TEST 1 - UNIT A - EF - SCOPE AND STANDARDS

Question 1

Each individual nurse is accountable for

Answer 1

following a code of conduct and upholding ethical values related to the nursing profession.

Question 2

The American Nurses Association (ANA),

Answer 2

which is a professional organization for registered nurses, has established standards for both nursing practice and professional performance. Each of these standards—the former related to the practice of nursing and the latter for professional conduct—is used when performing client care and instituting professionalism. On a governmental level,

Question 3

the practice of nursing is regulated in the United States by

Answer 3

each state’s Nurse Practice Act.

Question 4

StateNurse Practice Acts (NPA)serve as the current laws and regulations governing nursing practice in every state and territory of the United States. The NPA identifies what conditions must be met for licensure. It is the duty of each state to protect all clients who are receiving care, which is the rationale for requiring a professional nurse to have a license. The NPA also specifies that all registered nurses and licensed practical nurses must adhere to the prescribed scope of practice to provide safe and competent client care.

Answer 4

serve as the current laws and regulations governing nursing practice in every state and territory of the United States.

Question 5

The NPA identifies

Answer 5

what conditions must be met for licensure.

Question 6

It is the duty of each state to protect all clients who are receiving care, which is the rationale for

Answer 6

requiring a professional nurse to have a license.

Question 7

The NPA also specifies that

Answer 7

all registered nurses and licensed practical nurses must adhere to the prescribed scope of practice to provide safe and competent client care.

Question 8

Defining the scope of practice is usually a two-step process.
First,
Next,

Answer 8

the state legislature passes a law, identified as the NPA, to regulate nursing practice within the state.
the state legislature identifies a regulatory body, such as the state board of nursing (BON).

Question 9

Each state BON is given the authority to

Answer 9

enforce regulations and rules set by the NPA.

Question 10

The NPA provides the _________
but each state

Answer 10

general guidelines,
then creates rules or regulations to either further explain or make the NPA guidelines more detailed.

Question 11

The NPA grants authority and power in each state to an administrative agency such as the

Answer 11

BON

Question 12

BON (Board of Nursing) enforces

Answer 12

regulations and rules, to uphold the rights of the nurse, and to protect the health and welfare of the public. The NPA specifies the membership and qualifications of the nurses who serve on the BON.

Question 13

Educational program standards and curriculum rules, along with clinical learning experiences, must be approved by

Answer 13

the BON based on whether they meet the requirements of the NPA.

Question 14

NPA provides the requirements and statements related to

Answer 14

examination for licensure as a registered nurse, licensed practical nurse, or licensed vocational nurse. This even includes criminal background checks, violations related to substance abuse, and failure to report actions against a nurse’s professional license, registration, or certification.

Question 15

The BON has the statutory authority to implement

Answer 15

disciplinary actions, as noted in the NPA regulations that cover reviewing and acting upon any reports or complaints of a professional nurse. Notably, nurses may be penalized if they fail to report disciplinary actions for wrongful acts or omissions.

Question 16

Examples of wrongful acts or omissions include

Answer 16

practice-related errors, misuse of drugs, boundary violations between the nurse and the client, sexual misconduct with a client, abuse of a client, fraud, and a positive background check related to a crime.

Question 17

Claiming to be unaware of the NPA regulations and standards is not

Answer 17

a defense for practicing nursing irresponsibly.
It is nurses’ responsibility to stay current in their roles and responsibilities, as defined in the scope and standards of practice within the NPA.

Question 18

The scope and standards of nursing practice areestablished via a

Answer 18

state law that defines the duties of nurses and authorizes which duties nurses can and cannot competently and legally perform when providing client care.

Question 19

Thescope of nursing practiceis to alleviate

Answer 19

client suffering and promote client healing by competent nursing practice and professional performance.

Question 20

The standards of professional nursing practicedefine

Answer 20

responsibilities that every nurse is expected to be capable of performing, regardless of the nurse’s role, population, or area of specialty.

Question 21

The ANA standards are titled

Answer 21

theStandards of Nursing Practiceand theStandards of Professional Performance.

