Question

An RN may be disciplined by the LSBN for which of the following? The RN who..... (Select all that apply)

Answer 1

Correct Answers:

Engages in practice when chemically impaired (drugs, alcohol, etc.)
Practices when mentally incompetent
Practices with an expired license

Rationale :

Engages in practice when chemically impaired (drugs, alcohol, etc.)

🔷 Practicing while chemically impaired places clients at immediate risk for medication errors, delayed responses, and unsafe judgment.

🔷 Boards of nursing discipline this because it violates safe practice standards and professional responsibility.

🔷 Impairment can lead to failure to recognize deterioration, improper documentation, and poor coordination of care.

🔷 The priority of the board is public protection, so impaired practice triggers investigation and sanctions.

🔷 This behavior is a direct threat to patient safety and professional integrity.

Practices when mentally incompetent

🔷 Mental incompetence can impair judgment, decision-making, and safe execution of nursing responsibilities.

🔷 Boards discipline this because it affects the nurse’s ability to maintain safe, competent practice.

🔷 The nurse may be unable to prioritize care, recognize emergencies, or follow standards reliably.

🔷 Unsafe cognitive/psychiatric impairment can lead to harm even without intent.

🔷 Disciplinary action supports client safety and encourages appropriate evaluation/treatment before practice.

Practices with an expired license

🔷 Working with an expired license means practicing without legal authorization.

🔷 This violates state nursing regulations and undermines professional accountability.

🔷 A current license confirms eligibility, compliance, and ongoing authority to provide care.

🔷 Practicing without it exposes clients and the facility to legal and regulatory risk.

🔷 This is a clear basis for LSBN disciplinary action.

Charges friends and neighbors for nursing care delivered

🔷Charging for nursing services is not automatically misconduct; it may be legitimate if done legally and ethically.

🔷Discipline would relate to unlicensed practice, fraud, or unsafe care, not simply charging someone.

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Answer 2

Correct Answers:

One who was admitted 1.5 hours ago with chest pain and still having pain

Rationale :

💠 A client with ongoing chest pain is unstable and at risk for myocardial ischemia or infarction.

💠 Vital signs in this situation must be obtained by the RN who can also perform immediate cardiac assessment and rapid interventions.

💠 Delegation is inappropriate when findings require clinical judgment and urgent decision-making.

💠 The RN must assess pain response, perfusion, oxygenation, and potential deterioration.

💠 This client requires priority RN evaluation, not routine CNA vitals.

Receiving D5W via continuous drip

💠This is generally a stable, predictable situation where routine vital signs can be delegated.

💠The RN still reviews trends, but the task itself is appropriate for CNA.

Says she is going to sue the hospital

💠Legal threats do not automatically make the client clinically unstable.

💠Vital signs can be delegated if the client is physiologically stable.

Scheduled for surgery in the AM

💠Pre-op vitals are routine and can be delegated if the client is stable.

💠The RN focuses on pre-op assessment, teaching, and risk review.

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Answer 3

Correct Answers:

Identify community resources that can help Amanda

Rationale :

🟣 Crisis intervention focuses on immediate support, safety, and practical problem-solving.

🟣 After disaster-related loss, connecting Amanda to housing, financial aid, counseling, and relief services reduces distress and restores functioning.

🟣 This approach strengthens coping by mobilizing external supports quickly.

🟣 It validates the crisis and provides tangible steps to regain control.

🟣 Community resources are essential for recovery when the client’s needs exceed personal capacity.

Discuss stages of grief and feelings associated with each

🟣Education about grief can be helpful later, but it is not the most immediate crisis action.

🟣Crisis care prioritizes stabilization and resources first.

Suggest she find a place to live that provides storm shelter

🟣This may be practical, but it is incomplete without helping her access real resources to achieve it.

🟣Crisis intervention should connect her to support systems that can act now.

Tell her how lucky she is to be alive

🟣This dismisses her distress and can increase feelings of isolation or shame.

