Montana RN Jurisprudence Exam —
Code: MT-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A Montana RN moves to a new residence but continues working under the same
license. What is the nurse's regulatory responsibility?
A. Report the change at the next license renewal
B. Notify the employer only
C. Notify the Montana Board of Nursing within 10 days
D. Notify Nursys within 30 days
Answer: Notify the Montana Board of Nursing within 10 days
Rationale: Montana administrative rules require nurses to notify the Board
office of an address change within 10 days. Failure to do so may result in a fine.
,2.
A Montana RN is providing telehealth nursing services to a patient who is
physically located in Montana while the RN is temporarily outside the state.
Which statement is most accurate?
A. No Montana license is required because the RN is physically outside Montana
B. A Montana license or multistate privilege is required
C. Only the RN's physical location determines jurisdiction
D. Telehealth nursing is exempt from Montana licensure
Answer: A Montana license or multistate privilege is required
Rationale: Montana Board guidance states that nursing services provided to
persons residing in Montana, including through telehealth, require an active
Montana nursing license or multistate privilege.
3.
Which regulatory sources collectively constitute Montana's Nurse Practice Act
framework?
A. Federal regulations only
B. Hospital policies and professional standards only
C. Montana statutes and Board of Nursing administrative rules
D. NCLEX test-plan requirements and facility policies
Answer: Montana statutes and Board of Nursing administrative rules
Rationale: The Montana Board explains that the Nurse Practice Act consists of
both statutes and administrative rules governing nursing practice.
4.
An RN intentionally alters a patient's medication administration record to conceal
a medication error. How should this conduct be viewed?
,A. Acceptable if the patient was unharmed
B. A documentation issue handled exclusively by the employer
C. Potential unprofessional conduct
D. Acceptable if the nurse corrects the record later
Answer: Potential unprofessional conduct
Rationale: Montana rules identify falsifying patient records, intentionally
charting incorrectly, and altering drug supplies or patient records as examples of
unprofessional conduct.
5.
An RN discovers that another nurse has diverted controlled substances. What is
the most appropriate regulatory response?
A. Ignore the matter unless a patient is injured
B. Discuss it privately with coworkers
C. Report the suspected unprofessional conduct through the appropriate process
D. Delete the medication discrepancy from the record
Answer: Report the suspected unprofessional conduct through the appropriate
process
Rationale: Montana rules require nurses to report unprofessional conduct of
nurses to the Board. Medication diversion is specifically identified as
unprofessional conduct.
6.
Which action most clearly exceeds acceptable professional nursing practice?
A. Asking for assistance with an unfamiliar procedure
B. Practicing within demonstrated competence
C. Performing a procedure beyond the nurse's authorized scope
D. Reviewing a facility policy before performing a task
Answer: Performing a procedure beyond the nurse's authorized scope
, Rationale: Montana rules identify performing procedures beyond the authorized
scope of the nurse's level of licensure as unprofessional conduct.
7.
An RN delegates a task to an unlicensed individual solely because the unit is short
staffed. The individual has never demonstrated competence with the task. What
is the primary concern?
A. Staffing ratios only
B. The nurse's delegation and supervision responsibilities
C. The patient's insurance coverage
D. The individual's employment classification
Answer: The nurse's delegation and supervision responsibilities
Rationale: Montana has specific administrative rules governing delegation, and
improper delegation or inadequate supervision can constitute unprofessional
conduct.
8.
Which statement best describes the RN's responsibility when delegating nursing
functions?
A. The RN transfers all professional accountability to the delegatee
B. Delegation eliminates the RN's duty to supervise
C. Delegation must comply with Montana law and rules and protect patient safety
D. Any task may be delegated if the patient consents
Answer: Delegation must comply with Montana law and rules and protect
patient safety
Rationale: Montana specifically prohibits delegation contrary to nursing laws
and rules or when delegation is detrimental to patient safety.
9.
Code: MT-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A Montana RN moves to a new residence but continues working under the same
license. What is the nurse's regulatory responsibility?
A. Report the change at the next license renewal
B. Notify the employer only
C. Notify the Montana Board of Nursing within 10 days
D. Notify Nursys within 30 days
Answer: Notify the Montana Board of Nursing within 10 days
Rationale: Montana administrative rules require nurses to notify the Board
office of an address change within 10 days. Failure to do so may result in a fine.
,2.
A Montana RN is providing telehealth nursing services to a patient who is
physically located in Montana while the RN is temporarily outside the state.
Which statement is most accurate?
A. No Montana license is required because the RN is physically outside Montana
B. A Montana license or multistate privilege is required
C. Only the RN's physical location determines jurisdiction
D. Telehealth nursing is exempt from Montana licensure
Answer: A Montana license or multistate privilege is required
Rationale: Montana Board guidance states that nursing services provided to
persons residing in Montana, including through telehealth, require an active
Montana nursing license or multistate privilege.
3.
Which regulatory sources collectively constitute Montana's Nurse Practice Act
framework?
A. Federal regulations only
B. Hospital policies and professional standards only
C. Montana statutes and Board of Nursing administrative rules
D. NCLEX test-plan requirements and facility policies
Answer: Montana statutes and Board of Nursing administrative rules
Rationale: The Montana Board explains that the Nurse Practice Act consists of
both statutes and administrative rules governing nursing practice.
4.
An RN intentionally alters a patient's medication administration record to conceal
a medication error. How should this conduct be viewed?
,A. Acceptable if the patient was unharmed
B. A documentation issue handled exclusively by the employer
C. Potential unprofessional conduct
D. Acceptable if the nurse corrects the record later
Answer: Potential unprofessional conduct
Rationale: Montana rules identify falsifying patient records, intentionally
charting incorrectly, and altering drug supplies or patient records as examples of
unprofessional conduct.
5.
An RN discovers that another nurse has diverted controlled substances. What is
the most appropriate regulatory response?
A. Ignore the matter unless a patient is injured
B. Discuss it privately with coworkers
C. Report the suspected unprofessional conduct through the appropriate process
D. Delete the medication discrepancy from the record
Answer: Report the suspected unprofessional conduct through the appropriate
process
Rationale: Montana rules require nurses to report unprofessional conduct of
nurses to the Board. Medication diversion is specifically identified as
unprofessional conduct.
6.
Which action most clearly exceeds acceptable professional nursing practice?
A. Asking for assistance with an unfamiliar procedure
B. Practicing within demonstrated competence
C. Performing a procedure beyond the nurse's authorized scope
D. Reviewing a facility policy before performing a task
Answer: Performing a procedure beyond the nurse's authorized scope
, Rationale: Montana rules identify performing procedures beyond the authorized
scope of the nurse's level of licensure as unprofessional conduct.
7.
An RN delegates a task to an unlicensed individual solely because the unit is short
staffed. The individual has never demonstrated competence with the task. What
is the primary concern?
A. Staffing ratios only
B. The nurse's delegation and supervision responsibilities
C. The patient's insurance coverage
D. The individual's employment classification
Answer: The nurse's delegation and supervision responsibilities
Rationale: Montana has specific administrative rules governing delegation, and
improper delegation or inadequate supervision can constitute unprofessional
conduct.
8.
Which statement best describes the RN's responsibility when delegating nursing
functions?
A. The RN transfers all professional accountability to the delegatee
B. Delegation eliminates the RN's duty to supervise
C. Delegation must comply with Montana law and rules and protect patient safety
D. Any task may be delegated if the patient consents
Answer: Delegation must comply with Montana law and rules and protect
patient safety
Rationale: Montana specifically prohibits delegation contrary to nursing laws
and rules or when delegation is detrimental to patient safety.
9.
