WGU C157 Essentials of Advanced
Nursing Practice Exam Questions with
complete solutions (2024-2025)
Vulnerable jPopulations j- jANS✓✓-Vulnerable jpopulations jinclude jpatients jwho
jare jracial jor jethnic jminorities, jchildren, jelderly, jsocioeconomically
jdisadvantaged, junderinsured jor jthose jwith jcertain jmedical jconditions
Infants, jchildren, jolder jadults, jthe jill, jthe jphysically jand jmentally jdisabled, jthe
jilliterate jand jthe jpoor
QIA j- jANS✓✓-Quality jImprovement jActivity j"An jactivity jused jto jmonitor,
jevaluate jor jimprove jthe jquality jof jhealth jcare jdelivered jby jthe jpractice."
Definition jof jQuality jImprovement j- jANS✓✓-Quality jimprovement j(QI) jconsists
jof jsystematic jand jcontinuous jactions jthat jlead jto jmeasurable jimprovement jin
jhealth jcare jservices jand jthe jhealth jstatus jof jtargeted jpatient jgroups
The jQI jteam jhas jrecommended jthe juse jof jsound jmachine jin jeach jpatient jroom
jto jmuffle jthe jambient jnoise jon jthe junit. jHow jshould jthe jMSN jrespond jto jthis
jrecommendation? j- jANS✓✓-The jMSN jshould jsearch jthe jliterature jto jconfirm
jthat jthe jrecommendation jis jevidence-based.
Essentials jof jMaster's jEducation jin jNursing j(Nursing jStandard) j- jANS✓✓-
Nursing jStandard jthat:
1. jDefines jthe jessential jelements jof jmaster's jeducation jfor jadvanced jpractice
jroles jin jnursing.
2. jProvides ja jframework jfor jdesigning jand jassessing jmaster's jeducation
jprograms jfor jadvanced jpractice jnursing.
National jPatient jSafety jGoals j- jANS✓✓-The jNPSGs jwere jestablished jby jthe
jJoint jCommission jto jhelp jaccredited jorganizations jaddress jspecific jareas jof
jconcern jin jregard jto jpatient jsafety.
The jJoint jCommission j- jANS✓✓-The jJoint jCommission jaccredits jmore jthan
j20,000 jhealth jcare jorganizations jin jthe jU.S. jThis jaccreditation jis jrecognized jby
jstate jagencies jas ja jcondition jof jlicensure jand jreceipt jof jMedicaid
jreimbursement.
Preventive jAction j- jANS✓✓-A jproactive jplan jto jprevent ja jpotential joccurrence
jof jan jadverse jevent.
,Corrective jAction j- jANS✓✓-Corrective jaction jis ja jreactive jplan jto jprevent ja j
re-occurrence jof jan jadverse jevent.
Quantifiable jMeasure j- jANS✓✓-Data-driven jquality jimprovement jindicator.
National jLeague jfor jNursing jCore jValues j- jANS✓✓-NLN jValues
Caring
Integrity
Diversity
Excellence
Magnet jConceptual jModel jComponents j- jANS✓✓-Transformational jLeadership
Structural jEmpowerment
Exemplary jProfessional jPractice
New jKnowledge, jInnovation, j& jImprovements
Empirical jQuality jResults
Magnet jHospitals j- jANS✓✓-Higher jpercentages jof jsatisfied jRNs
Lower jRN jturnover jand jvacancy
Improved jclinical joutcomes
Improved jpatient jsatisfaction
Magnet jRecognition jProgram j- jANS✓✓-ANCC jprogram jthat jrecognizes
jhealthcare jorganizations jthat jprovide jexcellence jin jnursing.
Definition jof jBias j- jANS✓✓-cause jto jfeel jor jshow jinclination jor jprejudice jfor
jor jagainst jsomeone jor jsomething.
When jcan jBias joccur j- jANS✓✓-Can joccur jwhen jnon-random jdata jis jchosen
jfor janalysis, jwhich jinfluences jthe jstatistical jsignificance jof jthe jtest, jor
jproduces jdistorted jresults.
Convenience jSample j- jANS✓✓-A jsubset jof ja jpopulation jselected jbecause jthe
jindividuals jare jreadily javailable jand jaccessible.
Mission jStatement j- jANS✓✓-Describes jthe jreason jfor jthe jorganizations's
jcurrent jexistence.
