Advanced Nursing Practice
Exam Questions
Course Introduction
Advanced Nursing Practice is designed to expand the clinical knowledge, skills, and decision-making abilities of registered nurses, preparing them for roles as nurse practitioners, clinical nurse specialists, nurse anesthetists, or nurse midwives. The course covers advanced health assessment, pathophysiology, pharmacology, diagnostic reasoning, and evidence-based interventions across diverse populations. Emphasis is placed on leadership, interdisciplinary collaboration, and ethical practice in complex healthcare environments. Through a combination of theoretical instruction and hands-on clinical experiences, students develop the competencies required to provide comprehensive, high-quality care, manage acute and chronic conditions, and influence health policy and systems change.
Recommended Textbook
Quality and Safety for Transformational Nursing Core Competencies 1st Edition by Kim Amer
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12 Chapters
191 Verified Questions
191 Flashcards
Source URL: https://quizplus.com/study-set/3561
Page 2
Chapter 1: Risk and Threats to Safe Quality Care in Hospital Settings
Available
16
16 Flashcards
Source URL: https://quizplus.com/quiz/70711
Sample Questions
Q1) The health care organization is investigating ways to reduce the number of medication errors. Which action has been identified as a strategy to dramatically reduce medication errors?
A) Bar coding medication delivery
B) Locking medication carts when not in use
C) Restricting access to controlled substances
D) Sharing medication carts when preparing doses Correct
Answer: A
Q2) The nurse manager is notified about an error that occurred in patient care. Why will the manager perform a root cause analysis of this error?
A) Identifies who made the error
B) Traces events that led to the error
C) Suggests punitive actions for the error
D) Ensures similar errors will not be reported Correct
Answer: B
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Chapter 2: Quality and Safety Models
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70712
Sample Questions
Q1) A healthcare organization is striving to improve the quality of patient care; however, the medical director is opposed to making changes. What action could a nurse manager take to help improve quality on one patient care area?
A) Implement multidisciplinary meetings.
B) Encourage nursing staff to follow policies.
C) Remind care givers to thoroughly document.
D) Identify physician issues that are problematic. Correct
Answer: A
Q2) The director of nursing is considering using Amer's Hybrid Model of Change to improve the quality of patient care. When analyzing this model, what information will the director need to make an objective assessment of the current situation?
A) Number of nursing staff
B) Staffing budget
C) Current culture
D) Turn-over rates Correct
Answer: C
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Page 4
Chapter 3: Transition to Practice: an Essential Element of
Quality and Safety
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70713
Sample Questions
Q1) The nurse manager is analyzing why the number of medication errors and patient safety issues has significantly increased over the early summer months. What would be the reason for this increase? Standard Text: Select all that apply.
A) Experiencing a patient care problem for the first-time
B) New nurses not being aware of the big picture
C) Extreme disciplinary action by the preceptors
D) Lack of knowledge about unit work flows
E) Novices assisting novices Correct
Answer: A,B,D,E
Q2) A nursing leader is having difficulty convincing hospital administrators to implement a transition to practice program for nurses. Which information about evidence-based practice would add to the leader's difficulty?
A) Evidence-based practice integrates clinical expertise with patient values.
B) Evaluation studies are available to use as evidence for the program.
C) Expert opinions are available to use as evidence for the program.
D) There are few randomized studies available to support the program. Correct
Answer: D
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Chapter 4: Power, Empowerment, and Change in Nursing and Health Care
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/70714
Sample Questions
Q1) The staff nurse is researching professional nursing organizations that focus on social justice. What would be the purpose for the nurse to join this type of organization?
A) Improve the quality of patient care
B) Recognize ways to make changes
C) Reduce the incidence of medical errors
D) Support oppressed members of society Correct
Q2) The nurse observes a physician provide a cursory examination of an older patient. Afterwards the physician is overheard saying that healthcare dollars are scarce yet they are being spent on people who are going to die anyway. The nurse identifies this physician's behavior as violating which concept of the Power Theory?
A) Awareness
B) Freedom
C) Choice
D) Action
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6
Chapter 5: Quality and Safety Education Strategies
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70715
Sample Questions
Q1) The nurse manager is evaluating the performance of a new graduate nurse who has been participating in the transition to practice program. What strengths would the nurse manager most likely assess in the new graduate nurse? Standard Text: Select all that apply.
A) Rapport with patients and families
B) Respect for cultural diversity
C) Delegation of tasks
D) Conflict resolution
E) Customer service Correct
Q2) The nurse manager is evaluating the success of the Transforming Care at the Bedside program implemented on a patient care area. Which would the nurse manager identify as being a desirable outcome of patient-centered care?
A) Increase in patient satisfaction
B) Reduction in medication errors
C) Increased family satisfaction
D) Reduced staff turnover Correct
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Chapter 6: Evaluating a Program: Metrics and Stakeholders
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70716
Sample Questions
Q1) The nurse manager is concerned that the staff is not exposed to many skills that have been instructed by the staff development department. Which can be done to ensure the staff is able to perform the skill should the situation arise in patient care?
A) Schedule monthly review sessions.
B) Assign two staff nurses to complete each technical skill.
C) Assign staff to review the procedure manual each shift.
