NRNP 6568 FINAL EXAM AND STUDY
GUIDE (WALDEN) NEWEST 2026/ 2027 TEST
BANK| NRNP6568
1. If a patient is dismissed from a practice, what must be included in the
dismissal letter?
A. The last day the practitioner will be available to render care (at least 30 days)
B. Indication that medication refills will be provided during this period
C. Alternative sources of care
D. All of the above
Correct Answer: D
Rationale: A proper dismissal letter must include the last day the practitioner will
be available to render care (at least 30 days), an indication that medication refills
will be provided during this period, alternative sources of care, and how to obtain
medical records .
2. The review of systems (ROS) is documented in the Physical Exam section of
the visit. True or False?
Correct Answer: False
Rationale: The review of systems (ROS) is an inventory of body systems obtained
through a series of questions seeking to identify signs and/or symptoms. It is
documented under the History of Present Illness (HPI) section, not the Physical
Exam section .
3. What is it called when an NP bills for a higher level of visit than actually was
conducted?
A. Upcoding
B. Downcoding
C. Productivity billing
D. Medical necessity billing
,Correct Answer: A
Rationale: Upcoding is a type of healthcare fraud that occurs when a medical
provider bills for a more expensive service than the one actually provided to the
patient .
4. An NP must have a DNP to prescribe controlled substances. True or False?
Correct Answer: False
Rationale: A Doctor of Nursing Practice (DNP) is not a requirement for prescriptive
authority. An NP must have an active RN and APRN license, a valid DEA
registration, and a collaborative or supervisory agreement (depending on state
law) .
5. Release of information (ROI) to third parties requires authorization by the
patient or his or her legal representative. True or False?
Correct Answer: True
Rationale: Under HIPAA, release of information (ROI) to third parties generally
requires proper authorization from the patient or their legal representative, unless
it falls under a specific exception .
6. When giving patients written information, what is the suggested reading level
for that health information?
A. 12th grade
B. 9th grade
C. 5th grade
D. 1st grade
Correct Answer: C
Rationale: Health literacy experts and agencies such as the AMA and NIH
recommend that patient health information be written at no higher than a 5th to
6th grade reading level to ensure comprehension .
7. Which of the following is NOT a component of a comprehensive health
assessment?
A. Patient history
B. Physical examination
,C. Billing and coding
D. Diagnostic testing
Correct Answer: C
Rationale: Billing and coding are administrative functions separate from the
clinical assessment process .
8. If an NP is at a social gathering and someone casually asks his/her medical
opinion, that NP could be liable if something goes wrong. True or false?
Correct Answer: True
Rationale: If a nurse practitioner provides medical advice, even casually, they can
be held to the standard of care. If the person relies on that advice and suffers
harm, the NP could be found liable for malpractice .
9. Telemedicine is defined as:
A. When care is provided remotely and the provider and patient are physically
present with each other
B. When care is provided remotely and the provider and patient are not physically
present with each other
C. Remote care that is challenging and only used for psychiatric patients
D. Remote care that does not require a patient-provider relationship
Correct Answer: B
Rationale: Telemedicine is defined as the use of electronic information and
telecommunications technologies to support long-distance clinical healthcare
when the provider and patient are not in the same physical location .
10. How many levels of evaluation and management (E/M) visits are there for
outpatient services?
A. Three
B. Four
C. Five
D. Seven
Correct Answer: C
Rationale: There are five levels of Evaluation and Management (E/M) codes for
, outpatient and office visits (e.g., 99202-99205 for new patients; 99211-99215 for
established patients), ranging from straightforward to high complexity .
11. DNP stands for Doctor of Nursing Profession. True or False?
Correct Answer: False
Rationale: DNP stands for Doctor of Nursing Practice, not Doctor of Nursing
Profession .
12. An occurrence policy covers any incident that occurred while the NP was
insured. A claims-made policy covers an NP only when the insurance policy is
active. True or False?
Correct Answer: True
Rationale: An occurrence policy provides coverage for incidents occurring during
the policy period regardless of when a claim is filed. A claims-made policy only
provides coverage if the policy is active when the incident occurred AND when the
claim is filed .
13. If an NP is sued, it is important that the NP not call the insurance company
immediately to prevent rate increases. True or false?
Correct Answer: False
Rationale: When an NP becomes aware of a potential lawsuit, it is crucial to notify
their malpractice insurance carrier immediately. Delay in reporting can jeopardize
coverage .
14. Standard of care is the use of unreasonable, extraordinary care, skill, and
diligence as an NP in similar cases. True or False?
Correct Answer: False
Rationale: Standard of care is defined as the level and type of care that a
reasonably prudent and competent healthcare provider would provide under
similar circumstances. It is the minimum acceptable level of care .
15. A provider may be terribly negligent, but if there is no injury, there is no
malpractice. True or False?
