Texas RN Jurisprudence Exam — Code:
TX-RN-JP | 100-Question Advanced
Practice Exam 2026 | Questions &
Answers with Detailed Rationales |
Complete Exam Prep & Study Guide
1.
A Texas RN receives a medication order that appears inconsistent with the
patient's condition. The prescribing provider insists that the RN administer it
immediately. What is the nurse's primary responsibility?
A. Follow the provider's order because the provider prescribed the medication
B. Follow the facility policy without further assessment
C. Take appropriate action to protect the patient from an unsafe order
D. Ask another nurse to administer the medication
Answer: C. Take appropriate action to protect the patient from an unsafe order
Rationale: Texas nurses remain accountable for safe nursing practice. A
provider's order does not eliminate the nurse's professional duty to identify and
address an order that could place the patient at risk.
2.
,Which action most clearly represents practicing beyond the RN's scope of
practice?
A. Performing an assessment within RN education and competency
B. Administering medications authorized by law and policy
C. Performing a procedure requiring education, authorization, and competency
the RN does not possess
D. Delegating an appropriate task to qualified personnel
Answer: C. Performing a procedure requiring education, authorization, and
competency the RN does not possess
Rationale: A Texas nurse must practice within the nurse's education, experience,
knowledge, and demonstrated competency. A license does not authorize every
healthcare activity.
3.
A nurse is offered an assignment involving a patient population for which the
nurse has no relevant education or experience. The nurse believes accepting the
assignment could result in unsafe care. What is the best action?
A. Accept the assignment and document concerns after the shift
B. Refuse all patient assignments for the remainder of the shift
C. Communicate the safety concern and seek an assignment consistent with the
nurse's competence
D. Ask an unlicensed employee to perform the nursing assessment
Answer: C. Communicate the safety concern and seek an assignment consistent
with the nurse's competence
Rationale: Texas Board rules require nurses to accept assignments that consider
patient safety and are commensurate with the nurse's education, experience,
knowledge, and physical and emotional ability.
4.
,Which situation could constitute unprofessional conduct under Texas nursing
law?
A. Asking a colleague for assistance with a difficult patient
B. Taking a scheduled meal break
C. Repeatedly failing to provide care consistent with minimum acceptable
nursing standards
D. Reporting a legitimate patient-safety concern
Answer: C. Repeatedly failing to provide care consistent with minimum
acceptable nursing standards
Rationale: Texas law permits disciplinary action for conduct that fails to conform
to minimum standards of acceptable nursing practice and unnecessarily exposes
a patient or another person to risk of harm.
5.
A nurse discovers that another nurse appears impaired while caring for patients.
What should the nurse do?
A. Ignore the situation unless a patient is injured
B. Discuss the matter with coworkers first
C. Take appropriate action under Texas reporting requirements and the
applicable peer-review process
D. Post a warning about the nurse on social media
Answer: C. Take appropriate action under Texas reporting requirements and the
applicable peer-review process
Rationale: Texas law establishes circumstances under which nurses must report
conduct subject to reporting. A nurse may also use an applicable nursing peer-
review mechanism.
6.
Which statement best describes a nurse's accountability when delegating a task?
, A. Delegation transfers all accountability to the delegatee
B. The RN is no longer responsible after giving instructions
C. The RN remains accountable for appropriate delegation and supervision
D. The delegatee becomes responsible for determining whether the task should
have been delegated
Answer: C. The RN remains accountable for appropriate delegation and
supervision
Rationale: Delegation does not eliminate the RN's professional accountability.
The nurse must determine whether delegation is appropriate and provide
appropriate supervision.
7.
An RN delegates a task to an unlicensed person who has never been trained to
perform it. The patient subsequently experiences harm. Which concern is most
significant?
A. The nurse should have delegated more tasks
B. The delegation may have been unsafe because competency was not
established
C. The unlicensed person automatically assumes RN accountability
D. Delegation is prohibited in all Texas healthcare settings
Answer: B. The delegation may have been unsafe because competency was not
established
Rationale: Texas Board rules identify unsafe delegation and inadequate
supervision as potential violations. Nurses must evaluate whether delegation
can reasonably be expected to result in safe and effective care.
8.
Which action best demonstrates professional accountability?
