Advanced Practice Nursing Exam 2026 Questions With
Complete Solutions
2005 Donabedian Model Correct Answers - usede to evaluate
quality of APRN care
- Three quality dimensions 1. structure 2. process 3. outcomes
- structure is care delivery context and factors that dictate how
providers and patients behave (setting in which care occurs)
- process is action taken in the delivery of health care (what is
actually done in giving and receiving care)
- outcome is the effect of health care on patients and populations
(effects of care on the health status of patients and populations)
- model is core of all other outcome measurments and role
impact models
- variables can be studied independently or as a model for
overall APRN practice
- Nursing role effectiveness model is based on this concept
Accountable Care Organizations (ACOs) Correct Answers -
organizations or structures that assume responsibilities for a
defined population of patients across a continuum of care, held
accountable through payments linked to value, reliable
performance measurements demonstrate savings are achieved
with imporvements in care
- key feature under reform of ACA
- desgined to support properly coordinated care within a network
(ensure patient care is coordinated and get right care at the right
time with goal of avoiding unnecessary duplication of services
and preventing medical errors)
- Successful ACOs share savings with Medicare Program
,- create a more integrated system that can coordinate better and
improve quality and managing costs created by ACA
- give APRN opportunity to demonstrate ability to diagnose,
manage, and coordinate care for every type of patient population
- shared savings program for ACOs 1. consumer assessment of
health care providers and systems (CAHPS) 2. care coordination
and patient safety 3. preventative health 4. at risk populations
Advanced Practice Nurse Roles Correct Answers 1. Nurse
Practitioner
2. Clinical Nurse Specialist
3. Certified Registered Nurse Anesthetist
4. Certified Nurse Midwife
APRN Practice Model Correct Answers - Consensus model?
- Hamric Integrative Model of Advanced Practice Nursing
- conceptual definition of APN and define characteristics that
include primary critera (graduate education, certification in
specialty, focus on Clinical practice with patients) and a set of
core competencies (direct clinical practice, collaboration,
guidance and coaching, evidence based practice, ethical decision
making, consultation, and leadership)
- key components: primary critera, seven advanced
competencies with direct care as the core, and environmental
and contextual factors that must be managed for APN to florish
- generic features of APN: 1. use of knowledge in practice 2.
critical thinking and analytic skills 3. clinical judgement and
decision making 4. professional leadership and clinical inquiry
5. coaching and mentoring 6. research skills 7. changing practice
- three sphere of influence aka literature review on CNS practice
to further support Hamric theory
, - first sphere (management of complex or vulnerable
populations) three Characteristics of expert direct care,
coordination of care and collaboration identified as essential &
Second sphere: (educationing and supporting interdisciplinary
staff) education, consultation and collaboration are important
&third sphere (influence) facilitating innovation and change
Benner's Seven Domains of Expert Nursing Practice Correct
Answers - from novice to expert
- based on expert practice of clinical nurses
- domains are a combination of roles, functions, and
competencies
- domains not completely differentiated so there is overlap
- domains: 1. helping role 2. administering and monitoring
therapeutic interventions and regiments 3. effective management
of rapidly changing situations 4. diagnostic and monitoring
function 5. teaching and coaching funtion 6. monitoring and
ensuring quality of health care practices 7. organizational and
work role copetencies
- is a conceptual model of practice
Bundle Payments and health care expenditures Correct Answers
- Also known as bundle payments
- Reimburstment of health care providers on the basis of
expected cost for clinically defined episodes of care
- "middle" ground between fee-for-service and capitation
- healthcare delivery system takes on financial risk of patient
- Forces system to enhance quality and coordination of care
- Incentivizes system to deliver care that truly meets the Triple
Aim
Complete Solutions
2005 Donabedian Model Correct Answers - usede to evaluate
quality of APRN care
- Three quality dimensions 1. structure 2. process 3. outcomes
- structure is care delivery context and factors that dictate how
providers and patients behave (setting in which care occurs)
- process is action taken in the delivery of health care (what is
actually done in giving and receiving care)
- outcome is the effect of health care on patients and populations
(effects of care on the health status of patients and populations)
- model is core of all other outcome measurments and role
impact models
- variables can be studied independently or as a model for
overall APRN practice
- Nursing role effectiveness model is based on this concept
Accountable Care Organizations (ACOs) Correct Answers -
organizations or structures that assume responsibilities for a
defined population of patients across a continuum of care, held
accountable through payments linked to value, reliable
performance measurements demonstrate savings are achieved
with imporvements in care
- key feature under reform of ACA
- desgined to support properly coordinated care within a network
(ensure patient care is coordinated and get right care at the right
time with goal of avoiding unnecessary duplication of services
and preventing medical errors)
- Successful ACOs share savings with Medicare Program
,- create a more integrated system that can coordinate better and
improve quality and managing costs created by ACA
- give APRN opportunity to demonstrate ability to diagnose,
manage, and coordinate care for every type of patient population
- shared savings program for ACOs 1. consumer assessment of
health care providers and systems (CAHPS) 2. care coordination
and patient safety 3. preventative health 4. at risk populations
Advanced Practice Nurse Roles Correct Answers 1. Nurse
Practitioner
2. Clinical Nurse Specialist
3. Certified Registered Nurse Anesthetist
4. Certified Nurse Midwife
APRN Practice Model Correct Answers - Consensus model?
- Hamric Integrative Model of Advanced Practice Nursing
- conceptual definition of APN and define characteristics that
include primary critera (graduate education, certification in
specialty, focus on Clinical practice with patients) and a set of
core competencies (direct clinical practice, collaboration,
guidance and coaching, evidence based practice, ethical decision
making, consultation, and leadership)
- key components: primary critera, seven advanced
competencies with direct care as the core, and environmental
and contextual factors that must be managed for APN to florish
- generic features of APN: 1. use of knowledge in practice 2.
critical thinking and analytic skills 3. clinical judgement and
decision making 4. professional leadership and clinical inquiry
5. coaching and mentoring 6. research skills 7. changing practice
- three sphere of influence aka literature review on CNS practice
to further support Hamric theory
, - first sphere (management of complex or vulnerable
populations) three Characteristics of expert direct care,
coordination of care and collaboration identified as essential &
Second sphere: (educationing and supporting interdisciplinary
staff) education, consultation and collaboration are important
&third sphere (influence) facilitating innovation and change
Benner's Seven Domains of Expert Nursing Practice Correct
Answers - from novice to expert
- based on expert practice of clinical nurses
- domains are a combination of roles, functions, and
competencies
- domains not completely differentiated so there is overlap
- domains: 1. helping role 2. administering and monitoring
therapeutic interventions and regiments 3. effective management
of rapidly changing situations 4. diagnostic and monitoring
function 5. teaching and coaching funtion 6. monitoring and
ensuring quality of health care practices 7. organizational and
work role copetencies
- is a conceptual model of practice
Bundle Payments and health care expenditures Correct Answers
- Also known as bundle payments
- Reimburstment of health care providers on the basis of
expected cost for clinically defined episodes of care
- "middle" ground between fee-for-service and capitation
- healthcare delivery system takes on financial risk of patient
- Forces system to enhance quality and coordination of care
- Incentivizes system to deliver care that truly meets the Triple
Aim
