NR668 Week 1 Exam ACTUAL EXAM
2026/2027 | NR668 Week 1 | Verified Q&A |
Pass Guaranteed - A+ Graded
Section 1: Advanced Practice Nursing Roles & Scope of Practice (Q1–Q10)
Q1: Under the APRN Consensus Model, a Nurse Practitioner in a state with "full practice authority" may:
A. Practice only under the direct supervision of a collaborating physician
B. Evaluate patients, diagnose, order and interpret diagnostic tests, initiate and manage treatments, and
prescribe medications independently [CORRECT]
C. Prescribe only non-controlled substances without physician oversight
D. Practice independently only in federally qualified health centers
Correct Answer: B
Rationale: Full practice authority states allow NPs to practice to the full extent of their education and
training, including independent evaluation, diagnosis, treatment, and prescribing, without mandatory
physician collaboration or supervision.
Q2: A new NP graduate accepts a position in Florida. Regarding prescriptive authority for controlled
substances, Florida law requires:
A. No additional requirements beyond the NP license
B. A collaborative practice agreement with a supervising physician and compliance with state-specific
controlled substance prescribing limits [CORRECT]
C. Only a federal DEA license
D. Full independent prescriptive authority for all schedules
Correct Answer: B
Rationale: Florida operates under a reduced practice authority model where NPs must maintain a
collaborative practice agreement with a supervising physician for prescriptive authority, including
specific limitations on controlled substance prescribing.
Q3: An NP in California wishes to practice independently. Under California law as of 2026:
,A. NPs may practice independently after completing a specified transition to practice period and
meeting state requirements [CORRECT]
B. NPs must always practice under direct physician supervision
C. Independent practice is permitted only in rural health clinics
D. California does not recognize NPs as independent providers
Correct Answer: A
Rationale: California has implemented provisions allowing NPs to practice independently after
completing a transition to practice period (typically 3 years or 4,600 hours of supervised practice) and
meeting other statutory requirements, reflecting the evolving scope of practice in the state.
Q4: An NP is considering delegating medication administration to a medical assistant (MA) in the clinic.
Under standard scope of practice principles, the NP should:
A. Delegate any task the MA feels comfortable performing
B. Ensure the task is within the MA's scope, provide appropriate training, and maintain supervision and
accountability [CORRECT]
C. Delegate only tasks that do not require documentation
D. Require the MA to obtain an independent license first
Correct Answer: B
Rationale: Delegation requires the NP to ensure the task is appropriate for the MA's training and scope,
provide necessary education and supervision, and retain ultimate accountability for the delegated act
and patient outcomes.
Q5: A new NP in Texas is reviewing their practice agreement. Texas law classifies NP practice authority
as:
A. Full practice authority without any restrictions
B. Reduced practice authority requiring a practice agreement with a collaborating physician [CORRECT]
C. Restricted practice authority limiting NP practice to hospital settings only
D. Independent practice authority with full prescriptive rights immediately upon licensure
Correct Answer: B
, Rationale: Texas operates under a reduced practice authority model where NPs must maintain a practice
agreement with a collaborating physician, though the specific requirements and level of supervision
have evolved with legislative changes.
Q6: An NP applies for a DEA license to prescribe controlled substances. The DEA license:
A. Is issued by the state board of nursing
B. Is a federal authorization required for prescribing controlled substances in Schedules II through V
[CORRECT]
C. Is optional for NPs who only prescribe Schedule V medications
D. Automatically grants prescriptive authority in all states
Correct Answer: B
Rationale: The DEA registration is a federal requirement issued by the Drug Enforcement Administration
that authorizes providers to prescribe, dispense, or administer controlled substances; it is separate from
state licensure and must be obtained in addition to state prescriptive authority.
Q7: An NP in Illinois is establishing an independent practice. As of 2026, Illinois law regarding NP practice
authority states:
A. NPs have full practice authority without any collaborative agreement requirements [CORRECT]
B. NPs must maintain a written collaborative agreement with a physician for all practice settings
C. NPs may practice independently only in underserved areas
D. NPs are restricted to practice under direct physician supervision
Correct Answer: A
Rationale: Illinois transitioned to full practice authority, allowing NPs to practice independently without
a written collaborative agreement, reflecting the national trend toward removing practice barriers for
advanced practice registered nurses.
Q8: A new NP is comparing their scope of practice to that of a physician. Which statement accurately
describes the relationship?
