N5350 ROLES FINAL STUDY GUIDE (2026) |
COMPLETE ADVANCED PRACTICE NURSING
EXAM PREP & REVIEW
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,1. What are the 4 settings for prescriptive authority? 1. Medically Underserved
Describe the requirements in each setting for physician 2. Physician Primary Site
supervision, # of NPs, chart review, and any other 3. Physician Alternate Site
special requirements in that 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 *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 * 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 *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1d) Physician Alternate Site *No longer in effect.
2. The FOUR Approved Categories of APN in TX? *CRNA, NP, CNS, and CNM
3. NP requirements by BON for approval of license/ AP *Current valid RN licensure.
recognition each biennium. *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 *Must take and pass national certification exam.
the board?
, 5. What is the NP's scope of practice based on? *Nurse practice acts define legal scope of practice for licensed practitioners.
*Includes privileges for diagnosis, treatment, prescriptive authority and
reimbursement.
11. What are clinical privileges and how are they *autonomy to perform expanded role functions based on the individuals
obtained? licensure, educational preparation, clinical experience, and credentials.
*Via contractual agreement with hospitals or long term care facilities.
12. Define Malpractice *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 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.
3. Damage: Must have an injury or no malpractice even if violated standard of
care; cap "pain and suffering" $250,000 to $500, 000.
4. Causation of Injury: For malpractice to have occurred, a breach of the
standard of care must have caused an injury to the patient.
COMPLETE ADVANCED PRACTICE NURSING
EXAM PREP & REVIEW
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,1. What are the 4 settings for prescriptive authority? 1. Medically Underserved
Describe the requirements in each setting for physician 2. Physician Primary Site
supervision, # of NPs, chart review, and any other 3. Physician Alternate Site
special requirements in that 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 *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 * 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 *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 *No longer in effect.
2. The FOUR Approved Categories of APN in TX? *CRNA, NP, CNS, and CNM
3. NP requirements by BON for approval of license/ AP *Current valid RN licensure.
recognition each biennium. *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 *Must take and pass national certification exam.
the board?
, 5. What is the NP's scope of practice based on? *Nurse practice acts define legal scope of practice for licensed practitioners.
*Includes privileges for diagnosis, treatment, prescriptive authority and
reimbursement.
11. What are clinical privileges and how are they *autonomy to perform expanded role functions based on the individuals
obtained? licensure, educational preparation, clinical experience, and credentials.
*Via contractual agreement with hospitals or long term care facilities.
12. Define Malpractice *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 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.
3. Damage: Must have an injury or no malpractice even if violated standard of
care; cap "pain and suffering" $250,000 to $500, 000.
4. Causation of Injury: For malpractice to have occurred, a breach of the
standard of care must have caused an injury to the patient.
