Code: OH-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. Which activity most clearly falls within the Ohio statutory definition of
registered nursing practice?
A. Performing only administrative scheduling
B. Providing nursing care requiring specialized knowledge, judgment, and skill
derived from nursing and related sciences
C. Diagnosing every medical condition independently
D. Prescribing controlled substances without statutory authority
Answer: B. Providing nursing care requiring specialized knowledge, judgment,
and skill derived from nursing and related sciences
,Rationale: Ohio Revised Code 4723.01 defines RN practice in terms of nursing
care requiring specialized knowledge, judgment, and skill, including assessment,
implementation and evaluation of nursing actions, teaching, medication
administration, and delegation.
2. An Ohio RN is asked to perform a task that requires repeated nursing
assessment and complex clinical judgment. Which response is most
appropriate?
A. Delegate it because the UAP has five years of experience
B. Delegate it if the patient signs a consent form
C. Retain the task because it does not meet Ohio's criteria for delegation to an
unlicensed person
D. Delegate it if another UAP agrees to supervise
Answer: C. Retain the task because it does not meet Ohio's criteria for
delegation to an unlicensed person
Rationale: Delegated tasks must not require nursing judgment, complex
observations, critical decisions, or repeated nursing assessments by the
unlicensed person. The RN remains accountable for the delegation decision.
3. Which action by an RN constitutes appropriate delegation under Ohio rules?
A. Giving a UAP general authority to perform any task needed
B. Delegating a specific task to a specific individual for a defined time frame after
assessing the circumstances
C. Allowing the UAP to determine which patients need the task
D. Allowing the UAP to delegate the task to another aide
Answer: B. Delegating a specific task to a specific individual for a defined time
frame after assessing the circumstances
,Rationale: Ohio requires the delegating nurse to identify the individual on whom
the task may be performed and establish a specific time frame. The nurse must
also evaluate the patient, task, stability, complexity, and other relevant
circumstances.
4. An RN delegates a nursing task to a UAP. The UAP then delegates the same
task to another UAP. Which statement is correct?
A. The second delegation is acceptable if the second UAP is more experienced
B. The second delegation is acceptable if the RN verbally approves it later
C. The second delegation is prohibited
D. The second delegation is permitted in non-health-care settings
Answer: C. The second delegation is prohibited
Rationale: Ohio Administrative Code 4723-13-03 prohibits a person who receives
a delegated nursing task from delegating that task to another person.
5. Which medication may generally be delegated by a licensed nurse to an
unlicensed person under the general Ohio delegation rules?
A. IV morphine
B. Insulin
C. Prescription antihypertensive medication
D. An over-the-counter topical medication applied to intact skin
Answer: D. An over-the-counter topical medication applied to intact skin
Rationale: Except where another law or chapter applies, Ohio permits
delegation to an unlicensed person of specified OTC medications, including
topical medications applied to intact skin, certain OTC eye and ear drops,
suppositories, foot soaks, and enemas.
, 6. Before delegating a nursing task, which finding should cause the RN to
reconsider delegation?
A. The patient is stable
B. The task has predictable results
C. The task requires the UAP to independently interpret changing clinical findings
D. The UAP has successfully completed training
Answer: C. The task requires the UAP to independently interpret changing
clinical findings
Rationale: A delegated task must not require nursing judgment, complex
observations, or critical decisions by the unlicensed person.
7. Who is accountable for the RN's decision to delegate a nursing task?
A. The UAP
B. The patient
C. The delegating nurse
D. The facility administrator
Answer: C. The delegating nurse
Rationale: Ohio specifically provides that the delegating nurse is accountable for
the decision to delegate nursing tasks to an unlicensed person.
8. A UAP begins performing a delegated task incorrectly. What should the RN
do?
A. Wait until the end of the shift
B. Immediately intervene
C. Ask another UAP to correct the problem
D. Document it at the next staff meeting