Values jStatement j- jANS✓✓-Describes jwhat jan jorganization jbelieves jin jand
jhow jit jwill jbehave.
Sampling j- jANS✓✓-Selection jof ja jrepresentative jsubset jof ja jpopulation jto
jpredict jthe jeffects jof ja jchange jon jthe jwhole jpopulation.
Random jSample j- jANS✓✓-A jsubset jof ja jpopulation jin jwhich jeach jindividual jof
jthe jsubset jhad jan jequal jprobability j/ jan jequal jchance jof jbeing jchosen.
,Deemed jStatus j- jANS✓✓-In jorder jfor ja jhealth jcare jorganization jto jreceive
jpayment jfrom jMedicare jor jMedicaid jprograms, jit jmust jmeet jthe jeligibility
jrequirements jset jforth jin jfederal jregulations.
Health jcare jorganizations jthat jachieve jaccreditation jthrough ja j'deemed jstatus'
jsurvey jconducted jby jthe jJoint jCommission j(or jother jrecognized jaccrediting
jprocess jor jagency) jare jdetermined jto jhave jmet jMedicare jand jMedicaid
jrequirements.
Nurse jStress, jBurnout, jor jOverload j- jANS✓✓-Often jresults jfrom jPoor
jDelegation jSkills
Mortality jRate j- jANS✓✓-The jratio jof jthe jnumber jof jpatient jdeaths j(numerator)
jper jthe jtotal jnumber jof jpatients jin ja jdefined jpopulation j(denominator).
Infection jRate j- jANS✓✓-The jfrequency jof joccurrence jof jthe jnew jcases jof
jinfection jwithin ja jdefined jpopulation jduring ja jspecified jtime jframe
Definition jof jcentral jtendency j- jANS✓✓-In jstatistics, ja jcentral jtendency jis ja
jcentral jor jtypical jvalue jfor ja jprobability jdistribution. jIt jmay jalso jbe jcalled ja
jcenter jor jlocation jof jthe jdistribution
3 jMeasures jof jCentral jTendency j- jANS✓✓-Mode, jMean, jMedian
Mode j- jANS✓✓-The jvalue jthat jappears jmost joften jin ja jset jof jdata.
Preferred jmeasure jof jcentral jtendency j- jANS✓✓-Mean jor jAverage
Closing jthe jLoop j- jANS✓✓-A jcomponent jof jcare jcoordination jthat jensures jkey
jinformation jis jexchanged jduring jcare jtransitions, jreferrals, jor jother jpatient
jtransfers jfrom jprovider-to-provider jor jorganization-to-organization.
Note: jSubmitting jor jtransmitting jinformation jdoes jNOT jensure jreceipt jof
jinformation jinto jthe jhands jof jan jactual jhuman jbeing.
IHI jScience jof jImprovement jModel j- jANS✓✓-Form jthe jTeam
Set jthe jAim
Establish jthe jMeasures
Select jthe jChanges
Test jthe jChanges j- jPilot jStudy j(Small jScale) j- jPDSA jcycle jbegin
Implement jthe jChanges j- jLarge jScale
Spread jthe jChanges j(to jothers)
Patient jPopulation j- jANS✓✓-The jdemographics jand/or jdistinctive jfeatures jof ja
jgroup jof jpatients jbeing jserviced: jgender, jage, jethnicity, jsocioeconomic jstatus,
jrural, jurban, jchronic jdisease, jacute jillness, jprocedure, jetc.
, Delegation j- jANS✓✓-Assigning jresponsibility jor jauthority jto ja jsubordinate jto
jcarry jout jspecific jactivities. jThe jgoals jfor jthe jAPN jare jto:
1. jMake jthe jbest juse jof jtime jand jskills jby jrelinquishing jduties jto jothers j- jthe
j'delegator' jneeds jto jstop jbeing jthe j'doer'
2. jGrow jand jdevelop jteam jmembers jto jtheir jfull jpotential.
SMART jgoal j- jANS✓✓-Specific j- jMeasurable j- jAchievable j- jRealistic j- jTime-
Limited
Trend j- jANS✓✓-A jpattern jof jgradual jchange jin ja jseries jof jdata jpoints
jdemonstrating jmovement jin ja jcertain jdirection jover jtime, jrepresented jby ja jline
jor jcurve jon ja jgraph.
