Code: AR-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
An Arkansas LPN is assigned a client whose condition has deteriorated
significantly. The client now requires a comprehensive nursing assessment and
development of a revised plan of care. What is the LPN's most appropriate
action?
A. Complete the comprehensive assessment independently
B. Notify the RN and provide the assessment data within the LPN's scope
C. Develop a new nursing diagnosis
D. Independently revise the nursing plan of care
Answer: B. Notify the RN and provide the assessment data within the LPN's
scope
,Rationale: Arkansas distinguishes LPN practice from professional nursing
activities requiring the substantial specialized judgment and skill of an RN.
Comprehensive assessment, planning, and evaluation requiring nursing
judgment remain professional nursing functions.
2.
Which statement most accurately describes Arkansas LPN practice?
A. The LPN independently practices all nursing functions
B. The LPN provides nursing care under the direction of an RN, APRN, physician,
or dentist within the LPN scope
C. The LPN may independently diagnose disease
D. The LPN may independently prescribe medications
Answer: B. The LPN provides nursing care under the direction of an RN, APRN,
physician, or dentist within the LPN scope
Rationale: Arkansas law specifically defines licensed practical nursing as nursing
practice under the direction of specified licensed professionals and excludes
functions requiring substantial specialized professional nursing judgment.
3.
An LPN receives a verbal medication order directly from a provider. Which
response is most appropriate?
A. Accept the order and administer immediately
B. Have the UAP write the order down
C. Follow applicable facility and Board requirements for receiving/transmitting
orders and obtain clarification through the appropriate licensed nurse or
authorized process
D. Change the order to a standard dose
Answer: C. Follow applicable facility and Board requirements for
receiving/transmitting orders and obtain clarification through the appropriate
licensed nurse or authorized process
,Rationale: Nursing rules place restrictions on delegation of receiving or
transmitting verbal or telephone orders to unlicensed personnel. The LPN must
remain within the applicable scope, policies, and authorization requirements.
4.
Which activity would most clearly exceed an Arkansas LPN's role when it requires
professional nursing judgment?
A. Administering an ordered medication
B. Monitoring a stable client
C. Performing routine treatments within competency
D. Formulating the client's comprehensive nursing plan of care
Answer: D. Formulating the client's comprehensive nursing plan of care
Rationale: Formulation of the nursing care plan and evaluation requiring
nursing judgment are professional nursing responsibilities and are not
appropriate routine delegation functions.
5.
A supervisor asks an LPN to perform a procedure the LPN has never been trained
to perform. What should the LPN do?
A. Perform it because the supervisor ordered it
B. Ask another UAP to perform it
C. Decline the assignment until competency, appropriate direction, and
authorization are established
D. Perform it once and document that training was unnecessary
Answer: C. Decline the assignment until competency, appropriate direction, and
authorization are established
Rationale: A nursing license does not automatically establish competency for
every procedure. Safe practice requires the nurse to recognize limitations and
practice within legal and demonstrated competence.
, 6.
An LPN observes an RN delegating a nursing task to a UAP that requires nursing
assessment and judgment. What is the best response?
A. Ignore the situation
B. Perform the task personally without notifying anyone
C. Raise the safety concern with the responsible nurse and follow the
appropriate chain of command
D. Tell the client the RN violated the law
Answer: C. Raise the safety concern with the responsible nurse and follow the
appropriate chain of command
Rationale: Arkansas rules identify assessment requiring nursing judgment as a
task that should not be delegated to unlicensed personnel. Patient safety
concerns should be addressed through appropriate professional channels.
7.
Which task may generally be delegated to appropriate unlicensed personnel
under Arkansas rules when all delegation requirements are satisfied?
A. Comprehensive physical assessment
B. Evaluation of nursing outcomes
C. Medication administration
D. Activities of daily living
Answer: D. Activities of daily living
Rationale: Arkansas rules identify activities of daily living, personal hygiene,
feeding, socialization, and similar tasks as examples of tasks that may be
delegated when applicable requirements are met.
8.
Which task is specifically identified as inappropriate for routine delegation to
unlicensed personnel?