Texas BON study guide UPDATED
ACTUAL Questions and CORRECT
Answers
A nurse who contacts a physician to clarify a medication order is - CORRECT ANSWER-
✔✔fulfilling a duty to keep the patient safe.
A BON investigator in the enforcement division collected evidence that supports the BON's
formal charges against a nurse regarding violations of the NPA and board rules. Attempts to
notify the nurse via standard and certified mail at the nurse's last address of record have been
returned to the BON office as being "undeliverable or not at this address." Since the
investigator has been unable to communicate with the nurse about the BON's formal charges,
Board Rule 213.16(i) on Practice and Procedure requires that - CORRECT ANSWER-
✔✔the case proceed and the board's charges be deemed to be true.
When the BON considers imposing disciplinary action, it is most concerned with the nurse
consistently - CORRECT ANSWER- ✔✔acting in the best interest of clients
A nurse quits his job, and submits a written notice at the end of his shift, telling his supervisor
that he will not be back at work the following morning. The supervisor tells the nurse he has
to complete the entire month's schedule or he will be committing "patient abandonment," and
will be reported to the BON. This is - CORRECT ANSWER- ✔✔false. Quitting a job at the
end of a shift is not considered "patient abandonment" by the BON and is not grounds for
reporting to, or action by, the BON.
Which of the following would indicate that an applicant for licensure is likely to possess the
good professional character necessary to hold a nursing license in Texas? - CORRECT
ANSWER- ✔✔the applicant provides satisfactory evidence that he/she has not committed a
violation of the Nursing Practice Act or a Board rule
Which of the following statements correctly reflects Board Rule 217.20 regarding the Safe
Harbor Peer Review? - CORRECT ANSWER- ✔✔Safe Harbor must be invoked prior to
engaging in the assignment or at any time the assignment changes as long as the nurse
believes it places patients at risk of harm
, The identity of a person submitting a complaint against a nurse to the BON is kept
confidential - CORRECT ANSWER- ✔✔throughout the entire investigation process
A nurse assesses a patient, makes a medical diagnosis of "hypertension," and determines
which specific anti-hypertensive medication (including dose, route, and frequency) is
appropriate for this patient. The nurse then writes a prescription for an anti-hypertensive
medication and instructs the patient to have it filled at a pharmacy of her choice. - CORRECT
ANSWER- ✔✔the nurse must be authorized by the BON as an advanced practice registered
nurse with prescriptive authority in a role and population focus appropriate for the patients
being treated
Revisions to the NPA can only occur through - CORRECT ANSWER- ✔✔bills passed by the
Texas Legislature
The Position Statement 15.27 The Licensed Vocational Nurse Scope of Practice on the
board's website outlines that LVNs have a "directed" scope of practice "under supervision."
This means that - CORRECT ANSWER- ✔✔the LVN must have a registered nurse present at
all times while they are providing direct patient care
A nurse providing nursing services to a young child in a home setting asks the parent to bring
the child to the nurse's home for nursing care. The nurse asks the parent to keep this
arrangement confidential. This could be considered - CORRECT ANSWER- ✔✔a violation
of professional boundaries of the nurse-client relationship
A nurse is counseled for questioning a physician's order that made the physician mad. Which
of the following documents on the BON web site best explains why the nurse was correct to
question a physician's order that the nurse believed could be harmful to a patient? -
CORRECT ANSWER- ✔✔Position Statement 15.14 Duty of a Nurse in Any Setting
Chart audits find the following practice errors committed by a nurse with observed impaired
behavior at work: NO physician orders for narcotics signed out by the nurse, and NO
documentation that the nurse either administered or wasted the narcotics. The best decision
for the Incident Based Peer Review Committee to make is that - CORRECT ANSWER-
✔✔the nurse must be reported to the BON because of the combination of practice errors with
possible practice impairment due to substance use or abuse
ACTUAL Questions and CORRECT
Answers
A nurse who contacts a physician to clarify a medication order is - CORRECT ANSWER-
✔✔fulfilling a duty to keep the patient safe.
A BON investigator in the enforcement division collected evidence that supports the BON's
formal charges against a nurse regarding violations of the NPA and board rules. Attempts to
notify the nurse via standard and certified mail at the nurse's last address of record have been
returned to the BON office as being "undeliverable or not at this address." Since the
investigator has been unable to communicate with the nurse about the BON's formal charges,
Board Rule 213.16(i) on Practice and Procedure requires that - CORRECT ANSWER-
✔✔the case proceed and the board's charges be deemed to be true.
When the BON considers imposing disciplinary action, it is most concerned with the nurse
consistently - CORRECT ANSWER- ✔✔acting in the best interest of clients
A nurse quits his job, and submits a written notice at the end of his shift, telling his supervisor
that he will not be back at work the following morning. The supervisor tells the nurse he has
to complete the entire month's schedule or he will be committing "patient abandonment," and
will be reported to the BON. This is - CORRECT ANSWER- ✔✔false. Quitting a job at the
end of a shift is not considered "patient abandonment" by the BON and is not grounds for
reporting to, or action by, the BON.
Which of the following would indicate that an applicant for licensure is likely to possess the
good professional character necessary to hold a nursing license in Texas? - CORRECT
ANSWER- ✔✔the applicant provides satisfactory evidence that he/she has not committed a
violation of the Nursing Practice Act or a Board rule
Which of the following statements correctly reflects Board Rule 217.20 regarding the Safe
Harbor Peer Review? - CORRECT ANSWER- ✔✔Safe Harbor must be invoked prior to
engaging in the assignment or at any time the assignment changes as long as the nurse
believes it places patients at risk of harm
, The identity of a person submitting a complaint against a nurse to the BON is kept
confidential - CORRECT ANSWER- ✔✔throughout the entire investigation process
A nurse assesses a patient, makes a medical diagnosis of "hypertension," and determines
which specific anti-hypertensive medication (including dose, route, and frequency) is
appropriate for this patient. The nurse then writes a prescription for an anti-hypertensive
medication and instructs the patient to have it filled at a pharmacy of her choice. - CORRECT
ANSWER- ✔✔the nurse must be authorized by the BON as an advanced practice registered
nurse with prescriptive authority in a role and population focus appropriate for the patients
being treated
Revisions to the NPA can only occur through - CORRECT ANSWER- ✔✔bills passed by the
Texas Legislature
The Position Statement 15.27 The Licensed Vocational Nurse Scope of Practice on the
board's website outlines that LVNs have a "directed" scope of practice "under supervision."
This means that - CORRECT ANSWER- ✔✔the LVN must have a registered nurse present at
all times while they are providing direct patient care
A nurse providing nursing services to a young child in a home setting asks the parent to bring
the child to the nurse's home for nursing care. The nurse asks the parent to keep this
arrangement confidential. This could be considered - CORRECT ANSWER- ✔✔a violation
of professional boundaries of the nurse-client relationship
A nurse is counseled for questioning a physician's order that made the physician mad. Which
of the following documents on the BON web site best explains why the nurse was correct to
question a physician's order that the nurse believed could be harmful to a patient? -
CORRECT ANSWER- ✔✔Position Statement 15.14 Duty of a Nurse in Any Setting
Chart audits find the following practice errors committed by a nurse with observed impaired
behavior at work: NO physician orders for narcotics signed out by the nurse, and NO
documentation that the nurse either administered or wasted the narcotics. The best decision
for the Incident Based Peer Review Committee to make is that - CORRECT ANSWER-
✔✔the nurse must be reported to the BON because of the combination of practice errors with
possible practice impairment due to substance use or abuse
