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Section 1: Licensure Requirements & Renewal Processes (Q1-12)
Q1. A physician licensed in California wants to practice medicine in Texas. Which board
has jurisdiction over the licensure process, and what type of application should be filed?
A. Texas Board of Nursing; licensure by examination
B. Texas Medical Board; licensure by endorsement [CORRECT]
C. Texas Department of State Health Services; temporary permit only
D. Texas Board of Nursing; licensure by endorsement
Rationale: The Texas Medical Board (TMB) governs physician licensure; a physician
already licensed in another state applies via endorsement. BON governs nursing, DSHS
does not license physicians, and examination is for new graduates.
Correct Answer: B
Q2. A registered nurse moves to Texas from a non-compact state and wishes to
practice. Which statement accurately describes the licensure requirement?
A. The nurse may practice for 30 days using the out-of-state license while awaiting
Texas licensure
B. The nurse must apply for and receive a Texas RN license before practicing
[CORRECT]
C. The nurse may practice under the supervision of a Texas-licensed RN using a
temporary permit from the BON for 90 days
D. The nurse may practice in Texas if they hold a compact multistate license from any
state
Rationale: Texas is a compact state, but a nurse from a non-compact state must obtain
Texas licensure before practicing; out-of-state licenses do not grant practice privileges
,in Texas. A compact multistate license from a compact state would work, but not from
a non-compact state.
Correct Answer: B
Q3. A Texas RN is renewing a license. Which continuing education requirement is
mandated by Texas Occupations Code and BON rules for renewal cycles beginning on
or after September 1, 2020?
A. 2 hours of nursing jurisprudence and ethics every 2 years
B. 1 hour of human trafficking prevention training [CORRECT]
C. 4 hours of geriatric care training every renewal
D. 3 hours of opioid prescribing and pain management
Rationale: Texas law mandates 1 hour of human trafficking prevention CE for nurses
every renewal cycle. While jurisprudence may be required for initial licensure, human
trafficking is the specific ongoing mandate. Geriatric and opioid CE are not universal
BON requirements.
Correct Answer: B
Q4. A physician's Texas medical license expires on the last day of February. The
physician continues to see patients through March 15 before renewing. Which violation
has occurred?
A. Practicing without a valid license, subject to disciplinary action by TMB [CORRECT]
B. No violation if the renewal fee is paid within 30 days of expiration
C. A minor administrative infraction requiring only a warning letter
D. Practicing outside the scope of medicine
Rationale: Texas law prohibits practicing without a valid, current license; there is no
grace period for practice. TMB may impose disciplinary sanctions for practicing with an
expired license.
Correct Answer: A
, Q5. An out-of-state psychiatrist wants to provide telehealth services exclusively to
patients located in Texas. Which regulatory requirement must be met?
A. The psychiatrist must hold a full, unrestricted Texas medical license or a Texas
telemedicine registration [CORRECT]
B. The psychiatrist may practice using only the home state license under the interstate
medical licensure compact
C. No Texas license is required if the physician never physically enters Texas
D. The psychiatrist may obtain a temporary visiting physician permit valid for 6 months
Rationale: Texas requires out-of-state practitioners providing telehealth to Texas
patients to hold Texas licensure or telemedicine registration; a home-state license alone
is insufficient. The IMLC is not universally applicable, and temporary permits do not
replace licensure for ongoing telehealth.
Correct Answer: A
Q6. A military spouse who holds an active RN license in Virginia applies for Texas
licensure by endorsement. Which process applies under Texas law?
A. Standard endorsement with no expedited processing
B. Expedited licensure review process due to military spouse status [CORRECT]
C. The spouse must pass the Texas nursing jurisprudence exam before endorsement
D. The spouse may practice for 6 months pending endorsement under federal orders
Rationale: Texas provides expedited licensure for military spouses to reduce
employment barriers; they still must meet all requirements but receive priority
processing. They cannot practice without a Texas license, and no special federal
exemption applies.
Correct Answer: B
Q7. A physician assistant in Texas is licensed by which regulatory body, and what is the
required supervisory relationship?
A. Texas Board of Nursing; supervised by a registered nurse
B. Texas Medical Board; supervised by a physician [CORRECT]