TEXAS NURSING JURISPRUDENCE EXAM PAPER
2026/2027 COMPREHENSIVE REVIEW GUIDE WITH
SCENARIOS
Texas Board of Nursing (BON) Jurisprudence & Ethics | Key Domains: Texas Nursing Practice Act
(NPA), Texas BON Rules & Regulations, Licensure & Disciplinary Procedures, Standards of Nursing
Practice, Ethical Principles & Professional Boundaries, Delegation & Supervision, Documentation &
Reporting, and Patient Safety & Advocacy | Expert-Aligned Structure | Comprehensive Review &
Scenario Format
Introduction
This structured Texas Nursing Jurisprudence Exam Review Guide for 2026/2027 provides an
exhaustive review of the Texas Nursing Practice Act and BON rules, integrated with realistic
scenarios, correct answers, and rationales. It emphasizes the application of Texas-specific laws and
regulations to clinical and professional situations to ensure safe, legal, and ethical nursing practice
within the state.
Guide Structure:
• Comprehensive Review Modules: (TEXAS NPA & BON RULES)
• Scenario-Based Question Bank: (120 PRACTICE SCENARIOS)
Answer Format
All correct answers must appear in bold and cyan blue, accompanied by concise rationales
explaining the specific Texas NPA section or BON rule (e.g., Rule 217.11, Standards of Nursing
Practice), the appropriate legal/ethical action for the nurse to take, the correct delegation or
documentation procedure, and why alternative options violate Texas law, BON regulations, or
ethical standards for Texas nurses.
Module 1: Texas Nursing Practice Act (NPA)
Key Concept: The Texas NPA (Board Rule 211) defines the scope of nursing practice, licensure
requirements, and grounds for discipline. It is found in Title 15, Occupations Code, Chapter 301 of
Texas state law.
1. A nurse with a Texas license moves to California. What must the nurse do to practice
legally in California?
A. Continue using the Texas license under the Nurse Licensure Compact (NLC)
, B. Apply for licensure by endorsement in California
C. Practice under a temporary permit while waiting for license renewal
D. Practice only in federal facilities under Texas license
B. Apply for licensure by endorsement in California
California is not a member of the Nurse Licensure Compact (NLC). A nurse must obtain a license from
the state board where they reside and practice. Texas nurses moving to non-compact states must apply
for licensure by endorsement in the new state per Texas BON Rule 216.5.
2. Which of the following is a ground for disciplinary action by the Texas BON?
A. Failing a hospital competency evaluation
B. Conviction of a felony or misdemeanor involving moral turpitude
C. Disagreeing with a physician’s order
D. Taking a medical leave of absence
B. Conviction of a felony or misdemeanor involving moral turpitude
Texas Occupations Code §301.452 lists criminal convictions involving moral turpitude (e.g., fraud, theft,
violence) as grounds for disciplinary action. Employment actions (A, D) or professional disagreement
(C) are not automatic grounds unless they involve unsafe practice.
Module 2: Standards of Nursing Practice (BON Rule 217.11)
Key Concept: Rule 217.11 outlines the minimum acceptable level of nursing practice in Texas. It
includes 18 standards covering assessment, implementation, safety, delegation, and professional
conduct.
3. A nurse administers a medication to which the patient has a documented allergy, causing
anaphylaxis. Which Texas BON standard is violated?
A. Standard 217.11(1)(A): Accurate assessment
, B. Standard 217.11(1)(L): Safe medication administration
C. Standard 217.11(1)(M): Respectful communication
D. Standard 217.11(1)(O): Professional boundaries
B. Standard 217.11(1)(L): Safe medication administration
Standard 217.11(1)(L) requires nurses to “implement measures to promote a safe environment” and
“administer medications safely.” Administering a known allergen is a direct violation of this safety
standard and constitutes unprofessional conduct.
4. A nurse fails to monitor a client’s potassium level while administering furosemide, leading
to life-threatening dysrhythmias. This violates which standard?
