Hawaii RN Jurisprudence Exam — Code:
HI-RN-JP | 100-Question Advanced
Practice Exam 2026 | Questions &
Answers with Detailed Rationales |
Complete Exam Prep & Study Guide
1.
An RN is asked to perform a procedure that the nurse has never performed
independently but has observed several times. The procedure is within the
general RN scope of practice. What is the nurse's best action?
A. Perform it because it is generally within RN scope.
B. Refuse all future assignments involving the procedure.
C. Obtain appropriate education, training, and demonstrated competency before
performing it independently.
D. Perform it if another RN is physically present.
Answer: C. Obtain appropriate education, training, and demonstrated
competency before performing it independently.
Rationale: A Hawaii RN remains accountable for individual nursing actions and
must practice within demonstrated competence. Being generally within the RN
,scope does not automatically establish individual competency for a particular
procedure.
2.
Which statement best reflects the statutory concept of RN practice in Hawaii?
A. The RN practices only under direct physician supervision.
B. The RN provides professional nursing services using specialized knowledge,
judgment, and skill and is accountable for the quality of nursing care.
C. The RN may independently perform only tasks specifically listed in hospital
policy.
D. The RN's scope is limited to medication administration.
Answer: B. The RN provides professional nursing services using specialized
knowledge, judgment, and skill and is accountable for the quality of nursing
care.
Rationale: Hawaii law describes RN practice as professional services based on
specialized knowledge, judgment, and skill, with accountability for nursing care.
3.
A nurse delegates a nursing activity to assistive personnel who has never
demonstrated competency in that activity. The nurse argues that the activity is
"routine." Which principle is most important?
A. Routine activities never require competency validation.
B. Delegation is permissible whenever the patient is stable.
C. The person receiving the delegation must have the necessary skills and
competence to perform the activity safely.
D. The employer assumes all responsibility once the task is delegated.
,Answer: C. The person receiving the delegation must have the necessary skills
and competence to perform the activity safely.
Rationale: Delegation does not eliminate the RN's professional responsibility to
determine whether the delegatee can safely perform the assigned activity.
4.
An RN discovers that a colleague documented administration of a medication that
the colleague actually did not administer. What is the most appropriate
professional response?
A. Ignore the discrepancy because it does not involve the reporting nurse.
B. Alter the colleague's documentation.
C. Address the discrepancy through appropriate reporting and patient-safety
channels.
D. Delete the medication entry.
Answer: C. Address the discrepancy through appropriate reporting and patient-
safety channels.
Rationale: False or inaccurate documentation can affect patient safety and
professional accountability. The reporting nurse should not alter another nurse's
record.
5.
Which action most clearly demonstrates professional accountability?
A. Accepting every assignment without question
B. Practicing only according to personal preference
C. Recognizing limitations and seeking assistance when necessary
D. Delegating difficult decisions to unlicensed personnel
, Answer: C. Recognizing limitations and seeking assistance when necessary
Rationale: Professional accountability requires nurses to recognize their
limitations, maintain competence, and take appropriate action when they
cannot safely perform an activity independently.
6.
A Hawaii RN's license is active, but the nurse has not completed the required
continuing competency activity for renewal. Which statement is most accurate?
A. Continuing competency is optional for active RNs.
B. Continuing competency applies only to APRNs.
C. The nurse must satisfy Hawaii's continuing competency requirements for
renewal.
D. Employer-based orientation automatically satisfies all continuing competency
requirements.
Answer: C. The nurse must satisfy Hawaii's continuing competency
requirements for renewal.
Rationale: Hawaii requires nurse licensees to complete a qualifying continuing
competency learning activity before renewal, subject to applicable statutory and
Board requirements.
7.
Under Hawaii's current continuing competency framework, which statement is
correct?
A. An RN must combine several different learning activities to reach the required
total.
B. An RN selects one qualifying learning activity option for the biennium.
HI-RN-JP | 100-Question Advanced
Practice Exam 2026 | Questions &
Answers with Detailed Rationales |
Complete Exam Prep & Study Guide
1.
An RN is asked to perform a procedure that the nurse has never performed
independently but has observed several times. The procedure is within the
general RN scope of practice. What is the nurse's best action?
A. Perform it because it is generally within RN scope.
B. Refuse all future assignments involving the procedure.
C. Obtain appropriate education, training, and demonstrated competency before
performing it independently.
D. Perform it if another RN is physically present.
Answer: C. Obtain appropriate education, training, and demonstrated
competency before performing it independently.
Rationale: A Hawaii RN remains accountable for individual nursing actions and
must practice within demonstrated competence. Being generally within the RN
,scope does not automatically establish individual competency for a particular
procedure.
2.
Which statement best reflects the statutory concept of RN practice in Hawaii?
A. The RN practices only under direct physician supervision.
B. The RN provides professional nursing services using specialized knowledge,
judgment, and skill and is accountable for the quality of nursing care.
C. The RN may independently perform only tasks specifically listed in hospital
policy.
D. The RN's scope is limited to medication administration.
Answer: B. The RN provides professional nursing services using specialized
knowledge, judgment, and skill and is accountable for the quality of nursing
care.
Rationale: Hawaii law describes RN practice as professional services based on
specialized knowledge, judgment, and skill, with accountability for nursing care.
3.
A nurse delegates a nursing activity to assistive personnel who has never
demonstrated competency in that activity. The nurse argues that the activity is
"routine." Which principle is most important?
A. Routine activities never require competency validation.
B. Delegation is permissible whenever the patient is stable.
C. The person receiving the delegation must have the necessary skills and
competence to perform the activity safely.
D. The employer assumes all responsibility once the task is delegated.
,Answer: C. The person receiving the delegation must have the necessary skills
and competence to perform the activity safely.
Rationale: Delegation does not eliminate the RN's professional responsibility to
determine whether the delegatee can safely perform the assigned activity.
4.
An RN discovers that a colleague documented administration of a medication that
the colleague actually did not administer. What is the most appropriate
professional response?
A. Ignore the discrepancy because it does not involve the reporting nurse.
B. Alter the colleague's documentation.
C. Address the discrepancy through appropriate reporting and patient-safety
channels.
D. Delete the medication entry.
Answer: C. Address the discrepancy through appropriate reporting and patient-
safety channels.
Rationale: False or inaccurate documentation can affect patient safety and
professional accountability. The reporting nurse should not alter another nurse's
record.
5.
Which action most clearly demonstrates professional accountability?
A. Accepting every assignment without question
B. Practicing only according to personal preference
C. Recognizing limitations and seeking assistance when necessary
D. Delegating difficult decisions to unlicensed personnel
, Answer: C. Recognizing limitations and seeking assistance when necessary
Rationale: Professional accountability requires nurses to recognize their
limitations, maintain competence, and take appropriate action when they
cannot safely perform an activity independently.
6.
A Hawaii RN's license is active, but the nurse has not completed the required
continuing competency activity for renewal. Which statement is most accurate?
A. Continuing competency is optional for active RNs.
B. Continuing competency applies only to APRNs.
C. The nurse must satisfy Hawaii's continuing competency requirements for
renewal.
D. Employer-based orientation automatically satisfies all continuing competency
requirements.
Answer: C. The nurse must satisfy Hawaii's continuing competency
requirements for renewal.
Rationale: Hawaii requires nurse licensees to complete a qualifying continuing
competency learning activity before renewal, subject to applicable statutory and
Board requirements.
7.
Under Hawaii's current continuing competency framework, which statement is
correct?
A. An RN must combine several different learning activities to reach the required
total.
B. An RN selects one qualifying learning activity option for the biennium.
