The nurse should understand the regulations of nursing practice as put forth by the nurse
practice act. Which of the following statements are correct?
Select all that apply.
Some other issues covered by the nurse practice act include grounds for disciplinary action, licensure
requirements, and the rights of the nurse licensee if disciplinary action is taken.
The nurse practice act defines the scope of nursing practice.
All nurses have the responsibility to know the provisions of the act for the state or province in
which they work.
The nurse practice act is a series of statutes enacted by the federal government in order to
regulate the practice of nursing.
Some other issues covered by the nurse practice act include grounds for disciplinary action,
licensure requirements, and the rights of the nurse licensee if disciplinary action is taken.
The nurse practice act defines the scope of nursing practice.
Rationale:
Nurse practice acts (npas) contain a provision that creates and empowers a state board of nursing
to regulate nursing practice in that state. All 50 states, the district of columbia, and the four u.s.
territories have established nursing boards. Although npas can vary from state to state, they all
have standard components because states used ana guidelines in developing their regulations.
A state’s nurse practice act usually includes the following:
The authority of the board of nursing, its composition, and powers a
definition of nursing and the boundaries of nursing practice
standards for the approval of nursing education programs
,The requirements for licensure of nurses
Grounds for disciplinary action against a nurse’s license
The nurse knows that which of the following scenarios are common reasons for disciplinary
action against practical nurses by the state board of nursing? Select all that apply.
Failure to administer medications as prescribed.
Violation of client confidentiality.
Poor attendance record.
Engaging in personal relationships with clients.
Failing to maintain continuing education requirements.
Failure to administer medications as prescribed.
Violation of client confidentiality.
Engaging in personal relationships with clients.
Failing to maintain continuing education
requirements. Rationale:
Failure to administer medications as prescribed. This is a valid reason for disciplinary action
against practical nurses. Failing to administer medications as prescribed can harm clients and
violate nursing standards and client safety protocols.
Violation of client confidentiality. This is a valid reason for disciplinary action against practical
nurses. Violating client confidentiality by sharing client information without proper
authorization or justification breaches client privacy and can lead to legal and ethical
consequences.
Engaging in personal relationships with clients. This is a valid reason for disciplinary action
against practical nurses. Engaging in personal relationships with clients is considered
unprofessional and can compromise client care, boundaries, and ethical standards.
Failing to maintain continuing education requirements. This is a valid reason for disciplinary
action against practical nurses. Nursing boards often require practical nurses to participate in
continuing education programs to ensure ongoing competency and keep up-to-date with
advancements in the field. Failing to meet these requirements can result in disciplinary action,
which indicates a lack of commitment to professional growth and acquiring the necessary
knowledge and skills.
Which of the following are components of the definition of critical thinking?
,Select all that apply.
Reasoned thinking
openness to alternatives
Adherence to established guidelines
ability to reflect
Loyalty to traditional approaches
desire to seek the truth reasoned
thinking
Openness to alternatives
ability to reflect
Desire to seek the truth
rationale:
Critical thinking is a combination of reasoned thought, openness to alternatives, the ability to
reflect, and a desire to seek the truth. There are many definitions of critical thinking. It is a
complex concept, and people think about it in different ways. Any situation that requires critical
thinking is likely to have more than one “right” answer. You do not need critical thinking to add
2 + 2 and come up with the solution. However, you do need critical thinking for problem-solving
essential decisions. A crucial aspect of critical thinking is the process of identifying and checking
your assumption. This is also a necessary part of the research process. Critical thinking is a
combination of reasoned thought, openness to alternatives, the ability to reflect, and a desire to
seek the truth.
The licensed practical/vocational (lpn/vn) nurse is caring for a client with cardiac arrest
and assisting the registered nurse (rn) in identifying priorities and delegation. As the
lpn/vn assists with assigning roles to other staff, this is demonstrating which leadership
style?
A. Authoritative
B. Situational
C. Democratic
D. Laissez-
faire
authoritative
rationale:
Authoritative leadership is demonstrated in this situation as the nurse assists with the delegation
and provides directives to accomplish tasks. This is an appropriate leadership style in an
emergency where one individual assigns tasks/roles to decrease confusion and chaos in an
emergent situation.
