1. A nurse just moved from Florida (a non-compact state) to Texas. What is the correct process for
obtaining a valid Texas nursing license?
A) Practice immediately using the Florida license for up to 90 days
B) Apply for licensure by endorsement and pass the jurisprudence exam with 75%
C) Retake the NCLEX and submit a new criminal background check
D) Notify the Florida board and automatically receive a Texas license
Correct answer: B) Apply for licensure by endorsement and pass the jurisprudence exam with 75%
*Rationale: Texas requires licensure by endorsement for nurses moving from non-compact states,
which includes passing the Texas Nursing Jurisprudence Exam with a score of 75% or higher,
submitting fingerprints, and meeting all other requirements.*
2. A nurse has been asked to float to an unfamiliar oncology unit. What is the nurse’s best initial
action to maintain patient safety and comply with the NPA?
A) Refuse the assignment immediately and go home
B) Accept the assignment but do only basic tasks like vital signs
C) Request orientation or training for that unit before accepting the assignment
D) Invoke safe harbor before even speaking to the charge nurse
Correct answer: C) Request orientation or training for that unit before accepting the assignment
Rationale: Nurses are responsible for ensuring they have the necessary knowledge and competency;
requesting training prior to floating is appropriate and protects both the nurse and patients.
3. Which situation would be classified as patient abandonment that could lead to BON disciplinary
action?
A) A nurse resigns with two weeks' notice after completing all scheduled shifts
B) A nurse refuses to work a mandatory overtime shift during a disaster
C) A nurse leaves the unit during a shift without notifying any supervisor, leaving assigned patients
unattended
D) A nurse calls in sick due to a family emergency
Correct answer: C) A nurse leaves the unit during a shift without notifying any supervisor, leaving
assigned patients unattended
Rationale: The BON considers leaving a nursing assignment without notifying proper personnel as
unprofessional conduct; this creates risk of harm to patients and is a licensure issue, not merely an
employment issue.
,4. What is the minimum passing score required on the Texas Nursing Jurisprudence Exam for initial
licensure?
A) 70%
B) 75%
C) 80%
D) 85%
Correct answer: B) 75%
*Rationale: The Texas BON requires a score of 75% or higher on the 50-question Jurisprudence
Exam before a candidate can take the NCLEX or receive initial licensure.*
5. A nurse who is chemically dependent and has been dismissed from a BON-approved peer
assistance program for noncompliance can expect what disciplinary action?
A) Automatic license reinstatement after 30 days
B) No action because the program is voluntary
C) Disciplinary action including possible license revocation for unprofessional conduct
D) A formal written warning with no further consequences
Correct answer: C) Disciplinary action including possible license revocation for unprofessional
conduct
Rationale: Dismissal from a BON-approved peer assistance program for noncompliance is
specifically listed as a category of unprofessional conduct and must be reported to the BON, leading
to disciplinary proceedings.
6. A nurse receives a complaint notice from the BON. How many days does the nurse have to file a
written response?
A) 10 days
B) 15 days
C) 20 days
D) 30 days
Correct answer: C) 20 days
Rationale: According to the BON disciplinary process, the nurse must file a written response within
20 days after receiving the notice of complaint; failure to respond can result in a default judgment.
7. Under the Texas Nurse Practice Act, which action is a LVN legally permitted to perform
independently?
A) Make a nursing diagnosis
B) Complete a focused assessment
C) Develop the initial nursing care plan
D) Evaluate the patient's overall response to all interventions
,Correct answer: B) Complete a focused assessment
Rationale: LVN standards include collecting data and performing focused assessments, but they must
participate in (not independently develop) the nursing care plan and assist with evaluation under
supervision.
8. A nurse is accused of a "minor incident." When must a minor incident be reported to the BON?
A) Never, because minor incidents are always excluded from reporting
B) Only if the patient's family files a formal complaint
C) When there are five minor incidents in a 12-month period
D) Only if the incident resulted in a medication error
*Correct answer: C) When there are five minor incidents in a 12-month period*
Rationale: A pattern of multiple minor incidents (five in 12 months) must be reported to peer review
and may require BON reporting because it indicates potential risk.
9. A nurse who fails to repay guaranteed student loans can face what consequence from the Texas
BON?
A) No consequence because this is a civil matter only
B) The BON will pay the loans to protect the nurse's license
C) Discipline for unprofessional conduct under failure of financial obligations
D) Automatic license suspension without hearing
Correct answer: C) Discipline for unprofessional conduct under failure of financial obligations
Rationale: The BON specifically lists failure to repay guaranteed student loans or child support as a
category of unprofessional conduct subject to disciplinary action.
