NURSING 6006 Predictor Exam 2024 Update Questions with Answers Best Rated Solutions, Exams of Nursing

Download NURSING 6006 Predictor Exam 2024 Update Questions with Answers Best Rated Solutions and more Exams Nursing in PDF only on Docsity! NURSING 6006 Predictor Exam 2024 Update Questions with Answers Best Rated Solutions 1.Once a practice problem has been identified the next step would be to use the PICOT format to ask a question about the problem PICOT stands for O P population I intervention C concepts O operational definitions T time O P precision instrument, I intervention, C control, O Operational definitions, T time O P Population, I internal validity, c comparisons, o outcome, T time O P Population, I Intervention, C Comparison O Outcome T time 2. The Affordable Care Act has directed the US Department of Health and Human Services and multiple agencies to develop and disseminate initiatives on meeting the care needs of patients with Multiple Chronic Conditions (MCC). What is the primary purpose for the national direction? • To improve the health and health care of all Americans through targeted portfolio focused programs • To conduct health services research and engage in policy efforts focusing on health care financing and service delivery. • To protect against high out-of-pocket costs by prohibiting insurers from denying coverage based on pre-existing conditions. • To support the goal of improving the wellbeing of humanity through smart globalization. 3 After thoroughly researching the topic of interest, what is the next step an APN should ask in selecting a theory/model for use in practice or research? • Do the theory /model fit with the purpose / topic of interest? • Are the relationships of the major concepts delineated? • Have several different theories/models been examined? • Are the assumptions, rationale and suppositions accepted by the APN? 4. Which three roles represent the accepted advanced practice nursing roles? • Certified Nurse Midwives (CNM) • Clinical Nurse Specialist (CNS) • Critical care registered nurses (CCRNs) • Certified Registered Nurse Anesthetists (CRNAs) 5. What are the three major categories of Nola Pender’s Health promotion model? • Behavior-specific cognitions and affect • Characteristics and experiences • Individual health measures • National institutes of Heath • Centers for Disease Control and Prevention (CDC) • Institute of Medicine 12.Development of the first pediatric nurse practitioner program at the University of Colorado in 1965 is credited to which two individuals? • Harry Fox, MD • Henry Silver, MD • Luella Jackson, RN • Loretta Ford , RN • Carla Brown, ARNP 13. Raynaud phenomenon is classified as a type III hypersensitivity reaction and is due to: • Immune complexes that are deposited in capillary beds, blocking circulation • Mast cells that are bound to specific endothelial receptors, causing them to degranulate and creating a localized inflammatory reaction that occludes capillary circulation • Cytotoxic T cells that attack and destroy the capillaries so that they are unable to perfuse local tissue • Antibodies that detect the capillaries as foreign protein and destroy them using lysosomal enzymes and toxic oxygen species. 14.The nurse practitioner is caring for a 21-year-old female who presents with a pruritic, erythematous rash matching pattern of her sandal straps. The nurse practitioner advises the patient to avoid scratching the area due to the risk of developing a secondary infection. The NP understands that the most likely etiology of secondary skins infections is caused by which organism. • Streptococcus pneumoniae • Proteus • Candida albicans • Staphylococcus aureus 15. How can the APN best influence development and passage of a specific health policy agenda? • Develop a health policy proposal and independently present it to the house of representative • Partner with a legislator to sponsor a bill despite unrelated committed assignment • Determine the best fit between legislative agenda, supporting organizations, and health policy issue. • Join a national committee to advocate for issues that impact APRNs 16.Which is the gold standard research design for generating evidence? • Randomized Control Trial • Nonrandomized comparison cohort trial • Case study • Systematic review 17. The APN is examining a client with new onset HTN. The NP recognizes that HTN may result in significant complications associated with which of the following three organs • Kidney • Liver • Eyes • Skin • Brain 18. which organization allows the use of the “BC” credential (e.g., FNP-BC) • commission on Collegiate Nursing Education (CCNE) • National Council of State Boards of Nursing (NCSBN) • American Nurses Credentialing Center (ANCC) • National Association of Pediatric Nurse Practitioners (NAPNAP) 19. which agency houses the United States Protective and Safety Task Force (USPSTF)? • The US Department of Health and Human Services • Centers for Disease Control and Prevention • Agency for Health, Research and Quality • National Clearing House Guidelines 20. : which two organizations administer nurse practitioner certification Programs? • State boards of nursing • American Nurses Association • US Protective and Safety Task Force 25. A 43-year old woman has a 12-hour history of sudden onset of right upper quadrant abdominal pain with radiation to the shoulder, fever, and chills. She has had similar, milder episodes in the past. Examination reveals marked tenderness to right upper quadrant abdominal palpation. Her most likely diagnosis is: • Hepatoma • Acute cholecystitis • Acute hepatitis • Appendicitis 26.what theory is used to describe the cause of endometriosis? • Obstruction within the fallopian tubes prevents the endometrial tissue from • Endometrial tissue passes through the fallopian tubes and into the peritoneal cavity and remains responsive to hormones. • Inflammation of the endometrial tissue develops after recurrent sexually transmitted diseases • Endometrial tissue lies dormant in the uterus until the ovaries produce sufficient hormone to stimulate its growth. 