Page 1 of 110
TEXAS NURSING JURISPRUDENCE FINAL EXAM WITH
300 QUESTIONS AND CORRECT DETAILED SOLUTIONS
LATEST UPDATED VERSION THIS YEAR 2026-2027
Texas Nursing Jurisprudence Final Exam 300 Randomized Questions | Scenario-Based Answers
with Italicized Rationales
Based on the Texas Nursing Practice Act (NPA - Texas Occupations Code Chapter 301), Texas
Board of Nursing Rules (22 TAC), Position Statements, and Disciplinary Matrix . Pass
requirement: 38 of 50 questions correct (75%) on official exam .
1. The Texas Nursing Practice Act (NPA) is codified in which of the following locations?
A) Texas Administrative Code, Title 22, Part 11
B) Texas Occupations Code, Chapter 301
C) Texas Health and Safety Code, Chapter 241
D) Texas Civil Practice and Remedies Code, Chapter 74
Answer: B
The NPA is Texas Occupations Code, Chapter 301. The Texas Board of Nursing rules are in the
Texas Administrative Code, Title 22, Part 11, Chapter 217 .
2. A nurse receives a complaint from the Texas BON alleging unprofessional conduct. The BON's
Disciplinary Matrix requires consideration of which factor when determining the sanction?
, Page 2 of 110
A) The nurse's annual salary
B) Evidence of actual or potential harm to patients or the public
C) The number of patients the nurse typically sees
D) The nurse's years of experience as the primary factor
Answer: B
*Under 22 TAC §213.33, the BON considers actual or potential patient harm, lack of
truthfulness, practice history, previous discipline, and mitigating/aggravating circumstances .*
3. An LVN employed in a long-term care facility is asked by the DON to initiate IV fluids on a new
resident. The LVN has never been trained or validated in IV therapy. What is the LVN's
responsibility under Texas BON rules?
A) Accept the assignment because the DON has authority to delegate
B) Refuse the assignment and notify the supervisor that competence is insufficient for safe care
C) Perform the procedure and request training after the fact
D) Document "performed per DON request" to avoid liability
Answer: B
22 TAC §217.11(1)(T) requires nurses to accept only assignments commensurate with
, Page 3 of 110
educational preparation, experience, knowledge, and ability. LVNs must obtain training and
validation before performing IV therapy .
4. A newly licensed RN has been offered a position in an intensive care unit. The RN completed
a critical care rotation in nursing school but has no additional certification. Under Texas BON
rules, the RN may:
A) Accept the position and learn on the job without supervision
B) Accept the position only if provided appropriate orientation and supervision
C) Refuse the position because ICU practice requires certification
D) Accept the position but delegate all complex tasks to more experienced staff
Answer: B
Nurses must make a reasonable effort to obtain orientation and training for unfamiliar practice
settings. The RN can accept the position if the employer provides appropriate orientation and
supervision .
5. A nurse is named in a malpractice lawsuit for an incident that occurred 18 months ago. Under
Texas law (Civil Practice & Remedies Code §74.251), what is the statute of limitations for filing a
healthcare liability claim?
A) 1 year from the date of the incident
, Page 4 of 110
B) 2 years from the date of the incident or 10 years for foreign objects left in the body
C) 3 years from the date of discovery of the injury
D) 5 years from the date of the incident
Answer: B
Texas Civil Practice & Remedies Code §74.251 requires healthcare liability claims to be filed
within 2 years of the occurrence or 10 years for foreign objects, with exceptions for minors .
6. A nurse has been disciplined by the Texas BON. How long does the disciplinary action remain
on the nurse's record?
A) 1 year
B) 5 years
C) Permanently, though some actions may be eligible for expunction after a specific period
D) Until the nurse completes remediation
Answer: C
Disciplinary actions remain permanently on the nurse's record, though certain actions may be
eligible for expunction under specific conditions as determined by the Board .
7. Under the Texas NPA, which of the following is within the legal scope of practice for a
Registered Nurse (RN)?