GUIDE (WALDEN) NEWEST 2026/ 2027 TEST
BANK| NRNP6568
1. If a patient is dismissed from a practice, what must be included in the
dismissal letter?
A. The last day the practitioner will be available to render care (at least 30 days)
B. Indication that medication refills will be provided during this period
C. Alternative sources of care
D. All of the above
Correct Answer: D
Rationale: A proper dismissal letter must include the last day the practitioner will
be available to render care (at least 30 days), an indication that medication refills
will be provided during this period, alternative sources of care, and how to obtain
medical records .
2. The review of systems (ROS) is documented in the Physical Exam section of
the visit. True or False?
Correct Answer: False
Rationale: The review of systems (ROS) is an inventory of body systems obtained
through a series of questions seeking to identify signs and/or symptoms. It is
documented under the History of Present Illness (HPI) section, not the Physical
Exam section .
3. What is it called when an NP bills for a higher level of visit than actually was
conducted?
A. Upcoding
B. Downcoding
C. Productivity billing
D. Medical necessity billing
,Correct Answer: A
Rationale: Upcoding is a type of healthcare fraud that occurs when a medical
provider bills for a more expensive service than the one actually provided to the
patient .
4. An NP must have a DNP to prescribe controlled substances. True or False?
Correct Answer: False
Rationale: A Doctor of Nursing Practice (DNP) is not a requirement for prescriptive
authority. An NP must have an active RN and APRN license, a valid DEA
registration, and a collaborative or supervisory agreement (depending on state
law) .
5. Release of information (ROI) to third parties requires authorization by the
patient or his or her legal representative. True or False?
Correct Answer: True
Rationale: Under HIPAA, release of information (ROI) to third parties generally
requires proper authorization from the patient or their legal representative, unless
it falls under a specific exception .
6. When giving patients written information, what is the suggested reading level
for that health information?
A. 12th grade
B. 9th grade
C. 5th grade
D. 1st grade
Correct Answer: C
Rationale: Health literacy experts and agencies such as the AMA and NIH
recommend that patient health information be written at no higher than a 5th to
6th grade reading level to ensure comprehension .
7. Which of the following is NOT a component of a comprehensive health
assessment?
A. Patient history
B. Physical examination
,C. Billing and coding
D. Diagnostic testing
Correct Answer: C
Rationale: Billing and coding are administrative functions separate from the
clinical assessment process .
8. If an NP is at a social gathering and someone casually asks his/her medical
opinion, that NP could be liable if something goes wrong. True or false?
Correct Answer: True
Rationale: If a nurse practitioner provides medical advice, even casually, they can
be held to the standard of care. If the person relies on that advice and suffers
harm, the NP could be found liable for malpractice .
9. Telemedicine is defined as:
A. When care is provided remotely and the provider and patient are physically
present with each other
B. When care is provided remotely and the provider and patient are not physically
present with each other
C. Remote care that is challenging and only used for psychiatric patients
D. Remote care that does not require a patient-provider relationship
Correct Answer: B
Rationale: Telemedicine is defined as the use of electronic information and
telecommunications technologies to support long-distance clinical healthcare
when the provider and patient are not in the same physical location .
10. How many levels of evaluation and management (E/M) visits are there for
outpatient services?
A. Three
B. Four
C. Five
D. Seven
Correct Answer: C
Rationale: There are five levels of Evaluation and Management (E/M) codes for
, outpatient and office visits (e.g., 99202-99205 for new patients; 99211-99215 for
established patients), ranging from straightforward to high complexity .
11. DNP stands for Doctor of Nursing Profession. True or False?
Correct Answer: False
Rationale: DNP stands for Doctor of Nursing Practice, not Doctor of Nursing
Profession .
12. An occurrence policy covers any incident that occurred while the NP was
insured. A claims-made policy covers an NP only when the insurance policy is
active. True or False?
Correct Answer: True
Rationale: An occurrence policy provides coverage for incidents occurring during
the policy period regardless of when a claim is filed. A claims-made policy only
provides coverage if the policy is active when the incident occurred AND when the
claim is filed .
13. If an NP is sued, it is important that the NP not call the insurance company
immediately to prevent rate increases. True or false?
Correct Answer: False
Rationale: When an NP becomes aware of a potential lawsuit, it is crucial to notify
their malpractice insurance carrier immediately. Delay in reporting can jeopardize
coverage .
14. Standard of care is the use of unreasonable, extraordinary care, skill, and
diligence as an NP in similar cases. True or False?
Correct Answer: False
Rationale: Standard of care is defined as the level and type of care that a
reasonably prudent and competent healthcare provider would provide under
similar circumstances. It is the minimum acceptable level of care .
15. A provider may be terribly negligent, but if there is no injury, there is no
malpractice. True or False?
