Nursing Jurisprudence and Ethics for Texas Nurses: Questions and Answers | Exams Nursing

NURSING JURISPRUDENCE AND ETHICS FOR

TEXAS NURSES||2025-2026|| QUESTIONS AND

CORRECT ANSWERS. GRADED A+

1. .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.

Correct 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.

2. .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

Correct answer-D. protects and promotes the welfare of the people of Texas.

3. .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.

Correct answer-C. Participate in the modification and development of the nursing care

plan.

4. .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.

Correct answer-A. fulfilling a duty to keep the patient safe.

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NURSING JURISPRUDENCE AND ETHICS FOR

TEXAS NURSES||2025-2026|| QUESTIONS AND

CORRECT ANSWERS. GRADED A+

.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 safelyreplace the tube. B. the tube has been in place for 8-12 weeks, the facility policy allows replacement of atube 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 fistuloustract. Correct answer-A. the tube has been in place for 8 - 12 weeks, the nurse has aphysicians 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 Correct 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 independentlyB. 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. Correct 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. Correct answer-A. fulfilling a duty tokeep 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) Correct 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 patientseems 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." Correct answer-A. rewards a patient with a small stuffed mascotof 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. Correct 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).

B. will have to pay $1000 as part of the initial license application process. C. will not be eligible to apply for an initial nursing license until five years after being released from community supervision or parole. D. must provide three letters of reference from law enforcement or parole officers and successful retake the NCLEX exam. Correct answer-C. will not be eligible to apply for an initial nursing license until five years after being released from community supervision or parole.

A person with a history f a substance use disorder who desires to obtain or retain a license to practice nursing may be required to provide evidence that includes all of the following EXCEPT: A. current sobriety and fitness to practice. B. 45 contact hours of continuing nursing education.C. attendance at Alcoholics Anonymous meetings. D. positive employer evaluations Correct answer-C. attendance at AlcoholicsAnonymous meetings.
A nursing error that contributes to the death or serious harm of a patient A. can be considered a minor incident if the nurse is accountable for his or her practiceand understands his or her error. B. can be considered a minor incident if the patent had a do-not-resuscitate order. C. cannot be considered a minor incident, even if the nurse appears to have the knowledge and skills to practice safely. D. cannot be considered a minor incident unless the nurse has a previous pattern of similar nursing practice errors. Correct answer-C. cannot be considered a minor incident, even if the nurse appears to have the knowledge and skills to practice safely.
A nurse was terminated from three different jobs beause he or she was stealing from staff members. The nurse has no pending criminal issues and no criminal history. Though this activity does not involve patients, it may indicate that A. the nurse will repeat similar conduct and exploit patients who trust the nurse to act intheir best interest. B. the nurse only steals from fellow employees and would not steal from unsuspectingand vulnerable patients. C. the nurse will delegate tasks to unlicensed assistive personnel that are beyond theirscope of practice. D. the nurse is unable to supervise nursing care provided by other licensed nurses. Correct answer-A. the nurse will repeat similar conduct and exploit patients who trust the nurse to act in their best interest.
A BON investigator in the enforcement division collected evidence that supports the BON's formal charges against a nurse regarding violations of the NPA and board rules. Attempts to notify the nurse via standard and certified mail at the nurse's last address of

record have been returned to the BON office as being "undeliverable or not at this address." Since the investigator has been unable to communicate with the nurse aboutthe BON's formal charges, Board Rule 213.16(i) on Practice and Procedure requires that A. the case proceed and the board's charges be deemed to be true. B. the board close the case and take no action if they are unable to locate the nurse. C. the investigator drop the recommended action (sanction) on the nurse's license to alower level since the nurse has not responded to the formal charges. C. the case be referred to the District Attorney's office for follow-up action Correct answer-A. the case proceed and the board's charges be deemed to be true.

