Texas Nursing Jurisprudence Exam (NJE) — Questions and Answers

Question 1: An applicant for initial RN licensure in Texas must pass the Texas Nursing Jurisprudence Exam (NJE). What is the minimum passing score for this exam?

85%
65%
80%
75% (Correct answer)

Correct answer: 75%

Applicants for initial licensure must pass the Texas Nursing Jurisprudence Exam (NJE) with a score of 75% or greater. The exam consists of 50 questions.

Question 2: A hospital that regularly employs 30 nurses, including 20 RNs and 10 LVNs, establishes a nursing peer review committee. According to the Texas Occupations Code, what is the primary purpose of this committee?

To determine the nurse's employment status and issue disciplinary action.
To approve and oversee continuing nursing education (CNE) for the facility's staff.
To mediate workplace disputes between nurses and other healthcare professionals.
To evaluate nursing services and determine if a nurse's conduct requires reporting to the Board of Nursing. (Correct answer)

Correct answer: To evaluate nursing services and determine if a nurse's conduct requires reporting to the Board of Nursing.

The Texas Occupations Code §303.001(5) defines peer review as the evaluation of nursing services, the qualifications of a nurse, the quality of patient care, and the merits of a complaint, ultimately to determine or recommend whether a report to the Board of Nursing is warranted. The committee does not make employment decisions, though the employer may use its findings to inform their own decisions.

Question 3: What is the primary purpose of delegation in the workplace?

To avoid responsibility
To shift accountability to others
To reduce workload for employees
To assign tasks to the appropriate personnel (Correct answer)

Correct answer: To assign tasks to the appropriate personnel

The primary purpose of delegation is to efficiently distribute work by assigning tasks to individuals who have the necessary skills, training, and authority to complete them effectively. This optimizes resource utilization and ensures that responsibilities are handled by the most suitable person, rather than simply reducing workload or shifting accountability. Effective delegation enhances overall team productivity and efficiency.

Question 4: What should a manager do after delegating a task?

Micro-manage the process
Forget about the task
Delegate the task to multiple people
Provide clear deadlines and check-ins (Correct answer)

Correct answer: Provide clear deadlines and check-ins

After delegating a task, a manager should establish clear expectations regarding deadlines and implement a system for periodic check-ins or progress reports. This ensures accountability, allows for timely support or adjustments if needed, and helps the manager monitor the task's progression without micromanaging. It's about providing oversight and support, not forgetting the task or constantly hovering, to ensure successful completion.

Question 5: Under Texas law, which of the following does NOT need to be reported to the Texas BON?

A nurse's revocation of licensure in another state
A nurse's minor traffic citation with no arrest (Correct answer)
A malpractice judgment paid on a nurse's behalf
A nurse's arrest for driving while intoxicated

Correct answer: A nurse's minor traffic citation with no arrest

Minor traffic citations that do not result in an arrest or conviction involving moral turpitude are generally not reportable to the BON.

Question 6: A nurse is notified that their practice is being evaluated by an incident-based nursing peer review committee. According to the Texas Administrative Code, which of the following represents a fundamental due process right afforded to the nurse during this process?

The right to receive written notice of the committee's findings no more than 5 calendar days after the review is complete.
The right to have the peer review proceedings paused indefinitely upon the nurse's request.
The right to be present when testimony is being presented and to question witnesses. (Correct answer)
The right to have legal counsel paid for by the facility.

Correct answer: The right to be present when testimony is being presented and to question witnesses.

Texas Administrative Code Rule 217.19(d) outlines the minimum due process rights for a nurse in an incident-based peer review. These rights include being given written notice, a description of the event, and the opportunity to be present, call witnesses, and question witnesses during the proceeding.

Question 7: Under Texas law, all of the following individuals are mandatory reporters of child abuse EXCEPT:

Licensed vocational nurses
Off-duty physicians who have no clinical contact with the child (Correct answer)
Licensed professional counselors
Registered nurses

Correct answer: Off-duty physicians who have no clinical contact with the child

Mandatory reporting is triggered by professional contact with or knowledge of a child's situation; off-duty physicians with no clinical contact with the child fall outside the reporting trigger.

