___________________________________________________________________
Oregon RN Jurisprudence Exam — Code:
OR-RN-JP | 100-Question Advanced
Practice Exam 2026 | Questions &
Answers with Detailed Rationales |
Complete Exam Prep & Study Guide
__________________________________________________________________
1. An Oregon RN is asked to perform a procedure that is not expressly listed in
the RN scope-of-practice rules. What should the RN do first?
A. Perform the procedure because RNs have broad authority.
B. Refuse every procedure not specifically listed by the OSBN.
C. Apply the OSBN scope-of-practice decision-making framework and determine
whether the activity can be safely performed within the RN's education,
competence, and legal authority.
D. Ask another RN whether the procedure is acceptable.
Answer: Apply the OSBN scope-of-practice decision-making framework and
determine whether the activity can be safely performed within the RN's
education, competence, and legal authority.
Rationale: Oregon uses a scope-of-practice framework rather than requiring
every possible nursing activity to be individually listed. The nurse must evaluate
legal authority, education, competence, standards, and client safety.
, 2. Which two sources primarily comprise Oregon's Nurse Practice Act?
A. ORS Chapter 676 and OAR Chapter 410
B. ORS Chapter 678 and OAR Chapter 851
C. ORS Chapter 690 and OAR Chapter 848
D. Federal regulations and hospital policy
Answer: ORS Chapter 678 and OAR Chapter 851
Rationale: Oregon identifies ORS 678.010–678.448 and OAR Chapter 851 as the
principal statutory and administrative components of the Nurse Practice Act.
3. A hospital policy permits an RN to perform an activity, but the RN
determines the activity is outside the nurse's legally authorized scope.
Which standard controls?
A. Hospital policy
B. The charge nurse's direction
C. The Nurse Practice Act and applicable Oregon law and rules
D. The physician's preference
Answer: The Nurse Practice Act and applicable Oregon law and rules
Rationale: Facility policies cannot expand an RN's legal scope of practice.
Oregon administrative rules have the force of law and must be followed.
4. An Oregon RN provides telephone triage to a patient physically located in
another state. The RN holds only an Oregon license. Which statement is
most accurate?
A. The Oregon license automatically authorizes practice nationwide.
B. The RN may practice in another state if employed by an Oregon company.
C. The Oregon license covers nursing care provided to clients in Oregon, so the RN
must determine the other state's authorization requirements.
D. Telephone practice is never considered nursing practice.
Answer: The Oregon license covers nursing care provided to clients in Oregon, so
the RN must determine the other state's authorization requirements.
,Rationale: OSBN specifically states that an Oregon license covers provision of
care to clients in Oregon; employment by an Oregon company does not itself
authorize practice in another jurisdiction.
5. Which organization regulates registered nursing practice in Oregon?
A. Oregon Medical Board
B. Oregon State Board of Nursing
C. Oregon Health Authority exclusively
D. Oregon Department of Education
Answer: Oregon State Board of Nursing
Rationale: The OSBN is responsible for regulating nursing practice and
protecting the public through nursing licensure, regulation, and enforcement.
6. An RN discovers that a colleague is repeatedly documenting assessments
that were never performed. What is the most appropriate legal
consideration?
A. Ignore the behavior unless a patient is injured.
B. Alter the colleague's documentation.
C. Follow applicable reporting requirements and organizational procedures
concerning suspected unprofessional conduct.
D. Discuss the situation only with coworkers.
Answer: Follow applicable reporting requirements and organizational
procedures concerning suspected unprofessional conduct.
Rationale: Oregon law imposes reporting obligations in specified circumstances
involving licensees and unprofessional conduct. Actual patient injury is not
necessarily required for conduct to be professionally actionable.
7. Which statement best describes Oregon administrative nursing rules?
A. They are merely advisory recommendations.
B. They apply only to government-employed nurses.
C. They implement and interpret statutory requirements and have the force of
, law.
D. They may be disregarded when hospital policy differs.
Answer: They implement and interpret statutory requirements and have the
force of law.
Rationale: OSBN explains that adopted Oregon Administrative Rules implement,
interpret, or prescribe law and must be followed by persons or entities to whom
they apply.
8. An RN is assigned a complex intervention for which the nurse has never
received education or training. The RN's supervisor says, "Just follow the
physician's order." What is the best response?
A. Perform it because the order establishes competency.
B. Perform it if another nurse watches.
C. Determine whether the activity is within scope and whether the RN has the
necessary education and competence before proceeding.
D. Delegate it immediately to a UAP.
Answer: Determine whether the activity is within scope and whether the RN has
the necessary education and competence before proceeding.
Rationale: A medical order does not automatically establish nursing competency
or expand an RN's scope. Safe practice requires appropriate knowledge,
training, competence, and legal authority.
