Code: CT-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. Which statement best describes the statutory scope of practice of a
registered nurse in Connecticut?
A. Performing only physician-prescribed treatments
B. Diagnosing medical diseases and independently prescribing medications
C. Diagnosing human responses to actual or potential health problems, providing
nursing care, teaching, case finding and referral, collaborating in the health-care
regimen, and executing authorized medical regimens
D. Performing only tasks delegated by an APRN
,Answer: Diagnosing human responses to actual or potential health problems,
providing nursing care, teaching, case finding and referral, collaborating in the
health-care regimen, and executing authorized medical regimens
Rationale: Connecticut General Statutes §20-87a defines RN practice broadly to
include the nursing process, supportive and restorative care, health counseling
and teaching, case finding and referral, collaboration, and execution of the
medical regimen under authorized direction.
2. An RN receives a medication order from a Connecticut-licensed physician
assistant. Which statement is most accurate?
A. An RN may never execute a physician assistant's order
B. The RN may execute the order if it does not exceed the RN's or physician
assistant's scope of practice
C. The RN may execute it only if an APRN co-signs it
D. The RN may execute it only in an emergency
Answer: The RN may execute the order if it does not exceed the RN's or
physician assistant's scope of practice
Rationale: Connecticut law expressly permits an RN to execute orders issued by
licensed physician assistants, podiatrists, and optometrists when the order does
not exceed the scope of the nurse or ordering practitioner.
3. Which professional generally has authority under Connecticut law to make
a determination and pronouncement of death?
A. Any RN
B. Any LPN
C. A licensed APRN meeting the statutory requirements
D. Any nursing assistant
Answer: A licensed APRN meeting the statutory requirements
,Rationale: Connecticut law specifically authorizes a licensed APRN to make the
determination and pronouncement of death and requires the APRN to attest to
the pronouncement on the death certificate within the statutory time period.
4. An RN is asked to perform a procedure that is legal in another state but has
not been established as within the RN's Connecticut scope. What should
the RN do first?
A. Perform it because the RN has done it elsewhere
B. Perform it if the employer approves
C. Determine whether the activity is permitted by Connecticut law and applicable
nursing standards
D. Ask another RN to perform it
Answer: Determine whether the activity is permitted by Connecticut law and
applicable nursing standards
Rationale: Connecticut's nursing decision-making model begins by determining
whether the act is permitted by the laws and regulations applicable to the
nurse. Employer permission alone does not expand a nurse's statutory scope.
5. Under Connecticut's nursing competency decision-making model, what is
an appropriate next consideration after determining that an act is legally
permitted?
A. Whether the nurse wants additional overtime
B. Whether the skill is within generally recognized nursing standards and the
nurse has appropriate education and competency
C. Whether another employee will accept responsibility
D. Whether the patient signs a waiver
Answer: Whether the skill is within generally recognized nursing standards and
the nurse has appropriate education and competency
Rationale: Connecticut's Board of Examiners for Nursing decision-making model
evaluates legality, recognized scope and standards, education, documented
additional training, facility policy, knowledge, and current competency.
, 6. An RN discovers that a procedure requested by a provider is outside the
RN's legal scope. The provider insists that the RN perform it. What is the
best response?
A. Perform it because the provider assumes liability
B. Perform it if the patient consents
C. Decline the activity and escalate the scope-of-practice concern through
appropriate channels
D. Perform it and document that the provider ordered it
Answer: Decline the activity and escalate the scope-of-practice concern through
appropriate channels
Rationale: A provider's order does not authorize a nurse to practice outside the
nurse's lawful scope. Connecticut guidance emphasizes that the nurse remains
accountable for nursing practice even when the employer or another
practitioner directs the activity.
7. Which entity is responsible for regulating Connecticut RN licensure and
nursing practice through the Board of Examiners for Nursing?
A. Department of Transportation
B. Connecticut Department of Public Health
C. Department of Education exclusively
D. Connecticut Medical Examining Board
Answer: Connecticut Department of Public Health
Rationale: The Connecticut Board of Examiners for Nursing operates within the
Department of Public Health and addresses nursing licensure, scope-of-practice
questions, discipline, and nursing regulations.
8. Which Connecticut statutory chapter is commonly identified as the Nurse
Practice Act?
A. Chapter 378
B. Chapter 383