West Virginia RN Jurisprudence Exam —
Code: WV-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A registered nurse from another state is accompanying a patient who is being
transported through West Virginia. The nurse has an active, unencumbered
license in the other state. Which statement best describes the nurse's ability to
practice in West Virginia?
A. The nurse may practice indefinitely because the patient is established in
another state.
B. The nurse may practice only after obtaining a temporary West Virginia license.
C. The nurse may provide care to the patient being accompanied for no more
than 48 continuous hours within a three-month period.
D. The nurse may provide care to any patient encountered during transport.
,Answer: The nurse may provide care to the patient being accompanied for no
more than 48 continuous hours within a three-month period.
Rationale: West Virginia law permits an actively licensed nurse from another
state who is accompanying a patient in transit to provide nursing care to that
patient for up to 48 continuous hours within a three-month period. The privilege
does not authorize general nursing practice in West Virginia.
2.
Which entity is responsible for regulating registered professional nursing practice
in West Virginia?
A. West Virginia Department of Health
B. West Virginia Medical Board
C. West Virginia Legislature alone
D. West Virginia Board of Registered Nurses
Answer: West Virginia Board of Registered Nurses
Rationale: The West Virginia Board of Registered Nurses regulates registered
professional nursing under Chapter 30, Article 7. The Legislature establishes the
statutory framework, while the Board administers and enforces nursing
regulation.
3.
An RN is asked to perform a procedure that is not specifically listed in the nurse's
employer's job description. The procedure appears consistent with the nurse's
education and competency. What is the most appropriate legal approach?
A. Perform it because anything learned in nursing school is automatically within
scope.
B. Refuse because an activity must appear in the job description to be legal.
C. Determine whether the activity is authorized by West Virginia law and rules,
within the nurse's education and demonstrated competency, appropriate to the
,patient, and permitted by applicable employer policy.
D. Perform it only if another RN has performed it previously.
Answer: Determine whether the activity is authorized by West Virginia law and
rules, within the nurse's education and demonstrated competency, appropriate
to the patient, and permitted by applicable employer policy.
Rationale: Scope-of-practice decisions require consideration of law, rules,
education, competence, patient needs, available resources, and organizational
policies. Employer policy cannot authorize conduct prohibited by law.
4.
Which activity most clearly falls within the statutory definition of registered
professional nursing?
A. Scheduling patient transportation
B. Performing routine housekeeping
C. Administering medications and treatments prescribed by an authorized
prescriber
D. Processing insurance claims
Answer: Administering medications and treatments prescribed by an authorized
prescriber
Rationale: West Virginia's definition of registered professional nursing expressly
includes administration of medications and treatments prescribed by an
authorized physician, dentist, or APRN, along with nursing judgment,
observation, recording, teaching, and supervision.
5.
A nurse knowingly allows an unlicensed employee to use the nurse's license
number to document medication administration. What is the greatest legal
concern?
A. Minor documentation irregularity
B. Facilitating unauthorized practice and compromising professional
, accountability
C. Appropriate delegation if the employee is experienced
D. Acceptable if the nurse cosigns the entry
Answer: Facilitating unauthorized practice and compromising professional
accountability
Rationale: A nurse cannot transfer professional licensure or accountability to an
unlicensed person. Delegation does not permit another person to represent that
they are licensed or to document as though they personally performed a
licensed nursing function.
6.
Which circumstance may subject a West Virginia RN to disciplinary action?
A. Changing employers
B. Declining voluntary overtime
C. Practicing nursing without a valid license or required renewal
D. Requesting additional orientation
Answer: Practicing nursing without a valid license or required renewal
Rationale: Practicing or attempting to practice registered professional nursing
without a license or required reregistration is expressly identified as a ground
for discipline.
7.
An RN discovers that a colleague has repeatedly diverted controlled substances.
What is the nurse's most appropriate professional response?
A. Ignore the conduct unless a patient is injured.
B. Discuss it only with coworkers.
C. Follow applicable reporting requirements and organizational procedures to
protect patients and address suspected unsafe or unlawful practice.
