Nevada LPN Jurisprudence Exam —
Code: NV-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A Nevada LPN is asked to perform a clinical procedure that is not
specifically addressed in the facility's policy manual. What should the nurse
do FIRST?
A. Perform the procedure if another LPN has performed it previously
B. Ask the physician to assume responsibility for the procedure
C. Determine whether the procedure is authorized by Nevada law and within the
nurse's education and documented competency
D. Perform the procedure if the patient gives written consent
Answer: Determine whether the procedure is authorized by Nevada law and
within the nurse's education and documented competency
,Rationale: Nevada's scope-of-practice framework requires the nurse to
determine whether an activity is legally permitted and consistent with
education, competence, policies, standards, and accountability before
performing it.
2. Which source has the greatest legal significance when determining the
basic scope of LPN practice in Nevada?
A. Facility orientation manual
B. A coworker's experience
C. NRS and NAC Chapter 632
D. A nursing textbook
Answer: NRS and NAC Chapter 632
Rationale: Nevada's Nurse Practice Act and nursing regulations establish the
legal framework governing nursing practice. Facility policies may be more
restrictive but cannot independently expand statutory scope.
3. An LPN recognizes that she lacks current competency to perform a
procedure that is otherwise legally permitted. What is the most appropriate
action?
A. Perform it under verbal supervision
B. Perform it because it is technically within LPN scope
C. Decline until appropriate competency is obtained and documented
D. Ask a CNA to perform it
Answer: Decline until appropriate competency is obtained and documented
Rationale: Legal authorization alone does not establish competence. Nevada's
Board decision framework specifically considers knowledge and documented
clinical competence before an activity is performed.
4. A Nevada LPN receives an assignment that includes a procedure outside the
nurse's demonstrated competency. Which principle is most important?
,A. The physician's order automatically establishes competence
B. The nurse remains professionally accountable for accepting the assignment
C. The employer assumes all responsibility
D. The patient's consent eliminates liability
Answer: The nurse remains professionally accountable for accepting the
assignment
Rationale: A nurse must accept accountability for activities performed and
should not undertake duties for which the nurse lacks the required knowledge,
skills, judgment, or competency.
5. Which situation most clearly represents practicing outside an LPN's scope?
A. Performing a permitted nursing intervention after competency validation
B. Collecting patient information within the LPN's assigned role
C. Performing a procedure specifically prohibited for LPNs
D. Following an established nursing care plan
Answer: Performing a procedure specifically prohibited for LPNs
Rationale: Nevada Board practice decisions identify activities that LPNs may not
perform, including certain procedures that remain outside LPN scope regardless
of employer preference.
6. A Nevada LPN wants to perform a task that has no clear Board practice
decision. Which approach is most appropriate?
A. Assume it is permitted because it is common nationally
B. Use the Board's scope-of-practice decision-making framework
C. Ask a nursing assistant whether the task is safe
D. Perform the task once and document the outcome
Answer: Use the Board's scope-of-practice decision-making framework
Rationale: The Nevada Board provides a structured framework for determining
scope when a specific activity is unclear, including consideration of law,
, standards, education, competence, policies, standard of care, and
accountability.
7. An LPN has completed continuing education on a procedure but has never
demonstrated clinical competency. What is the best conclusion?
A. Continuing education automatically establishes competency
B. The LPN may perform the procedure independently
C. Additional competency validation may be required
D. The LPN may perform it only on weekends
Answer: Additional competency validation may be required
Rationale: Education is one component of scope determination. The Board
framework separately asks whether the nurse possesses documented current
clinical competence.
8. A facility policy prohibits an activity that Nevada law otherwise permits for
an LPN. What should the LPN do?
A. Ignore the policy because state law permits the activity
B. Follow the facility's restriction
C. Ask the patient to authorize the procedure
D. Perform it if another facility allows it
Answer: Follow the facility's restriction
Rationale: Employer policies may restrict practice further than the minimum
legal scope. A nurse must comply with applicable organizational policies and
procedures.
9. Which factor is NOT sufficient by itself to establish that an LPN may
perform a procedure?
