Nebraska LPN Jurisprudence Exam —
Code: NE-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A Nebraska LPN is caring for a patient whose condition has become
unstable and unpredictable. Which action best reflects the LPN's statutory
scope?
A. Independently establish a new nursing diagnosis
B. Continue all interventions without notifying anyone
C. Notify the RN or licensed practitioner and function within the direction and
predictable-outcome requirements of LPN practice
D. Independently prescribe additional nursing interventions
,Rationale: Nebraska law permits an LPN to function at the direction of a
licensed practitioner or RN, with responsibilities involving procedures leading to
predictable outcomes.
2. Which activity is specifically included within Nebraska's statutory definition
of LPN practice?
A. Independently establishing nursing diagnoses
B. Independently prescribing nursing interventions
C. Participating in the development and modification of a plan of care
D. Diagnosing medical conditions
Rationale: Nebraska Revised Statute §38-2211 expressly includes LPN
participation in development and modification of the plan of care.
3. An LPN is asked to perform a procedure that was not taught in the LPN's
approved educational program. What is the best response?
A. Perform it because the employer requested it
B. Perform it if another nurse is nearby
C. Recognize the competency limitation and obtain appropriate instruction
before performing the activity
D. Delegate it to an unlicensed employee
Rationale: Nebraska Board guidance emphasizes that nurses are accountable for
competency and must acknowledge limitations and communicate the need for
specialized instruction.
4. Which statement best describes Nebraska LPN accountability?
A. The RN is always legally responsible for the LPN's actions
B. The employer assumes all professional accountability
C. The LPN remains accountable for nursing care personally provided within the
LPN's scope
D. The physician assumes accountability for every nursing intervention
,Rationale: Scope-of-practice decisions require the nurse to apply professional
judgment and remain accountable for care provided.
5. An LPN believes an assignment exceeds the nurse's current competence.
What is the most appropriate initial action?
A. Accept the assignment without question
B. Refuse every assignment from that employer
C. Identify the limitation and communicate the need for appropriate instruction,
assistance, or reassignment
D. Ask a nursing assistant to perform the task
Rationale: Nebraska's scope framework specifically emphasizes self-assessment
of competency and communicating limitations.
6. Which Nebraska regulation chapter governs the practice of nursing?
A. 172 NAC 95
B. 172 NAC 97
C. 172 NAC 101
D. 172 NAC 108
Rationale: Nebraska DHHS identifies 172 NAC 101 as the regulations governing
the practice of nursing.
7. Which Nebraska regulation addresses the provision of nursing care?
A. 172 NAC 95
B. 172 NAC 99
C. 172 NAC 101
D. 172 NAC 108
Rationale: Nebraska DHHS identifies 172 NAC 99 as the Regulations Governing
the Provision of Nursing Care.
8. A nurse uses a title implying that the nurse is licensed as an LPN despite
having an expired license. Which statement is most accurate?
, A. The practice is acceptable if the nurse has previously been licensed
B. The practice is acceptable if supervised by an RN
C. Practicing or holding oneself out as an LPN while unlicensed, expired,
suspended, or revoked can constitute unlawful practice
D. The nurse may practice for 90 days automatically
Rationale: Nebraska Revised Statute §38-2217 prohibits nursing practice and
holding oneself out as an RN or LPN without the required license.
9. An LPN's license expires. The LPN continues working because the facility is
understaffed. What is the legal concern?
A. Staffing shortages automatically extend licensure
B. The employer's authorization substitutes for licensure
C. The LPN may not lawfully continue nursing practice merely because the
facility needs staff
D. An expired license remains valid until the nurse receives written notice
Rationale: Nebraska law treats practice by a nurse whose license is expired as
unlawful, absent an applicable legal exception.
10.Which action is most consistent with the Nebraska Board's scope-of-
practice framework?
A. Perform every task requested by an employer
B. Base scope solely on another nurse's opinion
C. Consider the nurse's education, experience, competency, patient needs,
environment, applicable law, and professional judgment
D. Assume that anything performed by an RN is automatically within LPN scope
Rationale: Nebraska's decision-making framework requires evaluation of
competency, patient, environment, and applicable nursing law.
11.An LPN is asked to independently establish a nursing diagnosis. What
should the LPN do?