, What is the normal level of creatinine in a healthy adult male?
A. 0.4 to 0.8 mg/dl
B. 0.1-0.4 mg/dl
C. 0.6-1.2 mg/dl
D. 1.5-2.0 mg/dl
0.6-1.2 mg/dl
rationale:
Creatinine values reflect both the amount of muscle a person has and their amount of kidney
function. Hence, the levels are slightly lower in women due to lesser muscle mass. Most men
with normal kidney function have 0.6 to 1.2 milligrams/deciliters (mg/dl) of creatinine. Most
women with normal kidney function have between 0.5 to 1.1 mg/dl of creatinine.
The nurse is caring for a client who has a serum calcium level of 13.2 mg/dl(9-10.5 mg/dl).
Which of the following medications would be expected orders for this condition?
Select all that apply.
Phosphorus
calcitonin
Vitamin d
Iv calcium gluconate
glucocorticoids
phosphorus
calcitonin
glucocorticoids
rationale:
The normal serum calcium level is 8.4-10.2 mg/dl. This client has a high serum calcium level
(hypercalcemia). Phosphorus is a medication that the nurse would expect to administer to treat
hypercalcemia. Phosphorus and calcium have an inverse relationship, so by increasing the
Serum level of phosphorus the nurse can decrease the serum level of calcium. Oral phosphate is
the preferred method of administering phosphorus. If given iv, calcium phosphate forms and
Precipitates in the tissues. This “precipitation phenomenon” reduces serum calcium levels very
quickly.
Calcitonin is a medication that the nurse would expect to administer to treat hypercalcemia.
Calcitonin is a thyroid hormone that decreases the plasma calcium level by inhibiting bone
resorption and lowering the serum calcium concentration.
Glucocorticoids are steroids that can be used to treat a variety of conditions, including
hypercalcemia associated with certain cancers. Glucocorticoids work by inhibiting the activity of
cells that break down bone and release calcium into the blood.
practice act. Which of the following statements are correct?
Select all that apply.
Some other issues covered by the nurse practice act include grounds for disciplinary action, licensure
requirements, and the rights of the nurse licensee if disciplinary action is taken.
The nurse practice act defines the scope of nursing practice.
All nurses have the responsibility to know the provisions of the act for the state or province in
which they work.
The nurse practice act is a series of statutes enacted by the federal government in order to
regulate the practice of nursing.
Some other issues covered by the nurse practice act include grounds for disciplinary action,
licensure requirements, and the rights of the nurse licensee if disciplinary action is taken.
The nurse practice act defines the scope of nursing practice.
Rationale:
Nurse practice acts (npas) contain a provision that creates and empowers a state board of nursing
to regulate nursing practice in that state. All 50 states, the district of columbia, and the four u.s.
territories have established nursing boards. Although npas can vary from state to state, they all
have standard components because states used ana guidelines in developing their regulations.
A state’s nurse practice act usually includes the following:
The authority of the board of nursing, its composition, and powers a
definition of nursing and the boundaries of nursing practice
standards for the approval of nursing education programs
,The requirements for licensure of nurses
Grounds for disciplinary action against a nurse’s license
The nurse knows that which of the following scenarios are common reasons for disciplinary
action against practical nurses by the state board of nursing? Select all that apply.
Failure to administer medications as prescribed.
Violation of client confidentiality.
Poor attendance record.
Engaging in personal relationships with clients.
Failing to maintain continuing education requirements.
Failure to administer medications as prescribed.
Violation of client confidentiality.
Engaging in personal relationships with clients.
Failing to maintain continuing education
requirements. Rationale:
Failure to administer medications as prescribed. This is a valid reason for disciplinary action
against practical nurses. Failing to administer medications as prescribed can harm clients and
violate nursing standards and client safety protocols.
Violation of client confidentiality. This is a valid reason for disciplinary action against practical
nurses. Violating client confidentiality by sharing client information without proper
authorization or justification breaches client privacy and can lead to legal and ethical
consequences.
