ADVANCED PRACTICE NURSING EXAM QUESTIONS AND 100% CORRECT ANSWERS|LATEST 2025/2026

ADVANCED PRACTICE NURSING EXAM
QUESTIONS AND 100% CORRECT
ANSWERS|LATEST 2025/2026
Bundle Payments and health care expenditures - ANSWER-- Also known as bundle payments
B B B B B B B B B B B B




-
BReimburstment of health care providers on the basis of expected cost for clinically defined episodes o
B B B B B B B B B B B B B B B


f care
B




- "middle" ground between fee-for-service and capitation
B B B B B B




- healthcare delivery system takes on financial risk of patient
B B B B B B B B B




- Forces system to enhance quality and coordination of care
B B B B B B B B B




- Incentivizes system to deliver care that truly meets the Triple Aim
B B B B B B B B B B B




CHIP - ANSWER-- Children's Health Insurance Program
B B B B B B




-
BHealth coverage to uninsured children whose families earn too much to qualify for Mediciad but too li
B B B B B B B B B B B B B B B B


ttle to afford private coverage
B B B B




Role Strain - ANSWER-
B B B


Subjective feelings of frustration, tension, or anxiety expierenced in response to role stress & can be fe
B B B B B B B B B B B B B B B B


elings of decreased self-esteem when performance is below expectations
B B B B B B B B




Role Conflict - ANSWER-Role expectations are percieved to be mutually exclusive or contraditctory
B B B B B B B B B B B B




Medicare Part D Billing - ANSWER-- Prescription drug coverage
B B B B B B B B




- Must join a drug place to receive coverage under part D
B B B B B B B B B B B




- Coverage is attempt to lower prescription costs
B B B B B B B




-
BPayment is monthly fee that varies by plan & is addition to Part B premium or inbedded in Part C pre
B B B B B B B B B B B B B B B B B B B B


mium



Role Stress - ANSWER-
B B B


A situation of increased role performance demand (ex: returning to school while maintaining work an
B B B B B B B B B B B B B B


d family responsibilities or the expectation of increased workload
B B B B B B B B

,Medicare Part B Billing - ANSWER-- Covers medical expenses such as physician and outpatient care
B B B B B B B B B B B B B B




- Direct reimbursement can only occur when submitting claim through part B
B B B B B B B B B B B




-
BCovers physician and nonphysical provider services, outpatient hospital services, home health care no
B B B B B B B B B B B B


t covered by part A (PT/OT) and other services such as diagnostic testing, durable medical equipment
B B B B B B B B B B B B B B B B


and ambulance costs B B




- Enrollment in part B is voluntary to those receiving Part A
B B B B B B B B B B B




-
BPayment into system via monthly premiums that are established yearly based on system expenses thr
B B B B B B B B B B B B B B


ough deductibles & coinsurance programs
B B B B




Advanced Practice Nurse Roles - ANSWER-1. Nurse Practitioner
B B B B B B B




2. Clinical Nurse Specialist
B B B




3. Certified Registered Nurse Anesthetist
B B B B B




4. Certified Nurse Midwife
B B B




Nurse Practition - ANSWER-- B B B


provide care through diagnosis and treatment as well as addressing disease prevention and health m
B B B B B B B B B B B B B B B


anagement

- 1893 Lillian Wald & Henry Street Settlement (HSS) House
B B B B B B B B B




- HHS nurses obtained standing orders for emergency medications and treatments
B B B B B B B B B B




-
Bnurses considered "good enough" to care for the poor whereas physicians seen as only careing for th
B B B B B B B B B B B B B B B B


ose who could pay B B B




-
BFNS/FSA nurse practice centered around the practice autonomy in the requirement that the patients
B B B B B B B B B B B B B B


be poor, marginalized and have little access to physician provided medical care
B B B B B B B B B B B




-
BNP role formally described in 1960s and was implemented in outpatient pediatric clinics in response t
B B B B B B B B B B B B B B B


o a shortage of primary care physicians
B B B B B B




-
BLoretta Ford in 1965 established first Pediatric NP program (PNP) & was designed to prepare professio
B B B B B B B B B B B B B B B


nal nurses to provide comprehensive well-child care and manage common childhood health problems
B B B B B B B B B B B B




-
B1970 continue to enhance visibility in health system, and expand role while demonstrating cost effect
B B B B B B B B B B B B B B


ive quality careB B

, -
Brole expanded/included because nurse role was essential to providing equal access to health care for
B B B B B B B B B B B B B B B


all Americans
B




- conflict surrounds role between other RN and NP and NP and physicians
B B B B B B B B B B B B




-
Bissues surrounding prescriptive treatment & idaho in 1971 was first state to recognize diagnosis and tr
B B B B B B B B B B B B B B B


eatment as part of practice B B B B




- Support DNP but does not require educational programs to be at the doctoral level
B B B B B B B B B B B B B B




Clinical Nurse Specialist - ANSWER-- evolved out of increasingly complexity of nursing care
B B B B B B B B B B B B




- roots in psychiatric nursing
B B B B




-
Bpsych specialists date back to 1880 & richards is credited with founding specialty of psych nursing spe
B B B B B B B B B B B B B B B B


cialists

- Rutgers University first educational program for CNS but was for psychiatric nursing
B B B B B B B B B B B B




-
Bcoronary care nurse specialists established in 1962 & CCU nurses blurred invisible boundary separatin
B B B B B B B B B B B B B


g nursing and medicine
B B B




- 1960s noted to be when clincal nurse specialist took on modern day form
B B B B B B B B B B B B B




-
Bthree social forces drove specialization 1. increase in specialty related information 2. new tech advanc
B B B B B B B B B B B B B B


es 3. response to public need and interests
B B B B B B B




- crtical care and oncology specialty grew in 1970s
B B B B B B B B




- ANA recognized CNS role 1970s defining the CNS as an expert practitioner and change agent
B B B B B B B B B B B B B B B




- master degree required
B B B




- role has postive effect on improving nursing care and patient outcomes
B B B B B B B B B B B




- view shift from direct patient care to education and organizations (seen as too valuable)
B B B B B B B B B B B B B B




- education complex due to number of specialties involved
B B B B B B B B




- can prescribe without physician supervision in 20 states now
B B B B B B B B B




- 1997 Balanced Budget Act identified CNS eligible for Medicare reimburstment
B B B B B B B B B B




Certified Registered Nurse Anesthetist - ANSWER-- history in civil war
B B B B B B B B B




- typically anesthesia given only when a physician was unavailable
B B B B B B B B B




- Dr Mayo first to recognize and formally train CRNA in 1889
B B B B B B B B B B B