27.Chronic pain, physical disability, social support, age and gender are related to perceived daily stress, which is related to depression. This is an example of which type of theory? • Explanatory • Predictive • Descriptive • Inter-relational 28. The leadership core competency of advanced practice nursing includes which three characteristics? • Mentoring • Innovation • Consultation • Collaboration • Activism 29.What initiative specifically focuses on the aging American, under the Affordable Care Act? • Team STEPPS • Multiple Chronic Conditions • Shared decision making • Literacy tool kit understands that the patient is exhibiting symptoms resulting from which type of pulmonary disease process? • Restrictive • Obstructive • Pleuritic • Atelectatic 36.Which of the following statements accurately defines Hamric’s conceptual definition of advanced practice nursing? • The patient-focused application of an expanded range of competencies to improve health outcomes for patients and populations within a specialized clinical area of the larger discipline of nursing. • A mid-level position that incorporates advanced clinical knowledge and skills to impact patient care • A nurse who has achieved education and specialized certification beyond that basic nursing education • None of the above 37.When caring for a client who presents with pain and swelling to location of the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints. Which diagnostic test is most specific to diagnosis of rheumatoid arthritis? • Elevated rheumatoid factor level • Elevated uric acid level • Positive antinuclear antibody titer • Elevated erythrocyte sedimentation rate 38. The Consensus Model for Advanced Practice Registered Nurse Regulations addresses which four areas? • Specialty areas • Roles and titles to be used • Population foci • Preparation for emerging APRN roles • Licensure blueprints for testing • 39. Which statement best supports primary prevention of burns for geriatric clients? • Douse flames with a fire extinguisher • Avoid smoking in bed • Install a smoke detector • Use a planned emergency escape route 40.Which of the following three complications are associated with chronic hepatitis B? • Continued infectivity • Malignant hypertension • Uncompensated cirrhosis • Hepatocellular carcinoma • Renal encephalopathy 41. The central competency, direct clinical practice, is characterized by which three of the following? • Uniform approach to health management • Expert clinical performance • Formation of a therapeutic partnership with patients • Holistic approach • Direct physician supervision 42. Which payment system seeks Medicare reimbursement under the MACRA legislation for providing high quality patient-specific care and improved outcomes? • Accountable care organization • Advanced payment models • Merit Incentive Based Payment • Bundle payment programs 43. What four components of advanced practice nursing (APN) are specified by the National Council for State Boards of Nursing Consensus Model for APRN regulation? • Licensure, • Accreditation • Competence • Education • Certification 44.Which learning theory would be most applicable as a guide for the development of a program to help families of patients in palliative care? • Behaviorist learning theory • Cognitive learning theory • Psychodynamic learning theory • Humanistic Learning Theory 45. What terms indicate appropriate progression associated with the history and evolution of advance practice nursing? • Specialist, Expanded Role, Advanced Practice • Expanded role, advanced practice , specialist • Advanced practice , specialist , expanded role • Specialist, advanced practice , expanded role 46. An experienced NP, has two separate but equally important ethical obligations that he is unfortunately unable to carry out. This is an example of which barrier to ethical practice? • Moral distress • Moral uncertainty • Moral Dilemma • Moral distraction 47. Pre-invasive epithelial tumors of glandular or squamous cell origin describes which of the following? • Tumor in differentiation • Dysplastic • Cancer in situ • Cancer beyond (meta) situ 48. Which two options are barriers to the conceptualization of Advanced Practice Nursing? Interprofessional education and practice • Lack of obscurity • Interprofessional education and practice • Need to differentiate between advanced practice nursing and medicine • Consistency of state practice act that regulate APNs 49. The Dreyfus Model of Skill Acquisition includes which four stages of APN performance? • Expert, • Advanced Beginner, • Competent • Efficient • Proficient 50. The nurse practitioner is caring for a client who has undergone a recent gastrectomy who complains of fatigue, palpitations, shortness of breath, and numbness and tingling to their fingers on both hands. The nurse suspects pernicious anemia related to: • Dietary deficiency of vit b 12 • Deficiency of intrinsic factor production • Red blood cell enzyme deficiency 56. The APN wants to develop a