ANCC AGACNP Certification exam questions and answers
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Course
ANCC PMHNP
Institution
Oxford University (OX)
When should adults get the PNA vaccine?
Age 19-64: smoker, asthma, COPD, DM, ETOH, is immunocompromised or living in facility
Age 65+: PPSV23 AND PCV13
How often should you get a physical exam?
Once from 11-14, 15-17, 18-21
Every 5-6 years from ages 20-59
Every 2 years from age 60+
...
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ANCC PMHNP
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ANCC AGACNP Certification exam
questions and answers
When should adults get the PNA vaccine? - answer Age 19-64: smoker, asthma, COPD, DM,
ETOH, is immunocompromised or living in facility
Age 65+: PPSV23 AND PCV13
How often should you get a physical exam? - answer Once from 11-14, 15-17, 18-21
Every 5-6 years from ages 20-59
Every 2 years from age 60+
When should you check lipid panel? - answer Starting at age 20 and every 5 years unless > 200
mg/dL
When should mammography and prostate screening begin? - answer Mammography: starting
between 40-50 and continue as long as she has 10+ more years
Prostate: At 40 if family hx of AA. At 50 for everyone else
When should you have baseline ECG in place? - answer Age 40
When should colorectal screening start? - answer Age 50. Annual FOBT with flex sig q 5 years
and colonoscopy q 10 years
When should glaucoma testing start? - answer Age 40 and yearly
When should herpes zoster be given? - answer Age 50-60
,When can Pap smear be discontinued? - answer Age > 65-70 with three consecutive normal
tests and no abnormal tests in last 10 years
Top 4 killers in the US of everyone - answer Heart disease, colorectal cancer, Lowe respiratory
disease (COPD, asthma, flu, PNA), CVA stroke
Cancer with highest mortality in both men and women? - answer Lung
What is the most common cancer in women in the US? - answer Breast
What is the most common cancer in men in the US? - answer Prostate
Who should get hep A vaccine? - answer Military, travelers, men who have sex with men
Who should have hep B vaccine? - answer Healthcare workers and high risk patients
What is ginger used for and what should you watch for? - answer Nausea, dyspepsia,
constipation, colic
INCREASED RISK OF BLEEDING
What is ginseng used for and what should you watch for? - answer Increase overall well-being,
Lower cholesterol, reduce fatigue, enhance libido
INCREASED RISK OF BLEEDING, mania with MAOIs, May inhibit opioids
What is St. John's wort used for and what should you watch for? - answer Depression, anxiety,
sleep disorders, BPH
INCREASED RISK OF CLOTTING, many drug interactions, may increase efficacy of opioids
What is echinacea used for and what should you watch for? - answer Common cold
,Anaphylaxis, hepatotoxicity, nephrotoxicity, increased sedation during anesthesia
What is gingko Biloba used for and what should you watch for? - answer Memory and
concentration, claudication and glaucoma
INCREASED RISK OF BLEEDING, increased blood pressure
Black cohosh use and warning - answer Menopausal discomfort
INCREASED RISK OF BLEEDING
Large amounts may cause seizures, visual changes and bradycardia
What is evening primrose used for and what should you watch for? - answer Menopausal
discomfort
May elevate blood glucose
May increase the risk of seizures
What is kava kava used for and what should you watch for? - answer Improve relaxation without
messing with clarity
High doses can lead to HTN, liver damage, visual impairment and dry skin
Do not use with ETOH
May worsen Parkinson's
What is garlic used for and what should you watch for? - answer Indigestion, respiratory
complaints, increase energy
INCREASED RISK OF BLEEDING
What are the two titles of HIPAA? - answer Title 1: projects health insurance coverage for
workers and their families when they lose their job (Cobra)
Title 2: requires the establishment of national standards for electronic health care transactions
and national identifiers for providers, health insurance plans and employers
, Who is required to follow HIPAA? - answer Health care providers, clearinghouses, and health
plans
What are the two goals of healthy people 2020? - answer 1) Increase the quality and years of
healthy life
2) Eliminate health disparities among Americans
What diagnoses must NPs report to the Department of Health? - answer Gonorrhea
Chlamydia
Syphilis
HIV
TB
Animal bites to animal control
What is covered in Medicare A? - answer Hospital, SNF, home care services and hospice
What is covered by Medicare B? - answer Known as supplemental medical insurance, pays for
physicians visits, outpatient services, lab and diagnostics, medical equipment and flu shots
Medicare pays 80% and patient pays 20%
What is Medicare C? - answer Medicare Advantage - combines A B into one plan
What is Medicare D? - answer Limited prescription drug coverage
Monthly premium required, only available if you have part A
What do the State Practice Acts do? - answer - authorize boards of nursing in each to establish
authority for licensure
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