45. What terms indicate appropriate progression associated with the history and evolution of advance practice
nursing?
Specialist, Expanded Role, Advanced Practice
46. An experienced NP, has two separate but equally i
...
45. What terms indicate appropriate progression associated with the history and evolution of advance practice
nursing?
Specialist, Expanded Role, Advanced Practice
46. An experienced NP, has two separate but equally important ethical obligations that he is unfortunately
unable to carry out. This is an example of which barrier to ethical practice?
Moral Dilemma
47. Pre-invasive epithelial tumors of glandular or squamous cell origin describes which of the following?
Cancer in situ
48. Which two options are barriers to the conceptualization of Advanced Practice Nursing?
Interprofessional education and practice
Need to differentiate between advanced practice nursing and medicine
49. The Dreyfus Model of Skill Acquisition includes which four stages of APN performance?
Expert, Advanced Beginner, Competent, Proficient
50. The nurse practitioner is caring for a client who has undergone a recent gastrectomy who complains of
fatigue, palpitations, shortness of breath, and numbness and tingling to their fingers on both hands. The nurse
suspects pernicious anemia related to:
Deficiency of intrinsic factor production
51. The analysis of a theory or conceptual model includes examining the origins. Which would not be
considered an aspect of origin of the theory/model?
The unique focus
52. The clinical manifestations of dyskinetic cerebral palsy include:
Jerky uncontrolled and abrupt fine musculoskeletal movements
53. Which core competency incorporates assuming complex collaborative roles with stakeholders and
communities?
Leadership
54. A critical environmental element that affects the authority of advanced practice nurses to practice to their
fullest/maximum scope, according to Hamric’s model, is:
Health policy
55. For nursing to considered a discipline, which statement is true?
Context has considerable influence on the development of the knowledge base.
56. The APN wants to develop a community educational program for hypertension and stroke prevention. She
recognizes that the individual’s lifestyle and pattern of behavior need to be addressed for the program to be
successful. Which theory would be most appropriate to guide the program development?
Health as Expanding consciousness
57. When considering a theory for use in guiding practice, the APN should examine the Conceptual-TheoreticalEmpirical (C-T-E) linkages by for which criteria?
Specification adequacy
58. In septic shock, which mediators are anti-inflammatory?
Interleukin (IL-4, IL-10, IL13)
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59. The link between major depression and cortisol secretion is that individuals with depression:
Show that persistently elevated plasma cortisol levels can result in inflammation that is believed to trigger
depression.
60. Which three primary criteria for advanced practice nursing are identified in Hamric’s Integrative Model of
Advanced Practice Nursing?
Guidance, Graduate education, Patient-focused practice, Certification
61. Which advance practice nursing was developed to facilitate delivery of high quality, patient-centered
primary care?
Certified nurse practitioner (CNP)
62. An adult-gerontology nurse practitioner is employed in a rural practice that is initiating a school-based
primary healthcare program. All nurse practitioners in the practice are required to initiate preparations to
facilitate conducting patient visits in the new setting. Which role concepts best describes what the adultgerontology nurse practitioner is experiencing?
Role incongruity
63. A MSN student is noting challenges related to attending school while attempting to balance other work,
family, and social responsibilities. Which of the following role concepts illustrates the MSN student’s
experience?
Role stress
64. A 24 year old female presents to the primary care office with complaints of dysuria. Urinalysis lab results
indicated positive nitrites. The nurse practitioner plans to initiate antibiotic coverage for the most likely
causative organism which is:
Escherichia coli
65. Place the following four steps of APN core competency of evidence based practice in order.
a. Critically appraise and extract evidence
b. Formulate a measurable clinical question
c. Review literature for relevant studies
d. Implement useful findings in clinical decision making
66. A 12 year old male is diagnosed with Klinefelter syndrome. His karyotype would reveal which of the
following?
XXY
67. Concerning the MMR vaccine, which of the following is a correct statement?
There is no scientific evidence to support MMR use increases autism risk
68. You are seeing a 40 year old patient who has started varenicline (Chantix) 3 weeks ago as a tool for smoking
cessation. What is the most important question to ask during the visit?
Have you noticed change in your mood?
69. A primary care nurse practitioner (NP) is seeking additional support from ancillary health services for a
diabetic client who is noncompliant with nutrition, exercise, and medication. Which barrier to ethical practice is
influencing the NP’s practice?
Patient-provider
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70. Which hospital ownership classification best describes an organization whose excess income is distributed
to its shareholders?
For profit
71. How has the Quality Chasm Report been used to direct US health care?
As a framework for safe, effective, efficient, equitable, timely, and patient centered care.
72. A 12 year old female is newly diagnosed with type 1 DM. When the parents ask what causes this, what is the
nurse practitioner’s best response?
Immune destruction of the pancreas
73. Which patient below is at most risk for invasive pneumococcal infection?
A 32 year old woman who underwent a splenectomy after a motor vehicle accident
74. A Latino patient in your clinic has been perpetually late for his appointment. Which action by the nurse
practitioner would be most appropriate?
Assess how the patient interprets the appointment time
75. What specific developments have primarily occurred because of the Affordable Care Act (ACA)?
Development of patient centered outcomes, use of comparative effectiveness research, quality payment
structures that impact APN reimbursement
76. Hamric’s Integrative Model of Advanced Practice Nursing identify the central competency of advance
practice nursing that directs the other si
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