NSG 300/555 EXAM 1: NURSE
PRACTITIONERS IN PRIMARY CARE.
QUESTIONS AND ANSWERS
1. Which individuals are recognized as the founders of the first Nurse Practitioner program in
1965 at the University of Colorado?
A. Loretta Ford and Henry Silver
B. Florence Nightingale and Clara Barton
C. Mary Breckinridge and Lillian Wald
D. Dorothea Dix and Linda Richards
Answer: A
Conceptual Explanation: The NP role was established in 1965 by Loretta Ford, a nurse,
and Henry Silver, a physician, at the University of Colorado to address a shortage of
pediatric primary care providers.
2. Under the ‘Incident-to’ billing rules, what is the reimbursement rate for services provided
by a Nurse Practitioner compared to a physician?
A. 85% of the Physician Fee Schedule
B. 50% of the Physician Fee Schedule
,C. 75% of the Physician Fee Schedule
D. 100% of the Physician Fee Schedule
Answer: D
Conceptual Explanation: If all ‘incident-to’ requirements are met (physician on-site,
established plan of care), the service is billed under the physician’s NPI and reimbursed at
100%.
3. Which legal document defines the Nurse Practitioner’s scope of practice within a specific
state?
A. The Nurse Practice Act
B. The Consensus Model for APRN Regulation
C. The ANA Code of Ethics
D. Federal Medicare Guidelines
Answer: A
Conceptual Explanation: Scope of practice is determined by state law, specifically the
Nurse Practice Act, which is governed by the state’s Board of Nursing.
4. A Nurse Practitioner is sued for malpractice. Which of the following must the plaintiff
prove to establish negligence?
A. Duty of care, breach of duty, proximate cause, and damages
B. Intent to harm, physical injury, and lack of consent
, C. Financial loss, breach of confidentiality, and poor communication
D. Misdiagnosis, medication error, and failure to refer
Answer: A
Conceptual Explanation: The four essential elements of a malpractice lawsuit are Duty,
Breach of Duty, Proximate Cause (Causation), and Damages.
5. What type of professional liability insurance covers a claim only if the policy is in effect at
the time the claim is filed?
A. Occurrence Policy
B. Claims-made Policy
C. Tail Coverage
D. Prior Acts Coverage
Answer: B
Conceptual Explanation: A claims-made policy covers incidents that occur and are
reported while the policy is active. If the policy is canceled, a ‘tail’ is needed for future
claims.
6. In the LACE Consensus Model, what does the ‘C’ stand for?
A. Certification
B. Collaboration
C. Competency
PRACTITIONERS IN PRIMARY CARE.
QUESTIONS AND ANSWERS
1. Which individuals are recognized as the founders of the first Nurse Practitioner program in
1965 at the University of Colorado?
A. Loretta Ford and Henry Silver
B. Florence Nightingale and Clara Barton
C. Mary Breckinridge and Lillian Wald
D. Dorothea Dix and Linda Richards
Answer: A
Conceptual Explanation: The NP role was established in 1965 by Loretta Ford, a nurse,
and Henry Silver, a physician, at the University of Colorado to address a shortage of
pediatric primary care providers.
2. Under the ‘Incident-to’ billing rules, what is the reimbursement rate for services provided
by a Nurse Practitioner compared to a physician?
A. 85% of the Physician Fee Schedule
B. 50% of the Physician Fee Schedule
,C. 75% of the Physician Fee Schedule
D. 100% of the Physician Fee Schedule
Answer: D
Conceptual Explanation: If all ‘incident-to’ requirements are met (physician on-site,
established plan of care), the service is billed under the physician’s NPI and reimbursed at
100%.
3. Which legal document defines the Nurse Practitioner’s scope of practice within a specific
state?
A. The Nurse Practice Act
B. The Consensus Model for APRN Regulation
C. The ANA Code of Ethics
D. Federal Medicare Guidelines
Answer: A
Conceptual Explanation: Scope of practice is determined by state law, specifically the
Nurse Practice Act, which is governed by the state’s Board of Nursing.
4. A Nurse Practitioner is sued for malpractice. Which of the following must the plaintiff
prove to establish negligence?
A. Duty of care, breach of duty, proximate cause, and damages
B. Intent to harm, physical injury, and lack of consent
, C. Financial loss, breach of confidentiality, and poor communication
D. Misdiagnosis, medication error, and failure to refer
Answer: A
Conceptual Explanation: The four essential elements of a malpractice lawsuit are Duty,
Breach of Duty, Proximate Cause (Causation), and Damages.
5. What type of professional liability insurance covers a claim only if the policy is in effect at
the time the claim is filed?
A. Occurrence Policy
B. Claims-made Policy
C. Tail Coverage
D. Prior Acts Coverage
Answer: B
Conceptual Explanation: A claims-made policy covers incidents that occur and are
reported while the policy is active. If the policy is canceled, a ‘tail’ is needed for future
claims.
6. In the LACE Consensus Model, what does the ‘C’ stand for?
A. Certification
B. Collaboration
C. Competency
