Nebraska RN Jurisprudence Exam —
Code: NE-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A Nebraska RN is asked to perform a procedure that is commonly performed by
nurses in another state but is outside the RN's authorized scope under Nebraska
law. What is the nurse's best action?
A. Perform it because the nurse has performed it safely elsewhere
B. Perform it if the physician gives a verbal order
C. Decline the activity unless it is authorized within Nebraska's legal scope and the
nurse is competent
D. Perform it if the hospital policy permits it
Answer: C. Decline the activity unless it is authorized within Nebraska's legal
scope and the nurse is competent
,Rationale: Nebraska licensure authorizes nursing practice within Nebraska's
legal scope. Employer policy or experience in another jurisdiction does not
independently expand the statutory scope of practice.
2.
Which statement most accurately describes Nebraska RN practice?
A. The RN functions only under physician supervision
B. The RN assumes responsibility and accountability for nursing actions
C. The RN may practice medicine whenever a physician is unavailable
D. The RN's practice is limited to carrying out medical orders
Answer: B. The RN assumes responsibility and accountability for nursing actions
Rationale: Nebraska law defines RN practice as assuming responsibility and
accountability for nursing actions, including assessment, nursing diagnoses, care
planning, interventions, teaching, delegation, evaluation, and collaboration.
3.
An RN develops nursing diagnoses after assessing a patient's responses to an
actual health condition. Is this within Nebraska RN practice?
A. No, nursing diagnoses are restricted to physicians
B. No, only APRNs may establish nursing diagnoses
C. Yes, establishing nursing diagnoses is expressly included in RN practice
D. Only if the physician approves each diagnosis
Answer: C. Yes, establishing nursing diagnoses is expressly included in RN
practice
Rationale: Nebraska's statutory definition of RN practice expressly includes
assessing human responses and establishing nursing diagnoses.
4.
,Which activity is specifically included in Nebraska's statutory definition of RN
practice?
A. Diagnosing medical diseases
B. Prescribing controlled substances independently as an RN
C. Establishing goals and outcomes for identified nursing needs
D. Performing surgery
Answer: C. Establishing goals and outcomes for identified nursing needs
Rationale: Nebraska law identifies establishing goals and outcomes to meet
identified health-care needs as an RN nursing action.
5.
A Nebraska RN delegates a nursing intervention to a qualified individual. Who
remains accountable for determining whether the delegation is appropriate?
A. The patient
B. The individual receiving the delegation
C. The RN making the delegation
D. The facility administrator
Answer: C. The RN making the delegation
Rationale: Delegation is part of RN practice, and the RN must exercise
professional judgment regarding the appropriateness of the assignment, the
person's competence, supervision, and patient safety.
6.
Which activity is within the Nebraska RN scope of practice?
A. Establishing and maintaining a nursing plan of care
B. Independently diagnosing appendicitis as a medical diagnosis
C. Performing surgery without a surgeon
D. Issuing a medical license
, Answer: A. Establishing and maintaining a nursing plan of care
Rationale: Establishing and maintaining a plan of care is specifically included in
Nebraska's definition of RN practice.
7.
A nurse believes a delegated task may produce an unpredictable outcome for a
medically unstable patient. What is the safest legal response?
A. Delegate it because the task itself is routine
B. Delegate it and leave the unit
C. Reassess whether delegation is appropriate and retain necessary nursing
responsibility
D. Ask the unlicensed person to decide
Answer: C. Reassess whether delegation is appropriate and retain necessary
nursing responsibility
Rationale: Delegation requires professional judgment. The RN must consider
patient condition, task complexity, predictability of outcome, competency,
supervision, and applicable rules.
8.
Nebraska law specifically authorizes the Board of Nursing to establish rules
concerning:
A. Hospital construction
B. Delegation of nursing activities
C. Physician compensation
D. Insurance premiums
Answer: B. Delegation of nursing activities
Rationale: The Nebraska Board of Nursing is authorized to establish standards
for delegation, including training or experience, competency determination, and
nursing supervision.
