Portage Learning CHEM 210 Biochemistry Final
Exam – 150-Question Practice Exam
(2026/2027)
Section I: Advanced Practice Nursing Roles and History (1–25)
1. Which organization first recommended the creation of the clinical nurse
specialist role?
A. American Medical Association
B. National League for Nursing
C. American Nurses Association
D. Institute of Medicine
Correct Answer: B
Rationale: The National League for Nursing recommended the creation of the
clinical nurse specialist role in the 1950s to improve patient care and advance
nursing practice.
2. The first nurse practitioner program was established in 1965 at which
university?
A. Yale University
B. University of Colorado
C. Johns Hopkins University
D. University of Texas
Correct Answer: B
Rationale: The first nurse practitioner program was established at the
University of Colorado in 1965 by Loretta Ford and Henry Silver.
,3. Which of the following is a core competency of all advanced practice registered
nurses?
A. Direct clinical practice
B. Surgical skills
C. Pharmacy management
D. Radiology interpretation
Correct Answer: A
Rationale: Direct clinical practice is a core competency for all APRNs, along
with consultation, collaboration, coaching, research, and ethical decision-making.
4. Which APRN role focuses on a specific patient population and provides direct
care?
A. Clinical nurse specialist
B. Nurse practitioner
C. Certified registered nurse anesthetist
D. Certified nurse-midwife
Correct Answer: B
Rationale: The nurse practitioner role focuses on providing direct care to a
specific patient population.
5. Which APRN role focuses on improving care delivery within a healthcare
system?
A. Clinical nurse specialist
B. Nurse practitioner
C. Certified registered nurse anesthetist
D. Certified nurse-midwife
Correct Answer: A
Rationale: The clinical nurse specialist role focuses on improving care delivery
systems and patient outcomes within a healthcare organization.
,6. Which APRN role provides anesthesia care?
A. Clinical nurse specialist
B. Nurse practitioner
C. Certified registered nurse anesthetist
D. Certified nurse-midwife
Correct Answer: C
Rationale: Certified registered nurse anesthetists provide anesthesia care.
7. Which APRN role provides care during pregnancy, childbirth, and postpartum?
A. Clinical nurse specialist
B. Nurse practitioner
C. Certified registered nurse anesthetist
D. Certified nurse-midwife
Correct Answer: D
Rationale: Certified nurse-midwives provide care during pregnancy,
childbirth, and postpartum.
8. The Consensus Model for APRN Regulation was developed to:
A. Standardize APRN regulation
B. Increase physician supervision
C. Reduce APRN scope of practice
D. Limit APRN prescribing
Correct Answer: A
Rationale: The Consensus Model was developed to standardize APRN
regulation across states, including licensure, accreditation, certification, and
education.
, 9. Which of the following is a component of the Consensus Model?
A. Licensure
B. Accreditation
C. Certification
D. All of the above
Correct Answer: D
Rationale: The Consensus Model includes licensure, accreditation,
certification, and education (LACE).
10. Which APRN population focus is for care of adults and older adults?
A. Family
B. Adult-gerontology
C. Pediatric
D. Neonatal
Correct Answer: B
Rationale: Adult-gerontology focuses on care of adults and older adults.
11. Which APRN population focus is for care of children from birth to age 21?
A. Family
B. Adult-gerontology
C. Pediatric
D. Neonatal
Correct Answer: C
Rationale: Pediatric focuses on care of children from birth to age 21.
12. Which APRN population focus is for care of individuals and families across the
lifespan?
Exam – 150-Question Practice Exam
(2026/2027)
Section I: Advanced Practice Nursing Roles and History (1–25)
1. Which organization first recommended the creation of the clinical nurse
specialist role?
A. American Medical Association
B. National League for Nursing
C. American Nurses Association
D. Institute of Medicine
Correct Answer: B
Rationale: The National League for Nursing recommended the creation of the
clinical nurse specialist role in the 1950s to improve patient care and advance
nursing practice.
2. The first nurse practitioner program was established in 1965 at which
university?
A. Yale University
B. University of Colorado
C. Johns Hopkins University
D. University of Texas
Correct Answer: B
Rationale: The first nurse practitioner program was established at the
University of Colorado in 1965 by Loretta Ford and Henry Silver.
,3. Which of the following is a core competency of all advanced practice registered
nurses?
A. Direct clinical practice
B. Surgical skills
C. Pharmacy management
D. Radiology interpretation
Correct Answer: A
Rationale: Direct clinical practice is a core competency for all APRNs, along
with consultation, collaboration, coaching, research, and ethical decision-making.
4. Which APRN role focuses on a specific patient population and provides direct
care?
A. Clinical nurse specialist
B. Nurse practitioner
C. Certified registered nurse anesthetist
D. Certified nurse-midwife
Correct Answer: B
Rationale: The nurse practitioner role focuses on providing direct care to a
specific patient population.
5. Which APRN role focuses on improving care delivery within a healthcare
system?
A. Clinical nurse specialist
B. Nurse practitioner
C. Certified registered nurse anesthetist
D. Certified nurse-midwife
Correct Answer: A
Rationale: The clinical nurse specialist role focuses on improving care delivery
systems and patient outcomes within a healthcare organization.
,6. Which APRN role provides anesthesia care?
A. Clinical nurse specialist
B. Nurse practitioner
C. Certified registered nurse anesthetist
D. Certified nurse-midwife
Correct Answer: C
Rationale: Certified registered nurse anesthetists provide anesthesia care.
7. Which APRN role provides care during pregnancy, childbirth, and postpartum?
A. Clinical nurse specialist
B. Nurse practitioner
C. Certified registered nurse anesthetist
D. Certified nurse-midwife
Correct Answer: D
Rationale: Certified nurse-midwives provide care during pregnancy,
childbirth, and postpartum.
8. The Consensus Model for APRN Regulation was developed to:
A. Standardize APRN regulation
B. Increase physician supervision
C. Reduce APRN scope of practice
D. Limit APRN prescribing
Correct Answer: A
Rationale: The Consensus Model was developed to standardize APRN
regulation across states, including licensure, accreditation, certification, and
education.
, 9. Which of the following is a component of the Consensus Model?
A. Licensure
B. Accreditation
C. Certification
D. All of the above
Correct Answer: D
Rationale: The Consensus Model includes licensure, accreditation,
certification, and education (LACE).
10. Which APRN population focus is for care of adults and older adults?
A. Family
B. Adult-gerontology
C. Pediatric
D. Neonatal
Correct Answer: B
Rationale: Adult-gerontology focuses on care of adults and older adults.
11. Which APRN population focus is for care of children from birth to age 21?
A. Family
B. Adult-gerontology
C. Pediatric
D. Neonatal
Correct Answer: C
Rationale: Pediatric focuses on care of children from birth to age 21.
12. Which APRN population focus is for care of individuals and families across the
lifespan?
