1
,NRNP 6531 Midterm Exam | (2026) Adult Lifespan
Questions | FNP Review (PDF)
1. The Consensus Model for APRN regulation (LACE)
includes all of the following components EXCEPT:
A. Licensure
B. Accreditation
C. Certification
D. Education
E. Evaluation
Correct Answer: E. Evaluation
Rationale: LACE stands
for Licensure, Accreditation, Certification, and Education.
These are the four core pillars of the APRN Consensus
Model. "Evaluation" is not part of the LACE acronym,
though quality assessment is implied in practice .
2. According to the 2014 Advisory Board survey, what is
the most important factor for patients when selecting a
primary care provider?
2
,A. Association with a top-tier hospital
B. Low out-of-pocket costs
C. Ease of access to care (appointment availability)
D. The gender of the provider
Correct Answer: C. Ease of access to care
Rationale: The 2014 Advisory Board survey found that
convenience and the ability to get a timely appointment
were the primary drivers for patient selection of a
primary care provider, often outweighing hospital
affiliations or costs .
3. The care provided by APRNs is limited by setting.
A. True
B. False
Correct Answer: B. False
Rationale: APRN care is limited by the patient's care
needs and the APRN's scope of practice, not the physical
setting (e.g., hospital, clinic, home) .
3
, 4. The Centers for Medicare & Medicaid Services (CMS)
implemented which policy specifically to reduce adverse
events associated with care transitions?
A. Mandatory electronic health records
B. Reduction of payments for hospitals with high 30-day
readmission rates
C. Required use of Nurse Practitioners for all discharges
D. Penalties for lack of patient satisfaction surveys
Correct Answer: B. Reduction of payments for hospitals
with high 30-day readmission rates
Rationale: The Hospital Readmissions Reduction Program
(HRRP) reduces payments to hospitals with excess
readmissions within 30 days for conditions like heart
failure, MI, and pneumonia, aiming to improve care
coordination during transitions .
5. A 66-year-old male has a 40 pack-year history and
presents with dyspnea, minimal cough, barrel chest, and
pursed-lip breathing. Spirometry will most likely reveal:
4
,NRNP 6531 Midterm Exam | (2026) Adult Lifespan
Questions | FNP Review (PDF)
1. The Consensus Model for APRN regulation (LACE)
includes all of the following components EXCEPT:
A. Licensure
B. Accreditation
C. Certification
D. Education
E. Evaluation
Correct Answer: E. Evaluation
Rationale: LACE stands
for Licensure, Accreditation, Certification, and Education.
These are the four core pillars of the APRN Consensus
Model. "Evaluation" is not part of the LACE acronym,
though quality assessment is implied in practice .
2. According to the 2014 Advisory Board survey, what is
the most important factor for patients when selecting a
primary care provider?
2
,A. Association with a top-tier hospital
B. Low out-of-pocket costs
C. Ease of access to care (appointment availability)
D. The gender of the provider
Correct Answer: C. Ease of access to care
Rationale: The 2014 Advisory Board survey found that
convenience and the ability to get a timely appointment
were the primary drivers for patient selection of a
primary care provider, often outweighing hospital
affiliations or costs .
3. The care provided by APRNs is limited by setting.
A. True
B. False
Correct Answer: B. False
Rationale: APRN care is limited by the patient's care
needs and the APRN's scope of practice, not the physical
setting (e.g., hospital, clinic, home) .
3
, 4. The Centers for Medicare & Medicaid Services (CMS)
implemented which policy specifically to reduce adverse
events associated with care transitions?
A. Mandatory electronic health records
B. Reduction of payments for hospitals with high 30-day
readmission rates
C. Required use of Nurse Practitioners for all discharges
D. Penalties for lack of patient satisfaction surveys
Correct Answer: B. Reduction of payments for hospitals
with high 30-day readmission rates
Rationale: The Hospital Readmissions Reduction Program
(HRRP) reduces payments to hospitals with excess
readmissions within 30 days for conditions like heart
failure, MI, and pneumonia, aiming to improve care
coordination during transitions .
5. A 66-year-old male has a 40 pack-year history and
presents with dyspnea, minimal cough, barrel chest, and
pursed-lip breathing. Spirometry will most likely reveal:
4
