AGACNP REVIEW ACTUAL EXAM QUESTIONS WITH
ANSWERS GRADED A+ 2025/2026
What legislation allowed nurse practitioners to be recognized Medicare providers in all
geographical areas with their own provider number? - Balanced budget act
True/False: restraining an unwilling patient is grounds for malpractice? - 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? -
Temperature and weight recording
The NP program initiated, primarily, because of what issue in healthcare at the time? -
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? - Ask
for advance directives
Patient calls to complain about bills and states he has Medicare, which should cover all
costs. You explain: - 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? - HIPPA. Tell to consult other Dr at SNF
Patient in the ER not doing well, primary doctor calls: - Give him information
NP working on ESRD research project. A colleague renal specialist asked for patient
info on your patients: - HIPPA breach
What enforces HIPPA? - Office of Civil Rights/ Department of Health and Human
Services
Who isn't covered by HIPPA? - 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? -
You assume there's already a medical release signed by the patient and give the
requested information to them
What is benchmarking? - How institution compares with similar organizations
What is managed care? - Putting caps on payments
,What is peer review? - timely, no anonymous & NP nows how peer review will impact
early evaluation
What is sensitivity? - the ability of a test to detect disease (POSITIVE)
What is specificity? - Negative r/o disease
What is reliability? - Consistency of a measurement, or the degree to which an
instrument measures the same way over time
Validity of results: P-value - Probability of falsely rejecting the null hypothesis (want it to
be low)
What should you look at in statistical significance? - Sample size & p-value
What is privileging? - Maybe granted in full or part by the hospital. Credentialing
committee is made of physicians
What are institutional bylaws? - May further restrict practice
What is informed consent? - Estate indicating patient has received adequate
instruction/information regarding aspects of care to make a prudent, personal choice
regarding such treatment. Includes benefits and risks. Includes competence: patient
ability to CURD: communicate, understand, reason, differentiate good and bad
What is case management? - Mobilize, monitor, and control resources that a patient
uses during course of an illness while balancing quality and cost. Moves patients
through the system appropriately
What is non-disclosure? - Not disclosing patient PHI without their permission
What is negligence? - Failure of an individual to do what any responsible person would
do, resulting in injury to the patient
When serving as a nurse researcher, the NP is guided by which ethical principle to
ensure that research participants are protected from harm or exploitation? -
Nonmaleficence
What is quantitive research? - Amount/numbers
What is qualitative research? - Descriptive, like case study
What does the Living Will provide? - POA/health care proxy
Patient not doing well and family at bedside who do you talk to? - Healthcare proxy
,NP sees a patient for heart failure and performs at H&P. What percent is expected to be
paid? - Medicare pays 80% of the total bill, patient pays 20%. NP is reimbursed 85% of
what the MD is reimbursed for physician services, and for procedure is paid 80% of that
85%
What is palliative care? - Basic improvement in quality of life of anyone with an illness at
any stage
What is hospice? - Less than six months to live
What is scope of practice? - Collaboration, coordination of care, researched based
clinical practice, clinical leadership, family assessment, discharge planning
What is collaboration? - All players have and desire power, share common goals, and
recognize/accept separate areas of responsibility/activity
What are the four roles of nurse practitioners? - Education, research, clinician,
consultant/collaborator
Patient is getting discharged and needs wound care, pulmonary, and follow up. What is
the NPs role? - Coordinate services
Government is moving towards being cost-effective. What is the best way? - Allow NP
to treat a wider variety of patients
Protected health information: conversation between the ACNP in a consultant on the
case - Consider clinical relevance
How should the ACNP stay up-to-date with current information? - Evidence based
guidelines
Patient presents to the ER with complaints of chest pain and shortness of breath. The
NP misinterprets the EKG and admits the patient for further monitoring without
consulting cardiology. Later in the shift, the patient decompensates and goes into
cardiac arrest. The patient was resuscitated but sustained permanent brain damage.
