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Texas Nursing Jurisprudence Exam Questions and Correct Answers (Verified Answers) Plus Rationales 2026/2027 Q&A | Texas Nurse Practice Act & BON Rules Study Guide

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Prepare for the Texas Nursing Jurisprudence Examination (NJE) with practice questions, correct answers, and detailed rationales covering the Texas Nursing Practice Act, Texas Board of Nursing rules, RN/LVN/APRN scope of practice, delegation and supervision, licensure, professional standards, Safe Harbor, peer review, confidentiality, patient rights, documentation, ethics, and disciplinary requirements.

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Texas Nursing Jurisprudence Exam
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.

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