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1. 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 re-
placement 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 super-
visor 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 established
fistulous tract.: 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.
2. 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: D. protects and
promotes the welfare of the people of Texas.
3. 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 indepen-
dently
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.: C.
Participate in the modification and development of the nursing care plan.
4. A nurse who contacts a physician to clarify a medication order is
A. fulfilling a duty to keep the patient safe.
B. likely to detract from a collegial nurse-physician relationship.
, Nursing Jurisprudence and Ethics for Texas Nurses
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C. engaging in action that is the duty of the pharmacist.
D. not fulfilling nursing tasks with other patients.: A. fulfilling a duty to keep the
patient safe.
5. Nurses often ask the Board about what it means to abandon their patients.
Though the Board does not use this term in the rules, what specific portion of
Board Rule 217.12, Unprofessional Conduct, provides directions for the nurse
regarding job abandonment and conduct that may also be Board-reportable?
A. Paragraph (5)
B. Paragraph (7)
C. Paragraph (12)
D. Paragraph (8): C. Paragraph (12)
6. Which of the following situations is an example of a nurse MAINTAINING
appropriate professional boundaries between the nurse and the client? A
nurse
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.": A. rewards a patient with a small stuffed mascot
of his favorite football team for progress made in rehabilitation.
7. Am advertisement for a "licensed nurse" states the following as routine
job responsibilities. "Must work independently without supervision, have ex-
pertise 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.: D. Registered Nurse license.
8. A nurse is caught stealing narcotics from the automated dispensing ma-
chine 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