Practice Exam Questions and
Answers2026/2027 Updated
1. Which of the following is the primary law regulating nursing practice
in Texas?
A) The Texas Nursing Practice Act
B) The Texas Medical Practice Act
C) The Texas Patient Safety Act
D) The Texas Board of Nursing Ethics Code
Answer: A) The Texas Nursing Practice Act
Rationale: The Texas Nursing Practice Act is the main statute that defines
the scope of nursing practice and the authority of the Texas Board of
Nursing.
,2. How often must a nurse renew their license in Texas?
A) Every year
B) Every 2 years
C) Every 3 years
D) Every 5 years
Answer: B) Every 2 years
Rationale: Texas nurses must renew their license every two years and
complete continuing education requirements.
3. Which action is required if a nurse suspects a child is being abused or
neglected?
A) Report the suspicion to the Texas Department of Family and
Protective Services immediately
B) Wait for confirmation before reporting
C) Report only if there are visible injuries
D) Notify the nurse manager first before reporting
Answer: A) Report the suspicion to the Texas Department of Family and
Protective Services immediately
Rationale: Texas law mandates immediate reporting of suspected child
abuse or neglect by health professionals.
4. Which of the following is TRUE about delegation by a registered nurse
in Texas?
A) RNs may delegate any nursing task to unlicensed assistive personnel
without restrictions
B) RNs may delegate only tasks that do not require nursing judgment
C) RNs cannot delegate any tasks under Texas law
D) Delegation is the responsibility of the unlicensed assistive personnel
only
,Answer: B) RNs may delegate only tasks that do not require nursing
judgment
Rationale: Delegation in Texas requires that tasks must be appropriate for
delegation and not require nursing judgment; RNs retain responsibility for
patient assessment and evaluation.
5. What is the purpose of the Texas Board of Nursing’s “Standards of
Professional Nursing Conduct”?
A) To provide guidelines for the ethical and professional behavior of
nurses
B) To outline technical nursing skills
C) To set hospital policies for nurses
D) To regulate nurse salaries
Answer: A) To provide guidelines for the ethical and professional behavior
of nurses
Rationale: These standards guide nurses in maintaining professionalism,
patient safety, and ethical conduct.
6. A nurse’s license may be suspended or revoked for which of the
following reasons?
A) Practicing nursing while under the influence of alcohol or drugs
B) Failing to report a communicable disease as required by law
C) Engaging in fraudulent billing practices
D) All of the above
Answer: D) All of the above
Rationale: These are grounds for disciplinary action including suspension
or revocation of a nursing license.
, 7. How many continuing education hours are required for license
renewal in Texas?
A) 10 hours every 2 years
B) 20 hours every 2 years
C) 30 hours every 3 years
D) 40 hours every 2 years
Answer: B) 20 hours every 2 years
Rationale: Texas requires nurses to complete 20 hours of continuing
education every two years for license renewal.
8. Which organization is responsible for enforcing nursing laws and rules
in Texas?
A) Texas Medical Board
B) Texas Department of Health
C) Texas Board of Nursing
D) Texas Nursing Association
Answer: C) Texas Board of Nursing
Rationale: The Texas Board of Nursing is the regulatory body that enforces
nursing practice laws and rules in Texas.
9. Which of the following is a responsibility of the nurse when
administering medication?
A) Ensuring the medication is given at the exact time prescribed
B) Verifying the patient’s identity before administration
C) Documenting the medication given immediately after administration
D) All of the above
Answer: D) All of the above
Rationale: Safe medication administration requires verifying the patient,