Question 8: Under Texas Board of Nursing Rule 217.11, Standards of Nursing Practice, a nurse has a mandatory duty to report another nurse to the Board of Nursing (BON) or a peer review committee under which of the following circumstances?

The nurse consistently clocks in five minutes late for their shift, creating a brief report delay.
The nurse is frequently rude to coworkers but provides clinically excellent patient care.
The nurse's conduct leads to a reasonable suspicion that their practice is impaired by substance abuse. (Correct answer)
The nurse has a personal, non-violent misdemeanor conviction unrelated to nursing practice.

Correct answer: The nurse's conduct leads to a reasonable suspicion that their practice is impaired by substance abuse.

The Texas Nursing Practice Act and Board Rules mandate reporting when a nurse has reasonable cause to suspect that another nurse's practice is impaired by chemical dependency or substance abuse. While rudeness and tardiness are unprofessional, they do not typically meet the threshold for mandatory reporting unless they directly impact patient safety in a reportable way. Similarly, a misdemeanor unrelated to nursing may not require reporting, whereas impairment from substance abuse poses a direct threat to patient safety and is explicitly defined as conduct subject to reporting.

Question 9: If a professional license is suspended, what is generally required to reinstate it?

Reapplying for the license from the beginning
Nothing, it automatically reinstates
Paying a reinstatement fee
Meeting certain conditions or corrective actions (Correct answer)

Correct answer: Meeting certain conditions or corrective actions

When a professional license is suspended, reinstatement is not automatic and usually requires the licensee to address the specific issues that led to the suspension. This often involves fulfilling certain conditions, completing corrective actions, or demonstrating rehabilitation as mandated by the licensing board. These steps ensure that the underlying problems are resolved before the individual can safely resume practice.

Question 10: Which of the following is a key factor in determining scope of practice?

Amount of time in the profession
Professional experience
Educational background and training (Correct answer)
Personal interest in certain procedures

Correct answer: Educational background and training

A healthcare professional's scope of practice is fundamentally determined by their formal education, specialized training, and demonstrated competencies. These qualifications dictate what procedures they are legally authorized and prepared to perform, ensuring they have the necessary knowledge and skills. While experience is valuable, it must be within the boundaries established by their foundational education and licensure.

Question 11: Who defines the scope of practice for licensed healthcare professionals?

State and federal laws (Correct answer)
Professional associations
Insurance companies
The individual professional

Correct answer: State and federal laws

The scope of practice for licensed healthcare professionals is primarily defined and regulated by governmental bodies through state and federal laws, as well as professional licensing boards. These legal frameworks establish the educational requirements, competencies, and boundaries for each profession to protect the public. Individual professionals or associations do not have the authority to unilaterally define these limits.

Question 12: Which of the following is a critical element for successful delegation?

Trusting the delegate to complete the task (Correct answer)
Only assigning trivial tasks
Supervising every step
Giving vague instructions

Correct answer: Trusting the delegate to complete the task

Successful delegation requires the delegator to trust the delegate's competence and commitment to complete the assigned task. While clear instructions and appropriate supervision are important, an underlying trust empowers the delegate and fosters a sense of ownership, which is crucial for effective task completion and professional development. Without trust, delegation often devolves into micromanagement, undermining its benefits.

Question 13: A registered nurse is randomly selected for a continuing competency audit by the Texas Board of Nursing. Which of the following is the most appropriate documentation to submit as proof of completing a CNE contact hour course?

A certificate of completion that includes the provider's name, date, course title, and number of contact hours awarded. (Correct answer)
A copy of the PowerPoint slides from the educational presentation.
A signed letter from a colleague who also attended the course.
The registration receipt showing payment for the CNE course.

Correct answer: A certificate of completion that includes the provider's name, date, course title, and number of contact hours awarded.

According to BON Rule 216.4, the appropriate proof of CNE completion is a certificate that contains specific information: the nurse's name, course title, date, number of contact hours, provider name, and accreditation information. Other items like colleague letters or payment receipts are not sufficient proof.

