Maryland LPN Jurisprudence Exam —
Code: MD-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A Maryland LPN is asked to perform a nursing task that is clearly beyond
the nurse’s education, knowledge, and demonstrated competency. The
supervisor insists that the task must be completed because the unit is
short-staffed. What is the LPN’s best response?
A. Perform the task because staffing shortages justify it
B. Perform the task if another nurse is nearby
C. Decline the task and explain that it is beyond the LPN’s knowledge and skills
D. Perform the task and document the staffing shortage
Answer: C. Decline the task and explain that it is beyond the LPN’s knowledge
and skills
,Rationale: Maryland law prohibits requiring a licensee to perform an act beyond
the licensee’s knowledge and skills. Patient safety and professional competency
take priority over staffing convenience.
2. Which governmental body has authority to establish standards for the
practice of licensed practical nursing in Maryland?
A. Maryland Department of Labor
B. Maryland Medical Assistance Administration
C. Maryland Board of Nursing
D. Maryland Hospital Association
Answer: C. Maryland Board of Nursing
Rationale: The Maryland Board of Nursing is authorized to establish standards
for licensed practical nursing and adopt regulations implementing the Maryland
Nurse Practice Act.
3. An LPN is caring for a patient whose condition has unexpectedly
deteriorated. The patient now requires assessment and clinical decision-
making beyond the LPN’s authorized role. What is the most appropriate
action?
A. Continue independently because the LPN knows the patient
B. Wait until the next scheduled physician visit
C. Notify the appropriate RN or provider and obtain the level of assessment and
intervention required
D. Ask an unlicensed assistive personnel to assess the patient
Answer: C. Notify the appropriate RN or provider and obtain the level of
assessment and intervention required
Rationale: An LPN must recognize limitations in knowledge, skills, and scope and
obtain appropriate assistance rather than independently performing functions
outside the LPN’s authorized practice.
, 4. Which statement best describes an LPN’s professional responsibility when
accepting a delegated nursing function?
A. The delegating nurse assumes all responsibility
B. The LPN is responsible only if the patient is injured
C. The LPN must have the knowledge and skills necessary to perform the
delegated function safely
D. Delegation automatically expands the LPN’s scope of practice
Answer: C. The LPN must have the knowledge and skills necessary to perform
the delegated function safely
Rationale: Delegation does not eliminate the receiving nurse’s obligation to
practice competently. A nurse should not accept an assignment that exceeds the
nurse’s knowledge and skills.
5. A facility policy permits an LPN to perform a procedure, but the LPN has
never been trained or deemed competent to perform it. What should the
LPN do?
A. Perform it because facility policy authorizes it
B. Perform it after watching a video
C. Decline until appropriate education, training, and competency have been
established
D. Ask a CNA to perform it
Answer: C. Decline until appropriate education, training, and competency have
been established
Rationale: Facility policy cannot substitute for professional competence.
Maryland law identifies performing an act beyond the licensee’s knowledge and
skills as grounds for disciplinary action.
6. Which action could constitute grounds for disciplinary action against a
Maryland nurse?
, A. Requesting clarification of an order
B. Seeking assistance with an unfamiliar procedure
C. Performing an act beyond the nurse’s knowledge and skills
D. Refusing an unsafe assignment
Answer: C. Performing an act beyond the nurse’s knowledge and skills
Rationale: Maryland law specifically identifies performing an act beyond a
licensee’s knowledge and skills as grounds for disciplinary action.
7. An LPN observes that a coworker is repeatedly documenting assessments
that were never performed. What is the most appropriate professional
response?
A. Ignore the conduct
B. Alter the coworker’s documentation
C. Discuss it only with another coworker
D. Follow applicable reporting and supervisory procedures to address the
potentially falsified documentation
Answer: D. Follow applicable reporting and supervisory procedures to address
the potentially falsified documentation
Rationale: Accurate documentation is fundamental to safe nursing practice.
Suspected dishonest or unsafe professional conduct should be addressed
through appropriate organizational and regulatory channels.
8. Which action is most consistent with professional accountability?
A. Signing documentation completed by another nurse
B. Charting an assessment before performing it
C. Documenting care accurately and contemporaneously according to facility
requirements
D. Documenting only abnormal findings
Answer: C. Documenting care accurately and contemporaneously according to
facility requirements
Code: MD-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A Maryland LPN is asked to perform a nursing task that is clearly beyond
the nurse’s education, knowledge, and demonstrated competency. The
supervisor insists that the task must be completed because the unit is
short-staffed. What is the LPN’s best response?
