Page 1 of 233
CMN 548 – Module 1 Exam 2026/2027 |
Verified Questions & Answers | Complete
Study Guide | University of South Alabama
Question 1
A 45-year-old patient presents with fatigue, weight gain, and
cold intolerance. Which advanced practice nursing action best
demonstrates the role of the nurse practitioner in primary
care?
A) Prescribe levothyroxine immediately based on symptoms
B) Order TSH and free T4 before initiating treatment
C) Refer the patient to endocrinology without workup
D) Recommend over-the-counter thyroid supplements
Correct Answer: B
Rationale: Evidence-based practice requires diagnostic
,Page 2 of 233
confirmation before treatment. Ordering labs aligns with
clinical guidelines for suspected hypothyroidism.
Question 2
Which theoretical framework most directly supports the
advanced practice nurse’s ability to integrate clinical expertise
with patient preferences?
A) Biomedical model
B) Patient-Centered Care Model
C) Nightingale’s Environmental Theory
D) Transactional Model of Stress
Correct Answer: B
Rationale: The Patient-Centered Care Model emphasizes
shared decision-making, respect for patient values, and
integration of clinical evidence with individual preferences.
,Page 3 of 233
Question 3
Scenario: A 62-year-old male with hypertension and diabetes
misses his last two appointments. His BP is 158/94 mmHg
today. He reports forgetting to take medications. What is the
priority APRN action?
A) Double the next dose of his lisinopril
B) Assess barriers to medication adherence
C) Switch to a different antihypertensive class
D) Schedule a home health nursing visit
Correct Answer: B
Rationale: Assessing barriers (cost, cognition, side effects,
routine) is the first step before changing therapy or dosing.
Question 4
Which component is required in all written collaborative
agreements for nurse practitioners in Alabama?
A) Direct on-site physician supervision for every patient
, Page 4 of 233
B) A designated backup physician available by phone
C) Monthly chart review by a physician
D) Prescriptive authority limited to 30-day supplies
Correct Answer: B
Rationale: Alabama requires a collaborative agreement with a
physician who is accessible for consultation, though not
necessarily on-site.
Question 5
A 28-year-old female requests hormonal contraception. She
has migraines with aura. Which action is correct?
A) Prescribe combined oral contraceptive pill
B) Prescribe progestin-only pill
C) Order neuroimaging before any contraception
D) Refer to neurology for clearance
Correct Answer: B
Rationale: Combined oral contraceptives are contraindicated in
CMN 548 – Module 1 Exam 2026/2027 |
Verified Questions & Answers | Complete
Study Guide | University of South Alabama
Question 1
A 45-year-old patient presents with fatigue, weight gain, and
cold intolerance. Which advanced practice nursing action best
demonstrates the role of the nurse practitioner in primary
care?
A) Prescribe levothyroxine immediately based on symptoms
B) Order TSH and free T4 before initiating treatment
C) Refer the patient to endocrinology without workup
D) Recommend over-the-counter thyroid supplements
Correct Answer: B
Rationale: Evidence-based practice requires diagnostic
,Page 2 of 233
confirmation before treatment. Ordering labs aligns with
clinical guidelines for suspected hypothyroidism.
Question 2
Which theoretical framework most directly supports the
advanced practice nurse’s ability to integrate clinical expertise
with patient preferences?
A) Biomedical model
B) Patient-Centered Care Model
C) Nightingale’s Environmental Theory
D) Transactional Model of Stress
Correct Answer: B
Rationale: The Patient-Centered Care Model emphasizes
shared decision-making, respect for patient values, and
integration of clinical evidence with individual preferences.
,Page 3 of 233
Question 3
Scenario: A 62-year-old male with hypertension and diabetes
misses his last two appointments. His BP is 158/94 mmHg
today. He reports forgetting to take medications. What is the
priority APRN action?
A) Double the next dose of his lisinopril
B) Assess barriers to medication adherence
C) Switch to a different antihypertensive class
D) Schedule a home health nursing visit
Correct Answer: B
Rationale: Assessing barriers (cost, cognition, side effects,
routine) is the first step before changing therapy or dosing.
Question 4
Which component is required in all written collaborative
agreements for nurse practitioners in Alabama?
A) Direct on-site physician supervision for every patient
, Page 4 of 233
B) A designated backup physician available by phone
C) Monthly chart review by a physician
D) Prescriptive authority limited to 30-day supplies
Correct Answer: B
Rationale: Alabama requires a collaborative agreement with a
physician who is accessible for consultation, though not
necessarily on-site.
Question 5
A 28-year-old female requests hormonal contraception. She
has migraines with aura. Which action is correct?
A) Prescribe combined oral contraceptive pill
B) Prescribe progestin-only pill
C) Order neuroimaging before any contraception
D) Refer to neurology for clearance
Correct Answer: B
Rationale: Combined oral contraceptives are contraindicated in
