriate professional boundaries between the nurse and the client? A nurse ANSWER A. rewards a patient with a small stuffed mascot of his favorite football team for progress made in rehabilitation. B. responds less frequently to a demanding patient's call light. C. shares personal information regarding her recent bankruptcy because the patient seems genuinely interested. D. is personally attracted to a patient and calls and visits him on her days off "to check on how he is doing." An 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. When a nurse commits a crime outside of the workplace, the BON's concern relates to whether the nurse may ANSWER A. discuss the crime with his or her colleagues. B. involve other nurses in the criminal behavior. C. repeat the same misconduct against a patient. D.lie to his or her family about the criminal behavior.
Conduct by a nurse that is subject to reporting to the BON includes all of the following EXCEPT: conduct that constitutes a single minor incident in compliance with Board Rule 217.16, Minor Incidents. Any person who wishes to report and or file a complaint against a nurse regarding possible violations of the board rules should rint a complaint form from the BON web page under the Disciplinary Action section, complete as much of the information as possible, and mail or fax the form to the BON. Halfway through her shift, a nurse is told she will be getting several patient admissions. The nurse is fearful that she cannot provide safe care for so many patients. What initial steps must the nurse take if she decides to invoke Safe Harbor? Discuss patient safety with the supervisor and invoke Safe Harbor. The BON rules, located in Title 22 of the Texas Administrative Code, help implement and reflect ANSWER A. the standards of nursing care developed by various nursing specialty and professional organizations. B. the statutes 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. Board cases involving eligibility or disciplinary issues that are resolved through a board agreed order ANSWER A. are public records and accessible on the BON's web page. B. are not subject to open records requests or accessible to the public. C. do not have to be sent to the nurse's last known employer or to the nurse.
A.Documenting the medication administration route as intramuscular (IM) (as per physician order) when the nurse accidently administered the medication intravenously (IV). B.Omitting healthcare information on a patient record at the patient's request. C.Documenting an aspect of nursing care provided to a patient after the fact by following facility policy for making a "late entry." D.Documenting a colleague's assessment findings as your own. When a nurse steals valuables (such as medications, money, jewelry, or credit cards) from a patient, this may be considered criminal as well as unprofessional conduct involving: THEFT OF PROPERTY The mission of the BON supersedes ANSWER A. the licensing rules for acute care hospitals. B. the regulations for federal agencies. C. the interests of individuals, the profession, or special interest groups. D. the state laws that apply to medical supply services, medical facilities, and physicians. Which of the following factors is evaluated by the BON when determining the relevance of past criminal behavior of a nurse? ANSWER A. The state in which the crime occurred. B. The nature and seriousness of the crime. C. The nurse's level of education and licensure (LVN vs. RN). D.His or her grade point average (GPA) in nursing school.
A RN working with an unlicensed assistive person (UAP) directs the UAP to perform the task of applying a sterile dressing to a minor abrasion for a specific client. The RN is directly responsible for the nursing care given to the client. This is an example of ANSWER A.a RN training an unlicensed person to perform certain nursing tasks. B.a RN delegating nursing tasks to an unlicensed person. C.a RN supervising nursing care delivered by other licensed nurses. D.a RN providing direct care for a client. The Standards of Nursing Practice, Board Rule 217.11 state that the LVN scope of practice includes doing which of the following with regard to care plans? A. Initiate the development of a comprehensive nursing care plan independently. B. May not document on the nursing care plan. C. Participate in the modification and development of the nursing care plan. D. Review the nursing care plan only if directed to do so by the physician. A professional nursing association determines that a nurse cheated on a national certification exam. The association disqualifies the nurse from being eligible to seek certification, and suspends the nurse's membership privileges for the association. According to the NPA Section 301.406, Duty of Professional Associations and Organizationsto Report, the professional association ANSWER A. has authority to mandate that the BON suspend the nurse's license in Texas. B. also has a duty to report the nurse to the BON. C. must publish this disciplinary action against the nurse in the yearly newsletter to its members. D. is required to make a report to local law enforcement authorities as the nurse's deliberate act of cheating may also be considered criminal conduct. 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: ANSWER
