Are you a NP???? NPs DONT practice nursing. They incorporate their nursing skills into an advanced pratice level, but they diagnose, prescribe, order exams, etc. Nurses DONT diagnose, prescribe, order exams, etc, so NPs don't practice nursing. They practice MEDICINE. They have a sick pt, they get history, order examinations, diagnose, order medications, follow ups, etc. It takes many years of education to become a NP. First 4 years to become a RN, and then 5 years of ACUTE care experience to finally be accepted into a NP school. And then 2 more years of advanced practice. Research has shown that their care is equivalent or even better than MDs. However, MDs, NPs, PAs are all outstanding professionals.