What grounds of malpractice is the NP accountable for? - Lack of skill
What is healthcare exchange? - health insurance marketplaces= orgs. in each state thru
which people can purchase health insurance
You noticed there have been less favorable outcomes satisfaction surveys and patients
treated for sickle cell anemia. How do you approach this problem?
A. Ask the patients treated how care can be improved
B. Look back at prior treatment given to see how outcomes can be improved
, C. Form a standardized treatment plans for all patients that can be used by all
healthcare staff
D. form individualized treatment plans that can be used by all healthcare staff - C. Form
a standardized treatment plans for all patients that can be used by all healthcare staff
You have transferred a patient to the skilled nursing facility. The MD in charge at the
facility calls for info about the patient's medical care. What do you do?
A. Direct him to look it up in the EMR
B. Refuse to share protected health information
C. Instruct him to call the department head
D. Share the information he requests - D. Share the information he requests
Your patient has refused human blood products based on religious beliefs. He is now
rapidly destabilizing. What do you do?
A. Administer PRBCs as needed
B. Call the ethics committee
C. Continue to research alternative treatments
D. Ask the family to give permission now that he's unconscious - C. Continue to
research alternative treatments
What is the best way to make sure a patient will follow up as instructed?
A. instruct the patient to schedule the appointment
B. Ask the patient the best time they can go to an appointment
C. Have the office manager to schedule the appointment
D. Schedule the appointment for the patient both PCP and cardiology - D. Schedule the
appointment for the patient both PCP and cardiology
Your patient is brain dead on the ventilator. The family wants all possible treatment
measures done to preserve life, but states that the patient would not want to be on a
ventilator. What should you do?
A. Consult neurology to come interview the family
B. Document the situation carefully in the chart
C. Call a clergy member to offer support
D. Call the ethics committee - D. Call the ethics committee
A patient visit your clinic for sinusitis. She requests a Pap smear since she has not had
one in years. You:
A. Refer her to a gynecologist
B. Schedule her to come back next week for the pap at another appointment
C. Perform the pap today
ANSWERS GRADED A+ 2025/2026
What legislation allowed nurse practitioners to be recognized Medicare providers in all
geographical areas with their own provider number? - Balanced budget act
True/False: restraining an unwilling patient is grounds for malpractice? - 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? -
Temperature and weight recording
The NP program initiated, primarily, because of what issue in healthcare at the time? -
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? - Ask
for advance directives
Patient calls to complain about bills and states he has Medicare, which should cover all
costs. You explain: - 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? - HIPPA. Tell to consult other Dr at SNF
Patient in the ER not doing well, primary doctor calls: - Give him information
NP working on ESRD research project. A colleague renal specialist asked for patient
info on your patients: - HIPPA breach
What enforces HIPPA? - Office of Civil Rights/ Department of Health and Human
Services
Who isn't covered by HIPPA? - 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? -
You assume there's already a medical release signed by the patient and give the
requested information to them
What is benchmarking? - How institution compares with similar organizations
What is managed care? - Putting caps on payments
,What is peer review? - timely, no anonymous & NP nows how peer review will impact
early evaluation
What is sensitivity? - the ability of a test to detect disease (POSITIVE)
What is specificity? - Negative r/o disease
What is reliability? - Consistency of a measurement, or the degree to which an
instrument measures the same way over time
Validity of results: P-value - Probability of falsely rejecting the null hypothesis (want it to
be low)
What should you look at in statistical significance? - Sample size & p-value
What is privileging? - Maybe granted in full or part by the hospital. Credentialing
committee is made of physicians
What are institutional bylaws? - May further restrict practice
What is informed consent? - Estate indicating patient has received adequate
instruction/information regarding aspects of care to make a prudent, personal choice
regarding such treatment. Includes benefits and risks. Includes competence: patient
ability to CURD: communicate, understand, reason, differentiate good and bad
