After accepting employment in a state different from where a practical nurse (PN) is currently employed, it is most important for the PN to review which reference?

Standards of practice for practical nursing.

The licensing state's PN scope of practice.

Geriatric standards of care guidelines.

The employing agency's procedure manuals.

Answer and Explanation

The Correct Answer is B

A. Standards of practice for practical nursing: While important for general nursing care, national or professional standards do not replace the specific legal requirements outlined by the state’s licensing authority, which directly govern what a PN can and cannot do.
B. The licensing state's PN scope of practice: Each state defines the legal scope of practice for practical nurses, including what tasks they are authorized to perform. Reviewing the specific state's scope of practice ensures the PN practices legally and professionally in the new employment setting.
C. Geriatric standards of care guidelines: Geriatric care guidelines help provide quality care for older adults but are not the first priority when ensuring lawful nursing practice across state lines. Legal requirements must be understood first.
D. The employing agency's procedure manuals: While agency policies are important for specific job performance, they must be aligned with the state's legal scope of practice. Knowing the legal boundaries first is crucial before following any workplace procedures.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. "Have you experienced anxiety or anger?": Feelings of anxiety and anger are common in anticipatory grief, but while important, they do not represent the most urgent safety concern compared to assessing for suicidal ideation.
B. "Have you been able to perform daily activities?": Evaluating functional status is important but is not the highest priority when first assessing a client’s emotional and psychological response to a terminal diagnosis.
C. "Have you had suicidal thoughts?": Assessing for suicidal ideation is the highest priority because clients facing a terminal illness may experience overwhelming despair. Ensuring the client’s immediate safety must come before addressing emotional support or coping mechanisms.
D. "Have you joined any support groups?": Participation in support groups is helpful for emotional healing, but determining the client's current mental health status and safety must be addressed before exploring support resources.

A. Maintain sterile technique during specimen collection. B. Assist the client to cleanse the perineal area prior to voiding. C. Instruct the client to discard the first voided specimen. D. Insert an indwelling urinary catheter.

Correct Answer is C

Explanation

A. Maintain sterile technique during specimen collection: Sterile technique is required for urine cultures, not for 24-hour urine collections. For a timed urine collection, clean collection techniques are sufficient to accurately measure excretion over a full day.
B. Assist the client to cleanse the perineal area prior to voiding: While perineal hygiene is important, it is not the primary step when starting a 24-hour urine collection. The critical action is ensuring that the first void is discarded to properly begin timing the collection period.
C. Instruct the client to discard the first voided specimen: The first void is discarded to ensure the collection accurately measures substances excreted during the full 24-hour period. Timing officially starts after discarding the initial urine, and every subsequent void must be collected.
D. Insert an indwelling urinary catheter: Inserting an indwelling catheter is unnecessary unless the client is unable to void independently. Most 24-hour urine collections are performed using normal voiding and collection into a clean container.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

After accepting employment in a state different from where a practical nurse (PN) is currently employed, it is most important for the PN to review which reference?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A practical nurse (PN) is providing care to a client who recently received a terminal illness diagnosis. Which question by the PN is the highest priority when assessing anticipatory grief?

Correct Answer is C

Explanation

When initiating a 24 hour urine collection, which action should the practical nurse (PN) take?

Correct Answer is C

Explanation

The practical nurse (PN) turns a client with right sided paralysis from a supine to a left lateral position. Which bony prominence is most likely to manifest signs of erythema when first turned?

Immediately after completing the total bed bath and linen change for an unconscious client, the practical nurse (PN) observes that the client was incontinent with a large amount of liquid feces. Which action should the PN implement?

The unlicensed assistive personnel (UAP) working in a small community hospital obtains 0800 vital sign measurements of clients on the unit. In reviewing these vital signs, which measurement warrants immediate intervention by the practical nurse?

One week after beginning a new prescription for potassium chloride, a client tells the practical nurse (PN) that there is tingling and numbness in the feet and hands. Which action should the PN take?

A client with a malabsorption syndrome has a low serum calcium level. The practical nurse should monitor the client for which problem?

Which disposable product should the practical nurse (PN) place in a biohazard container?

The practical nurse (PN) is administering an analgesic to a client with low back pain. To promote the effectiveness of the medication, which is the best intervention for the PN to implement?

The practical nurse (PN) is administering multiple medications to an older adult client. The client has been receiving all of the same medications for one week. Which assessment is most important for the PN to make?