NSG 300 EXAM 1: NURSE
PRACTITIONERS IN PRIMARY CARE
QUESTIONS AND ANSWERS
1. Which individual is credited with co-founding the first Nurse Practitioner program at the
University of Colorado in 1965?
A. Loretta Ford
B. Florence Nightingale
C. Clara Barton
D. Mary Breckinridge
Answer: A
Conceptual Explanation: Loretta Ford, along with Dr. Henry Silver, established the first
NP program in 1965, focusing on pediatrics and rural health.
2. Under the Consensus Model for APRN Regulation, which of the following is NOT one of the
four recognized APRN roles?
A. Certified Nurse-Midwife (CNM)
B. Certified Registered Nurse Anesthetist (CRNA)
,C. Clinical Nurse Leader (CNL)
D. Certified Nurse Practitioner (CNP)
Answer: C
Conceptual Explanation: The four roles are CNP, CNS, CRNA, and CNM. The Clinical Nurse
Leader (CNL) is a master’s prepared role but is not considered an APRN under the
Consensus Model.
3. A Nurse Practitioner is accused of failing to diagnose a condition that a reasonable NP
would have identified. This is an example of which legal concept?
A. Battery
B. Libel
C. Negligence
D. Assault
Answer: C
Conceptual Explanation: Negligence is the failure to act as a reasonably prudent
professional would in similar circumstances. When applied to a professional, it is often
termed malpractice.
4. Which ethical principle is defined as the duty to ‘do no harm’?
A. Non-maleficence
B. Beneficence
, C. Autonomy
D. Justice
Answer: A
Conceptual Explanation: Non-maleficence is the ethical obligation to protect patients
from harm.
5. A Nurse Practitioner sees a Medicare patient for a follow-up. The NP bills ‘Incident to’ the
physician. Which of the following is a requirement for ‘Incident to’ billing?
A. The physician must be in the same room as the NP.
B. The NP must be a partner in the practice.
C. The physician must have established the initial plan of care.
D. The service must be for a new patient visit.
Answer: C
Conceptual Explanation: Medicare ‘Incident to’ billing requires that the physician initiates
the plan of care and remains involved; the physician must be in the office suite (direct
supervision), and it applies only to established patients.
6. In the context of evidence-based practice, which of the following represents the highest
level of evidence?
A. Case-control studies
B. Meta-analysis of randomized controlled trials
PRACTITIONERS IN PRIMARY CARE
QUESTIONS AND ANSWERS
1. Which individual is credited with co-founding the first Nurse Practitioner program at the
University of Colorado in 1965?
A. Loretta Ford
B. Florence Nightingale
C. Clara Barton
D. Mary Breckinridge
Answer: A
Conceptual Explanation: Loretta Ford, along with Dr. Henry Silver, established the first
NP program in 1965, focusing on pediatrics and rural health.
2. Under the Consensus Model for APRN Regulation, which of the following is NOT one of the
four recognized APRN roles?
A. Certified Nurse-Midwife (CNM)
B. Certified Registered Nurse Anesthetist (CRNA)
,C. Clinical Nurse Leader (CNL)
D. Certified Nurse Practitioner (CNP)
Answer: C
Conceptual Explanation: The four roles are CNP, CNS, CRNA, and CNM. The Clinical Nurse
Leader (CNL) is a master’s prepared role but is not considered an APRN under the
Consensus Model.
3. A Nurse Practitioner is accused of failing to diagnose a condition that a reasonable NP
would have identified. This is an example of which legal concept?
A. Battery
B. Libel
C. Negligence
D. Assault
Answer: C
Conceptual Explanation: Negligence is the failure to act as a reasonably prudent
professional would in similar circumstances. When applied to a professional, it is often
termed malpractice.
4. Which ethical principle is defined as the duty to ‘do no harm’?
A. Non-maleficence
B. Beneficence
, C. Autonomy
D. Justice
Answer: A
Conceptual Explanation: Non-maleficence is the ethical obligation to protect patients
from harm.
5. A Nurse Practitioner sees a Medicare patient for a follow-up. The NP bills ‘Incident to’ the
physician. Which of the following is a requirement for ‘Incident to’ billing?
A. The physician must be in the same room as the NP.
B. The NP must be a partner in the practice.
C. The physician must have established the initial plan of care.
D. The service must be for a new patient visit.
Answer: C
Conceptual Explanation: Medicare ‘Incident to’ billing requires that the physician initiates
the plan of care and remains involved; the physician must be in the office suite (direct
supervision), and it applies only to established patients.
6. In the context of evidence-based practice, which of the following represents the highest
level of evidence?
A. Case-control studies
B. Meta-analysis of randomized controlled trials