community educational program for hypertension and stroke prevention. She recognizes that the individual’s lifestyle and pattern of behavior need to be addressed for the program to be successful. Which theory would be most appropriate to guide the program development? • Health as Expanding consciousness • Science of unitary human beings • Human becoming school of thought • interpersonal based nursing 57. When considering a theory for use in guiding practice, the APN should examine the Conceptual-Theoretical-Empirical (C-T-E) linkages by for which criteria? • Internal consistency • Specification adequacy • Parsimony • Empirical adequacy 58. In septic shock, which mediators are anti-inflammatory? • Interleukin (IL-4, IL-10, IL13) • Tumor necrosis factor -alpha (ten-a) and granulocyte cell stimulating factor • IL-1, IL2and IL6 • Prostaglandin ,leukotrienes and brady kinin 59. The link between major depression and cortisol secretion is that individuals with depression: • Show suppression of plasma cortisol when given dexamethasone • Have a decreased plasma cortisol level, despite the administration of exogenous corticosteroids • Show that persistently elevated plasma cortisol levels can result in inflammation that is believed to trigger depression • Have normal plasma cortisol levels throughout the day when they take antidepressant medication as prescribed 60. Which three primary criteria for advanced practice nursing are identified in Hamric’s Integrative Model of Advanced Practice Nursing? • Guidance, • Graduate education, • Patient-focused practice, • Certification • Ethical decision making 61. Which advance practice nursing was developed to facilitate delivery of high quality, patient- centered primary care? • Certified nurse midwife(CNM) • Certified nurse practitioner (CNP) • Certified registered nurse anesthetist (CRNA) • Clinical nurse specialist CNS) 62. An adult-gerontology nurse practitioner is employed in a rural practice that is initiating a school-based primary healthcare program. All nurse practitioners in the practice are required to initiate preparations to facilitate conducting patient visits in the new setting. Which role concepts best describes what the adult-gerontology nurse practitioner is experiencing? • Role transition • role incongruity • role ambiguity • role stress 63. A MSN student is noting challenges related to attending school while attempting to balance other work, family, and social responsibilities. Which of the following role concepts illustrates the MSN student’s experience? • Role stress • Role strain • Role transition • Role conflict 64. A 24 year old female presents to the primary care office with complaints of dysuria. Urinalysis lab results indicated positive nitrites. The nurse practitioner plans to initiate antibiotic coverage for the most likely causative organism which is: • Escherichia coli • Staphylococcus aureus • Neisseria gonorrhoeae • Urea plasma urealyticum 65. Place the following four steps of APN core competency of evidence based practice in order. a. Critically appraise and extract evidence 1 b. Formulate a measurable clinical question2 c. Review literature for relevant studies3 d. Implement useful findings in clinical decision making4 66. A 12 year old male is diagnosed with Klinefelter syndrome. His karyotype would reveal which of the following? • XY • XX • XYY • XXY • Immune destruction of the pancreas • Hyperglycemia from eating too many sweets 73. Which patient below is at most risk for invasive pneumococcal infection? • A 72 year old man with a history of COPD • A 32 year old woman who underwent a splenectomy after a motor vehicle accident • A 45 year old man with a 10 year history of type 2 diabetes • An 80 year old female with a history of sever osteoporosis and decreased functional status 74. A Latino patient in your clinic has been perpetually late for his appointment. Which action by the nurse practitioner would be most appropriate? • Advise the patient that he should have called to reschedule • Adjust the appointments to allow for this lateness • Assess how the patient interprets the appointment time • Ignore the situation to avoid having the patient go elsewhere 75. What specific developments have primarily occurred because of the Affordable Care Act (ACA)? • ACA has been appealed and no longer enacted • Development of patient centered outcomes, use of comparative effectiveness research, quality payment structures that impact APN reimbursement • Nothing has been changed by the ACAother than Medicaid expansion and affordable health care • ACA has provided limited access to care 76. Hamric’s Integrative Model of Advanced Practice Nursing identify the central competency of advance practice nursing that directs the other six core competencies. • Evidence based practice • Guidance and coaching • Ethical decision making • Direct Clinical Practice 77. A public health nurse is teaching the community about health promotion. When explaining immunity, the APN discusses that innate immunity is: • Acquired following an illness • Present at birth • Obtained by IV administration • Acquired during adulthood 78. According to Madeline Leininger, cultural care/accommodation/negotiation refers to actions/decisions that help a particular culture: • Retain and preserve care values • Adapt to or negotiate with others for satisfying healthcare outcomes • Change or modify behaviors affecting their lifestyles • Work with each other to set up goals for improved health outcomes 79. The nurse practitioner is conducting annual