TX NJE - Texas Nursing Jurisprudence Nursing Practice Act Provisions Questions and Answers

Question 1

A registered nurse (RN) in a busy ICU is assigned a patient who requires a complex dressing change that the RN has not been trained on.
The charge nurse insists the RN perform the procedure due to staffing shortages.
According to the Texas Nursing Practice Act, what is the most appropriate initial action for the RN to take?

Accepted Answer

Invoke Safe Harbor to initiate a peer review of the assignment's safety before accepting or rejecting it.

Answer

Attempt the procedure using the hospital's online policy and procedure manual as a guide.

Answer

Refuse the assignment and document the refusal in the patient's chart.

Answer

Delegate the dressing change to a licensed vocational nurse (LVN) who claims to have experience.

Question 2

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?

Accepted Answer

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

Answer

The nurse is frequently rude to coworkers but provides clinically excellent patient care.

Answer

The nurse has a personal, non-violent misdemeanor conviction unrelated to nursing practice.

Answer

The nurse consistently clocks in five minutes late for their shift, creating a brief report delay.

Question 3

A Registered Nurse (RN) working in an acute care hospital needs to delegate a task to an unlicensed assistive person (UAP). According to Chapter 224 of the Board of Nursing rules regarding delegation, which task is appropriate for the RN to delegate?

Accepted Answer

Assisting a stable, post-operative patient with ambulation to the restroom.

Answer

Performing a sterile catheter insertion for a patient with urinary retention.

Answer

Administering a scheduled oral antibiotic to a stable patient.

Answer

Conducting the initial admission assessment for a newly arrived patient.

Question 4

Which of the following is considered 'Unprofessional Conduct' by the Texas Board of Nursing under Rule 217.12 and can be grounds for disciplinary action?

Accepted Answer

Failing to maintain a professional boundary by accepting a large cash gift from a patient's family.

Answer

Disagreeing with a physician's order in a respectful and professional manner.

Answer

Refusing to work a double shift due to personal fatigue.

Answer

Participating in a legal and peaceful public protest on a day off.

Question 5

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?

Accepted Answer

Two contact hours related to nursing jurisprudence and nursing ethics.

Answer

A course on the latest advancements in pharmacology.

Answer

Two contact hours related to forensic evidence collection.

Answer

A minimum of four hours on Texas-specific communicable diseases.

Question 6

A nurse who invokes Safe Harbor in good faith when requested to accept an assignment is protected from what action by the employer?

Accepted Answer

Disciplinary action or retaliation for making the request.

Answer

A performance review of the nurse's clinical skills.

Answer

A requirement to complete the detailed Comprehensive Written Request form.

Answer

A future assignment to the same patient or unit.