Question 14: A nurse manager on a long-term care unit needs to delegate the task of obtaining vital signs for a stable resident to an Unlicensed Assistive Personnel (UAP). Which of the following is NOT a requirement for the RN before delegating this task according to BON Rules?

The RN must ensure the UAP has demonstrated competency in performing the task.
The RN must personally perform the first set of vital signs for the shift. (Correct answer)
The task must not require the UAP to exercise professional nursing judgment.
The RN must provide adequate supervision after the task has been delegated.

Correct answer: The RN must personally perform the first set of vital signs for the shift.

BON Rules 224 and 225, regarding delegation, require the RN to assess the client's needs, ensure the task is appropriate for delegation, verify the UAP's competency, and provide supervision. There is no specific rule stating the RN must take the first set of vitals themselves before delegating, as long as the resident is stable and the delegation is deemed safe and appropriate by the RN's assessment.

Question 15: An incident-based peer review committee is convened to review the practice of a Registered Nurse (RN). Which of the following is a specific requirement for the composition of this committee according to the Nursing Practice Act?

The majority of members must be from outside the employing facility to ensure impartiality.
The committee must be chaired by a physician.
Exactly half the members must be LVNs and half must be RNs.
At least two-thirds of the members must be Registered Nurses, and only RNs may vote. (Correct answer)

Correct answer: At least two-thirds of the members must be Registered Nurses, and only RNs may vote.

Texas Occupations Code §303.003(c) specifies that a peer review committee reviewing the practice of professional nursing must have registered nurses as two-thirds of its members, and only registered nurses are permitted to be voting members.

Question 16: According to the Texas BON Rules, how many contact hours of continuing nursing education (CNE) are required for a nurse to renew their license every two years, and what is one of the mandatory topics that must be completed every third renewal cycle?

15 contact hours, with 1 hour on workplace violence.
25 contact hours, with 3 hours on Texas nursing law.
30 contact hours, with no specific mandatory topics.
20 contact hours, with 2 hours on nursing jurisprudence and ethics. (Correct answer)

Correct answer: 20 contact hours, with 2 hours on nursing jurisprudence and ethics.

Texas Board of Nursing Rule 216.3 requires nurses to complete 20 contact hours of CNE in their area of practice every two years for licensure renewal. Additionally, the rule mandates that every nurse must complete at least 2 contact hours of CNE related to nursing jurisprudence and nursing ethics before the end of every third two-year licensing period.

Question 17: Under the standards of nursing practice in Texas (Rule 217.11), a nurse's responsibility to a client includes which of the following?

Making all healthcare decisions on behalf of an indecisive client.
Implementing measures to promote a safe environment for the client. (Correct answer)
Ensuring the client has the best possible insurance coverage for their care.
Providing personal contact information for follow-up questions after discharge.

Correct answer: Implementing measures to promote a safe environment for the client.

BON Rule 217.11, Standards of Nursing Practice, explicitly states that all nurses shall 'implement measures to promote a safe environment for clients and others.' The other options are outside the nurse's scope of practice or professional boundaries. Financial matters are not a nursing responsibility, making decisions for a client violates their autonomy, and providing personal information is a boundary violation.

Question 18: If a professional license is suspended, what is generally required to reinstate it?

Paying a reinstatement fee
Nothing, it automatically reinstates
Reapplying for the license from the beginning
Meeting certain conditions or corrective actions (Correct answer)

Correct answer: Meeting certain conditions or corrective actions

Question 19: A licensed vocational nurse (LVN) works in a long-term care facility where the majority of residents are over the age of 65. According to Texas BON rules, what specific targeted continuing education must this nurse complete for each two-year renewal period?

A 4-contact hour course on pain management.
A 2-contact hour course related to the care of older adults. (Correct answer)
A 2-contact hour course on forensic evidence collection.
A 2-contact hour course on nursing jurisprudence and ethics.

Correct answer: A 2-contact hour course related to the care of older adults.

