AOCNP Exam Review Questions with Verified
Correct Answers
CHPT 1
Roles of the Advanced Practice Nurse in Oncology
There are four major APN roles
• Certified registered nurse anesthetist (CRNA)
• Certified nurse-midwife (CNM)
• CNS
• NP
To standardize training and education requirements across the nation, the Consensus
Model has endorsed the LACE initiative:
licensure, accreditation, certification, and education
Education must also include the "3 P's
advanced pathophysiology, advanced physical assessment, and advanced pharmacology
Oncology Nurse Practitioner Competencies
• Assessment • Diagnosis • Intervention • Outcomes assessment • Health promotion and
education • Ethics and culturally congruent care • Communication • Leadership • Evidence-
based practice and research • Professional practice evaluation • Resource utilization • Quality
of practice
Oncology APN roles encompass several elements that complement their unique clini-cal
expertise
leader, mentor, educator, researcher, change agent, and consultant.
,Leadership can be viewed from several perspectives. Rigolosi (2013) suggested that
lead-ership is
the use of communication processes to influence the activities of an individual or group
toward the attainment of a goal.
Within each leadership competency,
oncology APNs can transition among three levels
individual, group, and governance
Oncology APNs may provide consultation on these common topics:
• Oncologic emergency management • Symptom management • Medication administration
and side effects • Oncology diagnosis-specific information • Ethical concerns • Treatment
management in the context of patient prognosis
The additional competencies include four spheres of care
systems-based practice, informatics and technology, academic-practice partnerships, and
career-long learning.
CHAPTER 2
Professional Practice
The four roles recognized as APNs are the
certified nurse practitioner (NP), clinical nurse specialist (CNS), certified nurse midwife
(CNM), and certified registered nurse anesthetist (CRNA)
The role of the NP was developed to provide primary care for the __________________
underserved
,The Oncology Nursing Society (ONS) recognizes that ________and_________have
unique roles and areas of specialization within oncology healthcare practice
CNs and NPs
American Nurses Association's (2021) __________________ provides the foundation for
organizations to define practice within their specialty and patient populations.
Nursing: Scope and Standards of Practice
APN regulation is achieved on the state level through licensure and administered by
state governments to ensure public safety. However, APNs working for the
_______________________ are exempt from state regulation
Veterans Health Administration
On January 13, 2017, the Veterans Health Administration allowed
__________________for NPs and CNSs when acting within the scope of their Veterans
Affairs employment (Advanced practice registered nurses, 2016)
full practice authority
Medical billing and coding are necessary to ensure that healthcare providers are
promptly compensated for the medical and clinical services provided to patients.
Reimbursement is complex, and each of the following five primary third-party payers
requires lengthy discus-sion (Buppert, 2021):
• Commercial (e.g., Aetna, Cigna, Anthem, United Healthcare)
• Private (e.g., Blue Cross Blue Shield)
• Government (Medicare, Medicaid, Tricare)
• Managed-care organizations (MCOs)
• Employers
, Aside from the educational, board certification, and licensure requirements, NPs and
CNSs must obtain three other identifiers to be eligible for reimbursement from a third-
party payer:
national provider identifier (NPI)
employer number (where the services are provided) credentialing by third-party payers.
Medicare is a federal program administered nationally by CMS and locally by
Medicare administrative contractors. Medicare covers two groups:
individuals 65 years or older who have enrolled and pay premiums and disabled individuals
who qualify for Social Security dis-ability payments and benefits
All reimbursable services have a _______1______, and all _____1______ have a
corresponding Medicare fee.
CPT code
Under Medicare, APNs may be reimbursed at a rate of 85% of the Physician Fee
Schedule, which is determined by a system known as a
resource-based relative value scale (RBRVS).
