The nurse receives a job offer in a state other than the state of residence that is not part of the nursing compact. The nurse obtains licensure in the state where he will be working by:
1. Taking the NCLEX-PN® in the new state.
2. Submitting his NCLEX-PN® score for review to the new state of employment.
3. Applying for licensure by endorsement in the state of employment.
4. Applying for a work permit.
3
Rationale: The nurse must be licensed in the state of employment as well as the state of residence, so the nurse will apply for a license in the state of employment by endorsement. There is no need to take the NCLEX-PN® again.
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A patient who has been treated with warfarin (Coumadin) after cardiac surgery is found to have an INR of 9.0 . Which medication will be administered to assist in the development of clotting factors?
A) Vitamin K B) Vitamin E C) Protamine sulfate D) Acetylsalicylic acid (Aspirin)
As part of a multiple trauma injury, a patient developed hemorrhagic hypovolemic shock, necessitating fluid resuscitation with massive amounts of intravenous crystalloid fluids and blood products as well as extensive surgical repair under general
anesthesia. Twenty-four hours later, the patient develops hypoxia unresponsive to oxygen therapy and diffuse white, ground-glass infiltrates of the lung fields on a chest radiograph. Development of this complication has what effect on the patient's recovery? A) Significantly greater chance of death B) No change in outcome expectations C) Outcome depends on treatment. D) Lower chance of death
The newly diagnosed client with breast cancer asks the nurse if they diagnosed the cancer too late, since the surgeon recommended surgery and radiation therapy. The appropriate response by the nurse is:
A) "Surgery and radiation are recommended in the later stages of breast cancer." B) "Surgery and radiation are recommended in cancer that has not metastasized." C) "Chemotherapy is only used in the first stage." D) "You need to discuss that with your doctor."
The staff members in a long-term care facility have noted a decline in cognitive function in one of the residents; however, each time the resident is given the Short Portable Mental Status Ques-tionnaire (SPMSQ), the score does not change
What action by the nursing manager is best? a. Provide in-service education on using this tool. b. Conduct the assessment him- or herself c. Switch to a different screening tool d. Determine that no changes have occurred.