Texas Nursing Jurisprudence and Ethics Exam Study
Guide | Complete Actual Exam Questions with
Verified Correct Answers and Detailed Rationales |
Latest Updated Exam 2026/2027
Question 1
According to BON Position Statement 15.24 Engaging in Reinsertion of Permanently Placed
Feeding Tubes, it would be within the scope of practice for a nurse to replace a gastrostomy tube
provided that:
A. The tube has been in place for 8-12 weeks, the nurse has a physician's order to replace the
tube, and the nurse has completed specific competency training to safely replace the tube.
B. The tube has been in place for 8-12 weeks, the facility policy allows replacement of a tube
with a specific physician order.
C. The nurse has a physician's order and has completed specific competency training, regardless
of how long the tube has been in place.
D. The nurse has completed specific competency training and the facility policy allows
replacement.
Answer: A
Rationale: According to BON Position Statement 15.24, a nurse may replace a gastrostomy tube
only if the tube has been in place for 8-12 weeks, there is a physician's order, and the nurse has
completed specific competency training.
Question 2
The BON differs from nursing and healthcare specialty associations since the BON:
A. Lobbies for legislation favorable to the practice of nursing.
B. Sets criteria for evaluating nursing career ladders.
C. Offers liability insurance at discounted rates for members.
D. Protects and promotes the welfare of the people of Texas.
Answer: D
Rationale: The BON's primary purpose is to protect and promote the welfare of the people of
Texas by regulating nursing practice, not to advocate for nurses or provide professional benefits.
Question 3
The Standards of Nursing Practice, Board Rule 217.11 state that the LVN scope of practice
includes doing which of the following with regard to care plans?
A. Initiate the development of a comprehensive nursing care plan independently.
B. May not document on the nursing care plan.
pg. 1
,C. Participate in the modification and development of the nursing care plan.
D. Develop nursing care plans without RN supervision.
Answer: C
Rationale: LVNs participate in the modification and development of nursing care plans under
the supervision of an RN, as they have a directed scope of practice.
Question 4
A nurse who contacts a physician to clarify a medication order is:
A. Fulfilling a duty to keep the patient safe.
B. Likely to detract from a collegial nurse-physician relationship.
C. Engaging in action that is the duty of the pharmacist.
D. Not fulfilling nursing tasks with other patients.
Answer: A
Rationale: Clarifying unclear or potentially harmful medication orders is a critical nursing
responsibility to ensure patient safety.
Question 5
Nurses often ask the Board about what it means to abandon their patients. Though the Board
does not use this term in the rules, what specific portion of Board Rule 217.12, Unprofessional
Conduct, provides directions for the nurse regarding job abandonment and conduct that may also
be Board-reportable?
A. Paragraph (5)
B. Paragraph (7)
C. Paragraph (12)
D. Paragraph (8)
Answer: C
Rationale: Board Rule 217.12(12) addresses unprofessional conduct related to job abandonment
and leaving a nursing assignment without proper notification.
Question 6
Which of the following situations is an example of a nurse MAINTAINING appropriate
professional boundaries between the nurse and the client?
A. Rewards a patient with a small stuffed mascot of his favorite football team for progress made
in rehabilitation.
B. Accepts a large cash gift from a patient.
C. Begins a romantic relationship with a former patient.
D. Borrows money from a patient.
Answer: A
Rationale: Accepting a small, inexpensive gift that acknowledges patient progress is generally
acceptable. Large gifts, romantic relationships, and borrowing money violate professional
pg. 2
, boundaries.
Question 7
An advertisement for a "licensed nurse" states the following as routine job responsibilities:
"Must work independently without supervision, have expertise in developing nursing care plans,
including establishing appropriate nursing diagnoses for assigned patients, and must be able to
complete comprehensive nursing assessments." Based on these responsibilities, this
advertisement would require, at a minimum, the nurse to hold a valid:
A. Advanced Practice Registered Nurse license.
B. Registered Nurse license.
C. Licensed Vocational Nurse license.
D. Physician Assistant license.
Answer: B
Rationale: Developing nursing care plans, establishing nursing diagnoses, and completing
comprehensive assessments independently are within the RN scope of practice, not LVN.
Question 8
A nurse is caught stealing narcotics from the automated dispensing machine on the unit and self-
injecting these drugs while on duty. The nurse admits that she is chemically dependent. In this
situation, the NPA requires:
A. The nurse be reported to the BON.
B. The Peer Review Committee to monitor the nurse's practice.
C. The nurse to enroll in the Texas Peer Assistance Program for Nurses (TPAPN).
D. A report to law enforcement.
Answer: A
Rationale: The NPA requires reporting of any nurse who may be impaired due to chemical
dependency to the BON.
Question 9
A nurse was reported to the BON by two different employers for multiple practice errors. The
BON may determine that the nurse's conduct demonstrates a pattern of practice that:
A. Complies with the standard to provide nursing services without discrimination of the client
served.
B. Violates professional boundary regulations because the nurse has two employers.
C. Results in immediate disciplinary action because the second complaint validates the first.
D. Indicates the nurse's continued practice poses a risk of harm and may endanger a client's life,
health, or safety.
