Ohio Nursing Jurisprudence
Examination Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A | Instant
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1. A registered nurse licensed in Ohio is considering accepting a position as a
travel nurse in another state. The nurse will continue to hold an active Ohio
license. Which of the following actions is legally required by the Ohio Board
of Nursing regarding the nurse's multistate practice status?
A. The nurse must surrender the Ohio license and apply for licensure in the
new state of residence.
B. The nurse must notify the Ohio Board of Nursing of the travel assignment
and pay a multistate practice fee.
C. The nurse must apply for a temporary permit in each state where
practice will occur.
D. The nurse must ensure the Ohio license is in active status and meet the
Uniform Licensure Requirements to practice in a Nurse Licensure Compact
state.
Answer: D
Rationale: Ohio is a member of the Nurse Licensure Compact (NLC). An
Ohio-licensed nurse who is a resident of Ohio can practice in other compact
states without obtaining additional licenses, provided they hold an active,
unencumbered Ohio license and meet the Uniform Licensure Requirements.
Options A, B, and C are incorrect because they impose requirements not
consistent with the NLC; the nurse does not need to surrender the Ohio
license, pay a special fee, or obtain a temporary permit for compact states,
provided all NLC criteria are satisfied.**
,2. A nursing supervisor at a long-term care facility receives a report that a
licensed practical nurse (LPN) administered a medication via an intravenous
(IV) push, a procedure not included in the LPN's documented education or
the facility's approved protocol. What is the supervisor's primary legal
responsibility under Ohio law?
A. Verbally counsel the LPN and document the conversation in the
employee's personnel file.
B. Immediately report the LPN to the Ohio Board of Nursing for discipline.
C. Investigate the incident and determine if the LPN was acting under the
direct supervision of a registered nurse.
D. Suspend the LPN pending a review of the facility's policies.
Answer: C
Rationale: The Ohio Nurse Practice Act mandates that the supervisor must
first investigate to determine the facts, including whether the LPN was
functioning within their scope of practice and under the appropriate level of
supervision. While reporting to the Board may be required if the
investigation reveals a violation of the Act, it is not the immediate first step.
The primary duty is to ensure patient safety and determine compliance with
the law and facility policy, which begins with a thorough investigation.
Options A and D are premature without a full investigation, and B is not the
initial required action.**
3. An Ohio-licensed registered nurse is named as a defendant in a malpractice
lawsuit. The plaintiff's attorney requests that the nurse produce all notes
related to the patient's care, including personal "reminder" notes the nurse
made but did not place in the official medical record. Under Ohio law and
legal principles, what is the status of these personal notes?
A. The notes are the personal property of the nurse and are protected from
discovery.
B. The notes are considered part of the patient's medical record and must
be produced.
C. The notes are discoverable but cannot be used as evidence in court.
D. The notes must be destroyed to protect patient confidentiality.
, Answer: B
Rationale: In Ohio, any notes, writings, or records created by a nurse that
pertain to the care and treatment of a patient are generally considered part
of the patient's legal medical record and are subject to discovery in legal
proceedings. This includes informal "reminder" notes. The nurse cannot
shield these documents from the legal process. The rationale is that all
information related to patient care is relevant and must be available.
Options A, C, and D are incorrect because they contradict the legal principle
that such notes are part of the record and are discoverable and
admissible.**
4. A registered nurse discovers that a colleague, who is also a RN, has been
diverting fentanyl for personal use. The colleague has a history of substance
use disorder and is currently in a monitoring program, but the nurse
believes the diversion is a new event. What is the nurse's specific duty
under Ohio's mandatory reporting laws?
A. Report the colleague's behavior to the nursing supervisor and allow the
supervisor to decide on external reporting.
B. Report the colleague immediately to the Ohio Board of Nursing and to
law enforcement.
C. Confront the colleague and encourage them to self-report to the Board of
Nursing.
D. Report the colleague's behavior to the Ohio Board of Nursing only if
there is direct patient harm.
Answer: B
Rationale: Ohio's mandatory reporting laws require any nurse who has
reasonable cause to believe that a nurse is unable to practice according to
acceptable standards due to impairment or diversion of drugs to report this
to the Ohio Board of Nursing. In cases of drug diversion, which is a criminal
act, reporting to law enforcement may also be mandated or strongly
advised. A report to a supervisor does not fulfill the nurse's individual legal
duty to report to the Board. The duty is independent and cannot be
delegated. Options A, C, and D are incorrect because they do not align with
, the individual's mandatory reporting duty, which is to the Board, not just a
supervisor, and is not contingent on patient harm or self-reporting.**
5. An Ohio-licensed APRN-CNP with prescriptive authority is treating a patient
for chronic pain. The patient requests a refill of oxycodone. The APRN
reviews the Ohio Automated Rx Reporting System (OARRS) and notes
discrepancies. What is the APRN's legal responsibility regarding OARRS
before prescribing this controlled substance?
A. The APRN must consult with a collaborating physician before prescribing
any Schedule II controlled substance.
B. The APRN must review the OARRS report and document the review in the
patient's medical record.
C. The APRN may prescribe the medication if the patient provides a valid
explanation for the discrepancy.
D. The APRN is only required to check OARRS if the patient is new to the
practice.
Answer: B
Rationale: Ohio law mandates that APRNs with prescriptive authority, as
well as physicians and dentists, must check the OARRS database before
prescribing or dispensing certain controlled substances, particularly
Schedule II opioids. The review must be documented. It is a legal
requirement aimed at preventing drug abuse and diversion. The APRN is not
required to consult a physician solely for an OARRS review, as they have
independent prescriptive authority in this area. The requirement is not
waived by patient explanations or limited to new patients. Therefore, option
B is the only legally correct statement.**
6. A newly graduated registered nurse in Ohio is beginning the first day of
orientation. The nurse's preceptor is an experienced RN. The new graduate
performs a task that is outside the scope of practice for an RN in Ohio. Who
bears the ultimate legal responsibility for this action?
A. The new graduate nurse only, as they hold a valid license.
B. The preceptor only, as they are responsible for supervision.
C. The nursing unit manager, as they are responsible for staffing and
Examination Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A | Instant
Download Pdf
1. A registered nurse licensed in Ohio is considering accepting a position as a
travel nurse in another state. The nurse will continue to hold an active Ohio
license. Which of the following actions is legally required by the Ohio Board
of Nursing regarding the nurse's multistate practice status?
A. The nurse must surrender the Ohio license and apply for licensure in the
new state of residence.
B. The nurse must notify the Ohio Board of Nursing of the travel assignment
and pay a multistate practice fee.
C. The nurse must apply for a temporary permit in each state where
practice will occur.
D. The nurse must ensure the Ohio license is in active status and meet the
Uniform Licensure Requirements to practice in a Nurse Licensure Compact
state.
Answer: D
Rationale: Ohio is a member of the Nurse Licensure Compact (NLC). An
Ohio-licensed nurse who is a resident of Ohio can practice in other compact
states without obtaining additional licenses, provided they hold an active,
unencumbered Ohio license and meet the Uniform Licensure Requirements.
Options A, B, and C are incorrect because they impose requirements not
consistent with the NLC; the nurse does not need to surrender the Ohio
license, pay a special fee, or obtain a temporary permit for compact states,
provided all NLC criteria are satisfied.**
,2. A nursing supervisor at a long-term care facility receives a report that a
licensed practical nurse (LPN) administered a medication via an intravenous
(IV) push, a procedure not included in the LPN's documented education or
the facility's approved protocol. What is the supervisor's primary legal
responsibility under Ohio law?
A. Verbally counsel the LPN and document the conversation in the
employee's personnel file.
B. Immediately report the LPN to the Ohio Board of Nursing for discipline.
C. Investigate the incident and determine if the LPN was acting under the
direct supervision of a registered nurse.
D. Suspend the LPN pending a review of the facility's policies.
Answer: C
Rationale: The Ohio Nurse Practice Act mandates that the supervisor must
first investigate to determine the facts, including whether the LPN was
functioning within their scope of practice and under the appropriate level of
supervision. While reporting to the Board may be required if the
investigation reveals a violation of the Act, it is not the immediate first step.
