The NCLEX examination is created and administered by the:

Correct Answer: C

Rationale: The correct answer is C: National Council of State Boards of Nursing (NCSBN). The NCLEX examination is developed and administered by the NCSBN, which is responsible for regulating nursing practice in the United States. They create the exam to ensure that nurses entering the profession meet minimum competency standards. The AACN (choice A) focuses on advancing nursing education, the ANA (choice B) is a professional organization representing nurses, and the NLN (choice D) is an organization that promotes excellence in nursing education. Therefore, the NCSBN is the only organization directly involved in the creation and administration of the NCLEX exam.

Correct Answer: A

Rationale: The correct answer is A because the nurse is using evidence-based practice by conducting a literature review to determine the best practice for caring for foot ulcers. Evidence-based practice involves integrating the best available evidence with clinical expertise and patient values to make informed decisions about patient care. This nurse is ensuring that the care provided is based on current research and best practices, which can lead to better patient outcomes. Choices B, C, and D are incorrect because they do not directly relate to the nurse's action of conducting a literature review to determine best practices for foot ulcer care. Choice B mentions critical thinking but does not specifically address evidence-based practice. Choice C focuses on cost-effectiveness and level of education, which are not relevant to the nurse's evidence-based practice. Choice D refers to clinical competence, which is not the main focus of the nurse's action in this scenario.

Correct Answer: B

Rationale: The correct answer is B: National Council of State Boards of Nursing (NCSBN). NCSBN manages the Nurse Licensure Compact (NLC), which allows nurses to practice in compact states without obtaining additional licenses. Nurses can find a list of current compact states on the NCSBN website. NLN (A) focuses on nursing education, not regulation. AACN (C) is an organization for academic nursing programs. CCNE (D) accredits nursing education programs, not regulatory information.

Correct Answer: D

Rationale: The correct answer is D because the Nurse Licensure Compact (NLC) allows nurses to practice using one license in any state that is part of the compact and recognizes the NCLEX as the source of licensure. This promotes mobility and access to care across state lines. Choice A is incorrect because the nurse is not held responsible for complying with the nursing practice laws of each state individually. Choice B is incorrect as purchasing a license in each state defeats the purpose of the compact. Choice C is incorrect as residency is not determined by where the nurse was educated but by the state where they hold a license.

Correct Answer: A

Rationale: The correct answer is A: Individual state boards of nursing. State boards of nursing are responsible for regulating nursing practice within their respective states, including establishing rules and regulations to ensure safe and competent care. They set standards for licensure, education, and practice, as well as enforce disciplinary actions when necessary. State boards have the authority to govern nursing practice based on state laws and regulations. Employers, the US Department of Health and Human Services, and local health officials do not have the regulatory power to establish the rules for nursing practice at a state level.