Texas Nursing Jurisprudence
Exam Actual Exam 2026/2027 | All
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Texas Nursing Practice Act (NPA) & Board Rules
Q1: According to the Texas Nursing Practice Act, which of the following best defines the
practice of "Vocational Nursing"?
A. Performing acts requiring specialized judgment and skill based on knowledge and
application of principles of biological, physical, and social science.
B. Direct and indirect patient care services that ensure the safety, comfort, personal
hygiene, and protection of patients.
C. The performance for compensation of any act that requires substantial specialized
judgment and nursing skill.
D. Diagnosis and treatment of human responses to actual or potential health problems.
Correct Answer: A
Rationale: The NPA defines vocational nursing as a directed scope of practice requiring
specialized judgment and skill, whereas option C is the definition of professional nursing
(RN) and option D refers more to the nursing process/APRN scope.
Q2: The Texas Board of Nursing (BON) operates under the Texas Occupations Code.
Which chapter is specifically known as the "Nursing Practice Act"?
A. Chapter 301
B. Chapter 302
C. Chapter 303
D. Chapter 224
Correct Answer: A
Rationale: Chapter 301 of the Texas Occupations Code is the specific statute titled the
Nursing Practice Act, while Chapter 303 refers to the Nurse Licensure Compact and
Chapter 224 refers to the Board's rules regarding delegation.
,Q3: Which of the following statements accurately reflects the mission of the Texas
Board of Nursing?
A. To protect and promote the welfare of the people of Texas by ensuring that each
person holding a license as a nurse in the State of Texas is competent to practice
safely.
B. To ensure that all hospitals in Texas follow federal guidelines for staffing ratios.
C. To provide financial assistance to nursing students in Texas education programs.
D. To act as the sole bargaining unit for nurses in labor disputes.
Correct Answer: A
Rationale: The BON’s primary statutory duty is to protect public safety by ensuring safe
and competent nursing practice, not labor negotiation or financial aid.
Q4: A nurse is practicing in Texas and wants to know where the "Standards of Nursing
Practice" are located. Where should they look?
A. Texas Occupations Code, Chapter 301
B. Texas Administrative Code, Title 22, Part 11
C. Texas Administrative Code, Title 22, Part 22
D. Texas Health and Safety Code, Chapter 241
Correct Answer: C
Rationale: The Standards of Nursing Practice are found in the Texas Administrative
Code (rules made by the Board), specifically Title 22, Part 11, whereas the Statutes
(Laws) are in the Occupations Code.
Q5: Which nursing action is considered a "professional boundary violation" according to
the Board's rules?
A. Providing information to a patient about their diagnosis as ordered by the physician.
B. Accepting a gift of a homemade cookie from a patient after discharge.
C. Borrowing money from a patient or lending money to a patient.
D. Visiting a former patient in the hospital where you work for unrelated reasons.
Correct Answer: C
Rationale: Financial transactions with patients are strictly prohibited boundary violations;
while accepting a small post-discharge gift is a gray area, borrowing or lending money is
a clear breach of professional ethics and Board rules.
Q6: In the context of the Texas NPA, what is "Incident-Based Nursing Peer Review"?
A. A meeting held by the hospital to discuss the nurse's annual performance review.
B. A mechanism established by a nursing peer review committee to evaluate nursing
care, competence, and professional conduct based on a specific incident.
C. A legal process where a nurse sues the hospital for wrongful termination.
D. A voluntary process where nurses report their own errors to the Board anonymously.
Correct Answer: B
, Rationale: Incident-based peer review is specifically for evaluating a nurse's conduct or
practice in relation to a specific event, distinct from an annual employment evaluation.
Q7: An Advanced Practice Registered Nurse (APRN) in Texas wants to prescribe a
Schedule II controlled substance. What is required?
A. Only the RN license and national certification.
B. Prescriptive authority and a DPS controlled substance registration number.
C. A co-signature from a physician on every prescription.
D. A separate prescription pad for the hospital only.
Correct Answer: B
Rationale: In addition to APRN licensure and prescriptive authority, prescribing
Schedule II controlled substances requires registration with the Department of Public
Safety (DPS).
Q8: A nurse is convicted of a felony that is unrelated to the practice of nursing (e.g.,
grand larceny). What is the likely impact on their license?
A. The license is automatically revoked without a hearing.
B. The Board may take disciplinary action because the conviction indicates a lack of
fitness to practice.
C. The license remains valid as long as the nurse reports it to their employer.
D. The nurse must wait 5 years before applying for reinstatement.
Correct Answer: B
Rationale: The NPA states that conviction of a felony, even if unrelated to nursing, is
grounds for discipline because it relates to the nurse’s honesty, integrity, and fitness to
practice.
Q9: "Safe Harbor" nursing peer review is a process designed to do what?
A. Protect the nurse from a malpractice lawsuit filed by a patient.
B. Allow a nurse to request a review of an assignment they believe could put patients at
risk or violate the NPA.
C. Ensure that all nurses in the hospital carry malpractice insurance.
D. Provide legal counsel to nurses who are being investigated by the Board.
Correct Answer: B
Rationale: Safe Harbor allows a nurse to object to an assignment without fear of
retaliation or being reported for patient abandonment, provided the specific statutory
steps are followed (making the request in writing).
Q10: Which of the following is true regarding the "Nurse Licensure Compact" (NLC) in
Texas?
A. Texas does not participate in the Compact; nurses must have a separate license for
every state.
