ANCC AGACNP - FRANCES GUIDE REVIEW
EXAM QUESTIONS AND CORRECT ANSWERS
|LATEST UPLOAD |ALREADY GRADED A+
You want to get more funding for your hospital's Rapid Response Team. How should you present this
issue to the committee?
a. Stress importance of the team (look up evidence about how team affects outcomes)
b. Describe how to improve and expand the team - ANS -a. stress importance of team
What is the best way for the AGACNP to get involved in policy making?
a. attends legislative days at the state capitol
b. joins a hospital committee
c. writes your local congressman
d. review literature and give more in-services - ANS -b. join a hospital committee
What is the best way for the AGACNP to demonstrate and advocate for full scope of practice?
a. joins a hospital committee
b. petitions the government
c. bill for independent services
d. starts your own practice - ANS -c. bill for independent services
Which of the following is considered a high acuity role for the AGACNP?
a. primary care clinic
b. cardiology office
c. community health department
d. minute clinic - ANS -b. cardiology office
What is the best way to advocate for gay and lesbian population?
,a. participates in a high state or national level
b. joins a non-profit advocacy group
c. considers lobbying the government
d. start at your facility - ANS -d. start at your facility
Answers are worded differently. "decrease bias in healthcare" "create in-services in healthcare" "obtain
funding to increase access"
Which of the following is most important to evaluate statistical significance when reviewing the
literature?
a. considers the sample size
b. makes sure the confidence interval is tight
c. sees if the p-value is less than the alpha-coefficient
d. determines the error rate - ANS -a. consider the sample size
When closing a practice, the NP is required to do all of the following except
a. gives the patient adequate time to find another provider
b. keeps all of the patient's records for a minimum of five years
c. sends a certified letter with a return receipt requested
d. provides names of other providers for future care - ANS -c. send a certified letter with a return receipt
requested
Which of the following components of an evidenced based research process is the most important for
NP to participate in?
a. specifying methods of data collection
b. formulating the hypothesis
c. carefully reviewing the literature
d. formulating the research problem - ANS -d. formulating the research problem
A former pt. of an NP is writing blog posts, sending emails, and distributing false, accusatory statements
about the NP's practice. Which of the following forms of defamation is this?
,a. libel
b. slander - ANS -a. libel
Can you tell the patient's wife, for her protection, that her husband has HIV? - ANS -No, not without his
permission
How can the ANCP prepare to get involved in future mass casualty event? - ANS -Pre enroll in disaster
volunteer program
An 80-year-old male patient with dementia requires long-term care placement. To which funding agency
does the patient apply after "spending down" to qualify? - ANS -Medicaid
Your patient is worried about insurance coverage and asks you for advice on Medicaid. You instruct the
patient that Medicaid: - ANS -Pays after insurance and 3rd party payers have paid
You are giving a dinner presentation to a group. The pharmaceutical rep calls you the night before and
wants you to say that their drug is the only one that works. What ethical principles does this challenge? -
ANS -Veracity and fidelity
Health literacy - ANS -Average American: 8th grade level
Quality assurance - ANS -A process for evaluating the care of patients using established standards of
care to ensure quality
CPI - ANS -Measures structure, processes, and outcomes
A root cause analysis of a crisis situation in the ICU identified a lack of clinician-family communication as
the basis for the resulting adverse outcome. As part of the performance improvement plan, the NP is
asked to develop evidence-based policies to establish clinician-family communication standards in the
unit. These policies should include: - ANS -Guidelines for having discussions with family members that
are geared toward establishing treatment goals
, Which clinical scenario does the NP evaluate for a quality improvement process change? - ANS -An
increased incidence of postoperative sternal wound infections
Goals set forth in healthy people 2020 by the US department of Health and Human services include: -
ANS -elimination of health disparities (and increased QOL/LOL)
Based on the individual's culture, ethnicity, and personal choices, the NP can optimize the therapeutic
partnership with the patient by: - ANS -Tailoring his or her communication style to the patient's
preference
A 70-year-old patient with a history of DM, HTN, OAs, and a new diagnosis of CAD, is being discharged.
The adult-gerontology acute care NP teaches the patient that the first point of contact for health care
needs is the: - ANS -PCP
The NP is asked to provide evidence to the hospital administration about the safety of NP placing central
lines. Which resource provides the strongest level of evidence? - ANS -A systematic review (meta-
analysis)
What legislation allowed NPs to be recognized Medicare providers in all geographical areas with their
own provider number? - ANS -Balanced Budget act
True/false: restraining an unwilling patient is grounds for malpractice? - ANS -False, if they are a danger
you can restrain
Patient presents to the clinic for routine f/u and passes out. You revive the patient and admit overnight.