Code: NE-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A Nebraska LPN is caring for a patient whose condition has become
unstable and unpredictable. Which action best reflects the LPN's statutory
scope?
A. Independently establish a new nursing diagnosis
B. Continue all interventions without notifying anyone
C. Notify the RN or licensed practitioner and function within the direction and
predictable-outcome requirements of LPN practice
D. Independently prescribe additional nursing interventions
,Rationale: Nebraska law permits an LPN to function at the direction of a
licensed practitioner or RN, with responsibilities involving procedures leading to
predictable outcomes.
2. Which activity is specifically included within Nebraska's statutory definition
of LPN practice?
A. Independently establishing nursing diagnoses
B. Independently prescribing nursing interventions
C. Participating in the development and modification of a plan of care
D. Diagnosing medical conditions
Rationale: Nebraska Revised Statute §38-2211 expressly includes LPN
participation in development and modification of the plan of care.
3. An LPN is asked to perform a procedure that was not taught in the LPN's
approved educational program. What is the best response?
A. Perform it because the employer requested it
B. Perform it if another nurse is nearby
C. Recognize the competency limitation and obtain appropriate instruction
before performing the activity
D. Delegate it to an unlicensed employee
Rationale: Nebraska Board guidance emphasizes that nurses are accountable for
competency and must acknowledge limitations and communicate the need for
specialized instruction.
4. Which statement best describes Nebraska LPN accountability?
A. The RN is always legally responsible for the LPN's actions
B. The employer assumes all professional accountability
C. The LPN remains accountable for nursing care personally provided within the
LPN's scope
D. The physician assumes accountability for every nursing intervention
,Rationale: Scope-of-practice decisions require the nurse to apply professional
judgment and remain accountable for care provided.
5. An LPN believes an assignment exceeds the nurse's current competence.
What is the most appropriate initial action?
A. Accept the assignment without question
B. Refuse every assignment from that employer
C. Identify the limitation and communicate the need for appropriate instruction,
assistance, or reassignment
D. Ask a nursing assistant to perform the task
Rationale: Nebraska's scope framework specifically emphasizes self-assessment
of competency and communicating limitations.
6. Which Nebraska regulation chapter governs the practice of nursing?
A. 172 NAC 95
B. 172 NAC 97
C. 172 NAC 101
D. 172 NAC 108
Rationale: Nebraska DHHS identifies 172 NAC 101 as the regulations governing
the practice of nursing.
7. Which Nebraska regulation addresses the provision of nursing care?
A. 172 NAC 95
B. 172 NAC 99
C. 172 NAC 101
D. 172 NAC 108
Rationale: Nebraska DHHS identifies 172 NAC 99 as the Regulations Governing
the Provision of Nursing Care.
8. A nurse uses a title implying that the nurse is licensed as an LPN despite
having an expired license. Which statement is most accurate?
, A. The practice is acceptable if the nurse has previously been licensed
B. The practice is acceptable if supervised by an RN
C. Practicing or holding oneself out as an LPN while unlicensed, expired,
suspended, or revoked can constitute unlawful practice
D. The nurse may practice for 90 days automatically
Rationale: Nebraska Revised Statute §38-2217 prohibits nursing practice and
holding oneself out as an RN or LPN without the required license.
9. An LPN's license expires. The LPN continues working because the facility is
understaffed. What is the legal concern?
A. Staffing shortages automatically extend licensure
B. The employer's authorization substitutes for licensure
C. The LPN may not lawfully continue nursing practice merely because the
facility needs staff
D. An expired license remains valid until the nurse receives written notice
Rationale: Nebraska law treats practice by a nurse whose license is expired as
unlawful, absent an applicable legal exception.
10.Which action is most consistent with the Nebraska Board's scope-of-
practice framework?
A. Perform every task requested by an employer
B. Base scope solely on another nurse's opinion
C. Consider the nurse's education, experience, competency, patient needs,
environment, applicable law, and professional judgment
D. Assume that anything performed by an RN is automatically within LPN scope
Rationale: Nebraska's decision-making framework requires evaluation of
competency, patient, environment, and applicable nursing law.
11.An LPN is asked to independently establish a nursing diagnosis. What
should the LPN do?