🟣Therapeutic communication validates feelings rather than minimizing them.

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Answer 4

Correct Answers:

The client is likely experiencing a delayed onset of respiratory complications

Rationale :

🔶 A COOP ensures an organization can continue mission-essential functions during and after emergencies.

🔶 The plan supports continuity of critical services even when staffing, facilities, or systems are disrupted.

🔶 It includes strategies like alternate sites, communication plans, and leadership succession.

🔶 The goal is maintaining the core ability to deliver necessary operations and care.

🔶 COOP is about continuity, not avoidance of evacuation or reduced standards as the primary definition.

Avoidance of facility evacuation

🔶Evacuation may still be necessary depending on the hazard.

🔶COOP prepares for continuity, including safe relocation when needed.

Reduction in the standards of care

🔶Standards of care are guided by policy and ethics; COOP is not defined as lowering standards.

🔶The focus is maintaining essential operations safely.

Ancillary departments remain open for business

🔶Some departments may close or change function during disasters.

🔶COOP prioritizes essential functions, not keeping all departments open.

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Answer 5

Correct Answers:

Fluid status

Rationale :

🟢 Major burns cause massive capillary leak leading to hypovolemia and burn shock.

🟢 After ABC stabilization, the immediate priority is restoring and maintaining circulating fluid volume.

🟢 Adequate fluid resuscitation supports perfusion to organs and prevents renal failure.

🟢 Monitoring includes urine output, vitals, mental status, and lab trends.

🟢 Without prompt fluid management, the client is at high risk for shock and death.

Psychosocial coping

🟢Coping support is important but not the immediate physiologic priority in extensive burns.

🟢Early care focuses on perfusion and stabilization.

Nutritional status

🟢Nutrition becomes critical soon due to hypermetabolism, but it follows initial resuscitation needs.

🟢Immediate risk is fluid loss and shock.

Risk of infection

🟢Infection risk rises significantly, but early post-burn mortality is often related to shock without fluids.

🟢Infection prevention is ongoing after stabilization and resuscitation are underway.

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Answer 6

Correct Answers:

The female patient that received morphine for chest pain 30 minutes ago for a pain grading of 8 out of 10.

Rationale :

🟣 Chest pain suggests possible cardiac ischemia, and morphine can mask symptoms while also causing respiratory depression.

🟣 A reassessment after analgesia is required to evaluate pain relief, oxygenation, BP, and level of consciousness.

🟣 Persistent or recurrent chest pain after morphine can indicate ongoing ischemia requiring urgent action.

🟣 This client has the greatest immediate risk for deterioration among the options.

🟣 Timely reassessment supports early detection of complications and rapid escalation.

Male patient on floor 45 minutes from ED with back pain

🟣Back pain may be serious, but it is not as immediately high-risk as active chest pain treated with opioid.

🟣This patient can be assessed after the higher priority cardiac reassessment.

Female turning on call-light frequently complaining of neglect

🟣This reflects psychosocial distress and unmet needs but not immediate physiologic instability.

🟣Address after urgent clinical risks are managed.

Male had heart cath this morning and has been up to bathroom once

🟣This patient still needs monitoring, but ambulation suggests relative stability if no bleeding or vitals issues are noted.

🟣Immediate post-morphine chest pain reassessment takes priority.

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Answer 7

Correct Answers:

evaluating the patient's progress

Rationale :

🔷 Evaluation requires RN-level judgment to determine whether goals are met and whether the plan of care needs revision.

🔷 LPNs can collect data and report findings, but the RN must interpret and evaluate outcomes.

🔷 Evaluation includes clinical reasoning, prioritization changes, and provider communication decisions.

🔷 This aligns with RN responsibility for the nursing process: assessment, diagnosis, planning, implementation, evaluation.

🔷 Delegating evaluation risks unsafe decisions and violates scope expectations.

Transporting the patient to dialysis

🔷Transport is a stable, routine task appropriate for delegation depending on policy.

