AdvancedgPracticegNursing:gEssentialgKnowledgegforgthegProfessiong3rdg
EditiongDeniscogTestgBank
Chapter1gIntroductiongtogthegRolegofgAdvancedgPracticesgNursing
MultiplegChoice
1. IngwhichgyeargdidgthegAmericangAssociationgofgCollegegofgNursingg(AACN)gintroducedgth
egDoctorategofgNursinggPracticeg(DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
T
AhNeSA
:gABC N gintroducedgthegDNPgdegreeging2004gtogpreparegadvancedgpracticegnursesg(APRNs)gtogm
eetgchallengesgandgstandardizegpracticegbeyondgmaster’sgdegreegprograms.
2. WhichgofgthegfollowinggisgthegbestgexplanationgforgthegcreationgofgthegDoctorategofgNursin
ggPracticeg(DNP)gdegree?
a. Togcompetegagainstgmaster’sgdegreegprograms
b. Togensuregstandardizedgcurriculumgensuringgindependentgpractice
c. TogvalidategAPRN’sgforgfinancialgreimbursement
d. Togaddressgincreasinggcurriculumgrequirementsgofgmaster’sgdegreegprograms
ANS:g D
AlthoughgallganswersgareginfluencedgbygthegDNPgcoregcompetencies,gthegDNPgprogramgcreationging2
004gbygthegAACNgwasgdesignedgtogaddressgcurriculumgrequirementsgofgmaster’sgdegreegprograms.
3. Whichgofgthegfollowinggwasgthegfirstgrecognizedgareagofgadvancedgpracticeg nursing?
a. ClinicalgNursegSpecialist
b. Familygnursegpractitioner
c. Pediatricgnursegpractitioner
d. CertifiedgRegisteredgNursegAnesthetist
,ANS:g D
Ing1931,gthegNationalgAssociationgofgNursegAnesthetistsg(NANA),grenamedging1939gtogthegAmer
icangAssociationgofgNursegAnesthetistsg(AANA)gwasgthegfirstgrecognizedggroupgpromotinggadva
ncedgnursinggpractice.gAgathagHodginsgfoundedgthegAANMgatgLakesidegHospitalgingCleveland,g
Ohio.
4. WhichgfactorgisgbroadlygperceivedgtogsolidifygandgstandardizegthegrolegofgthegAPNsgovergthegla
stg25gyears?
a. Lackgofgaccessgtoghealthgcaregproviders
b. Standardizedgcurriculumgdevelopment
c. Paymentgforgservices
d. Societalgforces
ANS:g B
AsgthegevolutiongofgAdvancedgPracticegNursinggadvancesgspecificgspecialtiesgandgneedsgaregiden
tified.gThroughgthegevolutiongofgorganizationgandgstandardizationgthesegrolesghavegsolidifiedgtheg
APN’sgrolegingtoday’sghealthgcaregenvironment.
5. DuringgthegformationgofgearlygAPNgrolesginganesthesia,gwhichgofgthegfollowinggincrease
dgdemandgforgaccessgtoghealthgcare?
a. Poverty
b. War
c. Ruralgaccessgtogcare
d. Availabilitygofgtraining
ANS:g B
Earliestgdemandgforgnursing-
providedganesthesiagspikedgduringgperiodsgofgwargwhengnumbersgofgphysiciansgwereginadequate.
gThegearliestgrecordsgdategbackgtogthegAmericangCivilgWargwithgthegadministrationgofgchlorofor
m.gDuringgWorldgWargIging1917gmoregthang1000gnurses,gsomegtrainedganesthetists,gtraveledgintog
battle.gOthergfactorsgsuchgasgneedgforgruralghealthgcaregcameglatergingthegvalidationgandgneedgforg
APNs.
6. Ing1889,gDr.gWilliamgWorrallgMayogbuiltgandgopenedgSt.gMary’sghospitalgingRochester,gNY.gH
egisgknowngforgsomegofgthegearliestgrecruitmentgandgspecializedgtraininggofgnursesgingwhichgofg
thegfollowinggroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchgandgstatistics
e. Familygnursing
,ANS:g B
Ing1889,gDr.gWilliamgWorrallgMayogbegangformallygtraininggandgrecognizinggnurseganesthetists.
gThisghasgbeengregardedgasgthegearliestgtraininggingnurse-providedganesthesia.
