ID-RN-JP | 100-Question Advanced
Practice Exam 2026 | Questions &
Answers with Detailed Rationales |
Complete Exam Prep & Study Guide
1.
An Idaho RN is asked to perform a procedure that is not specifically listed in the
nurse's basic educational preparation. Which consideration is most important
when determining whether the RN may legally perform it?
A. Whether another RN has performed it previously
B. Whether the employer's policy permits it
C. Whether the nurse has appropriate education, competency, and experience
and the act meets Idaho's scope-of-practice decision-making criteria
D. Whether the physician is willing to assume responsibility
Answer: C. Whether the nurse has appropriate education, competency, and
experience and the act meets Idaho's scope-of-practice decision-making criteria
,Rationale: Idaho's decision-making model requires the nurse to evaluate
whether an act is legally within scope and whether the nurse has appropriate
preparation and competency. Employer permission or a provider's request does
not independently expand the RN's legal scope.
2.
Under Idaho rules, which statement best describes RN accountability?
A. The employer is accountable for all nursing judgments
B. The prescribing provider assumes responsibility for nursing implementation
C. The RN remains responsible and accountable for nursing judgments, actions,
and competence
D. The charge nurse assumes all accountability
Answer: C. The RN remains responsible and accountable for nursing judgments,
actions, and competence
Rationale: Idaho specifically states that the nurse is responsible and accountable
for nursing judgments, actions, and competence. Delegation or collaboration
does not eliminate the RN's professional accountability.
3.
An RN delegates a task to a UAP. Which action by the UAP would violate Idaho
delegation requirements?
A. Measuring a patient's temperature
B. Assisting with a task permitted by written facility policy
C. Re-delegating the task to another UAP
D. Reporting an abnormal observation to the RN
Answer: C. Re-delegating the task to another UAP
Rationale: Idaho rules state that UAPs cannot redelegate an act delegated to
them. The licensed nurse must make the delegation decision and supervise the
delegated activity.
,4.
Before delegating a nursing task, which factor must the RN specifically evaluate?
A. Whether the UAP has worked at the facility for at least one year
B. The patient's stability and complexity of care
C. Whether the UAP prefers the assignment
D. Whether the task is convenient for the RN
Answer: B. The patient's stability and complexity of care
Rationale: Idaho requires the nurse to assess patient status, health care needs,
complexity of assessment and monitoring, and physiological or psychological
stability before delegation.
5.
Which task is generally inappropriate for delegation to a UAP under Idaho rules?
A. A task requiring nursing assessment and judgment
B. A routine task with a predictable outcome
C. A task specifically authorized by written facility policy
D. A task for which the UAP has documented competency
Answer: A. A task requiring nursing assessment and judgment
Rationale: Idaho prohibits delegation of procedures requiring nursing
assessment, diagnosis, establishment of a plan of care, teaching, nursing
judgment, or specialized nursing knowledge and skills.
6.
A patient becomes unstable immediately after a delegated intervention. What is
the RN's priority?
A. Wait for the UAP to document the intervention
B. Evaluate the patient's response and take necessary further action
, C. Ask another UAP to reassess the patient
D. Transfer accountability to the UAP
Answer: B. Evaluate the patient's response and take necessary further action
Rationale: After delegation, the licensed nurse must evaluate the patient's
response and outcome and take further action as necessary.
7.
Which statement about UAP medication assistance is most accurate under Idaho
rules?
A. UAPs may independently decide which medications patients need
B. UAPs may prescribe routine medications
C. Qualified UAPs may assist patients who cannot independently self-administer
medications when the legal requirements for delegation and training are satisfied
D. UAPs may independently assess medication effectiveness
Answer: C. Qualified UAPs may assist patients who cannot independently self-
administer medications when the legal requirements for delegation and training
are satisfied
Rationale: Idaho permits certain medication-assistance activities after
appropriate Board-approved training, development of an RN plan of care, and
delegation by a licensed nurse.
8.
Which activity is specifically identified as an example of medication assistance
that may be performed by an appropriately trained UAP when legally permitted?
A. Diagnosing an adverse drug reaction
B. Selecting a new medication
C. Instilling prescribed eye drops
D. Changing a prescription dose
Answer: C. Instilling prescribed eye drops