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Texas Jurisprudence Exam : 220 Practice Questions with Rationales – BON Rules, NPA, Safe Harbor & More

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Pass the Texas Jurisprudence Exam on your first attempt with this comprehensive test bank featuring 220 practice questions and detailed rationales. Designed for RNs, LVNs, and nursing students seeking Texas nursing licensure, this resource covers every topic tested on the NJE. Sections covered include: Texas Nursing Practice Act (NPA) & BON Authority – NPA purpose, BON functions, disciplinary grounds, regulatory authority Licensure Requirements & Renewal – initial licensure (NCLEX, background check, fingerprints), biennial renewal, address change (30 days), compact license (eNLC), endorsement, expired license Scope of Practice (RN vs LVN vs APRN) – RN comprehensive assessment & care plan, LVN data collection & participation, APRN full practice authority & prescriptive authority agreements, competence determination, refusing unsafe assignments Delegation & Supervision (Rules 224 & 225) – RN accountability for delegated tasks, UAP tasks (routine vital signs), medication administration cannot be delegated, supervising physician liability (vicarious liability), 7 FTE rule, standing orders Safe Harbor & Peer Review (NPA §301.352) – Safe Harbor request BEFORE conduct, Quick Request form & Comprehensive form (10 days), protection from BON discipline only, peer review confidentiality (NPA Chapter 303) Mandatory Reporting & Disciplinary Actions – reportable conduct (impairment, diversion, unprofessional conduct), child abuse (48 hours), BON reporting (30 days), TPAPN confidential alternative, Whistleblower Act protection Professional Boundaries & Ethics – boundary violations (gifts, personal contact, social media), ANA Code of Ethics (primary commitment to patient), veracity, autonomy, beneficence, non-maleficence, conscientious objection Documentation & Confidentiality (HIPAA) – correcting documentation errors, accessing records (need-to-know basis), patient confidentiality (50 years after death), subpoenas, objective documentation Continuing Education (CE) Requirements – 20 contact hours (10 formal, 10 informal) every 2 years, 2 hours ethics CE, Human Trafficking Prevention (one-time, HHSC-approved), national certification substitute Criminal Background Checks & Declaratory Orders – fingerprint-based background check, Declaratory Order (NPA §301.257) for pre-licensure eligibility determination, disclosing arrests, Blue Card Telehealth & Compact License – Texas eNLC member, practicing across state lines, Texas license required for telehealth, prescribing controlled substances via telemedicine (DEA registration) Whistleblower & Retaliation Protections – protection from employer retaliation for good faith reporting, Board Rule 217.20 Each question includes the correct answer and a clear, high-yield rationale. Updated for . A+ verified. Perfect for Texas nursing jurisprudence exam, NCLEX, and nursing orientation.

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TEXAS JURISPRUDENCE EXAM TEST BANK
2026-2027: 220 PRACTICE QUESTIONS WITH
ANSWERS & RATIONALES | BON RULES & NPA |
HIGH-YIELD



# Table of Contents


| Section | Topic | Question Count |
|---------|-------|----------------|
| 1 | Texas Nursing Practice Act (NPA) & BON Authority | 25 |
| 2 | Licensure Requirements & Renewal | 20 |
| 3 | Scope of Practice (RN vs LVN vs APRN) | 25 |
| 4 | Delegation & Supervision (Rules 224 & 225) | 20 |
| 5 | Safe Harbor & Peer Review (NPA §301.352) | 20 |
| 6 | Mandatory Reporting & Disciplinary Actions | 25 |
| 7 | Professional Boundaries & Ethics | 20 |
| 8 | Documentation & Confidentiality (HIPAA) | 15 |
| 9 | Continuing Education (CE) Requirements | 15 |
| 10 | Criminal Background Checks & Declaratory Orders | 15 |
| 11 | Telehealth, Compact License & Emerging Issues | 10 |
| 12 | Whistleblower & Retaliation Protections | 10 |

,2|Page


| **Total** | | **220** |


---


# SECTION 1: Texas Nursing Practice Act (NPA) & BON Authority (25
Questions)


**1. Which entity is the regulatory authority that oversees the practice of
nursing in Texas?**
A. Texas Department of State Health Services
B. Texas Medical Board (TMB)
C. Texas Board of Nursing (BON)
D. Texas Legislature


**Answer: C – Texas Board of Nursing (BON)**
*Rationale:* The Texas Board of Nursing (BON) is the state regulatory
agency that enforces the Nursing Practice Act (NPA), adopts rules, and
oversees licensure, discipline, and scope of practice for nurses .


**2. What is the primary purpose of the Texas Nursing Practice Act
(NPA)?**
A. To provide employment benefits to nurses
B. To protect the public through regulation of nursing practice

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C. To establish union rules for nurses
D. To define hospital policies


**Answer: B – To protect the public through regulation of nursing
practice**
*Rationale:* The NPA exists primarily to safeguard public health and
safety. It defines the scope of practice, licensure requirements, and
disciplinary procedures for nurses in Texas .


**3. Under the NPA, which of the following is NOT a function of the
Texas Board of Nursing?**
A. Issuing licenses to qualified applicants
C. Disciplining nurses who violate the NPA
D. Setting hospital staffing ratios


**Answer: D – Setting hospital staffing ratios**
*Rationale:* The BON regulates nursing practice and licensure but does
not set hospital staffing ratios. Staffing is typically determined by
facility policies and accreditation standards.


**4. According to NPA §301.452, which of the following is grounds for
disciplinary action against a nurse?**
A. A single minor documentation error corrected promptly
B. Intemperate use of alcohol or drugs that endangers a patient

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C. Refusing an unsafe patient assignment
D. Questioning a physician's order


**Answer: B – Intemperate use of alcohol or drugs that endangers a
patient**
*Rationale:* NPA §301.452 specifically lists intemperate use of alcohol
or drugs that endangers or could endanger a patient as grounds for
discipline. Refusing unsafe assignments is protected under Safe Harbor .


**5. The BON differs from nursing and healthcare specialty associations
because the BON:**
A. Lobbies for legislation favorable to the practice of nursing
B. Sets criteria for evaluating nursing career ladders
C. Offers liability insurance at discounted rates for members
D. Protects and promotes the welfare of the people of Texas


**Answer: D – Protects and promotes the welfare of the people of
Texas**
*Rationale:* The BON is a regulatory agency whose primary mission is
public protection, not professional advocacy. Specialty associations
advocate for nurses; the BON regulates them .


**6. Under the NPA, what is the minimum score required to pass the
Texas Jurisprudence Exam?**

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