Oklahoma RN Jurisprudence Exam —
Code: OK-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
An Oklahoma RN is asked by an employer to perform a procedure that the RN has
never been educated, trained, or clinically validated to perform. The RN is told
that refusal may result in termination. What is the best legal and professional
response?
A. Perform the procedure because the employer has assigned it
B. Perform the procedure if another nurse is present
C. Decline the procedure until competence and appropriate authorization are
established
D. Ask the patient to sign a waiver
Answer: C. Decline the procedure until competence and appropriate
authorization are established
,Rationale: An RN remains accountable for practicing within legal scope and
demonstrated competence. Employer direction does not independently expand
the nurse’s scope or eliminate professional accountability.
2.
Which entity has primary responsibility for regulating nursing practice and
protecting the public in Oklahoma?
A. Oklahoma State Department of Health
B. Oklahoma Hospital Association
C. Oklahoma Legislature alone
D. Oklahoma Board of Nursing
Answer: D. Oklahoma Board of Nursing
***Rationale: The Oklahoma Board of Nursing regulates nursing practice,
administers licensure functions, investigates complaints, conducts disciplinary
proceedings, and promulgates rules implementing the Nursing Practice Act. ***
3.
An RN discovers that a colleague documented administration of a controlled
medication that was never given. What should the RN recognize this conduct as?
A. A harmless documentation error
B. A medication variance only
C. Potential falsification and unprofessional conduct requiring appropriate
reporting
D. A private employment matter
Answer: C. Potential falsification and unprofessional conduct requiring
appropriate reporting
***Rationale: Falsifying or inaccurately recording patient records and
manipulating medication or narcotic records may constitute unprofessional
conduct under Oklahoma Board rules. ***
,4.
A nurse changes a patient's medical record after discovering that an entry
contains an error. Which action is most appropriate?
A. Delete the original entry completely
B. Ask another nurse to rewrite the entry
C. Correct the record according to applicable documentation policy while
preserving the integrity of the original record
D. Leave the error because records cannot be changed
Answer: C. Correct the record according to applicable documentation policy
while preserving the integrity of the original record
Rationale: Patient records must remain accurate and trustworthy. Altering or
falsifying records is potentially unprofessional conduct, while legitimate
corrections must preserve record integrity.
5.
Which situation most clearly creates a scope-of-practice concern for an Oklahoma
RN?
A. Refusing an unsafe assignment
B. Consulting a pharmacist about a medication
C. Performing a function requiring competence the RN does not possess
D. Reviewing facility policies
Answer: C. Performing a function requiring competence the RN does not
possess
Rationale: Scope of practice involves more than whether a task appears on a
general list of nursing activities. The nurse must consider education,
competence, patient condition, law, rules, employer policy, and available
resources.
6.
, An RN receives an order that appears potentially unsafe for the patient. What is
the nurse's priority?
A. Carry out the order immediately
B. Ignore the order
C. Clarify the order before implementation
D. Ask the patient's family to approve it
Answer: C. Clarify the order before implementation
Rationale: The RN has an independent professional responsibility to recognize
potentially unsafe orders and seek clarification rather than blindly carrying
them out.
7.
An Oklahoma RN is considering delegation of a nursing-related task to an
unlicensed person. Which factor is most important?
A. Whether the employee has worked at the facility for five years
B. Whether the task is convenient to delegate
C. Whether delegation is legally permissible and appropriate for the patient,
task, delegatee, and circumstances
D. Whether the delegatee volunteers
Answer: C. Whether delegation is legally permissible and appropriate for the
patient, task, delegatee, and circumstances
***Rationale: Oklahoma Board guidance specifically addresses delegation of
nursing functions to unlicensed persons. Delegation requires evaluation of the
task, patient, circumstances, delegatee competence, supervision, and applicable
law and policy. ***
8.
A stable patient requires a routine task that has been appropriately delegated to
an unlicensed assistive person. Who retains professional accountability for
appropriate delegation and supervision?