10. What is the primary mission of the Texas Board of Nursing?
A) To lobby the state legislature for better nurse-to-patient ratios
B) To represent the professional interests of all Texas nurses
C) To protect and promote the welfare of the people of Texas by ensuring nurse competency
D) To regulate healthcare facilities and hospital policies
Correct answer: C) To protect and promote the welfare of the people of Texas by ensuring nurse
competency
Rationale: The BON's mission focuses on public protection, not nurse advocacy; the BON does not
lobby the legislature nor regulate practice settings.
11. A nurse wants to invoke Safe Harbor after being asked to take an unsafe patient assignment. When
must the nurse invoke Safe Harbor?
A) After completing the shift to avoid conflict
B) Before providing care or when the assignment changes
C) Only after a patient is harmed
, D) Within 48 hours of the assignment
Correct answer: B) Before providing care or when the assignment changes
Rationale: Safe Harbor must be invoked before care is given or anytime an assignment changes and
the patient may be in harm; the nurse must notify in writing immediately.
12. Which document details the recommended sanctions for specific violations of the Nurse Practice
Act?
A) The Texas Occupations Code Chapter 301
B) The BON Disciplinary Matrix
C) The Nursing Peer Review Statute Chapter 303
D) The Nurse Licensure Compact Chapter 304
Correct answer: B) The BON Disciplinary Matrix
*Rationale: The 10-page Disciplinary Matrix provides detailed recommended sanctions for specific
violations, categorizing offenses by tier and sanction level.*
13. A nurse has a patient who asks about the nurse's personal religious beliefs. What is the best
response to maintain professional boundaries?
A) Share detailed personal beliefs to build trust
B) Limit disclosure and redirect the conversation back to the patient's care
C) Invite the patient to the nurse's church service
D) Refuse to answer and leave the room immediately
Correct answer: B) Limit disclosure and redirect the conversation back to the patient's care
Rationale: Professional boundaries require limiting self-disclosure; the nurse should not excessively
share personal information or use the relationship for personal benefit.
14. What is the duration of a temporary graduate nurse (GN) permit in Texas?
A) 30 days
B) 60 days
C) 75 days
D) 120 days
Correct answer: C) 75 days
Rationale: The GN temporary permit expires 75 days after issuance or when the nurse passes or fails
the NCLEX, whichever occurs first.
15. An RN delegates medication administration to a UAP in an acute care hospital. Which statement
is correct?
A) This is always prohibited regardless of the setting
B) This is permitted if the UAP has completed a six-week course
C) This is prohibited in acute care settings but may be allowed in independent living situations
obtaining a valid Texas nursing license?
A) Practice immediately using the Florida license for up to 90 days
B) Apply for licensure by endorsement and pass the jurisprudence exam with 75%
C) Retake the NCLEX and submit a new criminal background check
D) Notify the Florida board and automatically receive a Texas license
Correct answer: B) Apply for licensure by endorsement and pass the jurisprudence exam with 75%
*Rationale: Texas requires licensure by endorsement for nurses moving from non-compact states,
which includes passing the Texas Nursing Jurisprudence Exam with a score of 75% or higher,
submitting fingerprints, and meeting all other requirements.*
2. A nurse has been asked to float to an unfamiliar oncology unit. What is the nurse’s best initial
action to maintain patient safety and comply with the NPA?
A) Refuse the assignment immediately and go home
B) Accept the assignment but do only basic tasks like vital signs
C) Request orientation or training for that unit before accepting the assignment
D) Invoke safe harbor before even speaking to the charge nurse
Correct answer: C) Request orientation or training for that unit before accepting the assignment
Rationale: Nurses are responsible for ensuring they have the necessary knowledge and competency;
requesting training prior to floating is appropriate and protects both the nurse and patients.
3. Which situation would be classified as patient abandonment that could lead to BON disciplinary
action?
A) A nurse resigns with two weeks' notice after completing all scheduled shifts
B) A nurse refuses to work a mandatory overtime shift during a disaster
C) A nurse leaves the unit during a shift without notifying any supervisor, leaving assigned patients
unattended
D) A nurse calls in sick due to a family emergency
Correct answer: C) A nurse leaves the unit during a shift without notifying any supervisor, leaving
assigned patients unattended
Rationale: The BON considers leaving a nursing assignment without notifying proper personnel as
unprofessional conduct; this creates risk of harm to patients and is a licensure issue, not merely an
employment issue.
,4. What is the minimum passing score required on the Texas Nursing Jurisprudence Exam for initial
licensure?
A) 70%
B) 75%
C) 80%
D) 85%
Correct answer: B) 75%
*Rationale: The Texas BON requires a score of 75% or higher on the 50-question Jurisprudence
Exam before a candidate can take the NCLEX or receive initial licensure.*
5. A nurse who is chemically dependent and has been dismissed from a BON-approved peer
assistance program for noncompliance can expect what disciplinary action?
