Walden 6531 Primary Care
of Adults Across the Lifespan
Midterm Exam Spring 2023
/UPDATED April 2023
1. What is the purpose of clinical research trials in the spectrum of translational research?
Examination of safety and effectiveness of various interventions
2. What is the purpose of Level II research?
To describe relationships among characteristics or variables
3. The care provided by APRNs is not limited by setting but by patient care needs.
A. True
B. False
4. APRN Consensus Model/LACE include all except:
A. Licensure
B. Accreditation
C. Certification
D. It’s the one that stars with an E (Education)
5. All of the following are core quality competencies expected of APRNs except:
A. Uses best evidence to improve care
B. Assumes advanced leadership role
C. Applies skills in peer review to promote culture of excellence
D. Evaluates organizational structures to improved care –
6. What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients?
A. Associations with area hospitals
B. Costs of ambulatory care
C. Ease of access to care.
D. The ratio of providers to patients
,7. To reduce adverse events associated with care transitions, the Centers for Medicare and
Medicaid Service have implemented which policy?
A. Mandates for communication among primary caregivers and hospitalists
B. Penalties for failure to perform medication reconciliations at time of discharge
C. Reduction of payments for patients readmitted within 30 days after discharge
D. Requirements for written discharge instructions for patients and d. caregivers
8. Rules proposed by the various State Boards of Nursing must be approved by the state
Legislatures.
A. True
B. False
,9. To reduce adverse events associated with care transitions, the Centers for Medicare and
Medicaid Service have implemented which policy?
, 10. What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients?
11. The Consensus Model for APRN regulation consists of which of the following roles?
A. CNM
B. CRNA
C. APN
D. CNS
E All the Above
A, B & C F. only
12. In reviewing the Total Percentage of Body surface area for adult burn patients each, leg,
arm and head are noted evaluated at 9%.
A. True
B. False
13. What is the initial approach when obtaining a biopsy of a potential malignant melanoma
lesion?
A. Excisional biopsy
B. Punch biopsy
C. Shave biopsy
D. Wide excision
14. Which of the following are independent practice competencies for APRNs?
A. Prescribes medications
B. Functions as an independent practitioner
C. Employs screening and diagnostic strategies to arrive at diagnoses
D. Manages health/illness strategies of patients and families over time.
E. All the Above
F. A, C & D only
15. A female patient is diagnosed with androgenetic alopecia. Which medication will the
primary health care provider prescribe?
a. Anthralin
b. Cyclosporine
c. Finasteride
d Minoxidil
16. Agnes is a 72 y/o grandmother who comes to the clinic with an acute onset of severe eye
pain. She has been having headaches, nausea and vomiting, and seeing halos around
lights. Eye exam reveals cupping of optic nerve the pupil is oval and the cornea is cloudy.
Her most likely diagnosis is:
17. Mikey is a 19 y/o male who is brought to the clinic because he has a fever, sore throat,
pain on swallowing and mildly enlarged submandibular nodes. The most likely diagnosis
for Mikey is:
of Adults Across the Lifespan
Midterm Exam Spring 2023
/UPDATED April 2023
1. What is the purpose of clinical research trials in the spectrum of translational research?
Examination of safety and effectiveness of various interventions
2. What is the purpose of Level II research?
To describe relationships among characteristics or variables
3. The care provided by APRNs is not limited by setting but by patient care needs.
A. True
B. False
4. APRN Consensus Model/LACE include all except:
A. Licensure
B. Accreditation
C. Certification
D. It’s the one that stars with an E (Education)
5. All of the following are core quality competencies expected of APRNs except:
A. Uses best evidence to improve care
B. Assumes advanced leadership role
C. Applies skills in peer review to promote culture of excellence
D. Evaluates organizational structures to improved care –
6. What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients?
A. Associations with area hospitals
B. Costs of ambulatory care
C. Ease of access to care.
D. The ratio of providers to patients
,7. To reduce adverse events associated with care transitions, the Centers for Medicare and
Medicaid Service have implemented which policy?
A. Mandates for communication among primary caregivers and hospitalists
B. Penalties for failure to perform medication reconciliations at time of discharge
C. Reduction of payments for patients readmitted within 30 days after discharge
D. Requirements for written discharge instructions for patients and d. caregivers
8. Rules proposed by the various State Boards of Nursing must be approved by the state
Legislatures.
A. True
B. False
,9. To reduce adverse events associated with care transitions, the Centers for Medicare and
Medicaid Service have implemented which policy?
, 10. What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients?
11. The Consensus Model for APRN regulation consists of which of the following roles?
A. CNM
B. CRNA
C. APN
D. CNS
E All the Above
A, B & C F. only
12. In reviewing the Total Percentage of Body surface area for adult burn patients each, leg,
arm and head are noted evaluated at 9%.
A. True
B. False
13. What is the initial approach when obtaining a biopsy of a potential malignant melanoma
lesion?
A. Excisional biopsy
B. Punch biopsy
C. Shave biopsy
D. Wide excision
14. Which of the following are independent practice competencies for APRNs?
A. Prescribes medications
B. Functions as an independent practitioner
C. Employs screening and diagnostic strategies to arrive at diagnoses
D. Manages health/illness strategies of patients and families over time.
E. All the Above
F. A, C & D only
15. A female patient is diagnosed with androgenetic alopecia. Which medication will the
primary health care provider prescribe?
a. Anthralin
b. Cyclosporine
c. Finasteride
d Minoxidil
16. Agnes is a 72 y/o grandmother who comes to the clinic with an acute onset of severe eye
pain. She has been having headaches, nausea and vomiting, and seeing halos around
lights. Eye exam reveals cupping of optic nerve the pupil is oval and the cornea is cloudy.
Her most likely diagnosis is:
17. Mikey is a 19 y/o male who is brought to the clinic because he has a fever, sore throat,
pain on swallowing and mildly enlarged submandibular nodes. The most likely diagnosis
for Mikey is:
