TEXAS BON STUDY GUIDE, BON QUIZ, JURISPRUDENCE EXAM
QUESTIONS WITH COMPLETE SOLUTIONS
A nurse who contacts a physician to clarify a medication order is
fulfilling a duty to keep the patient safe.
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
the case proceed and the board's charges be deemed to be true.
When the BON considers imposing disciplinary action, it is most concerned with
the nurse consistently
acting in the best interest of clients
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
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.
Which of the following would indicate that an applicant for licensure is likely to
possess the good professional character necessary to hold a nursing license in
Texas?
the applicant provides satisfactory evidence that he/she has not committed a violation of
the Nursing Practice Act or a Board rule
Which of the following statements correctly reflects Board Rule 217.20 regarding
the Safe Harbor Peer Review?
,Safe Harbor must be invoked prior to engaging in the assignment or at any time the
assignment changes as long as the nurse believes it places patients at risk of harm
The identity of a person submitting a complaint against a nurse to the BON is
kept confidential
throughout the entire investigation process
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.
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
Revisions to the NPA can only occur through
bills passed by the Texas Legislature
The Position Statement 15.27 The Licensed Vocational Nurse Scope of Practice
on the board's website outlines that LVNs have a "directed" scope of practice
"under supervision." This means that
the LVN must have a registered nurse present at all times while they are providing
direct patient care
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
a violation of professional boundaries of the nurse-client relationship
A nurse is counseled for questioning a physician's order that made the physician
mad. Which of the following documents on the BON web site best explains why
the nurse was correct to question a physician's order that the nurse believed
could be harmful to a patient?
Position Statement 15.14 Duty of a Nurse in Any Setting
Chart audits find the following practice 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 must be reported to the BON because of the combination of practice errors
with possible practice impairment due to substance use or abuse
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 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
current sobriety and fitness to practice
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
protections for a nurse who requests a peer review determination
One way the board carries out its mission to protect the public is by
ensuring that each nurse is competent to practice safely
Which of the following situations is an example of a nurse MAINTAINING
appropriate professional boundaries between the nurse and the client? A nurse
rewards a patient with a small stuffed mascot of his favorite football team for progress
made in rehabilitation
According to BON Position Statement 15.24 Nurses 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
QUESTIONS WITH COMPLETE SOLUTIONS
A nurse who contacts a physician to clarify a medication order is
fulfilling a duty to keep the patient safe.
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
the case proceed and the board's charges be deemed to be true.
When the BON considers imposing disciplinary action, it is most concerned with
the nurse consistently
acting in the best interest of clients
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
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.
Which of the following would indicate that an applicant for licensure is likely to
possess the good professional character necessary to hold a nursing license in
Texas?
the applicant provides satisfactory evidence that he/she has not committed a violation of
the Nursing Practice Act or a Board rule
Which of the following statements correctly reflects Board Rule 217.20 regarding
the Safe Harbor Peer Review?
,Safe Harbor must be invoked prior to engaging in the assignment or at any time the
assignment changes as long as the nurse believes it places patients at risk of harm
The identity of a person submitting a complaint against a nurse to the BON is
kept confidential
throughout the entire investigation process
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.
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
Revisions to the NPA can only occur through
bills passed by the Texas Legislature
The Position Statement 15.27 The Licensed Vocational Nurse Scope of Practice
on the board's website outlines that LVNs have a "directed" scope of practice
"under supervision." This means that
the LVN must have a registered nurse present at all times while they are providing
direct patient care
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
a violation of professional boundaries of the nurse-client relationship
A nurse is counseled for questioning a physician's order that made the physician
mad. Which of the following documents on the BON web site best explains why
the nurse was correct to question a physician's order that the nurse believed
could be harmful to a patient?
Position Statement 15.14 Duty of a Nurse in Any Setting
Chart audits find the following practice 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 must be reported to the BON because of the combination of practice errors
with possible practice impairment due to substance use or abuse
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 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
current sobriety and fitness to practice
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
protections for a nurse who requests a peer review determination
One way the board carries out its mission to protect the public is by
ensuring that each nurse is competent to practice safely
Which of the following situations is an example of a nurse MAINTAINING
appropriate professional boundaries between the nurse and the client? A nurse
rewards a patient with a small stuffed mascot of his favorite football team for progress
made in rehabilitation
According to BON Position Statement 15.24 Nurses 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
