1
Texas Medical Jurisprudence Exam Actual Exam
2026/2027 | Complete Test Bank with Verified
Questions & Answers | NCLEX & Medical
Licensing Prep | A+ Graded
SECTION 1: TEXAS NURSING PRACTICE ACT (Questions 1-30)
Q1: A Texas RN is approached by an LVN who works on the same medical-surgical unit. The
LVN states, "I've been asked to start an IV on a new admission, but I haven't completed the
required IV therapy course in my LVN program. Is this allowed?" Under the Texas Nursing
Practice Act and BON rules, what is the RN's best response?
A. "It's fine as long as you've had on-the-job training and feel comfortable doing it."
B. "You can perform the procedure if an RN supervises you directly."
C. "LVNs in Texas are not authorized to initiate IV therapy under any circumstances."
D. "You cannot perform this task because you lack the required education and competency
validation." [CORRECT]
Rationale: Under Texas BON rules, LVNs may only perform IV therapy if they have completed a
board-approved IV therapy course as part of their nursing education or post-graduation. On-the-
job training (A) does not satisfy this requirement. While supervision (B) is required for LVN
practice, it does not substitute for the required education. Option (C) is incorrect because LVNs
can perform IV therapy in Texas with proper education and competency validation.
Q2: A nurse in Texas discovers that a colleague has been diverting controlled substances for
personal use. According to the Texas Nursing Practice Act, what is the nurse's legal obligation?
A. Report only if the diversion directly harms a patient
B. Report to the Texas Board of Nursing within 30 days
C. Report immediately to the appropriate authorities, which may include the BON, employer,
and law enforcement
D. Confront the colleague first and give them a chance to self-report
Rationale: Texas Occupations Code §301.402 requires nurses to report conduct that violates the
NPA. The nurse has a duty to report impaired practitioners to protect patient safety. Option (C) is
,2
correct because immediate reporting to appropriate authorities (BON, employer, law
enforcement) is required. Waiting 30 days (B) or only reporting patient harm (A) violates the
duty to report. Confronting first (D) may delay necessary intervention.
Q3: Which of the following is NOT grounds for disciplinary action by the Texas Board of
Nursing under the Nursing Practice Act?
A. Fraud or deceit in obtaining a nursing license
B. Being convicted of a felony unrelated to nursing practice
C. Failing to renew nursing license within one year of expiration
D. Engaging in sexual conduct with a patient
Rationale: While failing to renew a license (C) results in an expired/inactive status, it is not
grounds for disciplinary action unless the nurse continues to practice. Options A, B, and D are all
explicit grounds for discipline under Texas Occupations Code §301.452. A felony conviction (B),
regardless of relation to nursing, must be reported and may result in disciplinary action.
Q4: A Texas RN moves from California and wishes to obtain a Texas nursing license. Which type
of licensure application should she submit?
A. Licensure by examination
B. Licensure by endorsement
C. Temporary permit application only
D. Interstate compact application
Rationale: Licensure by endorsement (B) applies to nurses already licensed in another U.S.
jurisdiction who seek Texas licensure. Licensure by examination (A) is for new graduates. A
temporary permit (C) may be issued during the endorsement process but is not the primary
application. The Nurse Licensure Compact (D) allows multi-state privilege but requires Texas
residency for a multi-state license.
Q5: Under the Texas Nursing Practice Act, what is the minimum continuing nursing education
(CNE) requirement for license renewal?
A. 10 contact hours every 2 years
B. 20 contact hours every 2 years
C. 30 contact hours every 2 years
D. 40 contact hours every 2 years
,3
Rationale: Texas Occupations Code §301.303 requires 20 contact hours of CNE within the
preceding two-year period for license renewal. This is the standard requirement for all Texas
nurses, though additional requirements may apply for specific practice areas like forensic nursing
or nurse practitioners.
Q6: A nurse in Texas has had her license placed on probation by the BON. Which of the
following conditions is the BON LEAST likely to impose?
A. Mandatory random drug screening
B. Restriction from working night shifts
C. Supervised practice with a designated preceptor
D. Required completion of specific continuing education
Rationale: While the BON may impose restrictions on practice settings, specific shift restrictions
(B) are not standard probation conditions. Random drug screening (A), supervised practice (C),
and required CE (D) are common probationary requirements. The BON focuses on competency
and safety, not scheduling preferences.
Q7: According to the Texas Nursing Practice Act, which statement accurately describes the legal
distinction between RN and LVN practice?
A. LVNs may perform all RN functions under direct RN supervision
B. RNs engage in independent nursing judgment and comprehensive assessment; LVNs provide
care under direction with focused assessment
C. The scope of practice is identical; only the title differs
D. LVNs cannot administer any medications in Texas
Rationale: The Texas NPA defines professional nursing (RN) as requiring comprehensive
assessment and independent nursing judgment, while vocational nursing (LVN) involves care
under direction with focused data collection (B). LVNs cannot perform all RN functions (A),
scopes differ significantly (C), and LVNs can administer medications (D) within their scope.