Question 22

Standards of practiceare explanatory statements that describe

Answer 22

a competent level of care for all registered nurses. Nurses graduate with a standard set of skills that should deem them competent to perform as entry-level nurses.

Question 23

Nursing has what two types of standards

Answer 23

general standards
standards of practice

Question 24

standards of practice, correspond to

Answer 24

the critical thinking model known as the nursing process.

Question 25

The nursing process guides nurses in the

Answer 25

delivery of client care by providing the nurse with a methodical approach to quality-based care.

Question 26

This process includes the steps of

Answer 26

assessment (data collection), analysis, planning, implementation, and evaluation.

Question 27

All licensed nurses must follow the state-mandated scope of practice. What guidance does the scope of practice provide for nurses?(Click this card to reveal the answer.)

Answer 27

The scope of practice defines those duties that a nurse is considered competent to carry out and authorized to perform as specified by state law. In other words, the scope of practice stipulates those activities nurses can and cannot perform legally.

Question 28

The standards of professional performance state that nurses evaluate

Answer 28

their own nursing practice.

Question 29

The nurse is responsible for their

Answer 29

professional actions and behavior to those with whom they interact professionally, including clients, colleagues, and society.

Question 30

The standards of professional nursing practice define

Answer 30

tasks that all nurses, regardless of role or specialty, are expected to be competent in performing.

Question 31

TheStandards of Practicecorrespond to the

Answer 31

critical thinking model known as the nursing process.

Question 32

The nursing process guides nurses in the

Answer 32

delivery of care and includes sequential steps.

Question 33

The five sequential steps utilized by registered nurses are

Answer 33

assessment, analysis, planning, implementation, and evaluation.

Question 34

The four sequential steps used by LPNs are

Answer 34

data collection, planning, implementation, and evaluation.

Question 35

TheStandards of Professional Performancedefine

Answer 35

competent behavior of all registered nurses, such that care is provided in an ethical manner with respect for cultural diversity.

Question 36

Examples of cultural diversity factors include

Answer 36

race, ethnicity, age, ability, language, nationality, socioeconomic status, gender, religion, and sexual orientation.

Question 37

Standards of care refer to

Answer 37

the level of care a nurse provides as compared with other nurses who have comparable education, competency, and experience.

Question 38

State Nurse Practice Acts

Answer 38

are the current laws and regulations governing nursing practice in every state and territory of the United States.

Question 39

The Quality and Safety Education for Nursing (QSEN) project

Answer 39

developed competencies that nursing students should acquire in nursing school.

Question 40

The six competencies are

Answer 40

patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.

Question 41

NLN Integrating Competencies are used as a resource to

Answer 41

ensure all students in prelicensure nursing programs have received the same level of education upon entry to practice.

Question 42

The four competencies that new graduates should demonstrate are

Answer 42

human flourishing, nursing judgment, professional identity, and spirit of inquiry.

Question 43

Licensure provides a means of

Answer 43

protecting the public’s health and welfare; it ensures that a nurse has met predetermined minimum requirements necessary for the delivery of safe and competent care.

Question 44

The Nurse Licensure Compact (NLC) permits nurses to

Answer 44

practice in their home state and other compact states under one multistate license.

Question 45

Certificate programs

Answer 45

are additional educational opportunities that cover very specific content, such as leadership and management, and which a nurse can choose to take following initial licensure.

Question 46

Certification is a method in which an individual, such as a nurse licensed to practice in the nursing profession, demonstrates that

Answer 46

he or she has met specific predetermined standards for specialty practice.

Question 47

Credentialing is a process that

Answer 47

provides confirmation of an individual’s abilities to practice as a health professional. It requires the individual complete a program of study and demonstrate abilities established as standards of care.

Question 48

Credentialing also refers to the process by which an employer

Answer 48

verifies that the nurse has the necessary education, training, and experience to practice in the state.

Question 49

Bachelor of Science in Nursing Essentials

Answer 49

Essentials of skills, knowledge and attitudes a graduate of a baccalaureate nursing program should demonstrate upon graduation.

