NURS 6531 ADVANCED PRACTICE
NURSING ROLES. EXAM QUESTIONS
AND ANSWERS
1. Under the Consensus Model for APRN Regulation, which component of ‘LACE’ ensures that
an APRN has met the professional standards for practice in a specific role and population?
A. Licensure
B. Certification
C. Accreditation
D. Education
Answer: B
Conceptual Explanation: Certification is the formal recognition of the knowledge, skills,
and experience demonstrated by the achievement of standards identified by the profession.
2. Which ethical principle involves the obligation to be fair and provide equitable distribution
of resources?
A. Justice
B. Autonomy
,C. Beneficence
D. Fidelity
Answer: A
Conceptual Explanation: Justice refers to fairness in the distribution of benefits and
burdens, including healthcare resources.
3. To bill ‘incident-to’ a physician’s services at 100% of the Medicare Physician Fee Schedule,
which of the following conditions must be met?
A. The physician must be in the same room while the NP performs the service.
B. The physician must be in the office suite and immediately available to provide
assistance.
C. The service must be for a new patient or a new problem for an existing patient.
D. The NP must be a direct employee of the hospital rather than the physician group.
Answer: B
Conceptual Explanation: ‘Incident-to’ billing requires the physician to be in the office
suite and the service must be part of a plan of care the physician initiated for an existing
problem.
4. Which type of professional liability insurance covers a claim only if the policy is active at
the time the claim is filed?
A. Claims-made policy
, B. Tail coverage
C. Occurrence-based policy
D. Prior acts coverage
Answer: A
Conceptual Explanation: A claims-made policy covers incidents that happen and are
reported while the policy is in effect. If the policy is cancelled, coverage stops unless a ‘tail’
is purchased.
5. Which of the following describes the ‘Standard of Care’ in a malpractice lawsuit?
A. What a reasonably prudent nurse practitioner would do under similar circumstances.
B. The highest possible level of care that could be provided.
C. The specific outcome the patient expected from the treatment.
D. The protocol defined by the hospital’s specific administration.
Answer: A
Conceptual Explanation: The standard of care is defined by what a competent, similarly
situated professional would do in the same or similar situation.
6. An NP advocates for a bill in the state legislature that would grant full practice authority.
This action is categorized as:
A. Clinical advocacy
B. Health policy lobbying
NURSING ROLES. EXAM QUESTIONS
AND ANSWERS
1. Under the Consensus Model for APRN Regulation, which component of ‘LACE’ ensures that
an APRN has met the professional standards for practice in a specific role and population?
A. Licensure
B. Certification
C. Accreditation
D. Education
Answer: B
Conceptual Explanation: Certification is the formal recognition of the knowledge, skills,
and experience demonstrated by the achievement of standards identified by the profession.
2. Which ethical principle involves the obligation to be fair and provide equitable distribution
of resources?
A. Justice
B. Autonomy
,C. Beneficence
D. Fidelity
Answer: A
Conceptual Explanation: Justice refers to fairness in the distribution of benefits and
burdens, including healthcare resources.
3. To bill ‘incident-to’ a physician’s services at 100% of the Medicare Physician Fee Schedule,
which of the following conditions must be met?
A. The physician must be in the same room while the NP performs the service.
B. The physician must be in the office suite and immediately available to provide
assistance.
C. The service must be for a new patient or a new problem for an existing patient.
D. The NP must be a direct employee of the hospital rather than the physician group.
Answer: B
Conceptual Explanation: ‘Incident-to’ billing requires the physician to be in the office
suite and the service must be part of a plan of care the physician initiated for an existing
problem.
4. Which type of professional liability insurance covers a claim only if the policy is active at
the time the claim is filed?
A. Claims-made policy
, B. Tail coverage
C. Occurrence-based policy
D. Prior acts coverage
Answer: A
Conceptual Explanation: A claims-made policy covers incidents that happen and are
reported while the policy is in effect. If the policy is cancelled, coverage stops unless a ‘tail’
is purchased.
5. Which of the following describes the ‘Standard of Care’ in a malpractice lawsuit?
A. What a reasonably prudent nurse practitioner would do under similar circumstances.
B. The highest possible level of care that could be provided.
C. The specific outcome the patient expected from the treatment.
D. The protocol defined by the hospital’s specific administration.
Answer: A
Conceptual Explanation: The standard of care is defined by what a competent, similarly
situated professional would do in the same or similar situation.
6. An NP advocates for a bill in the state legislature that would grant full practice authority.
This action is categorized as:
A. Clinical advocacy
B. Health policy lobbying