Delaware LPN Jurisprudence Exam —
Code: DE-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. Scope of Practical Nursing
A Delaware LPN is asked to independently diagnose a patient's new respiratory
condition and determine the medical treatment plan. What is the most
appropriate response?
A. Perform the diagnosis because the LPN has several years of experience.
B. Perform the diagnosis if the patient gives informed consent.
C. Decline the diagnostic responsibility and notify the appropriate RN or
authorized provider.
D. Perform the diagnosis if the facility's policy permits it.
Answer: Decline the diagnostic responsibility and notify the appropriate RN or
authorized provider.
,Rationale: Delaware defines practical nursing as nursing services performed
within the LPN's scope and under the direction of an RN or appropriately
licensed provider. Medical diagnosis is outside the LPN's statutory authority.
2. Delaware Licensure
Which person may lawfully practice practical nursing in Delaware without a
Delaware LPN license?
A. Any nursing graduate awaiting employment
B. An unlicensed nursing assistant who has completed an LPN program
C. A person holding a Board-issued temporary permit when authorized to practice
D. An LPN whose license expired several months ago
Answer: A person holding a Board-issued temporary permit when authorized to
practice.
Rationale: Delaware generally prohibits unlicensed persons from practicing
practical nursing, with limited statutory exceptions such as a person holding a
Board-issued temporary permit.
3. LPN Accountability
An LPN accepts an assignment involving a procedure the nurse has never
performed and for which the nurse has no demonstrated competency. What is
the best action?
A. Perform it because the charge nurse assigned it.
B. Perform it once while observing another nurse.
C. Refuse all future assignments.
D. Seek appropriate guidance, instruction, supervision, or training before
performing the procedure.
Answer: Seek appropriate guidance, instruction, supervision, or training before
performing the procedure.
,Rationale: Delaware standards require nurses to accept responsibility for
competent practice and seek guidance, instruction, and supervision when
necessary.
4. Nursing Practice Location
Under Delaware nursing regulations, where does nursing practice occur for
purposes of determining applicable nursing practice requirements?
A. Only at the nurse's primary employer
B. Where the patient is located
C. Only inside a licensed hospital
D. Only where the nurse holds a Delaware-issued facility credential
Answer: Where the patient is located.
Rationale: Delaware Board standards expressly recognize that nursing practice
occurs where the patient is located.
5. Competency
A facility tells an LPN, "The policy says you can do it, so you are automatically
competent." Which statement is most accurate?
A. Facility policy always establishes individual competency.
B. A nurse remains responsible for practicing within demonstrated competency.
C. Facility policy supersedes the Nurse Practice Act.
D. Employer authorization eliminates Board accountability.
Answer: A nurse remains responsible for practicing within demonstrated
competency.
Rationale: Employer policies do not eliminate the individual nurse's legal and
professional responsibility to recognize personal limits and practice
competently.
6. Medication Administration
, A physician prescribes a medication for a Delaware patient. Which statement best
describes the LPN's authority?
A. The LPN may prescribe a substitute medication.
B. The LPN may administer the prescribed medication within applicable scope and
competency.
C. The LPN may independently change the dose.
D. The LPN may discontinue the medication whenever the patient requests it.
Answer: The LPN may administer the prescribed medication within applicable
scope and competency.
Rationale: Delaware expressly includes administration of medications and
treatments prescribed by authorized practitioners within the practical nursing
scope, subject to applicable rules and competency.
7. Medication Error
An LPN discovers that the wrong dose of medication was administered. What
should the nurse do first?
A. Alter the medication record to prevent confusion.
B. Wait until the end of the shift to report it.
C. Assess the patient and take appropriate immediate safety measures.
D. Ask another LPN whether the error needs to be reported.
Answer: Assess the patient and take appropriate immediate safety measures.
Rationale: Patient safety takes priority after a medication error. The nurse
should promptly assess, intervene as indicated, notify the appropriate provider
and supervisory personnel, and complete required documentation.
8. Documentation
An LPN realizes that an assessment entry was accidentally omitted from the
record. What is the best practice?