Question 50

credentialing

Answer 50

Formal verification and recognition of an individual’s qualifications and competence to provide services in their occupation.

Question 51

licensure

Answer 51

A state’s legal authorization for a professional to practice within a specified industry and scope of practice.

Question 52

National Council Licensure Examination (NCLEX)

Answer 52

Nationwide standardized test for the examination and licensing of either registered nurses or practical nurses developed by the National Council of State Boards of Nursing.

Question 53

National Council of State Boards of Nursing (NCSBN)

Answer 53

Group of nursing regulatory bodies whose purpose is to protect the health and welfare of the public by ensuring that licensed nurses deliver safe and competent nursing care through recommendation of nursing practice regulations and competency assessment.

Question 54

National League of Nursing Integrating Competencies

Answer 54

Competencies that serve as a resource to ensure that all students in prelicensure nursing programs are educated at the same fundamental level upon entry to practice.

Question 55

NCSBN Transition to Practice (TTP) model

Answer 55

A recognized program of active learning used across all practice settings for newly licensed nurses (RN and LPN) intended to assist their transition from education to practice.

Question 56

Nurse Licensure Compact (NLC)

Answer 56

An agreement by state licensing boards that allow a nurse to practice in any state that has adopted the compact under one license.

Question 57

Nurse Practice Acts (NPA)

Answer 57

A state law that explains the functions and responsibilities of the professional nurse.

Question 58

Quality and Safety Education for Nursing (QSEN)

Answer 58

Set of nursing competencies and proposed targets for the knowledge, skills, and attitudes that all prelicensure nursing students should have attained for entry to practice.

Question 59

reciprocity

Answer 59

Ability to transfer current state license to another, providing the nurse has an initial nursing license and is in good standing.

Question 60

scope of nursing practice

Answer 60

Sets forth the services or activities that licensed professionals are deemed competent and permitted to perform.

Question 61

standards of care

Answer 61

Minimum level of care a professional must provides based upon legal requirements, facility or organizational policies and in comparison to other professionals who have comparable education, competency, and experience.

Question 62

Standards of Practice

Answer 62

Explanatory statements that describe a competent level of care for all nurses, using the critical thinking model known as the nursing process.

Question 63

standards of professional nursing practice

Answer 63

Defines the nurse’s responsibilities and accountability required for every practicing nurse, regardless of role, specialty, or area of concentration. They include Standards of Practice and Standards of Professional Performance.

Question 64

Standards of Professional Performance

Answer 64

Defines competent behavior of all registered nurses where professional care is provided.

Question 65

Educational nursing programs are regulated and approved by

Answer 65

their state’s BON to ensure they cover the knowledge and skills needed for graduate nurses to practice safe and competent care.

Question 66

For nursing programs to gain approval from

Answer 66

the state BON, they must meet state requirements under the NPA, which includes administrative rules and regulations. Eventually, a new school of nursing can become accredited once it meets the necessary criteria established by one of the

Question 67

two national accreditation organizations—the

Answer 67

Accreditation Commission for Education in Nursing (ACEN) and the Commission on Collegiate Nursing Education (CCNE).

Question 68

A student enrolled in a nursing education program must complete two requirements to obtain nursing licensure.

Answer 68

Graduate from a nursing education program approved by the BON
Pass the National Council Licensure Examination (NCLEX)

Question 69

QSEN project began in 2005 and is based on the Institute of Medicine’s (2003) core competencies for all health clinicians—

Answer 69

that is, the skill set needed to provide safe and quality care.

Question 70

six QSEN competencies are

Answer 70

patient-centered care, teamwork and collaboration, evidence-based practice (EBP), quality improvement (QI), safety, and informatics.

Question 71

Patient-centered care is achieved when

Answer 71

the nurse provides caring, compassionate, and culturally sensitive care that addresses a client’s physiological, psychological, sociological, spiritual, and cultural needs, preferences, and values. As an example of patient-centered care, the nurse asks a client for his or her viewpoint and ideas when making decisions in the planning and provision of care.