7. Ing1893,gLilliangWaldgestablishedgthegHenrygStreetgSettlementg(HSS)gHousegforgwhichgpurpose?
a. Accessgtoghealthgcaregofgruralgareas
b. Createginner-citygnursinggawareness
c. Providegthegdisadvantagedgaccessgtog care
d. Establishgguidelinesgforgadvancedgnursingg roles
ANS:g C
ThegHHSgwasgestablishedgtogprovidegnursinggservicesgtogimmigrantsgandglow-
incomegpatientsgandgtheirgfamiliesgingManhattan.gAsgresistancegtognurse-
providedgcareggrew,gstandinggordersgweregdraftedgfromgaggroupgofgLowergEastgSidegphysiciansgt
herebygcircumventinggthen-existingglegalgramifications.
8. ThegFrontiergNursinggServiceg(FNS)gfoundedgingKentuckyging1925gbygMarygBreckenridgegin
itiallygprovidedgAppalachiagwithgnursinggresourcesgandgwhichgtypegofgadvancedgnursinggcare?
a. Pediatricgcare
b. Anesthesia
c. Midwifery
d. Surgicalgservices
ANS:g C
ThegoriginalgFNSgprovidedgnursinggservicesgandgobstetricgservicesgtogAppalachiangresidents.gLate
rgworkinggfromgstandardgordersgdevelopedgfromgtheirgmedicalgadvisorygcommitteegnursesgtreated
gpatients,gmadegdiagnoses,gandgdispensedgmedications.
9. Whichgorganizationgfoundedging1941gundergMarygBreckenridge’sgleadershipgmergedgwithgthe
AmericangCollegegofgNurse-Midwivesg(ACNM)ging1969?
a. AmericangAssociationgofgNurse-Midwivesg(AANM)
b. AmericangNursesgAssociationg(ANA)
c. AssociationgforgNationalgNurse-Midwiferyg(ANNM)
d. CouncilgofgNursinggMidwiferyg(ANM)
ANS:g A
ThegAmericangCollegegofgNurse-
Midwivesg(ACNM)gformedgundergthegleadershipgofgMarygBreckenridgeging1941gtogprovidegnurs
e-midwifegdevelopmentgandgcollaborationgforgmidwife
, development.gIng1955,gthegAmericangCollegegofgNurse-
Midwivesgwasgformedgandgthegtwogorganizationsgmergedging1969gaftergthegdeathgofgMarygBreck
enridge.
10. IngaglandmarkgrulinggbygthegSupremegCourtgasgagresultgofgChalmers-
Francesgv.gNelson,g1936,gwhatglegalgprecedentgwasgestablished?
a. Nurseganesthesiagwasgallowedgundergthegnursegpracticegact
b. Nurseganesthesiagscopegofgpracticegincludedganesthesia
c. Nurseganesthesiagwasglegal,gifgundergguidancegofgagsupervisingg physician
d. Onlygtrainedgnursinggprofessionalsgcouldgadministerganesthesiagindependently
ANS:g C
TheglandmarkgdecisiongfromgthegChalmers-
Francesgv.gNelsongcasegsetgnationalgprecedentgforgthegadvancedgnursinggpracticegrole.gItgprovedgt
ogbegthegbasisgforgothergcasesgovergthegfollowinggfewgdecadesgandgestablishedgthatgtrainedgnursesg
couldglegallygprovideganesthesiagcaregundergsupervisiongofgagphysician.
11. Thegfirstgknowngestablishmentgofgthegnursegpractitionergrolegoccurredging1965gatgtheUniversit
ygofgColorado.gIngwhichgareagofgtraininggdidgthisgrolegspecialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS:g A
Thegestablishmentgofgthegfirstgpediatricgnursegpractitionergprogramgwasging1965gatgthegUniversity
gofgColorado.gLorettagFord,gRNgandgHenrygSilver,gMDgprovidedgag4-
monthgcoursegtogcertifiedgregisteredgnursesgtogprovidegeducationgongmanaginggchildhoodghealthg
problems.
12. ThegDNPgprogramgcurriculumgoutlinedgwhichgofgthegfollowinggclinicalgrequirementsginga
ngeffortgtogstandardizegtraining?
a. 1000gsupervisedgclinicalghoursgandg200gunsupervisedgclinicalghours
b. 1000gsupervisedgclinicalghours
c. 900gsupervisedgclinicalghours
d. 800gsupervisedgclinicalghoursgandg200gunsupervisedgclinicalghours
ANS:g B
Ing2004,gthegAACNgoutlinedgthegDNPgcurriculumgingangeffortgtogstandardizegandgrelievegchalleng
esgofgmaster’sgdegreegprograms.gThisgincludesgagstandardizedgcurriculumgrequiringg1000gsupervi
sedgclinicalghours.
