COMPREHENSIVE EXAM QUESTIONS AND
CORRECT ANSWERS [VERIFIED ANSWERS]
|NEWEST UPLOAD |ALREADY GRADED A+
Which authority regulates the scope of practice of nurse practitioners?
a. Federal law
b. Academic institutions
c. Individual state law
d. Individual practice settings - ANS -Individual state law
NPs and clinical nurse specialists derive their legal rights to practice from:
a. The Nurse Practice Act of the state where they practice
b. The laws of the state where they practice
c. The Medicare statute
d. The Board of Nursing in the state where they practice - ANS -The nurse practice act in the state where
they practice
You are working on the palliative care team in your practice when you receive a call from a patient's
family member. A patient on hospice service has died at home. The family asks if you can sign the death
certificate. How do you respond?
a. Ask the family member to fax over the death certificate so you can sign it.
b. Since you didn't witness the death, you are unable to sign the death certificate
c. Since this is the first time you ae completing the death certificate, you will find the lead nurse
practitioner to sign for it.
d. In the state of California, nurse practitioners are not able to sign for death certificates, but you will get
a physician to sign for it. - ANS -d. In the state of California, nurse practitioners are not able to sign for
death certificates, but you will get a physician to sign for it.
,A patient is being admitted into an assisted living facility (ALF). The director of the facility asks that you
complete the admission form, including the physician, and provider orders for the life-sustaining
treatment form (POLS). How do you respond?
· Ask the director to print the POLST form so you can review it with the patient and complete it.
· Since this is the first time you are completing the POLST form, you leave it for the supervising physician
to sign
· In the state of California, nurse practitioners are not able to sign POLST forms, but you will get a
physician to sign for it
· A POLST form is not needed since the patient is not DNR - ANS -
To meet Medicare's coverage requirements, the NP's services must be - ANS -Provide subject to state
restrictions and supervision requirements
The patient's payer is a client who legally agrees to pay the NP directly providing a specific service which
is: - ANS -Fee for service
NP signs a contract and agrees to provide health care for a certain population such as homeless, paid
according to the contracted agreements - ANS -Contracted service system
When serving as a nurse researcher, the NP is guided by which ethical principles to ensure that research
participants are protected from harm or exposure? - ANS -No maleficence
Goals set forth in Healthy People 2020 by the US DHHS include the: - ANS -1) Attain high quality longer
lives free of preventable disease, disability, injury, premature death
2) Achieve health equity, eliminate disparities, improve health of all groups
3) Create social physical environments that promote good health for all
4) Promote quality of life, healthy development, healthy behaviors across life stages
If served with a summons and complaints (lawsuit document), NP should take which of the following
initial step? - ANS -Call the insurance company for instructions on how to proceed
The new graduate nurse practitioner uses clinical practice guidelines as the main resource for practice.
They are desired: - ANS -Serve as a handbook to the best practice
, Clinical practice guidelines - ANS -Systematically developed statements to assist practitioner and patient
decisions about appropriate health care for specific clinical circumstances
Issued by a third party organization and no NCCIH
Define the role of specific diagnostic and treatment modalities in the diagnosis and management of
patients
Which statement should the nurse recognize as being correct regarding the nursing negligence? - ANS -It
occurs without deliberate intent to harm to another individuals
It is conducting that deviates from what a reasonable individual would do in particular circumstances.
It is an unintentional tort
Malpractice - ANS -Any conduct deviating from the standard of practice dictated by the profession
Crime - ANS -To be committed against the state rather than an individual
Which of the following is a criterion determining Medicare eligibility? - ANS -Age
Length of residence in the US
Presence of permanent disability
Medicare Part A - ANS -Automatic age 65 if persons paid premiums
Medically necessary services
Inpatient hospitalization, hospice care, home health care, SNF
Not for custodial care (nursing homes, retirement homes)
Medicare Part B - ANS -Voluntary program with monthly premiums
Outpatient visits, lab and other types of tests (EKG, x-ray, CT scans), second opinions with another
physician, kidney outpatient dialysis, self-dialysis equipment’s, organ transplant
CORRECT ANSWERS [VERIFIED ANSWERS]
|NEWEST UPLOAD |ALREADY GRADED A+
Which authority regulates the scope of practice of nurse practitioners?