Texas BON Rule 216.3(h) requires nurses whose practice includes older adult or geriatric populations to complete at least 2 contact hours of CNE relating to the care of older adults for each renewal cycle.

Question 20: Which of the following situations would obligate a home health agency that regularly employs 12 nurses (7 RNs, 5 LVNs) to conduct an incident-based nursing peer review?

A nurse requests a schedule change due to personal reasons.
A nurse commits five minor incidents within a 12-month period. (Correct answer)
A patient provides a positive satisfaction survey about a nurse.
A physician disagrees with a nurse's documented assessment.

Correct answer: A nurse commits five minor incidents within a 12-month period.

Texas Administrative Code Rule 217.16(e) specifies that in practice settings with nursing peer review, a nurse must be reported to the peer review committee if they commit five minor incidents within a 12-month period, as this may indicate a pattern of practice that poses a risk of harm.

Question 21: Which of the following is a common requirement for obtaining a professional license?

Passing an exam or certification (Correct answer)
Writing an essay
Attending an orientation session
Submitting a resume

Correct answer: Passing an exam or certification

Professional licenses are granted to individuals who demonstrate a required level of competency and knowledge in their field. Passing a standardized exam or certification is the primary method used by licensing boards to assess an applicant's qualifications, ensuring they meet the necessary professional standards for safe and effective practice.

Question 22: Under Texas law, a nurse who suspects a colleague is impaired by drugs or alcohol while on duty is required to report this to:

No one, unless a patient is harmed
The Texas Board of Nursing (BON) only
The Texas Department of Health only
The employing facility and, if unaddressed, to the BON (Correct answer)

Correct answer: The employing facility and, if unaddressed, to the BON

Texas law requires nurses to report impaired colleagues to the employing facility first; if the facility fails to act, the nurse must report to the BON.

Question 23: A peer review committee in Texas determines that a nurse's conduct was potentially unsafe but does not report it to the BON. Which statement best describes this situation?

Peer review committees have absolute discretion over whether to report to the BON
The committee may be in violation of mandatory reporting requirements under Texas law (Correct answer)
Peer review findings are always confidential and never reportable
Only the BON can initiate investigations without peer review committee referral

Correct answer: The committee may be in violation of mandatory reporting requirements under Texas law

Texas law establishes specific circumstances where peer review committees are required to report unsafe nurse conduct to the BON, and failure to do so may violate mandatory reporting obligations.

Question 24: A registered nurse (RN) is assigned to a busy medical-surgical unit. A physician gives the RN a verbal order for a medication that the nurse is unfamiliar with. According to the Texas Board of Nursing (BON) Rules and Regulations, which of the following actions should the nurse take first?

Refuse to administer the medication because it was a verbal order.
Research the medication's rationale and effects before administration. (Correct answer)
Administer the medication as ordered and document the verbal order.
Delegate the administration of the medication to another experienced RN.

Correct answer: Research the medication's rationale and effects before administration.

BON Rule 217.11, Standards of Nursing Practice, requires nurses to know the rationale for and the effects of medications and treatments and to correctly administer them. This standard implies that before administering an unfamiliar medication, the nurse has a duty to obtain the necessary knowledge. Refusing based solely on it being a verbal order isn't the primary issue, and delegating does not absolve the primary nurse of responsibility.

Question 25: A nurse serves on a nursing peer review committee and participates in the evaluation of a colleague's practice. The committee proceedings are conducted in good faith. What protection is this nurse afforded under the Texas Occupations Code?

Guaranteed promotion within the facility for their service.
Complete anonymity, where their identity is never revealed to the nurse being reviewed.
The authority to independently report the nurse to the BON, regardless of the committee's findings.
Immunity from civil liability for any act or recommendation made without malice during the peer review process. (Correct answer)

Correct answer: Immunity from civil liability for any act or recommendation made without malice during the peer review process.

Texas Occupations Code §303.006 grants immunity from civil liability to members of a nursing peer review committee for any act, statement, determination, or recommendation made in the course of peer review, provided it is done in good faith and without malice.

Question 26: Which of the following would be considered unprofessional conduct under Texas BON Rule 217.12 and could result in disciplinary action?

