NR 667 ADVANCED PRACTICE
NURSING COMPREHENSIVE EXAM 1
QUESTIONS AND ANSWERS 2026/2027
UPDATE. 100% VERIFIED
1. A 68-year-old patient with Medicare Part B visits the clinic for a routine follow-up. Which
of the following services is primarily covered under Part B rather than Part A?
A. Inpatient hospital stays
B. Skilled nursing facility care
C. Hospice care
D. Outpatient diagnostic tests
Answer: D
Conceptual Explanation: Medicare Part B covers medically necessary services like
doctors’ services and outpatient care. Part A covers inpatient hospital stays, care in a
skilled nursing facility, hospice care, and some home health care.
2. To meet ‘incident to’ billing requirements in a private practice, which condition must be
satisfied?
A. The NP must be the one who initially diagnosed the patient’s condition.
B. The physician must be in the same office suite and immediately available.
,C. The patient must be a new patient to the practice.
D. The NP must be working under direct line-of-sight supervision.
Answer: B
Conceptual Explanation: For ‘incident to’ billing at 100%, the physician must have
performed the initial service and remain involved. The physician must be in the office suite
(direct supervision) and available to assist, though not necessarily in the room.
3. A 55-year-old male with a history of HTN and DM presents with a BP of 145/92. According
to the ACC/AHA 2017 guidelines, what is the classification of his blood pressure?
A. Elevated
B. Stage 2 Hypertension
C. Stage 1 Hypertension
D. Hypertensive Urgency
Answer: B
Conceptual Explanation: Under the 2017 ACC/AHA guidelines, Stage 2 Hypertension is
defined as SBP >= 140 mmHg or DBP >= 90 mmHg.
4. Which CPT code set is used to describe the level of complexity for an office visit?
A. ICD-10 codes
B. HCPCS Level II codes
C. Evaluation and Management (E/M) codes
, D. DSM-5 codes
Answer: C
Conceptual Explanation: E/M codes (e.g., 99202-99215) are a subcategory of CPT codes
used to bill for office visits based on medical decision making or time.
5. When prescribing an ACE inhibitor for a patient with Heart Failure with Reduced Ejection
Fraction (HFrEF), the NP should monitor for which electrolyte abnormality?
A. Hypokalemia
B. Hyperkalemia
C. Hypernatremia
D. Hypocalcemia
Answer: B
Conceptual Explanation: ACE inhibitors can cause potassium retention by inhibiting
aldosterone, leading to hyperkalemia, especially in patients with renal impairment.
6. Which of the following is a ‘Hard Stop’ contraindication for the use of Combined Oral
Contraceptives (COCs)?
A. Controlled Hypertension
B. Migraine with aura
C. Age 30 and smoker
D. Family history of breast cancer
NURSING COMPREHENSIVE EXAM 1
QUESTIONS AND ANSWERS 2026/2027
UPDATE. 100% VERIFIED
1. A 68-year-old patient with Medicare Part B visits the clinic for a routine follow-up. Which
of the following services is primarily covered under Part B rather than Part A?
A. Inpatient hospital stays
B. Skilled nursing facility care
C. Hospice care
D. Outpatient diagnostic tests
Answer: D
Conceptual Explanation: Medicare Part B covers medically necessary services like
doctors’ services and outpatient care. Part A covers inpatient hospital stays, care in a
skilled nursing facility, hospice care, and some home health care.
2. To meet ‘incident to’ billing requirements in a private practice, which condition must be
satisfied?
A. The NP must be the one who initially diagnosed the patient’s condition.
B. The physician must be in the same office suite and immediately available.
,C. The patient must be a new patient to the practice.
D. The NP must be working under direct line-of-sight supervision.
Answer: B
Conceptual Explanation: For ‘incident to’ billing at 100%, the physician must have
performed the initial service and remain involved. The physician must be in the office suite
(direct supervision) and available to assist, though not necessarily in the room.
3. A 55-year-old male with a history of HTN and DM presents with a BP of 145/92. According
to the ACC/AHA 2017 guidelines, what is the classification of his blood pressure?
A. Elevated
B. Stage 2 Hypertension
C. Stage 1 Hypertension
D. Hypertensive Urgency
Answer: B
Conceptual Explanation: Under the 2017 ACC/AHA guidelines, Stage 2 Hypertension is
defined as SBP >= 140 mmHg or DBP >= 90 mmHg.
4. Which CPT code set is used to describe the level of complexity for an office visit?
A. ICD-10 codes
B. HCPCS Level II codes
C. Evaluation and Management (E/M) codes
, D. DSM-5 codes
Answer: C
Conceptual Explanation: E/M codes (e.g., 99202-99215) are a subcategory of CPT codes
used to bill for office visits based on medical decision making or time.
5. When prescribing an ACE inhibitor for a patient with Heart Failure with Reduced Ejection
Fraction (HFrEF), the NP should monitor for which electrolyte abnormality?
A. Hypokalemia
B. Hyperkalemia
C. Hypernatremia
D. Hypocalcemia
Answer: B
Conceptual Explanation: ACE inhibitors can cause potassium retention by inhibiting
aldosterone, leading to hyperkalemia, especially in patients with renal impairment.
6. Which of the following is a ‘Hard Stop’ contraindication for the use of Combined Oral
Contraceptives (COCs)?
A. Controlled Hypertension
B. Migraine with aura
C. Age 30 and smoker
D. Family history of breast cancer
