NSG 300 EXAM 1: NURSE
PRACTITIONERS IN PRIMARY CARE.
QUESTIONS AND ANSWERS
1. Which component of the LACE model for Nurse Practitioner regulation refers to the formal
recognition of the educational program by a professional agency?
A. Licensure
B. Certification
C. Accreditation
D. Education
Answer: C
Conceptual Explanation: Accreditation is the process by which a nursing education
program is evaluated by an external agency to ensure it meets established standards of
quality.
2. Under Medicare ‘Incident-to’ billing rules, what is the required level of physician
supervision for an NP to bill 100% of the physician fee schedule?
A. General supervision (available by phone)
,B. No supervision is required for established patients
C. Personal supervision (physician in the room)
D. Direct supervision (physician in the office suite)
Answer: D
Conceptual Explanation: Direct supervision requires the physician to be physically
present in the office suite and immediately available, though not necessarily in the exam
room.
3. An NP is treating a patient for hypertension. The patient expresses autonomy by refusing
to take the prescribed ACE inhibitor. Which ethical principle is the NP respecting by allowing
this?
A. Autonomy
B. Non-maleficence
C. Beneficence
D. Justice
Answer: A
Conceptual Explanation: Autonomy is the right of the patient to make their own decisions
about their healthcare, even if the clinician disagrees.
4. Which level of evidence is considered the ‘gold standard’ in clinical decision-making?
A. Expert opinion
, B. Systematic reviews and Meta-analyses of RCTs
C. Case-control studies
D. Single Randomized Controlled Trial (RCT)
Answer: B
Conceptual Explanation: Level 1 evidence consists of systematic reviews or meta-
analyses of all relevant randomized controlled trials.
5. In malpractice law, what term describes the failure of a professional to act in accordance
with the prevailing professional standards?
A. Duty
B. Proximate cause
C. Breach of duty
D. Damages
Answer: C
Conceptual Explanation: Breach of duty occurs when the clinician fails to meet the
standard of care expected of a reasonably prudent practitioner in the same situation.
6. Medicare Part B covers which of the following services?
A. Inpatient hospital stays
B. Skilled nursing facility room and board
PRACTITIONERS IN PRIMARY CARE.
QUESTIONS AND ANSWERS
1. Which component of the LACE model for Nurse Practitioner regulation refers to the formal
recognition of the educational program by a professional agency?
A. Licensure
B. Certification
C. Accreditation
D. Education
Answer: C
Conceptual Explanation: Accreditation is the process by which a nursing education
program is evaluated by an external agency to ensure it meets established standards of
quality.
2. Under Medicare ‘Incident-to’ billing rules, what is the required level of physician
supervision for an NP to bill 100% of the physician fee schedule?
A. General supervision (available by phone)
,B. No supervision is required for established patients
C. Personal supervision (physician in the room)
D. Direct supervision (physician in the office suite)
Answer: D
Conceptual Explanation: Direct supervision requires the physician to be physically
present in the office suite and immediately available, though not necessarily in the exam
room.
3. An NP is treating a patient for hypertension. The patient expresses autonomy by refusing
to take the prescribed ACE inhibitor. Which ethical principle is the NP respecting by allowing
this?
A. Autonomy
B. Non-maleficence
C. Beneficence
D. Justice
Answer: A
Conceptual Explanation: Autonomy is the right of the patient to make their own decisions
about their healthcare, even if the clinician disagrees.
4. Which level of evidence is considered the ‘gold standard’ in clinical decision-making?
A. Expert opinion
, B. Systematic reviews and Meta-analyses of RCTs
C. Case-control studies
D. Single Randomized Controlled Trial (RCT)
Answer: B
Conceptual Explanation: Level 1 evidence consists of systematic reviews or meta-
analyses of all relevant randomized controlled trials.
5. In malpractice law, what term describes the failure of a professional to act in accordance
with the prevailing professional standards?
A. Duty
B. Proximate cause
C. Breach of duty
D. Damages
Answer: C
Conceptual Explanation: Breach of duty occurs when the clinician fails to meet the
standard of care expected of a reasonably prudent practitioner in the same situation.
6. Medicare Part B covers which of the following services?
A. Inpatient hospital stays
B. Skilled nursing facility room and board
