Advanced Practice Nursing Roles and Competencies, Exams of Nursing

Download Advanced Practice Nursing Roles and Competencies and more Exams Nursing in PDF only on Docsity! NSG 506 Transition to APN Final Exam Review Q & A 2024 1. A patient with a history of chronic heart failure presents with symptoms of worsening dyspnea and fatigue. Which intervention should the nurse practitioner prioritize? a) Prescribing a short course of oral corticosteroids. b) Initiating oxygen therapy and titrating to maintain SpO2 above 92%. c) Increasing the dose of the patient's current diuretic medication. d) Advising the patient to limit fluid intake to 1 liter per day. Answer: b) Initiating oxygen therapy and titrating to maintain SpO2 above 92%. Rationale: Oxygen therapy is essential for patients presenting with symptoms of acute heart failure exacerbation to improve oxygenation and reduce the workload on the heart. 2. In evaluating a patient for potential sepsis, which laboratory result would be most indicative of this diagnosis? a) Elevated white blood cell count. b) Decreased serum sodium level. c) Increased serum lactate level. d) Decreased hemoglobin level. Answer: c) Increased serum lactate level. Rationale: An increased serum lactate level indicates tissue hypoperfusion, which is a concern in sepsis and can guide the urgency of intervention. 3. A nurse practitioner is considering pharmacological treatment options for a patient with newly diagnosed type 2 diabetes mellitus. Which factor is most important in selecting an initial medication? a) The patient's preference for oral or injectable medication. b) The presence of comorbid cardiovascular disease. c) The patient's body mass index (BMI). d) The cost and availability of the medication. Answer: b) The presence of comorbid cardiovascular disease. Rationale: Comorbid conditions, especially cardiovascular disease, significantly influence the choice of diabetic medication due to the impact on patient outcomes. 4. When educating a patient about managing chronic kidney disease, Which medication is typically used to stabilize mood in this condition? a) Fluoxetine. b) Lithium. c) Diazepam. d) Haloperidol. Answer: b) Lithium. Rationale: Lithium is a mood stabilizer commonly used to treat and prevent manic episodes in patients with bipolar disorder. 12. In managing a patient with acute cholecystitis, which imaging modality is preferred for initial diagnosis? a) Abdominal X-ray. b) Ultrasound of the right upper quadrant. c) CT scan of the abdomen and pelvis. d) MRI of the abdomen. Answer: b) Ultrasound of the right upper quadrant. Rationale: Ultrasound is the preferred initial imaging modality for acute cholecystitis due to its high sensitivity and specificity for gallbladder pathology. 13. A patient with a urinary tract infection is allergic to penicillin. Which antibiotic is a safe alternative? a) Amoxicillin. b) Ciprofloxacin. c) Piperacillin. d) Ampicillin. Answer: b) Ciprofloxacin. Rationale: Ciprofloxacin is a fluoroquinolone antibiotic and a safe alternative for patients with a penicillin allergy. 14. A nurse practitioner is assessing a patient with suspected deep vein thrombosis (DVT). Which clinical tool is used to estimate the probability of DVT? a) Ranson's criteria. b) Wells' criteria. c) Child-Pugh score. d) Glasgow Coma Scale. Answer: b) Wells' criteria. Rationale: Wells' criteria is a clinical decision tool used to estimate the pretest probability of DVT in a patient. 15. A patient with chronic obstructive pulmonary disease (COPD) is experiencing an exacerbation. Which class of medication is essential to include in the treatment plan? a) Antihypertensives. b) Bronchodilators. c) Antidepressants. d) Anticoagulants. Answer: b) Bronchodilators. Rationale: Bronchodilators are essential in treating COPD exacerbations as they help to relieve bronchospasm and improve airflow. Which of the following best describes the role of an Advanced Practice Nurse (APN)? A. Providing basic nursing care B. Conducting complex physical assessments C. Administering medications under supervision D. Assisting physicians in surgical procedures Answer: B. Conducting complex physical assessments Rationale: Advanced Practice Nurses are trained to perform advanced assessments beyond basic nursing care. What is the primary focus of evidence-based practice in nursing? A. Relying solely on personal experience B. Implementing interventions without research support C. Integrating research evidence with clinical expertise D. Following outdated protocols Answer: C. Integrating research evidence with clinical expertise Rationale: Evidence-based practice involves combining research findings with clinical expertise to make informed decisions about patient care. Which competency is essential for Advanced Practice Nurses according to the American Nurses