N5350 Roles Final Study Guide (2025) ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND VERIFIED
ACCURATE SOLUTION (DETAILED & ELABORATED)
|GET IT 100% ACCURATE!! 2025 TEST!!
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. - ...(ANSWERS)....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 - ...(ANSWERS)....*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 - ...(ANSWERS)....* 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 - ...(ANSWERS)....*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1d) Physician Alternate Site - ...(ANSWERS)....*No longer in effect.
2. The FOUR Approved Categories of APN in TX? - ...(ANSWERS)....*CRNA, NP,
CNS, and CNM
3. NP requirements by BON for approval of license/ AP recognition each
biennium. - ...(ANSWERS)....*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? -
...(ANSWERS)....*Must take and pass national certification exam.
5. What is the NP's scope of practice based on? - ...(ANSWERS)....*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 obtained? -
...(ANSWERS)....*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 - ...(ANSWERS)....*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 - ...(ANSWERS)....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.
15. National Practitioner Data Bank - ...(ANSWERS)....*Receives and discloses the
reports on medical malpractice.
Who is credited to be the first advanced practice nurse role? -
...(ANSWERS)....Nurse Anesthesia in 1800's- perhaps the oldest advanced nursing
specialty, Sister Mary Bernard at St. Vincent's Hospital was the first anesthetist
Who is credited to be the founder of the first nurse practitioner role? -
...(ANSWERS)....Loretta Ford-1965- Colorado
Who is (are) the oldest primary care providers in the history of advanced practice
nurses? - ...(ANSWERS)....Midwifes in 1700's- perhaps the oldest primary health
care provider
Martha Bullard, 1785 is the oldest noted in publication
What are the roles of APRNs? How are they different from each other? -
...(ANSWERS)....To provide health care to individuals, family, groups in a variety of
health care settings (homes, hospitals, institutions, offices, clinics, etc)
COMPREHENSIVE QUESTIONS AND VERIFIED
ACCURATE SOLUTION (DETAILED & ELABORATED)
|GET IT 100% ACCURATE!! 2025 TEST!!
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. - ...(ANSWERS)....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 - ...(ANSWERS)....*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 - ...(ANSWERS)....* 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 - ...(ANSWERS)....*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 - ...(ANSWERS)....*No longer in effect.
2. The FOUR Approved Categories of APN in TX? - ...(ANSWERS)....*CRNA, NP,
CNS, and CNM
3. NP requirements by BON for approval of license/ AP recognition each
biennium. - ...(ANSWERS)....*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? -
...(ANSWERS)....*Must take and pass national certification exam.
5. What is the NP's scope of practice based on? - ...(ANSWERS)....*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 obtained? -
...(ANSWERS)....*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 - ...(ANSWERS)....*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 - ...(ANSWERS)....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.
15. National Practitioner Data Bank - ...(ANSWERS)....*Receives and discloses the
reports on medical malpractice.
Who is credited to be the first advanced practice nurse role? -
...(ANSWERS)....Nurse Anesthesia in 1800's- perhaps the oldest advanced nursing
specialty, Sister Mary Bernard at St. Vincent's Hospital was the first anesthetist
Who is credited to be the founder of the first nurse practitioner role? -
...(ANSWERS)....Loretta Ford-1965- Colorado
Who is (are) the oldest primary care providers in the history of advanced practice
nurses? - ...(ANSWERS)....Midwifes in 1700's- perhaps the oldest primary health
care provider
Martha Bullard, 1785 is the oldest noted in publication
What are the roles of APRNs? How are they different from each other? -
...(ANSWERS)....To provide health care to individuals, family, groups in a variety of
health care settings (homes, hospitals, institutions, offices, clinics, etc)
