Nursing Jurisprudence and Ethics for
Texas Nurses Exam
According to BON Position Statement 15.24 Engaging in Reinsertion of Permanently
Placed Feeding Tubes, it would be within the scope of practice for a nurse to replace a
gastrostomy tube provided that
A. the tube has been in place for 8-12 weeks, the nurse has a physician's order to
replace the tube, and the nurse has completed specific competency training to safely
replace the tube.
B. the tube has been in place for 8-12 weeks, the facility policy allows replacement of a
tube with a specific physician's order, and the nurse has not completed the required
skills check-off.
C. the tube has been in place for 4-6 weeks and the nurse observed a supervisor
completed the procedure.
D. the tube has been in place 4-6 weeks and the nurse as been determined to be
competent in reinserting permanently placed tubes that have an established fistulous
tract. - Answer- A. the tube has been in place for 8-12 weeks, the nurse has a
physicians to replace the tube, and the nurse has completed specific competency
training to safely replace the tube.
The BON differs from nursing and healthcare specialty associations since 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.
The Standards of Nursing Practice, Board Rule 217.11 state that the LVN scope of
practice includes including doing which of the following with regard to care plans?
A. Initiate the development of a comprehensive nursing care plan independently
B. May not document on the nursing care plan
C. Participate in the modification and development of the nursing care plan.
D. Review the nursing care plan only if directed to do so by the physician. - Answer- C.
Participate in the modification and development of the nursing care plan.
A nurse who contacts a physician to clarify a medication order is
A. fulfilling a duty to keep the patient safe.
B. likely to detract from a collegial nurse-physician relationship.
C. engaging in action that is the duty of the pharmacist.
, D. not fulfilling nursing tasks with other patients. - Answer- A. fulfilling a duty to keep the
patient safe.
Nurses often ask the Board about what it means to abandon their patients. Though the
Board does not use this term in the rules, what specific portion of Board Rule 217.12,
Unprofessional Conduct, provides directions for the nurse regarding job abandonment
and conduct that may also be Board-reportable?
A. Paragraph (5)
B. Paragraph (7)
C. Paragraph (12)
D. Paragraph (8) - Answer- C. Paragraph (12)
Which of the following situations is an example of a nurse MAINTAINING appropriate
professional boundaries between the nurse and the client? A nurse
A. rewards a patient with a small stuffed mascot of his favorite football team for
progress made in rehabilitation.
B. responds less frequently to a demanding patient's call light.
C. shares personal information regarding her recent bankruptcy because the patient
seems genuinely interested.
D. is personally attracted to a patient and calls and visits him on her days off "to check
on how he is doing." - Answer- A. rewards a patient with a small stuffed mascot of his
favorite football team for progress made in rehabilitation.
Am advertisement for a "licensed nurse" states the following as routine job
responsibilities. "Must work independently without supervision, have expertise in
developing nursing care plans, including establishing appropriate nursing diagnoses for
assigned patients, and, must be able to complete comprehensive nursing
assessments." Based on these responsibilities, this advertisement would require, at a
minimum, the nurse to hold a valid
A. Advanced Practice Registered Nurse license.
B. Physician Assistant license.
C. Vocational Nurse license.
D. Registered Nurse license. - Answer- D. Registered Nurse license.
A nurse is caught stealing narcotics from the automated dispensing machine on the unit
and self-injecting these drugs while on duty. The nurse admits that she is chemically
dependent. In this situation, the NPA requires
A. the nurse be reported to the BON.
B. the Peer Review Committee to monitor the nurse's practice.
C. the nurse to enroll in the Texas Peer Assistance Program for Nurses (TPAPN).
D. a report to law enforcement. - Answer- B. the Peer Review Committee to monitor the
nurse's practice.
Texas Nurses Exam
According to BON Position Statement 15.24 Engaging in Reinsertion of Permanently
Placed Feeding Tubes, it would be within the scope of practice for a nurse to replace a
gastrostomy tube provided that
A. the tube has been in place for 8-12 weeks, the nurse has a physician's order to
replace the tube, and the nurse has completed specific competency training to safely
replace the tube.
B. the tube has been in place for 8-12 weeks, the facility policy allows replacement of a
tube with a specific physician's order, and the nurse has not completed the required
skills check-off.
C. the tube has been in place for 4-6 weeks and the nurse observed a supervisor
completed the procedure.
D. the tube has been in place 4-6 weeks and the nurse as been determined to be
competent in reinserting permanently placed tubes that have an established fistulous
tract. - Answer- A. the tube has been in place for 8-12 weeks, the nurse has a
physicians to replace the tube, and the nurse has completed specific competency
training to safely replace the tube.
The BON differs from nursing and healthcare specialty associations since 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.
The Standards of Nursing Practice, Board Rule 217.11 state that the LVN scope of
practice includes including doing which of the following with regard to care plans?
A. Initiate the development of a comprehensive nursing care plan independently
B. May not document on the nursing care plan
C. Participate in the modification and development of the nursing care plan.
D. Review the nursing care plan only if directed to do so by the physician. - Answer- C.
Participate in the modification and development of the nursing care plan.
A nurse who contacts a physician to clarify a medication order is
A. fulfilling a duty to keep the patient safe.
B. likely to detract from a collegial nurse-physician relationship.
C. engaging in action that is the duty of the pharmacist.
, D. not fulfilling nursing tasks with other patients. - Answer- A. fulfilling a duty to keep the
patient safe.
Nurses often ask the Board about what it means to abandon their patients. Though the
Board does not use this term in the rules, what specific portion of Board Rule 217.12,
Unprofessional Conduct, provides directions for the nurse regarding job abandonment
and conduct that may also be Board-reportable?
A. Paragraph (5)
B. Paragraph (7)
C. Paragraph (12)
D. Paragraph (8) - Answer- C. Paragraph (12)
Which of the following situations is an example of a nurse MAINTAINING appropriate
professional boundaries between the nurse and the client? A nurse
A. rewards a patient with a small stuffed mascot of his favorite football team for
progress made in rehabilitation.
B. responds less frequently to a demanding patient's call light.
C. shares personal information regarding her recent bankruptcy because the patient
seems genuinely interested.
D. is personally attracted to a patient and calls and visits him on her days off "to check
on how he is doing." - Answer- A. rewards a patient with a small stuffed mascot of his
favorite football team for progress made in rehabilitation.
Am advertisement for a "licensed nurse" states the following as routine job
responsibilities. "Must work independently without supervision, have expertise in
developing nursing care plans, including establishing appropriate nursing diagnoses for
assigned patients, and, must be able to complete comprehensive nursing
assessments." Based on these responsibilities, this advertisement would require, at a
minimum, the nurse to hold a valid
A. Advanced Practice Registered Nurse license.
B. Physician Assistant license.
C. Vocational Nurse license.
D. Registered Nurse license. - Answer- D. Registered Nurse license.
A nurse is caught stealing narcotics from the automated dispensing machine on the unit
and self-injecting these drugs while on duty. The nurse admits that she is chemically
dependent. In this situation, the NPA requires
A. the nurse be reported to the BON.
B. the Peer Review Committee to monitor the nurse's practice.
C. the nurse to enroll in the Texas Peer Assistance Program for Nurses (TPAPN).
D. a report to law enforcement. - Answer- B. the Peer Review Committee to monitor the
nurse's practice.