physical exam on a 62 year old male. Which of the following risk factors will prompt the nurse practitioner to screen the patient for development of benign prostatic hypertrophy (BPH)? • High fat diet • Recurrent prostatitis • Increased age • Cigarette smoking 80. The family nurse practitioner examines a patient who has sustained a non-work- related injury that interferes with his ability to perform his job. The patient does not qualify for medical disability and has a reasonable chance of engaging in a suitable occupation with proper therapy. What type of services or benefits should the nurse practitioner recommend? • Family and medical leave act benefits • Vocational rehabilitation services • Public unemployment services • Social security benefits 81. which statements must be present to be considered a metaparadigm? It should (select all that apply) • Identifies a domain that is similar to domains of other disciplines • Encompasses all phenomenon of interest • Be perspective neutral • Be global in scope • Identifies all reasonable paradigms 82. A philosophy differs from a metaparadigm because it communicates what the members of a discipline believe to be true about the phenomenon of interest to the discipline., what they believe about the development of knowledge and the value assigned to their actions and practices. Which of the following philosophies would be characterized as "human beings are holistic, parts are viewed only e context of the whole"? • Reaction world view • Simultaneous action world view • Holistic interaction world view • Reciprocal interaction world view a. Dorothea Orem b. Paterson's and Dread c Jean Watson d. Margaret Newman 88. Which statement below best reflects Imogene King's theory? (THIS MAY HAVE BEEN ON THE TEST 2x) a. The coping process responses constitute the outputs of the human??? Adaptive system. b. A person is a system of behavior characterized by repetitive, predictable, and goal- directed behaviors that strive toward balance. c. Nursing goal are negotiated with the client and take into account both the client's and the nurse's perceptions. *d. If nurses with special knowledge and skills communicate appropriate information to clients, mutual goal setting and goal attainment will occur. 89. The APN wants to develop a community educational program for hypertension and stroke prevention. She recognizes that the individual's lifestyle and pattern of behavior need to be addressed for the program to be successful. Which theory would be most appropriate to guide the program development? *a. Theory of health and expanding consciousness. b. Theory of human caring/ c. Theory of culture care. d. theory of interpersonal nursing. 90. According to Madeline Leininger, culture cafe/accommodation/negotiation refers to actions or decisions that help a particular culture: a. Retain and preserve values. *b. Adapt to or negotiate with others for satisfying healthcare outcomes. c. Change or modify behaviors affecting their lifestyles. d. Work with each other to set up goals for improved health outcomes. Which are the three major categories of Nola Pender’s Health promotion model ?(select all that apply ) 1. Individual characteristics experience 2. Health outcome 3. Individual health measures 5. Measurable health outcomes . 92. The APN wants to evaluate the effectiveness of a protocol change that has lessened the waiting time for patients with acute symptoms of an exacerbation of COPD to be seen in a primary care practice. He is interested in whether the change reflects an improvement in prevention of hospitalization for COPD as well as the patient's quality of life. What does he need to consider if he wants to utilize the Health-related quality of life (HRQOL) theory to guide his evaluation? a. There are multiple frameworks and models to choose from. *b. Only biological and physiological variables and symptoms are included. c. An individual's perceptions are not addressed in the theory. d. Quality of life and HRQOL are interchangeable concepts 93. Which learning theory would be most applicable as a guide for the development of an educational program for families of patients in palliative care? a.Behaviorist Learning Theory b.Cognitive Learning Theory c.Psychodynamic Learning Theory *d. Humanistic Learning Theory 94. To analyze and evaluate a theory/model for potential use in guiding practice, the APN should consider what internal factors? (select all that apply) * a. Clarity b. Consistency *c. Logical development d.Adequacy e.Level of theory development 4. Behavior specific cognitions b. Is not an appropriate candidate due to the age of the shot. c. Is at risk of developing a reaction if the shot is given today. *d. He can receive the shot in the clinic today. 102. Concerting the MMR vaccine, which of the following is a correct statement? a. The link between use of MMR vaccine and autism has been firmly supported. *b. There is no scientific evidence to support MMR use increases autism risk. c. The use of the combination increases autism risk, but dividing them into separate injections minimizes this. d. The injection contains thimerosal, a mercury agent. 103. You are seeing a 40-year-old patient who has started varenicline (Chantix) 3 weeks ago as a tool for smoking cessation. Which of the following is the most important question to ask during this visit? a. “How many cigarettes per day are you currently smoking?'' b.Are you having any difficulty sleeping?” *c. \'Have you noticed in your mood?” d. "On a scale of 1-10, what is your current desire to stop spoking?” 