NR.210.607 Context of HC for ANP Comprehensive Final Exam 2025 (With Solns

NR.210.607 Context of Health Care for
Advanced Nursing Practice

Comprehensive Final Exam (Qns & Ans)

2025



Multiple Choice
A patient with chronic kidney disease (CKD) is prescribed an
ACE inhibitor. Which lab value should the advanced practice
nurse (APN) monitor most closely?
a) Serum glucose
b) Serum potassium
c) Hemoglobin
d) White blood cell count
ANS: b


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, Rationale: ACE inhibitors can cause hyperkalemia, especially in
patients with CKD.


In implementing evidence-based practice (EBP) in a hospital
setting, what is the FIRST step an APN should take?
a) Evaluate patient outcomes
b) Formulate a clinical question
c) Integrate evidence into practice
d) Critically appraise the evidence
ANS: b
Rationale: The initial step in EBP is developing a focused clinical
question.


Which model best guides the APN in addressing systems-level
change for quality improvement?
a) The Roy Adaptation Model
b) The Stetler Model
c) The Plan-Do-Study-Act (PDSA) Model
d) Orem’s Self-Care Deficit Theory
ANS: c
Rationale: PDSA provides a structured approach for quality
improvement at the systems level.
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