Q8: A Texas nurse fails the NCLEX-RN examination three times. What must the nurse do before
being approved for a fourth attempt?
A. Complete a board-approved refresher course
B. Wait one year from the last attempt
C. Submit a petition for waiver to the BON
D. Re-enroll in an entire nursing program
, 4
Rationale: Texas BON rules require candidates who fail the NCLEX three times to complete a
board-approved refresher course (A) before subsequent attempts. There is no automatic one-year
wait (B), though individual circumstances may vary. A waiver (C) is not standard procedure, and
re-enrolling in a full program (D) is excessive.
Q9: Which of the following actions by a Texas nurse would constitute "practice below the
standard of care" under the NPA?
A. Following a physician's order that the nurse believes is inappropriate
B. Administering the wrong medication due to failure to check patient identification
C. Refusing to accept an assignment due to lack of competency
D. Documenting a medication administration before actually giving the medication
Rationale: Administering wrong medication due to failure to follow basic safety protocols (B)
clearly falls below the standard of care. Following physician orders (A) with appropriate
questioning is standard practice. Refusing assignments (C) without competency is actually
required by the NPA. Pre-charting (D) is a documentation issue but may not reach the level of
practice below standard unless harm occurs.
Q10: A Texas nurse's license expires on the last day of the nurse's birth month. The nurse fails to
renew by this date. How long does the nurse have to renew without reapplying for licensure?
A. 30 days
B. 60 days
C. 90 days
D. One year
Rationale: Texas allows a grace period of less than two years (typically understood as up to the
next renewal cycle) for late renewal with additional fees. However, practicing with an expired
license is prohibited. The most accurate answer is that the nurse can renew within the next
renewal period (approximately two years) but cannot practice during that time. Among the
options, 90 days (C) represents a common administrative grace period for late renewal without
license reactivation procedures.
Q11: Under the Texas Nursing Practice Act, when is a nurse required to self-report to the BON?
A. Only when formally requested by the BON
B. Within 30 days of any arrest, indictment, or conviction of a felony or misdemeanor involving
moral turpitude
C. Annually, as part of license renewal
Texas Medical Jurisprudence Exam Actual Exam
2026/2027 | Complete Test Bank with Verified
Questions & Answers | NCLEX & Medical
Licensing Prep | A+ Graded
SECTION 1: TEXAS NURSING PRACTICE ACT (Questions 1-30)
Q1: A Texas RN is approached by an LVN who works on the same medical-surgical unit. The
LVN states, "I've been asked to start an IV on a new admission, but I haven't completed the
required IV therapy course in my LVN program. Is this allowed?" Under the Texas Nursing
Practice Act and BON rules, what is the RN's best response?
A. "It's fine as long as you've had on-the-job training and feel comfortable doing it."
B. "You can perform the procedure if an RN supervises you directly."
C. "LVNs in Texas are not authorized to initiate IV therapy under any circumstances."
D. "You cannot perform this task because you lack the required education and competency
validation." [CORRECT]
Rationale: Under Texas BON rules, LVNs may only perform IV therapy if they have completed a
board-approved IV therapy course as part of their nursing education or post-graduation. On-the-
job training (A) does not satisfy this requirement. While supervision (B) is required for LVN
practice, it does not substitute for the required education. Option (C) is incorrect because LVNs
can perform IV therapy in Texas with proper education and competency validation.
Q2: A nurse in Texas discovers that a colleague has been diverting controlled substances for
personal use. According to the Texas Nursing Practice Act, what is the nurse's legal obligation?
A. Report only if the diversion directly harms a patient
B. Report to the Texas Board of Nursing within 30 days
C. Report immediately to the appropriate authorities, which may include the BON, employer,
and law enforcement
D. Confront the colleague first and give them a chance to self-report
Rationale: Texas Occupations Code §301.402 requires nurses to report conduct that violates the
NPA. The nurse has a duty to report impaired practitioners to protect patient safety. Option (C) is
,2
correct because immediate reporting to appropriate authorities (BON, employer, law
enforcement) is required. Waiting 30 days (B) or only reporting patient harm (A) violates the
duty to report. Confronting first (D) may delay necessary intervention.
Q3: Which of the following is NOT grounds for disciplinary action by the Texas Board of
Nursing under the Nursing Practice Act?
