Exam QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES 2025 (VERIFIED
ANSWERS)
1. What is the primary purpose of the North Dakota Nurse Practices Act?
A. To protect the rights of healthcare facilities
B. To protect the public by regulating the practice of nursing
C. To increase salaries for nurses
D. To ensure job security for nurses
Rationale:
The main purpose of the Nurse Practices Act is to protect the public by ensuring
that only qualified and competent individuals are licensed to practice nursing.
2. In North Dakota, which of the following is required for a nurse to legally
practice?
A. A diploma from any nursing program
B. A letter of recommendation from a physician
C. A current and valid nursing license issued by the North Dakota Board of
,Nursing
D. Proof of U.S. citizenship
Rationale:
A nurse must have a valid license issued by the North Dakota Board of Nursing to
practice. Licensure ensures the nurse meets the minimum competency
requirements.
3. Which action is within the scope of practice for a North Dakota Licensed
Practical Nurse (LPN)?
A. Independently prescribing medications
B. Administering medications as prescribed by an authorized provider
C. Performing complex diagnostic tests
D. Diagnosing and treating patients independently
Rationale:
LPNs in North Dakota may administer medications as prescribed, but cannot
prescribe or independently diagnose and treat patients.
4. How often must a nurse renew their license in North Dakota?
A. Every five years
B. Every two years in July
C. Every two years by December 31st
D. Annually by January 1st
,Rationale:
In North Dakota, nursing licenses are renewed biennially (every two years), and
the renewal deadline is December 31st of even-numbered years.
5. A nurse fails to report another nurse who was observed diverting narcotics.
This is a violation of which ethical/legal responsibility?
A. Delegation
B. Mandatory reporting
C. Informed consent
D. Patient advocacy
Rationale:
In North Dakota, nurses are legally and ethically required to report unsafe,
illegal, or unethical practices, including diversion of medications.
6. What must an Advanced Practice Registered Nurse (APRN) in North Dakota
have to engage in independent practice?
A. A bachelor's degree in nursing
B. A collaborative agreement with a physician
C. Licensure as an APRN with prescriptive authority (if applicable)
D. No additional requirements beyond an RN license
Rationale:
APRN practice in North Dakota requires state licensure, and prescriptive authority
requires an additional application and documentation.
, 7. Which of the following could result in disciplinary action by the North Dakota
Board of Nursing?
A. Refusing to work overtime
B. Practicing with an expired license
C. Declining to take a promotion
D. Taking a scheduled vacation
Rationale:
Practicing with an expired license is considered unlicensed practice and is subject
to disciplinary action.
8. When can a nurse delegate a task to unlicensed assistive personnel (UAP) in
North Dakota?
A. When the UAP requests more responsibility
B. When the task is routine, has a predictable outcome, and the UAP is
competent
C. Whenever the nurse is too busy
D. After asking the physician
Rationale:
Delegation must be based on task predictability, patient stability, and UAP
competency, in accordance with the North Dakota Board of Nursing delegation
guidelines.