Hawaii LPN Jurisprudence Exam —
Code: HI-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A person performs nursing functions in Hawaii while representing herself as
an LPN but does not hold a Hawaii LPN license. Which principle applies?
A. The person may practice if employed by a hospital.
B. The person may practice if supervised by an RN.
C. The person may not practice or represent herself as an LPN without the
required license.
D. The person may practice for up to 90 days without a license.
Answer: The person may not practice or represent herself as an LPN without the
required license.
Rationale: Hawaii law requires persons practicing or offering to practice as LPNs
in the state to be properly licensed. Supervision by another nurse does not
substitute for the required license.
, 2. Which Hawaii regulatory chapter specifically governs nurses?
A. HAR Chapter 85
B. HAR Chapter 88
C. HAR Chapter 89
D. HAR Chapter 95
Answer: HAR Chapter 89
Rationale: HAR Chapter 89 is the Hawaii Administrative Rules chapter
specifically identified for nurses.
3. Which Hawaii Revised Statutes chapter is the principal Nurse Practice Act
chapter?
A. HRS Chapter 436B
B. HRS Chapter 453
C. HRS Chapter 329
D. HRS Chapter 457
Answer: HRS Chapter 457
Rationale: HRS Chapter 457 is titled “Nurses” and establishes major
requirements concerning nursing licensure and practice.
4. Which agency regulates nursing licensure in Hawaii?
A. Hawaii Medical Board
B. Department of Health only
C. Hawaii Board of Nursing
D. Hawaii Hospital Association
Answer: Hawaii Board of Nursing
Rationale: The Board of Nursing is the regulatory board responsible for nursing
licensure and nursing regulation in Hawaii.
, 5. An LPN is asked to perform a procedure that is outside the nurse's legal
scope even though the facility's policy permits it. What should the LPN do?
A. Perform it because facility policy controls.
B. Perform it if an RN is nearby.
C. Perform it if the patient signs consent.
D. Decline the activity and clarify whether it is legally within the LPN's scope.
Answer: Decline the activity and clarify whether it is legally within the LPN's
scope.
Rationale: Facility policy cannot independently expand a nurse's statutory scope
of practice. A nurse must practice within applicable law, rules, competence, and
authorized scope.
6. Which statement best describes an LPN's general position within Hawaii's
nursing structure?
A. The LPN has the same scope as an APRN.
B. The LPN independently establishes comprehensive nursing diagnoses.
C. The LPN has a narrower scope and generally practices under appropriate
supervision.
D. The LPN has broader authority than an RN.
Answer: The LPN has a narrower scope and generally practices under
appropriate supervision.
Rationale: Hawaii materials distinguish the LPN's narrower scope from the
broader assessment, planning, and teaching responsibilities associated with RN
practice.
7. Which activity is most consistent with the LPN scope described in Hawaii
nursing materials?
A. Independently establishing a comprehensive nursing care plan for all patients
B. Diagnosing medical conditions
C. Participating in nursing care and implementing prescribed nursing
, interventions within scope
D. Independently prescribing controlled substances
Answer: Participating in nursing care and implementing prescribed nursing
interventions within scope
Rationale: Hawaii's nursing materials describe LPN responsibilities as including
participation in nursing care, patient surveillance and monitoring,
documentation, and implementation of nursing interventions and prescribed
medical regimens.
8. An LPN notices a significant change in a patient's condition. What is the
most appropriate response?
A. Wait until the next shift.
B. Change the treatment independently.
C. Recognize and report the change promptly according to the patient's care
structure.
D. Document it only if the physician asks.
Answer: Recognize and report the change promptly according to the patient's
care structure.
Rationale: Safe nursing practice requires surveillance, recognition of changes,
appropriate communication, and documentation rather than delaying action or
independently exceeding scope.
9. Which statement about competency is most appropriate?
A. Holding a license guarantees competency for every procedure.
B. Competency applies only to newly licensed nurses.
C. A nurse must have the knowledge, skills, judgment, and personal attributes
necessary to practice safely and ethically.
D. Employer orientation replaces competency requirements.
Answer: A nurse must have the knowledge, skills, judgment, and personal
attributes necessary to practice safely and ethically.
