Code: CO-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A Colorado LPN receives an order for a medication that appears inappropriate for
the patient's current condition. The RN tells the LPN to administer it because "the
provider ordered it." What is the LPN's best action?
A. Administer the medication because an order removes the LPN's responsibility
B. Ask the nursing assistant to administer it
C. Hold the medication and seek clarification through the appropriate chain of
command
D. Document that the RN accepted responsibility
,Answer: C. Hold the medication and seek clarification through the appropriate
chain of command
Rationale: The existence of a prescription does not eliminate the nurse's duty to
practice safely. An LPN must recognize potentially unsafe orders, question them,
and obtain clarification rather than knowingly carrying out an order that may
place the patient at risk.
2.
Which activity most clearly falls within Colorado's statutory definition of practical
nursing?
A. Independently diagnosing a new medical condition
B. Prescribing a controlled substance independently
C. Administering a medication prescribed by an authorized health-care provider
D. Independently determining a medical diagnosis
Answer: C. Administering a medication prescribed by an authorized health-care
provider
Rationale: Colorado's definition specifically includes administering treatments
and medications prescribed by a licensed health-care provider. Independent
diagnosis and prescribing are outside the ordinary LPN role.
3.
An LPN is asked to perform a procedure for which the nurse has never been
educated or trained. The employer states that "everyone does it." What should
the LPN do?
A. Perform it under direct observation of another LPN
B. Perform it if the patient signs consent
,C. Decline until the LPN has the required education, training, and competency
D. Perform it because employer policy supersedes scope-of-practice requirements
Answer: C. Decline until the LPN has the required education, training, and
competency
Rationale: Employer expectations cannot expand an individual's legal scope or
create competency that the nurse does not possess. The LPN must practice
within education, training, experience, and demonstrated competence.
4.
Which statement best describes the Colorado State Board of Nursing's regulatory
role?
A. It primarily represents nurses in employment disputes
B. It regulates nursing practice and protects the public
C. It negotiates salaries for nurses
D. It establishes hospital staffing contracts
Answer: B. It regulates nursing practice and protects the public
Rationale: The Board's regulatory function is centered on licensure, standards of
practice, discipline, and public protection rather than employment
representation or collective bargaining.
5.
A Colorado LPN changes employment from a hospital to a long-term-care facility.
Which principle is most important?
A. The LPN's scope expands automatically in long-term care
B. Employer policy determines the legal scope of nursing
C. The LPN remains responsible for practicing within Colorado law and individual
, competency
D. Long-term-care facilities are exempt from nursing regulations
Answer: C. The LPN remains responsible for practicing within Colorado law and
individual competency
Rationale: A change in employer does not automatically change the nurse's
statutory scope. Facility policies may impose additional restrictions but cannot
authorize conduct prohibited by law.
6.
An LPN discovers that a colleague is practicing while apparently impaired and
creating a significant patient-safety risk. What is the priority?
A. Ignore the situation unless a patient is injured
B. Discuss the colleague's behavior on social media
C. Take appropriate steps to protect patients and follow applicable reporting
procedures
D. Wait until the next annual performance review
Answer: C. Take appropriate steps to protect patients and follow applicable
reporting procedures
Rationale: Patient safety takes priority. Impairment that affects safe practice
can create regulatory and disciplinary concerns, and Colorado law addresses
health conditions and substance-related conduct affecting safe nursing practice.
7.
Which action is most likely to constitute unprofessional conduct?
A. Asking a provider to clarify an unclear prescription
B. Refusing an assignment outside the LPN's competency