Advanced Practice Nursing exam questions and answers latest 2026
Study online at https://quizlet.com/_j95fvp
1. Bundle Payments - Also known as bundle payments
and health care - Reimburstment of health care providers on the basis of expected cost for clinically
expenditures defined episodes of care
- "middle" ground between fee-for-service and capitation
- healthcare delivery system takes on financial risk of patient
- Forces system to enhance quality and coordination of care
- Incentivizes system to deliver care that truly meets the Triple Aim
2. CHIP - Children's Health Insurance Program
- Health coverage to uninsured children whose families earn too much to qualify
for Mediciad but too little to afford private coverage
3. Role Strain Subjective feelings of frustration, tension, or anxiety expierenced in response to
role stress & can be feelings of decreased self-esteem when performance is below
expectations
4. Role Conflict Role expectations are percieved to be mutually exclusive or contraditctory
5. Medicare Part D - Prescription drug coverage
Billing - Must join a drug place to receive coverage under part D
- Coverage is attempt to lower prescription costs
- Payment is monthly fee that varies by plan & is addition to Part B premium or
inbedded in Part C premium
6. Role Stress A situation of increased role performance demand (ex: returning to school while
maintaining work and family responsibilities or the expectation of increased work-
load
7. Medicare Part B - Covers medical expenses such as physician and outpatient care
Billing - Direct reimbursement can only occur when submitting claim through part B
- Covers physician and nonphysical provider services, outpatient hospital services,
home health care not covered by part A (PT/OT) and other services such as
diagnostic testing, durable medical equipment and ambulance costs
, Advanced Practice Nursing exam questions and answers latest 2026
Study online at https://quizlet.com/_j95fvp
- Enrollment in part B is voluntary to those receiving Part A
- Payment into system via monthly premiums that are established yearly based on
system expenses through deductibles & coinsurance programs
8. Advanced Prac- 1. Nurse Practitioner
tice Nurse Roles 2. Clinical Nurse Specialist
3. Certified Registered Nurse Anesthetist
4. Certified Nurse Midwife
9. Nurse Practition - provide care through diagnosis and treatment as well as addressing disease
prevention and health management
- 1893 Lillian Wald & Henry Street Settlement (HSS) House
- HHS nurses obtained standing orders for emergency medications and treat-
ments
- nurses considered "good enough" to care for the poor whereas physicians seen
as only careing for those who could pay
- FNS/FSA nurse practice centered around the practice autonomy in the require-
ment that the patients be poor, marginalized and have little access to physician
provided medical care
- NP role formally described in 1960s and was implemented in outpatient pediatric
clinics in response to a shortage of primary care physicians
- Loretta Ford in 1965 established first Pediatric NP program (PNP) & was designed
to prepare professional nurses to provide comprehensive well-child care and
manage common childhood health problems
- 1970 continue to enhance visibility in health system, and expand role while
demonstrating cost effective quality care
- role expanded/included because nurse role was essential to providing equal
access to health care for all Americans
- conflict surrounds role between other RN and NP and NP and physicians
- issues surrounding prescriptive treatment & idaho in 1971 was first state to
recognize diagnosis and treatment as part of practice
, Advanced Practice Nursing exam questions and answers latest 2026
Study online at https://quizlet.com/_j95fvp
- Support DNP but does not require educational programs to be at the doctoral
level
10. Clinical Nurse - evolved out of increasingly complexity of nursing care
Specialist - roots in psychiatric nursing
- psych specialists date back to 1880 & richards is credited with founding specialty
of psych nursing specialists
- Rutgers University first educational program for CNS but was for psychiatric
nursing
- coronary care nurse specialists established in 1962 & CCU nurses blurred invisible
boundary separating nursing and medicine
- 1960s noted to be when clincal nurse specialist took on modern day form
- three social forces drove specialization 1. increase in specialty related information
2. new tech advances 3. response to public need and interests
- crtical care and oncology specialty grew in 1970s
- ANA recognized CNS role 1970s defining the CNS as an expert practitioner and
change agent
- master degree required
- role has postive effect on improving nursing care and patient outcomes
- view shift from direct patient care to education and organizations (seen as too
valuable)
- education complex due to number of specialties involved
- can prescribe without physician supervision in 20 states now
- 1997 Balanced Budget Act identified CNS eligible for Medicare reimburstment
11. Certified Reg- - history in civil war
istered Nurse - typically anesthesia given only when a physician was unavailable
Anesthetist - Dr Mayo first to recognize and formally train CRNA in 1889
-Alice Macaw mother of anesthesia (hired by mayo)
- early challenges but practice has grown
- 1931 Lakeside hospital establishes National Association of Nurse Anesthetists
- LA medical association dues Nelson in 1934 for practicing without a license &