Exam Actual Exam 2026/2027 | All
Latest Versions Bundled Together
| Updated with Verified Answers |
Pass Guaranteed - A+ Graded
Texas Nursing Practice Act (NPA) & Board Rules
Q1: According to the Texas Nursing Practice Act, which of the following best defines the
practice of "Vocational Nursing"?
A. Performing acts requiring specialized judgment and skill based on knowledge and
application of principles of biological, physical, and social science.
B. Direct and indirect patient care services that ensure the safety, comfort, personal
hygiene, and protection of patients.
C. The performance for compensation of any act that requires substantial specialized
judgment and nursing skill.
D. Diagnosis and treatment of human responses to actual or potential health problems.
Correct Answer: A
Rationale: The NPA defines vocational nursing as a directed scope of practice requiring
specialized judgment and skill, whereas option C is the definition of professional nursing
(RN) and option D refers more to the nursing process/APRN scope.
Q2: The Texas Board of Nursing (BON) operates under the Texas Occupations Code.
Which chapter is specifically known as the "Nursing Practice Act"?
A. Chapter 301
B. Chapter 302
C. Chapter 303
D. Chapter 224
Correct Answer: A
Rationale: Chapter 301 of the Texas Occupations Code is the specific statute titled the
Nursing Practice Act, while Chapter 303 refers to the Nurse Licensure Compact and
Chapter 224 refers to the Board's rules regarding delegation.
,Q3: Which of the following statements accurately reflects the mission of the Texas
Board of Nursing?
A. To protect and promote the welfare of the people of Texas by ensuring that each
person holding a license as a nurse in the State of Texas is competent to practice
safely.
B. To ensure that all hospitals in Texas follow federal guidelines for staffing ratios.
C. To provide financial assistance to nursing students in Texas education programs.
D. To act as the sole bargaining unit for nurses in labor disputes.
Correct Answer: A
Rationale: The BON’s primary statutory duty is to protect public safety by ensuring safe
and competent nursing practice, not labor negotiation or financial aid.
Q4: A nurse is practicing in Texas and wants to know where the "Standards of Nursing
Practice" are located. Where should they look?
A. Texas Occupations Code, Chapter 301
B. Texas Administrative Code, Title 22, Part 11
C. Texas Administrative Code, Title 22, Part 22
D. Texas Health and Safety Code, Chapter 241
Correct Answer: C
Rationale: The Standards of Nursing Practice are found in the Texas Administrative
Code (rules made by the Board), specifically Title 22, Part 11, whereas the Statutes
(Laws) are in the Occupations Code.
Q5: Which nursing action is considered a "professional boundary violation" according to
the Board's rules?
A. Providing information to a patient about their diagnosis as ordered by the physician.
B. Accepting a gift of a homemade cookie from a patient after discharge.
C. Borrowing money from a patient or lending money to a patient.
D. Visiting a former patient in the hospital where you work for unrelated reasons.
Correct Answer: C
Rationale: Financial transactions with patients are strictly prohibited boundary violations;
while accepting a small post-discharge gift is a gray area, borrowing or lending money is
a clear breach of professional ethics and Board rules.
Q6: In the context of the Texas NPA, what is "Incident-Based Nursing Peer Review"?
A. A meeting held by the hospital to discuss the nurse's annual performance review.
B. A mechanism established by a nursing peer review committee to evaluate nursing
care, competence, and professional conduct based on a specific incident.
C. A legal process where a nurse sues the hospital for wrongful termination.
D. A voluntary process where nurses report their own errors to the Board anonymously.
Correct Answer: B
, Rationale: Incident-based peer review is specifically for evaluating a nurse's conduct or
practice in relation to a specific event, distinct from an annual employment evaluation.
Q7: An Advanced Practice Registered Nurse (APRN) in Texas wants to prescribe a
Schedule II controlled substance. What is required?
A. Only the RN license and national certification.
B. Prescriptive authority and a DPS controlled substance registration number.
C. A co-signature from a physician on every prescription.
D. A separate prescription pad for the hospital only.
Correct Answer: B
Rationale: In addition to APRN licensure and prescriptive authority, prescribing
Schedule II controlled substances requires registration with the Department of Public
Safety (DPS).
Q8: A nurse is convicted of a felony that is unrelated to the practice of nursing (e.g.,
grand larceny). What is the likely impact on their license?
A. The license is automatically revoked without a hearing.
B. The Board may take disciplinary action because the conviction indicates a lack of
fitness to practice.
C. The license remains valid as long as the nurse reports it to their employer.
D. The nurse must wait 5 years before applying for reinstatement.
Correct Answer: B
Rationale: The NPA states that conviction of a felony, even if unrelated to nursing, is
grounds for discipline because it relates to the nurse’s honesty, integrity, and fitness to
practice.
Q9: "Safe Harbor" nursing peer review is a process designed to do what?
A. Protect the nurse from a malpractice lawsuit filed by a patient.
B. Allow a nurse to request a review of an assignment they believe could put patients at
risk or violate the NPA.
C. Ensure that all nurses in the hospital carry malpractice insurance.
D. Provide legal counsel to nurses who are being investigated by the Board.
Correct Answer: B
Rationale: Safe Harbor allows a nurse to object to an assignment without fear of
retaliation or being reported for patient abandonment, provided the specific statutory
steps are followed (making the request in writing).
Q10: Which of the following is true regarding the "Nurse Licensure Compact" (NLC) in
Texas?
A. Texas does not participate in the Compact; nurses must have a separate license for
every state.