Refusing a patient assignment due to a lack of experience after notifying the supervisor.
Accepting a sealed box of chocolates from a patient's family during the holidays.
Failing to document a patient's response to a PRN pain medication. (Correct answer)
Having a disagreement with a coworker about the unit's staffing schedule.

Correct answer: Failing to document a patient's response to a PRN pain medication.

BON Rule 217.12 defines unprofessional conduct to include inaccurately or incompletely reporting and documenting, which covers failing to document a client's response to medication. While accepting some gifts can cross boundaries, a simple box of chocolates is not typically considered exploitation. Refusing an assignment appropriately is a patient safety measure, and workplace disagreements are not typically a BON matter.

Question 27: A nurse fails to document the administration of a narcotic medication, and later cannot account for the missing dose. This could be grounds for disciplinary action primarily because it violates which standard of nursing practice?

Failure to obtain supervision when implementing new procedures.
Failure to maintain professional boundaries with a client.
Failure to promote and participate in patient education.
Inaccurate or incomplete reporting and documentation. (Correct answer)

Correct answer: Inaccurate or incomplete reporting and documentation.

Texas Administrative Code Rule 217.11(1)(D) requires nurses to accurately and completely report and document the administration of medications and treatments. Furthermore, Rule 217.12(10)(B) specifically lists 'Falsification of or making incorrect, inconsistent, or unintelligible entries in any agency, client, or other record pertaining to drugs or controlled substances' as unprofessional conduct.

Question 28: Under Texas mandatory reporting laws, which statement about confidentiality of reports is CORRECT?

Reports made to the BON are confidential during the investigation unless otherwise required by law (Correct answer)
All reports to the BON are public record immediately upon submission
The nurse making the report must disclose their identity to the reported nurse immediately
Peer review reports can be freely shared with media upon request

Correct answer: Reports made to the BON are confidential during the investigation unless otherwise required by law

Texas law protects the confidentiality of BON reports during the investigation phase to encourage reporting and protect the integrity of the process.

Question 29: Which of the following best describes the PRIMARY purpose of mandatory reporting requirements in Texas nursing law?

To create a permanent public record of all nursing errors
To penalize nurses who make mistakes in clinical practice
To protect the public by ensuring unsafe or impaired practitioners are identified and addressed (Correct answer)
To increase the BON's enforcement revenue through fines and penalties

Correct answer: To protect the public by ensuring unsafe or impaired practitioners are identified and addressed

Mandatory reporting requirements exist primarily to protect the public by ensuring that unsafe, impaired, or unethical nursing practice is identified and addressed through appropriate regulatory channels.

Question 30: A nurse who reports unsafe nursing practice to the Texas BON and is subsequently terminated by the employer may be protected under:

The Texas Whistleblower Act and Occupations Code anti-retaliation provisions (Correct answer)
The Americans with Disabilities Act (ADA)
HIPAA privacy regulations
Federal OSHA standards only

Correct answer: The Texas Whistleblower Act and Occupations Code anti-retaliation provisions

Texas law, including the Occupations Code anti-retaliation provisions, protects nurses who report violations from retaliation such as termination by their employer.

Question 31: A nurse with a current, unencumbered Texas RN license decides to stop working for a few years to travel. They do not want to let their license expire but will not be practicing. Which action should the nurse take before the license expiration date?

Continue to pay the renewal fee without completing CNE.
Notify their previous employer of their intent to stop practicing.
Submit a request to the Board to place the license in 'inactive' or 'retired' status. (Correct answer)
Allow the license to become delinquent, as it can be reactivated later.

Correct answer: Submit a request to the Board to place the license in 'inactive' or 'retired' status.

Nurses with a current license who do not wish to maintain active status can request to place their license in 'inactive' or 'retired' status before it expires. This prevents the license from becoming delinquent.

Question 32: In Texas, suspected abuse or neglect of an elderly or disabled adult living in the community should be reported to:

The attending physician
Texas Board of Nursing
Local law enforcement only
Texas Adult Protective Services (APS) (Correct answer)

Correct answer: Texas Adult Protective Services (APS)

Texas Adult Protective Services (APS) is the designated agency for receiving reports of abuse, neglect, or exploitation of elderly or disabled adults in community settings.

