TEST BANK for Advanced Practice
Nursing: Essential Knowledge for the
Profession 5th Edition by Susan M.
DeNisco
COMPLETE CHAPTERS 1-30 WITH RATIONALES| A+ GRADED
Page | 1
, Chapter1 Introduction to the Role of Advanced Practices Nursing
Multiple Choice
1. In which year did the American Association of College of Nursing (AACN) introduced the Doctorate
of Nursing Practice (DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
ACCURATE ANSWER: B
AACN introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs) to meet
challenges and standardize practice beyond master’s degree programs.
2. Which of the following is the best explanation for the creation of the Doctorate of Nursing Practice
(DNP) degree?
a. To compete against master’s degree programs
b. To ensure standardized curriculum ensuring independent practice
c. To validate APRN’s for financial reimbursement
d. To address increasing curriculum requirements of master’s degree programs
ACCURATE ANSWER: D
Although all answers are influenced by the DNP core competencies, the DNP program creation in 2004
by the AACN was designed to address curriculum requirements of master’s degree programs.
3. Which of the following was the first recognized area of advanced practice nursing?
a. Clinical Nurse Specialist
b. Family nurse practitioner
c. Pediatric nurse practitioner
d. Certified Registered Nurse Anesthetists
ACCURATE ANSWER: D
Page | 2
,In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the American
Association of Nurse Anesthetists (AANA) was the first recognized group promoting advanced nursing
practice. Agatha Hodgins founded the AANM at Lakeside Hospital in Cleveland, Ohio.
4. Which factor is broadly perceived to solidify and standardize the role of the APNs over the last 25
years?
a. Lack of access to health care providers
b. Standardized curriculum development
c. Payment for services
d. Societal forces
ACCURATE ANSWER: B
As the evolution of Advanced Practice Nursing advances specific specialties and needs are identified.
Through the evolution of organization and standardization these roles have solidified the APN’s role in
today’s health care environment.
5. During the formation of early APN roles in anesthesia, which of the following increased demand for
access to health care?
a. Poverty
b. War
c. Rural access to care
d. Availability of training
ACCURATE ANSWER: B
Earliest demand for nursing-provided anesthesia spiked during periods of war when numbers of
physicians were inadequate. The earliest records date back to the American Civil War with the
administration of chloroform. During World War I in 1917 more than 1000 nurses, some trained
anesthetists, traveled into battle. Other factors such as need for rural health care came later in the
validation and need for APNs.
Page | 3
, 6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, NY. He is
known for some of the earliest recruitment and specialized training of nurses in which of the following
roles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics
e. Family nursing
ACCURATE ANSWER: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists. This has
been regarded as the earliest training in nurse-provided anesthesia.
7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which purpose?
a. Access to health care of rural areas
b. Create inner-city nursing awareness
c. Provide the disadvantaged access to care
d. Establish guidelines for advanced nursing roles
ACCURATE ANSWER: C
The HHS was established to provide nursing services to immigrants and low-income patients and their
families in Manhattan. As resistance to nurse-provided care grew, standing orders were drafted from a
group of Lower East Side physicians thereby circumventing then-existing legal ramifications.
8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridge initially
provided Appalachia with nursing resources and which type of advanced nursing care?
a. Pediatric care
b. Anesthesia
c. Midwifery
d. Surgical services
Page | 4
Nursing: Essential Knowledge for the
Profession 5th Edition by Susan M.
DeNisco
COMPLETE CHAPTERS 1-30 WITH RATIONALES| A+ GRADED
Page | 1
, Chapter1 Introduction to the Role of Advanced Practices Nursing
Multiple Choice
1. In which year did the American Association of College of Nursing (AACN) introduced the Doctorate
of Nursing Practice (DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
ACCURATE ANSWER: B
AACN introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs) to meet
challenges and standardize practice beyond master’s degree programs.
2. Which of the following is the best explanation for the creation of the Doctorate of Nursing Practice
(DNP) degree?
a. To compete against master’s degree programs
b. To ensure standardized curriculum ensuring independent practice
c. To validate APRN’s for financial reimbursement
d. To address increasing curriculum requirements of master’s degree programs
ACCURATE ANSWER: D
Although all answers are influenced by the DNP core competencies, the DNP program creation in 2004
by the AACN was designed to address curriculum requirements of master’s degree programs.
3. Which of the following was the first recognized area of advanced practice nursing?
a. Clinical Nurse Specialist
b. Family nurse practitioner
c. Pediatric nurse practitioner
d. Certified Registered Nurse Anesthetists
ACCURATE ANSWER: D
Page | 2
,In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the American
Association of Nurse Anesthetists (AANA) was the first recognized group promoting advanced nursing
practice. Agatha Hodgins founded the AANM at Lakeside Hospital in Cleveland, Ohio.
4. Which factor is broadly perceived to solidify and standardize the role of the APNs over the last 25
years?
a. Lack of access to health care providers
b. Standardized curriculum development
c. Payment for services
d. Societal forces
ACCURATE ANSWER: B
As the evolution of Advanced Practice Nursing advances specific specialties and needs are identified.
Through the evolution of organization and standardization these roles have solidified the APN’s role in
today’s health care environment.
5. During the formation of early APN roles in anesthesia, which of the following increased demand for
access to health care?
a. Poverty
b. War
c. Rural access to care
d. Availability of training
ACCURATE ANSWER: B
Earliest demand for nursing-provided anesthesia spiked during periods of war when numbers of
physicians were inadequate. The earliest records date back to the American Civil War with the
administration of chloroform. During World War I in 1917 more than 1000 nurses, some trained
anesthetists, traveled into battle. Other factors such as need for rural health care came later in the
validation and need for APNs.
Page | 3
, 6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, NY. He is
known for some of the earliest recruitment and specialized training of nurses in which of the following
roles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics
e. Family nursing
ACCURATE ANSWER: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists. This has
been regarded as the earliest training in nurse-provided anesthesia.
7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which purpose?
a. Access to health care of rural areas
b. Create inner-city nursing awareness
c. Provide the disadvantaged access to care
d. Establish guidelines for advanced nursing roles
ACCURATE ANSWER: C
The HHS was established to provide nursing services to immigrants and low-income patients and their
families in Manhattan. As resistance to nurse-provided care grew, standing orders were drafted from a
group of Lower East Side physicians thereby circumventing then-existing legal ramifications.
8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridge initially
provided Appalachia with nursing resources and which type of advanced nursing care?
a. Pediatric care
b. Anesthesia
c. Midwifery
d. Surgical services
Page | 4
