NURS 5350 Module 10 Quiz V3 | NURS
5350 Role of the Nurse in Advanced
Practice | Actual Q&A with Rationale
(NURS5350 Module 10 Quiz) | The
University of Texas at Arlington
1. Which component of the LACE model ensures that an APRN has met the necessary
educational and clinical requirements to practice safely?
A. Certification
B. Accreditation
C. Licensure
D. Education
Answer: A
Rationale: Certification is a formal process by which a non-governmental agency validates
an individual’s knowledge and skills. It signifies that the APRN has achieved a specific level
of competency in a specialty area. This process is essential for protecting the public by
ensuring standardized levels of proficiency.
2. In the context of APRN billing, what does the term ‘incident-to’ billing specifically refer to
under Medicare guidelines?
A. Billing for services provided by an NP at their own provider rate
,B. Billing for services provided by an NP under a physician’s provider number at 100%
reimbursement
C. Billing for services provided in a hospital inpatient setting
D. Billing for telehealth services provided to rural populations
Answer: B
Rationale: Incident-to billing allows services provided by non-physician practitioners to
be billed under the physician’s NPI. To qualify, the physician must be physically present in
the office suite and have initiated the plan of care. This practice allows for 100%
reimbursement compared to the standard 85% usually paid to NPs.
3. Which type of malpractice insurance provides coverage only if the policy is active both
when the incident occurred and when the claim is filed?
A. Tail coverage
B. Occurrence policy
C. Claims-made policy
D. Prior-acts coverage
Answer: C
Rationale: A claims-made policy is a type of liability insurance that only covers claims
made while the policy is in effect. If the policy is canceled and a claim is filed later for a past
event, there is no coverage unless a ‘tail’ is purchased. This contrasts with occurrence
, policies, which cover any incident that happened during the policy period regardless of
when the claim is made.
4. What is the primary purpose of the National Provider Identifier (NPI) for an Advanced
Practice Registered Nurse?
A. To serve as a state license number for prescribing medication
B. To track continuing education credits for recertification
C. To provide a unique identification number for healthcare providers in financial and
administrative transactions
D. To verify clinical hours for doctoral programs
Answer: C
Rationale: The NPI is a 10-digit identification number mandated by HIPAA for healthcare
providers in the United States. It is used by health plans, clearinghouses, and other
providers to identify individuals in standard transactions. Obtaining an NPI is a critical step
for APRNs to bill for services and participate in insurance networks.
5. According to the Consensus Model, which of the following is considered one of the four
recognized APRN roles?
A. Nurse Educator
B. Certified Nurse-Midwife (CNM)
C. Nurse Administrator
5350 Role of the Nurse in Advanced
Practice | Actual Q&A with Rationale
(NURS5350 Module 10 Quiz) | The
University of Texas at Arlington
1. Which component of the LACE model ensures that an APRN has met the necessary
educational and clinical requirements to practice safely?
A. Certification
B. Accreditation
C. Licensure
D. Education
Answer: A
Rationale: Certification is a formal process by which a non-governmental agency validates
an individual’s knowledge and skills. It signifies that the APRN has achieved a specific level
of competency in a specialty area. This process is essential for protecting the public by
ensuring standardized levels of proficiency.
2. In the context of APRN billing, what does the term ‘incident-to’ billing specifically refer to
under Medicare guidelines?
A. Billing for services provided by an NP at their own provider rate
,B. Billing for services provided by an NP under a physician’s provider number at 100%
reimbursement
C. Billing for services provided in a hospital inpatient setting
D. Billing for telehealth services provided to rural populations
Answer: B
Rationale: Incident-to billing allows services provided by non-physician practitioners to
be billed under the physician’s NPI. To qualify, the physician must be physically present in
the office suite and have initiated the plan of care. This practice allows for 100%
reimbursement compared to the standard 85% usually paid to NPs.
3. Which type of malpractice insurance provides coverage only if the policy is active both
when the incident occurred and when the claim is filed?
A. Tail coverage
B. Occurrence policy
C. Claims-made policy
D. Prior-acts coverage
Answer: C
Rationale: A claims-made policy is a type of liability insurance that only covers claims
made while the policy is in effect. If the policy is canceled and a claim is filed later for a past
event, there is no coverage unless a ‘tail’ is purchased. This contrasts with occurrence
, policies, which cover any incident that happened during the policy period regardless of
when the claim is made.
4. What is the primary purpose of the National Provider Identifier (NPI) for an Advanced
Practice Registered Nurse?
A. To serve as a state license number for prescribing medication
B. To track continuing education credits for recertification
C. To provide a unique identification number for healthcare providers in financial and
administrative transactions
D. To verify clinical hours for doctoral programs
Answer: C
Rationale: The NPI is a 10-digit identification number mandated by HIPAA for healthcare
providers in the United States. It is used by health plans, clearinghouses, and other
providers to identify individuals in standard transactions. Obtaining an NPI is a critical step
for APRNs to bill for services and participate in insurance networks.
5. According to the Consensus Model, which of the following is considered one of the four
recognized APRN roles?
A. Nurse Educator
B. Certified Nurse-Midwife (CNM)
C. Nurse Administrator
