Code: AK-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
An Alaska LPN is assigned to a patient whose condition has become unstable and
requires repeated nursing assessments and changes in the plan of care. What is
the most appropriate action?
A. Continue independently because the LPN has already accepted the assignment
B. Delegate the assessment to a UAP
C. Notify the supervising RN or other appropriate licensed provider and obtain
direction regarding the patient's changing needs
D. Refuse all further care until the physician arrives
Answer: C. Notify the supervising RN or other appropriate licensed provider and
obtain direction regarding the patient's changing needs
,Rationale: An Alaska practical nurse works under required supervision, and
duties requiring professional nursing judgment or outside the LPN's authorized
role should not simply be performed or delegated independently. A significant
change in patient condition requires escalation and appropriate reassessment.
2.
Under Alaska law, which title is legally equivalent to "licensed practical nurse"?
A. Registered vocational practitioner
B. Licensed vocational nurse
C. Practical registered nurse
D. Certified practical nurse
Answer: B. Licensed vocational nurse
Rationale: Alaska statute expressly recognizes licensed practical nurse as
equivalent to licensed vocational nurse and recognizes the abbreviations L.P.N.
and L.V.N.
3.
Which person may provide the supervision required for an Alaska LPN?
A. Only an RN
B. Only an APRN
C. An RN, APRN, physician, physician associate, or dentist licensed as specified by
law
D. Any experienced UAP designated by the facility
Answer: C. An RN, APRN, physician, physician associate, or dentist licensed as
specified by law
Rationale: Alaska law identifies the licensed professionals under whose
supervision a practical nurse may work. The current statutory language uses
"physician associate," reflecting the 2026 terminology change enacted through
HB 195.
,4.
An LPN discovers that another nurse is practicing under an expired license. What
is the greatest legal concern?
A. The nurse may practice for 30 additional days
B. The nurse may practice if the employer approves
C. The nurse may be engaging in unauthorized practice
D. The nurse may practice if an RN is physically present
Answer: C. The nurse may be engaging in unauthorized practice
Rationale: Alaska law prohibits nursing practice without appropriate licensure,
subject to limited statutory exceptions. Employer permission does not replace
state authorization to practice.
5.
Which situation most directly creates potential grounds for disciplinary action
against an Alaska LPN?
A. Asking another nurse for assistance
B. Documenting a late entry appropriately
C. Intentionally or negligently engaging in conduct that creates significant risk to a
client
D. Reporting a safety concern to a supervisor
Answer: C. Intentionally or negligently engaging in conduct that creates
significant risk to a client
Rationale: Alaska law permits the Board to deny, suspend, or revoke a nursing
license for intentional or negligent conduct resulting in significant risk to a
client's health or safety or injury to a client.
6.
, An LPN receives an assignment involving a procedure the LPN has never been
trained to perform. The charge nurse says, "Just do it this one time." What is the
best response?
A. Perform it because the charge nurse gave an order
B. Perform it if another UAP observes
C. Explain the competency limitation and seek appropriate supervision, training,
or reassignment
D. Perform it and document that the charge nurse instructed the LPN
Answer: C. Explain the competency limitation and seek appropriate supervision,
training, or reassignment
Rationale: A nursing license does not authorize a nurse to perform every
conceivable task. Competence, scope, patient safety, and applicable Board
requirements must all be considered.
7.
Which statement best describes "incompetent" under Alaska nursing law?
A. A nurse who refuses overtime
B. A nurse who lacks the skills, knowledge, and awareness of limitations necessary
for safe practice
C. A nurse who disagrees with a physician
D. A nurse who makes one documentation correction
Answer: B. A nurse who lacks the skills, knowledge, and awareness of
limitations necessary for safe practice
Rationale: Alaska's statutory definition of incompetence focuses on whether the
nurse possesses the skills, knowledge, and awareness of the nurse's limitations
and abilities necessary to practice safely.
8.
Which action best demonstrates appropriate professional accountability by an
LPN?