C157 test bank. Advanced Practice Nursing: Essential Knowledge for the
B B B B B B B B B B
Profession 3rd Edition Denisco Test Bank
B B B B B
Advanced Practice Nursing: Essential Knowledge for the Profession 3rd
Edition Denisco Test Bank
Chapter1 Introduction to the Role of Advanced Practices Nursing
Multiple Choice
1. In which year did the American Association of College of Nursing (AACN)Bintroduce
d the Doctorate of Nursing Practice (DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
TAhNeSA: ABCN introduced the DNP degree inB2004BtoBprepareBadvanced practice nurses (A
PRNs) to meet challenges and standardize practiceBbeyondBmaster’sBdegree programs.
2. Which of the following is the bestBexplanationBfor theBcreation of the Doctorate of Nursin
g Practice (DNP) degree?
a. To compete against master’s degreeBprograms
b. To ensure standardizedBcurriculumBensuring independent practice
c. To validate APRN’sBforBfinancial reimbursement
d. To address increasingBcurriculumBrequirements of master’s degree programs
ANS: D
Although allBanswersBare influenced by the DNP core competencies, the DNP program creation in
2004 by theBAACN wasBdesignedBto 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
,C157 test bank. Advanced Practice Nursing: Essential Knowledge for the
B B B B B B B B B B
Profession 3rd Edition Denisco Test Bank
B B B B B
ANS: D
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the Amer
ican Association of Nurse Anesthetists (AANA) was the first recognized group promoting adva
nced 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 th
e last 25 years?
a. Lack of access to health care providers
b. Standardized curriculum development
c. Payment for services
d. Societal forces
ANS: B
As the evolution of Advanced Practice Nursing advances specific specialties andBneedsBare ident
ified. Through the evolution of organization and standardization theseBrolesBhave solidified the
APN’s role in today’s health care environment.
5. During the formation of early APN roles in anesthesia,Bwhich ofBthe followin
g increased demand for access to health care?
a. Poverty
b. War
c. Rural access to care
d. Availability of training
ANS: B
Earliest demand for nursing-
provided anesthesiaBspikedBduring periodsBof war when numbers of physicians were inadequate.
The earliest recordsBdateBbackBto theBAmerican Civil War with the administration of chloroform.
During WorldBWarBIBinB1917 more than 1000 nurses, some trained anesthetists, traveled into bat
tle. Other factorsBsuchBas need forBrural health care came later in the validation and need for AP
Ns.
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
,C157 test bank. Advanced Practice Nursing: Essential Knowledge for the
B B B B B B B B B B
Profession 3rd Edition Denisco Test Bank
B B B B B
ANS: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists.
This has been regarded as the earliest training in nurse-provided anesthesia.
7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which purpose?
a. Access to health care of rural areas
b. Create inner-city nursing awareness
c. Provide the disadvantaged access to care
d. Establish guidelines for advanced nursing roles
ANS: C
The HHS was established to provide nursing services to immigrantsBand low-
income patients and their families in Manhattan. As resistance toBnurse-
provided care grew, standing orders were drafted from a groupBof LowerBEast SideBphysicians th
ereby circumventing then-existing legal ramifications.
8. The Frontier Nursing Service (FNS) founded inBKentuckyBinB1925 byBMary Breckenridg
e initially provided Appalachia with nursingBresources and which type of advanced nursi
ng care?
a. Pediatric care
b. Anesthesia
c. Midwifery
d. Surgical services
ANS: C
The original FNS provided nursingBservices and obstetric services to Appalachian residents. Lat
er working from standardBordersBdevelopedBfrom their medical advisory committee nurses treate
d patients, madeBdiagnoses, and dispensed medications.
9. WhichBorganization foundedBin 1941 under Mary Breckenridge’s leadership merged with th
e AmericanBCollege of Nurse-Midwives (ACNM) in 1969?
a. American Association of Nurse-Midwives (AANM)
b. American Nurses Association (ANA)
c. Association for National Nurse-Midwifery (ANNM)
d. Council of Nursing Midwifery (ANM)
ANS: A
The American College of Nurse-
Midwives (ACNM) formed under the leadership of Mary Breckenridge in 1941 to provide nurse
-midwife development and collaboration for midwife
, C157 test bank. Advanced Practice Nursing: Essential Knowledge for the
B B B B B B B B B B
Profession 3rd Edition Denisco Test Bank
B B B B B
development. LIn L1955, Lthe LAmerican LCollege Lof LNurse-
Midwives Lwas Lformed Land Lthe Ltwo Lorganizations Lmerged Lin L1969 Lafter Lthe Ldeath Lof
LMary LBrecke Lnridge.