A. Legal authorization
B. Documented competency
C. Appropriate education
D. Another nurse's willingness to accept responsibility
Code: NV-LPN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A Nevada LPN is asked to perform a clinical procedure that is not
specifically addressed in the facility's policy manual. What should the nurse
do FIRST?
A. Perform the procedure if another LPN has performed it previously
B. Ask the physician to assume responsibility for the procedure
C. Determine whether the procedure is authorized by Nevada law and within the
nurse's education and documented competency
D. Perform the procedure if the patient gives written consent
Answer: Determine whether the procedure is authorized by Nevada law and
within the nurse's education and documented competency
,Rationale: Nevada's scope-of-practice framework requires the nurse to
determine whether an activity is legally permitted and consistent with
education, competence, policies, standards, and accountability before
performing it.
2. Which source has the greatest legal significance when determining the
basic scope of LPN practice in Nevada?
A. Facility orientation manual
B. A coworker's experience
C. NRS and NAC Chapter 632
D. A nursing textbook
Answer: NRS and NAC Chapter 632
Rationale: Nevada's Nurse Practice Act and nursing regulations establish the
legal framework governing nursing practice. Facility policies may be more
restrictive but cannot independently expand statutory scope.
3. An LPN recognizes that she lacks current competency to perform a
procedure that is otherwise legally permitted. What is the most appropriate
action?
A. Perform it under verbal supervision
B. Perform it because it is technically within LPN scope
C. Decline until appropriate competency is obtained and documented
D. Ask a CNA to perform it
Answer: Decline until appropriate competency is obtained and documented
Rationale: Legal authorization alone does not establish competence. Nevada's
Board decision framework specifically considers knowledge and documented
clinical competence before an activity is performed.
4. A Nevada LPN receives an assignment that includes a procedure outside the
nurse's demonstrated competency. Which principle is most important?
,A. The physician's order automatically establishes competence
B. The nurse remains professionally accountable for accepting the assignment
C. The employer assumes all responsibility
D. The patient's consent eliminates liability
Answer: The nurse remains professionally accountable for accepting the
assignment
Rationale: A nurse must accept accountability for activities performed and
should not undertake duties for which the nurse lacks the required knowledge,
skills, judgment, or competency.
5. Which situation most clearly represents practicing outside an LPN's scope?
A. Performing a permitted nursing intervention after competency validation
B. Collecting patient information within the LPN's assigned role
C. Performing a procedure specifically prohibited for LPNs
D. Following an established nursing care plan
Answer: Performing a procedure specifically prohibited for LPNs
Rationale: Nevada Board practice decisions identify activities that LPNs may not
perform, including certain procedures that remain outside LPN scope regardless
of employer preference.
6. A Nevada LPN wants to perform a task that has no clear Board practice
decision. Which approach is most appropriate?
A. Assume it is permitted because it is common nationally
B. Use the Board's scope-of-practice decision-making framework
C. Ask a nursing assistant whether the task is safe
D. Perform the task once and document the outcome
Answer: Use the Board's scope-of-practice decision-making framework
Rationale: The Nevada Board provides a structured framework for determining
scope when a specific activity is unclear, including consideration of law,
, standards, education, competence, policies, standard of care, and
accountability.
7. An LPN has completed continuing education on a procedure but has never
demonstrated clinical competency. What is the best conclusion?
A. Continuing education automatically establishes competency
B. The LPN may perform the procedure independently
C. Additional competency validation may be required
D. The LPN may perform it only on weekends
Answer: Additional competency validation may be required
Rationale: Education is one component of scope determination. The Board
framework separately asks whether the nurse possesses documented current
clinical competence.
8. A facility policy prohibits an activity that Nevada law otherwise permits for
an LPN. What should the LPN do?
A. Ignore the policy because state law permits the activity
B. Follow the facility's restriction
C. Ask the patient to authorize the procedure
D. Perform it if another facility allows it
Answer: Follow the facility's restriction
Rationale: Employer policies may restrict practice further than the minimum
legal scope. A nurse must comply with applicable organizational policies and
procedures.
9. Which factor is NOT sufficient by itself to establish that an LPN may
perform a procedure?
A. Legal authorization
B. Documented competency
C. Appropriate education
D. Another nurse's willingness to accept responsibility
