NUR 6111 Advanced Practice Nursing I –
Comprehensive 100-Question Practice Exam
EXAM OVERVIEW
NUR 6111 Advanced Practice Nursing I is a foundational graduate-level
course that prepares students for advanced practice nursing roles. The
curriculum covers APRN role development, advanced health assessment
across the lifespan, pathophysiology foundations, pharmacology, and
clinical decision-making.
SECTION 1: Advanced Practice Nursing Foundations (Questions 1-15)
Q1. Which of the following is a core competency of advanced practice
nursing?
• A) Performing routine vital signs
• B) Prescribing medications within scope of practice
• C) Administering oral medications
• D) Assisting with ambulation
Answer: B – Prescribing medications is a key competency distinguishing
advanced practice nursing from generalist nursing practice. This authority
is defined by state regulations and requires advanced pharmacology
education.
Q2. The Advanced Practice Registered Nurse (APRN) role includes all of
the following EXCEPT:
• A) Conducting comprehensive health assessments
• B) Diagnosing and managing acute and chronic conditions
• C) Performing basic bedside nursing care
, • D) Prescribing medications and treatments
Answer: C – Basic bedside nursing care is within the scope of registered
nursing practice, not the primary focus of the APRN role. APRNs focus on
advanced assessment, diagnosis, treatment, and prescribing.
Q3. Which of the following APRN roles is recognized in the Consensus
Model for APRN Regulation?
• A) Clinical Nurse Leader
• B) Certified Nurse Practitioner
• C) Nurse Administrator
• D) Nursing Educator
Answer: B – The Consensus Model recognizes four APRN roles: Certified
Nurse Practitioner (CNP), Certified Registered Nurse Anesthetist (CRNA),
Certified Nurse-Midwife (CNM), and Clinical Nurse Specialist (CNS).
Q4. Evidence-based practice in advanced nursing involves:
• A) Relying solely on clinical experience
• B) Integrating best research evidence with clinical expertise and
patient values
• C) Following institutional policies without question
• D) Using only randomized controlled trials
Answer: B – Evidence-based practice is the integration of the best available
research evidence, clinical expertise, and patient preferences and values in
clinical decision-making.
Q5. A patient presents with a red, warm, tender area on the right arm
after a scratch while hiking. The skin is intact without ulceration or
drainage. According to guidelines, the appropriate initial treatment is:
, • A) Warm compresses and observation
• B) Topical antifungal cream
• C) Cephalexin 500 mg q12h for a minimum of 5 days
• D) Oral antiviral medication
Answer: C – This presentation is consistent with cellulitis, which requires
antibiotic therapy. Cephalexin is a first-generation cephalosporin
appropriate for skin and soft tissue infections. The hiking scratch is the
likely portal of entry.
Q6. The nursing process in advanced practice includes which of the
following steps?
• A) Diagnose, Treat, Evaluate, Document
• B) Assess, Diagnose, Plan, Implement, Evaluate
• C) Observe, Intervene, Document, Reassess
• D) Screen, Refer, Treat, Follow-up
Answer: B – The nursing process (ADPIE) is the foundation of nursing
practice: Assessment, Diagnosis, Planning, Implementation, and
Evaluation. Advanced practice nurses apply this framework at an advanced
level.
Q7. Health promotion in advanced nursing practice includes:
• A) Treating acute illnesses only
• B) Preventing illness and promoting wellness in individuals,
families, and communities
• C) Managing chronic conditions exclusively
• D) Focusing only on curative treatments
, Answer: B – Health promotion is a core component of advanced nursing
practice, encompassing disease prevention, health education, and
wellness promotion across the lifespan.
Q8. A 45-year-old patient with a family history of breast cancer asks
about genetic testing. Which of the following is the most appropriate
action?
• A) Order BRCA testing immediately
• B) Refer to a genetic counselor for risk assessment and
counseling
• C) Reassure the patient that genetic testing is not necessary
• D) Order a mammogram
Answer: B – Genetic counseling and testing for BRCA mutations should be
offered to patients with a significant family history of breast or ovarian
cancer. Pretest counseling is essential to ensure informed decision-
making.
Q9. Which of the following is a component of the APRN Consensus
Model?
• A) All APRNs must have a DNP degree
• B) Licensure, accreditation, certification, and education (LACE)
• C) APRNs must practice independently
• D) APRNs cannot prescribe controlled substances
Answer: B – The LACE framework (Licensure, Accreditation, Certification,
Education) is the foundation of the APRN Consensus Model.
Q10. A patient presents with a complaint of fatigue. Which of the
following is the most appropriate initial assessment?
