,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 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 established fistulous
tract.
Correct Answer: A
Rationale: The tube must have been in place for 8-12 weeks with a physician order
and the nurse must have completed specific competency training.
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
Correct Answer: D
Rationale: The BON 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 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.
Correct Answer: C
Rationale: LVNs 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.
C. engaging in action that is the duty of the pharmacist.
D. not fulfilling nursing tasks with other patients.
Correct Answer: A
Rationale: Contacting a physician to clarify an order fulfills the 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)
Correct Answer: C
Rationale: Paragraph (12) provides directions regarding job abandonment and
reportable conduct.
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 established fistulous
tract.
Correct Answer: A
Rationale: The tube must have been in place for 8-12 weeks with a physician order
and the nurse must have completed specific competency training.
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
Correct Answer: D
Rationale: The BON 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 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.
Correct Answer: C
Rationale: LVNs 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.
C. engaging in action that is the duty of the pharmacist.
D. not fulfilling nursing tasks with other patients.
Correct Answer: A
Rationale: Contacting a physician to clarify an order fulfills the 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)
Correct Answer: C
Rationale: Paragraph (12) provides directions regarding job abandonment and
reportable conduct.
