NCLEX PN ARCHER REVIEW
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
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
