Jurisprudence Exam: CNO Practice Questions With
Complete Solutions
Geoff is a nurse who practices in the ER of a community
hospital. The physicians have delegated the authority to
perform diagnostic ultrasounds – a controlled act – to Hua, a
physician assistant. Yesterday, the ER manager called Geoff
into his office to inform him that Hua will be delegating the
authority to perform diagnostic ultrasounds to certain
nurses, including Geoff. Can Geoff accept delegation from a
physician assistant?
A) Yes. Geoff can accept delegation if he has the knowledge,
skill and judgment to perform the controlled act.
B) No. A nurse can only accept delegation for a controlled act
from a regulated health professional who has the legislated
authority to perform the act.
B) No. A nurse can only accept delegation for a controlled
act from a regulated health professional who has the
legislated authority to perform the act.
Margaret, an RPN, works for a home care agency. One of
her clients requires routine changes of the packing dressing
for a surgical wound that is slow to heal. Margaret’s
supervisor asks her to delegate the dressing changes to
Rosalia, an unregulated care provider, who works for a
different agency. After teaching Rosalia this controlled act
procedure, Margaret will have no contact with her because
,they care for the client at different times. When Margaret
points out to her supervisor that she will not be able to
evaluate Rosalia’s ongoing competence, the supervisor
accepts responsibility for this part of the delegation process.
Can Margaret delegate a controlled act if she cannot
evaluate ongoing competence?
A) Yes. Margaret can delegate the act if there is a mechanism to
determine continuing competence.
B) No. Margaret cannot delegate the act unless she can monitor
ongoing competence.
A) Yes. Margaret can delegate the act if there is a
mechanism to determine continuing competence.
Josephine is a nurse who has just joined the emergency
department of a rural hospital. Dr. Bruno, the attending
physician, asks Josephine to cast a simple arm fracture.
Casting a fracture is a controlled act that is not authorized
to nursing. In her previous position though, Josephine
practiced in a fracture clinic and believes she is competent to
cast a simple fracture. She tells Dr. Bruno she will need an
order to cast the arm, and he writes a direct order without
delegation for the casting of the fracture. Does an order give
Josephine the authority to cast a fracture?
A) Yes, since Josephine has the knowledge, skill and judgment
to perform the procedure, she only requires an order.
B) No, in addition to an order, a nurse needs to accept delegation
to perform this controlled act.
, B) No, in addition to an order, a nurse needs to accept
delegation to perform this controlled act.
A nurse gives a double dose of acetaminophen (Tylenol) to a
client who only requires a single dose. What, if anything,
must the nurse do?
A) Ask a colleague to help assess the client.
B) Withhold the client’s next dose of Tylenol.
C) Report the error as soon as possible.
D) Nothing, because this is an over-the-counter medication.
C) Report the error as soon as possible.
I’m an RPN on a mental health unit. At home, I keep in
touch with family and friends through Facebook. Recently, a
client “poked” me and invited me to become her “friend.”
How should I approach this invitation?
A) Talk with your colleagues to see what they are doing.
B) Technology is part of everyone’s lives, so it is expected.
C) To maintain professional boundaries, do not accept this
request.
D) It’s OK as long as you remain professional in all of your
interactions.
C) To maintain professional boundaries, do not accept this
request.
While attending to a regular client during a home visit, the
nurse casually tells the client that he can’t afford his wife’s
Complete Solutions
Geoff is a nurse who practices in the ER of a community
hospital. The physicians have delegated the authority to
perform diagnostic ultrasounds – a controlled act – to Hua, a
physician assistant. Yesterday, the ER manager called Geoff
into his office to inform him that Hua will be delegating the
authority to perform diagnostic ultrasounds to certain
nurses, including Geoff. Can Geoff accept delegation from a
physician assistant?
A) Yes. Geoff can accept delegation if he has the knowledge,
skill and judgment to perform the controlled act.
B) No. A nurse can only accept delegation for a controlled act
from a regulated health professional who has the legislated
authority to perform the act.
B) No. A nurse can only accept delegation for a controlled
act from a regulated health professional who has the
legislated authority to perform the act.
Margaret, an RPN, works for a home care agency. One of
her clients requires routine changes of the packing dressing
for a surgical wound that is slow to heal. Margaret’s
supervisor asks her to delegate the dressing changes to
Rosalia, an unregulated care provider, who works for a
different agency. After teaching Rosalia this controlled act
procedure, Margaret will have no contact with her because
,they care for the client at different times. When Margaret
points out to her supervisor that she will not be able to
evaluate Rosalia’s ongoing competence, the supervisor
accepts responsibility for this part of the delegation process.
Can Margaret delegate a controlled act if she cannot
evaluate ongoing competence?
A) Yes. Margaret can delegate the act if there is a mechanism to
determine continuing competence.
B) No. Margaret cannot delegate the act unless she can monitor
ongoing competence.
A) Yes. Margaret can delegate the act if there is a
mechanism to determine continuing competence.
Josephine is a nurse who has just joined the emergency
department of a rural hospital. Dr. Bruno, the attending
physician, asks Josephine to cast a simple arm fracture.
Casting a fracture is a controlled act that is not authorized
to nursing. In her previous position though, Josephine
practiced in a fracture clinic and believes she is competent to
cast a simple fracture. She tells Dr. Bruno she will need an
order to cast the arm, and he writes a direct order without
delegation for the casting of the fracture. Does an order give
Josephine the authority to cast a fracture?
A) Yes, since Josephine has the knowledge, skill and judgment
to perform the procedure, she only requires an order.
B) No, in addition to an order, a nurse needs to accept delegation
to perform this controlled act.
, B) No, in addition to an order, a nurse needs to accept
delegation to perform this controlled act.
A nurse gives a double dose of acetaminophen (Tylenol) to a
client who only requires a single dose. What, if anything,
must the nurse do?
A) Ask a colleague to help assess the client.
B) Withhold the client’s next dose of Tylenol.
C) Report the error as soon as possible.
D) Nothing, because this is an over-the-counter medication.
C) Report the error as soon as possible.
I’m an RPN on a mental health unit. At home, I keep in
touch with family and friends through Facebook. Recently, a
client “poked” me and invited me to become her “friend.”
How should I approach this invitation?
A) Talk with your colleagues to see what they are doing.
B) Technology is part of everyone’s lives, so it is expected.
C) To maintain professional boundaries, do not accept this
request.
D) It’s OK as long as you remain professional in all of your
interactions.
C) To maintain professional boundaries, do not accept this
request.
While attending to a regular client during a home visit, the
nurse casually tells the client that he can’t afford his wife’s
