Western Governors University
1TP · 811D
D118 — Advanced Practice Nursing
A UNIVERSITY FOR THE REAL WORLD
WGU
NURSING
D118 pt. 1
CO M P R E H E N S I V E R E V I E W — A DVA N C E D P RACT I C E N U RS I N G
INSTITUTION Western Governors University PROGRAM Advanced Practice Nursing
COURSE CODE D118 COURSE TITLE Advanced Practice Nursing —
Comprehensive Review
ACADEMIC YEAR EXAM TITLE D118 pt. 1
TOTAL QUESTIONS 220 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ Evidence-based practice, health promotion, disease prevention, and clinical management are all
testable content.
▸ Understanding clinical presentation, diagnostic reasoning, and evidence-based management is
emphasized.
▸ Correct answers and rationales appear below each question for review purposes.
▸ All content reflects current evidence-based practice and D118 curriculum standards.
, SECTION I — EVIDENCE-BASED PRACTICE, HEALTH
Questions 1 – 220
PROMOTION & CLINICAL MANAGEMENT
1. What is evidenced-based practice and why is it important in healthcare?
A. The integration of clinical expertise, patient values and the best research evidence into
the decision-making process for patient care
B. The use of only randomized controlled trials to guide patient care
C. Following established protocols without considering patient preferences
D. Using only expert opinion to make clinical decisions
CORRECT ANSWER A — The integration of clinical expertise, patient values and the best
research evidence into the decision-making process for patient care
RATIONALE Evidence-based practice (EBP) is defined by Duke University Medical Center as
"the integration of clinical expertise, patient values and the best research
evidence into the decision-making process for patient care."
2. DESCRIBE the standard methods for appraising evidence including evidence grading
scales.
A. Randomized control trials (RCTs) and systematic reviews (SRs) are considered the gold
standards in the types of evidence hierarchical structure
B. Case reports and expert opinions are the highest level of evidence
C. All evidence is considered equal regardless of study design
D. Cohort studies are the gold standard for evidence
CORRECT ANSWER A — Randomized control trials (RCTs) and systematic reviews (SRs) are
considered the gold standards in the types of evidence hierarchical
structure
RATIONALE RCTs and systematic reviews are considered the gold standards in the evidence
hierarchy due to their rigorous methodology and reduced risk of bias.
,3. The Iowa Model of Evidence-Based Practice to Promote Quality Care was developed at the
University of Iowa Hospitals and Clinics in the 1990s to serve as a guide for nurses to use
research findings to help improve patient care. What does this model provide?
A. A pathway or method to EBP - a method to guide the steps to help identify issues,
research solutions and implement changes
B. A rigid set of rules that must be followed without deviation
C. A focus only on qualitative research methods
D. A model that excludes patient preferences from decision-making
CORRECT ANSWER A — A pathway or method to EBP - a method to guide the steps to help
identify issues, research solutions and implement changes
RATIONALE The Iowa Model was developed to serve as a guide for nurses to use research
findings to help improve patient care. It is a pathway or method to EBP that
guides steps to identify issues, research solutions, and implement changes.
4. The ACE Star Model of Knowledge Transformation emphasizes what?
A. Crucial steps to convert one form of knowledge to the next and incorporate best research
evidence with clinical expertise and patient preferences thereby achieving EBP
B. Only the use of systematic reviews in clinical decision-making
C. Eliminating patient preferences from the EBP process
D. Focusing only on quantitative research methods
CORRECT ANSWER A — Crucial steps to convert one form of knowledge to the next and
incorporate best research evidence with clinical expertise and patient
preferences thereby achieving EBP
RATIONALE The ACE Star Model emphasizes crucial steps to convert one form of knowledge to
the next and incorporate best research evidence with clinical expertise and
patient preferences, thereby achieving EBP.
, 5. The Johns Hopkins Nursing Evidence-Based Practice Model is described as what?
A. A powerful problem-solving approach to clinical decision-making, accompanied by user-
friendly tools to guide individual or group use, designed specifically to meet the needs of
the practicing nurse
B. A model that only applies to advanced practice nurses
C. A rigid framework that does not allow for individual variation
D. A model focused exclusively on research methodology
CORRECT ANSWER A — A powerful problem-solving approach to clinical decision-making,
accompanied by user-friendly tools to guide individual or group use,
designed specifically to meet the needs of the practicing nurse
RATIONALE The Johns Hopkins Nursing EBP Model is a powerful problem-solving approach to
clinical decision-making, accompanied by user-friendly tools to guide individual
or group use. It is designed specifically to meet the needs of the practicing nurse.
6. The Stetler Model of Evidence-Based Practice is based on what notion?
A. The user's internal characteristics, as well as external environmental factors, influence use
of knowledge
B. Only internal factors influence knowledge use
C. External environmental factors are the only influence on knowledge use
D. Knowledge use is not influenced by any factors
CORRECT ANSWER A — The user's internal characteristics, as well as external environmental
factors, influence use of knowledge
RATIONALE The Stetler model of research use is based on the notion that the user's internal
characteristics, as well as external environmental factors, influence the use of
knowledge.