Question 33: A nurse is ordered to float to the pediatric unit but has only worked with adult patients for the past 10 years. The nurse feels unqualified and unsafe to accept the assignment. To be protected from employer retaliation and potential BON disciplinary action, the nurse should invoke which of the following?

Safe Harbor (Correct answer)
Patient Abandonment Protocol
Conscientious Objection
The Grievance Process

Correct answer: Safe Harbor

Safe Harbor, as defined in BON Rule 217.20 and the Nursing Peer Review Law, protects a nurse from employer retaliation and BON discipline when the nurse makes a good faith request for peer review of an assignment that they believe would be a violation of their duty to a patient. This is the appropriate mechanism for a nurse who believes an assignment is unsafe due to lack of competency.

Question 34: A nurse successfully obtains an initial national certification in a nursing specialty from a certifying body approved by the Texas BON. How does this achievement apply to their Texas CNE requirement for the renewal period in which it was earned?

It fulfills the mandatory 2 hours of Jurisprudence and Ethics CNE, but not the other 18 hours.
It fulfills the entire 20-contact-hour CNE requirement for that renewal period. (Correct answer)
It provides 10 of the required 20 contact hours.
It does not count towards CNE unless the certification exam was taken in Texas.

Correct answer: It fulfills the entire 20-contact-hour CNE requirement for that renewal period.

Texas BON Rule 216.3 allows a nurse to meet the entire 20-contact-hour requirement by obtaining, maintaining, or renewing a national nursing certification in their area of practice from a BON-approved certifying body.

Question 35: Which of the following scenarios represents an inappropriate delegation of a nursing task by an RN to a UAP in an acute care setting under Texas BON Rule 224?

Delegating the administration of a routine oral pain medication to a patient who just requested it. (Correct answer)
Delegating the task of performing a simple, non-sterile dressing change.
Delegating the collection and recording of intake and output on a post-operative patient.
Delegating the task of ambulating a stable patient to the restroom for the first time after surgery.

Correct answer: Delegating the administration of a routine oral pain medication to a patient who just requested it.

Texas BON Rule 224.8 explicitly prohibits the delegation of medication administration in acute care settings. The other tasks, such as collecting I/O, ambulating a stable patient, and performing simple non-sterile dressing changes, are generally considered within the scope of delegation provided the client is stable and the UAP is competent.

Question 36: A registered nurse (RN) in a home health setting is caring for a client with a stable, predictable condition. According to Texas BON Rule 225, which of the following tasks is strictly prohibited from being delegated to an Unlicensed Assistive Person (UAP)?

Assisting with tube feedings through a permanently placed gastrostomy tube.
Assisting the client with self-administered medications.
Reinforcement of health teaching that was previously provided by the RN.
Performing a physical assessment to determine a change in the client's condition. (Correct answer)

Correct answer: Performing a physical assessment to determine a change in the client's condition.

According to Texas Board of Nursing (BON) Rule 225.13, nursing tasks that require professional nursing judgment, such as physical assessment, formulation of a nursing care plan, and evaluation of the client's response, are prohibited from delegation. Assisting with self-administered medications, reinforcing teaching, and assisting with feedings via a permanent tube are generally delegable under specific conditions for a stable client.

Question 37: According to Texas BON Rule 216, which of the following is an acceptable source for obtaining approved continuing nursing education (CNE) contact hours?

A free educational seminar sponsored by a pharmaceutical company focused on promoting a specific drug.
An in-house hospital education program that is not accredited or approved by a recognized nursing body.
A program approved by the American Nurses Credentialing Center (ANCC). (Correct answer)
An informal study group of nurses reviewing new practice guidelines together.

Correct answer: A program approved by the American Nurses Credentialing Center (ANCC).

BON Rule 216.4 requires CNE to be approved by a recognized credentialing agency. The American Nurses Credentialing Center (ANCC) is explicitly listed as a Board-recognized credentialing agency. Unaccredited in-house programs, promotional pharmaceutical seminars, and informal study groups are not acceptable providers.