Question 72

Teamwork and collaboration competency involves

Answer 72

the nurse being aware of his or her own strengths and limitations. As an example of this competency, the nurse asks another team member for help when inserting a peripheral intravenous device. The nurse also acts as a team member by acknowledging each team member’s role and speaking highly of another team member.

Question 73

Evidence-based practice (EBP) competency relates to the

Answer 73

nurse’s ability to analyze the difference between evidence-based care versus the normal way of providing client care, which could result in less desirable client outcomes. An example of evidence-based practice is the nurse searching for research related to clinical practice questions and protocols.

Question 74

Quality improvement (QI) competency entails

Answer 74

the application of care-related and organizational processes to develop and implement a plan to improve health care services and better meet the needs of the client. Changing the discharge process to make it easier for both staff and clients is a way that the nurse can demonstrate QI.

Question 75

Safety competency involves

Answer 75

minimizing risk factors that could cause injury or harm while promoting quality care and maintaining a secure environment for clients, self, and others. A nurse who demonstrates safety competency utilizes good hand hygiene practices and never recaps a used needle.

Question 76

Informatics competency involves

Answer 76

the nurse’s ability to utilize technology as a communication and information-gathering tool that supports clinical decision-making and scientifically based nursing practice. A nurse who is able to document client education and care and use new technological devices such as IV pumps is demonstrating informatics competency.

Question 77

. The NLN’s nursing mission is guided by four core values—

Answer 77

caring, integrity, diversity, and excellence.

Question 78

TheNational League of Nursing Integrating Competenciesserve as a resource to ensure that

Answer 78

all students in prelicensure nursing programs are educated at the same fundamental level.

Question 79

New graduates should demonstrate the following four NLN competencies:

Answer 79

Human flourishing
Nursing judgment
Professional identity
Spirit of inquiry

Question 80

The National Association for Practical Nurse Education and Services (NAPNES) is the organization responsible for

Answer 80

setting the standards for educating licensed practical/vocational nurses and advancing the practice and education of practical and vocational nurses.

Question 81

After completing the nursing program and receiving a certificate, the graduate student must

Answer 81

apply to the state BON for permission to take the NCLEX-PN.

Question 82

If the graduate student fails the NCLEX exam, a

Answer 82

waiting period of 45 to 90 days is required before retaking the exam.

Question 83

Each state’s BON regulates the activities the

Answer 83

practical nurse can and cannot perform, as described in the NPA

Question 84

Keep in mind that facilities such as nursing homes, provider offices, and home health agencies can narrow the state’s set scope of practice. Even though a nurse has been deemed by the state BON as competent in performing specific services, the employer can

Answer 84

limit the nurse’s role and responsibilities as outlined in the scope of employment.

Question 85

An individual organization establishes those services an employee can perform, which can be narrower than the set of services stated in the NPA regulations but can never be

Answer 85

broader than what the NPA regulations deem within the nurse’s roles and responsibilities.

Question 86

scope of employment is the

Answer 86

job description that the nurse signs during the hiring process.

Question 87

The LPN is not permitted to

Answer 87

diagnose or independently treat clients—because they are not legally qualified to do so.

Question 88

Thus, the LPN always works under the direct supervision of

Answer 88

an RN health care provider or APRN.

Question 89

The steps of the nursing process for the LPN are

Answer 89

data collection, planning, implementation, and evaluation.

Question 90

In contrast to the LPN scope of practice, the RN can work

Answer 90

independently in various settings.

Question 91

The registered nurse uses the nursing process as the basis for

Answer 91

decision-making and actions taken.

Question 92

Advanced practice registered nurses (APRN) are nurses who have earned, at a minimum, a master’s degree in nursing in one of four recognized APRN roles:

Answer 92

Certified nurse anesthetist (CRNA)
Certified nurse-midwife (CNM)
Clinical nurse specialist (CNS)
Certified nurse practitioner (NP)

Question 93

Thestandards of professional nursing practicedefine

Answer 93

those responsibilities that every nurse is expected to be capable of performing, regardless of the nurse’s role, population, or area of specialty.

