10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The TX-NJE exam has 50 questions and runs 2 hours.
These 10 free TX-NJE questions are organized by exam domain, so you can see how each part of the Texas Nursing Jurisprudence Examination (NJE) blueprint is tested. Reveal the answer and explanation under each question.
Domain 1: Nursing Licensure and Regulation in Texas
Question 1
The NJE contains 50 items and uses a published passing standard of 75% correct. Assuming the 50 items are counted equally, a candidate answers 37 correctly and submits the exam at 9:40 a.m. Monday. How should the result and retest time be interpreted?
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Correct answer: C - The candidate failed and may ordinarily retake only after 9:40 a.m. Tuesday.
Question 2
An RN's Texas license expired five years ago. She maintained an active Colorado license and practiced there 18 months ago, and she completed 20 qualifying contact hours during the preceding two years. What remains required for Texas reactivation?
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Correct answer: A - Recent out-of-state practice can remove the refresher requirement, but a current NJE pass and the remaining reactivation requirements still apply.
Question 3
A nurse's fixed, permanent home is Oklahoma, which issued her multistate license. While temporarily working from New Mexico, she provides telehealth nursing to a patient physically located in Texas. Which state's nursing-practice law controls the encounter?
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Correct answer: D - Texas law controls because the patient is located in Texas.
Question 4
During her third consecutive two-year Texas licensing period, an RN completes 18 qualifying contact hours in her area of practice and a 2-hour course specifically addressing nursing jurisprudence and nursing ethics. She has no other targeted-education triggers. Do these courses satisfy both obligations?
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Correct answer: B - Yes. Together, they satisfy the 20-hour method and the third-period jurisprudence-and-ethics requirement.
Domain 2: Nursing Ethics
Question 5
At discharge, a patient's family leaves a modest, sealed snack basket addressed to the entire unit. Hospital policy permits nominal gifts shared with the team; no nurse is singled out, and the family asks for no special treatment. What is the boundary-conscious response?
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Correct answer: D - Accept it for the unit transparently and handle it in accordance with hospital policy.
Question 6
An RN precharts a diuretic as administered, then holds the dose because the patient's blood pressure falls. Ten minutes later, the RN notices the inaccurate entry. Facility policy requires an internal safety report for medication-documentation errors. How should the RN correct the situation?
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Correct answer: B - Assess the patient, make a traceable correction, chart the hold and notifications, and complete the required safety report.
Question 7
An order for an antibiotic appears in the chart of a patient with a documented prior anaphylactic reaction to that drug class. The ordering practitioner says, "It is routine; give it," but does not address the allergy. The patient is stable. What must the nurse do before proceeding?
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Correct answer: A - Withhold the dose, seek clarification through the appropriate chain, monitor the patient, and document the communications.
Domain 3: Nursing Practice
Question 8
An LVN is caring for a patient whose chronic wound had been stable under an established plan. Today the LVN finds new black tissue, increasing drainage, and a temperature of 38.2°C (100.8°F). Which action stays within the LVN's directed scope?
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Correct answer: C - Collect focused findings, promptly report the change to the RN or practitioner, and obtain further direction and reassessment.
Question 9
At the end of a scheduled shift, an RN completes a full handoff and the receiving nurse accepts responsibility for all current patients. The supervisor then orders the RN to stay for four additional patients. Before accepting them, the RN states that severe fatigue makes further practice unsafe and declines. Under the Board's abandonment analysis, what is the effect of the refusal?
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Correct answer: B - This is not patient abandonment on these facts, although the employer may address the refusal as a separate personnel matter.
Question 10
A hospitalized postoperative patient has fluctuating blood pressure and remains clinically unstable. The RN will give patient-specific parameters and remain available. Which activity can the RN delegate to a competent UAP under Chapter 224?
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Correct answer: D - Measure blood pressure at specified intervals and immediately report readings outside the stated limits.