Role Comp Final Exam Questions And
Answers 100% Verified 2025
Define APRN - Correct Answer-A. An APRN is a nurse that has completed advanced educational
requirements in a selected setting. They are able to assess, diagnose, order test, and prescribe
medication to treat patients suffering from a variety disorders.
3 primary criteria to be an APRN - Correct Answer-a) The APRN must possess an earned
graduate degree with a concentration in an APRN role. This must be a Master's or Doctorate
degree. The curricular must include theories and research findings relevant to the selected core
discipline. Clinical training must include a minimum of 500 clinical hours for Master's degree
and 1000 clinical hours for Doctorate.
b) Professional certifications for practice at the level within a clinical population focus.
c) A practice focused on patients and their families.
List AND describe the 4 types of APRNs - Correct Answer-A. The Clinical Nurse Specialist: Care
for complex and vulnerable populations, educate, support interprofessional staff, and provide
clinical expertise to facilitate change in a health care system.
B. Certified Nurse Practitioner: Provide primary, acute or specialty care across lifespans. NP's are
licensed in all states and practice under the rules and regulations of that state. There are several
specialties of Nurse Practitioner: Primary care, Acute Care, Neonatal, Pediatric, Psychiatric, and
Women's health.
C. Certified Nurse-Midwives: Provide primary, gynecological, and reproductive health care.
Midwives must obtain a graduate degree from an accredited program.
D. Certified Registered Nurse Anesthetists: Provide a full range of anesthesia and pain
management across lifespans. The CRNA is the oldest APRN specialty.
How does Louisiana define the APRN? - Correct Answer-"Advanced practice registered nurse" or
"APRN" means a licensed registered nurse who is certified by a nationally recognized certifying
body, such as the American Nurses Credentialing Center, as having an advanced nursing
specialty as described in this Part and who meets the criteria for an advanced practice
registered nurse as established by the board.
Louisiana's regulatory requirements for APRN Licensure comply with the Consensus Model for
Regulation: LACE. Considering this, what are Louisiana's regulatory requirements for an APRN? Correct Answer-A. "Advanced practice registered nursing" means nursing by a certified
registered nurse anesthetist, certified nurse midwife, clinical nurse specialist, or nurse
practitioner which is based on knowledge and skills acquired in a basic nursing education
program, licensure as a registered nurse, and a minimum of a master's degree with a
concentration in the respective advanced practice nursing specialty which includes both didactic
and clinical components, advanced knowledge in nursing theory, physical and psychosocial
assessment, nursing interventions, and management of health care. The APRN must hold a
current, unencumbered nursing license in Louisiana. Continuing education is required annually
for licensure and the APRN that has prescriptive authority and active controlled dangerous
substance (CDS) license must complete an additional 3 hours of education that includes best
practices for the prescribing of CDS, drug diversion training, appropriate treatment for
addiction, and the treatment of chronic pain
Define NP (include - what does an NP do? What services do NPs provide??) - Correct Answer-A.
Nurse Practitioners are Advanced Nurse Practitioner's that specialize in areas of care. The
specialties include: Family Practice, Adult-Geriatric (Acute or Primary), Pediatric (Acute or
Primary), Psychiatric Mental Health, Neonatal, and Women's Health. NP's provide care in almost
all clinical setting such as in hospital, clinics, or primary care provider offices. NP's have the
ability to assess, order diagnostic test, labs, and order prescriptions to prevent or treat diseases
on all spectrums.
Define AND describe (1-2 sentences) YOUR specific clinical role concentration (FNP, WHNP,
PCPNP, AGACNP, PCMHNP, etc). (Make sure to identify your patient population) - Correct
Answer-My specific concentration will be Adult Geriatric Acute Care. My discipline will focus on
the adult population requiring advanced assessments and treatments for acute problems. My
setting will include patients 13 years and older admitted to the hospital for exacerbation of
chronic conditions or admitted for life threatening complications
Identify what organization determines YOUR standards of care (or practice guidelines) for YOUR
specific clinical concentration - Correct Answer-A. The American Association of Critical-Care
Nurses establishes the scope and standards for acute and critical care nursing, acute care clinical
nurse specialists and acute care nurse practitioners.
B. The American Association of Nurse Practitioners
Identify the organization(s) that provide national certification for YOUR specific clinical
concentration (some but not all provide both standards & certification). - Correct Answer-A. The
American Association of Nurse Practitioners (AANP). Certification includes Acute Care Nurse
Practitioner Certification Adult-Gerontology (ACNPC-AG)
B. The American Nurses Credentialing Center (ANCC). The ANCC is a subsidiary of the American
Nurses Association (ANA). Certification provided include Adult-Gerontology Acute Care Nurse
Practitioner-Board Certified (AGACNP-BC)
Define AND briefly describe EACH of the National Organization of Nurse Practitioner Faculty
(NONPF) competencies for Nurse Practitioners. Include the overall purpose or goal of these
competencies - Correct Answer-NONPF Core Competencies represent the competencies for
entry into practice after completing Graduate School. The overall goal of these competencies
are to ensure the NP is able to provide complete and competent care based on an evidence
based approach
Scientific Foundation Competencies - Correct Answer-Focus on the analysis and use of data that
can help assess, enhance, and improve healthcare delivery. It emphasizes evidence-based care
using both qualitative and qualitative research.
