Texas Nursing Jurisprudence Exam 2025/2026
Correct with Verified Questions & Answers
QUESTION 1
Which entity is primarily responsible for regulating the practice of nursing in the state of
Texas?
A. Texas Department of Health Services
B. Texas Board of Nursing (BON)
C. American Nurses Association
D. The Joint Commission
CORRECT ANSWER: B
RATIONALE: The Texas Board of Nursing (BON) regulates nursing practice and licensure
across Texas. It enforces the Nursing Practice Act and ensures professional accountability.
Other entities may influence health standards but do not license or regulate individual
nurses.
QUESTION 2
True or False: The Texas Nursing Practice Act applies only to registered nurses (RNs), not
licensed vocational nurses (LVNs).
CORRECT ANSWER: False
RATIONALE: The Nursing Practice Act governs both RNs and LVNs, as well as advanced
practice registered nurses (APRNs). It defines the practice scopes and responsibilities for all
nursing license levels in Texas.
QUESTION 3
Which of the following is a nurse’s primary duty under the Texas Nursing Practice Act?
A. Promoting the hospital’s reputation
B. Protecting and promoting patient welfare
C. Following physician orders without question
D. Minimizing institutional liability
,CORRECT ANSWER: B
RATIONALE: The Texas Nursing Practice Act explicitly defines a nurse's primary duty as
safeguarding the patient’s health and safety. While teamwork is essential, patient advocacy
takes precedence over institutional or administrative pressures.
QUESTION 4
Which document outlines the minimum standards for nursing practice in Texas?
A. The Nurse Licensure Compact
B. Texas Administrative Code, Title 22, Part 11
C. Federal Nursing Standards Act
D. Statewide Hospital Regulation Code
CORRECT ANSWER: B
RATIONALE: The Texas Administrative Code, Title 22, Part 11, contains the official standards
for nursing practice, licensure, and discipline. It operationalizes the Nursing Practice Act
through enforceable rules.
QUESTION 5
What is the maximum time allowed for a nurse to report a name change to the Texas Board
of Nursing?
A. 10 days
B. 15 days
C. 30 days
D. 45 days
CORRECT ANSWER: C
RATIONALE: Any change in name, address, or contact details must be reported within 30
days to ensure accurate regulatory and licensure records.
QUESTION 6
A nurse who delegates a task remains responsible for:
A. Completing the task personally
B. Supervising the delegate’s performance and verifying the outcome
,C. The delegate’s license status
D. Institutional outcomes
CORRECT ANSWER: B
RATIONALE: Delegation does not remove accountability. The nurse must ensure the
delegated task is appropriate, supervise execution, and evaluate results.
QUESTION 7
When can a nurse refuse a work assignment under the Safe Harbor Rule?
A. Only if physically ill
B. When the assignment violates the nurse’s duty to a patient’s safety
C. Only after physician approval
D. When coworkers agree
CORRECT ANSWER: B
RATIONALE: Safe Harbor protects nurses from employer retaliation when they refuse
assignments that could endanger patients or violate the Nursing Practice Act.
QUESTION 8
Which of the following is classified as unprofessional conduct under Texas BON rules?
A. Giving constructive feedback to a peer
B. Documenting a patient’s allergy history
C. Falsifying patient records
D. Refusing overtime once per month
CORRECT ANSWER: C
RATIONALE: Falsifying records breaches ethical standards and can result in severe
disciplinary actions by the Board.
QUESTION 9
True or False: The Nursing Practice Act in Texas gives nurses complete autonomy to
prescribe medications.
CORRECT ANSWER: False
, RATIONALE: Only APRNs with prescriptive authority agreements may prescribe
medications and within defined collaborative parameters.
QUESTION 10
The Nurse Licensure Compact allows:
A. Nurses to practice only within their state of licensure
B. Multistate practice under one compact license
C. Automatic prescriptive privileges across states
D. Guaranteed immunity from disciplinary action
CORRECT ANSWER: B
RATIONALE: The Compact facilitates mobility by granting nurses the right to practice in
other compact states without additional licensing, though they remain accountable to each
state’s laws.
QUESTION 11
How often must nurses renew their Texas license?
A. Every year
B. Every 2 years
C. Every 3 years
D. Every 5 years
CORRECT ANSWER: B
RATIONALE: Registered and vocational nurses must renew their licenses biennially while
maintaining CE compliance.
QUESTION 12
Failure to report a minor criminal conviction to the Texas BON:
A. Is optional
B. Can result in disciplinary action
C. Automatically suspends the license
D. Has no regulatory impact
CORRECT ANSWER: B
Correct with Verified Questions & Answers
QUESTION 1
Which entity is primarily responsible for regulating the practice of nursing in the state of
Texas?