Question 38: How often are professional licenses typically renewed?

Every 10 years
Every 1 to 2 years (Correct answer)
They do not require renewal
Every 5 years

Correct answer: Every 1 to 2 years

Professional licenses are typically renewed every 1 to 2 years to ensure practitioners remain current with evolving standards, regulations, and best practices in their field. This regular renewal cycle allows licensing boards to verify ongoing competency, compliance, and commitment to professional development, thereby protecting public safety and maintaining professional integrity.

Question 39: Which of the following is an example of exceeding the scope of practice for a nurse?

Providing patient education
Diagnosing a disease (Correct answer)
Monitoring vital signs
Administering medication

Correct answer: Diagnosing a disease

While nurses are highly skilled and play a crucial role in patient care, diagnosing a disease typically falls within the scope of practice for physicians or advanced practice providers, not registered nurses. Administering medication, providing patient education, and monitoring vital signs are standard nursing responsibilities. Performing a diagnosis without the appropriate license and training would exceed a nurse's legal scope and could lead to serious consequences.

Question 40: A Texas nurse receives a malpractice settlement payment on their behalf. The nurse must report this settlement to the Texas BON within how many days?

60 days
10 days
180 days
30 days (Correct answer)

Correct answer: 30 days

Texas Occupations Code requires nurses to report malpractice settlements made on their behalf to the BON within 30 days.

Question 41: A nurse's license in another Nurse Licensure Compact (NLC) state is suspended due to a finding of patient neglect. What impact does this have on the nurse's privilege to practice in Texas?

The nurse is only required to notify the Texas BON within 90 days.
The nurse's privilege to practice in Texas is also subject to disciplinary action. (Correct answer)
The nurse can continue to practice in Texas without restriction.
The nurse must apply for a new, single-state Texas license.

Correct answer: The nurse's privilege to practice in Texas is also subject to disciplinary action.

Under the Nursing Practice Act, specifically Texas Occupations Code Sec. 301.452(b)(8), disciplinary action can be taken against a nurse for 'revocation, suspension, or denial of, or any other action relating to, the person's license or privilege to practice nursing in another jurisdiction.' As a member of the NLC, Texas will honor and act upon the disciplinary actions of other compact states.

Question 42: An RN who works full-time in a hospital's emergency department is renewing their license. Which of the following describes a specific, targeted CNE requirement for this nurse based on their practice setting?

They are exempt from this requirement if they have more than three years of ER experience.
A 2-hour forensic evidence course with every license renewal.
A 4-hour advanced forensic evidence course every ten years.
A one-time, 2-hour CNE course on forensic evidence collection. (Correct answer)

Correct answer: A one-time, 2-hour CNE course on forensic evidence collection.

BON Rule 216.3(d) requires nurses practicing in an emergency room setting to complete a one-time, 2-hour CNE course on forensic evidence collection. This course must be completed within two years of the initial date of the nurse's employment in the ER.

Question 43: To maintain licensure, all nurses in Texas are required to complete 20 hours of continuing education every two years. Which of the following is also a mandatory continuing education requirement for every third license renewal cycle?

A course on the latest advancements in pharmacology.
Two contact hours related to nursing jurisprudence and nursing ethics. (Correct answer)
A minimum of four hours on Texas-specific communicable diseases.
Two contact hours related to forensic evidence collection.

Correct answer: Two contact hours related to nursing jurisprudence and nursing ethics.

The Texas Board of Nursing requires all nurses to complete 2 contact hours of continuing education on nursing jurisprudence and ethics before the end of every third two-year licensing period. While other specific requirements exist (like forensic evidence for ER nurses or geriatrics for those working with older adults), the jurisprudence and ethics course is a recurring requirement for all nurses every six years (every third renewal).

Question 44: Which of the following behaviors, observed in a colleague, would most clearly constitute unprofessional conduct under Texas BON Rule 217.12 and require reporting?

