NURSING JURISPRUDENCE EXAM
QUESTIONS AND ANSWERS
LVN Standards - Answer-Participate in planning of nursing care
Assist in evaluationg pt repsonse to tx
Complete focused assessment
Implement appropriate aspects of care
Practice must be supervised
Educated to care for pt. with stable predictable
Duty to pt - Answer-Make/accept only assignments that take into consideration safety
and commensurate with nurse's educational preparation, experience, knowledge, and
physical/emotional ability.
Step 1 - Answer-Is the activity consistent with the NPA and BON rules?
Step 2 - Answer-Is the activity appropriately authorized?
-Valid order?
-Current policy exist regarding procedure?
-Clarify any questionable orders
Step 3 - Answer-Is it supported by nursing research?
-EBP
Step 4 - Answer-Do you possess the required knowledge and competency to carry out
the act?
Step 5 - Answer-Would a reasonable and prudent nurse perform this activity in this
setting?
Step 6 - Answer-Are you prepared to accept the consequences of your actions?
Prohibited Delegation Tasks - Answer-Nursing assessments
Plan of care
Professional Judgement/Intervention
Responsibility for initial teaching
Medication administration, IV fluids as well
-Prohibited in acute care settings
-may be delegated in independent living situations
Minor Incident - Answer-Conduct that does not indicate the nurses continuing to
practice professional nursing poses a risk fo harm to the pt. or other person
, Exclusion to Minor Incident Rule - Answer-A nurse involved in a MI does not need to
reported to BOn unless...
-Creates sig. risk fo physical, emotinal, financial harm
-Lacks a consiencious approach for accontability
-Lacks knowl. and compet. and not easily remediat
-Pattern of multiple minor incidents
-5 minor incidents in a 12 month period must bereported to peer review
NEVER a Minor Incident - Answer-Error contributed to pt. death/serious harm
Criminal conduct
Serious violation (theft, faud, pt. abuse, exploiting)
Impairment/suspected impairment by chem. dep.
IBPR Due Process Rights - Answer-Facility must have policies in place for PR
PR committee must comply with req.
Nuse must receive notice/ opportunity to review documents/submit a response
Nurse may hire own attorney
Nurse will get feedback after decision
Nurse will have a chance to respond
Safe Harbor Peer Review - Answer-Allows a nurse to accept an assignment and
provide best care without fear of licensure action if there is a practice error.
-Does not protect civil rights
-Before refusing assignment must recog. pt is 1st
May refuse an assignemt if lack basic knowlege/ability to render care
Safe Harbor - Answer-Must be invoked BEFORE care given
Or anytime assignment has changed and pt may be in harm
-Must notify in writing
-Supervisor can't refuse
-May use quick req form to make initial req.
-Comprehensive request must be completed before leaving work setting
Quick Request Form - Answer-Written on blank piece of paper but must include
-Name/Signature
-Date/Time of request
-Location of where it is to be completed
-Name of person making assignent
-Brief expalnation of why safe harbor is being req.
Chain after Safe Harbor Nurse completion - Answer-Nurse supervisor/administrator who
gave assignm.
QUESTIONS AND ANSWERS
LVN Standards - Answer-Participate in planning of nursing care
Assist in evaluationg pt repsonse to tx
Complete focused assessment
Implement appropriate aspects of care
Practice must be supervised
Educated to care for pt. with stable predictable
Duty to pt - Answer-Make/accept only assignments that take into consideration safety
and commensurate with nurse's educational preparation, experience, knowledge, and
physical/emotional ability.
Step 1 - Answer-Is the activity consistent with the NPA and BON rules?
Step 2 - Answer-Is the activity appropriately authorized?
-Valid order?
-Current policy exist regarding procedure?
-Clarify any questionable orders
Step 3 - Answer-Is it supported by nursing research?
-EBP
Step 4 - Answer-Do you possess the required knowledge and competency to carry out
the act?
Step 5 - Answer-Would a reasonable and prudent nurse perform this activity in this
setting?
Step 6 - Answer-Are you prepared to accept the consequences of your actions?
Prohibited Delegation Tasks - Answer-Nursing assessments
Plan of care
Professional Judgement/Intervention
Responsibility for initial teaching
Medication administration, IV fluids as well
-Prohibited in acute care settings
-may be delegated in independent living situations
Minor Incident - Answer-Conduct that does not indicate the nurses continuing to
practice professional nursing poses a risk fo harm to the pt. or other person
, Exclusion to Minor Incident Rule - Answer-A nurse involved in a MI does not need to
reported to BOn unless...
-Creates sig. risk fo physical, emotinal, financial harm
-Lacks a consiencious approach for accontability
-Lacks knowl. and compet. and not easily remediat
-Pattern of multiple minor incidents
-5 minor incidents in a 12 month period must bereported to peer review
NEVER a Minor Incident - Answer-Error contributed to pt. death/serious harm
Criminal conduct
Serious violation (theft, faud, pt. abuse, exploiting)
Impairment/suspected impairment by chem. dep.
IBPR Due Process Rights - Answer-Facility must have policies in place for PR
PR committee must comply with req.
Nuse must receive notice/ opportunity to review documents/submit a response
Nurse may hire own attorney
Nurse will get feedback after decision
Nurse will have a chance to respond
Safe Harbor Peer Review - Answer-Allows a nurse to accept an assignment and
provide best care without fear of licensure action if there is a practice error.
-Does not protect civil rights
-Before refusing assignment must recog. pt is 1st
May refuse an assignemt if lack basic knowlege/ability to render care
Safe Harbor - Answer-Must be invoked BEFORE care given
Or anytime assignment has changed and pt may be in harm
-Must notify in writing
-Supervisor can't refuse
-May use quick req form to make initial req.
-Comprehensive request must be completed before leaving work setting
Quick Request Form - Answer-Written on blank piece of paper but must include
-Name/Signature
-Date/Time of request
-Location of where it is to be completed
-Name of person making assignent
-Brief expalnation of why safe harbor is being req.
Chain after Safe Harbor Nurse completion - Answer-Nurse supervisor/administrator who
gave assignm.