A. 217.11(1)(G): Implementation of the nursing plan
B. 217.11(1)(H): Evaluation of client outcomes
C. 217.11(1)(I): Accurate documentation
D. 217.11(1)(J): Competency in assigned tasks
A. 217.11(1)(G): Implementation of the nursing plan
Standard 217.11(1)(G) requires the nurse to “implement the nursing plan using evidence-based
interventions.” Monitoring electrolytes with diuretics is a standard, evidence-based intervention.
Failure to do so breaches the standard of care.
Module 3: Delegation & Supervision
Key Concept: Texas BON Position Statement 15.28 defines the “Five Rights of Delegation”: Right task,
Right circumstances, Right person, Right direction/communication, Right supervision.
5. A charge nurse assigns a newly licensed RN to care for a client with a chest tube. The nurse
has never managed one before. What should the charge nurse do?
A. Reassign the client to a more experienced nurse
, B. Provide direct supervision and ensure competency
C. Allow the nurse to care for the client with written instructions
D. Document that delegation was appropriate
B. Provide direct supervision and ensure competency
Per Texas BON Position Statement 15.28, delegation requires assessment of the nurse’s competence,
instruction, and supervision. The charge nurse must ensure patient safety through direct oversight
until competency is verified. Reassignment (A) avoids teaching; written instructions (C) are insufficient
for high-risk procedures.
6. Which task is appropriate to delegate to unlicensed assistive personnel (UAP) in Texas?
A. Administering oral medications
B. Assessing postoperative pain
C. Assisting with ambulation of a stable client
D. Evaluating wound healing
C. Assisting with ambulation of a stable client
UAPs may perform routine, non-invasive tasks like ambulation under RN supervision. Medication
administration (A), assessment (B), and evaluation (D) require nursing judgment and are within the
RN’s scope per Rule 217.11.
Module 4: Ethics & Professional Boundaries
Key Concept: Texas BON Rule 217.12 prohibits sexual contact or relationships with patients, former
patients (within 6 months), and key parties (e.g., family members involved in care).
7. A nurse begins a romantic relationship with a patient’s spouse 2 months after the patient’s
discharge. Is this permissible?
A. Yes, because the patient is discharged
2026/2027 COMPREHENSIVE REVIEW GUIDE WITH
SCENARIOS
Texas Board of Nursing (BON) Jurisprudence & Ethics | Key Domains: Texas Nursing Practice Act
(NPA), Texas BON Rules & Regulations, Licensure & Disciplinary Procedures, Standards of Nursing
Practice, Ethical Principles & Professional Boundaries, Delegation & Supervision, Documentation &
Reporting, and Patient Safety & Advocacy | Expert-Aligned Structure | Comprehensive Review &
Scenario Format
Introduction
This structured Texas Nursing Jurisprudence Exam Review Guide for 2026/2027 provides an
exhaustive review of the Texas Nursing Practice Act and BON rules, integrated with realistic
scenarios, correct answers, and rationales. It emphasizes the application of Texas-specific laws and
regulations to clinical and professional situations to ensure safe, legal, and ethical nursing practice
within the state.
Guide Structure:
• Comprehensive Review Modules: (TEXAS NPA & BON RULES)
• Scenario-Based Question Bank: (120 PRACTICE SCENARIOS)
Answer Format
All correct answers must appear in bold and cyan blue, accompanied by concise rationales
explaining the specific Texas NPA section or BON rule (e.g., Rule 217.11, Standards of Nursing
Practice), the appropriate legal/ethical action for the nurse to take, the correct delegation or
documentation procedure, and why alternative options violate Texas law, BON regulations, or
ethical standards for Texas nurses.
Module 1: Texas Nursing Practice Act (NPA)
Key Concept: The Texas NPA (Board Rule 211) defines the scope of nursing practice, licensure
requirements, and grounds for discipline. It is found in Title 15, Occupations Code, Chapter 301 of
Texas state law.
1. A nurse with a Texas license moves to California. What must the nurse do to practice
legally in California?