What is case management? - Mobilize, monitor, and control resources that a patient
uses during course of an illness while balancing quality and cost. Moves patients
through the system appropriately
What is non-disclosure? - Not disclosing patient PHI without their permission
What is negligence? - Failure of an individual to do what any responsible person would
do, resulting in injury to the patient
When serving as a nurse researcher, the NP is guided by which ethical principle to
ensure that research participants are protected from harm or exploitation? -
Nonmaleficence
What is quantitive research? - Amount/numbers
What is qualitative research? - Descriptive, like case study
What does the Living Will provide? - POA/health care proxy
Patient not doing well and family at bedside who do you talk to? - Healthcare proxy
,NP sees a patient for heart failure and performs at H&P. What percent is expected to be
paid? - Medicare pays 80% of the total bill, patient pays 20%. NP is reimbursed 85% of
what the MD is reimbursed for physician services, and for procedure is paid 80% of that
85%
What is palliative care? - Basic improvement in quality of life of anyone with an illness at
any stage
What is hospice? - Less than six months to live
What is scope of practice? - Collaboration, coordination of care, researched based
clinical practice, clinical leadership, family assessment, discharge planning
What is collaboration? - All players have and desire power, share common goals, and
recognize/accept separate areas of responsibility/activity
What are the four roles of nurse practitioners? - Education, research, clinician,
consultant/collaborator
Patient is getting discharged and needs wound care, pulmonary, and follow up. What is
the NPs role? - Coordinate services
Government is moving towards being cost-effective. What is the best way? - Allow NP
to treat a wider variety of patients
Protected health information: conversation between the ACNP in a consultant on the
case - Consider clinical relevance
How should the ACNP stay up-to-date with current information? - Evidence based
guidelines
Patient presents to the ER with complaints of chest pain and shortness of breath. The
NP misinterprets the EKG and admits the patient for further monitoring without
consulting cardiology. Later in the shift, the patient decompensates and goes into
cardiac arrest. The patient was resuscitated but sustained permanent brain damage.
What grounds of malpractice is the NP accountable for? - Lack of skill
What is healthcare exchange? - health insurance marketplaces= orgs. in each state thru
which people can purchase health insurance
You noticed there have been less favorable outcomes satisfaction surveys and patients
treated for sickle cell anemia. How do you approach this problem?
A. Ask the patients treated how care can be improved
B. Look back at prior treatment given to see how outcomes can be improved
, C. Form a standardized treatment plans for all patients that can be used by all
healthcare staff
D. form individualized treatment plans that can be used by all healthcare staff - C. Form
a standardized treatment plans for all patients that can be used by all healthcare staff
You have transferred a patient to the skilled nursing facility. The MD in charge at the
facility calls for info about the patient's medical care. What do you do?
A. Direct him to look it up in the EMR
B. Refuse to share protected health information
C. Instruct him to call the department head
D. Share the information he requests - D. Share the information he requests
Your patient has refused human blood products based on religious beliefs. He is now
rapidly destabilizing. What do you do?
A. Administer PRBCs as needed
B. Call the ethics committee
C. Continue to research alternative treatments
D. Ask the family to give permission now that he's unconscious - C. Continue to
research alternative treatments
What is the best way to make sure a patient will follow up as instructed?
A. instruct the patient to schedule the appointment
B. Ask the patient the best time they can go to an appointment
C. Have the office manager to schedule the appointment
D. Schedule the appointment for the patient both PCP and cardiology - D. Schedule the
appointment for the patient both PCP and cardiology
Your patient is brain dead on the ventilator. The family wants all possible treatment
measures done to preserve life, but states that the patient would not want to be on a
ventilator. What should you do?
A. Consult neurology to come interview the family
B. Document the situation carefully in the chart
C. Call a clergy member to offer support
D. Call the ethics committee - D. Call the ethics committee
A patient visit your clinic for sinusitis. She requests a Pap smear since she has not had
one in years. You:
A. Refer her to a gynecologist
B. Schedule her to come back next week for the pap at another appointment
C. Perform the pap today
