1
NURSING RNSG 2221 JURISPRUDENCE QUESTIONS AND 100% CORRECT
ANSWERS ( ANSWERS CORRECTLY HIGHLIGHTED IN YELLOW )
1.
A registered nurse working in a Texas acute-care facility is assigned several
additional patients shortly before the beginning of a shift. After reviewing the
acuity, staffing level, and complexity of the patients, the nurse believes accepting
the assignment could place patients at significant risk of harm. The nurse wants to
protect the patients while appropriately exercising the rights provided under Texas
nursing law. Which action is most appropriate?
A. Invoke Safe Harbor before engaging in the assignment and notify the
appropriate supervisor of the concern
B. Leave the facility immediately without notifying anyone
C. Accept the assignment silently and file a complaint after the shift
D. Contact the Texas BON before notifying the employer
Answer: A
2.
A nurse is caring for a patient when a medication order appears inconsistent with
the patient's current clinical condition and documented allergies. The nurse
contacts the prescribing provider to clarify the order before administering the
medication. Which principle best describes the nurse's action?
A. The nurse is exceeding the nursing scope of practice.
B. The nurse is improperly questioning the provider.
C. The nurse is transferring responsibility to the pharmacist.
D. The nurse is fulfilling the duty to protect patient safety.
Answer: D
3.
A Texas RN is asked to perform a procedure that the nurse has never performed
and for which the nurse has not received adequate education or competency
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validation. The nurse believes performing the procedure could violate professional
standards. What is the nurse's primary responsibility?
A. Perform the procedure because the employer assigned it.
B. Ask another nurse to perform the procedure without notifying the supervisor.
C. Document that the procedure was assigned and proceed regardless of
competency.
D. Recognize the limits of personal competency and take appropriate action to
protect the patient.
Answer: D
4.
A nurse believes that an assignment is unsafe because the nurse lacks the
knowledge and skills necessary to care safely for the assigned patients. The nurse
decides to invoke Safe Harbor. Which action is required?
A. Notify the supervisor that Safe Harbor is being invoked before engaging in the
assignment or conduct.
B. Wait until the end of the shift to report the concern.
C. Immediately leave the workplace without communicating the concern.
D. Submit the Safe Harbor request directly to the BON before notifying the
supervisor.
Answer: A
5.
An RN working in an acute-care setting is considering delegating a nursing task to
an unlicensed assistive person. Which factor should be considered first when
determining whether delegation is appropriate?
A. The patient's condition, stability, potential for harm, task complexity, and
UAP competency
B. Whether the UAP has worked at the facility for more than one year
C. Whether the RN personally dislikes performing the task
D. Whether the physician prefers the UAP to perform the task
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Answer: A
6.
A nurse is asked to delegate a task to a UAP who has never demonstrated
competency in performing the task. The patient's condition is unstable and
unpredictable. Which response is most appropriate?
A. Delegate the task because UAPs are responsible for their own practice.
B. Do not delegate the task until the required delegation criteria and
competency requirements are satisfied.
C. Delegate the task if the patient's family agrees.
D. Delegate the task because staffing shortages automatically justify delegation.
Answer: B
7.
A Texas RN working in an acute-care environment is determining which
responsibilities may be delegated to UAPs. Which activity generally requires
professional nursing judgment and therefore should not be delegated?
A. Measuring a patient's routine vital signs
B. Assisting a stable patient with hygiene
C. Performing the nursing assessment and determining the nursing plan of care
D. Assisting a stable patient with repositioning
Answer: C
8.
An RN delegates a permissible task to a competent UAP. The RN understands that
delegation does not eliminate the RN's professional responsibility for appropriate
delegation and supervision. Which statement best describes this responsibility?
A. The UAP assumes all accountability once the task is delegated.
B. The RN remains accountable for the delegation process and appropriate
supervision.
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C. The physician becomes accountable for the UAP's performance.
D. The facility assumes all responsibility for the patient's outcome.
Answer: B
9.
A nurse borrows $500 from an elderly patient and promises to repay the money
after receiving the next paycheck. The nurse believes the patient willingly offered
the money. Which concern is most significant?
A. The action is acceptable if the nurse repays the money.
B. The action is appropriate if the patient is mentally competent.
C. The action is permitted if the nurse does not disclose the transaction.
D. The action represents an inappropriate professional boundary violation.
Answer: D
10.
A nurse becomes personally attracted to a patient and begins contacting the
patient through personal social-media accounts after discharge. The nurse tells
coworkers that the patient has become a close personal friend. Which
professional concern is most significant?
A. Appropriate continuity of care
B. Appropriate therapeutic communication
C. Routine professional advocacy
D. Potential violation of professional boundaries
Answer: D
11.
A nurse discovers that another nurse documented administration of a medication
that the nurse actually omitted. The patient has not yet experienced harm. What
should the observing nurse do?
