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 :

🚫Practicing while chemically impaired is unsafe and violates the nurse practice act.

🧠Working while mentally incompetent makes the nurse unable to provide safe, sound judgment in care.

📜Practicing with an expired license is the same as practicing without authorization from the board.

🛡️The board disciplines behaviors that place the public at risk, including impairment, incompetence, and lack of licensure.

📌Core Message

The board of nursing disciplines nurses for unsafe or unauthorized practice, such as impairment, mental incompetence, and expired licensure, to protect the public.

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 at high risk for cardiac ischemia or infarction.

⚕️This patient is unstable, so changes in vital signs need immediate RN assessment.

🚨The RN must quickly recognize subtle changes that may signal deterioration.

📊Vital signs can be delegated only for stable patients, not for those with active chest pain.

📌Core Message

The RN should personally assess vital signs in a patient with ongoing chest pain, because this client is high risk and unstable and needs direct RN judgment.

Answer 3

Correct Answers:

Identify community resources that can help Amanda

Rationale :

🌪️After a disaster, people often need help meeting immediate practical and safety needs.

🏠Identifying community resources supports needs like housing, food, and safety, which can lower anxiety.

🤝Crisis intervention focuses on problem-solving and support, not deep grief work right away.

🧭Linking Amanda with concrete support systems helps her regain a sense of control and stability.

📌Core Message

Effective crisis intervention emphasizes immediate, practical support and connection to community resources to reduce anxiety and restore stability.

Answer 4

Correct Answers:

the continuation of mission essential functions

Rationale :

🔄A Continuity of Operations Plan is designed to keep key services running during a disruption.

🏥It focuses on mission essential functions, such as core clinical operations and critical support.

⚙️The goal is to maintain operations, not to close or relax standards without cause.

👉This planning ensures the organization can still fulfill its main mission despite emergencies.

📌Core Message

A Continuity of Operations Plan focuses on keeping mission essential functions operating so the organization’s core mission continues during crises.

Answer 5

Correct Answers:

The client is likely experiencing a delayed onset of respiratory complications

Rationale :

🔥Burns, especially near the face or chest, can cause airway edema that worsens over time.

⏱️Respiratory complications can show a delayed onset, often appearing hours to days after injury.

🫁Swelling of airway tissues can slowly progress, leading to obstruction after an initially stable period.

🚨This pattern fits a delayed respiratory complication, not an immediate drug reaction or infection.

📌Core Message

In burn patients, airway edema and inhalation injury can cause a delayed onset of respiratory compromise, even after an initially stable period.

Answer 6

Correct Answers:

Fluid status

Rationale :

💧Extensive burns cause massive fluid shifts from the vascular space into tissues.

🩸This leads to hypovolemia and can quickly progress to burn shock if not treated.

📉Early and aggressive fluid resuscitation is vital to maintain organ perfusion.

⚠️Other concerns like nutrition and infection are important but come after stabilizing fluid status.

📌Core Message

After major burns, the first priority after airway and breathing is fluid resuscitation, because fluid shifts can rapidly cause hypovolemic shock.

Answer 7

Correct Answers:

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

Rationale :

⏰The patient received morphine 30 minutes ago for severe chest pain.

❤️This patient is at risk for both ongoing cardiac ischemia and opioid side effects.

🩺The RN must reassess pain level, vital signs, and respiratory status soon after opioid use.

🚨Unrelieved chest pain or oversedation can signal life-threatening complications and needs priority review.

📌Core Message

The RN should first reassess the patient who had severe chest pain and recent morphine, because of risks for cardiac compromise and opioid-related respiratory depression.

Answer 8

Correct Answers:

evaluating the patient's progress

Rationale :

📈Evaluating patient progress requires interpreting data and making clinical judgments.

🧑‍⚕️This level of assessment and evaluation is a core responsibility of the RN, not the LPN.

📚LPNs may collect data and provide care, but final evaluation of response to treatment stays with the RN.

✅Delegation must respect scope of practice, keeping complex decision-making with the RN.

📌Core Message

The RN, not the LPN, is responsible for evaluating patient progress, because it involves assessment, judgment, and decision-making beyond the LPN scope.

Answer 9

Correct Answers:

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

Rationale :

🔥A circumferential full-thickness burn can act like a tight band (eschar) around the limb.

✋This can impair circulation and nerve function to the hand and fingers.

🧠Asking about tingling or numbness checks for neurovascular compromise and possible compartment syndrome.

🚑Early detection of sensory changes helps prevent permanent damage or loss of the limb.

📌Core Message

With circumferential limb burns, the nurse must assess for distal neurovascular problems, such as tingling or numbness, to detect circulatory compromise early.

Answer 10

Correct Answers:

protect the public

Rationale :

🛡️The main mission of any state board of nursing is to protect the public.

🏛️It does this by regulating nursing practice through licensure and discipline.

📜The board sets and enforces standards of safe practice for nurses.

✅Protecting nurses is secondary; public safety is the primary responsibility.

📌Core Message

The state board of nursing exists primarily to protect the public by regulating nursing practice and enforcing safe standards of care.

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 Continuity of Operations Plan requires

5 :
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?

6 :
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?

7 :
The on-coming night RN has received report from the day RN. Which patient should the night RN assess first?

8 :
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?

9 :
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?

10 :
The primary purpose of the Louisiana State Board of Nursing (LSBN) is which of the following?

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 Continuity of Operations Plan requires

5 : 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?

6 : 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?

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

8 : 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?

9 : 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?

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

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 Continuity of Operations Plan requires

5 :
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?

6 :
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?

7 :
The on-coming night RN has received report from the day RN. Which patient should the night RN assess first?

8 :
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?

9 :
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?

10 :
The primary purpose of the Louisiana State Board of Nursing (LSBN) is which of the following?