NURS 5350 Comprehensive Exams– Role of the Nurse in
Advanced Practice Questions and Answers (UTA)
Section 1: Scope of Advanced Practice Nursing
1. Which of the following best defines the role of the Advanced Practice
Registered Nurse (APRN)?
A. Provides bedside care under physician supervision
• B. Functions independently or collaboratively in diagnosing, prescribing, and
managing patient care
C. Focuses solely on administrative duties
D. Limited to health education only
1. Rationale: APRNs are licensed to diagnose, prescribe, and manage care,
functioning autonomously or collaboratively depending on state regulations.
Section 2: Prescriptive Authority
2. In Texas, APRNs must have which agreement to prescribe medications?
A. Independent prescriptive authority
• B. Delegation agreement with a supervising physician
C. No agreement required
D. Federal waiver only
2. Rationale: Texas requires APRNs to have a prescriptive delegation
agreement with a physician, unlike states with full practice authority.
Section 3: Policy & Advocacy
3. Which activity demonstrates the nurse’s role in health policy engagement?
A. Attending continuing education only
• B. Lobbying for expanded APRN practice rights
C. Writing patient discharge instructions
D. Supervising nursing assistants
3. Rationale: Advocacy for expanded practice rights is a direct example of
APRNs influencing health policy.
Section 4: Role Transition
4. What is a common challenge during APRN role transition?
A. Lack of clinical knowledge
• B. Identity shift from RN to provider
C. Limited patient interaction
D. Reduced autonomy
4. Rationale: Transitioning involves redefining professional identity, moving
from RN to independent provider.
Section 5: Ethical & Legal Considerations
5. Which principle guides APRNs in balancing autonomy with collaboration?
A. Beneficence only
• B. Accountability to patients and regulatory boards
C. Justice alone
, D. Nonmaleficence only
5. Rationale: APRNs must remain accountable to patients and regulatory
boards while exercising autonomy.
Section 6: Interprofessional Collaboration
6. Which behavior best demonstrates effective collaboration?
A. Avoiding conflict at all costs
• B. Respecting diverse perspectives and integrating input into care plans
C. Delegating tasks without discussion
D. Limiting communication to written notes
Rationale: Collaboration requires respect for diverse perspectives and active
integration into patient care.
Section 7: Leadership in Advanced Practice
7. APRNs demonstrate transformational leadership by:
A. Enforcing strict rules without flexibility
• B. Inspiring and motivating staff toward shared goals
C. Avoiding involvement in organizational change
D. Delegating tasks only
Rationale: Transformational leaders inspire and motivate, fostering innovation
and shared vision.
Section 8: Evidence-Based Practice
8. What is the first step in implementing evidence-based practice?
A. Applying clinical guidelines directly
• B. Formulating a clinical question (PICO format)
C. Collecting patient satisfaction surveys
D. Writing a policy proposal
Rationale: EBP begins with a well-structured clinical question, often using PICO.
Section 9: Health Systems
9. APRNs contribute to cost-effective care by:
A. Ordering unnecessary diagnostic tests
• B. Reducing hospital readmissions through preventive care
C. Limiting patient education
D. Avoiding chronic disease management
Rationale: Preventive care reduces readmissions and overall costs.
Section 10: Cultural Competence
10. Which action reflects cultural competence?
A. Using only standardized care plans
• B. Incorporating patient’s cultural beliefs into treatment decisions
C. Avoiding discussion of cultural practices
D. Assuming all patients share similar values
Rationale: Respecting and integrating cultural beliefs ensures patient-centered
care.
Advanced Practice Questions and Answers (UTA)
Section 1: Scope of Advanced Practice Nursing
1. Which of the following best defines the role of the Advanced Practice
Registered Nurse (APRN)?
A. Provides bedside care under physician supervision
• B. Functions independently or collaboratively in diagnosing, prescribing, and
managing patient care
C. Focuses solely on administrative duties
D. Limited to health education only
1. Rationale: APRNs are licensed to diagnose, prescribe, and manage care,
functioning autonomously or collaboratively depending on state regulations.
Section 2: Prescriptive Authority
2. In Texas, APRNs must have which agreement to prescribe medications?
A. Independent prescriptive authority
• B. Delegation agreement with a supervising physician
C. No agreement required
D. Federal waiver only
2. Rationale: Texas requires APRNs to have a prescriptive delegation
agreement with a physician, unlike states with full practice authority.
Section 3: Policy & Advocacy
3. Which activity demonstrates the nurse’s role in health policy engagement?
A. Attending continuing education only
• B. Lobbying for expanded APRN practice rights
C. Writing patient discharge instructions
D. Supervising nursing assistants
3. Rationale: Advocacy for expanded practice rights is a direct example of
APRNs influencing health policy.
Section 4: Role Transition
4. What is a common challenge during APRN role transition?
A. Lack of clinical knowledge
• B. Identity shift from RN to provider
C. Limited patient interaction
D. Reduced autonomy
4. Rationale: Transitioning involves redefining professional identity, moving
from RN to independent provider.
Section 5: Ethical & Legal Considerations
5. Which principle guides APRNs in balancing autonomy with collaboration?
A. Beneficence only
• B. Accountability to patients and regulatory boards
C. Justice alone
, D. Nonmaleficence only
5. Rationale: APRNs must remain accountable to patients and regulatory
boards while exercising autonomy.
Section 6: Interprofessional Collaboration
6. Which behavior best demonstrates effective collaboration?
A. Avoiding conflict at all costs
• B. Respecting diverse perspectives and integrating input into care plans
C. Delegating tasks without discussion
D. Limiting communication to written notes
Rationale: Collaboration requires respect for diverse perspectives and active
integration into patient care.
Section 7: Leadership in Advanced Practice
7. APRNs demonstrate transformational leadership by:
A. Enforcing strict rules without flexibility
• B. Inspiring and motivating staff toward shared goals
C. Avoiding involvement in organizational change
D. Delegating tasks only
Rationale: Transformational leaders inspire and motivate, fostering innovation
and shared vision.
Section 8: Evidence-Based Practice
8. What is the first step in implementing evidence-based practice?
A. Applying clinical guidelines directly
• B. Formulating a clinical question (PICO format)
C. Collecting patient satisfaction surveys
D. Writing a policy proposal
Rationale: EBP begins with a well-structured clinical question, often using PICO.
Section 9: Health Systems
9. APRNs contribute to cost-effective care by:
A. Ordering unnecessary diagnostic tests
• B. Reducing hospital readmissions through preventive care
C. Limiting patient education
D. Avoiding chronic disease management
Rationale: Preventive care reduces readmissions and overall costs.
Section 10: Cultural Competence
10. Which action reflects cultural competence?
A. Using only standardized care plans
• B. Incorporating patient’s cultural beliefs into treatment decisions
C. Avoiding discussion of cultural practices
D. Assuming all patients share similar values
Rationale: Respecting and integrating cultural beliefs ensures patient-centered
care.
