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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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A. Trouble sleeping the previous night may not be directly related to the decision to withhold antihypertensive medication.
B. Dizziness when ambulating could indicate hypotension, which can be exacerbated by antihypertensive medication. The nurse should collect further data to ensure the patient's blood pressure is safe for medication administration.
C. Urine output is important to monitor but does not directly indicate a need to withhold antihypertensive medication unless associated with other symptoms.
D. Eating 60% of breakfast does not indicate a need to collect further data before administering antihypertensive medication.

A. Be informed if prescribed medications are part of a research study. B. Refuse medication regardless of the consequence C. Be informed of medication name, purpose, action, and potential side effects. D. Not receive unnecessary medication.

Correct Answer is B

Explanation

A. This right involves informing the patient about participation in research, not relevant to the patient's refusal of the medication. It is important but does not apply to the patient's immediate concern about the medication's side effect.
B. Patients have the right to refuse any medication, regardless of potential consequences, and this right must be respected. Respecting this right involves acknowledging the patient’s autonomy and addressing their concerns.
C. This right involves educating the patient about their medications, which may help them make informed decisions about their treatment. While important, it is not directly related to the patient's immediate refusal of the medication.
D. This right ensures that patients are not given medications that are not clinically indicated. It is important for preventing overmedication but is not directly related to the patient's refusal of the medication due to side effects.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?

Correct Answer is B

Explanation

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?

Correct Answer is B

Explanation

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 is caring for a patient with impaired liver function and is jaundice. The nurse needs to make more focused assessments when administering medications to this patient because the patient may experience problems with the process of:

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

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?

Before administering client medications, the nurse must identify the client. Which of the following methods of identification should the nurse use?

A nurse is transcribing a client's medication prescriptions and is having difficulty reading the provider's handwriting. Which of the following actions should the nurse take?

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?

A nurse is performing a medication reconciliation while admitting an older adult client transferred from a long-term care (LTC) facility. Which of the following should the nurse identify as part of the medication reconciliation process?