A. Texas Department of Health Services
B. Texas Board of Nursing (BON)
C. American Nurses Association
D. The Joint Commission
CORRECT ANSWER: B
RATIONALE: The Texas Board of Nursing (BON) regulates nursing practice and licensure
across Texas. It enforces the Nursing Practice Act and ensures professional accountability.
Other entities may influence health standards but do not license or regulate individual
nurses.
QUESTION 2
True or False: The Texas Nursing Practice Act applies only to registered nurses (RNs), not
licensed vocational nurses (LVNs).
CORRECT ANSWER: False
RATIONALE: The Nursing Practice Act governs both RNs and LVNs, as well as advanced
practice registered nurses (APRNs). It defines the practice scopes and responsibilities for all
nursing license levels in Texas.
QUESTION 3
Which of the following is a nurse’s primary duty under the Texas Nursing Practice Act?
A. Promoting the hospital’s reputation
B. Protecting and promoting patient welfare
C. Following physician orders without question
D. Minimizing institutional liability
,CORRECT ANSWER: B
RATIONALE: The Texas Nursing Practice Act explicitly defines a nurse's primary duty as
safeguarding the patient’s health and safety. While teamwork is essential, patient advocacy
takes precedence over institutional or administrative pressures.
QUESTION 4
Which document outlines the minimum standards for nursing practice in Texas?
A. The Nurse Licensure Compact
B. Texas Administrative Code, Title 22, Part 11
C. Federal Nursing Standards Act
D. Statewide Hospital Regulation Code
CORRECT ANSWER: B
RATIONALE: The Texas Administrative Code, Title 22, Part 11, contains the official standards
for nursing practice, licensure, and discipline. It operationalizes the Nursing Practice Act
through enforceable rules.
QUESTION 5
What is the maximum time allowed for a nurse to report a name change to the Texas Board
of Nursing?
A. 10 days
B. 15 days
C. 30 days
D. 45 days
CORRECT ANSWER: C
RATIONALE: Any change in name, address, or contact details must be reported within 30
days to ensure accurate regulatory and licensure records.
QUESTION 6
A nurse who delegates a task remains responsible for:
A. Completing the task personally
B. Supervising the delegate’s performance and verifying the outcome
,C. The delegate’s license status
D. Institutional outcomes
CORRECT ANSWER: B
RATIONALE: Delegation does not remove accountability. The nurse must ensure the
delegated task is appropriate, supervise execution, and evaluate results.
QUESTION 7
When can a nurse refuse a work assignment under the Safe Harbor Rule?
A. Only if physically ill
B. When the assignment violates the nurse’s duty to a patient’s safety
C. Only after physician approval
D. When coworkers agree
CORRECT ANSWER: B
RATIONALE: Safe Harbor protects nurses from employer retaliation when they refuse
assignments that could endanger patients or violate the Nursing Practice Act.
QUESTION 8
Which of the following is classified as unprofessional conduct under Texas BON rules?
A. Giving constructive feedback to a peer
B. Documenting a patient’s allergy history
C. Falsifying patient records
D. Refusing overtime once per month
CORRECT ANSWER: C
RATIONALE: Falsifying records breaches ethical standards and can result in severe
disciplinary actions by the Board.
QUESTION 9
True or False: The Nursing Practice Act in Texas gives nurses complete autonomy to
prescribe medications.
CORRECT ANSWER: False
, RATIONALE: Only APRNs with prescriptive authority agreements may prescribe
medications and within defined collaborative parameters.
QUESTION 10
The Nurse Licensure Compact allows:
A. Nurses to practice only within their state of licensure
B. Multistate practice under one compact license
C. Automatic prescriptive privileges across states
D. Guaranteed immunity from disciplinary action
CORRECT ANSWER: B
RATIONALE: The Compact facilitates mobility by granting nurses the right to practice in
other compact states without additional licensing, though they remain accountable to each
state’s laws.
QUESTION 11
How often must nurses renew their Texas license?
A. Every year
B. Every 2 years
C. Every 3 years
D. Every 5 years
CORRECT ANSWER: B
RATIONALE: Registered and vocational nurses must renew their licenses biennially while
maintaining CE compliance.
QUESTION 12
Failure to report a minor criminal conviction to the Texas BON:
A. Is optional
B. Can result in disciplinary action
C. Automatically suspends the license
D. Has no regulatory impact
CORRECT ANSWER: B
