ME-LPN-JP | 100-Question Advanced
Practice Exam 2026 | Questions &
Answers with Detailed Rationales |
Complete Exam Prep & Study Guide
1. A Maine LPN is asked to independently perform a comprehensive nursing
assessment on a newly admitted patient. Which response is most
appropriate?
A. Perform the assessment because LPNs can assess stable patients.
B. Perform the assessment only if the RN is unavailable.
C. Refer the comprehensive nursing assessment to the RN and provide care
within the LPN scope.
D. Ask the UAP to complete the assessment.
Answer: Refer the comprehensive nursing assessment to the RN and provide
care within the LPN scope.
Rationale: Maine Board guidance specifically states that performance of a
nursing assessment is a proper function of the registered professional nurse and
is not within the purview of the practical nurse license.
, 2. An LPN receives a medication order from a legally authorized prescriber.
Which activity is within the LPN's nursing role?
A. Dispensing the medication from the pharmacy.
B. Relabeling the medication for the patient.
C. Administering the medication as prescribed.
D. Changing the medication's dosage based on patient preference.
Answer: Administering the medication as prescribed.
Rationale: Maine law permits nurses to administer medications and treatments
prescribed by legally authorized individuals. Maine Board guidance
distinguishes administration from dispensing.
3. Which activity does the Maine Board identify as dispensing rather than
administering medication?
A. Giving a prescribed tablet directly to a patient.
B. Administering a medication from a pharmacy-labeled package.
C. Pouring medication from stock into a container, labeling it, and giving the
container to personnel for administration.
D. Administering medication pursuant to a telephone order.
Answer: Pouring medication from stock into a container, labeling it, and giving
the container to personnel for administration.
Rationale: The Board states that nurses may administer medications but may
not independently perform pharmacy dispensing functions.
4. An LPN is asked to prepare and label prescription bottles for discharge
medications. What should the LPN do?
A. Complete the task if an RN signs afterward.
B. Complete the task if the physician has approved it.
C. Decline because dispensing medications is not authorized nursing practice.
D. Complete the task if the patient has already been evaluated.
,Answer: Decline because dispensing medications is not authorized nursing
practice.
Rationale: Maine Board guidance states that RNs and LPNs are not authorized
to dispense medications; administration of prescribed medication is within
nursing scope.
5. A patient presents to an emergency department without having been
evaluated by a physician. An LPN is asked to provide prescription
medication for the patient to take home. What is the major legal concern?
A. The LPN lacks authority to administer oral medication.
B. The patient must always receive medication from an RN.
C. Providing medication in this circumstance may constitute dispensing rather
than administration.
D. LPNs may only administer medications intravenously.
Answer: Providing medication in this circumstance may constitute dispensing
rather than administration.
Rationale: The Maine Board has specifically distinguished administration from
dispensing and has stated that providing medication to an unevaluated
emergency-department patient can exceed nursing scope.
6. Which statement best describes Maine's statutory authority concerning
LPN practice?
A. LPNs may independently perform every function of an RN.
B. LPN practice is limited to medication administration.
C. Selected nursing services may be delegated to LPNs when standardized
protocols and procedures lead to predictable outcomes.
D. LPNs may independently establish nursing diagnoses.
Answer: Selected nursing services may be delegated to LPNs when standardized
protocols and procedures lead to predictable outcomes.
, Rationale: Maine law specifically addresses delegation of selected nursing
services to LPNs when standardized procedures and protocols lead to
predictable outcomes.
7. An LPN is caring for a patient whose condition becomes unstable and
unpredictable. Which action is most appropriate?
A. Continue independently because the patient was previously stable.
B. Ask a UAP to monitor the patient.
C. Notify the RN/provider and work within the LPN's authorized scope and level
of preparation.
D. Change the treatment plan independently.
Answer: Notify the RN/provider and work within the LPN's authorized scope
and level of preparation.
Rationale: Maine's practical-nursing framework distinguishes predictable care
from functions requiring professional nursing assessment and judgment.
8. A Maine LPN believes a requested assignment exceeds the nurse's
education and scope. What is the best response?
A. Perform the assignment to avoid disciplinary action.
B. Ask another LPN to perform it secretly.
C. Raise the concern through the appropriate chain of command and decline
activities outside authorized scope.
D. Perform the task if the patient signs a waiver.
Answer: Raise the concern through the appropriate chain of command and
decline activities outside authorized scope.
Rationale: A nursing license does not authorize practice beyond the nurse's legal
scope, education, competence, or applicable rules.
9. The Maine Board's mission is primarily to:
A. Increase nursing employment.
B. Establish hospital staffing ratios.