TEXAS NURSING JURISPRUDENCE EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
* Nursing Practice Act and Board Rules
* Licensure and Continuing Competency
* Standards of Nursing Practice
* Unprofessional Conduct
* Disciplinary Action and Due Process
* Peer Review and Whistleblower Protections
* Scope of Practice and Delegation
* Documentation and Record Keeping
Introduction
*The Texas Nursing Jurisprudence Exam is designed to ensure that all nurses practicing within the s
Section One: Questions 1–100
Question 1
A nurse is asked to perform a procedure that is within their educational background but not specifically
mentioned in their current facility’s policy. What is the nurse’s primary responsibility?
A. Perform the procedure if it is within the scope of practice.
B. Request a physician to perform the procedure instead.
C. Consult the facility’s specific policy and the Nursing Practice Act before proceeding.
,D. Decline the procedure immediately without further inquiry.
🟢C
🔴 RATIONALE: The nurse must ensure both the facility policy and the legal scope of practice permit the
action.
Question 2
A nurse knowingly documents that they administered a medication that they actually forgot to give. This is
an example of:
A. Negligence
B. Unprofessional conduct
C. Malpractice
D. Clinical oversight
🟢B
🔴 RATIONALE: Falsifying documentation is a clear violation of professional standards and constitutes
unprofessional conduct.
Question 3
Which of the following is a mandatory reportable event to the Texas Board of Nursing?
A. A nurse who is consistently 10 minutes late to work.
B. A nurse who makes a medication error and self-reports to the manager.
C. A nurse who is suspected of practicing while impaired by substances.
D. A nurse who disagrees with a supervisor’s management style.
🟢C
🔴 RATIONALE: Impairment in the workplace poses a significant threat to patient safety and must be
reported.
Question 4
When delegating a task to an unlicensed assistive personnel (UAP), the nurse is responsible for:
A. The outcome of the task and the supervision of the UAP.
B. Only ensuring the UAP has the correct equipment.
,C. Nothing once the task is delegated.
D. Ensuring the UAP has a nursing license.
🟢A
🔴 RATIONALE: The delegating nurse maintains accountability for the task and the quality of care
provided by the UAP.
Question 5
A patient refuses to sign the consent form for a surgery. The nurse should:
A. Explain the risks and benefits again.
B. Notify the physician that the patient has refused consent.
C. Ask the family to sign on the patient's behalf.
D. Document the refusal and proceed with surgery prep.
🟢B
🔴 RATIONALE: The physician is responsible for obtaining informed consent, and the nurse must notify
them of the patient's refusal.
Question 6
The Texas Nursing Practice Act serves primarily to:
A. Protect the economic interests of nurses.
B. Protect and promote the welfare of the people of Texas.
C. Dictate hospital staffing ratios.
D. Provide a platform for nurse unionization.
🟢B
🔴 RATIONALE: The mission of the Board of Nursing is to protect the public by regulating the practice of
nursing.
Question 7
A nurse observes a colleague diverting controlled substances. What is the appropriate legal action?
A. Confront the colleague privately.
B. Report the incident through the facility’s chain of command or to the Board.
, C. Ignore the situation if no patients were harmed.
D. Ask the colleague to resign.
🟢B
🔴 RATIONALE: Diversion is a serious legal violation that must be reported to the appropriate authorities.
Question 8
What must a nurse do before delegating a task to a UAP?
A. Perform a nursing assessment of the patient’s status.
B. Review the UAP’s personal credit history.
C. Have the patient sign a liability waiver.
D. Determine if the facility is understaffed.
🟢A
🔴 RATIONALE: The nurse must assess the patient’s condition and the stability of the task before
delegating.
Question 9
If a nurse is unsure about their scope of practice for a new procedure, they should:
A. Ask a friend who is also a nurse.
B. Rely on the "Good Samaritan" law.
C. Refer to the Nursing Practice Act and Board rules.
D. Proceed cautiously and document it as an experiment.
🟢C
🔴 RATIONALE: The Nursing Practice Act and Board rules are the definitive authorities for scope of
practice.