A. Ignore the documentation because no harm occurred.
B. Alter the other nurse's documentation.
NURSING RNSG 2221 JURISPRUDENCE QUESTIONS AND 100% CORRECT
ANSWERS ( ANSWERS CORRECTLY HIGHLIGHTED IN YELLOW )
1.
A registered nurse working in a Texas acute-care facility is assigned several
additional patients shortly before the beginning of a shift. After reviewing the
acuity, staffing level, and complexity of the patients, the nurse believes accepting
the assignment could place patients at significant risk of harm. The nurse wants to
protect the patients while appropriately exercising the rights provided under Texas
nursing law. Which action is most appropriate?
A. Invoke Safe Harbor before engaging in the assignment and notify the
appropriate supervisor of the concern
B. Leave the facility immediately without notifying anyone
C. Accept the assignment silently and file a complaint after the shift
D. Contact the Texas BON before notifying the employer
Answer: A
2.
A nurse is caring for a patient when a medication order appears inconsistent with
the patient's current clinical condition and documented allergies. The nurse
contacts the prescribing provider to clarify the order before administering the
medication. Which principle best describes the nurse's action?
A. The nurse is exceeding the nursing scope of practice.
B. The nurse is improperly questioning the provider.
C. The nurse is transferring responsibility to the pharmacist.
D. The nurse is fulfilling the duty to protect patient safety.
Answer: D
3.
A Texas RN is asked to perform a procedure that the nurse has never performed
and for which the nurse has not received adequate education or competency
,2
validation. The nurse believes performing the procedure could violate professional
standards. What is the nurse's primary responsibility?
A. Perform the procedure because the employer assigned it.
B. Ask another nurse to perform the procedure without notifying the supervisor.
C. Document that the procedure was assigned and proceed regardless of
competency.
D. Recognize the limits of personal competency and take appropriate action to
protect the patient.
Answer: D
4.
A nurse believes that an assignment is unsafe because the nurse lacks the
knowledge and skills necessary to care safely for the assigned patients. The nurse
decides to invoke Safe Harbor. Which action is required?
A. Notify the supervisor that Safe Harbor is being invoked before engaging in the
assignment or conduct.
B. Wait until the end of the shift to report the concern.
C. Immediately leave the workplace without communicating the concern.
D. Submit the Safe Harbor request directly to the BON before notifying the
supervisor.
Answer: A
5.
An RN working in an acute-care setting is considering delegating a nursing task to
an unlicensed assistive person. Which factor should be considered first when
determining whether delegation is appropriate?
A. The patient's condition, stability, potential for harm, task complexity, and
UAP competency
B. Whether the UAP has worked at the facility for more than one year
C. Whether the RN personally dislikes performing the task
D. Whether the physician prefers the UAP to perform the task
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Answer: A
6.
A nurse is asked to delegate a task to a UAP who has never demonstrated
competency in performing the task. The patient's condition is unstable and
unpredictable. Which response is most appropriate?
A. Delegate the task because UAPs are responsible for their own practice.
B. Do not delegate the task until the required delegation criteria and
competency requirements are satisfied.
C. Delegate the task if the patient's family agrees.
D. Delegate the task because staffing shortages automatically justify delegation.
Answer: B
7.
A Texas RN working in an acute-care environment is determining which
responsibilities may be delegated to UAPs. Which activity generally requires
professional nursing judgment and therefore should not be delegated?
A. Measuring a patient's routine vital signs
B. Assisting a stable patient with hygiene
C. Performing the nursing assessment and determining the nursing plan of care
D. Assisting a stable patient with repositioning
Answer: C
8.
An RN delegates a permissible task to a competent UAP. The RN understands that
delegation does not eliminate the RN's professional responsibility for appropriate
delegation and supervision. Which statement best describes this responsibility?
A. The UAP assumes all accountability once the task is delegated.
B. The RN remains accountable for the delegation process and appropriate
supervision.
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C. The physician becomes accountable for the UAP's performance.
D. The facility assumes all responsibility for the patient's outcome.
Answer: B
9.
A nurse borrows $500 from an elderly patient and promises to repay the money
after receiving the next paycheck. The nurse believes the patient willingly offered
the money. Which concern is most significant?
A. The action is acceptable if the nurse repays the money.
B. The action is appropriate if the patient is mentally competent.
C. The action is permitted if the nurse does not disclose the transaction.
D. The action represents an inappropriate professional boundary violation.
Answer: D
10.
A nurse becomes personally attracted to a patient and begins contacting the
patient through personal social-media accounts after discharge. The nurse tells
coworkers that the patient has become a close personal friend. Which
professional concern is most significant?
A. Appropriate continuity of care
B. Appropriate therapeutic communication
C. Routine professional advocacy
D. Potential violation of professional boundaries
Answer: D
11.
A nurse discovers that another nurse documented administration of a medication
that the nurse actually omitted. The patient has not yet experienced harm. What
should the observing nurse do?
A. Ignore the documentation because no harm occurred.
B. Alter the other nurse's documentation.