Code: DE-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. Scope of Practical Nursing
A Delaware LPN is asked to independently diagnose a patient's new respiratory
condition and determine the medical treatment plan. What is the most
appropriate response?
A. Perform the diagnosis because the LPN has several years of experience.
B. Perform the diagnosis if the patient gives informed consent.
C. Decline the diagnostic responsibility and notify the appropriate RN or
authorized provider.
D. Perform the diagnosis if the facility's policy permits it.
Answer: Decline the diagnostic responsibility and notify the appropriate RN or
authorized provider.
,Rationale: Delaware defines practical nursing as nursing services performed
within the LPN's scope and under the direction of an RN or appropriately
licensed provider. Medical diagnosis is outside the LPN's statutory authority.
2. Delaware Licensure
Which person may lawfully practice practical nursing in Delaware without a
Delaware LPN license?
A. Any nursing graduate awaiting employment
B. An unlicensed nursing assistant who has completed an LPN program
C. A person holding a Board-issued temporary permit when authorized to practice
D. An LPN whose license expired several months ago
Answer: A person holding a Board-issued temporary permit when authorized to
practice.
Rationale: Delaware generally prohibits unlicensed persons from practicing
practical nursing, with limited statutory exceptions such as a person holding a
Board-issued temporary permit.
3. LPN Accountability
An LPN accepts an assignment involving a procedure the nurse has never
performed and for which the nurse has no demonstrated competency. What is
the best action?
A. Perform it because the charge nurse assigned it.
B. Perform it once while observing another nurse.
C. Refuse all future assignments.
D. Seek appropriate guidance, instruction, supervision, or training before
performing the procedure.
Answer: Seek appropriate guidance, instruction, supervision, or training before
performing the procedure.
,Rationale: Delaware standards require nurses to accept responsibility for
competent practice and seek guidance, instruction, and supervision when
necessary.
4. Nursing Practice Location
Under Delaware nursing regulations, where does nursing practice occur for
purposes of determining applicable nursing practice requirements?
A. Only at the nurse's primary employer
B. Where the patient is located
C. Only inside a licensed hospital
D. Only where the nurse holds a Delaware-issued facility credential
Answer: Where the patient is located.
Rationale: Delaware Board standards expressly recognize that nursing practice
occurs where the patient is located.
5. Competency
A facility tells an LPN, "The policy says you can do it, so you are automatically
competent." Which statement is most accurate?
A. Facility policy always establishes individual competency.
B. A nurse remains responsible for practicing within demonstrated competency.
C. Facility policy supersedes the Nurse Practice Act.
D. Employer authorization eliminates Board accountability.
Answer: A nurse remains responsible for practicing within demonstrated
competency.
Rationale: Employer policies do not eliminate the individual nurse's legal and
professional responsibility to recognize personal limits and practice
competently.
6. Medication Administration
, A physician prescribes a medication for a Delaware patient. Which statement best
describes the LPN's authority?
A. The LPN may prescribe a substitute medication.
B. The LPN may administer the prescribed medication within applicable scope and
competency.
C. The LPN may independently change the dose.
D. The LPN may discontinue the medication whenever the patient requests it.
Answer: The LPN may administer the prescribed medication within applicable
scope and competency.
Rationale: Delaware expressly includes administration of medications and
treatments prescribed by authorized practitioners within the practical nursing
scope, subject to applicable rules and competency.
7. Medication Error
An LPN discovers that the wrong dose of medication was administered. What
should the nurse do first?
A. Alter the medication record to prevent confusion.
B. Wait until the end of the shift to report it.
C. Assess the patient and take appropriate immediate safety measures.
D. Ask another LPN whether the error needs to be reported.
Answer: Assess the patient and take appropriate immediate safety measures.
Rationale: Patient safety takes priority after a medication error. The nurse
should promptly assess, intervene as indicated, notify the appropriate provider
and supervisory personnel, and complete required documentation.
8. Documentation
An LPN realizes that an assessment entry was accidentally omitted from the
record. What is the best practice?
