Test Bank for Advanced Practice Nursing: Essential Knowledge for the
Profession 3rd Edition Denisco Chapter 1-31
Complete Guide
,Chapter1 Introduction to the Role of Advanced Practices Nursing
Multiple Choice
1. In which year did the American Association of College of Nursing (AACN) introduced
the Doctorate of Nursing Practice (DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
TAhNeSA: ABCN introduced the DNP degree in 2004 to prepare advanced practice nurses
(APRNs) to meet challenges and standardize practice beyond master’s degree programs.
2. Which of the following is the best explanation for the creation of the Doctorate of Nursing
Practice (DNP) degree?
a. To compete against master’s degree programs
b. To ensure standardized curriculum ensuring independent practice
c. To validate APRN’s for financial reimbursement
d. To address increasing curriculum requirements of master’s degree programs
CORRECT:: D
Although all answers are influenced by the DNP core competencies, the DNP program creation in
2004 by the AACN was designed to address curriculum requirements of master’s degree programs.
3. Which of the following was the first recognized area of advanced practice nursing?
a. Clinical Nurse Specialist
b. Family nurse practitioner
c. Pediatric nurse practitioner
d. Certified Registered Nurse Anesthetist
,CORRECT:: D
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the
American Association of Nurse Anesthetists (AANA) was the first recognized group promoting
advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside Hospital in
Cleveland, Ohio.
4. Which factor is broadly perceived to solidify and standardize the role of the APNs over the
last 25 years?
a. Lack of access to health care providers
b. Standardized curriculum development
c. Payment for services
d. Societal forces
CORRECT:: B
As the evolution of Advanced Practice Nursing advances specific specialties and needs are
identified. Through the evolution of organization and standardization these roles have solidified
the APN’s role in today’s health care environment.
5. During the formation of early APN roles in anesthesia, which of the following
increased demand for access to health care?
a. Poverty
b. War
c. Rural access to care
d. Availability of training
CORRECT:: B
Earliest demand for nursing-provided anesthesia spiked during periods of war when numbers of
physicians were inadequate. The earliest records date back to the American Civil War with the
administration of chloroform. During World War I in 1917 more than 1000 nurses, some trained
anesthetists, traveled into battle. Other factors such as need for rural health care came later in the
validation and need for APNs.
6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, NY. He
is known for some of the earliest recruitment and specialized training of nurses in which of the
following roles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics
e. Family nursing
, CORRECT::y 3 B
Iny31889,y3Dr.y3Williamy3Worrally3Mayoy3begany3formallyy3trainingy3andy3recognizingy3nursey3a
nesthetists.y3Thisy3hasy3beeny3regardedy3asy3they3earliesty3trainingy3iny3nurse-
providedy3anesthesia.
7. Iny31893,y3Lilliany3Waldy3establishedy3they3Henryy3Streety3Settlementy3(HSS)y3Housey3fory3whichy3purpos
a. Accessy3toy3healthy3carey3ofy3ruraly3areas
b. Createy3inner-cityy3nursingy3awareness
c. Providey3they3disadvantagedy3accessy3toy3 care
d. Establishy3guidelinesy3fory3advancedy3nursingy3roles
CORRECT::y 3 C
They3HHSy3wasy3establishedy3toy3providey3nursingy3servicesy3toy3immigrantsy3andy3low-
incomey3patientsy3andy3theiry3familiesy3iny3Manhattan.y3Asy3resistancey3toy3nurse-
providedy3carey3grew,y3standingy3ordersy3werey3draftedy3fromy3ay3groupy3ofy3Lowery3Easty3Sidey
3physiciansy3therebyy3circumventingy3then-existingy3legaly3ramifications.
8. They3Frontiery3Nursingy3Servicey3(FNS)y3foundedy3iny3Kentuckyy3iny31925y3byy3Maryy3B
reckenridgey3initiallyy3providedy3Appalachiay3withy3nursingy3resourcesy3andy3whichy3typ
ey3ofy3advancedy3nursingy3care?
a. Pediatricy3care
b. Anesthesia
c. Midwifery
d. Surgicaly3services
CORRECT::y 3 C
They3originaly3FNSy3providedy3nursingy3servicesy3andy3obstetricy3servicesy3toy3Appalachiany3resid
ents.y 3 Latery3workingy3fromy3standardy3ordersy3developedy3fromy3theiry3medicaly3advisoryy3com
mitteey3nursesy3treatedy3patients,y3madey3diagnoses,y3andy3dispensedy3medications.
9. Whichy3organizationy3foundedy3iny31941y3undery3Maryy3Breckenridge’sy3leadershipy3merged
y3withy3they3Americany3Collegey3ofy3Nurse-Midwivesy3(ACNM)y3iny31969?
a. Americany3Associationy3ofy3Nurse-Midwivesy3(AANM)
b. Americany3Nursesy3Associationy3(ANA)
c. Associationy3fory3Nationaly3Nurse-Midwiferyy3(ANNM)
d. Councily3ofy3Nursingy3Midwiferyy3(ANM)
CORRECT::y 3 A
They3Americany3Collegey3ofy3Nurse-
Midwivesy3(ACNM)y3formedy3undery3they3leadershipy3ofy3Maryy3Breckenridgey3iny31941y3toy3pr
ovidey3nurse-midwifey3developmenty3andy3collaborationy3fory3midwife
Profession 3rd Edition Denisco Chapter 1-31
Complete Guide
,Chapter1 Introduction to the Role of Advanced Practices Nursing
Multiple Choice
1. In which year did the American Association of College of Nursing (AACN) introduced
the Doctorate of Nursing Practice (DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
TAhNeSA: ABCN introduced the DNP degree in 2004 to prepare advanced practice nurses
(APRNs) to meet challenges and standardize practice beyond master’s degree programs.
