New Jersey RN Jurisprudence Exam —
Code: NJ-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A New Jersey RN is asked to perform a nursing activity that requires
repeated assessment and significant clinical judgment. The RN considers
delegating the activity to an assistive person. Which action is most
appropriate?
A. Delegate it if the assistive person has performed it previously
B. Delegate it if the physician has authorized the activity
C. Retain the activity because it requires nursing judgment and ongoing
assessment
D. Delegate it if the patient gives written permission
,Answer: C. Retain the activity because it requires nursing judgment and ongoing
assessment
Rationale: New Jersey delegation rules require the RN to determine that a
delegated task is predictable and does not require nursing judgment, repeated
nursing assessment, complex observation, or critical decisions. Tasks requiring
those skills should remain with the RN.
2. Before delegating an appropriate nursing task to an LPN, CHHA, or assistive
person, what must the RN do first?
A. Obtain written permission from the patient's family
B. Ask another RN to approve the delegation
C. Assess the patient's needs and develop a plan of care
D. Obtain a physician's written order
Answer: C. Assess the patient's needs and develop a plan of care
Rationale: New Jersey delegation requirements specifically identify patient
assessment and development of a plan of care as prerequisites to delegation.
3. Which patient assignment is most clearly appropriate for an RN rather than
delegation to an assistive person?
A. Routine oral hygiene for a stable patient
B. Ambulation of a stable patient according to an established plan
C. Measuring intake and output for a stable patient
D. Initial assessment of a newly admitted patient
Answer: D. Initial assessment of a newly admitted patient
Rationale: Initial assessment requires professional nursing knowledge and
judgment. New Jersey hospital standards specifically require the RN to perform
the initial assessment and identify patient problems upon admission.
4. A hospital RN admits a patient at 0900. By when should the RN complete
the required admission assessment documentation under the cited New
Jersey hospital standard?
,A. Within 4 hours
B. Within 8 hours
C. Within 24 hours
D. Before the end of the shift
Answer: C. Within 24 hours
Rationale: New Jersey hospital licensing standards provide that an RN should
prepare a completed assessment note addressing patient problems, expected
outcomes, and anticipated discharge needs within 24 hours of admission.
5. An RN delegates a task and later discovers that the patient's condition has
become unpredictable. What should the RN do?
A. Continue delegation because the original task was appropriate
B. Ask the assistive person to make the clinical decision
C. Reassess the patient and discontinue or modify the delegation as clinically
necessary
D. Transfer accountability to the assistive person
Answer: C. Reassess the patient and discontinue or modify the delegation as
clinically necessary
Rationale: Delegation depends on patient stability and task predictability. A
change in condition may make continued delegation inappropriate and requires
RN reassessment and professional judgment.
6. Which statement best describes the RN's responsibility when delegating in
New Jersey?
A. Delegation transfers the RN's accountability for the patient's outcome
B. Delegation eliminates the RN's responsibility to supervise
C. The RN remains professionally responsible for appropriate delegation and
supervision
D. The delegatee becomes independently responsible for the nursing plan
, Answer: C. The RN remains professionally responsible for appropriate
delegation and supervision
Rationale: Delegation does not eliminate the RN's professional responsibilities.
The RN must determine appropriateness, consider competency, and provide
required supervision and evaluation.
7. Which delegated task is least appropriate for an assistive person?
A. Routine vital signs on a stable patient
B. Assistance with bathing
C. Recording meal intake
D. Determining whether a patient's new neurological deficit requires emergency
intervention
Answer: D. Determining whether a patient's new neurological deficit requires
emergency intervention
Rationale: Recognizing and clinically interpreting a significant change in
condition requires nursing assessment and judgment and therefore cannot
simply be delegated as a task requiring independent clinical decision-making.
8. A nurse believes a proposed delegation is technically possible but
inconsistent with accepted nursing standards. What should the nurse do?
A. Delegate because management ordered it
B. Delegate because the patient consented
C. Decline the delegation when professional judgment indicates it is inconsistent
with standards of practice
D. Delegate and document that management required it
Answer: C. Decline the delegation when professional judgment indicates it is
inconsistent with standards of practice
Rationale: New Jersey rules expressly provide that an RN should not delegate
when the RN's professional judgment determines that the delegation is
inconsistent with standards of practice.
