Code: DE-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A Delaware RN is asked to perform a procedure that is not expressly listed in
the RN's job description. What is the best legal approach?
A. Perform it because the employer assigned it
B. Refuse every procedure not specifically listed in the job description
C. Determine whether the procedure falls within the nurse's authorized scope
using applicable statutes, regulations, competency standards, and professional
judgment
D. Perform it if another RN has previously performed it
,Answer: C. Determine whether the procedure falls within the nurse's authorized
scope using applicable statutes, regulations, competency standards, and
professional judgment
Rationale: Delaware RNs must function within statutes and regulations
governing nursing and use appropriate scope-of-practice guidance. Employer
assignment alone does not expand legal scope.
2. Under Delaware regulations, where does nursing practice occur for purposes of
determining applicable scope-of-practice requirements?
A. Where the nurse is physically located
B. Where the employer's headquarters is located
C. Where the patient is located
D. Where the physician is licensed
Answer: C. Where the patient is located
Rationale: Delaware's nursing regulations expressly state that nursing practice
occurs where the patient is located.
3. An RN delegates a permitted task to a UAP. Who retains accountability for
determining whether the delegation is appropriate?
A. The UAP
B. The charge nurse only
C. The RN who delegated the task
D. The facility administrator
Answer: C. The RN who delegated the task
Rationale: Delaware defines delegation as entrusting selected duties while
retaining accountability. The RN remains accountable for the appropriateness of
delegated duties and safe, competent care.
4. Which Delaware-licensed nurse is authorized under the RN delegation
provisions to delegate nursing duties to UAPs?
,A. RN
B. LPN
C. Nursing assistant
D. Student nurse
Answer: A. RN
Rationale: Delaware's delegation rule specifically provides that RNs, rather than
LPNs, may delegate under the stated conditions.
5. An RN is considering delegating a task to a UAP caring for an unstable patient.
Which factor is most concerning?
A. The UAP has worked for the facility for two years
B. The task is frequently performed
C. The patient's condition is unstable
D. The task has written instructions
Answer: C. The patient's condition is unstable
Rationale: Stability of the client's condition is a fundamental delegation
criterion. Tasks involving unstable conditions may require nursing judgment that
cannot appropriately be delegated.
6. Which task is specifically excluded from RN delegation to UAP under Delaware
regulations?
A. Routine nonclinical assistance
B. Assistance with activities of daily living
C. Professional nursing assessment requiring nursing judgment
D. A predictable task performed according to established steps
Answer: C. Professional nursing assessment requiring nursing judgment
Rationale: Physical, psychological, and social assessment requiring professional
nursing judgment, intervention, referral, or follow-up may not be delegated to
UAP.
, 7. A UAP asks another UAP to perform a nursing task originally delegated by an
RN. What should the RN recognize?
A. This is permitted if both UAPs are trained
B. The second UAP automatically assumes accountability
C. The delegated act may not be reassigned by the UAP
D. Reassignment is permitted if documented
Answer: C. The delegated act may not be reassigned by the UAP
Rationale: Delaware regulations expressly prohibit UAPs from reassigning a
delegated act.
8. Which task generally satisfies the Delaware criteria for delegation?
A. Developing a nursing diagnosis
B. Evaluating whether a nursing plan is effective
C. Performing a repetitive task with predictable outcomes according to
established steps
D. Determining whether a patient's condition requires escalation
Answer: C. Performing a repetitive task with predictable outcomes according to
established steps
Rationale: Delegable tasks should generally be performed frequently, follow
established steps, have predictable outcomes, and not require ongoing nursing
assessment or independent decision-making.
9. A Delaware RN delegates a task and then leaves the facility without arranging
appropriate availability. Which requirement is potentially violated?
A. The RN must be readily available in person or by telecommunication
B. The RN must remain physically beside the UAP
C. The UAP must become licensed
D. Delegation automatically terminates
Answer: A. The RN must be readily available in person or by telecommunication