ADVANCED PRACTICE NURSING
ROLES EXAM 1 QUESTIONS AND
ANSWERS
1. Which individuals are recognized as the founders of the first Nurse Practitioner program in
the United States?
A. Florence Nightingale and Mary Seacole
B. Dorothea Orem and Martha Rogers
C. Loretta Ford and Henry Silver
D. Hildegard Peplau and Ida Jean Orlando
Answer: C
Conceptual Explanation: In 1965, Loretta Ford and Henry Silver established the first NP
program at the University of Colorado to address the shortage of primary care physicians
for children.
2. According to the APRN Consensus Model, what are the four recognized APRN roles?
A. NP, CNS, CNM, CRNA
B. LPN, RN, BSN, MSN
,C. Clinical Lead, Educator, Administrator, Researcher
D. Primary Care, Acute Care, Specialized Care, Palliative Care
Answer: A
Conceptual Explanation: The LACE model recognizes the Nurse Practitioner (NP), Clinical
Nurse Specialist (CNS), Certified Nurse-Midwife (CNM), and Certified Registered Nurse
Anesthetist (CRNA).
3. Which component of the LACE model refers to the formal recognition of the knowledge,
skills, and experience demonstrated by the achievement of standards identified by the
profession?
A. Licensure
B. Accreditation
C. Certification
D. Education
Answer: C
Conceptual Explanation: Certification is the process by which a non-governmental agency
validates an individual nurse’s qualifications for practice in a defined functional or clinical
area.
, 4. What is the primary difference between licensure and certification for the APRN?
A. Licensure is the legal authority to practice granted by the state, while certification
validates a specialty knowledge base.
B. Certification is granted by the state, while licensure is granted by national bodies.
C. Licensure is voluntary, while certification is mandatory by state law.
D. There is no functional difference in the current LACE model.
Answer: A
Conceptual Explanation: Licensure is a state board’s permission to practice, while
certification is a national validation of specialized knowledge and clinical competency.
5. Which competency is considered the central core of Hamric’s Model of Advanced Practice
Nursing?
A. Expert Coaching and Guidance
B. Consultation
C. Collaboration
D. Direct Clinical Practice
Answer: D
Conceptual Explanation: Hamric defines Direct Clinical Practice as the central
competency that informs all other six competencies of the APN role.
ROLES EXAM 1 QUESTIONS AND
ANSWERS
1. Which individuals are recognized as the founders of the first Nurse Practitioner program in
the United States?
A. Florence Nightingale and Mary Seacole
B. Dorothea Orem and Martha Rogers
C. Loretta Ford and Henry Silver
D. Hildegard Peplau and Ida Jean Orlando
Answer: C
Conceptual Explanation: In 1965, Loretta Ford and Henry Silver established the first NP
program at the University of Colorado to address the shortage of primary care physicians
for children.
2. According to the APRN Consensus Model, what are the four recognized APRN roles?
A. NP, CNS, CNM, CRNA
B. LPN, RN, BSN, MSN
,C. Clinical Lead, Educator, Administrator, Researcher
D. Primary Care, Acute Care, Specialized Care, Palliative Care
Answer: A
Conceptual Explanation: The LACE model recognizes the Nurse Practitioner (NP), Clinical
Nurse Specialist (CNS), Certified Nurse-Midwife (CNM), and Certified Registered Nurse
Anesthetist (CRNA).
3. Which component of the LACE model refers to the formal recognition of the knowledge,
skills, and experience demonstrated by the achievement of standards identified by the
profession?
A. Licensure
B. Accreditation
C. Certification
D. Education
Answer: C
Conceptual Explanation: Certification is the process by which a non-governmental agency
validates an individual nurse’s qualifications for practice in a defined functional or clinical
area.
, 4. What is the primary difference between licensure and certification for the APRN?
A. Licensure is the legal authority to practice granted by the state, while certification
validates a specialty knowledge base.
B. Certification is granted by the state, while licensure is granted by national bodies.
C. Licensure is voluntary, while certification is mandatory by state law.
D. There is no functional difference in the current LACE model.
Answer: A
Conceptual Explanation: Licensure is a state board’s permission to practice, while
certification is a national validation of specialized knowledge and clinical competency.
5. Which competency is considered the central core of Hamric’s Model of Advanced Practice
Nursing?
A. Expert Coaching and Guidance
B. Consultation
C. Collaboration
D. Direct Clinical Practice
Answer: D
Conceptual Explanation: Hamric defines Direct Clinical Practice as the central
competency that informs all other six competencies of the APN role.