Question 94

The standards of professional nursing practice consist of

Answer 94

theStandards of Practiceand theStandards of Professional Performance.

Question 95

National Council of State Boards of Nursing (NCSBN) is an organization whose membership includes

Answer 95

the state BONs

Question 96

The NCSBN is responsible for the development of the nurse licensure and certification exams, including the

Answer 96

National Council Licensure Examination (NCLEX).

Question 97

The NCLEX-RN and NCLEX-PN exams are two types of standardized adaptive tests developed by the NCSBN and used by state regulatory boards to determine if

Answer 97

to determine if a candidate is safe to practice as an entry-level nurse.

Question 98

process of licensure involves the

Answer 98

verification of graduation from an approved prelicensure nursing education program,
confirmation of successful completion of the NCLEX exam, and in some states, a criminal background check.

Question 99

To be eligible to take the NCLEX exam, the graduate must first

Answer 99

complete and submit an application for licensure and pay a licensure fee to the nursing regulatory body, such as the state BON, where the graduate nurse desires to be licensed.

Question 100

Once the application for licensure has been submitted, the graduate is eligible to

Answer 100

take the NCLEX exam.

Question 101

Once the graduate has completed the NCLEX registration process, the state BON

Answer 101

validates the applicant’s eligibility to take the NCLEX exam.

Question 102

NCLEX registration will stay open for

Answer 102

365 days. Once the candidate has received notice that he or she is eligible to take the NCLEX exam, the applicant will receive validity dates on the The applicant forfeits the NCLEX registration and any fees paid if he or she does not receive eligibility notification from the state BON within 365 days.

Question 103

Authorization to Test (ATT) is valid for a specific period, which is

Answer 103

approximately 90 days. (so nclex registration good for 365 days / ATT only valid for 90 days)

Question 104

The 95% confidence interval rule is most commonly used. With this rule, the computer will

Answer 104

stop giving the candidate items when it is 95% certain that the candidate’s ability is above (pass) or clearly below (fail) the passing standard.

Question 105

The maximum-length exam is another rule used to determine if

Answer 105

the candidate passes or fails the exam. It is used when the candidate’s ability is close to the passing standard. The computer will continue to give the candidate items until the maximum number of items is reached. With this rule, the 95% rule will not be considered, and the candidate’s final ability estimate is used to determine pass or fail. If this is above the passing standard, the result is considered a pass; if it is below the passing standard, the result is considered a fail.

Question 106

The run-out-of-time rule is used when

Answer 106

the candidate runs out of time before reaching the maximum number of items and the computer cannot determine a pass or fail result for the candidate. With this rule, the candidate will fail if the minimum number of items was not answered. Also, under this rule, if the candidate answers the minimum number of items, the computer will review the candidate’s last 60 ability estimates. If this performance is above the standard, the student will pass; if it is below the standard, this candidate will fail.

Question 107

A candidate who fails the NCLEX-RN or NCLEX-PN is permitted to retake the exam, although the candidate must wait a minimum of

Answer 107

45 days before doing so.

Question 108

The minimum and max number of questions for the NCLEX-RN

Answer 108

is 75, and the maximum number of questions is 265.

Question 109

Licensureis the method by which

Answer 109

the BONs authorize an individual to practice nursing within a specific scope of practice.

Question 110

Licensure ensures that

Answer 110

an individual has met predetermined qualifications to practice the profession, thus protecting the public from undue harm and providing safe and competent care.

Question 111

The profession of nursing requires a

Answer 111

valid license for an individual to call oneself a licensed professional and to practice nursing legally.

Question 112

Periodic license renewal is required to

Answer 112

maintain the right to practice nursing

Question 113

. State BONs are responsible for implementing the

Answer 113

necessary procedures for nurses to apply for licensure renewal.

Question 114

Each state’s BON sets the requirements for

Answer 114

license renewal. Mandated continuing education, practice hours, and other required activities vary among the different state BONs, which is essential to remember if a nurse carries multistate licensure.