Association (ANA)? A. Proficiency in drawing blood samples B. Ability to perform advanced procedures independently C. Cultural competence D. Knowledge of basic life support techniques Answer: C. Cultural competence Rationale: Cultural competence is crucial for providing patient-centered care and addressing diverse healthcare needs. What is the purpose of collaborative practice agreements for Advanced Practice Nurses? A. To work independently without supervision B. To outline the scope of practice in collaboration with a healthcare team C. To restrict practice to specific tasks D. To replace physician oversight Answer: B. To outline the scope of practice in collaboration with a healthcare team Rationale: Collaborative practice agreements define the responsibilities and scope of practice for APNs in collaboration with other healthcare providers. Which advanced nursing role focuses on managing the care of a specific group of patients? A. Clinical Nurse Specialist B. Nurse Practitioner C. Nurse Anesthetist D. Nurse Midwife Answer: A. Clinical Nurse Specialist Rationale: Clinical Nurse Specialists specialize in managing the care of specific patient populations. In which setting do Nurse Practitioners commonly practice? A. Operating rooms B. Emergency departments C. Psychiatric facilities D. Radiology departments Answer: B. Emergency departments Rationale: Nurse Practitioners often work in emergency departments providing primary and acute care services. 5. What is the goal of advanced practice nursing in terms of healthcare delivery? a) Increase healthcare costs b) Decrease patient satisfaction c) Improve patient outcomes d) Limit access to care Answer: c) Improve patient outcomes Rationale: The overarching goal of advanced practice nursing is to improve patient outcomes through high-quality, evidence-based care. 6. Which of the following is a core competency of advanced practice nursing? a) Advanced health assessment b) Nursing theory c) Basic life support d) Pharmacology Answer: a) Advanced health assessment Rationale: Advanced health assessment is a core competency of advanced practice nursing, focusing on the ability to perform comprehensive physical assessments. 7. What is the scope of practice for a nurse practitioner? a) Providing care to patients across the lifespan b) Performing surgical procedures c) Managing hospital finances d) Teaching nursing courses Answer: a) Providing care to patients across the lifespan Rationale: Nurse practitioners are advanced practice nurses who are trained to provide care to patients of all ages, from infants to the elderly. 8. What type of evidence should guide advanced practice nursing interventions? a) Personal experience b) Beliefs and opinions c) Research and best practices d) Anecdotal stories Answer: c) Research and best practices Rationale: Advanced practice nursing interventions should be guided by the latest research and best practices within the field. 9. Which role in advanced practice nursing is focused on managing pain and providing anesthesia in surgical settings? a) Nurse practitioner b) Clinical nurse specialist c) Nurse anesthetist d) Nurse midwife Answer: c) Nurse anesthetist Rationale: Nurse anesthetists are advanced practice nurses who specialize in managing pain and administering anesthesia in surgical settings. 10. Which of the following is a primary responsibility of a nurse midwife? a) Conducting psychotherapy sessions b) Managing chronic illnesses c) Providing prenatal and postpartum care d) Performing surgical procedures Answer: c) Providing prenatal and postpartum care Rationale: Nurse midwives are advanced practice nurses who focus on providing care to women during pregnancy, childbirth, and the postpartum period. 11. What is a key aspect of advanced practice nursing in terms of healthcare policy and advocacy? a) Remaining neutral on healthcare issues b) Advocating for healthcare legislation c) Ignoring the impact of policy on patient care d) Avoiding involvement in healthcare policy discussions Answer: b) Advocating for healthcare legislation Rationale: Advanced practice nurses play a key role in advocating for healthcare legislation that supports quality care and patient outcomes. 12. What is the primary goal of advanced practice nursing education and training programs? a) Increasing healthcare costs b) Improving patient outcomes c) Limiting access to care d) Focusing on disease management Answer: b) Improving patient outcomes Rationale: The primary goal of advanced practice nursing education and training programs is to prepare nurses to deliver high-quality care and improve patient outcomes. 