Code: MI-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A Michigan LPN is asked to perform a nursing activity that requires the level of
education, skill, and judgment expected of an RN. The LPN has performed the
activity previously under supervision. What is the best legal response?
A. Perform it because prior experience establishes competency
B. Perform it if the physician gives a verbal order
C. Decline the activity because experience does not expand the LPN's statutory
scope of practice
D. Perform it if another LPN is available to supervise
Answer: C. Decline the activity because experience does not expand the LPN's
statutory scope of practice
,Rationale: Michigan defines LPN practice as nursing based on less
comprehensive knowledge and skill than RN practice and performed under
supervision. Prior experience does not independently expand the statutory scope
of an LPN.
2.
Under Michigan law, an individual generally may not engage in practical nursing
unless the individual is:
A. Employed by a licensed health facility
B. A graduate of an approved nursing program
C. Licensed or otherwise authorized under the applicable law
D. Supervised by an RN
Answer: C. Licensed or otherwise authorized under the applicable law
Rationale: Michigan Public Health Code §17211 prohibits engaging in nursing or
practical nursing without the required license or authorization.
3.
Which person has the statutory authority to use the title “licensed practical
nurse” or “LPN” in Michigan?
A. Any nursing graduate awaiting NCLEX results
B. Any nursing assistant who has completed medication training
C. A person authorized under Part 172 to use the title
D. Any employee working under an RN
Answer: C. A person authorized under Part 172 to use the title
Rationale: Michigan restricts the use of nursing titles, including “licensed
practical nurse” and “L.P.N.,” to persons authorized under the nursing provisions
of the Public Health Code.
4.
,An LPN believes an assignment exceeds her education and competency. Which
action best demonstrates professional accountability?
A. Complete the assignment quickly to avoid discipline
B. Ask another LPN to assume responsibility without notifying the supervisor
C. Communicate the concern through the appropriate chain of command and
decline an assignment that cannot be performed safely and lawfully
D. Perform only the easiest portion without informing anyone
Answer: C. Communicate the concern through the appropriate chain of
command and decline an assignment that cannot be performed safely and
lawfully
Rationale: Professional accountability requires the nurse to recognize
limitations, protect the patient, and communicate concerns rather than
knowingly perform unsafe or unauthorized practice.
5.
Which statement best describes Michigan's statutory definition of LPN practice?
A. Independent nursing practice without supervision
B. Practice limited exclusively to medication administration
C. Nursing practice based on less comprehensive knowledge and skill than RN
practice and performed under specified supervision
D. Practice limited exclusively to long-term-care facilities
Answer: C. Nursing practice based on less comprehensive knowledge and skill
than RN practice and performed under specified supervision
Rationale: Michigan specifically defines LPN practice in §17201 as nursing based
on less comprehensive knowledge and skill than that required of an RN and
performed under supervision of an RN, physician, or dentist.
6.
Which professional is specifically identified in Michigan's statutory definition as
someone who may supervise an LPN?
, A. Pharmacist only
B. Registered professional nurse, physician, or dentist
C. Nursing assistant
D. Physical therapist only
Answer: B. Registered professional nurse, physician, or dentist
Rationale: Section 17201 expressly identifies an RN, physician, or dentist as a
supervisor for LPN practice.
7.
An LPN is asked to perform a task that is outside the LPN's scope but is common
practice at the facility. Which principle applies?
A. Facility policy automatically expands the scope of practice
B. Physician preference automatically expands the scope
C. Facility policy cannot authorize conduct prohibited by Michigan law
D. Experience automatically expands scope
Answer: C. Facility policy cannot authorize conduct prohibited by Michigan law
Rationale: Institutional policies may establish procedures and additional
restrictions, but they cannot independently authorize a licensee to practice
beyond statutory or regulatory authority.
8.
Which source is most directly relevant when determining the legal scope of
Michigan LPN practice?
A. Hospital orientation manual only
B. Employee handbook only
C. Michigan Public Health Code, Part 172, together with applicable nursing rules
D. Another state's nursing practice act
Answer: C. Michigan Public Health Code, Part 172, together with applicable
nursing rules