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. Potassium chloride is used to treat potassium deficiency and is not indicated for acute angina attacks.
B. Nitroglycerin is a vasodilator that is commonly used to relieve and prevent acute angina attacks by increasing blood flow to the heart.
C. Furosemide is a diuretic used to treat fluid retention and high blood pressure, not angina.
D. Atenolol is a beta-blocker used to treat high blood pressure and angina but is not typically used for acute attacks.

A. "The client has developed drooping facial features." B. "The client has a history of hypertension.” C. "The client is disoriented and pupils are slow to respond to light." D. "The client may benefit from a neurology consult."

Correct Answer is B

Explanation

A. This statement describes the current situation, which is part of the "S" (Situation) in SBAR, not the background. Accurate reporting requires separating current findings from background information.
B. Providing the client's history of hypertension is appropriate for the "B" (Background) component. It gives context to the current situation, helping the provider understand potential underlying conditions.
C. This information describes the patient's current assessment and is appropriate for the "A" (Assessment) part of SBAR. Including this in the background can cause confusion and disrupt the communication flow.
D. This statement provides a recommendation and fits into the "R. (Recommendation) part of SBAR. Mixing recommendation with background information can make the communication less clear.

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Naxlex Comprehensive Predictor Exams

This medication is most commonly used to treat acute angina attacks:

Correct Answer is B

Explanation

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?

Correct Answer is B

Explanation

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?

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 receiving a telephone prescription for a client and documents it as atorvastatin 80 PO BID. Which of the following elements should the nurse identify is missing from the prescription?

The nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include?

A nurse is working in a pediatric special care unit. She recently transferred to this unit from an adult intensive care unit. The nurse is very cautious in administering medications because children are especially vulnerable to medication errors. Why is this true?

A nursing is preparing to give a handoff report to the oncoming nurse. In which of the following areas should the nurse provide report to the oncoming nurse?

A nurse goes into a patient's room to administer morning medications. The patient states "I don't want that pill. It makes me tired all the time." Which of the following "Patient's Rights" will the nurse be respecting when she does not administer the medication?

Upon receiving the assignment for the evening, a nurse notices that two of the patients have the same name. The best way to identify two patients on a medical unit who have the same name is to: