Alabama LPN Jurisprudence Exam —
Code: AL-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. An Alabama LPN is asked to perform a procedure that was not included in
the nurse’s basic practical-nursing education. The facility has no approved
standardized procedure for the activity. What is the LPN’s best action?
A. Perform the procedure if an RN is available by telephone
B. Perform the procedure if the physician orders it
C. Decline to perform the procedure until the requirements for practice beyond
basic nursing education are satisfied
D. Perform it once after observing another nurse
Answer: Decline to perform the procedure until the requirements for practice
beyond basic nursing education are satisfied
,Rationale: Alabama requires appropriate safeguards for procedures beyond
basic nursing education, including an established standardized procedure,
education, supervised clinical practice, and competency validation when
applicable. A physician order alone does not expand an LPN’s legal scope.
2. Which factor is most important when an Alabama LPN determines whether
a particular nursing activity is within the nurse’s scope?
A. Whether another nurse has performed it
B. Whether the patient requests it
C. The nurse’s education, demonstrated competence, applicable law, and facility
policies
D. Whether the procedure is commonly performed in other states
Answer: The nurse’s education, demonstrated competence, applicable law, and
facility policies
Rationale: Alabama’s scope-of-practice decision model considers authorization,
applicable law, standards of practice, personal knowledge and competence,
standard of care, and facility policies.
3. An LPN realizes that a patient’s condition has deteriorated beyond the
LPN’s knowledge and experience. What should the LPN do?
A. Continue independently because the LPN accepted the assignment
B. Wait until the next shift
C. Recognize the limitation and consult or refer the situation to an appropriate
healthcare provider
D. Ask an unlicensed assistant to make the clinical decision
Answer: Recognize the limitation and consult or refer the situation to an
appropriate healthcare provider
Rationale: Alabama standards require nurses to recognize personal limits and
consult with or refer patients to other healthcare providers when circumstances
exceed their expertise.
, 4. Which statement best describes an Alabama LPN’s accountability for
delegated nursing care?
A. The LPN has no responsibility after delegation
B. Only the employer is accountable
C. The nurse remains responsible and accountable for the quality of care
delivered by personnel under the nurse’s supervision
D. The unlicensed person assumes the nurse’s license responsibility
Answer: The nurse remains responsible and accountable for the quality of care
delivered by personnel under the nurse’s supervision
Rationale: Delegation transfers performance of an authorized task, not the
nurse’s professional accountability for appropriate delegation and supervision.
5. An LPN is considering delegating a task to an unlicensed assistive person.
Which consideration is specifically relevant?
A. The employee’s seniority
B. The employee’s salary
C. The person’s knowledge, skills, experience, the complexity of the task, and
the patient’s health status
D. Whether the employee volunteers
Answer: The person’s knowledge, skills, experience, the complexity of the task,
and the patient’s health status
Rationale: Alabama delegation rules require consideration of the delegatee’s
competency and experience, task complexity, and patient condition, among
other factors.
6. Which task would generally be inappropriate for delegation to unlicensed
assistive personnel because it requires independent nursing judgment?
A. Assisting with feeding
B. Ambulating a stable patient
C. Determining whether a patient requires a change in nursing intervention
, based on a new clinical finding
D. Obtaining certain routine measurements
Answer: Determining whether a patient requires a change in nursing
intervention based on a new clinical finding
Rationale: Tasks requiring independent nursing judgment or nursing
intervention cannot be delegated to UAPs under Alabama delegation rules.
7. An LPN delegates a task to a competent assistant but fails to provide
appropriate supervision. The patient is subsequently injured. Which
principle applies?
A. Delegation eliminates the LPN’s accountability
B. The assistant automatically becomes responsible for all nursing decisions
C. The LPN may remain accountable for the quality of care provided under the
LPN’s supervision
D. Only the facility can be investigated
Answer: The LPN may remain accountable for the quality of care provided under
the LPN’s supervision
Rationale: Alabama standards establish individual responsibility and
accountability for nursing care provided by personnel under the nurse’s
supervision.
8. Which statement concerning Alabama standardized procedures is most
accurate?
A. They are informal verbal instructions from a physician
B. They automatically apply to every Alabama facility
C. They are written policies and protocols establishing permissible functions and
supervision for practice beyond basic nursing education
D. They eliminate the need for competency validation
Answer: They are written policies and protocols establishing permissible
functions and supervision for practice beyond basic nursing education
Code: AL-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. An Alabama LPN is asked to perform a procedure that was not included in
the nurse’s basic practical-nursing education. The facility has no approved
standardized procedure for the activity. What is the LPN’s best action?
