Hacc- Nursing 251 - (Test 1) Professional
Nursing; Delegation; Delivery of Care;
Oxygenation- ARDS, Chest Trauma, ARF
Special cases of license - ANS 1)US government employee
2)International nurse graduates
Have to pass Special exam
Licensure - ANS to be given a license to practice nursing in a state or province after
successfully meeting requirements.
It protects the public
What is the history of Licensure? - ANS Florence Nightingale started the Registry
1896- First attempt at licensure in US
1923- Permissive licenses
1947- NY 1st MANDATE it!
1950- NLN standardized exam
1994- Computerized Exam (nurses first)
1997- NCSBN began to adopt interstate compact
Nurse Practice Act (NPA) - ANS Nursing law defines the scope and limitations of professional
nursing practice; vary from state to state
(RN vs LPN scope of practice in NPA)
What is the purpose of the NPA? - ANS 1. To protect the public by defining qualifications and
responsibilities
2. Protection of the title RN/LPN/ APN
NPA components - ANS 1.Definition of professional nursing
2.Definition of advanced practice
3. Requirements for licensure
4. Requirements and procedures for entry into practice
5. Requirements for renewal of licensure
(q2 yrs -need 30 CEU, child abuse)
6. Designation of a regulatory board to administer the nurse practice act (picked by government)
,7. Guidelines for delegation (Pa does not have this)
Advanced Nursing Practice - ANS The performance of advanced-level nursing acts approved
by the board which, by virtue of post-basic specialized education, training, and experience, are
appropriately performed by an advanced registered nurse practitioner. (FNP, CNM, CRNA)
What does the state board of nursing do? - ANS 1)Administers the Nursing Practice Act
Rules/regulations for the practice of nursing
2)Licenses are granted and reviewed
3)Disciplinary action
What are the disciplinary actions the SBN can take? - ANS 1. Reprimand
2. Restrictions
3. Suspensions
4. Revocation of License
What is the NPA Sunset legislation? - ANS laws to ensure legislation is current and reflect the
needs of the public. NPA are updated and revised during this time frame q 2 years.
Compact State - ANS States allowing practice without an additional license
NCLEX uses what type of testing? - ANS Computerized adaptive testing (CAT)
What is CAT? - ANS 1. Based on the difficulty of questions answered not on how many are
answered correctly
NCLEX purpose - ANS 1.Safeguard the public from unsafe practitioners
2.Assist state boards of nursing in determining candidates' capabilities for performing ENTRY
LEVEL RN care
Why should you care about taking the NCLEX? - ANS You cannot practice as an RN without
passing the NCLEX despite successful completion of a degree program.
New passing's standards happen how often for NCLEX? - ANS considered every three years
When does the nclex exam end? - ANS Exam ends when:
Stability of pass/fail is certain
Time runs out
How is pass/fail on the NCLEX determined? - ANS 1. 95% confidence interval rule
2. Maximum length rule
3. Run out of time rule
95% confidence interval rule - ANS confident you made so many right decision you passed
, How many questions are on the NCLEX? - ANS Questions - 75 to max of 265
Traditional
Alternate-item format
What are Blooms Taxonomy cognitive levels? - ANS 1. Knowledge
2. Comprehension
3. Application
4. Analysis
5. Synthesis
6. Evaluation
BT synthesis includes... - ANS 1. using old concepts to create new idea
2. design and invention
3. composing
4. imaging, inferring, modifying
5. predicting and combining
BT analysis includes... - ANS 1. identifying and analyzing pattern
2. organization of idea
3. recognizing trends
BT application includes... - ANS 1. using and applying knowledge
2. using problem solving methods
3. manipulating
4. designing
5. experimenting
Nclex question fall where on blooms scale? - ANS Application and above
case studies on NCLEX determine - ANS if nurses can act
What is certification in nursing? - ANS A recognition excellence in nursing practice. It is in
addition to the RN original license. IT is not a license. It establishes a nurses competency and
knowledge in a particular area of nursing. It is required for advanced practice.
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