A. Fraud or deceit in obtaining a nursing license
B. Being convicted of a felony unrelated to nursing practice
C. Failing to renew nursing license within one year of expiration
D. Engaging in sexual conduct with a patient
Rationale: While failing to renew a license (C) results in an expired/inactive status, it is not
grounds for disciplinary action unless the nurse continues to practice. Options A, B, and D are all
explicit grounds for discipline under Texas Occupations Code §301.452. A felony conviction (B),
regardless of relation to nursing, must be reported and may result in disciplinary action.
Q4: A Texas RN moves from California and wishes to obtain a Texas nursing license. Which type
of licensure application should she submit?
A. Licensure by examination
B. Licensure by endorsement
C. Temporary permit application only
D. Interstate compact application
Rationale: Licensure by endorsement (B) applies to nurses already licensed in another U.S.
jurisdiction who seek Texas licensure. Licensure by examination (A) is for new graduates. A
temporary permit (C) may be issued during the endorsement process but is not the primary
application. The Nurse Licensure Compact (D) allows multi-state privilege but requires Texas
residency for a multi-state license.
Q5: Under the Texas Nursing Practice Act, what is the minimum continuing nursing education
(CNE) requirement for license renewal?
A. 10 contact hours every 2 years
B. 20 contact hours every 2 years
C. 30 contact hours every 2 years
D. 40 contact hours every 2 years
,3
Rationale: Texas Occupations Code §301.303 requires 20 contact hours of CNE within the
preceding two-year period for license renewal. This is the standard requirement for all Texas
nurses, though additional requirements may apply for specific practice areas like forensic nursing
or nurse practitioners.
Q6: A nurse in Texas has had her license placed on probation by the BON. Which of the
following conditions is the BON LEAST likely to impose?
A. Mandatory random drug screening
B. Restriction from working night shifts
C. Supervised practice with a designated preceptor
D. Required completion of specific continuing education
Rationale: While the BON may impose restrictions on practice settings, specific shift restrictions
(B) are not standard probation conditions. Random drug screening (A), supervised practice (C),
and required CE (D) are common probationary requirements. The BON focuses on competency
and safety, not scheduling preferences.
Q7: According to the Texas Nursing Practice Act, which statement accurately describes the legal
distinction between RN and LVN practice?
A. LVNs may perform all RN functions under direct RN supervision
B. RNs engage in independent nursing judgment and comprehensive assessment; LVNs provide
care under direction with focused assessment
C. The scope of practice is identical; only the title differs
D. LVNs cannot administer any medications in Texas
Rationale: The Texas NPA defines professional nursing (RN) as requiring comprehensive
assessment and independent nursing judgment, while vocational nursing (LVN) involves care
under direction with focused data collection (B). LVNs cannot perform all RN functions (A),
scopes differ significantly (C), and LVNs can administer medications (D) within their scope.
Q8: A Texas nurse fails the NCLEX-RN examination three times. What must the nurse do before
being approved for a fourth attempt?
A. Complete a board-approved refresher course
B. Wait one year from the last attempt
C. Submit a petition for waiver to the BON
D. Re-enroll in an entire nursing program
, 4
Rationale: Texas BON rules require candidates who fail the NCLEX three times to complete a
board-approved refresher course (A) before subsequent attempts. There is no automatic one-year
wait (B), though individual circumstances may vary. A waiver (C) is not standard procedure, and
re-enrolling in a full program (D) is excessive.
Q9: Which of the following actions by a Texas nurse would constitute "practice below the
standard of care" under the NPA?
A. Following a physician's order that the nurse believes is inappropriate
B. Administering the wrong medication due to failure to check patient identification
C. Refusing to accept an assignment due to lack of competency
D. Documenting a medication administration before actually giving the medication
Rationale: Administering wrong medication due to failure to follow basic safety protocols (B)
clearly falls below the standard of care. Following physician orders (A) with appropriate
questioning is standard practice. Refusing assignments (C) without competency is actually
required by the NPA. Pre-charting (D) is a documentation issue but may not reach the level of
practice below standard unless harm occurs.
Q10: A Texas nurse's license expires on the last day of the nurse's birth month. The nurse fails to
renew by this date. How long does the nurse have to renew without reapplying for licensure?
A. 30 days
B. 60 days
C. 90 days
D. One year
Rationale: Texas allows a grace period of less than two years (typically understood as up to the
next renewal cycle) for late renewal with additional fees. However, practicing with an expired
license is prohibited. The most accurate answer is that the nurse can renew within the next
renewal period (approximately two years) but cannot practice during that time. Among the
options, 90 days (C) represents a common administrative grace period for late renewal without
license reactivation procedures.
Q11: Under the Texas Nursing Practice Act, when is a nurse required to self-report to the BON?
A. Only when formally requested by the BON
B. Within 30 days of any arrest, indictment, or conviction of a felony or misdemeanor involving
moral turpitude
C. Annually, as part of license renewal
