NURS 5350 Module 7 Quiz V2 | NURS 5350
Role of the Nurse in Advanced Practice |
Actual Q&A with Rationale (NURS5350
Module 7 Quiz) | The University of Texas
at Arlington
1. Which regulatory body in Texas is responsible for granting the Advanced Practice
Registered Nurse (APRN) license and defining the scope of practice?
A. American Nurses Credentialing Center (ANCC)
B. The Centers for Medicare and Medicaid Services (CMS)
C. Texas Medical Board
D. Texas Board of Nursing (BON)
Answer: D
Rationale: The Texas Board of Nursing (BON) is the state entity that regulates nursing
practice, including APRNs. It establishes the standards for education and licensure within
the state of Texas. This ensures that all practitioners meet the minimum safety
requirements to protect the public interest.
2. Under the LACE model, which component refers to the formal review and approval of a
nursing program by a recognized agency?
A. Licensure
,B. Education
C. Certification
D. Accreditation
Answer: D
Rationale: Accreditation is the process by which a nursing program is evaluated by an
external body to ensure it meets specific quality standards. This component of the LACE
model ensures that the educational foundation of an APRN is rigorous and standardized.
Without accreditation, graduates may not be eligible for national certification or state
licensure.
3. Which of the following describes the ‘Full Practice Authority’ model for Nurse
Practitioners?
A. The NP must have a written collaborative agreement with a physician for all tasks.
B. The NP is limited in their ability to prescribe controlled substances without direct
supervision.
C. The NP must be supervised by a licensed physician at all times during patient care.
D. The NP can evaluate, diagnose, and treat patients without the requirement of physician
oversight.
Answer: D
, Rationale: Full Practice Authority allows Nurse Practitioners to practice to the full extent
of their education and training without a collaborative agreement. This model is supported
by the IOM and AANP to increase healthcare access and reduce costs. Currently, Texas is
not a full-practice state, as it still requires a prescriptive authority agreement.
4. In the context of APRN billing, what does the term ‘incident-to’ billing refer to?
A. Billing for services provided by the APRN under the physician’s NPI at 100% of the
physician fee schedule.
B. Billing for services provided by the APRN under their own NPI number at 85% of the fee
schedule.
C. Billing for emergency procedures performed in a rural health clinic.
D. Billing for services that are not medically necessary but requested by the patient.
Answer: A
Rationale: Incident-to billing allows services provided by an APRN to be billed under the
physician’s name if specific Medicare criteria are met, such as the physician being in the
office suite. This practice allows the practice to receive 100% reimbursement instead of the
standard 85% for APRN services. However, this is only applicable in office settings and not
in hospital environments.
5. What is the primary purpose of the National Provider Identifier (NPI)?
A. To track the clinical outcomes of individual practitioners for quality metrics.
B. To verify that an APRN has completed the required continuing education units.
Role of the Nurse in Advanced Practice |
Actual Q&A with Rationale (NURS5350
Module 7 Quiz) | The University of Texas
at Arlington
1. Which regulatory body in Texas is responsible for granting the Advanced Practice
Registered Nurse (APRN) license and defining the scope of practice?
A. American Nurses Credentialing Center (ANCC)
B. The Centers for Medicare and Medicaid Services (CMS)
C. Texas Medical Board
D. Texas Board of Nursing (BON)
Answer: D
Rationale: The Texas Board of Nursing (BON) is the state entity that regulates nursing
practice, including APRNs. It establishes the standards for education and licensure within
the state of Texas. This ensures that all practitioners meet the minimum safety
requirements to protect the public interest.
2. Under the LACE model, which component refers to the formal review and approval of a
nursing program by a recognized agency?
A. Licensure
,B. Education
C. Certification
D. Accreditation
Answer: D
Rationale: Accreditation is the process by which a nursing program is evaluated by an
external body to ensure it meets specific quality standards. This component of the LACE
model ensures that the educational foundation of an APRN is rigorous and standardized.
Without accreditation, graduates may not be eligible for national certification or state
licensure.
3. Which of the following describes the ‘Full Practice Authority’ model for Nurse
Practitioners?
A. The NP must have a written collaborative agreement with a physician for all tasks.
B. The NP is limited in their ability to prescribe controlled substances without direct
supervision.
C. The NP must be supervised by a licensed physician at all times during patient care.
D. The NP can evaluate, diagnose, and treat patients without the requirement of physician
oversight.
Answer: D
, Rationale: Full Practice Authority allows Nurse Practitioners to practice to the full extent
of their education and training without a collaborative agreement. This model is supported
by the IOM and AANP to increase healthcare access and reduce costs. Currently, Texas is
not a full-practice state, as it still requires a prescriptive authority agreement.
4. In the context of APRN billing, what does the term ‘incident-to’ billing refer to?
A. Billing for services provided by the APRN under the physician’s NPI at 100% of the
physician fee schedule.
B. Billing for services provided by the APRN under their own NPI number at 85% of the fee
schedule.
C. Billing for emergency procedures performed in a rural health clinic.
D. Billing for services that are not medically necessary but requested by the patient.
Answer: A
Rationale: Incident-to billing allows services provided by an APRN to be billed under the
physician’s name if specific Medicare criteria are met, such as the physician being in the
office suite. This practice allows the practice to receive 100% reimbursement instead of the
standard 85% for APRN services. However, this is only applicable in office settings and not
in hospital environments.
5. What is the primary purpose of the National Provider Identifier (NPI)?
A. To track the clinical outcomes of individual practitioners for quality metrics.
B. To verify that an APRN has completed the required continuing education units.