Question 115

Any action by the nurse that places a client at harm is a reason for the BON to take

Answer 115

disciplinary action against the nurse.

Question 116

Examples of disciplinary actions that BONs can take include

Answer 116

reprimand, probation, limits or restrictions placed on nursing practice, suspension of a nurse’s ability to practice, or revocation of a nursing license.

Question 117

A licensed nurse is responsible for practicing within the

Answer 117

defined scope of practice based on the boundaries specified in the laws and regulations, consistent with the nurse’s education, knowledge, skills, and abilities.

Question 118

The BON has the authority to_____ a nursing license and has the power to _____ a nursing license.

Answer 118

grant
revoke

Question 119

Telehealth nursing involves the delivery of health care using

Answer 119

machines, services, or interventions in which health-related information is provided remotely.

Question 120

Examples of telehealth nursing include

Answer 120

monitoring clients from virtual hospitals, using remote client monitoring units to collect data, staffing call centers, and providing care from a home office such as with case management.

Question 121

TheNurse Licensure Compact (NLC)permits nurses to

Answer 121

practice in their primary state of residence and other compact states under one multistate license.

Question 122

The NLC is a good option for nurses who practice

Answer 122

across state lines, such as with travel nursing, telehealth nursing, nurse educators who provide online nursing education, and nurses who provide services during disasters in other NLC states.

Question 123

A travel nurse is a registered nurse who takes

Answer 123

a temporary assignment, typically lasting 13 weeks, in an area of specialty.

Question 124

If a nurse resides in a compact state and meets the uniform licensure requirements, the nurse may apply for

Answer 124

a multistate license in another NLC state.

Question 125

If the applicant does not meet the uniform licensure requirements for a multistate license, they will need to apply for a

Answer 125

single-state license.

Question 126

The nurse who applies for a multistate license must hold a valid and active

Answer 126

nursing license in their primary state of residence to be approved for a multistate license.

Question 127

In contrast to the multistate license, the single-state licensing format requires the nurse to

Answer 127

obtain a license in every state in which the individual wishes to practice.

Question 128

If a nurse has a single-state license and practices in another single-state license state, the nurse will have to

Answer 128

apply for an additional license and pay a licensure fee in the state in which theynow wishto practice.

Question 129

States are recognized as reciprocal states when they

Answer 129

accept a valid nursing license from another state. All 50 states have this

Question 130

Applying forreciprocitydiffers from applying for

Answer 130

initial licensure.

Question 131

The nurse who wishes to transfer a single-state license from one state to another is required to have a

Answer 131

valid license with a clean record, submit an application with the state BON for a license, and pay a fee before being approved.

Question 132

An example of reciprocity is when

Answer 132

a nurse who is practicing in a single-licensure state moves to another single-licensure state and is required to apply for a new license in the new state of residence. The nurse is not required to retake any exam, including the NCLEX exam, repeat any educational classes, or reapply for specialty nursing certification when applying for a new license.

Question 133

Following licensure as a nurse, nurses can take multiple paths to demonstrate proficiency in their field of practice. One of these options is a

Answer 133

certificate program, which provides instruction in a concentrated area or topic of study, usually followed by a test. Another option is certification in a specialty area of practice.

Question 134

Certificate programs are

Answer 134

additional educational opportunities that cover very specific content, and which a nurse can choose to take following initial licensure.

Question 135

Certificate programs generally offer

Answer 135

continuing education contact hours.

Question 136

Completion of a certificate program earns the nurse the ability to

Answer 136

enhance his or her practice in a specific area; to fortify his or hercurriculum vitaeor resume, making the nurse more marketable; and potentially, to result in an increase in salary.

Question 137

Nurses who obtain certification are experts in their specialty field. Specialty areas in which registered nurses can earn certification include

Answer 137

ambulatory care, cardiac vascular, gerontological, informatics, medical-surgical, nurse executive, nursing case management, nursing professional development, pain management, pediatric, and psychiatric–mental health.

