and Answers
According to BON Position Statement 15.24
Engaging in Reinsertion of Permanently Placed A. Initiate the development of a comprehensive
Feeding Tubes, it would be within the scope of nursing care plan independently
practice for a nurse to replace a gastrostomy B. May not document on the nursing care plan
tube provided that C. Participate in the modification and
development of the nursing care plan.
A. the tube has been in place for 8-12 weeks, the D. Review the nursing care plan only if directed
nurse has a physician's order to replace the tube, to do so by the physician. - ANSWER -C.
and the nurse has completed specific Participate in the modification and development
competency training to safely replace the tube. of the nursing care plan.
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 A nurse who contacts a physician to clarify a
completed the required skills check-off. medication order is
C. the tube has been in place for 4-6 weeks and
the nurse observed a supervisor completed the A. fulfilling a duty to keep the patient safe.
procedure. B. likely to detract from a collegial nurse-
D. the tube has been in place 4-6 weeks and the physician relationship.
nurse as been determined to be competent in C. engaging in action that is the duty of the
reinserting permanently placed tubes that have pharmacist.
an established fistulous tract. - ANSWER - D. not fulfilling nursing tasks with other patients. -
A. the tube has been in place for 8-12 weeks, the ANSWER -A. fulfilling a duty to keep the
nurse has a physicians to replace the tube, and patient safe.
the nurse has completed specific competency
training to safely replace the tube.
Nurses often ask the Board about what it means
to abandon their patients. Though the Board
The BON differs from nursing and healthcare does not use this term in the rules, what specific
specialty associations since the BON portion of Board Rule 217.12, Unprofessional
Conduct, provides directions for the nurse
A. lobbies for legislation favorable to the practice regarding job abandonment and conduct that
of nursing. may also be Board-reportable?
B. sets criteria for evaluating nursing career
ladders. A. Paragraph (5)
C. offers liability insurance at discounted rates for B. Paragraph (7)
members C. Paragraph (12)
D. protects and promotes the welfare of the D. Paragraph (8) - ANSWER -C. Paragraph
people of Texas - ANSWER -D. protects (12)
and promotes the welfare of the people of Texas.
Which of the following situations is an example of
The Standards of Nursing Practice, Board Rule a nurse MAINTAINING appropriate professional
217.11 state that the LVN scope of practice boundaries between the nurse and the client? A
includes including doing which of the following nurse
with regard to care plans?
, Nursing Jurisprudence and Ethics for Texas Nurses Test Questions
and Answers
A. rewards a patient with a small stuffed mascot ANSWER -B. the Peer Review Committee
of his favorite football team for progress made in to monitor the nurse's practice.
rehabilitation.
B. responds less frequently to a demanding
patient's call light. A nurse was reported to the BON by two different
C. shares personal information regarding her employers multiple practice errors. The BON may
recent bankruptcy because the patient seems determine that the nurse's conduct demonstrates
genuinely interested. a pattern of practice that
D. is personally attracted to a patient and calls
and visits him on her days off "to check on how A. complies with the standard to provide nursing
he is doing." - ANSWER -A. rewards a services without discrimination of the client
patient with a small stuffed mascot of his favorite served.
football team for progress made in rehabilitation. B. violates professional boundary regulations
because the nurse has two employers
C. results in immediate disciplinary action
Am advertisement for a "licensed nurse" states because the second complain validates the first.
the following as routine job responsibilities. "Must D. indicates the nurse's continued practice poses
work independently without supervision, have a risk of harm and may endanger a client's life,
expertise in developing nursing care plans, health, or safety. - ANSWER -D. indicates
including establishing appropriate nursing the nurse's continued practice poses a risk of
diagnoses for assigned patients, and, must be harm and may endanger a client's life, health, or
able to complete comprehensive nursing safety.
assessments." Based on these responsibilities,
this advertisement would require, at a minimum,
the nurse to hold a valid According to Board Rule 213.29, Criteria and
Procedure Regarding Intemperate Use and Lack
A. Advanced Practice Registered Nurse license. of Fitness in Eligibility and Disciplinary Matters, a
B. Physician Assistant license. person desiring to obtain or retain his or her
C. Vocational Nurse license. nursing license must provide a sworn certificate
D. Registered Nurse license. - ANSWER - to the board that he or she has NOT
D. Registered Nurse license.
A. had any alcohol within the last five years.
B. been under the influence of any alcohol or
A nurse is caught stealing narcotics from the other illegal substance for the last five years.
automated dispensing machine on the unit and C. been addicted to or treated for the use of
self-injecting these drugs while on duty. The alcohol or any other drug in the last five years.
nurse admits that she is chemically dependent. D. been in the hospital for any type of surgery
In this situation, the NPA requires within the last five years. - ANSWER -B.
been under the influence of any alcohol or other
A. the nurse be reported to the BON. illegal substance for the last five years.
B. the Peer Review Committee to monitor the
nurse's practice.
C. the nurse to enroll in the Texas Peer According to board rule, after a nurse refuses a
Assistance Program for Nurses (TPAPN). float assignment and invokes Safe Harbor, the
D. a report to law enforcement. - nurse