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AGACNP Exam Review Questions with Verified Solutions

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AGACNP Exam Review Questions with Verified Solutions

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AGACNP Exam Review Questions with
Verified Solutions

You want to get more funding for your hospital's Rapid Response Team. How should
you present this issues to the committee?

A. Stress the importance of a team
B. Describe how to improve and expand the team - ANSWER-A. Stress the importance
of a team

What is the best way for the AGACNP to get involved in policy making?

A. Attend legislative days at the state capitol
B. Join a hospital committee
C. Write to your local congressman
D. Review literature and give more in-services - ANSWER-B. Join a hospital committee

What is the best way for the AGACNP to demonstrate and advocate for full scope of
practice?

A. Join a hospital committee
B. Petition the government
C. Bill for independent services
D. Start your own practice - ANSWER-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 - ANSWER-B. Cardiology office

What is the best way to advocate for gay and lesbian population in your area?

A. Participate at a high state or national level
B. Join a nonprofit advocacy group
C. Consider lobbying the government
D. Start at your facility - ANSWER-D. Start at your facility

Which of the following is most important to evaluate statistical significance when
reviewing the literature?

,A. Consider the sample size
B. Make sure the confident and interval is tight
C. See if the p-value is less than the a-coefficient
D. Determine the error rate - ANSWER-A. Consider the sample size

When closing a practice, the NP is required to do all of the following except:

A. Give the patient adequate time to find another provider
B. Keep all of the patient's records for a minimum of five years
C. Send a certified letter with a return receipt requested
D. Provide names of other providers for future care - ANSWER-C. Send a certified letter
with a return receipt requested

Which of the following components of an evidence based research process is the most
important for the NP to participate in?

A. Specifying methods of data collection
B. Formulating the hypothesis
C. Carefully reviewing the literature
D. Formulating the research problem - ANSWER-D. Formulating the research problem

A former patient of an NP is writing blog post, sending emails, distributing false,
accusatory statements about the NP's practice. Which of the following forms of
defamation is this?

A. Libel
B. Slander - ANSWER-A. Libel- written


(slander- oral)

Tell the patient's wife, for her protection, that her husband has HIV? - ANSWER-No, not
without his permission

How can the ANCP prepare to get involved in future mass casualty event? - ANSWER-
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? - ANSWER-
Medicaid

Your patient is worried about insurance coverage and asks for advice on Medicaid. You
instruct the patient that Medicaid: - ANSWER-Pays after insurance and third-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? - ANSWER-Veracity and Fidelity

Health literacy education level - ANSWER-8th grade

What is quality assurance? - ANSWER-process for evaluating the care of patients using
established stands of care to ensure quality

CPI measures what three measures to improve nursing? - ANSWER-Structure,
processes, and outcomes

But 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: - ANSWER-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? - ANSWER-An increased incidence of postoperative sternal wound infections

Goals set forth and healthy people 2020 by the united states department of health and
human services include: - ANSWER-Elimination of health disparities

Based on the individuals culture, ethnicity, and personal choices, the NP can optimize
the therapeutic partnership with the patient by: - ANSWER-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 coronary
artery disease, is being discharged. The adult gerontology acute care nurse practitioner
teaches the patient at the first point of contact for health care needs is the - ANSWER-
Primary care provider and cardiologist

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? -
ANSWER-A systemic review

What legislation allowed nurse practitioners to be recognized Medicare providers in all
geographical areas with their own provider number? - ANSWER-Balanced budget act

True/False: restraining an unwilling patient is grounds for malpractice? - ANSWER-
False, if they are a danger you can restrain

, Patient presents to the clinic for routine follow-up and passes out. You revive the patient
and admit overnight. Which of the following would qualify as incident-to-billing? -
ANSWER-Temperature and weight recording

The NP program initiated, primarily, because of what issue in healthcare at the time? -
ANSWER-Pediatric physician shortage

Elderly female 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? -
ANSWER-Ask for advance directives

Patient calls to complain about bills and states he has Medicare, which should cover all
costs. You explain: - ANSWER-Since you're healthy, exams are not covered.

Doctor calls from another center asking if you can tell him what kind of orders he should
give for maintenance of patient? - ANSWER-HIPPA. Tell to consult other Dr at SNF

Patient in the ER not doing well, primary doctor calls: - ANSWER-Give him information

NP working on ESRD research project. A colleague renal specialist asked for patient
info on your patients: - ANSWER-HIPPA breach

What enforces HIPPA? - ANSWER-Office of Civil Rights/ Department of Health and
Human Services

Who isn't covered by HIPPA? - ANSWER-Law enforcement/municipal offices/
CPS/schools, employers/Workmen's Comp., life insurance

If I insurance company calls to verify some patients appointments what do you do? -
ANSWER-You assume there's already a medical release signed by the patient and give
the requested information to them

What is benchmarking? - ANSWER-How institution compares with similar organizations

What is managed care? - ANSWER-Putting caps on payments

What is peer review? - ANSWER-timely, no anonymous & NP nows how peer review
will impact early evaluation

What is sensitivity? - ANSWER-the ability of a test to detect disease (POSITIVE)

What is specificity? - ANSWER-Negative r/o disease

What is reliability? - ANSWER-Consistency of a measurement, or the degree to which
an instrument measures the same way over time

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