Question 138

Credentialingis a process that provides confirmation of

Answer 138

an individual’s abilities to practice as a health professional. It requires the individual to complete a program of study and demonstrate abilities established asstandards of care.

Question 139

After passing the NCLEX examination, nurses will sign all legal documentation during the course of their professional responsibilities with their

Answer 139

credentials.

Question 140

Credentials provide an indication that

Answer 140

the nurse has met established standards of excellence and achievement, and communicate this information to employers, peers, and consumers.

Question 141

A nurse’s credentials should be listed in a specific order, beginning with

Answer 141

the highest educational level attained, followedby licensure, state designation/requirement, national certification, honors and awards, and any other certifications.

Question 142

For example, a registered nurse who has completed the requirements for a master’s degree in nursing and has obtained certification from the Oncology Nurses Society would have the following credentials.

Answer 142

J. Jones, MSN, RN, OCN

Question 143

Recredentialing,

Answer 143

which involves a renewal of the nursing license,

Question 144

Recredentialing, is governed by

Answer 144

state and local statutes and regulations and can occur every 3 years or less. It is up to the nurse to maintain awareness of the timeline and requirements for recredentialing. Failure to do so will result in an inability to practice as a nurse. Requirements can be found on state BONs’ websites.

Question 145

Credentialing can be defined as the process in

Answer 145

which an employer verifies that the nurse has the necessary education, training, and experience to practice in the state.

Question 146

Credentialing is normally completed when

Answer 146

a nurse is hired and may be updated routinely.

Question 147

1. A nurse is teaching a group of nurses and asks which of the NLN integrating competencies is defined as having respect for diversity, holistic care, client-centered approach, and client advocacy. Which of the following competencies does this describe?
   A) Human flourishing
   B) Nursing judgment
   C) Patient-centered care
   D) Spirit of inquiry

Answer 147

A) Human flourishing

Question 148

2. A newly licensed nurse is reviewing electronic information about the NCLEX® exam from the National Council of State Board of Nursing (NCSBN) website. Which of the following information should the nurse identify as passing criteria for the NCLEX computerized adaptive test (CAT)?
   A) The computer will stop giving items using the 95% confidence interval rule.
   B) The board of nursing for each state determines the passing grade for the NCLEX exam.
   C) The candidate receives the maximum number of items available.
   D) The candidate runs out of time before answering the minimum number of items.

Answer 148

A) The computer will stop giving items using the 95% confidence interval rule. The NCLEX is graded as pass or fail. The candidate will pass the NCLEX once it is determined by the 95% confidence interval that the candidate’s ability is above passing standards. This is the pass or fail criteria for the 95% confidence interval rule.

Question 149

3. A nurse resides in a state that recently enacted the Nurse Licensure Compact (NLC). Which of the following information should the nurse identify as a part of the NLC?
   A) The NLC requires a nurse to obtain a license for each state in which they wish to practice.
   B) The NLC allows a nurse to practice across state lines with one license.
   C) The NLC allows a nurse to have a suspended license when practicing under a multistate license.
   D) The NLC is not a good option for telehealth nursing.

Answer 149

B) The NLC allows a nurse to practice across state lines with one license

Question 150

4. A nurse receives a license renewal notification from the board of nursing. The nurse should identify that a license renewal requires the disclosure of which of the following?
   A) Medical history
   B) Substance use within the past 5 years
   C) Certifications received
   D) Current salary

Answer 150

B) Substance use within the past 5 years

Question 151

5. A nurse is providing client care using the nursing process. The nurse should identify that which of the following standards or guidelines includes this criterion?
   A) Standards of care
   B) Clinical practice guidelines
   C) Standards of practice
   D) Standard to plan nursing care

Answer 151

C) Standards of practice
Standards of practice are explanatory statements that describe a competent level of care for all nurses using the critical thinking model known as the nursing process. Nursing has general standards of practice to which every nurse is held accountable