A. Perform the task because staffing shortages justify it
B. Perform the task if another nurse is nearby
C. Decline the task and explain that it is beyond the LPN’s knowledge and skills
D. Perform the task and document the staffing shortage
Answer: C. Decline the task and explain that it is beyond the LPN’s knowledge
and skills
,Rationale: Maryland law prohibits requiring a licensee to perform an act beyond
the licensee’s knowledge and skills. Patient safety and professional competency
take priority over staffing convenience.
2. Which governmental body has authority to establish standards for the
practice of licensed practical nursing in Maryland?
A. Maryland Department of Labor
B. Maryland Medical Assistance Administration
C. Maryland Board of Nursing
D. Maryland Hospital Association
Answer: C. Maryland Board of Nursing
Rationale: The Maryland Board of Nursing is authorized to establish standards
for licensed practical nursing and adopt regulations implementing the Maryland
Nurse Practice Act.
3. An LPN is caring for a patient whose condition has unexpectedly
deteriorated. The patient now requires assessment and clinical decision-
making beyond the LPN’s authorized role. What is the most appropriate
action?
A. Continue independently because the LPN knows the patient
B. Wait until the next scheduled physician visit
C. Notify the appropriate RN or provider and obtain the level of assessment and
intervention required
D. Ask an unlicensed assistive personnel to assess the patient
Answer: C. Notify the appropriate RN or provider and obtain the level of
assessment and intervention required
Rationale: An LPN must recognize limitations in knowledge, skills, and scope and
obtain appropriate assistance rather than independently performing functions
outside the LPN’s authorized practice.
, 4. Which statement best describes an LPN’s professional responsibility when
accepting a delegated nursing function?
A. The delegating nurse assumes all responsibility
B. The LPN is responsible only if the patient is injured
C. The LPN must have the knowledge and skills necessary to perform the
delegated function safely
D. Delegation automatically expands the LPN’s scope of practice
Answer: C. The LPN must have the knowledge and skills necessary to perform
the delegated function safely
Rationale: Delegation does not eliminate the receiving nurse’s obligation to
practice competently. A nurse should not accept an assignment that exceeds the
nurse’s knowledge and skills.
5. A facility policy permits an LPN to perform a procedure, but the LPN has
never been trained or deemed competent to perform it. What should the
LPN do?
A. Perform it because facility policy authorizes it
B. Perform it after watching a video
C. Decline until appropriate education, training, and competency have been
established
D. Ask a CNA to perform it
Answer: C. Decline until appropriate education, training, and competency have
been established
Rationale: Facility policy cannot substitute for professional competence.
Maryland law identifies performing an act beyond the licensee’s knowledge and
skills as grounds for disciplinary action.
6. Which action could constitute grounds for disciplinary action against a
Maryland nurse?
, A. Requesting clarification of an order
B. Seeking assistance with an unfamiliar procedure
C. Performing an act beyond the nurse’s knowledge and skills
D. Refusing an unsafe assignment
Answer: C. Performing an act beyond the nurse’s knowledge and skills
Rationale: Maryland law specifically identifies performing an act beyond a
licensee’s knowledge and skills as grounds for disciplinary action.
7. An LPN observes that a coworker is repeatedly documenting assessments
that were never performed. What is the most appropriate professional
response?
A. Ignore the conduct
B. Alter the coworker’s documentation
C. Discuss it only with another coworker
D. Follow applicable reporting and supervisory procedures to address the
potentially falsified documentation
Answer: D. Follow applicable reporting and supervisory procedures to address
the potentially falsified documentation
Rationale: Accurate documentation is fundamental to safe nursing practice.
Suspected dishonest or unsafe professional conduct should be addressed
through appropriate organizational and regulatory channels.
8. Which action is most consistent with professional accountability?
A. Signing documentation completed by another nurse
B. Charting an assessment before performing it
C. Documenting care accurately and contemporaneously according to facility
requirements
D. Documenting only abnormal findings
Answer: C. Documenting care accurately and contemporaneously according to
facility requirements
