Nevada RN Jurisprudence Exam —
Code: NV-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A Nevada RN is asked to perform a procedure that is not specifically listed
in the Nurse Practice Act. The RN has appropriate education, documented
competency, and believes the procedure is consistent with evidence-based
nursing practice. What should the RN do first?
A. Perform the procedure because RNs may perform any procedure ordered by a
physician.
B. Refuse because any procedure not expressly listed in statute is prohibited.
C. Determine whether the activity is permitted by applicable law, standards,
education, competency, and organizational policy before accepting
accountability.
D. Ask another RN to perform it so the RN is not accountable.
,Answer: Determine whether the activity is permitted by applicable law,
standards, education, competency, and organizational policy before accepting
accountability.
Rationale: Nevada's Board uses a scope-of-practice decision-making framework
that considers law, professional standards, knowledge, safety, competency,
policies, and accountability. A physician's order by itself does not automatically
place an activity within an RN's scope.
2. Which entity is primarily responsible for regulating the practice of nursing
in Nevada?
A. Nevada Hospital Association
B. Nevada State Board of Nursing
C. Nevada Medical Association
D. Nevada Department of Labor
Answer: Nevada State Board of Nursing
Rationale: Chapter 632 establishes the Nevada State Board of Nursing and
grants it regulatory authority over nursing practice and licensure.
3. A Nevada RN delegates a task to unlicensed assistive personnel. Which
activity is generally not delegable?
A. Routine hygiene
B. Ambulation of a stable patient
C. Collection of routine vital signs
D. Nursing judgment and critical decision-making
Answer: Nursing judgment and critical decision-making
Rationale: Nevada delegation rules prohibit delegation of nursing care when the
delegated activity requires nursing judgment or critical decision-making.
4. An RN delegates a nursing activity to another person. Which factor is most
important before delegation?
,A. Whether the delegatee wants additional duties
B. Whether the delegatee is competent to perform the activity safely
C. Whether the task takes less than 10 minutes
D. Whether another nurse is available
Answer: Whether the delegatee is competent to perform the activity safely
Rationale: Nevada requires the delegatee to possess the competence necessary
for the delegated responsibility. The RN must consider education, training,
competency, patient complexity, and required supervision.
5. An RN delegates a task that is outside the RN's own scope of practice.
Which statement is correct?
A. Delegation makes the task lawful.
B. The physician's order makes delegation lawful.
C. The RN cannot delegate a responsibility that is outside the delegator's scope.
D. The delegatee assumes the RN's license.
Answer: The RN cannot delegate a responsibility that is outside the delegator's
scope.
Rationale: Nevada delegation requirements specify that the nursing care being
delegated must be within the scope of practice of the delegator.
6. An RN delegates a task to an LPN. The task is within the LPN's authorized
scope and the LPN is competent. What additional principle applies?
A. The LPN must independently redefine the patient's plan of care.
B. The delegated activity must not require nursing judgment or critical decision-
making.
C. The RN loses all accountability after delegation.
D. The LPN automatically becomes the supervising nurse.
Answer: The delegated activity must not require nursing judgment or critical
decision-making.
, Rationale: Nevada permits certain delegation between licensed nurses when the
activity is within the respective scopes and does not involve nursing judgment or
critical decision-making.
7. A delegatee accepts responsibility for a delegated procedure but
subsequently performs it incorrectly. Which statement best reflects
Nevada's delegation framework?
A. Only the delegating RN can ever be accountable.
B. Only the employer is accountable.
C. The RN retains overall accountability for the patient's care, while the delegatee
is responsible for the delegated activity performed.
D. No one is accountable if the task was delegated.
Answer: The RN retains overall accountability for the patient's care, while the
delegatee is responsible for the delegated activity performed.
Rationale: Nevada's delegation provisions distinguish the delegator's overall
accountability for patient care from the delegatee's responsibility for carrying
out the delegated activity.
8. Which patient is least appropriate for delegation of a complex nursing
activity to assistive personnel?
A. A stable patient requiring routine hygiene
B. A stable patient requiring routine vital signs
C. A patient whose condition requires ongoing nursing assessment and clinical
judgment
D. A patient requiring assistance with ambulation after an uncomplicated
procedure
Answer: A patient whose condition requires ongoing nursing assessment and
clinical judgment
Rationale: Delegation is inappropriate when the activity requires nursing
judgment or critical decision-making. Patient complexity also determines the
amount of supervision and direction required.
