and correct answers (verified answers 100%) Q&A
2026/2027 INSTANT DOWNLOAD PDF
1. What is the primary purpose of the Texas Nursing Practice Act (NPA)?
A. To establish hospital staffing ratios
B. To regulate the practice of nursing and protect the public
C. To determine nurses' salaries
D. To regulate medical schools
Answer: B. To regulate the practice of nursing and protect the public.
Rationale: The NPA establishes the legal framework for nursing practice and protects the public
through regulation of nursing.
2. Which agency regulates licensed nurses in Texas?
A. Texas Medical Board
B. Texas Department of Insurance
C. Texas Board of Nursing
D. Texas Department of State Health Services
Answer: C. Texas Board of Nursing.
Rationale: The Texas Board of Nursing (BON) regulates nursing licensure and nursing practice in
Texas.
3. Which source has the force of law regarding Texas nursing practice?
A. Hospital orientation manual only
B. Texas Board of Nursing rules
C. Nursing textbooks
D. Professional association recommendations
Answer: B. Texas Board of Nursing rules.
,Rationale: BON rules, together with the Nursing Practice Act and other applicable laws, establish
legal requirements for nursing practice.
4. A Texas nurse is primarily accountable for practicing within which boundaries?
A. The employer's preferences only
B. The nurse's job description only
C. The Nursing Practice Act, Board rules, and applicable standards
D. The physician's personal preferences
Answer: C. The Nursing Practice Act, Board rules, and applicable standards.
Rationale: Nurses are accountable to Texas nursing law and Board rules regardless of employer
policies.
5. Which Texas Board rule addresses Standards of Nursing Practice?
A. 217.11
B. 217.20
C. 225.12
D. 223.1
Answer: A. 217.11.
Rationale: 22 TAC §217.11 contains Texas Standards of Nursing Practice.
6. Which action is most consistent with the nurse's duty to protect patient safety?
A. Ignoring an unsafe assignment
B. Accepting every assignment without question
C. Taking appropriate action when patient safety is threatened
D. Following an unsafe order without question
Answer: C. Taking appropriate action when patient safety is threatened.
Rationale: Texas standards require nurses to promote a safe environment and protect clients.
7. A nurse should accept an assignment based partly on which factor?
,A. Whether another nurse wants it
B. Educational preparation, experience, knowledge, and ability
C. The nurse's seniority alone
D. The physician's preference
Answer: B. Educational preparation, experience, knowledge, and ability.
Rationale: Texas standards require nurses to accept assignments that consider client safety and
their preparation, experience, knowledge, and abilities.
8. Can an employer expand a nurse's legal scope of practice simply by changing the job
description?
A. Yes
B. Yes, if the nurse agrees
C. No
D. Yes, if the physician approves
Answer: C. No.
Rationale: Employer policies cannot independently expand the legal scope established by Texas
law and BON rules.
9. What should a nurse do when uncertain whether an activity is within the nurse's scope?
A. Perform it immediately
B. Ask another unlicensed worker
C. Evaluate the activity using applicable law, Board rules, and scope-of-practice guidance
D. Ignore the issue
Answer: C. Evaluate the activity using applicable law, Board rules, and scope-of-practice
guidance.
Rationale: Nurses are responsible for determining whether their actions comply with the NPA
and Board rules.
10. Which statement about Texas nursing licensure is correct?
A. A nurse may practice indefinitely without renewal
B. Licensure authorizes nursing practice subject to applicable laws and rules
, C. Hospital employment replaces licensure
D. A physician's supervision replaces nursing licensure
Answer: B. Licensure authorizes nursing practice subject to applicable laws and rules.
Rationale: Nursing licensure is the legal authorization to practice nursing within the applicable
scope.
11. Which designation refers to a registered professional nurse in Texas?
A. LVN
B. RN
C. UAP
D. CNA
Answer: B. RN.
Rationale: RN means Registered Nurse.
12. Which designation refers to a licensed vocational nurse in Texas?
A. LVN
B. APRN
C. RN
D. UAP
Answer: A. LVN.
Rationale: Texas uses the title Licensed Vocational Nurse (LVN).
13. What is an APRN?
A. An administrative nursing assistant
B. An advanced practice registered nurse
C. An approved registered nursing aide
D. An assistant registered nursing student
Answer: B. An advanced practice registered nurse.
Rationale: APRN means Advanced Practice Registered Nurse.