OBJECTIVE ASSESSMENT - EXAM
FINAL REVIEW NURS 5432 UTA: Questions & 100%
Verified Answers (2026/2027)
2026/2027 OFFICIAL EXAM
100 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Advanced Nursing Practice Concepts Interprofessional Collaboration
Clinical Decision-Making & Diagnostic Reasoning Healthcare Policy & Quality Improvement
Evidence-Based Practice & Research
COVER PAGE - 1
, SECTION 1 | Advanced Nursing Practice Concepts | Q1-Q20 | FINAL REVIEW NURS 5432 UTA:
Questions & 100% Verified Answers (2026/2027) 2026/2027
Q1 Question 1 of 100
A 38-year-old family nurse practitioner in a rural Texas clinic is establishing her first independent
practice agreement with a collaborating physician. She asks which document legally defines the
scope of practice for advanced practice registered nurses (APRNs) in Texas.
A. The American Nurses Association Code of Ethics
B. The Texas Board of Nursing Nurse Practice Act and the rules implementing it, which define APRN
scope, prescriptive authority, and practice authority
C. The American Association of Nurse Practitioners certification handbook
D. The facility's policy and procedure manual alone
Correct Answer: B
Rationale:
The Texas Board of Nursing, through the Nurse Practice Act (Texas Occupations Code Chapter 301) and
its implementing rules, defines the legal scope of practice, prescriptive authority, and practice authority for
APRNs in Texas. The ANA Code of Ethics is aspirational but not legally binding scope language. AANP
certification establishes national eligibility but does not define state scope. Facility policy cannot expand or
narrow the statutory scope.
Q2 Question 2 of 100
A 52-year-old woman presents to an APRN-led clinic asking about the difference between a nurse
practitioner and a clinical nurse specialist. The APRN explains that the historical distinction between
these two roles centers primarily on which factor.
A. Length of training program
B. Population foci and the focus of practice: NPs are prepared to provide primary or acute care across
the lifespan, while CNSs focus on improving outcomes through expert practice, consultation, system
change, and education within a specialty
C. Salary level
D. State of licensure
Correct Answer: B
Rationale:
The Consensus Model for APRN Regulation distinguishes NP and CNS roles by population foci and
practice emphasis: NPs provide direct primary or acute care to patients, while CNSs focus on system-level
outcomes, expert consultation, and education within a specialty. Length of training and salary are role
outcomes rather than defining characteristics. State of licensure does not differentiate role type.
FINAL REVIEW NURS 5432 UTA - 2026/2027 | Passing Score: 80% | Page 2 of 53
, Q3 Question 3 of 100
A graduate nursing student is preparing for national certification and asks which four roles are
recognized as Advanced Practice Registered Nurse (APRN) roles under the Consensus Model.
A. Registered Nurse, Licensed Practical Nurse, Nurse Aide, and Nurse Anesthetist
B. Charge Nurse, Staff Nurse, Travel Nurse, and Float Nurse
C. Director of Nursing, Nurse Manager, Nurse Educator, and Nurse Researcher
D. Certified Registered Nurse Anesthetist, Certified Nurse-Midwife, Clinical Nurse Specialist, and
Certified Nurse Practitioner
Correct Answer: D
Rationale:
The Consensus Model for APRN Regulation recognizes four APRN roles: Certified Registered Nurse
Anesthetist (CRNA), Certified Nurse-Midwife (CNM), Clinical Nurse Specialist (CNS), and Certified Nurse
Practitioner (CNP). LPN and CNA are not advanced practice roles. Charge, staff, and travel nurses are
employment positions, not educational roles. Director, manager, educator, and researcher are positions
rather than licensed APRN roles.
Q4 Question 4 of 100
A new APRN graduate asks the senior faculty member how the term LACE is used in advanced
practice nursing regulation. The faculty member explains that LACE refers to which four regulatory
components.
A. Licensure, Accreditation, Certification, and Education
B. Leadership, Advocacy, Communication, and Ethics
C. Liability, Assessment, Coordination, and Evaluation
D. Licensing, Authorization, Credentialing, and Employment
Correct Answer: A
Rationale:
LACE stands for Licensure, Accreditation, Certification, and Education, the four regulatory components
defined in the Consensus Model for APRN Regulation that together align the pipeline from education
through licensure. The other mnemonics (Leadership/Advocacy/Communication/Ethics, etc.) are not the
Consensus Model components. LACE specifically structures APRN regulation, not general nursing
leadership principles.
FINAL REVIEW NURS 5432 UTA - 2026/2027 | Passing Score: 80% | Page 3 of 53
, Q5 Question 5 of 100
An APRN working in a full-practice-authority state sees a 45-year-old patient with hypertension and
asks how this designation affects her ability to prescribe scheduled medications independently.
A. Full practice authority has no effect on prescribing
B. The APRN must still obtain physician co-signature for every prescription
C. In a full-practice-authority state, the APRN may evaluate patients, order and interpret tests,
diagnose, and prescribe medications including controlled substances under the authority of the state
Board of Nursing without a mandatory collaborative agreement with a physician
D. The APRN may prescribe only over-the-counter medications
Correct Answer: C
Rationale:
In full-practice-authority states, APRNs are licensed by the Board of Nursing to independently evaluate,
diagnose, and prescribe (including controlled substances per state-specific schedules) without a
mandatory collaborative physician agreement. Full practice authority directly affects prescribing. Mandatory
co-signature is characteristic of reduced or restricted practice states. OTC-only prescribing is far below full
practice authority scope.
Q6 Question 6 of 100
A nurse practitioner student is comparing the nursing model of care to the medical model and asks
which philosophical difference is most characteristic of the nursing model.
A. Focus exclusively on disease eradication
B. Reliance solely on laboratory values for diagnosis
C. Holistic emphasis on the patient's response to illness, including biological, psychological, social, and
spiritual dimensions, with attention to health promotion and patient education
D. Use of pharmaceuticals as the only intervention
Correct Answer: C
Rationale:
The nursing model emphasizes a holistic view of the patient's response to illness across
biopsychosocial-spiritual dimensions, with attention to health promotion and education. Disease
eradication, lab-only diagnosis, and pharmaceutical-only intervention are characteristic of a narrower
biomedical approach. The nursing model integrates but does not exclude biomedical assessment.
FINAL REVIEW NURS 5432 UTA - 2026/2027 | Passing Score: 80% | Page 4 of 53