BON Quiz 2024/2025 with Complete Solutions
A DON terminates a nurse's employment after the nurse reports unsafe conditions to
the facility's licensing entity. Whistleblower protection would apply to the nurse
A. dependent upon the nurse having liability insurance.
B. if the accusations were made in good faith.
C. if he or she cannot afford legal counsel.
D. after a peer review committee determination. - ANSWER-B. if the accusations were
made in good faith.
A graduate vocational nurse (GVN) with current temporary authorization to practice is in
a practice setting where no other licensed nurse is physically present. This situation
would best be described as
A. an acceptable practice due to the nursing shortage and the recent school experience
of the GVN.
B. an acceptable practice if a supervising nurse is telephonically available to supervise
and advise the GVN.
C. an unacceptable practice due to the lack of a licensed nurse who is physically
present and readily available to directly supervise the GVN.
D. an unacceptable practice because there must be a physician present in the practice
setting to supervise the GVN. - ANSWER-C. an unacceptable practice due to the lack of
a licensed nurse who is physically present and readily available to directly supervise the
GVN.
A nurse fears that administration of a medication as ordered would place a patient at
risk of harm. The nurse would fulfill his duty to the patient if the nurse
A. advises the patient of the situation and proceeds only with the patient's consent.
B. informs the physician of his concern and requests clarification of the order.
C. documents the rationale in the nurse's notes of the patient's medical record.
D. requests that the physician release the nurse from responsibility. - ANSWER-B.
informs the physician of his concern and requests clarification of the order.
A nurse finds an elderly woman helpless and alone after the unlicensed caretaker quit
without notifying the agency. The nurse is then fired for reporting the caretaker for
possible abuse and neglect. Does the nurse have protection from negative employment
action for reporting the above incident to the appropriate authorities?
A. No, the nurse is not protected in this example. The nurse must always follow any
directive from his or her boss.
B. No, the nurse is not protected in this example as the employer can terminate the
nurse for any reason at any time.
C. It depends. The nurse may be protected, but only if the nurse can prove that the
client was in an unsafe situation.
D. Yes, the nurse is protected from negative employment action for reporting a situation
that exposed the client to substantial risk of harm. This is known as "whistleblower
protections." - ANSWER-C. It depends. The nurse may be protected, but only if the
nurse can prove that the client was in an unsafe situation.
, A nurse is assisting a physician when she witnesses the physician break sterile
technique and use a contaminated instrument to finish the procedure. The nurse reports
the physician to the Texas Medical Board. Which of the following statements is accurate
in relation to this scenario?
A. The nurse cannot be disciplined by the BON or discriminated against by the
employer.
B. The nurse has no recourse if the physician gets angry and terminates her
employment.
C. If the facility terminates the nurse's employment, the BON can provide the nurse with
legal advice.
D. The nurse must inform the physician of any reports the nurse files. - ANSWER-A.
The nurse cannot be disciplined by the BON or discriminated against by the employer.
A nurse is attracted to a patient and insists on being assigned to care for this patient
every shift she works. As a result there are reports of the nurse not completing other
assignments. In this example the nurse
A. is merely demonstrating caring behaviors.
B. is ensuring continuity of care.
C. has become overly involved and is at risk of committing a boundary violation.
D. is acting appropriately in maintaining a therapeutic nurse-patient relationship. -
ANSWER-C. has become overly involved and is at risk of committing a boundary
violation.
A nurse is counseled for questioning a physician's order that made the physician mad.
Which of the following documents on the BON web site best explains why the nurse
was correct to question a physician's order that the nurse believed could be harmful to a
patient?
A. Guideline for Nurses Transitioning to a New Practice Setting.
B. Statistics on the number of nurses living in each county in Texas.
C. Position Statement 15.14 Duty of a Nurse in Any Setting.
D. Guideline for LVN Scope of Practice under Board Rule 217.11. - ANSWER-C.
Position Statement 15.14 Duty of a Nurse in Any Setting.
A nurse is terminated and reported to the BON for committing repeated practice errors.
As required in the NPA, the CNO also sends the case to the Incident Based Peer
Review (IBPR) Committee because:
A. the nurse may convince the committee the errors were not her fault, and the
committee can then withdraw the CNO's report to the BON.
B. the IBPR Committee can decide to reverse the CNO's decision to terminate the
nurse's employment.
C. the IBPR Committee may decide to re-orient and re-train the nurse even though she
was fired.
