NURS 5350 Module 9 Quiz V1 | NURS 5350
Role of the Nurse in Advanced Practice |
Actual Q&A with Rationale (NURS5350
Module 9 Quiz) | The University of Texas
at Arlington
1. When developing a business plan for a new nurse-managed clinic, which component is
considered the ‘snapshot’ of the entire proposal?
A. Operations Manual
B. Executive Summary
C. Marketing Plan
D. Financial Projections
Answer: B
Rationale: The executive summary provides a concise overview of the entire business
plan, highlighting the mission and key goals. It is often the first section read by potential
investors or stakeholders to determine the viability of the project. A well-crafted summary
must stand alone and effectively communicate the value proposition of the advanced
practice role.
2. An APRN is evaluating the financial health of their practice. Which term describes the point
where total revenue equals total expenses?
A. Break-even point
,B. Return on Investment
C. Net Profit
D. Gross Margin
Answer: A
Rationale: The break-even point is the specific volume of services where the practice
neither makes a profit nor incurs a loss. Determining this point is essential for financial
planning and setting patient volume targets. It helps the APRN understand the minimum
workload required to sustain the clinical operation.
3. Under Medicare Part B, services provided by an APRN are generally reimbursed at what
percentage of the Physician Fee Schedule?
A. 65%
B. 100%
C. 85%
D. 90%
Answer: C
Rationale: Medicare Part B typically reimburses Nurse Practitioners and Clinical Nurse
Specialists at 85 percent of the physician rate for the same service. This reimbursement
differential is a key factor in financial modeling for nurse-led clinics. Advocates continue to
work on policy changes to achieve 100 percent parity across all provider types.
, 4. A nurse practitioner is billing for a complex patient visit. Which coding system is used
specifically to identify the medical diagnoses?
A. CPT
B. ICD-10-CM
C. HCPCS
D. RVU
Answer: B
Rationale: ICD-10-CM codes are the international standard for reporting medical
diagnoses and inpatient procedures. These codes provide the medical necessity required to
support the services billed via CPT codes. Accurate diagnosis coding is vital for data
tracking, research, and ensuring appropriate reimbursement levels.
5. Which of the following is a requirement for billing ‘Incident-to’ services under Medicare in
a physician’s office?
A. The NP must be the only provider in the building.
B. The physician must be physically present in the office suite.
C. The NP must establish the initial plan of care for a new problem.
D. The service must be performed in a hospital setting.
Answer: B
Role of the Nurse in Advanced Practice |
Actual Q&A with Rationale (NURS5350
Module 9 Quiz) | The University of Texas
at Arlington
1. When developing a business plan for a new nurse-managed clinic, which component is
considered the ‘snapshot’ of the entire proposal?
A. Operations Manual
B. Executive Summary
C. Marketing Plan
D. Financial Projections
Answer: B
Rationale: The executive summary provides a concise overview of the entire business
plan, highlighting the mission and key goals. It is often the first section read by potential
investors or stakeholders to determine the viability of the project. A well-crafted summary
must stand alone and effectively communicate the value proposition of the advanced
practice role.
2. An APRN is evaluating the financial health of their practice. Which term describes the point
where total revenue equals total expenses?
A. Break-even point
,B. Return on Investment
C. Net Profit
D. Gross Margin
Answer: A
Rationale: The break-even point is the specific volume of services where the practice
neither makes a profit nor incurs a loss. Determining this point is essential for financial
planning and setting patient volume targets. It helps the APRN understand the minimum
workload required to sustain the clinical operation.
3. Under Medicare Part B, services provided by an APRN are generally reimbursed at what
percentage of the Physician Fee Schedule?
A. 65%
B. 100%
C. 85%
D. 90%
Answer: C
Rationale: Medicare Part B typically reimburses Nurse Practitioners and Clinical Nurse
Specialists at 85 percent of the physician rate for the same service. This reimbursement
differential is a key factor in financial modeling for nurse-led clinics. Advocates continue to
work on policy changes to achieve 100 percent parity across all provider types.
, 4. A nurse practitioner is billing for a complex patient visit. Which coding system is used
specifically to identify the medical diagnoses?
A. CPT
B. ICD-10-CM
C. HCPCS
D. RVU
Answer: B
Rationale: ICD-10-CM codes are the international standard for reporting medical
diagnoses and inpatient procedures. These codes provide the medical necessity required to
support the services billed via CPT codes. Accurate diagnosis coding is vital for data
tracking, research, and ensuring appropriate reimbursement levels.
5. Which of the following is a requirement for billing ‘Incident-to’ services under Medicare in
a physician’s office?
A. The NP must be the only provider in the building.
B. The physician must be physically present in the office suite.
C. The NP must establish the initial plan of care for a new problem.
D. The service must be performed in a hospital setting.
Answer: B
