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Texas NJE, Texas BON study guide Questions with Verified Correct Answers

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Texas NJE, Texas BON study guide Questions with Verified Correct Answers

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Texas NJE, Texas BON study guide Questions
with Verified Correct Answers
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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

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