Code: MN-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A Minnesota LPN is asked to perform a nursing procedure that the nurse
learned during school but has not performed for several years. The
employer's policy permits the procedure. What is the LPN's best action?
A. Perform it because the procedure is within the general LPN scope
B. Perform it because the employer authorizes it
C. Determine whether the nurse currently has the education, competence, and
authorization to safely perform it
D. Refuse all procedures not performed within the past year
Answer: Determine whether the nurse currently has the education,
competence, and authorization to safely perform it
,Rationale: Minnesota does not provide an exhaustive list of procedures for LPN
scope. Nurses are accountable for practice that is supported by education,
competence, authorization, applicable standards, and employer policies.
2. Which statement best describes Minnesota's approach to LPN scope of
practice?
A. The Board publishes a complete list of every procedure an LPN may perform
B. Employer policy alone determines LPN scope
C. Scope depends on education, competence, authorization, standards of
practice, law, and applicable employer policies
D. Any task performed by an RN may automatically be performed by an LPN
Answer: Scope depends on education, competence, authorization, standards of
practice, law, and applicable employer policies
Rationale: Minnesota's Nurse Practice Act establishes legal parameters, while
competence, professional standards, and organizational policies further define
safe practice.
3. An LPN believes a newly assigned task exceeds the nurse's competence.
The charge nurse says, "Everyone does it here." What is the most
appropriate response?
A. Perform the task to avoid disciplinary action from the employer
B. Ask another LPN to assume responsibility
C. Raise the concern and seek appropriate direction or training before
performing the task
D. Perform the task if no patient has previously been harmed
Answer: Raise the concern and seek appropriate direction or training before
performing the task
Rationale: An employer's routine practice does not automatically make an
activity lawful or competent for an individual nurse.
, 4. Which person has authority to determine whether an LPN is professionally
competent to perform a nursing activity?
A. The patient alone
B. A UAP
C. The scheduling clerk
D. The LPN, within the framework of law, standards, education, competence,
and organizational requirements
Answer: The LPN, within the framework of law, standards, education,
competence, and organizational requirements
Rationale: Nurses have professional accountability for their own practice and
must recognize limitations in knowledge and skill.
5. An LPN is asked to "delegate" medication administration to a UAP. What is
the best legal analysis?
A. The LPN may delegate any task after verbal instruction
B. The LPN may delegate medication administration whenever staffing is
inadequate
C. The LPN should distinguish assignment from delegation and must not assume
RN delegation authority that Minnesota law does not place within the LPN
scope
D. The UAP automatically becomes authorized after completing one supervised
administration
Answer: The LPN should distinguish assignment from delegation and must not
assume RN delegation authority that Minnesota law does not place within the
LPN scope
Rationale: Minnesota specifically distinguishes assignment from delegation.
Delegation of nursing tasks is identified within RN scope; it is not included in the
legal LPN scope in the same manner.
6. In Minnesota, "assignment" is best understood as:
, A. Transfer of a nursing license
B. Transfer of professional accountability to a UAP
C. Designation of nursing tasks or activities to another nurse or unlicensed
assistive person
D. Permanent transfer of a patient's plan of care
Answer: Designation of nursing tasks or activities to another nurse or unlicensed
assistive person
Rationale: Minnesota defines assignment separately from delegation.
Assignment concerns designation of tasks or activities, while delegation involves
transfer of authority for a specific nursing task or activity.
7. Which statement correctly distinguishes delegation from assignment?
A. They are legally identical terms
B. Assignment transfers the nurse's license
C. Delegation involves transfer of authority to perform a specific nursing task in
a specific situation
D. Delegation eliminates the delegating nurse's accountability
Answer: Delegation involves transfer of authority to perform a specific nursing
task in a specific situation
Rationale: Minnesota defines delegation as a transfer of authority to another
nurse or competent UAP for a specific task or activity in a specific situation.
8. An LPN is instructed by an RN to perform a nursing activity. The LPN
believes the activity is unsafe for the particular patient. What should the
LPN do?
A. Perform it because the RN has a higher license
B. Perform it and document that the RN ordered it
C. Communicate the concern and determine whether the activity can safely be
performed within the LPN's competence and scope
D. Ignore the RN's instruction