TEXAS NURSING JURISPRUDENCE FINAL EXAM WITH
300 QUESTIONS AND CORRECT DETAILED SOLUTIONS
LATEST UPDATED VERSION THIS YEAR 2026-2027
Texas Nursing Jurisprudence Final Exam 300 Randomized Questions | Scenario-Based Answers
with Italicized Rationales
Based on the Texas Nursing Practice Act (NPA - Texas Occupations Code Chapter 301), Texas
Board of Nursing Rules (22 TAC), Position Statements, and Disciplinary Matrix . Pass
requirement: 38 of 50 questions correct (75%) on official exam .
1. The Texas Nursing Practice Act (NPA) is codified in which of the following locations?
A) Texas Administrative Code, Title 22, Part 11
B) Texas Occupations Code, Chapter 301
C) Texas Health and Safety Code, Chapter 241
D) Texas Civil Practice and Remedies Code, Chapter 74
Answer: B
The NPA is Texas Occupations Code, Chapter 301. The Texas Board of Nursing rules are in the
Texas Administrative Code, Title 22, Part 11, Chapter 217 .
2. A nurse receives a complaint from the Texas BON alleging unprofessional conduct. The BON's
Disciplinary Matrix requires consideration of which factor when determining the sanction?
, Page 2 of 110
A) The nurse's annual salary
B) Evidence of actual or potential harm to patients or the public
C) The number of patients the nurse typically sees
D) The nurse's years of experience as the primary factor
Answer: B
*Under 22 TAC §213.33, the BON considers actual or potential patient harm, lack of
truthfulness, practice history, previous discipline, and mitigating/aggravating circumstances .*
3. An LVN employed in a long-term care facility is asked by the DON to initiate IV fluids on a new
resident. The LVN has never been trained or validated in IV therapy. What is the LVN's
responsibility under Texas BON rules?
A) Accept the assignment because the DON has authority to delegate
B) Refuse the assignment and notify the supervisor that competence is insufficient for safe care
C) Perform the procedure and request training after the fact
D) Document "performed per DON request" to avoid liability
Answer: B
22 TAC §217.11(1)(T) requires nurses to accept only assignments commensurate with
, Page 3 of 110
educational preparation, experience, knowledge, and ability. LVNs must obtain training and
validation before performing IV therapy .
4. A newly licensed RN has been offered a position in an intensive care unit. The RN completed
a critical care rotation in nursing school but has no additional certification. Under Texas BON
rules, the RN may:
A) Accept the position and learn on the job without supervision
B) Accept the position only if provided appropriate orientation and supervision
C) Refuse the position because ICU practice requires certification
D) Accept the position but delegate all complex tasks to more experienced staff
Answer: B
Nurses must make a reasonable effort to obtain orientation and training for unfamiliar practice
settings. The RN can accept the position if the employer provides appropriate orientation and
supervision .
5. A nurse is named in a malpractice lawsuit for an incident that occurred 18 months ago. Under
Texas law (Civil Practice & Remedies Code §74.251), what is the statute of limitations for filing a
healthcare liability claim?
A) 1 year from the date of the incident
, Page 4 of 110
B) 2 years from the date of the incident or 10 years for foreign objects left in the body
C) 3 years from the date of discovery of the injury
D) 5 years from the date of the incident
Answer: B
Texas Civil Practice & Remedies Code §74.251 requires healthcare liability claims to be filed
within 2 years of the occurrence or 10 years for foreign objects, with exceptions for minors .
6. A nurse has been disciplined by the Texas BON. How long does the disciplinary action remain
on the nurse's record?
A) 1 year
B) 5 years
C) Permanently, though some actions may be eligible for expunction after a specific period
D) Until the nurse completes remediation
Answer: C
Disciplinary actions remain permanently on the nurse's record, though certain actions may be
eligible for expunction under specific conditions as determined by the Board .
7. Under the Texas NPA, which of the following is within the legal scope of practice for a
Registered Nurse (RN)?
