Maryland RN Jurisprudence Exam —
Code: MD-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A nurse is asked to perform a procedure that is outside the nurse's education,
documented competency, and clinical experience. The nurse's supervisor states
that the procedure is required because the unit is short-staffed. What is the
nurse's best action?
A. Perform the procedure because the supervisor authorized it
B. Ask another nurse to perform the procedure without further evaluation
C. Decline the procedure and explain that it exceeds the nurse's knowledge and
skills
D. Perform the procedure if the patient signs a consent form
,Answer: C. Decline the procedure and explain that it exceeds the nurse's
knowledge and skills
***Rationale: Maryland law prohibits requiring a licensee to perform an act
beyond the licensee's knowledge and skills. A nurse remains responsible for
practicing within personal competence even when directed by a supervisor. ***
2.
Which statement best describes who may generally practice registered nursing in
Maryland?
A. Any graduate of an approved nursing program
B. Any nurse employed by a Maryland healthcare facility
C. An individual licensed by the Maryland Board of Nursing or otherwise
authorized through a valid multistate privilege
D. Any individual supervised by an RN
Answer: C. An individual licensed by the Maryland Board of Nursing or
otherwise authorized through a valid multistate privilege
***Rationale: Maryland requires authorization to practice registered nursing,
subject to statutory exceptions. The definition of RN also recognizes a valid Nurse
Licensure Compact multistate privilege. ***
3.
A nursing student enrolled in an approved nursing program performs nursing
activities as part of the educational program under appropriate supervision.
Which statement is most accurate?
A. The student is automatically licensed as an RN
B. The student may practice independently as an RN
C. The student may fall within the statutory educational-program exception
while practicing in the program
D. The student may use the title RN after completing clinical hours
,Answer: C. The student may fall within the statutory educational-program
exception while practicing in the program
***Rationale: Maryland law contains exceptions for students enrolled in
approved nursing education programs while practicing within those programs.
This does not confer an RN license or authorize independent RN practice. ***
4.
An individual who has never been licensed as an RN advertises services to the
public as a registered nurse. Which issue is most directly implicated?
A. Only facility policy
B. Continuing education requirements
C. Unauthorized representation as authorized to practice registered nursing
D. Delegation documentation
Answer: C. Unauthorized representation as authorized to practice registered
nursing
***Rationale: Maryland law prohibits an unauthorized individual from
representing to the public, by title, description of services, methods, procedures,
or otherwise, that the individual is authorized to practice registered nursing. ***
5.
A nurse is asked to delegate a nursing task to an individual who has never been
trained to perform it. What is the most appropriate response?
A. Delegate because the task is routine
B. Delegate if another nurse is available by telephone
C. Do not delegate until the individual has the required knowledge and skills and
delegation is otherwise permitted
D. Delegate because the patient requested the individual
Answer: C. Do not delegate until the individual has the required knowledge and
skills and delegation is otherwise permitted
, ***Rationale: Delegation must be consistent with the delegatee's competence
and applicable Maryland requirements. Delegating a nursing act to someone the
nurse knows or has reason to know lacks the ability or knowledge can constitute
grounds for discipline. ***
6.
Which activity is specifically included within Maryland's statutory description of
registered nursing practice?
A. Only medication administration
B. Only physical assessment
C. Supervision, delegation, and evaluation of nursing practice
D. Only tasks prescribed by physicians
Answer: C. Supervision, delegation, and evaluation of nursing practice
***Rationale: Maryland's statutory definition includes administration, teaching,
counseling, supervision/delegation/evaluation, execution of therapeutic
regimens, independent nursing functions, and delegated medical functions. ***
7.
An RN believes a patient's condition is unstable and that a proposed nursing task
should not be delegated. A supervisor insists that the task be delegated. What is
the nurse's best response?
A. Delegate because the supervisor assumes responsibility
B. Delegate and document that the supervisor ordered it
C. Explain the patient-specific safety concern and refuse inappropriate
delegation
D. Ask the patient to accept responsibility
Answer: C. Explain the patient-specific safety concern and refuse inappropriate
delegation
Code: MD-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A nurse is asked to perform a procedure that is outside the nurse's education,
documented competency, and clinical experience. The nurse's supervisor states
that the procedure is required because the unit is short-staffed. What is the
nurse's best action?