EditiongDeniscogTestgBank
Chapter1gIntroductiongtogthegRolegofgAdvancedgPracticesgNursing
MultiplegChoice
1. IngwhichgyeargdidgthegAmericangAssociationgofgCollegegofgNursingg(AACN)gintroducedgth
egDoctorategofgNursinggPracticeg(DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
T
AhNeSA
:gABC N gintroducedgthegDNPgdegreeging2004gtogpreparegadvancedgpracticegnursesg(APRNs)gtogm
eetgchallengesgandgstandardizegpracticegbeyondgmaster’sgdegreegprograms.
2. WhichgofgthegfollowinggisgthegbestgexplanationgforgthegcreationgofgthegDoctorategofgNursin
ggPracticeg(DNP)gdegree?
a. Togcompetegagainstgmaster’sgdegreegprograms
b. Togensuregstandardizedgcurriculumgensuringgindependentgpractice
c. TogvalidategAPRN’sgforgfinancialgreimbursement
d. Togaddressgincreasinggcurriculumgrequirementsgofgmaster’sgdegreegprograms
ANS:g D
AlthoughgallganswersgareginfluencedgbygthegDNPgcoregcompetencies,gthegDNPgprogramgcreationging2
004gbygthegAACNgwasgdesignedgtogaddressgcurriculumgrequirementsgofgmaster’sgdegreegprograms.
3. Whichgofgthegfollowinggwasgthegfirstgrecognizedgareagofgadvancedgpracticeg nursing?
a. ClinicalgNursegSpecialist
b. Familygnursegpractitioner
c. Pediatricgnursegpractitioner
d. CertifiedgRegisteredgNursegAnesthetist
,ANS:g D
Ing1931,gthegNationalgAssociationgofgNursegAnesthetistsg(NANA),grenamedging1939gtogthegAmer
icangAssociationgofgNursegAnesthetistsg(AANA)gwasgthegfirstgrecognizedggroupgpromotinggadva
ncedgnursinggpractice.gAgathagHodginsgfoundedgthegAANMgatgLakesidegHospitalgingCleveland,g
Ohio.
4. WhichgfactorgisgbroadlygperceivedgtogsolidifygandgstandardizegthegrolegofgthegAPNsgovergthegla
stg25gyears?
a. Lackgofgaccessgtoghealthgcaregproviders
b. Standardizedgcurriculumgdevelopment
c. Paymentgforgservices
d. Societalgforces
ANS:g B
AsgthegevolutiongofgAdvancedgPracticegNursinggadvancesgspecificgspecialtiesgandgneedsgaregiden
tified.gThroughgthegevolutiongofgorganizationgandgstandardizationgthesegrolesghavegsolidifiedgtheg
APN’sgrolegingtoday’sghealthgcaregenvironment.
5. DuringgthegformationgofgearlygAPNgrolesginganesthesia,gwhichgofgthegfollowinggincrease
dgdemandgforgaccessgtoghealthgcare?
a. Poverty
b. War
c. Ruralgaccessgtogcare
d. Availabilitygofgtraining
ANS:g B
Earliestgdemandgforgnursing-
providedganesthesiagspikedgduringgperiodsgofgwargwhengnumbersgofgphysiciansgwereginadequate.
gThegearliestgrecordsgdategbackgtogthegAmericangCivilgWargwithgthegadministrationgofgchlorofor
m.gDuringgWorldgWargIging1917gmoregthang1000gnurses,gsomegtrainedganesthetists,gtraveledgintog
battle.gOthergfactorsgsuchgasgneedgforgruralghealthgcaregcameglatergingthegvalidationgandgneedgforg
APNs.
6. Ing1889,gDr.gWilliamgWorrallgMayogbuiltgandgopenedgSt.gMary’sghospitalgingRochester,gNY.gH
egisgknowngforgsomegofgthegearliestgrecruitmentgandgspecializedgtraininggofgnursesgingwhichgofg
thegfollowinggroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchgandgstatistics
e. Familygnursing
,ANS:g B
Ing1889,gDr.gWilliamgWorrallgMayogbegangformallygtraininggandgrecognizinggnurseganesthetists.
gThisghasgbeengregardedgasgthegearliestgtraininggingnurse-providedganesthesia.
