Code: IN-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
An Indiana LPN is asked to independently establish a nursing diagnosis for a newly
admitted patient. Which response is most legally appropriate?
A. Establish the diagnosis because the LPN completed an accredited program
B. Establish the diagnosis if the RN is unavailable
C. Decline independent responsibility for formulating the nursing diagnosis and
function within the LPN scope
D. Establish the diagnosis after obtaining verbal permission from the physician
Answer: C. Decline independent responsibility for formulating the nursing
diagnosis and function within the LPN scope
,Rationale: Indiana law defines practical nursing as contributing to assessment,
participating in development and modification of the strategy of care,
implementing appropriate aspects of that strategy, maintaining safe and
effective care, and participating in evaluation of responses. Independent
formulation of the nursing diagnosis is associated with RN practice.
2.
Which person may direct an Indiana LPN's practice under the statutory definition
of licensed practical nursing?
A. Only an RN
B. Only a physician
C. An RN or specified licensed practitioners identified by statute
D. Any healthcare employee designated by the facility
Answer: C. An RN or specified licensed practitioners identified by statute
Rationale: Indiana defines an LPN as functioning at the direction of an RN,
physician with an unlimited license to practice medicine or osteopathic
medicine, dentist, chiropractor, optometrist, or podiatrist, within activities
commonly performed by practical nurses requiring special knowledge or skill.
3.
An LPN receives an assignment involving a procedure the nurse has never
performed. What is the best initial action?
A. Perform it because the facility assigned it
B. Ask another LPN to watch
C. Seek appropriate education and supervision before performing the procedure
D. Perform it independently and document that the procedure was unfamiliar
Answer: C. Seek appropriate education and supervision before performing the
procedure
Rationale: Indiana nursing standards require nurses to seek education and
supervision as necessary when implementing nursing techniques.
,4.
An LPN observes a coworker repeatedly documenting assessments that were
never performed. What is the most appropriate action?
A. Ignore the behavior unless a patient is harmed
B. Discuss it only with coworkers
C. Follow the required written-reporting process for conduct that may jeopardize
patient safety
D. Alter the coworker's documentation
Answer: C. Follow the required written-reporting process for conduct that may
jeopardize patient safety
Rationale: Indiana's nursing standards require written notification to an
appropriate party, which may include the employer, the Board, or the Attorney
General's consumer protection division, regarding unprofessional conduct that
may jeopardize patient safety.
5.
Which action best demonstrates the Indiana LPN's duty to protect patient
confidentiality?
A. Discussing a patient's condition with a friend who is also a nurse
B. Sharing information with authorized healthcare personnel involved in the
patient's care
C. Posting an unusual clinical case online without the patient's name
D. Discussing the patient's condition in the hospital cafeteria
Answer: B. Sharing information with authorized healthcare personnel involved
in the patient's care
Rationale: Indiana nursing standards require protection of confidential patient
information except when disclosure is required or permitted by law.
6.
, An LPN believes a provider's order could seriously compromise patient safety.
What should the LPN do first?
A. Carry out the order without question
B. Refuse all future orders from that provider
C. Clarify the order through the appropriate clinical chain of communication
D. Ask the patient's family to decide
Answer: C. Clarify the order through the appropriate clinical chain of
communication
Rationale: Safe nursing practice requires the nurse to recognize questionable
orders, seek clarification, and advocate for the patient's safety rather than
blindly carrying out a potentially harmful order.
7.
Which statement about delegation is most consistent with Indiana nursing
standards?
A. Delegation transfers all accountability to the delegatee
B. A nurse may delegate any task to any willing employee
C. The nurse must consider whether the person is prepared, qualified, or licensed
to perform the delegated measure
D. Delegation is permitted only to other licensed nurses
Answer: C. The nurse must consider whether the person is prepared, qualified,
or licensed to perform the delegated measure
Rationale: Indiana rules require nurses to delegate and supervise only nursing
measures they know, or should know, another person is prepared, qualified, or
licensed to perform. Professional accountability remains with the nurse.
8.
An LPN delegates a nursing task to an employee who has never been trained to
perform it. The task causes patient injury. Which principle is most important?