Test Bank for Hamric and Hanson’s Advanced Practice Nursing: An Integrative
Approach – 7th Edition LATEST UPDATED
MULTIPLE CHOICE
1. Which of the following was the first recognized area of advanced practice nursing? a.
Clinical Nurse Specialist
b. Certified Registered Nurse Anesthetist
c. Family Nurse practitioner
d. Pediatric Nurse practitioner
ANS: B
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the
American Association of NurseWAWnWe.stTheBtiSstMs .(AWASNA) was the first
recognized group promoting advanced nursing practice. Agatha Hodgins founded the
AANM at Lakeside Hospital in Cleveland, Ohio.
2. Which of the following is the best explanation for the creation of the Doctorate of
Nursing Practice (DNP) degree?
a. To validate APRN’s for financial reimbursement
b. To address increasing curriculum requirements of master’s degree programs
c. To compete against master’s degree programs
d. To ensure standardized curriculum ensuring independent practice
ANS: B
Although all answers are influenced by the DNP core competencies, the DNP program
creation in 2004 by the American Association of Colleges of Nursing (AACN) was designed
to address curriculum requirements of master’s degree programs.
3.
1|Page
,_ _ Test Bank - Hamric and Hanson’s Advanced Practice Nursing: An Integrative Approach, 7th Edition (Tracy, 2023)
4. Which factor is broadly perceived to solidify and standardize the role of the APNs over
the last 25 years?
a. Societal forces
b. Lack of access to health care providers
c. Payment for services
d. Standardized curriculum development
ANS: D
As the evolution of Advanced Practice Nursing advances specific specialties and needs are
identified. Through the evolution of organization and standardization these roles have
solidified the APN’s role in today’s health care environment.
5. During the formation of early APN roles in anesthesia, which of the following
increased demand for access to health care?
a. War
b. Poverty
c. Rural access to care
d. Availability of training
ANS: A
Earliest demand for nursing-provided anesthesia spiked during periods of war when numbers
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 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.
6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester,
NY. He is known for some of the earliest recruitment and specialized training of nurses
in which of the following roles? a. Obstetrics
b. Anesthesia
c. Family nursing
d. Pediatrics
e. Research and statistics
ANS: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse
anesthetists. This has been regarded as the earliest training in nurse-provided anesthesia.
7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which
primary purpose?
a. Access to health care of rural areas
b. Provide the disadvantaged access to care
c. Establish guidelines for advanced nursing roles
d. Create inner-city nursing awareness
ANS: B WWW.TBSM.WS
2|Page
, The HHS was established to provide nursing services to immigrants and low-income patients
and their families in Manhattan. As resistance to nurse-provided care grew, standing orders
were drafted from a group of Lower East Side physicians thereby circumventing then-existing
legal ramifications.
8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary
Breckenridge initially provided Appalachia with which type of advanced nursing care?
a. Surgical services
b. Pediatric care
c. Anesthesia
d. Midwifery
ANS: D
The original FNS provided midwifery in addition to other nursing services to Appalachian
residents. Later working from standard orders developed from their medical advisory
committee nurses treated patients, made diagnoses, and dispensed medications.
9. Which organization founded in 1941 under Mary Breckenridge’s leadership merged
with the American College of Nurse-Midwives (ACNM) in 1969 a. Association for
National Nurse-Midwifery (ANNM)
b. American Association of Nurse-Midwives (AANM)
c. American Nurses Association (ANA)
d. Council of Nursing Midwifery (ANM)
ANS: B
The American College of Nurse-Midwives (ACNM) formed under the leadership of Mary
Breckenridge in 1941 to provide nurse-midwife development and collaboration for midwife
development. In 1955, the American College of Nurse-Midwives was formed and the two
organizations merged in 1969 after the death of Mary Breckenridge.
10. In a landmark ruling by the Supreme Court as a result of Chalmers-Frances v. Nelson,
1936, what legal precedent was established?
a. Nurse anesthesia was allowed under the nurse practice act
b. Nurse anesthesia was legal, if under guidance of a supervising physician
c. Nurse anesthesia scope of practice included anesthesia
d. Only trained nursing professionals could administer anesthesia independently
ANS: B
The landmark decision from the Chalmers-Frances v. Nelson case set national precedent for
the advanced nursing practice role. It proved to be the basis for other cases over the
following few decades and established that trained nurses could legally provide anesthesia
care under supervision of a physician.
11. The first known establishment of the nurse practitioner role occurred in 1965 at the
University of Colorado. In which area of training did this role specialize? a. Geriatrics
b. Pediatrics
c. Midwifery
3|Page
, _ _ Test Bank - Hamric and Hanson’s Advanced Practice Nursing: An Integrative Approach, 7th Edition (Tracy, 2023)
d. Anesthesia
ANS: B WWW.TBSM.WS
The establishment of the first pediatric 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 nurses to provide education on managing childhood health problems.
12. What has the AANA as of 2025 as the standard for entry into nurse anesthesia practice?
a. Master’s degree
b. Bachelors of nursing and master’s degree
c. Doctorate degree
d. No specification
ANS: C
In 2007 the AANA affirmed support that the doctor of nurse anesthesia practice be the entry
of nurse anesthesia by 2025. Students entering anesthesia programs during or after 2022
must graduate with a doctoral degree.
