NURS 5432 FNP 1 MODULE 1 2026/2027 | Questions with
Complete Solutions | UTA | Pass Guaranteed - A+ Graded
SECTION 1: Foundations of FNP Practice (Q1–Q10)
Q1: A Family Nurse Practitioner (FNP) in Texas is evaluating a 45-year-old patient with
newly diagnosed type 2 diabetes mellitus. According to the Texas Board of Nursing
regulations and the Consensus Model for APRN Regulation, which action is within the
autonomous scope of practice for the FNP?
A. Performing a comprehensive history, physical examination, and initiating metformin
therapy under a collaborative practice agreement with a physician
B. Independently prescribing controlled substances without any prescriptive authority
agreement
C. Performing major surgical procedures requiring general anesthesia in the primary
care setting
D. Diagnosing and treating the patient without any collaborative agreement as required
by Texas law
A. Performing a comprehensive history, physical examination, and initiating metformin
therapy under a collaborative practice agreement with a physician [CORRECT]
Correct Answer: A
Rationale: In Texas, FNPs have prescriptive authority including Schedule II-V controlled
substances under a collaborative practice agreement with a physician, and
comprehensive assessment with diagnosis and treatment initiation is within their
scope. Option B is incorrect because Texas requires a prescriptive authority agreement
for controlled substances. Option C is incorrect because major surgical procedures are
,outside FNP scope. Option D is incorrect because Texas requires a collaborative
practice agreement for autonomous practice elements.
Q2: Which of the following best describes the four core competencies that define the
FNP role according to the National Organization of Nurse Practitioner Faculties
(NONPF) and AACN Essentials?
A. Clinical practice, health systems leadership, informatics, and genetics only
B. Clinical practice, education, research, and advocacy/health systems leadership
C. Direct patient care, billing and coding, quality improvement, and policy development
only
D. Advanced assessment, diagnosis, treatment, and referral without any systems focus
B. Clinical practice, education, research, and advocacy/health systems leadership
[CORRECT]
Correct Answer: B
Rationale: The NONPF core competencies and AACN Essentials define the FNP role as
encompassing clinical practice, education, research, and advocacy/health systems
leadership. Option A is incorrect because it omits education and research. Option C is
incorrect because billing and coding is not a core competency. Option D is incorrect
because it ignores the essential systems and population health focus of the FNP role.
Q3: A 62-year-old male patient presents to the FNP clinic with chest pain. The FNP
performs a comprehensive assessment, orders an ECG and troponin level, and
determines the patient requires emergent cardiology evaluation. Which principle of FNP
practice does this clinical decision best exemplify?
A. Independent practice without any need for consultation
,B. Clinical judgment and appropriate utilization of the referral/consultation process
C. Delegation of all diagnostic decision-making to the consulting physician
D. Avoidance of complex cases to maintain practice efficiency
B. Clinical judgment and appropriate utilization of the referral/consultation process
[CORRECT]
Correct Answer: B
Rationale: FNPs are educated to recognize the limits of their expertise and initiate
timely referrals when patient conditions exceed their scope or require specialist
intervention. Option A is incorrect because FNPs practice collaboratively and consult
when needed. Option C is incorrect because the FNP retains responsibility for
diagnostic reasoning. Option D is incorrect because FNPs manage complex cases and
refer appropriately, not avoid them.
Q4: An FNP is employed in a rural health clinic in Texas where a collaborating physician
is available for consultation by telemedicine but is not physically present. Under Texas
Board of Nursing rules, which statement accurately describes the FNP's prescribing
authority for Schedule III-V controlled substances in this setting?
A. The FNP may prescribe Schedule III-V controlled substances within the delegated
scope of practice under the prescriptive authority agreement
B. The FNP may not prescribe any controlled substances unless the physician is
physically present in the same building
C. The FNP has unrestricted independent prescribing authority for all controlled
substances in rural settings
D. The FNP must have the physician co-sign every prescription for non-controlled
substances
A. The FNP may prescribe Schedule III-V controlled substances within the delegated
scope of practice under the prescriptive authority agreement [CORRECT]
, Correct Answer: A
Rationale: Texas allows FNPs with prescriptive authority to prescribe Schedule III-V
controlled substances under a written agreement with a delegating physician; physical
presence is not required for all prescribing. Option B is incorrect because physical
presence is not mandated for all Schedule III-V prescribing. Option C is incorrect
because independent prescribing of controlled substances is not unrestricted. Option D
is incorrect because co-signatures are not required for non-controlled substances.
Q5: Which federal legislation established the current framework for APRN
reimbursement under Medicare and significantly expanded the recognition of nurse
practitioners as primary care providers?
A. The Affordable Care Act (ACA) of 2010 and the Balanced Budget Act of 1997
B. The Social Security Act of 1935 only
C. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 only
D. The Nurse Training Act of 1964 only
A. The Affordable Care Act (ACA) of 2010 and the Balanced Budget Act of 1997
[CORRECT]
Correct Answer: A
Rationale: The Balanced Budget Act of 1997 allowed direct Medicare reimbursement for
NPs, and the ACA further expanded NP recognition as primary care providers. Option B
is incorrect because the Social Security Act did not establish NP reimbursement. Option
C is incorrect because HIPAA addressed privacy and portability, not reimbursement.
Option D is incorrect because the Nurse Training Act addressed education funding, not
reimbursement.
