Which concept allows multistate practice of nursing through a legal agreement?

• A. Interstate compact
• B. ANA
• C. Nurse practice act
• D. Employing institution

Answer: (A)

Multistate practice through a legal agreement is enabled by an interstate compact. When states join this compact, a nurse licensed in their home state can practice in other member states under a single, mutual recognition framework. The home state license remains the primary credential, while the nurse obtains permission to practice in other member states without applying for separate licenses, as long as they meet the compact’s requirements (like background checks and up-to-date licensure). The compact also provides a mechanism for reporting and taking action on disciplinary issues across member states, helping protect patients while supporting mobility for nurses who work in multiple locations, telehealth, or short-term assignments.

The other options don’t create this cross-state recognition. A professional association like the ANA offers guidance and advocacy but does not confer licensure or authorize practice across states. A Nurse Practice Act governs nursing within a single state, outlining scope and requirements. An employing institution sets local policies but does not establish a multi-state licensure framework.