2026/2027 | Rasmussen University
Q1. Which factor most directly determines whether a nurse may
legally perform a particular nursing activity?
A) The nurse's personal confidence
B) The preferences of the unit manager
C) Applicable laws, regulations, scope of practice, and competence
D) The number of years the nurse has worked
Correct Answer: C) Applicable laws, regulations, scope of practice, and
competence
Rationale: A nurse must practice within the boundaries established by
applicable law and regulation and must also possess the knowledge and
skills necessary to perform the activity safely.
Q2. What is the primary purpose of a Nurse Practice Act?
A) To establish hospital-specific scheduling policies
B) To define the legal framework for nursing practice and protect the public
C) To determine the salary of nurses
D) To replace nursing standards of practice
Correct Answer: B) To define the legal framework for nursing practice and
protect the public
Rationale: A Nurse Practice Act establishes the legal framework governing
nursing practice within a jurisdiction, including licensure and scope-related
requirements.
Q3. A newly licensed nurse is asked to perform a procedure that was
not included in the nurse's education and for which competency has
not been demonstrated. Which action is most appropriate?
A) Perform the procedure because the nurse is licensed
B) Perform it after watching another nurse once
C) Ask the client whether the nurse should perform it
D) Seek appropriate instruction and competency validation before
performing it
Correct Answer: D) Seek appropriate instruction and competency validation
before performing it
, Rationale: Licensure does not mean a nurse is competent to perform every
possible procedure. Nurses must recognize their limits and obtain
appropriate education and validation before performing unfamiliar activities.
Q4. Which responsibility is most closely associated with the
registered nurse's broader scope of practice?
A) Making comprehensive assessments and coordinating the plan of care
B) Performing only basic hygiene activities
C) Working without accountability for patient outcomes
D) Delegating all nursing responsibilities to assistive personnel
Correct Answer: A) Making comprehensive assessments and coordinating the
plan of care
Rationale: Registered nurses generally have broader responsibilities
involving assessment, clinical judgment, care planning, coordination, and
evaluation, subject to the applicable jurisdiction and role.
Q5. Which statement best describes delegation in nursing practice?
A) The nurse transfers all accountability for client care to another worker
B) The nurse assigns an appropriate task while retaining responsibility for
appropriate delegation and supervision
C) Any task may be delegated to any available worker
D) Delegation eliminates the need for follow-up
Correct Answer: B) The nurse assigns an appropriate task while retaining
responsibility for appropriate delegation and supervision
Rationale: Delegation involves assigning an appropriate activity to a
qualified person while the nurse remains responsible for making appropriate
delegation decisions and providing required supervision.
Q6. A nurse is deciding whether a task can safely be delegated to
assistive personnel. Which consideration is most important?
A) Whether the nurse dislikes performing the task
B) Whether the task is easiest to complete
C) Whether the task is appropriate for the worker's role, competence, and
the client's condition
D) Whether another nurse delegated it previously
Correct Answer: C) Whether the task is appropriate for the worker's role,
competence, and the client's condition