Code: NJ-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A New Jersey RN is asked to perform a nursing activity that requires
repeated assessment and significant clinical judgment. The RN considers
delegating the activity to an assistive person. Which action is most
appropriate?
A. Delegate it if the assistive person has performed it previously
B. Delegate it if the physician has authorized the activity
C. Retain the activity because it requires nursing judgment and ongoing
assessment
D. Delegate it if the patient gives written permission
,Answer: C. Retain the activity because it requires nursing judgment and ongoing
assessment
Rationale: New Jersey delegation rules require the RN to determine that a
delegated task is predictable and does not require nursing judgment, repeated
nursing assessment, complex observation, or critical decisions. Tasks requiring
those skills should remain with the RN.
2. Before delegating an appropriate nursing task to an LPN, CHHA, or assistive
person, what must the RN do first?
A. Obtain written permission from the patient's family
B. Ask another RN to approve the delegation
C. Assess the patient's needs and develop a plan of care
D. Obtain a physician's written order
Answer: C. Assess the patient's needs and develop a plan of care
Rationale: New Jersey delegation requirements specifically identify patient
assessment and development of a plan of care as prerequisites to delegation.
3. Which patient assignment is most clearly appropriate for an RN rather than
delegation to an assistive person?
A. Routine oral hygiene for a stable patient
B. Ambulation of a stable patient according to an established plan
C. Measuring intake and output for a stable patient
D. Initial assessment of a newly admitted patient
Answer: D. Initial assessment of a newly admitted patient
Rationale: Initial assessment requires professional nursing knowledge and
judgment. New Jersey hospital standards specifically require the RN to perform
the initial assessment and identify patient problems upon admission.
4. A hospital RN admits a patient at 0900. By when should the RN complete
the required admission assessment documentation under the cited New
Jersey hospital standard?
,A. Within 4 hours
B. Within 8 hours
C. Within 24 hours
D. Before the end of the shift
Answer: C. Within 24 hours
Rationale: New Jersey hospital licensing standards provide that an RN should
prepare a completed assessment note addressing patient problems, expected
outcomes, and anticipated discharge needs within 24 hours of admission.
5. An RN delegates a task and later discovers that the patient's condition has
become unpredictable. What should the RN do?
A. Continue delegation because the original task was appropriate
B. Ask the assistive person to make the clinical decision
C. Reassess the patient and discontinue or modify the delegation as clinically
necessary
D. Transfer accountability to the assistive person
Answer: C. Reassess the patient and discontinue or modify the delegation as
clinically necessary
Rationale: Delegation depends on patient stability and task predictability. A
change in condition may make continued delegation inappropriate and requires
RN reassessment and professional judgment.
6. Which statement best describes the RN's responsibility when delegating in
New Jersey?
A. Delegation transfers the RN's accountability for the patient's outcome
B. Delegation eliminates the RN's responsibility to supervise
C. The RN remains professionally responsible for appropriate delegation and
supervision
D. The delegatee becomes independently responsible for the nursing plan
, Answer: C. The RN remains professionally responsible for appropriate
delegation and supervision
Rationale: Delegation does not eliminate the RN's professional responsibilities.
The RN must determine appropriateness, consider competency, and provide
required supervision and evaluation.
7. Which delegated task is least appropriate for an assistive person?
A. Routine vital signs on a stable patient
B. Assistance with bathing
C. Recording meal intake
D. Determining whether a patient's new neurological deficit requires emergency
intervention
Answer: D. Determining whether a patient's new neurological deficit requires
emergency intervention
Rationale: Recognizing and clinically interpreting a significant change in
condition requires nursing assessment and judgment and therefore cannot
simply be delegated as a task requiring independent clinical decision-making.
8. A nurse believes a proposed delegation is technically possible but
inconsistent with accepted nursing standards. What should the nurse do?
A. Delegate because management ordered it
B. Delegate because the patient consented
C. Decline the delegation when professional judgment indicates it is inconsistent
with standards of practice
D. Delegate and document that management required it
Answer: C. Decline the delegation when professional judgment indicates it is
inconsistent with standards of practice
Rationale: New Jersey rules expressly provide that an RN should not delegate
when the RN's professional judgment determines that the delegation is
inconsistent with standards of practice.