Code: OK-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
An Oklahoma RN is asked by an employer to perform a procedure that the RN has
never been educated, trained, or clinically validated to perform. The RN is told
that refusal may result in termination. What is the best legal and professional
response?
A. Perform the procedure because the employer has assigned it
B. Perform the procedure if another nurse is present
C. Decline the procedure until competence and appropriate authorization are
established
D. Ask the patient to sign a waiver
Answer: C. Decline the procedure until competence and appropriate
authorization are established
,Rationale: An RN remains accountable for practicing within legal scope and
demonstrated competence. Employer direction does not independently expand
the nurse’s scope or eliminate professional accountability.
2.
Which entity has primary responsibility for regulating nursing practice and
protecting the public in Oklahoma?
A. Oklahoma State Department of Health
B. Oklahoma Hospital Association
C. Oklahoma Legislature alone
D. Oklahoma Board of Nursing
Answer: D. Oklahoma Board of Nursing
***Rationale: The Oklahoma Board of Nursing regulates nursing practice,
administers licensure functions, investigates complaints, conducts disciplinary
proceedings, and promulgates rules implementing the Nursing Practice Act. ***
3.
An RN discovers that a colleague documented administration of a controlled
medication that was never given. What should the RN recognize this conduct as?
A. A harmless documentation error
B. A medication variance only
C. Potential falsification and unprofessional conduct requiring appropriate
reporting
D. A private employment matter
Answer: C. Potential falsification and unprofessional conduct requiring
appropriate reporting
***Rationale: Falsifying or inaccurately recording patient records and
manipulating medication or narcotic records may constitute unprofessional
conduct under Oklahoma Board rules. ***
,4.
A nurse changes a patient's medical record after discovering that an entry
contains an error. Which action is most appropriate?
A. Delete the original entry completely
B. Ask another nurse to rewrite the entry
C. Correct the record according to applicable documentation policy while
preserving the integrity of the original record
D. Leave the error because records cannot be changed
Answer: C. Correct the record according to applicable documentation policy
while preserving the integrity of the original record
Rationale: Patient records must remain accurate and trustworthy. Altering or
falsifying records is potentially unprofessional conduct, while legitimate
corrections must preserve record integrity.
5.
Which situation most clearly creates a scope-of-practice concern for an Oklahoma
RN?
A. Refusing an unsafe assignment
B. Consulting a pharmacist about a medication
C. Performing a function requiring competence the RN does not possess
D. Reviewing facility policies
Answer: C. Performing a function requiring competence the RN does not
possess
Rationale: Scope of practice involves more than whether a task appears on a
general list of nursing activities. The nurse must consider education,
competence, patient condition, law, rules, employer policy, and available
resources.
6.
, An RN receives an order that appears potentially unsafe for the patient. What is
the nurse's priority?
A. Carry out the order immediately
B. Ignore the order
C. Clarify the order before implementation
D. Ask the patient's family to approve it
Answer: C. Clarify the order before implementation
Rationale: The RN has an independent professional responsibility to recognize
potentially unsafe orders and seek clarification rather than blindly carrying
them out.
7.
An Oklahoma RN is considering delegation of a nursing-related task to an
unlicensed person. Which factor is most important?
A. Whether the employee has worked at the facility for five years
B. Whether the task is convenient to delegate
C. Whether delegation is legally permissible and appropriate for the patient,
task, delegatee, and circumstances
D. Whether the delegatee volunteers
Answer: C. Whether delegation is legally permissible and appropriate for the
patient, task, delegatee, and circumstances
***Rationale: Oklahoma Board guidance specifically addresses delegation of
nursing functions to unlicensed persons. Delegation requires evaluation of the
task, patient, circumstances, delegatee competence, supervision, and applicable
law and policy. ***
8.
A stable patient requires a routine task that has been appropriately delegated to
an unlicensed assistive person. Who retains professional accountability for
appropriate delegation and supervision?