D.Position Statement 15.27 The Licensed Vocational Nurse Scope of Practice. Within the nurse licensure compact agreement, the party state that is the nurse's primary state of residence is called the nurse's HOME STATE Why does the BON require nurses to disclose that they have been diagnosed with, treated for, or hospitalized with certain mental illnesses? Nurses diagnosed with these disorders may lack fitness to practice nursing safely and may require a period of monitored practice by the BON. A nurse may not be reported to the BON, may not have his or her license sanctioned by the BON, and may not be suspended or terminated from his or her employment for either appropriately invoking Safe Harbor or for advising another nurse of their right to invoke Safe Harbor. These are ANSWER A. criteria for determining a minor incident. B. rules that apply to RNs and not LVNs. C. criteria for determining safe staffing. D. protections for a nurse who requests a peer review determination. According to the Standards of Nursing Practice, Board Rule 217.11, LVNs have a "directed" scope of practice. Of the following categories of providers, which of the following is an appropriate nursing practice supervisor for the LVN? PHYSICIAN An Incident-Based Nursing Peer Review Committee
A. must make decisions about whether or not a nurse's employment should be terminated, and whether or not the nurse will be paid for accrued vacation time. B. may include the nurse's supervisor, charge nurse, and other management-level nurses who have administrative authority over the nurse. C. can prohibit the nurse from calling witnesses or asking questions during the hearing. D. must adhere to due process requirements for the nurse, unless the nurse has already been reported to the board and the committee is only reviewing the possible impact of external factors on the error. 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? ANSWER 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 asupervisory position. A nurse had his license revoked by the BON in Hawaii. When the nurse moves to Texas andapplies for a nursing license in Texas, the most likely result will be that ANSWER A. the nurse will be granted a nursing license until the Texas BON learns of the revocation in Hawaii. B. the nurse will have to retake the NCLEX licensure exam to be licensed in Texas since his nursing license in Hawaii was revoked. C. the nurse may not be able to get a job until employers find out why his license was revoked in Hawaii. D. the nurse may not be able to obtain licensure in Texas until he addresses the conduct that caused his license to be revoked.
One of the purposes of the Nurse Licensure Compact is to C. facilitate the protection of the public's health and safety. According to the NPA section 301.404, a nursing educational program has the duty to report which of the following to the BON?The student exhibited signs of impairment during class and tested positive for cocaine and alcohol. . According to the NPA, Section 301.452 Grounds for Disciplinary Action, the definition of "intemperate use" includes being on-call or on duty while under the influence of alcohol or drugs. A nurse fears that administration of a medication as ordered would place a patient at risk of harm. The nurse would fulfill his duty to the patient if the nurse informs the physician of his concern and requests clarification of the order. Which of the following would NOT be required to establish a nursing peer review committee to conduct nursing peer review according to Section 303.0015 of the Nursing Peer Review Law? ANSWER A. Home health agency employing 20 nurses (10 RNs and 10 LVNs) B. Hospital with 400 staff nurses (325 RNs and 75 LVNs) C. Independent school district employing 7 nurses (4 RNs and 3 LVNs) Halfway through her shift, a nurse is told she will be getting several patient admissions. The nurse is fearful that she cannot provide safe care for so many patients. What initial steps must the nurse take if she decides to invoke Safe Harbor? ANSWER A. Tell the supervisor making the assignment that the nurse will keep her current patient assignments but refuses any new admissions. B. Confer with her colleagues to determine their opinion. If there is not agreement, work through the shift as scheduled. C.Discuss patient safety with the supervisor and invoke Safe Harbor.
Two employees are suspended for three days for a fight that violated the Human Resource policies of the facility. This behavior would be ANSWER A. board-reportable because the nurse was suspended for three days. B. an employment issue only as it did not involve patient safety and was a violation of a facility policy regarding staff conduct. C. conduct that should be reviewed by the Nursing Incident-Based Peer Review Committee. D. up to the nurse manager to determine whether or not to report the nurse to the BON for alleged violations of the NPA and board rules. A nurse is attracted to a patient and insists on being assigned to care for this patient every shift she works. As a result there are reports of the nurse not completing other assignments. In this example the nurse ANSWER A. is merely demonstrating caring behaviors. B. is ensuring continuity of care. C. has become overly involved and is at risk of committing a boundary violation.D.is acting appropriately in maintaining a therapeutic nurse-patient relationship. A nurse assesses a patient, makes a medical diagnosis of "hypertension," and determines which specific anti-hypertensive medication (including dose, route, and frequency) is appropriate for this patient. The nurse then writes a prescription for an anti- hypertensive medication and instructs the patient to have it filled at a pharmacy of her choice. ANSWER A. the nurse must have completed a bachelor of science in nursing program (BSN). B. the nurse must be authorized by the BON as an advanced practice registered nurse with prescriptive authority in a role and population focus appropriate for the patients being treated. C. the nurse can have any level of licensure; however, if the nurse is an LVN, the LVN can only engage in the conduct described in the example if the LVN practices under a physician's delegation.