Complete Solutions | UTA | Pass Guaranteed - A+ Graded
SECTION 1: Foundations of FNP Practice (Q1–Q10)
Q1: A Family Nurse Practitioner (FNP) in Texas is evaluating a 45-year-old patient with
newly diagnosed type 2 diabetes mellitus. According to the Texas Board of Nursing
regulations and the Consensus Model for APRN Regulation, which action is within the
autonomous scope of practice for the FNP?
A. Performing a comprehensive history, physical examination, and initiating metformin
therapy under a collaborative practice agreement with a physician
B. Independently prescribing controlled substances without any prescriptive authority
agreement
C. Performing major surgical procedures requiring general anesthesia in the primary
care setting
D. Diagnosing and treating the patient without any collaborative agreement as required
by Texas law
A. Performing a comprehensive history, physical examination, and initiating metformin
therapy under a collaborative practice agreement with a physician [CORRECT]
Correct Answer: A
Rationale: In Texas, FNPs have prescriptive authority including Schedule II-V controlled
substances under a collaborative practice agreement with a physician, and
comprehensive assessment with diagnosis and treatment initiation is within their
scope. Option B is incorrect because Texas requires a prescriptive authority agreement
for controlled substances. Option C is incorrect because major surgical procedures are
,outside FNP scope. Option D is incorrect because Texas requires a collaborative
practice agreement for autonomous practice elements.
Q2: Which of the following best describes the four core competencies that define the
FNP role according to the National Organization of Nurse Practitioner Faculties
(NONPF) and AACN Essentials?
A. Clinical practice, health systems leadership, informatics, and genetics only
B. Clinical practice, education, research, and advocacy/health systems leadership
C. Direct patient care, billing and coding, quality improvement, and policy development
only
D. Advanced assessment, diagnosis, treatment, and referral without any systems focus
B. Clinical practice, education, research, and advocacy/health systems leadership
[CORRECT]
Correct Answer: B
Rationale: The NONPF core competencies and AACN Essentials define the FNP role as
encompassing clinical practice, education, research, and advocacy/health systems
leadership. Option A is incorrect because it omits education and research. Option C is
incorrect because billing and coding is not a core competency. Option D is incorrect
because it ignores the essential systems and population health focus of the FNP role.
Q3: A 62-year-old male patient presents to the FNP clinic with chest pain. The FNP
performs a comprehensive assessment, orders an ECG and troponin level, and
determines the patient requires emergent cardiology evaluation. Which principle of FNP
practice does this clinical decision best exemplify?
A. Independent practice without any need for consultation
,B. Clinical judgment and appropriate utilization of the referral/consultation process
C. Delegation of all diagnostic decision-making to the consulting physician
D. Avoidance of complex cases to maintain practice efficiency
B. Clinical judgment and appropriate utilization of the referral/consultation process
[CORRECT]
Correct Answer: B
Rationale: FNPs are educated to recognize the limits of their expertise and initiate
timely referrals when patient conditions exceed their scope or require specialist
intervention. Option A is incorrect because FNPs practice collaboratively and consult
when needed. Option C is incorrect because the FNP retains responsibility for
diagnostic reasoning. Option D is incorrect because FNPs manage complex cases and
refer appropriately, not avoid them.
Q4: An FNP is employed in a rural health clinic in Texas where a collaborating physician
is available for consultation by telemedicine but is not physically present. Under Texas
Board of Nursing rules, which statement accurately describes the FNP's prescribing
authority for Schedule III-V controlled substances in this setting?
A. The FNP may prescribe Schedule III-V controlled substances within the delegated
scope of practice under the prescriptive authority agreement
B. The FNP may not prescribe any controlled substances unless the physician is
physically present in the same building
C. The FNP has unrestricted independent prescribing authority for all controlled
substances in rural settings
D. The FNP must have the physician co-sign every prescription for non-controlled
substances
A. The FNP may prescribe Schedule III-V controlled substances within the delegated
scope of practice under the prescriptive authority agreement [CORRECT]
, Correct Answer: A
Rationale: Texas allows FNPs with prescriptive authority to prescribe Schedule III-V
controlled substances under a written agreement with a delegating physician; physical
presence is not required for all prescribing. Option B is incorrect because physical
presence is not mandated for all Schedule III-V prescribing. Option C is incorrect
because independent prescribing of controlled substances is not unrestricted. Option D
is incorrect because co-signatures are not required for non-controlled substances.
Q5: Which federal legislation established the current framework for APRN
reimbursement under Medicare and significantly expanded the recognition of nurse
practitioners as primary care providers?
A. The Affordable Care Act (ACA) of 2010 and the Balanced Budget Act of 1997
B. The Social Security Act of 1935 only
C. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 only
D. The Nurse Training Act of 1964 only
A. The Affordable Care Act (ACA) of 2010 and the Balanced Budget Act of 1997
[CORRECT]
Correct Answer: A
Rationale: The Balanced Budget Act of 1997 allowed direct Medicare reimbursement for
NPs, and the ACA further expanded NP recognition as primary care providers. Option B
is incorrect because the Social Security Act did not establish NP reimbursement. Option
C is incorrect because HIPAA addressed privacy and portability, not reimbursement.
Option D is incorrect because the Nurse Training Act addressed education funding, not
reimbursement.