7. Ing1893,gLilliangWaldgestablishedgthegHenrygStreetgSettlementg(HSS)gHousegforgwhichgpurpose?
a. Accessgtoghealthgcaregofgruralgareas
b. Createginner-citygnursinggawareness
c. Providegthegdisadvantagedgaccessgtog care
d. Establishgguidelinesgforgadvancedgnursingg roles
ANS:g C
ThegHHSgwasgestablishedgtogprovidegnursinggservicesgtogimmigrantsgandglow-
incomegpatientsgandgtheirgfamiliesgingManhattan.gAsgresistancegtognurse-
providedgcareggrew,gstandinggordersgweregdraftedgfromgaggroupgofgLowergEastgSidegphysiciansgt
herebygcircumventinggthen-existingglegalgramifications.
8. ThegFrontiergNursinggServiceg(FNS)gfoundedgingKentuckyging1925gbygMarygBreckenridgegin
itiallygprovidedgAppalachiagwithgnursinggresourcesgandgwhichgtypegofgadvancedgnursinggcare?
a. Pediatricgcare
b. Anesthesia
c. Midwifery
d. Surgicalgservices
ANS:g C
ThegoriginalgFNSgprovidedgnursinggservicesgandgobstetricgservicesgtogAppalachiangresidents.gLate
rgworkinggfromgstandardgordersgdevelopedgfromgtheirgmedicalgadvisorygcommitteegnursesgtreated
gpatients,gmadegdiagnoses,gandgdispensedgmedications.
9. Whichgorganizationgfoundedging1941gundergMarygBreckenridge’sgleadershipgmergedgwithgthe
AmericangCollegegofgNurse-Midwivesg(ACNM)ging1969?
a. AmericangAssociationgofgNurse-Midwivesg(AANM)
b. AmericangNursesgAssociationg(ANA)
c. AssociationgforgNationalgNurse-Midwiferyg(ANNM)
d. CouncilgofgNursinggMidwiferyg(ANM)
ANS:g A
ThegAmericangCollegegofgNurse-
Midwivesg(ACNM)gformedgundergthegleadershipgofgMarygBreckenridgeging1941gtogprovidegnurs
e-midwifegdevelopmentgandgcollaborationgforgmidwife
, development.gIng1955,gthegAmericangCollegegofgNurse-
Midwivesgwasgformedgandgthegtwogorganizationsgmergedging1969gaftergthegdeathgofgMarygBreck
enridge.
10. IngaglandmarkgrulinggbygthegSupremegCourtgasgagresultgofgChalmers-
Francesgv.gNelson,g1936,gwhatglegalgprecedentgwasgestablished?
a. Nurseganesthesiagwasgallowedgundergthegnursegpracticegact
b. Nurseganesthesiagscopegofgpracticegincludedganesthesia
c. Nurseganesthesiagwasglegal,gifgundergguidancegofgagsupervisingg physician
d. Onlygtrainedgnursinggprofessionalsgcouldgadministerganesthesiagindependently
ANS:g C
TheglandmarkgdecisiongfromgthegChalmers-
Francesgv.gNelsongcasegsetgnationalgprecedentgforgthegadvancedgnursinggpracticegrole.gItgprovedgt
ogbegthegbasisgforgothergcasesgovergthegfollowinggfewgdecadesgandgestablishedgthatgtrainedgnursesg
couldglegallygprovideganesthesiagcaregundergsupervisiongofgagphysician.
11. Thegfirstgknowngestablishmentgofgthegnursegpractitionergrolegoccurredging1965gatgtheUniversit
ygofgColorado.gIngwhichgareagofgtraininggdidgthisgrolegspecialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS:g A
Thegestablishmentgofgthegfirstgpediatricgnursegpractitionergprogramgwasging1965gatgthegUniversity
gofgColorado.gLorettagFord,gRNgandgHenrygSilver,gMDgprovidedgag4-
monthgcoursegtogcertifiedgregisteredgnursesgtogprovidegeducationgongmanaginggchildhoodghealthg
problems.
12. ThegDNPgprogramgcurriculumgoutlinedgwhichgofgthegfollowinggclinicalgrequirementsginga
ngeffortgtogstandardizegtraining?
a. 1000gsupervisedgclinicalghoursgandg200gunsupervisedgclinicalghours
b. 1000gsupervisedgclinicalghours
c. 900gsupervisedgclinicalghours
d. 800gsupervisedgclinicalghoursgandg200gunsupervisedgclinicalghours
ANS:g B
Ing2004,gthegAACNgoutlinedgthegDNPgcurriculumgingangeffortgtogstandardizegandgrelievegchalleng
esgofgmaster’sgdegreegprograms.gThisgincludesgagstandardizedgcurriculumgrequiringg1000gsupervi
sedgclinicalghours.