Answer: D
Rationale: A pattern of practice errors indicates the nurse's continued practice poses a risk to
client safety.
pg. 3
Guide | Complete Actual Exam Questions with
Verified Correct Answers and Detailed Rationales |
Latest Updated Exam 2026/2027
Question 1
According to BON Position Statement 15.24 Engaging in Reinsertion of Permanently Placed
Feeding Tubes, it would be within the scope of practice for a nurse to replace a gastrostomy tube
provided that:
A. The tube has been in place for 8-12 weeks, the nurse has a physician's order to replace the
tube, and the nurse has completed specific competency training to safely replace the tube.
B. The tube has been in place for 8-12 weeks, the facility policy allows replacement of a tube
with a specific physician order.
C. The nurse has a physician's order and has completed specific competency training, regardless
of how long the tube has been in place.
D. The nurse has completed specific competency training and the facility policy allows
replacement.
Answer: A
Rationale: According to BON Position Statement 15.24, a nurse may replace a gastrostomy tube
only if the tube has been in place for 8-12 weeks, there is a physician's order, and the nurse has
completed specific competency training.
Question 2
The BON differs from nursing and healthcare specialty associations since the BON:
A. Lobbies for legislation favorable to the practice of nursing.
B. Sets criteria for evaluating nursing career ladders.
C. Offers liability insurance at discounted rates for members.
D. Protects and promotes the welfare of the people of Texas.
Answer: D
Rationale: The BON's primary purpose is to protect and promote the welfare of the people of
Texas by regulating nursing practice, not to advocate for nurses or provide professional benefits.
Question 3
The Standards of Nursing Practice, Board Rule 217.11 state that the LVN scope of practice
includes doing which of the following with regard to care plans?
A. Initiate the development of a comprehensive nursing care plan independently.
B. May not document on the nursing care plan.
pg. 1
,C. Participate in the modification and development of the nursing care plan.
D. Develop nursing care plans without RN supervision.
Answer: C
Rationale: LVNs participate in the modification and development of nursing care plans under
the supervision of an RN, as they have a directed scope of practice.
Question 4
A nurse who contacts a physician to clarify a medication order is:
A. Fulfilling a duty to keep the patient safe.
B. Likely to detract from a collegial nurse-physician relationship.
C. Engaging in action that is the duty of the pharmacist.
D. Not fulfilling nursing tasks with other patients.
Answer: A
Rationale: Clarifying unclear or potentially harmful medication orders is a critical nursing
responsibility to ensure patient safety.
Question 5
Nurses often ask the Board about what it means to abandon their patients. Though the Board
does not use this term in the rules, what specific portion of Board Rule 217.12, Unprofessional
Conduct, provides directions for the nurse regarding job abandonment and conduct that may also
be Board-reportable?
A. Paragraph (5)
B. Paragraph (7)
C. Paragraph (12)
D. Paragraph (8)
Answer: C
Rationale: Board Rule 217.12(12) addresses unprofessional conduct related to job abandonment
and leaving a nursing assignment without proper notification.
Question 6
Which of the following situations is an example of a nurse MAINTAINING appropriate
professional boundaries between the nurse and the client?
A. Rewards a patient with a small stuffed mascot of his favorite football team for progress made
in rehabilitation.
B. Accepts a large cash gift from a patient.
C. Begins a romantic relationship with a former patient.
D. Borrows money from a patient.
Answer: A
Rationale: Accepting a small, inexpensive gift that acknowledges patient progress is generally
acceptable. Large gifts, romantic relationships, and borrowing money violate professional
pg. 2
, boundaries.
Question 7
An advertisement for a "licensed nurse" states the following as routine job responsibilities:
"Must work independently without supervision, have expertise in developing nursing care plans,
including establishing appropriate nursing diagnoses for assigned patients, and must be able to
complete comprehensive nursing assessments." Based on these responsibilities, this
advertisement would require, at a minimum, the nurse to hold a valid:
A. Advanced Practice Registered Nurse license.
B. Registered Nurse license.
C. Licensed Vocational Nurse license.
D. Physician Assistant license.
Answer: B
Rationale: Developing nursing care plans, establishing nursing diagnoses, and completing
comprehensive assessments independently are within the RN scope of practice, not LVN.
Question 8
A nurse is caught stealing narcotics from the automated dispensing machine on the unit and self-
injecting these drugs while on duty. The nurse admits that she is chemically dependent. In this
situation, the NPA requires:
A. The nurse be reported to the BON.
B. The Peer Review Committee to monitor the nurse's practice.
C. The nurse to enroll in the Texas Peer Assistance Program for Nurses (TPAPN).
D. A report to law enforcement.
Answer: A
Rationale: The NPA requires reporting of any nurse who may be impaired due to chemical
dependency to the BON.
Question 9
A nurse was reported to the BON by two different employers for multiple practice errors. The
BON may determine that the nurse's conduct demonstrates a pattern of practice that:
A. Complies with the standard to provide nursing services without discrimination of the client
served.
B. Violates professional boundary regulations because the nurse has two employers.
C. Results in immediate disciplinary action because the second complaint validates the first.
D. Indicates the nurse's continued practice poses a risk of harm and may endanger a client's life,
health, or safety.
Answer: D
Rationale: A pattern of practice errors indicates the nurse's continued practice poses a risk to
client safety.
pg. 3