The functions of the BON include A. regulating the education, licensure, and practice of nurses in Texas to ensure the safety of the public. B. lobbying members of the Texas Legislature to pass bills that are favorable to nursesC. evaluating student D. advising currently licensed nurses about potential employment opportunities throughout the state. - Correct answer-A. regulating the education, licensure, andpractice of nurses in Texas to ensure the safety of the public.
A nurse who commits an error that is a minor incident A. must be reported immediately to the Incident-Based Peer Review Committee or tothe BON if there is no peer review at the nurse's place of employment. B. should not under any circumstances be reported to the BON based on just one minor incident. C. must immediately resign from his or her place of employment so that there is no chance of the employment so that there is no chance of the employer alleging a "patternof nursing practice errors." D. need not be reported to the BON unless the nurse's conduct created a significant riskof physical, emotional, or financial harm to the client. - Correct answer-D. need not be reported to the BON unless the nurse's conduct created a significant risk of physical, emotional, or financial harm to the client.
Which of the following statements correctly reflects Board Rule 217.20 regarding the Safe Harbor Peer Review? A. An employer or supervisor can refuse to allow a nurse to invoke Safe Harbor if they resolve the staffing issues. B. Safe Harbor must be invoked prior to engaging in the assignment or at any time the assignment changes as long as the nurse believes it place patients at risk of harm. C. A nurse can invoke Safe Harbor after committing an error that caused patient harm.

B. Memorandum of Understanding between the BON and the Texas State Board of Pharmacy. C. The continuing competency into sheet. D. Scope of Practice Decision-Making Model. - Correct answer-C. The continuing competency into sheet.

If a nurse has reason to believe a medication order is inaccurate or contraindicated, the Standards of Nursing Practice require the nurse to do all of the following EXCEPT: A. consult with the ordering practitioner to clarify the order. B. give the medication as ordered and document concerns in the medical record.C. tell the ordering practitioner if the nurse decide not to give the medication. D. collaborate with other members f the health care team for more information about the medication and why it was ordered. - Correct answer-B. give the medication as ordered and document concerns in the medical record.
When making nursing assignments to other LVNs and RNs, the Board Rule 217. Standards of Nursing Practice, requires the nurse in a supervisory position into consideration all of the following EXCEPT: A. the educational preparation of each licensed nurse.B. the experience of each licensed nurse. C. the state where the nurse was licensed. D. the physical and emotional ability of each licensed nurse. - Correct answer-D. the physical and emotional ability of each licensed nurse.
A person may not practice or offer to practice professional or vocational nursing in Texas unless the person A. graduates from a board-approved nursing educational program in Texas. B. completes at least 500 hours of clinical practice inn his or her nursing educational program. C. demonstrates basic nursing skills on the Nursing Competency Skills List. D. holds a license as required by the NPA. - Correct answer-D. holds a license as required by the NPA.
A nurse quits his job, and submits a written notice at the end of his shift, telling his supervisor that he will not be back at work the following morning. The supervisor tellsthe nurse he has to complete the entire month's schedule or he will be committing "patient abandonment," and will be reported to the BON. This is A. true. The nurse must work the entire currently posted work schedule before he canquit his present job. B. true. It would be "patient abandonment" if the nurse does not complete the current schedule. The nurse could be reported to the BON.

C. false. Quitting a job at the end of a shift is not considered "patient abandonment" bythe BON and is not grounds for reporting to, or action by, the BON. D. false. The nurse only has to work for two more weeks of the schedule before he can quit. - Correct answer-C. false. Quitting a job at the end of a shift is not considered "patient abandonment" by the BON and is not grounds for reporting to, or action by, theBON.

The BON rules regarding licensure renewal require the nurse to answer eligibility questions concerning which of the following with regard to the previous two-yearlicensure cycle A. whether the nurse has completed hours of continuing education.B. whether the nurse has a current CPR card. C. whether the nurse has any criminal background that must be revealed. D. whether the nurse has been fired from employment in the past two years. - Correct answer-C. whether the nurse has any criminal background that must be revealed.
Chart audits find the following errors committed by a nurse with observed impaired behavior at work. NO physician orders for narcotics signed out by the nurse, and NO documentation that the nurse either administered or wasted the narcotics. The best decision for the Incident Based Peer Review Committee to make is that A. the nurse needs remedial education in how to document the rationale for and response to PRN pain medications. B. the nurse must be reported to the Texas Medical Board for signing out medications without a valid physician's order for controlled substances. C. the nurse should be terminated from employment at the facility for stealing drugs. D. the nurse must be reported to the BON because of the combination of practice errorswith possible practice impairment due to substance use or abuse. - Correct answer-D. the nurse must be reported to the BON because of the combination of practice errors with possible practice impairment due to substance use or abuse.
What type of license is required to utilize the two BON rules on delegation to unlicensed personnel? A. Registered Nurse.B. Physician. C. Physician Assistant. D. Licensed Vocational Nurse. - Correct answer-A. Registered Nurse.
The BON rules, located in Title 22 of the Texas Administrative Code, help implement and reflect A. the standards of nursing care developed by various nursing specialty and professional organizations.