Violation j- jANS✓✓-Deliberate jor jintentional jchoice jby jan jindividual jto jdiverge
jfrom jan jaccepted jprocess, jpolicy, jstandard, jrule jor jregulation.
Strategic jPlanning j- jANS✓✓-An jorganization's jprocess jof jdefining jits jstrategy,
jor jdirection, jand jmaking jdecisions jon jallocating jits jresources jto jpursue jthis
jstrategy.
Quality jImprovement jshould jbe jintegrated jinto jthe jStrategic jPlan.
Lapse j- jANS✓✓-The jplan jwas jgood, jbut jmemory jof jall jthe jsteps jof jthe jplan
jwas jpoor.
(Staff jintended jto jperform jthe jprocess jas jplanned jbut jforgot ja jstep jin jthe
jprocess).
Slip j- jANS✓✓-The jplan jwas jgood, jbut jexecution jwas jpoor. j(Staff jintended jto
jperform jthe jprocess jas jplanned jand jremembered jthe jsteps, jbut jfailed jto jdo jit
jcorrectly).
Mistake j- jANS✓✓-The jplan jwas jpoor, jbut jexecution jwas jgood.
(Staff jfollowed ja jpoorly jplanned jprocess)
Intervention j- jANS✓✓-A jstep jimplemented jin ja jQI jplan jto jredesign ja jprocess
jor jsystem jand jaffect ja jparticular jchange.
Transformational jLeader j- jANS✓✓-Is jready, jwilling, jand jable jto jinspire jand
jlead jpeople jwhere jthey jneed jto jgo j(not jmerely jwhere jthey jwant jto jgo).
An jagent jfor jchange jwho jhas jvision, jinfluence, jclinical jknowledge, jand
jprofessional jnursing jexpertise, jand jwho jalso jsees jthat jtransformation jmay
jinvolve j'shaking jthings jup' jto jbirth jnew jideas jand jinnovations.
Participatory jLeadership j- jANS✓✓-An japproach jwhere jleaders jinteract jwith
jother jparticipants jas jpeers, jengaging jthem jin jthe jdecision-making jprocess jand
jplaying jan jequal jrole jin jthe jprocess jas jothers jand jjointly jcarrying jout jthe
jproblem jsolving jactivities.
Nursing Practice Exam Questions with
complete solutions (2024-2025)
Vulnerable jPopulations j- jANS✓✓-Vulnerable jpopulations jinclude jpatients jwho
jare jracial jor jethnic jminorities, jchildren, jelderly, jsocioeconomically
jdisadvantaged, junderinsured jor jthose jwith jcertain jmedical jconditions
Infants, jchildren, jolder jadults, jthe jill, jthe jphysically jand jmentally jdisabled, jthe
jilliterate jand jthe jpoor
QIA j- jANS✓✓-Quality jImprovement jActivity j"An jactivity jused jto jmonitor,
jevaluate jor jimprove jthe jquality jof jhealth jcare jdelivered jby jthe jpractice."
Definition jof jQuality jImprovement j- jANS✓✓-Quality jimprovement j(QI) jconsists
jof jsystematic jand jcontinuous jactions jthat jlead jto jmeasurable jimprovement jin
jhealth jcare jservices jand jthe jhealth jstatus jof jtargeted jpatient jgroups
The jQI jteam jhas jrecommended jthe juse jof jsound jmachine jin jeach jpatient jroom
jto jmuffle jthe jambient jnoise jon jthe junit. jHow jshould jthe jMSN jrespond jto jthis
jrecommendation? j- jANS✓✓-The jMSN jshould jsearch jthe jliterature jto jconfirm
jthat jthe jrecommendation jis jevidence-based.
Essentials jof jMaster's jEducation jin jNursing j(Nursing jStandard) j- jANS✓✓-
Nursing jStandard jthat:
1. jDefines jthe jessential jelements jof jmaster's jeducation jfor jadvanced jpractice
jroles jin jnursing.
2. jProvides ja jframework jfor jdesigning jand jassessing jmaster's jeducation
jprograms jfor jadvanced jpractice jnursing.
National jPatient jSafety jGoals j- jANS✓✓-The jNPSGs jwere jestablished jby jthe
jJoint jCommission jto jhelp jaccredited jorganizations jaddress jspecific jareas jof
jconcern jin jregard jto jpatient jsafety.