D) Design an annual competency evaluation with the staff development department. Correct
Q2) An organization is referring to the Institute of Medicine's goals when identifying metrics to measure patient safety. Which goals would the organization most likely select as metrics? Standard Text: Select all that apply.
A) Equitable
B) Morbidity
C) Length of stay
D) Bedside manner
E) Number of staff Correct
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8
Chapter 7: Interprofessional Team Building
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70717
Sample Questions
Q1) The nurse manager is determining reasons why the goal of safe quality patient care is not being achieved. Which factors would the manager identify as deterrents to safe quality care? Standard Text: Select all that apply.
A) Authoritative attitude of physicians toward nurses
B) Poor integration about common concepts of care
C) Minimization of the nurses' role in patient care
D) Adherence to procedures is substandard
E) Poor communication Correct
Q2) The administrator of a healthcare organization that utilizes interprofessional collaboration is struggling with reduced income and decides that staffing cuts need to occur. When planning these cuts what issue must remain the central focus?
A) Support of the stakeholders
B) Achievement of goals
C) Patient well-being
D) Staff support Correct
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9
Chapter 8: Transforming Care at the Bedside Tcab
Source URL: https://quizplus.com/quiz/70718
Sample Questions
Q1) Transforming Care at the Bedside was recently implemented on a patient care area. Which initial outcome is an indication that safe and reliable care is being implemented on this care area?
A) Increase in reporting of adverse events
B) Decrease in reporting of adverse events
C) Increase in medication errors
D) Decrease in patient complaints of pain Correct
Q2) The nurse manager is evaluating the impact of Transforming Care at the Bedside on a patient care area. Which statement indicates the program is being well-received by the nursing staff?
A) "This is just one more way to keep nurses quiet."
B) "I feel respected when I provide patient care."
C) "No one listens to my complaints anymore."
D) "It will be done for a while and then fade away." Correct
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Chapter 9: Informatics and Nursing: Using Technology to Improve Quality
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70719
Sample Questions
Q1) A graduate student in informatics is reviewing topics for a scholarly paper. Which topic would focus on safety with information systems?
A) Ease of implementation of an electronic health record in a skilled nursing facility
B) Changes in the number of medication errors after the implementation of an electronic health record
C) Effectiveness of technology support personnel during the implementation of an electronic health record
D) Characteristics of learners who demonstrate ease of use after training on an electronic health record Correct
Q2) A healthcare organization is investigating the implementation of video technology to support patient care in the home. What would be potential outcomes from the use of this technology? Standard Text: Select all that apply.
A) Improved patient health
B) Cost savings for the patient and organization
C) Enhanced patient support for healthcare needs
D) Less travel costs for the patient and care provider
E) Reduction in the number of staff needed for patient care Correct
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Chapter 10: Patient-Centered Care
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70720
Sample Questions
Q1) A patient from another culture is demonstrating noncompliance with prescribed medical treatment. What could be contributing to this patient's behavior?
A) Using an interpreter for communication
B) Including the family in the patient's care
C) Speaking up for the patient's preferences
D) Focusing on task completion Correct
Q2) The nurse is coordinating the care of a patient whose spouse will be in the hospital when the patient is discharged home. What will the nurse do to ensure a smooth transition to community for the patient?
A) Suggest the patient stay hospitalized until the spouse is able to return to home.
B) Recommend the patient be placed in an extended care facility for further recuperation.
C) Identify who can help the patient at home until the spouse is discharged from the hospital.
D) Call the patient's daughter and explain that the patient will need care at home.
Correct
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Chapter 11: Quality Health Care, Policy and Law
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70721
Sample Questions
Q1) The nurse observes a physician provide twice the recommended dose of pain medication to a patient with a terminal illness. What should the nurse do about this situation?
A) Ask the physician why the medication was provided.
B) Report the physician to the medical director.
C) Focus on the best response for the patient.
D) Do nothing. Correct
Q2) A Shared Governance committee is working on a project that focuses on ethical behavior. What would the committee identify as an instrument to ensure ethical behavior when providing patient care?
A) Individual practice
B) Graduate education
C) Years of experience
D) Continuing education Correct
Q3) After providing morning medications the nurse realizes that a medication error was made. What should the nurse do?
A) Evaluate the patient for effects of the medication error.
B) Document that medications were switched between patients.
C) Encourage the patient to ingest more water throughout the day.
D) Tell the truth and report the medication error according to policy. Correct
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Chapter 12: Future-Focused Quality Nursing
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70722
Sample Questions
Q1) The nurse manager asks a staff nurse to think about a situation and analyze personal behaviors. Which multiplier is this manager practicing?
A) Investor
B) Liberator
C) Challenger
D) Talent magnet Correct
Q2) While conducting a health history the nurse listens to the patient describe manifestations of an illness. What purpose does listening serve?
A) Learning occurs through listening
B) Provides time to formulate questions
C) Communicates interest to the patient
D) Ensures a thorough assessment Correct
Q3) A nurse in graduate school wants to secure a position as a nurse executive upon graduation. Which action would the nurse use to learn more about the work of a nurse executive?
A) Ask to sit on a committee lead by a nurse executive.
B) Study literature about nursing economics.
C) Learn the budgeting process.
D) Read articles about the role. Correct
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