Texas Nursing Jurisprudence
Examination Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A | Instant
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1. The Texas Board of Nursing derives its primary authority to regulate nursing
practice from which source?
A. The Texas Hospital Association
B. The National Council of State Boards of Nursing
C. The Texas Occupations Code, Chapter 301 (Nursing Practice Act)
D. The Texas Department of State Health Services
Answer: C. The Texas Occupations Code, Chapter 301 (Nursing Practice Act)
Rationale: The Texas Board of Nursing's authority to regulate nursing practice is
established by the Nursing Practice Act, which is codified in Chapter 301 of the
Texas Occupations Code. The NPA provides the statutory framework for nursing
licensure, education, practice standards, and discipline. The Board does not
derive its authority from hospital associations, the NCSBN, or the Department of
State Health Services.
2. A nurse licensed in Texas who wishes to practice in another compact state
under a multistate license must establish which of the following?
A. A secondary state of residence in the other compact state
B. A primary state of residence in Texas
C. Employment in the other compact state for at least six months
D. Temporary licensure in the other compact state before practicing
Answer: B. A primary state of residence in Texas
Rationale: Under the Nurse Licensure Compact, a nurse may hold one multistate
,license in the nurse's primary state of residence. To practice in other compact
states, the nurse must have established Texas as the primary state of residence.
A secondary state of residence, employment duration, or temporary licensure
does not satisfy the compact requirements.
3. Which of the following best describes the mission of the Texas Board of
Nursing?
A. To represent the professional interests of all Texas nurses
B. To protect the people of Texas
C. To lobby the Texas Legislature for nursing-friendly legislation
D. To promote the economic welfare of the nursing profession
Answer: B. To protect the people of Texas
Rationale: The mission of the Texas Board of Nursing is to protect the public. The
Board fulfills this mission by ensuring that nurses are competent, regulating
nursing practice, and approving nursing education programs. The Board does
not represent nurses professionally, lobby for legislation, or promote economic
welfare; those functions belong to professional nursing associations.
4. A registered nurse delegates the administration of a routine oral medication
to an unlicensed assistive person in an acute care setting. Which statement
accurately reflects the RN's legal responsibility?
A. The RN is relieved of all liability once the task is delegated
B. The RN retains responsibility and accountability for the delegated task
C. The unlicensed person assumes full legal responsibility for the task
D. The RN's responsibility ends after providing initial instruction
Answer: B. The RN retains responsibility and accountability for the delegated
task
Rationale: When an RN delegates a nursing task, the RN retains responsibility
and accountability for the care rendered. Delegation does not transfer legal
liability. The RN must ensure that the delegation is appropriate, that the
unlicensed person is competent to perform the task, and that appropriate
supervision is provided.
, 5. Which of the following actions constitutes grounds for disciplinary action by
the Texas Board of Nursing?
A. A nurse's failure to join a professional nursing association
B. A nurse's refusal to work overtime when requested by the employer
C. A nurse's violation of the Nursing Practice Act or a Board rule
D. A nurse's decision to decline a patient assignment deemed unsafe
Answer: C. A nurse's violation of the Nursing Practice Act or a Board rule
Rationale: Violation of the Nursing Practice Act or any Board rule constitutes
grounds for disciplinary action, which may include license suspension or
revocation. Failure to join a professional association, refusal to work overtime
(absent other obligations), and declining an unsafe assignment are not
independently grounds for discipline.
6. Under Texas law, a nurse who suspects that a colleague's nursing practice is
impaired by substance abuse has which obligation?
A. No obligation unless the colleague admits to the impairment
B. An obligation to report the suspicion to the Board of Nursing
C. An obligation to confront the colleague privately before reporting
D. An obligation to report only if patient harm has already occurred
Answer: B. An obligation to report the suspicion to the Board of Nursing
Rationale: Nurses have a mandatory reporting obligation under Texas
Occupations Code Chapter 301, Subchapter I, which includes reporting a nurse
whose conduct causes a person to suspect that the nurse's practice is impaired
by chemical dependency or drug or alcohol abuse. Reporting is required
regardless of whether patient harm has occurred.
7. What is the minimum passing score required on the Texas Nursing
Jurisprudence Examination?
A. 70%
B. 75%
C. 80%
D. 85%
, Answer: B. 75%
Rationale: The Texas Nursing Jurisprudence Examination requires a minimum
passing score of 75%. The exam consists of a minimum of 50 questions and is
psychometrically validated.
8. A registered nurse in Texas receives an order from a physician that the nurse
believes is contraindicated for the patient. What is the nurse's legal
obligation?
A. To follow the order without question because the physician is legally
responsible
B. To clarify the order with the physician and, if concerns persist, follow the
facility's chain of command
C. To refuse the order and immediately report the physician to the Board of
Medicine
D. To administer the medication and document the concern after
administration
Answer: B. To clarify the order with the physician and, if concerns persist, follow
the facility's chain of command
Rationale: Nurses are required to know the rationale for and effects of
medications and treatments and to correctly administer the same. When a nurse
believes an order is contraindicated, the nurse must clarify with the ordering
provider and follow the facility's chain of command if concerns persist. The nurse
is not required to blindly follow orders that may harm the patient.
9. Which of the following is NOT within the definition of "professional nursing"
under the Texas Nursing Practice Act?
A. Observation, assessment, intervention, and evaluation of a person who is
ill or injured
B. The administration of a medication or treatment as ordered by a
physician
C. Medical diagnosis and prescription of therapeutic measures
D. The supervision or teaching of nursing
Examination Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A | Instant
Download Pdf
1. The Texas Board of Nursing derives its primary authority to regulate nursing
practice from which source?