🔷The RN ensures stability and required checks before transport.

Administration of oral medications

🔷LPNs commonly administer oral meds within scope and policy.

🔷The RN retains overall accountability and monitors response.

Bed baths and oral care

🔷These are routine hygiene tasks appropriate for delegation to LPN or assistive personnel.

🔷They do not require RN-level clinical judgment.

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Answer 8

Correct Answers:

Do you have any tingling or numbness in your fingers of your left hand?

Rationale :

🔷 A blackened, leathery circumferential burn suggests a full-thickness burn with eschar, which can tighten like a tourniquet.

🔷 This raises the priority risk of neurovascular compromise/compartment syndrome distal to the injury.

🔷 Asking about tingling or numbness assesses perfusion and nerve compression early, before permanent injury occurs.

🔷 Distal symptoms can signal worsening swelling under the eschar and the need for urgent escharotomy to restore circulation.

🔷 This focused question directly targets limb-threatening ischemia, the most immediate concern with circumferential extremity burns.

Is your left shoulder moving ok?

🔷This assesses proximal mobility, but it does not evaluate distal circulation threatened by a circumferential lower-arm burn.

🔷Neurovascular status of the hand/fingers is more urgent than shoulder range of motion.

Are you feeling nauseous?

🔷Nausea is nonspecific and not the priority indicator of a limb-compromising burn complication.

🔷It does not assess the immediate risk of ischemia to the hand.

Are you having any difficulty breathing?

🔷Breathing issues are critical in suspected inhalation injury, but the scenario describes an isolated lower-arm burn.

🔷The priority is the affected extremity’s circulation and neurologic status.

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Answer 9

Correct Answers:

protect the public

Rationale :

💎 The primary purpose of a state board of nursing is public protection through regulation of nursing practice.

💎 The LSBN sets and enforces standards of safe nursing care to reduce harm to clients.

💎 It accomplishes this by licensing nurses, defining scope/standards, and taking disciplinary action when practice is unsafe.

💎 Regulatory authority focuses on ensuring only competent, qualified individuals practice nursing.

💎 This mission centers on patient safety and public trust, not employee advocacy.

protect RNs

💎Boards may support professional practice standards, but their core role is not to serve as a nurse advocacy/protection agency.

💎Protection of nurses is typically the role of professional associations, not regulators.

provide healthcare for RNs

💎The board does not function as a healthcare provider or clinic.

💎Its function is licensure and regulation, not delivering care.

provide healthcare to the public

💎Healthcare delivery is performed by clinical organizations and providers, not the nursing board.

💎The board protects the public by ensuring safe practice, not by giving direct medical services.

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Answer 10

Correct Answers:

Preparedness

Rationale :

🌟 The preparedness phase includes planning activities that build readiness before an emergency occurs.

🌟 Exercises and drills are used to test response systems, workflows, and communication plans.

🌟 Drills identify gaps in staff roles, supplies, triage flow, and command structure before real events happen.

🌟 Preparedness strengthens the facility’s ability to respond effectively and reduce preventable harm during disasters.

🌟 This phase ensures staff can execute the Emergency Operations Plan (EOP) under pressure.

Response

🌟Response occurs during the event and focuses on immediate actions like triage, rescue, treatment, and resource deployment.

🌟 Drills are practice activities that happen before real incidents.

Recovery

🌟Recovery focuses on returning systems to normal and addressing long-term impacts after the event.

🌟 Drills are not a recovery activity—they are readiness-building.

Mitigation

🌟Mitigation aims to reduce hazard impact through prevention and risk reduction strategies (e.g., structural protections).

🌟While mitigation lowers risk, drills specifically fit preparedness.

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QLexNursing

1 :
An RN may be disciplined by the LSBN for which of the following? The RN who..... (Select all that apply)

2 :
The RN and CNA (certified nursing assistant) are caring for all of the following patients. The RN should not delegate the task of vital signs to which patient?