D.Paragraph (8). When a nurse steals valuables (such as medications, money, jewelry, or credit cards) from a patient, this may be considered criminal as well as unprofessional conduct involving ANSWER A.violence against a person. B.theft of property. C.illicit drug use. D.lying and falsification. According to Rule 217.12(1), Unprofessional Conduct, one example of an unsafe practice includes failing to ANSWER C. arrive at work on time twice during the last month. A temporary permit to practice nursing issued to a graduate of a board-approved nursing educational program ANSWER A. is only necessary if the nurse does NOT plan to seek employment in nursing until licensed. B. is required only for candidates for a vocational nursing license. C. allows a GN or GVN to practice independently with no other licensed nurse present in the practice setting. D. may be denied based on a licensure candidate's criminal history. When the BON considers imposing disciplinary action, it is most concerned with the nurse consistently ANSWER A.acting in the best interest of clients. B.following medical directives for patient care.
C.following the policies and procedures in the employing agency. D.acting in the best interest of the physician. A nurse would be fulfilling his or her duty to safeguard patients from harm if the nurse: recognizes that a patient's condition is deteriorating, acts to stabilize the patient, and reports the patient's status to the physician. A nurse who commits an error that is a minor incident ANSWER A. must be reported immediately to the Incident-Based Peer Review Committee or to the BON if there is no peer review at the nurse's place of employment. B. should not under any circumstances be reported to the BON based on just one minor incident. C. must immediately resign from his or her place of employment so that there is no chance of the employer alleging a "pattern of nursing practice errors." D. need not be reported to the BON unless the nurse's conduct created a significant risk of physical, emotional, or financial harm to the client. A nurse would be fulfilling his or her duty to safeguard patients from harm if the nurse ANSWER A. recognizes that a patient's condition is deteriorating, acts to stabilize the patient, and reports the patient's status to the physician. B. always implements all physicians' orders completely, quickly, and without question. C. performs only those nursing tasks that specifically relate to a physician's order for a medication or treatment. D. seeks supervisor clarification before performing any procedure. A nurse providing nursing services to a young child in a home setting asks the parent to bring the child to the nurse's home for nursing care. The nurse asks the parent to keep this arrangement confidential. This could be considered ANSWER
Nurse. C.Certified Nurse Aide. D.Certified Medication Aide. According to the BON rules, a person must hold the following level of nursing license in order to delegate tasks to unlicensed staff in Texas: ANSWER A.Licensed Vocational Nurse. C.Certified Nurse Aide. D.Certified Medication Aide. A nurse whose license has expired ANSWER A.may not practice until the license has been renewed. B.has a 14 - day grace period in which to renew. C.may practice if documentation is cosigned by another nurse. D.will have his or her license revoked by the BON. The board's Disciplinary Sanction Policy on Sexual Misconduct explains that ANSWER B.Registered
B. sexual misconduct towards patients or in the workplace raises questions regarding the nurse's ability to provide safe, competent care. A nurse witnesses another nurse slap a long-term care facility resident for refusing to take his medications. There is no Peer Review Committee in this practice setting, so the correct action to be taken by the nurse who saw the abuse is to ANSWER B. report it to the Director of Nursing and leave further action to the discretion of the DON. Which of the following situations is an example of a nurse MAINTAINING appropriate professional boundaries between the nurse and the client? A nurse ANSWER A. rewards a patient with a small stuffed mascot of his favorite football team for progress made in rehabilitation. B. responds less frequently to a demanding patient's call light. C. shares personal information regarding her recent bankruptcy because the patient seems genuinely interested. D. is personally attracted to a patient and calls and visits him on her days off "to check on how heis doing." According to the NPA section 301.403, the Peer Review Committee must report which of the following to the board? ANSWER A.Any minor incidents the nurse makes while caring for patients. B.A description of any corrective action taken against the nurse. C.The names and addresses of the Peer Review Committee members. D.An organizational chart that reflects the reported nurse's position in the agency. A professional nursing association determines that a nurse cheated on a national certification exam. The association disqualifies the nurse from being eligible to seek certification, and suspends the nurse's membership privileges for the association.