13. Which of the following is a key competency of advanced practice nursing in terms of leadership and collaboration? a) Working in isolation b) Conflict resolution c) Ignoring interdisciplinary collaboration d) Refusing to seek input from colleagues Answer: b) Conflict resolution Rationale: Advanced practice nurses must be skilled in conflict resolution and collaboration to effectively lead interprofessional teams and promote positive outcomes. 14. Which of the following interventions is NOT within the scope of practice for a nurse practitioner? a) Prescribing medication b) Ordering diagnostic tests c) Performing surgery d) Providing patient education Answer: c) Performing surgery Rationale: Nurse practitioners are not trained to perform surgical procedures and typically focus on providing primary care services, such as prescribing medication, ordering tests, and providing patient education. c) Nurse midwife d) Psychiatric mental health nurse practitioner Answer: d) Psychiatric mental health nurse practitioner Rationale: Psychiatric mental health nurse practitioners are advanced practice nurses who specialize in providing mental health assessments and interventions to patients. 22. What is a critical aspect of advanced practice nursing in terms of professional development and lifelong learning? a) Ignoring continuing education opportunities b) Failing to update clinical skills c) Engaging in ongoing learning activities d) Avoiding professional networking Answer: c) Engaging in ongoing learning activities Rationale: Advanced practice nurses must engage in lifelong learning activities to stay current on the latest research, technology, and best practices within their field. 23. Which of the following is a primary responsibility of a nurse practitioner in a primary care setting? a) Conducting emergency surgeries b) Providing routine preventive care c) Managing hospital finances d) Administering chemotherapy Answer: b) Providing routine preventive care Rationale: Nurse practitioners in primary care settings focus on providing routine preventive care to patients, such as health screenings, vaccinations, and chronic disease management. 24. What is a key component of advanced practice nursing in terms of cultural competency and diversity? a) Ignoring patients' cultural beliefs b) Advocating for cultural humility c) Failing to acknowledge healthcare disparities d) Avoiding intercultural communication Answer: b) Advocating for cultural humility Rationale: Advanced practice nurses must advocate for cultural humility and demonstrate cultural competency to effectively care for diverse patient populations and promote positive health outcomes. 25. Which of the following is a primary responsibility of a clinical nurse specialist in an acute care setting? a) Providing prenatal care b) Conducting psychotherapy sessions c) Managing complex patient cases d) Administering anesthesia Answer: c) Managing complex patient cases Rationale: Clinical nurse specialists in acute care settings are responsible for managing complex patient cases, providing expert clinical care and coordinating care across interdisciplinary teams. 26. What is a key competency for advanced practice nursing in terms of communication and collaboration? a) Working in isolation b) Ignoring input from colleagues c) Engaging in interdisciplinary collaboration d) Avoiding patient communication Answer: c) Engaging in interdisciplinary collaboration Rationale: Advanced practice nurses must engage in effective communication and collaboration with interdisciplinary teams, patients, and colleagues to deliver high-quality care and promote positive outcomes. 27. Which role in advanced practice nursing focuses on providing care to women during pregnancy, childbirth, and the postpartum period? a) Nurse practitioner b) Clinical nurse specialist c) Nurse midwife d) Nurse anesthetist Answer: c) Nurse midwife Rationale: Nurse midwives are advanced practice nurses who specialize in providing care to women during pregnancy, childbirth, and the postpartum period, focusing on maternal and newborn health. 28. What is a primary goal of advanced practice nursing in terms of leadership and professional development? a) Failing to mentor junior nurses b) Promoting ethical standards c) Ignoring professional growth opportunities d) Avoiding leadership roles Answer: b) Promoting ethical standards Rationale: Advanced practice nurses play a crucial role in promoting ethical standards, mentoring junior nurses, and demonstrating leadership in professional development to enhance healthcare outcomes. 29. Which of the following is a primary responsibility of a nurse anesthetist in a surgical setting? a) Providing mental health assessments b) Administering anesthesia c) Ordering diagnostic tests d) Coordinating patient care Answer: b) Administering anesthesia Rationale: Nurse anesthetists in surgical settings are responsible for managing pain, administering anesthesia, and monitoring patients during surgical procedures to ensure safe and successful outcomes.