ANCC AGACNP Adult Gerontology Acute Care
Nurse Practitioner Board EXAM Questions
With Verified Accurate Solution
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
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
Medical Futility - ANSWER -Interventions that are unlikely to produce significant benefit
for pt - "Does the intervention have any reasonable prospect of helping this pt?"
Two kind of medical futility: - ANSWER -Quantitative futility: likelihood that intervention
will benefit pt is extremely poor
Qualitative futility: quality of benefit an intervention will produce is extremely poor
Informed consent - competence (decisional capability) - ANSWER -state that pt is able to
make personal decisions about their care
competence implies that ability to: - ANSWER -understand, reason, differentiate good
and bad, and communicate
informed consent - ANSWER -pt has received adequate instruction or info regarding
aspects of care to make prudent, personal choice regarding such tx
Informed consent includes: - ANSWER -discussing benefits and risk
consent is assumed if... - ANSWER -pt's condition is life threatening
, Danforth Amendment 1991 - ANSWER -pts are informed at time of admission to
federally funded institution (such as hospital, nursing home, hospice, HMO, etc) that they have
the right to refuse care as long as the pt has decisional capability (competence)
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
Ethics - ANSWER -study of moral conduct and behavior protecting the rights of an
individual
1st priority is the - ANSWER -most salvagable pts. Most critically injured cared for last.
Key ethical principles are: - ANSWER -nonmaleficence, utilitarianism, beneficence,
justice, fidelity, veracity, autonomy
Nonmaleficence - ANSWER -duty to do no harm
Utilitarianism - ANSWER -the right act is the one that produces the greatest good for the
greatest number
Beneficence - ANSWER -duty to prevent harm and promote good
Nurse Practitioner Board EXAM Questions
With Verified Accurate Solution
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
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
Medical Futility - ANSWER -Interventions that are unlikely to produce significant benefit
for pt - "Does the intervention have any reasonable prospect of helping this pt?"
Two kind of medical futility: - ANSWER -Quantitative futility: likelihood that intervention
will benefit pt is extremely poor
Qualitative futility: quality of benefit an intervention will produce is extremely poor
Informed consent - competence (decisional capability) - ANSWER -state that pt is able to
make personal decisions about their care
competence implies that ability to: - ANSWER -understand, reason, differentiate good
and bad, and communicate
informed consent - ANSWER -pt has received adequate instruction or info regarding
aspects of care to make prudent, personal choice regarding such tx
Informed consent includes: - ANSWER -discussing benefits and risk
consent is assumed if... - ANSWER -pt's condition is life threatening
, Danforth Amendment 1991 - ANSWER -pts are informed at time of admission to
federally funded institution (such as hospital, nursing home, hospice, HMO, etc) that they have
the right to refuse care as long as the pt has decisional capability (competence)
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
Ethics - ANSWER -study of moral conduct and behavior protecting the rights of an
individual
1st priority is the - ANSWER -most salvagable pts. Most critically injured cared for last.
Key ethical principles are: - ANSWER -nonmaleficence, utilitarianism, beneficence,
justice, fidelity, veracity, autonomy
Nonmaleficence - ANSWER -duty to do no harm
Utilitarianism - ANSWER -the right act is the one that produces the greatest good for the
greatest number
Beneficence - ANSWER -duty to prevent harm and promote good
