Code: VT-RN-JP | 100-Question
Advanced Practice Exam 2026 |
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1.
A Vermont RN is asked to independently establish a nursing diagnosis for a newly
admitted patient. Which statement best reflects the statutory scope of registered
nursing?
A. Only an APRN may establish a nursing diagnosis.
B. An RN may establish a nursing diagnosis as part of registered nursing practice.
C. An RN may establish a nursing diagnosis only after receiving a physician's order.
D. An RN may contribute to a nursing diagnosis but may not establish one.
Answer: An RN may establish a nursing diagnosis as part of registered nursing
practice.
,Rationale: Vermont defines registered nursing to include assessing health status
and establishing a nursing diagnosis.
2.
An RN delegates a task to an unlicensed assistive person but retains responsibility
for determining whether the patient's condition remains appropriate for the
delegated activity. Which delegation principle is most directly involved?
A. Right task
B. Right person
C. Right circumstance
D. Right documentation
Answer: Right circumstance
Rationale: The right circumstance requires consideration of the patient's
condition and whether it is sufficiently stable for delegation.
3.
Which RN activity is specifically included within Vermont's statutory definition of
registered nursing?
A. Independently prescribing all medications
B. Establishing nursing diagnoses
C. Performing surgery
D. Diagnosing every medical condition
Answer: Establishing nursing diagnoses
Rationale: Vermont expressly identifies establishing a nursing diagnosis as an
RN function.
4.
,A Vermont RN delegates patient assessment to an unlicensed assistive person and
instructs the person to determine whether the care plan should be changed.
What is the primary legal concern?
A. The task is too time-consuming.
B. Assessment and care planning involve nursing judgment and are non-
delegable.
C. UAPs may never provide any patient care.
D. Delegation is permitted whenever the patient is stable.
Answer: Assessment and care planning involve nursing judgment and are non-
delegable.
Rationale: Vermont Board rules identify nursing judgment, including
assessment, care planning, and evaluation of care, as functions that may not be
delegated to someone whose scope does not include them.
5.
Which action is most clearly within the RN's statutory role?
A. Evaluating a patient's response to nursing interventions
B. Issuing a medical diagnosis outside nursing scope
C. Performing a procedure for which the RN has no education or competence
D. Delegating all responsibility for patient outcomes
Answer: Evaluating a patient's response to nursing interventions
Rationale: Evaluation of responses to interventions is expressly included in
Vermont's definition of registered nursing.
6.
An RN is considering delegation to an experienced UAP. The task is allowed by
policy, but the patient's condition has become unpredictable. What is the best
action?
, A. Delegate because the UAP is experienced.
B. Delegate because the task was previously assigned.
C. Do not delegate because the circumstances are no longer appropriate.
D. Delegate and ask another UAP to supervise.
Answer: Do not delegate because the circumstances are no longer appropriate.
Rationale: Safe delegation requires an appropriate and reasonably stable
circumstance; experience alone does not eliminate the RN's responsibility to
assess suitability.
7.
Which statement regarding Vermont RN licensure by examination is correct?
A. The applicant must complete an approved U.S. registered nursing education
program and examinations determined by the Board.
B. The applicant only needs clinical experience.
C. The applicant can practice independently before examination.
D. National certification automatically replaces licensure.
Answer: The applicant must complete an approved U.S. registered nursing
education program and examinations determined by the Board.
Rationale: Vermont statute establishes education and examination
requirements for RN licensure by examination.
8.
An RN whose Vermont license has been suspended continues practicing at a
hospital. Which statement is most accurate?
A. Practice is permitted if the hospital administrator approves it.
B. Practice is permitted if the RN works only under another RN.
C. Practice during suspension violates Vermont nursing law.
D. Practice is permitted for emergency patients only.
Answer: Practice during suspension violates Vermont nursing law.