WGU C157 Essentials of Advanced Nursing
Practice Field Experience OBJECTIVE ASSESSMENT
ACTUAL EXAM STUDY GUIDE 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<LATEST VERSION>
1. Essential III: Quality Improvement and Safety - ANSWER ✓ Recognizes
that a master's-prepared nurse must be articulate in the
methods, tools, performance measures, and standards related to quality, as
well as prepared to apply quality principles within an organization.
2. Three focused Essentials of Master's Education in Nursing - ANSWER ✓
Essential III- Quality Improvement and Safety
Essential VII- Interprofessional Collaboration for Improving Patient and
Population Health Outcomes
Essential IX- Master's-Level Nursing Practice
3. Essential VII: Interprofessional Collaboration for Improving Patient and
Population Health Outcomes - ANSWER ✓ Recognizes that the master's-
prepared nurse, as a member and leader of
interprofessional teams, communicates, collaborates, and consults with
other health professionals to manage and coordinate care
4. Essential IX: Master's-Level Nursing Practice - ANSWER ✓ Recognizes
that nursing practice, at the master's level, is broadly defined as any form of
nursing intervention that influences healthcare outcomes for individuals,
populations, or systems.
Masters-level nursing graduates must have an advanced level of
understanding of nursing and relevant sciences as well as the ability to
integrate this knowledge into practice.
, Nursing practice interventions include both direct and indirect care
components.
5. Root Cause Analysis - ANSWER ✓ Examining and learning from a single
event, often catastrophic. Using flowcharts and fishbone diagrams. Flow
charts can also help the team design new processes.
6. QSEN stands for - ANSWER ✓ Quality and Safety Education for Nurses
7. QSEN and Systems thinking objective - ANSWER ✓ To move away from
blaming individuals for adverse events and work to correct our systems and
processes.
8. QSEN indicates that MSNs should promote systems that - ANSWER ✓
reduce reliance on memory to make care safer. Examples: Checklists,
worksheets, standard order sets, standardized timeliness, adding fields for
documentation in records. These are reminders or prompts.
9. Psychological Safety or Culture of Safety - ANSWER ✓ By reducing the
emphasis on blame and shame, staff feel safe to report errors. Increased
incident reports should result in more opportunities for organization
learning.
10.An increased number of incident reports do not mean increased number of
incidences. - ANSWER ✓ This may be an indicator of psychological safety.
11.Advanced Practice Role Key ideas: - ANSWER ✓ Support engagement of
team members: Participate, Facilitate, Collaborate and Negotiate. Effective
communication and leadership. Conflict resolution, shared decision making
with patients. Shared governance with nurses and other staff. Patient
centered care. Culture of safety and to think big.
12.Culture of safety - ANSWER ✓ learn about human error and create better
systems.
13.Think BIG - ANSWER ✓ process from start to finish. Not just your part.
Improving care for all, not just those in your department or hospital.
,14.Essentials of Masters Ed in Nursing - ANSWER ✓ Key Standard. Used to
design MSN curriculum. Used by university surveyors to determine whether
accreditation standards have been met.
15.MSN - ANSWER ✓ Should have a deeper understanding of nursing or an
expanded range of nursing knowledge compared to BSN or associate
prepared nurses.
16.Inter-Professional Collaboration - ANSWER ✓ Health professionals work
together in small groups providing care. Examples: oncology, OR, end of
life or primary care.
17.Inter-Professional Collaboration team - ANSWER ✓ Although most patient
care is done by the team of people, training is often focused on individual
responsibilities and does not prepare for the complex settings. Team
members are education in their health profession solo and likely have little
knowledge of their team members' skill sets.
18.Act of collaboration in an inter-professional team might be best exemplified
by - ANSWER ✓ defining patient goals individually and then coming
together as a team to select the most important ones. Care is too complex
today for a single discipline to direct all caregivers represented on the team.
19.The advanced nursing role centers on acting with high level of integrity by -
ANSWER ✓ giving power and respect to each team member's voice.
Integrating individual differences. Resolving competing interests in order to
safeguard each person's contribution.