A. Perform the procedure because the supervisor authorized it
B. Ask another nurse to perform the procedure without further evaluation
C. Decline the procedure and explain that it exceeds the nurse's knowledge and
skills
D. Perform the procedure if the patient signs a consent form
,Answer: C. Decline the procedure and explain that it exceeds the nurse's
knowledge and skills
***Rationale: Maryland law prohibits requiring a licensee to perform an act
beyond the licensee's knowledge and skills. A nurse remains responsible for
practicing within personal competence even when directed by a supervisor. ***
2.
Which statement best describes who may generally practice registered nursing in
Maryland?
A. Any graduate of an approved nursing program
B. Any nurse employed by a Maryland healthcare facility
C. An individual licensed by the Maryland Board of Nursing or otherwise
authorized through a valid multistate privilege
D. Any individual supervised by an RN
Answer: C. An individual licensed by the Maryland Board of Nursing or
otherwise authorized through a valid multistate privilege
***Rationale: Maryland requires authorization to practice registered nursing,
subject to statutory exceptions. The definition of RN also recognizes a valid Nurse
Licensure Compact multistate privilege. ***
3.
A nursing student enrolled in an approved nursing program performs nursing
activities as part of the educational program under appropriate supervision.
Which statement is most accurate?
A. The student is automatically licensed as an RN
B. The student may practice independently as an RN
C. The student may fall within the statutory educational-program exception
while practicing in the program
D. The student may use the title RN after completing clinical hours
,Answer: C. The student may fall within the statutory educational-program
exception while practicing in the program
***Rationale: Maryland law contains exceptions for students enrolled in
approved nursing education programs while practicing within those programs.
This does not confer an RN license or authorize independent RN practice. ***
4.
An individual who has never been licensed as an RN advertises services to the
public as a registered nurse. Which issue is most directly implicated?
A. Only facility policy
B. Continuing education requirements
C. Unauthorized representation as authorized to practice registered nursing
D. Delegation documentation
Answer: C. Unauthorized representation as authorized to practice registered
nursing
***Rationale: Maryland law prohibits an unauthorized individual from
representing to the public, by title, description of services, methods, procedures,
or otherwise, that the individual is authorized to practice registered nursing. ***
5.
A nurse is asked to delegate a nursing task to an individual who has never been
trained to perform it. What is the most appropriate response?
A. Delegate because the task is routine
B. Delegate if another nurse is available by telephone
C. Do not delegate until the individual has the required knowledge and skills and
delegation is otherwise permitted
D. Delegate because the patient requested the individual
Answer: C. Do not delegate until the individual has the required knowledge and
skills and delegation is otherwise permitted
, ***Rationale: Delegation must be consistent with the delegatee's competence
and applicable Maryland requirements. Delegating a nursing act to someone the
nurse knows or has reason to know lacks the ability or knowledge can constitute
grounds for discipline. ***
6.
Which activity is specifically included within Maryland's statutory description of
registered nursing practice?
A. Only medication administration
B. Only physical assessment
C. Supervision, delegation, and evaluation of nursing practice
D. Only tasks prescribed by physicians
Answer: C. Supervision, delegation, and evaluation of nursing practice
***Rationale: Maryland's statutory definition includes administration, teaching,
counseling, supervision/delegation/evaluation, execution of therapeutic
regimens, independent nursing functions, and delegated medical functions. ***
7.
An RN believes a patient's condition is unstable and that a proposed nursing task
should not be delegated. A supervisor insists that the task be delegated. What is
the nurse's best response?
A. Delegate because the supervisor assumes responsibility
B. Delegate and document that the supervisor ordered it
C. Explain the patient-specific safety concern and refuse inappropriate
delegation
D. Ask the patient to accept responsibility
Answer: C. Explain the patient-specific safety concern and refuse inappropriate
delegation
