Code: AR-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. An Arkansas RN is caring for a patient whose condition becomes unstable.
The RN is considering delegating routine vital-sign collection to an
unlicensed assistive person. Which factor is most important before
delegation?
A. Whether the UAP has worked in the facility for at least six months
B. Whether the patient is stable and the task does not require nursing judgment
C. Whether another RN is working on the unit
D. Whether the UAP agrees to accept responsibility for the patient
Answer: Whether the patient is stable and the task does not require nursing
judgment
,Rationale: Arkansas delegation rules require the licensed nurse to assess the
patient's needs and determine that the delegated task can be safely performed
without requiring nursing assessment, judgment, evaluation, or teaching.
2. An RN delegates a nursing task to a competent UAP. During the task, the
patient's condition changes significantly. Who retains responsibility for the
nursing care and the final decision concerning delegation?
A. The UAP
B. The charge nurse only
C. The delegating licensed nurse
D. The facility administrator
Answer: The delegating licensed nurse
Rationale: The Arkansas delegation rules place responsibility for the nursing
care and the final delegation decision on the licensed nurse who delegates the
task.
3. Which task is least appropriate for delegation to an unlicensed person?
A. Recording intake and output
B. Obtaining routine vital signs on a stable patient
C. Ambulating a stable patient
D. Performing an initial nursing assessment
Answer: Performing an initial nursing assessment
Rationale: Initial assessment requires professional nursing judgment and cannot
be transferred to unlicensed personnel merely because the person has
experience.
4. An RN delegates a task to a UAP. Which condition must exist concerning the
UAP's competency?
A. Competency may be assumed from job title
B. Competency must be documented
,C. Competency is established solely by the patient
D. Competency is unnecessary if the task is routine
Answer: Competency must be documented
Rationale: Arkansas delegation rules require documentation of the delegatee's
competency and written procedures for proper performance of the delegated
task.
5. A nurse is deciding how closely to supervise a delegated task. Which factor
is specifically relevant?
A. The nurse's personal preference
B. The UAP's seniority
C. The patient's stability
D. The facility's marketing policy
Answer: The patient's stability
Rationale: Supervision is determined by factors including client stability, the
delegatee's training and capability, the nature of the task, and the nurse's
proximity and availability.
6. An RN delegates a task to a UAP who will work in another part of the
facility. Which requirement applies?
A. The RN may be completely unavailable
B. The RN must be readily available as required by the delegation rules
C. The UAP assumes the RN's license responsibility
D. Supervision is unnecessary when the task is documented
Answer: The RN must be readily available as required by the delegation rules
Rationale: The delegating nurse must be readily available in person or by
telecommunications unless another statute or rule prohibits that arrangement.
, 7. A UAP asks an RN to allow the UAP to independently determine whether a
patient's new symptom requires a change in the nursing plan. What should
the RN do?
A. Allow it if the UAP has five years of experience
B. Delegate the decision after documenting competency
C. Retain the responsibility because it requires nursing judgment
D. Ask the patient to authorize the UAP
Answer: Retain the responsibility because it requires nursing judgment
Rationale: Delegation cannot transfer nursing assessment, judgment,
evaluation, or teaching responsibilities to an unlicensed person.
8. Which statement best describes the role of an RN when delegating nursing
tasks in Arkansas?
A. The RN transfers professional accountability to the UAP
B. The RN remains responsible for the nursing care provided under the RN's
direction
C. The RN is responsible only if the UAP is a new employee
D. The RN has no responsibility once the task is documented
Answer: The RN remains responsible for the nursing care provided under the
RN's direction
Rationale: Delegation does not eliminate the licensed nurse's professional
responsibility for the nursing care delivered under the nurse's direction.
9. An RN delegates collection of routine data from a stable patient. Which
activity is generally consistent with Arkansas delegation rules?
A. Interpreting the data and diagnosing the patient
B. Collecting and reporting vital signs
C. Changing the nursing diagnosis
D. Developing a new nursing plan
Answer: Collecting and reporting vital signs