10. In La Llandmark Lruling Lby Lthe LSupreme LCourt Las La Lresult Lof
LChalmers- LFrances Lv. LNelson, L1936, Lwhat Llegal Lprecedent
Lwas Lestablished?
a. Nurse Lanesthesia Lwas Lallowed Lunder Lthe Lnurse Lpractice L act
b. Nurse Lanesthesia Lscope Lof Lpractice Lincluded L anesthesia
c. Nurse Lanesthesia Lwas Llegal, Lif Lunder Lguidance Lof La Lsupervising L physician
d. Only Ltrained Lnursing Lprofessionals Lcould Ladminister Lanesthesia Lindependently
ANS: L C
The Llandmark Ldecision Lfrom Lthe LChalmers-
Frances Lv. LNelson Lcase Lset Lnational Lprecedent Lfor Lthe Ladvanced LnursingBpracticeBrole.BIt
Lproved Lt Lo Lbe Lthe Lbasis Lfor Lother Lcases Lover Lthe Lfollowing Lfew Ldecades
LandBestablished Lthat Ltrained Lnurses Lcould Llegally Lprovide Lanesthesia Lcare Lunder
Lsupervision Lof La Lphysician.
11. The Lfirst Lknown Lestablishment Lof Lthe Lnurse LpractitionerBroleBoccurredBin
L1965 La Lt LtheUniversity Lof LColorado. LIn Lwhich Larea Lof Ltraining LdidBthis
Lrole Lspecialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS: L A
The Lestablishment Lof Lthe LfirstBpediatricBnurse Lpractitioner Lprogram Lwas Lin L1965 Lat Lthe
LUniversity Lof LColorado. LLoretta LFord,BRNBandBHenryBSilver, LMD Lprovided La L4-
month Lcourse Lto Lcertified LregisteredBnurses LtoBprovide Leducation Lon Lmanaging Lchildhood
Lhealth Lproblems.
12. The LDNPBprogramBcurriculumBoutlined Lwhich Lof Lthe Lfollowing Lclinical
Lrequirements Li Ln Lan LeffortBto LstandardizeBtraining?
a. 1000BsupervisedBclinical Lhours Land L200 Lunsupervised Lclinical Lhours
b. 1000 LsupervisedBclinical Lhours
c. 900 Lsupervised Lclinical Lhours
d. 800 Lsupervised Lclinical Lhours Land L200 Lunsupervised Lclinical Lhours
ANS: L B
In L2004, Lthe LAACN Loutlined Lthe LDNP Lcurriculum Lin Lan Leffort Lto Lstandardize Land
Lrelieve Lchallen Lges Lof Lmaster’s Ldegree Lprograms. LThis Lincludes La Lstandardized
Lcurriculum Lrequiring L1000 Lsuperv Lised Lclinical Lhours.
B B B B B B B B B B
Profession 3rd Edition Denisco Test Bank
B B B B B
Advanced Practice Nursing: Essential Knowledge for the Profession 3rd
Edition Denisco Test Bank
Chapter1 Introduction to the Role of Advanced Practices Nursing
Multiple Choice
1. In which year did the American Association of College of Nursing (AACN)Bintroduce
d the Doctorate of Nursing Practice (DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
TAhNeSA: ABCN introduced the DNP degree inB2004BtoBprepareBadvanced practice nurses (A
PRNs) to meet challenges and standardize practiceBbeyondBmaster’sBdegree programs.
2. Which of the following is the bestBexplanationBfor theBcreation of the Doctorate of Nursin
g Practice (DNP) degree?
a. To compete against master’s degreeBprograms
b. To ensure standardizedBcurriculumBensuring independent practice
c. To validate APRN’sBforBfinancial reimbursement
d. To address increasingBcurriculumBrequirements of master’s degree programs
ANS: D
Although allBanswersBare influenced by the DNP core competencies, the DNP program creation in
2004 by theBAACN wasBdesignedBto 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
,C157 test bank. Advanced Practice Nursing: Essential Knowledge for the
B B B B B B B B B B
Profession 3rd Edition Denisco Test Bank
B B B B B
ANS: D
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the Amer
ican Association of Nurse Anesthetists (AANA) was the first recognized group promoting adva
nced 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 th
e last 25 years?
a. Lack of access to health care providers
b. Standardized curriculum development
c. Payment for services
d. Societal forces
ANS: B
As the evolution of Advanced Practice Nursing advances specific specialties andBneedsBare ident
ified. Through the evolution of organization and standardization theseBrolesBhave solidified the
APN’s role in today’s health care environment.
5. During the formation of early APN roles in anesthesia,Bwhich ofBthe followin
g increased demand for access to health care?
a. Poverty
b. War
c. Rural access to care
d. Availability of training
ANS: B
Earliest demand for nursing-
provided anesthesiaBspikedBduring periodsBof war when numbers of physicians were inadequate.
The earliest recordsBdateBbackBto theBAmerican Civil War with the administration of chloroform.
During WorldBWarBIBinB1917 more than 1000 nurses, some trained anesthetists, traveled into bat
tle. Other factorsBsuchBas need forBrural health care came later in the validation and need for AP
Ns.
