Nurse Practitioner Board Updated Exam 2026
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Exam Questions (Actual Exam 2026-2027)
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Scope of Practice - ANSWERS-Based on legal allowances in each state, individual
state nurse practice acts providing guidelines for nursing practice
Key elements of the NP role include - ANSWERS-integration of care across the acute
illness continuum with collaboration and coordination of care; research based clinical
practices, clinical leadership, family assessment, and discharge planning
Standards of Advanced Practice are delineated by... - ANSWERS-American Nurses
Association which measure quality of practice, service, or education
State Practice Acts - ANSWERS-Authorize Boards of Nursing in each state to establish
statutory authority for licensure of RNs
State Practice Acts - authority includes: - ANSWERS-use of title, authorization for scope
of practice including prescriptive authority, and disciplinary grounds
States vary in practice requirements, such as - ANSWERS-certification
ANCC is creating questions for boards and is trying to make sure that these questions
they are asking are correctly for ACNP's. Is this reliability or validity? - ANSWERS-
Validity. The degree to which a variable measures what it is intended to measure
,Liability - ANSWERS-Legal responsibility that a nurse practitioner has for actions that
fail to meet the standard of care
Standards of care - ANSWERS-criteria to measure whether negligence has occured
Negligence - ANSWERS-Failure of an individual to do what a REASONABLE person
would do resulting in injury to the patient
NP fails to do an EKG on a patient presenting with chest pain. This is an example of -
ANSWERS-negligence
Malpractice - ANSWERS-Failure to render services with the degree of care, diligence
and precaution that another member of the same profession under same circumstances
would do to prevent injury to patient
Malpractice involves - ANSWERS-professional misconduct
unreasonable lack of skill
illegal/immoral conduct
Assault - ANSWERS-threatening gesture
Shaking a fist at someone or making the motion of injecting someone against their will is
an example of - ANSWERS-assault
Battery - ANSWERS-Violent contact
Striking a person, pulling on clothes or anything in which they have contact is an
example of - ANSWERS-battery
can someone commit assault on an unconscious person - ANSWERS-no
,Defamiation - ANSWERS-Communication that causes someone to suffer a damaged
reputation
Libel - ANSWERS-defaming through written material
Slander - ANSWERS-spoken defamiation
Can NPs order restraints? - ANSWERS-Yes. Document why restraints are being
ordered
Degree to which an instrument works the same way over time - ANSWERS-reliability
Prescriptive authority - ANSWERS-Ability and extent of NPs ability to prescribe meds
DEA has ruled that nurses in advanced practice may obtain.. - ANSWERS-registration
numbers, state practice acts dictate level of prescriptive authority allowed
Credentials encompass... - ANSWERS-required education, licensure and certification to
practice as an NP
Credentials establish... - ANSWERS-minimal levels of acceptable performance
Credentialing is necessary to: - ANSWERS-ensure that safe healthcare is provided by
qualified individuals; comply with federal and state laws r/t APN
Credentials also... - ANSWERS-acknowledges the scope of practice of NP, mandates
accountability, enforces professional standards for practice
Licensure - ANSWERS-establishes that a person is qualified to perform in a particular
professional role
, Utilitarianism - ANSWERS-the right act is the one that produces the greatest good for
the greatest number
Beneficence - ANSWERS-duty to prevent harm and promote good
Justice - ANSWERS-duty to be fair
Fidelity - ANSWERS-duty to be faithful
Veracity - ANSWERS-duty to be truthful (tends to be in conflict with fidelity)
Autonomy - ANSWERS-duty to respect an individual's thoughts and actions (tend to be
in conflict with beneficence)
Dismissing/discharging a pt or closing practice - ANSWERS-NP cannot withdraw from
caring for a pt without notification
Examples of reasons for discharging a pt from practice: - ANSWERS-abuse, refusal to
pay, persistent non-adherence to care
Steps for discharging a pt from practice: - ANSWERS-send a certified letter with return
receipt (copy for chart), provide general healthcare coverage for 1st 15-30 days post
termination deadline, obtain release of info to provide copies of all needed records for
next care provider
Obligations in closing practice d/t relocation, retirement - ANSWERS-give pt adequate
time to find another provider, keep all files for min 5 years, provide timely notification
and names of other providers and resources for future care