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NR 661 Professional Issues Exam (50+ Questions) – Scope of Practice, Ethics, Medicare, Liability – Chamberlain University

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This document contains over 50 multiple-choice questions with 100% correct answers from the NR 661 Professional Issues Exam, tailored for the 2025/2026 academic year at Chamberlain University. It serves as a critical review for advanced nursing students covering the legal, ethical, professional, and regulatory dimensions of nurse practitioner (NP) practice in the U.S. healthcare system. Topics covered include NP scope of practice, licensure, certification, and prescriptive authority across states; legal responsibilities (e.g., reporting elder abuse, malpractice vs negligence); professional boundaries and confidentiality; Medicare and Medicaid billing rules; study designs and evidence-based research; and ethical dilemmas involving patient care, diversion, and vulnerable populations. Students are also tested on policies like tail and claims-made liability insurance, informed consent, documentation standards, DPA roles, HIV confidentiality, and pharmacologic safety in geriatric care. Realistic clinical and legal scenarios foster critical thinking, making this exam a practical preparation tool for board certification and real-world decision-making. Ideal for: Family Nurse Practitioner (FNP) students Adult-Gerontology Primary Care NP students MSN students in advanced practice or policy tracks Medical and PA students studying healthcare law and ethics Practicing clinicians preparing for certification or state licensure Keywords: NR 661, professional issues, scope of practice, malpractice, elder abuse, Medicare, Medicaid, liability insurance, NP licensure, certification, prescriptive authority, breach of confidentiality, ethics, documentation, research design, informed consent, HIV policy, nurse practitioner law, healthcare policy, Chamberlain University

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Uploaded on
November 25, 2025
Number of pages
25
Written in
2025/2026
Type
Exam (elaborations)
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NR 661- Professional Issues 2025/2026
Exam Questions with 100% Correct
Answers | Latest Update



A liability policy that pays claims even after the policy is no longer active is

termed




-claims made policy'

-tail coverage

-liability protection


-"all protect" - 🧠 ANSWER ✔✔tail coverage

,A nurse practitioner's scope of practice in influenced by a number of

factors. Which one does not influence scope of practice?




-code of ethics

-state and federal laws governing practice

-court of law


-educational preparation - 🧠 ANSWER ✔✔court of law


A patient you are examining in the clinic states that he has medicare part A

only. What does this mean?




-your visit will be reimbursed by the federal government

-your visit will be reimbursed if you bill incident to a physician

-only hospital visits are covered


-he desires a cost-effective medication - 🧠 ANSWER ✔✔only hospital visits

are covered

A nurse practitioner is taking care of a patient who has chronic perennial

allergic rhinitis. The patient has health insurance. The NP has become

, aware that the patient is not using her prescribed allergy medications.

Instead, the patient is giving the medication to her husband because he

does not have insurance. What should the NP do?




-prescribe the medication only once more

-only prescribe the medication if the patient promises to use it

-stop prescribing the medication to the patient


-continue to prescribe the medication - 🧠 ANSWER ✔✔only prescribe the

medication if the patient promises to use it

Prescriptive authority




-is a right of every practicing nurse practitioner

-varies from state to state

-is not part of the consensus model


-is dependent on certification - 🧠 ANSWER ✔✔varies from state to state


Standards of practice are established to:



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