9. Which action best demonstrates accountability for an Oregon RN license?
A. Relying exclusively on employer policies
B. Knowing and complying with the Oregon Nurse Practice Act
C. Following only physician instructions
D. Delegating all unfamiliar tasks
Answer: Knowing and complying with the Oregon Nurse Practice Act
Oregon RN Jurisprudence Exam — Code:
OR-RN-JP | 100-Question Advanced
Practice Exam 2026 | Questions &
Answers with Detailed Rationales |
Complete Exam Prep & Study Guide
__________________________________________________________________
1. An Oregon RN is asked to perform a procedure that is not expressly listed in
the RN scope-of-practice rules. What should the RN do first?
A. Perform the procedure because RNs have broad authority.
B. Refuse every procedure not specifically listed by the OSBN.
C. Apply the OSBN scope-of-practice decision-making framework and determine
whether the activity can be safely performed within the RN's education,
competence, and legal authority.
D. Ask another RN whether the procedure is acceptable.
Answer: Apply the OSBN scope-of-practice decision-making framework and
determine whether the activity can be safely performed within the RN's
education, competence, and legal authority.
Rationale: Oregon uses a scope-of-practice framework rather than requiring
every possible nursing activity to be individually listed. The nurse must evaluate
legal authority, education, competence, standards, and client safety.
, 2. Which two sources primarily comprise Oregon's Nurse Practice Act?
A. ORS Chapter 676 and OAR Chapter 410
B. ORS Chapter 678 and OAR Chapter 851
C. ORS Chapter 690 and OAR Chapter 848
D. Federal regulations and hospital policy
Answer: ORS Chapter 678 and OAR Chapter 851
Rationale: Oregon identifies ORS 678.010–678.448 and OAR Chapter 851 as the
principal statutory and administrative components of the Nurse Practice Act.
3. A hospital policy permits an RN to perform an activity, but the RN
determines the activity is outside the nurse's legally authorized scope.
Which standard controls?
A. Hospital policy
B. The charge nurse's direction
C. The Nurse Practice Act and applicable Oregon law and rules
D. The physician's preference
Answer: The Nurse Practice Act and applicable Oregon law and rules
Rationale: Facility policies cannot expand an RN's legal scope of practice.
Oregon administrative rules have the force of law and must be followed.
4. An Oregon RN provides telephone triage to a patient physically located in
another state. The RN holds only an Oregon license. Which statement is
most accurate?
A. The Oregon license automatically authorizes practice nationwide.
B. The RN may practice in another state if employed by an Oregon company.
C. The Oregon license covers nursing care provided to clients in Oregon, so the RN
must determine the other state's authorization requirements.
D. Telephone practice is never considered nursing practice.
Answer: The Oregon license covers nursing care provided to clients in Oregon, so
the RN must determine the other state's authorization requirements.
,Rationale: OSBN specifically states that an Oregon license covers provision of
care to clients in Oregon; employment by an Oregon company does not itself
authorize practice in another jurisdiction.
5. Which organization regulates registered nursing practice in Oregon?
A. Oregon Medical Board
B. Oregon State Board of Nursing
C. Oregon Health Authority exclusively
D. Oregon Department of Education
Answer: Oregon State Board of Nursing
Rationale: The OSBN is responsible for regulating nursing practice and
protecting the public through nursing licensure, regulation, and enforcement.
6. An RN discovers that a colleague is repeatedly documenting assessments
that were never performed. What is the most appropriate legal
consideration?
A. Ignore the behavior unless a patient is injured.
B. Alter the colleague's documentation.
C. Follow applicable reporting requirements and organizational procedures
concerning suspected unprofessional conduct.
D. Discuss the situation only with coworkers.
Answer: Follow applicable reporting requirements and organizational
procedures concerning suspected unprofessional conduct.
Rationale: Oregon law imposes reporting obligations in specified circumstances
involving licensees and unprofessional conduct. Actual patient injury is not
necessarily required for conduct to be professionally actionable.
7. Which statement best describes Oregon administrative nursing rules?
A. They are merely advisory recommendations.
B. They apply only to government-employed nurses.
C. They implement and interpret statutory requirements and have the force of
, law.
D. They may be disregarded when hospital policy differs.
Answer: They implement and interpret statutory requirements and have the
force of law.
Rationale: OSBN explains that adopted Oregon Administrative Rules implement,
interpret, or prescribe law and must be followed by persons or entities to whom
they apply.
8. An RN is assigned a complex intervention for which the nurse has never
received education or training. The RN's supervisor says, "Just follow the
physician's order." What is the best response?
A. Perform it because the order establishes competency.
B. Perform it if another nurse watches.
C. Determine whether the activity is within scope and whether the RN has the
necessary education and competence before proceeding.
D. Delegate it immediately to a UAP.
Answer: Determine whether the activity is within scope and whether the RN has
the necessary education and competence before proceeding.
Rationale: A medical order does not automatically establish nursing competency
or expand an RN's scope. Safe practice requires appropriate knowledge,
training, competence, and legal authority.
9. Which action best demonstrates accountability for an Oregon RN license?
A. Relying exclusively on employer policies
B. Knowing and complying with the Oregon Nurse Practice Act
C. Following only physician instructions
D. Delegating all unfamiliar tasks
Answer: Knowing and complying with the Oregon Nurse Practice Act