20.How should a director of nursing respond to the national quality goal of
improving the quality of care transitions and communication across care
settings? - ANSWER ✓ Create a task force comprised of nursing
administration, charge nurses, discharge planners, and staff nurses
21.A healthcare organization has been collecting data about the quality and
safety of the nursing care provided within the organization.
22.Consistent with the national priority of ensuring that each person is engaged
as a partner in care, which dataset should the nurse use to substantiate the
, need for changes in patient care processes? - ANSWER ✓ A report from a
patient/nurse focus group indicating patients do not feel they are adequately
included in making decisions regarding their healthcare
23.A healthcare organization is collecting data about the quality and safety of
the nursing care provided within the organization.
24.Consistent with the national priority of promoting effective coordination of
care, which dataset should the nurse use to substantiate the need for changes
in patient care processes? - ANSWER ✓ Patient readmissions for patients
discharged to long-term care facilities, increasing from a readmission rate of
3% (six months earlier) to a rate of 4% (current)
25.Which information should the nurse use to justify the implementation of a
mobile healthcare clinic for rural healthcare delivery? - ANSWER ✓ The
organization serves rural communities where much of the population does
not have access to reliable transportation.
26.An advanced practice nurse for a nursing unit in a hospital has identified the
problem of sepsis.
27.What is the next step in the Plan Do Study Act (PDSA) cycle? - ANSWER
✓ Implement the Institute for Health Improvement guidelines for sepsis
28.An advanced practice nurse for the nursing unit in a hospital identified the
problem of increased sepsis rates related to intravenous lines.
29.Which step represents the Act component of the Plan Do Study Act (PDSA)
cycle for the process improvement team? - ANSWER ✓ Review antibiotic
therapies of patients throughout the hospital
30.Autonomy - ANSWER ✓ Self determination, allowing or enabling patients
to make their own decisions
31.Beneficence - ANSWER ✓ Nurses actions should promote good.
32.Nonmaleficence - ANSWER ✓ To do no harm or inflicting the least harm
possible to reach a beneficial outcome
Practice Field Experience OBJECTIVE ASSESSMENT
ACTUAL EXAM STUDY GUIDE 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<LATEST VERSION>
1. Essential III: Quality Improvement and Safety - ANSWER ✓ Recognizes
that a master's-prepared nurse must be articulate in the
methods, tools, performance measures, and standards related to quality, as
well as prepared to apply quality principles within an organization.
2. Three focused Essentials of Master's Education in Nursing - ANSWER ✓
Essential III- Quality Improvement and Safety
Essential VII- Interprofessional Collaboration for Improving Patient and
Population Health Outcomes
Essential IX- Master's-Level Nursing Practice
3. Essential VII: Interprofessional Collaboration for Improving Patient and
Population Health Outcomes - ANSWER ✓ Recognizes that the master's-
prepared nurse, as a member and leader of
interprofessional teams, communicates, collaborates, and consults with
other health professionals to manage and coordinate care
4. Essential IX: Master's-Level Nursing Practice - ANSWER ✓ Recognizes
that nursing practice, at the master's level, is broadly defined as any form of
nursing intervention that influences healthcare outcomes for individuals,
populations, or systems.
Masters-level nursing graduates must have an advanced level of
understanding of nursing and relevant sciences as well as the ability to
integrate this knowledge into practice.
, Nursing practice interventions include both direct and indirect care
components.
5. Root Cause Analysis - ANSWER ✓ Examining and learning from a single
event, often catastrophic. Using flowcharts and fishbone diagrams. Flow
charts can also help the team design new processes.
6. QSEN stands for - ANSWER ✓ Quality and Safety Education for Nurses
7. QSEN and Systems thinking objective - ANSWER ✓ To move away from
blaming individuals for adverse events and work to correct our systems and
processes.
8. QSEN indicates that MSNs should promote systems that - ANSWER ✓
reduce reliance on memory to make care safer. Examples: Checklists,
worksheets, standard order sets, standardized timeliness, adding fields for
documentation in records. These are reminders or prompts.