13. Which state became the first to recognize diagnosis and treatment as part of the scope
of practice of specialty nurses? a. Oklahoma
b. South Dakota
c. Maryland
d. Idaho
ANS: D
4|Page
Approach – 7th Edition LATEST UPDATED
MULTIPLE CHOICE
1. Which of the following was the first recognized area of advanced practice nursing? a.
Clinical Nurse Specialist
b. Certified Registered Nurse Anesthetist
c. Family Nurse practitioner
d. Pediatric Nurse practitioner
ANS: B
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the
American Association of NurseWAWnWe.stTheBtiSstMs .(AWASNA) was the first
recognized group promoting advanced nursing practice. Agatha Hodgins founded the
AANM at Lakeside Hospital in Cleveland, Ohio.
2. Which of the following is the best explanation for the creation of the Doctorate of
Nursing Practice (DNP) degree?
a. To validate APRN’s for financial reimbursement
b. To address increasing curriculum requirements of master’s degree programs
c. To compete against master’s degree programs
d. To ensure standardized curriculum ensuring independent practice
ANS: B
Although all answers are influenced by the DNP core competencies, the DNP program
creation in 2004 by the American Association of Colleges of Nursing (AACN) was designed
to address curriculum requirements of master’s degree programs.
3.
1|Page
,_ _ Test Bank - Hamric and Hanson’s Advanced Practice Nursing: An Integrative Approach, 7th Edition (Tracy, 2023)
4. Which factor is broadly perceived to solidify and standardize the role of the APNs over
the last 25 years?
a. Societal forces
b. Lack of access to health care providers
c. Payment for services
d. Standardized curriculum development
ANS: D
As the evolution of Advanced Practice Nursing advances specific specialties and needs are
identified. Through the evolution of organization and standardization these roles have
solidified the APN’s role in today’s health care environment.
5. During the formation of early APN roles in anesthesia, which of the following
increased demand for access to health care?
a. War
b. Poverty
c. Rural access to care
d. Availability of training
ANS: A
Earliest demand for nursing-provided anesthesia spiked during periods of war when numbers
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 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.
6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester,
NY. He is known for some of the earliest recruitment and specialized training of nurses
in which of the following roles? a. Obstetrics
b. Anesthesia
c. Family nursing
d. Pediatrics
e. Research and statistics
ANS: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse
anesthetists. This has been regarded as the earliest training in nurse-provided anesthesia.
7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which
primary purpose?
a. Access to health care of rural areas
b. Provide the disadvantaged access to care
c. Establish guidelines for advanced nursing roles
d. Create inner-city nursing awareness
ANS: B WWW.TBSM.WS
2|Page
, The HHS was established to provide nursing services to immigrants and low-income patients
and their families in Manhattan. As resistance to nurse-provided care grew, standing orders
were drafted from a group of Lower East Side physicians thereby circumventing then-existing
legal ramifications.
8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary
Breckenridge initially provided Appalachia with which type of advanced nursing care?
a. Surgical services
b. Pediatric care
c. Anesthesia
d. Midwifery
ANS: D
The original FNS provided midwifery in addition to other nursing services to Appalachian
residents. Later working from standard orders developed from their medical advisory
committee nurses treated patients, made diagnoses, and dispensed medications.
9. Which organization founded in 1941 under Mary Breckenridge’s leadership merged
with the American College of Nurse-Midwives (ACNM) in 1969 a. Association for
National Nurse-Midwifery (ANNM)
b. American Association of Nurse-Midwives (AANM)
c. American Nurses Association (ANA)
d. Council of Nursing Midwifery (ANM)
ANS: B
The American College of Nurse-Midwives (ACNM) formed under the leadership of Mary
Breckenridge in 1941 to provide nurse-midwife development and collaboration for midwife
development. In 1955, the American College of Nurse-Midwives was formed and the two
organizations merged in 1969 after the death of Mary Breckenridge.
10. In a landmark ruling by the Supreme Court as a result of Chalmers-Frances v. Nelson,
1936, what legal precedent was established?
a. Nurse anesthesia was allowed under the nurse practice act
b. Nurse anesthesia was legal, if under guidance of a supervising physician
c. Nurse anesthesia scope of practice included anesthesia
d. Only trained nursing professionals could administer anesthesia independently
ANS: B
The landmark decision from the Chalmers-Frances v. Nelson case set national precedent for
the advanced nursing practice role. It proved to be the basis for other cases over the
following few decades and established that trained nurses could legally provide anesthesia
care under supervision of a physician.
11. The first known establishment of the nurse practitioner role occurred in 1965 at the
University of Colorado. In which area of training did this role specialize? a. Geriatrics
b. Pediatrics
c. Midwifery
3|Page
, _ _ Test Bank - Hamric and Hanson’s Advanced Practice Nursing: An Integrative Approach, 7th Edition (Tracy, 2023)
d. Anesthesia
ANS: B WWW.TBSM.WS
The establishment of the first pediatric 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 nurses to provide education on managing childhood health problems.
12. What has the AANA as of 2025 as the standard for entry into nurse anesthesia practice?
a. Master’s degree
b. Bachelors of nursing and master’s degree
c. Doctorate degree
d. No specification
ANS: C
In 2007 the AANA affirmed support that the doctor of nurse anesthesia practice be the entry
of nurse anesthesia by 2025. Students entering anesthesia programs during or after 2022
must graduate with a doctoral degree.
13. Which state became the first to recognize diagnosis and treatment as part of the scope
of practice of specialty nurses? a. Oklahoma
b. South Dakota
c. Maryland
d. Idaho
ANS: D
4|Page
