Module J – Initial Licensure and Practice 1. A graduate has started to work under a temporary permit on an acute care inpatient surgical unit. For what period of time must the new graduate have the direct supervision of an experienced registered nurse? a. b. c. d. 2. A nurse practicing in another party state pursuant to the multistate privilege must comply with the state practice laws of the a. b. c. d. 3. one attempt and within four years of graduation two attempts and within three years of graduation three attempts and within four years of graduation unlimited times within 4 years of graduation, 50 days apart At 6:40 p.m., the nurse arrives for his night shift on a busy medical unit. Two of the four nurses who were scheduled for the night shift have called in sick and there are no replacements. The nurse expresses to the nursing supervisor the concern that the patient load is unsafe. Which action by the nurse is best? a. b. c. d. 5. state in which the patient is located at the time care is given state in which the nurse resides at the time care is given home state former home state An applicant for initial licensure by examination shall pass the NCLEX-RN within a. b. c. d. 4. throughout the new employee orientation six weeks twelve weeks six months Accept the assignment and invoke Safe Harbor Peer Review. Refuse the assignment Accept the assignment after documenting his concerns. Accept the assignment only if additional nursing staff is provided. The following is a test item from the NCLEX-RN: The nurse is admitting a patient who is jaundiced due to pancreatic cancer. The nurse should give the HIGHEST priority to which of the following needs? a. b. c. d. Nutrition Self-image Skin integrity Urinary elimination Which answer plus rationale is correct? a. Nutrition: profound weight loss and anorexia occur with pancreatic cancer, physical needs take preference. b. Self-image: jaundiced patients are concerned about how they look c. Skin integrity: Jaundice causes dry skin and pruritis; scratching can lead to skin breakdown d. Urinary elimination: urine is dark due to obstructive process; kidney function is not affected 6. The mission of the Board of Nurse Examiners is to a. b. c. d. 7. Which professional development activities will satisfy the continuing education requirement for relicensure? a. b. c. d. 8. a percentage of questions from the “gray zone” the difficulty level of the questions answered correctly an oral examination to determine competence performance on standard questions The purpose of defining standards of practice is to a. b. c. d. 10. CPR renewal Unit inservice on the new PCA pump TNA Leadership Annual Conference Maternal child health refresher course NCLEX examination decisions are based on how many questions a candidate answers correctly and a. b. c. d. 9. promote professional nursing in Texas protect the public of Texas provide continuing education for nurses produce employment standards for nurses serve as the basis for job descriptions for employers of nurses identify roles and responsibilities of the registered professional nurse (RN) in any health care setting specify maximum performance standards for the professional nurse restrict the practice of professional nursing to the skills listed by the BNE To avoid a lapsed license and disciplinary action, the nurse must keep the Board informed of her current address at all times. The nurse can do this by a. b. c. d. calling the Board staff with the address change filing a change of address form with the US Post Office submitting an address correction with the employer sending written notice to the Board, clearly marked “change of address”.