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N5350 Roles Final Study Guide Questions
and Correct Answers/ Latest Update /
Already Graded
1. What are the 4 settings for prescriptive authority? Describe the
requirements in each setting for physician supervision, # of NPs, chart
review, and any other special requirements in that site.
Ans: 1. Medically Underserved
2. Physician Primary Site
3. Physician Alternate Site
4. Facility Based Practice Site.
* General requirements per TBON rule 222.5: regular visits,
chart review as determined by APRN & physician, periodic face
to face meeting of APRN & physician to discuss pt care &
improvement.
1a) Medically Underserved
Ans: *site must be official, physician must be reachable by
phone & must be provided with daily status report of any major
problems outside of the protocol.
*must have protocols.
1b) Physician Primary Practice Site
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Ans: * Must have protocols.
*Sign drug orders only for pts whom the MD has/will establish a
relationship.
*alternate MD may delegate.
*MD may delegate to no more than 7 APNS or PAs.
*Physician on-site visits should be 50% of the time according to
BME.
1c) Facility Based Practice
Ans: *Must be physically present in facility (hospital or long
term facility).
*Physician must give prior consent.
*Delegation only at > one hospital or > 2 long term care
facilities - now it is 7 FTEs.
*Long term care-only 4 APNs (APRNs) or 4 PAs or their FTE
equivalent - now it is 7 FTE & approved by Chief Physician of
Facility.
*Protocol signed by the Chief Physician.
1d) Physician Alternate Site
Ans: *No longer in effect.
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2. The FOUR Approved Categories of APN in TX?
Ans: *CRNA, NP, CNS, and CNM
3. NP requirements by BON for approval of license/ AP recognition
each biennium.
Ans: *Current valid RN licensure.
*400 hours of current clinical practice.
*20 hours of CEs.
*8 hours of continuing education in pharmacotherapeutics.
*Current board certification.
*Separate application for dual roles.
4. New NP graduate requirements when applying for the board?
Ans: *Must take and pass national certification exam.
5. What is the NP's scope of practice based on?
Ans: *Nurse practice acts define legal scope of practice for
licensed practitioners.
*Includes privileges for diagnosis, treatment, prescriptive
authority and reimbursement.
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11. What are clinical privileges and how are they obtained?
Ans: *autonomy to perform expanded role functions based on
the individuals licensure, educational preparation, clinical
experience, and credentials.
*Via contractual agreement with hospitals or long term care
facilities.
12. Define Malpractice
Ans: *Any professional misconduct, unreasonable lack of skill,
or infidelity in professional or fiduciary duties, or illegal or
immoral conduct.
*Negligence is the failure of an individual to do something that
a reasonable person would do, that results in injury to another.
*The alleged failure on the part of a professional to render
services with the degree of care, diligence, and precaution that
another member of the same profession in similar
circumstances would render to prevent injury to some one else.
13. FOUR Elements of Malpractice
Ans: 1. Duty: provide some level of care, had some contact.
2. Dereliction: reasonable, ordinary care, skill and diligence as
NP's in good standing in similar practice.
All rights reserved © 2025/ 2026 |
N5350 Roles Final Study Guide Questions
and Correct Answers/ Latest Update /
Already Graded
1. What are the 4 settings for prescriptive authority? Describe the
requirements in each setting for physician supervision, # of NPs, chart
review, and any other special requirements in that site.
Ans: 1. Medically Underserved
2. Physician Primary Site
3. Physician Alternate Site
4. Facility Based Practice Site.
* General requirements per TBON rule 222.5: regular visits,
chart review as determined by APRN & physician, periodic face
to face meeting of APRN & physician to discuss pt care &
improvement.
1a) Medically Underserved
Ans: *site must be official, physician must be reachable by
phone & must be provided with daily status report of any major
problems outside of the protocol.
*must have protocols.
1b) Physician Primary Practice Site
All rights reserved © 2025/ 2026 |
, Page |2
Ans: * Must have protocols.
*Sign drug orders only for pts whom the MD has/will establish a
relationship.
*alternate MD may delegate.
*MD may delegate to no more than 7 APNS or PAs.
*Physician on-site visits should be 50% of the time according to
BME.
1c) Facility Based Practice
Ans: *Must be physically present in facility (hospital or long
term facility).
*Physician must give prior consent.
*Delegation only at > one hospital or > 2 long term care
facilities - now it is 7 FTEs.
*Long term care-only 4 APNs (APRNs) or 4 PAs or their FTE
equivalent - now it is 7 FTE & approved by Chief Physician of
Facility.
*Protocol signed by the Chief Physician.
1d) Physician Alternate Site
Ans: *No longer in effect.
All rights reserved © 2025/ 2026 |
, Page |3
2. The FOUR Approved Categories of APN in TX?
Ans: *CRNA, NP, CNS, and CNM
3. NP requirements by BON for approval of license/ AP recognition
each biennium.
Ans: *Current valid RN licensure.
*400 hours of current clinical practice.
*20 hours of CEs.
*8 hours of continuing education in pharmacotherapeutics.
*Current board certification.
*Separate application for dual roles.
4. New NP graduate requirements when applying for the board?
Ans: *Must take and pass national certification exam.
5. What is the NP's scope of practice based on?
Ans: *Nurse practice acts define legal scope of practice for
licensed practitioners.
*Includes privileges for diagnosis, treatment, prescriptive
authority and reimbursement.
All rights reserved © 2025/ 2026 |
, Page |4
11. What are clinical privileges and how are they obtained?
Ans: *autonomy to perform expanded role functions based on
the individuals licensure, educational preparation, clinical
experience, and credentials.
*Via contractual agreement with hospitals or long term care
facilities.
12. Define Malpractice
Ans: *Any professional misconduct, unreasonable lack of skill,
or infidelity in professional or fiduciary duties, or illegal or
immoral conduct.
*Negligence is the failure of an individual to do something that
a reasonable person would do, that results in injury to another.
*The alleged failure on the part of a professional to render
services with the degree of care, diligence, and precaution that
another member of the same profession in similar
circumstances would render to prevent injury to some one else.
13. FOUR Elements of Malpractice
Ans: 1. Duty: provide some level of care, had some contact.
2. Dereliction: reasonable, ordinary care, skill and diligence as
NP's in good standing in similar practice.
All rights reserved © 2025/ 2026 |
