Code: CT-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A Connecticut LPN is caring for a patient whose condition has suddenly become
unstable. Which action is most consistent with the LPN's scope of practice?
A. Independently establish a new nursing diagnosis
B. Independently redesign the patient's plan of care
C. Notify the supervising RN and provide appropriate nursing care within the
LPN's scope
D. Transfer responsibility for the patient to an unlicensed staff member
Answer: Notify the supervising RN and provide appropriate nursing care within
the LPN's scope
,Rationale: Connecticut LPN practice involves selected nursing tasks and shared
responsibility under the direction of an RN or APRN. An LPN should recognize
changes in condition, provide appropriate care within scope, and communicate
significant changes rather than independently assuming the full nursing process.
2.
Which activity is outside the independent scope of a Connecticut LPN?
A. Providing supportive care
B. Documenting nursing interventions
C. Independently establishing the comprehensive nursing diagnosis
D. Participating in patient teaching
Answer: Independently establishing the comprehensive nursing diagnosis
Rationale: Assessment, planning, evaluation, and nursing judgment are not
delegated to unlicensed personnel, and the LPN functions within the selected-
task/shared-responsibility framework under RN/APRN direction.
3.
A Connecticut LPN receives an order from a physician assistant. What is the
appropriate legal consideration?
A. The LPN may never execute orders from a physician assistant
B. The LPN may execute an appropriate order within the authorized medical
regimen
C. The LPN must obtain an RN signature before every order
D. The LPN may independently change the order
Answer: The LPN may execute an appropriate order within the authorized
medical regimen
Rationale: Connecticut law specifically identifies physician assistants among
practitioners whose medical-regimen orders may be executed by an LPN,
provided the order is within the applicable scopes of practice.
,4.
An LPN believes an assigned procedure is beyond the LPN's competency. What is
the best action?
A. Perform it anyway because the employer assigned it
B. Ask a UAP to perform it
C. Decline the unsafe assignment and notify the appropriate supervisor
D. Perform it without documentation
Answer: Decline the unsafe assignment and notify the appropriate supervisor
Rationale: A nursing license does not require a nurse to perform an unfamiliar or
unsafe procedure without adequate preparation. Connecticut guidance
recognizes the nurse's professional responsibility to refuse unsafe delegation or
care and communicate the concern.
5.
Which statement best describes Connecticut LPN practice?
A. LPNs practice independently without RN direction
B. LPNs perform selected tasks and share responsibility under RN or APRN
direction
C. LPNs may independently diagnose disease
D. LPNs may independently establish the total nursing plan
Answer: LPNs perform selected tasks and share responsibility under RN or APRN
direction
Rationale: Connecticut General Statutes define LPN practice around selected
tasks, shared responsibility, supportive and restorative care, health counseling
and teaching, case finding and referral, collaboration, and execution of the
medical regimen under specified direction.
6.
Which action most clearly represents practicing outside an LPN's scope?
, A. Reporting abnormal findings
B. Implementing established nursing interventions
C. Independently determining the complete nursing plan of care
D. Documenting patient responses
Answer: Independently determining the complete nursing plan of care
Rationale: The LPN participates in care and shares responsibility under
appropriate direction; independently assuming functions reserved to the
broader nursing process exceeds that framework.
7.
A supervising RN asks an LPN to perform a task the LPN has never been trained to
perform. What should the LPN do?
A. Perform the task because the RN is responsible
B. Perform the task after watching a video
C. Explain the competency limitation and obtain appropriate preparation before
performing it
D. Delegate it to a UAP
Answer: Explain the competency limitation and obtain appropriate preparation
before performing it
Rationale: Licensed personnel should function at a level commensurate with
their license but should not be required to perform new or unfamiliar procedures
without adequate preparation.
8.
A Connecticut LPN is asked to independently interpret a complex diagnostic study
and establish a definitive medical diagnosis. What is the best response?
A. Perform the interpretation
B. Establish the diagnosis because the patient is stable
C. Refer the matter to the appropriate licensed practitioner
D. Ask a UAP for assistance