1TP · 811D
D118 — Advanced Practice Nursing
A UNIVERSITY FOR THE REAL WORLD
WGU
NURSING
D118 pt. 1
CO M P R E H E N S I V E R E V I E W — A DVA N C E D P RACT I C E N U RS I N G
INSTITUTION Western Governors University PROGRAM Advanced Practice Nursing
COURSE CODE D118 COURSE TITLE Advanced Practice Nursing —
Comprehensive Review
ACADEMIC YEAR EXAM TITLE D118 pt. 1
TOTAL QUESTIONS 220 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ Evidence-based practice, health promotion, disease prevention, and clinical management are all
testable content.
▸ Understanding clinical presentation, diagnostic reasoning, and evidence-based management is
emphasized.
▸ Correct answers and rationales appear below each question for review purposes.
▸ All content reflects current evidence-based practice and D118 curriculum standards.
, SECTION I — EVIDENCE-BASED PRACTICE, HEALTH
Questions 1 – 220
PROMOTION & CLINICAL MANAGEMENT
1. What is evidenced-based practice and why is it important in healthcare?
A. The integration of clinical expertise, patient values and the best research evidence into
the decision-making process for patient care
B. The use of only randomized controlled trials to guide patient care
C. Following established protocols without considering patient preferences
D. Using only expert opinion to make clinical decisions
CORRECT ANSWER A — The integration of clinical expertise, patient values and the best
research evidence into the decision-making process for patient care
RATIONALE Evidence-based practice (EBP) is defined by Duke University Medical Center as
"the integration of clinical expertise, patient values and the best research
evidence into the decision-making process for patient care."
2. DESCRIBE the standard methods for appraising evidence including evidence grading
scales.
A. Randomized control trials (RCTs) and systematic reviews (SRs) are considered the gold
standards in the types of evidence hierarchical structure
B. Case reports and expert opinions are the highest level of evidence
C. All evidence is considered equal regardless of study design
D. Cohort studies are the gold standard for evidence
CORRECT ANSWER A — Randomized control trials (RCTs) and systematic reviews (SRs) are
considered the gold standards in the types of evidence hierarchical
structure
RATIONALE RCTs and systematic reviews are considered the gold standards in the evidence
hierarchy due to their rigorous methodology and reduced risk of bias.
,3. The Iowa Model of Evidence-Based Practice to Promote Quality Care was developed at the
University of Iowa Hospitals and Clinics in the 1990s to serve as a guide for nurses to use
research findings to help improve patient care. What does this model provide?
A. A pathway or method to EBP - a method to guide the steps to help identify issues,
research solutions and implement changes
B. A rigid set of rules that must be followed without deviation
C. A focus only on qualitative research methods
D. A model that excludes patient preferences from decision-making
CORRECT ANSWER A — A pathway or method to EBP - a method to guide the steps to help
identify issues, research solutions and implement changes
RATIONALE The Iowa Model was developed to serve as a guide for nurses to use research
findings to help improve patient care. It is a pathway or method to EBP that
guides steps to identify issues, research solutions, and implement changes.
4. The ACE Star Model of Knowledge Transformation emphasizes what?
A. Crucial steps to convert one form of knowledge to the next and incorporate best research
evidence with clinical expertise and patient preferences thereby achieving EBP
B. Only the use of systematic reviews in clinical decision-making
C. Eliminating patient preferences from the EBP process
D. Focusing only on quantitative research methods
CORRECT ANSWER A — Crucial steps to convert one form of knowledge to the next and
incorporate best research evidence with clinical expertise and patient
preferences thereby achieving EBP
RATIONALE The ACE Star Model emphasizes crucial steps to convert one form of knowledge to
the next and incorporate best research evidence with clinical expertise and
patient preferences, thereby achieving EBP.
, 5. The Johns Hopkins Nursing Evidence-Based Practice Model is described as what?
A. A powerful problem-solving approach to clinical decision-making, accompanied by user-
friendly tools to guide individual or group use, designed specifically to meet the needs of
the practicing nurse
B. A model that only applies to advanced practice nurses
C. A rigid framework that does not allow for individual variation
D. A model focused exclusively on research methodology
CORRECT ANSWER A — A powerful problem-solving approach to clinical decision-making,
accompanied by user-friendly tools to guide individual or group use,
designed specifically to meet the needs of the practicing nurse
RATIONALE The Johns Hopkins Nursing EBP Model is a powerful problem-solving approach to
clinical decision-making, accompanied by user-friendly tools to guide individual
or group use. It is designed specifically to meet the needs of the practicing nurse.
6. The Stetler Model of Evidence-Based Practice is based on what notion?
A. The user's internal characteristics, as well as external environmental factors, influence use
of knowledge
B. Only internal factors influence knowledge use
C. External environmental factors are the only influence on knowledge use
D. Knowledge use is not influenced by any factors
CORRECT ANSWER A — The user's internal characteristics, as well as external environmental
factors, influence use of knowledge
RATIONALE The Stetler model of research use is based on the notion that the user's internal
characteristics, as well as external environmental factors, influence the use of
knowledge.