Leadership - Correct Answer-Focus on professional accountability, scholarship, and advocacy.
These skills help ensure that nurse practitioner students understand their scope and standards
of practice and are prepared to lead healthcare teams.
Quality - Correct Answer-Emphasizes the assessment of research and how it can help improve
health outcomes. NPs need to access, assess, and apply the most up-to-date data while
considering how cost, safety, and access to healthcare impact the quality of care.
Practice Inquiry - Correct Answer-Provides nurses with the ability to apply research to clinical
settings. This competency ensures that NPs understand research materials and translate that
information into practice. Nurses must use critical thinking skills to determine how current
research can increase the effectiveness of standards or modify guidelines to positively benefit
health outcomes
Technology and Information Literacy - Correct Answer-Using new technology to access, manage,
create, and evaluate health-related information allows them to practice more efficiently. NPs
who integrate nursing and communication technology (informatics) can potentially increase the
effectiveness of their care.
Policy - Correct Answer-Guidelines used to oversee and fund decisions related to patient care.
These policies ultimately determine the allocation of resources at the local, state, or federal
levels.
Home Delivery System - Correct Answer-This focuses on teaching nurses how to plan, develop,
and implement programs within various target communities. Nurses learn how to develop
appropriate methods of healthcare delivery that can address the needs of patients, providers,
and other stakeholders
Ethics - Correct Answer-Provides NPs with the ability to understand the code of ethics within
the healthcare community. NPs must consider the ethical implications of their decisions and
assess how it affects their delivery of care. This knowledge helps ensure NPs can navigate the
dilemmas within the medical community, allowing them to make the best decisions for their
patients.
Independent Practice - Correct Answer-Ensures NPs have the necessary academic and
professional training to work as licensed independent practitioners. The competency ensures
that nurses can provide all of the services permitted by law. These services include assessing,
diagnosing, and treating patients with minimal direction, oversight, or supervision.
Describe (1) National, (2) State, and (3) Local factors (which can include
organizations) that will DIRECTLY affect your future NP practice (ie, who or what
directly impacts what you can and cannot do as an NP- refer back to question #5 if
you need). Make sure to describe at least 3 examples of each - Correct Answer-A. Local Factors:
1) Hospital: Bylaws can restrict or promote the NP practice.
2) Privileges: The ability to admit or discharge patients from certain units like PACU, ICU, ect. can
impact practice.
3) Physician Oversight: Certain procedures requiring physician oversight, such as procedural
sedation, can impact the NP's care.
A. State Factors: (Louisiana)
1) Collaborating Agreement: Louisiana requires that the NP have a collaborative agreement and
that agreement outline the NP's authority.
2) State Laws: If the collaborating physician or a second "back-up" physician cannot be
contacted, the Louisiana Nurse Practice Act prohibits the NP from prescribing for that time
period.
3) Prescriptive Authority: In Louisiana, the NP cannot treat chronic pain or obesity.
B. National:
1) Reimbursement: Medicare only pays 85% up to what a physician gets or 80% lesser of the
actual charge.
2) Requirements for physician cosignatures for prescriptive and hospital admission capabilities,
the inability of APRNs to be listed as the providers of record or to carry their own patient
panels, and electronic health records that do not capture APRN care.
3) Federal legislation restricts NPs from diagnose, prescribe, treat and certify an injury and
extent of disability for the purposes of compensating federal workers
Promoting and Protecting Health and Preventing Disease - Correct Answer-A. Recognizing and
modifying health risk factors to implement primary, secondary, and tertiary care.
Example: Recognizing the risk of developing a DVT in a patient immobilized and prescribing
antiplatelets for prevention.
Guidance and Coaching - Correct Answer-A. Np's apply guidance and knowledge to tailor
evidence-based interventions based on the individual client needs.
Example: Plan, interpret, and explain the plan of care to a knowledge deficient patient and their
family
Consultation - Correct Answer-Utilize other specialties of disciplines.
Example: Consultation of Cardiology for a patient having chest pain
Evidence Based Practice - Correct Answer-Using current, up to date evidence to facilitate and
individualize care and practice standards.
Example: Using evidence-based care when determining if and/or what antibiotic is prescribed.
Leadership - Correct Answer-Provide professional, clinical, and systematic leadership roles by
serving as mentors and role models for staff.
Example: Precepting a Nurse Practitioner student after graduating
Collaboration - Correct Answer-Working with other healthcare professionals with shared
decision
making and responsibilities.
1) Example: Developing a partnership with other healthcare members to impact care for the
patients benefit.
Ethical Decision Making - Correct Answer-Identifying to one's self the moral obligations to do
right by the patient and provide the highest level of care.
Example: Being a moral agent for the patient through beneficent
Who will define and direct your scope of practice when you graduate and become a certified
APRN? - Correct Answer-Ultimately the State of Louisiana will direct my scope of practice. But I
plan to use the Neuman System Model as my framework to provide a comprehensive holistic
approach to treat potential or actual stressors