1. Once a practice problem has been identified the next step would be to use the PICOT
format to ask a question about the problem. PICOT stands for:
P—population, I—intervention, C—comparisons, O—outcome, T—time.
2. The Affordable Care Act has directed the US Department of Health and Human Services
and multiple agencies to develop and disseminate initiatives on meeting the care needs of
patients with Multiple Chronic Conditions (MCC). What is the primary purpose for the
national direction?
To protect against high out-of-pocket costs by prohibiting insurers from denying
coverage based on pre-existing conditions.
3. After thoroughly researching the topic of interest, what is the next step an APN should
ask in selecting a theory/model for use in practice or research?
Have several different theories/models been examined?
4. Which three roles represent the accepted advanced practice nursing roles?
Certified Nurse Midwives (CNM)
Clinical Nurse Specialist (CNS)
Certified Registered Nurse Anesthetists (CRNAs)
5. What are the three major categories of Nola Pender’s Health promotion model?
Behavior-specific cognitions and affect
Characteristics and experiences
Behavioral outcomes
6. Which theorist/s identifies carative factors as a value system, faith-hope and sensitivity to
self and others? This describes which of the following theories?
Jean Watson theory of human caring
7. Which set of components is essential in a scientific theory?
Interrelated concepts, definitions, and propositions
8. The term advanced nursing practice (APN) includes nurses who are:
Certified APRNs with a minimum of a master’s degree
9. To meet Medicare’s coverage requirements, the Nurse Practitioner’s services must be:
Provided subject to state restrictions and supervision requirements
,10.A 20-year-old female comes to the primary care clinic with clinical findings consistent
with acute bronchitis. She is sexually active with a male partner, although she states prior
to this relationship she did have two sexual partners. Her menses occurs every 28 days
and is regular. An example of a primary prevention activity for this patient is:
Counseling about safer sexual practices
11.Which agency’s initiative establishes national health promotion and prevention efforts
and establishes benchmarks for monitoring the progress of health among Americans over
a 10-year timeframe?
Centers for Disease Control and Prevention (CDC)
12.Development of the first pediatric nurse practitioner program at the University of
Colorado in 1965 is credited to which two individuals?
Henry Silver, MD
Loretta Ford, MD
13.Raynaud phenomenon is classified as a type III hypersensitivity reaction and is due to:
Immune complexes that are deposited in capillary beds, blocking circulation
14.The nurse practitioner is caring for a 21-year-old female who presents with a pruritic,
erythematous rash matching pattern of her sandal straps. The nurse practitioner advises
the patient to avoid scratching the area due to the risk of developing a secondary
infection. The NP understands that the most likely etiology of secondary skins infections
is caused by which organism?
Staphylococcus aureus
15.How can the APN best influence development and passage of a specific health policy
agenda?
Determine the best fit between legislative agenda, supporting organizations, and health
policy issue.
16.Which is the gold standard research design for generating evidence?
Randomized Control Trial
17.The APN is examining a client with new onset HTN. The NP recognizes that HTN may
result in significant complications associated with which of the following three organs:
Kidneys, Eyes, Brain
18.Which organization allows the use of the “BC” credential?
American Nurses Credentialing Center (ANCC)
, 19.Which agency houses the US Protective and Safety Task Force (USPSTF)?
Agency for Health, Research and Quality
20.Which 2 organizations administer nurse practitioner certification programs?
American Association of Nurse Practitioners (AANP)
American Nurses Credentialing Center (ANCC)
21.Transformational leadership is best defined as:
A style that is relational, driven by a common goal, and satisfies the leader and the
follower
22.A metaparadigm must include which of the following 3 characteristics?
Encompass all phenomena of interest
Be perspective—neutral
Be global in scope
23.Which statement best reflects King’s theory?
If nurses with special knowledge and skills communicate appropriate information to
clients, mutual goal-setting and goal attainment will occur
24.Which agency will the APN reference when seeking the current evidence based
guidelines directing standards of care?
Agency for Health Research and Quality
25.A 43-year old woman has a 12-hour history of sudden onset of right upper quadrant
abdominal pain with radiation to the shoulder, fever, and chills. She has had similar,
milder episodes in the past. Examination reveals marked tenderness to right upper
quadrant abdominal palpation. Her most likely diagnosis is:
Acute cholecystitis
26.What theory is used to describe the cause of endometriosis?
Endometrial tissue passes through the fallopian tubes and into the peritoneal cavity and
remains responsive to hormones.
27.Chronic pain, physical disability, social support, age and gender are related to perceived
daily stress, which is related to depression. This is an example of which type of theory?
Explanatory
28.The leadership core competency of advanced practice nursing includes which three
characteristics?
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