New Hampshire RN Jurisprudence Exam
— Code: NH-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. An RN is asked to perform a nursing intervention that is not specifically
listed in the New Hampshire Board of Nursing's published scope-of-practice
advisory. What is the most appropriate action?
A. Refuse the intervention because it is not listed.
B. Perform it if another nurse has previously performed it.
C. Use the Board's scope-of-practice decision-making process and verify
competency, education, law, and applicable policy.
D. Perform it whenever a physician gives an order.
Answer: C. Use the Board's scope-of-practice decision-making process and verify
competency, education, law, and applicable policy.
,Rationale: The Board recognizes that it cannot list every possible nursing
intervention. Nurses are expected to evaluate unfamiliar activities using
appropriate scope-of-practice guidance and maintain competency through
education and experience.
2. Which New Hampshire statute primarily governs the practice of registered
nursing?
A. RSA 151
B. RSA 318
C. RSA 326-B
D. RSA 329
Answer: C. RSA 326-B
Rationale: RSA Chapter 326-B is the New Hampshire Nurse Practice Act and
contains provisions governing nursing licensure, scope of practice, delegation,
renewal, discipline, and related nursing matters.
3. An RN delegates a task to another individual. Which responsibility remains
with the RN?
A. None once the task is delegated.
B. Only documentation.
C. Appropriate assessment of the delegation, direction, and supervision of the
delegated activity.
D. Only obtaining the patient's consent.
Answer: C. Appropriate assessment of the delegation, direction, and supervision
of the delegated activity.
Rationale: Delegation does not eliminate the nurse's professional
responsibilities. New Hampshire Board guidance emphasizes appropriate task,
circumstances, person, communication, and supervision.
4. Which situation most strongly indicates that delegation may be
inappropriate?
,A. The client is stable.
B. The delegatee has demonstrated competency.
C. The task has predictable outcomes.
D. The client's condition requires nursing assessment and clinical judgment
during the task.
Answer: D. The client's condition requires nursing assessment and clinical
judgment during the task.
Rationale: Tasks requiring nursing assessment, clinical judgment, or
interpretation of changing client conditions generally should not be transferred
to an individual who lacks the authority and competence to perform those
functions.
5. Under New Hampshire Board guidance, which is one of the recognized
rights of delegation?
A. Right diagnosis
B. Right prescription
C. Right circumstance
D. Right diagnosis code
Answer: C. Right circumstance
Rationale: The Board identifies the five delegation considerations as the right
task, right circumstance, right person, right direction/communication, and right
supervision.
6. An RN is considering delegating a task to an LNA caring for a stable client.
Which factor is most important?
A. Whether the RN is busy.
B. Whether the LNA has worked at the facility for six months.
C. Whether the LNA is legally authorized, competent, and appropriately
supervised for the specific task.
D. Whether the physician agrees.
, Answer: C. Whether the LNA is legally authorized, competent, and appropriately
supervised for the specific task.
Rationale: Delegation depends on legal authority, client circumstances,
competency, communication, and supervision rather than simply length of
employment or staffing convenience.
7. A nurse is asked to perform an intervention for which the nurse has never
received education or training. What is the safest legal response?
A. Perform it if the patient consents.
B. Perform it under another nurse's verbal instructions.
C. Obtain appropriate education and demonstrate competency before
performing the intervention independently.
D. Perform it because an RN is expected to perform all nursing procedures.
Answer: C. Obtain appropriate education and demonstrate competency before
performing the intervention independently.
Rationale: New Hampshire Board guidance states that licensees must maintain
the ability to practice nursing competently through education and experience.
8. An RN discovers that a medication has been prepared and drawn up by
another clinician. What does New Hampshire Board medication guidance
indicate?
A. The RN should administer it if the label is present.
B. The RN may administer it if another nurse witnessed preparation.
C. The RN should not administer medications prepared by another person.
D. The RN must administer it if the provider ordered it.
Answer: C. The RN should not administer medications prepared by another
person.
Rationale: Board medication guidance specifically addresses medication
preparation and indicates that nurses should not administer medications
prepared by someone else.