9. Psychological Safety or Culture of Safety - ANSWER ✓ By reducing the
emphasis on blame and shame, staff feel safe to report errors. Increased
incident reports should result in more opportunities for organization
learning.
10.An increased number of incident reports do not mean increased number of
incidences. - ANSWER ✓ This may be an indicator of psychological safety.
11.Advanced Practice Role Key ideas: - ANSWER ✓ Support engagement of
team members: Participate, Facilitate, Collaborate and Negotiate. Effective
communication and leadership. Conflict resolution, shared decision making
with patients. Shared governance with nurses and other staff. Patient
centered care. Culture of safety and to think big.
12.Culture of safety - ANSWER ✓ learn about human error and create better
systems.
13.Think BIG - ANSWER ✓ process from start to finish. Not just your part.
Improving care for all, not just those in your department or hospital.
,14.Essentials of Masters Ed in Nursing - ANSWER ✓ Key Standard. Used to
design MSN curriculum. Used by university surveyors to determine whether
accreditation standards have been met.
15.MSN - ANSWER ✓ Should have a deeper understanding of nursing or an
expanded range of nursing knowledge compared to BSN or associate
prepared nurses.
16.Inter-Professional Collaboration - ANSWER ✓ Health professionals work
together in small groups providing care. Examples: oncology, OR, end of
life or primary care.
17.Inter-Professional Collaboration team - ANSWER ✓ Although most patient
care is done by the team of people, training is often focused on individual
responsibilities and does not prepare for the complex settings. Team
members are education in their health profession solo and likely have little
knowledge of their team members' skill sets.
18.Act of collaboration in an inter-professional team might be best exemplified
by - ANSWER ✓ defining patient goals individually and then coming
together as a team to select the most important ones. Care is too complex
today for a single discipline to direct all caregivers represented on the team.
19.The advanced nursing role centers on acting with high level of integrity by -
ANSWER ✓ giving power and respect to each team member's voice.
Integrating individual differences. Resolving competing interests in order to
safeguard each person's contribution.
20.How should a director of nursing respond to the national quality goal of
improving the quality of care transitions and communication across care
settings? - ANSWER ✓ Create a task force comprised of nursing
administration, charge nurses, discharge planners, and staff nurses
21.A healthcare organization has been collecting data about the quality and
safety of the nursing care provided within the organization.
22.Consistent with the national priority of ensuring that each person is engaged
as a partner in care, which dataset should the nurse use to substantiate the
, need for changes in patient care processes? - ANSWER ✓ A report from a
patient/nurse focus group indicating patients do not feel they are adequately
included in making decisions regarding their healthcare
23.A healthcare organization is collecting data about the quality and safety of
the nursing care provided within the organization.
24.Consistent with the national priority of promoting effective coordination of
care, which dataset should the nurse use to substantiate the need for changes
in patient care processes? - ANSWER ✓ Patient readmissions for patients
discharged to long-term care facilities, increasing from a readmission rate of
3% (six months earlier) to a rate of 4% (current)
25.Which information should the nurse use to justify the implementation of a
mobile healthcare clinic for rural healthcare delivery? - ANSWER ✓ The
organization serves rural communities where much of the population does
not have access to reliable transportation.
26.An advanced practice nurse for a nursing unit in a hospital has identified the
problem of sepsis.
27.What is the next step in the Plan Do Study Act (PDSA) cycle? - ANSWER
✓ Implement the Institute for Health Improvement guidelines for sepsis
28.An advanced practice nurse for the nursing unit in a hospital identified the
problem of increased sepsis rates related to intravenous lines.
29.Which step represents the Act component of the Plan Do Study Act (PDSA)
cycle for the process improvement team? - ANSWER ✓ Review antibiotic
therapies of patients throughout the hospital
30.Autonomy - ANSWER ✓ Self determination, allowing or enabling patients
to make their own decisions
31.Beneficence - ANSWER ✓ Nurses actions should promote good.
32.Nonmaleficence - ANSWER ✓ To do no harm or inflicting the least harm
possible to reach a beneficial outcome
