and Through Other People
1. The legal authority granted to a professional to provide and be reimbursed for health care
services refers to:
a. Certification
b. Scope of practice
c. Practicing Role
d. Education
ANS: B
Many things including state and federal laws define scope of practice. The APN
NCSBN defines scope of practice as characterized by specialization, expansion of
services provided, including diagnosing and prescribing, and autonomy to practice.
An individual certification would fall under the umbrella of scope of practice.
2. Which of the following most accurately describes the current four established advanced
practice nurse roles?
a. RN, BSN, MSN, DNP
b. CNM, FNP, CNS, CRNA
c. CNM, FNP, AGNP, PNP
d. CNS, CRNA, NP, CNM
ANS: D
The four established advanced practice nurse roles include CNS, CRNA, CNM, and
NP. FNP and AGNP are specializations of nurse practitioners (NP).
, 3. Which advanced practice nursing role has seen the largest expansion of growth and is
currently the largest in number?
a. CNS
b. CRNA
c. CNM
d. NP
ANS: D
Nurse practitioner continues to be the largest in number of APN roles. According to
the American Academy of Nurse Practitioners National NP Database there are over
220,000 trained NPs.
4. Which advanced practice nursing role is currently the smallest in number?
a. CNM
b. NP
c. CNS
d. CRNA
ANS: A
The CNM role according to the American College of Nurse-Midwives currently has
around 11,000 trained providers based on current estimates. The CNM role is
specialized in the care of women’s health and childbearing.
5. A practicing, certified CNM wishes to change roles and work as a family nurse
practitioner (FNP). Which of the following is required?
a. Complete education and training as an NP
b. Take the FNP board examination
c. Nothing is required
d. Apply for immediate reciprocity