The jJoint jCommission j- jANS✓✓-The jJoint jCommission jaccredits jmore jthan
j20,000 jhealth jcare jorganizations jin jthe jU.S. jThis jaccreditation jis jrecognized jby
jstate jagencies jas ja jcondition jof jlicensure jand jreceipt jof jMedicaid
jreimbursement.
Preventive jAction j- jANS✓✓-A jproactive jplan jto jprevent ja jpotential joccurrence
jof jan jadverse jevent.
,Corrective jAction j- jANS✓✓-Corrective jaction jis ja jreactive jplan jto jprevent ja j
re-occurrence jof jan jadverse jevent.
Quantifiable jMeasure j- jANS✓✓-Data-driven jquality jimprovement jindicator.
National jLeague jfor jNursing jCore jValues j- jANS✓✓-NLN jValues
Caring
Integrity
Diversity
Excellence
Magnet jConceptual jModel jComponents j- jANS✓✓-Transformational jLeadership
Structural jEmpowerment
Exemplary jProfessional jPractice
New jKnowledge, jInnovation, j& jImprovements
Empirical jQuality jResults
Magnet jHospitals j- jANS✓✓-Higher jpercentages jof jsatisfied jRNs
Lower jRN jturnover jand jvacancy
Improved jclinical joutcomes
Improved jpatient jsatisfaction
Magnet jRecognition jProgram j- jANS✓✓-ANCC jprogram jthat jrecognizes
jhealthcare jorganizations jthat jprovide jexcellence jin jnursing.
Definition jof jBias j- jANS✓✓-cause jto jfeel jor jshow jinclination jor jprejudice jfor
jor jagainst jsomeone jor jsomething.
When jcan jBias joccur j- jANS✓✓-Can joccur jwhen jnon-random jdata jis jchosen
jfor janalysis, jwhich jinfluences jthe jstatistical jsignificance jof jthe jtest, jor
jproduces jdistorted jresults.
Convenience jSample j- jANS✓✓-A jsubset jof ja jpopulation jselected jbecause jthe
jindividuals jare jreadily javailable jand jaccessible.
Mission jStatement j- jANS✓✓-Describes jthe jreason jfor jthe jorganizations's
jcurrent jexistence.
Values jStatement j- jANS✓✓-Describes jwhat jan jorganization jbelieves jin jand
jhow jit jwill jbehave.
Sampling j- jANS✓✓-Selection jof ja jrepresentative jsubset jof ja jpopulation jto
jpredict jthe jeffects jof ja jchange jon jthe jwhole jpopulation.
Random jSample j- jANS✓✓-A jsubset jof ja jpopulation jin jwhich jeach jindividual jof
jthe jsubset jhad jan jequal jprobability j/ jan jequal jchance jof jbeing jchosen.
,Deemed jStatus j- jANS✓✓-In jorder jfor ja jhealth jcare jorganization jto jreceive
jpayment jfrom jMedicare jor jMedicaid jprograms, jit jmust jmeet jthe jeligibility
jrequirements jset jforth jin jfederal jregulations.
Health jcare jorganizations jthat jachieve jaccreditation jthrough ja j'deemed jstatus'
jsurvey jconducted jby jthe jJoint jCommission j(or jother jrecognized jaccrediting
jprocess jor jagency) jare jdetermined jto jhave jmet jMedicare jand jMedicaid
jrequirements.
Nurse jStress, jBurnout, jor jOverload j- jANS✓✓-Often jresults jfrom jPoor
jDelegation jSkills
Mortality jRate j- jANS✓✓-The jratio jof jthe jnumber jof jpatient jdeaths j(numerator)
jper jthe jtotal jnumber jof jpatients jin ja jdefined jpopulation j(denominator).
Infection jRate j- jANS✓✓-The jfrequency jof joccurrence jof jthe jnew jcases jof
jinfection jwithin ja jdefined jpopulation jduring ja jspecified jtime jframe
Definition jof jcentral jtendency j- jANS✓✓-In jstatistics, ja jcentral jtendency jis ja
jcentral jor jtypical jvalue jfor ja jprobability jdistribution. jIt jmay jalso jbe jcalled ja
jcenter jor jlocation jof jthe jdistribution
3 jMeasures jof jCentral jTendency j- jANS✓✓-Mode, jMean, jMedian
Mode j- jANS✓✓-The jvalue jthat jappears jmost joften jin ja jset jof jdata.
