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NSG 6006 COMPREHENSIVE EXAM QUESTIONS
AND ANSWERS SET A+
✔✔The Dreyfus Model of Skill Acquisition includes which four stages of APN
performance - ✔✔Expert
Advanced Beginner
Competent
Proficient

✔✔The nurse practitioner is caring for a client who has undergone a recent gastrectomy
who complains of fatigue, palpitations, shortness of breath, and numbness and tingling
to their fingers on both hands. The nurse suspects pernicious anemia related to -
✔✔Deficiency of intrinsic factor production

✔✔The analysis of a theory or conceptual model includes examining the origins. Which
would not be considered an aspect of origin of the theory/model - ✔✔The unique focus

✔✔The clinical manifestations of dyskinetic cerebral palsy include - ✔✔Jerky
uncontrolled and abrupt fine musculoskeletal movements

✔✔Which core competency incorporates assuming complex collaborative roles with
stakeholders and communities - ✔✔Leadership

✔✔A critical environmental element that affects the authority of advanced practice
nurses to practice to their fullest/maximum scope, according to Hamric's model is -
✔✔Health policy

✔✔For nursing to be considered a discipline, which statement is true - ✔✔Context has
considerable influence of the development of the knowledge base

✔✔The APN wants to develop a community educational program for hypertension and
stroke prevention. She recognizes that the individual's lifestyle and pattern of behavior

, need to be addressed for the program to be successful. Which theory would be most
appropriate to guide the program development - ✔✔Health as Expanding
consciousness

✔✔When considering a theory for use in guiding practice, the APN should examine the
Conceptual-Theoretical-Empirical (C-T-E) linkages by for which criteria -
✔✔Specification adequacy

✔✔In septic shock, which mediators are anti-inflammatory - ✔✔Interleukin (IL-4, IL-10,
IL-13)

✔✔The link between major depression and cortisol secretion is that individuals with
depression - ✔✔Show that persistently elevated plasma cortisol levels can result in
inflammation that is believed to trigger depression

✔✔Which three primary criteria for advanced practice nursing are identified in Hamric's
Integrative Model of Advanced Practice Nursing - ✔✔Guidance
Graduate education,
Patient-focused practice
Certification

✔✔Which advance practice nursing was developed to facilitate delivery of high quality,
patient-centered primary care - ✔✔Certified nurse practitioner (CNP)

✔✔An adult-gerontology nurse practitioner is employed in a rural practice that is
initiating a school-based primary healthcare program. All nurse practitioners in the
practice are required to initiate preparations to facilitate conducting patient visits in the
new setting. Which role concepts best describes what the adult-gerontology nurse
practitioner is experiencing - ✔✔Role incongruity

✔✔A MSN student is noting challenges related to attending school while attempting to
balance other work, family, and social responsibilities. Which of the following role
concepts illustrates the MSN student's experience - ✔✔Role stress

✔✔A 24-year-old female presents to the primary care office with complaints of dysuria.
Urinalysis lab results indicated positive nitrates. The nurse practitioner plans to initiate
antibiotic coverage for the most likely causative organism which is - ✔✔Escherichia coli

✔✔Place the following four steps of APN core competency of evidenced based practice
in order - ✔✔Critically appraise and extract evidence
Formulate a measurable clinical question
Review literature for relevant studies
Implement useful findings in clinical decision making

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