104. A nurse practitioner is instructing a senior citizen's group about hazards in the home. One of these is identified as burns. Which of the following would support primary prevention of this hazard? a. Use of a fire extinguisher. *b. No smoking in bed. c. Installation of a smoke detector. d. Creating a planned escape route. 105. A nurse practitioner is applying for their first position. In researching different hospital types, there are various descriptions of their type. Some of these include public, proprietary, and voluntary (not-for-profit) hospitals. What qualification would determine the hospital type? a. The degree of reimbursement provided for nurse practitioners. b. The determination of whether or not profits are made. c. The type of special services offered. *d./How profits are distributed. 106. A Latino patient in your clinic has been perpetually late for their appointments. Which action by the nurse practitioner would be most appropriate? a.Confront the patient and advise them the next time you will reschedule. b.missing c.Assess how the patient interprets the appointment time. d. Ignore the situation to avoid having the patient go elsewhere. 107. To meet Medicare's coverage requirements, the Nurse Practitioner's service must be: 112. How does health policy specifically influence health care practice in the US? a.Directs efforts by the CDC and protects Americans against population-based disease. b.Influences how health care is reimbursed and determines APN payment off services. c.Directs specific evidence-based practice guideline development and dissemination. D. All of the above. – ALL OF THE ABOVE WAS NOT AN OPTION .. .. 113. What specific developments have primarily occurred because of the Affordable Care Act (ACA)? a.ACA has been appealed and no longer enacted b.Development of patient centered outcomes, use of comparative effectiveness research, quality payment structures that impact APN reimbursement. c. Nothing has been changed by the ACA other than Medicaid Expansion and Affordable Health Care. d.None of the above. 114. The United States Protective and Safety Task Force determines specific screening requirements for age groups in the US – what agency houses the USPSTF? a. The US Department of Health and Human Services. b. Centers for Disease Control and Prevention c. Agency for Health, Research and Quality. d. National Clearing House Guideline 115. The Affordable Care Act has directed the US Department of Health and Human Services and multiple agencies to develop and disseminate initiatives on meeting the care needs of patients with Multiple Chronic Conditions (MCC). What is the primary purpose for this national direction? a. Medicare reimbursement must meet quality payment standards under MACRA legislation. b. Advanced Practice Nurses are responsible for addressing the multiple issues associated with this patient population. c. Patients with MCCs represent the largest, fastest growing and costliest U$ patient population. d. None of the above. 116. As an APN seeking the best evidence to ensure optimal patient centered outcomes, which agency will you refer to when seeking the current evidence-based guidelines directing standard of care? a.Patient Centered Outcomes Research Institute (PCORI). b.Agency for Health Research and Quality. c.Centers for Disease Control and Prevention. d.US Protective and Safety Task Force. c. Shared Decision Making. d. Literacy Tool Kit. 120. How can the APN influence the development and passage of a specific health policy issue? a. Develop a health policy proposal and present it to the House of Representatives. b. Partner with a legislator who is a sponsor of a bill despite his or her specific assigned committee work. *c. Determine what the specific legislative agenda is for the nursing organization that you belong - so that your expertise can be used to push the agenda with your specific legislator. d. None of the above. 121. How has the Quality Chasm Report been used to direct US health care? a. It is not used to direct US health care. b. IOM designed this document to direct medical practices in the US. *c. This report has been used as the framework and foundation for multiple health police initiative since its release in 2001. d. None of the above. 122. Medicare Access and Summary CHIP Reauthorization Act of 2015 (MACRA) legislation is: a. Bipartisan. b. Replaces the 1997 Sustainable Growth Index. c. Requires measurement of quality metrics. *d. All of the above. 123. Team STEPPS training through the Agency for Health, Research and Quality is focused on patient safety. The primary tenets of this training are focused specifically on: a. Interdisciplinary collaboration. b. Communication. c. Teamwork. *d. All of the above. What are the primary tenants of team steps training? Intradisciplinary collaboration communication and teamwork Individualized training Continuing education and safety 124. As an APN providing patient-specific care and seeking Medicare reimbursement under MACRA legislation demonstrating value and quality, you will bill under which payment system? a. Accountable Care Organization. b. Advanced Payment Models. *c. Merit Incentive Based Payment. d. All the above. 125. Observation study designs are primarily used in public health data collection and help to determine efficacy of specific interventions. What is an example of a public health concern that is frequently evaluated by the CDC to ensure population- based health and wellness? a. Drug safety and efficacy. b. Pasteurization.