Test Bank for Primary Care: The Art and
Science of Advanced Practice Nursing 6th
Edition | Dunphy, Winland-Brown, Porter &
Gray | Verified Questions & Answers | 2026
Study Guide
• This test bank covers the full scope of Primary Care: The Art and Science of Advanced
Practice Nursing, 6th Edition by Dunphy, Winland-Brown, Porter & Gray — featuring
verified exam-style questions with correct answers and EXPERT RATIONALE to
reinforce clinical reasoning.
• Use this material by attempting each question independently before checking the
correct answer and EXPERT RATIONALE, to simulate real exam conditions and
deepen understanding.
PRIMARY CARE: THE ART AND SCIENCE OF ADVANCED PRACTICE NURSING —
6TH EDITION
MCQ Test Bank | Dunphy, Winland-Brown, Porter & Gray | 2026
UNIT I — FOUNDATIONS OF ADVANCED PRACTICE NURSING
1. The concept of advanced practice nursing (APN) is best described as:
A. A registered nurse who has completed a bachelor's degree in nursing
B. A nurse who supervises other nurses in a clinical setting
C. A nurse with graduate-level education providing expert clinical care across a
broad scope of practice
D. A nurse who exclusively performs administrative duties in a hospital
E. A licensed practical nurse with specialty certification
CORRECT ANSWER: C. A nurse with graduate-level education providing
expert clinical care across a broad scope of practice
,EXPERT RATIONALE: Advanced practice nurses hold graduate-level degrees (MSN or
DNP) and are trained to provide comprehensive, expert clinical care including diagnosis,
treatment, and management of conditions across a broad scope of practice,
distinguishing them from other nursing roles.
2. Which of the following best describes the art of primary care in advanced
practice nursing?
A. Using only evidence-based protocols to treat disease
B. Prescribing medications based solely on laboratory results
C. The therapeutic relationship, communication, and humanistic care that
complements scientific knowledge
D. Applying strict algorithmic approaches to all patient encounters
E. Limiting practice to procedural skills
CORRECT ANSWER: C. The therapeutic relationship, communication, and
humanistic care that complements scientific knowledge
EXPERT RATIONALE: The "art" of primary care refers to the interpersonal, humanistic,
and relational aspects of care including empathy, communication, and clinical intuition
that work alongside the science of evidence-based practice.
3. Which model of care best guides advanced practice nursing in primary care
settings?
A. The purely biomedical model
B. The task-oriented nursing model
C. The biopsychosocial model
D. The hospital-centered specialty care model
E. The pharmacological intervention model
CORRECT ANSWER: C. The biopsychosocial model
,EXPERT RATIONALE: The biopsychosocial model guides APNs to assess and treat
patients as whole persons — considering biological, psychological, and social
dimensions of health — which is foundational to comprehensive primary care.
4. The DNP degree in advanced practice nursing is primarily focused on:
A. Conducting basic laboratory research
B. Teaching undergraduate nursing students
C. Clinical practice at the highest level with a focus on translating evidence into
practice
D. Hospital administration and management
E. Performing surgical procedures independently
CORRECT ANSWER: C. Clinical practice at the highest level with a focus on
translating evidence into practice
EXPERT RATIONALE: The Doctor of Nursing Practice (DNP) is a practice-focused doctoral
degree designed to prepare nurses for the highest level of clinical practice, emphasizing
the translation and application of evidence to improve patient outcomes.
5. Which of the following is a core competency of the Nurse Practitioner role
according to NONPF?
A. Surgical specialization
B. Inpatient hospital management only
C. Independent prescribing, diagnosis, and treatment across the lifespan
D. Supervision of physician assistants
E. Performing anesthesia administration
CORRECT ANSWER: C. Independent prescribing, diagnosis, and treatment
across the lifespan
, EXPERT RATIONALE: NONPF core competencies for NPs include scientific foundation,
leadership, quality, practice inquiry, technology, policy, health delivery, ethics, and
independent clinical practice including prescribing, diagnosis, and treatment.
UNIT II — HEALTH PROMOTION AND DISEASE PREVENTION
6. Health promotion in primary care is best defined as:
A. Treating acute illness in the emergency department
B. Administering vaccines only
C. Enabling people to increase control over and improve their health through
education, behavior change, and policy
D. Diagnosing chronic diseases at an early stage
E. Providing specialist referrals for all patients
CORRECT ANSWER: C. Enabling people to increase control over and
improve their health through education, behavior change, and policy
EXPERT RATIONALE: The WHO defines health promotion as the process of enabling
people to increase control over their health. In primary care, APNs promote health
through patient education, lifestyle counseling, and advocacy for health-supportive
environments.
