EXAM STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
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<NEWEST VERSION>
1. define nurse jurisprudence according to the texas BON - ANSWER ✔
Jurisprudence is the science or philosophy of law. The Texas Nurse Practice
Act and the Texas Board of Nursing Rules and Regulations Relating to
Nurse Education, Licensure, and Practice are the laws that govern the
practice of nursing practice in Texas. Your nursing practice is directly
affected by your ability to make informed decision within the parameters of
these laws. You need to know how the rules apply to you, and then apply
them in your nursing practice.
2. state the reason new nurses must take and pass the nurse jurisprudence exam
to receive their license to practice professional nursing in Texas - ANSWER
✔ BON staff have heard nurses who were disciplined by the board
proclaim "If only i had known and understood about my 'duty to the patient'
under the NPA and board rules I would have not gotten into trouble with the
BON"
3. identify several topics covered on the nurse jurisprudence exam - ANSWER
✔ -licensure and regulation
-ethics
-practice
-peer reviews
-disciplinary action
make and accept assignments
-nurses must take into consideration the staff person's:
,educational preparation,
experience,
knowledge and
physical and emotional ability
4. explore implications for practice from rule 217.11 standards of nursing
practice from the Texas Nurse Practice Act - ANSWER ✔ Rule 217.11 is
the foundation for all other standards:
" ...maintain a safe environment for clients and others"
*this standard supersedes any physician order, facility policy, or administrative
directive
5. explore conditions under which the nurse's duty to a patient begins -
ANSWER ✔ You understand the minimum standards of care once you
receive your nursing license
-Nurses duty to a patient:
*begins when there is a relationship established between the nurse and the
patient
*begins when the nurse has a responsibility for a patient
*doesn't begin with a single event (clocking in)
*when a nurse knows or should have known that a situation potentially
6. discuss the process of safe harbor - ANSWER ✔ -Complete quick request
first
-then before the shift ends complete the comprehensive one
mandatory overtime:
-a hospital is prohibited from scheduling mandatory overtime
-on call time cannot be used to produce mandatory overtime
-exceptions: disaster, state of emergency, unforeseen event, nurse is doing a
procedure and cannot leave(patient safety)
retaliation by the hospital is prohibited
the nurse should invoke safe harbor when asked to accept an assignment that is
unsafe or outside of her knowledge, skills, physical/emotional abilities
,safe harbor applies to all nurses when the nurse believes an assignment may
place patients at risk of harm, thus violating the nurses' duty to a patient
7. A school district contracts with a registered nurse (RN) to teach the staff
how to monitor a student's blood glucose. The RN then observes each
perform this task correctly. The RN does not work for the school district and
will not have any further contact with the staff. In this example, the RN is
A. training the staff how to perform the task of monitoring blood glucose.
B. supervising the staff on a daily basis in performing blood glucose
monitoring.
C. engaging in RN delegation of nursing tasks to be performed by the
staff who are responsible to report to the RN.
D. acting outside of the RN's scope in teaching blood glucose monitoring
to the staff. - ANSWER ✔ A. training the staff how to perform the
task of monitoring blood glucose.
8. To help a nurse decide if a task is within his or her individual scope of
practice, a prudent nurse should
A. consider utilizing the Scope of Practice Decision-Making Model.
B. obtain a list of tasks a nurse may perform from the BON.
C. ask a physician whether the nurse should perform the assigned task.
D. engage in the assigned task as long as the nurse has seen someone else
perform the task at least once - ANSWER ✔ B. obtain a list of tasks
a nurse may perform from the BON.
9. A nurse's history of substance use disorder or mental illness is relevant to
nursing licensure as it may indicate
A. the nurse's current lack of fitness for duty.
B. the type of patients for which the nurse would be best qualified to
provide care.
C. the the nurse will not comply with treatment recommendations.
D. a genetic predisposition to abuse patients. - ANSWER ✔ A. the
nurse's current lack of fitness for duty.
10.When the BON considers imposing disciplinary action, it is most concerned
with the nurse consistently
, A. acting in the best interest of clients.
B. following medical directives for patient care.
C. following the policies and procedures in the employing agency.
D. acting in the best interest of the physician. - ANSWER ✔ A. acting
in the best interest of clients.
11.Rule 216 related to Continuing Competency requires nurse to complete
A. 20 contact hours of continuing education within two years preceding
license renewal.
B. 15 contact hours of continuing education each year for license
renewal.
C. 15 contact hours of continuing education within two years preceding
license renewal.
D. 20 contact hours of continuing education each year for license
renewal. - ANSWER ✔ A. 20 contact hours of continuing education
within two years preceding license renewal.
12.A nurse is terminated and reported to the BON for committing repeated
practice errors. As required in the NPA, the CNO also sends the case to the
Incident Based Peer Review (IBPR) Committee because:
A. the nurse may convince the committee the errors were not her fault,
and the committee can then withdraw the CNO's report to the BON.
B. the IBPR Committee can decide to reverse the CNO's decision to
terminate the nurse's employment.
C. the IBPR Committee may decide to re-orient and re-train the nurse
even though she was fired.
D. the IBPR Committee is required to review external factors
surrounding the practice errors and to report to the facility's Patient
Safety Committee as appropriate. - ANSWER ✔ D. the IBPR
Committee is required to review external factors surrounding the
practice errors and to report to the facility's Patient Safety Committee
as appropriate.
13.While a LVN has a "directed" scope of practice, this is NOT true for a RN.
This means that the RN