ADVANCED PRACTICE NURSING: ESSENTIAL KNOWLEDGE
FOR THE PROFESSION 5TH EDITION DENISCO’S TEST
BANK/ALL CHAPTERS 1-30
,CH:1 Introduction to the Role of Advanced Practices Nursing Multiple
Choice
1. In which year did the American Association of College of Nursing (AACN) introduced the
Doctorate of Nursing Practice (DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
RIGHT CHOICE:- C
Rationale :->>>introduced the DNP degree in 2004 to prepare advanced practice registered
nurses (APRNs) to meet challenges and standardize practice beyond master’s degree programs.
2. Which of the following is the best explanation for the creation of the Doctorate of Nursing
Practice (DNP) degree?
a. To compete against master’s degree programs
b. To ensure standardized curriculum ensuring independent practice
c. To validate APRN’s for financial reimbursement
d. To address increasing curriculum requirements of master’s degree programs
RIGHT CHOICE:- D
Rationale :->>>Although all answers are influenced by the DNP core competencies, the DNP
program creation in 2004 by the AACN was designed to address curriculum requirements of
master’s degree programs.
3. During the formation of early APN roles in anesthesia, which of the following increased
demand for access to health care?
a. Poverty
b. War
c. Rural access to care
d. Availability of training
RIGHT CHOICE:- B
Rationale :->>>Earliest demand for nursing-provided anesthesia spiked during periods of war when numbe
of
,physicians were inadequate. The earliest records date back to the American Civil War with the
administration of chloroform. During World War I in 1917 more than 1000 registered nurses,
some trained anesthetists, traveled into battle. Other factors such as need for rural health care
came later in the validation and need for APNs.
4. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridge
initiallyprovided Appalachia with nursing resources and which type of advanced nursing care?
a. Pediatric care
b. Anesthesia
c. Midwifery
d. Surgical services
RIGHT CHOICE:- C
Rationale :->>>The original FNS provided nursing services and obstetric services to
Appalachian residents. Later working from standard orders developed from their medical
advisory committee registered nurses treated clients, made diagnoses, and dispensed
medications.
5. The first known establishment of the registered nurse practitioner role occurred in 1965 at
theUniversity of Colorado. In which area of training did this role specialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
RIGHT CHOICE:- A
Rationale :->>>The establishment of the first pediatric registered nurse practitioner program was
in 1965 at the University of Colorado. Loretta Ford, RN and Henry Silver, MD provided a 4-
month course to certified registered registered nurses to provide education on managing
childhood health problems.
6. The American Nursing Association (ANA) defines which requirement for the
designation of a clinical registered nurse specialist in any specialty?
a. Specialty training certificate
b. Successful completion of certification examination
c. Masters or doctoral degree
d. 1000 hours relevant supervised training
e. Two or more years of clinically relevant experience
RIGHT CHOICE:- C
Rationale :->>>In 1980, the ANA specifically outlined criteria for the
acknowledgment of clinical registered nurse specialist training programs. At that
time they required graduate level training to become an expert in a relevant
specialty area of nursing. Additionally, they must meet any requirements set forth
by the specific professional society.
7. The DNP program curriculum outlined which of the following clinical requirements in an
effort to standardize training?
, a. 1000 supervised clinical hours and 200 unsupervised clinical hours
b. 1000 supervised clinical hours
c. 900 supervised clinical hours
d. 800 supervised clinical hours and 200 unsupervised clinical hours
RIGHT CHOICE:- B
Rationale :->>>In 2004, the AACN outlined the DNP curriculum in an effort to standardize and
relieve challenges of master’s degree programs. This includes a standardized curriculum
requiring 1000 supervised clinical hours.
8. Which organization founded in 1941 under Mary Breckenridge’s leadership merged with the
American College of Registered nurse-Midwives (ACNM) in 1969?
a. American Association of Registered nurse-Midwives (AANM)
b. American Registered nurses Association (ANA)
c. Association for National Registered nurse-Midwifery (ANNM)
d. Council of Nursing Midwifery (ANM)
RIGHT CHOICE:- A
Rationale :->>>The American College of Registered nurse-Midwives (ACNM) formed under
the leadership of Mary Breckenridge in 1941 to provide registered nurse-midwife development
and collaboration for midwife development. In 1955, the American College of Registered nurse-
Midwives was formed and the two organizations merged in 1969 after the death of Mary
Breckenridge.
9. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s health center in Rochester,
NY. He is known for some of the earliest recruitment and specialized training of registered
nurses in which of the following roles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics
e. Family nursing
RIGHT CHOICE:- B
Rationale :->>>In 1889, Dr. William Worrall Mayo began formally training and recognizing
registered nurse anesthetists. This has been regarded as the earliest training in registered nurse-
provided anesthesia.
10. Which of the following was the first recognized area of advanced practice nursing?
a. Clinical Registered nurse Specialist
b. Family registered nurse practitioner
c. Pediatric registered nurse practitioner
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