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NRNP 6531 Week 3 Knowledge Check; Advanced Nursing Practice Competencies, Knowledge Check.Questions and Answers..

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1.Angie is a new NP who just finished her FNP program. She is having a difficult time finding an FNP position in the rural area where she lives. So, since she was an ER nurse prior to her graduate program she decides to go back to the ER as an APRN. Does she meet the competency requirements for such a position? *A Ye . s 2.What is the main reason for using the REALM-SF instrument to evaluate health literacy? 3.A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated as a Level 1 ACO. What is part of this designation? Question 4 The Consensus Model identifies 3 core courses that all ANPs must take. All the following are Advanced core courses except: *A Public Health . B. Physiology C. Pharmacology Physical D. Assessment The care provided by APRNs is not limited by setting but by patient care needs. *True False 5.Which is the most appropriate research design for a Level III research study? 6.What was an important finding of the Advisory Board survey of 2014 about primary care preferences of patients? 7.To reduce adverse events associated with care transitions, the Centers for Medicare and Medicaid Service have implemented which policy? 8.The Consensus Model for APRN regulation consists of which of the following roles? 9. proposed by the various State Boards of Nursing must be approved by the state Legislatures. 10.In reviewing the Total Percentage of Body surface area for adult burn patients each, leg, arm and head are noted evaluated at 9%. 11.What is the initial approach when obtaining a biopsy of a potential malignant melanoma lesion? a. Avoid contact with the infected lesions. Elicit a positive Nikolsky sign to confirm the b. diagnosis. *c Perform direct immunofluorescence . microscopy. Prevent spread of the lesions to other areas of d. the skin. 13.When recommending an over-the-counter topical medication to treat a dermatologic condition, which instruction to the patient is important to enhance absorption of the drug? 14.Carbuncles are typically treated with systemic antibiotics. 15.Mild acne is treated only with topicals. 16.Steroids should be avoided in cases of suspected fungal etiology. 17.A patient comes to the clinic after being splashed with boiling water while cooking. The patient has partial thickness burns on both forearms, the neck, and the chin. What will the provider do? 18.A provider is considering an oral contraceptive medication to treat acne in an adolescent female. Which is an important consideration when prescribing this drug?

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1.Angie is a new NP who just finished her FNP program. She is having a difficult time finding
an FNP position in the rural area where she lives. So, since she was an ER nurse prior to her
graduate program she decides to go back to the ER as an APRN. Does she meet the
competency requirements for such a position?


*A Ye
s
.
No
B.
2.What is the main reason for using the REALM-SF instrument to evaluate health literacy?

a.It assesses numeracy skills.
It enhances patient–provider
a. communication.

*c It evaluates medical word recognition.
.
It measures technology knowledge.
d.
3.A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated
as a Level 1 ACO. What is part of this designation?

*a Bonuses based on achievement of
benchmarks
.
Care coordination for chronic diseases

Standards for minimum cash reserves Strict
requirements for financial
reporting



Question 4
The Consensus Model identifies 3 core courses that all ANPs must take. All the following are
Advanced core courses except:

*A Public Health
.
B. Physiology

C. Pharmacology
Physical
D. Assessment

The care provided by APRNs is not limited by setting but by patient care needs.

*True

,False
5.Which is the most appropriate research design for a Level III research study?

Epidemiological
a. studies

b. Experimental design
*c Qualitative studies
.
Randomized clinical
d. trials

6.What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients?

Associations with area
a. hospitals

b. Costs of ambulatory care
*c Ease of access to care
.
The ratio of providers to
d. patients

7.To reduce adverse events associated with care transitions, the Centers for Medicare and
Medicaid Service have implemented which policy?

Mandates for communication among primary caregivers and
hospitalists

Penalties for failure to perform medication reconciliations at time
of discharge

*c Reduction of payments for patients readmitted within 30 days
after discharge
.
Requirements for written discharge instructions for patients and
d. caregivers
8.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
9. proposed by the various State Boards of Nursing must be approved by the state
Legislatures.

*Tru
e
10.In reviewing the Total Percentage of Body surface area for adult burn patients each, leg,
arm
and head are noted evaluated at 9%.

*Tru
e
11.What is the initial approach when obtaining a biopsy of a potential malignant melanoma
lesion?

*a Excisional
biopsy
.
Punch biopsy
Shave biopsy
Wide excision


When assisting with a skin biopsy of a patient suspected of having bullous pemphigoid (BP) lesions, what will the
practitioner do?

a. Avoid contact with the infected lesions.
Elicit a positive Nikolsky sign to confirm the
b. diagnosis.


*c Perform direct immunofluorescence
microscopy.
.
Prevent spread of the lesions to other areas of
d. the skin.


13.When recommending an over-the-counter topical medication to treat a dermatologic
condition, which instruction to the patient is important to enhance absorption of the drug?

Apply a thick layer of medication over the affected
a. area.
A solution spray preparation will be more effective on
b. hairy areas.

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