Louisiana RN Jurisprudence Exam —
Code: LA-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A Louisiana RN is asked to perform a highly specialized procedure that was not
taught in the nurse's basic nursing program. The nurse has never performed the
procedure independently. What is the best legal action?
A. Perform the procedure because the physician ordered it
B. Perform the procedure if another RN is present
C. Decline the procedure until appropriate education, training, and competency
are established
D. Delegate the procedure to an experienced LPN
,Answer: C. Decline the procedure until appropriate education, training, and
competency are established
Rationale: An RN must practice within the individual's educational preparation,
knowledge, skills, abilities, and demonstrated competency. A provider's order
does not automatically expand the RN's scope of practice.
2.
Under Louisiana law, which activity is specifically included within the statutory
definition of registered nursing?
A. Independently making a medical diagnosis
B. Prescribing therapeutic medications as an RN
C. Establishing a nursing diagnosis
D. Performing surgery
Answer: C. Establishing a nursing diagnosis
Rationale: Louisiana's definition of registered nursing includes assessment,
nursing diagnosis, establishing goals, planning, implementing, evaluating,
teaching, supervision, collaboration, and other authorized nursing functions.
Medical diagnosis and medical prescribing are not part of ordinary RN practice.
3.
An RN identifies that a patient has symptoms suggesting appendicitis. Which
action is most consistent with Louisiana RN scope?
A. Diagnose acute appendicitis
B. Prescribe an antibiotic
C. Establish an appropriate nursing diagnosis and notify the authorized prescriber
of concerning findings
D. Order emergency surgery
,Answer: C. Establish an appropriate nursing diagnosis and notify the authorized
prescriber of concerning findings
Rationale: An RN may perform nursing assessment and establish nursing
diagnoses but may not independently perform acts of medical diagnosis or
medical prescribing under the ordinary RN scope.
4.
Which statement best describes the Louisiana RN's responsibility after delegating
an appropriate nursing intervention?
A. All accountability transfers to the delegatee
B. The RN retains accountability for appropriate delegation and nursing care
C. The employer assumes all accountability
D. The physician becomes accountable for the intervention
Answer: B. The RN retains accountability for appropriate delegation and nursing
care
Rationale: Louisiana delegation guidance emphasizes that the RN remains
responsible and accountable for ensuring delegated interventions are performed
according to applicable standards, policies, and procedures.
5.
A nursing assistant has never been trained to perform a proposed delegated task.
The RN determines that the patient is stable. What should the RN do?
A. Delegate because the patient is stable
B. Delegate if the assistant agrees
C. Provide or arrange appropriate training and competency validation before
delegation
D. Delegate and observe the first attempt only
, Answer: C. Provide or arrange appropriate training and competency validation
before delegation
Rationale: Louisiana delegation criteria require adequate training and
demonstrated learning/competency before a task is delegated.
6.
Which characteristic most strongly indicates that a task is appropriate for
delegation to unlicensed nursing personnel under Louisiana guidance?
A. It requires independent nursing judgment
B. It has unpredictable outcomes
C. It is non-complex and produces predictable results when performed according
to exact directions
D. It requires continuous modification based on assessment findings
Answer: C. It is non-complex and produces predictable results when performed
according to exact directions
Rationale: Louisiana guidance distinguishes non-complex tasks as tasks that can
be performed according to exact directions without altering the standard
procedure and with predictable results.
7.
Which task characteristic would make delegation to unlicensed personnel
inappropriate?
A. Predictable outcome
B. Exact standardized procedure
C. Requirement for nursing judgment to determine the next intervention
D. Validated competency
Code: LA-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A Louisiana RN is asked to perform a highly specialized procedure that was not
taught in the nurse's basic nursing program. The nurse has never performed the
procedure independently. What is the best legal action?
A. Perform the procedure because the physician ordered it
B. Perform the procedure if another RN is present
C. Decline the procedure until appropriate education, training, and competency
are established
D. Delegate the procedure to an experienced LPN
,Answer: C. Decline the procedure until appropriate education, training, and
competency are established
Rationale: An RN must practice within the individual's educational preparation,
knowledge, skills, abilities, and demonstrated competency. A provider's order
does not automatically expand the RN's scope of practice.
2.
Under Louisiana law, which activity is specifically included within the statutory
definition of registered nursing?
A. Independently making a medical diagnosis
B. Prescribing therapeutic medications as an RN
C. Establishing a nursing diagnosis
D. Performing surgery
Answer: C. Establishing a nursing diagnosis
Rationale: Louisiana's definition of registered nursing includes assessment,
nursing diagnosis, establishing goals, planning, implementing, evaluating,
teaching, supervision, collaboration, and other authorized nursing functions.
Medical diagnosis and medical prescribing are not part of ordinary RN practice.
3.
An RN identifies that a patient has symptoms suggesting appendicitis. Which
action is most consistent with Louisiana RN scope?
A. Diagnose acute appendicitis
B. Prescribe an antibiotic
C. Establish an appropriate nursing diagnosis and notify the authorized prescriber
of concerning findings
D. Order emergency surgery
,Answer: C. Establish an appropriate nursing diagnosis and notify the authorized
prescriber of concerning findings
Rationale: An RN may perform nursing assessment and establish nursing
diagnoses but may not independently perform acts of medical diagnosis or
medical prescribing under the ordinary RN scope.
4.
Which statement best describes the Louisiana RN's responsibility after delegating
an appropriate nursing intervention?
A. All accountability transfers to the delegatee
B. The RN retains accountability for appropriate delegation and nursing care
C. The employer assumes all accountability
D. The physician becomes accountable for the intervention
Answer: B. The RN retains accountability for appropriate delegation and nursing
care
Rationale: Louisiana delegation guidance emphasizes that the RN remains
responsible and accountable for ensuring delegated interventions are performed
according to applicable standards, policies, and procedures.
5.
A nursing assistant has never been trained to perform a proposed delegated task.
The RN determines that the patient is stable. What should the RN do?
A. Delegate because the patient is stable
B. Delegate if the assistant agrees
C. Provide or arrange appropriate training and competency validation before
delegation
D. Delegate and observe the first attempt only
, Answer: C. Provide or arrange appropriate training and competency validation
before delegation
Rationale: Louisiana delegation criteria require adequate training and
demonstrated learning/competency before a task is delegated.
6.
Which characteristic most strongly indicates that a task is appropriate for
delegation to unlicensed nursing personnel under Louisiana guidance?
A. It requires independent nursing judgment
B. It has unpredictable outcomes
C. It is non-complex and produces predictable results when performed according
to exact directions
D. It requires continuous modification based on assessment findings
Answer: C. It is non-complex and produces predictable results when performed
according to exact directions
Rationale: Louisiana guidance distinguishes non-complex tasks as tasks that can
be performed according to exact directions without altering the standard
procedure and with predictable results.
7.
Which task characteristic would make delegation to unlicensed personnel
inappropriate?
A. Predictable outcome
B. Exact standardized procedure
C. Requirement for nursing judgment to determine the next intervention
D. Validated competency