D. the IBPR Committee is required to review external factors surrounding the practice
errors and to report to the facility's Patient Safety Committee as appropriate. -
A DON terminates a nurse's employment after the nurse reports unsafe conditions to
the facility's licensing entity. Whistleblower protection would apply to the nurse
A. dependent upon the nurse having liability insurance.
B. if the accusations were made in good faith.
C. if he or she cannot afford legal counsel.
D. after a peer review committee determination. - ANSWER-B. if the accusations were
made in good faith.
A graduate vocational nurse (GVN) with current temporary authorization to practice is in
a practice setting where no other licensed nurse is physically present. This situation
would best be described as
A. an acceptable practice due to the nursing shortage and the recent school experience
of the GVN.
B. an acceptable practice if a supervising nurse is telephonically available to supervise
and advise the GVN.
C. an unacceptable practice due to the lack of a licensed nurse who is physically
present and readily available to directly supervise the GVN.
D. an unacceptable practice because there must be a physician present in the practice
setting to supervise the GVN. - ANSWER-C. an unacceptable practice due to the lack of
a licensed nurse who is physically present and readily available to directly supervise the
GVN.
A nurse fears that administration of a medication as ordered would place a patient at
risk of harm. The nurse would fulfill his duty to the patient if the nurse
A. advises the patient of the situation and proceeds only with the patient's consent.
B. informs the physician of his concern and requests clarification of the order.
C. documents the rationale in the nurse's notes of the patient's medical record.
D. requests that the physician release the nurse from responsibility. - ANSWER-B.
informs the physician of his concern and requests clarification of the order.
A nurse finds an elderly woman helpless and alone after the unlicensed caretaker quit
without notifying the agency. The nurse is then fired for reporting the caretaker for
possible abuse and neglect. Does the nurse have protection from negative employment
action for reporting the above incident to the appropriate authorities?
A. No, the nurse is not protected in this example. The nurse must always follow any
directive from his or her boss.
B. No, the nurse is not protected in this example as the employer can terminate the
nurse for any reason at any time.
C. It depends. The nurse may be protected, but only if the nurse can prove that the
client was in an unsafe situation.
D. Yes, the nurse is protected from negative employment action for reporting a situation
that exposed the client to substantial risk of harm. This is known as "whistleblower
protections." - ANSWER-C. It depends. The nurse may be protected, but only if the
nurse can prove that the client was in an unsafe situation.
, A nurse is assisting a physician when she witnesses the physician break sterile
technique and use a contaminated instrument to finish the procedure. The nurse reports
the physician to the Texas Medical Board. Which of the following statements is accurate
in relation to this scenario?
A. The nurse cannot be disciplined by the BON or discriminated against by the
employer.
B. The nurse has no recourse if the physician gets angry and terminates her
employment.
C. If the facility terminates the nurse's employment, the BON can provide the nurse with
legal advice.
D. The nurse must inform the physician of any reports the nurse files. - ANSWER-A.
The nurse cannot be disciplined by the BON or discriminated against by the employer.
A nurse is attracted to a patient and insists on being assigned to care for this patient
every shift she works. As a result there are reports of the nurse not completing other
assignments. In this example the nurse
A. is merely demonstrating caring behaviors.
B. is ensuring continuity of care.
C. has become overly involved and is at risk of committing a boundary violation.
D. is acting appropriately in maintaining a therapeutic nurse-patient relationship. -
ANSWER-C. has become overly involved and is at risk of committing a boundary
violation.
A nurse is counseled for questioning a physician's order that made the physician mad.
Which of the following documents on the BON web site best explains why the nurse
was correct to question a physician's order that the nurse believed could be harmful to a
patient?
A. Guideline for Nurses Transitioning to a New Practice Setting.
B. Statistics on the number of nurses living in each county in Texas.
C. Position Statement 15.14 Duty of a Nurse in Any Setting.
D. Guideline for LVN Scope of Practice under Board Rule 217.11. - ANSWER-C.
Position Statement 15.14 Duty of a Nurse in Any Setting.
A nurse is terminated and reported to the BON for committing repeated practice errors.
As required in the NPA, the CNO also sends the case to the Incident Based Peer
Review (IBPR) Committee because:
A. the nurse may convince the committee the errors were not her fault, and the
committee can then withdraw the CNO's report to the BON.
B. the IBPR Committee can decide to reverse the CNO's decision to terminate the
nurse's employment.
C. the IBPR Committee may decide to re-orient and re-train the nurse even though she
was fired.
D. the IBPR Committee is required to review external factors surrounding the practice
errors and to report to the facility's Patient Safety Committee as appropriate. -
