TEXAS NURSING JURISPRUDENCE
CERTIFICATION EXAMINATION 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Take a deep breath. Answer: Cheese
◉ A nurse who contacts a physician to clarify a medication order is.
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. 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. 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. 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?. 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?. 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. 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. 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. 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. 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. 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?. 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. 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
◉ A nurse would be fulfilling his or her duty to safeguard patients from
harm if the nurse. Answer: recognizes that a patient's condition is
deteriorating, acts to stabilize the patient, and reports the patient's status
to the physician
◉ A person with a history of chemical dependency on controlled
substances who desires to obtain or retain a license to practice nursing
may be required to provide evidence of. Answer: current sobriety and
fitness to practice
◉ A nurse may not be reported to the BON, may not have his or her
license sanctioned by the BON, and may not be suspended or terminated
from his or her employment for either appropriately invoking Safe
Harbor or for advising another nurse of their right to invoke Safe Harbor.
These are. Answer: protections for a nurse who requests a peer review
determination
CERTIFICATION EXAMINATION 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Take a deep breath. Answer: Cheese
◉ A nurse who contacts a physician to clarify a medication order is.
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. 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. 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. 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?. 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?. 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. 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. 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. 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. 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. 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?. 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. 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
◉ A nurse would be fulfilling his or her duty to safeguard patients from
harm if the nurse. Answer: recognizes that a patient's condition is
deteriorating, acts to stabilize the patient, and reports the patient's status
to the physician
◉ A person with a history of chemical dependency on controlled
substances who desires to obtain or retain a license to practice nursing
may be required to provide evidence of. Answer: current sobriety and
fitness to practice
◉ A nurse may not be reported to the BON, may not have his or her
license sanctioned by the BON, and may not be suspended or terminated
from his or her employment for either appropriately invoking Safe
Harbor or for advising another nurse of their right to invoke Safe Harbor.
These are. Answer: protections for a nurse who requests a peer review
determination
