Montana LPN Jurisprudence Exam —
Code: MT-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A Montana LPN is asked to perform a nursing intervention that is outside
the nurse's education, training, and demonstrated competency. What is the
best action?
A. Perform it if an RN is available in the facility
B. Perform it because the employer authorized it
C. Decline the intervention and seek appropriate guidance or assistance
D. Perform it once and document that the employer requested it
Rationale: An LPN remains accountable for practicing within personal
competence and applicable scope-of-practice requirements. Employer policy
does not expand a nurse's legal scope.
, 2. Which statement best describes the relationship between Montana
statutes and Board of Nursing administrative rules?
A. Only statutes regulate nursing practice
B. Administrative rules replace the statutes
C. Both statutes and administrative rules form the regulatory framework
governing nursing practice
D. Facility policies have greater authority than either
Rationale: The Montana Board of Nursing explains that the Nurse Practice Act
consists of both statutes and administrative rules.
3. A newly licensed Montana LPN receives an assignment involving a highly
specialized procedure she has never been taught to perform. The
supervising nurse says, "Just follow the facility protocol." What is the most
appropriate response?
A. Perform the procedure because a protocol exists
B. Perform it if the patient consents
C. Explain that she lacks the required competence and obtain appropriate
instruction or reassignment
D. Ask an unlicensed assistive person to perform it
Rationale: A written protocol does not substitute for the nurse's education,
competence, and legal authority to perform the activity.
4. Montana specifically addresses IV therapy performed by practical nurses.
Before performing IV therapy, an LPN must have:
A. Two years of clinical experience
B. Written permission from every employer
C. Successfully completed qualifying education with evaluation, demonstration,
and documentation of required knowledge and skills
D. An independent Montana IV certification license
,Rationale: Montana states that LPNs must successfully complete an appropriate
course of study and demonstrate competence before performing IV therapy.
Montana does not have a separate IV-certification endorsement for LPNs.
5. Which statement about Montana LPN IV certification is correct?
A. Montana issues a separate LPN IV certification endorsement
B. IV therapy is prohibited for Montana LPNs
C. Montana does not have a separate IV-certification endorsement for LPNs
D. Only APRNs may perform IV therapy
Rationale: The Montana Board specifically states that Montana is not a state
with a separate IV-certification endorsement for LPNs.
6. An LPN has completed an IV course but cannot demonstrate competence
with a particular IV procedure. What is the safest legal approach?
A. Perform the procedure because course completion automatically authorizes
every IV procedure
B. Perform it if the patient signs consent
C. Recognize the competency limitation and obtain appropriate education,
supervision, or assistance before performing it
D. Ask another LPN to accept responsibility
Rationale: Education must be accompanied by demonstrated competence
appropriate to the procedure.
7. A Montana LPN changes her primary state of residence to Montana while
holding a multistate nursing privilege from another compact state. What
should she generally do?
A. Continue indefinitely under the former primary-state license
B. Apply only after the Montana license expires
C. Apply for Montana licensure within the applicable 60-day period after the
change of primary state of residence
D. Obtain an APRN license
, Rationale: Montana Board guidance states that a nurse changing primary state
of residence to Montana must apply for a Montana license within 60 days.
8. An LPN holds a multistate privilege in another compact state and is
temporarily working in Montana without changing primary residence.
Which statement is generally correct?
A. The LPN must always obtain a separate Montana license before practicing
B. The multistate privilege may permit practice in Montana without a separate
Montana license
C. The LPN may practice only as an RN
D. The privilege applies only to federal facilities
Rationale: Montana Board guidance recognizes multistate privileges under the
Nurse Licensure Compact.
9. Which body regulates licensed nurses in Montana?
A. Montana Department of Public Health only
B. Montana Medical Board
C. Montana Board of Nursing
D. Montana Pharmacy Board
Rationale: The Montana Board of Nursing regulates nursing licensure and
practice under applicable statutes and administrative rules.
10.Which Montana administrative-rule subchapter specifically addresses
licensed practical nurses?
A. ARM 24.159.5
B. ARM 24.159.9
C. ARM 24.159.10
D. ARM 24.159.14
Rationale: The Board lists ARM 24.159.10 as the subchapter for Licensed
Practical Nurses.