Engaging in personal relationships with clients. This is a valid reason for disciplinary action
against practical nurses. Engaging in personal relationships with clients is considered
unprofessional and can compromise client care, boundaries, and ethical standards.
Failing to maintain continuing education requirements. This is a valid reason for disciplinary
action against practical nurses. Nursing boards often require practical nurses to participate in
continuing education programs to ensure ongoing competency and keep up-to-date with
advancements in the field. Failing to meet these requirements can result in disciplinary action,
which indicates a lack of commitment to professional growth and acquiring the necessary
knowledge and skills.
Which of the following are components of the definition of critical thinking?
,Select all that apply.
Reasoned thinking
openness to alternatives
Adherence to established guidelines
ability to reflect
Loyalty to traditional approaches
desire to seek the truth reasoned
thinking
Openness to alternatives
ability to reflect
Desire to seek the truth
rationale:
Critical thinking is a combination of reasoned thought, openness to alternatives, the ability to
reflect, and a desire to seek the truth. There are many definitions of critical thinking. It is a
complex concept, and people think about it in different ways. Any situation that requires critical
thinking is likely to have more than one “right” answer. You do not need critical thinking to add
2 + 2 and come up with the solution. However, you do need critical thinking for problem-solving
essential decisions. A crucial aspect of critical thinking is the process of identifying and checking
your assumption. This is also a necessary part of the research process. Critical thinking is a
combination of reasoned thought, openness to alternatives, the ability to reflect, and a desire to
seek the truth.
The licensed practical/vocational (lpn/vn) nurse is caring for a client with cardiac arrest
and assisting the registered nurse (rn) in identifying priorities and delegation. As the
lpn/vn assists with assigning roles to other staff, this is demonstrating which leadership
style?
A. Authoritative
B. Situational
C. Democratic
D. Laissez-
faire
authoritative
rationale:
Authoritative leadership is demonstrated in this situation as the nurse assists with the delegation
and provides directives to accomplish tasks. This is an appropriate leadership style in an
emergency where one individual assigns tasks/roles to decrease confusion and chaos in an
emergent situation.
, What is the normal level of creatinine in a healthy adult male?
A. 0.4 to 0.8 mg/dl
B. 0.1-0.4 mg/dl
C. 0.6-1.2 mg/dl
D. 1.5-2.0 mg/dl
0.6-1.2 mg/dl
rationale:
Creatinine values reflect both the amount of muscle a person has and their amount of kidney
function. Hence, the levels are slightly lower in women due to lesser muscle mass. Most men
with normal kidney function have 0.6 to 1.2 milligrams/deciliters (mg/dl) of creatinine. Most
women with normal kidney function have between 0.5 to 1.1 mg/dl of creatinine.
The nurse is caring for a client who has a serum calcium level of 13.2 mg/dl(9-10.5 mg/dl).
Which of the following medications would be expected orders for this condition?
Select all that apply.
Phosphorus
calcitonin
Vitamin d
Iv calcium gluconate
glucocorticoids
phosphorus
calcitonin
glucocorticoids
rationale:
The normal serum calcium level is 8.4-10.2 mg/dl. This client has a high serum calcium level
(hypercalcemia). Phosphorus is a medication that the nurse would expect to administer to treat
hypercalcemia. Phosphorus and calcium have an inverse relationship, so by increasing the
Serum level of phosphorus the nurse can decrease the serum level of calcium. Oral phosphate is
the preferred method of administering phosphorus. If given iv, calcium phosphate forms and
Precipitates in the tissues. This “precipitation phenomenon” reduces serum calcium levels very
quickly.
Calcitonin is a medication that the nurse would expect to administer to treat hypercalcemia.
Calcitonin is a thyroid hormone that decreases the plasma calcium level by inhibiting bone
resorption and lowering the serum calcium concentration.
Glucocorticoids are steroids that can be used to treat a variety of conditions, including
hypercalcemia associated with certain cancers. Glucocorticoids work by inhibiting the activity of
cells that break down bone and release calcium into the blood.