a. Federal law
b. Academic institutions
c. Individual state law
d. Individual practice settings - ANS -Individual state law
NPs and clinical nurse specialists derive their legal rights to practice from:
a. The Nurse Practice Act of the state where they practice
b. The laws of the state where they practice
c. The Medicare statute
d. The Board of Nursing in the state where they practice - ANS -The nurse practice act in the state where
they practice
You are working on the palliative care team in your practice when you receive a call from a patient's
family member. A patient on hospice service has died at home. The family asks if you can sign the death
certificate. How do you respond?
a. Ask the family member to fax over the death certificate so you can sign it.
b. Since you didn't witness the death, you are unable to sign the death certificate
c. Since this is the first time you ae completing the death certificate, you will find the lead nurse
practitioner to sign for it.
d. In the state of California, nurse practitioners are not able to sign for death certificates, but you will get
a physician to sign for it. - ANS -d. In the state of California, nurse practitioners are not able to sign for
death certificates, but you will get a physician to sign for it.
,A patient is being admitted into an assisted living facility (ALF). The director of the facility asks that you
complete the admission form, including the physician, and provider orders for the life-sustaining
treatment form (POLS). How do you respond?
· Ask the director to print the POLST form so you can review it with the patient and complete it.
· Since this is the first time you are completing the POLST form, you leave it for the supervising physician
to sign
· In the state of California, nurse practitioners are not able to sign POLST forms, but you will get a
physician to sign for it
· A POLST form is not needed since the patient is not DNR - ANS -
To meet Medicare's coverage requirements, the NP's services must be - ANS -Provide subject to state
restrictions and supervision requirements
The patient's payer is a client who legally agrees to pay the NP directly providing a specific service which
is: - ANS -Fee for service
NP signs a contract and agrees to provide health care for a certain population such as homeless, paid
according to the contracted agreements - ANS -Contracted service system
When serving as a nurse researcher, the NP is guided by which ethical principles to ensure that research
participants are protected from harm or exposure? - ANS -No maleficence
Goals set forth in Healthy People 2020 by the US DHHS include the: - ANS -1) Attain high quality longer
lives free of preventable disease, disability, injury, premature death
2) Achieve health equity, eliminate disparities, improve health of all groups
3) Create social physical environments that promote good health for all
4) Promote quality of life, healthy development, healthy behaviors across life stages
If served with a summons and complaints (lawsuit document), NP should take which of the following
initial step? - ANS -Call the insurance company for instructions on how to proceed
The new graduate nurse practitioner uses clinical practice guidelines as the main resource for practice.
They are desired: - ANS -Serve as a handbook to the best practice
, Clinical practice guidelines - ANS -Systematically developed statements to assist practitioner and patient
decisions about appropriate health care for specific clinical circumstances
Issued by a third party organization and no NCCIH
Define the role of specific diagnostic and treatment modalities in the diagnosis and management of
patients
Which statement should the nurse recognize as being correct regarding the nursing negligence? - ANS -It
occurs without deliberate intent to harm to another individuals
It is conducting that deviates from what a reasonable individual would do in particular circumstances.
It is an unintentional tort
Malpractice - ANS -Any conduct deviating from the standard of practice dictated by the profession
Crime - ANS -To be committed against the state rather than an individual
Which of the following is a criterion determining Medicare eligibility? - ANS -Age
Length of residence in the US
Presence of permanent disability
Medicare Part A - ANS -Automatic age 65 if persons paid premiums
Medically necessary services
Inpatient hospitalization, hospice care, home health care, SNF
Not for custodial care (nursing homes, retirement homes)
Medicare Part B - ANS -Voluntary program with monthly premiums
Outpatient visits, lab and other types of tests (EKG, x-ray, CT scans), second opinions with another
physician, kidney outpatient dialysis, self-dialysis equipment’s, organ transplant