Code: MT-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A Montana LPN is asked to perform a nursing intervention that is outside
the nurse's education, training, and demonstrated competency. What is the
best action?
A. Perform it if an RN is available in the facility
B. Perform it because the employer authorized it
C. Decline the intervention and seek appropriate guidance or assistance
D. Perform it once and document that the employer requested it
Rationale: An LPN remains accountable for practicing within personal
competence and applicable scope-of-practice requirements. Employer policy
does not expand a nurse's legal scope.
, 2. Which statement best describes the relationship between Montana
statutes and Board of Nursing administrative rules?
A. Only statutes regulate nursing practice
B. Administrative rules replace the statutes
C. Both statutes and administrative rules form the regulatory framework
governing nursing practice
D. Facility policies have greater authority than either
Rationale: The Montana Board of Nursing explains that the Nurse Practice Act
consists of both statutes and administrative rules.
3. A newly licensed Montana LPN receives an assignment involving a highly
specialized procedure she has never been taught to perform. The
supervising nurse says, "Just follow the facility protocol." What is the most
appropriate response?
A. Perform the procedure because a protocol exists
B. Perform it if the patient consents
C. Explain that she lacks the required competence and obtain appropriate
instruction or reassignment
D. Ask an unlicensed assistive person to perform it
Rationale: A written protocol does not substitute for the nurse's education,
competence, and legal authority to perform the activity.
4. Montana specifically addresses IV therapy performed by practical nurses.
Before performing IV therapy, an LPN must have:
A. Two years of clinical experience
B. Written permission from every employer
C. Successfully completed qualifying education with evaluation, demonstration,
and documentation of required knowledge and skills
D. An independent Montana IV certification license
,Rationale: Montana states that LPNs must successfully complete an appropriate
course of study and demonstrate competence before performing IV therapy.
Montana does not have a separate IV-certification endorsement for LPNs.
5. Which statement about Montana LPN IV certification is correct?
A. Montana issues a separate LPN IV certification endorsement
B. IV therapy is prohibited for Montana LPNs
C. Montana does not have a separate IV-certification endorsement for LPNs
D. Only APRNs may perform IV therapy
Rationale: The Montana Board specifically states that Montana is not a state
with a separate IV-certification endorsement for LPNs.
6. An LPN has completed an IV course but cannot demonstrate competence
with a particular IV procedure. What is the safest legal approach?
A. Perform the procedure because course completion automatically authorizes
every IV procedure
B. Perform it if the patient signs consent
C. Recognize the competency limitation and obtain appropriate education,
supervision, or assistance before performing it
D. Ask another LPN to accept responsibility
Rationale: Education must be accompanied by demonstrated competence
appropriate to the procedure.
7. A Montana LPN changes her primary state of residence to Montana while
holding a multistate nursing privilege from another compact state. What
should she generally do?
A. Continue indefinitely under the former primary-state license
B. Apply only after the Montana license expires
C. Apply for Montana licensure within the applicable 60-day period after the
change of primary state of residence
D. Obtain an APRN license
, Rationale: Montana Board guidance states that a nurse changing primary state
of residence to Montana must apply for a Montana license within 60 days.
8. An LPN holds a multistate privilege in another compact state and is
temporarily working in Montana without changing primary residence.
Which statement is generally correct?
A. The LPN must always obtain a separate Montana license before practicing
B. The multistate privilege may permit practice in Montana without a separate
Montana license
C. The LPN may practice only as an RN
D. The privilege applies only to federal facilities
Rationale: Montana Board guidance recognizes multistate privileges under the
Nurse Licensure Compact.
9. Which body regulates licensed nurses in Montana?
A. Montana Department of Public Health only
B. Montana Medical Board
C. Montana Board of Nursing
D. Montana Pharmacy Board
Rationale: The Montana Board of Nursing regulates nursing licensure and
practice under applicable statutes and administrative rules.
10.Which Montana administrative-rule subchapter specifically addresses
licensed practical nurses?
A. ARM 24.159.5
B. ARM 24.159.9
C. ARM 24.159.10
D. ARM 24.159.14
Rationale: The Board lists ARM 24.159.10 as the subchapter for Licensed
Practical Nurses.