Question 10
The "Minor Incident" rule applies to:
A. Incidents that result in patient death.
B. Minor errors that do not indicate a pattern of unsafe practice.
C. Intentional harm caused by a nurse.
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
* Nursing Practice Act and Board Rules
* Licensure and Continuing Competency
* Standards of Nursing Practice
* Unprofessional Conduct
* Disciplinary Action and Due Process
* Peer Review and Whistleblower Protections
* Scope of Practice and Delegation
* Documentation and Record Keeping
Introduction
*The Texas Nursing Jurisprudence Exam is designed to ensure that all nurses practicing within the s
Section One: Questions 1–100
Question 1
A nurse is asked to perform a procedure that is within their educational background but not specifically
mentioned in their current facility’s policy. What is the nurse’s primary responsibility?
A. Perform the procedure if it is within the scope of practice.
B. Request a physician to perform the procedure instead.
C. Consult the facility’s specific policy and the Nursing Practice Act before proceeding.
,D. Decline the procedure immediately without further inquiry.
🟢C
🔴 RATIONALE: The nurse must ensure both the facility policy and the legal scope of practice permit the
action.
Question 2
A nurse knowingly documents that they administered a medication that they actually forgot to give. This is
an example of:
A. Negligence
B. Unprofessional conduct
C. Malpractice
D. Clinical oversight
🟢B
🔴 RATIONALE: Falsifying documentation is a clear violation of professional standards and constitutes
unprofessional conduct.
Question 3
Which of the following is a mandatory reportable event to the Texas Board of Nursing?
A. A nurse who is consistently 10 minutes late to work.
B. A nurse who makes a medication error and self-reports to the manager.
C. A nurse who is suspected of practicing while impaired by substances.
D. A nurse who disagrees with a supervisor’s management style.
🟢C
🔴 RATIONALE: Impairment in the workplace poses a significant threat to patient safety and must be
reported.
Question 4
When delegating a task to an unlicensed assistive personnel (UAP), the nurse is responsible for:
A. The outcome of the task and the supervision of the UAP.
B. Only ensuring the UAP has the correct equipment.
,C. Nothing once the task is delegated.
D. Ensuring the UAP has a nursing license.
🟢A
🔴 RATIONALE: The delegating nurse maintains accountability for the task and the quality of care
provided by the UAP.
Question 5
A patient refuses to sign the consent form for a surgery. The nurse should:
A. Explain the risks and benefits again.
B. Notify the physician that the patient has refused consent.
C. Ask the family to sign on the patient's behalf.
D. Document the refusal and proceed with surgery prep.
🟢B
🔴 RATIONALE: The physician is responsible for obtaining informed consent, and the nurse must notify
them of the patient's refusal.
Question 6
The Texas Nursing Practice Act serves primarily to:
A. Protect the economic interests of nurses.
B. Protect and promote the welfare of the people of Texas.
C. Dictate hospital staffing ratios.
D. Provide a platform for nurse unionization.
🟢B
🔴 RATIONALE: The mission of the Board of Nursing is to protect the public by regulating the practice of
nursing.
Question 7
A nurse observes a colleague diverting controlled substances. What is the appropriate legal action?
A. Confront the colleague privately.
B. Report the incident through the facility’s chain of command or to the Board.
, C. Ignore the situation if no patients were harmed.
D. Ask the colleague to resign.
🟢B
🔴 RATIONALE: Diversion is a serious legal violation that must be reported to the appropriate authorities.
Question 8
What must a nurse do before delegating a task to a UAP?
A. Perform a nursing assessment of the patient’s status.
B. Review the UAP’s personal credit history.
C. Have the patient sign a liability waiver.
D. Determine if the facility is understaffed.
🟢A
🔴 RATIONALE: The nurse must assess the patient’s condition and the stability of the task before
delegating.
Question 9
If a nurse is unsure about their scope of practice for a new procedure, they should:
A. Ask a friend who is also a nurse.
B. Rely on the "Good Samaritan" law.
C. Refer to the Nursing Practice Act and Board rules.
D. Proceed cautiously and document it as an experiment.
🟢C
🔴 RATIONALE: The Nursing Practice Act and Board rules are the definitive authorities for scope of
practice.
Question 10
The "Minor Incident" rule applies to:
A. Incidents that result in patient death.
B. Minor errors that do not indicate a pattern of unsafe practice.
C. Intentional harm caused by a nurse.
