TEXAS NURSING JURISPRUDENCE EXAM (RN,
LVN, APRN) ACTUAL PREP QUESTIONS AND
WELL REVISED ANSWERS - LATEST AND
COMPLETE UPDATE WITH VERIFIED
SOLUTIONS – ASSURES PASS
1. The primary purpose of the Texas Nursing Practice Act (NPA) is to:
A. Regulate hospital operations
B. Protect and promote the welfare of the people of Texas
C. Define nursing salaries
D. Establish nursing unions
Italicized rationale: The NPA’s central purpose is public protection, not
professional benefit.
2. Which body has authority to regulate nursing practice in Texas?
A. Texas Medical Board
B. Texas Board of Nursing
C. Department of State Health Services
D. American Nurses Association
Italicized rationale: The Texas Board of Nursing (BON) enforces the NPA
and BON Rules.
3. A nurse who practices outside the scope defined by education and licensure
is subject to:
A. Civil immunity
B. Disciplinary action by the BON
C. Automatic license revocation
D. Employer-only sanctions
, Italicized rationale: Practicing beyond scope violates BON rules and may
trigger discipline.
4. Which element is required for a valid nursing license in Texas?
A. National residency
B. Hospital sponsorship
C. Graduation from an approved nursing program
D. Physician supervision
Italicized rationale: Approved education is a statutory requirement for
licensure.
5. The BON’s primary mission is best described as:
A. Supporting nurses’ employment rights
B. Ensuring safe and competent nursing practice
C. Accrediting nursing schools
D. Advocating for nurse wages
Italicized rationale: Public safety through competence is the BON’s mission.
6. A nurse’s scope of practice is determined by:
A. Employer policy only
B. Education, licensure, and BON rules
C. Physician preference
D. Years of experience alone
Italicized rationale: Scope is legally defined, not expanded solely by
experience.
7. Which action best demonstrates accountability?
A. Delegating all tasks
B. Following physician orders without question
C. Accepting responsibility for nursing judgments
D. Avoiding complex patients
, Italicized rationale: Accountability requires ownership of professional
decisions.
8. The term “unprofessional conduct” refers to:
A. Poor bedside manners only
B. Behavior violating the NPA or BON rules
C. Any employer policy violation
D. Personal disagreements
Italicized rationale: Unprofessional conduct is legally defined by statute and
rule.
9. Which nurse may pronounce death in Texas?
A. LVN
B. RN when authorized by policy and law
C. Nursing assistant
D. Student nurse
Italicized rationale: RNs may pronounce death under specific legal and
policy conditions.
10. Failure to report a nurse impaired by substance use may result in:
A. No consequence
B. Employer discipline only
C. BON disciplinary action for failure to report
D. Mandatory resignation
Italicized rationale: Texas law mandates reporting to protect patient safety.
11. The Safe Harbor Peer Review process protects nurses from:
A. All liability
B. BON discipline when refusing unsafe assignments
C. Employer termination
, D. Civil lawsuits
Italicized rationale: Safe Harbor applies to BON discipline only.
12. A nurse invoking Safe Harbor must do so:
A. After patient harm occurs
B. Before engaging in the conduct in question
C. Only in writing after the shift
D. Through a manager only
Italicized rationale: Timely invocation is required for protection.
13. Which document defines minimum standards of nursing practice in Texas?
A. ANA Code of Ethics
B. BON Rule 217.11
C. Hospital policy manual
D. NPA preamble only
Italicized rationale: Rule 217.11 specifies minimum practice standards.
14. A nurse who falsifies documentation commits:
A. A minor error
B. Unprofessional conduct
C. Acceptable correction
D. Protected speech
Italicized rationale: Falsification undermines patient safety and legal
integrity.
15. The duty to a patient is established when:
A. A nurse is employed
B. The nurse accepts the patient assignment
C. The physician writes orders
D. The patient is admitted
Italicized rationale: Acceptance of assignment creates duty.
