A registered nurse for more than 15 years was concerned when she learned that her hospital was going to let unlicensed nursing assistants start IVs on patients. The nurse knew this was in violation of the scope of nursing practice in her state. Which of the following defines the scope of nursing's professional functions and responsibilities?

Employee assistance programs (EAP)

The US Food and Drug Administration (FDA)

The MedWatch program

State Nurse Practice Acts

Answer and Explanation

The Correct Answer is D

A. Employee assistance programs (EAP) offer support services to employees but do not define the scope of nursing practice.
B. The US Food and Drug Administration (FDA) regulates food and drugs but does not define nursing practice.
C. The MedWatch program is a safety information and adverse event reporting system, not related to defining nursing scope.
D. State Nurse Practice Acts define the legal scope of nursing practice, including what tasks can be delegated to unlicensed personnel, ensuring safe and competent care.

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Correct Answer is B

Explanation

A. A "now" prescription is for a medication to be given quickly but not immediately.
B. A routine prescription is for medication to be administered on a regular schedule, such as daily.
C. A single prescription is for a one-time administration.
D. A stat prescription is for immediate administration, usually in an emergency situation.

A. Breath sounds at 1600 B. Temperature C. Urticaria D. Blood pressure at 1630 E. Report of dysphagia

Correct Answer is ["C","D","E"]

Explanation

A. Bilateral breath sounds clear and present throughout at 1600 are normal findings and do not require immediate follow-up.
B. The temperature at both 1600 (37.6°C) and 1630 (37.5°C) is slightly elevated but not critically high. It does not require immediate follow-up unless it worsens significantly or is accompanied by other concerning symptoms.
C. Urticaria (hives) over the chest and trunk, along with itching and difficulty swallowing (dysphagia), are signs of an allergic reaction, which requires immediate follow-up and assessment.
D. The blood pressure decreased to 78/52 mm Hg at 1630 from 110/58 mm Hg at 1600. This significant drop indicates hypotension and requires immediate follow-up.
E. Difficulty swallowing (dysphagia) reported by the client suggests a potential airway compromise and requires immediate follow-up to assess the severity and intervene accordingly.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's health record and notes a new prescription for potassium chloride 10 mEq PO daily. The nurse should identify this as which of the following types of prescription?

Correct Answer is B

Explanation

A nurse is assisting with the care of a client Exhibits Select the 3 findings that require immediate follow-up.

Correct Answer is ["C","D","E"]

Explanation

Which assessment finding indicates that the patient is at risk from polypharmacy? (Select all that apply.)?

A postoperative patient is undergoing antibiotic therapy. She has never had any problems taking medications in the past. When the nurse hung the second dose of IV antibiotics, the patient suddenly developed hives and itching. The nurse recognized this was most likely a(n):

A nurse is assisting with teaching a class about pharmacodynamics. The nurse should include that which of the following medication levels occurs when a medication is at the lowest serum concentration?

A nurse is reviewing new prescriptions for a client. The nurse should identify that which of the following abbreviations used by the provider indicates "to administer medications before meals"?

A nurse is collecting data from a client who has heart failure, prior to the administration of furosemide. For which of the following findings should the nurse withhold the medication?

The nurse goes into a patient's room and administers her 0900 medications. When should the nurse document that the medications were given?

A nurse is assisting with teaching a class about routes of medication administration. The nurse should include that which of the following routes has the fastest rate of absorption?

A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider, which of the following statements should the nurse include as part of the background component of the SBAR communication tool?