3 :
Amanda's mobile home was destroyed in a tornado. Amanda received only minor injuries but is experiencing disabling anxiety in the aftermath of the event. The most appropriate crisis intervention with Amanda would be to:

4 :
A nurse on a burn unit is caring for a client who experienced burn injuries 2 days ago. The client is now showing signs and symptoms of airway obstruction, despite appearing stable since admitted. How should the client's change in status be best understood?

5 :
A client has been admitted to a burn intensive care unit with extensive full-thickness burns over 25% of the body. After ensuring cardiopulmonary stability, what would be the nurse's immediate, priority concern when planning this client's care?

6 :
The on-coming night RN has received report from the day RN. Which patient should the night RN assess first?

7 :
An RN is working with an LPN to care for a group of patients. Which nursing task should NOT be delegated/assigned to the LPN?

8 :
A patient has blackened, leathery skin circumferentially around the lower left arm secondary to thermal burn. She has no other burn injury. Which of the following questions is most important for the RN to include when assessing the patient?

9 :
The primary purpose of the Louisiana State Board of Nursing (LSBN) is which of the following?

10 :
What phase of emergency management includes exercises and drills?

QLexNursing

1 : An RN may be disciplined by the LSBN for which of the following? The RN who..... (Select all that apply)

2 : The RN and CNA (certified nursing assistant) are caring for all of the following patients. The RN should not delegate the task of vital signs to which patient?

3 : Amanda's mobile home was destroyed in a tornado. Amanda received only minor injuries but is experiencing disabling anxiety in the aftermath of the event. The most appropriate crisis intervention with Amanda would be to:

4 : A nurse on a burn unit is caring for a client who experienced burn injuries 2 days ago. The client is now showing signs and symptoms of airway obstruction, despite appearing stable since admitted. How should the client's change in status be best understood?

5 : A client has been admitted to a burn intensive care unit with extensive full-thickness burns over 25% of the body. After ensuring cardiopulmonary stability, what would be the nurse's immediate, priority concern when planning this client's care?

6 : The on-coming night RN has received report from the day RN. Which patient should the night RN assess first?

7 : An RN is working with an LPN to care for a group of patients. Which nursing task should NOT be delegated/assigned to the LPN?

8 : A patient has blackened, leathery skin circumferentially around the lower left arm secondary to thermal burn. She has no other burn injury. Which of the following questions is most important for the RN to include when assessing the patient?

9 : The primary purpose of the Louisiana State Board of Nursing (LSBN) is which of the following?

10 : What phase of emergency management includes exercises and drills?

1 :
An RN may be disciplined by the LSBN for which of the following? The RN who..... (Select all that apply)

2 :
The RN and CNA (certified nursing assistant) are caring for all of the following patients. The RN should not delegate the task of vital signs to which patient?

3 :
Amanda's mobile home was destroyed in a tornado. Amanda received only minor injuries but is experiencing disabling anxiety in the aftermath of the event. The most appropriate crisis intervention with Amanda would be to:

4 :
A nurse on a burn unit is caring for a client who experienced burn injuries 2 days ago. The client is now showing signs and symptoms of airway obstruction, despite appearing stable since admitted. How should the client's change in status be best understood?

5 :
A client has been admitted to a burn intensive care unit with extensive full-thickness burns over 25% of the body. After ensuring cardiopulmonary stability, what would be the nurse's immediate, priority concern when planning this client's care?

6 :
The on-coming night RN has received report from the day RN. Which patient should the night RN assess first?

7 :
An RN is working with an LPN to care for a group of patients. Which nursing task should NOT be delegated/assigned to the LPN?

8 :
A patient has blackened, leathery skin circumferentially around the lower left arm secondary to thermal burn. She has no other burn injury. Which of the following questions is most important for the RN to include when assessing the patient?

9 :
The primary purpose of the Louisiana State Board of Nursing (LSBN) is which of the following?

10 :
What phase of emergency management includes exercises and drills?