LVN, APRN) ACTUAL PREP QUESTIONS AND
WELL REVISED ANSWERS - LATEST AND
COMPLETE UPDATE WITH VERIFIED
SOLUTIONS – ASSURES PASS
1. The primary purpose of the Texas Nursing Practice Act (NPA) is to:
A. Regulate hospital operations
B. Protect and promote the welfare of the people of Texas
C. Define nursing salaries
D. Establish nursing unions
Italicized rationale: The NPA’s central purpose is public protection, not
professional benefit.
2. Which body has authority to regulate nursing practice in Texas?
A. Texas Medical Board
B. Texas Board of Nursing
C. Department of State Health Services
D. American Nurses Association
Italicized rationale: The Texas Board of Nursing (BON) enforces the NPA
and BON Rules.
3. A nurse who practices outside the scope defined by education and licensure
is subject to:
A. Civil immunity
B. Disciplinary action by the BON
C. Automatic license revocation
D. Employer-only sanctions
, Italicized rationale: Practicing beyond scope violates BON rules and may
trigger discipline.
4. Which element is required for a valid nursing license in Texas?
A. National residency
B. Hospital sponsorship
C. Graduation from an approved nursing program
D. Physician supervision
Italicized rationale: Approved education is a statutory requirement for
licensure.
5. The BON’s primary mission is best described as:
A. Supporting nurses’ employment rights
B. Ensuring safe and competent nursing practice
C. Accrediting nursing schools
D. Advocating for nurse wages
Italicized rationale: Public safety through competence is the BON’s mission.
6. A nurse’s scope of practice is determined by:
A. Employer policy only
B. Education, licensure, and BON rules
C. Physician preference
D. Years of experience alone
Italicized rationale: Scope is legally defined, not expanded solely by
experience.
7. Which action best demonstrates accountability?
A. Delegating all tasks
B. Following physician orders without question
C. Accepting responsibility for nursing judgments
D. Avoiding complex patients
, Italicized rationale: Accountability requires ownership of professional
decisions.
8. The term “unprofessional conduct” refers to:
A. Poor bedside manners only
B. Behavior violating the NPA or BON rules
C. Any employer policy violation
D. Personal disagreements
Italicized rationale: Unprofessional conduct is legally defined by statute and
rule.
9. Which nurse may pronounce death in Texas?
A. LVN
B. RN when authorized by policy and law
C. Nursing assistant
D. Student nurse
Italicized rationale: RNs may pronounce death under specific legal and
policy conditions.
10. Failure to report a nurse impaired by substance use may result in:
A. No consequence
B. Employer discipline only
C. BON disciplinary action for failure to report
D. Mandatory resignation
Italicized rationale: Texas law mandates reporting to protect patient safety.
11. The Safe Harbor Peer Review process protects nurses from:
A. All liability
B. BON discipline when refusing unsafe assignments
C. Employer termination
, D. Civil lawsuits
Italicized rationale: Safe Harbor applies to BON discipline only.
12. A nurse invoking Safe Harbor must do so:
A. After patient harm occurs
B. Before engaging in the conduct in question
C. Only in writing after the shift
D. Through a manager only
Italicized rationale: Timely invocation is required for protection.
13. Which document defines minimum standards of nursing practice in Texas?
A. ANA Code of Ethics
B. BON Rule 217.11
C. Hospital policy manual
D. NPA preamble only
Italicized rationale: Rule 217.11 specifies minimum practice standards.
14. A nurse who falsifies documentation commits:
A. A minor error
B. Unprofessional conduct
C. Acceptable correction
D. Protected speech
Italicized rationale: Falsification undermines patient safety and legal
integrity.
15. The duty to a patient is established when:
A. A nurse is employed
B. The nurse accepts the patient assignment
C. The physician writes orders
D. The patient is admitted
Italicized rationale: Acceptance of assignment creates duty.