A. NP scope of practice is identical to physician scope in all states
B. NP scope is defined by their education, certification, and state law, and may overlap with but is not
identical to physician scope [CORRECT]
C. NPs may never perform any procedure a physician can perform
2026/2027 | NR668 Week 1 | Verified Q&A |
Pass Guaranteed - A+ Graded
Section 1: Advanced Practice Nursing Roles & Scope of Practice (Q1–Q10)
Q1: Under the APRN Consensus Model, a Nurse Practitioner in a state with "full practice authority" may:
A. Practice only under the direct supervision of a collaborating physician
B. Evaluate patients, diagnose, order and interpret diagnostic tests, initiate and manage treatments, and
prescribe medications independently [CORRECT]
C. Prescribe only non-controlled substances without physician oversight
D. Practice independently only in federally qualified health centers
Correct Answer: B
Rationale: Full practice authority states allow NPs to practice to the full extent of their education and
training, including independent evaluation, diagnosis, treatment, and prescribing, without mandatory
physician collaboration or supervision.
Q2: A new NP graduate accepts a position in Florida. Regarding prescriptive authority for controlled
substances, Florida law requires:
A. No additional requirements beyond the NP license
B. A collaborative practice agreement with a supervising physician and compliance with state-specific
controlled substance prescribing limits [CORRECT]
C. Only a federal DEA license
D. Full independent prescriptive authority for all schedules
Correct Answer: B
Rationale: Florida operates under a reduced practice authority model where NPs must maintain a
collaborative practice agreement with a supervising physician for prescriptive authority, including
specific limitations on controlled substance prescribing.
Q3: An NP in California wishes to practice independently. Under California law as of 2026:
,A. NPs may practice independently after completing a specified transition to practice period and
meeting state requirements [CORRECT]
B. NPs must always practice under direct physician supervision
C. Independent practice is permitted only in rural health clinics
D. California does not recognize NPs as independent providers
Correct Answer: A
Rationale: California has implemented provisions allowing NPs to practice independently after
completing a transition to practice period (typically 3 years or 4,600 hours of supervised practice) and
meeting other statutory requirements, reflecting the evolving scope of practice in the state.
Q4: An NP is considering delegating medication administration to a medical assistant (MA) in the clinic.
Under standard scope of practice principles, the NP should:
A. Delegate any task the MA feels comfortable performing
B. Ensure the task is within the MA's scope, provide appropriate training, and maintain supervision and
accountability [CORRECT]
C. Delegate only tasks that do not require documentation
D. Require the MA to obtain an independent license first
Correct Answer: B
Rationale: Delegation requires the NP to ensure the task is appropriate for the MA's training and scope,
provide necessary education and supervision, and retain ultimate accountability for the delegated act
and patient outcomes.
Q5: A new NP in Texas is reviewing their practice agreement. Texas law classifies NP practice authority
as:
A. Full practice authority without any restrictions
B. Reduced practice authority requiring a practice agreement with a collaborating physician [CORRECT]
C. Restricted practice authority limiting NP practice to hospital settings only
D. Independent practice authority with full prescriptive rights immediately upon licensure
Correct Answer: B
, Rationale: Texas operates under a reduced practice authority model where NPs must maintain a practice
agreement with a collaborating physician, though the specific requirements and level of supervision
have evolved with legislative changes.
Q6: An NP applies for a DEA license to prescribe controlled substances. The DEA license:
A. Is issued by the state board of nursing
B. Is a federal authorization required for prescribing controlled substances in Schedules II through V
[CORRECT]
C. Is optional for NPs who only prescribe Schedule V medications
D. Automatically grants prescriptive authority in all states
Correct Answer: B
Rationale: The DEA registration is a federal requirement issued by the Drug Enforcement Administration
that authorizes providers to prescribe, dispense, or administer controlled substances; it is separate from
state licensure and must be obtained in addition to state prescriptive authority.
Q7: An NP in Illinois is establishing an independent practice. As of 2026, Illinois law regarding NP practice
authority states:
A. NPs have full practice authority without any collaborative agreement requirements [CORRECT]
B. NPs must maintain a written collaborative agreement with a physician for all practice settings
C. NPs may practice independently only in underserved areas
D. NPs are restricted to practice under direct physician supervision
Correct Answer: A
Rationale: Illinois transitioned to full practice authority, allowing NPs to practice independently without
a written collaborative agreement, reflecting the national trend toward removing practice barriers for
advanced practice registered nurses.
Q8: A new NP is comparing their scope of practice to that of a physician. Which statement accurately
describes the relationship?
A. NP scope of practice is identical to physician scope in all states
B. NP scope is defined by their education, certification, and state law, and may overlap with but is not
identical to physician scope [CORRECT]
C. NPs may never perform any procedure a physician can perform