Frequently volunteering to administer narcotic medications for other nurses' patients. (Correct answer)
Having a single glass of wine during an off-duty lunch break, several hours before their shift begins.
Discussing a desire to change specialties to a less stressful environment.
Complaining about fatigue due to working frequent overtime shifts.

Correct answer: Frequently volunteering to administer narcotic medications for other nurses' patients.

Rule 217.12 defines unprofessional conduct to include diverting or attempting to divert drugs. Frequently offering to administer narcotics for others, especially when not assigned, is a significant red flag for drug diversion. While the other options are not in themselves unprofessional conduct, the pattern of seeking access to narcotics is highly suspicious and reportable to protect patient safety.

Question 45: What is the key benefit of delegation for team members?

It provides opportunities for skill development (Correct answer)
It increases their job security
It reduces their workload
It allows them to avoid responsibility

Correct answer: It provides opportunities for skill development

Delegation offers significant benefits for team members by exposing them to new responsibilities and challenges, thereby fostering skill development and enhancing their capabilities. It allows them to learn new tasks, take on more ownership, and grow professionally, which can lead to increased job satisfaction and career advancement. It's not about reducing workload or avoiding responsibility, but rather empowering growth and building a more capable team.

Question 46: A Texas nurse receives formal disciplinary action (a reprimand) from the nursing board of another state where they hold a license. The nurse must report this to the Texas BON within:

60 days
30 days (Correct answer)
The nurse is not required to report out-of-state reprimands
10 business days

Correct answer: 30 days

Texas law requires nurses to self-report any disciplinary action, including reprimands, taken against any nursing license in any state within 30 days.

Question 47: What is generally the first step in the licensing process?

Paying a registration fee
Completing an application (Correct answer)
Completing an internship
Scheduling a meeting with a supervisor

Correct answer: Completing an application

The licensing process formally begins with the submission of an application. This initial step provides the regulatory board with essential personal, educational, and experiential information about the applicant. It allows the board to verify eligibility and initiate the review process before any further requirements, such as exams or fees, are addressed.

Question 48: A Texas nurse is convicted of a misdemeanor involving moral turpitude. Within how many days must the nurse self-report this conviction to the Texas BON?

30 days (Correct answer)
10 days
90 days
60 days

Correct answer: 30 days

Texas Occupations Code requires nurses to self-report criminal convictions to the BON within 30 days of the conviction.

Question 49: A Texas peer review committee issues a report finding a nurse engaged in unsafe practice. The committee is required to report findings to the BON within how many days of the final determination?

30 days (Correct answer)
45 days
60 days
10 days

Correct answer: 30 days

Texas law requires peer review committees to submit reports of unsafe practice determinations to the BON within 30 days of the committee's final finding.

Question 50: A hospital supervisor instructs a nurse not to report a colleague's repeated medication errors to the BON. The nurse should:

Wait for the peer review process to conclude before taking any action
Follow the supervisor's instruction since management has authority over reporting decisions
Report only to the state health department, not the BON
Report to the BON anyway, as mandatory reporting obligations cannot be overridden by employers (Correct answer)

Correct answer: Report to the BON anyway, as mandatory reporting obligations cannot be overridden by employers

Mandatory reporting obligations under Texas law cannot be overridden by an employer's instructions; nurses are independently obligated to report regardless of supervisor directives.

Question 51: According to the Texas Board of Nursing, the "Five Rights of Delegation" are critical for ensuring patient safety. Which of the following is NOT one of these five rights?

Right Circumstance
Right Task
Right Documentation (Correct answer)
Right Person

Correct answer: Right Documentation

The Five Rights of Delegation are Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right Supervision/Evaluation. While proper documentation of the delegated task is a crucial part of the nursing process, "Right Documentation" is not one of the official Five Rights of Delegation.

Texas Nursing Jurisprudence Exam (NJE)

The Texas Nursing Jurisprudence Exam (NJE) is required by the Texas Board of Nursing for all nursing licensure applicants, testing knowledge of the Texas Nursing Practice Act, BON rules, and related legal standards.

Questions

120 min

Time Limit

75%

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