Question 152

6. A nurse is reviewing the scope of nursing practice. Which of the following is the purpose of the nursing scope of practice?
   A) Provides recommendations for nursing practice
   B) Provides competencies for the nurse to achieve before receiving initial licensure
   C) Serves as a contractual document between the nurse and their employer
   D) Specifies the actions a nurse can perform

Answer 152

D) Specifies the actions a nurse can perform

Question 153

7. A graduate nurse is offered a position in the emergency department upon the granting of
   initial licensure. Which of the following information should the graduate nurse identify as a requirement during the initial licensure process?
   (Select all that apply.)
   A) Verification of graduation
   B) Criminal background check in certain states
   C) Passing score on NCLEX examination
   D) Submitting continuing education hours with
   the application
   E) Self-disclosure of any substance use in the
   past 5 years

Answer 153

A) Verification of graduation
B) Criminal background check in certain states
C) Passing score on NCLEX examination
E) Self-disclosure of any substance use in the past 5 years

Question 154

8. A newly licensed nurse is reviewing information about the National Council of State Board of Nursing (NCSBN) Transition to Practice (TTP) program. Which of the following factors should the nurse expect?
   A) TP programs increase job retention.
   B) TP programs decrease the ability to provide safe client care.
   C) TP programs increase stress in the workplace.
   D) TP programs decrease competency

Answer 154

A) TP programs increase job retention.

Question 155

9. A nurse is reviewing the licensing laws in their state of residence. Which of the following statements should the nurse use to define licensure?
   A) “Licensure increases state revenue.”
   B) “Licensure limits the number of practicing nurses.
   C) “Licensure protects the health and welfare of the public.”
   D) “Licensure protects a nurse from a malpractice lawsuit.’

Answer 155

C) “Licensure protects the health and welfare of the public.”

Question 156

10. A newly licensed nurse is reviewing the standards of care when performing client care. Which of the following describes a standard of care?
    A) Explanatory statements that describe the competent level of care for all nurses to follow in practice
    B) A component of the nursing scope of practice that specifies the competent level of behavior expected in the professional role
    C) Part of the nursing scope of practice that specifies the nurse’s role in alleviating client suffering and promoting client healing
    D) The level of care a nurse provides that is the same for all nurses who have comparable education, competency, and experience

Answer 156

D) The level of care a nurse provides that is the same for all nurses who have comparable education, competency, and experience

Question 157

11. A nurse is delivering client care in partnership with multidisciplinary members of the health care team. This is an example of which of the following QSEN competencies?
    A) Safety
    B)Patient-centered care
    C) Quality improvement
    D) Teamwork and collaboration

Answer 157

D) Teamwork and collaboration

Question 158

12. A nurse is educating a group of nurses about the Nurse Practice Act (NPA). Which of the following statements should the nurse include? (Select all that apply.)
    A) The PA contains current laws and regulations for nursing practice.
    B) The PA is the same for all states.
    C) The PA contains standards and scope of practice.
    D) The federal government enforces the PA for each state.
    E) The nurse is responsible to know current roles and responsibilities as defined by the NPA.

Answer 158

A) The PA contains current laws and regulations for nursing practice.
C) The PA contains standards and scope of practice.
E) The nurse is responsible to know current roles and responsibilities as defined by the NPA.

Question 159

13. A nurse holds a single state nursing license and is preparing to move to another state. For the nurse to apply for reciprocity, which of the following actions should the nurse take? (Select all that apply.)
    A) Present a current and valid nursing license.
    B) Submit an application.
    C) Pay the fees for new license.
    D) Retake the NCLEX exam.
    E) Reapply for specialty nursing certifications held in their previous home state.

Answer 159

A) Present a current and valid nursing license.
B) Submit an application.
C) Pay the fees for new license.

Question 160

14. A nurse is responsible for their actions with whom they interact professionally, including clients, colleagues, and society as a whole. Which of the following components of the practice of nursing addresses this expected behavior?
    A) Standard to plan nursing care
    B) Standards of professional performance
    C) Standards of care
    D) Clinical practice guidelines

Answer 160

B) Standards of professional performance