Code: MN-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A Minnesota RN is asked to perform a procedure that is not specifically listed as
an RN task in the Nurse Practice Act. Which principle should guide the nurse's
decision?
A. The procedure is prohibited because it is not expressly listed.
B. The procedure is automatically permitted because the nurse is an RN.
C. The nurse should evaluate education, competence, authorization, standards,
and the circumstances of practice.
D. The employer may independently expand the nurse's statutory scope.
Answer: C. The nurse should evaluate education, competence, authorization,
standards, and the circumstances of practice.
,Rationale: Minnesota does not provide an exhaustive list of individual
procedures that RNs may perform. The Board emphasizes professional
accountability, education, competence, authorization, standards of practice, and
applicable organizational policies.
2.
Which statute contains the principal definitions of professional nursing and
practical nursing in Minnesota?
A. Minn. Stat. § 148.181
B. Minn. Stat. § 148.171
C. Minn. Stat. § 148.261
D. Minn. Stat. § 148.283
Answer: B. Minn. Stat. § 148.171
Rationale: Section 148.171 establishes definitions used throughout the
Minnesota Nurse Practice Act, including RN, LPN, APRN, delegation, assignment,
monitoring, and professional nursing.
3.
An RN performs a comprehensive assessment, analyzes the findings, establishes a
baseline, and addresses changes in a patient's condition. Which aspect of
Minnesota professional nursing practice does this most directly represent?
A. Practical nursing
B. Professional nursing assessment
C. Assignment
D. Monitoring
Answer: B. Professional nursing assessment
Rationale: Minnesota defines professional nursing to include comprehensive
assessment through collection, analysis, and synthesis of patient data to
establish a health-status baseline and address changes.
,4.
Which action most clearly falls within the Minnesota RN's professional nursing
role?
A. Independently establishing a nursing plan based on comprehensive assessment
B. Performing only tasks specifically named by statute
C. Delegating every assessment activity to an LPN
D. Practicing without regard to organizational policies
Answer: A. Independently establishing a nursing plan based on comprehensive
assessment
Rationale: Professional nursing includes comprehensive assessment,
collaboration in care planning, development of nursing interventions, and
implementation of nursing care.
5.
A hospital policy prohibits an RN from performing a procedure that the RN could
otherwise perform under applicable law. What is the best interpretation?
A. The RN must perform it because state law permits it.
B. Hospital policy can expand statutory scope.
C. The nurse must comply with the more restrictive applicable organizational
policy.
D. The nurse may ignore the policy if competent.
Answer: C. The nurse must comply with the more restrictive applicable
organizational policy.
Rationale: Employer policies may refine or restrict practice within the legal
scope. They cannot expand nursing practice beyond applicable law or standards.
6.
Which statement best describes delegation under Minnesota law?
, A. Delegation means assigning an entire patient to another person.
B. Delegation transfers authority to another nurse or competent UAP to perform
a specific nursing task or activity in a specific situation.
C. Delegation eliminates the RN's professional accountability.
D. Delegation is limited to physicians.
Answer: B. Delegation transfers authority to another nurse or competent UAP
to perform a specific nursing task or activity in a specific situation.
Rationale: Minnesota Statutes specifically define delegation as the transfer of
authority to another nurse or competent unlicensed assistive person for a
specific task or activity in a specific situation.
7.
An RN delegates a nursing task to a competent UAP. Which action best
demonstrates appropriate professional accountability?
A. Leaving the unit immediately
B. Assuming that competency eliminates the need for oversight
C. Determining whether the task, patient, circumstances, and delegatee are
appropriate and monitoring as needed
D. Allowing the UAP to determine independently whether the task should be
performed
Answer: C. Determining whether the task, patient, circumstances, and delegatee
are appropriate and monitoring as needed
Rationale: Delegation requires professional judgment. Minnesota defines
monitoring as periodic inspection of delegated or assigned activities and
includes checking progress, updating a supervisor, and obtaining direction when
necessary.
8.
Which activity is specifically included in Minnesota's definition of monitoring?