Study online at https://quizlet.com/_j95fvp
1. Bundle Payments - Also known as bundle payments
and health care - Reimburstment of health care providers on the basis of expected cost for clinically
expenditures defined episodes of care
- "middle" ground between fee-for-service and capitation
- healthcare delivery system takes on financial risk of patient
- Forces system to enhance quality and coordination of care
- Incentivizes system to deliver care that truly meets the Triple Aim
2. CHIP - Children's Health Insurance Program
- Health coverage to uninsured children whose families earn too much to qualify
for Mediciad but too little to afford private coverage
3. Role Strain Subjective feelings of frustration, tension, or anxiety expierenced in response to
role stress & can be feelings of decreased self-esteem when performance is below
expectations
4. Role Conflict Role expectations are percieved to be mutually exclusive or contraditctory
5. Medicare Part D - Prescription drug coverage
Billing - Must join a drug place to receive coverage under part D
- Coverage is attempt to lower prescription costs
- Payment is monthly fee that varies by plan & is addition to Part B premium or
inbedded in Part C premium
6. Role Stress A situation of increased role performance demand (ex: returning to school while
maintaining work and family responsibilities or the expectation of increased work-
load
7. Medicare Part B - Covers medical expenses such as physician and outpatient care
Billing - Direct reimbursement can only occur when submitting claim through part B
- Covers physician and nonphysical provider services, outpatient hospital services,
home health care not covered by part A (PT/OT) and other services such as
diagnostic testing, durable medical equipment and ambulance costs
, Advanced Practice Nursing exam questions and answers latest 2026
Study online at https://quizlet.com/_j95fvp
- Enrollment in part B is voluntary to those receiving Part A
- Payment into system via monthly premiums that are established yearly based on
system expenses through deductibles & coinsurance programs
8. Advanced Prac- 1. Nurse Practitioner
tice Nurse Roles 2. Clinical Nurse Specialist
3. Certified Registered Nurse Anesthetist
4. Certified Nurse Midwife
9. Nurse Practition - provide care through diagnosis and treatment as well as addressing disease
prevention and health management
- 1893 Lillian Wald & Henry Street Settlement (HSS) House
- HHS nurses obtained standing orders for emergency medications and treat-
ments
- nurses considered "good enough" to care for the poor whereas physicians seen
as only careing for those who could pay
- FNS/FSA nurse practice centered around the practice autonomy in the require-
ment that the patients be poor, marginalized and have little access to physician
provided medical care
- NP role formally described in 1960s and was implemented in outpatient pediatric
clinics in response to a shortage of primary care physicians
- Loretta Ford in 1965 established first Pediatric NP program (PNP) & was designed
to prepare professional nurses to provide comprehensive well-child care and
manage common childhood health problems
- 1970 continue to enhance visibility in health system, and expand role while
demonstrating cost effective quality care
- role expanded/included because nurse role was essential to providing equal
access to health care for all Americans
- conflict surrounds role between other RN and NP and NP and physicians
- issues surrounding prescriptive treatment & idaho in 1971 was first state to
recognize diagnosis and treatment as part of practice
, Advanced Practice Nursing exam questions and answers latest 2026
Study online at https://quizlet.com/_j95fvp
- Support DNP but does not require educational programs to be at the doctoral
level
10. Clinical Nurse - evolved out of increasingly complexity of nursing care
Specialist - roots in psychiatric nursing
- psych specialists date back to 1880 & richards is credited with founding specialty
of psych nursing specialists
- Rutgers University first educational program for CNS but was for psychiatric
nursing
- coronary care nurse specialists established in 1962 & CCU nurses blurred invisible
boundary separating nursing and medicine
- 1960s noted to be when clincal nurse specialist took on modern day form
- three social forces drove specialization 1. increase in specialty related information
2. new tech advances 3. response to public need and interests
- crtical care and oncology specialty grew in 1970s
- ANA recognized CNS role 1970s defining the CNS as an expert practitioner and
change agent
- master degree required
- role has postive effect on improving nursing care and patient outcomes
- view shift from direct patient care to education and organizations (seen as too
valuable)
- education complex due to number of specialties involved
- can prescribe without physician supervision in 20 states now
- 1997 Balanced Budget Act identified CNS eligible for Medicare reimburstment
11. Certified Reg- - history in civil war
istered Nurse - typically anesthesia given only when a physician was unavailable
Anesthetist - Dr Mayo first to recognize and formally train CRNA in 1889
-Alice Macaw mother of anesthesia (hired by mayo)
- early challenges but practice has grown
- 1931 Lakeside hospital establishes National Association of Nurse Anesthetists
- LA medical association dues Nelson in 1934 for practicing without a license &
