NRNP 6531 Midterm Exam
Angie is a new NP who just finished her FNP program. She is having a difficult time finding an
FNP position in the rural area where she lives. So, since she was an ER nurse prior to her
graduate program she decides to go back to the ER as an APRN. Does she meet the
competency requirements for such a position?
*A Ye
s
.
No
B.
What is the main reason for using the REALM-SF instrument to evaluate health literacy?
a. It assesses numeracy skills.
It enhances patient–provider
b. communication.
*c It evaluates medical word recognition.
.
It measures technology knowledge.
d.
A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated
as a Level 1 ACO. What is part of this designation?
*a Bonuses based on achievement of
benchmarks
.
Care coordination for chronic diseases
Standards for minimum cash reserves Strict requirements for financial
reporting
Question 4
The Consensus Model identifies 3 core courses that all ANPs must take. All the following are
Advanced core courses except:
*A Public Health
.
B. Physiology
C. Pharmacology
Physical
D. Assessment
The care provided by APRNs is not limited by setting but by patient care needs.
*True
,False
Which is the most appropriate research design for a Level III research study?
Epidemiological
a. studies
b. Experimental design
*c Qualitative studies
.
Randomized clinical
d. trials
What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients?
Associations with area
a. hospitals
b. Costs of ambulatory care
*c Ease of access to care
.
The ratio of providers to
d. patients
To reduce adverse events associated with care transitions, the Centers for Medicare and
Medicaid Service have implemented which policy?
Mandates for communication among primary caregivers and
hospitalists
Penalties for failure to perform medication reconciliations at time
of discharge
*c Reduction of payments for patients readmitted within 30 days
after discharge
.
Requirements for written discharge instructions for patients and
d. caregivers
The Consensus Model for APRN regulation consists of which of the following roles?
A. CNM
B. CRNA
C. APN
D. CNS
, *E All the
Above
.
A, B & C
F. only
Rules proposed by the various State Boards of Nursing must be approved by the state
Legislatures.
*Tru
e
In reviewing the Total Percentage of Body surface area for adult burn patients each, leg, arm
and head are noted evaluated at 9%.
*Tru
e
What is the initial approach when obtaining a biopsy of a potential malignant melanoma
lesion?
When assisting with a skin biopsy of a patient suspected of having bullous pemphigoid (BP) lesions, what will the p
a. Avoid contact with the infected lesions.
Elicit a positive Nikolsky sign to confirm the
b. diagnosis.
*c Perform direct immunofluorescence
microscopy.
.
Prevent spread of the lesions to other areas of
d. the skin.
When recommending an over-the-counter topical medication to treat a dermatologic
condition, which instruction to the patient is important to enhance absorption of the drug?
Apply a thick layer of medication over the affected
a. area.
A solution spray preparation will be more effective on
b. hairy areas.
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