Code: NE-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A Nebraska RN is asked to perform a procedure that is commonly performed by
nurses in another state but is outside the RN's authorized scope under Nebraska
law. What is the nurse's best action?
A. Perform it because the nurse has performed it safely elsewhere
B. Perform it if the physician gives a verbal order
C. Decline the activity unless it is authorized within Nebraska's legal scope and the
nurse is competent
D. Perform it if the hospital policy permits it
Answer: C. Decline the activity unless it is authorized within Nebraska's legal
scope and the nurse is competent
,Rationale: Nebraska licensure authorizes nursing practice within Nebraska's
legal scope. Employer policy or experience in another jurisdiction does not
independently expand the statutory scope of practice.
2.
Which statement most accurately describes Nebraska RN practice?
A. The RN functions only under physician supervision
B. The RN assumes responsibility and accountability for nursing actions
C. The RN may practice medicine whenever a physician is unavailable
D. The RN's practice is limited to carrying out medical orders
Answer: B. The RN assumes responsibility and accountability for nursing actions
Rationale: Nebraska law defines RN practice as assuming responsibility and
accountability for nursing actions, including assessment, nursing diagnoses, care
planning, interventions, teaching, delegation, evaluation, and collaboration.
3.
An RN develops nursing diagnoses after assessing a patient's responses to an
actual health condition. Is this within Nebraska RN practice?
A. No, nursing diagnoses are restricted to physicians
B. No, only APRNs may establish nursing diagnoses
C. Yes, establishing nursing diagnoses is expressly included in RN practice
D. Only if the physician approves each diagnosis
Answer: C. Yes, establishing nursing diagnoses is expressly included in RN
practice
Rationale: Nebraska's statutory definition of RN practice expressly includes
assessing human responses and establishing nursing diagnoses.
4.
,Which activity is specifically included in Nebraska's statutory definition of RN
practice?
A. Diagnosing medical diseases
B. Prescribing controlled substances independently as an RN
C. Establishing goals and outcomes for identified nursing needs
D. Performing surgery
Answer: C. Establishing goals and outcomes for identified nursing needs
Rationale: Nebraska law identifies establishing goals and outcomes to meet
identified health-care needs as an RN nursing action.
5.
A Nebraska RN delegates a nursing intervention to a qualified individual. Who
remains accountable for determining whether the delegation is appropriate?
A. The patient
B. The individual receiving the delegation
C. The RN making the delegation
D. The facility administrator
Answer: C. The RN making the delegation
Rationale: Delegation is part of RN practice, and the RN must exercise
professional judgment regarding the appropriateness of the assignment, the
person's competence, supervision, and patient safety.
6.
Which activity is within the Nebraska RN scope of practice?
A. Establishing and maintaining a nursing plan of care
B. Independently diagnosing appendicitis as a medical diagnosis
C. Performing surgery without a surgeon
D. Issuing a medical license
, Answer: A. Establishing and maintaining a nursing plan of care
Rationale: Establishing and maintaining a plan of care is specifically included in
Nebraska's definition of RN practice.
7.
A nurse believes a delegated task may produce an unpredictable outcome for a
medically unstable patient. What is the safest legal response?
A. Delegate it because the task itself is routine
B. Delegate it and leave the unit
C. Reassess whether delegation is appropriate and retain necessary nursing
responsibility
D. Ask the unlicensed person to decide
Answer: C. Reassess whether delegation is appropriate and retain necessary
nursing responsibility
Rationale: Delegation requires professional judgment. The RN must consider
patient condition, task complexity, predictability of outcome, competency,
supervision, and applicable rules.
8.
Nebraska law specifically authorizes the Board of Nursing to establish rules
concerning:
A. Hospital construction
B. Delegation of nursing activities
C. Physician compensation
D. Insurance premiums
Answer: B. Delegation of nursing activities
Rationale: The Nebraska Board of Nursing is authorized to establish standards
for delegation, including training or experience, competency determination, and
nursing supervision.