Which of the following would qualify as incident to billing? - ANS -Temperature and weight recording
The NP program initiated, primarily, because of what issue in healthcare at the time? - ANS -Pediatric
physician shortage
Elderly patient takes a turn for the worse. The husband is crying when you enter the room and begins
telling you what end-of-life care he prefers. What do you do? - ANS -Ask him to speak candidly with you
EXAM QUESTIONS AND CORRECT ANSWERS
|LATEST UPLOAD |ALREADY GRADED A+
You want to get more funding for your hospital's Rapid Response Team. How should you present this
issue to the committee?
a. Stress importance of the team (look up evidence about how team affects outcomes)
b. Describe how to improve and expand the team - ANS -a. stress importance of team
What is the best way for the AGACNP to get involved in policy making?
a. attends legislative days at the state capitol
b. joins a hospital committee
c. writes your local congressman
d. review literature and give more in-services - ANS -b. join a hospital committee
What is the best way for the AGACNP to demonstrate and advocate for full scope of practice?
a. joins a hospital committee
b. petitions the government
c. bill for independent services
d. starts your own practice - ANS -c. bill for independent services
Which of the following is considered a high acuity role for the AGACNP?
a. primary care clinic
b. cardiology office
c. community health department
d. minute clinic - ANS -b. cardiology office
What is the best way to advocate for gay and lesbian population?
,a. participates in a high state or national level
b. joins a non-profit advocacy group
c. considers lobbying the government
d. start at your facility - ANS -d. start at your facility
Answers are worded differently. "decrease bias in healthcare" "create in-services in healthcare" "obtain
funding to increase access"
Which of the following is most important to evaluate statistical significance when reviewing the
literature?
a. considers the sample size
b. makes sure the confidence interval is tight
c. sees if the p-value is less than the alpha-coefficient
d. determines the error rate - ANS -a. consider the sample size
When closing a practice, the NP is required to do all of the following except
a. gives the patient adequate time to find another provider
b. keeps all of the patient's records for a minimum of five years
c. sends a certified letter with a return receipt requested
d. provides names of other providers for future care - ANS -c. send a certified letter with a return receipt
requested
Which of the following components of an evidenced based research process is the most important for
NP to participate in?
a. specifying methods of data collection
b. formulating the hypothesis
c. carefully reviewing the literature
d. formulating the research problem - ANS -d. formulating the research problem
A former pt. of an NP is writing blog posts, sending emails, and distributing false, accusatory statements
about the NP's practice. Which of the following forms of defamation is this?
,a. libel
b. slander - ANS -a. libel
Can you tell the patient's wife, for her protection, that her husband has HIV? - ANS -No, not without his
permission
How can the ANCP prepare to get involved in future mass casualty event? - ANS -Pre enroll in disaster
volunteer program
An 80-year-old male patient with dementia requires long-term care placement. To which funding agency
does the patient apply after "spending down" to qualify? - ANS -Medicaid
Your patient is worried about insurance coverage and asks you for advice on Medicaid. You instruct the
patient that Medicaid: - ANS -Pays after insurance and 3rd party payers have paid
You are giving a dinner presentation to a group. The pharmaceutical rep calls you the night before and
wants you to say that their drug is the only one that works. What ethical principles does this challenge? -
ANS -Veracity and fidelity
Health literacy - ANS -Average American: 8th grade level
Quality assurance - ANS -A process for evaluating the care of patients using established standards of
care to ensure quality
CPI - ANS -Measures structure, processes, and outcomes
A root cause analysis of a crisis situation in the ICU identified a lack of clinician-family communication as
the basis for the resulting adverse outcome. As part of the performance improvement plan, the NP is
asked to develop evidence-based policies to establish clinician-family communication standards in the
unit. These policies should include: - ANS -Guidelines for having discussions with family members that
are geared toward establishing treatment goals
, Which clinical scenario does the NP evaluate for a quality improvement process change? - ANS -An
increased incidence of postoperative sternal wound infections
Goals set forth in healthy people 2020 by the US department of Health and Human services include: -
ANS -elimination of health disparities (and increased QOL/LOL)
Based on the individual's culture, ethnicity, and personal choices, the NP can optimize the therapeutic
partnership with the patient by: - ANS -Tailoring his or her communication style to the patient's
preference
A 70-year-old patient with a history of DM, HTN, OAs, and a new diagnosis of CAD, is being discharged.
The adult-gerontology acute care NP teaches the patient that the first point of contact for health care
needs is the: - ANS -PCP
The NP is asked to provide evidence to the hospital administration about the safety of NP placing central
lines. Which resource provides the strongest level of evidence? - ANS -A systematic review (meta-
analysis)
What legislation allowed NPs to be recognized Medicare providers in all geographical areas with their
own provider number? - ANS -Balanced Budget act
True/false: restraining an unwilling patient is grounds for malpractice? - ANS -False, if they are a danger
you can restrain
Patient presents to the clinic for routine f/u and passes out. You revive the patient and admit overnight.
Which of the following would qualify as incident to billing? - ANS -Temperature and weight recording
The NP program initiated, primarily, because of what issue in healthcare at the time? - ANS -Pediatric
physician shortage
Elderly patient takes a turn for the worse. The husband is crying when you enter the room and begins
telling you what end-of-life care he prefers. What do you do? - ANS -Ask him to speak candidly with you