Code: HI-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A person performs nursing functions in Hawaii while representing herself as
an LPN but does not hold a Hawaii LPN license. Which principle applies?
A. The person may practice if employed by a hospital.
B. The person may practice if supervised by an RN.
C. The person may not practice or represent herself as an LPN without the
required license.
D. The person may practice for up to 90 days without a license.
Answer: The person may not practice or represent herself as an LPN without the
required license.
Rationale: Hawaii law requires persons practicing or offering to practice as LPNs
in the state to be properly licensed. Supervision by another nurse does not
substitute for the required license.
, 2. Which Hawaii regulatory chapter specifically governs nurses?
A. HAR Chapter 85
B. HAR Chapter 88
C. HAR Chapter 89
D. HAR Chapter 95
Answer: HAR Chapter 89
Rationale: HAR Chapter 89 is the Hawaii Administrative Rules chapter
specifically identified for nurses.
3. Which Hawaii Revised Statutes chapter is the principal Nurse Practice Act
chapter?
A. HRS Chapter 436B
B. HRS Chapter 453
C. HRS Chapter 329
D. HRS Chapter 457
Answer: HRS Chapter 457
Rationale: HRS Chapter 457 is titled “Nurses” and establishes major
requirements concerning nursing licensure and practice.
4. Which agency regulates nursing licensure in Hawaii?
A. Hawaii Medical Board
B. Department of Health only
C. Hawaii Board of Nursing
D. Hawaii Hospital Association
Answer: Hawaii Board of Nursing
Rationale: The Board of Nursing is the regulatory board responsible for nursing
licensure and nursing regulation in Hawaii.
, 5. An LPN is asked to perform a procedure that is outside the nurse's legal
scope even though the facility's policy permits it. What should the LPN do?
A. Perform it because facility policy controls.
B. Perform it if an RN is nearby.
C. Perform it if the patient signs consent.
D. Decline the activity and clarify whether it is legally within the LPN's scope.
Answer: Decline the activity and clarify whether it is legally within the LPN's
scope.
Rationale: Facility policy cannot independently expand a nurse's statutory scope
of practice. A nurse must practice within applicable law, rules, competence, and
authorized scope.
6. Which statement best describes an LPN's general position within Hawaii's
nursing structure?
A. The LPN has the same scope as an APRN.
B. The LPN independently establishes comprehensive nursing diagnoses.
C. The LPN has a narrower scope and generally practices under appropriate
supervision.
D. The LPN has broader authority than an RN.
Answer: The LPN has a narrower scope and generally practices under
appropriate supervision.
Rationale: Hawaii materials distinguish the LPN's narrower scope from the
broader assessment, planning, and teaching responsibilities associated with RN
practice.
7. Which activity is most consistent with the LPN scope described in Hawaii
nursing materials?
A. Independently establishing a comprehensive nursing care plan for all patients
B. Diagnosing medical conditions
C. Participating in nursing care and implementing prescribed nursing
, interventions within scope
D. Independently prescribing controlled substances
Answer: Participating in nursing care and implementing prescribed nursing
interventions within scope
Rationale: Hawaii's nursing materials describe LPN responsibilities as including
participation in nursing care, patient surveillance and monitoring,
documentation, and implementation of nursing interventions and prescribed
medical regimens.
8. An LPN notices a significant change in a patient's condition. What is the
most appropriate response?
A. Wait until the next shift.
B. Change the treatment independently.
C. Recognize and report the change promptly according to the patient's care
structure.
D. Document it only if the physician asks.
Answer: Recognize and report the change promptly according to the patient's
care structure.
Rationale: Safe nursing practice requires surveillance, recognition of changes,
appropriate communication, and documentation rather than delaying action or
independently exceeding scope.
9. Which statement about competency is most appropriate?
A. Holding a license guarantees competency for every procedure.
B. Competency applies only to newly licensed nurses.
C. A nurse must have the knowledge, skills, judgment, and personal attributes
necessary to practice safely and ethically.
D. Employer orientation replaces competency requirements.
Answer: A nurse must have the knowledge, skills, judgment, and personal
attributes necessary to practice safely and ethically.
