Texas Nurses | Study Guide with
Questions and Answers with Rationale
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
Answer: B. Texas Board of Nursing (BON)
Rationale: The Texas Board of Nursing (BON) regulates nursing practice and licensure
across Texas. It enforces the Nursing Practice Act (Texas Occupations Code Chapter 301)
and ensures professional accountability. Other entities may influence health standards but
do not license or regulate individual nurses .
,Question 2
The mission of the Texas Board of Nursing is to:
A. Represent the interests of nurses in Texas
B. Lobby the Texas Legislature for nursing issues
C. Protect and promote the welfare of the people of Texas
D. Set salary standards for nurses
Answer: C. Protect and promote the welfare of the people of Texas
Rationale: The mission of the Texas Board of Nursing is to protect and promote the
welfare of the people of Texas by ensuring that each person holding a license as a nurse in
Texas is competent to practice safely. Unlike professional organizations like TNA, the BON
is responsible to the public, not to nurses .
Question 3
The Texas Nursing Practice Act (NPA) is found in which chapters of the Texas
Occupations Code?
A. Chapters 201, 202, and 203
B. Chapters 301, 303, and 304
C. Chapters 401, 403, and 404
D. Chapters 501, 503, and 504
,Answer: B. Chapters 301, 303, and 304
Rationale: The NJE focuses on three key chapters of the Texas Occupations Code: Chapter
301 (Nursing Practice Act), Chapter 303 (Nursing Peer Review), and Chapter 304 (Nurse
Licensure Compact). These chapters collectively govern licensure, standards of practice,
peer review, and multistate nursing privileges in Texas .
Question 4
The Nursing Practice Act can only be changed by:
A. The Board of Nursing voting during quarterly meetings
B. The Governor of Texas via executive order
C. Legislation enacted by the Texas State Legislature
D. A majority vote of all licensed nurses in Texas
Answer: C. Legislation enacted by the Texas State Legislature
Rationale: The Nursing Practice Act can only be changed by legislation enacted by the
Texas Legislature, which convenes for 140 days every two years. The BON does not have
the authority to change the NPA. The Governor can convene special sessions, but
amendment of the NPA during a special session has not occurred .
, Question 5
The Texas BON Rules and Regulations are located in the Texas Administrative Code
under:
A. Title 1, Part 1
B. Title 22, Part 11
C. Title 25, Part 1
D. Title 40, Part 1
Answer: B. Title 22, Part 11
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, including Rule 217.11 (Standards of Nursing Practice) .
Question 6
How often must nurses renew their Texas license?
A. Every year
B. Every two years
C. Every three years
D. Every four years
Answer: B. Every two years