A. Continue using the Texas license under the Nurse Licensure Compact (NLC)
, B. Apply for licensure by endorsement in California
C. Practice under a temporary permit while waiting for license renewal
D. Practice only in federal facilities under Texas license
B. Apply for licensure by endorsement in California
California is not a member of the Nurse Licensure Compact (NLC). A nurse must obtain a license from
the state board where they reside and practice. Texas nurses moving to non-compact states must apply
for licensure by endorsement in the new state per Texas BON Rule 216.5.
2. Which of the following is a ground for disciplinary action by the Texas BON?
A. Failing a hospital competency evaluation
B. Conviction of a felony or misdemeanor involving moral turpitude
C. Disagreeing with a physician’s order
D. Taking a medical leave of absence
B. Conviction of a felony or misdemeanor involving moral turpitude
Texas Occupations Code §301.452 lists criminal convictions involving moral turpitude (e.g., fraud, theft,
violence) as grounds for disciplinary action. Employment actions (A, D) or professional disagreement
(C) are not automatic grounds unless they involve unsafe practice.
Module 2: Standards of Nursing Practice (BON Rule 217.11)
Key Concept: Rule 217.11 outlines the minimum acceptable level of nursing practice in Texas. It
includes 18 standards covering assessment, implementation, safety, delegation, and professional
conduct.
3. A nurse administers a medication to which the patient has a documented allergy, causing
anaphylaxis. Which Texas BON standard is violated?
A. Standard 217.11(1)(A): Accurate assessment
, B. Standard 217.11(1)(L): Safe medication administration
C. Standard 217.11(1)(M): Respectful communication
D. Standard 217.11(1)(O): Professional boundaries
B. Standard 217.11(1)(L): Safe medication administration
Standard 217.11(1)(L) requires nurses to “implement measures to promote a safe environment” and
“administer medications safely.” Administering a known allergen is a direct violation of this safety
standard and constitutes unprofessional conduct.
4. A nurse fails to monitor a client’s potassium level while administering furosemide, leading
to life-threatening dysrhythmias. This violates which standard?
A. 217.11(1)(G): Implementation of the nursing plan
B. 217.11(1)(H): Evaluation of client outcomes
C. 217.11(1)(I): Accurate documentation
D. 217.11(1)(J): Competency in assigned tasks
A. 217.11(1)(G): Implementation of the nursing plan
Standard 217.11(1)(G) requires the nurse to “implement the nursing plan using evidence-based
interventions.” Monitoring electrolytes with diuretics is a standard, evidence-based intervention.
Failure to do so breaches the standard of care.
Module 3: Delegation & Supervision
Key Concept: Texas BON Position Statement 15.28 defines the “Five Rights of Delegation”: Right task,
Right circumstances, Right person, Right direction/communication, Right supervision.
5. A charge nurse assigns a newly licensed RN to care for a client with a chest tube. The nurse
has never managed one before. What should the charge nurse do?
A. Reassign the client to a more experienced nurse
, B. Provide direct supervision and ensure competency
C. Allow the nurse to care for the client with written instructions
D. Document that delegation was appropriate
B. Provide direct supervision and ensure competency
Per Texas BON Position Statement 15.28, delegation requires assessment of the nurse’s competence,
instruction, and supervision. The charge nurse must ensure patient safety through direct oversight
until competency is verified. Reassignment (A) avoids teaching; written instructions (C) are insufficient
for high-risk procedures.
6. Which task is appropriate to delegate to unlicensed assistive personnel (UAP) in Texas?
A. Administering oral medications
B. Assessing postoperative pain
C. Assisting with ambulation of a stable client
D. Evaluating wound healing
C. Assisting with ambulation of a stable client
UAPs may perform routine, non-invasive tasks like ambulation under RN supervision. Medication
administration (A), assessment (B), and evaluation (D) require nursing judgment and are within the
RN’s scope per Rule 217.11.
Module 4: Ethics & Professional Boundaries
Key Concept: Texas BON Rule 217.12 prohibits sexual contact or relationships with patients, former
patients (within 6 months), and key parties (e.g., family members involved in care).
7. A nurse begins a romantic relationship with a patient’s spouse 2 months after the patient’s
discharge. Is this permissible?
A. Yes, because the patient is discharged
