NUR 6111: ADVANCED PRACTICE
NURSING I COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS
1. The LACE model was developed to harmonize the regulation of Advanced Practice
Registered Nurses (APRNs). What does the acronym LACE stand for?
A. Licensing, Advocacy, Certification, and Ethics
B. Licensing, Assessment, Certification, and Evaluation
C. Leadership, Accreditation, Clinical, and Education
D. Licensure, Accreditation, Certification, and Education
Answer: D
Conceptual Explanation: The LACE model stands for Licensure, Accreditation,
Certification, and Education. It provides a framework for the regulation of APRN roles to
ensure consistency across states.
,2. When billing Medicare for services provided by a Nurse Practitioner, what is the standard
reimbursement rate relative to the Physician Fee Schedule when the NP bills under their own
NPI?
A. 100%
B. 90%
C. 85%
D. 75%
Answer: C
Conceptual Explanation: Under Medicare Part B, services provided by an NP are
reimbursed at 85% of the Physician Fee Schedule rate when billed directly under the NP’s
National Provider Identifier (NPI).
3. A Nurse Practitioner is working in a clinic where the physician is present in the suite. If the
NP sees a patient for a follow-up visit for a stable condition previously diagnosed by the
physician, this is known as:
A. Direct Billing
B. Split/Shared Billing
C. Collaborative Billing
D. Incident-to Billing
Answer: D
, Conceptual Explanation: ‘Incident-to’ billing allows services to be billed at 100% of the
physician rate if the physician performed the initial visit, is physically present in the office
suite, and the NP is treating a problem within the established plan of care.
4. Which ethical principle is most directly involved when a Nurse Practitioner respects a
patient’s decision to refuse a life-saving treatment?
A. Beneficence
B. Autonomy
C. Justice
D. Non-maleficence
Answer: B
Conceptual Explanation: Autonomy refers to the right of the patient to make their own
healthcare decisions without coercion, even if those decisions result in harm or refusal of
care.
5. Which legal document defines the scope of practice for Advanced Practice Nurses in a
specific state?
A. The State Nurse Practice Act
B. The ANA Scope and Standards of Practice
C. The Hospital Bylaws
D. The Consensus Model for APRN Regulation
NURSING I COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS
1. The LACE model was developed to harmonize the regulation of Advanced Practice
Registered Nurses (APRNs). What does the acronym LACE stand for?
A. Licensing, Advocacy, Certification, and Ethics
B. Licensing, Assessment, Certification, and Evaluation
C. Leadership, Accreditation, Clinical, and Education
D. Licensure, Accreditation, Certification, and Education
Answer: D
Conceptual Explanation: The LACE model stands for Licensure, Accreditation,
Certification, and Education. It provides a framework for the regulation of APRN roles to
ensure consistency across states.
,2. When billing Medicare for services provided by a Nurse Practitioner, what is the standard
reimbursement rate relative to the Physician Fee Schedule when the NP bills under their own
NPI?
A. 100%
B. 90%
C. 85%
D. 75%
Answer: C
Conceptual Explanation: Under Medicare Part B, services provided by an NP are
reimbursed at 85% of the Physician Fee Schedule rate when billed directly under the NP’s
National Provider Identifier (NPI).
3. A Nurse Practitioner is working in a clinic where the physician is present in the suite. If the
NP sees a patient for a follow-up visit for a stable condition previously diagnosed by the
physician, this is known as:
A. Direct Billing
B. Split/Shared Billing
C. Collaborative Billing
D. Incident-to Billing
Answer: D
, Conceptual Explanation: ‘Incident-to’ billing allows services to be billed at 100% of the
physician rate if the physician performed the initial visit, is physically present in the office
suite, and the NP is treating a problem within the established plan of care.
4. Which ethical principle is most directly involved when a Nurse Practitioner respects a
patient’s decision to refuse a life-saving treatment?
A. Beneficence
B. Autonomy
C. Justice
D. Non-maleficence
Answer: B
Conceptual Explanation: Autonomy refers to the right of the patient to make their own
healthcare decisions without coercion, even if those decisions result in harm or refusal of
care.
5. Which legal document defines the scope of practice for Advanced Practice Nurses in a
specific state?
A. The State Nurse Practice Act
B. The ANA Scope and Standards of Practice
C. The Hospital Bylaws
D. The Consensus Model for APRN Regulation