A. Perform the procedure if an RN is available by telephone
B. Perform the procedure if the physician orders it
C. Decline to perform the procedure until the requirements for practice beyond
basic nursing education are satisfied
D. Perform it once after observing another nurse
Answer: Decline to perform the procedure until the requirements for practice
beyond basic nursing education are satisfied
,Rationale: Alabama requires appropriate safeguards for procedures beyond
basic nursing education, including an established standardized procedure,
education, supervised clinical practice, and competency validation when
applicable. A physician order alone does not expand an LPN’s legal scope.
2. Which factor is most important when an Alabama LPN determines whether
a particular nursing activity is within the nurse’s scope?
A. Whether another nurse has performed it
B. Whether the patient requests it
C. The nurse’s education, demonstrated competence, applicable law, and facility
policies
D. Whether the procedure is commonly performed in other states
Answer: The nurse’s education, demonstrated competence, applicable law, and
facility policies
Rationale: Alabama’s scope-of-practice decision model considers authorization,
applicable law, standards of practice, personal knowledge and competence,
standard of care, and facility policies.
3. An LPN realizes that a patient’s condition has deteriorated beyond the
LPN’s knowledge and experience. What should the LPN do?
A. Continue independently because the LPN accepted the assignment
B. Wait until the next shift
C. Recognize the limitation and consult or refer the situation to an appropriate
healthcare provider
D. Ask an unlicensed assistant to make the clinical decision
Answer: Recognize the limitation and consult or refer the situation to an
appropriate healthcare provider
Rationale: Alabama standards require nurses to recognize personal limits and
consult with or refer patients to other healthcare providers when circumstances
exceed their expertise.
, 4. Which statement best describes an Alabama LPN’s accountability for
delegated nursing care?
A. The LPN has no responsibility after delegation
B. Only the employer is accountable
C. The nurse remains responsible and accountable for the quality of care
delivered by personnel under the nurse’s supervision
D. The unlicensed person assumes the nurse’s license responsibility
Answer: The nurse remains responsible and accountable for the quality of care
delivered by personnel under the nurse’s supervision
Rationale: Delegation transfers performance of an authorized task, not the
nurse’s professional accountability for appropriate delegation and supervision.
5. An LPN is considering delegating a task to an unlicensed assistive person.
Which consideration is specifically relevant?
A. The employee’s seniority
B. The employee’s salary
C. The person’s knowledge, skills, experience, the complexity of the task, and
the patient’s health status
D. Whether the employee volunteers
Answer: The person’s knowledge, skills, experience, the complexity of the task,
and the patient’s health status
Rationale: Alabama delegation rules require consideration of the delegatee’s
competency and experience, task complexity, and patient condition, among
other factors.
6. Which task would generally be inappropriate for delegation to unlicensed
assistive personnel because it requires independent nursing judgment?
A. Assisting with feeding
B. Ambulating a stable patient
C. Determining whether a patient requires a change in nursing intervention
, based on a new clinical finding
D. Obtaining certain routine measurements
Answer: Determining whether a patient requires a change in nursing
intervention based on a new clinical finding
Rationale: Tasks requiring independent nursing judgment or nursing
intervention cannot be delegated to UAPs under Alabama delegation rules.
7. An LPN delegates a task to a competent assistant but fails to provide
appropriate supervision. The patient is subsequently injured. Which
principle applies?
A. Delegation eliminates the LPN’s accountability
B. The assistant automatically becomes responsible for all nursing decisions
C. The LPN may remain accountable for the quality of care provided under the
LPN’s supervision
D. Only the facility can be investigated
Answer: The LPN may remain accountable for the quality of care provided under
the LPN’s supervision
Rationale: Alabama standards establish individual responsibility and
accountability for nursing care provided by personnel under the nurse’s
supervision.
8. Which statement concerning Alabama standardized procedures is most
accurate?
A. They are informal verbal instructions from a physician
B. They automatically apply to every Alabama facility
C. They are written policies and protocols establishing permissible functions and
supervision for practice beyond basic nursing education
D. They eliminate the need for competency validation
Answer: They are written policies and protocols establishing permissible
functions and supervision for practice beyond basic nursing education