Code: NV-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A Nevada RN is asked to perform a procedure that is not specifically listed
in the Nurse Practice Act. The RN has appropriate education, documented
competency, and believes the procedure is consistent with evidence-based
nursing practice. What should the RN do first?
A. Perform the procedure because RNs may perform any procedure ordered by a
physician.
B. Refuse because any procedure not expressly listed in statute is prohibited.
C. Determine whether the activity is permitted by applicable law, standards,
education, competency, and organizational policy before accepting
accountability.
D. Ask another RN to perform it so the RN is not accountable.
,Answer: Determine whether the activity is permitted by applicable law,
standards, education, competency, and organizational policy before accepting
accountability.
Rationale: Nevada's Board uses a scope-of-practice decision-making framework
that considers law, professional standards, knowledge, safety, competency,
policies, and accountability. A physician's order by itself does not automatically
place an activity within an RN's scope.
2. Which entity is primarily responsible for regulating the practice of nursing
in Nevada?
A. Nevada Hospital Association
B. Nevada State Board of Nursing
C. Nevada Medical Association
D. Nevada Department of Labor
Answer: Nevada State Board of Nursing
Rationale: Chapter 632 establishes the Nevada State Board of Nursing and
grants it regulatory authority over nursing practice and licensure.
3. A Nevada RN delegates a task to unlicensed assistive personnel. Which
activity is generally not delegable?
A. Routine hygiene
B. Ambulation of a stable patient
C. Collection of routine vital signs
D. Nursing judgment and critical decision-making
Answer: Nursing judgment and critical decision-making
Rationale: Nevada delegation rules prohibit delegation of nursing care when the
delegated activity requires nursing judgment or critical decision-making.
4. An RN delegates a nursing activity to another person. Which factor is most
important before delegation?
,A. Whether the delegatee wants additional duties
B. Whether the delegatee is competent to perform the activity safely
C. Whether the task takes less than 10 minutes
D. Whether another nurse is available
Answer: Whether the delegatee is competent to perform the activity safely
Rationale: Nevada requires the delegatee to possess the competence necessary
for the delegated responsibility. The RN must consider education, training,
competency, patient complexity, and required supervision.
5. An RN delegates a task that is outside the RN's own scope of practice.
Which statement is correct?
A. Delegation makes the task lawful.
B. The physician's order makes delegation lawful.
C. The RN cannot delegate a responsibility that is outside the delegator's scope.
D. The delegatee assumes the RN's license.
Answer: The RN cannot delegate a responsibility that is outside the delegator's
scope.
Rationale: Nevada delegation requirements specify that the nursing care being
delegated must be within the scope of practice of the delegator.
6. An RN delegates a task to an LPN. The task is within the LPN's authorized
scope and the LPN is competent. What additional principle applies?
A. The LPN must independently redefine the patient's plan of care.
B. The delegated activity must not require nursing judgment or critical decision-
making.
C. The RN loses all accountability after delegation.
D. The LPN automatically becomes the supervising nurse.
Answer: The delegated activity must not require nursing judgment or critical
decision-making.
, Rationale: Nevada permits certain delegation between licensed nurses when the
activity is within the respective scopes and does not involve nursing judgment or
critical decision-making.
7. A delegatee accepts responsibility for a delegated procedure but
subsequently performs it incorrectly. Which statement best reflects
Nevada's delegation framework?
A. Only the delegating RN can ever be accountable.
B. Only the employer is accountable.
C. The RN retains overall accountability for the patient's care, while the delegatee
is responsible for the delegated activity performed.
D. No one is accountable if the task was delegated.
Answer: The RN retains overall accountability for the patient's care, while the
delegatee is responsible for the delegated activity performed.
Rationale: Nevada's delegation provisions distinguish the delegator's overall
accountability for patient care from the delegatee's responsibility for carrying
out the delegated activity.
8. Which patient is least appropriate for delegation of a complex nursing
activity to assistive personnel?
A. A stable patient requiring routine hygiene
B. A stable patient requiring routine vital signs
C. A patient whose condition requires ongoing nursing assessment and clinical
judgment
D. A patient requiring assistance with ambulation after an uncomplicated
procedure
Answer: A patient whose condition requires ongoing nursing assessment and
clinical judgment
Rationale: Delegation is inappropriate when the activity requires nursing
judgment or critical decision-making. Patient complexity also determines the
amount of supervision and direction required.
