I’m an NP that went back to bedside—do I still keep my NP work in my resume? If I don’t there’s going to be a huge 10-yr gap on my resume, but I feel like leaving it on there is confusing to hiring managers and recruiters.

Of course you keep your NP work on there. If there are gaps in your work history you are not doing yourself any favors. To avoid any confusion put it on there. It’s best to not have your resume overlooked in the very beginning then to put it on there and explain it when it is talked out.