NURS 6531 ADVANCED PRACTICE
NURSING ROLES EXAM QUESTIONS
AND ANSWERS
1. According to Hamric’s Integrative Model of Advanced Practice Nursing, which of the
following is considered the ‘central core’ of advanced practice?
A. Direct Clinical Practice
B. Leadership
C. Ethical Decision-Making
D. Expert Coaching and Guidance
Answer: A
Conceptual Explanation: Hamric’s model identifies Direct Clinical Practice as the central
core that informs and integrates all other competencies of the APRN.
2. Which component of the LACE model refers to the formal recognition of the knowledge,
skills, and experience demonstrated by the achievement of standards identified by the
profession?
A. Certification
,B. Accreditation
C. Licensure
D. Education
Answer: A
Conceptual Explanation: Certification is the formal process by which a non-governmental
agency validates an individual’s qualifications in a specific practice area.
3. A Nurse Practitioner is billing for a service under ‘incident-to’ guidelines. Which
requirement must be met for this to be valid under Medicare?
A. The NP must be the one who performed the initial assessment and plan.
B. The physician must be in the office suite and immediately available.
C. The service must be for a new patient or a new problem.
D. The physician does not need to be physically present in the building.
Answer: B
Conceptual Explanation: For ‘incident-to’ billing, the physician must be physically present
in the office suite (direct supervision) and the service must be part of an established plan of
care.
4. Which legal document defines the NP’s scope of practice within a specific state?
A. The Consensus Model for APRN Regulation
B. The ANA Code of Ethics
, C. The State Nurse Practice Act
D. The Federal Registry of Nursing
Answer: C
Conceptual Explanation: The Nurse Practice Act (NPA) of each state is the legal authority
that defines the scope of practice for nurses and APRNs in that jurisdiction.
5. In the context of reimbursement, what does the acronym CPT stand for?
A. Clinical Practice Treatment
B. Comprehensive Plan of Therapy
C. Certified Patient Tracking
D. Current Procedural Terminology
Answer: D
Conceptual Explanation: CPT codes are used to report medical, surgical, and diagnostic
procedures and services to entities such as physicians, health insurance companies, and
accreditation organizations.
6. When an APRN advocates for a policy change at the state legislature, they are engaging in
which competency of Hamric’s model?
A. Consensus Building
B. Collaboration
C. Leadership
NURSING ROLES EXAM QUESTIONS
AND ANSWERS
1. According to Hamric’s Integrative Model of Advanced Practice Nursing, which of the
following is considered the ‘central core’ of advanced practice?
A. Direct Clinical Practice
B. Leadership
C. Ethical Decision-Making
D. Expert Coaching and Guidance
Answer: A
Conceptual Explanation: Hamric’s model identifies Direct Clinical Practice as the central
core that informs and integrates all other competencies of the APRN.
2. Which component of the LACE model refers to the formal recognition of the knowledge,
skills, and experience demonstrated by the achievement of standards identified by the
profession?
A. Certification
,B. Accreditation
C. Licensure
D. Education
Answer: A
Conceptual Explanation: Certification is the formal process by which a non-governmental
agency validates an individual’s qualifications in a specific practice area.
3. A Nurse Practitioner is billing for a service under ‘incident-to’ guidelines. Which
requirement must be met for this to be valid under Medicare?
A. The NP must be the one who performed the initial assessment and plan.
B. The physician must be in the office suite and immediately available.
C. The service must be for a new patient or a new problem.
D. The physician does not need to be physically present in the building.
Answer: B
Conceptual Explanation: For ‘incident-to’ billing, the physician must be physically present
in the office suite (direct supervision) and the service must be part of an established plan of
care.
4. Which legal document defines the NP’s scope of practice within a specific state?
A. The Consensus Model for APRN Regulation
B. The ANA Code of Ethics
, C. The State Nurse Practice Act
D. The Federal Registry of Nursing
Answer: C
Conceptual Explanation: The Nurse Practice Act (NPA) of each state is the legal authority
that defines the scope of practice for nurses and APRNs in that jurisdiction.
5. In the context of reimbursement, what does the acronym CPT stand for?
A. Clinical Practice Treatment
B. Comprehensive Plan of Therapy
C. Certified Patient Tracking
D. Current Procedural Terminology
Answer: D
Conceptual Explanation: CPT codes are used to report medical, surgical, and diagnostic
procedures and services to entities such as physicians, health insurance companies, and
accreditation organizations.
6. When an APRN advocates for a policy change at the state legislature, they are engaging in
which competency of Hamric’s model?
A. Consensus Building
B. Collaboration
C. Leadership
