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NRNP 5050 Role of the Nurse Practitioner Final
Exam 1 2025 Questions and Revised Correct
Answers with Rationales |Guaranteed Pass
- Which of the following is a primary responsibility of the nurse practitioner (NP) role? A. Performing surgical procedures B. Diagnosing and managing acute and chronic illnesses C. Conducting laboratory research D. Supervising non-clinical staff NPs are trained and licensed to assess, diagnose, and manage patient conditions within their scope of practice.
- What federal law allowed NPs to be reimbursed under Medicare? A. HIPAA B. ACA C. EMTALA D. Balanced Budget Act of 1997 This act granted NPs the ability to bill Medicare directly for their services.
- What is one key aspect of NP practice autonomy? A. Working only under direct physician supervision B. Independently prescribing medications
C. Delegating diagnosis to RNs D. Only practicing in rural health centers Autonomy in prescribing is a hallmark of NP independence in many states.
- What is the primary goal of the Consensus Model for APRN Regulation? A. Increase salary standards B. Standardize licensure, accreditation, certification, and education (LACE) C. Limit NP scope of practice D. Expand hospital-based roles only The Consensus Model aims to unify APRN regulation across states.
- Which ethical principle refers to doing good for the patient? A. Nonmaleficence B. Beneficence C. Autonomy D. Fidelity Beneficence is the obligation to act in the patient’s best interest.
- Which document defines the scope of NP practice? A. Institutional policy B. Nurse Practice Act (state-specific) C. Medical bylaws D. Federal code The Nurse Practice Act outlines what NPs can legally do in each state.
- NPs are considered which type of provider under CMS?
NPs must register with the DEA and follow state guidelines to prescribe controlled substances. 11.The NP Code of Ethics is published by: A. ANA B. American Association of Nurse Practitioners (AANP) C. AMA D. CMS AANP provides ethical guidelines tailored specifically to NP roles. 12.Which leadership style is most effective in mentoring new NPs? A. Autocratic B. Laissez-faire C. Transformational D. Bureaucratic Transformational leaders inspire and support growth and innovation. 13.What is the primary difference between NPs and RNs? A. Uniform colors B. Scope of practice and authority to diagnose/treat C. Licensing board D. Malpractice insurance NPs have an expanded role in clinical decision-making compared to RNs. 14.What is the legal term for failing to meet the standard of care?
A. Breach of contract B. Assault C. Negligence D. Autonomy Negligence is a failure to act with reasonable care in clinical practice. 15.A nurse practitioner working across multiple states must consider: A. Federal tax laws B. Each state’s Nurse Practice Act C. Institutional culture D. AANP membership status Licensure and scope of practice vary by state; NPs must comply with each. 16.Which of the following is an example of primary prevention? A. Treating strep throat B. Administering flu vaccines C. Monitoring blood glucose D. Prescribing antibiotics Vaccination is a key primary prevention strategy. 17.The authority to practice as an NP originates from: A. The institution B. The preceptor C. The state board of nursing D. The federal government State boards issue licenses and define scope of NP practice.
C. Avoiding disagreement D. NP independence Effective teams rely on shared decision-making and mutual respect. 22.What federal law affects the privacy of patient health information? A. HIPAA B. EMTALA C. OSHA D. ACA HIPAA governs the protection and confidentiality of health data. 23.The ability to prescribe Schedule II medications is determined by: A. Institutional protocol B. DEA licensure and state laws C. Nursing license D. Board certification Schedule II prescribing requires DEA authority and is often restricted by state. 24.An NP conducting research must follow which ethical principle? A. Expedience B. Informed consent C. Financial neutrality D. Peer review Informed consent is essential for ethical research involving humans. 25.A nurse practitioner should first consult what when unsure about scope of practice?
A. Hospital bylaws B. State Nurse Practice Act C. A colleague D. DEA regulations The Nurse Practice Act outlines what an NP can legally perform in that state. (Continued below for questions 26–50) NRNP 5050 Final Exam Practice – Questions 26– 50 26.Which organization provides board certification for family nurse practitioners? A. ANA B. AACN C. AANP or ANCC D. CMS Both AANP and ANCC offer certification exams for FNPs. 27.What is the most effective way for NPs to advocate for policy change? A. Avoid politics B. Vote in presidential elections only C. Join professional organizations and engage in legislative processes D. Focus on patient care only Engagement through organizations strengthens collective advocacy. 28.A hallmark of evidence-based practice is:
C. Replace licensure D. Train medical students Credentialing ensures providers meet standards for safe practice. 32.What describes full practice authority for NPs? A. Only prescribing vitamins B. Independently evaluating, diagnosing, treating, and prescribing C. Working only under physician orders D. Limiting scope to pediatrics Full practice authority allows NPs to operate without mandated collaboration. 33.What organization defines APRN roles nationally? A. The Senate B. National Council of State Boards of Nursing (NCSBN) C. American Medical Association D. CDC NCSBN developed the Consensus Model and APRN regulation framework. 34.What is an appropriate leadership role for a nurse practitioner? A. Avoiding management issues B. Leading quality improvement initiatives C. Delegating only administrative duties D. Writing protocols only NPs lead QI projects, policy development, and patient safety initiatives. 35.What is the most appropriate documentation of a patient visit?
A. Based on memory B. Vague notes C. Accurate, timely, objective, and complete D. Using abbreviations only High-quality documentation supports care, legal protection, and continuity. 36.Which level of prevention involves screening for disease? A. Primary B. Secondary C. Tertiary D. Quaternary Secondary prevention identifies early disease through screening. 37.Which of the following is an NP’s responsibility in ethical dilemmas? A. Refer to MDs B. Apply ethical principles and advocate for patient rights C. Ignore family wishes D. Avoid discussion NPs must integrate ethics into care and navigate dilemmas professionally. 38.Who is responsible for defining NP competencies? A. CMS B. Professional organizations and certifying bodies C. Health insurance companies D. Hospitals
A. Billing B. Documenting clinical encounters systematically C. Scheduling D. Teaching SOAP (Subjective, Objective, Assessment, Plan) notes ensure clear records. 43.Which is a role of the NP in quality improvement? A. Ignoring near misses B. Refusing audits C. Leading and participating in quality initiatives D. Only following physician directives NPs drive QI by identifying gaps and applying evidence-based solutions. 44.Which act allowed NPs to prescribe controlled substances? A. EMTALA B. Controlled Substances Act with DEA registration C. Medicare Modernization Act D. Public Health Services Act NPs prescribe controlled substances under the CSA, after DEA registration. 45.What does the term “scope of practice” refer to? A. Educational history B. Legal boundaries of clinical activities C. Preferred practice location D. Malpractice risk Scope of practice defines what an NP can and cannot do legally.
46.What does the "Triple Aim" in healthcare focus on? A. Technology, billing, access B. Better care, improved health, and lower costs C. Access, turnover, revenue D. Metrics, standards, and hiring The Triple Aim guides health system improvements on key outcomes. 47.A primary ethical issue in telehealth is: A. Billing B. Clinical notes C. Patient confidentiality D. Wait times Securing patient data is crucial in virtual platforms. 48.Which of the following is a component of NP professionalism? A. Wearing a lab coat B. Accountability, advocacy, and evidence-based care C. Following hospital gossip D. Avoiding team discussions Professionalism encompasses integrity, clinical judgment, and advocacy. 49.A nurse practitioner with prescriptive authority must: A. Use paper prescriptions only B. Avoid all controlled substances