D. Destroy the colleague's medication records.
Code: WV-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A registered nurse from another state is accompanying a patient who is being
transported through West Virginia. The nurse has an active, unencumbered
license in the other state. Which statement best describes the nurse's ability to
practice in West Virginia?
A. The nurse may practice indefinitely because the patient is established in
another state.
B. The nurse may practice only after obtaining a temporary West Virginia license.
C. The nurse may provide care to the patient being accompanied for no more
than 48 continuous hours within a three-month period.
D. The nurse may provide care to any patient encountered during transport.
,Answer: The nurse may provide care to the patient being accompanied for no
more than 48 continuous hours within a three-month period.
Rationale: West Virginia law permits an actively licensed nurse from another
state who is accompanying a patient in transit to provide nursing care to that
patient for up to 48 continuous hours within a three-month period. The privilege
does not authorize general nursing practice in West Virginia.
2.
Which entity is responsible for regulating registered professional nursing practice
in West Virginia?
A. West Virginia Department of Health
B. West Virginia Medical Board
C. West Virginia Legislature alone
D. West Virginia Board of Registered Nurses
Answer: West Virginia Board of Registered Nurses
Rationale: The West Virginia Board of Registered Nurses regulates registered
professional nursing under Chapter 30, Article 7. The Legislature establishes the
statutory framework, while the Board administers and enforces nursing
regulation.
3.
An RN is asked to perform a procedure that is not specifically listed in the nurse's
employer's job description. The procedure appears consistent with the nurse's
education and competency. What is the most appropriate legal approach?
A. Perform it because anything learned in nursing school is automatically within
scope.
B. Refuse because an activity must appear in the job description to be legal.
C. Determine whether the activity is authorized by West Virginia law and rules,
within the nurse's education and demonstrated competency, appropriate to the
,patient, and permitted by applicable employer policy.
D. Perform it only if another RN has performed it previously.
Answer: Determine whether the activity is authorized by West Virginia law and
rules, within the nurse's education and demonstrated competency, appropriate
to the patient, and permitted by applicable employer policy.
Rationale: Scope-of-practice decisions require consideration of law, rules,
education, competence, patient needs, available resources, and organizational
policies. Employer policy cannot authorize conduct prohibited by law.
4.
Which activity most clearly falls within the statutory definition of registered
professional nursing?
A. Scheduling patient transportation
B. Performing routine housekeeping
C. Administering medications and treatments prescribed by an authorized
prescriber
D. Processing insurance claims
Answer: Administering medications and treatments prescribed by an authorized
prescriber
Rationale: West Virginia's definition of registered professional nursing expressly
includes administration of medications and treatments prescribed by an
authorized physician, dentist, or APRN, along with nursing judgment,
observation, recording, teaching, and supervision.
5.
A nurse knowingly allows an unlicensed employee to use the nurse's license
number to document medication administration. What is the greatest legal
concern?
A. Minor documentation irregularity
B. Facilitating unauthorized practice and compromising professional
, accountability
C. Appropriate delegation if the employee is experienced
D. Acceptable if the nurse cosigns the entry
Answer: Facilitating unauthorized practice and compromising professional
accountability
Rationale: A nurse cannot transfer professional licensure or accountability to an
unlicensed person. Delegation does not permit another person to represent that
they are licensed or to document as though they personally performed a
licensed nursing function.
6.
Which circumstance may subject a West Virginia RN to disciplinary action?
A. Changing employers
B. Declining voluntary overtime
C. Practicing nursing without a valid license or required renewal
D. Requesting additional orientation
Answer: Practicing nursing without a valid license or required renewal
Rationale: Practicing or attempting to practice registered professional nursing
without a license or required reregistration is expressly identified as a ground
for discipline.
7.
An RN discovers that a colleague has repeatedly diverted controlled substances.
What is the nurse's most appropriate professional response?
A. Ignore the conduct unless a patient is injured.
B. Discuss it only with coworkers.
C. Follow applicable reporting requirements and organizational procedures to
protect patients and address suspected unsafe or unlawful practice.
D. Destroy the colleague's medication records.