Rule 216 related to Continuing Competency requires nurse to complete A. 20 contact hours of continuing education within two years preceding license renewal.B. 15 contact hours of continuing education each year for license renewal. C. 15 contact hours of continuing education within two years preceding license renewal.D. 20 contact hours of continuing education each year for license renewal. - Correct answer-A. 20 contact hours of continuing education within two years preceding license renewal.
A nurse is terminated and reported to the BON for committing repeated practice errors.As required in the NPA, the CNO also sends the case to the Incident Based Peer Review (IBPR) Committee because: A. the nurse may convince the committee the errors were not her fault, and the committee can then withdraw the CNO's report to the BON. B. the IBPR Committee can decide to reverse the CNO's decision to terminate the nurse's employment. C. the IBPR Committee may decide to re-orient and re-train the nurse even though she was fired. D. the IBPR Committee is required to review external factors surrounding the practice errors and to report to the facility's Patient Safety Committee as appropriate. - Correct answer-D. the IBPR Committee is required to review external factors surrounding the practice errors and to report to the facility's Patient Safety Committee as appropriate.
While a LVN has a "directed" scope of practice, this is NOT true for a RN. This means that the RN A. has full accountability for the LVN. B. is able to engage in making medical diagnoses if signed off by a physician and performed under the physician's delegation. C. must be present in all settings to supervise the LVN's care. D. is permitted to practice nursing independently within the RN's scope of practice. - Correct answer-D. is permitted to practice nursing independently within the RN's scopeof practice.
Which of the following activities would violate a provision of the NPA and Board Rule 217.11(2), Standards of Nursing Practice, relating to the practice of nursing by a LVN? A. Assisting in the evaluation of a client's response to nursing interventions. B. Practicing in any setting without an appropriate practice supervisor who is at least telephonically available. C. Collaborating with the RN to revise the nursing care plans for assigned clients. D. Making assignments to other licensed nurses and to unlicensed assistive personnelwhen working in a supervisory position. - Correct answer-B. Practicing in any setting without an appropriate practice supervisor who is at least telephonically available.

The integrated pattern of personal, academic, and occupational behaviors that indicate an individual is able to consistently conform his/her conduct to the requirements of the Nursing Practice Act and the Board's rules relates to A. course requirements of the BON prior to entering nursing school. B. an educational background in liberal arts that complements the nursing profession.C. the Florence Nightingale Pledge. D. the BON's rule concerning good professional character. - Correct answer-D. the BON's rule concerning good professional character.
A nurse is assisting a physician when she witness the physician break sterile techniqueand use a contaminated instrument to finish the procedure. The nurse reports the physician to the Texas Medical Board. Which of the following statements is accurate in relation to this scenario? A. The nurse cannot be disciplined by the BON or discriminated against by the employer. B. The nurse has no recourse if the physician gets angry and terminates her employment. C. If the facility terminates the nurse's employment, the BON can provide the nurse withlegal advice. D. The nurse must inform the physician of any reports the nurse files. - Correct answer-A. The nurse cannot be disciplined by the BON or discriminated against by the employer.
The board's Disciplinary Sanction Policy on Sexual Misconduct explains that A. suggestive language between the nurse and patient are acceptable only in a therapeutic nurse-patient relationship. B. sexual misconduct towards patients or in the workplace raises questions regardingthe nurse's ability to provide safe, competent care. C. sex-related criminal activity by a nurse is a private matter and may not need to be reported to the board. D. sex between a nurse and patient is acceptable if the patient consents. - Correct answer-C. sex-related criminal activity by a nurse is a private matter and may not needto be reported to the board.
Knowing, recognizing, and maintaining professional boundaries of the nurse-patient relationship is a nursing standard. Which of the following is a violation of professionalboundaries? A. A nurse borrows money from a patient to repair the nurse's car. B. A nurse accepts a box of candy from the patient and shares it with other staff. C. The patient shares a history of substance abuse that the nurse reports during shiftchange.

Nursing Jurisprudence and Ethics for Texas Nurses: Questions and Answers, Exams of Nursing

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Partial preview of the text

Download Nursing Jurisprudence and Ethics for Texas Nurses: Questions and Answers and more Exams Nursing in PDF only on Docsity!

NURSING JURISPRUDENCE AND ETHICS FOR

TEXAS NURSES||2025-2026|| QUESTIONS AND

CORRECT ANSWERS. GRADED A+