Preferred jmeasure jof jcentral jtendency j- jANS✓✓-Mean jor jAverage
Closing jthe jLoop j- jANS✓✓-A jcomponent jof jcare jcoordination jthat jensures jkey
jinformation jis jexchanged jduring jcare jtransitions, jreferrals, jor jother jpatient
jtransfers jfrom jprovider-to-provider jor jorganization-to-organization.
Note: jSubmitting jor jtransmitting jinformation jdoes jNOT jensure jreceipt jof
jinformation jinto jthe jhands jof jan jactual jhuman jbeing.
IHI jScience jof jImprovement jModel j- jANS✓✓-Form jthe jTeam
Set jthe jAim
Establish jthe jMeasures
Select jthe jChanges
Test jthe jChanges j- jPilot jStudy j(Small jScale) j- jPDSA jcycle jbegin
Implement jthe jChanges j- jLarge jScale
Spread jthe jChanges j(to jothers)
Patient jPopulation j- jANS✓✓-The jdemographics jand/or jdistinctive jfeatures jof ja
jgroup jof jpatients jbeing jserviced: jgender, jage, jethnicity, jsocioeconomic jstatus,
jrural, jurban, jchronic jdisease, jacute jillness, jprocedure, jetc.
, Delegation j- jANS✓✓-Assigning jresponsibility jor jauthority jto ja jsubordinate jto
jcarry jout jspecific jactivities. jThe jgoals jfor jthe jAPN jare jto:
1. jMake jthe jbest juse jof jtime jand jskills jby jrelinquishing jduties jto jothers j- jthe
j'delegator' jneeds jto jstop jbeing jthe j'doer'
2. jGrow jand jdevelop jteam jmembers jto jtheir jfull jpotential.
SMART jgoal j- jANS✓✓-Specific j- jMeasurable j- jAchievable j- jRealistic j- jTime-
Limited
Trend j- jANS✓✓-A jpattern jof jgradual jchange jin ja jseries jof jdata jpoints
jdemonstrating jmovement jin ja jcertain jdirection jover jtime, jrepresented jby ja jline
jor jcurve jon ja jgraph.
Violation j- jANS✓✓-Deliberate jor jintentional jchoice jby jan jindividual jto jdiverge
jfrom jan jaccepted jprocess, jpolicy, jstandard, jrule jor jregulation.
Strategic jPlanning j- jANS✓✓-An jorganization's jprocess jof jdefining jits jstrategy,
jor jdirection, jand jmaking jdecisions jon jallocating jits jresources jto jpursue jthis
jstrategy.
Quality jImprovement jshould jbe jintegrated jinto jthe jStrategic jPlan.
Lapse j- jANS✓✓-The jplan jwas jgood, jbut jmemory jof jall jthe jsteps jof jthe jplan
jwas jpoor.
(Staff jintended jto jperform jthe jprocess jas jplanned jbut jforgot ja jstep jin jthe
jprocess).
Slip j- jANS✓✓-The jplan jwas jgood, jbut jexecution jwas jpoor. j(Staff jintended jto
jperform jthe jprocess jas jplanned jand jremembered jthe jsteps, jbut jfailed jto jdo jit
jcorrectly).
Mistake j- jANS✓✓-The jplan jwas jpoor, jbut jexecution jwas jgood.
(Staff jfollowed ja jpoorly jplanned jprocess)
Intervention j- jANS✓✓-A jstep jimplemented jin ja jQI jplan jto jredesign ja jprocess
jor jsystem jand jaffect ja jparticular jchange.
Transformational jLeader j- jANS✓✓-Is jready, jwilling, jand jable jto jinspire jand
jlead jpeople jwhere jthey jneed jto jgo j(not jmerely jwhere jthey jwant jto jgo).
An jagent jfor jchange jwho jhas jvision, jinfluence, jclinical jknowledge, jand
jprofessional jnursing jexpertise, jand jwho jalso jsees jthat jtransformation jmay
jinvolve j'shaking jthings jup' jto jbirth jnew jideas jand jinnovations.
Participatory jLeadership j- jANS✓✓-An japproach jwhere jleaders jinteract jwith
jother jparticipants jas jpeers, jengaging jthem jin jthe jdecision-making jprocess jand
jplaying jan jequal jrole jin jthe jprocess jas jothers jand jjointly jcarrying jout jthe
jproblem jsolving jactivities.