The primary duty is to ensure patient safety and determine compliance with
the law and facility policy, which begins with a thorough investigation.
Options A and D are premature without a full investigation, and B is not the
initial required action.**
3. An Ohio-licensed registered nurse is named as a defendant in a malpractice
lawsuit. The plaintiff's attorney requests that the nurse produce all notes
related to the patient's care, including personal "reminder" notes the nurse
made but did not place in the official medical record. Under Ohio law and
legal principles, what is the status of these personal notes?
A. The notes are the personal property of the nurse and are protected from
discovery.
B. The notes are considered part of the patient's medical record and must
be produced.
C. The notes are discoverable but cannot be used as evidence in court.
D. The notes must be destroyed to protect patient confidentiality.
, Answer: B
Rationale: In Ohio, any notes, writings, or records created by a nurse that
pertain to the care and treatment of a patient are generally considered part
of the patient's legal medical record and are subject to discovery in legal
proceedings. This includes informal "reminder" notes. The nurse cannot
shield these documents from the legal process. The rationale is that all
information related to patient care is relevant and must be available.
Options A, C, and D are incorrect because they contradict the legal principle
that such notes are part of the record and are discoverable and
admissible.**
4. A registered nurse discovers that a colleague, who is also a RN, has been
diverting fentanyl for personal use. The colleague has a history of substance
use disorder and is currently in a monitoring program, but the nurse
believes the diversion is a new event. What is the nurse's specific duty
under Ohio's mandatory reporting laws?
A. Report the colleague's behavior to the nursing supervisor and allow the
supervisor to decide on external reporting.
B. Report the colleague immediately to the Ohio Board of Nursing and to
law enforcement.
C. Confront the colleague and encourage them to self-report to the Board of
Nursing.
D. Report the colleague's behavior to the Ohio Board of Nursing only if
there is direct patient harm.
Answer: B
Rationale: Ohio's mandatory reporting laws require any nurse who has
reasonable cause to believe that a nurse is unable to practice according to
acceptable standards due to impairment or diversion of drugs to report this
to the Ohio Board of Nursing. In cases of drug diversion, which is a criminal
act, reporting to law enforcement may also be mandated or strongly
advised. A report to a supervisor does not fulfill the nurse's individual legal
duty to report to the Board. The duty is independent and cannot be
delegated. Options A, C, and D are incorrect because they do not align with
, the individual's mandatory reporting duty, which is to the Board, not just a
supervisor, and is not contingent on patient harm or self-reporting.**
5. An Ohio-licensed APRN-CNP with prescriptive authority is treating a patient
for chronic pain. The patient requests a refill of oxycodone. The APRN
reviews the Ohio Automated Rx Reporting System (OARRS) and notes
discrepancies. What is the APRN's legal responsibility regarding OARRS
before prescribing this controlled substance?
A. The APRN must consult with a collaborating physician before prescribing
any Schedule II controlled substance.
B. The APRN must review the OARRS report and document the review in the
patient's medical record.
C. The APRN may prescribe the medication if the patient provides a valid
explanation for the discrepancy.
D. The APRN is only required to check OARRS if the patient is new to the
practice.
Answer: B
Rationale: Ohio law mandates that APRNs with prescriptive authority, as
well as physicians and dentists, must check the OARRS database before
prescribing or dispensing certain controlled substances, particularly
Schedule II opioids. The review must be documented. It is a legal
requirement aimed at preventing drug abuse and diversion. The APRN is not
required to consult a physician solely for an OARRS review, as they have
independent prescriptive authority in this area. The requirement is not
waived by patient explanations or limited to new patients. Therefore, option
B is the only legally correct statement.**
6. A newly graduated registered nurse in Ohio is beginning the first day of
orientation. The nurse's preceptor is an experienced RN. The new graduate
performs a task that is outside the scope of practice for an RN in Ohio. Who
bears the ultimate legal responsibility for this action?
A. The new graduate nurse only, as they hold a valid license.
B. The preceptor only, as they are responsible for supervision.
C. The nursing unit manager, as they are responsible for staffing and