A) Automatic license reinstatement after 30 days
B) No action because the program is voluntary
C) Disciplinary action including possible license revocation for unprofessional conduct
D) A formal written warning with no further consequences
Correct answer: C) Disciplinary action including possible license revocation for unprofessional
conduct
Rationale: Dismissal from a BON-approved peer assistance program for noncompliance is
specifically listed as a category of unprofessional conduct and must be reported to the BON, leading
to disciplinary proceedings.
6. A nurse receives a complaint notice from the BON. How many days does the nurse have to file a
written response?
A) 10 days
B) 15 days
C) 20 days
D) 30 days
Correct answer: C) 20 days
Rationale: According to the BON disciplinary process, the nurse must file a written response within
20 days after receiving the notice of complaint; failure to respond can result in a default judgment.
7. Under the Texas Nurse Practice Act, which action is a LVN legally permitted to perform
independently?
A) Make a nursing diagnosis
B) Complete a focused assessment
C) Develop the initial nursing care plan
D) Evaluate the patient's overall response to all interventions
,Correct answer: B) Complete a focused assessment
Rationale: LVN standards include collecting data and performing focused assessments, but they must
participate in (not independently develop) the nursing care plan and assist with evaluation under
supervision.
8. A nurse is accused of a "minor incident." When must a minor incident be reported to the BON?
A) Never, because minor incidents are always excluded from reporting
B) Only if the patient's family files a formal complaint
C) When there are five minor incidents in a 12-month period
D) Only if the incident resulted in a medication error
*Correct answer: C) When there are five minor incidents in a 12-month period*
Rationale: A pattern of multiple minor incidents (five in 12 months) must be reported to peer review
and may require BON reporting because it indicates potential risk.
9. A nurse who fails to repay guaranteed student loans can face what consequence from the Texas
BON?
A) No consequence because this is a civil matter only
B) The BON will pay the loans to protect the nurse's license
C) Discipline for unprofessional conduct under failure of financial obligations
D) Automatic license suspension without hearing
Correct answer: C) Discipline for unprofessional conduct under failure of financial obligations
Rationale: The BON specifically lists failure to repay guaranteed student loans or child support as a
category of unprofessional conduct subject to disciplinary action.
10. What is the primary mission of the Texas Board of Nursing?
A) To lobby the state legislature for better nurse-to-patient ratios
B) To represent the professional interests of all Texas nurses
C) To protect and promote the welfare of the people of Texas by ensuring nurse competency
D) To regulate healthcare facilities and hospital policies
Correct answer: C) To protect and promote the welfare of the people of Texas by ensuring nurse
competency
Rationale: The BON's mission focuses on public protection, not nurse advocacy; the BON does not
lobby the legislature nor regulate practice settings.
11. A nurse wants to invoke Safe Harbor after being asked to take an unsafe patient assignment. When
must the nurse invoke Safe Harbor?
A) After completing the shift to avoid conflict
B) Before providing care or when the assignment changes
C) Only after a patient is harmed
, D) Within 48 hours of the assignment
Correct answer: B) Before providing care or when the assignment changes
Rationale: Safe Harbor must be invoked before care is given or anytime an assignment changes and
the patient may be in harm; the nurse must notify in writing immediately.
12. Which document details the recommended sanctions for specific violations of the Nurse Practice
Act?
A) The Texas Occupations Code Chapter 301
B) The BON Disciplinary Matrix
C) The Nursing Peer Review Statute Chapter 303
D) The Nurse Licensure Compact Chapter 304
Correct answer: B) The BON Disciplinary Matrix
*Rationale: The 10-page Disciplinary Matrix provides detailed recommended sanctions for specific
violations, categorizing offenses by tier and sanction level.*
13. A nurse has a patient who asks about the nurse's personal religious beliefs. What is the best
response to maintain professional boundaries?
A) Share detailed personal beliefs to build trust
B) Limit disclosure and redirect the conversation back to the patient's care
C) Invite the patient to the nurse's church service
D) Refuse to answer and leave the room immediately
Correct answer: B) Limit disclosure and redirect the conversation back to the patient's care
Rationale: Professional boundaries require limiting self-disclosure; the nurse should not excessively
share personal information or use the relationship for personal benefit.
14. What is the duration of a temporary graduate nurse (GN) permit in Texas?
A) 30 days
B) 60 days
C) 75 days
D) 120 days
Correct answer: C) 75 days
Rationale: The GN temporary permit expires 75 days after issuance or when the nurse passes or fails
the NCLEX, whichever occurs first.
15. An RN delegates medication administration to a UAP in an acute care hospital. Which statement
is correct?
A) This is always prohibited regardless of the setting
B) This is permitted if the UAP has completed a six-week course
C) This is prohibited in acute care settings but may be allowed in independent living situations
