7. 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.
8. 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?
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.
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