Exam Questions and Answers with
Rationales 2025
Question 1
What is the primary purpose of the Oregon State Board of Nursing (OSBN)?
A) To provide nursing education programs
B) To regulate nursing practice and protect public safety
C) To employ nurses in state hospitals
D) To develop nursing research protocols
Answer: B) To regulate nursing practice and protect public safety
Rationale: The OSBN is responsible for regulating nursing practice to ensure
public safety by establishing licensing standards, enforcing laws, and disciplining
nurses who violate rules.
Question 2
How often must a registered nurse in Oregon renew their license?
A) Every year
B) Every 2 years
C) Every 3 years
D) Every 5 years
Answer: B) Every 2 years
Rationale: Oregon requires nurses to renew their licenses biennially (every two
,years) to ensure continuing competence and adherence to current practice
standards.
Question 3
Which of the following actions by a nurse constitutes unprofessional conduct
under Oregon nursing law?
A) Administering medications according to a valid prescription
B) Reporting unsafe practices of a colleague to the Board
C) Practicing nursing while impaired by drugs or alcohol
D) Participating in continuing education
Answer: C) Practicing nursing while impaired by drugs or alcohol
Rationale: Practicing while impaired endangers patients and is considered
unprofessional conduct, which can lead to disciplinary action by the Board.
Question 4
In Oregon, who has the legal authority to delegate nursing tasks to unlicensed
personnel?
A) The nurse manager only
B) The registered nurse (RN) or licensed practical nurse (LPN)
C) The healthcare facility administrator
D) The patient
Answer: B) The registered nurse (RN) or licensed practical nurse (LPN)
Rationale: Licensed nurses have the legal authority and responsibility to delegate
appropriate tasks to unlicensed personnel while ensuring patient safety and that
the tasks are within the scope of delegation.
Question 5
Which of the following best describes the scope of practice for a Licensed
Practical Nurse (LPN) in Oregon?
A) Diagnosing medical conditions
,B) Performing invasive surgical procedures
C) Providing nursing care under the supervision of an RN or physician
D) Prescribing medications
Answer: C) Providing nursing care under the supervision of an RN or physician
Rationale: LPNs provide basic nursing care but do so under supervision. They do
not have independent authority to diagnose or prescribe.
Question 6
What must a nurse do if they suspect a colleague is practicing nursing while
impaired?
A) Ignore the behavior to avoid conflict
B) Report the suspicion to the Oregon State Board of Nursing or appropriate
authority
C) Confront the colleague privately and take no further action
D) Wait until the colleague causes harm before reporting
Answer: B) Report the suspicion to the Oregon State Board of Nursing or
appropriate authority
Rationale: Nurses have a legal and ethical duty to report impaired practice to
protect patients and maintain professional standards.
Question 7
Which of the following statements about patient confidentiality under Oregon
law is TRUE?
A) Nurses may share patient information with anyone in the facility
B) Confidential information may be disclosed without patient consent only
when legally required
C) Nurses should document patient information on social media for transparency
D) Patient information is public record and accessible to all healthcare workers
Answer: B) Confidential information may be disclosed without patient consent
only when legally required
Rationale: Patient confidentiality is protected by law; disclosure without consent
, is limited to specific legal exceptions such as court orders or mandatory reporting
laws.
Question 8
What is the required minimum number of continuing education (CE) hours for
license renewal in Oregon?
A) 5 hours
B) 10 hours
C) 20 hours
D) 30 hours
Answer: C) 20 hours
Rationale: Oregon requires nurses to complete at least 20 hours of approved
continuing education during each two-year license renewal period to maintain
competence.
Question 9
If a nurse practices outside the scope of their license in Oregon, what
consequence may occur?
A) Praise for initiative
B) No consequence unless a patient is harmed
C) Disciplinary action by the Oregon State Board of Nursing
D) A warning letter only
Answer: C) Disciplinary action by the Oregon State Board of Nursing
Rationale: Practicing outside the licensed scope is illegal and subject to
disciplinary action regardless of patient harm, as it violates nursing regulations.
Question 10
Which of the following is TRUE regarding delegation to unlicensed assistive
personnel (UAP) in Oregon?
A) Nurses can delegate any nursing task to UAPs without restriction