AGACNP Certification Exam Prep
2026/2027 – Adult-Gerontology Acute
Care, NP Practice, and Practice
Questions Test Bank
Scope of Practice - ANSWER-Based on legal allowances in each state, individual
state nurse practice acts providing guidelines for nursing practice
Key elements of the NP role include - ANSWER-integration of care across the acute
illness continuum with collaboration and coordination of care; research based
clinical practices, clinical leadership, family assessment, and discharge planning
Standards of Advanced Practice are delineated by... - ANSWER-American Nurses
Association which measure quality of practice, service, or education
State Practice Acts - ANSWER-Authorize Boards of Nursing in each state to
establish statutory authority for licensure of RNs
State Practice Acts - authority includes: - ANSWER-use of title, authorization for
scope of practice including prescriptive authority, and disciplinary grounds
States vary in practice requirements, such as - ANSWER-certification
,Prescriptive authority - ANSWER-Ability and extent of NPs ability to prescribe
meds
DEA has ruled that nurses in advanced practice may obtain.. - ANSWER-
registration numbers, state practice acts dictate level of prescriptive authority
allowed
Credentials encompass... - ANSWER-required education, licensure and
certification to practice as an NP
Credentials establish... - ANSWER-minimal levels of acceptable performance
Credentialing is necessary to: - ANSWER-ensure that safe healthcare is provided
by qualified individuals; comply with federal and state laws r/t APN
Credentials also... - ANSWER-acknowledges the scope of practice of NP, mandates
accountability, enforces professional standards for practice
Licensure - ANSWER-establishes that a person is qualified to perform in a
particular professional role
Licensure is granted as defined by rules and regulations set forth by - ANSWER-a
governmental regulatory body (ie. state board of nursing)
,Certification - ANSWER-Person has met certain standards that signify mastery of
specialized knowledge
Certification is granted by nongovernmental agencies such as - ANSWER-ANCC,
AANP
Admitting privileges to hospitals (non physican) were granted - ANSWER-1983 by
JC
Credentialing and privileging - ANSWER-process which an NP is granted
permission to practice in an inpt setting
Credentialing with hospital privileges is granted by a - ANSWER-Hospital
Credentialing Committee
Pt Medical Abandoment - ANSWER-When caregiver-pt relationship is terminated
w/o making reasonable arrangements w an appropriate person so that care can
be continued
Determination of pt abandonment depends on factors such as: - ANSWER-
Whether NP accepted pt assignment, whether NP provided reasonable notice
before termination, whether reasonable arrangements could have been made
Following do not constitute pt abandonment - ANSWER-NP refuses to accept
responsibility for pt assignment when NP has given reasonable notice to proper
authority that NP lacks competence to carry out assignment; NP refuses
, assignment of a double shift or addtl hrs beyond posted work schedule when
proper notification has been given..latter phrase can be controversial
Risk Mgmt - ANSWER-Systematic effort to reduce risk begins w formal written risk
mgmt plan that includes: organizations goals, delineation of program's scope,
components, methods; delegating responsibility for implementation and
enforcement; demonstrating commitment by the board; confidentiality and
immunity from retaliation for those who report sensitive info
Most common method of documentation for risk mgmt - ANSWER-incident
reports
Policies regarding incident reports should address: - ANSWER-ppl authorized to
complete report; ppl responsible for review of a report, immediate actions
needed to minimize the effects of the event; ppl responsible for follow up; plan for
monitoring aftermath; security/storage of completed report
Risk mgmt - Satisfaction surveys - ANSWER-Important for identifying problems
before they develop into incidents or claims; for pts and employees
Risk mgmt - Complaints: Risk mgmt plan should delineate tracking, analyzing, and
managing complaints by clearly identifying: - ANSWER-ppl notified after receiving
complaint; ppl responsible for responding; ppl responsible for monitoring follow
up
Action taking initiatives: - ANSWER-Prevention, correction (corrective steps must
be monitored and audited), documentation, education, departmental