A. The Texas Hospital Association
B. The National Council of State Boards of Nursing
C. The Texas Occupations Code, Chapter 301 (Nursing Practice Act)
D. The Texas Department of State Health Services
Answer: C. The Texas Occupations Code, Chapter 301 (Nursing Practice Act)
Rationale: The Texas Board of Nursing's authority to regulate nursing practice is
established by the Nursing Practice Act, which is codified in Chapter 301 of the
Texas Occupations Code. The NPA provides the statutory framework for nursing
licensure, education, practice standards, and discipline. The Board does not
derive its authority from hospital associations, the NCSBN, or the Department of
State Health Services.
2. A nurse licensed in Texas who wishes to practice in another compact state
under a multistate license must establish which of the following?
A. A secondary state of residence in the other compact state
B. A primary state of residence in Texas
C. Employment in the other compact state for at least six months
D. Temporary licensure in the other compact state before practicing
Answer: B. A primary state of residence in Texas
Rationale: Under the Nurse Licensure Compact, a nurse may hold one multistate
,license in the nurse's primary state of residence. To practice in other compact
states, the nurse must have established Texas as the primary state of residence.
A secondary state of residence, employment duration, or temporary licensure
does not satisfy the compact requirements.
3. Which of the following best describes the mission of the Texas Board of
Nursing?
A. To represent the professional interests of all Texas nurses
B. To protect the people of Texas
C. To lobby the Texas Legislature for nursing-friendly legislation
D. To promote the economic welfare of the nursing profession
Answer: B. To protect the people of Texas
Rationale: The mission of the Texas Board of Nursing is to protect the public. The
Board fulfills this mission by ensuring that nurses are competent, regulating
nursing practice, and approving nursing education programs. The Board does
not represent nurses professionally, lobby for legislation, or promote economic
welfare; those functions belong to professional nursing associations.
4. A registered nurse delegates the administration of a routine oral medication
to an unlicensed assistive person in an acute care setting. Which statement
accurately reflects the RN's legal responsibility?
A. The RN is relieved of all liability once the task is delegated
B. The RN retains responsibility and accountability for the delegated task
C. The unlicensed person assumes full legal responsibility for the task
D. The RN's responsibility ends after providing initial instruction
Answer: B. The RN retains responsibility and accountability for the delegated
task
Rationale: When an RN delegates a nursing task, the RN retains responsibility
and accountability for the care rendered. Delegation does not transfer legal
liability. The RN must ensure that the delegation is appropriate, that the
unlicensed person is competent to perform the task, and that appropriate
supervision is provided.
, 5. Which of the following actions constitutes grounds for disciplinary action by
the Texas Board of Nursing?
A. A nurse's failure to join a professional nursing association
B. A nurse's refusal to work overtime when requested by the employer
C. A nurse's violation of the Nursing Practice Act or a Board rule
D. A nurse's decision to decline a patient assignment deemed unsafe
Answer: C. A nurse's violation of the Nursing Practice Act or a Board rule
Rationale: Violation of the Nursing Practice Act or any Board rule constitutes
grounds for disciplinary action, which may include license suspension or
revocation. Failure to join a professional association, refusal to work overtime
(absent other obligations), and declining an unsafe assignment are not
independently grounds for discipline.
6. Under Texas law, a nurse who suspects that a colleague's nursing practice is
impaired by substance abuse has which obligation?
A. No obligation unless the colleague admits to the impairment
B. An obligation to report the suspicion to the Board of Nursing
C. An obligation to confront the colleague privately before reporting
D. An obligation to report only if patient harm has already occurred
Answer: B. An obligation to report the suspicion to the Board of Nursing
Rationale: Nurses have a mandatory reporting obligation under Texas
Occupations Code Chapter 301, Subchapter I, which includes reporting a nurse
whose conduct causes a person to suspect that the nurse's practice is impaired
by chemical dependency or drug or alcohol abuse. Reporting is required
regardless of whether patient harm has occurred.
7. What is the minimum passing score required on the Texas Nursing
Jurisprudence Examination?
A. 70%
B. 75%
C. 80%
D. 85%
, Answer: B. 75%
Rationale: The Texas Nursing Jurisprudence Examination requires a minimum
passing score of 75%. The exam consists of a minimum of 50 questions and is
psychometrically validated.
8. A registered nurse in Texas receives an order from a physician that the nurse
believes is contraindicated for the patient. What is the nurse's legal
obligation?
A. To follow the order without question because the physician is legally
responsible
B. To clarify the order with the physician and, if concerns persist, follow the
facility's chain of command
C. To refuse the order and immediately report the physician to the Board of
Medicine
D. To administer the medication and document the concern after
administration
Answer: B. To clarify the order with the physician and, if concerns persist, follow
the facility's chain of command
Rationale: Nurses are required to know the rationale for and effects of
medications and treatments and to correctly administer the same. When a nurse
believes an order is contraindicated, the nurse must clarify with the ordering
provider and follow the facility's chain of command if concerns persist. The nurse
is not required to blindly follow orders that may harm the patient.
9. Which of the following is NOT within the definition of "professional nursing"
under the Texas Nursing Practice Act?
A. Observation, assessment, intervention, and evaluation of a person who is
ill or injured
B. The administration of a medication or treatment as ordered by a
physician
C. Medical diagnosis and prescription of therapeutic measures
D. The supervision or teaching of nursing
