NURS 6531 ADVANCED PRACTICE
NURSING ROLES QUESTIONS AND
ANSWERS
1. Which component of the APRN Consensus Model specifically addresses the formal
recognition of an individual’s knowledge, skills, and ability to practice in a specific area?
A. Licensure
B. Certification
C. Accreditation
D. Education
Answer: B
Conceptual Explanation: Certification is the formal process by which a non-governmental
agency validates an individual’s qualifications for a specific area of practice, whereas
licensure is the legal grant of permission by a state.
2. Under the Medicare ‘incident-to’ billing rules, what is the maximum reimbursement rate
for services provided by an NP?
A. 85% of the Physician Fee Schedule
,B. 75% of the Physician Fee Schedule
C. 100% of the Physician Fee Schedule
D. 65% of the Physician Fee Schedule
Answer: C
Conceptual Explanation: If ‘incident-to’ requirements are met (physician on-site,
established plan of care), the service is billed under the physician and reimbursed at 100%.
If billed under the NP’s own NPI, it is typically 85%.
3. An APRN is analyzing a clinical situation using the principle of Justice. Which of the
following best represents this application?
A. Ensuring the patient has the right to refuse a life-saving treatment.
B. Providing the same standard of care to an uninsured patient as a private-pay patient.
C. Preventing harm by checking medication dosages twice.
D. Acting in the best interest of the patient even when they disagree.
Answer: B
Conceptual Explanation: Justice refers to the fair and equitable distribution of resources
and treatment regardless of social or economic status.
4. Which landmark report initially called for the removal of scope-of-practice barriers for
APRNs to increase access to care?
A. The Flexner Report
, B. The Belmont Report
C. The Future of Nursing: Leading Change, Advancing Health (IOM)
D. The Crossing the Quality Chasm Report
Answer: C
Conceptual Explanation: The 2010 Institute of Medicine (IOM) report ‘The Future of
Nursing’ recommended that nurses should practice to the full extent of their education and
training.
5. Which legal concept holds an employer responsible for the actions of an employee
performed within the scope of their employment?
A. Res ipsa loquitur
B. Statutory Law
C. Beneficence
D. Vicarious Liability (Respondeat Superior)
Answer: D
Conceptual Explanation: Respondeat superior (‘let the master answer’) is the doctrine
that makes an employer liable for the actions of an employee while working.
6. What is the primary purpose of the National Practitioner Data Bank (NPDB)?
A. To track medical malpractice payments and adverse actions against healthcare
providers.
NURSING ROLES QUESTIONS AND
ANSWERS
1. Which component of the APRN Consensus Model specifically addresses the formal
recognition of an individual’s knowledge, skills, and ability to practice in a specific area?
A. Licensure
B. Certification
C. Accreditation
D. Education
Answer: B
Conceptual Explanation: Certification is the formal process by which a non-governmental
agency validates an individual’s qualifications for a specific area of practice, whereas
licensure is the legal grant of permission by a state.
2. Under the Medicare ‘incident-to’ billing rules, what is the maximum reimbursement rate
for services provided by an NP?
A. 85% of the Physician Fee Schedule
,B. 75% of the Physician Fee Schedule
C. 100% of the Physician Fee Schedule
D. 65% of the Physician Fee Schedule
Answer: C
Conceptual Explanation: If ‘incident-to’ requirements are met (physician on-site,
established plan of care), the service is billed under the physician and reimbursed at 100%.
If billed under the NP’s own NPI, it is typically 85%.
3. An APRN is analyzing a clinical situation using the principle of Justice. Which of the
following best represents this application?
A. Ensuring the patient has the right to refuse a life-saving treatment.
B. Providing the same standard of care to an uninsured patient as a private-pay patient.
C. Preventing harm by checking medication dosages twice.
D. Acting in the best interest of the patient even when they disagree.
Answer: B
Conceptual Explanation: Justice refers to the fair and equitable distribution of resources
and treatment regardless of social or economic status.
4. Which landmark report initially called for the removal of scope-of-practice barriers for
APRNs to increase access to care?
A. The Flexner Report
, B. The Belmont Report
C. The Future of Nursing: Leading Change, Advancing Health (IOM)
D. The Crossing the Quality Chasm Report
Answer: C
Conceptual Explanation: The 2010 Institute of Medicine (IOM) report ‘The Future of
Nursing’ recommended that nurses should practice to the full extent of their education and
training.
5. Which legal concept holds an employer responsible for the actions of an employee
performed within the scope of their employment?
A. Res ipsa loquitur
B. Statutory Law
C. Beneficence
D. Vicarious Liability (Respondeat Superior)
Answer: D
Conceptual Explanation: Respondeat superior (‘let the master answer’) is the doctrine
that makes an employer liable for the actions of an employee while working.
6. What is the primary purpose of the National Practitioner Data Bank (NPDB)?
A. To track medical malpractice payments and adverse actions against healthcare
providers.