Comprehensive 100-Question Practice Exam
EXAM OVERVIEW
NUR 6111 Advanced Practice Nursing I is a foundational graduate-level
course that prepares students for advanced practice nursing roles. The
curriculum covers APRN role development, advanced health assessment
across the lifespan, pathophysiology foundations, pharmacology, and
clinical decision-making.
SECTION 1: Advanced Practice Nursing Foundations (Questions 1-15)
Q1. Which of the following is a core competency of advanced practice
nursing?
• A) Performing routine vital signs
• B) Prescribing medications within scope of practice
• C) Administering oral medications
• D) Assisting with ambulation
Answer: B – Prescribing medications is a key competency distinguishing
advanced practice nursing from generalist nursing practice. This authority
is defined by state regulations and requires advanced pharmacology
education.
Q2. The Advanced Practice Registered Nurse (APRN) role includes all of
the following EXCEPT:
• A) Conducting comprehensive health assessments
• B) Diagnosing and managing acute and chronic conditions
• C) Performing basic bedside nursing care
, • D) Prescribing medications and treatments
Answer: C – Basic bedside nursing care is within the scope of registered
nursing practice, not the primary focus of the APRN role. APRNs focus on
advanced assessment, diagnosis, treatment, and prescribing.
Q3. Which of the following APRN roles is recognized in the Consensus
Model for APRN Regulation?
• A) Clinical Nurse Leader
• B) Certified Nurse Practitioner
• C) Nurse Administrator
• D) Nursing Educator
Answer: B – The Consensus Model recognizes four APRN roles: Certified
Nurse Practitioner (CNP), Certified Registered Nurse Anesthetist (CRNA),
Certified Nurse-Midwife (CNM), and Clinical Nurse Specialist (CNS).
Q4. Evidence-based practice in advanced nursing involves:
• A) Relying solely on clinical experience
• B) Integrating best research evidence with clinical expertise and
patient values
• C) Following institutional policies without question
• D) Using only randomized controlled trials
Answer: B – Evidence-based practice is the integration of the best available
research evidence, clinical expertise, and patient preferences and values in
clinical decision-making.
Q5. A patient presents with a red, warm, tender area on the right arm
after a scratch while hiking. The skin is intact without ulceration or
drainage. According to guidelines, the appropriate initial treatment is:
, • A) Warm compresses and observation
• B) Topical antifungal cream
• C) Cephalexin 500 mg q12h for a minimum of 5 days
• D) Oral antiviral medication
Answer: C – This presentation is consistent with cellulitis, which requires
antibiotic therapy. Cephalexin is a first-generation cephalosporin
appropriate for skin and soft tissue infections. The hiking scratch is the
likely portal of entry.
Q6. The nursing process in advanced practice includes which of the
following steps?
• A) Diagnose, Treat, Evaluate, Document
• B) Assess, Diagnose, Plan, Implement, Evaluate
• C) Observe, Intervene, Document, Reassess
• D) Screen, Refer, Treat, Follow-up
Answer: B – The nursing process (ADPIE) is the foundation of nursing
practice: Assessment, Diagnosis, Planning, Implementation, and
Evaluation. Advanced practice nurses apply this framework at an advanced
level.
Q7. Health promotion in advanced nursing practice includes:
• A) Treating acute illnesses only
• B) Preventing illness and promoting wellness in individuals,
families, and communities
• C) Managing chronic conditions exclusively
• D) Focusing only on curative treatments
, Answer: B – Health promotion is a core component of advanced nursing
practice, encompassing disease prevention, health education, and
wellness promotion across the lifespan.
Q8. A 45-year-old patient with a family history of breast cancer asks
about genetic testing. Which of the following is the most appropriate
action?
• A) Order BRCA testing immediately
• B) Refer to a genetic counselor for risk assessment and
counseling
• C) Reassure the patient that genetic testing is not necessary
• D) Order a mammogram
Answer: B – Genetic counseling and testing for BRCA mutations should be
offered to patients with a significant family history of breast or ovarian
cancer. Pretest counseling is essential to ensure informed decision-
making.
Q9. Which of the following is a component of the APRN Consensus
Model?
• A) All APRNs must have a DNP degree
• B) Licensure, accreditation, certification, and education (LACE)
• C) APRNs must practice independently
• D) APRNs cannot prescribe controlled substances
Answer: B – The LACE framework (Licensure, Accreditation, Certification,
Education) is the foundation of the APRN Consensus Model.
Q10. A patient presents with a complaint of fatigue. Which of the
following is the most appropriate initial assessment?