A. Blaming another nurse for an incomplete assessment
B. Documenting an assessment that was never performed
TX-RN-JP | 100-Question Advanced
Practice Exam 2026 | Questions &
Answers with Detailed Rationales |
Complete Exam Prep & Study Guide
1.
A Texas RN receives a medication order that appears inconsistent with the
patient's condition. The prescribing provider insists that the RN administer it
immediately. What is the nurse's primary responsibility?
A. Follow the provider's order because the provider prescribed the medication
B. Follow the facility policy without further assessment
C. Take appropriate action to protect the patient from an unsafe order
D. Ask another nurse to administer the medication
Answer: C. Take appropriate action to protect the patient from an unsafe order
Rationale: Texas nurses remain accountable for safe nursing practice. A
provider's order does not eliminate the nurse's professional duty to identify and
address an order that could place the patient at risk.
2.
,Which action most clearly represents practicing beyond the RN's scope of
practice?
A. Performing an assessment within RN education and competency
B. Administering medications authorized by law and policy
C. Performing a procedure requiring education, authorization, and competency
the RN does not possess
D. Delegating an appropriate task to qualified personnel
Answer: C. Performing a procedure requiring education, authorization, and
competency the RN does not possess
Rationale: A Texas nurse must practice within the nurse's education, experience,
knowledge, and demonstrated competency. A license does not authorize every
healthcare activity.
3.
A nurse is offered an assignment involving a patient population for which the
nurse has no relevant education or experience. The nurse believes accepting the
assignment could result in unsafe care. What is the best action?
A. Accept the assignment and document concerns after the shift
B. Refuse all patient assignments for the remainder of the shift
C. Communicate the safety concern and seek an assignment consistent with the
nurse's competence
D. Ask an unlicensed employee to perform the nursing assessment
Answer: C. Communicate the safety concern and seek an assignment consistent
with the nurse's competence
Rationale: Texas Board rules require nurses to accept assignments that consider
patient safety and are commensurate with the nurse's education, experience,
knowledge, and physical and emotional ability.
4.
,Which situation could constitute unprofessional conduct under Texas nursing
law?
A. Asking a colleague for assistance with a difficult patient
B. Taking a scheduled meal break
C. Repeatedly failing to provide care consistent with minimum acceptable
nursing standards
D. Reporting a legitimate patient-safety concern
Answer: C. Repeatedly failing to provide care consistent with minimum
acceptable nursing standards
Rationale: Texas law permits disciplinary action for conduct that fails to conform
to minimum standards of acceptable nursing practice and unnecessarily exposes
a patient or another person to risk of harm.
5.
A nurse discovers that another nurse appears impaired while caring for patients.
What should the nurse do?
A. Ignore the situation unless a patient is injured
B. Discuss the matter with coworkers first
C. Take appropriate action under Texas reporting requirements and the
applicable peer-review process
D. Post a warning about the nurse on social media
Answer: C. Take appropriate action under Texas reporting requirements and the
applicable peer-review process
Rationale: Texas law establishes circumstances under which nurses must report
conduct subject to reporting. A nurse may also use an applicable nursing peer-
review mechanism.
6.
Which statement best describes a nurse's accountability when delegating a task?
, A. Delegation transfers all accountability to the delegatee
B. The RN is no longer responsible after giving instructions
C. The RN remains accountable for appropriate delegation and supervision
D. The delegatee becomes responsible for determining whether the task should
have been delegated
Answer: C. The RN remains accountable for appropriate delegation and
supervision
Rationale: Delegation does not eliminate the RN's professional accountability.
The nurse must determine whether delegation is appropriate and provide
appropriate supervision.
7.
An RN delegates a task to an unlicensed person who has never been trained to
perform it. The patient subsequently experiences harm. Which concern is most
significant?
A. The nurse should have delegated more tasks
B. The delegation may have been unsafe because competency was not
established
C. The unlicensed person automatically assumes RN accountability
D. Delegation is prohibited in all Texas healthcare settings
Answer: B. The delegation may have been unsafe because competency was not
established
Rationale: Texas Board rules identify unsafe delegation and inadequate
supervision as potential violations. Nurses must evaluate whether delegation
can reasonably be expected to result in safe and effective care.
8.
Which action best demonstrates professional accountability?
A. Blaming another nurse for an incomplete assessment
B. Documenting an assessment that was never performed
