Code: MI-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A Michigan RN is asked by an employer to perform a nursing activity that the RN
has never been trained to perform. The activity is generally within the RN scope
of practice. What is the RN's best legal response?
A. Perform the activity because it falls within RN scope
B. Perform the activity if another nurse is available by telephone
C. Decline the activity until the RN has the necessary education, training, and
competency
D. Delegate the activity to an unlicensed assistive person
Answer: C. Decline the activity until the RN has the necessary education,
training, and competency
,Rationale: An activity may be within the legal scope of an RN yet still be
inappropriate for an individual nurse who lacks the education, training,
experience, or competency necessary to perform it safely.
2.
Which Michigan law primarily governs the practice of registered nursing?
A. A stand-alone Michigan Nurse Practice Act
B. Michigan Hospital Licensing Act only
C. Michigan Public Health Code, Article 15, Part 172
D. Michigan Occupational Safety Act
Answer: C. Michigan Public Health Code, Article 15, Part 172
Rationale: Michigan does not have a separate statute titled the Nurse Practice
Act. Nursing is regulated through the Occupational Regulation provisions of the
Michigan Public Health Code, particularly Part 172.
3.
An RN delegates a nursing task to an unlicensed individual. Which action is most
important before making the delegation?
A. Determine whether the employee has worked at the facility for at least one
year
B. Determine whether the task is popular among other nurses
C. Determine whether the delegatee possesses the knowledge and skills
necessary to perform the task safely and competently
D. Obtain permission from another RN
Answer: C. Determine whether the delegatee possesses the knowledge and
skills necessary to perform the task safely and competently
Rationale: Michigan delegation rules require the RN to determine the
qualifications and competency of the delegatee before delegation.
4.
,Which professional is authorized under Michigan Board of Nursing rules to
delegate nursing acts, functions, or tasks?
A. LPN
B. Nursing assistant
C. Physician
D. Registered nurse
Answer: D. Registered nurse
Rationale: Michigan Board of Nursing rules specifically provide that only an RN
may delegate nursing acts, functions, or tasks under the applicable delegation
provisions.
5.
An RN delegates a task appropriately but never evaluates the delegatee's
performance. Which principle is most directly implicated?
A. Licensure by endorsement
B. Continuing education
C. RN responsibility for supervision and evaluation of delegated nursing
activities
D. Prescriptive authority
Answer: C. RN responsibility for supervision and evaluation of delegated nursing
activities
Rationale: Delegation does not end when the task is assigned. The RN must
supervise and evaluate the delegatee's performance and address deficiencies
when indicated.
6.
A nurse argues that once a task is delegated, all legal responsibility transfers to
the nursing assistant. Which response is most accurate?
, A. Correct, because the assistant performed the task
B. Correct, if the assistant signed a competency statement
C. Correct, if the physician authorized the task
D. Incorrect; the RN retains ultimate responsibility for delegated nursing acts
within the scope of the delegation
Answer: D. Incorrect; the RN retains ultimate responsibility for delegated
nursing acts within the scope of the delegation
Rationale: Michigan delegation rules specifically recognize the RN's ultimate
responsibility for delegated nursing acts, functions, or tasks performed within
the delegation.
7.
Which situation represents inappropriate delegation?
A. Delegating a routine task to a competent nursing assistant
B. Assessing the assistant's competency before delegation
C. Providing appropriate supervision
D. Delegating a task that requires professional nursing judgment to an
unlicensed individual
Answer: D. Delegating a task that requires professional nursing judgment to an
unlicensed individual
Rationale: Delegation does not authorize an unlicensed individual to
independently perform functions requiring the RN's professional nursing
judgment.
8.
A Michigan RN discovers that an unlicensed employee is performing a nursing
task without authorization. What should the RN do first?
A. Ignore the practice because the employee appears competent
B. Stop or appropriately intervene in the unauthorized activity and address the
safety and regulatory concern