Author Question: A new graduate from a practical nursing program successfully passes her NCLEX-PN and begins working ... (Read 40 times)

Alygatorr01285 · **on:** Jul 17, 2018

A new graduate from a practical nursing program successfully passes her NCLEX-PN and begins working on a busy neurological unit. She should be able to:

A) perform a detailed neurological assessment of a comatose client.
B) write a client teaching lesson plan on caring for a neurological shunt.
C) monitor a client's cerebral perfusion pressure and intracranial pressure readings and determine actions to take based upon the findings.
D) provide up-to-date information about preventing falls in the older adult population at a community health and wellness expo.

Question 2

The Nurse Licensure Compact (NLC) allows for the recognition of a nurse's license in another state. Opponents of the NLC most often raise which criticism?

A) Multistate licensure can make it more difficult to discover and enforce disciplinary actions against nurses.
B) The standards of nursing practice vary greatly between different states and territories.
C) Multistate licensure makes it more expensive for nurses to renew their licenses when they expire.
D) It is difficult for nurses to obtain liability insurance when they are involved in work that spans more than one state.

zenzy · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

Ans: D
Feedback:
The new graduate from a practical nursing program will care for stable clients with appropriate supervision and perform entry-level tasks and administer medications according to their state licensure. A client in a coma or a client requiring neurological monitoring of cerebral perfusion pressure and intracranial pressure is beyond the educational preparation of a practical nurse. The practical nurse is taught to assess a client's neurologic status but does not have the training to perform a detailed neurologic assessment. A practical nurse graduate may teach skills to a client, such as postural drainage. The registered nurse should write a detailed teaching plan and teach the client on how to care for a neurological shunt.

Answer to Question 2

Ans: A
Feedback:
Opponents of multistate licensing believe that it may be difficult to discover disciplinary sanctions on a licensee. Educational programs vary between states, but standards of practice are more homogeneous. Cost and insurance issues are not commonly raised as points of opposition to the NLC.