2. Which of the following is the best explanation for the creation of the Doctorate of Nursing
Practice (DNP) degree?
a. To compete against master’s degree programs
b. To ensure standardized curriculum ensuring independent practice
c. To validate APRN’s for financial reimbursement
d. To address increasing curriculum requirements of master’s degree programs
CORRECT:: D
Although all answers are influenced by the DNP core competencies, the DNP program creation in
2004 by the AACN was designed to address curriculum requirements of master’s degree programs.
3. Which of the following was the first recognized area of advanced practice nursing?
a. Clinical Nurse Specialist
b. Family nurse practitioner
c. Pediatric nurse practitioner
d. Certified Registered Nurse Anesthetist
,CORRECT:: D
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the
American Association of Nurse Anesthetists (AANA) was the first recognized group promoting
advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside Hospital in
Cleveland, Ohio.
4. Which factor is broadly perceived to solidify and standardize the role of the APNs over the
last 25 years?
a. Lack of access to health care providers
b. Standardized curriculum development
c. Payment for services
d. Societal forces
CORRECT:: B
As the evolution of Advanced Practice Nursing advances specific specialties and needs are
identified. Through the evolution of organization and standardization these roles have solidified
the APN’s role in today’s health care environment.
5. During the formation of early APN roles in anesthesia, which of the following
increased demand for access to health care?
a. Poverty
b. War
c. Rural access to care
d. Availability of training
CORRECT:: B
Earliest demand for nursing-provided anesthesia spiked during periods of war when numbers of
physicians were inadequate. The earliest records date back to the American Civil War with the
administration of chloroform. During World War I in 1917 more than 1000 nurses, some trained
anesthetists, traveled into battle. Other factors such as need for rural health care came later in the
validation and need for APNs.
6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, NY. He
is known for some of the earliest recruitment and specialized training of nurses in which of the
following roles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics
e. Family nursing
, CORRECT::y 3 B
Iny31889,y3Dr.y3Williamy3Worrally3Mayoy3begany3formallyy3trainingy3andy3recognizingy3nursey3a
nesthetists.y3Thisy3hasy3beeny3regardedy3asy3they3earliesty3trainingy3iny3nurse-
providedy3anesthesia.
7. Iny31893,y3Lilliany3Waldy3establishedy3they3Henryy3Streety3Settlementy3(HSS)y3Housey3fory3whichy3purpos
a. Accessy3toy3healthy3carey3ofy3ruraly3areas
b. Createy3inner-cityy3nursingy3awareness
c. Providey3they3disadvantagedy3accessy3toy3 care
d. Establishy3guidelinesy3fory3advancedy3nursingy3roles
CORRECT::y 3 C
They3HHSy3wasy3establishedy3toy3providey3nursingy3servicesy3toy3immigrantsy3andy3low-
incomey3patientsy3andy3theiry3familiesy3iny3Manhattan.y3Asy3resistancey3toy3nurse-
providedy3carey3grew,y3standingy3ordersy3werey3draftedy3fromy3ay3groupy3ofy3Lowery3Easty3Sidey
3physiciansy3therebyy3circumventingy3then-existingy3legaly3ramifications.
8. They3Frontiery3Nursingy3Servicey3(FNS)y3foundedy3iny3Kentuckyy3iny31925y3byy3Maryy3B
reckenridgey3initiallyy3providedy3Appalachiay3withy3nursingy3resourcesy3andy3whichy3typ
ey3ofy3advancedy3nursingy3care?
a. Pediatricy3care
b. Anesthesia
c. Midwifery
d. Surgicaly3services
CORRECT::y 3 C
They3originaly3FNSy3providedy3nursingy3servicesy3andy3obstetricy3servicesy3toy3Appalachiany3resid
ents.y 3 Latery3workingy3fromy3standardy3ordersy3developedy3fromy3theiry3medicaly3advisoryy3com
mitteey3nursesy3treatedy3patients,y3madey3diagnoses,y3andy3dispensedy3medications.
9. Whichy3organizationy3foundedy3iny31941y3undery3Maryy3Breckenridge’sy3leadershipy3merged
y3withy3they3Americany3Collegey3ofy3Nurse-Midwivesy3(ACNM)y3iny31969?
a. Americany3Associationy3ofy3Nurse-Midwivesy3(AANM)
b. Americany3Nursesy3Associationy3(ANA)
c. Associationy3fory3Nationaly3Nurse-Midwiferyy3(ANNM)
d. Councily3ofy3Nursingy3Midwiferyy3(ANM)
CORRECT::y 3 A
They3Americany3Collegey3ofy3Nurse-
Midwivesy3(ACNM)y3formedy3undery3they3leadershipy3ofy3Maryy3Breckenridgey3iny31941y3toy3pr
ovidey3nurse-midwifey3developmenty3andy3collaborationy3fory3midwife