To serve a Medicaid patient enrolled in an MCO, an APN must apply and be admitted
to the provider panel of the patient's MCO. To bill for services, an APN must submit
form ________________ to the state Medicaid agency, completed with the patient's
name and identifying information, ICD code, CPT code, charges, and APN's name,
provider number, and location
CMS-1500
Correct Answers
CHPT 1
Roles of the Advanced Practice Nurse in Oncology
There are four major APN roles
• Certified registered nurse anesthetist (CRNA)
• Certified nurse-midwife (CNM)
• CNS
• NP
To standardize training and education requirements across the nation, the Consensus
Model has endorsed the LACE initiative:
licensure, accreditation, certification, and education
Education must also include the "3 P's
advanced pathophysiology, advanced physical assessment, and advanced pharmacology
Oncology Nurse Practitioner Competencies
• Assessment • Diagnosis • Intervention • Outcomes assessment • Health promotion and
education • Ethics and culturally congruent care • Communication • Leadership • Evidence-
based practice and research • Professional practice evaluation • Resource utilization • Quality
of practice
Oncology APN roles encompass several elements that complement their unique clini-cal
expertise
leader, mentor, educator, researcher, change agent, and consultant.
,Leadership can be viewed from several perspectives. Rigolosi (2013) suggested that
lead-ership is
the use of communication processes to influence the activities of an individual or group
toward the attainment of a goal.
Within each leadership competency,
oncology APNs can transition among three levels
individual, group, and governance
Oncology APNs may provide consultation on these common topics:
• Oncologic emergency management • Symptom management • Medication administration
and side effects • Oncology diagnosis-specific information • Ethical concerns • Treatment
management in the context of patient prognosis
The additional competencies include four spheres of care
systems-based practice, informatics and technology, academic-practice partnerships, and
career-long learning.
CHAPTER 2
Professional Practice
The four roles recognized as APNs are the
certified nurse practitioner (NP), clinical nurse specialist (CNS), certified nurse midwife
(CNM), and certified registered nurse anesthetist (CRNA)
The role of the NP was developed to provide primary care for the __________________
underserved
,The Oncology Nursing Society (ONS) recognizes that ________and_________have
unique roles and areas of specialization within oncology healthcare practice
CNs and NPs
American Nurses Association's (2021) __________________ provides the foundation for
organizations to define practice within their specialty and patient populations.
Nursing: Scope and Standards of Practice
APN regulation is achieved on the state level through licensure and administered by
state governments to ensure public safety. However, APNs working for the
_______________________ are exempt from state regulation
Veterans Health Administration
On January 13, 2017, the Veterans Health Administration allowed
__________________for NPs and CNSs when acting within the scope of their Veterans
Affairs employment (Advanced practice registered nurses, 2016)
full practice authority
Medical billing and coding are necessary to ensure that healthcare providers are
promptly compensated for the medical and clinical services provided to patients.
Reimbursement is complex, and each of the following five primary third-party payers
requires lengthy discus-sion (Buppert, 2021):
• Commercial (e.g., Aetna, Cigna, Anthem, United Healthcare)
• Private (e.g., Blue Cross Blue Shield)
• Government (Medicare, Medicaid, Tricare)
• Managed-care organizations (MCOs)
• Employers
, Aside from the educational, board certification, and licensure requirements, NPs and
CNSs must obtain three other identifiers to be eligible for reimbursement from a third-
party payer:
national provider identifier (NPI)
employer number (where the services are provided) credentialing by third-party payers.
Medicare is a federal program administered nationally by CMS and locally by
Medicare administrative contractors. Medicare covers two groups:
individuals 65 years or older who have enrolled and pay premiums and disabled individuals
who qualify for Social Security dis-ability payments and benefits
All reimbursable services have a _______1______, and all _____1______ have a
corresponding Medicare fee.
CPT code
Under Medicare, APNs may be reimbursed at a rate of 85% of the Physician Fee
Schedule, which is determined by a system known as a
resource-based relative value scale (RBRVS).
To serve a Medicaid patient enrolled in an MCO, an APN must apply and be admitted
to the provider panel of the patient's MCO. To bill for services, an APN must submit
form ________________ to the state Medicaid agency, completed with the patient's
name and identifying information, ICD code, CPT code, charges, and APN's name,
provider number, and location
CMS-1500
