Question and correct answers (verified
answers 100%) Q&A
2026/2027 INSTANT DOWNLOAD PDF
1. Which organization regulates the practice of nursing in Texas?
A. Texas Department of State Health Services
B. Texas Board of Nursing
C. Texas Medical Board
D. Texas Nurses Association
Correct Answer: B. Texas Board of Nursing
Rationale: The Texas Board of Nursing regulates vocational nurses, registered nurses, and nurses
with advanced practice authorization in Texas.
2. What is the primary purpose of the Texas Nursing Practice Act?
A. To regulate hospital finances
B. To establish nursing school tuition
C. To regulate the practice of nursing and protect the public
D. To determine nurse salaries
Correct Answer: C. To regulate the practice of nursing and protect the public
Rationale: Nursing regulation establishes standards intended to protect patients and the public
from unsafe or unqualified nursing practice.
3. A Texas nurse is expected to know and follow which of the following?
A. Only employer policies
B. Only physician instructions
,C. The Nursing Practice Act and applicable laws and Board rules
D. Only federal regulations
Correct Answer: C. The Nursing Practice Act and applicable laws and Board rules
Rationale: Texas nursing standards require nurses to know and conform to the Nursing Practice
Act, Board rules, and applicable laws and regulations.
4. Which action best demonstrates compliance with Texas nursing standards?
A. Performing a procedure without training
B. Practicing only within one's competence
C. Ignoring an unfamiliar piece of equipment
D. Delegating every task to unlicensed personnel
Correct Answer: B. Practicing only within one's competence
Rationale: Nurses are responsible for maintaining competence and obtaining appropriate
instruction or training when necessary.
5. What is one important responsibility of a Texas nurse regarding client records?
A. Destroying records after discharge
B. Allowing anyone to access records
C. Accurately documenting nursing care
D. Documenting only abnormal findings
Correct Answer: C. Accurately documenting nursing care
Rationale: Texas standards require accurate and complete reporting and documentation of client
status, care, medications, treatments, responses, and significant communications.
6. A nurse discovers that a medication order appears contraindicated for the patient. What
should the nurse do?
A. Administer it immediately
B. Ignore the concern
C. Clarify the order with the appropriate practitioner
D. Ask another patient what to do
,Correct Answer: C. Clarify the order with the appropriate practitioner
Rationale: Texas standards require nurses to clarify orders they have reason to believe are
inaccurate, ineffective, or contraindicated.
7. Which action may constitute unprofessional conduct in Texas?
A. Maintaining competence
B. Protecting confidentiality
C. Falsifying patient documentation
D. Reporting a safety concern
Correct Answer: C. Falsifying patient documentation
Rationale: Falsifying reports, client documentation, agency records, or other documents is
identified as misconduct under Texas Board rules.
8. Which statement about patient injury is consistent with Texas Board rules?
A. A violation always requires actual patient injury
B. A nurse can never be disciplined without malpractice damages
C. Certain unsafe conduct may violate standards even when no actual injury occurs
D. Patient injury is required for every Board investigation
Correct Answer: C. Certain unsafe conduct may violate standards even when no actual injury
occurs
Rationale: Texas standards establish minimum acceptable practice, and failure to meet them
may result in Board action even when actual patient injury has not occurred.
9. Which behavior violates professional boundaries?
A. Providing therapeutic communication
B. Exploiting a patient financially
C. Educating a patient
D. Protecting patient privacy
Correct Answer: B. Exploiting a patient financially
, Rationale: Texas rules identify violations of professional boundaries, including physical, sexual,
emotional, or financial exploitation of clients.
10. A nurse takes money from a patient in exchange for a professional referral. This may be
considered:
A. Appropriate advocacy
B. Professional networking
C. Unprofessional conduct
D. Continuing competency
Correct Answer: C. Unprofessional conduct
Rationale: Texas rules prohibit offering, giving, soliciting, or receiving consideration from a third
party for client referrals connected with professional services.
11. Which action best protects patient confidentiality?
A. Discussing a patient in a public elevator
B. Sharing information with unauthorized individuals
C. Disclosing information only as permitted or required by law
D. Posting patient information online
Correct Answer: C. Disclosing information only as permitted or required by law
Rationale: Texas nursing standards require nurses to protect confidential information unless
disclosure is required or permitted by law.
12. A nurse receives an assignment that the nurse believes could result in unsafe care. What is
the appropriate concern?
A. The nurse has no responsibility
B. Accepting an unsafe assignment may itself be problematic
C. The nurse must accept every assignment
D. The nurse should leave without notifying anyone
Correct Answer: B. Accepting an unsafe assignment may itself be problematic
Rationale: Texas rules identify accepting an assignment that could reasonably result in unsafe or
ineffective care as unsafe practice.