Edition) – Open RN (Ernstmeyer & Christman) Exam
Questions with Correct Answers
MODULE 1: INTRODUCTION TO NURSING PRACTICE (Questions
1-20)
Question 1:
Which of the following organizations defines the scope of practice for nurses within
each state?
A) American Nurses Association (ANA)
B) World Health Organization (WHO)
C) National League for Nursing (NLN)
D) State Board of Nursing
*Rationale: * The State Board of Nursing enforces each state's Nurse Practice Act and sets
the legal scope of practice for nurses within that jurisdiction .
,Question 2:
A nursing student is asked to adjust an IV drip rate without supervision. What is the
most appropriate action?
A) Adjust the drip rate as ordered
B) Politely refuse and notify the instructor
C) Ask a peer to help
D) Ignore the request and walk away
*Rationale: * Students must always practice under supervision. Performing tasks
independently can violate legal and ethical standards .
Question 3:
What is the most accurate definition of "Scope of Practice"?
A) Services that nurses perform if they feel confident
B) Services defined by each healthcare facility
C) Services legally permitted by licensure
D) Any care provided by a certified nurse
*Rationale: * Scope of Practice is defined as the services that a trained professional is
legally allowed to perform based on licensure and regulations .
Question 4:
Which of the following tasks is outside the legal scope of practice for a Licensed
Practical Nurse (LPN)?
,A) Administering oral medications
B) Assisting in data collection
C) Diagnosing client conditions
D) Reinforcing health teaching
*Rationale: * Diagnosing is within the RN's role. LPNs cannot interpret data or diagnose
clients .
Question 5:
Which document should a nurse consult to understand their legal boundaries for
practice?
A) The American Nurses Credentialing Center guide
B) The facility orientation manual
C) The Nurse Practice Act
D) A nursing journal
*Rationale: * The Nurse Practice Act defines the legal scope of practice for each state and
is the primary regulatory guide for nurses .
Question 6:
A nurse who performs a task not permitted by their license may be subject to which
consequence?
A) Extra documentation
B) Verbal warning
C) License revocation
D) Peer evaluation
, *Rationale: * Performing tasks outside one's legal scope can result in disciplinary action
including license revocation .
Question 7:
Which of the following nursing actions demonstrates the principle of patient advocacy?
A) Completing charting at the end of the shift
B) Reporting unsafe staffing to management
C) Delegating tasks to a UAP
D) Following physician orders without question
*Rationale: * Advocacy includes speaking up to protect patient safety, such as addressing
unsafe staffing concerns .
Question 8:
The primary role of the Board of Nursing is to:
A) Lobby for nursing salary increases
B) Protect the public by regulating nursing practice
C) Accredit nursing schools
D) Develop nursing curricula
*Rationale: * The Board of Nursing's primary function is to protect the public through
regulation of nursing practice and enforcement of the Nurse Practice Act .