coordination
2026/2027 – Adult-Gerontology Acute
Care, NP Practice, and Practice
Questions Test Bank
Scope of Practice - ANSWER-Based on legal allowances in each state, individual
state nurse practice acts providing guidelines for nursing practice
Key elements of the NP role include - ANSWER-integration of care across the acute
illness continuum with collaboration and coordination of care; research based
clinical practices, clinical leadership, family assessment, and discharge planning
Standards of Advanced Practice are delineated by... - ANSWER-American Nurses
Association which measure quality of practice, service, or education
State Practice Acts - ANSWER-Authorize Boards of Nursing in each state to
establish statutory authority for licensure of RNs
State Practice Acts - authority includes: - ANSWER-use of title, authorization for
scope of practice including prescriptive authority, and disciplinary grounds
States vary in practice requirements, such as - ANSWER-certification
,Prescriptive authority - ANSWER-Ability and extent of NPs ability to prescribe
meds
DEA has ruled that nurses in advanced practice may obtain.. - ANSWER-
registration numbers, state practice acts dictate level of prescriptive authority
allowed
Credentials encompass... - ANSWER-required education, licensure and
certification to practice as an NP
Credentials establish... - ANSWER-minimal levels of acceptable performance
Credentialing is necessary to: - ANSWER-ensure that safe healthcare is provided
by qualified individuals; comply with federal and state laws r/t APN
Credentials also... - ANSWER-acknowledges the scope of practice of NP, mandates
accountability, enforces professional standards for practice
Licensure - ANSWER-establishes that a person is qualified to perform in a
particular professional role
Licensure is granted as defined by rules and regulations set forth by - ANSWER-a
governmental regulatory body (ie. state board of nursing)
,Certification - ANSWER-Person has met certain standards that signify mastery of
specialized knowledge
Certification is granted by nongovernmental agencies such as - ANSWER-ANCC,
AANP
Admitting privileges to hospitals (non physican) were granted - ANSWER-1983 by
JC
Credentialing and privileging - ANSWER-process which an NP is granted
permission to practice in an inpt setting
Credentialing with hospital privileges is granted by a - ANSWER-Hospital
Credentialing Committee
Pt Medical Abandoment - ANSWER-When caregiver-pt relationship is terminated
w/o making reasonable arrangements w an appropriate person so that care can
be continued
Determination of pt abandonment depends on factors such as: - ANSWER-
Whether NP accepted pt assignment, whether NP provided reasonable notice
before termination, whether reasonable arrangements could have been made
Following do not constitute pt abandonment - ANSWER-NP refuses to accept
responsibility for pt assignment when NP has given reasonable notice to proper
authority that NP lacks competence to carry out assignment; NP refuses
, assignment of a double shift or addtl hrs beyond posted work schedule when
proper notification has been given..latter phrase can be controversial
Risk Mgmt - ANSWER-Systematic effort to reduce risk begins w formal written risk
mgmt plan that includes: organizations goals, delineation of program's scope,
components, methods; delegating responsibility for implementation and
enforcement; demonstrating commitment by the board; confidentiality and
immunity from retaliation for those who report sensitive info
Most common method of documentation for risk mgmt - ANSWER-incident
reports
Policies regarding incident reports should address: - ANSWER-ppl authorized to
complete report; ppl responsible for review of a report, immediate actions
needed to minimize the effects of the event; ppl responsible for follow up; plan for
monitoring aftermath; security/storage of completed report
Risk mgmt - Satisfaction surveys - ANSWER-Important for identifying problems
before they develop into incidents or claims; for pts and employees
Risk mgmt - Complaints: Risk mgmt plan should delineate tracking, analyzing, and
managing complaints by clearly identifying: - ANSWER-ppl notified after receiving
complaint; ppl responsible for responding; ppl responsible for monitoring follow
up
Action taking initiatives: - ANSWER-Prevention, correction (corrective steps must
be monitored and audited), documentation, education, departmental
coordination