7. The U.S. Preventive Services Task Force (USPSTF) Grade A recommendation
means:
A. The service has moderate certainty of moderate benefit
B. The service should not be offered due to harm
C. The service has high certainty of substantial net benefit and should be offered
D. Insufficient evidence exists to assess benefits
Science of Advanced Practice Nursing 6th
Edition | Dunphy, Winland-Brown, Porter &
Gray | Verified Questions & Answers | 2026
Study Guide
• This test bank covers the full scope of Primary Care: The Art and Science of Advanced
Practice Nursing, 6th Edition by Dunphy, Winland-Brown, Porter & Gray — featuring
verified exam-style questions with correct answers and EXPERT RATIONALE to
reinforce clinical reasoning.
• Use this material by attempting each question independently before checking the
correct answer and EXPERT RATIONALE, to simulate real exam conditions and
deepen understanding.
PRIMARY CARE: THE ART AND SCIENCE OF ADVANCED PRACTICE NURSING —
6TH EDITION
MCQ Test Bank | Dunphy, Winland-Brown, Porter & Gray | 2026
UNIT I — FOUNDATIONS OF ADVANCED PRACTICE NURSING
1. The concept of advanced practice nursing (APN) is best described as:
A. A registered nurse who has completed a bachelor's degree in nursing
B. A nurse who supervises other nurses in a clinical setting
C. A nurse with graduate-level education providing expert clinical care across a
broad scope of practice
D. A nurse who exclusively performs administrative duties in a hospital
E. A licensed practical nurse with specialty certification
CORRECT ANSWER: C. A nurse with graduate-level education providing
expert clinical care across a broad scope of practice
,EXPERT RATIONALE: Advanced practice nurses hold graduate-level degrees (MSN or
DNP) and are trained to provide comprehensive, expert clinical care including diagnosis,
treatment, and management of conditions across a broad scope of practice,
distinguishing them from other nursing roles.
2. Which of the following best describes the art of primary care in advanced
practice nursing?
A. Using only evidence-based protocols to treat disease
B. Prescribing medications based solely on laboratory results
C. The therapeutic relationship, communication, and humanistic care that
complements scientific knowledge
D. Applying strict algorithmic approaches to all patient encounters
E. Limiting practice to procedural skills
CORRECT ANSWER: C. The therapeutic relationship, communication, and
humanistic care that complements scientific knowledge
EXPERT RATIONALE: The "art" of primary care refers to the interpersonal, humanistic,
and relational aspects of care including empathy, communication, and clinical intuition
that work alongside the science of evidence-based practice.
3. Which model of care best guides advanced practice nursing in primary care
settings?
A. The purely biomedical model
B. The task-oriented nursing model
C. The biopsychosocial model
D. The hospital-centered specialty care model
E. The pharmacological intervention model
CORRECT ANSWER: C. The biopsychosocial model
,EXPERT RATIONALE: The biopsychosocial model guides APNs to assess and treat
patients as whole persons — considering biological, psychological, and social
dimensions of health — which is foundational to comprehensive primary care.
4. The DNP degree in advanced practice nursing is primarily focused on:
A. Conducting basic laboratory research
B. Teaching undergraduate nursing students
C. Clinical practice at the highest level with a focus on translating evidence into
practice
D. Hospital administration and management
E. Performing surgical procedures independently
CORRECT ANSWER: C. Clinical practice at the highest level with a focus on
translating evidence into practice
EXPERT RATIONALE: The Doctor of Nursing Practice (DNP) is a practice-focused doctoral
degree designed to prepare nurses for the highest level of clinical practice, emphasizing
the translation and application of evidence to improve patient outcomes.
5. Which of the following is a core competency of the Nurse Practitioner role
according to NONPF?
A. Surgical specialization
B. Inpatient hospital management only
C. Independent prescribing, diagnosis, and treatment across the lifespan
D. Supervision of physician assistants
E. Performing anesthesia administration
CORRECT ANSWER: C. Independent prescribing, diagnosis, and treatment
across the lifespan
, EXPERT RATIONALE: NONPF core competencies for NPs include scientific foundation,
leadership, quality, practice inquiry, technology, policy, health delivery, ethics, and
independent clinical practice including prescribing, diagnosis, and treatment.
UNIT II — HEALTH PROMOTION AND DISEASE PREVENTION
6. Health promotion in primary care is best defined as:
A. Treating acute illness in the emergency department
B. Administering vaccines only
C. Enabling people to increase control over and improve their health through
education, behavior change, and policy
D. Diagnosing chronic diseases at an early stage
E. Providing specialist referrals for all patients
CORRECT ANSWER: C. Enabling people to increase control over and
improve their health through education, behavior change, and policy
EXPERT RATIONALE: The WHO defines health promotion as the process of enabling
people to increase control over their health. In primary care, APNs promote health
through patient education, lifestyle counseling, and advocacy for health-supportive
environments.
7. The U.S. Preventive Services Task Force (USPSTF) Grade A recommendation
means:
A. The service has moderate certainty of moderate benefit
B. The service should not be offered due to harm
C. The service has high certainty of substantial net benefit and should be offered
D. Insufficient evidence exists to assess benefits