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
,C157 test bank. Advanced Practice Nursing: Essential Knowledge for the
B B B B B B B B B B
Profession 3rd Edition Denisco Test Bank
B B B B B
ANS: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists.
This has been regarded as the earliest training in nurse-provided anesthesia.
7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which purpose?
a. Access to health care of rural areas
b. Create inner-city nursing awareness
c. Provide the disadvantaged access to care
d. Establish guidelines for advanced nursing roles
ANS: C
The HHS was established to provide nursing services to immigrantsBand low-
income patients and their families in Manhattan. As resistance toBnurse-
provided care grew, standing orders were drafted from a groupBof LowerBEast SideBphysicians th
ereby circumventing then-existing legal ramifications.
8. The Frontier Nursing Service (FNS) founded inBKentuckyBinB1925 byBMary Breckenridg
e initially provided Appalachia with nursingBresources and which type of advanced nursi
ng care?
a. Pediatric care
b. Anesthesia
c. Midwifery
d. Surgical services
ANS: C
The original FNS provided nursingBservices and obstetric services to Appalachian residents. Lat
er working from standardBordersBdevelopedBfrom their medical advisory committee nurses treate
d patients, madeBdiagnoses, and dispensed medications.
9. WhichBorganization foundedBin 1941 under Mary Breckenridge’s leadership merged with th
e AmericanBCollege of Nurse-Midwives (ACNM) in 1969?
a. American Association of Nurse-Midwives (AANM)
b. American Nurses Association (ANA)
c. Association for National Nurse-Midwifery (ANNM)
d. Council of Nursing Midwifery (ANM)
ANS: A
The American College of Nurse-
Midwives (ACNM) formed under the leadership of Mary Breckenridge in 1941 to provide nurse
-midwife development and collaboration for midwife
, C157 test bank. Advanced Practice Nursing: Essential Knowledge for the
B B B B B B B B B B
Profession 3rd Edition Denisco Test Bank
B B B B B
development. LIn L1955, Lthe LAmerican LCollege Lof LNurse-
Midwives Lwas Lformed Land Lthe Ltwo Lorganizations Lmerged Lin L1969 Lafter Lthe Ldeath Lof
LMary LBrecke Lnridge.
10. In La Llandmark Lruling Lby Lthe LSupreme LCourt Las La Lresult Lof
LChalmers- LFrances Lv. LNelson, L1936, Lwhat Llegal Lprecedent
Lwas Lestablished?
a. Nurse Lanesthesia Lwas Lallowed Lunder Lthe Lnurse Lpractice L act
b. Nurse Lanesthesia Lscope Lof Lpractice Lincluded L anesthesia
c. Nurse Lanesthesia Lwas Llegal, Lif Lunder Lguidance Lof La Lsupervising L physician
d. Only Ltrained Lnursing Lprofessionals Lcould Ladminister Lanesthesia Lindependently
ANS: L C
The Llandmark Ldecision Lfrom Lthe LChalmers-
Frances Lv. LNelson Lcase Lset Lnational Lprecedent Lfor Lthe Ladvanced LnursingBpracticeBrole.BIt
Lproved Lt Lo Lbe Lthe Lbasis Lfor Lother Lcases Lover Lthe Lfollowing Lfew Ldecades
LandBestablished Lthat Ltrained Lnurses Lcould Llegally Lprovide Lanesthesia Lcare Lunder
Lsupervision Lof La Lphysician.
11. The Lfirst Lknown Lestablishment Lof Lthe Lnurse LpractitionerBroleBoccurredBin
L1965 La Lt LtheUniversity Lof LColorado. LIn Lwhich Larea Lof Ltraining LdidBthis
Lrole Lspecialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS: L A
The Lestablishment Lof Lthe LfirstBpediatricBnurse Lpractitioner Lprogram Lwas Lin L1965 Lat Lthe
LUniversity Lof LColorado. LLoretta LFord,BRNBandBHenryBSilver, LMD Lprovided La L4-
month Lcourse Lto Lcertified LregisteredBnurses LtoBprovide Leducation Lon Lmanaging Lchildhood
Lhealth Lproblems.
12. The LDNPBprogramBcurriculumBoutlined Lwhich Lof Lthe Lfollowing Lclinical
Lrequirements Li Ln Lan LeffortBto LstandardizeBtraining?
a. 1000BsupervisedBclinical Lhours Land L200 Lunsupervised Lclinical Lhours
b. 1000 LsupervisedBclinical Lhours
c. 900 Lsupervised Lclinical Lhours
d. 800 Lsupervised Lclinical Lhours Land L200 Lunsupervised Lclinical Lhours
ANS: L B
In L2004, Lthe LAACN Loutlined Lthe LDNP Lcurriculum Lin Lan Leffort Lto Lstandardize Land
Lrelieve Lchallen Lges Lof Lmaster’s Ldegree Lprograms. LThis Lincludes La Lstandardized
Lcurriculum Lrequiring L1000 Lsuperv Lised Lclinical Lhours.
